|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
OP
|
$437.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$306.34 |
| Max. Negotiated Rate |
$881.99 |
| Rate for Payer: Aetna Commercial |
$393.30
|
| 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 |
$423.89
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$360.31
|
| Rate for Payer: BCN Commercial |
$360.31
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$410.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$423.89
|
| Rate for Payer: Healthscope Whirlpool |
$437.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$705.59
|
| Rate for Payer: Mclaren Commercial |
$393.30
|
| 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 |
$371.45
|
| Rate for Payer: Nomi Health Commercial |
$358.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| 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 |
$382.90
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health Narrow Network |
$306.34
|
| 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 S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 11622
|
| Hospital Charge Code |
11622
|
| Min. Negotiated Rate |
$91.80 |
| Max. Negotiated Rate |
$327.75 |
| Rate for Payer: Aetna Commercial |
$187.79
|
| Rate for Payer: Aetna Medicare |
$140.14
|
| Rate for Payer: BCBS Complete |
$96.39
|
| Rate for Payer: BCBS MAPPO |
$140.14
|
| Rate for Payer: BCN Commercial |
$253.97
|
| Rate for Payer: BCN Medicare Advantage |
$140.14
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$201.80
|
| Rate for Payer: Cofinity Commercial |
$187.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.14
|
| Rate for Payer: Healthscope Commercial |
$168.17
|
| Rate for Payer: Healthscope Whirlpool |
$168.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.15
|
| Rate for Payer: Meridian Medicaid |
$96.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.15
|
| Rate for Payer: Nomi Health Commercial |
$168.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE SWMI |
$140.14
|
| Rate for Payer: PHP Medicare Advantage |
$140.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$232.45
|
| Rate for Payer: Priority Health Medicare |
$140.14
|
| Rate for Payer: Priority Health Narrow Network |
$232.45
|
| Rate for Payer: Railroad Medicare Medicare |
$140.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$292.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.14
|
| Rate for Payer: UHC Exchange |
$292.96
|
| Rate for Payer: UHC Medicaid |
$91.80
|
| Rate for Payer: UHCCP DNSP |
$140.14
|
| Rate for Payer: UHCCP Medicaid |
$91.80
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
IP
|
$437.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$327.75 |
| Max. Negotiated Rate |
$437.00 |
| Rate for Payer: Aetna Commercial |
$393.30
|
| Rate for Payer: ASR ASR |
$423.89
|
| Rate for Payer: BCBS Trust/PPO |
$358.86
|
| Rate for Payer: BCN Commercial |
$358.86
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$410.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Healthscope Commercial |
$423.89
|
| Rate for Payer: Healthscope Whirlpool |
$437.00
|
| Rate for Payer: Mclaren Commercial |
$393.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.45
|
| Rate for Payer: Nomi Health Commercial |
$358.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 11622
|
| Min. Negotiated Rate |
$91.80 |
| Max. Negotiated Rate |
$327.75 |
| Rate for Payer: Aetna Commercial |
$187.79
|
| Rate for Payer: Aetna Medicare |
$140.14
|
| Rate for Payer: BCBS Complete |
$96.39
|
| Rate for Payer: BCBS MAPPO |
$140.14
|
| Rate for Payer: BCN Commercial |
$253.97
|
| Rate for Payer: BCN Medicare Advantage |
$140.14
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$201.80
|
| Rate for Payer: Cofinity Commercial |
$187.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.14
|
| Rate for Payer: Healthscope Commercial |
$168.17
|
| Rate for Payer: Healthscope Whirlpool |
$168.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.15
|
| Rate for Payer: Meridian Medicaid |
$96.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.15
|
| Rate for Payer: Nomi Health Commercial |
$168.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE SWMI |
$140.14
|
| Rate for Payer: PHP Medicare Advantage |
$140.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$232.45
|
| Rate for Payer: Priority Health Medicare |
$140.14
|
| Rate for Payer: Priority Health Narrow Network |
$232.45
|
| Rate for Payer: Railroad Medicare Medicare |
$140.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$292.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.14
|
| Rate for Payer: UHC Exchange |
$292.96
|
| Rate for Payer: UHC Medicaid |
$91.80
|
| Rate for Payer: UHCCP DNSP |
$140.14
|
| Rate for Payer: UHCCP Medicaid |
$91.80
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
OP
|
$543.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$380.64 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$488.70
|
| 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 |
$526.71
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$447.70
|
| Rate for Payer: BCN Commercial |
$447.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$510.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$526.71
|
| Rate for Payer: Healthscope Whirlpool |
$543.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$488.70
|
| 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 |
$461.55
|
| Rate for Payer: Nomi Health Commercial |
$445.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| 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 |
$475.78
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$380.64
|
| 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 S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$543.00
|
|
|
Service Code
|
HCPCS 11623
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$407.25 |
| Rate for Payer: Aetna Commercial |
$232.87
|
| Rate for Payer: Aetna Medicare |
$173.78
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$173.78
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.78
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$250.24
|
| Rate for Payer: Cofinity Commercial |
$232.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.78
|
| Rate for Payer: Healthscope Commercial |
$208.54
|
| Rate for Payer: Healthscope Whirlpool |
$208.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.47
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.16
|
| Rate for Payer: Nomi Health Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PACE SWMI |
$173.78
|
| Rate for Payer: PHP Medicare Advantage |
$173.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$287.14
|
| Rate for Payer: Priority Health Medicare |
$173.78
|
| Rate for Payer: Priority Health Narrow Network |
$287.14
|
| Rate for Payer: Railroad Medicare Medicare |
$173.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$365.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.78
|
| Rate for Payer: UHC Exchange |
$365.14
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP DNSP |
$173.78
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$543.00
|
|
|
Service Code
|
HCPCS 11623
|
| Hospital Charge Code |
11623
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$407.25 |
| Rate for Payer: Aetna Commercial |
$232.87
|
| Rate for Payer: Aetna Medicare |
$173.78
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$173.78
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.78
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$250.24
|
| Rate for Payer: Cofinity Commercial |
$232.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.78
|
| Rate for Payer: Healthscope Commercial |
$208.54
|
| Rate for Payer: Healthscope Whirlpool |
$208.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.47
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.16
|
| Rate for Payer: Nomi Health Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PACE SWMI |
$173.78
|
| Rate for Payer: PHP Medicare Advantage |
$173.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$287.14
|
| Rate for Payer: Priority Health Medicare |
$173.78
|
| Rate for Payer: Priority Health Narrow Network |
$287.14
|
| Rate for Payer: Railroad Medicare Medicare |
$173.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$365.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.78
|
| Rate for Payer: UHC Exchange |
$365.14
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP DNSP |
$173.78
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
IP
|
$543.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$407.25 |
| Max. Negotiated Rate |
$543.00 |
| Rate for Payer: Aetna Commercial |
$488.70
|
| Rate for Payer: ASR ASR |
$526.71
|
| Rate for Payer: BCBS Trust/PPO |
$445.91
|
| Rate for Payer: BCN Commercial |
$445.91
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$510.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.40
|
| Rate for Payer: Healthscope Commercial |
$526.71
|
| Rate for Payer: Healthscope Whirlpool |
$543.00
|
| Rate for Payer: Mclaren Commercial |
$488.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.55
|
| Rate for Payer: Nomi Health Commercial |
$445.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
IP
|
$613.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$459.75 |
| Max. Negotiated Rate |
$613.00 |
| Rate for Payer: Aetna Commercial |
$551.70
|
| Rate for Payer: ASR ASR |
$594.61
|
| Rate for Payer: BCBS Trust/PPO |
$503.40
|
| Rate for Payer: BCN Commercial |
$503.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$576.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$490.40
|
| Rate for Payer: Healthscope Commercial |
$594.61
|
| Rate for Payer: Healthscope Whirlpool |
$613.00
|
| Rate for Payer: Mclaren Commercial |
$551.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$521.05
|
| Rate for Payer: Nomi Health Commercial |
$502.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
OP
|
$613.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$429.71 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$551.70
|
| 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 |
$594.61
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$505.42
|
| Rate for Payer: BCN Commercial |
$505.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$576.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$490.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$594.61
|
| Rate for Payer: Healthscope Whirlpool |
$613.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$551.70
|
| 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 |
$521.05
|
| Rate for Payer: Nomi Health Commercial |
$502.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| 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 |
$537.11
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$429.71
|
| 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 S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$613.00
|
|
|
Service Code
|
HCPCS 11624
|
| Hospital Charge Code |
11624
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$459.75 |
| Rate for Payer: Aetna Commercial |
$266.83
|
| Rate for Payer: Aetna Medicare |
$199.13
|
| Rate for Payer: BCBS Complete |
$135.97
|
| Rate for Payer: BCBS MAPPO |
$199.13
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: BCN Medicare Advantage |
$199.13
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$286.75
|
| Rate for Payer: Cofinity Commercial |
$266.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.13
|
| Rate for Payer: Healthscope Commercial |
$238.96
|
| Rate for Payer: Healthscope Whirlpool |
$238.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.09
|
| Rate for Payer: Meridian Medicaid |
$135.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.04
|
| Rate for Payer: Nomi Health Commercial |
$238.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PACE SWMI |
$199.13
|
| Rate for Payer: PHP Medicare Advantage |
$199.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$325.89
|
| Rate for Payer: Priority Health Medicare |
$199.13
|
| Rate for Payer: Priority Health Narrow Network |
$325.89
|
| Rate for Payer: Railroad Medicare Medicare |
$199.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$415.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.13
|
| Rate for Payer: UHC Exchange |
$415.49
|
| Rate for Payer: UHC Medicaid |
$129.50
|
| Rate for Payer: UHCCP DNSP |
$199.13
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$613.00
|
|
|
Service Code
|
HCPCS 11624
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$459.75 |
| Rate for Payer: Aetna Commercial |
$266.83
|
| Rate for Payer: Aetna Medicare |
$199.13
|
| Rate for Payer: BCBS Complete |
$135.97
|
| Rate for Payer: BCBS MAPPO |
$199.13
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: BCN Medicare Advantage |
$199.13
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$286.75
|
| Rate for Payer: Cofinity Commercial |
$266.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.13
|
| Rate for Payer: Healthscope Commercial |
$238.96
|
| Rate for Payer: Healthscope Whirlpool |
$238.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.09
|
| Rate for Payer: Meridian Medicaid |
$135.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.04
|
| Rate for Payer: Nomi Health Commercial |
$238.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PACE SWMI |
$199.13
|
| Rate for Payer: PHP Medicare Advantage |
$199.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$325.89
|
| Rate for Payer: Priority Health Medicare |
$199.13
|
| Rate for Payer: Priority Health Narrow Network |
$325.89
|
| Rate for Payer: Railroad Medicare Medicare |
$199.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$415.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.13
|
| Rate for Payer: UHC Exchange |
$415.49
|
| Rate for Payer: UHC Medicaid |
$129.50
|
| Rate for Payer: UHCCP DNSP |
$199.13
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 11626
|
| Hospital Charge Code |
11626
|
| Min. Negotiated Rate |
$162.09 |
| Max. Negotiated Rate |
$718.50 |
| Rate for Payer: Aetna Commercial |
$335.80
|
| Rate for Payer: Aetna Medicare |
$250.60
|
| Rate for Payer: BCBS Complete |
$170.19
|
| Rate for Payer: BCBS MAPPO |
$250.60
|
| Rate for Payer: BCN Commercial |
$343.61
|
| Rate for Payer: BCN Medicare Advantage |
$250.60
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$360.86
|
| Rate for Payer: Cofinity Commercial |
$335.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.60
|
| Rate for Payer: Healthscope Commercial |
$300.72
|
| Rate for Payer: Healthscope Whirlpool |
$300.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.13
|
| Rate for Payer: Meridian Medicaid |
$170.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.66
|
| Rate for Payer: Nomi Health Commercial |
$300.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE SWMI |
$250.60
|
| Rate for Payer: PHP Medicare Advantage |
$250.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$398.81
|
| Rate for Payer: Priority Health Medicare |
$250.60
|
| Rate for Payer: Priority Health Narrow Network |
$398.81
|
| Rate for Payer: Railroad Medicare Medicare |
$250.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$513.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.60
|
| Rate for Payer: UHC Exchange |
$513.46
|
| Rate for Payer: UHC Medicaid |
$162.09
|
| Rate for Payer: UHCCP DNSP |
$250.60
|
| Rate for Payer: UHCCP Medicaid |
$162.09
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
IP
|
$958.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$718.50 |
| Max. Negotiated Rate |
$958.00 |
| Rate for Payer: Aetna Commercial |
$862.20
|
| Rate for Payer: ASR ASR |
$929.26
|
| Rate for Payer: BCBS Trust/PPO |
$786.71
|
| Rate for Payer: BCN Commercial |
$786.71
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$900.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$766.40
|
| Rate for Payer: Healthscope Commercial |
$929.26
|
| Rate for Payer: Healthscope Whirlpool |
$958.00
|
| Rate for Payer: Mclaren Commercial |
$862.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$814.30
|
| Rate for Payer: Nomi Health Commercial |
$785.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$162.09 |
| Max. Negotiated Rate |
$718.50 |
| Rate for Payer: Aetna Commercial |
$335.80
|
| Rate for Payer: Aetna Medicare |
$250.60
|
| Rate for Payer: BCBS Complete |
$170.19
|
| Rate for Payer: BCBS MAPPO |
$250.60
|
| Rate for Payer: BCN Commercial |
$343.61
|
| Rate for Payer: BCN Medicare Advantage |
$250.60
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$360.86
|
| Rate for Payer: Cofinity Commercial |
$335.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.60
|
| Rate for Payer: Healthscope Commercial |
$300.72
|
| Rate for Payer: Healthscope Whirlpool |
$300.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.13
|
| Rate for Payer: Meridian Medicaid |
$170.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.66
|
| Rate for Payer: Nomi Health Commercial |
$300.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE SWMI |
$250.60
|
| Rate for Payer: PHP Medicare Advantage |
$250.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$398.81
|
| Rate for Payer: Priority Health Medicare |
$250.60
|
| Rate for Payer: Priority Health Narrow Network |
$398.81
|
| Rate for Payer: Railroad Medicare Medicare |
$250.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$513.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.60
|
| Rate for Payer: UHC Exchange |
$513.46
|
| Rate for Payer: UHC Medicaid |
$162.09
|
| Rate for Payer: UHCCP DNSP |
$250.60
|
| Rate for Payer: UHCCP Medicaid |
$162.09
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
OP
|
$958.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$671.56 |
| Max. Negotiated Rate |
$3,617.84 |
| Rate for Payer: Aetna Commercial |
$862.20
|
| 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 |
$929.26
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$789.87
|
| Rate for Payer: BCN Commercial |
$789.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$900.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$766.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$929.26
|
| Rate for Payer: Healthscope Whirlpool |
$958.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$862.20
|
| 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 |
$814.30
|
| Rate for Payer: Nomi Health Commercial |
$785.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| 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 |
$839.40
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$671.56
|
| 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 TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
OP
|
$827.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$579.73 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$744.30
|
| 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 |
$802.19
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$681.86
|
| Rate for Payer: BCN Commercial |
$681.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$777.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$661.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$802.19
|
| Rate for Payer: Healthscope Whirlpool |
$827.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$744.30
|
| 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 |
$702.95
|
| Rate for Payer: Nomi Health Commercial |
$678.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| 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 |
$724.62
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$579.73
|
| 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 TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
IP
|
$827.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$620.25 |
| Max. Negotiated Rate |
$827.00 |
| Rate for Payer: Aetna Commercial |
$744.30
|
| Rate for Payer: ASR ASR |
$802.19
|
| Rate for Payer: BCBS Trust/PPO |
$679.13
|
| Rate for Payer: BCN Commercial |
$679.13
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$777.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$661.60
|
| Rate for Payer: Healthscope Commercial |
$802.19
|
| Rate for Payer: Healthscope Whirlpool |
$827.00
|
| Rate for Payer: Mclaren Commercial |
$744.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$702.95
|
| Rate for Payer: Nomi Health Commercial |
$678.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 11606
|
| Hospital Charge Code |
11606
|
| Min. Negotiated Rate |
$175.51 |
| Max. Negotiated Rate |
$620.25 |
| Rate for Payer: Aetna Commercial |
$363.88
|
| Rate for Payer: Aetna Medicare |
$271.55
|
| Rate for Payer: BCBS Complete |
$184.29
|
| Rate for Payer: BCBS MAPPO |
$271.55
|
| Rate for Payer: BCN Commercial |
$473.08
|
| Rate for Payer: BCN Medicare Advantage |
$271.55
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$391.03
|
| Rate for Payer: Cofinity Commercial |
$363.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.55
|
| Rate for Payer: Healthscope Commercial |
$325.86
|
| Rate for Payer: Healthscope Whirlpool |
$325.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.13
|
| Rate for Payer: Meridian Medicaid |
$184.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.70
|
| Rate for Payer: Nomi Health Commercial |
$325.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PACE SWMI |
$271.55
|
| Rate for Payer: PHP Medicare Advantage |
$271.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$432.99
|
| Rate for Payer: Priority Health Medicare |
$271.55
|
| Rate for Payer: Priority Health Narrow Network |
$432.99
|
| Rate for Payer: Railroad Medicare Medicare |
$271.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$556.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$271.55
|
| Rate for Payer: UHC Exchange |
$556.71
|
| Rate for Payer: UHC Medicaid |
$175.51
|
| Rate for Payer: UHCCP DNSP |
$271.55
|
| Rate for Payer: UHCCP Medicaid |
$175.51
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 11606
|
| Min. Negotiated Rate |
$175.51 |
| Max. Negotiated Rate |
$620.25 |
| Rate for Payer: Aetna Commercial |
$363.88
|
| Rate for Payer: Aetna Medicare |
$271.55
|
| Rate for Payer: BCBS Complete |
$184.29
|
| Rate for Payer: BCBS MAPPO |
$271.55
|
| Rate for Payer: BCN Commercial |
$473.08
|
| Rate for Payer: BCN Medicare Advantage |
$271.55
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$391.03
|
| Rate for Payer: Cofinity Commercial |
$363.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.55
|
| Rate for Payer: Healthscope Commercial |
$325.86
|
| Rate for Payer: Healthscope Whirlpool |
$325.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.13
|
| Rate for Payer: Meridian Medicaid |
$184.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.70
|
| Rate for Payer: Nomi Health Commercial |
$325.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PACE SWMI |
$271.55
|
| Rate for Payer: PHP Medicare Advantage |
$271.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$432.99
|
| Rate for Payer: Priority Health Medicare |
$271.55
|
| Rate for Payer: Priority Health Narrow Network |
$432.99
|
| Rate for Payer: Railroad Medicare Medicare |
$271.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$556.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$271.55
|
| Rate for Payer: UHC Exchange |
$556.71
|
| Rate for Payer: UHC Medicaid |
$175.51
|
| Rate for Payer: UHCCP DNSP |
$271.55
|
| Rate for Payer: UHCCP Medicaid |
$175.51
|
|
|
PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 21045
|
| Min. Negotiated Rate |
$676.70 |
| Max. Negotiated Rate |
$2,104.15 |
| Rate for Payer: Aetna Commercial |
$1,394.16
|
| Rate for Payer: Aetna Medicare |
$1,040.42
|
| Rate for Payer: BCBS Complete |
$710.53
|
| Rate for Payer: BCBS MAPPO |
$1,040.42
|
| Rate for Payer: BCN Commercial |
$1,800.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,040.42
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cofinity Commercial |
$1,498.20
|
| Rate for Payer: Cofinity Commercial |
$1,394.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,040.42
|
| Rate for Payer: Healthscope Commercial |
$1,248.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,248.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,092.44
|
| Rate for Payer: Meridian Medicaid |
$710.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,144.46
|
| Rate for Payer: Nomi Health Commercial |
$1,248.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,715.25
|
| Rate for Payer: PACE SWMI |
$1,040.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,040.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$676.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,924.37
|
| Rate for Payer: Priority Health Medicare |
$1,040.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,924.37
|
| Rate for Payer: Railroad Medicare Medicare |
$1,040.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,104.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,040.42
|
| Rate for Payer: UHC Exchange |
$2,104.15
|
| Rate for Payer: UHC Medicaid |
$676.70
|
| Rate for Payer: UHCCP DNSP |
$1,040.42
|
| Rate for Payer: UHCCP Medicaid |
$676.70
|
|
|
PR EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA
|
Professional
|
Both
|
$2,837.00
|
|
|
Service Code
|
HCPCS 21034
|
| Min. Negotiated Rate |
$630.05 |
| Max. Negotiated Rate |
$2,127.75 |
| Rate for Payer: Aetna Commercial |
$1,298.90
|
| Rate for Payer: Aetna Medicare |
$969.33
|
| Rate for Payer: BCBS Complete |
$661.55
|
| Rate for Payer: BCBS MAPPO |
$969.33
|
| Rate for Payer: BCN Commercial |
$1,688.66
|
| Rate for Payer: BCN Medicare Advantage |
$969.33
|
| Rate for Payer: Cash Price |
$2,269.60
|
| Rate for Payer: Cash Price |
$2,269.60
|
| Rate for Payer: Cofinity Commercial |
$1,395.84
|
| Rate for Payer: Cofinity Commercial |
$1,298.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$969.33
|
| Rate for Payer: Healthscope Commercial |
$1,163.20
|
| Rate for Payer: Healthscope Whirlpool |
$1,163.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,017.80
|
| Rate for Payer: Meridian Medicaid |
$661.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,066.26
|
| Rate for Payer: Nomi Health Commercial |
$1,163.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,127.75
|
| Rate for Payer: PACE SWMI |
$969.33
|
| Rate for Payer: PHP Medicare Advantage |
$969.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$630.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,805.12
|
| Rate for Payer: Priority Health Medicare |
$969.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,805.12
|
| Rate for Payer: Railroad Medicare Medicare |
$969.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,979.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$969.33
|
| Rate for Payer: UHC Exchange |
$1,979.46
|
| Rate for Payer: UHC Medicaid |
$630.05
|
| Rate for Payer: UHCCP DNSP |
$969.33
|
| Rate for Payer: UHCCP Medicaid |
$630.05
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 11600
|
| Min. Negotiated Rate |
$69.23 |
| Max. Negotiated Rate |
$246.00 |
| Rate for Payer: Aetna Commercial |
$141.02
|
| Rate for Payer: Aetna Medicare |
$105.24
|
| Rate for Payer: BCBS Complete |
$72.69
|
| Rate for Payer: BCBS MAPPO |
$105.24
|
| Rate for Payer: BCN Commercial |
$183.76
|
| Rate for Payer: BCN Medicare Advantage |
$105.24
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$151.55
|
| Rate for Payer: Cofinity Commercial |
$141.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.24
|
| Rate for Payer: Healthscope Commercial |
$126.29
|
| Rate for Payer: Healthscope Whirlpool |
$126.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.50
|
| Rate for Payer: Meridian Medicaid |
$72.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$115.76
|
| Rate for Payer: Nomi Health Commercial |
$126.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.00
|
| Rate for Payer: PACE SWMI |
$105.24
|
| Rate for Payer: PHP Medicare Advantage |
$105.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$168.19
|
| Rate for Payer: Priority Health Medicare |
$105.24
|
| Rate for Payer: Priority Health Narrow Network |
$168.19
|
| Rate for Payer: Railroad Medicare Medicare |
$105.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$208.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$105.24
|
| Rate for Payer: UHC Exchange |
$208.61
|
| Rate for Payer: UHC Medicaid |
$69.23
|
| Rate for Payer: UHCCP DNSP |
$105.24
|
| Rate for Payer: UHCCP Medicaid |
$69.23
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$388.00
|
|
|
Service Code
|
HCPCS 11601
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$291.00 |
| Rate for Payer: Aetna Commercial |
$167.10
|
| Rate for Payer: Aetna Medicare |
$124.70
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$124.70
|
| Rate for Payer: BCN Commercial |
$175.93
|
| Rate for Payer: BCN Medicare Advantage |
$124.70
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Cofinity Commercial |
$179.57
|
| Rate for Payer: Cofinity Commercial |
$167.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.70
|
| Rate for Payer: Healthscope Commercial |
$149.64
|
| Rate for Payer: Healthscope Whirlpool |
$149.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.94
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$137.17
|
| Rate for Payer: Nomi Health Commercial |
$149.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$291.00
|
| Rate for Payer: PACE SWMI |
$124.70
|
| Rate for Payer: PHP Medicare Advantage |
$124.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$204.19
|
| Rate for Payer: Priority Health Medicare |
$124.70
|
| Rate for Payer: Priority Health Narrow Network |
$204.19
|
| Rate for Payer: Railroad Medicare Medicare |
$124.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$255.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$124.70
|
| Rate for Payer: UHC Exchange |
$255.99
|
| Rate for Payer: UHC Medicaid |
$81.79
|
| Rate for Payer: UHCCP DNSP |
$124.70
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$422.00
|
|
|
Service Code
|
HCPCS 11602
|
| Min. Negotiated Rate |
$87.12 |
| Max. Negotiated Rate |
$316.50 |
| Rate for Payer: Aetna Commercial |
$177.97
|
| Rate for Payer: Aetna Medicare |
$132.81
|
| Rate for Payer: BCBS Complete |
$91.48
|
| Rate for Payer: BCBS MAPPO |
$132.81
|
| Rate for Payer: BCN Commercial |
$191.24
|
| Rate for Payer: BCN Medicare Advantage |
$132.81
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cofinity Commercial |
$191.25
|
| Rate for Payer: Cofinity Commercial |
$177.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.81
|
| Rate for Payer: Healthscope Commercial |
$159.37
|
| Rate for Payer: Healthscope Whirlpool |
$159.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.45
|
| Rate for Payer: Meridian Medicaid |
$91.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$146.09
|
| Rate for Payer: Nomi Health Commercial |
$159.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$316.50
|
| Rate for Payer: PACE SWMI |
$132.81
|
| Rate for Payer: PHP Medicare Advantage |
$132.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$221.97
|
| Rate for Payer: Priority Health Medicare |
$132.81
|
| Rate for Payer: Priority Health Narrow Network |
$221.97
|
| Rate for Payer: Railroad Medicare Medicare |
$132.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.81
|
| Rate for Payer: UHC Exchange |
$279.46
|
| Rate for Payer: UHC Medicaid |
$87.12
|
| Rate for Payer: UHCCP DNSP |
$132.81
|
| Rate for Payer: UHCCP Medicaid |
$87.12
|
|
