|
PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY
|
Professional
|
Both
|
$9,071.00
|
|
|
Service Code
|
HCPCS 61323
|
| Min. Negotiated Rate |
$1,465.87 |
| Max. Negotiated Rate |
$6,803.25 |
| Rate for Payer: Aetna Commercial |
$3,084.71
|
| Rate for Payer: Aetna Medicare |
$2,302.02
|
| Rate for Payer: BCBS Complete |
$1,539.16
|
| Rate for Payer: BCBS MAPPO |
$2,302.02
|
| Rate for Payer: BCN Commercial |
$4,979.55
|
| Rate for Payer: BCN Medicare Advantage |
$2,302.02
|
| Rate for Payer: Cash Price |
$7,256.80
|
| Rate for Payer: Cash Price |
$7,256.80
|
| Rate for Payer: Cofinity Commercial |
$3,314.91
|
| Rate for Payer: Cofinity Commercial |
$3,084.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,302.02
|
| Rate for Payer: Healthscope Commercial |
$2,762.42
|
| Rate for Payer: Healthscope Whirlpool |
$2,762.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,417.12
|
| Rate for Payer: Meridian Medicaid |
$1,539.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,532.22
|
| Rate for Payer: Nomi Health Commercial |
$2,762.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,803.25
|
| Rate for Payer: PACE SWMI |
$2,302.02
|
| Rate for Payer: PHP Medicare Advantage |
$2,302.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,465.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,186.43
|
| Rate for Payer: Priority Health Medicare |
$2,302.02
|
| Rate for Payer: Priority Health Narrow Network |
$4,186.43
|
| Rate for Payer: Railroad Medicare Medicare |
$2,302.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,234.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,302.02
|
| Rate for Payer: UHC Exchange |
$4,234.90
|
| Rate for Payer: UHC Medicaid |
$1,465.87
|
| Rate for Payer: UHCCP DNSP |
$2,302.02
|
| Rate for Payer: UHCCP Medicaid |
$1,465.87
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,672.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,712.31 |
| Max. Negotiated Rate |
$6,504.00 |
| Rate for Payer: Aetna Commercial |
$3,594.79
|
| Rate for Payer: Aetna Medicare |
$2,682.68
|
| Rate for Payer: BCBS Complete |
$1,797.93
|
| Rate for Payer: BCBS MAPPO |
$2,682.68
|
| Rate for Payer: BCN Commercial |
$5,816.81
|
| Rate for Payer: BCN Medicare Advantage |
$2,682.68
|
| Rate for Payer: Cash Price |
$6,937.60
|
| Rate for Payer: Cash Price |
$6,937.60
|
| Rate for Payer: Cofinity Commercial |
$3,863.06
|
| Rate for Payer: Cofinity Commercial |
$3,594.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,682.68
|
| Rate for Payer: Healthscope Commercial |
$3,219.22
|
| Rate for Payer: Healthscope Whirlpool |
$3,219.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,816.81
|
| Rate for Payer: Meridian Medicaid |
$1,797.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,950.95
|
| Rate for Payer: Nomi Health Commercial |
$3,219.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,504.00
|
| Rate for Payer: PACE SWMI |
$2,682.68
|
| Rate for Payer: PHP Medicare Advantage |
$2,682.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,712.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,890.34
|
| Rate for Payer: Priority Health Medicare |
$2,682.68
|
| Rate for Payer: Priority Health Narrow Network |
$4,890.34
|
| Rate for Payer: Railroad Medicare Medicare |
$2,682.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,884.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,682.68
|
| Rate for Payer: UHC Exchange |
$4,884.62
|
| Rate for Payer: UHC Medicaid |
$1,712.31
|
| Rate for Payer: UHCCP DNSP |
$2,682.68
|
| Rate for Payer: UHCCP Medicaid |
$1,712.31
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$8,094.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,870.35 |
| Max. Negotiated Rate |
$6,435.30 |
| Rate for Payer: Aetna Commercial |
$3,942.53
|
| Rate for Payer: Aetna Medicare |
$2,942.19
|
| Rate for Payer: BCBS Complete |
$1,963.87
|
| Rate for Payer: BCBS MAPPO |
$2,942.19
|
| Rate for Payer: BCN Commercial |
$6,435.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,942.19
|
| Rate for Payer: Cash Price |
$6,475.20
|
| Rate for Payer: Cash Price |
$6,475.20
|
| Rate for Payer: Cofinity Commercial |
$4,236.75
|
| Rate for Payer: Cofinity Commercial |
$3,942.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,942.19
|
| Rate for Payer: Healthscope Commercial |
$3,530.63
|
| Rate for Payer: Healthscope Whirlpool |
$3,530.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,089.30
|
| Rate for Payer: Meridian Medicaid |
$1,963.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,236.41
|
| Rate for Payer: Nomi Health Commercial |
$3,530.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,070.50
|
| Rate for Payer: PACE SWMI |
$2,942.19
|
| Rate for Payer: PHP Medicare Advantage |
$2,942.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,870.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,410.31
|
| Rate for Payer: Priority Health Medicare |
$2,942.19
|
| Rate for Payer: Priority Health Narrow Network |
$5,410.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2,942.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,456.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,942.19
|
| Rate for Payer: UHC Exchange |
$5,456.67
|
| Rate for Payer: UHC Medicaid |
$1,870.35
|
| Rate for Payer: UHCCP DNSP |
$2,942.19
|
| Rate for Payer: UHCCP Medicaid |
$1,870.35
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,980.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,799.85 |
| Max. Negotiated Rate |
$6,735.00 |
| Rate for Payer: Aetna Commercial |
$3,789.23
|
| Rate for Payer: Aetna Medicare |
$2,827.78
|
| Rate for Payer: BCBS Complete |
$1,889.84
|
| Rate for Payer: BCBS MAPPO |
$2,827.78
|
| Rate for Payer: BCN Commercial |
$6,178.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,827.78
|
| Rate for Payer: Cash Price |
$7,184.00
|
| Rate for Payer: Cash Price |
$7,184.00
|
| Rate for Payer: Cofinity Commercial |
$4,072.00
|
| Rate for Payer: Cofinity Commercial |
$3,789.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,827.78
|
| Rate for Payer: Healthscope Commercial |
$3,393.34
|
| Rate for Payer: Healthscope Whirlpool |
$3,393.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,969.17
|
| Rate for Payer: Meridian Medicaid |
$1,889.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,110.56
|
| Rate for Payer: Nomi Health Commercial |
$3,393.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,735.00
|
| Rate for Payer: PACE SWMI |
$2,827.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,827.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,799.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,194.57
|
| Rate for Payer: Priority Health Medicare |
$2,827.78
|
| Rate for Payer: Priority Health Narrow Network |
$5,194.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,827.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,226.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,827.78
|
| Rate for Payer: UHC Exchange |
$5,226.91
|
| Rate for Payer: UHC Medicaid |
$1,799.85
|
| Rate for Payer: UHCCP DNSP |
$2,827.78
|
| Rate for Payer: UHCCP Medicaid |
$1,799.85
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,414.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$1,353.62 |
| Max. Negotiated Rate |
$4,810.50 |
| Rate for Payer: Aetna Commercial |
$2,842.09
|
| Rate for Payer: Aetna Medicare |
$2,120.96
|
| Rate for Payer: BCBS Complete |
$1,421.30
|
| Rate for Payer: BCBS MAPPO |
$2,120.96
|
| Rate for Payer: BCN Commercial |
$4,601.16
|
| Rate for Payer: BCN Medicare Advantage |
$2,120.96
|
| Rate for Payer: Cash Price |
$5,131.20
|
| Rate for Payer: Cash Price |
$5,131.20
|
| Rate for Payer: Cofinity Commercial |
$3,054.18
|
| Rate for Payer: Cofinity Commercial |
$2,842.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,120.96
|
| Rate for Payer: Healthscope Commercial |
$2,545.15
|
| Rate for Payer: Healthscope Whirlpool |
$2,545.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,227.01
|
| Rate for Payer: Meridian Medicaid |
$1,421.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,333.06
|
| Rate for Payer: Nomi Health Commercial |
$2,545.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,810.50
|
| Rate for Payer: PACE SWMI |
$2,120.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,120.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,353.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,868.30
|
| Rate for Payer: Priority Health Medicare |
$2,120.96
|
| Rate for Payer: Priority Health Narrow Network |
$3,868.30
|
| Rate for Payer: Railroad Medicare Medicare |
$2,120.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,861.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,120.96
|
| Rate for Payer: UHC Exchange |
$3,861.95
|
| Rate for Payer: UHC Medicaid |
$1,353.62
|
| Rate for Payer: UHCCP DNSP |
$2,120.96
|
| Rate for Payer: UHCCP Medicaid |
$1,353.62
|
|
|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$7,322.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$1,293.34 |
| Max. Negotiated Rate |
$5,491.50 |
| Rate for Payer: Aetna Commercial |
$2,713.79
|
| Rate for Payer: Aetna Medicare |
$2,025.22
|
| Rate for Payer: BCBS Complete |
$1,358.01
|
| Rate for Payer: BCBS MAPPO |
$2,025.22
|
| Rate for Payer: BCN Commercial |
$3,174.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,025.22
|
| Rate for Payer: Cash Price |
$5,857.60
|
| Rate for Payer: Cash Price |
$5,857.60
|
| Rate for Payer: Cofinity Commercial |
$2,916.32
|
| Rate for Payer: Cofinity Commercial |
$2,713.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,025.22
|
| Rate for Payer: Healthscope Commercial |
$2,430.26
|
| Rate for Payer: Healthscope Whirlpool |
$2,430.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,126.48
|
| Rate for Payer: Meridian Medicaid |
$1,358.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,227.74
|
| Rate for Payer: Nomi Health Commercial |
$2,430.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,491.50
|
| Rate for Payer: PACE SWMI |
$2,025.22
|
| Rate for Payer: PHP Medicare Advantage |
$2,025.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,293.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,686.70
|
| Rate for Payer: Priority Health Medicare |
$2,025.22
|
| Rate for Payer: Priority Health Narrow Network |
$3,686.70
|
| Rate for Payer: Railroad Medicare Medicare |
$2,025.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,675.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,025.22
|
| Rate for Payer: UHC Exchange |
$3,675.14
|
| Rate for Payer: UHC Medicaid |
$1,293.34
|
| Rate for Payer: UHCCP DNSP |
$2,025.22
|
| Rate for Payer: UHCCP Medicaid |
$1,293.34
|
|
|
PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV
|
Professional
|
Both
|
$8,079.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$1,252.23 |
| Max. Negotiated Rate |
$6,059.25 |
| Rate for Payer: Aetna Commercial |
$2,626.21
|
| Rate for Payer: Aetna Medicare |
$1,959.86
|
| Rate for Payer: BCBS Complete |
$1,314.84
|
| Rate for Payer: BCBS MAPPO |
$1,959.86
|
| Rate for Payer: BCN Commercial |
$4,245.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,959.86
|
| Rate for Payer: Cash Price |
$6,463.20
|
| Rate for Payer: Cash Price |
$6,463.20
|
| Rate for Payer: Cofinity Commercial |
$2,822.20
|
| Rate for Payer: Cofinity Commercial |
$2,626.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,959.86
|
| Rate for Payer: Healthscope Commercial |
$2,351.83
|
| Rate for Payer: Healthscope Whirlpool |
$2,351.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,057.85
|
| Rate for Payer: Meridian Medicaid |
$1,314.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,155.85
|
| Rate for Payer: Nomi Health Commercial |
$2,351.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,059.25
|
| Rate for Payer: PACE SWMI |
$1,959.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,959.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,252.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,569.27
|
| Rate for Payer: Priority Health Medicare |
$1,959.86
|
| Rate for Payer: Priority Health Narrow Network |
$3,569.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,959.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,546.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,959.86
|
| Rate for Payer: UHC Exchange |
$3,546.92
|
| Rate for Payer: UHC Medicaid |
$1,252.23
|
| Rate for Payer: UHCCP DNSP |
$1,959.86
|
| Rate for Payer: UHCCP Medicaid |
$1,252.23
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,914.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$1,189.82 |
| Max. Negotiated Rate |
$5,185.50 |
| Rate for Payer: Aetna Commercial |
$2,498.07
|
| Rate for Payer: Aetna Medicare |
$1,864.23
|
| Rate for Payer: BCBS Complete |
$1,249.31
|
| Rate for Payer: BCBS MAPPO |
$1,864.23
|
| Rate for Payer: BCN Commercial |
$2,923.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,864.23
|
| Rate for Payer: Cash Price |
$5,531.20
|
| Rate for Payer: Cash Price |
$5,531.20
|
| Rate for Payer: Cofinity Commercial |
$2,684.49
|
| Rate for Payer: Cofinity Commercial |
$2,498.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,864.23
|
| Rate for Payer: Healthscope Commercial |
$2,237.08
|
| Rate for Payer: Healthscope Whirlpool |
$2,237.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,957.44
|
| Rate for Payer: Meridian Medicaid |
$1,249.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,050.65
|
| Rate for Payer: Nomi Health Commercial |
$2,237.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,185.50
|
| Rate for Payer: PACE SWMI |
$1,864.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,864.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,189.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,395.75
|
| Rate for Payer: Priority Health Medicare |
$1,864.23
|
| Rate for Payer: Priority Health Narrow Network |
$3,395.75
|
| Rate for Payer: Railroad Medicare Medicare |
$1,864.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,389.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,864.23
|
| Rate for Payer: UHC Exchange |
$3,389.59
|
| Rate for Payer: UHC Medicaid |
$1,189.82
|
| Rate for Payer: UHCCP DNSP |
$1,864.23
|
| Rate for Payer: UHCCP Medicaid |
$1,189.82
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,748.00
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$1,347.01 |
| Max. Negotiated Rate |
$4,603.91 |
| Rate for Payer: Aetna Commercial |
$2,828.41
|
| Rate for Payer: Aetna Medicare |
$2,110.75
|
| Rate for Payer: BCBS Complete |
$1,414.36
|
| Rate for Payer: BCBS MAPPO |
$2,110.75
|
| Rate for Payer: BCN Commercial |
$4,603.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,110.75
|
| Rate for Payer: Cash Price |
$3,798.40
|
| Rate for Payer: Cash Price |
$3,798.40
|
| Rate for Payer: Cofinity Commercial |
$3,039.48
|
| Rate for Payer: Cofinity Commercial |
$2,828.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,110.75
|
| Rate for Payer: Healthscope Commercial |
$2,532.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,532.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,216.29
|
| Rate for Payer: Meridian Medicaid |
$1,414.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,321.82
|
| Rate for Payer: Nomi Health Commercial |
$2,532.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,561.00
|
| Rate for Payer: PACE SWMI |
$2,110.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,110.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,347.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,870.63
|
| Rate for Payer: Priority Health Medicare |
$2,110.75
|
| Rate for Payer: Priority Health Narrow Network |
$3,870.63
|
| Rate for Payer: Railroad Medicare Medicare |
$2,110.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,875.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,110.75
|
| Rate for Payer: UHC Exchange |
$3,875.71
|
| Rate for Payer: UHC Medicaid |
$1,347.01
|
| Rate for Payer: UHCCP DNSP |
$2,110.75
|
| Rate for Payer: UHCCP Medicaid |
$1,347.01
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$8,313.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$1,931.48 |
| Max. Negotiated Rate |
$6,234.75 |
| Rate for Payer: Aetna Commercial |
$4,060.95
|
| Rate for Payer: Aetna Medicare |
$3,030.56
|
| Rate for Payer: BCBS Complete |
$2,028.05
|
| Rate for Payer: BCBS MAPPO |
$3,030.56
|
| Rate for Payer: BCN Commercial |
$5,026.62
|
| Rate for Payer: BCN Medicare Advantage |
$3,030.56
|
| Rate for Payer: Cash Price |
$6,650.40
|
| Rate for Payer: Cash Price |
$6,650.40
|
| Rate for Payer: Cofinity Commercial |
$4,364.01
|
| Rate for Payer: Cofinity Commercial |
$4,060.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,030.56
|
| Rate for Payer: Healthscope Commercial |
$3,636.67
|
| Rate for Payer: Healthscope Whirlpool |
$3,636.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,182.09
|
| Rate for Payer: Meridian Medicaid |
$2,028.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,333.62
|
| Rate for Payer: Nomi Health Commercial |
$3,636.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,234.75
|
| Rate for Payer: PACE SWMI |
$3,030.56
|
| Rate for Payer: PHP Medicare Advantage |
$3,030.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,931.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,838.33
|
| Rate for Payer: Priority Health Medicare |
$3,030.56
|
| Rate for Payer: Priority Health Narrow Network |
$5,838.33
|
| Rate for Payer: Railroad Medicare Medicare |
$3,030.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,933.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,030.56
|
| Rate for Payer: UHC Exchange |
$5,933.89
|
| Rate for Payer: UHC Medicaid |
$1,931.48
|
| Rate for Payer: UHCCP DNSP |
$3,030.56
|
| Rate for Payer: UHCCP Medicaid |
$1,931.48
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL
|
Professional
|
Both
|
$4,144.00
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$1,184.49 |
| Max. Negotiated Rate |
$4,037.71 |
| Rate for Payer: Aetna Commercial |
$2,482.62
|
| Rate for Payer: Aetna Medicare |
$1,852.70
|
| Rate for Payer: BCBS Complete |
$1,243.71
|
| Rate for Payer: BCBS MAPPO |
$1,852.70
|
| Rate for Payer: BCN Commercial |
$4,037.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,852.70
|
| Rate for Payer: Cash Price |
$3,315.20
|
| Rate for Payer: Cash Price |
$3,315.20
|
| Rate for Payer: Cofinity Commercial |
$2,667.89
|
| Rate for Payer: Cofinity Commercial |
$2,482.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,852.70
|
| Rate for Payer: Healthscope Commercial |
$2,223.24
|
| Rate for Payer: Healthscope Whirlpool |
$2,223.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,945.34
|
| Rate for Payer: Meridian Medicaid |
$1,243.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,037.97
|
| Rate for Payer: Nomi Health Commercial |
$2,223.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,108.00
|
| Rate for Payer: PACE SWMI |
$1,852.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,852.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,184.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,394.61
|
| Rate for Payer: Priority Health Medicare |
$1,852.70
|
| Rate for Payer: Priority Health Narrow Network |
$3,394.61
|
| Rate for Payer: Railroad Medicare Medicare |
$1,852.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,366.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,852.70
|
| Rate for Payer: UHC Exchange |
$3,366.13
|
| Rate for Payer: UHC Medicaid |
$1,184.49
|
| Rate for Payer: UHCCP DNSP |
$1,852.70
|
| Rate for Payer: UHCCP Medicaid |
$1,184.49
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL
|
Professional
|
Both
|
$4,742.00
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$1,378.32 |
| Max. Negotiated Rate |
$4,638.31 |
| Rate for Payer: Aetna Commercial |
$2,883.52
|
| Rate for Payer: Aetna Medicare |
$2,151.88
|
| Rate for Payer: BCBS Complete |
$1,447.24
|
| Rate for Payer: BCBS MAPPO |
$2,151.88
|
| Rate for Payer: BCN Commercial |
$4,638.31
|
| Rate for Payer: BCN Medicare Advantage |
$2,151.88
|
| Rate for Payer: Cash Price |
$3,793.60
|
| Rate for Payer: Cash Price |
$3,793.60
|
| Rate for Payer: Cofinity Commercial |
$3,098.71
|
| Rate for Payer: Cofinity Commercial |
$2,883.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,151.88
|
| Rate for Payer: Healthscope Commercial |
$2,582.26
|
| Rate for Payer: Healthscope Whirlpool |
$2,582.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,259.47
|
| Rate for Payer: Meridian Medicaid |
$1,447.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,367.07
|
| Rate for Payer: Nomi Health Commercial |
$2,582.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,556.50
|
| Rate for Payer: PACE SWMI |
$2,151.88
|
| Rate for Payer: PHP Medicare Advantage |
$2,151.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,378.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,899.54
|
| Rate for Payer: Priority Health Medicare |
$2,151.88
|
| Rate for Payer: Priority Health Narrow Network |
$3,899.54
|
| Rate for Payer: Railroad Medicare Medicare |
$2,151.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,865.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,151.88
|
| Rate for Payer: UHC Exchange |
$3,865.15
|
| Rate for Payer: UHC Medicaid |
$1,378.32
|
| Rate for Payer: UHCCP DNSP |
$2,151.88
|
| Rate for Payer: UHCCP Medicaid |
$1,378.32
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL
|
Professional
|
Both
|
$7,331.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$1,161.92 |
| Max. Negotiated Rate |
$5,498.25 |
| Rate for Payer: Aetna Commercial |
$2,434.63
|
| Rate for Payer: Aetna Medicare |
$1,816.89
|
| Rate for Payer: BCBS Complete |
$1,220.02
|
| Rate for Payer: BCBS MAPPO |
$1,816.89
|
| Rate for Payer: BCN Commercial |
$3,937.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,816.89
|
| Rate for Payer: Cash Price |
$5,864.80
|
| Rate for Payer: Cash Price |
$5,864.80
|
| Rate for Payer: Cofinity Commercial |
$2,616.32
|
| Rate for Payer: Cofinity Commercial |
$2,434.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,816.89
|
| Rate for Payer: Healthscope Commercial |
$2,180.27
|
| Rate for Payer: Healthscope Whirlpool |
$2,180.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,907.73
|
| Rate for Payer: Meridian Medicaid |
$1,220.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,998.58
|
| Rate for Payer: Nomi Health Commercial |
$2,180.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,498.25
|
| Rate for Payer: PACE SWMI |
$1,816.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,816.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,161.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,310.16
|
| Rate for Payer: Priority Health Medicare |
$1,816.89
|
| Rate for Payer: Priority Health Narrow Network |
$3,310.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,816.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,298.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,816.89
|
| Rate for Payer: UHC Exchange |
$3,298.50
|
| Rate for Payer: UHC Medicaid |
$1,161.92
|
| Rate for Payer: UHCCP DNSP |
$1,816.89
|
| Rate for Payer: UHCCP Medicaid |
$1,161.92
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL
|
Professional
|
Both
|
$5,547.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$1,571.09 |
| Max. Negotiated Rate |
$5,360.68 |
| Rate for Payer: Aetna Commercial |
$3,302.12
|
| Rate for Payer: Aetna Medicare |
$2,464.27
|
| Rate for Payer: BCBS Complete |
$1,649.64
|
| Rate for Payer: BCBS MAPPO |
$2,464.27
|
| Rate for Payer: BCN Commercial |
$5,360.68
|
| Rate for Payer: BCN Medicare Advantage |
$2,464.27
|
| Rate for Payer: Cash Price |
$4,437.60
|
| Rate for Payer: Cash Price |
$4,437.60
|
| Rate for Payer: Cofinity Commercial |
$3,548.55
|
| Rate for Payer: Cofinity Commercial |
$3,302.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,464.27
|
| Rate for Payer: Healthscope Commercial |
$2,957.12
|
| Rate for Payer: Healthscope Whirlpool |
$2,957.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,587.48
|
| Rate for Payer: Meridian Medicaid |
$1,649.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,710.70
|
| Rate for Payer: Nomi Health Commercial |
$2,957.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,160.25
|
| Rate for Payer: PACE SWMI |
$2,464.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,464.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,571.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,506.86
|
| Rate for Payer: Priority Health Medicare |
$2,464.27
|
| Rate for Payer: Priority Health Narrow Network |
$4,506.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,464.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,512.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,464.27
|
| Rate for Payer: UHC Exchange |
$4,512.24
|
| Rate for Payer: UHC Medicaid |
$1,571.09
|
| Rate for Payer: UHCCP DNSP |
$2,464.27
|
| Rate for Payer: UHCCP Medicaid |
$1,571.09
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,749.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,919.98 |
| Max. Negotiated Rate |
$8,061.75 |
| Rate for Payer: Aetna Commercial |
$4,043.88
|
| Rate for Payer: Aetna Medicare |
$3,017.82
|
| Rate for Payer: BCBS Complete |
$2,015.98
|
| Rate for Payer: BCBS MAPPO |
$3,017.82
|
| Rate for Payer: BCN Commercial |
$6,634.12
|
| Rate for Payer: BCN Medicare Advantage |
$3,017.82
|
| Rate for Payer: Cash Price |
$8,599.20
|
| Rate for Payer: Cash Price |
$8,599.20
|
| Rate for Payer: Cofinity Commercial |
$4,345.66
|
| Rate for Payer: Cofinity Commercial |
$4,043.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,017.82
|
| Rate for Payer: Healthscope Commercial |
$3,621.38
|
| Rate for Payer: Healthscope Whirlpool |
$3,621.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,168.71
|
| Rate for Payer: Meridian Medicaid |
$2,015.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,319.60
|
| Rate for Payer: Nomi Health Commercial |
$3,621.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,061.75
|
| Rate for Payer: PACE SWMI |
$3,017.82
|
| Rate for Payer: PHP Medicare Advantage |
$3,017.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,919.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,577.46
|
| Rate for Payer: Priority Health Medicare |
$3,017.82
|
| Rate for Payer: Priority Health Narrow Network |
$5,577.46
|
| Rate for Payer: Railroad Medicare Medicare |
$3,017.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,644.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,017.82
|
| Rate for Payer: UHC Exchange |
$5,644.80
|
| Rate for Payer: UHC Medicaid |
$1,919.98
|
| Rate for Payer: UHCCP DNSP |
$3,017.82
|
| Rate for Payer: UHCCP Medicaid |
$1,919.98
|
|
|
PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM
|
Professional
|
Both
|
$8,989.00
|
|
|
Service Code
|
HCPCS 61520
|
| Min. Negotiated Rate |
$2,231.39 |
| Max. Negotiated Rate |
$7,785.79 |
| Rate for Payer: Aetna Commercial |
$4,702.23
|
| Rate for Payer: Aetna Medicare |
$3,509.13
|
| Rate for Payer: BCBS Complete |
$2,342.96
|
| Rate for Payer: BCBS MAPPO |
$3,509.13
|
| Rate for Payer: BCN Commercial |
$7,785.79
|
| Rate for Payer: BCN Medicare Advantage |
$3,509.13
|
| Rate for Payer: Cash Price |
$7,191.20
|
| Rate for Payer: Cash Price |
$7,191.20
|
| Rate for Payer: Cofinity Commercial |
$5,053.15
|
| Rate for Payer: Cofinity Commercial |
$4,702.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,509.13
|
| Rate for Payer: Healthscope Commercial |
$4,210.96
|
| Rate for Payer: Healthscope Whirlpool |
$4,210.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,684.59
|
| Rate for Payer: Meridian Medicaid |
$2,342.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,860.04
|
| Rate for Payer: Nomi Health Commercial |
$4,210.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,741.75
|
| Rate for Payer: PACE SWMI |
$3,509.13
|
| Rate for Payer: PHP Medicare Advantage |
$3,509.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,231.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,545.70
|
| Rate for Payer: Priority Health Medicare |
$3,509.13
|
| Rate for Payer: Priority Health Narrow Network |
$6,545.70
|
| Rate for Payer: Railroad Medicare Medicare |
$3,509.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,639.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,509.13
|
| Rate for Payer: UHC Exchange |
$6,639.65
|
| Rate for Payer: UHC Medicaid |
$2,231.39
|
| Rate for Payer: UHCCP DNSP |
$3,509.13
|
| Rate for Payer: UHCCP Medicaid |
$2,231.39
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF
|
Professional
|
Both
|
$2,850.00
|
|
|
Service Code
|
HCPCS 36825
|
| Min. Negotiated Rate |
$459.87 |
| Max. Negotiated Rate |
$2,137.50 |
| Rate for Payer: Aetna Commercial |
$970.37
|
| Rate for Payer: Aetna Medicare |
$724.16
|
| Rate for Payer: BCBS Complete |
$482.86
|
| Rate for Payer: BCBS MAPPO |
$724.16
|
| Rate for Payer: BCN Commercial |
$1,160.79
|
| Rate for Payer: BCN Medicare Advantage |
$724.16
|
| Rate for Payer: Cash Price |
$2,280.00
|
| Rate for Payer: Cash Price |
$2,280.00
|
| Rate for Payer: Cofinity Commercial |
$970.37
|
| Rate for Payer: Cofinity Commercial |
$1,042.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$724.16
|
| Rate for Payer: Healthscope Commercial |
$868.99
|
| Rate for Payer: Healthscope Whirlpool |
$868.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$760.37
|
| Rate for Payer: Meridian Medicaid |
$482.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$796.58
|
| Rate for Payer: Nomi Health Commercial |
$868.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,137.50
|
| Rate for Payer: PACE SWMI |
$724.16
|
| Rate for Payer: PHP Medicare Advantage |
$724.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$459.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,248.29
|
| Rate for Payer: Priority Health Medicare |
$724.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,248.29
|
| Rate for Payer: Railroad Medicare Medicare |
$724.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,421.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$724.16
|
| Rate for Payer: UHC Exchange |
$1,421.27
|
| Rate for Payer: UHC Medicaid |
$459.87
|
| Rate for Payer: UHCCP DNSP |
$724.16
|
| Rate for Payer: UHCCP Medicaid |
$459.87
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF
|
Professional
|
Both
|
$1,421.00
|
|
|
Service Code
|
HCPCS 36830
|
| Min. Negotiated Rate |
$387.23 |
| Max. Negotiated Rate |
$1,194.61 |
| Rate for Payer: Aetna Commercial |
$817.57
|
| Rate for Payer: Aetna Medicare |
$610.13
|
| Rate for Payer: BCBS Complete |
$406.59
|
| Rate for Payer: BCBS MAPPO |
$610.13
|
| Rate for Payer: BCN Commercial |
$977.53
|
| Rate for Payer: BCN Medicare Advantage |
$610.13
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Cofinity Commercial |
$878.59
|
| Rate for Payer: Cofinity Commercial |
$817.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.13
|
| Rate for Payer: Healthscope Commercial |
$732.16
|
| Rate for Payer: Healthscope Whirlpool |
$732.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.64
|
| Rate for Payer: Meridian Medicaid |
$406.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.14
|
| Rate for Payer: Nomi Health Commercial |
$732.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,065.75
|
| Rate for Payer: PACE SWMI |
$610.13
|
| Rate for Payer: PHP Medicare Advantage |
$610.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,051.21
|
| Rate for Payer: Priority Health Medicare |
$610.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,051.21
|
| Rate for Payer: Railroad Medicare Medicare |
$610.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,194.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.13
|
| Rate for Payer: UHC Exchange |
$1,194.61
|
| Rate for Payer: UHC Medicaid |
$387.23
|
| Rate for Payer: UHCCP DNSP |
$610.13
|
| Rate for Payer: UHCCP Medicaid |
$387.23
|
|
|
PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 35686
|
| Min. Negotiated Rate |
$92.66 |
| Max. Negotiated Rate |
$290.89 |
| Rate for Payer: Aetna Commercial |
$198.47
|
| Rate for Payer: Aetna Medicare |
$148.11
|
| Rate for Payer: BCBS Complete |
$97.29
|
| Rate for Payer: BCBS MAPPO |
$148.11
|
| Rate for Payer: BCN Commercial |
$234.05
|
| Rate for Payer: BCN Medicare Advantage |
$148.11
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cofinity Commercial |
$213.28
|
| Rate for Payer: Cofinity Commercial |
$198.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.11
|
| Rate for Payer: Healthscope Commercial |
$177.73
|
| Rate for Payer: Healthscope Whirlpool |
$177.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.52
|
| Rate for Payer: Meridian Medicaid |
$97.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$162.92
|
| Rate for Payer: Nomi Health Commercial |
$177.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$264.00
|
| Rate for Payer: PACE SWMI |
$148.11
|
| Rate for Payer: PHP Medicare Advantage |
$148.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$251.69
|
| Rate for Payer: Priority Health Medicare |
$148.11
|
| Rate for Payer: Priority Health Narrow Network |
$251.69
|
| Rate for Payer: Railroad Medicare Medicare |
$148.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$290.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$148.11
|
| Rate for Payer: UHC Exchange |
$290.89
|
| Rate for Payer: UHC Medicaid |
$92.66
|
| Rate for Payer: UHCCP DNSP |
$148.11
|
| Rate for Payer: UHCCP Medicaid |
$92.66
|
|
|
PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX
|
Professional
|
Both
|
$2,627.00
|
|
|
Service Code
|
HCPCS 33025
|
| Min. Negotiated Rate |
$472.01 |
| Max. Negotiated Rate |
$1,970.25 |
| Rate for Payer: Aetna Commercial |
$986.39
|
| Rate for Payer: Aetna Medicare |
$736.11
|
| Rate for Payer: BCBS Complete |
$495.61
|
| Rate for Payer: BCBS MAPPO |
$736.11
|
| Rate for Payer: BCN Commercial |
$1,141.87
|
| Rate for Payer: BCN Medicare Advantage |
$736.11
|
| Rate for Payer: Cash Price |
$2,101.60
|
| Rate for Payer: Cash Price |
$2,101.60
|
| Rate for Payer: Cofinity Commercial |
$986.39
|
| Rate for Payer: Cofinity Commercial |
$1,060.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$736.11
|
| Rate for Payer: Healthscope Commercial |
$883.33
|
| Rate for Payer: Healthscope Whirlpool |
$883.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$772.92
|
| Rate for Payer: Meridian Medicaid |
$495.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$809.72
|
| Rate for Payer: Nomi Health Commercial |
$883.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,970.25
|
| Rate for Payer: PACE SWMI |
$736.11
|
| Rate for Payer: PHP Medicare Advantage |
$736.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,227.94
|
| Rate for Payer: Priority Health Medicare |
$736.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,227.94
|
| Rate for Payer: Railroad Medicare Medicare |
$736.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,365.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$736.11
|
| Rate for Payer: UHC Exchange |
$1,365.31
|
| Rate for Payer: UHC Medicaid |
$472.01
|
| Rate for Payer: UHCCP DNSP |
$736.11
|
| Rate for Payer: UHCCP Medicaid |
$472.01
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM
|
Professional
|
Both
|
$4,496.00
|
|
|
Service Code
|
HCPCS 63740
|
| Min. Negotiated Rate |
$643.47 |
| Max. Negotiated Rate |
$3,372.00 |
| Rate for Payer: Aetna Commercial |
$1,332.40
|
| Rate for Payer: Aetna Medicare |
$994.33
|
| Rate for Payer: BCBS Complete |
$675.64
|
| Rate for Payer: BCBS MAPPO |
$994.33
|
| Rate for Payer: BCN Commercial |
$1,665.82
|
| Rate for Payer: BCN Medicare Advantage |
$994.33
|
| Rate for Payer: Cash Price |
$3,596.80
|
| Rate for Payer: Cash Price |
$3,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,431.84
|
| Rate for Payer: Cofinity Commercial |
$1,332.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.33
|
| Rate for Payer: Healthscope Commercial |
$1,193.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,193.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,044.05
|
| Rate for Payer: Meridian Medicaid |
$675.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,093.76
|
| Rate for Payer: Nomi Health Commercial |
$1,193.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,372.00
|
| Rate for Payer: PACE SWMI |
$994.33
|
| Rate for Payer: PHP Medicare Advantage |
$994.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$643.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,761.21
|
| Rate for Payer: Priority Health Medicare |
$994.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,761.21
|
| Rate for Payer: Railroad Medicare Medicare |
$994.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,709.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$994.33
|
| Rate for Payer: UHC Exchange |
$1,709.92
|
| Rate for Payer: UHC Medicaid |
$643.47
|
| Rate for Payer: UHCCP DNSP |
$994.33
|
| Rate for Payer: UHCCP Medicaid |
$643.47
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 63741
|
| Min. Negotiated Rate |
$454.76 |
| Max. Negotiated Rate |
$1,856.25 |
| Rate for Payer: Aetna Commercial |
$939.43
|
| Rate for Payer: Aetna Medicare |
$701.07
|
| Rate for Payer: BCBS Complete |
$477.50
|
| Rate for Payer: BCBS MAPPO |
$701.07
|
| Rate for Payer: BCN Commercial |
$1,029.32
|
| Rate for Payer: BCN Medicare Advantage |
$701.07
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$939.43
|
| Rate for Payer: Cofinity Commercial |
$1,009.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$701.07
|
| Rate for Payer: Healthscope Commercial |
$841.28
|
| Rate for Payer: Healthscope Whirlpool |
$841.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$736.12
|
| Rate for Payer: Meridian Medicaid |
$477.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$771.18
|
| Rate for Payer: Nomi Health Commercial |
$841.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,856.25
|
| Rate for Payer: PACE SWMI |
$701.07
|
| Rate for Payer: PHP Medicare Advantage |
$701.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,195.54
|
| Rate for Payer: Priority Health Medicare |
$701.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,195.54
|
| Rate for Payer: Railroad Medicare Medicare |
$701.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,183.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$701.07
|
| Rate for Payer: UHC Exchange |
$1,183.57
|
| Rate for Payer: UHC Medicaid |
$454.76
|
| Rate for Payer: UHCCP DNSP |
$701.07
|
| Rate for Payer: UHCCP Medicaid |
$454.76
|
|
|
PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH
|
Professional
|
Both
|
$6,031.00
|
|
|
Service Code
|
HCPCS 62192
|
| Min. Negotiated Rate |
$647.73 |
| Max. Negotiated Rate |
$4,523.25 |
| Rate for Payer: Aetna Commercial |
$1,346.32
|
| Rate for Payer: Aetna Medicare |
$1,004.72
|
| Rate for Payer: BCBS Complete |
$680.12
|
| Rate for Payer: BCBS MAPPO |
$1,004.72
|
| Rate for Payer: BCN Commercial |
$2,100.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,004.72
|
| Rate for Payer: Cash Price |
$4,824.80
|
| Rate for Payer: Cash Price |
$4,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,446.80
|
| Rate for Payer: Cofinity Commercial |
$1,346.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,004.72
|
| Rate for Payer: Healthscope Commercial |
$1,205.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,205.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,054.96
|
| Rate for Payer: Meridian Medicaid |
$680.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,105.19
|
| Rate for Payer: Nomi Health Commercial |
$1,205.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,523.25
|
| Rate for Payer: PACE SWMI |
$1,004.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,004.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$647.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,765.84
|
| Rate for Payer: Priority Health Medicare |
$1,004.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,765.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,004.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,723.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,004.72
|
| Rate for Payer: UHC Exchange |
$1,723.47
|
| Rate for Payer: UHC Medicaid |
$647.73
|
| Rate for Payer: UHCCP DNSP |
$1,004.72
|
| Rate for Payer: UHCCP Medicaid |
$647.73
|
|
|
PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR
|
Professional
|
Both
|
$5,217.00
|
|
|
Service Code
|
HCPCS 62220
|
| Min. Negotiated Rate |
$618.34 |
| Max. Negotiated Rate |
$3,912.75 |
| Rate for Payer: Aetna Commercial |
$1,291.24
|
| Rate for Payer: Aetna Medicare |
$963.61
|
| Rate for Payer: BCBS Complete |
$649.26
|
| Rate for Payer: BCBS MAPPO |
$963.61
|
| Rate for Payer: BCN Commercial |
$2,052.22
|
| Rate for Payer: BCN Medicare Advantage |
$963.61
|
| Rate for Payer: Cash Price |
$4,173.60
|
| Rate for Payer: Cash Price |
$4,173.60
|
| Rate for Payer: Cofinity Commercial |
$1,387.60
|
| Rate for Payer: Cofinity Commercial |
$1,291.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$963.61
|
| Rate for Payer: Healthscope Commercial |
$1,156.33
|
| Rate for Payer: Healthscope Whirlpool |
$1,156.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,011.79
|
| Rate for Payer: Meridian Medicaid |
$649.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,059.97
|
| Rate for Payer: Nomi Health Commercial |
$1,156.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,912.75
|
| Rate for Payer: PACE SWMI |
$963.61
|
| Rate for Payer: PHP Medicare Advantage |
$963.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,725.36
|
| Rate for Payer: Priority Health Medicare |
$963.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,725.36
|
| Rate for Payer: Railroad Medicare Medicare |
$963.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,736.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$963.61
|
| Rate for Payer: UHC Exchange |
$1,736.42
|
| Rate for Payer: UHC Medicaid |
$618.34
|
| Rate for Payer: UHCCP DNSP |
$963.61
|
| Rate for Payer: UHCCP Medicaid |
$618.34
|
|
|
PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS
|
Professional
|
Both
|
$5,203.00
|
|
|
Service Code
|
HCPCS 62223
|
| Min. Negotiated Rate |
$652.63 |
| Max. Negotiated Rate |
$3,902.25 |
| Rate for Payer: Aetna Commercial |
$1,354.42
|
| Rate for Payer: Aetna Medicare |
$1,010.76
|
| Rate for Payer: BCBS Complete |
$685.26
|
| Rate for Payer: BCBS MAPPO |
$1,010.76
|
| Rate for Payer: BCN Commercial |
$2,173.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,010.76
|
| Rate for Payer: Cash Price |
$4,162.40
|
| Rate for Payer: Cash Price |
$4,162.40
|
| Rate for Payer: Cofinity Commercial |
$1,455.49
|
| Rate for Payer: Cofinity Commercial |
$1,354.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,010.76
|
| Rate for Payer: Healthscope Commercial |
$1,212.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,212.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,061.30
|
| Rate for Payer: Meridian Medicaid |
$685.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,111.84
|
| Rate for Payer: Nomi Health Commercial |
$1,212.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,902.25
|
| Rate for Payer: PACE SWMI |
$1,010.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,010.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$652.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,827.16
|
| Rate for Payer: Priority Health Medicare |
$1,010.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,827.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,010.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,825.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,010.76
|
| Rate for Payer: UHC Exchange |
$1,825.21
|
| Rate for Payer: UHC Medicaid |
$652.63
|
| Rate for Payer: UHCCP DNSP |
$1,010.76
|
| Rate for Payer: UHCCP Medicaid |
$652.63
|
|
