|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$627.36
|
| Rate for Payer: Aetna Medicare |
$493.00
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.11
|
| Rate for Payer: Priority Health Narrow Network |
$724.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.58
|
| Rate for Payer: UHC Exchange |
$558.58
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$986.00 |
| Rate for Payer: Aetna Commercial |
$887.40
|
| Rate for Payer: ASR ASR |
$956.42
|
| Rate for Payer: ASR Commercial |
$956.42
|
| Rate for Payer: BCBS Trust/PPO |
$803.49
|
| Rate for Payer: BCN Commercial |
$764.45
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$926.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$986.00
|
| Rate for Payer: Healthscope Whirlpool |
$956.42
|
| Rate for Payer: Mclaren Commercial |
$887.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$867.68
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$627.36
|
| Rate for Payer: Aetna Medicare |
$493.00
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.11
|
| Rate for Payer: Priority Health Narrow Network |
$724.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.58
|
| Rate for Payer: UHC Exchange |
$558.58
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$562.05
|
| Rate for Payer: Aetna Medicare |
$375.00
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.31
|
| Rate for Payer: Priority Health Narrow Network |
$649.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$496.55
|
| Rate for Payer: UHC Exchange |
$496.55
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$727.50
|
| Rate for Payer: ASR Commercial |
$727.50
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$614.18
|
| Rate for Payer: BCN Commercial |
$581.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$705.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$750.00
|
| Rate for Payer: Healthscope Whirlpool |
$727.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$675.00
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.15
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$525.75
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$660.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$562.05
|
| Rate for Payer: Aetna Medicare |
$375.00
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.31
|
| Rate for Payer: Priority Health Narrow Network |
$649.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$496.55
|
| Rate for Payer: UHC Exchange |
$496.55
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$750.00 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: ASR ASR |
$727.50
|
| Rate for Payer: ASR Commercial |
$727.50
|
| Rate for Payer: BCBS Trust/PPO |
$611.18
|
| Rate for Payer: BCN Commercial |
$581.48
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$705.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$750.00
|
| Rate for Payer: Healthscope Whirlpool |
$727.50
|
| Rate for Payer: Mclaren Commercial |
$675.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$660.00
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$760.38 |
| Rate for Payer: Aetna Commercial |
$435.38
|
| Rate for Payer: Aetna Medicare |
$433.50
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| 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 |
$315.65
|
| Rate for Payer: UHC Exchange |
$315.65
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$848.25 |
| Max. Negotiated Rate |
$2,460.59 |
| Rate for Payer: Aetna Commercial |
$1,174.50
|
| Rate for Payer: Aetna Medicare |
$1,587.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: ASR ASR |
$1,265.85
|
| Rate for Payer: ASR Commercial |
$1,265.85
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,068.66
|
| Rate for Payer: BCN Commercial |
$1,011.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,226.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,305.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,265.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,587.48
|
| Rate for Payer: Mclaren Commercial |
$1,174.50
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,746.23
|
| Rate for Payer: PHP Medicaid |
$850.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,143.44
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$914.80
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,148.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$2,460.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP DNSP |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$848.25 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$1,174.50
|
| Rate for Payer: ASR ASR |
$1,265.85
|
| Rate for Payer: ASR Commercial |
$1,265.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,063.44
|
| Rate for Payer: BCN Commercial |
$1,011.77
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,226.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Healthscope Commercial |
$1,305.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,265.85
|
| Rate for Payer: Mclaren Commercial |
$1,174.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,148.40
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.89
|
| Rate for Payer: Aetna Medicare |
$652.50
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$363.54
|
| Rate for Payer: UHC Exchange |
$363.54
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.89
|
| Rate for Payer: Aetna Medicare |
$652.50
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$363.54
|
| Rate for Payer: UHC Exchange |
$363.54
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$604.49 |
| Max. Negotiated Rate |
$3,769.95 |
| Rate for Payer: Aetna Commercial |
$1,243.00
|
| Rate for Payer: Aetna Medicare |
$1,462.00
|
| Rate for Payer: BCBS Complete |
$634.71
|
| Rate for Payer: BCBS Trust/PPO |
$3,769.95
|
| Rate for Payer: BCN Commercial |
$1,386.87
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Meridian Medicaid |
$634.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$604.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,900.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,501.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,501.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,144.12
|
| Rate for Payer: UHC Exchange |
$1,144.12
|
| Rate for Payer: UHCCP Medicaid |
$604.49
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$2,039.77 |
| Rate for Payer: Aetna Commercial |
$220.32
|
| Rate for Payer: Aetna Medicare |
$335.50
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,039.77
|
| Rate for Payer: BCN Commercial |
$366.51
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.26
|
| Rate for Payer: Priority Health Narrow Network |
$282.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$196.09
|
| Rate for Payer: UHC Exchange |
$196.09
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$111.40 |
| Max. Negotiated Rate |
$2,624.59 |
| Rate for Payer: Aetna Commercial |
$202.91
|
| Rate for Payer: Aetna Medicare |
$577.50
|
| Rate for Payer: BCBS Complete |
$116.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.59
|
| Rate for Payer: BCN Commercial |
$342.07
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Meridian Medicaid |
$116.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.93
|
| Rate for Payer: Priority Health Narrow Network |
$259.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.72
|
| Rate for Payer: UHC Exchange |
$181.72
|
| Rate for Payer: UHCCP Medicaid |
$111.40
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$560.76
|
| Rate for Payer: Aetna Medicare |
$741.50
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$497.83
|
| Rate for Payer: UHC Exchange |
$497.83
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$963.95 |
| Max. Negotiated Rate |
$4,346.48 |
| Rate for Payer: Aetna Commercial |
$1,334.70
|
| Rate for Payer: Aetna Medicare |
$2,804.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: ASR ASR |
$1,438.51
|
| Rate for Payer: ASR Commercial |
$1,438.51
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,214.43
|
| Rate for Payer: BCN Commercial |
$1,149.77
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,394.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,483.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,438.51
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,804.18
|
| Rate for Payer: Mclaren Commercial |
$1,334.70
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$1,216.06
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$3,084.60
|
| Rate for Payer: PHP Medicaid |
$1,503.04
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,299.40
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,039.58
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,305.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$4,346.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP DNSP |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: VA VA |
$2,804.18
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$560.76
|
| Rate for Payer: Aetna Medicare |
$741.50
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$497.83
|
| Rate for Payer: UHC Exchange |
$497.83
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$963.95 |
| Max. Negotiated Rate |
$1,483.00 |
| Rate for Payer: Aetna Commercial |
$1,334.70
|
| Rate for Payer: ASR ASR |
$1,438.51
|
| Rate for Payer: ASR Commercial |
$1,438.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,208.50
|
| Rate for Payer: BCN Commercial |
$1,149.77
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,394.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,483.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,438.51
|
| Rate for Payer: Mclaren Commercial |
$1,334.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$1,216.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,305.04
|
|
|
PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR
|
Professional
|
Both
|
$1,870.00
|
|
|
Service Code
|
HCPCS 43101
|
| Min. Negotiated Rate |
$263.62 |
| Max. Negotiated Rate |
$1,785.01 |
| Rate for Payer: Aetna Commercial |
$1,352.24
|
| Rate for Payer: Aetna Medicare |
$935.00
|
| Rate for Payer: BCBS Complete |
$671.84
|
| Rate for Payer: BCBS Trust/PPO |
$263.62
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Meridian Medicaid |
$671.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$639.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,215.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,785.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,785.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,285.15
|
| Rate for Payer: UHC Exchange |
$1,285.15
|
| Rate for Payer: UHCCP Medicaid |
$639.85
|
|
|
PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 67840
|
| Min. Negotiated Rate |
$99.47 |
| Max. Negotiated Rate |
$410.49 |
| Rate for Payer: Aetna Commercial |
$203.67
|
| Rate for Payer: Aetna Medicare |
$227.50
|
| Rate for Payer: BCBS Complete |
$104.44
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$410.49
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Meridian Medicaid |
$104.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$273.15
|
| Rate for Payer: Priority Health Narrow Network |
$273.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$168.64
|
| Rate for Payer: UHC Exchange |
$168.64
|
| Rate for Payer: UHCCP Medicaid |
$99.47
|
|
|
PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC
|
Professional
|
Both
|
$1,223.00
|
|
|
Service Code
|
HCPCS 40816
|
| Min. Negotiated Rate |
$196.60 |
| Max. Negotiated Rate |
$794.95 |
| Rate for Payer: Aetna Commercial |
$397.82
|
| Rate for Payer: Aetna Medicare |
$611.50
|
| Rate for Payer: BCBS Complete |
$206.43
|
| Rate for Payer: BCBS Trust/PPO |
$726.41
|
| Rate for Payer: BCN Commercial |
$590.81
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Meridian Medicaid |
$206.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$794.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$547.08
|
| Rate for Payer: Priority Health Narrow Network |
$547.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$374.53
|
| Rate for Payer: UHC Exchange |
$374.53
|
| Rate for Payer: UHCCP Medicaid |
$196.60
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR
|
Professional
|
Both
|
$679.00
|
|
|
Service Code
|
HCPCS 40814
|
| Min. Negotiated Rate |
$183.82 |
| Max. Negotiated Rate |
$684.68 |
| Rate for Payer: Aetna Commercial |
$377.24
|
| Rate for Payer: Aetna Medicare |
$339.50
|
| Rate for Payer: BCBS Complete |
$193.01
|
| Rate for Payer: BCBS Trust/PPO |
$684.68
|
| Rate for Payer: BCN Commercial |
$548.78
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Meridian Medicaid |
$193.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.30
|
| Rate for Payer: Priority Health Narrow Network |
$508.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.08
|
| Rate for Payer: UHC Exchange |
$357.08
|
| Rate for Payer: UHCCP Medicaid |
$183.82
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 40812
|
| Min. Negotiated Rate |
$117.36 |
| Max. Negotiated Rate |
$465.43 |
| Rate for Payer: Aetna Commercial |
$245.47
|
| Rate for Payer: Aetna Medicare |
$287.50
|
| Rate for Payer: BCBS Complete |
$123.23
|
| Rate for Payer: BCBS Trust/PPO |
$465.43
|
| Rate for Payer: BCN Commercial |
$332.58
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Meridian Medicaid |
$123.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$326.94
|
| Rate for Payer: Priority Health Narrow Network |
$326.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$231.13
|
| Rate for Payer: UHC Exchange |
$231.13
|
| Rate for Payer: UHCCP Medicaid |
$117.36
|
|
|
PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE
|
Professional
|
Both
|
$902.00
|
|
|
Service Code
|
HCPCS 42107
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$666.56 |
| Rate for Payer: Aetna Commercial |
$443.54
|
| Rate for Payer: Aetna Medicare |
$451.00
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS Trust/PPO |
$306.41
|
| Rate for Payer: BCN Commercial |
$666.56
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$586.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.08
|
| Rate for Payer: Priority Health Narrow Network |
$581.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$412.99
|
| Rate for Payer: UHC Exchange |
$412.99
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
