|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$465.29
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$623.49
|
| Rate for Payer: Cofinity Commercial |
$670.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.29
|
| Rate for Payer: Healthscope Commercial |
$558.35
|
| Rate for Payer: Healthscope Whirlpool |
$558.35
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$488.55
|
| Rate for Payer: PACE SWMI |
$465.29
|
| Rate for Payer: PHP Medicare Advantage |
$465.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$720.53
|
| Rate for Payer: Priority Health Medicare |
$465.29
|
| Rate for Payer: Priority Health Narrow Network |
$720.53
|
| Rate for Payer: UHC Medicare Advantage |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$730.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
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 TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$896.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$627.20 |
| Max. Negotiated Rate |
$896.00 |
| Rate for Payer: Aetna Commercial |
$806.40
|
| Rate for Payer: ASR ASR |
$869.12
|
| Rate for Payer: BCBS Trust/PPO |
$694.67
|
| Rate for Payer: BCN Commercial |
$694.67
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$842.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.80
|
| Rate for Payer: Healthscope Commercial |
$896.00
|
| Rate for Payer: Healthscope Whirlpool |
$869.12
|
| Rate for Payer: Mclaren Commercial |
$806.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$761.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$788.48
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$448.31
|
| Rate for Payer: Aetna Medicare |
$334.56
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$334.56
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$334.56
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$481.77
|
| Rate for Payer: Cofinity Commercial |
$448.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.56
|
| Rate for Payer: Healthscope Commercial |
$401.47
|
| Rate for Payer: Healthscope Whirlpool |
$401.47
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.29
|
| Rate for Payer: PACE SWMI |
$334.56
|
| Rate for Payer: PHP Medicare Advantage |
$334.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.35
|
| Rate for Payer: Priority Health Medicare |
$334.56
|
| Rate for Payer: Priority Health Narrow Network |
$520.35
|
| Rate for Payer: UHC Medicare Advantage |
$344.60
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$896.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$627.20 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$806.40
|
| 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 |
$869.12
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$694.67
|
| Rate for Payer: BCN Commercial |
$694.67
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$842.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$896.00
|
| Rate for Payer: Healthscope Whirlpool |
$869.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$806.40
|
| 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 |
$761.60
|
| 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 |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$815.36
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$636.16
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$788.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$448.31
|
| Rate for Payer: Aetna Medicare |
$334.56
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$334.56
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$334.56
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$448.31
|
| Rate for Payer: Cofinity Commercial |
$481.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.56
|
| Rate for Payer: Healthscope Commercial |
$401.47
|
| Rate for Payer: Healthscope Whirlpool |
$401.47
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.29
|
| Rate for Payer: PACE SWMI |
$334.56
|
| Rate for Payer: PHP Medicare Advantage |
$334.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.35
|
| Rate for Payer: Priority Health Medicare |
$334.56
|
| Rate for Payer: Priority Health Narrow Network |
$520.35
|
| Rate for Payer: UHC Medicare Advantage |
$344.60
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$446.68
|
| Rate for Payer: Aetna Medicare |
$333.34
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.34
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.34
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$480.01
|
| Rate for Payer: Cofinity Commercial |
$446.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.34
|
| Rate for Payer: Healthscope Commercial |
$400.01
|
| Rate for Payer: Healthscope Whirlpool |
$400.01
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$350.01
|
| Rate for Payer: PACE SWMI |
$333.34
|
| Rate for Payer: PHP Medicare Advantage |
$333.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.86
|
| Rate for Payer: Priority Health Medicare |
$333.34
|
| Rate for Payer: Priority Health Narrow Network |
$520.86
|
| Rate for Payer: UHC Medicare Advantage |
$343.34
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$446.68
|
| Rate for Payer: Aetna Medicare |
$333.34
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.34
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.34
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$480.01
|
| Rate for Payer: Cofinity Commercial |
$446.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.34
|
| Rate for Payer: Healthscope Commercial |
$400.01
|
| Rate for Payer: Healthscope Whirlpool |
$400.01
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$350.01
|
| Rate for Payer: PACE SWMI |
$333.34
|
| Rate for Payer: PHP Medicare Advantage |
$333.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.86
|
| Rate for Payer: Priority Health Medicare |
$333.34
|
| Rate for Payer: Priority Health Narrow Network |
$520.86
|
| Rate for Payer: UHC Medicare Advantage |
$343.34
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$639.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$447.30 |
| Max. Negotiated Rate |
$639.00 |
| Rate for Payer: Aetna Commercial |
$575.10
|
| Rate for Payer: ASR ASR |
$619.83
|
| Rate for Payer: BCBS Trust/PPO |
$495.42
|
| Rate for Payer: BCN Commercial |
$495.42
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$600.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.20
|
| Rate for Payer: Healthscope Commercial |
$639.00
|
| Rate for Payer: Healthscope Whirlpool |
$619.83
|
| Rate for Payer: Mclaren Commercial |
$575.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$543.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$562.32
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$639.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$447.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$575.10
|
| 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 |
$619.83
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$495.42
|
| Rate for Payer: BCN Commercial |
$495.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$600.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$639.00
|
| Rate for Payer: Healthscope Whirlpool |
$619.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$575.10
|
| 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 |
$543.15
|
| 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 |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.49
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$453.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$562.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$542.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$338.98
|
| Rate for Payer: Aetna Medicare |
$252.97
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$252.97
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$252.97
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$338.98
|
| Rate for Payer: Cofinity Commercial |
$364.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.97
|
| Rate for Payer: Healthscope Commercial |
$303.56
|
| Rate for Payer: Healthscope Whirlpool |
$303.56
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.62
|
| Rate for Payer: PACE SWMI |
$252.97
|
| Rate for Payer: PHP Medicare Advantage |
$252.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.82
|
| Rate for Payer: Priority Health Medicare |
$252.97
|
| Rate for Payer: Priority Health Narrow Network |
$398.82
|
| Rate for Payer: UHC Medicare Advantage |
$260.56
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$542.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$379.40 |
| Max. Negotiated Rate |
$542.00 |
| Rate for Payer: Aetna Commercial |
$487.80
|
| Rate for Payer: ASR ASR |
$525.74
|
| Rate for Payer: BCBS Trust/PPO |
$420.21
|
| Rate for Payer: BCN Commercial |
$420.21
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$509.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.60
|
| Rate for Payer: Healthscope Commercial |
$542.00
|
| Rate for Payer: Healthscope Whirlpool |
$525.74
|
| Rate for Payer: Mclaren Commercial |
$487.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$476.96
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$542.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$338.98
|
| Rate for Payer: Aetna Medicare |
$252.97
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$252.97
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$252.97
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$364.28
|
| Rate for Payer: Cofinity Commercial |
$338.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.97
|
| Rate for Payer: Healthscope Commercial |
$303.56
|
| Rate for Payer: Healthscope Whirlpool |
$303.56
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.62
|
| Rate for Payer: PACE SWMI |
$252.97
|
| Rate for Payer: PHP Medicare Advantage |
$252.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.82
|
| Rate for Payer: Priority Health Medicare |
$252.97
|
| Rate for Payer: Priority Health Narrow Network |
$398.82
|
| Rate for Payer: UHC Medicare Advantage |
$260.56
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$542.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$379.40 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$487.80
|
| 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 |
$525.74
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$420.21
|
| Rate for Payer: BCN Commercial |
$420.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$509.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$542.00
|
| Rate for Payer: Healthscope Whirlpool |
$525.74
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$487.80
|
| 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 |
$460.70
|
| 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 |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$493.22
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$384.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$476.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,234.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$863.80 |
| Max. Negotiated Rate |
$1,234.00 |
| Rate for Payer: Aetna Commercial |
$1,110.60
|
| Rate for Payer: ASR ASR |
$1,196.98
|
| Rate for Payer: BCBS Trust/PPO |
$956.72
|
| Rate for Payer: BCN Commercial |
$956.72
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$1,159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.20
|
| Rate for Payer: Healthscope Commercial |
$1,234.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,196.98
|
| Rate for Payer: Mclaren Commercial |
$1,110.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,048.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,085.92
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,234.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$1,110.60
|
| 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 |
$1,196.98
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$956.72
|
| Rate for Payer: BCN Commercial |
$956.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$1,159.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,234.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,196.98
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,110.60
|
| 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 |
$1,048.90
|
| 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 |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,122.94
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$876.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,085.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,234.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$481.29
|
| Rate for Payer: Aetna Medicare |
$359.17
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$359.17
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$359.17
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$517.20
|
| Rate for Payer: Cofinity Commercial |
$481.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$359.17
|
| Rate for Payer: Healthscope Commercial |
$431.00
|
| Rate for Payer: Healthscope Whirlpool |
$431.00
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$377.13
|
| Rate for Payer: PACE SWMI |
$359.17
|
| Rate for Payer: PHP Medicare Advantage |
$359.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$359.17
|
| Rate for Payer: Priority Health Narrow Network |
$559.67
|
| Rate for Payer: UHC Medicare Advantage |
$369.95
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,234.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$481.29
|
| Rate for Payer: Aetna Medicare |
$359.17
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$359.17
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$359.17
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$517.20
|
| Rate for Payer: Cofinity Commercial |
$481.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$359.17
|
| Rate for Payer: Healthscope Commercial |
$431.00
|
| Rate for Payer: Healthscope Whirlpool |
$431.00
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$377.13
|
| Rate for Payer: PACE SWMI |
$359.17
|
| Rate for Payer: PHP Medicare Advantage |
$359.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$359.17
|
| Rate for Payer: Priority Health Narrow Network |
$559.67
|
| Rate for Payer: UHC Medicare Advantage |
$369.95
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$168.48 |
| Max. Negotiated Rate |
$558.56 |
| Rate for Payer: Aetna Commercial |
$340.20
|
| Rate for Payer: Aetna Medicare |
$253.88
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$253.88
|
| Rate for Payer: BCBS Trust/PPO |
$529.88
|
| Rate for Payer: BCN Commercial |
$558.56
|
| Rate for Payer: BCN Medicare Advantage |
$253.88
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$340.20
|
| Rate for Payer: Cofinity Commercial |
$365.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.88
|
| Rate for Payer: Healthscope Commercial |
$304.66
|
| Rate for Payer: Healthscope Whirlpool |
$304.66
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$266.57
|
| Rate for Payer: PACE SWMI |
$253.88
|
| Rate for Payer: PHP Medicare Advantage |
$253.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.77
|
| Rate for Payer: Priority Health Medicare |
$253.88
|
| Rate for Payer: Priority Health Narrow Network |
$396.77
|
| Rate for Payer: UHC Medicare Advantage |
$261.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,023.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$716.10 |
| Rate for Payer: Aetna Commercial |
$543.24
|
| Rate for Payer: Aetna Medicare |
$405.40
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$405.40
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$405.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$583.78
|
| Rate for Payer: Cofinity Commercial |
$543.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.40
|
| Rate for Payer: Healthscope Commercial |
$486.48
|
| Rate for Payer: Healthscope Whirlpool |
$486.48
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.67
|
| Rate for Payer: PACE SWMI |
$405.40
|
| Rate for Payer: PHP Medicare Advantage |
$405.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.63
|
| Rate for Payer: Priority Health Medicare |
$405.40
|
| Rate for Payer: Priority Health Narrow Network |
$629.63
|
| Rate for Payer: UHC Medicare Advantage |
$417.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,023.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$716.10 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$920.70
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$992.31
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$793.13
|
| Rate for Payer: BCN Commercial |
$793.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$961.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$818.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,023.00
|
| Rate for Payer: Healthscope Whirlpool |
$992.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$920.70
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$869.55
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$930.93
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$726.33
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$900.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,023.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$716.10 |
| Max. Negotiated Rate |
$1,023.00 |
| Rate for Payer: Aetna Commercial |
$920.70
|
| Rate for Payer: ASR ASR |
$992.31
|
| Rate for Payer: BCBS Trust/PPO |
$793.13
|
| Rate for Payer: BCN Commercial |
$793.13
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$961.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$818.40
|
| Rate for Payer: Healthscope Commercial |
$1,023.00
|
| Rate for Payer: Healthscope Whirlpool |
$992.31
|
| Rate for Payer: Mclaren Commercial |
$920.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$869.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$900.24
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,023.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$716.10 |
| Rate for Payer: Aetna Commercial |
$543.24
|
| Rate for Payer: Aetna Medicare |
$405.40
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$405.40
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$405.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$583.78
|
| Rate for Payer: Cofinity Commercial |
$543.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.40
|
| Rate for Payer: Healthscope Commercial |
$486.48
|
| Rate for Payer: Healthscope Whirlpool |
$486.48
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.67
|
| Rate for Payer: PACE SWMI |
$405.40
|
| Rate for Payer: PHP Medicare Advantage |
$405.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.63
|
| Rate for Payer: Priority Health Medicare |
$405.40
|
| Rate for Payer: Priority Health Narrow Network |
$629.63
|
| Rate for Payer: UHC Medicare Advantage |
$417.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$967.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$676.90 |
| Max. Negotiated Rate |
$967.00 |
| Rate for Payer: Aetna Commercial |
$870.30
|
| Rate for Payer: ASR ASR |
$937.99
|
| Rate for Payer: BCBS Trust/PPO |
$749.72
|
| Rate for Payer: BCN Commercial |
$749.72
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$908.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Healthscope Commercial |
$967.00
|
| Rate for Payer: Healthscope Whirlpool |
$937.99
|
| Rate for Payer: Mclaren Commercial |
$870.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$850.96
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$720.53 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$465.29
|
| Rate for Payer: BCBS Complete |
$318.26
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$670.02
|
| Rate for Payer: Cofinity Commercial |
$623.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.29
|
| Rate for Payer: Healthscope Commercial |
$558.35
|
| Rate for Payer: Healthscope Whirlpool |
$558.35
|
| Rate for Payer: Meridian Medicaid |
$318.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$488.55
|
| Rate for Payer: PACE SWMI |
$465.29
|
| Rate for Payer: PHP Medicare Advantage |
$465.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$720.53
|
| Rate for Payer: Priority Health Medicare |
$465.29
|
| Rate for Payer: Priority Health Narrow Network |
$720.53
|
| Rate for Payer: UHC Medicare Advantage |
$479.25
|
|
