|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 11640
|
| Min. Negotiated Rate |
$70.72 |
| Max. Negotiated Rate |
$257.25 |
| Rate for Payer: Aetna Commercial |
$143.94
|
| Rate for Payer: Aetna Medicare |
$107.42
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCBS MAPPO |
$107.42
|
| Rate for Payer: BCN Commercial |
$150.40
|
| Rate for Payer: BCN Medicare Advantage |
$107.42
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$154.68
|
| Rate for Payer: Cofinity Commercial |
$143.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.42
|
| Rate for Payer: Healthscope Commercial |
$128.90
|
| Rate for Payer: Healthscope Whirlpool |
$128.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.79
|
| Rate for Payer: Meridian Medicaid |
$74.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.16
|
| Rate for Payer: Nomi Health Commercial |
$128.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.25
|
| Rate for Payer: PACE SWMI |
$107.42
|
| Rate for Payer: PHP Medicare Advantage |
$107.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$174.57
|
| Rate for Payer: Priority Health Medicare |
$107.42
|
| Rate for Payer: Priority Health Narrow Network |
$174.57
|
| Rate for Payer: Railroad Medicare Medicare |
$107.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$216.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.42
|
| Rate for Payer: UHC Exchange |
$216.30
|
| Rate for Payer: UHC Medicaid |
$70.72
|
| Rate for Payer: UHCCP DNSP |
$107.42
|
| Rate for Payer: UHCCP Medicaid |
$70.72
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
OP
|
$343.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$240.44 |
| Max. Negotiated Rate |
$881.99 |
| Rate for Payer: Aetna Commercial |
$308.70
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$332.71
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$282.80
|
| Rate for Payer: BCN Commercial |
$282.80
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$322.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$332.71
|
| Rate for Payer: Healthscope Whirlpool |
$343.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$308.70
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.55
|
| Rate for Payer: Nomi Health Commercial |
$281.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.25
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$300.54
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$240.44
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
IP
|
$343.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$257.25 |
| Max. Negotiated Rate |
$343.00 |
| Rate for Payer: Aetna Commercial |
$308.70
|
| Rate for Payer: ASR ASR |
$332.71
|
| Rate for Payer: BCBS Trust/PPO |
$281.67
|
| Rate for Payer: BCN Commercial |
$281.67
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$322.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.40
|
| Rate for Payer: Healthscope Commercial |
$332.71
|
| Rate for Payer: Healthscope Whirlpool |
$343.00
|
| Rate for Payer: Mclaren Commercial |
$308.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.55
|
| Rate for Payer: Nomi Health Commercial |
$281.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.25
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
IP
|
$406.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$304.50 |
| Max. Negotiated Rate |
$406.00 |
| Rate for Payer: Aetna Commercial |
$365.40
|
| Rate for Payer: ASR ASR |
$393.82
|
| Rate for Payer: BCBS Trust/PPO |
$333.41
|
| Rate for Payer: BCN Commercial |
$333.41
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$381.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.80
|
| Rate for Payer: Healthscope Commercial |
$393.82
|
| Rate for Payer: Healthscope Whirlpool |
$406.00
|
| Rate for Payer: Mclaren Commercial |
$365.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.10
|
| Rate for Payer: Nomi Health Commercial |
$332.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
OP
|
$406.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$284.61 |
| Max. Negotiated Rate |
$881.99 |
| Rate for Payer: Aetna Commercial |
$365.40
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$393.82
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$334.75
|
| Rate for Payer: BCN Commercial |
$334.75
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$381.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$393.82
|
| Rate for Payer: Healthscope Whirlpool |
$406.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$365.40
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.10
|
| Rate for Payer: Nomi Health Commercial |
$332.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$355.74
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$284.61
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 11641
|
| Hospital Charge Code |
11641
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$304.50 |
| Rate for Payer: Aetna Commercial |
$175.45
|
| Rate for Payer: Aetna Medicare |
$130.93
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$130.93
|
| Rate for Payer: BCN Commercial |
$184.57
|
| Rate for Payer: BCN Medicare Advantage |
$130.93
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$188.54
|
| Rate for Payer: Cofinity Commercial |
$175.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.93
|
| Rate for Payer: Healthscope Commercial |
$157.12
|
| Rate for Payer: Healthscope Whirlpool |
$157.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$137.48
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$144.02
|
| Rate for Payer: Nomi Health Commercial |
$157.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
| Rate for Payer: PACE SWMI |
$130.93
|
| Rate for Payer: PHP Medicare Advantage |
$130.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$214.22
|
| Rate for Payer: Priority Health Medicare |
$130.93
|
| Rate for Payer: Priority Health Narrow Network |
$214.22
|
| Rate for Payer: Railroad Medicare Medicare |
$130.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$268.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$130.93
|
| Rate for Payer: UHC Exchange |
$268.69
|
| Rate for Payer: UHC Medicaid |
$85.84
|
| Rate for Payer: UHCCP DNSP |
$130.93
|
| Rate for Payer: UHCCP Medicaid |
$85.84
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 11641
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$304.50 |
| Rate for Payer: Aetna Commercial |
$175.45
|
| Rate for Payer: Aetna Medicare |
$130.93
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$130.93
|
| Rate for Payer: BCN Commercial |
$184.57
|
| Rate for Payer: BCN Medicare Advantage |
$130.93
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$188.54
|
| Rate for Payer: Cofinity Commercial |
$175.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.93
|
| Rate for Payer: Healthscope Commercial |
$157.12
|
| Rate for Payer: Healthscope Whirlpool |
$157.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$137.48
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$144.02
|
| Rate for Payer: Nomi Health Commercial |
$157.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
| Rate for Payer: PACE SWMI |
$130.93
|
| Rate for Payer: PHP Medicare Advantage |
$130.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$214.22
|
| Rate for Payer: Priority Health Medicare |
$130.93
|
| Rate for Payer: Priority Health Narrow Network |
$214.22
|
| Rate for Payer: Railroad Medicare Medicare |
$130.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$268.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$130.93
|
| Rate for Payer: UHC Exchange |
$268.69
|
| Rate for Payer: UHC Medicaid |
$85.84
|
| Rate for Payer: UHCCP DNSP |
$130.93
|
| Rate for Payer: UHCCP Medicaid |
$85.84
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$614.00
|
|
|
Service Code
|
HCPCS 11642
|
| Min. Negotiated Rate |
$98.62 |
| Max. Negotiated Rate |
$460.50 |
| Rate for Payer: Aetna Commercial |
$202.03
|
| Rate for Payer: Aetna Medicare |
$150.77
|
| Rate for Payer: BCBS Complete |
$103.55
|
| Rate for Payer: BCBS MAPPO |
$150.77
|
| Rate for Payer: BCN Commercial |
$215.20
|
| Rate for Payer: BCN Medicare Advantage |
$150.77
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cofinity Commercial |
$217.11
|
| Rate for Payer: Cofinity Commercial |
$202.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.77
|
| Rate for Payer: Healthscope Commercial |
$180.92
|
| Rate for Payer: Healthscope Whirlpool |
$180.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$158.31
|
| Rate for Payer: Meridian Medicaid |
$103.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.85
|
| Rate for Payer: Nomi Health Commercial |
$180.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
| Rate for Payer: PACE SWMI |
$150.77
|
| Rate for Payer: PHP Medicare Advantage |
$150.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$249.77
|
| Rate for Payer: Priority Health Medicare |
$150.77
|
| Rate for Payer: Priority Health Narrow Network |
$249.77
|
| Rate for Payer: Railroad Medicare Medicare |
$150.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.77
|
| Rate for Payer: UHC Exchange |
$315.60
|
| Rate for Payer: UHC Medicaid |
$98.62
|
| Rate for Payer: UHCCP DNSP |
$150.77
|
| Rate for Payer: UHCCP Medicaid |
$98.62
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
IP
|
$614.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$460.50 |
| Max. Negotiated Rate |
$614.00 |
| Rate for Payer: Aetna Commercial |
$552.60
|
| Rate for Payer: ASR ASR |
$595.58
|
| Rate for Payer: BCBS Trust/PPO |
$504.22
|
| Rate for Payer: BCN Commercial |
$504.22
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cofinity Commercial |
$577.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$491.20
|
| Rate for Payer: Healthscope Commercial |
$595.58
|
| Rate for Payer: Healthscope Whirlpool |
$614.00
|
| Rate for Payer: Mclaren Commercial |
$552.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$521.90
|
| Rate for Payer: Nomi Health Commercial |
$503.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
OP
|
$614.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$369.02 |
| Max. Negotiated Rate |
$881.99 |
| Rate for Payer: Aetna Commercial |
$552.60
|
| Rate for Payer: Aetna Medicare |
$705.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: ASR ASR |
$595.58
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$506.24
|
| Rate for Payer: BCN Commercial |
$506.24
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cofinity Commercial |
$577.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$491.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$595.58
|
| Rate for Payer: Healthscope Whirlpool |
$614.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$552.60
|
| Rate for Payer: Mclaren Medicaid |
$705.59
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$387.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$521.90
|
| Rate for Payer: Nomi Health Commercial |
$503.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$776.15
|
| Rate for Payer: PHP Medicaid |
$378.20
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$537.99
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$430.41
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP DNSP |
$705.59
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$614.00
|
|
|
Service Code
|
HCPCS 11642
|
| Hospital Charge Code |
11642
|
| Min. Negotiated Rate |
$98.62 |
| Max. Negotiated Rate |
$460.50 |
| Rate for Payer: Aetna Commercial |
$202.03
|
| Rate for Payer: Aetna Medicare |
$150.77
|
| Rate for Payer: BCBS Complete |
$103.55
|
| Rate for Payer: BCBS MAPPO |
$150.77
|
| Rate for Payer: BCN Commercial |
$215.20
|
| Rate for Payer: BCN Medicare Advantage |
$150.77
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cofinity Commercial |
$217.11
|
| Rate for Payer: Cofinity Commercial |
$202.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.77
|
| Rate for Payer: Healthscope Commercial |
$180.92
|
| Rate for Payer: Healthscope Whirlpool |
$180.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$158.31
|
| Rate for Payer: Meridian Medicaid |
$103.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.85
|
| Rate for Payer: Nomi Health Commercial |
$180.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
| Rate for Payer: PACE SWMI |
$150.77
|
| Rate for Payer: PHP Medicare Advantage |
$150.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$249.77
|
| Rate for Payer: Priority Health Medicare |
$150.77
|
| Rate for Payer: Priority Health Narrow Network |
$249.77
|
| Rate for Payer: Railroad Medicare Medicare |
$150.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$315.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.77
|
| Rate for Payer: UHC Exchange |
$315.60
|
| Rate for Payer: UHC Medicaid |
$98.62
|
| Rate for Payer: UHCCP DNSP |
$150.77
|
| Rate for Payer: UHCCP Medicaid |
$98.62
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 11643
|
| Min. Negotiated Rate |
$123.33 |
| Max. Negotiated Rate |
$575.25 |
| Rate for Payer: Aetna Commercial |
$253.73
|
| Rate for Payer: Aetna Medicare |
$189.35
|
| Rate for Payer: BCBS Complete |
$129.50
|
| Rate for Payer: BCBS MAPPO |
$189.35
|
| Rate for Payer: BCN Commercial |
$269.39
|
| Rate for Payer: BCN Medicare Advantage |
$189.35
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$272.66
|
| Rate for Payer: Cofinity Commercial |
$253.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.35
|
| Rate for Payer: Healthscope Commercial |
$227.22
|
| Rate for Payer: Healthscope Whirlpool |
$227.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.82
|
| Rate for Payer: Meridian Medicaid |
$129.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$208.28
|
| Rate for Payer: Nomi Health Commercial |
$227.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE SWMI |
$189.35
|
| Rate for Payer: PHP Medicare Advantage |
$189.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$312.67
|
| Rate for Payer: Priority Health Medicare |
$189.35
|
| Rate for Payer: Priority Health Narrow Network |
$312.67
|
| Rate for Payer: Railroad Medicare Medicare |
$189.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$396.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$189.35
|
| Rate for Payer: UHC Exchange |
$396.93
|
| Rate for Payer: UHC Medicaid |
$123.33
|
| Rate for Payer: UHCCP DNSP |
$189.35
|
| Rate for Payer: UHCCP Medicaid |
$123.33
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 11643
|
| Hospital Charge Code |
11643
|
| Min. Negotiated Rate |
$123.33 |
| Max. Negotiated Rate |
$575.25 |
| Rate for Payer: Aetna Commercial |
$253.73
|
| Rate for Payer: Aetna Medicare |
$189.35
|
| Rate for Payer: BCBS Complete |
$129.50
|
| Rate for Payer: BCBS MAPPO |
$189.35
|
| Rate for Payer: BCN Commercial |
$269.39
|
| Rate for Payer: BCN Medicare Advantage |
$189.35
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$272.66
|
| Rate for Payer: Cofinity Commercial |
$253.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.35
|
| Rate for Payer: Healthscope Commercial |
$227.22
|
| Rate for Payer: Healthscope Whirlpool |
$227.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$198.82
|
| Rate for Payer: Meridian Medicaid |
$129.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$208.28
|
| Rate for Payer: Nomi Health Commercial |
$227.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE SWMI |
$189.35
|
| Rate for Payer: PHP Medicare Advantage |
$189.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$312.67
|
| Rate for Payer: Priority Health Medicare |
$189.35
|
| Rate for Payer: Priority Health Narrow Network |
$312.67
|
| Rate for Payer: Railroad Medicare Medicare |
$189.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$396.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$189.35
|
| Rate for Payer: UHC Exchange |
$396.93
|
| Rate for Payer: UHC Medicaid |
$123.33
|
| Rate for Payer: UHCCP DNSP |
$189.35
|
| Rate for Payer: UHCCP Medicaid |
$123.33
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
OP
|
$767.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$537.67 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$690.30
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$743.99
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$632.39
|
| Rate for Payer: BCN Commercial |
$632.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$720.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$613.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$743.99
|
| Rate for Payer: Healthscope Whirlpool |
$767.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$690.30
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$651.95
|
| Rate for Payer: Nomi Health Commercial |
$628.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$672.05
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$537.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
IP
|
$767.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$575.25 |
| Max. Negotiated Rate |
$767.00 |
| Rate for Payer: Aetna Commercial |
$690.30
|
| Rate for Payer: ASR ASR |
$743.99
|
| Rate for Payer: BCBS Trust/PPO |
$629.86
|
| Rate for Payer: BCN Commercial |
$629.86
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$720.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$613.60
|
| Rate for Payer: Healthscope Commercial |
$743.99
|
| Rate for Payer: Healthscope Whirlpool |
$767.00
|
| Rate for Payer: Mclaren Commercial |
$690.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$651.95
|
| Rate for Payer: Nomi Health Commercial |
$628.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
OP
|
$950.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$665.95 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$921.50
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$783.27
|
| Rate for Payer: BCN Commercial |
$783.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$893.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$921.50
|
| Rate for Payer: Healthscope Whirlpool |
$950.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$855.00
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Nomi Health Commercial |
$779.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$832.39
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$665.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11644
|
| Min. Negotiated Rate |
$152.93 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$315.57
|
| Rate for Payer: Aetna Medicare |
$235.50
|
| Rate for Payer: BCBS Complete |
$160.58
|
| Rate for Payer: BCBS MAPPO |
$235.50
|
| Rate for Payer: BCN Commercial |
$332.62
|
| Rate for Payer: BCN Medicare Advantage |
$235.50
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$339.12
|
| Rate for Payer: Cofinity Commercial |
$315.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.50
|
| Rate for Payer: Healthscope Commercial |
$282.60
|
| Rate for Payer: Healthscope Whirlpool |
$282.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.28
|
| Rate for Payer: Meridian Medicaid |
$160.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.05
|
| Rate for Payer: Nomi Health Commercial |
$282.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$235.50
|
| Rate for Payer: PHP Medicare Advantage |
$235.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$386.04
|
| Rate for Payer: Priority Health Medicare |
$235.50
|
| Rate for Payer: Priority Health Narrow Network |
$386.04
|
| Rate for Payer: Railroad Medicare Medicare |
$235.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$235.50
|
| Rate for Payer: UHC Exchange |
$494.04
|
| Rate for Payer: UHC Medicaid |
$152.93
|
| Rate for Payer: UHCCP DNSP |
$235.50
|
| Rate for Payer: UHCCP Medicaid |
$152.93
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
IP
|
$950.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$712.50 |
| Max. Negotiated Rate |
$950.00 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: ASR ASR |
$921.50
|
| Rate for Payer: BCBS Trust/PPO |
$780.14
|
| Rate for Payer: BCN Commercial |
$780.14
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$893.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Healthscope Commercial |
$921.50
|
| Rate for Payer: Healthscope Whirlpool |
$950.00
|
| Rate for Payer: Mclaren Commercial |
$855.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Nomi Health Commercial |
$779.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11644
|
| Hospital Charge Code |
11644
|
| Min. Negotiated Rate |
$152.93 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$315.57
|
| Rate for Payer: Aetna Medicare |
$235.50
|
| Rate for Payer: BCBS Complete |
$160.58
|
| Rate for Payer: BCBS MAPPO |
$235.50
|
| Rate for Payer: BCN Commercial |
$332.62
|
| Rate for Payer: BCN Medicare Advantage |
$235.50
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$339.12
|
| Rate for Payer: Cofinity Commercial |
$315.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.50
|
| Rate for Payer: Healthscope Commercial |
$282.60
|
| Rate for Payer: Healthscope Whirlpool |
$282.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.28
|
| Rate for Payer: Meridian Medicaid |
$160.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.05
|
| Rate for Payer: Nomi Health Commercial |
$282.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$235.50
|
| Rate for Payer: PHP Medicare Advantage |
$235.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$386.04
|
| Rate for Payer: Priority Health Medicare |
$235.50
|
| Rate for Payer: Priority Health Narrow Network |
$386.04
|
| Rate for Payer: Railroad Medicare Medicare |
$235.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$494.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$235.50
|
| Rate for Payer: UHC Exchange |
$494.04
|
| Rate for Payer: UHC Medicaid |
$152.93
|
| Rate for Payer: UHCCP DNSP |
$235.50
|
| Rate for Payer: UHCCP Medicaid |
$152.93
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
IP
|
$950.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$712.50 |
| Max. Negotiated Rate |
$950.00 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: ASR ASR |
$921.50
|
| Rate for Payer: BCBS Trust/PPO |
$780.14
|
| Rate for Payer: BCN Commercial |
$780.14
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$893.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Healthscope Commercial |
$921.50
|
| Rate for Payer: Healthscope Whirlpool |
$950.00
|
| Rate for Payer: Mclaren Commercial |
$855.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Nomi Health Commercial |
$779.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
OP
|
$950.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$665.95 |
| Max. Negotiated Rate |
$3,617.84 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: Aetna Medicare |
$2,894.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,617.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,617.84
|
| Rate for Payer: ASR ASR |
$921.50
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$783.27
|
| Rate for Payer: BCN Commercial |
$783.27
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$893.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$921.50
|
| Rate for Payer: Healthscope Whirlpool |
$950.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$855.00
|
| Rate for Payer: Mclaren Medicaid |
$2,894.27
|
| Rate for Payer: Mclaren Medicare |
$2,894.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,038.98
|
| Rate for Payer: Meridian Medicaid |
$1,589.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,328.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,183.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Nomi Health Commercial |
$779.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE Medicare |
$2,749.56
|
| Rate for Payer: PACE SWMI |
$2,894.27
|
| Rate for Payer: PHP Commercial |
$3,183.70
|
| Rate for Payer: PHP Medicaid |
$1,551.33
|
| Rate for Payer: PHP Medicare Advantage |
$2,894.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,513.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$832.39
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$665.95
|
| Rate for Payer: Railroad Medicare Medicare |
$2,894.27
|
| Rate for Payer: UHC Medicaid |
$1,513.70
|
| Rate for Payer: UHCCP DNSP |
$2,894.27
|
| Rate for Payer: UHCCP Medicaid |
$1,513.70
|
| Rate for Payer: VA VA |
$2,894.27
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11646
|
| Hospital Charge Code |
11646
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$440.35
|
| Rate for Payer: Aetna Medicare |
$328.62
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$328.62
|
| Rate for Payer: BCN Commercial |
$458.28
|
| Rate for Payer: BCN Medicare Advantage |
$328.62
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$473.21
|
| Rate for Payer: Cofinity Commercial |
$440.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.62
|
| Rate for Payer: Healthscope Commercial |
$394.34
|
| Rate for Payer: Healthscope Whirlpool |
$394.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.05
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$361.48
|
| Rate for Payer: Nomi Health Commercial |
$394.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$328.62
|
| Rate for Payer: PHP Medicare Advantage |
$328.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$531.89
|
| Rate for Payer: Priority Health Medicare |
$328.62
|
| Rate for Payer: Priority Health Narrow Network |
$531.89
|
| Rate for Payer: Railroad Medicare Medicare |
$328.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$686.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$328.62
|
| Rate for Payer: UHC Exchange |
$686.34
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP DNSP |
$328.62
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11646
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$440.35
|
| Rate for Payer: Aetna Medicare |
$328.62
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$328.62
|
| Rate for Payer: BCN Commercial |
$458.28
|
| Rate for Payer: BCN Medicare Advantage |
$328.62
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$473.21
|
| Rate for Payer: Cofinity Commercial |
$440.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.62
|
| Rate for Payer: Healthscope Commercial |
$394.34
|
| Rate for Payer: Healthscope Whirlpool |
$394.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.05
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$361.48
|
| Rate for Payer: Nomi Health Commercial |
$394.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$328.62
|
| Rate for Payer: PHP Medicare Advantage |
$328.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$531.89
|
| Rate for Payer: Priority Health Medicare |
$328.62
|
| Rate for Payer: Priority Health Narrow Network |
$531.89
|
| Rate for Payer: Railroad Medicare Medicare |
$328.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$686.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$328.62
|
| Rate for Payer: UHC Exchange |
$686.34
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP DNSP |
$328.62
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 11620
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$249.00 |
| Rate for Payer: Aetna Commercial |
$141.88
|
| Rate for Payer: Aetna Medicare |
$105.88
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCBS MAPPO |
$105.88
|
| Rate for Payer: BCN Commercial |
$185.25
|
| Rate for Payer: BCN Medicare Advantage |
$105.88
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$152.47
|
| Rate for Payer: Cofinity Commercial |
$141.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.88
|
| Rate for Payer: Healthscope Commercial |
$127.06
|
| Rate for Payer: Healthscope Whirlpool |
$127.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.17
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$116.47
|
| Rate for Payer: Nomi Health Commercial |
$127.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: PACE SWMI |
$105.88
|
| Rate for Payer: PHP Medicare Advantage |
$105.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.55
|
| Rate for Payer: Priority Health Medicare |
$105.88
|
| Rate for Payer: Priority Health Narrow Network |
$169.55
|
| Rate for Payer: Railroad Medicare Medicare |
$105.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$211.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$105.88
|
| Rate for Payer: UHC Exchange |
$211.01
|
| Rate for Payer: UHC Medicaid |
$69.65
|
| Rate for Payer: UHCCP DNSP |
$105.88
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
|
Professional
|
Both
|
$391.00
|
|
|
Service Code
|
HCPCS 11621
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$293.25 |
| Rate for Payer: Aetna Commercial |
$168.37
|
| Rate for Payer: Aetna Medicare |
$125.65
|
| Rate for Payer: BCBS Complete |
$86.55
|
| Rate for Payer: BCBS MAPPO |
$125.65
|
| Rate for Payer: BCN Commercial |
$225.09
|
| Rate for Payer: BCN Medicare Advantage |
$125.65
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cofinity Commercial |
$180.94
|
| Rate for Payer: Cofinity Commercial |
$168.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.65
|
| Rate for Payer: Healthscope Commercial |
$150.78
|
| Rate for Payer: Healthscope Whirlpool |
$150.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.93
|
| Rate for Payer: Meridian Medicaid |
$86.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$138.22
|
| Rate for Payer: Nomi Health Commercial |
$150.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$293.25
|
| Rate for Payer: PACE SWMI |
$125.65
|
| Rate for Payer: PHP Medicare Advantage |
$125.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$206.02
|
| Rate for Payer: Priority Health Medicare |
$125.65
|
| Rate for Payer: Priority Health Narrow Network |
$206.02
|
| Rate for Payer: Railroad Medicare Medicare |
$125.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$125.65
|
| Rate for Payer: UHC Exchange |
$257.82
|
| Rate for Payer: UHC Medicaid |
$82.43
|
| Rate for Payer: UHCCP DNSP |
$125.65
|
| Rate for Payer: UHCCP Medicaid |
$82.43
|
|
