|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,383.00
|
|
|
Service Code
|
HCPCS 11771
|
| Hospital Charge Code |
11771
|
| Min. Negotiated Rate |
$281.80 |
| Max. Negotiated Rate |
$1,037.25 |
| Rate for Payer: Aetna Commercial |
$577.58
|
| Rate for Payer: Aetna Medicare |
$431.03
|
| Rate for Payer: BCBS Complete |
$295.89
|
| Rate for Payer: BCBS MAPPO |
$431.03
|
| Rate for Payer: BCN Commercial |
$682.23
|
| Rate for Payer: BCN Medicare Advantage |
$431.03
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cofinity Commercial |
$620.68
|
| Rate for Payer: Cofinity Commercial |
$577.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.03
|
| Rate for Payer: Healthscope Commercial |
$517.24
|
| Rate for Payer: Healthscope Whirlpool |
$517.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.58
|
| Rate for Payer: Meridian Medicaid |
$295.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$474.13
|
| Rate for Payer: Nomi Health Commercial |
$517.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,037.25
|
| Rate for Payer: PACE SWMI |
$431.03
|
| Rate for Payer: PHP Medicare Advantage |
$431.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$624.42
|
| Rate for Payer: Priority Health Medicare |
$431.03
|
| Rate for Payer: Priority Health Narrow Network |
$624.42
|
| Rate for Payer: Railroad Medicare Medicare |
$431.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$771.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$431.03
|
| Rate for Payer: UHC Exchange |
$771.69
|
| Rate for Payer: UHC Medicaid |
$281.80
|
| Rate for Payer: UHCCP DNSP |
$431.03
|
| Rate for Payer: UHCCP Medicaid |
$281.80
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
OP
|
$1,383.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$969.48 |
| Max. Negotiated Rate |
$3,617.84 |
| Rate for Payer: Aetna Commercial |
$1,244.70
|
| 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 |
$1,341.51
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.28
|
| Rate for Payer: BCN Commercial |
$1,140.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cofinity Commercial |
$1,300.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,106.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$1,341.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,383.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$1,244.70
|
| 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 |
$1,175.55
|
| Rate for Payer: Nomi Health Commercial |
$1,134.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,037.25
|
| 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 |
$1,211.78
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$969.48
|
| 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 PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$536.00
|
|
|
Service Code
|
HCPCS 11770
|
| Hospital Charge Code |
11770
|
| Min. Negotiated Rate |
$115.45 |
| Max. Negotiated Rate |
$402.00 |
| Rate for Payer: Aetna Commercial |
$237.46
|
| Rate for Payer: Aetna Medicare |
$177.21
|
| Rate for Payer: BCBS Complete |
$121.22
|
| Rate for Payer: BCBS MAPPO |
$177.21
|
| Rate for Payer: BCN Commercial |
$278.87
|
| Rate for Payer: BCN Medicare Advantage |
$177.21
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cofinity Commercial |
$255.18
|
| Rate for Payer: Cofinity Commercial |
$237.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.21
|
| Rate for Payer: Healthscope Commercial |
$212.65
|
| Rate for Payer: Healthscope Whirlpool |
$212.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.07
|
| Rate for Payer: Meridian Medicaid |
$121.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.93
|
| Rate for Payer: Nomi Health Commercial |
$212.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.00
|
| Rate for Payer: PACE SWMI |
$177.21
|
| Rate for Payer: PHP Medicare Advantage |
$177.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$255.24
|
| Rate for Payer: Priority Health Medicare |
$177.21
|
| Rate for Payer: Priority Health Narrow Network |
$255.24
|
| Rate for Payer: Railroad Medicare Medicare |
$177.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$323.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$177.21
|
| Rate for Payer: UHC Exchange |
$323.97
|
| Rate for Payer: UHC Medicaid |
$115.45
|
| Rate for Payer: UHCCP DNSP |
$177.21
|
| Rate for Payer: UHCCP Medicaid |
$115.45
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$536.00
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$115.45 |
| Max. Negotiated Rate |
$402.00 |
| Rate for Payer: Aetna Commercial |
$237.46
|
| Rate for Payer: Aetna Medicare |
$177.21
|
| Rate for Payer: BCBS Complete |
$121.22
|
| Rate for Payer: BCBS MAPPO |
$177.21
|
| Rate for Payer: BCN Commercial |
$278.87
|
| Rate for Payer: BCN Medicare Advantage |
$177.21
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cofinity Commercial |
$255.18
|
| Rate for Payer: Cofinity Commercial |
$237.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.21
|
| Rate for Payer: Healthscope Commercial |
$212.65
|
| Rate for Payer: Healthscope Whirlpool |
$212.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.07
|
| Rate for Payer: Meridian Medicaid |
$121.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.93
|
| Rate for Payer: Nomi Health Commercial |
$212.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.00
|
| Rate for Payer: PACE SWMI |
$177.21
|
| Rate for Payer: PHP Medicare Advantage |
$177.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$255.24
|
| Rate for Payer: Priority Health Medicare |
$177.21
|
| Rate for Payer: Priority Health Narrow Network |
$255.24
|
| Rate for Payer: Railroad Medicare Medicare |
$177.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$323.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$177.21
|
| Rate for Payer: UHC Exchange |
$323.97
|
| Rate for Payer: UHC Medicaid |
$115.45
|
| Rate for Payer: UHCCP DNSP |
$177.21
|
| Rate for Payer: UHCCP Medicaid |
$115.45
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$536.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$402.00 |
| Max. Negotiated Rate |
$536.00 |
| Rate for Payer: Aetna Commercial |
$482.40
|
| Rate for Payer: ASR ASR |
$519.92
|
| Rate for Payer: BCBS Trust/PPO |
$440.16
|
| Rate for Payer: BCN Commercial |
$440.16
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cofinity Commercial |
$503.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.80
|
| Rate for Payer: Healthscope Commercial |
$519.92
|
| Rate for Payer: Healthscope Whirlpool |
$536.00
|
| Rate for Payer: Mclaren Commercial |
$482.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$455.60
|
| Rate for Payer: Nomi Health Commercial |
$439.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.00
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$536.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$375.74 |
| Max. Negotiated Rate |
$3,617.84 |
| Rate for Payer: Aetna Commercial |
$482.40
|
| 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 |
$519.92
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$441.93
|
| Rate for Payer: BCN Commercial |
$441.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cofinity Commercial |
$503.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$519.92
|
| Rate for Payer: Healthscope Whirlpool |
$536.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$482.40
|
| 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 |
$455.60
|
| Rate for Payer: Nomi Health Commercial |
$439.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.00
|
| 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 |
$469.64
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$375.74
|
| 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 PREPATELLAR BURSA
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$235.79 |
| Max. Negotiated Rate |
$1,005.00 |
| Rate for Payer: Aetna Commercial |
$477.25
|
| Rate for Payer: Aetna Medicare |
$356.16
|
| Rate for Payer: BCBS Complete |
$247.58
|
| Rate for Payer: BCBS MAPPO |
$356.16
|
| Rate for Payer: BCN Commercial |
$580.15
|
| Rate for Payer: BCN Medicare Advantage |
$356.16
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cofinity Commercial |
$512.87
|
| Rate for Payer: Cofinity Commercial |
$477.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.16
|
| Rate for Payer: Healthscope Commercial |
$427.39
|
| Rate for Payer: Healthscope Whirlpool |
$427.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.97
|
| Rate for Payer: Meridian Medicaid |
$247.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$391.78
|
| Rate for Payer: Nomi Health Commercial |
$427.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.00
|
| Rate for Payer: PACE SWMI |
$356.16
|
| Rate for Payer: PHP Medicare Advantage |
$356.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$235.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$620.17
|
| Rate for Payer: Priority Health Medicare |
$356.16
|
| Rate for Payer: Priority Health Narrow Network |
$620.17
|
| Rate for Payer: Railroad Medicare Medicare |
$356.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$642.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$356.16
|
| Rate for Payer: UHC Exchange |
$642.34
|
| Rate for Payer: UHC Medicaid |
$235.79
|
| Rate for Payer: UHCCP DNSP |
$356.16
|
| Rate for Payer: UHCCP Medicaid |
$235.79
|
|
|
PR EXCISION RADIAL HEAD
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 24130
|
| Min. Negotiated Rate |
$309.49 |
| Max. Negotiated Rate |
$970.50 |
| Rate for Payer: Aetna Commercial |
$630.01
|
| Rate for Payer: Aetna Medicare |
$470.16
|
| Rate for Payer: BCBS Complete |
$324.96
|
| Rate for Payer: BCBS MAPPO |
$470.16
|
| Rate for Payer: BCN Commercial |
$790.79
|
| Rate for Payer: BCN Medicare Advantage |
$470.16
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cofinity Commercial |
$677.03
|
| Rate for Payer: Cofinity Commercial |
$630.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$470.16
|
| Rate for Payer: Healthscope Commercial |
$564.19
|
| Rate for Payer: Healthscope Whirlpool |
$564.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$493.67
|
| Rate for Payer: Meridian Medicaid |
$324.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$517.18
|
| Rate for Payer: Nomi Health Commercial |
$564.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$970.50
|
| Rate for Payer: PACE SWMI |
$470.16
|
| Rate for Payer: PHP Medicare Advantage |
$470.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$845.33
|
| Rate for Payer: Priority Health Medicare |
$470.16
|
| Rate for Payer: Priority Health Narrow Network |
$845.33
|
| Rate for Payer: Railroad Medicare Medicare |
$470.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$884.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$470.16
|
| Rate for Payer: UHC Exchange |
$884.72
|
| Rate for Payer: UHC Medicaid |
$309.49
|
| Rate for Payer: UHCCP DNSP |
$470.16
|
| Rate for Payer: UHCCP Medicaid |
$309.49
|
|
|
PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,187.00
|
|
|
Service Code
|
HCPCS 67961
|
| Min. Negotiated Rate |
$249.00 |
| Max. Negotiated Rate |
$890.25 |
| Rate for Payer: Aetna Commercial |
$504.47
|
| Rate for Payer: Aetna Medicare |
$376.47
|
| Rate for Payer: BCBS Complete |
$261.45
|
| Rate for Payer: BCBS MAPPO |
$376.47
|
| Rate for Payer: BCN Commercial |
$674.27
|
| Rate for Payer: BCN Medicare Advantage |
$376.47
|
| Rate for Payer: Cash Price |
$949.60
|
| Rate for Payer: Cash Price |
$949.60
|
| Rate for Payer: Cofinity Commercial |
$542.12
|
| Rate for Payer: Cofinity Commercial |
$504.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.47
|
| Rate for Payer: Healthscope Commercial |
$451.76
|
| Rate for Payer: Healthscope Whirlpool |
$451.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$395.29
|
| Rate for Payer: Meridian Medicaid |
$261.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$414.12
|
| Rate for Payer: Nomi Health Commercial |
$451.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$890.25
|
| Rate for Payer: PACE SWMI |
$376.47
|
| Rate for Payer: PHP Medicare Advantage |
$376.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$789.79
|
| Rate for Payer: Priority Health Medicare |
$376.47
|
| Rate for Payer: Priority Health Narrow Network |
$789.79
|
| Rate for Payer: Railroad Medicare Medicare |
$376.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$772.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$376.47
|
| Rate for Payer: UHC Exchange |
$772.66
|
| Rate for Payer: UHC Medicaid |
$249.00
|
| Rate for Payer: UHCCP DNSP |
$376.47
|
| Rate for Payer: UHCCP Medicaid |
$249.00
|
|
|
PR EXCISION RIB PARTIAL
|
Professional
|
Both
|
$1,674.00
|
|
|
Service Code
|
HCPCS 21600
|
| Min. Negotiated Rate |
$362.10 |
| Max. Negotiated Rate |
$1,255.50 |
| Rate for Payer: Aetna Commercial |
$738.49
|
| Rate for Payer: Aetna Medicare |
$551.11
|
| Rate for Payer: BCBS Complete |
$380.20
|
| Rate for Payer: BCBS MAPPO |
$551.11
|
| Rate for Payer: BCN Commercial |
$870.97
|
| Rate for Payer: BCN Medicare Advantage |
$551.11
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cofinity Commercial |
$793.60
|
| Rate for Payer: Cofinity Commercial |
$738.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$551.11
|
| Rate for Payer: Healthscope Commercial |
$661.33
|
| Rate for Payer: Healthscope Whirlpool |
$661.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$578.67
|
| Rate for Payer: Meridian Medicaid |
$380.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$606.22
|
| Rate for Payer: Nomi Health Commercial |
$661.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,255.50
|
| Rate for Payer: PACE SWMI |
$551.11
|
| Rate for Payer: PHP Medicare Advantage |
$551.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$931.04
|
| Rate for Payer: Priority Health Medicare |
$551.11
|
| Rate for Payer: Priority Health Narrow Network |
$931.04
|
| Rate for Payer: Railroad Medicare Medicare |
$551.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$962.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$551.11
|
| Rate for Payer: UHC Exchange |
$962.92
|
| Rate for Payer: UHC Medicaid |
$362.10
|
| Rate for Payer: UHCCP DNSP |
$551.11
|
| Rate for Payer: UHCCP Medicaid |
$362.10
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,209.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$429.41 |
| Max. Negotiated Rate |
$1,225.24 |
| Rate for Payer: Aetna Commercial |
$885.34
|
| Rate for Payer: Aetna Medicare |
$660.70
|
| Rate for Payer: BCBS Complete |
$450.88
|
| Rate for Payer: BCBS MAPPO |
$660.70
|
| Rate for Payer: BCN Commercial |
$1,066.68
|
| Rate for Payer: BCN Medicare Advantage |
$660.70
|
| Rate for Payer: Cash Price |
$967.20
|
| Rate for Payer: Cash Price |
$967.20
|
| Rate for Payer: Cofinity Commercial |
$951.41
|
| Rate for Payer: Cofinity Commercial |
$885.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$660.70
|
| Rate for Payer: Healthscope Commercial |
$792.84
|
| Rate for Payer: Healthscope Whirlpool |
$792.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$693.74
|
| Rate for Payer: Meridian Medicaid |
$450.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$726.77
|
| Rate for Payer: Nomi Health Commercial |
$792.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$906.75
|
| Rate for Payer: PACE SWMI |
$660.70
|
| Rate for Payer: PHP Medicare Advantage |
$660.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$976.28
|
| Rate for Payer: Priority Health Medicare |
$660.70
|
| Rate for Payer: Priority Health Narrow Network |
$976.28
|
| Rate for Payer: Railroad Medicare Medicare |
$660.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,225.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$660.70
|
| Rate for Payer: UHC Exchange |
$1,225.24
|
| Rate for Payer: UHC Medicaid |
$429.41
|
| Rate for Payer: UHCCP DNSP |
$660.70
|
| Rate for Payer: UHCCP Medicaid |
$429.41
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
IP
|
$453.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$339.75 |
| Max. Negotiated Rate |
$453.00 |
| Rate for Payer: Aetna Commercial |
$407.70
|
| Rate for Payer: ASR ASR |
$439.41
|
| Rate for Payer: BCBS Trust/PPO |
$372.00
|
| Rate for Payer: BCN Commercial |
$372.00
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cofinity Commercial |
$425.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.40
|
| Rate for Payer: Healthscope Commercial |
$439.41
|
| Rate for Payer: Healthscope Whirlpool |
$453.00
|
| Rate for Payer: Mclaren Commercial |
$407.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.05
|
| Rate for Payer: Nomi Health Commercial |
$371.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.75
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$453.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$317.55 |
| Max. Negotiated Rate |
$1,490.42 |
| Rate for Payer: Aetna Commercial |
$407.70
|
| Rate for Payer: Aetna Medicare |
$1,192.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,490.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,490.42
|
| Rate for Payer: ASR ASR |
$439.41
|
| Rate for Payer: BCBS Complete |
$654.83
|
| Rate for Payer: BCBS MAPPO |
$1,192.34
|
| Rate for Payer: BCBS Trust/PPO |
$373.50
|
| Rate for Payer: BCN Commercial |
$373.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.34
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cofinity Commercial |
$425.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$439.41
|
| Rate for Payer: Healthscope Whirlpool |
$453.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,192.34
|
| Rate for Payer: Mclaren Commercial |
$407.70
|
| Rate for Payer: Mclaren Medicaid |
$1,192.34
|
| Rate for Payer: Mclaren Medicare |
$1,192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,251.96
|
| Rate for Payer: Meridian Medicaid |
$654.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,371.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,311.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.05
|
| Rate for Payer: Nomi Health Commercial |
$371.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.75
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$1,311.57
|
| Rate for Payer: PHP Medicaid |
$639.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,192.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$396.92
|
| Rate for Payer: Priority Health Medicare |
$1,192.34
|
| Rate for Payer: Priority Health Narrow Network |
$317.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,192.34
|
| Rate for Payer: UHC Medicaid |
$623.59
|
| Rate for Payer: UHCCP DNSP |
$1,192.34
|
| Rate for Payer: UHCCP Medicaid |
$623.59
|
| Rate for Payer: VA VA |
$1,192.34
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$453.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$76.25 |
| Max. Negotiated Rate |
$339.75 |
| Rate for Payer: Aetna Commercial |
$155.21
|
| Rate for Payer: Aetna Medicare |
$115.83
|
| Rate for Payer: BCBS Complete |
$80.06
|
| Rate for Payer: BCBS MAPPO |
$115.83
|
| Rate for Payer: BCN Commercial |
$184.25
|
| Rate for Payer: BCN Medicare Advantage |
$115.83
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cofinity Commercial |
$166.80
|
| Rate for Payer: Cofinity Commercial |
$155.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.83
|
| Rate for Payer: Healthscope Commercial |
$139.00
|
| Rate for Payer: Healthscope Whirlpool |
$139.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.62
|
| Rate for Payer: Meridian Medicaid |
$80.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$127.41
|
| Rate for Payer: Nomi Health Commercial |
$139.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.75
|
| Rate for Payer: PACE SWMI |
$115.83
|
| Rate for Payer: PHP Medicare Advantage |
$115.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$224.50
|
| Rate for Payer: Priority Health Medicare |
$115.83
|
| Rate for Payer: Priority Health Narrow Network |
$224.50
|
| Rate for Payer: Railroad Medicare Medicare |
$115.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.83
|
| Rate for Payer: UHC Exchange |
$207.15
|
| Rate for Payer: UHC Medicaid |
$76.25
|
| Rate for Payer: UHCCP DNSP |
$115.83
|
| Rate for Payer: UHCCP Medicaid |
$76.25
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$453.00
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$76.25 |
| Max. Negotiated Rate |
$339.75 |
| Rate for Payer: Aetna Commercial |
$155.21
|
| Rate for Payer: Aetna Medicare |
$115.83
|
| Rate for Payer: BCBS Complete |
$80.06
|
| Rate for Payer: BCBS MAPPO |
$115.83
|
| Rate for Payer: BCN Commercial |
$184.25
|
| Rate for Payer: BCN Medicare Advantage |
$115.83
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cash Price |
$362.40
|
| Rate for Payer: Cofinity Commercial |
$166.80
|
| Rate for Payer: Cofinity Commercial |
$155.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.83
|
| Rate for Payer: Healthscope Commercial |
$139.00
|
| Rate for Payer: Healthscope Whirlpool |
$139.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.62
|
| Rate for Payer: Meridian Medicaid |
$80.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$127.41
|
| Rate for Payer: Nomi Health Commercial |
$139.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.75
|
| Rate for Payer: PACE SWMI |
$115.83
|
| Rate for Payer: PHP Medicare Advantage |
$115.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$224.50
|
| Rate for Payer: Priority Health Medicare |
$115.83
|
| Rate for Payer: Priority Health Narrow Network |
$224.50
|
| Rate for Payer: Railroad Medicare Medicare |
$115.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.83
|
| Rate for Payer: UHC Exchange |
$207.15
|
| Rate for Payer: UHC Medicaid |
$76.25
|
| Rate for Payer: UHCCP DNSP |
$115.83
|
| Rate for Payer: UHCCP Medicaid |
$76.25
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$151.23 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Aetna Commercial |
$304.14
|
| Rate for Payer: Aetna Medicare |
$226.97
|
| Rate for Payer: BCBS Complete |
$158.79
|
| Rate for Payer: BCBS MAPPO |
$226.97
|
| Rate for Payer: BCN Commercial |
$386.44
|
| Rate for Payer: BCN Medicare Advantage |
$226.97
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cofinity Commercial |
$326.84
|
| Rate for Payer: Cofinity Commercial |
$304.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.97
|
| Rate for Payer: Healthscope Commercial |
$272.36
|
| Rate for Payer: Healthscope Whirlpool |
$272.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.32
|
| Rate for Payer: Meridian Medicaid |
$158.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$249.67
|
| Rate for Payer: Nomi Health Commercial |
$272.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$522.00
|
| Rate for Payer: PACE SWMI |
$226.97
|
| Rate for Payer: PHP Medicare Advantage |
$226.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$381.84
|
| Rate for Payer: Priority Health Medicare |
$226.97
|
| Rate for Payer: Priority Health Narrow Network |
$381.84
|
| Rate for Payer: Railroad Medicare Medicare |
$226.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$426.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$226.97
|
| Rate for Payer: UHC Exchange |
$426.67
|
| Rate for Payer: UHC Medicaid |
$151.23
|
| Rate for Payer: UHCCP DNSP |
$226.97
|
| Rate for Payer: UHCCP Medicaid |
$151.23
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$616.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$190.42 |
| Max. Negotiated Rate |
$563.93 |
| Rate for Payer: Aetna Commercial |
$391.71
|
| Rate for Payer: Aetna Medicare |
$292.32
|
| Rate for Payer: BCBS Complete |
$199.94
|
| Rate for Payer: BCBS MAPPO |
$292.32
|
| Rate for Payer: BCN Commercial |
$486.03
|
| Rate for Payer: BCN Medicare Advantage |
$292.32
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cofinity Commercial |
$420.94
|
| Rate for Payer: Cofinity Commercial |
$391.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.32
|
| Rate for Payer: Healthscope Commercial |
$350.78
|
| Rate for Payer: Healthscope Whirlpool |
$350.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.94
|
| Rate for Payer: Meridian Medicaid |
$199.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$321.55
|
| Rate for Payer: Nomi Health Commercial |
$350.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$462.00
|
| Rate for Payer: PACE SWMI |
$292.32
|
| Rate for Payer: PHP Medicare Advantage |
$292.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$529.44
|
| Rate for Payer: Priority Health Medicare |
$292.32
|
| Rate for Payer: Priority Health Narrow Network |
$529.44
|
| Rate for Payer: Railroad Medicare Medicare |
$292.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$563.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$292.32
|
| Rate for Payer: UHC Exchange |
$563.93
|
| Rate for Payer: UHC Medicaid |
$190.42
|
| Rate for Payer: UHCCP DNSP |
$292.32
|
| Rate for Payer: UHCCP Medicaid |
$190.42
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,340.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$236.22 |
| Max. Negotiated Rate |
$1,755.00 |
| Rate for Payer: Aetna Commercial |
$485.11
|
| Rate for Payer: Aetna Medicare |
$362.02
|
| Rate for Payer: BCBS Complete |
$248.03
|
| Rate for Payer: BCBS MAPPO |
$362.02
|
| Rate for Payer: BCN Commercial |
$628.95
|
| Rate for Payer: BCN Medicare Advantage |
$362.02
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cofinity Commercial |
$521.31
|
| Rate for Payer: Cofinity Commercial |
$485.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$362.02
|
| Rate for Payer: Healthscope Commercial |
$434.42
|
| Rate for Payer: Healthscope Whirlpool |
$434.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$380.12
|
| Rate for Payer: Meridian Medicaid |
$248.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$398.22
|
| Rate for Payer: Nomi Health Commercial |
$434.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,755.00
|
| Rate for Payer: PACE SWMI |
$362.02
|
| Rate for Payer: PHP Medicare Advantage |
$362.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$766.34
|
| Rate for Payer: Priority Health Medicare |
$362.02
|
| Rate for Payer: Priority Health Narrow Network |
$766.34
|
| Rate for Payer: Railroad Medicare Medicare |
$362.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$715.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$362.02
|
| Rate for Payer: UHC Exchange |
$715.26
|
| Rate for Payer: UHC Medicaid |
$236.22
|
| Rate for Payer: UHCCP DNSP |
$362.02
|
| Rate for Payer: UHCCP Medicaid |
$236.22
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$799.50 |
| Rate for Payer: Aetna Commercial |
$485.82
|
| Rate for Payer: Aetna Medicare |
$362.55
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$362.55
|
| Rate for Payer: BCN Commercial |
$634.43
|
| Rate for Payer: BCN Medicare Advantage |
$362.55
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$522.07
|
| Rate for Payer: Cofinity Commercial |
$485.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$362.55
|
| Rate for Payer: Healthscope Commercial |
$435.06
|
| Rate for Payer: Healthscope Whirlpool |
$435.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$380.68
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$398.81
|
| Rate for Payer: Nomi Health Commercial |
$435.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$799.50
|
| Rate for Payer: PACE SWMI |
$362.55
|
| Rate for Payer: PHP Medicare Advantage |
$362.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$597.44
|
| Rate for Payer: Priority Health Medicare |
$362.55
|
| Rate for Payer: Priority Health Narrow Network |
$597.44
|
| Rate for Payer: Railroad Medicare Medicare |
$362.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$733.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$362.55
|
| Rate for Payer: UHC Exchange |
$733.78
|
| Rate for Payer: UHC Medicaid |
$238.77
|
| Rate for Payer: UHCCP DNSP |
$362.55
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,689.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$298.63 |
| Max. Negotiated Rate |
$1,266.75 |
| Rate for Payer: Aetna Commercial |
$608.21
|
| Rate for Payer: Aetna Medicare |
$453.89
|
| Rate for Payer: BCBS Complete |
$313.56
|
| Rate for Payer: BCBS MAPPO |
$453.89
|
| Rate for Payer: BCN Commercial |
$751.96
|
| Rate for Payer: BCN Medicare Advantage |
$453.89
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cofinity Commercial |
$653.60
|
| Rate for Payer: Cofinity Commercial |
$608.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.89
|
| Rate for Payer: Healthscope Commercial |
$544.67
|
| Rate for Payer: Healthscope Whirlpool |
$544.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.58
|
| Rate for Payer: Meridian Medicaid |
$313.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$499.28
|
| Rate for Payer: Nomi Health Commercial |
$544.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,266.75
|
| Rate for Payer: PACE SWMI |
$453.89
|
| Rate for Payer: PHP Medicare Advantage |
$453.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$803.81
|
| Rate for Payer: Priority Health Medicare |
$453.89
|
| Rate for Payer: Priority Health Narrow Network |
$803.81
|
| Rate for Payer: Railroad Medicare Medicare |
$453.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$839.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$453.89
|
| Rate for Payer: UHC Exchange |
$839.76
|
| Rate for Payer: UHC Medicaid |
$298.63
|
| Rate for Payer: UHCCP DNSP |
$453.89
|
| Rate for Payer: UHCCP Medicaid |
$298.63
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,310.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$274.98 |
| Max. Negotiated Rate |
$982.50 |
| Rate for Payer: Aetna Commercial |
$557.53
|
| Rate for Payer: Aetna Medicare |
$416.07
|
| Rate for Payer: BCBS Complete |
$288.73
|
| Rate for Payer: BCBS MAPPO |
$416.07
|
| Rate for Payer: BCN Commercial |
$697.67
|
| Rate for Payer: BCN Medicare Advantage |
$416.07
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cofinity Commercial |
$599.14
|
| Rate for Payer: Cofinity Commercial |
$557.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.07
|
| Rate for Payer: Healthscope Commercial |
$499.28
|
| Rate for Payer: Healthscope Whirlpool |
$499.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$436.87
|
| Rate for Payer: Meridian Medicaid |
$288.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$457.68
|
| Rate for Payer: Nomi Health Commercial |
$499.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$982.50
|
| Rate for Payer: PACE SWMI |
$416.07
|
| Rate for Payer: PHP Medicare Advantage |
$416.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$745.78
|
| Rate for Payer: Priority Health Medicare |
$416.07
|
| Rate for Payer: Priority Health Narrow Network |
$745.78
|
| Rate for Payer: Railroad Medicare Medicare |
$416.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$771.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$416.07
|
| Rate for Payer: UHC Exchange |
$771.74
|
| Rate for Payer: UHC Medicaid |
$274.98
|
| Rate for Payer: UHCCP DNSP |
$416.07
|
| Rate for Payer: UHCCP Medicaid |
$274.98
|
|
|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$249.85 |
| Max. Negotiated Rate |
$860.25 |
| Rate for Payer: Aetna Commercial |
$506.87
|
| Rate for Payer: Aetna Medicare |
$378.26
|
| Rate for Payer: BCBS Complete |
$262.34
|
| Rate for Payer: BCBS MAPPO |
$378.26
|
| Rate for Payer: BCN Commercial |
$630.44
|
| Rate for Payer: BCN Medicare Advantage |
$378.26
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$544.69
|
| Rate for Payer: Cofinity Commercial |
$506.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.26
|
| Rate for Payer: Healthscope Commercial |
$453.91
|
| Rate for Payer: Healthscope Whirlpool |
$453.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.17
|
| Rate for Payer: Meridian Medicaid |
$262.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$416.09
|
| Rate for Payer: Nomi Health Commercial |
$453.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$860.25
|
| Rate for Payer: PACE SWMI |
$378.26
|
| Rate for Payer: PHP Medicare Advantage |
$378.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$673.93
|
| Rate for Payer: Priority Health Medicare |
$378.26
|
| Rate for Payer: Priority Health Narrow Network |
$673.93
|
| Rate for Payer: Railroad Medicare Medicare |
$378.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$703.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$378.26
|
| Rate for Payer: UHC Exchange |
$703.59
|
| Rate for Payer: UHC Medicaid |
$249.85
|
| Rate for Payer: UHCCP DNSP |
$378.26
|
| Rate for Payer: UHCCP Medicaid |
$249.85
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,136.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$261.35 |
| Max. Negotiated Rate |
$1,602.00 |
| Rate for Payer: Aetna Commercial |
$533.79
|
| Rate for Payer: Aetna Medicare |
$398.35
|
| Rate for Payer: BCBS Complete |
$274.42
|
| Rate for Payer: BCBS MAPPO |
$398.35
|
| Rate for Payer: BCN Commercial |
$688.21
|
| Rate for Payer: BCN Medicare Advantage |
$398.35
|
| Rate for Payer: Cash Price |
$1,708.80
|
| Rate for Payer: Cash Price |
$1,708.80
|
| Rate for Payer: Cofinity Commercial |
$573.62
|
| Rate for Payer: Cofinity Commercial |
$533.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.35
|
| Rate for Payer: Healthscope Commercial |
$478.02
|
| Rate for Payer: Healthscope Whirlpool |
$478.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.27
|
| Rate for Payer: Meridian Medicaid |
$274.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$438.19
|
| Rate for Payer: Nomi Health Commercial |
$478.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,602.00
|
| Rate for Payer: PACE SWMI |
$398.35
|
| Rate for Payer: PHP Medicare Advantage |
$398.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$746.26
|
| Rate for Payer: Priority Health Medicare |
$398.35
|
| Rate for Payer: Priority Health Narrow Network |
$746.26
|
| Rate for Payer: Railroad Medicare Medicare |
$398.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$770.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$398.35
|
| Rate for Payer: UHC Exchange |
$770.23
|
| Rate for Payer: UHC Medicaid |
$261.35
|
| Rate for Payer: UHCCP DNSP |
$398.35
|
| Rate for Payer: UHCCP Medicaid |
$261.35
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,263.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$335.05 |
| Max. Negotiated Rate |
$1,697.25 |
| Rate for Payer: Aetna Commercial |
$688.45
|
| Rate for Payer: Aetna Medicare |
$513.77
|
| Rate for Payer: BCBS Complete |
$351.80
|
| Rate for Payer: BCBS MAPPO |
$513.77
|
| Rate for Payer: BCN Commercial |
$900.35
|
| Rate for Payer: BCN Medicare Advantage |
$513.77
|
| Rate for Payer: Cash Price |
$1,810.40
|
| Rate for Payer: Cash Price |
$1,810.40
|
| Rate for Payer: Cofinity Commercial |
$739.83
|
| Rate for Payer: Cofinity Commercial |
$688.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$513.77
|
| Rate for Payer: Healthscope Commercial |
$616.52
|
| Rate for Payer: Healthscope Whirlpool |
$616.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$539.46
|
| Rate for Payer: Meridian Medicaid |
$351.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$565.15
|
| Rate for Payer: Nomi Health Commercial |
$616.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,697.25
|
| Rate for Payer: PACE SWMI |
$513.77
|
| Rate for Payer: PHP Medicare Advantage |
$513.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$335.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$976.28
|
| Rate for Payer: Priority Health Medicare |
$513.77
|
| Rate for Payer: Priority Health Narrow Network |
$976.28
|
| Rate for Payer: Railroad Medicare Medicare |
$513.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,022.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$513.77
|
| Rate for Payer: UHC Exchange |
$1,022.22
|
| Rate for Payer: UHC Medicaid |
$335.05
|
| Rate for Payer: UHCCP DNSP |
$513.77
|
| Rate for Payer: UHCCP Medicaid |
$335.05
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$391.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$114.59 |
| Max. Negotiated Rate |
$361.64 |
| Rate for Payer: Aetna Commercial |
$231.86
|
| Rate for Payer: Aetna Medicare |
$173.03
|
| Rate for Payer: BCBS Complete |
$120.32
|
| Rate for Payer: BCBS MAPPO |
$173.03
|
| Rate for Payer: BCN Commercial |
$296.80
|
| Rate for Payer: BCN Medicare Advantage |
$173.03
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cofinity Commercial |
$249.16
|
| Rate for Payer: Cofinity Commercial |
$231.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.03
|
| Rate for Payer: Healthscope Commercial |
$207.64
|
| Rate for Payer: Healthscope Whirlpool |
$207.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.68
|
| Rate for Payer: Meridian Medicaid |
$120.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$190.33
|
| Rate for Payer: Nomi Health Commercial |
$207.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$293.25
|
| Rate for Payer: PACE SWMI |
$173.03
|
| Rate for Payer: PHP Medicare Advantage |
$173.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$361.64
|
| Rate for Payer: Priority Health Medicare |
$173.03
|
| Rate for Payer: Priority Health Narrow Network |
$361.64
|
| Rate for Payer: Railroad Medicare Medicare |
$173.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.03
|
| Rate for Payer: UHC Exchange |
$324.23
|
| Rate for Payer: UHC Medicaid |
$114.59
|
| Rate for Payer: UHCCP DNSP |
$173.03
|
| Rate for Payer: UHCCP Medicaid |
$114.59
|
|
