|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 28045
|
| Min. Negotiated Rate |
$223.65 |
| Max. Negotiated Rate |
$700.27 |
| Rate for Payer: Aetna Commercial |
$454.98
|
| Rate for Payer: Aetna Medicare |
$339.54
|
| Rate for Payer: BCBS Complete |
$234.83
|
| Rate for Payer: BCBS MAPPO |
$339.54
|
| Rate for Payer: BCBS Trust/PPO |
$699.47
|
| Rate for Payer: BCN Commercial |
$700.27
|
| Rate for Payer: BCN Medicare Advantage |
$339.54
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$488.94
|
| Rate for Payer: Cofinity Commercial |
$454.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.54
|
| Rate for Payer: Healthscope Commercial |
$407.45
|
| Rate for Payer: Healthscope Whirlpool |
$407.45
|
| Rate for Payer: Meridian Medicaid |
$234.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$356.52
|
| Rate for Payer: PACE SWMI |
$339.54
|
| Rate for Payer: PHP Medicare Advantage |
$339.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$529.54
|
| Rate for Payer: Priority Health Medicare |
$339.54
|
| Rate for Payer: Priority Health Narrow Network |
$529.54
|
| Rate for Payer: UHC Medicare Advantage |
$349.73
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 25075
|
| Min. Negotiated Rate |
$205.55 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$416.98
|
| Rate for Payer: Aetna Medicare |
$311.18
|
| Rate for Payer: BCBS Complete |
$215.83
|
| Rate for Payer: BCBS MAPPO |
$311.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$311.18
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$416.98
|
| Rate for Payer: Cofinity Commercial |
$448.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.18
|
| Rate for Payer: Healthscope Commercial |
$373.42
|
| Rate for Payer: Healthscope Whirlpool |
$373.42
|
| Rate for Payer: Meridian Medicaid |
$215.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$326.74
|
| Rate for Payer: PACE SWMI |
$311.18
|
| Rate for Payer: PHP Medicare Advantage |
$311.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$806.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$487.67
|
| Rate for Payer: Priority Health Medicare |
$311.18
|
| Rate for Payer: Priority Health Narrow Network |
$487.67
|
| Rate for Payer: UHC Medicare Advantage |
$320.52
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
IP
|
$1,152.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$806.40 |
| Max. Negotiated Rate |
$1,152.00 |
| Rate for Payer: Aetna Commercial |
$1,036.80
|
| Rate for Payer: ASR ASR |
$1,117.44
|
| Rate for Payer: BCBS Trust/PPO |
$893.15
|
| Rate for Payer: BCN Commercial |
$893.15
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$1,082.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$921.60
|
| Rate for Payer: Healthscope Commercial |
$1,152.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,117.44
|
| Rate for Payer: Mclaren Commercial |
$1,036.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$979.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$806.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,013.76
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
OP
|
$1,152.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$788.30 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$1,036.80
|
| 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 |
$1,117.44
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$893.15
|
| Rate for Payer: BCN Commercial |
$893.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$1,082.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$921.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,152.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,117.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$1,036.80
|
| 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 |
$979.20
|
| 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 |
$806.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,048.32
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$817.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,013.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 25075
|
| Hospital Charge Code |
25075
|
| Min. Negotiated Rate |
$205.55 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$416.98
|
| Rate for Payer: Aetna Medicare |
$311.18
|
| Rate for Payer: BCBS Complete |
$215.83
|
| Rate for Payer: BCBS MAPPO |
$311.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$311.18
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$448.10
|
| Rate for Payer: Cofinity Commercial |
$416.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.18
|
| Rate for Payer: Healthscope Commercial |
$373.42
|
| Rate for Payer: Healthscope Whirlpool |
$373.42
|
| Rate for Payer: Meridian Medicaid |
$215.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$326.74
|
| Rate for Payer: PACE SWMI |
$311.18
|
| Rate for Payer: PHP Medicare Advantage |
$311.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$806.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$487.67
|
| Rate for Payer: Priority Health Medicare |
$311.18
|
| Rate for Payer: Priority Health Narrow Network |
$487.67
|
| Rate for Payer: UHC Medicare Advantage |
$320.52
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,338.00
|
|
|
Service Code
|
HCPCS 27634
|
| Min. Negotiated Rate |
$433.24 |
| Max. Negotiated Rate |
$1,636.60 |
| Rate for Payer: Aetna Commercial |
$895.39
|
| Rate for Payer: Aetna Medicare |
$668.20
|
| Rate for Payer: BCBS Complete |
$454.90
|
| Rate for Payer: BCBS MAPPO |
$668.20
|
| Rate for Payer: BCBS Trust/PPO |
$745.43
|
| Rate for Payer: BCN Commercial |
$992.02
|
| Rate for Payer: BCN Medicare Advantage |
$668.20
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cofinity Commercial |
$895.39
|
| Rate for Payer: Cofinity Commercial |
$962.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$668.20
|
| Rate for Payer: Healthscope Commercial |
$801.84
|
| Rate for Payer: Healthscope Whirlpool |
$801.84
|
| Rate for Payer: Meridian Medicaid |
$454.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$701.61
|
| Rate for Payer: PACE SWMI |
$668.20
|
| Rate for Payer: PHP Medicare Advantage |
$668.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$433.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,636.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,036.62
|
| Rate for Payer: Priority Health Medicare |
$668.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,036.62
|
| Rate for Payer: UHC Medicare Advantage |
$688.25
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,223.00
|
|
|
Service Code
|
HCPCS 27619
|
| Min. Negotiated Rate |
$304.38 |
| Max. Negotiated Rate |
$1,538.94 |
| Rate for Payer: Aetna Commercial |
$618.17
|
| Rate for Payer: Aetna Medicare |
$461.32
|
| Rate for Payer: BCBS Complete |
$319.60
|
| Rate for Payer: BCBS MAPPO |
$461.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,538.94
|
| Rate for Payer: BCN Commercial |
$687.08
|
| Rate for Payer: BCN Medicare Advantage |
$461.32
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Cofinity Commercial |
$664.30
|
| Rate for Payer: Cofinity Commercial |
$618.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$461.32
|
| Rate for Payer: Healthscope Commercial |
$553.58
|
| Rate for Payer: Healthscope Whirlpool |
$553.58
|
| Rate for Payer: Meridian Medicaid |
$319.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$484.39
|
| Rate for Payer: PACE SWMI |
$461.32
|
| Rate for Payer: PHP Medicare Advantage |
$461.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$304.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$856.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$717.97
|
| Rate for Payer: Priority Health Medicare |
$461.32
|
| Rate for Payer: Priority Health Narrow Network |
$717.97
|
| Rate for Payer: UHC Medicare Advantage |
$475.16
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,063.00
|
|
|
Service Code
|
HCPCS 27618
|
| Min. Negotiated Rate |
$198.52 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$402.54
|
| Rate for Payer: Aetna Medicare |
$300.40
|
| Rate for Payer: BCBS Complete |
$208.45
|
| Rate for Payer: BCBS MAPPO |
$300.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$300.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$402.54
|
| Rate for Payer: Cofinity Commercial |
$432.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.40
|
| Rate for Payer: Healthscope Commercial |
$360.48
|
| Rate for Payer: Healthscope Whirlpool |
$360.48
|
| Rate for Payer: Meridian Medicaid |
$208.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$315.42
|
| Rate for Payer: PACE SWMI |
$300.40
|
| Rate for Payer: PHP Medicare Advantage |
$300.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$470.31
|
| Rate for Payer: Priority Health Medicare |
$300.40
|
| Rate for Payer: Priority Health Narrow Network |
$470.31
|
| Rate for Payer: UHC Medicare Advantage |
$309.41
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
IP
|
$1,063.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$744.10 |
| Max. Negotiated Rate |
$1,063.00 |
| Rate for Payer: Aetna Commercial |
$956.70
|
| Rate for Payer: ASR ASR |
$1,031.11
|
| Rate for Payer: BCBS Trust/PPO |
$824.14
|
| Rate for Payer: BCN Commercial |
$824.14
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$999.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.40
|
| Rate for Payer: Healthscope Commercial |
$1,063.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,031.11
|
| Rate for Payer: Mclaren Commercial |
$956.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$935.44
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,063.00
|
|
|
Service Code
|
HCPCS 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$198.52 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$402.54
|
| Rate for Payer: Aetna Medicare |
$300.40
|
| Rate for Payer: BCBS Complete |
$208.45
|
| Rate for Payer: BCBS MAPPO |
$300.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$300.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$432.58
|
| Rate for Payer: Cofinity Commercial |
$402.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.40
|
| Rate for Payer: Healthscope Commercial |
$360.48
|
| Rate for Payer: Healthscope Whirlpool |
$360.48
|
| Rate for Payer: Meridian Medicaid |
$208.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$315.42
|
| Rate for Payer: PACE SWMI |
$300.40
|
| Rate for Payer: PHP Medicare Advantage |
$300.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$470.31
|
| Rate for Payer: Priority Health Medicare |
$300.40
|
| Rate for Payer: Priority Health Narrow Network |
$470.31
|
| Rate for Payer: UHC Medicare Advantage |
$309.41
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
OP
|
$1,063.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$744.10 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$956.70
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$1,031.11
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$824.14
|
| Rate for Payer: BCN Commercial |
$824.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$999.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$850.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$1,063.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,031.11
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$956.70
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$903.55
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$967.33
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$754.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$935.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$790.00
|
|
|
Service Code
|
HCPCS 21555
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$640.16 |
| Rate for Payer: Aetna Commercial |
$404.16
|
| Rate for Payer: Aetna Medicare |
$301.61
|
| Rate for Payer: BCBS Complete |
$208.89
|
| Rate for Payer: BCBS MAPPO |
$301.61
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$301.61
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cofinity Commercial |
$434.32
|
| Rate for Payer: Cofinity Commercial |
$404.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.61
|
| Rate for Payer: Healthscope Commercial |
$361.93
|
| Rate for Payer: Healthscope Whirlpool |
$361.93
|
| Rate for Payer: Meridian Medicaid |
$208.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$316.69
|
| Rate for Payer: PACE SWMI |
$301.61
|
| Rate for Payer: PHP Medicare Advantage |
$301.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$471.84
|
| Rate for Payer: Priority Health Medicare |
$301.61
|
| Rate for Payer: Priority Health Narrow Network |
$471.84
|
| Rate for Payer: UHC Medicare Advantage |
$310.66
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$790.00
|
|
|
Service Code
|
HCPCS 21555
|
| Hospital Charge Code |
21555
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$640.16 |
| Rate for Payer: Aetna Commercial |
$404.16
|
| Rate for Payer: Aetna Medicare |
$301.61
|
| Rate for Payer: BCBS Complete |
$208.89
|
| Rate for Payer: BCBS MAPPO |
$301.61
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$301.61
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cofinity Commercial |
$434.32
|
| Rate for Payer: Cofinity Commercial |
$404.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.61
|
| Rate for Payer: Healthscope Commercial |
$361.93
|
| Rate for Payer: Healthscope Whirlpool |
$361.93
|
| Rate for Payer: Meridian Medicaid |
$208.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$316.69
|
| Rate for Payer: PACE SWMI |
$301.61
|
| Rate for Payer: PHP Medicare Advantage |
$301.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$471.84
|
| Rate for Payer: Priority Health Medicare |
$301.61
|
| Rate for Payer: Priority Health Narrow Network |
$471.84
|
| Rate for Payer: UHC Medicare Advantage |
$310.66
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
IP
|
$790.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$553.00 |
| Max. Negotiated Rate |
$790.00 |
| Rate for Payer: Aetna Commercial |
$711.00
|
| Rate for Payer: ASR ASR |
$766.30
|
| Rate for Payer: BCBS Trust/PPO |
$612.49
|
| Rate for Payer: BCN Commercial |
$612.49
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cofinity Commercial |
$742.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$632.00
|
| Rate for Payer: Healthscope Commercial |
$790.00
|
| Rate for Payer: Healthscope Whirlpool |
$766.30
|
| Rate for Payer: Mclaren Commercial |
$711.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$671.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$695.20
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Facility
|
OP
|
$790.00
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
21555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$553.00 |
| Max. Negotiated Rate |
$3,258.81 |
| Rate for Payer: Aetna Commercial |
$711.00
|
| 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 |
$766.30
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$612.49
|
| Rate for Payer: BCN Commercial |
$612.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cash Price |
$632.00
|
| Rate for Payer: Cofinity Commercial |
$742.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$632.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$790.00
|
| Rate for Payer: Healthscope Whirlpool |
$766.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$711.00
|
| 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 |
$671.50
|
| 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 |
$553.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,258.81
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,607.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$695.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,102.00
|
|
|
Service Code
|
HCPCS 21554
|
| Hospital Charge Code |
21554
|
| Min. Negotiated Rate |
$240.88 |
| Max. Negotiated Rate |
$1,471.40 |
| Rate for Payer: Aetna Commercial |
$970.19
|
| Rate for Payer: Aetna Medicare |
$724.02
|
| Rate for Payer: BCBS Complete |
$494.27
|
| Rate for Payer: BCBS MAPPO |
$724.02
|
| Rate for Payer: BCBS Trust/PPO |
$240.88
|
| Rate for Payer: BCN Commercial |
$1,072.16
|
| Rate for Payer: BCN Medicare Advantage |
$724.02
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cofinity Commercial |
$970.19
|
| Rate for Payer: Cofinity Commercial |
$1,042.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$724.02
|
| Rate for Payer: Healthscope Commercial |
$868.82
|
| Rate for Payer: Healthscope Whirlpool |
$868.82
|
| Rate for Payer: Meridian Medicaid |
$494.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$760.22
|
| Rate for Payer: PACE SWMI |
$724.02
|
| Rate for Payer: PHP Medicare Advantage |
$724.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,471.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,120.37
|
| Rate for Payer: Priority Health Medicare |
$724.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,120.37
|
| Rate for Payer: UHC Medicare Advantage |
$745.74
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,102.00
|
|
|
Service Code
|
HCPCS 21554
|
| Min. Negotiated Rate |
$240.88 |
| Max. Negotiated Rate |
$1,471.40 |
| Rate for Payer: Aetna Commercial |
$970.19
|
| Rate for Payer: Aetna Medicare |
$724.02
|
| Rate for Payer: BCBS Complete |
$494.27
|
| Rate for Payer: BCBS MAPPO |
$724.02
|
| Rate for Payer: BCBS Trust/PPO |
$240.88
|
| Rate for Payer: BCN Commercial |
$1,072.16
|
| Rate for Payer: BCN Medicare Advantage |
$724.02
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cofinity Commercial |
$1,042.59
|
| Rate for Payer: Cofinity Commercial |
$970.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$724.02
|
| Rate for Payer: Healthscope Commercial |
$868.82
|
| Rate for Payer: Healthscope Whirlpool |
$868.82
|
| Rate for Payer: Meridian Medicaid |
$494.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$760.22
|
| Rate for Payer: PACE SWMI |
$724.02
|
| Rate for Payer: PHP Medicare Advantage |
$724.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,471.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,120.37
|
| Rate for Payer: Priority Health Medicare |
$724.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,120.37
|
| Rate for Payer: UHC Medicare Advantage |
$745.74
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
IP
|
$2,102.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,471.40 |
| Max. Negotiated Rate |
$2,102.00 |
| Rate for Payer: Aetna Commercial |
$1,891.80
|
| Rate for Payer: ASR ASR |
$2,038.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,629.68
|
| Rate for Payer: BCN Commercial |
$1,629.68
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cofinity Commercial |
$1,975.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.60
|
| Rate for Payer: Healthscope Commercial |
$2,102.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,038.94
|
| Rate for Payer: Mclaren Commercial |
$1,891.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,786.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,471.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,849.76
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>
|
Facility
|
OP
|
$2,102.00
|
|
|
Service Code
|
CPT 21554
|
| Hospital Charge Code |
21554
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,381.58 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,891.80
|
| 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 |
$2,038.94
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,629.68
|
| Rate for Payer: BCN Commercial |
$1,629.68
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cash Price |
$1,681.60
|
| Rate for Payer: Cofinity Commercial |
$1,975.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,681.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$2,102.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,038.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,891.80
|
| 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 |
$1,786.70
|
| 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 |
$1,471.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,912.82
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,492.42
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,849.76
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,244.00
|
|
|
Service Code
|
HCPCS 27048
|
| Min. Negotiated Rate |
$395.54 |
| Max. Negotiated Rate |
$4,154.02 |
| Rate for Payer: Aetna Commercial |
$811.69
|
| Rate for Payer: Aetna Medicare |
$605.74
|
| Rate for Payer: BCBS Complete |
$415.32
|
| Rate for Payer: BCBS MAPPO |
$605.74
|
| Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
| Rate for Payer: BCN Commercial |
$899.16
|
| Rate for Payer: BCN Medicare Advantage |
$605.74
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$811.69
|
| Rate for Payer: Cofinity Commercial |
$872.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.74
|
| Rate for Payer: Healthscope Commercial |
$726.89
|
| Rate for Payer: Healthscope Whirlpool |
$726.89
|
| Rate for Payer: Meridian Medicaid |
$415.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$636.03
|
| Rate for Payer: PACE SWMI |
$605.74
|
| Rate for Payer: PHP Medicare Advantage |
$605.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.59
|
| Rate for Payer: Priority Health Medicare |
$605.74
|
| Rate for Payer: Priority Health Narrow Network |
$939.59
|
| Rate for Payer: UHC Medicare Advantage |
$623.91
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
IP
|
$1,244.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$870.80 |
| Max. Negotiated Rate |
$1,244.00 |
| Rate for Payer: Aetna Commercial |
$1,119.60
|
| Rate for Payer: ASR ASR |
$1,206.68
|
| Rate for Payer: BCBS Trust/PPO |
$964.47
|
| Rate for Payer: BCN Commercial |
$964.47
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$1,169.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$995.20
|
| Rate for Payer: Healthscope Commercial |
$1,244.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,206.68
|
| Rate for Payer: Mclaren Commercial |
$1,119.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,057.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,094.72
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Professional
|
Both
|
$1,244.00
|
|
|
Service Code
|
HCPCS 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$395.54 |
| Max. Negotiated Rate |
$4,154.02 |
| Rate for Payer: Aetna Commercial |
$811.69
|
| Rate for Payer: Aetna Medicare |
$605.74
|
| Rate for Payer: BCBS Complete |
$415.32
|
| Rate for Payer: BCBS MAPPO |
$605.74
|
| Rate for Payer: BCBS Trust/PPO |
$4,154.02
|
| Rate for Payer: BCN Commercial |
$899.16
|
| Rate for Payer: BCN Medicare Advantage |
$605.74
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$872.27
|
| Rate for Payer: Cofinity Commercial |
$811.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.74
|
| Rate for Payer: Healthscope Commercial |
$726.89
|
| Rate for Payer: Healthscope Whirlpool |
$726.89
|
| Rate for Payer: Meridian Medicaid |
$415.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$636.03
|
| Rate for Payer: PACE SWMI |
$605.74
|
| Rate for Payer: PHP Medicare Advantage |
$605.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.59
|
| Rate for Payer: Priority Health Medicare |
$605.74
|
| Rate for Payer: Priority Health Narrow Network |
$939.59
|
| Rate for Payer: UHC Medicare Advantage |
$623.91
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM
|
Facility
|
OP
|
$1,244.00
|
|
|
Service Code
|
CPT 27048
|
| Hospital Charge Code |
27048
|
| Min. Negotiated Rate |
$870.80 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$1,119.60
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$1,206.68
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$964.47
|
| Rate for Payer: BCN Commercial |
$964.47
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$1,169.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$995.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,244.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,206.68
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$1,119.60
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,057.40
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$870.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,132.04
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$883.24
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,094.72
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>
|
Professional
|
Both
|
$1,372.00
|
|
|
Service Code
|
HCPCS 27045
|
| Min. Negotiated Rate |
$137.89 |
| Max. Negotiated Rate |
$1,127.52 |
| Rate for Payer: Aetna Commercial |
$976.06
|
| Rate for Payer: Aetna Medicare |
$728.40
|
| Rate for Payer: BCBS Complete |
$495.61
|
| Rate for Payer: BCBS MAPPO |
$728.40
|
| Rate for Payer: BCBS Trust/PPO |
$137.89
|
| Rate for Payer: BCN Commercial |
$1,079.00
|
| Rate for Payer: BCN Medicare Advantage |
$728.40
|
| Rate for Payer: Cash Price |
$1,097.60
|
| Rate for Payer: Cash Price |
$1,097.60
|
| Rate for Payer: Cofinity Commercial |
$976.06
|
| Rate for Payer: Cofinity Commercial |
$1,048.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.40
|
| Rate for Payer: Healthscope Commercial |
$874.08
|
| Rate for Payer: Healthscope Whirlpool |
$874.08
|
| Rate for Payer: Meridian Medicaid |
$495.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$764.82
|
| Rate for Payer: PACE SWMI |
$728.40
|
| Rate for Payer: PHP Medicare Advantage |
$728.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$960.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,127.52
|
| Rate for Payer: Priority Health Medicare |
$728.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,127.52
|
| Rate for Payer: UHC Medicare Advantage |
$750.25
|
|
|
PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM
|
Professional
|
Both
|
$788.00
|
|
|
Service Code
|
HCPCS 27047
|
| Min. Negotiated Rate |
$234.51 |
| Max. Negotiated Rate |
$3,876.14 |
| Rate for Payer: Aetna Commercial |
$476.89
|
| Rate for Payer: Aetna Medicare |
$355.89
|
| Rate for Payer: BCBS Complete |
$246.24
|
| Rate for Payer: BCBS MAPPO |
$355.89
|
| Rate for Payer: BCBS Trust/PPO |
$3,876.14
|
| Rate for Payer: BCN Commercial |
$728.62
|
| Rate for Payer: BCN Medicare Advantage |
$355.89
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Cofinity Commercial |
$476.89
|
| Rate for Payer: Cofinity Commercial |
$512.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.89
|
| Rate for Payer: Healthscope Commercial |
$427.07
|
| Rate for Payer: Healthscope Whirlpool |
$427.07
|
| Rate for Payer: Meridian Medicaid |
$246.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.68
|
| Rate for Payer: PACE SWMI |
$355.89
|
| Rate for Payer: PHP Medicare Advantage |
$355.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.06
|
| Rate for Payer: Priority Health Medicare |
$355.89
|
| Rate for Payer: Priority Health Narrow Network |
$554.06
|
| Rate for Payer: UHC Medicare Advantage |
$366.57
|
|
