|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 27355
|
| Min. Negotiated Rate |
$400.01 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$808.43
|
| Rate for Payer: Aetna Medicare |
$1,143.50
|
| Rate for Payer: BCBS Complete |
$420.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$898.67
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Meridian Medicaid |
$420.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$400.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,486.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$943.93
|
| Rate for Payer: Priority Health Narrow Network |
$943.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$684.54
|
| Rate for Payer: UHC Exchange |
$684.54
|
| Rate for Payer: UHCCP Medicaid |
$400.01
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION
|
Professional
|
Both
|
$1,070.00
|
|
|
Service Code
|
HCPCS 27358
|
| Min. Negotiated Rate |
$174.66 |
| Max. Negotiated Rate |
$2,110.56 |
| Rate for Payer: Aetna Commercial |
$370.47
|
| Rate for Payer: Aetna Medicare |
$535.00
|
| Rate for Payer: BCBS Complete |
$183.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,110.56
|
| Rate for Payer: BCN Commercial |
$397.79
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Meridian Medicaid |
$183.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.72
|
| Rate for Payer: Priority Health Narrow Network |
$414.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.89
|
| Rate for Payer: UHC Exchange |
$335.89
|
| Rate for Payer: UHCCP Medicaid |
$174.66
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,215.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$484.15 |
| Max. Negotiated Rate |
$1,439.75 |
| Rate for Payer: Aetna Commercial |
$987.19
|
| Rate for Payer: Aetna Medicare |
$1,107.50
|
| Rate for Payer: BCBS Complete |
$508.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,244.15
|
| Rate for Payer: BCN Commercial |
$1,091.21
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Meridian Medicaid |
$508.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,439.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,146.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,146.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$840.30
|
| Rate for Payer: UHC Exchange |
$840.30
|
| Rate for Payer: UHCCP Medicaid |
$484.15
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$532.29 |
| Max. Negotiated Rate |
$1,740.22 |
| Rate for Payer: Aetna Commercial |
$1,090.68
|
| Rate for Payer: Aetna Medicare |
$1,009.00
|
| Rate for Payer: BCBS Complete |
$558.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,740.22
|
| Rate for Payer: BCN Commercial |
$1,206.05
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Meridian Medicaid |
$558.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,311.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,265.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,265.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$928.14
|
| Rate for Payer: UHC Exchange |
$928.14
|
| Rate for Payer: UHCCP Medicaid |
$532.29
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$66.57 |
| Max. Negotiated Rate |
$841.10 |
| Rate for Payer: Aetna Commercial |
$599.88
|
| Rate for Payer: Aetna Medicare |
$647.00
|
| Rate for Payer: BCBS Complete |
$312.44
|
| Rate for Payer: BCBS Trust/PPO |
$66.57
|
| Rate for Payer: BCN Commercial |
$669.98
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Meridian Medicaid |
$312.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$841.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$704.26
|
| Rate for Payer: Priority Health Narrow Network |
$704.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$504.78
|
| Rate for Payer: UHC Exchange |
$504.78
|
| Rate for Payer: UHCCP Medicaid |
$297.56
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$296.50 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$592.63
|
| Rate for Payer: Aetna Medicare |
$636.00
|
| Rate for Payer: BCBS Complete |
$311.32
|
| Rate for Payer: BCBS Trust/PPO |
$497.66
|
| Rate for Payer: BCN Commercial |
$665.57
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Meridian Medicaid |
$311.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$701.21
|
| Rate for Payer: Priority Health Narrow Network |
$701.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$490.70
|
| Rate for Payer: UHC Exchange |
$490.70
|
| Rate for Payer: UHCCP Medicaid |
$296.50
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$331.00 |
| Max. Negotiated Rate |
$1,433.90 |
| Rate for Payer: Aetna Commercial |
$666.80
|
| Rate for Payer: Aetna Medicare |
$1,103.00
|
| Rate for Payer: BCBS Complete |
$347.55
|
| Rate for Payer: BCBS Trust/PPO |
$351.32
|
| Rate for Payer: BCN Commercial |
$744.26
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Meridian Medicaid |
$347.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.13
|
| Rate for Payer: Priority Health Narrow Network |
$783.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$608.52
|
| Rate for Payer: UHC Exchange |
$608.52
|
| Rate for Payer: UHCCP Medicaid |
$331.00
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,135.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$1,087.24 |
| Rate for Payer: Aetna Commercial |
$551.67
|
| Rate for Payer: Aetna Medicare |
$567.50
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,087.24
|
| Rate for Payer: BCN Commercial |
$895.74
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.72
|
| Rate for Payer: Priority Health Narrow Network |
$644.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$470.39
|
| Rate for Payer: UHC Exchange |
$470.39
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,195.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$919.52 |
| Rate for Payer: Aetna Commercial |
$774.56
|
| Rate for Payer: Aetna Medicare |
$597.50
|
| Rate for Payer: BCBS Complete |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$45.96
|
| Rate for Payer: BCN Commercial |
$874.25
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Meridian Medicaid |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$776.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$919.52
|
| Rate for Payer: Priority Health Narrow Network |
$919.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$660.11
|
| Rate for Payer: UHC Exchange |
$660.11
|
| Rate for Payer: UHCCP Medicaid |
$388.73
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,689.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$249.89 |
| Max. Negotiated Rate |
$1,436.22 |
| Rate for Payer: Aetna Commercial |
$419.52
|
| Rate for Payer: Aetna Medicare |
$844.50
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS Trust/PPO |
$249.89
|
| Rate for Payer: BCN Commercial |
$1,436.22
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$579.33
|
| Rate for Payer: Priority Health Narrow Network |
$579.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$358.02
|
| Rate for Payer: UHC Exchange |
$358.02
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$764.45 |
| Rate for Payer: Aetna Commercial |
$215.57
|
| Rate for Payer: Aetna Medicare |
$206.00
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS Trust/PPO |
$764.45
|
| Rate for Payer: BCN Commercial |
$343.05
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$300.09
|
| Rate for Payer: Priority Health Narrow Network |
$300.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$199.55
|
| Rate for Payer: UHC Exchange |
$199.55
|
| Rate for Payer: UHCCP Medicaid |
$107.99
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,287.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$599.09 |
| Max. Negotiated Rate |
$2,136.55 |
| Rate for Payer: Aetna Commercial |
$1,606.74
|
| Rate for Payer: Aetna Medicare |
$1,643.50
|
| Rate for Payer: BCBS Complete |
$1,314.80
|
| Rate for Payer: BCBS Trust/PPO |
$599.09
|
| Rate for Payer: BCN Commercial |
$1,742.14
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,136.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,453.84
|
| Rate for Payer: UHC Exchange |
$1,453.84
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,560.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$284.78 |
| Max. Negotiated Rate |
$1,623.99 |
| Rate for Payer: Aetna Commercial |
$571.19
|
| Rate for Payer: Aetna Medicare |
$780.00
|
| Rate for Payer: BCBS Complete |
$299.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,623.99
|
| Rate for Payer: BCN Commercial |
$638.21
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Meridian Medicaid |
$299.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$673.22
|
| Rate for Payer: Priority Health Narrow Network |
$673.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$492.24
|
| Rate for Payer: UHC Exchange |
$492.24
|
| Rate for Payer: UHCCP Medicaid |
$284.78
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$4,160.00 |
| Rate for Payer: Aetna Commercial |
$1,340.57
|
| Rate for Payer: Aetna Medicare |
$979.50
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS Trust/PPO |
$4,160.00
|
| Rate for Payer: BCN Commercial |
$1,468.47
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,540.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,540.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,108.13
|
| Rate for Payer: UHC Exchange |
$1,108.13
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$10,615.31 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCBS Trust/PPO |
$10,615.31
|
| Rate for Payer: BCN Commercial |
$536.46
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$666.43
|
| Rate for Payer: Priority Health Narrow Network |
$666.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$342.68
|
| Rate for Payer: UHC Exchange |
$342.68
|
| Rate for Payer: UHCCP Medicaid |
$196.94
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$377.57 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$818.68
|
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$542.13
|
| Rate for Payer: BCBS Trust/PPO |
$377.57
|
| Rate for Payer: BCN Commercial |
$1,166.47
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Meridian Medicaid |
$542.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,083.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,083.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$775.37
|
| Rate for Payer: UHC Exchange |
$775.37
|
| Rate for Payer: UHCCP Medicaid |
$516.31
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,192.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$206.12 |
| Max. Negotiated Rate |
$1,424.80 |
| Rate for Payer: Aetna Commercial |
$798.50
|
| Rate for Payer: Aetna Medicare |
$1,096.00
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$1,308.19
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,424.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,005.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,005.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$768.42
|
| Rate for Payer: UHC Exchange |
$768.42
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$600.23 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$990.90
|
| Rate for Payer: Aetna Medicare |
$2,295.00
|
| Rate for Payer: BCBS Complete |
$630.24
|
| Rate for Payer: BCBS Trust/PPO |
$634.70
|
| Rate for Payer: BCN Commercial |
$1,348.75
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Meridian Medicaid |
$630.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$600.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,252.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,252.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$947.58
|
| Rate for Payer: UHC Exchange |
$947.58
|
| Rate for Payer: UHCCP Medicaid |
$600.23
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$576.38 |
| Max. Negotiated Rate |
$4,892.06 |
| Rate for Payer: Aetna Commercial |
$1,013.31
|
| Rate for Payer: Aetna Medicare |
$790.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: BCBS Trust/PPO |
$4,892.06
|
| Rate for Payer: BCN Commercial |
$1,334.09
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Meridian Medicaid |
$605.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$576.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,323.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,323.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$941.42
|
| Rate for Payer: UHC Exchange |
$941.42
|
| Rate for Payer: UHCCP Medicaid |
$576.38
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$248.36 |
| Max. Negotiated Rate |
$4,565.04 |
| Rate for Payer: Aetna Commercial |
$447.02
|
| Rate for Payer: Aetna Medicare |
$362.00
|
| Rate for Payer: BCBS Complete |
$260.78
|
| Rate for Payer: BCBS Trust/PPO |
$4,565.04
|
| Rate for Payer: BCN Commercial |
$573.70
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Meridian Medicaid |
$260.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$569.55
|
| Rate for Payer: Priority Health Narrow Network |
$569.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.99
|
| Rate for Payer: UHC Exchange |
$433.99
|
| Rate for Payer: UHCCP Medicaid |
$248.36
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$2,466.10 |
| Rate for Payer: Aetna Commercial |
$365.22
|
| Rate for Payer: Aetna Medicare |
$312.00
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,466.10
|
| Rate for Payer: BCN Commercial |
$694.90
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$482.00
|
| Rate for Payer: Priority Health Narrow Network |
$482.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$356.47
|
| Rate for Payer: UHC Exchange |
$356.47
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$146.87 |
| Max. Negotiated Rate |
$780.90 |
| Rate for Payer: Aetna Commercial |
$570.63
|
| Rate for Payer: Aetna Medicare |
$499.00
|
| Rate for Payer: BCBS Complete |
$297.68
|
| Rate for Payer: BCBS Trust/PPO |
$146.87
|
| Rate for Payer: BCN Commercial |
$780.90
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Meridian Medicaid |
$297.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.94
|
| Rate for Payer: Priority Health Narrow Network |
$656.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$553.44
|
| Rate for Payer: UHC Exchange |
$553.44
|
| Rate for Payer: UHCCP Medicaid |
$283.50
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$168.27 |
| Max. Negotiated Rate |
$1,384.67 |
| Rate for Payer: Aetna Commercial |
$337.13
|
| Rate for Payer: Aetna Medicare |
$432.00
|
| Rate for Payer: BCBS Complete |
$176.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$380.68
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Meridian Medicaid |
$176.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$419.15
|
| Rate for Payer: Priority Health Narrow Network |
$419.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.45
|
| Rate for Payer: UHC Exchange |
$317.45
|
| Rate for Payer: UHCCP Medicaid |
$168.27
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,106.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$130.49 |
| Max. Negotiated Rate |
$718.90 |
| Rate for Payer: Aetna Commercial |
$427.99
|
| Rate for Payer: Aetna Medicare |
$553.00
|
| Rate for Payer: BCBS Complete |
$227.23
|
| Rate for Payer: BCBS Trust/PPO |
$130.49
|
| Rate for Payer: BCN Commercial |
$483.30
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Meridian Medicaid |
$227.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$718.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.90
|
| Rate for Payer: Priority Health Narrow Network |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$353.34
|
| Rate for Payer: UHC Exchange |
$353.34
|
| Rate for Payer: UHCCP Medicaid |
$216.41
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,150.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$25.89 |
| Max. Negotiated Rate |
$747.50 |
| Rate for Payer: Aetna Commercial |
$516.27
|
| Rate for Payer: Aetna Medicare |
$575.00
|
| Rate for Payer: BCBS Complete |
$272.18
|
| Rate for Payer: BCBS Trust/PPO |
$25.89
|
| Rate for Payer: BCN Commercial |
$580.06
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Meridian Medicaid |
$272.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$747.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$612.67
|
| Rate for Payer: Priority Health Narrow Network |
$612.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$431.40
|
| Rate for Payer: UHC Exchange |
$431.40
|
| Rate for Payer: UHCCP Medicaid |
$259.22
|
|
