|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,281.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$1,710.75 |
| Rate for Payer: Aetna Commercial |
$910.93
|
| Rate for Payer: Aetna Medicare |
$679.80
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCBS MAPPO |
$679.80
|
| Rate for Payer: BCN Commercial |
$1,131.91
|
| Rate for Payer: BCN Medicare Advantage |
$679.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cofinity Commercial |
$978.91
|
| Rate for Payer: Cofinity Commercial |
$910.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.80
|
| Rate for Payer: Healthscope Commercial |
$815.76
|
| Rate for Payer: Healthscope Whirlpool |
$815.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$713.79
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$747.78
|
| Rate for Payer: Nomi Health Commercial |
$815.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,710.75
|
| Rate for Payer: PACE SWMI |
$679.80
|
| Rate for Payer: PHP Medicare Advantage |
$679.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,209.99
|
| Rate for Payer: Priority Health Medicare |
$679.80
|
| Rate for Payer: Priority Health Narrow Network |
$1,209.99
|
| Rate for Payer: Railroad Medicare Medicare |
$679.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,289.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$679.80
|
| Rate for Payer: UHC Exchange |
$1,289.88
|
| Rate for Payer: UHC Medicaid |
$444.32
|
| Rate for Payer: UHCCP DNSP |
$679.80
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$2,079.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$488.84 |
| Max. Negotiated Rate |
$1,559.25 |
| Rate for Payer: Aetna Commercial |
$1,002.51
|
| Rate for Payer: Aetna Medicare |
$748.14
|
| Rate for Payer: BCBS Complete |
$513.28
|
| Rate for Payer: BCBS MAPPO |
$748.14
|
| Rate for Payer: BCN Commercial |
$1,244.46
|
| Rate for Payer: BCN Medicare Advantage |
$748.14
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cofinity Commercial |
$1,077.32
|
| Rate for Payer: Cofinity Commercial |
$1,002.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$748.14
|
| Rate for Payer: Healthscope Commercial |
$897.77
|
| Rate for Payer: Healthscope Whirlpool |
$897.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$785.55
|
| Rate for Payer: Meridian Medicaid |
$513.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$822.95
|
| Rate for Payer: Nomi Health Commercial |
$897.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.25
|
| Rate for Payer: PACE SWMI |
$748.14
|
| Rate for Payer: PHP Medicare Advantage |
$748.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,330.29
|
| Rate for Payer: Priority Health Medicare |
$748.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,330.29
|
| Rate for Payer: Railroad Medicare Medicare |
$748.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,424.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$748.14
|
| Rate for Payer: UHC Exchange |
$1,424.31
|
| Rate for Payer: UHC Medicaid |
$488.84
|
| Rate for Payer: UHCCP DNSP |
$748.14
|
| Rate for Payer: UHCCP Medicaid |
$488.84
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,333.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$999.75 |
| Rate for Payer: Aetna Commercial |
$556.98
|
| Rate for Payer: Aetna Medicare |
$415.66
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: BCBS MAPPO |
$415.66
|
| Rate for Payer: BCN Commercial |
$695.68
|
| Rate for Payer: BCN Medicare Advantage |
$415.66
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cofinity Commercial |
$598.55
|
| Rate for Payer: Cofinity Commercial |
$556.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.66
|
| Rate for Payer: Healthscope Commercial |
$498.79
|
| Rate for Payer: Healthscope Whirlpool |
$498.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$436.44
|
| Rate for Payer: Meridian Medicaid |
$287.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$457.23
|
| Rate for Payer: Nomi Health Commercial |
$498.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$999.75
|
| Rate for Payer: PACE SWMI |
$415.66
|
| Rate for Payer: PHP Medicare Advantage |
$415.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$743.66
|
| Rate for Payer: Priority Health Medicare |
$415.66
|
| Rate for Payer: Priority Health Narrow Network |
$743.66
|
| Rate for Payer: Railroad Medicare Medicare |
$415.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$783.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$415.66
|
| Rate for Payer: UHC Exchange |
$783.17
|
| Rate for Payer: UHC Medicaid |
$273.71
|
| Rate for Payer: UHCCP DNSP |
$415.66
|
| Rate for Payer: UHCCP Medicaid |
$273.71
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,310.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$982.50 |
| Rate for Payer: Aetna Commercial |
$554.16
|
| Rate for Payer: Aetna Medicare |
$413.55
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCBS MAPPO |
$413.55
|
| Rate for Payer: BCN Commercial |
$693.19
|
| Rate for Payer: BCN Medicare Advantage |
$413.55
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cofinity Commercial |
$595.51
|
| Rate for Payer: Cofinity Commercial |
$554.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.55
|
| Rate for Payer: Healthscope Commercial |
$496.26
|
| Rate for Payer: Healthscope Whirlpool |
$496.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.23
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$454.90
|
| Rate for Payer: Nomi Health Commercial |
$496.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$982.50
|
| Rate for Payer: PACE SWMI |
$413.55
|
| Rate for Payer: PHP Medicare Advantage |
$413.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$740.99
|
| Rate for Payer: Priority Health Medicare |
$413.55
|
| Rate for Payer: Priority Health Narrow Network |
$740.99
|
| Rate for Payer: Railroad Medicare Medicare |
$413.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$767.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$413.55
|
| Rate for Payer: UHC Exchange |
$767.62
|
| Rate for Payer: UHC Medicaid |
$273.28
|
| Rate for Payer: UHCCP DNSP |
$413.55
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$303.10 |
| Max. Negotiated Rate |
$1,704.00 |
| Rate for Payer: Aetna Commercial |
$616.88
|
| Rate for Payer: Aetna Medicare |
$460.36
|
| Rate for Payer: BCBS Complete |
$318.25
|
| Rate for Payer: BCBS MAPPO |
$460.36
|
| Rate for Payer: BCN Commercial |
$773.86
|
| Rate for Payer: BCN Medicare Advantage |
$460.36
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$662.92
|
| Rate for Payer: Cofinity Commercial |
$616.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.36
|
| Rate for Payer: Healthscope Commercial |
$552.43
|
| Rate for Payer: Healthscope Whirlpool |
$552.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.38
|
| Rate for Payer: Meridian Medicaid |
$318.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.40
|
| Rate for Payer: Nomi Health Commercial |
$552.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,704.00
|
| Rate for Payer: PACE SWMI |
$460.36
|
| Rate for Payer: PHP Medicare Advantage |
$460.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$827.23
|
| Rate for Payer: Priority Health Medicare |
$460.36
|
| Rate for Payer: Priority Health Narrow Network |
$827.23
|
| Rate for Payer: Railroad Medicare Medicare |
$460.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$868.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.36
|
| Rate for Payer: UHC Exchange |
$868.09
|
| Rate for Payer: UHC Medicaid |
$303.10
|
| Rate for Payer: UHCCP DNSP |
$460.36
|
| Rate for Payer: UHCCP Medicaid |
$303.10
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$257.30 |
| Max. Negotiated Rate |
$876.75 |
| Rate for Payer: Aetna Commercial |
$524.36
|
| Rate for Payer: Aetna Medicare |
$391.31
|
| Rate for Payer: BCBS Complete |
$270.17
|
| Rate for Payer: BCBS MAPPO |
$391.31
|
| Rate for Payer: BCN Commercial |
$638.91
|
| Rate for Payer: BCN Medicare Advantage |
$391.31
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$563.49
|
| Rate for Payer: Cofinity Commercial |
$524.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.31
|
| Rate for Payer: Healthscope Commercial |
$469.57
|
| Rate for Payer: Healthscope Whirlpool |
$469.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.88
|
| Rate for Payer: Meridian Medicaid |
$270.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$430.44
|
| Rate for Payer: Nomi Health Commercial |
$469.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$876.75
|
| Rate for Payer: PACE SWMI |
$391.31
|
| Rate for Payer: PHP Medicare Advantage |
$391.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$257.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$682.98
|
| Rate for Payer: Priority Health Medicare |
$391.31
|
| Rate for Payer: Priority Health Narrow Network |
$682.98
|
| Rate for Payer: Railroad Medicare Medicare |
$391.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$723.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$391.31
|
| Rate for Payer: UHC Exchange |
$723.63
|
| Rate for Payer: UHC Medicaid |
$257.30
|
| Rate for Payer: UHCCP DNSP |
$391.31
|
| Rate for Payer: UHCCP Medicaid |
$257.30
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$361.04 |
| Max. Negotiated Rate |
$1,020.98 |
| Rate for Payer: Aetna Commercial |
$736.58
|
| Rate for Payer: Aetna Medicare |
$549.69
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCBS MAPPO |
$549.69
|
| Rate for Payer: BCN Commercial |
$908.82
|
| Rate for Payer: BCN Medicare Advantage |
$549.69
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$791.55
|
| Rate for Payer: Cofinity Commercial |
$736.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.69
|
| Rate for Payer: Healthscope Commercial |
$659.63
|
| Rate for Payer: Healthscope Whirlpool |
$659.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.17
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$604.66
|
| Rate for Payer: Nomi Health Commercial |
$659.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$923.25
|
| Rate for Payer: PACE SWMI |
$549.69
|
| Rate for Payer: PHP Medicare Advantage |
$549.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$971.49
|
| Rate for Payer: Priority Health Medicare |
$549.69
|
| Rate for Payer: Priority Health Narrow Network |
$971.49
|
| Rate for Payer: Railroad Medicare Medicare |
$549.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,020.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$549.69
|
| Rate for Payer: UHC Exchange |
$1,020.98
|
| Rate for Payer: UHC Medicaid |
$361.04
|
| Rate for Payer: UHCCP DNSP |
$549.69
|
| Rate for Payer: UHCCP Medicaid |
$361.04
|
|
|
PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS
|
Professional
|
Both
|
$731.00
|
|
|
Service Code
|
HCPCS 30124
|
| Min. Negotiated Rate |
$178.28 |
| Max. Negotiated Rate |
$548.25 |
| Rate for Payer: Aetna Commercial |
$358.53
|
| Rate for Payer: Aetna Medicare |
$267.56
|
| Rate for Payer: BCBS Complete |
$187.19
|
| Rate for Payer: BCBS MAPPO |
$267.56
|
| Rate for Payer: BCN Commercial |
$458.64
|
| Rate for Payer: BCN Medicare Advantage |
$267.56
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cofinity Commercial |
$385.29
|
| Rate for Payer: Cofinity Commercial |
$358.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.56
|
| Rate for Payer: Healthscope Commercial |
$321.07
|
| Rate for Payer: Healthscope Whirlpool |
$321.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.94
|
| Rate for Payer: Meridian Medicaid |
$187.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$294.32
|
| Rate for Payer: Nomi Health Commercial |
$321.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: PACE SWMI |
$267.56
|
| Rate for Payer: PHP Medicare Advantage |
$267.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$431.90
|
| Rate for Payer: Priority Health Medicare |
$267.56
|
| Rate for Payer: Priority Health Narrow Network |
$431.90
|
| Rate for Payer: Railroad Medicare Medicare |
$267.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$498.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$267.56
|
| Rate for Payer: UHC Exchange |
$498.02
|
| Rate for Payer: UHC Medicaid |
$178.28
|
| Rate for Payer: UHCCP DNSP |
$267.56
|
| Rate for Payer: UHCCP Medicaid |
$178.28
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,740.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$478.23
|
| Rate for Payer: Aetna Medicare |
$356.89
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$356.89
|
| Rate for Payer: BCN Commercial |
$615.50
|
| Rate for Payer: BCN Medicare Advantage |
$356.89
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cofinity Commercial |
$513.92
|
| Rate for Payer: Cofinity Commercial |
$478.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.89
|
| Rate for Payer: Healthscope Commercial |
$428.27
|
| Rate for Payer: Healthscope Whirlpool |
$428.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.73
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.58
|
| Rate for Payer: Nomi Health Commercial |
$428.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,305.00
|
| Rate for Payer: PACE SWMI |
$356.89
|
| Rate for Payer: PHP Medicare Advantage |
$356.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$579.62
|
| Rate for Payer: Priority Health Medicare |
$356.89
|
| Rate for Payer: Priority Health Narrow Network |
$579.62
|
| Rate for Payer: Railroad Medicare Medicare |
$356.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$563.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$356.89
|
| Rate for Payer: UHC Exchange |
$563.85
|
| Rate for Payer: UHC Medicaid |
$238.77
|
| Rate for Payer: UHCCP DNSP |
$356.89
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$318.00 |
| Rate for Payer: Aetna Commercial |
$193.74
|
| Rate for Payer: Aetna Medicare |
$144.58
|
| Rate for Payer: BCBS Complete |
$99.30
|
| Rate for Payer: BCBS MAPPO |
$144.58
|
| Rate for Payer: BCN Commercial |
$252.48
|
| Rate for Payer: BCN Medicare Advantage |
$144.58
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$193.74
|
| Rate for Payer: Cofinity Commercial |
$208.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.58
|
| Rate for Payer: Healthscope Commercial |
$173.50
|
| Rate for Payer: Healthscope Whirlpool |
$173.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.81
|
| Rate for Payer: Meridian Medicaid |
$99.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.04
|
| Rate for Payer: Nomi Health Commercial |
$173.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: PACE SWMI |
$144.58
|
| Rate for Payer: PHP Medicare Advantage |
$144.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$307.63
|
| Rate for Payer: Priority Health Medicare |
$144.58
|
| Rate for Payer: Priority Health Narrow Network |
$307.63
|
| Rate for Payer: Railroad Medicare Medicare |
$144.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$281.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$144.58
|
| Rate for Payer: UHC Exchange |
$281.98
|
| Rate for Payer: UHC Medicaid |
$94.57
|
| Rate for Payer: UHCCP DNSP |
$144.58
|
| Rate for Payer: UHCCP Medicaid |
$94.57
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,386.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$1,354.40 |
| Max. Negotiated Rate |
$2,539.50 |
| Rate for Payer: Aetna Commercial |
$1,606.74
|
| Rate for Payer: BCBS Complete |
$1,354.40
|
| Rate for Payer: BCN Commercial |
$1,766.17
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,539.50
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,607.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$261.78 |
| Max. Negotiated Rate |
$1,205.25 |
| Rate for Payer: Aetna Commercial |
$532.14
|
| Rate for Payer: Aetna Medicare |
$397.12
|
| Rate for Payer: BCBS Complete |
$274.87
|
| Rate for Payer: BCBS MAPPO |
$397.12
|
| Rate for Payer: BCN Commercial |
$665.80
|
| Rate for Payer: BCN Medicare Advantage |
$397.12
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Cofinity Commercial |
$571.85
|
| Rate for Payer: Cofinity Commercial |
$532.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.12
|
| Rate for Payer: Healthscope Commercial |
$476.54
|
| Rate for Payer: Healthscope Whirlpool |
$476.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.98
|
| Rate for Payer: Meridian Medicaid |
$274.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$436.83
|
| Rate for Payer: Nomi Health Commercial |
$476.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,205.25
|
| Rate for Payer: PACE SWMI |
$397.12
|
| Rate for Payer: PHP Medicare Advantage |
$397.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$711.72
|
| Rate for Payer: Priority Health Medicare |
$397.12
|
| Rate for Payer: Priority Health Narrow Network |
$711.72
|
| Rate for Payer: Railroad Medicare Medicare |
$397.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$742.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$397.12
|
| Rate for Payer: UHC Exchange |
$742.96
|
| Rate for Payer: UHC Medicaid |
$261.78
|
| Rate for Payer: UHCCP DNSP |
$397.12
|
| Rate for Payer: UHCCP Medicaid |
$261.78
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$587.24 |
| Max. Negotiated Rate |
$1,763.93 |
| Rate for Payer: Aetna Commercial |
$1,212.08
|
| Rate for Payer: Aetna Medicare |
$904.54
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS MAPPO |
$904.54
|
| Rate for Payer: BCN Commercial |
$1,520.83
|
| Rate for Payer: BCN Medicare Advantage |
$904.54
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cofinity Commercial |
$1,302.54
|
| Rate for Payer: Cofinity Commercial |
$1,212.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.54
|
| Rate for Payer: Healthscope Commercial |
$1,085.45
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.77
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.99
|
| Rate for Payer: Nomi Health Commercial |
$1,085.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,513.50
|
| Rate for Payer: PACE SWMI |
$904.54
|
| Rate for Payer: PHP Medicare Advantage |
$904.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,625.73
|
| Rate for Payer: Priority Health Medicare |
$904.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,625.73
|
| Rate for Payer: Railroad Medicare Medicare |
$904.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,763.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$904.54
|
| Rate for Payer: UHC Exchange |
$1,763.93
|
| Rate for Payer: UHC Medicaid |
$587.24
|
| Rate for Payer: UHCCP DNSP |
$904.54
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$675.01 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCN Commercial |
$542.26
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$671.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$675.01
|
| Rate for Payer: Priority Health Narrow Network |
$675.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$557.15
|
| Rate for Payer: UHC Exchange |
$557.15
|
| Rate for Payer: UHC Medicaid |
$196.94
|
| Rate for Payer: UHCCP Medicaid |
$196.94
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$464.77 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$950.46
|
| Rate for Payer: Aetna Medicare |
$709.30
|
| Rate for Payer: BCBS Complete |
$488.01
|
| Rate for Payer: BCBS MAPPO |
$709.30
|
| Rate for Payer: BCN Commercial |
$1,207.10
|
| Rate for Payer: BCN Medicare Advantage |
$709.30
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cofinity Commercial |
$950.46
|
| Rate for Payer: Cofinity Commercial |
$1,021.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.30
|
| Rate for Payer: Healthscope Commercial |
$851.16
|
| Rate for Payer: Healthscope Whirlpool |
$851.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.76
|
| Rate for Payer: Meridian Medicaid |
$488.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$780.23
|
| Rate for Payer: Nomi Health Commercial |
$851.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: PACE SWMI |
$709.30
|
| Rate for Payer: PHP Medicare Advantage |
$709.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,104.82
|
| Rate for Payer: Priority Health Medicare |
$709.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,104.82
|
| Rate for Payer: Railroad Medicare Medicare |
$709.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,312.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$709.30
|
| Rate for Payer: UHC Exchange |
$1,312.62
|
| Rate for Payer: UHC Medicaid |
$464.77
|
| Rate for Payer: UHCCP DNSP |
$709.30
|
| Rate for Payer: UHCCP Medicaid |
$464.77
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,258.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$434.95 |
| Max. Negotiated Rate |
$1,693.50 |
| Rate for Payer: Aetna Commercial |
$892.96
|
| Rate for Payer: Aetna Medicare |
$666.39
|
| Rate for Payer: BCBS Complete |
$456.70
|
| Rate for Payer: BCBS MAPPO |
$666.39
|
| Rate for Payer: BCN Commercial |
$1,117.47
|
| Rate for Payer: BCN Medicare Advantage |
$666.39
|
| Rate for Payer: Cash Price |
$1,806.40
|
| Rate for Payer: Cash Price |
$1,806.40
|
| Rate for Payer: Cofinity Commercial |
$959.60
|
| Rate for Payer: Cofinity Commercial |
$892.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$666.39
|
| Rate for Payer: Healthscope Commercial |
$799.67
|
| Rate for Payer: Healthscope Whirlpool |
$799.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.71
|
| Rate for Payer: Meridian Medicaid |
$456.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$733.03
|
| Rate for Payer: Nomi Health Commercial |
$799.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,693.50
|
| Rate for Payer: PACE SWMI |
$666.39
|
| Rate for Payer: PHP Medicare Advantage |
$666.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,022.78
|
| Rate for Payer: Priority Health Medicare |
$666.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,022.78
|
| Rate for Payer: Railroad Medicare Medicare |
$666.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,286.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$666.39
|
| Rate for Payer: UHC Exchange |
$1,286.49
|
| Rate for Payer: UHC Medicaid |
$434.95
|
| Rate for Payer: UHCCP DNSP |
$666.39
|
| Rate for Payer: UHCCP Medicaid |
$434.95
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$537.19 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$1,102.18
|
| Rate for Payer: Aetna Medicare |
$822.52
|
| Rate for Payer: BCBS Complete |
$564.05
|
| Rate for Payer: BCBS MAPPO |
$822.52
|
| Rate for Payer: BCN Commercial |
$1,403.31
|
| Rate for Payer: BCN Medicare Advantage |
$822.52
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cofinity Commercial |
$1,184.43
|
| Rate for Payer: Cofinity Commercial |
$1,102.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.52
|
| Rate for Payer: Healthscope Commercial |
$987.02
|
| Rate for Payer: Healthscope Whirlpool |
$987.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$863.65
|
| Rate for Payer: Meridian Medicaid |
$564.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$904.77
|
| Rate for Payer: Nomi Health Commercial |
$987.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: PACE SWMI |
$822.52
|
| Rate for Payer: PHP Medicare Advantage |
$822.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,284.39
|
| Rate for Payer: Priority Health Medicare |
$822.52
|
| Rate for Payer: Priority Health Narrow Network |
$1,284.39
|
| Rate for Payer: Railroad Medicare Medicare |
$822.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,607.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$822.52
|
| Rate for Payer: UHC Exchange |
$1,607.76
|
| Rate for Payer: UHC Medicaid |
$537.19
|
| Rate for Payer: UHCCP DNSP |
$822.52
|
| Rate for Payer: UHCCP Medicaid |
$537.19
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,628.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$537.40 |
| Max. Negotiated Rate |
$1,478.34 |
| Rate for Payer: Aetna Commercial |
$1,073.11
|
| Rate for Payer: Aetna Medicare |
$800.83
|
| Rate for Payer: BCBS Complete |
$564.27
|
| Rate for Payer: BCBS MAPPO |
$800.83
|
| Rate for Payer: BCN Commercial |
$1,347.54
|
| Rate for Payer: BCN Medicare Advantage |
$800.83
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Cofinity Commercial |
$1,153.20
|
| Rate for Payer: Cofinity Commercial |
$1,073.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$800.83
|
| Rate for Payer: Healthscope Commercial |
$961.00
|
| Rate for Payer: Healthscope Whirlpool |
$961.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$840.87
|
| Rate for Payer: Meridian Medicaid |
$564.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$880.91
|
| Rate for Payer: Nomi Health Commercial |
$961.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.00
|
| Rate for Payer: PACE SWMI |
$800.83
|
| Rate for Payer: PHP Medicare Advantage |
$800.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,331.50
|
| Rate for Payer: Priority Health Medicare |
$800.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,331.50
|
| Rate for Payer: Railroad Medicare Medicare |
$800.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,478.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$800.83
|
| Rate for Payer: UHC Exchange |
$1,478.34
|
| Rate for Payer: UHC Medicaid |
$537.40
|
| Rate for Payer: UHCCP DNSP |
$800.83
|
| Rate for Payer: UHCCP Medicaid |
$537.40
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$746.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$230.04 |
| Max. Negotiated Rate |
$666.33 |
| Rate for Payer: Aetna Commercial |
$462.57
|
| Rate for Payer: Aetna Medicare |
$345.20
|
| Rate for Payer: BCBS Complete |
$241.54
|
| Rate for Payer: BCBS MAPPO |
$345.20
|
| Rate for Payer: BCN Commercial |
$580.64
|
| Rate for Payer: BCN Medicare Advantage |
$345.20
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cofinity Commercial |
$497.09
|
| Rate for Payer: Cofinity Commercial |
$462.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.20
|
| Rate for Payer: Healthscope Commercial |
$414.24
|
| Rate for Payer: Healthscope Whirlpool |
$414.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.46
|
| Rate for Payer: Meridian Medicaid |
$241.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$379.72
|
| Rate for Payer: Nomi Health Commercial |
$414.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$559.50
|
| Rate for Payer: PACE SWMI |
$345.20
|
| Rate for Payer: PHP Medicare Advantage |
$345.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$230.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$573.74
|
| Rate for Payer: Priority Health Medicare |
$345.20
|
| Rate for Payer: Priority Health Narrow Network |
$573.74
|
| Rate for Payer: Railroad Medicare Medicare |
$345.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$666.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$345.20
|
| Rate for Payer: UHC Exchange |
$666.33
|
| Rate for Payer: UHC Medicaid |
$230.04
|
| Rate for Payer: UHCCP DNSP |
$345.20
|
| Rate for Payer: UHCCP Medicaid |
$230.04
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$191.70 |
| Max. Negotiated Rate |
$554.75 |
| Rate for Payer: Aetna Commercial |
$386.00
|
| Rate for Payer: Aetna Medicare |
$288.06
|
| Rate for Payer: BCBS Complete |
$201.28
|
| Rate for Payer: BCBS MAPPO |
$288.06
|
| Rate for Payer: BCN Commercial |
$492.50
|
| Rate for Payer: BCN Medicare Advantage |
$288.06
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cofinity Commercial |
$414.81
|
| Rate for Payer: Cofinity Commercial |
$386.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$288.06
|
| Rate for Payer: Healthscope Commercial |
$345.67
|
| Rate for Payer: Healthscope Whirlpool |
$345.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.46
|
| Rate for Payer: Meridian Medicaid |
$201.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$316.87
|
| Rate for Payer: Nomi Health Commercial |
$345.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$482.25
|
| Rate for Payer: PACE SWMI |
$288.06
|
| Rate for Payer: PHP Medicare Advantage |
$288.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$486.65
|
| Rate for Payer: Priority Health Medicare |
$288.06
|
| Rate for Payer: Priority Health Narrow Network |
$486.65
|
| Rate for Payer: Railroad Medicare Medicare |
$288.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$554.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$288.06
|
| Rate for Payer: UHC Exchange |
$554.75
|
| Rate for Payer: UHC Medicaid |
$191.70
|
| Rate for Payer: UHCCP DNSP |
$288.06
|
| Rate for Payer: UHCCP Medicaid |
$191.70
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$1,028.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$263.69 |
| Max. Negotiated Rate |
$779.09 |
| Rate for Payer: Aetna Commercial |
$534.79
|
| Rate for Payer: Aetna Medicare |
$399.10
|
| Rate for Payer: BCBS Complete |
$276.87
|
| Rate for Payer: BCBS MAPPO |
$399.10
|
| Rate for Payer: BCN Commercial |
$662.81
|
| Rate for Payer: BCN Medicare Advantage |
$399.10
|
| Rate for Payer: Cash Price |
$822.40
|
| Rate for Payer: Cash Price |
$822.40
|
| Rate for Payer: Cofinity Commercial |
$574.70
|
| Rate for Payer: Cofinity Commercial |
$534.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.10
|
| Rate for Payer: Healthscope Commercial |
$478.92
|
| Rate for Payer: Healthscope Whirlpool |
$478.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.06
|
| Rate for Payer: Meridian Medicaid |
$276.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.01
|
| Rate for Payer: Nomi Health Commercial |
$478.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$771.00
|
| Rate for Payer: PACE SWMI |
$399.10
|
| Rate for Payer: PHP Medicare Advantage |
$399.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$708.53
|
| Rate for Payer: Priority Health Medicare |
$399.10
|
| Rate for Payer: Priority Health Narrow Network |
$708.53
|
| Rate for Payer: Railroad Medicare Medicare |
$399.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$779.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$399.10
|
| Rate for Payer: UHC Exchange |
$779.09
|
| Rate for Payer: UHC Medicaid |
$263.69
|
| Rate for Payer: UHCCP DNSP |
$399.10
|
| Rate for Payer: UHCCP Medicaid |
$263.69
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$890.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$667.50 |
| Rate for Payer: Aetna Commercial |
$315.13
|
| Rate for Payer: Aetna Medicare |
$235.17
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$235.17
|
| Rate for Payer: BCN Commercial |
$393.40
|
| Rate for Payer: BCN Medicare Advantage |
$235.17
|
| Rate for Payer: Cash Price |
$712.00
|
| Rate for Payer: Cash Price |
$712.00
|
| Rate for Payer: Cofinity Commercial |
$338.64
|
| Rate for Payer: Cofinity Commercial |
$315.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.17
|
| Rate for Payer: Healthscope Commercial |
$282.20
|
| Rate for Payer: Healthscope Whirlpool |
$282.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.93
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$258.69
|
| Rate for Payer: Nomi Health Commercial |
$282.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$667.50
|
| Rate for Payer: PACE SWMI |
$235.17
|
| Rate for Payer: PHP Medicare Advantage |
$235.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$428.55
|
| Rate for Payer: Priority Health Medicare |
$235.17
|
| Rate for Payer: Priority Health Narrow Network |
$428.55
|
| Rate for Payer: Railroad Medicare Medicare |
$235.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$462.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$235.17
|
| Rate for Payer: UHC Exchange |
$462.77
|
| Rate for Payer: UHC Medicaid |
$152.08
|
| Rate for Payer: UHCCP DNSP |
$235.17
|
| Rate for Payer: UHCCP Medicaid |
$152.08
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,139.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$204.69 |
| Max. Negotiated Rate |
$854.25 |
| Rate for Payer: Aetna Commercial |
$412.48
|
| Rate for Payer: Aetna Medicare |
$307.82
|
| Rate for Payer: BCBS Complete |
$214.92
|
| Rate for Payer: BCBS MAPPO |
$307.82
|
| Rate for Payer: BCN Commercial |
$505.95
|
| Rate for Payer: BCN Medicare Advantage |
$307.82
|
| Rate for Payer: Cash Price |
$911.20
|
| Rate for Payer: Cash Price |
$911.20
|
| Rate for Payer: Cofinity Commercial |
$443.26
|
| Rate for Payer: Cofinity Commercial |
$412.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.82
|
| Rate for Payer: Healthscope Commercial |
$369.38
|
| Rate for Payer: Healthscope Whirlpool |
$369.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.21
|
| Rate for Payer: Meridian Medicaid |
$214.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$338.60
|
| Rate for Payer: Nomi Health Commercial |
$369.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$854.25
|
| Rate for Payer: PACE SWMI |
$307.82
|
| Rate for Payer: PHP Medicare Advantage |
$307.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$540.84
|
| Rate for Payer: Priority Health Medicare |
$307.82
|
| Rate for Payer: Priority Health Narrow Network |
$540.84
|
| Rate for Payer: Railroad Medicare Medicare |
$307.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$553.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$307.82
|
| Rate for Payer: UHC Exchange |
$553.13
|
| Rate for Payer: UHC Medicaid |
$204.69
|
| Rate for Payer: UHCCP DNSP |
$307.82
|
| Rate for Payer: UHCCP Medicaid |
$204.69
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$240.48 |
| Max. Negotiated Rate |
$888.75 |
| Rate for Payer: Aetna Commercial |
$487.57
|
| Rate for Payer: Aetna Medicare |
$363.86
|
| Rate for Payer: BCBS Complete |
$252.50
|
| Rate for Payer: BCBS MAPPO |
$363.86
|
| Rate for Payer: BCN Commercial |
$606.04
|
| Rate for Payer: BCN Medicare Advantage |
$363.86
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$523.96
|
| Rate for Payer: Cofinity Commercial |
$487.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.86
|
| Rate for Payer: Healthscope Commercial |
$436.63
|
| Rate for Payer: Healthscope Whirlpool |
$436.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.05
|
| Rate for Payer: Meridian Medicaid |
$252.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$400.25
|
| Rate for Payer: Nomi Health Commercial |
$436.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$888.75
|
| Rate for Payer: PACE SWMI |
$363.86
|
| Rate for Payer: PHP Medicare Advantage |
$363.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$647.85
|
| Rate for Payer: Priority Health Medicare |
$363.86
|
| Rate for Payer: Priority Health Narrow Network |
$647.85
|
| Rate for Payer: Railroad Medicare Medicare |
$363.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$670.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$363.86
|
| Rate for Payer: UHC Exchange |
$670.18
|
| Rate for Payer: UHC Medicaid |
$240.48
|
| Rate for Payer: UHCCP DNSP |
$363.86
|
| Rate for Payer: UHCCP Medicaid |
$240.48
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$862.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$204.05 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna Commercial |
$417.96
|
| Rate for Payer: Aetna Medicare |
$311.91
|
| Rate for Payer: BCBS Complete |
$214.25
|
| Rate for Payer: BCBS MAPPO |
$311.91
|
| Rate for Payer: BCN Commercial |
$504.96
|
| Rate for Payer: BCN Medicare Advantage |
$311.91
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cofinity Commercial |
$449.15
|
| Rate for Payer: Cofinity Commercial |
$417.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.91
|
| Rate for Payer: Healthscope Commercial |
$374.29
|
| Rate for Payer: Healthscope Whirlpool |
$374.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.51
|
| Rate for Payer: Meridian Medicaid |
$214.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$343.10
|
| Rate for Payer: Nomi Health Commercial |
$374.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$646.50
|
| Rate for Payer: PACE SWMI |
$311.91
|
| Rate for Payer: PHP Medicare Advantage |
$311.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$462.16
|
| Rate for Payer: Priority Health Medicare |
$311.91
|
| Rate for Payer: Priority Health Narrow Network |
$462.16
|
| Rate for Payer: Railroad Medicare Medicare |
$311.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$569.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$311.91
|
| Rate for Payer: UHC Exchange |
$569.14
|
| Rate for Payer: UHC Medicaid |
$204.05
|
| Rate for Payer: UHCCP DNSP |
$311.91
|
| Rate for Payer: UHCCP Medicaid |
$204.05
|
|
