|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$4,066.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$585.96 |
| Max. Negotiated Rate |
$3,049.50 |
| Rate for Payer: Aetna Commercial |
$1,219.04
|
| Rate for Payer: Aetna Medicare |
$909.73
|
| Rate for Payer: BCBS Complete |
$615.26
|
| Rate for Payer: BCBS MAPPO |
$909.73
|
| Rate for Payer: BCN Commercial |
$1,608.48
|
| Rate for Payer: BCN Medicare Advantage |
$909.73
|
| Rate for Payer: Cash Price |
$3,252.80
|
| Rate for Payer: Cash Price |
$3,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,310.01
|
| Rate for Payer: Cofinity Commercial |
$1,219.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$909.73
|
| Rate for Payer: Healthscope Commercial |
$1,091.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,091.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$955.22
|
| Rate for Payer: Meridian Medicaid |
$615.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,000.70
|
| Rate for Payer: Nomi Health Commercial |
$1,091.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,049.50
|
| Rate for Payer: PACE SWMI |
$909.73
|
| Rate for Payer: PHP Medicare Advantage |
$909.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$585.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,514.71
|
| Rate for Payer: Priority Health Medicare |
$909.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,514.71
|
| Rate for Payer: Railroad Medicare Medicare |
$909.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,882.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$909.73
|
| Rate for Payer: UHC Exchange |
$1,882.68
|
| Rate for Payer: UHC Medicaid |
$585.96
|
| Rate for Payer: UHCCP DNSP |
$909.73
|
| Rate for Payer: UHCCP Medicaid |
$585.96
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,728.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$276.05 |
| Max. Negotiated Rate |
$1,296.00 |
| Rate for Payer: Aetna Commercial |
$562.26
|
| Rate for Payer: Aetna Medicare |
$419.60
|
| Rate for Payer: BCBS Complete |
$289.85
|
| Rate for Payer: BCBS MAPPO |
$419.60
|
| Rate for Payer: BCN Commercial |
$696.17
|
| Rate for Payer: BCN Medicare Advantage |
$419.60
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cofinity Commercial |
$604.22
|
| Rate for Payer: Cofinity Commercial |
$562.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.60
|
| Rate for Payer: Healthscope Commercial |
$503.52
|
| Rate for Payer: Healthscope Whirlpool |
$503.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$440.58
|
| Rate for Payer: Meridian Medicaid |
$289.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$461.56
|
| Rate for Payer: Nomi Health Commercial |
$503.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,296.00
|
| Rate for Payer: PACE SWMI |
$419.60
|
| Rate for Payer: PHP Medicare Advantage |
$419.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$744.19
|
| Rate for Payer: Priority Health Medicare |
$419.60
|
| Rate for Payer: Priority Health Narrow Network |
$744.19
|
| Rate for Payer: Railroad Medicare Medicare |
$419.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$788.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$419.60
|
| Rate for Payer: UHC Exchange |
$788.72
|
| Rate for Payer: UHC Medicaid |
$276.05
|
| Rate for Payer: UHCCP DNSP |
$419.60
|
| Rate for Payer: UHCCP Medicaid |
$276.05
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$767.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$537.67 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$690.30
|
| Rate for Payer: Aetna Medicare |
$1,645.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: ASR ASR |
$743.99
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$632.39
|
| Rate for Payer: BCN Commercial |
$632.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$720.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$613.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$743.99
|
| Rate for Payer: Healthscope Whirlpool |
$767.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$690.30
|
| Rate for Payer: Mclaren Medicaid |
$1,645.66
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$903.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$651.95
|
| Rate for Payer: Nomi Health Commercial |
$628.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$1,810.23
|
| Rate for Payer: PHP Medicaid |
$882.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$672.05
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$537.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP DNSP |
$1,645.66
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$767.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$575.25 |
| Max. Negotiated Rate |
$767.00 |
| Rate for Payer: Aetna Commercial |
$690.30
|
| Rate for Payer: ASR ASR |
$743.99
|
| Rate for Payer: BCBS Trust/PPO |
$629.86
|
| Rate for Payer: BCN Commercial |
$629.86
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$720.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$613.60
|
| Rate for Payer: Healthscope Commercial |
$743.99
|
| Rate for Payer: Healthscope Whirlpool |
$767.00
|
| Rate for Payer: Mclaren Commercial |
$690.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$651.95
|
| Rate for Payer: Nomi Health Commercial |
$628.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$289.25 |
| Max. Negotiated Rate |
$827.58 |
| Rate for Payer: Aetna Commercial |
$597.10
|
| Rate for Payer: Aetna Medicare |
$445.60
|
| Rate for Payer: BCBS Complete |
$303.71
|
| Rate for Payer: BCBS MAPPO |
$445.60
|
| Rate for Payer: BCN Commercial |
$715.60
|
| Rate for Payer: BCN Medicare Advantage |
$445.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$641.66
|
| Rate for Payer: Cofinity Commercial |
$597.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.60
|
| Rate for Payer: Healthscope Commercial |
$534.72
|
| Rate for Payer: Healthscope Whirlpool |
$534.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.88
|
| Rate for Payer: Meridian Medicaid |
$303.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$490.16
|
| Rate for Payer: Nomi Health Commercial |
$534.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE SWMI |
$445.60
|
| Rate for Payer: PHP Medicare Advantage |
$445.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$764.96
|
| Rate for Payer: Priority Health Medicare |
$445.60
|
| Rate for Payer: Priority Health Narrow Network |
$764.96
|
| Rate for Payer: Railroad Medicare Medicare |
$445.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$445.60
|
| Rate for Payer: UHC Exchange |
$827.58
|
| Rate for Payer: UHC Medicaid |
$289.25
|
| Rate for Payer: UHCCP DNSP |
$445.60
|
| Rate for Payer: UHCCP Medicaid |
$289.25
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$289.25 |
| Max. Negotiated Rate |
$827.58 |
| Rate for Payer: Aetna Commercial |
$597.10
|
| Rate for Payer: Aetna Medicare |
$445.60
|
| Rate for Payer: BCBS Complete |
$303.71
|
| Rate for Payer: BCBS MAPPO |
$445.60
|
| Rate for Payer: BCN Commercial |
$715.60
|
| Rate for Payer: BCN Medicare Advantage |
$445.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$641.66
|
| Rate for Payer: Cofinity Commercial |
$597.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.60
|
| Rate for Payer: Healthscope Commercial |
$534.72
|
| Rate for Payer: Healthscope Whirlpool |
$534.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.88
|
| Rate for Payer: Meridian Medicaid |
$303.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$490.16
|
| Rate for Payer: Nomi Health Commercial |
$534.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$575.25
|
| Rate for Payer: PACE SWMI |
$445.60
|
| Rate for Payer: PHP Medicare Advantage |
$445.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$764.96
|
| Rate for Payer: Priority Health Medicare |
$445.60
|
| Rate for Payer: Priority Health Narrow Network |
$764.96
|
| Rate for Payer: Railroad Medicare Medicare |
$445.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$445.60
|
| Rate for Payer: UHC Exchange |
$827.58
|
| Rate for Payer: UHC Medicaid |
$289.25
|
| Rate for Payer: UHCCP DNSP |
$445.60
|
| Rate for Payer: UHCCP Medicaid |
$289.25
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$201.07 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$412.01
|
| Rate for Payer: Aetna Medicare |
$307.47
|
| Rate for Payer: BCBS Complete |
$211.12
|
| Rate for Payer: BCBS MAPPO |
$307.47
|
| Rate for Payer: BCN Commercial |
$509.43
|
| Rate for Payer: BCN Medicare Advantage |
$307.47
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$442.76
|
| Rate for Payer: Cofinity Commercial |
$412.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.47
|
| Rate for Payer: Healthscope Commercial |
$368.96
|
| Rate for Payer: Healthscope Whirlpool |
$368.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$322.84
|
| Rate for Payer: Meridian Medicaid |
$211.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$338.22
|
| Rate for Payer: Nomi Health Commercial |
$368.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: PACE SWMI |
$307.47
|
| Rate for Payer: PHP Medicare Advantage |
$307.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$544.56
|
| Rate for Payer: Priority Health Medicare |
$307.47
|
| Rate for Payer: Priority Health Narrow Network |
$544.56
|
| Rate for Payer: Railroad Medicare Medicare |
$307.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$603.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$307.47
|
| Rate for Payer: UHC Exchange |
$603.45
|
| Rate for Payer: UHC Medicaid |
$201.07
|
| Rate for Payer: UHCCP DNSP |
$307.47
|
| Rate for Payer: UHCCP Medicaid |
$201.07
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$672.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$206.61 |
| Max. Negotiated Rate |
$586.83 |
| Rate for Payer: Aetna Commercial |
$422.07
|
| Rate for Payer: Aetna Medicare |
$314.98
|
| Rate for Payer: BCBS Complete |
$216.94
|
| Rate for Payer: BCBS MAPPO |
$314.98
|
| Rate for Payer: BCN Commercial |
$516.41
|
| Rate for Payer: BCN Medicare Advantage |
$314.98
|
| Rate for Payer: Cash Price |
$537.60
|
| Rate for Payer: Cash Price |
$537.60
|
| Rate for Payer: Cofinity Commercial |
$453.57
|
| Rate for Payer: Cofinity Commercial |
$422.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.98
|
| Rate for Payer: Healthscope Commercial |
$377.98
|
| Rate for Payer: Healthscope Whirlpool |
$377.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.73
|
| Rate for Payer: Meridian Medicaid |
$216.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$346.48
|
| Rate for Payer: Nomi Health Commercial |
$377.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$504.00
|
| Rate for Payer: PACE SWMI |
$314.98
|
| Rate for Payer: PHP Medicare Advantage |
$314.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$552.02
|
| Rate for Payer: Priority Health Medicare |
$314.98
|
| Rate for Payer: Priority Health Narrow Network |
$552.02
|
| Rate for Payer: Railroad Medicare Medicare |
$314.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$586.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$314.98
|
| Rate for Payer: UHC Exchange |
$586.83
|
| Rate for Payer: UHC Medicaid |
$206.61
|
| Rate for Payer: UHCCP DNSP |
$314.98
|
| Rate for Payer: UHCCP Medicaid |
$206.61
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$159.54 |
| Max. Negotiated Rate |
$442.69 |
| Rate for Payer: Aetna Commercial |
$322.56
|
| Rate for Payer: Aetna Medicare |
$240.72
|
| Rate for Payer: BCBS Complete |
$167.52
|
| Rate for Payer: BCBS MAPPO |
$240.72
|
| Rate for Payer: BCN Commercial |
$399.39
|
| Rate for Payer: BCN Medicare Advantage |
$240.72
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cofinity Commercial |
$346.64
|
| Rate for Payer: Cofinity Commercial |
$322.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.72
|
| Rate for Payer: Healthscope Commercial |
$288.86
|
| Rate for Payer: Healthscope Whirlpool |
$288.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.76
|
| Rate for Payer: Meridian Medicaid |
$167.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.79
|
| Rate for Payer: Nomi Health Commercial |
$288.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$427.50
|
| Rate for Payer: PACE SWMI |
$240.72
|
| Rate for Payer: PHP Medicare Advantage |
$240.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$426.93
|
| Rate for Payer: Priority Health Medicare |
$240.72
|
| Rate for Payer: Priority Health Narrow Network |
$426.93
|
| Rate for Payer: Railroad Medicare Medicare |
$240.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$442.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.72
|
| Rate for Payer: UHC Exchange |
$442.69
|
| Rate for Payer: UHC Medicaid |
$159.54
|
| Rate for Payer: UHCCP DNSP |
$240.72
|
| Rate for Payer: UHCCP Medicaid |
$159.54
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$224.08 |
| Max. Negotiated Rate |
$972.75 |
| Rate for Payer: Aetna Commercial |
$458.99
|
| Rate for Payer: Aetna Medicare |
$342.53
|
| Rate for Payer: BCBS Complete |
$235.28
|
| Rate for Payer: BCBS MAPPO |
$342.53
|
| Rate for Payer: BCN Commercial |
$555.75
|
| Rate for Payer: BCN Medicare Advantage |
$342.53
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$493.24
|
| Rate for Payer: Cofinity Commercial |
$458.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.53
|
| Rate for Payer: Healthscope Commercial |
$411.04
|
| Rate for Payer: Healthscope Whirlpool |
$411.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.66
|
| Rate for Payer: Meridian Medicaid |
$235.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$376.78
|
| Rate for Payer: Nomi Health Commercial |
$411.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$972.75
|
| Rate for Payer: PACE SWMI |
$342.53
|
| Rate for Payer: PHP Medicare Advantage |
$342.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$594.08
|
| Rate for Payer: Priority Health Medicare |
$342.53
|
| Rate for Payer: Priority Health Narrow Network |
$594.08
|
| Rate for Payer: Railroad Medicare Medicare |
$342.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$633.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$342.53
|
| Rate for Payer: UHC Exchange |
$633.86
|
| Rate for Payer: UHC Medicaid |
$224.08
|
| Rate for Payer: UHCCP DNSP |
$342.53
|
| Rate for Payer: UHCCP Medicaid |
$224.08
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$224.08 |
| Max. Negotiated Rate |
$972.75 |
| Rate for Payer: Aetna Commercial |
$458.99
|
| Rate for Payer: Aetna Medicare |
$342.53
|
| Rate for Payer: BCBS Complete |
$235.28
|
| Rate for Payer: BCBS MAPPO |
$342.53
|
| Rate for Payer: BCN Commercial |
$555.75
|
| Rate for Payer: BCN Medicare Advantage |
$342.53
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$493.24
|
| Rate for Payer: Cofinity Commercial |
$458.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.53
|
| Rate for Payer: Healthscope Commercial |
$411.04
|
| Rate for Payer: Healthscope Whirlpool |
$411.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.66
|
| Rate for Payer: Meridian Medicaid |
$235.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$376.78
|
| Rate for Payer: Nomi Health Commercial |
$411.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$972.75
|
| Rate for Payer: PACE SWMI |
$342.53
|
| Rate for Payer: PHP Medicare Advantage |
$342.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$594.08
|
| Rate for Payer: Priority Health Medicare |
$342.53
|
| Rate for Payer: Priority Health Narrow Network |
$594.08
|
| Rate for Payer: Railroad Medicare Medicare |
$342.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$633.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$342.53
|
| Rate for Payer: UHC Exchange |
$633.86
|
| Rate for Payer: UHC Medicaid |
$224.08
|
| Rate for Payer: UHCCP DNSP |
$342.53
|
| Rate for Payer: UHCCP Medicaid |
$224.08
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,297.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$1,167.30
|
| 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 |
$1,258.09
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,069.38
|
| Rate for Payer: BCN Commercial |
$1,069.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,219.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,258.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,297.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,167.30
|
| 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 |
$1,102.45
|
| Rate for Payer: Nomi Health Commercial |
$1,063.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$972.75
|
| 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 |
$1,136.43
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$909.20
|
| 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 TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,297.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$972.75 |
| Max. Negotiated Rate |
$1,297.00 |
| Rate for Payer: Aetna Commercial |
$1,167.30
|
| Rate for Payer: ASR ASR |
$1,258.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.10
|
| Rate for Payer: BCN Commercial |
$1,065.10
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,219.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,037.60
|
| Rate for Payer: Healthscope Commercial |
$1,258.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,297.00
|
| Rate for Payer: Mclaren Commercial |
$1,167.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,102.45
|
| Rate for Payer: Nomi Health Commercial |
$1,063.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$972.75
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$691.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$157.83 |
| Max. Negotiated Rate |
$518.25 |
| Rate for Payer: Aetna Commercial |
$321.69
|
| Rate for Payer: Aetna Medicare |
$240.07
|
| Rate for Payer: BCBS Complete |
$165.72
|
| Rate for Payer: BCBS MAPPO |
$240.07
|
| Rate for Payer: BCN Commercial |
$395.90
|
| Rate for Payer: BCN Medicare Advantage |
$240.07
|
| Rate for Payer: Cash Price |
$552.80
|
| Rate for Payer: Cash Price |
$552.80
|
| Rate for Payer: Cofinity Commercial |
$345.70
|
| Rate for Payer: Cofinity Commercial |
$321.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.07
|
| Rate for Payer: Healthscope Commercial |
$288.08
|
| Rate for Payer: Healthscope Whirlpool |
$288.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.07
|
| Rate for Payer: Meridian Medicaid |
$165.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.08
|
| Rate for Payer: Nomi Health Commercial |
$288.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$518.25
|
| Rate for Payer: PACE SWMI |
$240.07
|
| Rate for Payer: PHP Medicare Advantage |
$240.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$423.19
|
| Rate for Payer: Priority Health Medicare |
$240.07
|
| Rate for Payer: Priority Health Narrow Network |
$423.19
|
| Rate for Payer: Railroad Medicare Medicare |
$240.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$455.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.07
|
| Rate for Payer: UHC Exchange |
$455.24
|
| Rate for Payer: UHC Medicaid |
$157.83
|
| Rate for Payer: UHCCP DNSP |
$240.07
|
| Rate for Payer: UHCCP Medicaid |
$157.83
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,074.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$250.70 |
| Max. Negotiated Rate |
$805.50 |
| Rate for Payer: Aetna Commercial |
$515.19
|
| Rate for Payer: Aetna Medicare |
$384.47
|
| Rate for Payer: BCBS Complete |
$263.24
|
| Rate for Payer: BCBS MAPPO |
$384.47
|
| Rate for Payer: BCN Commercial |
$623.48
|
| Rate for Payer: BCN Medicare Advantage |
$384.47
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$553.64
|
| Rate for Payer: Cofinity Commercial |
$515.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$384.47
|
| Rate for Payer: Healthscope Commercial |
$461.36
|
| Rate for Payer: Healthscope Whirlpool |
$461.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$403.69
|
| Rate for Payer: Meridian Medicaid |
$263.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$422.92
|
| Rate for Payer: Nomi Health Commercial |
$461.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
| Rate for Payer: PACE SWMI |
$384.47
|
| Rate for Payer: PHP Medicare Advantage |
$384.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$666.48
|
| Rate for Payer: Priority Health Medicare |
$384.47
|
| Rate for Payer: Priority Health Narrow Network |
$666.48
|
| Rate for Payer: Railroad Medicare Medicare |
$384.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$724.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$384.47
|
| Rate for Payer: UHC Exchange |
$724.03
|
| Rate for Payer: UHC Medicaid |
$250.70
|
| Rate for Payer: UHCCP DNSP |
$384.47
|
| Rate for Payer: UHCCP Medicaid |
$250.70
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,074.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$805.50 |
| Max. Negotiated Rate |
$1,074.00 |
| Rate for Payer: Aetna Commercial |
$966.60
|
| Rate for Payer: ASR ASR |
$1,041.78
|
| Rate for Payer: BCBS Trust/PPO |
$881.97
|
| Rate for Payer: BCN Commercial |
$881.97
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$1,009.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.20
|
| Rate for Payer: Healthscope Commercial |
$1,041.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,074.00
|
| Rate for Payer: Mclaren Commercial |
$966.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$912.90
|
| Rate for Payer: Nomi Health Commercial |
$880.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,074.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$752.87 |
| Max. Negotiated Rate |
$3,617.84 |
| Rate for Payer: Aetna Commercial |
$966.60
|
| 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 |
$1,041.78
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$885.51
|
| Rate for Payer: BCN Commercial |
$885.51
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$1,009.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$859.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$1,041.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,074.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,894.27
|
| Rate for Payer: Mclaren Commercial |
$966.60
|
| 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 |
$912.90
|
| Rate for Payer: Nomi Health Commercial |
$880.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
| 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 |
$941.04
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health Narrow Network |
$752.87
|
| 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 TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,074.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$250.70 |
| Max. Negotiated Rate |
$805.50 |
| Rate for Payer: Aetna Commercial |
$515.19
|
| Rate for Payer: Aetna Medicare |
$384.47
|
| Rate for Payer: BCBS Complete |
$263.24
|
| Rate for Payer: BCBS MAPPO |
$384.47
|
| Rate for Payer: BCN Commercial |
$623.48
|
| Rate for Payer: BCN Medicare Advantage |
$384.47
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$553.64
|
| Rate for Payer: Cofinity Commercial |
$515.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$384.47
|
| Rate for Payer: Healthscope Commercial |
$461.36
|
| Rate for Payer: Healthscope Whirlpool |
$461.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$403.69
|
| Rate for Payer: Meridian Medicaid |
$263.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$422.92
|
| Rate for Payer: Nomi Health Commercial |
$461.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
| Rate for Payer: PACE SWMI |
$384.47
|
| Rate for Payer: PHP Medicare Advantage |
$384.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$666.48
|
| Rate for Payer: Priority Health Medicare |
$384.47
|
| Rate for Payer: Priority Health Narrow Network |
$666.48
|
| Rate for Payer: Railroad Medicare Medicare |
$384.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$724.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$384.47
|
| Rate for Payer: UHC Exchange |
$724.03
|
| Rate for Payer: UHC Medicaid |
$250.70
|
| Rate for Payer: UHCCP DNSP |
$384.47
|
| Rate for Payer: UHCCP Medicaid |
$250.70
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$1,016.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$289.47 |
| Max. Negotiated Rate |
$824.71 |
| Rate for Payer: Aetna Commercial |
$597.41
|
| Rate for Payer: Aetna Medicare |
$445.83
|
| Rate for Payer: BCBS Complete |
$303.94
|
| Rate for Payer: BCBS MAPPO |
$445.83
|
| Rate for Payer: BCN Commercial |
$714.11
|
| Rate for Payer: BCN Medicare Advantage |
$445.83
|
| Rate for Payer: Cash Price |
$812.80
|
| Rate for Payer: Cash Price |
$812.80
|
| Rate for Payer: Cofinity Commercial |
$642.00
|
| Rate for Payer: Cofinity Commercial |
$597.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.83
|
| Rate for Payer: Healthscope Commercial |
$535.00
|
| Rate for Payer: Healthscope Whirlpool |
$535.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$468.12
|
| Rate for Payer: Meridian Medicaid |
$303.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$490.41
|
| Rate for Payer: Nomi Health Commercial |
$535.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$762.00
|
| Rate for Payer: PACE SWMI |
$445.83
|
| Rate for Payer: PHP Medicare Advantage |
$445.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$763.36
|
| Rate for Payer: Priority Health Medicare |
$445.83
|
| Rate for Payer: Priority Health Narrow Network |
$763.36
|
| Rate for Payer: Railroad Medicare Medicare |
$445.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$824.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$445.83
|
| Rate for Payer: UHC Exchange |
$824.71
|
| Rate for Payer: UHC Medicaid |
$289.47
|
| Rate for Payer: UHCCP DNSP |
$445.83
|
| Rate for Payer: UHCCP Medicaid |
$289.47
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$773.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$259.65 |
| Max. Negotiated Rate |
$736.63 |
| Rate for Payer: Aetna Commercial |
$533.80
|
| Rate for Payer: Aetna Medicare |
$398.36
|
| Rate for Payer: BCBS Complete |
$272.63
|
| Rate for Payer: BCBS MAPPO |
$398.36
|
| Rate for Payer: BCN Commercial |
$641.40
|
| Rate for Payer: BCN Medicare Advantage |
$398.36
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cofinity Commercial |
$573.64
|
| Rate for Payer: Cofinity Commercial |
$533.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.36
|
| Rate for Payer: Healthscope Commercial |
$478.03
|
| Rate for Payer: Healthscope Whirlpool |
$478.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.28
|
| Rate for Payer: Meridian Medicaid |
$272.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$438.20
|
| Rate for Payer: Nomi Health Commercial |
$478.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$579.75
|
| Rate for Payer: PACE SWMI |
$398.36
|
| Rate for Payer: PHP Medicare Advantage |
$398.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$685.63
|
| Rate for Payer: Priority Health Medicare |
$398.36
|
| Rate for Payer: Priority Health Narrow Network |
$685.63
|
| Rate for Payer: Railroad Medicare Medicare |
$398.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$736.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$398.36
|
| Rate for Payer: UHC Exchange |
$736.63
|
| Rate for Payer: UHC Medicaid |
$259.65
|
| Rate for Payer: UHCCP DNSP |
$398.36
|
| Rate for Payer: UHCCP Medicaid |
$259.65
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$893.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$669.75 |
| Rate for Payer: Aetna Commercial |
$417.96
|
| Rate for Payer: Aetna Medicare |
$311.91
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$311.91
|
| Rate for Payer: BCN Commercial |
$503.46
|
| Rate for Payer: BCN Medicare Advantage |
$311.91
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cofinity Commercial |
$449.15
|
| Rate for Payer: Cofinity Commercial |
$417.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.91
|
| Rate for Payer: Healthscope Commercial |
$374.29
|
| Rate for Payer: Healthscope Whirlpool |
$374.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.51
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$343.10
|
| Rate for Payer: Nomi Health Commercial |
$374.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.75
|
| Rate for Payer: PACE SWMI |
$311.91
|
| Rate for Payer: PHP Medicare Advantage |
$311.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$538.18
|
| Rate for Payer: Priority Health Medicare |
$311.91
|
| Rate for Payer: Priority Health Narrow Network |
$538.18
|
| Rate for Payer: Railroad Medicare Medicare |
$311.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$569.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$311.91
|
| Rate for Payer: UHC Exchange |
$569.52
|
| Rate for Payer: UHC Medicaid |
$204.91
|
| Rate for Payer: UHCCP DNSP |
$311.91
|
| Rate for Payer: UHCCP Medicaid |
$204.91
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,344.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$860.68 |
| Max. Negotiated Rate |
$2,057.07 |
| Rate for Payer: Aetna Commercial |
$1,209.60
|
| 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 |
$1,303.68
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,108.13
|
| Rate for Payer: BCN Commercial |
$1,108.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,263.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$1,303.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,344.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,645.66
|
| Rate for Payer: Mclaren Commercial |
$1,209.60
|
| 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 |
$1,142.40
|
| Rate for Payer: Nomi Health Commercial |
$1,102.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,008.00
|
| 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 |
$1,177.61
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health Narrow Network |
$942.14
|
| 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 TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$197.03 |
| Max. Negotiated Rate |
$1,008.00 |
| Rate for Payer: Aetna Commercial |
$401.42
|
| Rate for Payer: Aetna Medicare |
$299.57
|
| Rate for Payer: BCBS Complete |
$206.88
|
| Rate for Payer: BCBS MAPPO |
$299.57
|
| Rate for Payer: BCN Commercial |
$481.54
|
| Rate for Payer: BCN Medicare Advantage |
$299.57
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$431.38
|
| Rate for Payer: Cofinity Commercial |
$401.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.57
|
| Rate for Payer: Healthscope Commercial |
$359.48
|
| Rate for Payer: Healthscope Whirlpool |
$359.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.55
|
| Rate for Payer: Meridian Medicaid |
$206.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.53
|
| Rate for Payer: Nomi Health Commercial |
$359.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,008.00
|
| Rate for Payer: PACE SWMI |
$299.57
|
| Rate for Payer: PHP Medicare Advantage |
$299.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$514.76
|
| Rate for Payer: Priority Health Medicare |
$299.57
|
| Rate for Payer: Priority Health Narrow Network |
$514.76
|
| Rate for Payer: Railroad Medicare Medicare |
$299.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$543.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$299.57
|
| Rate for Payer: UHC Exchange |
$543.26
|
| Rate for Payer: UHC Medicaid |
$197.03
|
| Rate for Payer: UHCCP DNSP |
$299.57
|
| Rate for Payer: UHCCP Medicaid |
$197.03
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$197.03 |
| Max. Negotiated Rate |
$1,008.00 |
| Rate for Payer: Aetna Commercial |
$401.42
|
| Rate for Payer: Aetna Medicare |
$299.57
|
| Rate for Payer: BCBS Complete |
$206.88
|
| Rate for Payer: BCBS MAPPO |
$299.57
|
| Rate for Payer: BCN Commercial |
$481.54
|
| Rate for Payer: BCN Medicare Advantage |
$299.57
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$431.38
|
| Rate for Payer: Cofinity Commercial |
$401.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.57
|
| Rate for Payer: Healthscope Commercial |
$359.48
|
| Rate for Payer: Healthscope Whirlpool |
$359.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.55
|
| Rate for Payer: Meridian Medicaid |
$206.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.53
|
| Rate for Payer: Nomi Health Commercial |
$359.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,008.00
|
| Rate for Payer: PACE SWMI |
$299.57
|
| Rate for Payer: PHP Medicare Advantage |
$299.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$514.76
|
| Rate for Payer: Priority Health Medicare |
$299.57
|
| Rate for Payer: Priority Health Narrow Network |
$514.76
|
| Rate for Payer: Railroad Medicare Medicare |
$299.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$543.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$299.57
|
| Rate for Payer: UHC Exchange |
$543.26
|
| Rate for Payer: UHC Medicaid |
$197.03
|
| Rate for Payer: UHCCP DNSP |
$299.57
|
| Rate for Payer: UHCCP Medicaid |
$197.03
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,344.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,008.00 |
| Max. Negotiated Rate |
$1,344.00 |
| Rate for Payer: Aetna Commercial |
$1,209.60
|
| Rate for Payer: ASR ASR |
$1,303.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,103.69
|
| Rate for Payer: BCN Commercial |
$1,103.69
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,263.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Healthscope Commercial |
$1,303.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,344.00
|
| Rate for Payer: Mclaren Commercial |
$1,209.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,142.40
|
| Rate for Payer: Nomi Health Commercial |
$1,102.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,008.00
|
|
