|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$436.63 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$585.08
|
| Rate for Payer: Aetna Medicare |
$436.63
|
| Rate for Payer: BCBS Complete |
$508.80
|
| Rate for Payer: BCBS MAPPO |
$436.63
|
| Rate for Payer: BCN Medicare Advantage |
$436.63
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cofinity Commercial |
$628.75
|
| Rate for Payer: Cofinity Commercial |
$585.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.63
|
| Rate for Payer: Healthscope Commercial |
$523.96
|
| Rate for Payer: Healthscope Whirlpool |
$523.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.46
|
| Rate for Payer: Nomi Health Commercial |
$523.96
|
| Rate for Payer: PACE SWMI |
$436.63
|
| Rate for Payer: PHP Medicare Advantage |
$436.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health Medicare |
$436.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.63
|
| Rate for Payer: UHC Medicare Advantage |
$436.63
|
| Rate for Payer: UHCCP DNSP |
$436.63
|
|
|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$394.74 |
| Max. Negotiated Rate |
$724.10 |
| Rate for Payer: Aetna Commercial |
$528.95
|
| Rate for Payer: Aetna Medicare |
$394.74
|
| Rate for Payer: BCBS Complete |
$445.60
|
| Rate for Payer: BCBS MAPPO |
$394.74
|
| Rate for Payer: BCN Medicare Advantage |
$394.74
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$568.43
|
| Rate for Payer: Cofinity Commercial |
$528.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.74
|
| Rate for Payer: Healthscope Commercial |
$473.69
|
| Rate for Payer: Healthscope Whirlpool |
$473.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$414.48
|
| Rate for Payer: Nomi Health Commercial |
$473.69
|
| Rate for Payer: PACE SWMI |
$394.74
|
| Rate for Payer: PHP Medicare Advantage |
$394.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health Medicare |
$394.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$394.74
|
| Rate for Payer: UHC Medicare Advantage |
$394.74
|
| Rate for Payer: UHCCP DNSP |
$394.74
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$432.94 |
| Max. Negotiated Rate |
$1,348.10 |
| Rate for Payer: Aetna Commercial |
$580.14
|
| Rate for Payer: Aetna Medicare |
$432.94
|
| Rate for Payer: BCBS Complete |
$829.60
|
| Rate for Payer: BCBS MAPPO |
$432.94
|
| Rate for Payer: BCN Medicare Advantage |
$432.94
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cofinity Commercial |
$623.43
|
| Rate for Payer: Cofinity Commercial |
$580.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.94
|
| Rate for Payer: Healthscope Commercial |
$519.53
|
| Rate for Payer: Healthscope Whirlpool |
$519.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.59
|
| Rate for Payer: Nomi Health Commercial |
$519.53
|
| Rate for Payer: PACE SWMI |
$432.94
|
| Rate for Payer: PHP Medicare Advantage |
$432.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,348.10
|
| Rate for Payer: Priority Health Medicare |
$432.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.94
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
| Rate for Payer: UHCCP DNSP |
$432.94
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$569.01 |
| Max. Negotiated Rate |
$1,428.05 |
| Rate for Payer: Aetna Commercial |
$762.47
|
| Rate for Payer: Aetna Medicare |
$569.01
|
| Rate for Payer: BCBS Complete |
$878.80
|
| Rate for Payer: BCBS MAPPO |
$569.01
|
| Rate for Payer: BCN Medicare Advantage |
$569.01
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cofinity Commercial |
$819.37
|
| Rate for Payer: Cofinity Commercial |
$762.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.01
|
| Rate for Payer: Healthscope Commercial |
$682.81
|
| Rate for Payer: Healthscope Whirlpool |
$682.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.46
|
| Rate for Payer: Nomi Health Commercial |
$682.81
|
| Rate for Payer: PACE SWMI |
$569.01
|
| Rate for Payer: PHP Medicare Advantage |
$569.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.05
|
| Rate for Payer: Priority Health Medicare |
$569.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.01
|
| Rate for Payer: UHC Medicare Advantage |
$569.01
|
| Rate for Payer: UHCCP DNSP |
$569.01
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$152.00 |
| Max. Negotiated Rate |
$266.59 |
| Rate for Payer: Aetna Commercial |
$248.07
|
| Rate for Payer: Aetna Medicare |
$185.13
|
| Rate for Payer: BCBS Complete |
$152.00
|
| Rate for Payer: BCBS MAPPO |
$185.13
|
| Rate for Payer: BCN Medicare Advantage |
$185.13
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cofinity Commercial |
$266.59
|
| Rate for Payer: Cofinity Commercial |
$248.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.13
|
| Rate for Payer: Healthscope Commercial |
$222.16
|
| Rate for Payer: Healthscope Whirlpool |
$222.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$222.16
|
| Rate for Payer: PACE SWMI |
$185.13
|
| Rate for Payer: PHP Medicare Advantage |
$185.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health Medicare |
$185.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.13
|
| Rate for Payer: UHC Medicare Advantage |
$185.13
|
| Rate for Payer: UHCCP DNSP |
$185.13
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,948.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$1,027.09 |
| Max. Negotiated Rate |
$2,566.20 |
| Rate for Payer: Aetna Commercial |
$1,376.30
|
| Rate for Payer: Aetna Medicare |
$1,027.09
|
| Rate for Payer: BCBS Complete |
$1,579.20
|
| Rate for Payer: BCBS MAPPO |
$1,027.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.09
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,479.01
|
| Rate for Payer: Cofinity Commercial |
$1,376.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.09
|
| Rate for Payer: Healthscope Commercial |
$1,232.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,232.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.44
|
| Rate for Payer: Nomi Health Commercial |
$1,232.51
|
| Rate for Payer: PACE SWMI |
$1,027.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,566.20
|
| Rate for Payer: Priority Health Medicare |
$1,027.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.09
|
| Rate for Payer: UHCCP DNSP |
$1,027.09
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$438.09 |
| Max. Negotiated Rate |
$1,090.70 |
| Rate for Payer: Aetna Commercial |
$587.04
|
| Rate for Payer: Aetna Medicare |
$438.09
|
| Rate for Payer: BCBS Complete |
$671.20
|
| Rate for Payer: BCBS MAPPO |
$438.09
|
| Rate for Payer: BCN Medicare Advantage |
$438.09
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$630.85
|
| Rate for Payer: Cofinity Commercial |
$587.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.09
|
| Rate for Payer: Healthscope Commercial |
$525.71
|
| Rate for Payer: Healthscope Whirlpool |
$525.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.99
|
| Rate for Payer: Nomi Health Commercial |
$525.71
|
| Rate for Payer: PACE SWMI |
$438.09
|
| Rate for Payer: PHP Medicare Advantage |
$438.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health Medicare |
$438.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.09
|
| Rate for Payer: UHC Medicare Advantage |
$438.09
|
| Rate for Payer: UHCCP DNSP |
$438.09
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$484.25 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$670.50
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$722.65
|
| Rate for Payer: ASR Commercial |
$722.65
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$610.08
|
| Rate for Payer: BCN Commercial |
$577.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$700.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$745.00
|
| Rate for Payer: Healthscope Whirlpool |
$722.65
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$670.50
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$652.77
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$522.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$655.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$484.25 |
| Max. Negotiated Rate |
$745.00 |
| Rate for Payer: Aetna Commercial |
$670.50
|
| Rate for Payer: ASR ASR |
$722.65
|
| Rate for Payer: ASR Commercial |
$722.65
|
| Rate for Payer: BCBS Trust/PPO |
$607.10
|
| Rate for Payer: BCN Commercial |
$577.60
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$700.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$745.00
|
| Rate for Payer: Healthscope Whirlpool |
$722.65
|
| Rate for Payer: Mclaren Commercial |
$670.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$655.60
|
|
|
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 |
$298.00 |
| Max. Negotiated Rate |
$658.31 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$457.16
|
| Rate for Payer: BCBS Complete |
$298.00
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Healthscope Commercial |
$548.59
|
| Rate for Payer: Healthscope Whirlpool |
$548.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health Medicare |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP DNSP |
$457.16
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$298.00 |
| Max. Negotiated Rate |
$658.31 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$457.16
|
| Rate for Payer: BCBS Complete |
$298.00
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Healthscope Commercial |
$548.59
|
| Rate for Payer: Healthscope Whirlpool |
$548.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health Medicare |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP DNSP |
$457.16
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$594.10 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$822.60
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$886.58
|
| Rate for Payer: ASR Commercial |
$886.58
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$748.47
|
| Rate for Payer: BCN Commercial |
$708.62
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$859.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$914.00
|
| Rate for Payer: Healthscope Whirlpool |
$886.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$822.60
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$800.85
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$640.71
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$804.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$322.06
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Healthscope Commercial |
$386.47
|
| Rate for Payer: Healthscope Whirlpool |
$386.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP DNSP |
$322.06
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$594.10 |
| Max. Negotiated Rate |
$914.00 |
| Rate for Payer: Aetna Commercial |
$822.60
|
| Rate for Payer: ASR ASR |
$886.58
|
| Rate for Payer: ASR Commercial |
$886.58
|
| Rate for Payer: BCBS Trust/PPO |
$744.82
|
| Rate for Payer: BCN Commercial |
$708.62
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$859.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Healthscope Commercial |
$914.00
|
| Rate for Payer: Healthscope Whirlpool |
$886.58
|
| Rate for Payer: Mclaren Commercial |
$822.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$804.32
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$322.06
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Healthscope Commercial |
$386.47
|
| Rate for Payer: Healthscope Whirlpool |
$386.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP DNSP |
$322.06
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$325.93
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Healthscope Commercial |
$391.12
|
| Rate for Payer: Healthscope Whirlpool |
$391.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UHCCP DNSP |
$325.93
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$423.80 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$586.80
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$632.44
|
| Rate for Payer: ASR Commercial |
$632.44
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$533.92
|
| Rate for Payer: BCN Commercial |
$505.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$612.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$652.00
|
| Rate for Payer: Healthscope Whirlpool |
$632.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$586.80
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$571.28
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$457.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$573.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$325.93
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Healthscope Commercial |
$391.12
|
| Rate for Payer: Healthscope Whirlpool |
$391.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UHCCP DNSP |
$325.93
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$423.80 |
| Max. Negotiated Rate |
$652.00 |
| Rate for Payer: Aetna Commercial |
$586.80
|
| Rate for Payer: ASR ASR |
$632.44
|
| Rate for Payer: ASR Commercial |
$632.44
|
| Rate for Payer: BCBS Trust/PPO |
$531.31
|
| Rate for Payer: BCN Commercial |
$505.50
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$612.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$652.00
|
| Rate for Payer: Healthscope Whirlpool |
$632.44
|
| Rate for Payer: Mclaren Commercial |
$586.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$573.76
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$249.43
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Healthscope Commercial |
$299.32
|
| Rate for Payer: Healthscope Whirlpool |
$299.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP DNSP |
$249.43
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$359.45 |
| Max. Negotiated Rate |
$553.00 |
| Rate for Payer: Aetna Commercial |
$497.70
|
| Rate for Payer: ASR ASR |
$536.41
|
| Rate for Payer: ASR Commercial |
$536.41
|
| Rate for Payer: BCBS Trust/PPO |
$450.64
|
| Rate for Payer: BCN Commercial |
$428.74
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$519.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Healthscope Commercial |
$553.00
|
| Rate for Payer: Healthscope Whirlpool |
$536.41
|
| Rate for Payer: Mclaren Commercial |
$497.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$486.64
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$249.43
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Healthscope Commercial |
$299.32
|
| Rate for Payer: Healthscope Whirlpool |
$299.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP DNSP |
$249.43
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$359.45 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$497.70
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$536.41
|
| Rate for Payer: ASR Commercial |
$536.41
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$452.85
|
| Rate for Payer: BCN Commercial |
$428.74
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$519.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$553.00
|
| Rate for Payer: Healthscope Whirlpool |
$536.41
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$497.70
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.54
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$387.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$486.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$818.35 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$1,133.10
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$1,221.23
|
| Rate for Payer: ASR Commercial |
$1,221.23
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,031.00
|
| Rate for Payer: BCN Commercial |
$976.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,183.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,259.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,221.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$1,133.10
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,103.14
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$882.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,107.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$351.89
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Healthscope Commercial |
$422.27
|
| Rate for Payer: Healthscope Whirlpool |
$422.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP DNSP |
$351.89
|
|
