|
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
|
Facility
|
OP
|
$583.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$408.10 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$524.70
|
| 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 |
$565.51
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$452.00
|
| Rate for Payer: BCN Commercial |
$452.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$548.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$466.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$583.00
|
| Rate for Payer: Healthscope Whirlpool |
$565.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$524.70
|
| 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 |
$495.55
|
| 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 |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$530.53
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$413.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$513.04
|
| 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 >4.0 CM
|
Facility
|
OP
|
$912.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$638.40 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$820.80
|
| 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 |
$884.64
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$707.07
|
| Rate for Payer: BCN Commercial |
$707.07
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$857.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$912.00
|
| Rate for Payer: Healthscope Whirlpool |
$884.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$820.80
|
| 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 |
$775.20
|
| 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 |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$829.92
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$647.52
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$802.56
|
| 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 >4.0 CM
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$382.49
|
| Rate for Payer: Aetna Medicare |
$285.44
|
| Rate for Payer: BCBS Complete |
$194.36
|
| Rate for Payer: BCBS MAPPO |
$285.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$285.44
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$382.49
|
| Rate for Payer: Cofinity Commercial |
$411.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.44
|
| Rate for Payer: Healthscope Commercial |
$342.53
|
| Rate for Payer: Healthscope Whirlpool |
$342.53
|
| Rate for Payer: Meridian Medicaid |
$194.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.71
|
| Rate for Payer: PACE SWMI |
$285.44
|
| Rate for Payer: PHP Medicare Advantage |
$285.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$355.96
|
| Rate for Payer: Priority Health Medicare |
$285.44
|
| Rate for Payer: Priority Health Narrow Network |
$355.96
|
| Rate for Payer: UHC Medicare Advantage |
$294.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 11626
|
| Hospital Charge Code |
11626
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$382.49
|
| Rate for Payer: Aetna Medicare |
$285.44
|
| Rate for Payer: BCBS Complete |
$194.36
|
| Rate for Payer: BCBS MAPPO |
$285.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$285.44
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$382.49
|
| Rate for Payer: Cofinity Commercial |
$411.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.44
|
| Rate for Payer: Healthscope Commercial |
$342.53
|
| Rate for Payer: Healthscope Whirlpool |
$342.53
|
| Rate for Payer: Meridian Medicaid |
$194.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.71
|
| Rate for Payer: PACE SWMI |
$285.44
|
| Rate for Payer: PHP Medicare Advantage |
$285.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$355.96
|
| Rate for Payer: Priority Health Medicare |
$285.44
|
| Rate for Payer: Priority Health Narrow Network |
$355.96
|
| Rate for Payer: UHC Medicare Advantage |
$294.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
IP
|
$912.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$638.40 |
| Max. Negotiated Rate |
$912.00 |
| Rate for Payer: Aetna Commercial |
$820.80
|
| Rate for Payer: ASR ASR |
$884.64
|
| Rate for Payer: BCBS Trust/PPO |
$707.07
|
| Rate for Payer: BCN Commercial |
$707.07
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$857.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.60
|
| Rate for Payer: Healthscope Commercial |
$912.00
|
| Rate for Payer: Healthscope Whirlpool |
$884.64
|
| Rate for Payer: Mclaren Commercial |
$820.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$775.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$802.56
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
IP
|
$787.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$550.90 |
| Max. Negotiated Rate |
$787.00 |
| Rate for Payer: Aetna Commercial |
$708.30
|
| Rate for Payer: ASR ASR |
$763.39
|
| Rate for Payer: BCBS Trust/PPO |
$610.16
|
| Rate for Payer: BCN Commercial |
$610.16
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$739.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$629.60
|
| Rate for Payer: Healthscope Commercial |
$787.00
|
| Rate for Payer: Healthscope Whirlpool |
$763.39
|
| Rate for Payer: Mclaren Commercial |
$708.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$668.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$692.56
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 11606
|
| Hospital Charge Code |
11606
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$654.83 |
| Rate for Payer: Aetna Commercial |
$414.94
|
| Rate for Payer: Aetna Medicare |
$309.66
|
| Rate for Payer: BCBS Complete |
$211.58
|
| Rate for Payer: BCBS MAPPO |
$309.66
|
| Rate for Payer: BCBS Trust/PPO |
$592.45
|
| Rate for Payer: BCN Commercial |
$654.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.66
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$414.94
|
| Rate for Payer: Cofinity Commercial |
$445.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.66
|
| Rate for Payer: Healthscope Commercial |
$371.59
|
| Rate for Payer: Healthscope Whirlpool |
$371.59
|
| Rate for Payer: Meridian Medicaid |
$211.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.14
|
| Rate for Payer: PACE SWMI |
$309.66
|
| Rate for Payer: PHP Medicare Advantage |
$309.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.96
|
| Rate for Payer: Priority Health Medicare |
$309.66
|
| Rate for Payer: Priority Health Narrow Network |
$385.96
|
| Rate for Payer: UHC Medicare Advantage |
$318.95
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
OP
|
$787.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$550.90 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$708.30
|
| 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 |
$763.39
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$610.16
|
| Rate for Payer: BCN Commercial |
$610.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$739.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$629.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$787.00
|
| Rate for Payer: Healthscope Whirlpool |
$763.39
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$708.30
|
| 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 |
$668.95
|
| 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 |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$716.17
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$558.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$692.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 11606
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$654.83 |
| Rate for Payer: Aetna Commercial |
$414.94
|
| Rate for Payer: Aetna Medicare |
$309.66
|
| Rate for Payer: BCBS Complete |
$211.58
|
| Rate for Payer: BCBS MAPPO |
$309.66
|
| Rate for Payer: BCBS Trust/PPO |
$592.45
|
| Rate for Payer: BCN Commercial |
$654.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.66
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$445.91
|
| Rate for Payer: Cofinity Commercial |
$414.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.66
|
| Rate for Payer: Healthscope Commercial |
$371.59
|
| Rate for Payer: Healthscope Whirlpool |
$371.59
|
| Rate for Payer: Meridian Medicaid |
$211.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.14
|
| Rate for Payer: PACE SWMI |
$309.66
|
| Rate for Payer: PHP Medicare Advantage |
$309.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.96
|
| Rate for Payer: Priority Health Medicare |
$309.66
|
| Rate for Payer: Priority Health Narrow Network |
$385.96
|
| Rate for Payer: UHC Medicare Advantage |
$318.95
|
|
|
PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL
|
Professional
|
Both
|
$2,176.00
|
|
|
Service Code
|
HCPCS 21045
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,832.72 |
| Rate for Payer: Aetna Commercial |
$1,577.65
|
| Rate for Payer: Aetna Medicare |
$1,177.35
|
| Rate for Payer: BCBS Complete |
$805.14
|
| Rate for Payer: BCBS MAPPO |
$1,177.35
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,753.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,177.35
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cofinity Commercial |
$1,577.65
|
| Rate for Payer: Cofinity Commercial |
$1,695.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,177.35
|
| Rate for Payer: Healthscope Commercial |
$1,412.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,412.82
|
| Rate for Payer: Meridian Medicaid |
$805.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,236.22
|
| Rate for Payer: PACE SWMI |
$1,177.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,177.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$766.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,523.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,832.72
|
| Rate for Payer: Priority Health Medicare |
$1,177.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,832.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,212.67
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 11600
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,866.00 |
| Rate for Payer: Aetna Commercial |
$158.82
|
| Rate for Payer: Aetna Medicare |
$118.52
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$118.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,866.00
|
| Rate for Payer: BCN Commercial |
$290.27
|
| Rate for Payer: BCN Medicare Advantage |
$118.52
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$170.67
|
| Rate for Payer: Cofinity Commercial |
$158.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.52
|
| Rate for Payer: Healthscope Commercial |
$142.22
|
| Rate for Payer: Healthscope Whirlpool |
$142.22
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.45
|
| Rate for Payer: PACE SWMI |
$118.52
|
| Rate for Payer: PHP Medicare Advantage |
$118.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.62
|
| Rate for Payer: Priority Health Medicare |
$118.52
|
| Rate for Payer: Priority Health Narrow Network |
$149.62
|
| Rate for Payer: UHC Medicare Advantage |
$122.08
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$370.00
|
|
|
Service Code
|
HCPCS 11601
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$269.37 |
| Rate for Payer: Aetna Commercial |
$192.67
|
| Rate for Payer: Aetna Medicare |
$143.78
|
| Rate for Payer: BCBS Complete |
$99.53
|
| Rate for Payer: BCBS MAPPO |
$143.78
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$269.37
|
| Rate for Payer: BCN Medicare Advantage |
$143.78
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cofinity Commercial |
$192.67
|
| Rate for Payer: Cofinity Commercial |
$207.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.78
|
| Rate for Payer: Healthscope Commercial |
$172.54
|
| Rate for Payer: Healthscope Whirlpool |
$172.54
|
| Rate for Payer: Meridian Medicaid |
$99.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.97
|
| Rate for Payer: PACE SWMI |
$143.78
|
| Rate for Payer: PHP Medicare Advantage |
$143.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.27
|
| Rate for Payer: Priority Health Medicare |
$143.78
|
| Rate for Payer: Priority Health Narrow Network |
$181.27
|
| Rate for Payer: UHC Medicare Advantage |
$148.09
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 11602
|
| Hospital Charge Code |
11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$209.20
|
| Rate for Payer: Aetna Medicare |
$156.12
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS MAPPO |
$156.12
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$156.12
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$209.20
|
| Rate for Payer: Cofinity Commercial |
$224.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.12
|
| Rate for Payer: Healthscope Commercial |
$187.34
|
| Rate for Payer: Healthscope Whirlpool |
$187.34
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.93
|
| Rate for Payer: PACE SWMI |
$156.12
|
| Rate for Payer: PHP Medicare Advantage |
$156.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.89
|
| Rate for Payer: Priority Health Medicare |
$156.12
|
| Rate for Payer: Priority Health Narrow Network |
$196.89
|
| Rate for Payer: UHC Medicare Advantage |
$160.80
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$209.20
|
| Rate for Payer: Aetna Medicare |
$156.12
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS MAPPO |
$156.12
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$156.12
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$224.81
|
| Rate for Payer: Cofinity Commercial |
$209.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.12
|
| Rate for Payer: Healthscope Commercial |
$187.34
|
| Rate for Payer: Healthscope Whirlpool |
$187.34
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.93
|
| Rate for Payer: PACE SWMI |
$156.12
|
| Rate for Payer: PHP Medicare Advantage |
$156.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.89
|
| Rate for Payer: Priority Health Medicare |
$156.12
|
| Rate for Payer: Priority Health Narrow Network |
$196.89
|
| Rate for Payer: UHC Medicare Advantage |
$160.80
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
IP
|
$402.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$281.40 |
| Max. Negotiated Rate |
$402.00 |
| Rate for Payer: Aetna Commercial |
$361.80
|
| Rate for Payer: ASR ASR |
$389.94
|
| Rate for Payer: BCBS Trust/PPO |
$311.67
|
| Rate for Payer: BCN Commercial |
$311.67
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$377.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$321.60
|
| Rate for Payer: Healthscope Commercial |
$402.00
|
| Rate for Payer: Healthscope Whirlpool |
$389.94
|
| Rate for Payer: Mclaren Commercial |
$361.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$341.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$353.76
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
OP
|
$402.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$193.87 |
| Max. Negotiated Rate |
$443.04 |
| Rate for Payer: Aetna Commercial |
$361.80
|
| Rate for Payer: Aetna Medicare |
$354.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$443.04
|
| Rate for Payer: ASR ASR |
$389.94
|
| Rate for Payer: BCBS Complete |
$203.58
|
| Rate for Payer: BCBS MAPPO |
$354.43
|
| Rate for Payer: BCBS Trust/PPO |
$311.67
|
| Rate for Payer: BCN Commercial |
$311.67
|
| Rate for Payer: BCN Medicare Advantage |
$354.43
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$377.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$321.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.43
|
| Rate for Payer: Healthscope Commercial |
$402.00
|
| Rate for Payer: Healthscope Whirlpool |
$389.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$354.43
|
| Rate for Payer: Mclaren Commercial |
$361.80
|
| Rate for Payer: Mclaren Medicaid |
$193.87
|
| Rate for Payer: Mclaren Medicare |
$354.43
|
| Rate for Payer: Meridian Medicaid |
$203.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$407.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$341.70
|
| Rate for Payer: PACE Medicare |
$336.71
|
| Rate for Payer: PACE SWMI |
$354.43
|
| Rate for Payer: PHP Commercial |
$389.87
|
| Rate for Payer: PHP Medicaid |
$193.87
|
| Rate for Payer: PHP Medicare Advantage |
$354.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.82
|
| Rate for Payer: Priority Health Medicare |
$354.43
|
| Rate for Payer: Priority Health Narrow Network |
$285.42
|
| Rate for Payer: Railroad Medicare Medicare |
$354.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$353.76
|
| Rate for Payer: UHC Medicare Advantage |
$365.06
|
| Rate for Payer: VA VA |
$354.43
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
OP
|
$458.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$320.60 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$412.20
|
| 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 |
$444.26
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$355.09
|
| Rate for Payer: BCN Commercial |
$355.09
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$430.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$366.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$458.00
|
| Rate for Payer: Healthscope Whirlpool |
$444.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$412.20
|
| 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 |
$389.30
|
| 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 |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$416.78
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$325.18
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$403.04
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
IP
|
$458.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$320.60 |
| Max. Negotiated Rate |
$458.00 |
| Rate for Payer: Aetna Commercial |
$412.20
|
| Rate for Payer: ASR ASR |
$444.26
|
| Rate for Payer: BCBS Trust/PPO |
$355.09
|
| Rate for Payer: BCN Commercial |
$355.09
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$430.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$366.40
|
| Rate for Payer: Healthscope Commercial |
$458.00
|
| Rate for Payer: Healthscope Whirlpool |
$444.26
|
| Rate for Payer: Mclaren Commercial |
$412.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$389.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$403.04
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$251.46
|
| Rate for Payer: Aetna Medicare |
$187.66
|
| Rate for Payer: BCBS Complete |
$129.04
|
| Rate for Payer: BCBS MAPPO |
$187.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$187.66
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$270.23
|
| Rate for Payer: Cofinity Commercial |
$251.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.66
|
| Rate for Payer: Healthscope Commercial |
$225.19
|
| Rate for Payer: Healthscope Whirlpool |
$225.19
|
| Rate for Payer: Meridian Medicaid |
$129.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$197.04
|
| Rate for Payer: PACE SWMI |
$187.66
|
| Rate for Payer: PHP Medicare Advantage |
$187.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.93
|
| Rate for Payer: Priority Health Medicare |
$187.66
|
| Rate for Payer: Priority Health Narrow Network |
$235.93
|
| Rate for Payer: UHC Medicare Advantage |
$193.29
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 11603
|
| Hospital Charge Code |
11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$251.46
|
| Rate for Payer: Aetna Medicare |
$187.66
|
| Rate for Payer: BCBS Complete |
$129.04
|
| Rate for Payer: BCBS MAPPO |
$187.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$187.66
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$270.23
|
| Rate for Payer: Cofinity Commercial |
$251.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.66
|
| Rate for Payer: Healthscope Commercial |
$225.19
|
| Rate for Payer: Healthscope Whirlpool |
$225.19
|
| Rate for Payer: Meridian Medicaid |
$129.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$197.04
|
| Rate for Payer: PACE SWMI |
$187.66
|
| Rate for Payer: PHP Medicare Advantage |
$187.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.93
|
| Rate for Payer: Priority Health Medicare |
$187.66
|
| Rate for Payer: Priority Health Narrow Network |
$235.93
|
| Rate for Payer: UHC Medicare Advantage |
$193.29
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
OP
|
$511.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$342.09 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$459.90
|
| 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 |
$495.67
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$396.18
|
| Rate for Payer: BCN Commercial |
$396.18
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$480.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$511.00
|
| Rate for Payer: Healthscope Whirlpool |
$495.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$459.90
|
| 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 |
$434.35
|
| 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 |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$465.01
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$362.81
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.68
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$511.00
|
|
|
Service Code
|
HCPCS 11604
|
| Hospital Charge Code |
11604
|
| Min. Negotiated Rate |
$135.26 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$277.41
|
| Rate for Payer: Aetna Medicare |
$207.02
|
| Rate for Payer: BCBS Complete |
$142.02
|
| Rate for Payer: BCBS MAPPO |
$207.02
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$207.02
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$277.41
|
| Rate for Payer: Cofinity Commercial |
$298.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.02
|
| Rate for Payer: Healthscope Commercial |
$248.42
|
| Rate for Payer: Healthscope Whirlpool |
$248.42
|
| Rate for Payer: Meridian Medicaid |
$142.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$217.37
|
| Rate for Payer: PACE SWMI |
$207.02
|
| Rate for Payer: PHP Medicare Advantage |
$207.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.78
|
| Rate for Payer: Priority Health Medicare |
$207.02
|
| Rate for Payer: Priority Health Narrow Network |
$259.78
|
| Rate for Payer: UHC Medicare Advantage |
$213.23
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
IP
|
$511.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$357.70 |
| Max. Negotiated Rate |
$511.00 |
| Rate for Payer: Aetna Commercial |
$459.90
|
| Rate for Payer: ASR ASR |
$495.67
|
| Rate for Payer: BCBS Trust/PPO |
$396.18
|
| Rate for Payer: BCN Commercial |
$396.18
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$480.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Healthscope Commercial |
$511.00
|
| Rate for Payer: Healthscope Whirlpool |
$495.67
|
| Rate for Payer: Mclaren Commercial |
$459.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$434.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.68
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$511.00
|
|
|
Service Code
|
HCPCS 11604
|
| Min. Negotiated Rate |
$135.26 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$277.41
|
| Rate for Payer: Aetna Medicare |
$207.02
|
| Rate for Payer: BCBS Complete |
$142.02
|
| Rate for Payer: BCBS MAPPO |
$207.02
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$207.02
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$277.41
|
| Rate for Payer: Cofinity Commercial |
$298.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.02
|
| Rate for Payer: Healthscope Commercial |
$248.42
|
| Rate for Payer: Healthscope Whirlpool |
$248.42
|
| Rate for Payer: Meridian Medicaid |
$142.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$217.37
|
| Rate for Payer: PACE SWMI |
$207.02
|
| Rate for Payer: PHP Medicare Advantage |
$207.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.78
|
| Rate for Payer: Priority Health Medicare |
$207.02
|
| Rate for Payer: Priority Health Narrow Network |
$259.78
|
| Rate for Payer: UHC Medicare Advantage |
$213.23
|
|
