|
PR EXCISION MAXILLARY TORUS PALATINUS
|
Professional
|
Both
|
$777.00
|
|
|
Service Code
|
HCPCS 21032
|
| Min. Negotiated Rate |
$145.43 |
| Max. Negotiated Rate |
$543.90 |
| Rate for Payer: Aetna Commercial |
$337.06
|
| Rate for Payer: Aetna Medicare |
$251.54
|
| Rate for Payer: BCBS Complete |
$175.57
|
| Rate for Payer: BCBS MAPPO |
$251.54
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$542.92
|
| Rate for Payer: BCN Medicare Advantage |
$251.54
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cofinity Commercial |
$362.22
|
| Rate for Payer: Cofinity Commercial |
$337.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.54
|
| Rate for Payer: Healthscope Commercial |
$301.85
|
| Rate for Payer: Healthscope Whirlpool |
$301.85
|
| Rate for Payer: Meridian Medicaid |
$175.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$264.12
|
| Rate for Payer: PACE SWMI |
$251.54
|
| Rate for Payer: PHP Medicare Advantage |
$251.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$543.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.26
|
| Rate for Payer: Priority Health Medicare |
$251.54
|
| Rate for Payer: Priority Health Narrow Network |
$396.26
|
| Rate for Payer: UHC Medicare Advantage |
$259.09
|
|
|
PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 46230
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$1,777.73 |
| Rate for Payer: Aetna Commercial |
$228.18
|
| Rate for Payer: Aetna Medicare |
$170.28
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,777.73
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$170.28
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$245.20
|
| Rate for Payer: Cofinity Commercial |
$228.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.28
|
| Rate for Payer: Healthscope Commercial |
$204.34
|
| Rate for Payer: Healthscope Whirlpool |
$204.34
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.79
|
| Rate for Payer: PACE SWMI |
$170.28
|
| Rate for Payer: PHP Medicare Advantage |
$170.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.58
|
| Rate for Payer: Priority Health Medicare |
$170.28
|
| Rate for Payer: Priority Health Narrow Network |
$304.58
|
| Rate for Payer: UHC Medicare Advantage |
$175.39
|
|
|
PR EXCISION NAIL MATRIX PERMANENT REMOVAL
|
Professional
|
Both
|
$474.00
|
|
|
Service Code
|
HCPCS 11750
|
| Min. Negotiated Rate |
$20.33 |
| Max. Negotiated Rate |
$331.80 |
| Rate for Payer: Aetna Commercial |
$130.97
|
| Rate for Payer: Aetna Medicare |
$97.74
|
| Rate for Payer: BCBS Complete |
$68.44
|
| Rate for Payer: BCBS MAPPO |
$97.74
|
| Rate for Payer: BCBS Trust/PPO |
$20.33
|
| Rate for Payer: BCN Commercial |
$187.30
|
| Rate for Payer: BCN Medicare Advantage |
$97.74
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Cofinity Commercial |
$140.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.74
|
| Rate for Payer: Healthscope Commercial |
$117.29
|
| Rate for Payer: Healthscope Whirlpool |
$117.29
|
| Rate for Payer: Meridian Medicaid |
$68.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.63
|
| Rate for Payer: PACE SWMI |
$97.74
|
| Rate for Payer: PHP Medicare Advantage |
$97.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.90
|
| Rate for Payer: Priority Health Medicare |
$97.74
|
| Rate for Payer: Priority Health Narrow Network |
$122.90
|
| Rate for Payer: UHC Medicare Advantage |
$100.67
|
|
|
PR EXCISION NASAL POLYP EXTENSIVE
|
Professional
|
Both
|
$797.00
|
|
|
Service Code
|
HCPCS 30115
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$893.36 |
| Rate for Payer: Aetna Commercial |
$610.24
|
| Rate for Payer: Aetna Medicare |
$455.40
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$455.40
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$455.40
|
| Rate for Payer: Cash Price |
$637.60
|
| Rate for Payer: Cash Price |
$637.60
|
| Rate for Payer: Cofinity Commercial |
$610.24
|
| Rate for Payer: Cofinity Commercial |
$655.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.40
|
| Rate for Payer: Healthscope Commercial |
$546.48
|
| Rate for Payer: Healthscope Whirlpool |
$546.48
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$478.17
|
| Rate for Payer: PACE SWMI |
$455.40
|
| Rate for Payer: PHP Medicare Advantage |
$455.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.53
|
| Rate for Payer: Priority Health Medicare |
$455.40
|
| Rate for Payer: Priority Health Narrow Network |
$657.53
|
| Rate for Payer: UHC Medicare Advantage |
$469.06
|
|
|
PR EXCISION NASAL POLYP SIMPLE
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 30110
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$937.20 |
| Rate for Payer: Aetna Commercial |
$173.15
|
| Rate for Payer: Aetna Medicare |
$129.22
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$129.22
|
| Rate for Payer: BCBS Trust/PPO |
$937.20
|
| Rate for Payer: BCN Commercial |
$367.97
|
| Rate for Payer: BCN Medicare Advantage |
$129.22
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cofinity Commercial |
$186.08
|
| Rate for Payer: Cofinity Commercial |
$173.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.22
|
| Rate for Payer: Healthscope Commercial |
$155.06
|
| Rate for Payer: Healthscope Whirlpool |
$155.06
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$135.68
|
| Rate for Payer: PACE SWMI |
$129.22
|
| Rate for Payer: PHP Medicare Advantage |
$129.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$340.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.29
|
| Rate for Payer: Priority Health Medicare |
$129.22
|
| Rate for Payer: Priority Health Narrow Network |
$184.29
|
| Rate for Payer: UHC Medicare Advantage |
$133.10
|
|
|
PR EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 64778
|
| Min. Negotiated Rate |
$113.96 |
| Max. Negotiated Rate |
$303.50 |
| Rate for Payer: Aetna Commercial |
$239.10
|
| Rate for Payer: Aetna Medicare |
$178.43
|
| Rate for Payer: BCBS Complete |
$119.66
|
| Rate for Payer: BCBS MAPPO |
$178.43
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$261.93
|
| Rate for Payer: BCN Medicare Advantage |
$178.43
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$256.94
|
| Rate for Payer: Cofinity Commercial |
$239.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.43
|
| Rate for Payer: Healthscope Commercial |
$214.12
|
| Rate for Payer: Healthscope Whirlpool |
$214.12
|
| Rate for Payer: Meridian Medicaid |
$119.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.35
|
| Rate for Payer: PACE SWMI |
$178.43
|
| Rate for Payer: PHP Medicare Advantage |
$178.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.50
|
| Rate for Payer: Priority Health Medicare |
$178.43
|
| Rate for Payer: Priority Health Narrow Network |
$303.50
|
| Rate for Payer: UHC Medicare Advantage |
$183.78
|
|
|
PR EXCISION NEUROMA SCIATIC NERVE
|
Professional
|
Both
|
$3,478.00
|
|
|
Service Code
|
HCPCS 64786
|
| Min. Negotiated Rate |
$154.26 |
| Max. Negotiated Rate |
$2,434.60 |
| Rate for Payer: Aetna Commercial |
$1,340.91
|
| Rate for Payer: Aetna Medicare |
$1,000.68
|
| Rate for Payer: BCBS Complete |
$676.55
|
| Rate for Payer: BCBS MAPPO |
$1,000.68
|
| Rate for Payer: BCBS Trust/PPO |
$154.26
|
| Rate for Payer: BCN Commercial |
$1,470.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.68
|
| Rate for Payer: Cash Price |
$2,782.40
|
| Rate for Payer: Cash Price |
$2,782.40
|
| Rate for Payer: Cofinity Commercial |
$1,340.91
|
| Rate for Payer: Cofinity Commercial |
$1,440.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.68
|
| Rate for Payer: Healthscope Commercial |
$1,200.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,200.82
|
| Rate for Payer: Meridian Medicaid |
$676.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,050.71
|
| Rate for Payer: PACE SWMI |
$1,000.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$644.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,434.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,703.77
|
| Rate for Payer: Priority Health Medicare |
$1,000.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,703.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,030.70
|
|
|
PR EXCISION OF BULBOURETHRAL GLAND
|
Professional
|
Both
|
$1,115.00
|
|
|
Service Code
|
HCPCS 53250
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$780.50 |
| Rate for Payer: Aetna Commercial |
$518.26
|
| Rate for Payer: Aetna Medicare |
$386.76
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$386.76
|
| Rate for Payer: BCBS Trust/PPO |
$419.47
|
| Rate for Payer: BCN Commercial |
$574.19
|
| Rate for Payer: BCN Medicare Advantage |
$386.76
|
| Rate for Payer: Cash Price |
$892.00
|
| Rate for Payer: Cash Price |
$892.00
|
| Rate for Payer: Cofinity Commercial |
$556.93
|
| Rate for Payer: Cofinity Commercial |
$518.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.76
|
| Rate for Payer: Healthscope Commercial |
$464.11
|
| Rate for Payer: Healthscope Whirlpool |
$464.11
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$406.10
|
| Rate for Payer: PACE SWMI |
$386.76
|
| Rate for Payer: PHP Medicare Advantage |
$386.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$780.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.91
|
| Rate for Payer: Priority Health Medicare |
$386.76
|
| Rate for Payer: Priority Health Narrow Network |
$634.91
|
| Rate for Payer: UHC Medicare Advantage |
$398.36
|
|
|
PR EXCISION OF PENILE PLAQUE
|
Professional
|
Both
|
$1,163.00
|
|
|
Service Code
|
HCPCS 54110
|
| Min. Negotiated Rate |
$398.31 |
| Max. Negotiated Rate |
$2,843.84 |
| Rate for Payer: Aetna Commercial |
$816.61
|
| Rate for Payer: Aetna Medicare |
$609.41
|
| Rate for Payer: BCBS Complete |
$418.23
|
| Rate for Payer: BCBS MAPPO |
$609.41
|
| Rate for Payer: BCBS Trust/PPO |
$2,843.84
|
| Rate for Payer: BCN Commercial |
$901.13
|
| Rate for Payer: BCN Medicare Advantage |
$609.41
|
| Rate for Payer: Cash Price |
$930.40
|
| Rate for Payer: Cash Price |
$930.40
|
| Rate for Payer: Cofinity Commercial |
$877.55
|
| Rate for Payer: Cofinity Commercial |
$816.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$609.41
|
| Rate for Payer: Healthscope Commercial |
$731.29
|
| Rate for Payer: Healthscope Whirlpool |
$731.29
|
| Rate for Payer: Meridian Medicaid |
$418.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$639.88
|
| Rate for Payer: PACE SWMI |
$609.41
|
| Rate for Payer: PHP Medicare Advantage |
$609.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$996.42
|
| Rate for Payer: Priority Health Medicare |
$609.41
|
| Rate for Payer: Priority Health Narrow Network |
$996.42
|
| Rate for Payer: UHC Medicare Advantage |
$627.69
|
|
|
PR EXCISION OLECRANON BURSA
|
Professional
|
Both
|
$600.00
|
|
|
Service Code
|
HCPCS 24105
|
| Min. Negotiated Rate |
$206.04 |
| Max. Negotiated Rate |
$559.67 |
| Rate for Payer: Aetna Commercial |
$474.21
|
| Rate for Payer: Aetna Medicare |
$353.89
|
| Rate for Payer: BCBS Complete |
$248.70
|
| Rate for Payer: BCBS MAPPO |
$353.89
|
| Rate for Payer: BCBS Trust/PPO |
$206.04
|
| Rate for Payer: BCN Commercial |
$535.59
|
| Rate for Payer: BCN Medicare Advantage |
$353.89
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$509.60
|
| Rate for Payer: Cofinity Commercial |
$474.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.89
|
| Rate for Payer: Healthscope Commercial |
$424.67
|
| Rate for Payer: Healthscope Whirlpool |
$424.67
|
| Rate for Payer: Meridian Medicaid |
$248.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$371.58
|
| Rate for Payer: PACE SWMI |
$353.89
|
| Rate for Payer: PHP Medicare Advantage |
$353.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$353.89
|
| Rate for Payer: Priority Health Narrow Network |
$559.67
|
| Rate for Payer: UHC Medicare Advantage |
$364.51
|
|
|
PR EXCISION OLECRANON BURSA
|
Professional
|
Both
|
$600.00
|
|
|
Service Code
|
HCPCS 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$206.04 |
| Max. Negotiated Rate |
$559.67 |
| Rate for Payer: Aetna Commercial |
$474.21
|
| Rate for Payer: Aetna Medicare |
$353.89
|
| Rate for Payer: BCBS Complete |
$248.70
|
| Rate for Payer: BCBS MAPPO |
$353.89
|
| Rate for Payer: BCBS Trust/PPO |
$206.04
|
| Rate for Payer: BCN Commercial |
$535.59
|
| Rate for Payer: BCN Medicare Advantage |
$353.89
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$474.21
|
| Rate for Payer: Cofinity Commercial |
$509.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.89
|
| Rate for Payer: Healthscope Commercial |
$424.67
|
| Rate for Payer: Healthscope Whirlpool |
$424.67
|
| Rate for Payer: Meridian Medicaid |
$248.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$371.58
|
| Rate for Payer: PACE SWMI |
$353.89
|
| Rate for Payer: PHP Medicare Advantage |
$353.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$353.89
|
| Rate for Payer: Priority Health Narrow Network |
$559.67
|
| Rate for Payer: UHC Medicare Advantage |
$364.51
|
|
|
PR EXCISION OLECRANON BURSA
|
Facility
|
OP
|
$600.00
|
|
|
Service Code
|
CPT 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$420.00 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$540.00
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$582.00
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$465.18
|
| Rate for Payer: BCN Commercial |
$465.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$564.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$600.00
|
| Rate for Payer: Healthscope Whirlpool |
$582.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$540.00
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.00
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$546.00
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$426.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$528.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR EXCISION OLECRANON BURSA
|
Facility
|
IP
|
$600.00
|
|
|
Service Code
|
CPT 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$420.00 |
| Max. Negotiated Rate |
$600.00 |
| Rate for Payer: Aetna Commercial |
$540.00
|
| Rate for Payer: ASR ASR |
$582.00
|
| Rate for Payer: BCBS Trust/PPO |
$465.18
|
| Rate for Payer: BCN Commercial |
$465.18
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$564.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.00
|
| Rate for Payer: Healthscope Commercial |
$600.00
|
| Rate for Payer: Healthscope Whirlpool |
$582.00
|
| Rate for Payer: Mclaren Commercial |
$540.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$528.00
|
|
|
PR EXCISION OR FULGURATION SKENES GLANDS
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 53270
|
| Min. Negotiated Rate |
$118.22 |
| Max. Negotiated Rate |
$772.90 |
| Rate for Payer: Aetna Commercial |
$241.74
|
| Rate for Payer: Aetna Medicare |
$180.40
|
| Rate for Payer: BCBS Complete |
$124.13
|
| Rate for Payer: BCBS MAPPO |
$180.40
|
| Rate for Payer: BCBS Trust/PPO |
$772.90
|
| Rate for Payer: BCN Commercial |
$307.38
|
| Rate for Payer: BCN Medicare Advantage |
$180.40
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$259.78
|
| Rate for Payer: Cofinity Commercial |
$241.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.40
|
| Rate for Payer: Healthscope Commercial |
$216.48
|
| Rate for Payer: Healthscope Whirlpool |
$216.48
|
| Rate for Payer: Meridian Medicaid |
$124.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$189.42
|
| Rate for Payer: PACE SWMI |
$180.40
|
| Rate for Payer: PHP Medicare Advantage |
$180.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$295.57
|
| Rate for Payer: Priority Health Medicare |
$180.40
|
| Rate for Payer: Priority Health Narrow Network |
$295.57
|
| Rate for Payer: UHC Medicare Advantage |
$185.81
|
|
|
PR EXCISION PILONIDAL CYST/SINUS COMPLICATED
|
Professional
|
Both
|
$1,131.00
|
|
|
Service Code
|
HCPCS 11772
|
| Min. Negotiated Rate |
$372.96 |
| Max. Negotiated Rate |
$1,453.51 |
| Rate for Payer: Aetna Commercial |
$760.73
|
| Rate for Payer: Aetna Medicare |
$567.71
|
| Rate for Payer: BCBS Complete |
$391.61
|
| Rate for Payer: BCBS MAPPO |
$567.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.51
|
| Rate for Payer: BCN Commercial |
$1,137.15
|
| Rate for Payer: BCN Medicare Advantage |
$567.71
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cofinity Commercial |
$760.73
|
| Rate for Payer: Cofinity Commercial |
$817.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.71
|
| Rate for Payer: Healthscope Commercial |
$681.25
|
| Rate for Payer: Healthscope Whirlpool |
$681.25
|
| Rate for Payer: Meridian Medicaid |
$391.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$596.10
|
| Rate for Payer: PACE SWMI |
$567.71
|
| Rate for Payer: PHP Medicare Advantage |
$567.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$714.39
|
| Rate for Payer: Priority Health Medicare |
$567.71
|
| Rate for Payer: Priority Health Narrow Network |
$714.39
|
| Rate for Payer: UHC Medicare Advantage |
$584.74
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
OP
|
$1,317.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$921.90 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,185.30
|
| 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 |
$1,277.49
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,021.07
|
| Rate for Payer: BCN Commercial |
$1,021.07
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$1,237.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,053.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,317.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,277.49
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,185.30
|
| 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 |
$1,119.45
|
| 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 |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,198.47
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$935.07
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,158.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
IP
|
$1,317.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$921.90 |
| Max. Negotiated Rate |
$1,317.00 |
| Rate for Payer: Aetna Commercial |
$1,185.30
|
| Rate for Payer: ASR ASR |
$1,277.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,021.07
|
| Rate for Payer: BCN Commercial |
$1,021.07
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$1,237.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,053.60
|
| Rate for Payer: Healthscope Commercial |
$1,317.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,277.49
|
| Rate for Payer: Mclaren Commercial |
$1,185.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,119.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,158.96
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,317.00
|
|
|
Service Code
|
HCPCS 11771
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$925.56 |
| Rate for Payer: Aetna Commercial |
$592.59
|
| Rate for Payer: Aetna Medicare |
$442.23
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$442.23
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$925.56
|
| Rate for Payer: BCN Medicare Advantage |
$442.23
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$636.81
|
| Rate for Payer: Cofinity Commercial |
$592.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.23
|
| Rate for Payer: Healthscope Commercial |
$530.68
|
| Rate for Payer: Healthscope Whirlpool |
$530.68
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.34
|
| Rate for Payer: PACE SWMI |
$442.23
|
| Rate for Payer: PHP Medicare Advantage |
$442.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.08
|
| Rate for Payer: Priority Health Medicare |
$442.23
|
| Rate for Payer: Priority Health Narrow Network |
$554.08
|
| Rate for Payer: UHC Medicare Advantage |
$455.50
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,317.00
|
|
|
Service Code
|
HCPCS 11771
|
| Hospital Charge Code |
11771
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$925.56 |
| Rate for Payer: Aetna Commercial |
$592.59
|
| Rate for Payer: Aetna Medicare |
$442.23
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$442.23
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$925.56
|
| Rate for Payer: BCN Medicare Advantage |
$442.23
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$592.59
|
| Rate for Payer: Cofinity Commercial |
$636.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.23
|
| Rate for Payer: Healthscope Commercial |
$530.68
|
| Rate for Payer: Healthscope Whirlpool |
$530.68
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.34
|
| Rate for Payer: PACE SWMI |
$442.23
|
| Rate for Payer: PHP Medicare Advantage |
$442.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.08
|
| Rate for Payer: Priority Health Medicare |
$442.23
|
| Rate for Payer: Priority Health Narrow Network |
$554.08
|
| Rate for Payer: UHC Medicare Advantage |
$455.50
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 11770
|
| Hospital Charge Code |
11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$244.76
|
| Rate for Payer: Aetna Medicare |
$182.66
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$182.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$182.66
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$263.03
|
| Rate for Payer: Cofinity Commercial |
$244.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.66
|
| Rate for Payer: Healthscope Commercial |
$219.19
|
| Rate for Payer: Healthscope Whirlpool |
$219.19
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.79
|
| Rate for Payer: PACE SWMI |
$182.66
|
| Rate for Payer: PHP Medicare Advantage |
$182.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.12
|
| Rate for Payer: Priority Health Medicare |
$182.66
|
| Rate for Payer: Priority Health Narrow Network |
$228.12
|
| Rate for Payer: UHC Medicare Advantage |
$188.14
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$510.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$357.00 |
| Max. Negotiated Rate |
$510.00 |
| Rate for Payer: Aetna Commercial |
$459.00
|
| Rate for Payer: ASR ASR |
$494.70
|
| Rate for Payer: BCBS Trust/PPO |
$395.40
|
| Rate for Payer: BCN Commercial |
$395.40
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$479.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Healthscope Commercial |
$510.00
|
| Rate for Payer: Healthscope Whirlpool |
$494.70
|
| Rate for Payer: Mclaren Commercial |
$459.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$433.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.80
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$244.76
|
| Rate for Payer: Aetna Medicare |
$182.66
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$182.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$182.66
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$244.76
|
| Rate for Payer: Cofinity Commercial |
$263.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.66
|
| Rate for Payer: Healthscope Commercial |
$219.19
|
| Rate for Payer: Healthscope Whirlpool |
$219.19
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.79
|
| Rate for Payer: PACE SWMI |
$182.66
|
| Rate for Payer: PHP Medicare Advantage |
$182.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.12
|
| Rate for Payer: Priority Health Medicare |
$182.66
|
| Rate for Payer: Priority Health Narrow Network |
$228.12
|
| Rate for Payer: UHC Medicare Advantage |
$188.14
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$510.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$357.00 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$459.00
|
| 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 |
$494.70
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$395.40
|
| Rate for Payer: BCN Commercial |
$395.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$479.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$510.00
|
| Rate for Payer: Healthscope Whirlpool |
$494.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$459.00
|
| 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 |
$433.50
|
| 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 |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$464.10
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$362.10
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.80
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
OP
|
$1,275.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$892.50 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$1,236.75
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$988.51
|
| Rate for Payer: BCN Commercial |
$988.51
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,198.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,147.50
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,083.75
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,160.25
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$905.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$494.59
|
| Rate for Payer: Aetna Medicare |
$369.10
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$369.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: BCN Medicare Advantage |
$369.10
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$494.59
|
| Rate for Payer: Cofinity Commercial |
$531.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.10
|
| Rate for Payer: Healthscope Commercial |
$442.92
|
| Rate for Payer: Healthscope Whirlpool |
$442.92
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$387.56
|
| Rate for Payer: PACE SWMI |
$369.10
|
| Rate for Payer: PHP Medicare Advantage |
$369.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.13
|
| Rate for Payer: Priority Health Medicare |
$369.10
|
| Rate for Payer: Priority Health Narrow Network |
$581.13
|
| Rate for Payer: UHC Medicare Advantage |
$380.17
|
|
