|
PR BIOPSY OF SKIN LESION
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 11100
|
| Min. Negotiated Rate |
$68.40 |
| Max. Negotiated Rate |
$111.15 |
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: BCBS Complete |
$68.40
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
|
|
PR BIOPSY OROPHARYNX
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 42800
|
| Min. Negotiated Rate |
$76.25 |
| Max. Negotiated Rate |
$233.59 |
| Rate for Payer: Aetna Commercial |
$149.58
|
| Rate for Payer: Aetna Medicare |
$129.00
|
| Rate for Payer: BCBS Complete |
$80.06
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$233.59
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Meridian Medicaid |
$80.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.79
|
| Rate for Payer: Priority Health Narrow Network |
$211.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$135.94
|
| Rate for Payer: UHC Exchange |
$135.94
|
| Rate for Payer: UHCCP Medicaid |
$76.25
|
|
|
PR BIOPSY OVARY UNI/BI SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,617.00
|
|
|
Service Code
|
HCPCS 58900
|
| Min. Negotiated Rate |
$170.11 |
| Max. Negotiated Rate |
$1,051.05 |
| Rate for Payer: Aetna Commercial |
$516.89
|
| Rate for Payer: Aetna Medicare |
$808.50
|
| Rate for Payer: BCBS Complete |
$294.77
|
| Rate for Payer: BCBS Trust/PPO |
$170.11
|
| Rate for Payer: BCN Commercial |
$644.57
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Meridian Medicaid |
$294.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.26
|
| Rate for Payer: Priority Health Narrow Network |
$657.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$487.88
|
| Rate for Payer: UHC Exchange |
$487.88
|
| Rate for Payer: UHCCP Medicaid |
$280.73
|
|
|
PR BIOPSY PALATE UVULA
|
Professional
|
Both
|
$268.00
|
|
|
Service Code
|
HCPCS 42100
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$796.68 |
| Rate for Payer: Aetna Commercial |
$141.39
|
| Rate for Payer: Aetna Medicare |
$134.00
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS Trust/PPO |
$796.68
|
| Rate for Payer: BCN Commercial |
$216.00
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.67
|
| Rate for Payer: Priority Health Narrow Network |
$198.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$129.91
|
| Rate for Payer: UHC Exchange |
$129.91
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
|
PR BIOPSY PANCREAS OPEN
|
Professional
|
Both
|
$1,588.00
|
|
|
Service Code
|
HCPCS 48100
|
| Min. Negotiated Rate |
$571.69 |
| Max. Negotiated Rate |
$2,117.43 |
| Rate for Payer: Aetna Commercial |
$1,190.74
|
| Rate for Payer: Aetna Medicare |
$794.00
|
| Rate for Payer: BCBS Complete |
$600.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,117.43
|
| Rate for Payer: BCN Commercial |
$1,296.95
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Meridian Medicaid |
$600.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,600.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,600.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,064.06
|
| Rate for Payer: UHC Exchange |
$1,064.06
|
| Rate for Payer: UHCCP Medicaid |
$571.69
|
|
|
PR BIOPSY PENIS DEEP STRUCTURES
|
Professional
|
Both
|
$563.00
|
|
|
Service Code
|
HCPCS 54105
|
| Min. Negotiated Rate |
$136.96 |
| Max. Negotiated Rate |
$1,906.11 |
| Rate for Payer: Aetna Commercial |
$272.65
|
| Rate for Payer: Aetna Medicare |
$281.50
|
| Rate for Payer: BCBS Complete |
$143.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,906.11
|
| Rate for Payer: BCN Commercial |
$401.69
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Meridian Medicaid |
$143.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$340.34
|
| Rate for Payer: Priority Health Narrow Network |
$340.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.09
|
| Rate for Payer: UHC Exchange |
$257.09
|
| Rate for Payer: UHCCP Medicaid |
$136.96
|
|
|
PR BIOPSY PENIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$307.00
|
|
|
Service Code
|
HCPCS 54100
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$1,453.88 |
| Rate for Payer: Aetna Commercial |
$153.72
|
| Rate for Payer: Aetna Medicare |
$153.50
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.88
|
| Rate for Payer: BCN Commercial |
$296.14
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.33
|
| Rate for Payer: Priority Health Narrow Network |
$193.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$142.27
|
| Rate for Payer: UHC Exchange |
$142.27
|
| Rate for Payer: UHCCP Medicaid |
$78.17
|
|
|
PR BIOPSY PROSTATE INCISIONAL ANY APPROACH
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 55705
|
| Min. Negotiated Rate |
$169.97 |
| Max. Negotiated Rate |
$1,436.98 |
| Rate for Payer: Aetna Commercial |
$340.09
|
| Rate for Payer: Aetna Medicare |
$238.50
|
| Rate for Payer: BCBS Complete |
$178.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,436.98
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Meridian Medicaid |
$178.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.82
|
| Rate for Payer: Priority Health Narrow Network |
$421.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.40
|
| Rate for Payer: UHC Exchange |
$322.40
|
| Rate for Payer: UHCCP Medicaid |
$169.97
|
|
|
PR BIOPSY SALIVARY GLAND INCISIONAL
|
Professional
|
Both
|
$533.00
|
|
|
Service Code
|
HCPCS 42405
|
| Min. Negotiated Rate |
$146.76 |
| Max. Negotiated Rate |
$448.61 |
| Rate for Payer: Aetna Commercial |
$298.24
|
| Rate for Payer: Aetna Medicare |
$266.50
|
| Rate for Payer: BCBS Complete |
$154.10
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$448.61
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Meridian Medicaid |
$154.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$346.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$409.26
|
| Rate for Payer: Priority Health Narrow Network |
$409.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$275.84
|
| Rate for Payer: UHC Exchange |
$275.84
|
| Rate for Payer: UHCCP Medicaid |
$146.76
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK DEEP
|
Professional
|
Both
|
$920.00
|
|
|
Service Code
|
HCPCS 21925
|
| Min. Negotiated Rate |
$247.29 |
| Max. Negotiated Rate |
$727.15 |
| Rate for Payer: Aetna Commercial |
$488.62
|
| Rate for Payer: Aetna Medicare |
$460.00
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS Trust/PPO |
$280.06
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$586.71
|
| Rate for Payer: Priority Health Narrow Network |
$586.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$390.26
|
| Rate for Payer: UHC Exchange |
$390.26
|
| Rate for Payer: UHCCP Medicaid |
$247.29
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 21920
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$625.34 |
| Rate for Payer: Aetna Commercial |
$205.43
|
| Rate for Payer: Aetna Medicare |
$254.00
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS Trust/PPO |
$625.34
|
| Rate for Payer: BCN Commercial |
$377.26
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$237.63
|
| Rate for Payer: Priority Health Narrow Network |
$237.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.51
|
| Rate for Payer: UHC Exchange |
$184.51
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 25066
|
| Min. Negotiated Rate |
$245.38 |
| Max. Negotiated Rate |
$1,010.64 |
| Rate for Payer: Aetna Commercial |
$479.14
|
| Rate for Payer: Aetna Medicare |
$419.00
|
| Rate for Payer: BCBS Complete |
$257.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.64
|
| Rate for Payer: BCN Commercial |
$544.87
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Meridian Medicaid |
$257.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$573.99
|
| Rate for Payer: Priority Health Narrow Network |
$573.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$417.70
|
| Rate for Payer: UHC Exchange |
$417.70
|
| Rate for Payer: UHCCP Medicaid |
$245.38
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 25065
|
| Min. Negotiated Rate |
$102.03 |
| Max. Negotiated Rate |
$376.28 |
| Rate for Payer: Aetna Commercial |
$208.50
|
| Rate for Payer: Aetna Medicare |
$243.50
|
| Rate for Payer: BCBS Complete |
$107.13
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$376.28
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Meridian Medicaid |
$107.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.23
|
| Rate for Payer: Priority Health Narrow Network |
$243.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$187.75
|
| Rate for Payer: UHC Exchange |
$187.75
|
| Rate for Payer: UHCCP Medicaid |
$102.03
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP
|
Professional
|
Both
|
$944.00
|
|
|
Service Code
|
HCPCS 27614
|
| Min. Negotiated Rate |
$268.59 |
| Max. Negotiated Rate |
$1,061.35 |
| Rate for Payer: Aetna Commercial |
$544.43
|
| Rate for Payer: Aetna Medicare |
$472.00
|
| Rate for Payer: BCBS Complete |
$282.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.35
|
| Rate for Payer: BCN Commercial |
$865.94
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Meridian Medicaid |
$282.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$642.69
|
| Rate for Payer: Priority Health Narrow Network |
$642.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$472.68
|
| Rate for Payer: UHC Exchange |
$472.68
|
| Rate for Payer: UHCCP Medicaid |
$268.59
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
OP
|
$446.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$289.90 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$401.40
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$432.62
|
| Rate for Payer: ASR Commercial |
$432.62
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$365.23
|
| Rate for Payer: BCN Commercial |
$345.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$419.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$446.00
|
| Rate for Payer: Healthscope Whirlpool |
$432.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$401.40
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: Nomi Health Commercial |
$365.72
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$390.79
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$312.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Min. Negotiated Rate |
$104.80 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$210.61
|
| Rate for Payer: Aetna Medicare |
$223.00
|
| Rate for Payer: BCBS Complete |
$110.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$369.44
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Meridian Medicaid |
$110.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.84
|
| Rate for Payer: Priority Health Narrow Network |
$248.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.28
|
| Rate for Payer: UHC Exchange |
$189.28
|
| Rate for Payer: UHCCP Medicaid |
$104.80
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
IP
|
$446.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$289.90 |
| Max. Negotiated Rate |
$446.00 |
| Rate for Payer: Aetna Commercial |
$401.40
|
| Rate for Payer: ASR ASR |
$432.62
|
| Rate for Payer: ASR Commercial |
$432.62
|
| Rate for Payer: BCBS Trust/PPO |
$363.45
|
| Rate for Payer: BCN Commercial |
$345.78
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$419.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Healthscope Commercial |
$446.00
|
| Rate for Payer: Healthscope Whirlpool |
$432.62
|
| Rate for Payer: Mclaren Commercial |
$401.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: Nomi Health Commercial |
$365.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.48
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$104.80 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$210.61
|
| Rate for Payer: Aetna Medicare |
$223.00
|
| Rate for Payer: BCBS Complete |
$110.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$369.44
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Meridian Medicaid |
$110.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.84
|
| Rate for Payer: Priority Health Narrow Network |
$248.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.28
|
| Rate for Payer: UHC Exchange |
$189.28
|
| Rate for Payer: UHCCP Medicaid |
$104.80
|
|
|
PR BIOPSY SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$457.00
|
|
|
Service Code
|
HCPCS 21550
|
| Min. Negotiated Rate |
$62.73 |
| Max. Negotiated Rate |
$392.89 |
| Rate for Payer: Aetna Commercial |
$204.97
|
| Rate for Payer: Aetna Medicare |
$228.50
|
| Rate for Payer: BCBS Complete |
$105.34
|
| Rate for Payer: BCBS Trust/PPO |
$62.73
|
| Rate for Payer: BCN Commercial |
$392.89
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Meridian Medicaid |
$105.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$297.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$239.16
|
| Rate for Payer: Priority Health Narrow Network |
$239.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.38
|
| Rate for Payer: UHC Exchange |
$181.38
|
| Rate for Payer: UHCCP Medicaid |
$100.32
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL
|
Professional
|
Both
|
$597.00
|
|
|
Service Code
|
HCPCS 27040
|
| Min. Negotiated Rate |
$129.08 |
| Max. Negotiated Rate |
$498.94 |
| Rate for Payer: Aetna Commercial |
$264.26
|
| Rate for Payer: Aetna Medicare |
$298.50
|
| Rate for Payer: BCBS Complete |
$135.53
|
| Rate for Payer: BCBS Trust/PPO |
$289.10
|
| Rate for Payer: BCN Commercial |
$498.94
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Meridian Medicaid |
$135.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.80
|
| Rate for Payer: Priority Health Narrow Network |
$304.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$232.38
|
| Rate for Payer: UHC Exchange |
$232.38
|
| Rate for Payer: UHCCP Medicaid |
$129.08
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 27041
|
| Min. Negotiated Rate |
$316.44 |
| Max. Negotiated Rate |
$1,092.02 |
| Rate for Payer: Aetna Commercial |
$939.71
|
| Rate for Payer: Aetna Medicare |
$712.00
|
| Rate for Payer: BCBS Complete |
$482.63
|
| Rate for Payer: BCBS Trust/PPO |
$316.44
|
| Rate for Payer: BCN Commercial |
$1,043.82
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Meridian Medicaid |
$482.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$459.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,092.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,092.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$786.60
|
| Rate for Payer: UHC Exchange |
$786.60
|
| Rate for Payer: UHCCP Medicaid |
$459.65
|
|
|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$848.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$244.10 |
| Max. Negotiated Rate |
$833.19 |
| Rate for Payer: Aetna Commercial |
$485.10
|
| Rate for Payer: Aetna Medicare |
$424.00
|
| Rate for Payer: BCBS Complete |
$256.30
|
| Rate for Payer: BCBS Trust/PPO |
$426.87
|
| Rate for Payer: BCN Commercial |
$833.19
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Meridian Medicaid |
$256.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$573.99
|
| Rate for Payer: Priority Health Narrow Network |
$573.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.68
|
| Rate for Payer: UHC Exchange |
$387.68
|
| Rate for Payer: UHCCP Medicaid |
$244.10
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$269.87 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$541.89
|
| Rate for Payer: Aetna Medicare |
$348.00
|
| Rate for Payer: BCBS Complete |
$283.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$606.45
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Meridian Medicaid |
$283.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$452.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.62
|
| Rate for Payer: Priority Health Narrow Network |
$638.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$437.83
|
| Rate for Payer: UHC Exchange |
$437.83
|
| Rate for Payer: UHCCP Medicaid |
$269.87
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$113.74 |
| Max. Negotiated Rate |
$2,259.54 |
| Rate for Payer: Aetna Commercial |
$230.57
|
| Rate for Payer: Aetna Medicare |
$240.50
|
| Rate for Payer: BCBS Complete |
$119.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.54
|
| Rate for Payer: BCN Commercial |
$402.67
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Meridian Medicaid |
$119.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.19
|
| Rate for Payer: Priority Health Narrow Network |
$269.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$203.88
|
| Rate for Payer: UHC Exchange |
$203.88
|
| Rate for Payer: UHCCP Medicaid |
$113.74
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$920.67 |
| Rate for Payer: Aetna Commercial |
$557.74
|
| Rate for Payer: Aetna Medicare |
$536.50
|
| Rate for Payer: BCBS Complete |
$292.98
|
| Rate for Payer: BCBS Trust/PPO |
$75.99
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Meridian Medicaid |
$292.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.94
|
| Rate for Payer: Priority Health Narrow Network |
$656.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$456.77
|
| Rate for Payer: UHC Exchange |
$456.77
|
| Rate for Payer: UHCCP Medicaid |
$279.03
|
|
