PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS
|
Professional
|
Both
|
$309.00
|
|
Service Code
|
HCPCS 93923
|
Min. Negotiated Rate |
$120.35 |
Max. Negotiated Rate |
$415.24 |
Rate for Payer: Aetna Commercial |
$161.27
|
Rate for Payer: Aetna Commercial |
$161.27
|
Rate for Payer: Aetna Medicare |
$120.35
|
Rate for Payer: Aetna Medicare |
$120.35
|
Rate for Payer: BCBS Complete |
$17.60
|
Rate for Payer: BCBS Complete |
$123.60
|
Rate for Payer: BCBS MAPPO |
$120.35
|
Rate for Payer: BCBS MAPPO |
$120.35
|
Rate for Payer: BCBS Trust/PPO |
$415.24
|
Rate for Payer: BCBS Trust/PPO |
$415.24
|
Rate for Payer: BCN Commercial |
$187.65
|
Rate for Payer: BCN Commercial |
$187.65
|
Rate for Payer: BCN Medicare Advantage |
$120.35
|
Rate for Payer: BCN Medicare Advantage |
$120.35
|
Rate for Payer: Cash Price |
$247.20
|
Rate for Payer: Cash Price |
$35.20
|
Rate for Payer: Cash Price |
$35.20
|
Rate for Payer: Cash Price |
$247.20
|
Rate for Payer: Cofinity Commercial |
$161.27
|
Rate for Payer: Cofinity Commercial |
$173.30
|
Rate for Payer: Cofinity Commercial |
$161.27
|
Rate for Payer: Cofinity Commercial |
$173.30
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.35
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.35
|
Rate for Payer: Healthscope Commercial |
$144.42
|
Rate for Payer: Healthscope Commercial |
$144.42
|
Rate for Payer: Healthscope Whirlpool |
$144.42
|
Rate for Payer: Healthscope Whirlpool |
$144.42
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.37
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.37
|
Rate for Payer: PACE SWMI |
$120.35
|
Rate for Payer: PACE SWMI |
$120.35
|
Rate for Payer: PHP Medicare Advantage |
$120.35
|
Rate for Payer: PHP Medicare Advantage |
$120.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$216.30
|
Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.47
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.47
|
Rate for Payer: Priority Health Medicare |
$120.35
|
Rate for Payer: Priority Health Medicare |
$120.35
|
Rate for Payer: Priority Health Narrow Network |
$172.47
|
Rate for Payer: Priority Health Narrow Network |
$172.47
|
Rate for Payer: UHC Medicare Advantage |
$123.96
|
Rate for Payer: UHC Medicare Advantage |
$123.96
|
|
PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL
|
Professional
|
Both
|
$26.00
|
|
Service Code
|
HCPCS 93922
|
Min. Negotiated Rate |
$10.40 |
Max. Negotiated Rate |
$131.55 |
Rate for Payer: Aetna Commercial |
$103.22
|
Rate for Payer: Aetna Commercial |
$103.22
|
Rate for Payer: Aetna Medicare |
$77.03
|
Rate for Payer: Aetna Medicare |
$77.03
|
Rate for Payer: BCBS Complete |
$10.40
|
Rate for Payer: BCBS Complete |
$80.40
|
Rate for Payer: BCBS MAPPO |
$77.03
|
Rate for Payer: BCBS MAPPO |
$77.03
|
Rate for Payer: BCBS Trust/PPO |
$131.55
|
Rate for Payer: BCBS Trust/PPO |
$131.55
|
Rate for Payer: BCN Commercial |
$120.21
|
Rate for Payer: BCN Commercial |
$120.21
|
Rate for Payer: BCN Medicare Advantage |
$77.03
|
Rate for Payer: BCN Medicare Advantage |
$77.03
|
Rate for Payer: Cash Price |
$20.80
|
Rate for Payer: Cash Price |
$160.80
|
Rate for Payer: Cash Price |
$20.80
|
Rate for Payer: Cash Price |
$160.80
|
Rate for Payer: Cofinity Commercial |
$103.22
|
Rate for Payer: Cofinity Commercial |
$110.92
|
Rate for Payer: Cofinity Commercial |
$110.92
|
Rate for Payer: Cofinity Commercial |
$103.22
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.03
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.03
|
Rate for Payer: Healthscope Commercial |
$92.44
|
Rate for Payer: Healthscope Commercial |
$92.44
|
Rate for Payer: Healthscope Whirlpool |
$92.44
|
Rate for Payer: Healthscope Whirlpool |
$92.44
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.88
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.88
|
Rate for Payer: PACE SWMI |
$77.03
|
Rate for Payer: PACE SWMI |
$77.03
|
Rate for Payer: PHP Medicare Advantage |
$77.03
|
Rate for Payer: PHP Medicare Advantage |
$77.03
|
Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$140.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.49
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.49
|
Rate for Payer: Priority Health Medicare |
$77.03
|
Rate for Payer: Priority Health Medicare |
$77.03
|
Rate for Payer: Priority Health Narrow Network |
$110.49
|
Rate for Payer: Priority Health Narrow Network |
$110.49
|
Rate for Payer: UHC Medicare Advantage |
$79.34
|
Rate for Payer: UHC Medicare Advantage |
$79.34
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN
|
Professional
|
Both
|
$55.00
|
|
Service Code
|
HCPCS 98967
|
Min. Negotiated Rate |
$21.69 |
Max. Negotiated Rate |
$1,248.37 |
Rate for Payer: Aetna Commercial |
$29.06
|
Rate for Payer: Aetna Medicare |
$21.69
|
Rate for Payer: BCBS Complete |
$22.00
|
Rate for Payer: BCBS MAPPO |
$21.69
|
Rate for Payer: BCBS Trust/PPO |
$1,248.37
|
Rate for Payer: BCN Commercial |
$28.04
|
Rate for Payer: BCN Medicare Advantage |
$21.69
|
Rate for Payer: Cash Price |
$44.00
|
Rate for Payer: Cash Price |
$44.00
|
Rate for Payer: Cofinity Commercial |
$29.06
|
Rate for Payer: Cofinity Commercial |
$31.23
|
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 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 Cigna Priority Health |
$38.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.20
|
Rate for Payer: Priority Health Medicare |
$21.69
|
Rate for Payer: Priority Health Narrow Network |
$29.20
|
Rate for Payer: UHC Medicare Advantage |
$22.34
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN
|
Professional
|
Both
|
$80.00
|
|
Service Code
|
HCPCS 98968
|
Min. Negotiated Rate |
$30.78 |
Max. Negotiated Rate |
$1,647.77 |
Rate for Payer: Aetna Commercial |
$41.25
|
Rate for Payer: Aetna Medicare |
$30.78
|
Rate for Payer: BCBS Complete |
$32.00
|
Rate for Payer: BCBS MAPPO |
$30.78
|
Rate for Payer: BCBS Trust/PPO |
$1,647.77
|
Rate for Payer: BCN Commercial |
$41.49
|
Rate for Payer: BCN Medicare Advantage |
$30.78
|
Rate for Payer: Cash Price |
$64.00
|
Rate for Payer: Cash Price |
$64.00
|
Rate for Payer: Cofinity Commercial |
$44.32
|
Rate for Payer: Cofinity Commercial |
$41.25
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.78
|
Rate for Payer: Healthscope Commercial |
$36.94
|
Rate for Payer: Healthscope Whirlpool |
$36.94
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.32
|
Rate for Payer: PACE SWMI |
$30.78
|
Rate for Payer: PHP Medicare Advantage |
$30.78
|
Rate for Payer: Priority Health Cigna Priority Health |
$56.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.33
|
Rate for Payer: Priority Health Medicare |
$30.78
|
Rate for Payer: Priority Health Narrow Network |
$41.33
|
Rate for Payer: UHC Medicare Advantage |
$31.70
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN
|
Professional
|
Both
|
$28.00
|
|
Service Code
|
HCPCS 98966
|
Min. Negotiated Rate |
$11.00 |
Max. Negotiated Rate |
$564.75 |
Rate for Payer: Aetna Commercial |
$14.74
|
Rate for Payer: Aetna Medicare |
$11.00
|
Rate for Payer: BCBS Complete |
$11.20
|
Rate for Payer: BCBS MAPPO |
$11.00
|
Rate for Payer: BCBS Trust/PPO |
$564.75
|
Rate for Payer: BCN Commercial |
$14.56
|
Rate for Payer: BCN Medicare Advantage |
$11.00
|
Rate for Payer: Cash Price |
$22.40
|
Rate for Payer: Cash Price |
$22.40
|
Rate for Payer: Cofinity Commercial |
$14.74
|
Rate for Payer: Cofinity Commercial |
$15.84
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.00
|
Rate for Payer: Healthscope Commercial |
$13.20
|
Rate for Payer: Healthscope Whirlpool |
$13.20
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.55
|
Rate for Payer: PACE SWMI |
$11.00
|
Rate for Payer: PHP Medicare Advantage |
$11.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$19.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.82
|
Rate for Payer: Priority Health Medicare |
$11.00
|
Rate for Payer: Priority Health Narrow Network |
$14.82
|
Rate for Payer: UHC Medicare Advantage |
$11.33
|
|
PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART
|
Professional
|
Both
|
$1,118.00
|
|
Service Code
|
HCPCS 36221
|
Min. Negotiated Rate |
$124.61 |
Max. Negotiated Rate |
$1,452.84 |
Rate for Payer: Aetna Commercial |
$262.89
|
Rate for Payer: Aetna Medicare |
$196.19
|
Rate for Payer: BCBS Complete |
$130.84
|
Rate for Payer: BCBS MAPPO |
$196.19
|
Rate for Payer: BCBS Trust/PPO |
$1,320.46
|
Rate for Payer: BCN Commercial |
$1,452.84
|
Rate for Payer: BCN Medicare Advantage |
$196.19
|
Rate for Payer: Cash Price |
$894.40
|
Rate for Payer: Cash Price |
$894.40
|
Rate for Payer: Cofinity Commercial |
$262.89
|
Rate for Payer: Cofinity Commercial |
$282.51
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.19
|
Rate for Payer: Healthscope Commercial |
$235.43
|
Rate for Payer: Healthscope Whirlpool |
$235.43
|
Rate for Payer: Meridian Medicaid |
$130.84
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$206.00
|
Rate for Payer: PACE SWMI |
$196.19
|
Rate for Payer: PHP Medicare Advantage |
$196.19
|
Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
Rate for Payer: Priority Health Cigna Priority Health |
$782.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$309.59
|
Rate for Payer: Priority Health Medicare |
$196.19
|
Rate for Payer: Priority Health Narrow Network |
$309.59
|
Rate for Payer: UHC Medicare Advantage |
$202.08
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$10.00
|
|
Service Code
|
HCPCS J7030
|
Min. Negotiated Rate |
$0.52 |
Max. Negotiated Rate |
$7.00 |
Rate for Payer: Aetna Commercial |
$3.40
|
Rate for Payer: Aetna Medicare |
$2.54
|
Rate for Payer: BCBS Complete |
$4.00
|
Rate for Payer: BCBS MAPPO |
$2.54
|
Rate for Payer: BCBS Trust/PPO |
$0.64
|
Rate for Payer: BCN Commercial |
$0.52
|
Rate for Payer: BCN Medicare Advantage |
$2.54
|
Rate for Payer: Cash Price |
$8.00
|
Rate for Payer: Cash Price |
$8.00
|
Rate for Payer: Cofinity Commercial |
$3.40
|
Rate for Payer: Cofinity Commercial |
$3.66
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.54
|
Rate for Payer: Healthscope Commercial |
$3.05
|
Rate for Payer: Healthscope Whirlpool |
$3.05
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.67
|
Rate for Payer: PACE SWMI |
$2.54
|
Rate for Payer: PHP Medicare Advantage |
$2.54
|
Rate for Payer: Priority Health Cigna Priority Health |
$7.00
|
Rate for Payer: Priority Health Medicare |
$2.54
|
Rate for Payer: UHC Medicare Advantage |
$2.62
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$5.00
|
|
Service Code
|
HCPCS J7050
|
Min. Negotiated Rate |
$0.38 |
Max. Negotiated Rate |
$3.50 |
Rate for Payer: Aetna Commercial |
$0.85
|
Rate for Payer: Aetna Medicare |
$0.64
|
Rate for Payer: BCBS Complete |
$2.00
|
Rate for Payer: BCBS MAPPO |
$0.64
|
Rate for Payer: BCBS Trust/PPO |
$0.39
|
Rate for Payer: BCN Commercial |
$0.38
|
Rate for Payer: BCN Medicare Advantage |
$0.64
|
Rate for Payer: Cash Price |
$4.00
|
Rate for Payer: Cash Price |
$4.00
|
Rate for Payer: Cofinity Commercial |
$0.85
|
Rate for Payer: Cofinity Commercial |
$0.91
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.64
|
Rate for Payer: Healthscope Commercial |
$0.76
|
Rate for Payer: Healthscope Whirlpool |
$0.76
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$0.67
|
Rate for Payer: PACE SWMI |
$0.64
|
Rate for Payer: PHP Medicare Advantage |
$0.64
|
Rate for Payer: Priority Health Cigna Priority Health |
$3.50
|
Rate for Payer: Priority Health Medicare |
$0.64
|
Rate for Payer: UHC Medicare Advantage |
$0.65
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$8.00
|
|
Service Code
|
HCPCS J7040
|
Min. Negotiated Rate |
$0.39 |
Max. Negotiated Rate |
$5.60 |
Rate for Payer: Aetna Commercial |
$1.70
|
Rate for Payer: Aetna Medicare |
$1.27
|
Rate for Payer: BCBS Complete |
$3.20
|
Rate for Payer: BCBS MAPPO |
$1.27
|
Rate for Payer: BCBS Trust/PPO |
$0.40
|
Rate for Payer: BCN Commercial |
$0.39
|
Rate for Payer: BCN Medicare Advantage |
$1.27
|
Rate for Payer: Cash Price |
$6.40
|
Rate for Payer: Cash Price |
$6.40
|
Rate for Payer: Cofinity Commercial |
$1.83
|
Rate for Payer: Cofinity Commercial |
$1.70
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.27
|
Rate for Payer: Healthscope Commercial |
$1.52
|
Rate for Payer: Healthscope Whirlpool |
$1.52
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1.33
|
Rate for Payer: PACE SWMI |
$1.27
|
Rate for Payer: PHP Medicare Advantage |
$1.27
|
Rate for Payer: Priority Health Cigna Priority Health |
$5.60
|
Rate for Payer: Priority Health Medicare |
$1.27
|
Rate for Payer: UHC Medicare Advantage |
$1.31
|
|
PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS
|
Professional
|
Both
|
$793.00
|
|
Service Code
|
HCPCS 31267
|
Min. Negotiated Rate |
$168.70 |
Max. Negotiated Rate |
$1,047.62 |
Rate for Payer: Aetna Commercial |
$350.25
|
Rate for Payer: Aetna Medicare |
$261.38
|
Rate for Payer: BCBS Complete |
$177.14
|
Rate for Payer: BCBS MAPPO |
$261.38
|
Rate for Payer: BCBS Trust/PPO |
$1,047.62
|
Rate for Payer: BCN Commercial |
$385.57
|
Rate for Payer: BCN Medicare Advantage |
$261.38
|
Rate for Payer: Cash Price |
$634.40
|
Rate for Payer: Cash Price |
$634.40
|
Rate for Payer: Cofinity Commercial |
$376.39
|
Rate for Payer: Cofinity Commercial |
$350.25
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$261.38
|
Rate for Payer: Healthscope Commercial |
$313.66
|
Rate for Payer: Healthscope Whirlpool |
$313.66
|
Rate for Payer: Meridian Medicaid |
$177.14
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$274.45
|
Rate for Payer: PACE SWMI |
$261.38
|
Rate for Payer: PHP Medicare Advantage |
$261.38
|
Rate for Payer: Priority Health Choice Medicaid |
$168.70
|
Rate for Payer: Priority Health Cigna Priority Health |
$555.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.34
|
Rate for Payer: Priority Health Medicare |
$261.38
|
Rate for Payer: Priority Health Narrow Network |
$365.34
|
Rate for Payer: UHC Medicare Advantage |
$269.22
|
|
PR NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS
|
Professional
|
Both
|
$754.00
|
|
Service Code
|
HCPCS 31288
|
Min. Negotiated Rate |
$148.67 |
Max. Negotiated Rate |
$1,515.16 |
Rate for Payer: Aetna Commercial |
$309.33
|
Rate for Payer: Aetna Medicare |
$230.84
|
Rate for Payer: BCBS Complete |
$156.10
|
Rate for Payer: BCBS MAPPO |
$230.84
|
Rate for Payer: BCBS Trust/PPO |
$1,515.16
|
Rate for Payer: BCN Commercial |
$340.61
|
Rate for Payer: BCN Medicare Advantage |
$230.84
|
Rate for Payer: Cash Price |
$603.20
|
Rate for Payer: Cash Price |
$603.20
|
Rate for Payer: Cofinity Commercial |
$309.33
|
Rate for Payer: Cofinity Commercial |
$332.41
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.84
|
Rate for Payer: Healthscope Commercial |
$277.01
|
Rate for Payer: Healthscope Whirlpool |
$277.01
|
Rate for Payer: Meridian Medicaid |
$156.10
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$242.38
|
Rate for Payer: PACE SWMI |
$230.84
|
Rate for Payer: PHP Medicare Advantage |
$230.84
|
Rate for Payer: Priority Health Choice Medicaid |
$148.67
|
Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.74
|
Rate for Payer: Priority Health Medicare |
$230.84
|
Rate for Payer: Priority Health Narrow Network |
$322.74
|
Rate for Payer: UHC Medicare Advantage |
$237.77
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN
|
Professional
|
Both
|
$73.00
|
|
Service Code
|
HCPCS 99447
|
Min. Negotiated Rate |
$23.00 |
Max. Negotiated Rate |
$873.81 |
Rate for Payer: Aetna Commercial |
$46.71
|
Rate for Payer: Aetna Medicare |
$34.86
|
Rate for Payer: BCBS Complete |
$24.15
|
Rate for Payer: BCBS MAPPO |
$34.86
|
Rate for Payer: BCBS Trust/PPO |
$873.81
|
Rate for Payer: BCN Commercial |
$51.31
|
Rate for Payer: BCN Medicare Advantage |
$34.86
|
Rate for Payer: Cash Price |
$58.40
|
Rate for Payer: Cash Price |
$58.40
|
Rate for Payer: Cofinity Commercial |
$46.71
|
Rate for Payer: Cofinity Commercial |
$50.20
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.86
|
Rate for Payer: Healthscope Commercial |
$38.35
|
Rate for Payer: Healthscope Whirlpool |
$38.35
|
Rate for Payer: Meridian Medicaid |
$24.15
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.60
|
Rate for Payer: PACE SWMI |
$34.86
|
Rate for Payer: PHP Medicare Advantage |
$34.86
|
Rate for Payer: Priority Health Choice Medicaid |
$23.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.54
|
Rate for Payer: Priority Health Medicare |
$34.86
|
Rate for Payer: Priority Health Narrow Network |
$36.54
|
Rate for Payer: UHC Medicare Advantage |
$35.91
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN
|
Professional
|
Both
|
$90.00
|
|
Service Code
|
HCPCS 99448
|
Min. Negotiated Rate |
$34.08 |
Max. Negotiated Rate |
$899.17 |
Rate for Payer: Aetna Commercial |
$71.18
|
Rate for Payer: Aetna Medicare |
$53.12
|
Rate for Payer: BCBS Complete |
$35.78
|
Rate for Payer: BCBS MAPPO |
$53.12
|
Rate for Payer: BCBS Trust/PPO |
$899.17
|
Rate for Payer: BCN Commercial |
$78.19
|
Rate for Payer: BCN Medicare Advantage |
$53.12
|
Rate for Payer: Cash Price |
$72.00
|
Rate for Payer: Cash Price |
$72.00
|
Rate for Payer: Cofinity Commercial |
$71.18
|
Rate for Payer: Cofinity Commercial |
$76.49
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.12
|
Rate for Payer: Healthscope Commercial |
$58.43
|
Rate for Payer: Healthscope Whirlpool |
$58.43
|
Rate for Payer: Meridian Medicaid |
$35.78
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.78
|
Rate for Payer: PACE SWMI |
$53.12
|
Rate for Payer: PHP Medicare Advantage |
$53.12
|
Rate for Payer: Priority Health Choice Medicaid |
$34.08
|
Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.68
|
Rate for Payer: Priority Health Medicare |
$53.12
|
Rate for Payer: Priority Health Narrow Network |
$55.68
|
Rate for Payer: UHC Medicare Advantage |
$54.71
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN
|
Professional
|
Both
|
$145.00
|
|
Service Code
|
HCPCS 99449
|
Min. Negotiated Rate |
$45.37 |
Max. Negotiated Rate |
$1,202.41 |
Rate for Payer: Aetna Commercial |
$94.18
|
Rate for Payer: Aetna Medicare |
$70.28
|
Rate for Payer: BCBS Complete |
$47.64
|
Rate for Payer: BCBS MAPPO |
$70.28
|
Rate for Payer: BCBS Trust/PPO |
$1,202.41
|
Rate for Payer: BCN Commercial |
$103.60
|
Rate for Payer: BCN Medicare Advantage |
$70.28
|
Rate for Payer: Cash Price |
$116.00
|
Rate for Payer: Cash Price |
$116.00
|
Rate for Payer: Cofinity Commercial |
$101.20
|
Rate for Payer: Cofinity Commercial |
$94.18
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.28
|
Rate for Payer: Healthscope Commercial |
$77.31
|
Rate for Payer: Healthscope Whirlpool |
$77.31
|
Rate for Payer: Meridian Medicaid |
$47.64
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$73.79
|
Rate for Payer: PACE SWMI |
$70.28
|
Rate for Payer: PHP Medicare Advantage |
$70.28
|
Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
Rate for Payer: Priority Health Cigna Priority Health |
$101.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.78
|
Rate for Payer: Priority Health Medicare |
$70.28
|
Rate for Payer: Priority Health Narrow Network |
$73.78
|
Rate for Payer: UHC Medicare Advantage |
$72.39
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN
|
Professional
|
Both
|
$36.00
|
|
Service Code
|
HCPCS 99446
|
Min. Negotiated Rate |
$11.29 |
Max. Negotiated Rate |
$776.07 |
Rate for Payer: Aetna Commercial |
$23.64
|
Rate for Payer: Aetna Medicare |
$17.64
|
Rate for Payer: BCBS Complete |
$11.85
|
Rate for Payer: BCBS MAPPO |
$17.64
|
Rate for Payer: BCBS Trust/PPO |
$776.07
|
Rate for Payer: BCN Commercial |
$25.90
|
Rate for Payer: BCN Medicare Advantage |
$17.64
|
Rate for Payer: Cash Price |
$28.80
|
Rate for Payer: Cash Price |
$28.80
|
Rate for Payer: Cofinity Commercial |
$25.40
|
Rate for Payer: Cofinity Commercial |
$23.64
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.64
|
Rate for Payer: Healthscope Commercial |
$19.40
|
Rate for Payer: Healthscope Whirlpool |
$19.40
|
Rate for Payer: Meridian Medicaid |
$11.85
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.52
|
Rate for Payer: PACE SWMI |
$17.64
|
Rate for Payer: PHP Medicare Advantage |
$17.64
|
Rate for Payer: Priority Health Choice Medicaid |
$11.29
|
Rate for Payer: Priority Health Cigna Priority Health |
$25.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18.44
|
Rate for Payer: Priority Health Medicare |
$17.64
|
Rate for Payer: Priority Health Narrow Network |
$18.44
|
Rate for Payer: UHC Medicare Advantage |
$18.17
|
|
PR NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS
|
Professional
|
Both
|
$6,970.00
|
|
Service Code
|
HCPCS 62161
|
Min. Negotiated Rate |
$214.49 |
Max. Negotiated Rate |
$4,879.00 |
Rate for Payer: Aetna Commercial |
$2,052.53
|
Rate for Payer: Aetna Medicare |
$1,531.74
|
Rate for Payer: BCBS Complete |
$1,041.99
|
Rate for Payer: BCBS MAPPO |
$1,531.74
|
Rate for Payer: BCBS Trust/PPO |
$214.49
|
Rate for Payer: BCN Commercial |
$3,118.49
|
Rate for Payer: BCN Medicare Advantage |
$1,531.74
|
Rate for Payer: Cash Price |
$5,576.00
|
Rate for Payer: Cash Price |
$5,576.00
|
Rate for Payer: Cofinity Commercial |
$2,205.71
|
Rate for Payer: Cofinity Commercial |
$2,052.53
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,531.74
|
Rate for Payer: Healthscope Commercial |
$1,838.09
|
Rate for Payer: Healthscope Whirlpool |
$1,838.09
|
Rate for Payer: Meridian Medicaid |
$1,041.99
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,608.33
|
Rate for Payer: PACE SWMI |
$1,531.74
|
Rate for Payer: PHP Medicare Advantage |
$1,531.74
|
Rate for Payer: Priority Health Choice Medicaid |
$992.37
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,879.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,604.63
|
Rate for Payer: Priority Health Medicare |
$1,531.74
|
Rate for Payer: Priority Health Narrow Network |
$2,604.63
|
Rate for Payer: UHC Medicare Advantage |
$1,577.69
|
|
PR NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID
|
Professional
|
Both
|
$2,769.00
|
|
Service Code
|
HCPCS 62165
|
Min. Negotiated Rate |
$978.74 |
Max. Negotiated Rate |
$2,589.34 |
Rate for Payer: Aetna Commercial |
$2,035.29
|
Rate for Payer: Aetna Medicare |
$1,518.87
|
Rate for Payer: BCBS Complete |
$1,027.68
|
Rate for Payer: BCBS MAPPO |
$1,518.87
|
Rate for Payer: BCBS Trust/PPO |
$1,355.62
|
Rate for Payer: BCN Commercial |
$2,234.73
|
Rate for Payer: BCN Medicare Advantage |
$1,518.87
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cash Price |
$2,215.20
|
Rate for Payer: Cofinity Commercial |
$2,035.29
|
Rate for Payer: Cofinity Commercial |
$2,187.17
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,518.87
|
Rate for Payer: Healthscope Commercial |
$1,822.64
|
Rate for Payer: Healthscope Whirlpool |
$1,822.64
|
Rate for Payer: Meridian Medicaid |
$1,027.68
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,594.81
|
Rate for Payer: PACE SWMI |
$1,518.87
|
Rate for Payer: PHP Medicare Advantage |
$1,518.87
|
Rate for Payer: Priority Health Choice Medicaid |
$978.74
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,938.30
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,589.34
|
Rate for Payer: Priority Health Medicare |
$1,518.87
|
Rate for Payer: Priority Health Narrow Network |
$2,589.34
|
Rate for Payer: UHC Medicare Advantage |
$1,564.44
|
|
PR NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG
|
Professional
|
Both
|
$7,680.00
|
|
Service Code
|
HCPCS 62162
|
Min. Negotiated Rate |
$757.05 |
Max. Negotiated Rate |
$5,376.00 |
Rate for Payer: Aetna Commercial |
$2,551.27
|
Rate for Payer: Aetna Medicare |
$1,903.93
|
Rate for Payer: BCBS Complete |
$1,288.68
|
Rate for Payer: BCBS MAPPO |
$1,903.93
|
Rate for Payer: BCBS Trust/PPO |
$757.05
|
Rate for Payer: BCN Commercial |
$2,789.86
|
Rate for Payer: BCN Medicare Advantage |
$1,903.93
|
Rate for Payer: Cash Price |
$6,144.00
|
Rate for Payer: Cash Price |
$6,144.00
|
Rate for Payer: Cofinity Commercial |
$2,741.66
|
Rate for Payer: Cofinity Commercial |
$2,551.27
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,903.93
|
Rate for Payer: Healthscope Commercial |
$2,284.72
|
Rate for Payer: Healthscope Whirlpool |
$2,284.72
|
Rate for Payer: Meridian Medicaid |
$1,288.68
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,999.13
|
Rate for Payer: PACE SWMI |
$1,903.93
|
Rate for Payer: PHP Medicare Advantage |
$1,903.93
|
Rate for Payer: Priority Health Choice Medicaid |
$1,227.31
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,376.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,232.57
|
Rate for Payer: Priority Health Medicare |
$1,903.93
|
Rate for Payer: Priority Health Narrow Network |
$3,232.57
|
Rate for Payer: UHC Medicare Advantage |
$1,961.05
|
|
PR NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS
|
Professional
|
Both
|
$800.00
|
|
Service Code
|
HCPCS 62160
|
Min. Negotiated Rate |
$120.35 |
Max. Negotiated Rate |
$560.00 |
Rate for Payer: Aetna Commercial |
$254.01
|
Rate for Payer: Aetna Medicare |
$189.56
|
Rate for Payer: BCBS Complete |
$126.37
|
Rate for Payer: BCBS MAPPO |
$189.56
|
Rate for Payer: BCBS Trust/PPO |
$437.96
|
Rate for Payer: BCN Commercial |
$381.67
|
Rate for Payer: BCN Medicare Advantage |
$189.56
|
Rate for Payer: Cash Price |
$640.00
|
Rate for Payer: Cash Price |
$640.00
|
Rate for Payer: Cofinity Commercial |
$272.97
|
Rate for Payer: Cofinity Commercial |
$254.01
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.56
|
Rate for Payer: Healthscope Commercial |
$227.47
|
Rate for Payer: Healthscope Whirlpool |
$227.47
|
Rate for Payer: Meridian Medicaid |
$126.37
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$199.04
|
Rate for Payer: PACE SWMI |
$189.56
|
Rate for Payer: PHP Medicare Advantage |
$189.56
|
Rate for Payer: Priority Health Choice Medicaid |
$120.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$560.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.78
|
Rate for Payer: Priority Health Medicare |
$189.56
|
Rate for Payer: Priority Health Narrow Network |
$318.78
|
Rate for Payer: UHC Medicare Advantage |
$195.25
|
|
PR NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME
|
Professional
|
Both
|
$155.00
|
|
Service Code
|
HCPCS 99316
|
Min. Negotiated Rate |
$108.50 |
Max. Negotiated Rate |
$1,849.05 |
Rate for Payer: Aetna Commercial |
$171.96
|
Rate for Payer: Aetna Medicare |
$128.33
|
Rate for Payer: BCBS Complete |
$118.00
|
Rate for Payer: BCBS MAPPO |
$128.33
|
Rate for Payer: BCBS Trust/PPO |
$1,849.05
|
Rate for Payer: BCN Commercial |
$189.61
|
Rate for Payer: BCN Medicare Advantage |
$128.33
|
Rate for Payer: Cash Price |
$124.00
|
Rate for Payer: Cash Price |
$124.00
|
Rate for Payer: Cofinity Commercial |
$184.80
|
Rate for Payer: Cofinity Commercial |
$171.96
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.33
|
Rate for Payer: Healthscope Commercial |
$141.16
|
Rate for Payer: Healthscope Whirlpool |
$141.16
|
Rate for Payer: Meridian Medicaid |
$118.00
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.75
|
Rate for Payer: PACE SWMI |
$128.33
|
Rate for Payer: PHP Medicare Advantage |
$128.33
|
Rate for Payer: Priority Health Choice Medicaid |
$112.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$108.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.19
|
Rate for Payer: Priority Health Medicare |
$128.33
|
Rate for Payer: Priority Health Narrow Network |
$166.19
|
Rate for Payer: UHC Medicare Advantage |
$132.18
|
|
PR NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME
|
Professional
|
Both
|
$108.00
|
|
Service Code
|
HCPCS 99315
|
Min. Negotiated Rate |
$70.02 |
Max. Negotiated Rate |
$402.56 |
Rate for Payer: Aetna Commercial |
$106.50
|
Rate for Payer: Aetna Medicare |
$79.48
|
Rate for Payer: BCBS Complete |
$73.52
|
Rate for Payer: BCBS MAPPO |
$79.48
|
Rate for Payer: BCBS Trust/PPO |
$402.56
|
Rate for Payer: BCN Commercial |
$117.77
|
Rate for Payer: BCN Medicare Advantage |
$79.48
|
Rate for Payer: Cash Price |
$86.40
|
Rate for Payer: Cash Price |
$86.40
|
Rate for Payer: Cofinity Commercial |
$106.50
|
Rate for Payer: Cofinity Commercial |
$114.45
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.48
|
Rate for Payer: Healthscope Commercial |
$87.43
|
Rate for Payer: Healthscope Whirlpool |
$87.43
|
Rate for Payer: Meridian Medicaid |
$73.52
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.45
|
Rate for Payer: PACE SWMI |
$79.48
|
Rate for Payer: PHP Medicare Advantage |
$79.48
|
Rate for Payer: Priority Health Choice Medicaid |
$70.02
|
Rate for Payer: Priority Health Cigna Priority Health |
$75.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.23
|
Rate for Payer: Priority Health Medicare |
$79.48
|
Rate for Payer: Priority Health Narrow Network |
$103.23
|
Rate for Payer: UHC Medicare Advantage |
$81.86
|
|
PR O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX
|
Professional
|
Both
|
$127.00
|
|
Service Code
|
HCPCS 94690
|
Min. Negotiated Rate |
$44.16 |
Max. Negotiated Rate |
$603.85 |
Rate for Payer: Aetna Commercial |
$59.17
|
Rate for Payer: Aetna Medicare |
$44.16
|
Rate for Payer: BCBS Complete |
$50.80
|
Rate for Payer: BCBS MAPPO |
$44.16
|
Rate for Payer: BCBS Trust/PPO |
$603.85
|
Rate for Payer: BCN Commercial |
$69.39
|
Rate for Payer: BCN Medicare Advantage |
$44.16
|
Rate for Payer: Cash Price |
$101.60
|
Rate for Payer: Cash Price |
$101.60
|
Rate for Payer: Cofinity Commercial |
$63.59
|
Rate for Payer: Cofinity Commercial |
$59.17
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.16
|
Rate for Payer: Healthscope Commercial |
$52.99
|
Rate for Payer: Healthscope Whirlpool |
$52.99
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.37
|
Rate for Payer: PACE SWMI |
$44.16
|
Rate for Payer: PHP Medicare Advantage |
$44.16
|
Rate for Payer: Priority Health Cigna Priority Health |
$88.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.78
|
Rate for Payer: Priority Health Medicare |
$44.16
|
Rate for Payer: Priority Health Narrow Network |
$63.78
|
Rate for Payer: UHC Medicare Advantage |
$45.48
|
|
PR O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP
|
Professional
|
Both
|
$112.00
|
|
Service Code
|
HCPCS 94680
|
Min. Negotiated Rate |
$44.80 |
Max. Negotiated Rate |
$444.83 |
Rate for Payer: Aetna Commercial |
$66.30
|
Rate for Payer: Aetna Medicare |
$49.48
|
Rate for Payer: BCBS Complete |
$44.80
|
Rate for Payer: BCBS MAPPO |
$49.48
|
Rate for Payer: BCBS Trust/PPO |
$444.83
|
Rate for Payer: BCN Commercial |
$76.72
|
Rate for Payer: BCN Medicare Advantage |
$49.48
|
Rate for Payer: Cash Price |
$89.60
|
Rate for Payer: Cash Price |
$89.60
|
Rate for Payer: Cofinity Commercial |
$71.25
|
Rate for Payer: Cofinity Commercial |
$66.30
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.48
|
Rate for Payer: Healthscope Commercial |
$59.38
|
Rate for Payer: Healthscope Whirlpool |
$59.38
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$51.95
|
Rate for Payer: PACE SWMI |
$49.48
|
Rate for Payer: PHP Medicare Advantage |
$49.48
|
Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$70.51
|
Rate for Payer: Priority Health Medicare |
$49.48
|
Rate for Payer: Priority Health Narrow Network |
$70.51
|
Rate for Payer: UHC Medicare Advantage |
$50.96
|
|
PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM
|
Professional
|
Both
|
$4,166.00
|
|
Service Code
|
HCPCS 59510
|
Min. Negotiated Rate |
$69.21 |
Max. Negotiated Rate |
$3,807.26 |
Rate for Payer: Aetna Commercial |
$3,542.87
|
Rate for Payer: Aetna Medicare |
$2,643.93
|
Rate for Payer: BCBS Complete |
$2,607.95
|
Rate for Payer: BCBS MAPPO |
$2,643.93
|
Rate for Payer: BCBS Trust/PPO |
$69.21
|
Rate for Payer: BCN Commercial |
$3,201.80
|
Rate for Payer: BCN Medicare Advantage |
$2,643.93
|
Rate for Payer: Cash Price |
$3,332.80
|
Rate for Payer: Cash Price |
$3,332.80
|
Rate for Payer: Cofinity Commercial |
$3,542.87
|
Rate for Payer: Cofinity Commercial |
$3,807.26
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,643.93
|
Rate for Payer: Healthscope Commercial |
$3,172.72
|
Rate for Payer: Healthscope Whirlpool |
$3,172.72
|
Rate for Payer: Meridian Medicaid |
$2,607.95
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,776.13
|
Rate for Payer: PACE SWMI |
$2,643.93
|
Rate for Payer: PHP Medicare Advantage |
$2,643.93
|
Rate for Payer: Priority Health Choice Medicaid |
$2,483.76
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,916.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,755.20
|
Rate for Payer: Priority Health Medicare |
$2,643.93
|
Rate for Payer: Priority Health Narrow Network |
$3,755.20
|
Rate for Payer: UHC Medicare Advantage |
$2,723.25
|
|
PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM
|
Professional
|
Both
|
$3,755.00
|
|
Service Code
|
HCPCS 59400
|
Min. Negotiated Rate |
$42.26 |
Max. Negotiated Rate |
$3,433.33 |
Rate for Payer: Aetna Commercial |
$3,194.91
|
Rate for Payer: Aetna Medicare |
$2,384.26
|
Rate for Payer: BCBS Complete |
$2,336.78
|
Rate for Payer: BCBS MAPPO |
$2,384.26
|
Rate for Payer: BCBS Trust/PPO |
$42.26
|
Rate for Payer: BCN Commercial |
$3,201.80
|
Rate for Payer: BCN Medicare Advantage |
$2,384.26
|
Rate for Payer: Cash Price |
$3,004.00
|
Rate for Payer: Cash Price |
$3,004.00
|
Rate for Payer: Cofinity Commercial |
$3,433.33
|
Rate for Payer: Cofinity Commercial |
$3,194.91
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,384.26
|
Rate for Payer: Healthscope Commercial |
$2,861.11
|
Rate for Payer: Healthscope Whirlpool |
$2,861.11
|
Rate for Payer: Meridian Medicaid |
$2,336.78
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,503.47
|
Rate for Payer: PACE SWMI |
$2,384.26
|
Rate for Payer: PHP Medicare Advantage |
$2,384.26
|
Rate for Payer: Priority Health Choice Medicaid |
$2,225.50
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,628.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,393.98
|
Rate for Payer: Priority Health Medicare |
$2,384.26
|
Rate for Payer: Priority Health Narrow Network |
$3,393.98
|
Rate for Payer: UHC Medicare Advantage |
$2,455.79
|
|