|
PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 95887
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$1,456.52 |
| Rate for Payer: Aetna Commercial |
$106.58
|
| Rate for Payer: Aetna Commercial |
$106.58
|
| Rate for Payer: Aetna Medicare |
$79.54
|
| Rate for Payer: Aetna Medicare |
$79.54
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS Complete |
$106.80
|
| Rate for Payer: BCBS MAPPO |
$79.54
|
| Rate for Payer: BCBS MAPPO |
$79.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,456.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,456.52
|
| Rate for Payer: BCN Commercial |
$122.17
|
| Rate for Payer: BCN Commercial |
$122.17
|
| Rate for Payer: BCN Medicare Advantage |
$79.54
|
| Rate for Payer: BCN Medicare Advantage |
$79.54
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cofinity Commercial |
$114.54
|
| Rate for Payer: Cofinity Commercial |
$114.54
|
| Rate for Payer: Cofinity Commercial |
$106.58
|
| Rate for Payer: Cofinity Commercial |
$106.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.54
|
| Rate for Payer: Healthscope Commercial |
$95.45
|
| Rate for Payer: Healthscope Commercial |
$95.45
|
| Rate for Payer: Healthscope Whirlpool |
$95.45
|
| Rate for Payer: Healthscope Whirlpool |
$95.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.52
|
| Rate for Payer: PACE SWMI |
$79.54
|
| Rate for Payer: PACE SWMI |
$79.54
|
| Rate for Payer: PHP Medicare Advantage |
$79.54
|
| Rate for Payer: PHP Medicare Advantage |
$79.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$186.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.29
|
| Rate for Payer: Priority Health Medicare |
$79.54
|
| Rate for Payer: Priority Health Medicare |
$79.54
|
| Rate for Payer: Priority Health Narrow Network |
$112.29
|
| Rate for Payer: Priority Health Narrow Network |
$112.29
|
| Rate for Payer: UHC Medicare Advantage |
$81.93
|
| Rate for Payer: UHC Medicare Advantage |
$81.93
|
|
|
PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 95869
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$296.90 |
| Rate for Payer: Aetna Commercial |
$120.44
|
| Rate for Payer: Aetna Medicare |
$89.88
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$89.88
|
| Rate for Payer: BCBS Trust/PPO |
$296.90
|
| Rate for Payer: BCN Commercial |
$140.25
|
| Rate for Payer: BCN Medicare Advantage |
$89.88
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cofinity Commercial |
$129.43
|
| Rate for Payer: Cofinity Commercial |
$120.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.88
|
| Rate for Payer: Healthscope Commercial |
$107.86
|
| Rate for Payer: Healthscope Whirlpool |
$107.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.37
|
| Rate for Payer: PACE SWMI |
$89.88
|
| Rate for Payer: PHP Medicare Advantage |
$89.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.91
|
| Rate for Payer: Priority Health Medicare |
$89.88
|
| Rate for Payer: Priority Health Narrow Network |
$128.91
|
| Rate for Payer: UHC Medicare Advantage |
$92.58
|
|
|
PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 95872
|
| Min. Negotiated Rate |
$127.20 |
| Max. Negotiated Rate |
$411.55 |
| Rate for Payer: Aetna Commercial |
$256.23
|
| Rate for Payer: Aetna Medicare |
$191.22
|
| Rate for Payer: BCBS Complete |
$127.20
|
| Rate for Payer: BCBS MAPPO |
$191.22
|
| Rate for Payer: BCBS Trust/PPO |
$411.55
|
| Rate for Payer: BCN Commercial |
$287.34
|
| Rate for Payer: BCN Medicare Advantage |
$191.22
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$275.36
|
| Rate for Payer: Cofinity Commercial |
$256.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.22
|
| Rate for Payer: Healthscope Commercial |
$229.46
|
| Rate for Payer: Healthscope Whirlpool |
$229.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$200.78
|
| Rate for Payer: PACE SWMI |
$191.22
|
| Rate for Payer: PHP Medicare Advantage |
$191.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$264.10
|
| Rate for Payer: Priority Health Medicare |
$191.22
|
| Rate for Payer: Priority Health Narrow Network |
$264.10
|
| Rate for Payer: UHC Medicare Advantage |
$196.96
|
|
|
PR NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 20560
|
| Min. Negotiated Rate |
$14.60 |
| Max. Negotiated Rate |
$37.63 |
| Rate for Payer: Aetna Commercial |
$19.56
|
| Rate for Payer: Aetna Medicare |
$14.60
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$14.60
|
| Rate for Payer: BCBS Trust/PPO |
$37.50
|
| Rate for Payer: BCN Commercial |
$37.63
|
| Rate for Payer: BCN Medicare Advantage |
$14.60
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$21.02
|
| Rate for Payer: Cofinity Commercial |
$19.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.60
|
| Rate for Payer: Healthscope Commercial |
$17.52
|
| Rate for Payer: Healthscope Whirlpool |
$17.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$15.33
|
| Rate for Payer: PACE SWMI |
$14.60
|
| Rate for Payer: PHP Medicare Advantage |
$14.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.47
|
| Rate for Payer: Priority Health Medicare |
$14.60
|
| Rate for Payer: Priority Health Narrow Network |
$22.47
|
| Rate for Payer: UHC Medicare Advantage |
$15.04
|
|
|
PR NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 20561
|
| Min. Negotiated Rate |
$21.93 |
| Max. Negotiated Rate |
$54.73 |
| Rate for Payer: Aetna Commercial |
$29.39
|
| Rate for Payer: Aetna Medicare |
$21.93
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS MAPPO |
$21.93
|
| Rate for Payer: BCBS Trust/PPO |
$37.50
|
| Rate for Payer: BCN Commercial |
$54.73
|
| Rate for Payer: BCN Medicare Advantage |
$21.93
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$31.58
|
| Rate for Payer: Cofinity Commercial |
$29.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.93
|
| Rate for Payer: Healthscope Commercial |
$26.32
|
| Rate for Payer: Healthscope Whirlpool |
$26.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.03
|
| Rate for Payer: PACE SWMI |
$21.93
|
| Rate for Payer: PHP Medicare Advantage |
$21.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.71
|
| Rate for Payer: Priority Health Medicare |
$21.93
|
| Rate for Payer: Priority Health Narrow Network |
$33.71
|
| Rate for Payer: UHC Medicare Advantage |
$22.59
|
|
|
PR NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I&R
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 92265
|
| Min. Negotiated Rate |
$29.20 |
| Max. Negotiated Rate |
$1,168.07 |
| Rate for Payer: Aetna Commercial |
$110.15
|
| Rate for Payer: Aetna Medicare |
$82.20
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: BCBS MAPPO |
$82.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$126.08
|
| Rate for Payer: BCN Medicare Advantage |
$82.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$110.15
|
| Rate for Payer: Cofinity Commercial |
$118.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.20
|
| Rate for Payer: Healthscope Commercial |
$98.64
|
| Rate for Payer: Healthscope Whirlpool |
$98.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$86.31
|
| Rate for Payer: PACE SWMI |
$82.20
|
| Rate for Payer: PHP Medicare Advantage |
$82.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.58
|
| Rate for Payer: Priority Health Medicare |
$82.20
|
| Rate for Payer: Priority Health Narrow Network |
$103.58
|
| Rate for Payer: UHC Medicare Advantage |
$84.67
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM
|
Professional
|
Both
|
$96.00
|
|
|
Service Code
|
HCPCS 97605
|
| Min. Negotiated Rate |
$15.34 |
| Max. Negotiated Rate |
$796.68 |
| Rate for Payer: Aetna Commercial |
$32.50
|
| Rate for Payer: Aetna Medicare |
$24.25
|
| Rate for Payer: BCBS Complete |
$16.11
|
| Rate for Payer: BCBS MAPPO |
$24.25
|
| Rate for Payer: BCBS Trust/PPO |
$796.68
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$24.25
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cofinity Commercial |
$32.50
|
| Rate for Payer: Cofinity Commercial |
$34.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.25
|
| Rate for Payer: Healthscope Commercial |
$29.10
|
| Rate for Payer: Healthscope Whirlpool |
$29.10
|
| Rate for Payer: Meridian Medicaid |
$16.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.46
|
| Rate for Payer: PACE SWMI |
$24.25
|
| Rate for Payer: PHP Medicare Advantage |
$24.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.51
|
| Rate for Payer: Priority Health Medicare |
$24.25
|
| Rate for Payer: Priority Health Narrow Network |
$34.51
|
| Rate for Payer: UHC Medicare Advantage |
$24.98
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 97606
|
| Min. Negotiated Rate |
$16.83 |
| Max. Negotiated Rate |
$1,160.68 |
| Rate for Payer: Aetna Commercial |
$35.18
|
| Rate for Payer: Aetna Medicare |
$26.25
|
| Rate for Payer: BCBS Complete |
$17.67
|
| Rate for Payer: BCBS MAPPO |
$26.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,160.68
|
| Rate for Payer: BCN Commercial |
$74.28
|
| Rate for Payer: BCN Medicare Advantage |
$26.25
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$37.80
|
| Rate for Payer: Cofinity Commercial |
$35.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.25
|
| Rate for Payer: Healthscope Commercial |
$31.50
|
| Rate for Payer: Healthscope Whirlpool |
$31.50
|
| Rate for Payer: Meridian Medicaid |
$17.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.56
|
| Rate for Payer: PACE SWMI |
$26.25
|
| Rate for Payer: PHP Medicare Advantage |
$26.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.30
|
| Rate for Payer: Priority Health Medicare |
$26.25
|
| Rate for Payer: Priority Health Narrow Network |
$37.30
|
| Rate for Payer: UHC Medicare Advantage |
$27.04
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 97607
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$768.68 |
| Rate for Payer: Aetna Commercial |
$29.06
|
| Rate for Payer: Aetna Medicare |
$21.69
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCBS MAPPO |
$21.69
|
| Rate for Payer: BCBS Trust/PPO |
$768.68
|
| Rate for Payer: BCN Commercial |
$535.59
|
| Rate for Payer: BCN Medicare Advantage |
$21.69
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$31.23
|
| Rate for Payer: Cofinity Commercial |
$29.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.69
|
| Rate for Payer: Healthscope Commercial |
$26.03
|
| Rate for Payer: Healthscope Whirlpool |
$26.03
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.77
|
| Rate for Payer: PACE SWMI |
$21.69
|
| Rate for Payer: PHP Medicare Advantage |
$21.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.82
|
| Rate for Payer: Priority Health Medicare |
$21.69
|
| Rate for Payer: Priority Health Narrow Network |
$35.82
|
| Rate for Payer: UHC Medicare Advantage |
$22.34
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 97608
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$1,073.51 |
| Rate for Payer: Aetna Commercial |
$33.63
|
| Rate for Payer: Aetna Medicare |
$25.10
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$25.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.51
|
| Rate for Payer: BCN Commercial |
$537.55
|
| Rate for Payer: BCN Medicare Advantage |
$25.10
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$36.14
|
| Rate for Payer: Cofinity Commercial |
$33.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.10
|
| Rate for Payer: Healthscope Commercial |
$30.12
|
| Rate for Payer: Healthscope Whirlpool |
$30.12
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.36
|
| Rate for Payer: PACE SWMI |
$25.10
|
| Rate for Payer: PHP Medicare Advantage |
$25.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.48
|
| Rate for Payer: Priority Health Medicare |
$25.10
|
| Rate for Payer: Priority Health Narrow Network |
$39.48
|
| Rate for Payer: UHC Medicare Advantage |
$25.85
|
|
|
PR NEPHRECTOMY PARTIAL
|
Professional
|
Both
|
$2,480.00
|
|
|
Service Code
|
HCPCS 50240
|
| Min. Negotiated Rate |
$841.99 |
| Max. Negotiated Rate |
$3,703.38 |
| Rate for Payer: Aetna Commercial |
$1,734.32
|
| Rate for Payer: Aetna Medicare |
$1,294.27
|
| Rate for Payer: BCBS Complete |
$884.09
|
| Rate for Payer: BCBS MAPPO |
$1,294.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,703.38
|
| Rate for Payer: BCN Commercial |
$1,906.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,294.27
|
| Rate for Payer: Cash Price |
$1,984.00
|
| Rate for Payer: Cash Price |
$1,984.00
|
| Rate for Payer: Cofinity Commercial |
$1,863.75
|
| Rate for Payer: Cofinity Commercial |
$1,734.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,294.27
|
| Rate for Payer: Healthscope Commercial |
$1,553.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,553.12
|
| Rate for Payer: Meridian Medicaid |
$884.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,358.98
|
| Rate for Payer: PACE SWMI |
$1,294.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,294.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$841.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,736.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,108.48
|
| Rate for Payer: Priority Health Medicare |
$1,294.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,108.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,333.10
|
|
|
PR NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN
|
Professional
|
Both
|
$2,753.00
|
|
|
Service Code
|
HCPCS 50236
|
| Min. Negotiated Rate |
$925.91 |
| Max. Negotiated Rate |
$5,250.25 |
| Rate for Payer: Aetna Commercial |
$1,913.60
|
| Rate for Payer: Aetna Medicare |
$1,428.06
|
| Rate for Payer: BCBS Complete |
$972.21
|
| Rate for Payer: BCBS MAPPO |
$1,428.06
|
| Rate for Payer: BCBS Trust/PPO |
$5,250.25
|
| Rate for Payer: BCN Commercial |
$2,103.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,428.06
|
| Rate for Payer: Cash Price |
$2,202.40
|
| Rate for Payer: Cash Price |
$2,202.40
|
| Rate for Payer: Cofinity Commercial |
$1,913.60
|
| Rate for Payer: Cofinity Commercial |
$2,056.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,428.06
|
| Rate for Payer: Healthscope Commercial |
$1,713.67
|
| Rate for Payer: Healthscope Whirlpool |
$1,713.67
|
| Rate for Payer: Meridian Medicaid |
$972.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,499.46
|
| Rate for Payer: PACE SWMI |
$1,428.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,428.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$925.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,927.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,325.71
|
| Rate for Payer: Priority Health Medicare |
$1,428.06
|
| Rate for Payer: Priority Health Narrow Network |
$2,325.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,470.90
|
|
|
PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ
|
Professional
|
Both
|
$3,632.00
|
|
|
Service Code
|
HCPCS 50220
|
| Min. Negotiated Rate |
$669.03 |
| Max. Negotiated Rate |
$4,223.76 |
| Rate for Payer: Aetna Commercial |
$1,384.69
|
| Rate for Payer: Aetna Medicare |
$1,033.35
|
| Rate for Payer: BCBS Complete |
$702.48
|
| Rate for Payer: BCBS MAPPO |
$1,033.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,223.76
|
| Rate for Payer: BCN Commercial |
$1,521.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,033.35
|
| Rate for Payer: Cash Price |
$2,905.60
|
| Rate for Payer: Cash Price |
$2,905.60
|
| Rate for Payer: Cofinity Commercial |
$1,488.02
|
| Rate for Payer: Cofinity Commercial |
$1,384.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,033.35
|
| Rate for Payer: Healthscope Commercial |
$1,240.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,240.02
|
| Rate for Payer: Meridian Medicaid |
$702.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,085.02
|
| Rate for Payer: PACE SWMI |
$1,033.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,033.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$669.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,542.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,682.14
|
| Rate for Payer: Priority Health Medicare |
$1,033.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,682.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,064.35
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD
|
Professional
|
Both
|
$4,298.00
|
|
|
Service Code
|
HCPCS 50230
|
| Min. Negotiated Rate |
$809.83 |
| Max. Negotiated Rate |
$3,770.48 |
| Rate for Payer: Aetna Commercial |
$1,677.01
|
| Rate for Payer: Aetna Medicare |
$1,251.50
|
| Rate for Payer: BCBS Complete |
$850.32
|
| Rate for Payer: BCBS MAPPO |
$1,251.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,770.48
|
| Rate for Payer: BCN Commercial |
$1,839.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,251.50
|
| Rate for Payer: Cash Price |
$3,438.40
|
| Rate for Payer: Cash Price |
$3,438.40
|
| Rate for Payer: Cofinity Commercial |
$1,802.16
|
| Rate for Payer: Cofinity Commercial |
$1,677.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,251.50
|
| Rate for Payer: Healthscope Commercial |
$1,501.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,501.80
|
| Rate for Payer: Meridian Medicaid |
$850.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,314.08
|
| Rate for Payer: PACE SWMI |
$1,251.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,251.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$809.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,008.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,034.44
|
| Rate for Payer: Priority Health Medicare |
$1,251.50
|
| Rate for Payer: Priority Health Narrow Network |
$2,034.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,289.04
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL
|
Professional
|
Both
|
$3,386.00
|
|
|
Service Code
|
HCPCS 50225
|
| Min. Negotiated Rate |
$768.50 |
| Max. Negotiated Rate |
$3,687.01 |
| Rate for Payer: Aetna Commercial |
$1,580.42
|
| Rate for Payer: Aetna Medicare |
$1,179.42
|
| Rate for Payer: BCBS Complete |
$806.92
|
| Rate for Payer: BCBS MAPPO |
$1,179.42
|
| Rate for Payer: BCBS Trust/PPO |
$3,687.01
|
| Rate for Payer: BCN Commercial |
$1,734.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,179.42
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Cofinity Commercial |
$1,580.42
|
| Rate for Payer: Cofinity Commercial |
$1,698.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,179.42
|
| Rate for Payer: Healthscope Commercial |
$1,415.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,415.30
|
| Rate for Payer: Meridian Medicaid |
$806.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,238.39
|
| Rate for Payer: PACE SWMI |
$1,179.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,179.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$768.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,370.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,918.28
|
| Rate for Payer: Priority Health Medicare |
$1,179.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,918.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,214.80
|
|
|
PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC
|
Professional
|
Both
|
$2,439.00
|
|
|
Service Code
|
HCPCS 50234
|
| Min. Negotiated Rate |
$823.25 |
| Max. Negotiated Rate |
$4,336.29 |
| Rate for Payer: Aetna Commercial |
$1,706.78
|
| Rate for Payer: Aetna Medicare |
$1,273.72
|
| Rate for Payer: BCBS Complete |
$864.41
|
| Rate for Payer: BCBS MAPPO |
$1,273.72
|
| Rate for Payer: BCBS Trust/PPO |
$4,336.29
|
| Rate for Payer: BCN Commercial |
$1,874.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,273.72
|
| Rate for Payer: Cash Price |
$1,951.20
|
| Rate for Payer: Cash Price |
$1,951.20
|
| Rate for Payer: Cofinity Commercial |
$1,706.78
|
| Rate for Payer: Cofinity Commercial |
$1,834.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,273.72
|
| Rate for Payer: Healthscope Commercial |
$1,528.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,528.46
|
| Rate for Payer: Meridian Medicaid |
$864.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,337.41
|
| Rate for Payer: PACE SWMI |
$1,273.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,273.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$823.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,707.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,072.27
|
| Rate for Payer: Priority Health Medicare |
$1,273.72
|
| Rate for Payer: Priority Health Narrow Network |
$2,072.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,311.93
|
|
|
PR NEPHROLITHOTOMY REMOVAL CALCULUS
|
Professional
|
Both
|
$2,024.00
|
|
|
Service Code
|
HCPCS 50060
|
| Min. Negotiated Rate |
$721.64 |
| Max. Negotiated Rate |
$2,591.84 |
| Rate for Payer: Aetna Commercial |
$1,488.65
|
| Rate for Payer: Aetna Medicare |
$1,110.93
|
| Rate for Payer: BCBS Complete |
$757.72
|
| Rate for Payer: BCBS MAPPO |
$1,110.93
|
| Rate for Payer: BCBS Trust/PPO |
$2,591.84
|
| Rate for Payer: BCN Commercial |
$1,636.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,110.93
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cofinity Commercial |
$1,488.65
|
| Rate for Payer: Cofinity Commercial |
$1,599.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,110.93
|
| Rate for Payer: Healthscope Commercial |
$1,333.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,333.12
|
| Rate for Payer: Meridian Medicaid |
$757.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,166.48
|
| Rate for Payer: PACE SWMI |
$1,110.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,110.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,809.65
|
| Rate for Payer: Priority Health Medicare |
$1,110.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,809.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.26
|
|
|
PR NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS
|
Professional
|
Both
|
$3,347.00
|
|
|
Service Code
|
HCPCS 50075
|
| Min. Negotiated Rate |
$921.23 |
| Max. Negotiated Rate |
$2,775.16 |
| Rate for Payer: Aetna Commercial |
$1,903.31
|
| Rate for Payer: Aetna Medicare |
$1,420.38
|
| Rate for Payer: BCBS Complete |
$967.29
|
| Rate for Payer: BCBS MAPPO |
$1,420.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,775.16
|
| Rate for Payer: BCN Commercial |
$2,090.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,420.38
|
| Rate for Payer: Cash Price |
$2,677.60
|
| Rate for Payer: Cash Price |
$2,677.60
|
| Rate for Payer: Cofinity Commercial |
$1,903.31
|
| Rate for Payer: Cofinity Commercial |
$2,045.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,420.38
|
| Rate for Payer: Healthscope Commercial |
$1,704.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,704.46
|
| Rate for Payer: Meridian Medicaid |
$967.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,491.40
|
| Rate for Payer: PACE SWMI |
$1,420.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,420.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$921.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,342.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,311.64
|
| Rate for Payer: Priority Health Medicare |
$1,420.38
|
| Rate for Payer: Priority Health Narrow Network |
$2,311.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,462.99
|
|
|
PR NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY
|
Professional
|
Both
|
$2,260.00
|
|
|
Service Code
|
HCPCS 50500
|
| Min. Negotiated Rate |
$824.10 |
| Max. Negotiated Rate |
$2,011.75 |
| Rate for Payer: Aetna Commercial |
$1,660.26
|
| Rate for Payer: Aetna Medicare |
$1,239.00
|
| Rate for Payer: BCBS Complete |
$865.30
|
| Rate for Payer: BCBS MAPPO |
$1,239.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,989.58
|
| Rate for Payer: BCN Commercial |
$1,819.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,239.00
|
| Rate for Payer: Cash Price |
$1,808.00
|
| Rate for Payer: Cash Price |
$1,808.00
|
| Rate for Payer: Cofinity Commercial |
$1,660.26
|
| Rate for Payer: Cofinity Commercial |
$1,784.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,239.00
|
| Rate for Payer: Healthscope Commercial |
$1,486.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,486.80
|
| Rate for Payer: Meridian Medicaid |
$865.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,300.95
|
| Rate for Payer: PACE SWMI |
$1,239.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,239.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$824.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,582.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,011.75
|
| Rate for Payer: Priority Health Medicare |
$1,239.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,011.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,276.17
|
|
|
PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE
|
Professional
|
Both
|
$1,730.00
|
|
|
Service Code
|
HCPCS 50040
|
| Min. Negotiated Rate |
$587.67 |
| Max. Negotiated Rate |
$3,134.93 |
| Rate for Payer: Aetna Commercial |
$1,209.99
|
| Rate for Payer: Aetna Medicare |
$902.98
|
| Rate for Payer: BCBS Complete |
$617.05
|
| Rate for Payer: BCBS MAPPO |
$902.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,134.93
|
| Rate for Payer: BCN Commercial |
$1,332.14
|
| Rate for Payer: BCN Medicare Advantage |
$902.98
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Cofinity Commercial |
$1,300.29
|
| Rate for Payer: Cofinity Commercial |
$1,209.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.98
|
| Rate for Payer: Healthscope Commercial |
$1,083.58
|
| Rate for Payer: Healthscope Whirlpool |
$1,083.58
|
| Rate for Payer: Meridian Medicaid |
$617.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$948.13
|
| Rate for Payer: PACE SWMI |
$902.98
|
| Rate for Payer: PHP Medicare Advantage |
$902.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,211.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,473.02
|
| Rate for Payer: Priority Health Medicare |
$902.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,473.02
|
| Rate for Payer: UHC Medicare Advantage |
$930.07
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$522.00
|
|
|
Service Code
|
HCPCS 95912
|
| Min. Negotiated Rate |
$208.80 |
| Max. Negotiated Rate |
$8,557.53 |
| Rate for Payer: Aetna Commercial |
$318.05
|
| Rate for Payer: Aetna Commercial |
$318.05
|
| Rate for Payer: Aetna Medicare |
$237.35
|
| Rate for Payer: Aetna Medicare |
$237.35
|
| Rate for Payer: BCBS Complete |
$208.80
|
| Rate for Payer: BCBS Complete |
$125.20
|
| Rate for Payer: BCBS MAPPO |
$237.35
|
| Rate for Payer: BCBS MAPPO |
$237.35
|
| Rate for Payer: BCBS Trust/PPO |
$8,557.53
|
| Rate for Payer: BCBS Trust/PPO |
$8,557.53
|
| Rate for Payer: BCN Commercial |
$360.16
|
| Rate for Payer: BCN Commercial |
$360.16
|
| Rate for Payer: BCN Medicare Advantage |
$237.35
|
| Rate for Payer: BCN Medicare Advantage |
$237.35
|
| Rate for Payer: Cash Price |
$417.60
|
| Rate for Payer: Cash Price |
$417.60
|
| Rate for Payer: Cash Price |
$250.40
|
| Rate for Payer: Cash Price |
$250.40
|
| Rate for Payer: Cofinity Commercial |
$341.78
|
| Rate for Payer: Cofinity Commercial |
$318.05
|
| Rate for Payer: Cofinity Commercial |
$318.05
|
| Rate for Payer: Cofinity Commercial |
$341.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.35
|
| Rate for Payer: Healthscope Commercial |
$284.82
|
| Rate for Payer: Healthscope Commercial |
$284.82
|
| Rate for Payer: Healthscope Whirlpool |
$284.82
|
| Rate for Payer: Healthscope Whirlpool |
$284.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$249.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$249.22
|
| Rate for Payer: PACE SWMI |
$237.35
|
| Rate for Payer: PACE SWMI |
$237.35
|
| Rate for Payer: PHP Medicare Advantage |
$237.35
|
| Rate for Payer: PHP Medicare Advantage |
$237.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$331.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$331.02
|
| Rate for Payer: Priority Health Medicare |
$237.35
|
| Rate for Payer: Priority Health Medicare |
$237.35
|
| Rate for Payer: Priority Health Narrow Network |
$331.02
|
| Rate for Payer: Priority Health Narrow Network |
$331.02
|
| Rate for Payer: UHC Medicare Advantage |
$244.47
|
| Rate for Payer: UHC Medicare Advantage |
$244.47
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$167.00
|
|
|
Service Code
|
HCPCS 95907
|
| Min. Negotiated Rate |
$66.80 |
| Max. Negotiated Rate |
$1,173.88 |
| Rate for Payer: Aetna Commercial |
$114.86
|
| Rate for Payer: Aetna Commercial |
$114.86
|
| Rate for Payer: Aetna Medicare |
$85.72
|
| Rate for Payer: Aetna Medicare |
$85.72
|
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: BCBS Complete |
$66.80
|
| Rate for Payer: BCBS MAPPO |
$85.72
|
| Rate for Payer: BCBS MAPPO |
$85.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,173.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,173.88
|
| Rate for Payer: BCN Commercial |
$130.48
|
| Rate for Payer: BCN Commercial |
$130.48
|
| Rate for Payer: BCN Medicare Advantage |
$85.72
|
| Rate for Payer: BCN Medicare Advantage |
$85.72
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cofinity Commercial |
$123.44
|
| Rate for Payer: Cofinity Commercial |
$123.44
|
| Rate for Payer: Cofinity Commercial |
$114.86
|
| Rate for Payer: Cofinity Commercial |
$114.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.72
|
| Rate for Payer: Healthscope Commercial |
$102.86
|
| Rate for Payer: Healthscope Commercial |
$102.86
|
| Rate for Payer: Healthscope Whirlpool |
$102.86
|
| Rate for Payer: Healthscope Whirlpool |
$102.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.01
|
| Rate for Payer: PACE SWMI |
$85.72
|
| Rate for Payer: PACE SWMI |
$85.72
|
| Rate for Payer: PHP Medicare Advantage |
$85.72
|
| Rate for Payer: PHP Medicare Advantage |
$85.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$119.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$119.92
|
| Rate for Payer: Priority Health Medicare |
$85.72
|
| Rate for Payer: Priority Health Medicare |
$85.72
|
| Rate for Payer: Priority Health Narrow Network |
$119.92
|
| Rate for Payer: Priority Health Narrow Network |
$119.92
|
| Rate for Payer: UHC Medicare Advantage |
$88.29
|
| Rate for Payer: UHC Medicare Advantage |
$88.29
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 95913
|
| Min. Negotiated Rate |
$214.87 |
| Max. Negotiated Rate |
$602.00 |
| Rate for Payer: Aetna Commercial |
$367.63
|
| Rate for Payer: Aetna Commercial |
$367.63
|
| Rate for Payer: Aetna Medicare |
$274.35
|
| Rate for Payer: Aetna Medicare |
$274.35
|
| Rate for Payer: BCBS Complete |
$209.60
|
| Rate for Payer: BCBS Complete |
$344.00
|
| Rate for Payer: BCBS MAPPO |
$274.35
|
| Rate for Payer: BCBS MAPPO |
$274.35
|
| Rate for Payer: BCBS Trust/PPO |
$214.87
|
| Rate for Payer: BCBS Trust/PPO |
$214.87
|
| Rate for Payer: BCN Commercial |
$415.86
|
| Rate for Payer: BCN Commercial |
$415.86
|
| Rate for Payer: BCN Medicare Advantage |
$274.35
|
| Rate for Payer: BCN Medicare Advantage |
$274.35
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$419.20
|
| Rate for Payer: Cash Price |
$419.20
|
| Rate for Payer: Cofinity Commercial |
$367.63
|
| Rate for Payer: Cofinity Commercial |
$395.06
|
| Rate for Payer: Cofinity Commercial |
$367.63
|
| Rate for Payer: Cofinity Commercial |
$395.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.35
|
| Rate for Payer: Healthscope Commercial |
$329.22
|
| Rate for Payer: Healthscope Commercial |
$329.22
|
| Rate for Payer: Healthscope Whirlpool |
$329.22
|
| Rate for Payer: Healthscope Whirlpool |
$329.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.07
|
| Rate for Payer: PACE SWMI |
$274.35
|
| Rate for Payer: PACE SWMI |
$274.35
|
| Rate for Payer: PHP Medicare Advantage |
$274.35
|
| Rate for Payer: PHP Medicare Advantage |
$274.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$366.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$602.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$382.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$382.22
|
| Rate for Payer: Priority Health Medicare |
$274.35
|
| Rate for Payer: Priority Health Medicare |
$274.35
|
| Rate for Payer: Priority Health Narrow Network |
$382.22
|
| Rate for Payer: Priority Health Narrow Network |
$382.22
|
| Rate for Payer: UHC Medicare Advantage |
$282.58
|
| Rate for Payer: UHC Medicare Advantage |
$282.58
|
|
|
PR NERVE CONDUCTION STUDIES 3-4 STUDIES
|
Professional
|
Both
|
$214.00
|
|
|
Service Code
|
HCPCS 95908
|
| Min. Negotiated Rate |
$85.60 |
| Max. Negotiated Rate |
$1,235.69 |
| Rate for Payer: Aetna Commercial |
$142.76
|
| Rate for Payer: Aetna Commercial |
$142.76
|
| Rate for Payer: Aetna Medicare |
$106.54
|
| Rate for Payer: Aetna Medicare |
$106.54
|
| Rate for Payer: BCBS Complete |
$132.80
|
| Rate for Payer: BCBS Complete |
$85.60
|
| Rate for Payer: BCBS MAPPO |
$106.54
|
| Rate for Payer: BCBS MAPPO |
$106.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,235.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,235.69
|
| Rate for Payer: BCN Commercial |
$162.25
|
| Rate for Payer: BCN Commercial |
$162.25
|
| Rate for Payer: BCN Medicare Advantage |
$106.54
|
| Rate for Payer: BCN Medicare Advantage |
$106.54
|
| Rate for Payer: Cash Price |
$171.20
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$171.20
|
| Rate for Payer: Cofinity Commercial |
$153.42
|
| Rate for Payer: Cofinity Commercial |
$142.76
|
| Rate for Payer: Cofinity Commercial |
$142.76
|
| Rate for Payer: Cofinity Commercial |
$153.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.54
|
| Rate for Payer: Healthscope Commercial |
$127.85
|
| Rate for Payer: Healthscope Commercial |
$127.85
|
| Rate for Payer: Healthscope Whirlpool |
$127.85
|
| Rate for Payer: Healthscope Whirlpool |
$127.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.87
|
| Rate for Payer: PACE SWMI |
$106.54
|
| Rate for Payer: PACE SWMI |
$106.54
|
| Rate for Payer: PHP Medicare Advantage |
$106.54
|
| Rate for Payer: PHP Medicare Advantage |
$106.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.12
|
| Rate for Payer: Priority Health Medicare |
$106.54
|
| Rate for Payer: Priority Health Medicare |
$106.54
|
| Rate for Payer: Priority Health Narrow Network |
$149.12
|
| Rate for Payer: Priority Health Narrow Network |
$149.12
|
| Rate for Payer: UHC Medicare Advantage |
$109.74
|
| Rate for Payer: UHC Medicare Advantage |
$109.74
|
|
|
PR NERVE CONDUCTION STUDIES 5-6 STUDIES
|
Professional
|
Both
|
$264.00
|
|
|
Service Code
|
HCPCS 95909
|
| Min. Negotiated Rate |
$105.60 |
| Max. Negotiated Rate |
$1,003.24 |
| Rate for Payer: Aetna Commercial |
$171.64
|
| Rate for Payer: Aetna Commercial |
$171.64
|
| Rate for Payer: Aetna Medicare |
$128.09
|
| Rate for Payer: Aetna Medicare |
$128.09
|
| Rate for Payer: BCBS Complete |
$105.60
|
| Rate for Payer: BCBS Complete |
$159.20
|
| Rate for Payer: BCBS MAPPO |
$128.09
|
| Rate for Payer: BCBS MAPPO |
$128.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.24
|
| Rate for Payer: BCN Commercial |
$194.98
|
| Rate for Payer: BCN Commercial |
$194.98
|
| Rate for Payer: BCN Medicare Advantage |
$128.09
|
| Rate for Payer: BCN Medicare Advantage |
$128.09
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cofinity Commercial |
$171.64
|
| Rate for Payer: Cofinity Commercial |
$184.45
|
| Rate for Payer: Cofinity Commercial |
$171.64
|
| Rate for Payer: Cofinity Commercial |
$184.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.09
|
| Rate for Payer: Healthscope Commercial |
$153.71
|
| Rate for Payer: Healthscope Commercial |
$153.71
|
| Rate for Payer: Healthscope Whirlpool |
$153.71
|
| Rate for Payer: Healthscope Whirlpool |
$153.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.49
|
| Rate for Payer: PACE SWMI |
$128.09
|
| Rate for Payer: PACE SWMI |
$128.09
|
| Rate for Payer: PHP Medicare Advantage |
$128.09
|
| Rate for Payer: PHP Medicare Advantage |
$128.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$184.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179.21
|
| Rate for Payer: Priority Health Medicare |
$128.09
|
| Rate for Payer: Priority Health Medicare |
$128.09
|
| Rate for Payer: Priority Health Narrow Network |
$179.21
|
| Rate for Payer: Priority Health Narrow Network |
$179.21
|
| Rate for Payer: UHC Medicare Advantage |
$131.93
|
| Rate for Payer: UHC Medicare Advantage |
$131.93
|
|
