|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 11642
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$235.88
|
| Rate for Payer: Aetna Medicare |
$176.03
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$176.03
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$176.03
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$235.88
|
| Rate for Payer: Cofinity Commercial |
$253.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.03
|
| Rate for Payer: Healthscope Commercial |
$211.24
|
| Rate for Payer: Healthscope Whirlpool |
$211.24
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.83
|
| Rate for Payer: PACE SWMI |
$176.03
|
| Rate for Payer: PHP Medicare Advantage |
$176.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.55
|
| Rate for Payer: Priority Health Medicare |
$176.03
|
| Rate for Payer: Priority Health Narrow Network |
$221.55
|
| Rate for Payer: UHC Medicare Advantage |
$181.31
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
OP
|
$730.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$511.00 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$657.00
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$708.10
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$565.97
|
| Rate for Payer: BCN Commercial |
$565.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$686.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$730.00
|
| Rate for Payer: Healthscope Whirlpool |
$708.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$657.00
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$664.30
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$518.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$642.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 11643
|
| Hospital Charge Code |
11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$511.00 |
| Rate for Payer: Aetna Commercial |
$295.94
|
| Rate for Payer: Aetna Medicare |
$220.85
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCBS MAPPO |
$220.85
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$220.85
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$295.94
|
| Rate for Payer: Cofinity Commercial |
$318.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.85
|
| Rate for Payer: Healthscope Commercial |
$265.02
|
| Rate for Payer: Healthscope Whirlpool |
$265.02
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$231.89
|
| Rate for Payer: PACE SWMI |
$220.85
|
| Rate for Payer: PHP Medicare Advantage |
$220.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.04
|
| Rate for Payer: Priority Health Medicare |
$220.85
|
| Rate for Payer: Priority Health Narrow Network |
$277.04
|
| Rate for Payer: UHC Medicare Advantage |
$227.48
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$511.00 |
| Rate for Payer: Aetna Commercial |
$295.94
|
| Rate for Payer: Aetna Medicare |
$220.85
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCBS MAPPO |
$220.85
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$220.85
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$295.94
|
| Rate for Payer: Cofinity Commercial |
$318.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.85
|
| Rate for Payer: Healthscope Commercial |
$265.02
|
| Rate for Payer: Healthscope Whirlpool |
$265.02
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$231.89
|
| Rate for Payer: PACE SWMI |
$220.85
|
| Rate for Payer: PHP Medicare Advantage |
$220.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.04
|
| Rate for Payer: Priority Health Medicare |
$220.85
|
| Rate for Payer: Priority Health Narrow Network |
$277.04
|
| Rate for Payer: UHC Medicare Advantage |
$227.48
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
IP
|
$730.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$511.00 |
| Max. Negotiated Rate |
$730.00 |
| Rate for Payer: Aetna Commercial |
$657.00
|
| Rate for Payer: ASR ASR |
$708.10
|
| Rate for Payer: BCBS Trust/PPO |
$565.97
|
| Rate for Payer: BCN Commercial |
$565.97
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$686.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Healthscope Commercial |
$730.00
|
| Rate for Payer: Healthscope Whirlpool |
$708.10
|
| Rate for Payer: Mclaren Commercial |
$657.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$642.40
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
IP
|
$904.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$632.80 |
| Max. Negotiated Rate |
$904.00 |
| Rate for Payer: Aetna Commercial |
$813.60
|
| Rate for Payer: ASR ASR |
$876.88
|
| Rate for Payer: BCBS Trust/PPO |
$700.87
|
| Rate for Payer: BCN Commercial |
$700.87
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$849.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Healthscope Commercial |
$904.00
|
| Rate for Payer: Healthscope Whirlpool |
$876.88
|
| Rate for Payer: Mclaren Commercial |
$813.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.52
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11644
|
| Min. Negotiated Rate |
$179.13 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$367.87
|
| Rate for Payer: Aetna Medicare |
$274.53
|
| Rate for Payer: BCBS Complete |
$188.09
|
| Rate for Payer: BCBS MAPPO |
$274.53
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$274.53
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$395.32
|
| Rate for Payer: Cofinity Commercial |
$367.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.53
|
| Rate for Payer: Healthscope Commercial |
$329.44
|
| Rate for Payer: Healthscope Whirlpool |
$329.44
|
| Rate for Payer: Meridian Medicaid |
$188.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.26
|
| Rate for Payer: PACE SWMI |
$274.53
|
| Rate for Payer: PHP Medicare Advantage |
$274.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.63
|
| Rate for Payer: Priority Health Medicare |
$274.53
|
| Rate for Payer: Priority Health Narrow Network |
$343.63
|
| Rate for Payer: UHC Medicare Advantage |
$282.77
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11644
|
| Hospital Charge Code |
11644
|
| Min. Negotiated Rate |
$179.13 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$367.87
|
| Rate for Payer: Aetna Medicare |
$274.53
|
| Rate for Payer: BCBS Complete |
$188.09
|
| Rate for Payer: BCBS MAPPO |
$274.53
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$274.53
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$395.32
|
| Rate for Payer: Cofinity Commercial |
$367.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.53
|
| Rate for Payer: Healthscope Commercial |
$329.44
|
| Rate for Payer: Healthscope Whirlpool |
$329.44
|
| Rate for Payer: Meridian Medicaid |
$188.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.26
|
| Rate for Payer: PACE SWMI |
$274.53
|
| Rate for Payer: PHP Medicare Advantage |
$274.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.63
|
| Rate for Payer: Priority Health Medicare |
$274.53
|
| Rate for Payer: Priority Health Narrow Network |
$343.63
|
| Rate for Payer: UHC Medicare Advantage |
$282.77
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
OP
|
$904.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$632.80 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$813.60
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$876.88
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$700.87
|
| Rate for Payer: BCN Commercial |
$700.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$849.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$904.00
|
| Rate for Payer: Healthscope Whirlpool |
$876.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$813.60
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$822.64
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$641.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11646
|
| Hospital Charge Code |
11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$632.80 |
| Rate for Payer: Aetna Commercial |
$511.12
|
| Rate for Payer: Aetna Medicare |
$381.43
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$381.43
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$381.43
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$511.12
|
| Rate for Payer: Cofinity Commercial |
$549.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.43
|
| Rate for Payer: Healthscope Commercial |
$457.72
|
| Rate for Payer: Healthscope Whirlpool |
$457.72
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.50
|
| Rate for Payer: PACE SWMI |
$381.43
|
| Rate for Payer: PHP Medicare Advantage |
$381.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.57
|
| Rate for Payer: Priority Health Medicare |
$381.43
|
| Rate for Payer: Priority Health Narrow Network |
$475.57
|
| Rate for Payer: UHC Medicare Advantage |
$392.87
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
IP
|
$904.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$632.80 |
| Max. Negotiated Rate |
$904.00 |
| Rate for Payer: Aetna Commercial |
$813.60
|
| Rate for Payer: ASR ASR |
$876.88
|
| Rate for Payer: BCBS Trust/PPO |
$700.87
|
| Rate for Payer: BCN Commercial |
$700.87
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$849.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Healthscope Commercial |
$904.00
|
| Rate for Payer: Healthscope Whirlpool |
$876.88
|
| Rate for Payer: Mclaren Commercial |
$813.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.52
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$632.80 |
| Rate for Payer: Aetna Commercial |
$511.12
|
| Rate for Payer: Aetna Medicare |
$381.43
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$381.43
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$381.43
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$549.26
|
| Rate for Payer: Cofinity Commercial |
$511.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.43
|
| Rate for Payer: Healthscope Commercial |
$457.72
|
| Rate for Payer: Healthscope Whirlpool |
$457.72
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.50
|
| Rate for Payer: PACE SWMI |
$381.43
|
| Rate for Payer: PHP Medicare Advantage |
$381.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.57
|
| Rate for Payer: Priority Health Medicare |
$381.43
|
| Rate for Payer: Priority Health Narrow Network |
$475.57
|
| Rate for Payer: UHC Medicare Advantage |
$392.87
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
OP
|
$904.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$632.80 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$813.60
|
| 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 |
$876.88
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$700.87
|
| Rate for Payer: BCN Commercial |
$700.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$849.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$904.00
|
| Rate for Payer: Healthscope Whirlpool |
$876.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$813.60
|
| 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 |
$768.40
|
| 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 |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$822.64
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$641.84
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$795.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 11620
|
| Min. Negotiated Rate |
$79.02 |
| Max. Negotiated Rate |
$578.99 |
| Rate for Payer: Aetna Commercial |
$159.69
|
| Rate for Payer: Aetna Medicare |
$119.17
|
| Rate for Payer: BCBS Complete |
$82.97
|
| Rate for Payer: BCBS MAPPO |
$119.17
|
| Rate for Payer: BCBS Trust/PPO |
$578.99
|
| Rate for Payer: BCN Commercial |
$291.75
|
| Rate for Payer: BCN Medicare Advantage |
$119.17
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$159.69
|
| Rate for Payer: Cofinity Commercial |
$171.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.17
|
| Rate for Payer: Healthscope Commercial |
$143.00
|
| Rate for Payer: Healthscope Whirlpool |
$143.00
|
| Rate for Payer: Meridian Medicaid |
$82.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.13
|
| Rate for Payer: PACE SWMI |
$119.17
|
| Rate for Payer: PHP Medicare Advantage |
$119.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.44
|
| Rate for Payer: Priority Health Medicare |
$119.17
|
| Rate for Payer: Priority Health Narrow Network |
$150.44
|
| Rate for Payer: UHC Medicare Advantage |
$122.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 11621
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$337.19 |
| Rate for Payer: Aetna Commercial |
$194.03
|
| Rate for Payer: Aetna Medicare |
$144.80
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS MAPPO |
$144.80
|
| Rate for Payer: BCBS Trust/PPO |
$26.32
|
| Rate for Payer: BCN Commercial |
$337.19
|
| Rate for Payer: BCN Medicare Advantage |
$144.80
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$208.51
|
| Rate for Payer: Cofinity Commercial |
$194.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.80
|
| Rate for Payer: Healthscope Commercial |
$173.76
|
| Rate for Payer: Healthscope Whirlpool |
$173.76
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$152.04
|
| Rate for Payer: PACE SWMI |
$144.80
|
| Rate for Payer: PHP Medicare Advantage |
$144.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$182.50
|
| Rate for Payer: Priority Health Medicare |
$144.80
|
| Rate for Payer: Priority Health Narrow Network |
$182.50
|
| Rate for Payer: UHC Medicare Advantage |
$149.14
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
OP
|
$416.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$291.20 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$374.40
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$403.52
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$322.52
|
| Rate for Payer: BCN Commercial |
$322.52
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$391.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$416.00
|
| Rate for Payer: Healthscope Whirlpool |
$403.52
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$374.40
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.60
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$378.56
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$295.36
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$366.08
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
IP
|
$416.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$291.20 |
| Max. Negotiated Rate |
$416.00 |
| Rate for Payer: Aetna Commercial |
$374.40
|
| Rate for Payer: ASR ASR |
$403.52
|
| Rate for Payer: BCBS Trust/PPO |
$322.52
|
| Rate for Payer: BCN Commercial |
$322.52
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$391.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.80
|
| Rate for Payer: Healthscope Commercial |
$416.00
|
| Rate for Payer: Healthscope Whirlpool |
$403.52
|
| Rate for Payer: Mclaren Commercial |
$374.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$366.08
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 11622
|
| Hospital Charge Code |
11622
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$156,313.01 |
| Rate for Payer: Aetna Commercial |
$219.42
|
| Rate for Payer: Aetna Medicare |
$163.75
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$163.75
|
| Rate for Payer: BCBS Trust/PPO |
$156,313.01
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$163.75
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| Rate for Payer: Cofinity Commercial |
$219.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.75
|
| Rate for Payer: Healthscope Commercial |
$196.50
|
| Rate for Payer: Healthscope Whirlpool |
$196.50
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.94
|
| Rate for Payer: PACE SWMI |
$163.75
|
| Rate for Payer: PHP Medicare Advantage |
$163.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.34
|
| Rate for Payer: Priority Health Medicare |
$163.75
|
| Rate for Payer: Priority Health Narrow Network |
$206.34
|
| Rate for Payer: UHC Medicare Advantage |
$168.66
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 11622
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$156,313.01 |
| Rate for Payer: Aetna Commercial |
$219.42
|
| Rate for Payer: Aetna Medicare |
$163.75
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$163.75
|
| Rate for Payer: BCBS Trust/PPO |
$156,313.01
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$163.75
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$219.42
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.75
|
| Rate for Payer: Healthscope Commercial |
$196.50
|
| Rate for Payer: Healthscope Whirlpool |
$196.50
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.94
|
| Rate for Payer: PACE SWMI |
$163.75
|
| Rate for Payer: PHP Medicare Advantage |
$163.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.34
|
| Rate for Payer: Priority Health Medicare |
$163.75
|
| Rate for Payer: Priority Health Narrow Network |
$206.34
|
| Rate for Payer: UHC Medicare Advantage |
$168.66
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$517.00
|
|
|
Service Code
|
HCPCS 11623
|
| Hospital Charge Code |
11623
|
| Min. Negotiated Rate |
$133.13 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$272.88
|
| Rate for Payer: Aetna Medicare |
$203.64
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCBS MAPPO |
$203.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$203.64
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$293.24
|
| Rate for Payer: Cofinity Commercial |
$272.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.64
|
| Rate for Payer: Healthscope Commercial |
$244.37
|
| Rate for Payer: Healthscope Whirlpool |
$244.37
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$213.82
|
| Rate for Payer: PACE SWMI |
$203.64
|
| Rate for Payer: PHP Medicare Advantage |
$203.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.67
|
| Rate for Payer: Priority Health Medicare |
$203.64
|
| Rate for Payer: Priority Health Narrow Network |
$255.67
|
| Rate for Payer: UHC Medicare Advantage |
$209.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
OP
|
$517.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$361.90 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$465.30
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$501.49
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$400.83
|
| Rate for Payer: BCN Commercial |
$400.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$485.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$517.00
|
| Rate for Payer: Healthscope Whirlpool |
$501.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$465.30
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.45
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$470.47
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$367.07
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$454.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
IP
|
$517.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$361.90 |
| Max. Negotiated Rate |
$517.00 |
| Rate for Payer: Aetna Commercial |
$465.30
|
| Rate for Payer: ASR ASR |
$501.49
|
| Rate for Payer: BCBS Trust/PPO |
$400.83
|
| Rate for Payer: BCN Commercial |
$400.83
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$485.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.60
|
| Rate for Payer: Healthscope Commercial |
$517.00
|
| Rate for Payer: Healthscope Whirlpool |
$501.49
|
| Rate for Payer: Mclaren Commercial |
$465.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$454.96
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$517.00
|
|
|
Service Code
|
HCPCS 11623
|
| Min. Negotiated Rate |
$133.13 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$272.88
|
| Rate for Payer: Aetna Medicare |
$203.64
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCBS MAPPO |
$203.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$203.64
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$293.24
|
| Rate for Payer: Cofinity Commercial |
$272.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.64
|
| Rate for Payer: Healthscope Commercial |
$244.37
|
| Rate for Payer: Healthscope Whirlpool |
$244.37
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$213.82
|
| Rate for Payer: PACE SWMI |
$203.64
|
| Rate for Payer: PHP Medicare Advantage |
$203.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.67
|
| Rate for Payer: Priority Health Medicare |
$203.64
|
| Rate for Payer: Priority Health Narrow Network |
$255.67
|
| Rate for Payer: UHC Medicare Advantage |
$209.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$583.00
|
|
|
Service Code
|
HCPCS 11624
|
| Min. Negotiated Rate |
$151.44 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$310.50
|
| Rate for Payer: Aetna Medicare |
$231.72
|
| Rate for Payer: BCBS Complete |
$159.01
|
| Rate for Payer: BCBS MAPPO |
$231.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$231.72
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$310.50
|
| Rate for Payer: Cofinity Commercial |
$333.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.72
|
| Rate for Payer: Healthscope Commercial |
$278.06
|
| Rate for Payer: Healthscope Whirlpool |
$278.06
|
| Rate for Payer: Meridian Medicaid |
$159.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.31
|
| Rate for Payer: PACE SWMI |
$231.72
|
| Rate for Payer: PHP Medicare Advantage |
$231.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.19
|
| Rate for Payer: Priority Health Medicare |
$231.72
|
| Rate for Payer: Priority Health Narrow Network |
$290.19
|
| Rate for Payer: UHC Medicare Advantage |
$238.67
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$583.00
|
|
|
Service Code
|
HCPCS 11624
|
| Hospital Charge Code |
11624
|
| Min. Negotiated Rate |
$151.44 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$310.50
|
| Rate for Payer: Aetna Medicare |
$231.72
|
| Rate for Payer: BCBS Complete |
$159.01
|
| Rate for Payer: BCBS MAPPO |
$231.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$231.72
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$333.68
|
| Rate for Payer: Cofinity Commercial |
$310.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.72
|
| Rate for Payer: Healthscope Commercial |
$278.06
|
| Rate for Payer: Healthscope Whirlpool |
$278.06
|
| Rate for Payer: Meridian Medicaid |
$159.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.31
|
| Rate for Payer: PACE SWMI |
$231.72
|
| Rate for Payer: PHP Medicare Advantage |
$231.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.19
|
| Rate for Payer: Priority Health Medicare |
$231.72
|
| Rate for Payer: Priority Health Narrow Network |
$290.19
|
| Rate for Payer: UHC Medicare Advantage |
$238.67
|
|
