|
PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 21013
|
| Min. Negotiated Rate |
$259.22 |
| Max. Negotiated Rate |
$1,797.52 |
| Rate for Payer: Aetna Commercial |
$529.23
|
| Rate for Payer: Aetna Medicare |
$394.95
|
| Rate for Payer: BCBS Complete |
$272.18
|
| Rate for Payer: BCBS MAPPO |
$394.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,797.52
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: BCN Medicare Advantage |
$394.95
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$529.23
|
| Rate for Payer: Cofinity Commercial |
$568.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.95
|
| Rate for Payer: Healthscope Commercial |
$473.94
|
| Rate for Payer: Healthscope Whirlpool |
$473.94
|
| Rate for Payer: Meridian Medicaid |
$272.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$414.70
|
| Rate for Payer: PACE SWMI |
$394.95
|
| Rate for Payer: PHP Medicare Advantage |
$394.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$641.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$617.38
|
| Rate for Payer: Priority Health Medicare |
$394.95
|
| Rate for Payer: Priority Health Narrow Network |
$617.38
|
| Rate for Payer: UHC Medicare Advantage |
$406.80
|
|
|
PR EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>
|
Professional
|
Both
|
$1,579.00
|
|
|
Service Code
|
HCPCS 25071
|
| Min. Negotiated Rate |
$171.70 |
| Max. Negotiated Rate |
$1,105.30 |
| Rate for Payer: Aetna Commercial |
$561.59
|
| Rate for Payer: Aetna Medicare |
$419.10
|
| Rate for Payer: BCBS Complete |
$288.73
|
| Rate for Payer: BCBS MAPPO |
$419.10
|
| Rate for Payer: BCBS Trust/PPO |
$171.70
|
| Rate for Payer: BCN Commercial |
$624.04
|
| Rate for Payer: BCN Medicare Advantage |
$419.10
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cofinity Commercial |
$561.59
|
| Rate for Payer: Cofinity Commercial |
$603.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.10
|
| Rate for Payer: Healthscope Commercial |
$502.92
|
| Rate for Payer: Healthscope Whirlpool |
$502.92
|
| Rate for Payer: Meridian Medicaid |
$288.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$440.06
|
| Rate for Payer: PACE SWMI |
$419.10
|
| Rate for Payer: PHP Medicare Advantage |
$419.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,105.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$652.10
|
| Rate for Payer: Priority Health Medicare |
$419.10
|
| Rate for Payer: Priority Health Narrow Network |
$652.10
|
| Rate for Payer: UHC Medicare Advantage |
$431.67
|
|
|
PR EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM
|
Professional
|
Both
|
$1,767.00
|
|
|
Service Code
|
HCPCS 25076
|
| Min. Negotiated Rate |
$235.09 |
| Max. Negotiated Rate |
$1,236.90 |
| Rate for Payer: Aetna Commercial |
$686.29
|
| Rate for Payer: Aetna Medicare |
$512.16
|
| Rate for Payer: BCBS Complete |
$354.26
|
| Rate for Payer: BCBS MAPPO |
$512.16
|
| Rate for Payer: BCBS Trust/PPO |
$235.09
|
| Rate for Payer: BCN Commercial |
$767.22
|
| Rate for Payer: BCN Medicare Advantage |
$512.16
|
| Rate for Payer: Cash Price |
$1,413.60
|
| Rate for Payer: Cash Price |
$1,413.60
|
| Rate for Payer: Cofinity Commercial |
$737.51
|
| Rate for Payer: Cofinity Commercial |
$686.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$512.16
|
| Rate for Payer: Healthscope Commercial |
$614.59
|
| Rate for Payer: Healthscope Whirlpool |
$614.59
|
| Rate for Payer: Meridian Medicaid |
$354.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$537.77
|
| Rate for Payer: PACE SWMI |
$512.16
|
| Rate for Payer: PHP Medicare Advantage |
$512.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,236.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$801.72
|
| Rate for Payer: Priority Health Medicare |
$512.16
|
| Rate for Payer: Priority Health Narrow Network |
$801.72
|
| Rate for Payer: UHC Medicare Advantage |
$527.52
|
|
|
PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,700.00
|
|
|
Service Code
|
HCPCS 21556
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,190.00 |
| Rate for Payer: Aetna Commercial |
$702.68
|
| Rate for Payer: Aetna Medicare |
$524.39
|
| Rate for Payer: BCBS Complete |
$358.73
|
| Rate for Payer: BCBS MAPPO |
$524.39
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$780.42
|
| Rate for Payer: BCN Medicare Advantage |
$524.39
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$755.12
|
| Rate for Payer: Cofinity Commercial |
$702.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$524.39
|
| Rate for Payer: Healthscope Commercial |
$629.27
|
| Rate for Payer: Healthscope Whirlpool |
$629.27
|
| Rate for Payer: Meridian Medicaid |
$358.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$550.61
|
| Rate for Payer: PACE SWMI |
$524.39
|
| Rate for Payer: PHP Medicare Advantage |
$524.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$815.51
|
| Rate for Payer: Priority Health Medicare |
$524.39
|
| Rate for Payer: Priority Health Narrow Network |
$815.51
|
| Rate for Payer: UHC Medicare Advantage |
$540.12
|
|
|
PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM
|
Facility
|
IP
|
$1,700.00
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
21556
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,190.00 |
| Max. Negotiated Rate |
$1,700.00 |
| Rate for Payer: Aetna Commercial |
$1,530.00
|
| Rate for Payer: ASR ASR |
$1,649.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,318.01
|
| Rate for Payer: BCN Commercial |
$1,318.01
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$1,598.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,360.00
|
| Rate for Payer: Healthscope Commercial |
$1,700.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,649.00
|
| Rate for Payer: Mclaren Commercial |
$1,530.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,445.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,496.00
|
|
|
PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM
|
Facility
|
OP
|
$1,700.00
|
|
|
Service Code
|
CPT 21556
|
| Hospital Charge Code |
21556
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,190.00 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,530.00
|
| 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 |
$1,649.00
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,318.01
|
| Rate for Payer: BCN Commercial |
$1,318.01
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$1,598.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,360.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,700.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,649.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,530.00
|
| 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 |
$1,445.00
|
| 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 |
$1,190.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,547.00
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,207.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,496.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,700.00
|
|
|
Service Code
|
HCPCS 21556
|
| Hospital Charge Code |
21556
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,190.00 |
| Rate for Payer: Aetna Commercial |
$702.68
|
| Rate for Payer: Aetna Medicare |
$524.39
|
| Rate for Payer: BCBS Complete |
$358.73
|
| Rate for Payer: BCBS MAPPO |
$524.39
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$780.42
|
| Rate for Payer: BCN Medicare Advantage |
$524.39
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$702.68
|
| Rate for Payer: Cofinity Commercial |
$755.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$524.39
|
| Rate for Payer: Healthscope Commercial |
$629.27
|
| Rate for Payer: Healthscope Whirlpool |
$629.27
|
| Rate for Payer: Meridian Medicaid |
$358.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$550.61
|
| Rate for Payer: PACE SWMI |
$524.39
|
| Rate for Payer: PHP Medicare Advantage |
$524.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$815.51
|
| Rate for Payer: Priority Health Medicare |
$524.39
|
| Rate for Payer: Priority Health Narrow Network |
$815.51
|
| Rate for Payer: UHC Medicare Advantage |
$540.12
|
|
|
PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Facility
|
OP
|
$1,002.00
|
|
|
Service Code
|
CPT 23076
|
| Hospital Charge Code |
23076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$701.40 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$901.80
|
| 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 |
$971.94
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$776.85
|
| Rate for Payer: BCN Commercial |
$776.85
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$941.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,002.00
|
| Rate for Payer: Healthscope Whirlpool |
$971.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$901.80
|
| 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 |
$851.70
|
| 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 |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$911.82
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$711.42
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$881.76
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Facility
|
IP
|
$1,002.00
|
|
|
Service Code
|
CPT 23076
|
| Hospital Charge Code |
23076
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$701.40 |
| Max. Negotiated Rate |
$1,002.00 |
| Rate for Payer: Aetna Commercial |
$901.80
|
| Rate for Payer: ASR ASR |
$971.94
|
| Rate for Payer: BCBS Trust/PPO |
$776.85
|
| Rate for Payer: BCN Commercial |
$776.85
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$941.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Healthscope Commercial |
$1,002.00
|
| Rate for Payer: Healthscope Whirlpool |
$971.94
|
| Rate for Payer: Mclaren Commercial |
$901.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$851.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$881.76
|
|
|
PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 23076
|
| Hospital Charge Code |
23076
|
| Min. Negotiated Rate |
$93.51 |
| Max. Negotiated Rate |
$835.93 |
| Rate for Payer: Aetna Commercial |
$719.12
|
| Rate for Payer: Aetna Medicare |
$536.66
|
| Rate for Payer: BCBS Complete |
$369.24
|
| Rate for Payer: BCBS MAPPO |
$536.66
|
| Rate for Payer: BCBS Trust/PPO |
$93.51
|
| Rate for Payer: BCN Commercial |
$799.97
|
| Rate for Payer: BCN Medicare Advantage |
$536.66
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$719.12
|
| Rate for Payer: Cofinity Commercial |
$772.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$536.66
|
| Rate for Payer: Healthscope Commercial |
$643.99
|
| Rate for Payer: Healthscope Whirlpool |
$643.99
|
| Rate for Payer: Meridian Medicaid |
$369.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$563.49
|
| Rate for Payer: PACE SWMI |
$536.66
|
| Rate for Payer: PHP Medicare Advantage |
$536.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$835.93
|
| Rate for Payer: Priority Health Medicare |
$536.66
|
| Rate for Payer: Priority Health Narrow Network |
$835.93
|
| Rate for Payer: UHC Medicare Advantage |
$552.76
|
|
|
PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 23076
|
| Min. Negotiated Rate |
$93.51 |
| Max. Negotiated Rate |
$835.93 |
| Rate for Payer: Aetna Commercial |
$719.12
|
| Rate for Payer: Aetna Medicare |
$536.66
|
| Rate for Payer: BCBS Complete |
$369.24
|
| Rate for Payer: BCBS MAPPO |
$536.66
|
| Rate for Payer: BCBS Trust/PPO |
$93.51
|
| Rate for Payer: BCN Commercial |
$799.97
|
| Rate for Payer: BCN Medicare Advantage |
$536.66
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$772.79
|
| Rate for Payer: Cofinity Commercial |
$719.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$536.66
|
| Rate for Payer: Healthscope Commercial |
$643.99
|
| Rate for Payer: Healthscope Whirlpool |
$643.99
|
| Rate for Payer: Meridian Medicaid |
$369.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$563.49
|
| Rate for Payer: PACE SWMI |
$536.66
|
| Rate for Payer: PHP Medicare Advantage |
$536.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$835.93
|
| Rate for Payer: Priority Health Medicare |
$536.66
|
| Rate for Payer: Priority Health Narrow Network |
$835.93
|
| Rate for Payer: UHC Medicare Advantage |
$552.76
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
OP
|
$1,138.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$796.60 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,024.20
|
| 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 |
$1,103.86
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$882.29
|
| Rate for Payer: BCN Commercial |
$882.29
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cofinity Commercial |
$1,069.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$910.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,138.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,103.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,024.20
|
| 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 |
$967.30
|
| 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 |
$796.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,035.58
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$807.98
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,001.44
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
IP
|
$1,138.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$796.60 |
| Max. Negotiated Rate |
$1,138.00 |
| Rate for Payer: Aetna Commercial |
$1,024.20
|
| Rate for Payer: ASR ASR |
$1,103.86
|
| Rate for Payer: BCBS Trust/PPO |
$882.29
|
| Rate for Payer: BCN Commercial |
$882.29
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cofinity Commercial |
$1,069.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$910.40
|
| Rate for Payer: Healthscope Commercial |
$1,138.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,103.86
|
| Rate for Payer: Mclaren Commercial |
$1,024.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$967.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$796.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,001.44
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,138.00
|
|
|
Service Code
|
HCPCS 22900
|
| Hospital Charge Code |
22900
|
| Min. Negotiated Rate |
$232.20 |
| Max. Negotiated Rate |
$867.59 |
| Rate for Payer: Aetna Commercial |
$750.76
|
| Rate for Payer: Aetna Medicare |
$560.27
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$560.27
|
| Rate for Payer: BCBS Trust/PPO |
$232.20
|
| Rate for Payer: BCN Commercial |
$830.26
|
| Rate for Payer: BCN Medicare Advantage |
$560.27
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cofinity Commercial |
$806.79
|
| Rate for Payer: Cofinity Commercial |
$750.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.27
|
| Rate for Payer: Healthscope Commercial |
$672.32
|
| Rate for Payer: Healthscope Whirlpool |
$672.32
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$588.28
|
| Rate for Payer: PACE SWMI |
$560.27
|
| Rate for Payer: PHP Medicare Advantage |
$560.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$796.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$867.59
|
| Rate for Payer: Priority Health Medicare |
$560.27
|
| Rate for Payer: Priority Health Narrow Network |
$867.59
|
| Rate for Payer: UHC Medicare Advantage |
$577.08
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,138.00
|
|
|
Service Code
|
HCPCS 22900
|
| Min. Negotiated Rate |
$232.20 |
| Max. Negotiated Rate |
$867.59 |
| Rate for Payer: Aetna Commercial |
$750.76
|
| Rate for Payer: Aetna Medicare |
$560.27
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$560.27
|
| Rate for Payer: BCBS Trust/PPO |
$232.20
|
| Rate for Payer: BCN Commercial |
$830.26
|
| Rate for Payer: BCN Medicare Advantage |
$560.27
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cash Price |
$910.40
|
| Rate for Payer: Cofinity Commercial |
$806.79
|
| Rate for Payer: Cofinity Commercial |
$750.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.27
|
| Rate for Payer: Healthscope Commercial |
$672.32
|
| Rate for Payer: Healthscope Whirlpool |
$672.32
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$588.28
|
| Rate for Payer: PACE SWMI |
$560.27
|
| Rate for Payer: PHP Medicare Advantage |
$560.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$796.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$867.59
|
| Rate for Payer: Priority Health Medicare |
$560.27
|
| Rate for Payer: Priority Health Narrow Network |
$867.59
|
| Rate for Payer: UHC Medicare Advantage |
$577.08
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>
|
Professional
|
Both
|
$1,179.00
|
|
|
Service Code
|
HCPCS 22901
|
| Min. Negotiated Rate |
$132.44 |
| Max. Negotiated Rate |
$1,020.28 |
| Rate for Payer: Aetna Commercial |
$885.22
|
| Rate for Payer: Aetna Medicare |
$660.61
|
| Rate for Payer: BCBS Complete |
$450.66
|
| Rate for Payer: BCBS MAPPO |
$660.61
|
| Rate for Payer: BCBS Trust/PPO |
$132.44
|
| Rate for Payer: BCN Commercial |
$976.37
|
| Rate for Payer: BCN Medicare Advantage |
$660.61
|
| Rate for Payer: Cash Price |
$943.20
|
| Rate for Payer: Cash Price |
$943.20
|
| Rate for Payer: Cofinity Commercial |
$885.22
|
| Rate for Payer: Cofinity Commercial |
$951.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$660.61
|
| Rate for Payer: Healthscope Commercial |
$792.73
|
| Rate for Payer: Healthscope Whirlpool |
$792.73
|
| Rate for Payer: Meridian Medicaid |
$450.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$693.64
|
| Rate for Payer: PACE SWMI |
$660.61
|
| Rate for Payer: PHP Medicare Advantage |
$660.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$825.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.28
|
| Rate for Payer: Priority Health Medicare |
$660.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,020.28
|
| Rate for Payer: UHC Medicare Advantage |
$680.43
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
OP
|
$700.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$490.00 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$630.00
|
| 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 |
$679.00
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$542.71
|
| Rate for Payer: BCN Commercial |
$542.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$658.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$700.00
|
| Rate for Payer: Healthscope Whirlpool |
$679.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$630.00
|
| 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 |
$595.00
|
| 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 |
$490.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$637.00
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$497.00
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$616.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 22903
|
| Min. Negotiated Rate |
$165.89 |
| Max. Negotiated Rate |
$676.11 |
| Rate for Payer: Aetna Commercial |
$584.99
|
| Rate for Payer: Aetna Medicare |
$436.56
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$436.56
|
| Rate for Payer: BCBS Trust/PPO |
$165.89
|
| Rate for Payer: BCN Commercial |
$647.01
|
| Rate for Payer: BCN Medicare Advantage |
$436.56
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$628.65
|
| Rate for Payer: Cofinity Commercial |
$584.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.56
|
| Rate for Payer: Healthscope Commercial |
$523.87
|
| Rate for Payer: Healthscope Whirlpool |
$523.87
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$458.39
|
| Rate for Payer: PACE SWMI |
$436.56
|
| Rate for Payer: PHP Medicare Advantage |
$436.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$676.11
|
| Rate for Payer: Priority Health Medicare |
$436.56
|
| Rate for Payer: Priority Health Narrow Network |
$676.11
|
| Rate for Payer: UHC Medicare Advantage |
$449.66
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
IP
|
$700.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$490.00 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna Commercial |
$630.00
|
| Rate for Payer: ASR ASR |
$679.00
|
| Rate for Payer: BCBS Trust/PPO |
$542.71
|
| Rate for Payer: BCN Commercial |
$542.71
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$658.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$560.00
|
| Rate for Payer: Healthscope Commercial |
$700.00
|
| Rate for Payer: Healthscope Whirlpool |
$679.00
|
| Rate for Payer: Mclaren Commercial |
$630.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$595.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$616.00
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 22903
|
| Hospital Charge Code |
22903
|
| Min. Negotiated Rate |
$165.89 |
| Max. Negotiated Rate |
$676.11 |
| Rate for Payer: Aetna Commercial |
$584.99
|
| Rate for Payer: Aetna Medicare |
$436.56
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$436.56
|
| Rate for Payer: BCBS Trust/PPO |
$165.89
|
| Rate for Payer: BCN Commercial |
$647.01
|
| Rate for Payer: BCN Medicare Advantage |
$436.56
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$584.99
|
| Rate for Payer: Cofinity Commercial |
$628.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.56
|
| Rate for Payer: Healthscope Commercial |
$523.87
|
| Rate for Payer: Healthscope Whirlpool |
$523.87
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$458.39
|
| Rate for Payer: PACE SWMI |
$436.56
|
| Rate for Payer: PHP Medicare Advantage |
$436.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$676.11
|
| Rate for Payer: Priority Health Medicare |
$436.56
|
| Rate for Payer: Priority Health Narrow Network |
$676.11
|
| Rate for Payer: UHC Medicare Advantage |
$449.66
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM
|
Professional
|
Both
|
$775.00
|
|
|
Service Code
|
HCPCS 22902
|
| Min. Negotiated Rate |
$216.41 |
| Max. Negotiated Rate |
$694.90 |
| Rate for Payer: Aetna Commercial |
$440.42
|
| Rate for Payer: Aetna Medicare |
$328.67
|
| Rate for Payer: BCBS Complete |
$227.23
|
| Rate for Payer: BCBS MAPPO |
$328.67
|
| Rate for Payer: BCBS Trust/PPO |
$216.50
|
| Rate for Payer: BCN Commercial |
$694.90
|
| Rate for Payer: BCN Medicare Advantage |
$328.67
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cofinity Commercial |
$473.28
|
| Rate for Payer: Cofinity Commercial |
$440.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.67
|
| Rate for Payer: Healthscope Commercial |
$394.40
|
| Rate for Payer: Healthscope Whirlpool |
$394.40
|
| Rate for Payer: Meridian Medicaid |
$227.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$345.10
|
| Rate for Payer: PACE SWMI |
$328.67
|
| Rate for Payer: PHP Medicare Advantage |
$328.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$512.18
|
| Rate for Payer: Priority Health Medicare |
$328.67
|
| Rate for Payer: Priority Health Narrow Network |
$512.18
|
| Rate for Payer: UHC Medicare Advantage |
$338.53
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
IP
|
$1,182.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$827.40 |
| Max. Negotiated Rate |
$1,182.00 |
| Rate for Payer: Aetna Commercial |
$1,063.80
|
| Rate for Payer: ASR ASR |
$1,146.54
|
| Rate for Payer: BCBS Trust/PPO |
$916.40
|
| Rate for Payer: BCN Commercial |
$916.40
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,111.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Healthscope Commercial |
$1,182.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.54
|
| Rate for Payer: Mclaren Commercial |
$1,063.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,004.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$827.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.16
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 28041
|
| Min. Negotiated Rate |
$290.32 |
| Max. Negotiated Rate |
$1,055.54 |
| Rate for Payer: Aetna Commercial |
$590.94
|
| Rate for Payer: Aetna Medicare |
$441.00
|
| Rate for Payer: BCBS Complete |
$304.84
|
| Rate for Payer: BCBS MAPPO |
$441.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.54
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$441.00
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$635.04
|
| Rate for Payer: Cofinity Commercial |
$590.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.00
|
| Rate for Payer: Healthscope Commercial |
$529.20
|
| Rate for Payer: Healthscope Whirlpool |
$529.20
|
| Rate for Payer: Meridian Medicaid |
$304.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$463.05
|
| Rate for Payer: PACE SWMI |
$441.00
|
| Rate for Payer: PHP Medicare Advantage |
$441.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$827.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$686.31
|
| Rate for Payer: Priority Health Medicare |
$441.00
|
| Rate for Payer: Priority Health Narrow Network |
$686.31
|
| Rate for Payer: UHC Medicare Advantage |
$454.23
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
OP
|
$1,182.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$827.40 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,063.80
|
| 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 |
$1,146.54
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$916.40
|
| Rate for Payer: BCN Commercial |
$916.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$1,111.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$945.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,182.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,063.80
|
| 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 |
$1,004.70
|
| 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 |
$827.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,075.62
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$839.22
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$290.32 |
| Max. Negotiated Rate |
$1,055.54 |
| Rate for Payer: Aetna Commercial |
$590.94
|
| Rate for Payer: Aetna Medicare |
$441.00
|
| Rate for Payer: BCBS Complete |
$304.84
|
| Rate for Payer: BCBS MAPPO |
$441.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.54
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$441.00
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$635.04
|
| Rate for Payer: Cofinity Commercial |
$590.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.00
|
| Rate for Payer: Healthscope Commercial |
$529.20
|
| Rate for Payer: Healthscope Whirlpool |
$529.20
|
| Rate for Payer: Meridian Medicaid |
$304.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$463.05
|
| Rate for Payer: PACE SWMI |
$441.00
|
| Rate for Payer: PHP Medicare Advantage |
$441.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$827.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$686.31
|
| Rate for Payer: Priority Health Medicare |
$441.00
|
| Rate for Payer: Priority Health Narrow Network |
$686.31
|
| Rate for Payer: UHC Medicare Advantage |
$454.23
|
|
