|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$248.15 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$495.88
|
| Rate for Payer: Aetna Medicare |
$650.50
|
| Rate for Payer: BCBS Complete |
$260.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Meridian Medicaid |
$260.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.73
|
| Rate for Payer: Priority Health Narrow Network |
$587.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$409.43
|
| Rate for Payer: UHC Exchange |
$409.43
|
| Rate for Payer: UHCCP Medicaid |
$248.15
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
IP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$845.65 |
| Max. Negotiated Rate |
$1,301.00 |
| Rate for Payer: Aetna Commercial |
$1,170.90
|
| Rate for Payer: ASR ASR |
$1,261.97
|
| Rate for Payer: ASR Commercial |
$1,261.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,060.18
|
| Rate for Payer: BCN Commercial |
$1,008.67
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,222.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Healthscope Commercial |
$1,301.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,261.97
|
| Rate for Payer: Mclaren Commercial |
$1,170.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: Nomi Health Commercial |
$1,066.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,144.88
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$248.15 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$495.88
|
| Rate for Payer: Aetna Medicare |
$650.50
|
| Rate for Payer: BCBS Complete |
$260.56
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Meridian Medicaid |
$260.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.73
|
| Rate for Payer: Priority Health Narrow Network |
$587.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$409.43
|
| Rate for Payer: UHC Exchange |
$409.43
|
| Rate for Payer: UHCCP Medicaid |
$248.15
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
OP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$845.65 |
| Max. Negotiated Rate |
$4,927.45 |
| Rate for Payer: Aetna Commercial |
$1,170.90
|
| Rate for Payer: Aetna Medicare |
$3,179.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: ASR ASR |
$1,261.97
|
| Rate for Payer: ASR Commercial |
$1,261.97
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.39
|
| Rate for Payer: BCN Commercial |
$1,008.67
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,222.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,301.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,261.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,179.00
|
| Rate for Payer: Mclaren Commercial |
$1,170.90
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: Nomi Health Commercial |
$1,066.82
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$3,496.90
|
| Rate for Payer: PHP Medicaid |
$1,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,139.94
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$912.00
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,144.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$4,927.45
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP DNSP |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR EXCISION RADIAL HEAD
|
Professional
|
Both
|
$1,256.00
|
|
|
Service Code
|
HCPCS 24130
|
| Min. Negotiated Rate |
$160.60 |
| Max. Negotiated Rate |
$816.40 |
| Rate for Payer: Aetna Commercial |
$679.15
|
| Rate for Payer: Aetna Medicare |
$628.00
|
| Rate for Payer: BCBS Complete |
$355.15
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Meridian Medicaid |
$355.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$816.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$796.37
|
| Rate for Payer: Priority Health Narrow Network |
$796.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$569.29
|
| Rate for Payer: UHC Exchange |
$569.29
|
| Rate for Payer: UHCCP Medicaid |
$338.24
|
|
|
PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 67961
|
| Min. Negotiated Rate |
$288.40 |
| Max. Negotiated Rate |
$2,721.27 |
| Rate for Payer: Aetna Commercial |
$587.78
|
| Rate for Payer: Aetna Medicare |
$576.00
|
| Rate for Payer: BCBS Complete |
$302.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.27
|
| Rate for Payer: BCN Commercial |
$854.21
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Meridian Medicaid |
$302.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$288.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$789.62
|
| Rate for Payer: Priority Health Narrow Network |
$789.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$489.24
|
| Rate for Payer: UHC Exchange |
$489.24
|
| Rate for Payer: UHCCP Medicaid |
$288.40
|
|
|
PR EXCISION RIB PARTIAL
|
Professional
|
Both
|
$1,625.00
|
|
|
Service Code
|
HCPCS 21600
|
| Min. Negotiated Rate |
$57.05 |
| Max. Negotiated Rate |
$1,056.25 |
| Rate for Payer: Aetna Commercial |
$740.10
|
| Rate for Payer: Aetna Medicare |
$812.50
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS Trust/PPO |
$57.05
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,056.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$874.22
|
| Rate for Payer: Priority Health Narrow Network |
$874.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$642.38
|
| Rate for Payer: UHC Exchange |
$642.38
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,174.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$48.31 |
| Max. Negotiated Rate |
$1,034.04 |
| Rate for Payer: Aetna Commercial |
$766.63
|
| Rate for Payer: Aetna Medicare |
$587.00
|
| Rate for Payer: BCBS Complete |
$479.06
|
| Rate for Payer: BCBS Trust/PPO |
$48.31
|
| Rate for Payer: BCN Commercial |
$1,034.04
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Meridian Medicaid |
$479.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$456.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.47
|
| Rate for Payer: Priority Health Narrow Network |
$959.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$711.27
|
| Rate for Payer: UHC Exchange |
$711.27
|
| Rate for Payer: UHCCP Medicaid |
$456.25
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
IP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$440.00 |
| Rate for Payer: Aetna Commercial |
$396.00
|
| Rate for Payer: ASR ASR |
$426.80
|
| Rate for Payer: ASR Commercial |
$426.80
|
| Rate for Payer: BCBS Trust/PPO |
$358.56
|
| Rate for Payer: BCN Commercial |
$341.13
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$413.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Healthscope Commercial |
$440.00
|
| Rate for Payer: Healthscope Whirlpool |
$426.80
|
| Rate for Payer: Mclaren Commercial |
$396.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$360.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.20
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$159.56
|
| Rate for Payer: Aetna Medicare |
$220.00
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.55
|
| Rate for Payer: Priority Health Narrow Network |
$219.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.06
|
| Rate for Payer: UHC Exchange |
$137.06
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$159.56
|
| Rate for Payer: Aetna Medicare |
$220.00
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.55
|
| Rate for Payer: Priority Health Narrow Network |
$219.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.06
|
| Rate for Payer: UHC Exchange |
$137.06
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$1,790.62 |
| Rate for Payer: Aetna Commercial |
$396.00
|
| Rate for Payer: Aetna Medicare |
$1,155.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: ASR ASR |
$426.80
|
| Rate for Payer: ASR Commercial |
$426.80
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$360.32
|
| Rate for Payer: BCN Commercial |
$341.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$413.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$440.00
|
| Rate for Payer: Healthscope Whirlpool |
$426.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,155.24
|
| Rate for Payer: Mclaren Commercial |
$396.00
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$360.80
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,270.76
|
| Rate for Payer: PHP Medicaid |
$619.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.53
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$308.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$1,790.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP DNSP |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$676.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$165.29 |
| Max. Negotiated Rate |
$2,204.60 |
| Rate for Payer: Aetna Commercial |
$284.48
|
| Rate for Payer: Aetna Medicare |
$338.00
|
| Rate for Payer: BCBS Complete |
$173.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,204.60
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Meridian Medicaid |
$173.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.86
|
| Rate for Payer: Priority Health Narrow Network |
$379.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$270.02
|
| Rate for Payer: UHC Exchange |
$270.02
|
| Rate for Payer: UHCCP Medicaid |
$165.29
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$207.89 |
| Max. Negotiated Rate |
$2,153.88 |
| Rate for Payer: Aetna Commercial |
$412.87
|
| Rate for Payer: Aetna Medicare |
$299.00
|
| Rate for Payer: BCBS Complete |
$218.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,153.88
|
| Rate for Payer: BCN Commercial |
$467.66
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Meridian Medicaid |
$218.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.62
|
| Rate for Payer: Priority Health Narrow Network |
$516.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$385.73
|
| Rate for Payer: UHC Exchange |
$385.73
|
| Rate for Payer: UHCCP Medicaid |
$207.89
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$1,476.80 |
| Rate for Payer: Aetna Commercial |
$546.03
|
| Rate for Payer: Aetna Medicare |
$1,136.00
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS Trust/PPO |
$437.96
|
| Rate for Payer: BCN Commercial |
$611.82
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,476.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$752.31
|
| Rate for Payer: Priority Health Narrow Network |
$752.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$571.96
|
| Rate for Payer: UHC Exchange |
$571.96
|
| Rate for Payer: UHCCP Medicaid |
$269.02
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,035.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$748.17 |
| Rate for Payer: Aetna Commercial |
$537.29
|
| Rate for Payer: Aetna Medicare |
$517.50
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS Trust/PPO |
$589.05
|
| Rate for Payer: BCN Commercial |
$748.17
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.68
|
| Rate for Payer: Priority Health Narrow Network |
$587.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$486.69
|
| Rate for Payer: UHC Exchange |
$486.69
|
| Rate for Payer: UHCCP Medicaid |
$271.36
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$321.63 |
| Max. Negotiated Rate |
$1,594.41 |
| Rate for Payer: Aetna Commercial |
$645.18
|
| Rate for Payer: Aetna Medicare |
$820.00
|
| Rate for Payer: BCBS Complete |
$337.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.41
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Meridian Medicaid |
$337.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$758.20
|
| Rate for Payer: Priority Health Narrow Network |
$758.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$542.77
|
| Rate for Payer: UHC Exchange |
$542.77
|
| Rate for Payer: UHCCP Medicaid |
$321.63
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$146.34 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$596.15
|
| Rate for Payer: Aetna Medicare |
$636.00
|
| Rate for Payer: BCBS Complete |
$313.33
|
| Rate for Payer: BCBS Trust/PPO |
$146.34
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Meridian Medicaid |
$313.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| 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 |
$492.25
|
| Rate for Payer: UHC Exchange |
$492.25
|
| Rate for Payer: UHCCP Medicaid |
$298.41
|
|
|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$724.10 |
| Rate for Payer: Aetna Commercial |
$541.73
|
| Rate for Payer: Aetna Medicare |
$557.00
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$606.94
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$639.13
|
| Rate for Payer: Priority Health Narrow Network |
$639.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$451.33
|
| Rate for Payer: UHC Exchange |
$451.33
|
| Rate for Payer: UHCCP Medicaid |
$269.66
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$294.37 |
| Max. Negotiated Rate |
$3,383.23 |
| Rate for Payer: Aetna Commercial |
$571.08
|
| Rate for Payer: Aetna Medicare |
$1,037.00
|
| Rate for Payer: BCBS Complete |
$309.09
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.23
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$309.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,348.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.05
|
| Rate for Payer: Priority Health Narrow Network |
$742.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$488.75
|
| Rate for Payer: UHC Exchange |
$488.75
|
| Rate for Payer: UHCCP Medicaid |
$294.37
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$385.10 |
| Max. Negotiated Rate |
$3,474.63 |
| Rate for Payer: Aetna Commercial |
$753.00
|
| Rate for Payer: Aetna Medicare |
$1,098.50
|
| Rate for Payer: BCBS Complete |
$404.36
|
| Rate for Payer: BCBS Trust/PPO |
$3,474.63
|
| Rate for Payer: BCN Commercial |
$876.69
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Meridian Medicaid |
$404.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$970.91
|
| Rate for Payer: Priority Health Narrow Network |
$970.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$653.26
|
| Rate for Payer: UHC Exchange |
$653.26
|
| Rate for Payer: UHCCP Medicaid |
$385.10
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$249.27
|
| Rate for Payer: Aetna Medicare |
$190.00
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.77
|
| Rate for Payer: Priority Health Narrow Network |
$353.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$226.51
|
| Rate for Payer: UHC Exchange |
$226.51
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,948.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$687.99 |
| Max. Negotiated Rate |
$2,566.20 |
| Rate for Payer: Aetna Commercial |
$1,372.02
|
| Rate for Payer: Aetna Medicare |
$1,974.00
|
| Rate for Payer: BCBS Complete |
$722.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$1,570.12
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Meridian Medicaid |
$722.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,566.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,238.31
|
| Rate for Payer: UHC Exchange |
$1,238.31
|
| Rate for Payer: UHCCP Medicaid |
$687.99
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$297.77 |
| Max. Negotiated Rate |
$4,466.25 |
| Rate for Payer: Aetna Commercial |
$606.20
|
| Rate for Payer: Aetna Medicare |
$839.00
|
| Rate for Payer: BCBS Complete |
$312.66
|
| Rate for Payer: BCBS Trust/PPO |
$4,466.25
|
| Rate for Payer: BCN Commercial |
$672.91
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Meridian Medicaid |
$312.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$707.32
|
| Rate for Payer: Priority Health Narrow Network |
$707.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$510.01
|
| Rate for Payer: UHC Exchange |
$510.01
|
| Rate for Payer: UHCCP Medicaid |
$297.77
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$306.08 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$629.51
|
| Rate for Payer: Aetna Medicare |
$372.50
|
| Rate for Payer: BCBS Complete |
$321.38
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Meridian Medicaid |
$321.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.61
|
| Rate for Payer: Priority Health Narrow Network |
$724.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$559.43
|
| Rate for Payer: UHC Exchange |
$559.43
|
| Rate for Payer: UHCCP Medicaid |
$306.08
|
|
