|
PR DESTRUCTION BENIGN LESIONS UP TO 14
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 17110
|
| Hospital Charge Code |
17110
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: Aetna Commercial |
$79.74
|
| Rate for Payer: Aetna Medicare |
$59.51
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$59.51
|
| Rate for Payer: BCN Commercial |
$82.07
|
| Rate for Payer: BCN Medicare Advantage |
$59.51
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$85.69
|
| Rate for Payer: Cofinity Commercial |
$79.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.51
|
| Rate for Payer: Healthscope Commercial |
$71.41
|
| Rate for Payer: Healthscope Whirlpool |
$71.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.49
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.46
|
| Rate for Payer: Nomi Health Commercial |
$71.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: PACE SWMI |
$59.51
|
| Rate for Payer: PHP Medicare Advantage |
$59.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$95.25
|
| Rate for Payer: Priority Health Medicare |
$59.51
|
| Rate for Payer: Priority Health Narrow Network |
$95.25
|
| Rate for Payer: Railroad Medicare Medicare |
$59.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$113.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.51
|
| Rate for Payer: UHC Exchange |
$113.90
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP DNSP |
$59.51
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Facility
|
IP
|
$649.00
|
|
|
Service Code
|
CPT 17106
|
| Hospital Charge Code |
17106
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$486.75 |
| Max. Negotiated Rate |
$649.00 |
| Rate for Payer: Aetna Commercial |
$584.10
|
| Rate for Payer: ASR ASR |
$629.53
|
| Rate for Payer: BCBS Trust/PPO |
$532.96
|
| Rate for Payer: BCN Commercial |
$532.96
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$610.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.20
|
| Rate for Payer: Healthscope Commercial |
$629.53
|
| Rate for Payer: Healthscope Whirlpool |
$649.00
|
| Rate for Payer: Mclaren Commercial |
$584.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$551.65
|
| Rate for Payer: Nomi Health Commercial |
$532.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Professional
|
Both
|
$649.00
|
|
|
Service Code
|
HCPCS 17106
|
| Hospital Charge Code |
17106
|
| Min. Negotiated Rate |
$152.72 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$311.07
|
| Rate for Payer: Aetna Medicare |
$232.14
|
| Rate for Payer: BCBS Complete |
$160.36
|
| Rate for Payer: BCBS MAPPO |
$232.14
|
| Rate for Payer: BCN Commercial |
$329.48
|
| Rate for Payer: BCN Medicare Advantage |
$232.14
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$334.28
|
| Rate for Payer: Cofinity Commercial |
$311.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.14
|
| Rate for Payer: Healthscope Commercial |
$278.57
|
| Rate for Payer: Healthscope Whirlpool |
$278.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.75
|
| Rate for Payer: Meridian Medicaid |
$160.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$255.35
|
| Rate for Payer: Nomi Health Commercial |
$278.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE SWMI |
$232.14
|
| Rate for Payer: PHP Medicare Advantage |
$232.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$382.40
|
| Rate for Payer: Priority Health Medicare |
$232.14
|
| Rate for Payer: Priority Health Narrow Network |
$382.40
|
| Rate for Payer: Railroad Medicare Medicare |
$232.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$472.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$232.14
|
| Rate for Payer: UHC Exchange |
$472.27
|
| Rate for Payer: UHC Medicaid |
$152.72
|
| Rate for Payer: UHCCP DNSP |
$232.14
|
| Rate for Payer: UHCCP Medicaid |
$152.72
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Facility
|
OP
|
$649.00
|
|
|
Service Code
|
CPT 17106
|
| Hospital Charge Code |
17106
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$211.84 |
| Max. Negotiated Rate |
$649.00 |
| Rate for Payer: Aetna Commercial |
$584.10
|
| Rate for Payer: Aetna Medicare |
$405.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: ASR ASR |
$629.53
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$535.10
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$610.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$629.53
|
| Rate for Payer: Healthscope Whirlpool |
$649.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$405.05
|
| Rate for Payer: Mclaren Commercial |
$584.10
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$222.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$551.65
|
| Rate for Payer: Nomi Health Commercial |
$532.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$445.56
|
| Rate for Payer: PHP Medicaid |
$217.11
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$568.65
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health Narrow Network |
$454.95
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP DNSP |
$405.05
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: VA VA |
$405.05
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Professional
|
Both
|
$649.00
|
|
|
Service Code
|
HCPCS 17106
|
| Min. Negotiated Rate |
$152.72 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$311.07
|
| Rate for Payer: Aetna Medicare |
$232.14
|
| Rate for Payer: BCBS Complete |
$160.36
|
| Rate for Payer: BCBS MAPPO |
$232.14
|
| Rate for Payer: BCN Commercial |
$329.48
|
| Rate for Payer: BCN Medicare Advantage |
$232.14
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$334.28
|
| Rate for Payer: Cofinity Commercial |
$311.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.14
|
| Rate for Payer: Healthscope Commercial |
$278.57
|
| Rate for Payer: Healthscope Whirlpool |
$278.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.75
|
| Rate for Payer: Meridian Medicaid |
$160.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$255.35
|
| Rate for Payer: Nomi Health Commercial |
$278.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE SWMI |
$232.14
|
| Rate for Payer: PHP Medicare Advantage |
$232.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$382.40
|
| Rate for Payer: Priority Health Medicare |
$232.14
|
| Rate for Payer: Priority Health Narrow Network |
$382.40
|
| Rate for Payer: Railroad Medicare Medicare |
$232.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$472.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$232.14
|
| Rate for Payer: UHC Exchange |
$472.27
|
| Rate for Payer: UHC Medicaid |
$152.72
|
| Rate for Payer: UHCCP DNSP |
$232.14
|
| Rate for Payer: UHCCP Medicaid |
$152.72
|
|
|
PR DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
HCPCS 46930
|
| Min. Negotiated Rate |
$100.54 |
| Max. Negotiated Rate |
$283.36 |
| Rate for Payer: Aetna Commercial |
$201.12
|
| Rate for Payer: Aetna Medicare |
$150.09
|
| Rate for Payer: BCBS Complete |
$105.57
|
| Rate for Payer: BCBS MAPPO |
$150.09
|
| Rate for Payer: BCN Commercial |
$183.39
|
| Rate for Payer: BCN Medicare Advantage |
$150.09
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cofinity Commercial |
$216.13
|
| Rate for Payer: Cofinity Commercial |
$201.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.09
|
| Rate for Payer: Healthscope Commercial |
$180.11
|
| Rate for Payer: Healthscope Whirlpool |
$180.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.59
|
| Rate for Payer: Meridian Medicaid |
$105.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.10
|
| Rate for Payer: Nomi Health Commercial |
$180.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.00
|
| Rate for Payer: PACE SWMI |
$150.09
|
| Rate for Payer: PHP Medicare Advantage |
$150.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$283.36
|
| Rate for Payer: Priority Health Medicare |
$150.09
|
| Rate for Payer: Priority Health Narrow Network |
$283.36
|
| Rate for Payer: Railroad Medicare Medicare |
$150.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$258.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.09
|
| Rate for Payer: UHC Exchange |
$258.55
|
| Rate for Payer: UHC Medicaid |
$100.54
|
| Rate for Payer: UHCCP DNSP |
$150.09
|
| Rate for Payer: UHCCP Medicaid |
$100.54
|
|
|
PR DESTRUCTION LESION LID MARGIN < 1 CM
|
Professional
|
Both
|
$502.00
|
|
|
Service Code
|
HCPCS 67850
|
| Min. Negotiated Rate |
$71.78 |
| Max. Negotiated Rate |
$376.50 |
| Rate for Payer: Aetna Commercial |
$145.78
|
| Rate for Payer: Aetna Medicare |
$108.79
|
| Rate for Payer: BCBS Complete |
$75.37
|
| Rate for Payer: BCBS MAPPO |
$108.79
|
| Rate for Payer: BCN Commercial |
$196.20
|
| Rate for Payer: BCN Medicare Advantage |
$108.79
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Cofinity Commercial |
$156.66
|
| Rate for Payer: Cofinity Commercial |
$145.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.79
|
| Rate for Payer: Healthscope Commercial |
$130.55
|
| Rate for Payer: Healthscope Whirlpool |
$130.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.23
|
| Rate for Payer: Meridian Medicaid |
$75.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.67
|
| Rate for Payer: Nomi Health Commercial |
$130.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$376.50
|
| Rate for Payer: PACE SWMI |
$108.79
|
| Rate for Payer: PHP Medicare Advantage |
$108.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$229.83
|
| Rate for Payer: Priority Health Medicare |
$108.79
|
| Rate for Payer: Priority Health Narrow Network |
$229.83
|
| Rate for Payer: Railroad Medicare Medicare |
$108.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$225.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.79
|
| Rate for Payer: UHC Exchange |
$225.43
|
| Rate for Payer: UHC Medicaid |
$71.78
|
| Rate for Payer: UHCCP DNSP |
$108.79
|
| Rate for Payer: UHCCP Medicaid |
$71.78
|
|
|
PR DESTRUCTION LESIONS VULVA EXTENSIVE
|
Professional
|
Both
|
$597.00
|
|
|
Service Code
|
HCPCS 56515
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$447.75 |
| Rate for Payer: Aetna Commercial |
$249.12
|
| Rate for Payer: Aetna Medicare |
$185.91
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$185.91
|
| Rate for Payer: BCN Commercial |
$319.70
|
| Rate for Payer: BCN Medicare Advantage |
$185.91
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cofinity Commercial |
$267.71
|
| Rate for Payer: Cofinity Commercial |
$249.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.91
|
| Rate for Payer: Healthscope Commercial |
$223.09
|
| Rate for Payer: Healthscope Whirlpool |
$223.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.21
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$204.50
|
| Rate for Payer: Nomi Health Commercial |
$223.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$447.75
|
| Rate for Payer: PACE SWMI |
$185.91
|
| Rate for Payer: PHP Medicare Advantage |
$185.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$323.78
|
| Rate for Payer: Priority Health Medicare |
$185.91
|
| Rate for Payer: Priority Health Narrow Network |
$323.78
|
| Rate for Payer: Railroad Medicare Medicare |
$185.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$361.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.91
|
| Rate for Payer: UHC Exchange |
$361.99
|
| Rate for Payer: UHC Medicaid |
$121.20
|
| Rate for Payer: UHCCP DNSP |
$185.91
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
|
|
PR DESTRUCTION LESIONS VULVA SIMPLE
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 56501
|
| Min. Negotiated Rate |
$76.47 |
| Max. Negotiated Rate |
$297.00 |
| Rate for Payer: Aetna Commercial |
$155.12
|
| Rate for Payer: Aetna Medicare |
$115.76
|
| Rate for Payer: BCBS Complete |
$80.29
|
| Rate for Payer: BCBS MAPPO |
$115.76
|
| Rate for Payer: BCN Commercial |
$158.65
|
| Rate for Payer: BCN Medicare Advantage |
$115.76
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$166.69
|
| Rate for Payer: Cofinity Commercial |
$155.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.76
|
| Rate for Payer: Healthscope Commercial |
$138.91
|
| Rate for Payer: Healthscope Whirlpool |
$138.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.55
|
| Rate for Payer: Meridian Medicaid |
$80.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$127.34
|
| Rate for Payer: Nomi Health Commercial |
$138.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.00
|
| Rate for Payer: PACE SWMI |
$115.76
|
| Rate for Payer: PHP Medicare Advantage |
$115.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$203.76
|
| Rate for Payer: Priority Health Medicare |
$115.76
|
| Rate for Payer: Priority Health Narrow Network |
$203.76
|
| Rate for Payer: Railroad Medicare Medicare |
$115.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$216.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.76
|
| Rate for Payer: UHC Exchange |
$216.54
|
| Rate for Payer: UHC Medicaid |
$76.47
|
| Rate for Payer: UHCCP DNSP |
$115.76
|
| Rate for Payer: UHCCP Medicaid |
$76.47
|
|
|
PR DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<
|
Professional
|
Both
|
$241.00
|
|
|
Service Code
|
HCPCS 17280
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$96.92
|
| Rate for Payer: Aetna Medicare |
$72.33
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$72.33
|
| Rate for Payer: BCN Commercial |
$104.07
|
| Rate for Payer: BCN Medicare Advantage |
$72.33
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cofinity Commercial |
$96.92
|
| Rate for Payer: Cofinity Commercial |
$104.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.33
|
| Rate for Payer: Healthscope Commercial |
$86.80
|
| Rate for Payer: Healthscope Whirlpool |
$86.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.95
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.56
|
| Rate for Payer: Nomi Health Commercial |
$86.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.75
|
| Rate for Payer: PACE SWMI |
$72.33
|
| Rate for Payer: PHP Medicare Advantage |
$72.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$120.78
|
| Rate for Payer: Priority Health Medicare |
$72.33
|
| Rate for Payer: Priority Health Narrow Network |
$120.78
|
| Rate for Payer: Railroad Medicare Medicare |
$72.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$72.33
|
| Rate for Payer: UHC Exchange |
$149.59
|
| Rate for Payer: UHC Medicaid |
$47.50
|
| Rate for Payer: UHCCP DNSP |
$72.33
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 17270
|
| Min. Negotiated Rate |
$51.76 |
| Max. Negotiated Rate |
$193.50 |
| Rate for Payer: Aetna Commercial |
$105.77
|
| Rate for Payer: Aetna Medicare |
$78.93
|
| Rate for Payer: BCBS Complete |
$54.35
|
| Rate for Payer: BCBS MAPPO |
$78.93
|
| Rate for Payer: BCN Commercial |
$114.67
|
| Rate for Payer: BCN Medicare Advantage |
$78.93
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cofinity Commercial |
$113.66
|
| Rate for Payer: Cofinity Commercial |
$105.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.93
|
| Rate for Payer: Healthscope Commercial |
$94.72
|
| Rate for Payer: Healthscope Whirlpool |
$94.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.88
|
| Rate for Payer: Meridian Medicaid |
$54.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$86.82
|
| Rate for Payer: Nomi Health Commercial |
$94.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.50
|
| Rate for Payer: PACE SWMI |
$78.93
|
| Rate for Payer: PHP Medicare Advantage |
$78.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$133.09
|
| Rate for Payer: Priority Health Medicare |
$78.93
|
| Rate for Payer: Priority Health Narrow Network |
$133.09
|
| Rate for Payer: Railroad Medicare Medicare |
$78.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$165.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$78.93
|
| Rate for Payer: UHC Exchange |
$165.44
|
| Rate for Payer: UHC Medicaid |
$51.76
|
| Rate for Payer: UHCCP DNSP |
$78.93
|
| Rate for Payer: UHCCP Medicaid |
$51.76
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 17271
|
| Min. Negotiated Rate |
$56.87 |
| Max. Negotiated Rate |
$209.25 |
| Rate for Payer: Aetna Commercial |
$116.39
|
| Rate for Payer: Aetna Medicare |
$86.86
|
| Rate for Payer: BCBS Complete |
$59.71
|
| Rate for Payer: BCBS MAPPO |
$86.86
|
| Rate for Payer: BCN Commercial |
$125.27
|
| Rate for Payer: BCN Medicare Advantage |
$86.86
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cofinity Commercial |
$125.08
|
| Rate for Payer: Cofinity Commercial |
$116.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.86
|
| Rate for Payer: Healthscope Commercial |
$104.23
|
| Rate for Payer: Healthscope Whirlpool |
$104.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.20
|
| Rate for Payer: Meridian Medicaid |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.55
|
| Rate for Payer: Nomi Health Commercial |
$104.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.25
|
| Rate for Payer: PACE SWMI |
$86.86
|
| Rate for Payer: PHP Medicare Advantage |
$86.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$145.40
|
| Rate for Payer: Priority Health Medicare |
$86.86
|
| Rate for Payer: Priority Health Narrow Network |
$145.40
|
| Rate for Payer: Railroad Medicare Medicare |
$86.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$182.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.86
|
| Rate for Payer: UHC Exchange |
$182.42
|
| Rate for Payer: UHC Medicaid |
$56.87
|
| Rate for Payer: UHCCP DNSP |
$86.86
|
| Rate for Payer: UHCCP Medicaid |
$56.87
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM
|
Professional
|
Both
|
$317.00
|
|
|
Service Code
|
HCPCS 17272
|
| Min. Negotiated Rate |
$64.75 |
| Max. Negotiated Rate |
$237.75 |
| Rate for Payer: Aetna Commercial |
$132.86
|
| Rate for Payer: Aetna Medicare |
$99.15
|
| Rate for Payer: BCBS Complete |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$99.15
|
| Rate for Payer: BCN Commercial |
$143.73
|
| Rate for Payer: BCN Medicare Advantage |
$99.15
|
| Rate for Payer: Cash Price |
$253.60
|
| Rate for Payer: Cash Price |
$253.60
|
| Rate for Payer: Cofinity Commercial |
$142.78
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.15
|
| Rate for Payer: Healthscope Commercial |
$118.98
|
| Rate for Payer: Healthscope Whirlpool |
$118.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.11
|
| Rate for Payer: Meridian Medicaid |
$67.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.06
|
| Rate for Payer: Nomi Health Commercial |
$118.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.75
|
| Rate for Payer: PACE SWMI |
$99.15
|
| Rate for Payer: PHP Medicare Advantage |
$99.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$166.82
|
| Rate for Payer: Priority Health Medicare |
$99.15
|
| Rate for Payer: Priority Health Narrow Network |
$166.82
|
| Rate for Payer: Railroad Medicare Medicare |
$99.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$212.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$99.15
|
| Rate for Payer: UHC Exchange |
$212.92
|
| Rate for Payer: UHC Medicaid |
$64.75
|
| Rate for Payer: UHCCP DNSP |
$99.15
|
| Rate for Payer: UHCCP Medicaid |
$64.75
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS 17273
|
| Min. Negotiated Rate |
$73.06 |
| Max. Negotiated Rate |
$265.50 |
| Rate for Payer: Aetna Commercial |
$150.08
|
| Rate for Payer: Aetna Medicare |
$112.00
|
| Rate for Payer: BCBS Complete |
$76.71
|
| Rate for Payer: BCBS MAPPO |
$112.00
|
| Rate for Payer: BCN Commercial |
$162.58
|
| Rate for Payer: BCN Medicare Advantage |
$112.00
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cofinity Commercial |
$161.28
|
| Rate for Payer: Cofinity Commercial |
$150.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.00
|
| Rate for Payer: Healthscope Commercial |
$134.40
|
| Rate for Payer: Healthscope Whirlpool |
$134.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.60
|
| Rate for Payer: Meridian Medicaid |
$76.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.20
|
| Rate for Payer: Nomi Health Commercial |
$134.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$265.50
|
| Rate for Payer: PACE SWMI |
$112.00
|
| Rate for Payer: PHP Medicare Advantage |
$112.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$188.69
|
| Rate for Payer: Priority Health Medicare |
$112.00
|
| Rate for Payer: Priority Health Narrow Network |
$188.69
|
| Rate for Payer: Railroad Medicare Medicare |
$112.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$241.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.00
|
| Rate for Payer: UHC Exchange |
$241.58
|
| Rate for Payer: UHC Medicaid |
$73.06
|
| Rate for Payer: UHCCP DNSP |
$112.00
|
| Rate for Payer: UHCCP Medicaid |
$73.06
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM
|
Professional
|
Both
|
$447.00
|
|
|
Service Code
|
HCPCS 17274
|
| Min. Negotiated Rate |
$88.61 |
| Max. Negotiated Rate |
$335.25 |
| Rate for Payer: Aetna Commercial |
$182.41
|
| Rate for Payer: Aetna Medicare |
$136.13
|
| Rate for Payer: BCBS Complete |
$93.04
|
| Rate for Payer: BCBS MAPPO |
$136.13
|
| Rate for Payer: BCN Commercial |
$199.10
|
| Rate for Payer: BCN Medicare Advantage |
$136.13
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cofinity Commercial |
$196.03
|
| Rate for Payer: Cofinity Commercial |
$182.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.13
|
| Rate for Payer: Healthscope Commercial |
$163.36
|
| Rate for Payer: Healthscope Whirlpool |
$163.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.94
|
| Rate for Payer: Meridian Medicaid |
$93.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.74
|
| Rate for Payer: Nomi Health Commercial |
$163.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.25
|
| Rate for Payer: PACE SWMI |
$136.13
|
| Rate for Payer: PHP Medicare Advantage |
$136.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$88.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$231.09
|
| Rate for Payer: Priority Health Medicare |
$136.13
|
| Rate for Payer: Priority Health Narrow Network |
$231.09
|
| Rate for Payer: Railroad Medicare Medicare |
$136.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$136.13
|
| Rate for Payer: UHC Exchange |
$295.85
|
| Rate for Payer: UHC Medicaid |
$88.61
|
| Rate for Payer: UHCCP DNSP |
$136.13
|
| Rate for Payer: UHCCP Medicaid |
$88.61
|
|
|
PR DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 17260
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$129.75 |
| Rate for Payer: Aetna Commercial |
$76.76
|
| Rate for Payer: Aetna Medicare |
$57.28
|
| Rate for Payer: BCBS Complete |
$39.59
|
| Rate for Payer: BCBS MAPPO |
$57.28
|
| Rate for Payer: BCN Commercial |
$84.04
|
| Rate for Payer: BCN Medicare Advantage |
$57.28
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$82.48
|
| Rate for Payer: Cofinity Commercial |
$76.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.28
|
| Rate for Payer: Healthscope Commercial |
$68.74
|
| Rate for Payer: Healthscope Whirlpool |
$68.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.14
|
| Rate for Payer: Meridian Medicaid |
$39.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$63.01
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$129.75
|
| Rate for Payer: PACE SWMI |
$57.28
|
| Rate for Payer: PHP Medicare Advantage |
$57.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$97.54
|
| Rate for Payer: Priority Health Medicare |
$57.28
|
| Rate for Payer: Priority Health Narrow Network |
$97.54
|
| Rate for Payer: Railroad Medicare Medicare |
$57.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.28
|
| Rate for Payer: UHC Exchange |
$120.51
|
| Rate for Payer: UHC Medicaid |
$37.70
|
| Rate for Payer: UHCCP DNSP |
$57.28
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 17281
|
| Min. Negotiated Rate |
$63.47 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna Commercial |
$130.15
|
| Rate for Payer: Aetna Medicare |
$97.13
|
| Rate for Payer: BCBS Complete |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$97.13
|
| Rate for Payer: BCN Commercial |
$140.59
|
| Rate for Payer: BCN Medicare Advantage |
$97.13
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$139.87
|
| Rate for Payer: Cofinity Commercial |
$130.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.13
|
| Rate for Payer: Healthscope Commercial |
$116.56
|
| Rate for Payer: Healthscope Whirlpool |
$116.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.99
|
| Rate for Payer: Meridian Medicaid |
$66.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.84
|
| Rate for Payer: Nomi Health Commercial |
$116.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.00
|
| Rate for Payer: PACE SWMI |
$97.13
|
| Rate for Payer: PHP Medicare Advantage |
$97.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$163.17
|
| Rate for Payer: Priority Health Medicare |
$97.13
|
| Rate for Payer: Priority Health Narrow Network |
$163.17
|
| Rate for Payer: Railroad Medicare Medicare |
$97.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$206.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$97.13
|
| Rate for Payer: UHC Exchange |
$206.22
|
| Rate for Payer: UHC Medicaid |
$63.47
|
| Rate for Payer: UHCCP DNSP |
$97.13
|
| Rate for Payer: UHCCP Medicaid |
$63.47
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
HCPCS 17282
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$261.00 |
| Rate for Payer: Aetna Commercial |
$149.22
|
| Rate for Payer: Aetna Medicare |
$111.36
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$111.36
|
| Rate for Payer: BCN Commercial |
$161.79
|
| Rate for Payer: BCN Medicare Advantage |
$111.36
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cofinity Commercial |
$160.36
|
| Rate for Payer: Cofinity Commercial |
$149.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.36
|
| Rate for Payer: Healthscope Commercial |
$133.63
|
| Rate for Payer: Healthscope Whirlpool |
$133.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.93
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.50
|
| Rate for Payer: Nomi Health Commercial |
$133.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.00
|
| Rate for Payer: PACE SWMI |
$111.36
|
| Rate for Payer: PHP Medicare Advantage |
$111.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$187.79
|
| Rate for Payer: Priority Health Medicare |
$111.36
|
| Rate for Payer: Priority Health Narrow Network |
$187.79
|
| Rate for Payer: Railroad Medicare Medicare |
$111.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$240.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$111.36
|
| Rate for Payer: UHC Exchange |
$240.38
|
| Rate for Payer: UHC Medicaid |
$72.63
|
| Rate for Payer: UHCCP DNSP |
$111.36
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 17283
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$312.00 |
| Rate for Payer: Aetna Commercial |
$185.07
|
| Rate for Payer: Aetna Medicare |
$138.11
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCBS MAPPO |
$138.11
|
| Rate for Payer: BCN Commercial |
$201.85
|
| Rate for Payer: BCN Medicare Advantage |
$138.11
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$198.88
|
| Rate for Payer: Cofinity Commercial |
$185.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.11
|
| Rate for Payer: Healthscope Commercial |
$165.73
|
| Rate for Payer: Healthscope Whirlpool |
$165.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.02
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$151.92
|
| Rate for Payer: Nomi Health Commercial |
$165.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.00
|
| Rate for Payer: PACE SWMI |
$138.11
|
| Rate for Payer: PHP Medicare Advantage |
$138.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$234.27
|
| Rate for Payer: Priority Health Medicare |
$138.11
|
| Rate for Payer: Priority Health Narrow Network |
$234.27
|
| Rate for Payer: Railroad Medicare Medicare |
$138.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$301.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$138.11
|
| Rate for Payer: UHC Exchange |
$301.35
|
| Rate for Payer: UHC Medicaid |
$89.89
|
| Rate for Payer: UHCCP DNSP |
$138.11
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM
|
Professional
|
Both
|
$442.00
|
|
|
Service Code
|
HCPCS 17284
|
| Min. Negotiated Rate |
$105.44 |
| Max. Negotiated Rate |
$351.97 |
| Rate for Payer: Aetna Commercial |
$217.62
|
| Rate for Payer: Aetna Medicare |
$162.40
|
| Rate for Payer: BCBS Complete |
$110.71
|
| Rate for Payer: BCBS MAPPO |
$162.40
|
| Rate for Payer: BCN Commercial |
$235.62
|
| Rate for Payer: BCN Medicare Advantage |
$162.40
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Cofinity Commercial |
$233.86
|
| Rate for Payer: Cofinity Commercial |
$217.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.40
|
| Rate for Payer: Healthscope Commercial |
$194.88
|
| Rate for Payer: Healthscope Whirlpool |
$194.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.52
|
| Rate for Payer: Meridian Medicaid |
$110.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.64
|
| Rate for Payer: Nomi Health Commercial |
$194.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.50
|
| Rate for Payer: PACE SWMI |
$162.40
|
| Rate for Payer: PHP Medicare Advantage |
$162.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$273.47
|
| Rate for Payer: Priority Health Medicare |
$162.40
|
| Rate for Payer: Priority Health Narrow Network |
$273.47
|
| Rate for Payer: Railroad Medicare Medicare |
$162.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$351.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.40
|
| Rate for Payer: UHC Exchange |
$351.97
|
| Rate for Payer: UHC Medicaid |
$105.44
|
| Rate for Payer: UHCCP DNSP |
$162.40
|
| Rate for Payer: UHCCP Medicaid |
$105.44
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM
|
Professional
|
Both
|
$2,889.00
|
|
|
Service Code
|
HCPCS 17286
|
| Min. Negotiated Rate |
$143.14 |
| Max. Negotiated Rate |
$2,166.75 |
| Rate for Payer: Aetna Commercial |
$296.06
|
| Rate for Payer: Aetna Medicare |
$220.94
|
| Rate for Payer: BCBS Complete |
$150.30
|
| Rate for Payer: BCBS MAPPO |
$220.94
|
| Rate for Payer: BCN Commercial |
$321.62
|
| Rate for Payer: BCN Medicare Advantage |
$220.94
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Cofinity Commercial |
$318.15
|
| Rate for Payer: Cofinity Commercial |
$296.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.94
|
| Rate for Payer: Healthscope Commercial |
$265.13
|
| Rate for Payer: Healthscope Whirlpool |
$265.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$231.99
|
| Rate for Payer: Meridian Medicaid |
$150.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$243.03
|
| Rate for Payer: Nomi Health Commercial |
$265.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,166.75
|
| Rate for Payer: PACE SWMI |
$220.94
|
| Rate for Payer: PHP Medicare Advantage |
$220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$373.29
|
| Rate for Payer: Priority Health Medicare |
$220.94
|
| Rate for Payer: Priority Health Narrow Network |
$373.29
|
| Rate for Payer: Railroad Medicare Medicare |
$220.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$478.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$220.94
|
| Rate for Payer: UHC Exchange |
$478.01
|
| Rate for Payer: UHC Medicaid |
$143.14
|
| Rate for Payer: UHCCP DNSP |
$220.94
|
| Rate for Payer: UHCCP Medicaid |
$143.14
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$278.00
|
|
|
Service Code
|
HCPCS 17261
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$208.50 |
| Rate for Payer: Aetna Commercial |
$96.92
|
| Rate for Payer: Aetna Medicare |
$72.33
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$72.33
|
| Rate for Payer: BCN Commercial |
$104.46
|
| Rate for Payer: BCN Medicare Advantage |
$72.33
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Cofinity Commercial |
$96.92
|
| Rate for Payer: Cofinity Commercial |
$104.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.33
|
| Rate for Payer: Healthscope Commercial |
$86.80
|
| Rate for Payer: Healthscope Whirlpool |
$86.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.95
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.56
|
| Rate for Payer: Nomi Health Commercial |
$86.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.50
|
| Rate for Payer: PACE SWMI |
$72.33
|
| Rate for Payer: PHP Medicare Advantage |
$72.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$121.24
|
| Rate for Payer: Priority Health Medicare |
$72.33
|
| Rate for Payer: Priority Health Narrow Network |
$121.24
|
| Rate for Payer: Railroad Medicare Medicare |
$72.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$150.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$72.33
|
| Rate for Payer: UHC Exchange |
$150.16
|
| Rate for Payer: UHC Medicaid |
$47.50
|
| Rate for Payer: UHCCP DNSP |
$72.33
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 17262
|
| Min. Negotiated Rate |
$59.43 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Commercial |
$121.75
|
| Rate for Payer: Aetna Medicare |
$90.86
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCBS MAPPO |
$90.86
|
| Rate for Payer: BCN Commercial |
$131.16
|
| Rate for Payer: BCN Medicare Advantage |
$90.86
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cofinity Commercial |
$130.84
|
| Rate for Payer: Cofinity Commercial |
$121.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.86
|
| Rate for Payer: Healthscope Commercial |
$109.03
|
| Rate for Payer: Healthscope Whirlpool |
$109.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.40
|
| Rate for Payer: Meridian Medicaid |
$62.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$99.95
|
| Rate for Payer: Nomi Health Commercial |
$109.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
| Rate for Payer: PACE SWMI |
$90.86
|
| Rate for Payer: PHP Medicare Advantage |
$90.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$152.23
|
| Rate for Payer: Priority Health Medicare |
$90.86
|
| Rate for Payer: Priority Health Narrow Network |
$152.23
|
| Rate for Payer: Railroad Medicare Medicare |
$90.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$192.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$90.86
|
| Rate for Payer: UHC Exchange |
$192.79
|
| Rate for Payer: UHC Medicaid |
$59.43
|
| Rate for Payer: UHCCP DNSP |
$90.86
|
| Rate for Payer: UHCCP Medicaid |
$59.43
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM
|
Professional
|
Both
|
$420.00
|
|
|
Service Code
|
HCPCS 17263
|
| Min. Negotiated Rate |
$65.39 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna Commercial |
$134.16
|
| Rate for Payer: Aetna Medicare |
$100.12
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCBS MAPPO |
$100.12
|
| Rate for Payer: BCN Commercial |
$144.91
|
| Rate for Payer: BCN Medicare Advantage |
$100.12
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Cofinity Commercial |
$144.17
|
| Rate for Payer: Cofinity Commercial |
$134.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.12
|
| Rate for Payer: Healthscope Commercial |
$120.14
|
| Rate for Payer: Healthscope Whirlpool |
$120.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.13
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$110.13
|
| Rate for Payer: Nomi Health Commercial |
$120.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
| Rate for Payer: PACE SWMI |
$100.12
|
| Rate for Payer: PHP Medicare Advantage |
$100.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$168.19
|
| Rate for Payer: Priority Health Medicare |
$100.12
|
| Rate for Payer: Priority Health Narrow Network |
$168.19
|
| Rate for Payer: Railroad Medicare Medicare |
$100.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$214.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$100.12
|
| Rate for Payer: UHC Exchange |
$214.75
|
| Rate for Payer: UHC Medicaid |
$65.39
|
| Rate for Payer: UHCCP DNSP |
$100.12
|
| Rate for Payer: UHCCP Medicaid |
$65.39
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM
|
Professional
|
Both
|
$350.00
|
|
|
Service Code
|
HCPCS 17264
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna Commercial |
$143.02
|
| Rate for Payer: Aetna Medicare |
$106.73
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCBS MAPPO |
$106.73
|
| Rate for Payer: BCN Commercial |
$155.51
|
| Rate for Payer: BCN Medicare Advantage |
$106.73
|
| Rate for Payer: Cash Price |
$280.00
|
| Rate for Payer: Cash Price |
$280.00
|
| Rate for Payer: Cofinity Commercial |
$153.69
|
| Rate for Payer: Cofinity Commercial |
$143.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.73
|
| Rate for Payer: Healthscope Commercial |
$128.08
|
| Rate for Payer: Healthscope Whirlpool |
$128.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.07
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$117.40
|
| Rate for Payer: Nomi Health Commercial |
$128.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$262.50
|
| Rate for Payer: PACE SWMI |
$106.73
|
| Rate for Payer: PHP Medicare Advantage |
$106.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$180.49
|
| Rate for Payer: Priority Health Medicare |
$106.73
|
| Rate for Payer: Priority Health Narrow Network |
$180.49
|
| Rate for Payer: Railroad Medicare Medicare |
$106.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$229.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$106.73
|
| Rate for Payer: UHC Exchange |
$229.38
|
| Rate for Payer: UHC Medicaid |
$69.65
|
| Rate for Payer: UHCCP DNSP |
$106.73
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
