|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$598.65 |
| Rate for Payer: Aetna Commercial |
$426.43
|
| Rate for Payer: Aetna Medicare |
$460.50
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.94
|
| Rate for Payer: Priority Health Narrow Network |
$513.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$341.47
|
| Rate for Payer: UHC Exchange |
$341.47
|
| Rate for Payer: UHCCP Medicaid |
$216.83
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$352.52 |
| Max. Negotiated Rate |
$1,480.30 |
| Rate for Payer: Aetna Commercial |
$702.57
|
| Rate for Payer: Aetna Medicare |
$447.00
|
| Rate for Payer: BCBS Complete |
$370.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.30
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Meridian Medicaid |
$370.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.01
|
| Rate for Payer: Priority Health Narrow Network |
$833.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$519.96
|
| Rate for Payer: UHC Exchange |
$519.96
|
| Rate for Payer: UHCCP Medicaid |
$352.52
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$3,352.06 |
| Rate for Payer: Aetna Commercial |
$582.68
|
| Rate for Payer: Aetna Medicare |
$848.00
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.06
|
| Rate for Payer: BCN Commercial |
$736.44
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.58
|
| Rate for Payer: Priority Health Narrow Network |
$693.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$492.98
|
| Rate for Payer: UHC Exchange |
$492.98
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$198.09 |
| Max. Negotiated Rate |
$2,170.78 |
| Rate for Payer: Aetna Commercial |
$388.50
|
| Rate for Payer: Aetna Medicare |
$292.00
|
| Rate for Payer: BCBS Complete |
$207.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$496.49
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Meridian Medicaid |
$207.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$468.66
|
| Rate for Payer: Priority Health Narrow Network |
$468.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$305.27
|
| Rate for Payer: UHC Exchange |
$305.27
|
| Rate for Payer: UHCCP Medicaid |
$198.09
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$195.53 |
| Max. Negotiated Rate |
$581.75 |
| Rate for Payer: Aetna Commercial |
$391.04
|
| Rate for Payer: Aetna Medicare |
$447.50
|
| Rate for Payer: BCBS Complete |
$205.31
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Meridian Medicaid |
$205.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.07
|
| Rate for Payer: Priority Health Narrow Network |
$463.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$314.80
|
| Rate for Payer: UHC Exchange |
$314.80
|
| Rate for Payer: UHCCP Medicaid |
$195.53
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$368.43 |
| Max. Negotiated Rate |
$1,305.75 |
| Rate for Payer: Aetna Commercial |
$1,027.22
|
| Rate for Payer: Aetna Medicare |
$651.00
|
| Rate for Payer: BCBS Complete |
$537.21
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$1,305.75
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Meridian Medicaid |
$537.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,205.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,205.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$873.23
|
| Rate for Payer: UHC Exchange |
$873.23
|
| Rate for Payer: UHCCP Medicaid |
$511.63
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$2,029.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$499.27 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$929.36
|
| Rate for Payer: Aetna Medicare |
$1,014.50
|
| Rate for Payer: BCBS Complete |
$524.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,141.55
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Meridian Medicaid |
$524.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,318.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,164.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,164.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$944.62
|
| Rate for Payer: UHC Exchange |
$944.62
|
| Rate for Payer: UHCCP Medicaid |
$499.27
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,612.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.27 |
| Max. Negotiated Rate |
$1,697.80 |
| Rate for Payer: Aetna Commercial |
$1,042.83
|
| Rate for Payer: Aetna Medicare |
$1,306.00
|
| Rate for Payer: BCBS Complete |
$586.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Meridian Medicaid |
$586.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,301.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,301.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,043.77
|
| Rate for Payer: UHC Exchange |
$1,043.77
|
| Rate for Payer: UHCCP Medicaid |
$558.27
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$395.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$669.36 |
| Rate for Payer: Aetna Commercial |
$47.92
|
| Rate for Payer: Aetna Medicare |
$197.50
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.31
|
| Rate for Payer: Priority Health Narrow Network |
$55.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.98
|
| Rate for Payer: UHC Exchange |
$68.98
|
| Rate for Payer: UHCCP Medicaid |
$22.15
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,951.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$331.85 |
| Max. Negotiated Rate |
$1,268.15 |
| Rate for Payer: Aetna Commercial |
$681.94
|
| Rate for Payer: Aetna Medicare |
$975.50
|
| Rate for Payer: BCBS Complete |
$348.44
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Meridian Medicaid |
$348.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.72
|
| Rate for Payer: Priority Health Narrow Network |
$787.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$572.64
|
| Rate for Payer: UHC Exchange |
$572.64
|
| Rate for Payer: UHCCP Medicaid |
$331.85
|
|
|
PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY
|
Professional
|
Both
|
$4,226.00
|
|
|
Service Code
|
HCPCS 69930
|
| Min. Negotiated Rate |
$774.89 |
| Max. Negotiated Rate |
$2,746.90 |
| Rate for Payer: Aetna Commercial |
$1,385.25
|
| Rate for Payer: Aetna Medicare |
$2,113.00
|
| Rate for Payer: BCBS Complete |
$813.63
|
| Rate for Payer: BCN Commercial |
$1,788.56
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Meridian Medicaid |
$813.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,746.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,778.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,778.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,381.25
|
| Rate for Payer: UHC Exchange |
$1,381.25
|
| Rate for Payer: UHCCP Medicaid |
$774.89
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$66.92 |
| Max. Negotiated Rate |
$536.22 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: Aetna Medicare |
$177.00
|
| Rate for Payer: BCBS Complete |
$141.60
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.50
|
| Rate for Payer: Priority Health Narrow Network |
$283.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$66.92
|
| Rate for Payer: UHC Exchange |
$66.92
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$62.31
|
| Rate for Payer: Aetna Commercial |
$62.31
|
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: Aetna Medicare |
$78.00
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.75
|
| Rate for Payer: Priority Health Narrow Network |
$11.75
|
| Rate for Payer: Priority Health Narrow Network |
$11.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.82
|
| Rate for Payer: UHC Exchange |
$58.82
|
| Rate for Payer: UHC Exchange |
$58.82
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,840.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,373.64 |
| Max. Negotiated Rate |
$3,835.50 |
| Rate for Payer: Aetna Commercial |
$2,916.77
|
| Rate for Payer: Aetna Medicare |
$1,920.00
|
| Rate for Payer: BCBS Complete |
$1,442.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Meridian Medicaid |
$1,442.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,373.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,496.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,835.50
|
| Rate for Payer: Priority Health Narrow Network |
$3,835.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,566.26
|
| Rate for Payer: UHC Exchange |
$2,566.26
|
| Rate for Payer: UHCCP Medicaid |
$1,373.64
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,611.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$3,297.97 |
| Rate for Payer: Aetna Commercial |
$2,499.17
|
| Rate for Payer: Aetna Medicare |
$2,305.50
|
| Rate for Payer: BCBS Complete |
$1,241.93
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Meridian Medicaid |
$1,241.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,182.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,997.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,297.97
|
| Rate for Payer: Priority Health Narrow Network |
$3,297.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,235.53
|
| Rate for Payer: UHC Exchange |
$2,235.53
|
| Rate for Payer: UHCCP Medicaid |
$1,182.79
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,699.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$3,995.99 |
| Rate for Payer: Aetna Commercial |
$3,035.01
|
| Rate for Payer: Aetna Medicare |
$2,349.50
|
| Rate for Payer: BCBS Complete |
$1,503.15
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Meridian Medicaid |
$1,503.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,431.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,054.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,995.99
|
| Rate for Payer: Priority Health Narrow Network |
$3,995.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,680.90
|
| Rate for Payer: UHC Exchange |
$2,680.90
|
| Rate for Payer: UHCCP Medicaid |
$1,431.57
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,809.58
|
| Rate for Payer: Aetna Medicare |
$1,937.00
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,622.00
|
| Rate for Payer: UHC Exchange |
$1,622.00
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,549.60 |
| Max. Negotiated Rate |
$3,874.00 |
| Rate for Payer: Aetna Commercial |
$3,486.60
|
| Rate for Payer: Aetna Medicare |
$1,937.00
|
| Rate for Payer: ASR ASR |
$3,757.78
|
| Rate for Payer: ASR Commercial |
$3,757.78
|
| Rate for Payer: BCBS Complete |
$1,549.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,172.42
|
| Rate for Payer: BCN Commercial |
$3,003.51
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$3,641.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,874.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,757.78
|
| Rate for Payer: Mclaren Commercial |
$3,486.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: Nomi Health Commercial |
$3,176.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,394.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,715.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,409.12
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,518.10 |
| Max. Negotiated Rate |
$3,874.00 |
| Rate for Payer: Aetna Commercial |
$3,486.60
|
| Rate for Payer: ASR ASR |
$3,757.78
|
| Rate for Payer: ASR Commercial |
$3,757.78
|
| Rate for Payer: BCBS Trust/PPO |
$3,156.92
|
| Rate for Payer: BCN Commercial |
$3,003.51
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$3,641.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,874.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,757.78
|
| Rate for Payer: Mclaren Commercial |
$3,486.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: Nomi Health Commercial |
$3,176.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,409.12
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,809.58
|
| Rate for Payer: Aetna Medicare |
$1,937.00
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,622.00
|
| Rate for Payer: UHC Exchange |
$1,622.00
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,752.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,438.77 |
| Rate for Payer: Aetna Commercial |
$2,607.12
|
| Rate for Payer: Aetna Medicare |
$1,376.00
|
| Rate for Payer: BCBS Complete |
$1,297.39
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$2,801.10
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Meridian Medicaid |
$1,297.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,788.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,438.77
|
| Rate for Payer: Priority Health Narrow Network |
$3,438.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,332.14
|
| Rate for Payer: UHC Exchange |
$2,332.14
|
| Rate for Payer: UHCCP Medicaid |
$1,235.61
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,419.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$122.04 |
| Max. Negotiated Rate |
$2,936.43 |
| Rate for Payer: Aetna Commercial |
$2,219.92
|
| Rate for Payer: Aetna Medicare |
$1,709.50
|
| Rate for Payer: BCBS Complete |
$1,104.83
|
| Rate for Payer: BCBS Trust/PPO |
$122.04
|
| Rate for Payer: BCN Commercial |
$2,394.52
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Meridian Medicaid |
$1,104.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,052.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,222.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,936.43
|
| Rate for Payer: Priority Health Narrow Network |
$2,936.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,017.11
|
| Rate for Payer: UHC Exchange |
$2,017.11
|
| Rate for Payer: UHCCP Medicaid |
$1,052.22
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,145.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$3,732.89 |
| Rate for Payer: Aetna Commercial |
$2,830.09
|
| Rate for Payer: Aetna Medicare |
$2,572.50
|
| Rate for Payer: BCBS Complete |
$1,404.30
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$3,043.48
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Meridian Medicaid |
$1,404.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,337.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,344.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,732.89
|
| Rate for Payer: Priority Health Narrow Network |
$3,732.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,543.30
|
| Rate for Payer: UHC Exchange |
$2,543.30
|
| Rate for Payer: UHCCP Medicaid |
$1,337.43
|
|
|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$3,983.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$89.28 |
| Max. Negotiated Rate |
$3,141.66 |
| Rate for Payer: Aetna Commercial |
$2,380.76
|
| Rate for Payer: Aetna Medicare |
$1,991.50
|
| Rate for Payer: BCBS Complete |
$1,182.44
|
| Rate for Payer: BCBS Trust/PPO |
$89.28
|
| Rate for Payer: BCN Commercial |
$2,565.56
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Meridian Medicaid |
$1,182.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,126.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,588.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,141.66
|
| Rate for Payer: Priority Health Narrow Network |
$3,141.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,129.75
|
| Rate for Payer: UHC Exchange |
$2,129.75
|
| Rate for Payer: UHCCP Medicaid |
$1,126.13
|
|
