|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$197.00
|
|
|
Service Code
|
HCPCS 93325
|
| Min. Negotiated Rate |
$21.82 |
| Max. Negotiated Rate |
$2,792.59 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: BCBS Complete |
$78.80
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Healthscope Commercial |
$26.18
|
| Rate for Payer: Healthscope Commercial |
$26.18
|
| Rate for Payer: Healthscope Whirlpool |
$26.18
|
| Rate for Payer: Healthscope Whirlpool |
$26.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Narrow Network |
$33.10
|
| Rate for Payer: Priority Health Narrow Network |
$33.10
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Facility
|
IP
|
$197.00
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$137.90 |
| Max. Negotiated Rate |
$197.00 |
| Rate for Payer: Aetna Commercial |
$177.30
|
| Rate for Payer: Aetna Commercial |
$291.60
|
| Rate for Payer: ASR ASR |
$314.28
|
| Rate for Payer: ASR ASR |
$191.09
|
| Rate for Payer: BCBS Trust/PPO |
$251.20
|
| Rate for Payer: BCBS Trust/PPO |
$152.73
|
| Rate for Payer: BCN Commercial |
$251.20
|
| Rate for Payer: BCN Commercial |
$152.73
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cofinity Commercial |
$185.18
|
| Rate for Payer: Cofinity Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$259.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.60
|
| Rate for Payer: Healthscope Commercial |
$324.00
|
| Rate for Payer: Healthscope Commercial |
$197.00
|
| Rate for Payer: Healthscope Whirlpool |
$314.28
|
| Rate for Payer: Healthscope Whirlpool |
$191.09
|
| Rate for Payer: Mclaren Commercial |
$177.30
|
| Rate for Payer: Mclaren Commercial |
$291.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$275.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$167.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$285.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$173.36
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$324.00
|
|
|
Service Code
|
HCPCS 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$21.82 |
| Max. Negotiated Rate |
$2,792.59 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: Aetna Medicare |
$21.82
|
| Rate for Payer: BCBS Complete |
$78.80
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Healthscope Commercial |
$26.18
|
| Rate for Payer: Healthscope Commercial |
$26.18
|
| Rate for Payer: Healthscope Whirlpool |
$26.18
|
| Rate for Payer: Healthscope Whirlpool |
$26.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Narrow Network |
$33.10
|
| Rate for Payer: Priority Health Narrow Network |
$33.10
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
|
|
PR DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 93321
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$2,553.80 |
| Rate for Payer: Aetna Commercial |
$31.70
|
| Rate for Payer: Aetna Medicare |
$23.66
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$23.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,553.80
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: BCN Medicare Advantage |
$23.66
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$34.07
|
| Rate for Payer: Cofinity Commercial |
$31.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.66
|
| Rate for Payer: Healthscope Commercial |
$28.39
|
| Rate for Payer: Healthscope Whirlpool |
$28.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.84
|
| Rate for Payer: PACE SWMI |
$23.66
|
| Rate for Payer: PHP Medicare Advantage |
$23.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.47
|
| Rate for Payer: Priority Health Medicare |
$23.66
|
| Rate for Payer: Priority Health Narrow Network |
$35.47
|
| Rate for Payer: UHC Medicare Advantage |
$24.37
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Facility
|
IP
|
$254.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$177.80 |
| Max. Negotiated Rate |
$254.00 |
| Rate for Payer: Aetna Commercial |
$228.60
|
| Rate for Payer: Aetna Commercial |
$155.70
|
| Rate for Payer: ASR ASR |
$167.81
|
| Rate for Payer: ASR ASR |
$246.38
|
| Rate for Payer: BCBS Trust/PPO |
$134.13
|
| Rate for Payer: BCBS Trust/PPO |
$196.93
|
| Rate for Payer: BCN Commercial |
$196.93
|
| Rate for Payer: BCN Commercial |
$134.13
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cofinity Commercial |
$238.76
|
| Rate for Payer: Cofinity Commercial |
$162.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.20
|
| Rate for Payer: Healthscope Commercial |
$173.00
|
| Rate for Payer: Healthscope Commercial |
$254.00
|
| Rate for Payer: Healthscope Whirlpool |
$246.38
|
| Rate for Payer: Healthscope Whirlpool |
$167.81
|
| Rate for Payer: Mclaren Commercial |
$155.70
|
| Rate for Payer: Mclaren Commercial |
$228.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$215.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$223.52
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Facility
|
OP
|
$254.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$101.60 |
| Max. Negotiated Rate |
$364.81 |
| Rate for Payer: Aetna Commercial |
$228.60
|
| Rate for Payer: Aetna Commercial |
$155.70
|
| Rate for Payer: ASR ASR |
$246.38
|
| Rate for Payer: ASR ASR |
$167.81
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS Trust/PPO |
$134.13
|
| Rate for Payer: BCBS Trust/PPO |
$196.93
|
| Rate for Payer: BCN Commercial |
$196.93
|
| Rate for Payer: BCN Commercial |
$134.13
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$162.62
|
| Rate for Payer: Cofinity Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.40
|
| Rate for Payer: Healthscope Commercial |
$254.00
|
| Rate for Payer: Healthscope Commercial |
$173.00
|
| Rate for Payer: Healthscope Whirlpool |
$246.38
|
| Rate for Payer: Healthscope Whirlpool |
$167.81
|
| Rate for Payer: Mclaren Commercial |
$155.70
|
| Rate for Payer: Mclaren Commercial |
$228.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$215.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$364.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$364.81
|
| Rate for Payer: Priority Health Narrow Network |
$291.85
|
| Rate for Payer: Priority Health Narrow Network |
$291.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$223.52
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Professional
|
Both
|
$254.00
|
|
|
Service Code
|
HCPCS 93320
|
| Min. Negotiated Rate |
$47.87 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Medicare |
$47.87
|
| Rate for Payer: Aetna Medicare |
$47.87
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Narrow Network |
$71.40
|
| Rate for Payer: Priority Health Narrow Network |
$71.40
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Professional
|
Both
|
$254.00
|
|
|
Service Code
|
HCPCS 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$47.87 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Medicare |
$47.87
|
| Rate for Payer: Aetna Medicare |
$47.87
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Healthscope Whirlpool |
$57.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Narrow Network |
$71.40
|
| Rate for Payer: Priority Health Narrow Network |
$71.40
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
|
|
PR DRAIN ABD ABSCESS PERCUTANEOUS
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 49021
|
| Min. Negotiated Rate |
$242.80 |
| Max. Negotiated Rate |
$424.90 |
| Rate for Payer: BCBS Complete |
$242.80
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$424.90
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 30000
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$1,942.56 |
| Rate for Payer: Aetna Commercial |
$158.62
|
| Rate for Payer: Aetna Medicare |
$118.37
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$118.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,942.56
|
| Rate for Payer: BCN Commercial |
$396.81
|
| Rate for Payer: BCN Medicare Advantage |
$118.37
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$170.45
|
| Rate for Payer: Cofinity Commercial |
$158.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.37
|
| Rate for Payer: Healthscope Commercial |
$142.04
|
| Rate for Payer: Healthscope Whirlpool |
$142.04
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.29
|
| Rate for Payer: PACE SWMI |
$118.37
|
| Rate for Payer: PHP Medicare Advantage |
$118.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169.01
|
| Rate for Payer: Priority Health Medicare |
$118.37
|
| Rate for Payer: Priority Health Narrow Network |
$169.01
|
| Rate for Payer: UHC Medicare Advantage |
$121.92
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM
|
Professional
|
Both
|
$298.00
|
|
|
Service Code
|
HCPCS 30020
|
| Min. Negotiated Rate |
$79.24 |
| Max. Negotiated Rate |
$1,109.43 |
| Rate for Payer: Aetna Commercial |
$159.86
|
| Rate for Payer: Aetna Medicare |
$119.30
|
| Rate for Payer: BCBS Complete |
$83.20
|
| Rate for Payer: BCBS MAPPO |
$119.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.43
|
| Rate for Payer: BCN Commercial |
$401.20
|
| Rate for Payer: BCN Medicare Advantage |
$119.30
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cofinity Commercial |
$171.79
|
| Rate for Payer: Cofinity Commercial |
$159.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.30
|
| Rate for Payer: Healthscope Commercial |
$143.16
|
| Rate for Payer: Healthscope Whirlpool |
$143.16
|
| Rate for Payer: Meridian Medicaid |
$83.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.26
|
| Rate for Payer: PACE SWMI |
$119.30
|
| Rate for Payer: PHP Medicare Advantage |
$119.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$208.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.39
|
| Rate for Payer: Priority Health Medicare |
$119.30
|
| Rate for Payer: Priority Health Narrow Network |
$170.39
|
| Rate for Payer: UHC Medicare Advantage |
$122.88
|
|
|
PR DRAINAGE ABSCESS PAROTID COMPLICATED
|
Professional
|
Both
|
$768.00
|
|
|
Service Code
|
HCPCS 42305
|
| Min. Negotiated Rate |
$200.75 |
| Max. Negotiated Rate |
$747.91 |
| Rate for Payer: Aetna Commercial |
$558.07
|
| Rate for Payer: Aetna Medicare |
$416.47
|
| Rate for Payer: BCBS Complete |
$293.65
|
| Rate for Payer: BCBS MAPPO |
$416.47
|
| Rate for Payer: BCBS Trust/PPO |
$200.75
|
| Rate for Payer: BCN Commercial |
$621.60
|
| Rate for Payer: BCN Medicare Advantage |
$416.47
|
| Rate for Payer: Cash Price |
$614.40
|
| Rate for Payer: Cash Price |
$614.40
|
| Rate for Payer: Cofinity Commercial |
$558.07
|
| Rate for Payer: Cofinity Commercial |
$599.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.47
|
| Rate for Payer: Healthscope Commercial |
$499.76
|
| Rate for Payer: Healthscope Whirlpool |
$499.76
|
| Rate for Payer: Meridian Medicaid |
$293.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$437.29
|
| Rate for Payer: PACE SWMI |
$416.47
|
| Rate for Payer: PHP Medicare Advantage |
$416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$747.91
|
| Rate for Payer: Priority Health Medicare |
$416.47
|
| Rate for Payer: Priority Health Narrow Network |
$747.91
|
| Rate for Payer: UHC Medicare Advantage |
$428.96
|
|
|
PR DRAINAGE ABSCESS PAROTID SIMPLE
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 42300
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$891.77 |
| Rate for Payer: Aetna Commercial |
$205.02
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$153.00
|
| Rate for Payer: BCBS Trust/PPO |
$891.77
|
| Rate for Payer: BCN Commercial |
$319.11
|
| Rate for Payer: BCN Medicare Advantage |
$153.00
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Commercial |
$220.32
|
| Rate for Payer: Cofinity Commercial |
$205.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.00
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Healthscope Whirlpool |
$183.60
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.65
|
| Rate for Payer: PACE SWMI |
$153.00
|
| Rate for Payer: PHP Medicare Advantage |
$153.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$276.94
|
| Rate for Payer: Priority Health Medicare |
$153.00
|
| Rate for Payer: Priority Health Narrow Network |
$276.94
|
| Rate for Payer: UHC Medicare Advantage |
$157.59
|
|
|
PR DRAINAGE DEEP PERIURETHRAL ABSCESS
|
Professional
|
Both
|
$799.00
|
|
|
Service Code
|
HCPCS 53040
|
| Min. Negotiated Rate |
$251.13 |
| Max. Negotiated Rate |
$758.64 |
| Rate for Payer: Aetna Commercial |
$513.42
|
| Rate for Payer: Aetna Medicare |
$383.15
|
| Rate for Payer: BCBS Complete |
$263.69
|
| Rate for Payer: BCBS MAPPO |
$383.15
|
| Rate for Payer: BCBS Trust/PPO |
$758.64
|
| Rate for Payer: BCN Commercial |
$568.33
|
| Rate for Payer: BCN Medicare Advantage |
$383.15
|
| Rate for Payer: Cash Price |
$639.20
|
| Rate for Payer: Cash Price |
$639.20
|
| Rate for Payer: Cofinity Commercial |
$513.42
|
| Rate for Payer: Cofinity Commercial |
$551.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.15
|
| Rate for Payer: Healthscope Commercial |
$459.78
|
| Rate for Payer: Healthscope Whirlpool |
$459.78
|
| Rate for Payer: Meridian Medicaid |
$263.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$402.31
|
| Rate for Payer: PACE SWMI |
$383.15
|
| Rate for Payer: PHP Medicare Advantage |
$383.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$559.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$628.44
|
| Rate for Payer: Priority Health Medicare |
$383.15
|
| Rate for Payer: Priority Health Narrow Network |
$628.44
|
| Rate for Payer: UHC Medicare Advantage |
$394.64
|
|
|
PR DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 69020
|
| Min. Negotiated Rate |
$92.87 |
| Max. Negotiated Rate |
$346.96 |
| Rate for Payer: Aetna Commercial |
$187.77
|
| Rate for Payer: Aetna Medicare |
$140.13
|
| Rate for Payer: BCBS Complete |
$97.51
|
| Rate for Payer: BCBS MAPPO |
$140.13
|
| Rate for Payer: BCBS Trust/PPO |
$282.64
|
| Rate for Payer: BCN Commercial |
$346.96
|
| Rate for Payer: BCN Medicare Advantage |
$140.13
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$201.79
|
| Rate for Payer: Cofinity Commercial |
$187.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.13
|
| Rate for Payer: Healthscope Commercial |
$168.16
|
| Rate for Payer: Healthscope Whirlpool |
$168.16
|
| Rate for Payer: Meridian Medicaid |
$97.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.14
|
| Rate for Payer: PACE SWMI |
$140.13
|
| Rate for Payer: PHP Medicare Advantage |
$140.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.09
|
| Rate for Payer: Priority Health Medicare |
$140.13
|
| Rate for Payer: Priority Health Narrow Network |
$205.09
|
| Rate for Payer: UHC Medicare Advantage |
$144.33
|
|
|
PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 69005
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$5,834.02 |
| Rate for Payer: Aetna Commercial |
$209.95
|
| Rate for Payer: Aetna Medicare |
$156.68
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS MAPPO |
$156.68
|
| Rate for Payer: BCBS Trust/PPO |
$5,834.02
|
| Rate for Payer: BCN Commercial |
$323.02
|
| Rate for Payer: BCN Medicare Advantage |
$156.68
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cofinity Commercial |
$225.62
|
| Rate for Payer: Cofinity Commercial |
$209.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.68
|
| Rate for Payer: Healthscope Commercial |
$188.02
|
| Rate for Payer: Healthscope Whirlpool |
$188.02
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$164.51
|
| Rate for Payer: PACE SWMI |
$156.68
|
| Rate for Payer: PHP Medicare Advantage |
$156.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$226.78
|
| Rate for Payer: Priority Health Medicare |
$156.68
|
| Rate for Payer: Priority Health Narrow Network |
$226.78
|
| Rate for Payer: UHC Medicare Advantage |
$161.38
|
|
|
PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE
|
Professional
|
Both
|
$311.00
|
|
|
Service Code
|
HCPCS 69000
|
| Min. Negotiated Rate |
$80.94 |
| Max. Negotiated Rate |
$5,524.43 |
| Rate for Payer: Aetna Commercial |
$162.84
|
| Rate for Payer: Aetna Medicare |
$121.52
|
| Rate for Payer: BCBS Complete |
$84.99
|
| Rate for Payer: BCBS MAPPO |
$121.52
|
| Rate for Payer: BCBS Trust/PPO |
$5,524.43
|
| Rate for Payer: BCN Commercial |
$275.12
|
| Rate for Payer: BCN Medicare Advantage |
$121.52
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cofinity Commercial |
$162.84
|
| Rate for Payer: Cofinity Commercial |
$174.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.52
|
| Rate for Payer: Healthscope Commercial |
$145.82
|
| Rate for Payer: Healthscope Whirlpool |
$145.82
|
| Rate for Payer: Meridian Medicaid |
$84.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$127.60
|
| Rate for Payer: PACE SWMI |
$121.52
|
| Rate for Payer: PHP Medicare Advantage |
$121.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$176.80
|
| Rate for Payer: Priority Health Medicare |
$121.52
|
| Rate for Payer: Priority Health Narrow Network |
$176.80
|
| Rate for Payer: UHC Medicare Advantage |
$125.17
|
|
|
PR DRAINAGE FINGER ABSCESS COMPLICATED
|
Professional
|
Both
|
$795.00
|
|
|
Service Code
|
HCPCS 26011
|
| Min. Negotiated Rate |
$119.92 |
| Max. Negotiated Rate |
$712.98 |
| Rate for Payer: Aetna Commercial |
$243.79
|
| Rate for Payer: Aetna Medicare |
$181.93
|
| Rate for Payer: BCBS Complete |
$125.92
|
| Rate for Payer: BCBS MAPPO |
$181.93
|
| Rate for Payer: BCBS Trust/PPO |
$452.09
|
| Rate for Payer: BCN Commercial |
$712.98
|
| Rate for Payer: BCN Medicare Advantage |
$181.93
|
| Rate for Payer: Cash Price |
$636.00
|
| Rate for Payer: Cash Price |
$636.00
|
| Rate for Payer: Cofinity Commercial |
$261.98
|
| Rate for Payer: Cofinity Commercial |
$243.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.93
|
| Rate for Payer: Healthscope Commercial |
$218.32
|
| Rate for Payer: Healthscope Whirlpool |
$218.32
|
| Rate for Payer: Meridian Medicaid |
$125.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.03
|
| Rate for Payer: PACE SWMI |
$181.93
|
| Rate for Payer: PHP Medicare Advantage |
$181.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$285.97
|
| Rate for Payer: Priority Health Medicare |
$181.93
|
| Rate for Payer: Priority Health Narrow Network |
$285.97
|
| Rate for Payer: UHC Medicare Advantage |
$187.39
|
|
|
PR DRAINAGE FINGER ABSCESS SIMPLE
|
Professional
|
Both
|
$565.00
|
|
|
Service Code
|
HCPCS 26010
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$509.69 |
| Rate for Payer: Aetna Commercial |
$184.26
|
| Rate for Payer: Aetna Medicare |
$137.51
|
| Rate for Payer: BCBS Complete |
$96.17
|
| Rate for Payer: BCBS MAPPO |
$137.51
|
| Rate for Payer: BCBS Trust/PPO |
$348.51
|
| Rate for Payer: BCN Commercial |
$509.69
|
| Rate for Payer: BCN Medicare Advantage |
$137.51
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cofinity Commercial |
$184.26
|
| Rate for Payer: Cofinity Commercial |
$198.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.51
|
| Rate for Payer: Healthscope Commercial |
$165.01
|
| Rate for Payer: Healthscope Whirlpool |
$165.01
|
| Rate for Payer: Meridian Medicaid |
$96.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.39
|
| Rate for Payer: PACE SWMI |
$137.51
|
| Rate for Payer: PHP Medicare Advantage |
$137.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$395.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$217.03
|
| Rate for Payer: Priority Health Medicare |
$137.51
|
| Rate for Payer: Priority Health Narrow Network |
$217.03
|
| Rate for Payer: UHC Medicare Advantage |
$141.64
|
|
|
PR DRAINAGE OF PALMAR BURSA MULTIPLE BURSA
|
Professional
|
Both
|
$3,116.00
|
|
|
Service Code
|
HCPCS 26030
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$2,181.20 |
| Rate for Payer: Aetna Commercial |
$649.58
|
| Rate for Payer: Aetna Medicare |
$484.76
|
| Rate for Payer: BCBS Complete |
$336.37
|
| Rate for Payer: BCBS MAPPO |
$484.76
|
| Rate for Payer: BCBS Trust/PPO |
$104.00
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$484.76
|
| Rate for Payer: Cash Price |
$2,492.80
|
| Rate for Payer: Cash Price |
$2,492.80
|
| Rate for Payer: Cofinity Commercial |
$698.05
|
| Rate for Payer: Cofinity Commercial |
$649.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.76
|
| Rate for Payer: Healthscope Commercial |
$581.71
|
| Rate for Payer: Healthscope Whirlpool |
$581.71
|
| Rate for Payer: Meridian Medicaid |
$336.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$509.00
|
| Rate for Payer: PACE SWMI |
$484.76
|
| Rate for Payer: PHP Medicare Advantage |
$484.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,181.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$759.84
|
| Rate for Payer: Priority Health Medicare |
$484.76
|
| Rate for Payer: Priority Health Narrow Network |
$759.84
|
| Rate for Payer: UHC Medicare Advantage |
$499.30
|
|
|
PR DRAINAGE OF PALMAR BURSA SINGLE BURSA
|
Professional
|
Both
|
$1,336.00
|
|
|
Service Code
|
HCPCS 26025
|
| Min. Negotiated Rate |
$84.90 |
| Max. Negotiated Rate |
$935.20 |
| Rate for Payer: Aetna Commercial |
$553.92
|
| Rate for Payer: Aetna Medicare |
$413.37
|
| Rate for Payer: BCBS Complete |
$287.16
|
| Rate for Payer: BCBS MAPPO |
$413.37
|
| Rate for Payer: BCBS Trust/PPO |
$84.90
|
| Rate for Payer: BCN Commercial |
$621.60
|
| Rate for Payer: BCN Medicare Advantage |
$413.37
|
| Rate for Payer: Cash Price |
$1,068.80
|
| Rate for Payer: Cash Price |
$1,068.80
|
| Rate for Payer: Cofinity Commercial |
$553.92
|
| Rate for Payer: Cofinity Commercial |
$595.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.37
|
| Rate for Payer: Healthscope Commercial |
$496.04
|
| Rate for Payer: Healthscope Whirlpool |
$496.04
|
| Rate for Payer: Meridian Medicaid |
$287.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.04
|
| Rate for Payer: PACE SWMI |
$413.37
|
| Rate for Payer: PHP Medicare Advantage |
$413.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$935.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.55
|
| Rate for Payer: Priority Health Medicare |
$413.37
|
| Rate for Payer: Priority Health Narrow Network |
$649.55
|
| Rate for Payer: UHC Medicare Advantage |
$425.77
|
|
|
PR DRAINAGE OF RETROPERITONEAL ABSCESS OPEN
|
Professional
|
Both
|
$2,205.00
|
|
|
Service Code
|
HCPCS 49060
|
| Min. Negotiated Rate |
$698.85 |
| Max. Negotiated Rate |
$1,919.15 |
| Rate for Payer: Aetna Commercial |
$1,455.62
|
| Rate for Payer: Aetna Medicare |
$1,086.28
|
| Rate for Payer: BCBS Complete |
$733.79
|
| Rate for Payer: BCBS MAPPO |
$1,086.28
|
| Rate for Payer: BCBS Trust/PPO |
$798.26
|
| Rate for Payer: BCN Commercial |
$1,595.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,086.28
|
| Rate for Payer: Cash Price |
$1,764.00
|
| Rate for Payer: Cash Price |
$1,764.00
|
| Rate for Payer: Cofinity Commercial |
$1,564.24
|
| Rate for Payer: Cofinity Commercial |
$1,455.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,086.28
|
| Rate for Payer: Healthscope Commercial |
$1,303.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,303.54
|
| Rate for Payer: Meridian Medicaid |
$733.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,140.59
|
| Rate for Payer: PACE SWMI |
$1,086.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,086.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$698.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,543.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,919.15
|
| Rate for Payer: Priority Health Medicare |
$1,086.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,919.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,118.87
|
|
|
PR DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH
|
Professional
|
Both
|
$1,691.00
|
|
|
Service Code
|
HCPCS 58822
|
| Min. Negotiated Rate |
$280.53 |
| Max. Negotiated Rate |
$1,183.70 |
| Rate for Payer: Aetna Commercial |
$951.25
|
| Rate for Payer: Aetna Medicare |
$709.89
|
| Rate for Payer: BCBS Complete |
$482.63
|
| Rate for Payer: BCBS MAPPO |
$709.89
|
| Rate for Payer: BCBS Trust/PPO |
$280.53
|
| Rate for Payer: BCN Commercial |
$1,050.17
|
| Rate for Payer: BCN Medicare Advantage |
$709.89
|
| Rate for Payer: Cash Price |
$1,352.80
|
| Rate for Payer: Cash Price |
$1,352.80
|
| Rate for Payer: Cofinity Commercial |
$951.25
|
| Rate for Payer: Cofinity Commercial |
$1,022.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.89
|
| Rate for Payer: Healthscope Commercial |
$851.87
|
| Rate for Payer: Healthscope Whirlpool |
$851.87
|
| Rate for Payer: Meridian Medicaid |
$482.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$745.38
|
| Rate for Payer: PACE SWMI |
$709.89
|
| Rate for Payer: PHP Medicare Advantage |
$709.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$459.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,183.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,017.39
|
| Rate for Payer: Priority Health Medicare |
$709.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,017.39
|
| Rate for Payer: UHC Medicare Advantage |
$731.19
|
|
|
PR DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN
|
Professional
|
Both
|
$879.00
|
|
|
Service Code
|
HCPCS 58820
|
| Min. Negotiated Rate |
$136.83 |
| Max. Negotiated Rate |
$615.30 |
| Rate for Payer: Aetna Commercial |
$448.44
|
| Rate for Payer: Aetna Medicare |
$334.66
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$334.66
|
| Rate for Payer: BCBS Trust/PPO |
$136.83
|
| Rate for Payer: BCN Commercial |
$500.41
|
| Rate for Payer: BCN Medicare Advantage |
$334.66
|
| Rate for Payer: Cash Price |
$703.20
|
| Rate for Payer: Cash Price |
$703.20
|
| Rate for Payer: Cofinity Commercial |
$481.91
|
| Rate for Payer: Cofinity Commercial |
$448.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.66
|
| Rate for Payer: Healthscope Commercial |
$401.59
|
| Rate for Payer: Healthscope Whirlpool |
$401.59
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.39
|
| Rate for Payer: PACE SWMI |
$334.66
|
| Rate for Payer: PHP Medicare Advantage |
$334.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$615.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.78
|
| Rate for Payer: Priority Health Medicare |
$334.66
|
| Rate for Payer: Priority Health Narrow Network |
$484.78
|
| Rate for Payer: UHC Medicare Advantage |
$344.70
|
|
|
PR DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL
|
Professional
|
Both
|
$1,580.00
|
|
|
Service Code
|
HCPCS 58805
|
| Min. Negotiated Rate |
$275.77 |
| Max. Negotiated Rate |
$1,106.00 |
| Rate for Payer: Aetna Commercial |
$567.95
|
| Rate for Payer: Aetna Medicare |
$423.84
|
| Rate for Payer: BCBS Complete |
$290.29
|
| Rate for Payer: BCBS MAPPO |
$423.84
|
| Rate for Payer: BCBS Trust/PPO |
$275.77
|
| Rate for Payer: BCN Commercial |
$630.89
|
| Rate for Payer: BCN Medicare Advantage |
$423.84
|
| Rate for Payer: Cash Price |
$1,264.00
|
| Rate for Payer: Cash Price |
$1,264.00
|
| Rate for Payer: Cofinity Commercial |
$567.95
|
| Rate for Payer: Cofinity Commercial |
$610.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$423.84
|
| Rate for Payer: Healthscope Commercial |
$508.61
|
| Rate for Payer: Healthscope Whirlpool |
$508.61
|
| Rate for Payer: Meridian Medicaid |
$290.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$445.03
|
| Rate for Payer: PACE SWMI |
$423.84
|
| Rate for Payer: PHP Medicare Advantage |
$423.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,106.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.19
|
| Rate for Payer: Priority Health Medicare |
$423.84
|
| Rate for Payer: Priority Health Narrow Network |
$611.19
|
| Rate for Payer: UHC Medicare Advantage |
$436.56
|
|
