|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$130.49 |
| Max. Negotiated Rate |
$758.80 |
| Rate for Payer: Aetna Commercial |
$428.33
|
| Rate for Payer: Aetna Medicare |
$319.65
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$319.65
|
| Rate for Payer: BCBS Trust/PPO |
$130.49
|
| Rate for Payer: BCN Commercial |
$483.30
|
| Rate for Payer: BCN Medicare Advantage |
$319.65
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$460.30
|
| Rate for Payer: Cofinity Commercial |
$428.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.65
|
| Rate for Payer: Healthscope Commercial |
$383.58
|
| Rate for Payer: Healthscope Whirlpool |
$383.58
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$335.63
|
| Rate for Payer: PACE SWMI |
$319.65
|
| Rate for Payer: PHP Medicare Advantage |
$319.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$758.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$505.03
|
| Rate for Payer: Priority Health Medicare |
$319.65
|
| Rate for Payer: Priority Health Narrow Network |
$505.03
|
| Rate for Payer: UHC Medicare Advantage |
$329.24
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$25.89 |
| Max. Negotiated Rate |
$788.90 |
| Rate for Payer: Aetna Commercial |
$516.50
|
| Rate for Payer: Aetna Medicare |
$385.45
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS MAPPO |
$385.45
|
| Rate for Payer: BCBS Trust/PPO |
$25.89
|
| Rate for Payer: BCN Commercial |
$580.06
|
| Rate for Payer: BCN Medicare Advantage |
$385.45
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$516.50
|
| Rate for Payer: Cofinity Commercial |
$555.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$385.45
|
| Rate for Payer: Healthscope Commercial |
$462.54
|
| Rate for Payer: Healthscope Whirlpool |
$462.54
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$404.72
|
| Rate for Payer: PACE SWMI |
$385.45
|
| Rate for Payer: PHP Medicare Advantage |
$385.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$788.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.14
|
| Rate for Payer: Priority Health Medicare |
$385.45
|
| Rate for Payer: Priority Health Narrow Network |
$606.14
|
| Rate for Payer: UHC Medicare Advantage |
$397.01
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$213.43 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$436.56
|
| Rate for Payer: Aetna Medicare |
$325.79
|
| Rate for Payer: BCBS Complete |
$224.10
|
| Rate for Payer: BCBS MAPPO |
$325.79
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$325.79
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cofinity Commercial |
$469.14
|
| Rate for Payer: Cofinity Commercial |
$436.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.79
|
| Rate for Payer: Healthscope Commercial |
$390.95
|
| Rate for Payer: Healthscope Whirlpool |
$390.95
|
| Rate for Payer: Meridian Medicaid |
$224.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$342.08
|
| Rate for Payer: PACE SWMI |
$325.79
|
| Rate for Payer: PHP Medicare Advantage |
$325.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$574.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$408.99
|
| Rate for Payer: Priority Health Medicare |
$325.79
|
| Rate for Payer: Priority Health Narrow Network |
$408.99
|
| Rate for Payer: UHC Medicare Advantage |
$335.56
|
|
|
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
|
Professional
|
Both
|
$719.00
|
|
|
Service Code
|
HCPCS 11450
|
| Min. Negotiated Rate |
$169.12 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$343.29
|
| Rate for Payer: Aetna Medicare |
$256.19
|
| Rate for Payer: BCBS Complete |
$177.58
|
| Rate for Payer: BCBS MAPPO |
$256.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$636.26
|
| Rate for Payer: BCN Medicare Advantage |
$256.19
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$343.29
|
| Rate for Payer: Cofinity Commercial |
$368.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.19
|
| Rate for Payer: Healthscope Commercial |
$307.43
|
| Rate for Payer: Healthscope Whirlpool |
$307.43
|
| Rate for Payer: Meridian Medicaid |
$177.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.00
|
| Rate for Payer: PACE SWMI |
$256.19
|
| Rate for Payer: PHP Medicare Advantage |
$256.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$503.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.66
|
| Rate for Payer: Priority Health Medicare |
$256.19
|
| Rate for Payer: Priority Health Narrow Network |
$322.66
|
| Rate for Payer: UHC Medicare Advantage |
$263.88
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 11463
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$438.89
|
| Rate for Payer: Aetna Medicare |
$327.53
|
| Rate for Payer: BCBS Complete |
$225.21
|
| Rate for Payer: BCBS MAPPO |
$327.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$327.53
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$471.64
|
| Rate for Payer: Cofinity Commercial |
$438.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.53
|
| Rate for Payer: Healthscope Commercial |
$393.04
|
| Rate for Payer: Healthscope Whirlpool |
$393.04
|
| Rate for Payer: Meridian Medicaid |
$225.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$343.91
|
| Rate for Payer: PACE SWMI |
$327.53
|
| Rate for Payer: PHP Medicare Advantage |
$327.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$327.53
|
| Rate for Payer: Priority Health Narrow Network |
$411.45
|
| Rate for Payer: UHC Medicare Advantage |
$337.36
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
OP
|
$623.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$436.10 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$560.70
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$604.31
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$483.01
|
| Rate for Payer: BCN Commercial |
$483.01
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$585.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$623.00
|
| Rate for Payer: Healthscope Whirlpool |
$604.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$560.70
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$529.55
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$566.93
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$442.33
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$548.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$438.89
|
| Rate for Payer: Aetna Medicare |
$327.53
|
| Rate for Payer: BCBS Complete |
$225.21
|
| Rate for Payer: BCBS MAPPO |
$327.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$327.53
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$438.89
|
| Rate for Payer: Cofinity Commercial |
$471.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.53
|
| Rate for Payer: Healthscope Commercial |
$393.04
|
| Rate for Payer: Healthscope Whirlpool |
$393.04
|
| Rate for Payer: Meridian Medicaid |
$225.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$343.91
|
| Rate for Payer: PACE SWMI |
$327.53
|
| Rate for Payer: PHP Medicare Advantage |
$327.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$327.53
|
| Rate for Payer: Priority Health Narrow Network |
$411.45
|
| Rate for Payer: UHC Medicare Advantage |
$337.36
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
IP
|
$623.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$436.10 |
| Max. Negotiated Rate |
$623.00 |
| Rate for Payer: Aetna Commercial |
$560.70
|
| Rate for Payer: ASR ASR |
$604.31
|
| Rate for Payer: BCBS Trust/PPO |
$483.01
|
| Rate for Payer: BCN Commercial |
$483.01
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$585.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.40
|
| Rate for Payer: Healthscope Commercial |
$623.00
|
| Rate for Payer: Healthscope Whirlpool |
$604.31
|
| Rate for Payer: Mclaren Commercial |
$560.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$529.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$548.24
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$161.03 |
| Max. Negotiated Rate |
$615.25 |
| Rate for Payer: Aetna Commercial |
$324.76
|
| Rate for Payer: Aetna Medicare |
$242.36
|
| Rate for Payer: BCBS Complete |
$169.08
|
| Rate for Payer: BCBS MAPPO |
$242.36
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$242.36
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$324.76
|
| Rate for Payer: Cofinity Commercial |
$349.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.36
|
| Rate for Payer: Healthscope Commercial |
$290.83
|
| Rate for Payer: Healthscope Whirlpool |
$290.83
|
| Rate for Payer: Meridian Medicaid |
$169.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$254.48
|
| Rate for Payer: PACE SWMI |
$242.36
|
| Rate for Payer: PHP Medicare Advantage |
$242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.81
|
| Rate for Payer: Priority Health Medicare |
$242.36
|
| Rate for Payer: Priority Health Narrow Network |
$305.81
|
| Rate for Payer: UHC Medicare Advantage |
$249.63
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
OP
|
$464.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$324.80 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$417.60
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$450.08
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$359.74
|
| Rate for Payer: BCN Commercial |
$359.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$436.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$464.00
|
| Rate for Payer: Healthscope Whirlpool |
$450.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$417.60
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$394.40
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$422.24
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$329.44
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$408.32
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 11462
|
| Min. Negotiated Rate |
$161.03 |
| Max. Negotiated Rate |
$615.25 |
| Rate for Payer: Aetna Commercial |
$324.76
|
| Rate for Payer: Aetna Medicare |
$242.36
|
| Rate for Payer: BCBS Complete |
$169.08
|
| Rate for Payer: BCBS MAPPO |
$242.36
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$242.36
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$324.76
|
| Rate for Payer: Cofinity Commercial |
$349.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.36
|
| Rate for Payer: Healthscope Commercial |
$290.83
|
| Rate for Payer: Healthscope Whirlpool |
$290.83
|
| Rate for Payer: Meridian Medicaid |
$169.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$254.48
|
| Rate for Payer: PACE SWMI |
$242.36
|
| Rate for Payer: PHP Medicare Advantage |
$242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.81
|
| Rate for Payer: Priority Health Medicare |
$242.36
|
| Rate for Payer: Priority Health Narrow Network |
$305.81
|
| Rate for Payer: UHC Medicare Advantage |
$249.63
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
IP
|
$464.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$324.80 |
| Max. Negotiated Rate |
$464.00 |
| Rate for Payer: Aetna Commercial |
$417.60
|
| Rate for Payer: ASR ASR |
$450.08
|
| Rate for Payer: BCBS Trust/PPO |
$359.74
|
| Rate for Payer: BCN Commercial |
$359.74
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$436.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Healthscope Commercial |
$464.00
|
| Rate for Payer: Healthscope Whirlpool |
$450.08
|
| Rate for Payer: Mclaren Commercial |
$417.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$394.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$408.32
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 11471
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$796.55 |
| Rate for Payer: Aetna Commercial |
$460.12
|
| Rate for Payer: Aetna Medicare |
$343.37
|
| Rate for Payer: BCBS Complete |
$237.52
|
| Rate for Payer: BCBS MAPPO |
$343.37
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$796.55
|
| Rate for Payer: BCN Medicare Advantage |
$343.37
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$494.45
|
| Rate for Payer: Cofinity Commercial |
$460.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.37
|
| Rate for Payer: Healthscope Commercial |
$412.04
|
| Rate for Payer: Healthscope Whirlpool |
$412.04
|
| Rate for Payer: Meridian Medicaid |
$237.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$360.54
|
| Rate for Payer: PACE SWMI |
$343.37
|
| Rate for Payer: PHP Medicare Advantage |
$343.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$430.77
|
| Rate for Payer: Priority Health Medicare |
$343.37
|
| Rate for Payer: Priority Health Narrow Network |
$430.77
|
| Rate for Payer: UHC Medicare Advantage |
$353.67
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
OP
|
$967.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$676.90 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$870.30
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$937.99
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$749.72
|
| Rate for Payer: BCN Commercial |
$749.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$908.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$967.00
|
| Rate for Payer: Healthscope Whirlpool |
$937.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$870.30
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$879.97
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$686.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$850.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$796.55 |
| Rate for Payer: Aetna Commercial |
$460.12
|
| Rate for Payer: Aetna Medicare |
$343.37
|
| Rate for Payer: BCBS Complete |
$237.52
|
| Rate for Payer: BCBS MAPPO |
$343.37
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$796.55
|
| Rate for Payer: BCN Medicare Advantage |
$343.37
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$494.45
|
| Rate for Payer: Cofinity Commercial |
$460.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.37
|
| Rate for Payer: Healthscope Commercial |
$412.04
|
| Rate for Payer: Healthscope Whirlpool |
$412.04
|
| Rate for Payer: Meridian Medicaid |
$237.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$360.54
|
| Rate for Payer: PACE SWMI |
$343.37
|
| Rate for Payer: PHP Medicare Advantage |
$343.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$430.77
|
| Rate for Payer: Priority Health Medicare |
$343.37
|
| Rate for Payer: Priority Health Narrow Network |
$430.77
|
| Rate for Payer: UHC Medicare Advantage |
$353.67
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
IP
|
$967.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$676.90 |
| Max. Negotiated Rate |
$967.00 |
| Rate for Payer: Aetna Commercial |
$870.30
|
| Rate for Payer: ASR ASR |
$937.99
|
| Rate for Payer: BCBS Trust/PPO |
$749.72
|
| Rate for Payer: BCN Commercial |
$749.72
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$908.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Healthscope Commercial |
$967.00
|
| Rate for Payer: Healthscope Whirlpool |
$937.99
|
| Rate for Payer: Mclaren Commercial |
$870.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$850.96
|
|
|
PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR
|
Professional
|
Both
|
$892.00
|
|
|
Service Code
|
HCPCS 11470
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$673.89 |
| Rate for Payer: Aetna Commercial |
$377.32
|
| Rate for Payer: Aetna Medicare |
$281.58
|
| Rate for Payer: BCBS Complete |
$194.12
|
| Rate for Payer: BCBS MAPPO |
$281.58
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$673.89
|
| Rate for Payer: BCN Medicare Advantage |
$281.58
|
| Rate for Payer: Cash Price |
$713.60
|
| Rate for Payer: Cash Price |
$713.60
|
| Rate for Payer: Cofinity Commercial |
$405.48
|
| Rate for Payer: Cofinity Commercial |
$377.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.58
|
| Rate for Payer: Healthscope Commercial |
$337.90
|
| Rate for Payer: Healthscope Whirlpool |
$337.90
|
| Rate for Payer: Meridian Medicaid |
$194.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$295.66
|
| Rate for Payer: PACE SWMI |
$281.58
|
| Rate for Payer: PHP Medicare Advantage |
$281.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$354.32
|
| Rate for Payer: Priority Health Medicare |
$281.58
|
| Rate for Payer: Priority Health Narrow Network |
$354.32
|
| Rate for Payer: UHC Medicare Advantage |
$290.03
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 55041
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$1,449.66 |
| Rate for Payer: Aetna Commercial |
$669.36
|
| Rate for Payer: Aetna Medicare |
$499.52
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$499.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.66
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$499.52
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$719.31
|
| Rate for Payer: Cofinity Commercial |
$669.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.52
|
| Rate for Payer: Healthscope Commercial |
$599.42
|
| Rate for Payer: Healthscope Whirlpool |
$599.42
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.50
|
| Rate for Payer: PACE SWMI |
$499.52
|
| Rate for Payer: PHP Medicare Advantage |
$499.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$819.18
|
| Rate for Payer: Priority Health Medicare |
$499.52
|
| Rate for Payer: Priority Health Narrow Network |
$819.18
|
| Rate for Payer: UHC Medicare Advantage |
$514.51
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Facility
|
IP
|
$1,807.00
|
|
|
Service Code
|
CPT 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$1,264.90 |
| Max. Negotiated Rate |
$1,807.00 |
| Rate for Payer: Aetna Commercial |
$1,626.30
|
| Rate for Payer: ASR ASR |
$1,752.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,400.97
|
| Rate for Payer: BCN Commercial |
$1,400.97
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,698.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,445.60
|
| Rate for Payer: Healthscope Commercial |
$1,807.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,752.79
|
| Rate for Payer: Mclaren Commercial |
$1,626.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,535.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,590.16
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Facility
|
OP
|
$1,807.00
|
|
|
Service Code
|
CPT 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$1,264.90 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$1,626.30
|
| Rate for Payer: Aetna Medicare |
$3,075.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,844.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,844.02
|
| Rate for Payer: ASR ASR |
$1,752.79
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,400.97
|
| Rate for Payer: BCN Commercial |
$1,400.97
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,698.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,445.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$1,807.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,752.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$1,626.30
|
| Rate for Payer: Mclaren Medicaid |
$1,682.15
|
| Rate for Payer: Mclaren Medicare |
$3,075.22
|
| Rate for Payer: Meridian Medicaid |
$1,766.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,536.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,535.95
|
| Rate for Payer: PACE Medicare |
$2,921.46
|
| Rate for Payer: PACE SWMI |
$3,075.22
|
| Rate for Payer: PHP Commercial |
$3,382.74
|
| Rate for Payer: PHP Medicaid |
$1,682.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,075.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,682.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,644.37
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,282.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,590.16
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$1,449.66 |
| Rate for Payer: Aetna Commercial |
$669.36
|
| Rate for Payer: Aetna Medicare |
$499.52
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$499.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.66
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$499.52
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$669.36
|
| Rate for Payer: Cofinity Commercial |
$719.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.52
|
| Rate for Payer: Healthscope Commercial |
$599.42
|
| Rate for Payer: Healthscope Whirlpool |
$599.42
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.50
|
| Rate for Payer: PACE SWMI |
$499.52
|
| Rate for Payer: PHP Medicare Advantage |
$499.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$819.18
|
| Rate for Payer: Priority Health Medicare |
$499.52
|
| Rate for Payer: Priority Health Narrow Network |
$819.18
|
| Rate for Payer: UHC Medicare Advantage |
$514.51
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 55040
|
| Hospital Charge Code |
55040
|
| Min. Negotiated Rate |
$217.47 |
| Max. Negotiated Rate |
$1,183.92 |
| Rate for Payer: Aetna Commercial |
$441.96
|
| Rate for Payer: Aetna Medicare |
$329.82
|
| Rate for Payer: BCBS Complete |
$228.34
|
| Rate for Payer: BCBS MAPPO |
$329.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.92
|
| Rate for Payer: BCN Commercial |
$490.14
|
| Rate for Payer: BCN Medicare Advantage |
$329.82
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$474.94
|
| Rate for Payer: Cofinity Commercial |
$441.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.82
|
| Rate for Payer: Healthscope Commercial |
$395.78
|
| Rate for Payer: Healthscope Whirlpool |
$395.78
|
| Rate for Payer: Meridian Medicaid |
$228.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$346.31
|
| Rate for Payer: PACE SWMI |
$329.82
|
| Rate for Payer: PHP Medicare Advantage |
$329.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.98
|
| Rate for Payer: Priority Health Medicare |
$329.82
|
| Rate for Payer: Priority Health Narrow Network |
$541.98
|
| Rate for Payer: UHC Medicare Advantage |
$339.71
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Facility
|
IP
|
$1,231.00
|
|
|
Service Code
|
CPT 55040
|
| Hospital Charge Code |
55040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$861.70 |
| Max. Negotiated Rate |
$1,231.00 |
| Rate for Payer: Aetna Commercial |
$1,107.90
|
| Rate for Payer: ASR ASR |
$1,194.07
|
| Rate for Payer: BCBS Trust/PPO |
$954.39
|
| Rate for Payer: BCN Commercial |
$954.39
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$1,157.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$984.80
|
| Rate for Payer: Healthscope Commercial |
$1,231.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,194.07
|
| Rate for Payer: Mclaren Commercial |
$1,107.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,046.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,083.28
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Facility
|
OP
|
$1,231.00
|
|
|
Service Code
|
CPT 55040
|
| Hospital Charge Code |
55040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$861.70 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$1,107.90
|
| Rate for Payer: Aetna Medicare |
$3,075.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,844.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,844.02
|
| Rate for Payer: ASR ASR |
$1,194.07
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$954.39
|
| Rate for Payer: BCN Commercial |
$954.39
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$1,157.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$984.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$1,231.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,194.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$1,107.90
|
| Rate for Payer: Mclaren Medicaid |
$1,682.15
|
| Rate for Payer: Mclaren Medicare |
$3,075.22
|
| Rate for Payer: Meridian Medicaid |
$1,766.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,536.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,046.35
|
| Rate for Payer: PACE Medicare |
$2,921.46
|
| Rate for Payer: PACE SWMI |
$3,075.22
|
| Rate for Payer: PHP Commercial |
$3,382.74
|
| Rate for Payer: PHP Medicaid |
$1,682.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,075.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,682.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,120.21
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$874.01
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,083.28
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 55040
|
| Min. Negotiated Rate |
$217.47 |
| Max. Negotiated Rate |
$1,183.92 |
| Rate for Payer: Aetna Commercial |
$441.96
|
| Rate for Payer: Aetna Medicare |
$329.82
|
| Rate for Payer: BCBS Complete |
$228.34
|
| Rate for Payer: BCBS MAPPO |
$329.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.92
|
| Rate for Payer: BCN Commercial |
$490.14
|
| Rate for Payer: BCN Medicare Advantage |
$329.82
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$474.94
|
| Rate for Payer: Cofinity Commercial |
$441.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.82
|
| Rate for Payer: Healthscope Commercial |
$395.78
|
| Rate for Payer: Healthscope Whirlpool |
$395.78
|
| Rate for Payer: Meridian Medicaid |
$228.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$346.31
|
| Rate for Payer: PACE SWMI |
$329.82
|
| Rate for Payer: PHP Medicare Advantage |
$329.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.98
|
| Rate for Payer: Priority Health Medicare |
$329.82
|
| Rate for Payer: Priority Health Narrow Network |
$541.98
|
| Rate for Payer: UHC Medicare Advantage |
$339.71
|
|
