|
PR HAMMER TOE CREST FELT - MEDIUM LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAMMER TOE CREST FELT - MEDIUM RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAMMER TOE CREST FELT - SMALL LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAMMER TOE CREST FELT - SMALL RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAMMER TOE CREST FELT - XLARGE LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAMMER TOE CREST FELT - XLARGE RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
|
|
PR HAND-HELD PEFR METER
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS A4614
|
| Min. Negotiated Rate |
$11.05 |
| Max. Negotiated Rate |
$48.80 |
| Rate for Payer: Aetna Commercial |
$45.41
|
| Rate for Payer: Aetna Medicare |
$33.89
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$33.89
|
| Rate for Payer: BCN Commercial |
$32.45
|
| Rate for Payer: BCN Medicare Advantage |
$33.89
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$45.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.89
|
| Rate for Payer: Healthscope Commercial |
$40.67
|
| Rate for Payer: Healthscope Whirlpool |
$40.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$40.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$33.89
|
| Rate for Payer: PHP Medicare Advantage |
$33.89
|
| Rate for Payer: Priority Health Medicare |
$33.89
|
| Rate for Payer: Railroad Medicare Medicare |
$33.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.89
|
| Rate for Payer: UHC Exchange |
$11.05
|
| Rate for Payer: UHCCP DNSP |
$33.89
|
|
|
PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB
|
Professional
|
Both
|
$16.00
|
|
|
Service Code
|
HCPCS 99000
|
| Min. Negotiated Rate |
$2.30 |
| Max. Negotiated Rate |
$12.00 |
| Rate for Payer: Aetna Commercial |
$7.00
|
| Rate for Payer: BCBS Complete |
$6.40
|
| Rate for Payer: BCN Commercial |
$10.15
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7.35
|
| Rate for Payer: Priority Health Narrow Network |
$7.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.30
|
| Rate for Payer: UHC Exchange |
$2.30
|
|
|
PR HAND MUSCLE TEST,MANUAL
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 95832
|
| Min. Negotiated Rate |
$35.60 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
|
|
PR HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 35572
|
| Min. Negotiated Rate |
$195.75 |
| Max. Negotiated Rate |
$882.00 |
| Rate for Payer: Aetna Commercial |
$417.62
|
| Rate for Payer: Aetna Medicare |
$311.66
|
| Rate for Payer: BCBS Complete |
$205.54
|
| Rate for Payer: BCBS MAPPO |
$311.66
|
| Rate for Payer: BCN Commercial |
$499.48
|
| Rate for Payer: BCN Medicare Advantage |
$311.66
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cofinity Commercial |
$417.62
|
| Rate for Payer: Cofinity Commercial |
$448.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.66
|
| Rate for Payer: Healthscope Commercial |
$373.99
|
| Rate for Payer: Healthscope Whirlpool |
$373.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.24
|
| Rate for Payer: Meridian Medicaid |
$205.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$342.83
|
| Rate for Payer: Nomi Health Commercial |
$373.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$882.00
|
| Rate for Payer: PACE SWMI |
$311.66
|
| Rate for Payer: PHP Medicare Advantage |
$311.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$537.13
|
| Rate for Payer: Priority Health Medicare |
$311.66
|
| Rate for Payer: Priority Health Narrow Network |
$537.13
|
| Rate for Payer: Railroad Medicare Medicare |
$311.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$621.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$311.66
|
| Rate for Payer: UHC Exchange |
$621.56
|
| Rate for Payer: UHC Medicaid |
$195.75
|
| Rate for Payer: UHCCP DNSP |
$311.66
|
| Rate for Payer: UHCCP Medicaid |
$195.75
|
|
|
PR HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<
|
Professional
|
Both
|
$572.00
|
|
|
Service Code
|
HCPCS 15040
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$429.00 |
| Rate for Payer: Aetna Commercial |
$150.62
|
| Rate for Payer: Aetna Medicare |
$112.40
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$112.40
|
| Rate for Payer: BCN Commercial |
$189.23
|
| Rate for Payer: BCN Medicare Advantage |
$112.40
|
| Rate for Payer: Cash Price |
$457.60
|
| Rate for Payer: Cash Price |
$457.60
|
| Rate for Payer: Cofinity Commercial |
$161.86
|
| Rate for Payer: Cofinity Commercial |
$150.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.40
|
| Rate for Payer: Healthscope Commercial |
$134.88
|
| Rate for Payer: Healthscope Whirlpool |
$134.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.02
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.64
|
| Rate for Payer: Nomi Health Commercial |
$134.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.00
|
| Rate for Payer: PACE SWMI |
$112.40
|
| Rate for Payer: PHP Medicare Advantage |
$112.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$173.20
|
| Rate for Payer: Priority Health Medicare |
$112.40
|
| Rate for Payer: Priority Health Narrow Network |
$173.20
|
| Rate for Payer: Railroad Medicare Medicare |
$112.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$219.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.40
|
| Rate for Payer: UHC Exchange |
$219.64
|
| Rate for Payer: UHC Medicaid |
$72.63
|
| Rate for Payer: UHCCP DNSP |
$112.40
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
|
|
PR HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 35500
|
| Min. Negotiated Rate |
$182.97 |
| Max. Negotiated Rate |
$870.75 |
| Rate for Payer: Aetna Commercial |
$390.74
|
| Rate for Payer: Aetna Medicare |
$291.60
|
| Rate for Payer: BCBS Complete |
$192.12
|
| Rate for Payer: BCBS MAPPO |
$291.60
|
| Rate for Payer: BCN Commercial |
$462.63
|
| Rate for Payer: BCN Medicare Advantage |
$291.60
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$419.90
|
| Rate for Payer: Cofinity Commercial |
$390.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$291.60
|
| Rate for Payer: Healthscope Commercial |
$349.92
|
| Rate for Payer: Healthscope Whirlpool |
$349.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.18
|
| Rate for Payer: Meridian Medicaid |
$192.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$349.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$870.75
|
| Rate for Payer: PACE SWMI |
$291.60
|
| Rate for Payer: PHP Medicare Advantage |
$291.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$497.50
|
| Rate for Payer: Priority Health Medicare |
$291.60
|
| Rate for Payer: Priority Health Narrow Network |
$497.50
|
| Rate for Payer: Railroad Medicare Medicare |
$291.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$576.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$291.60
|
| Rate for Payer: UHC Exchange |
$576.18
|
| Rate for Payer: UHC Medicaid |
$182.97
|
| Rate for Payer: UHCCP DNSP |
$291.60
|
| Rate for Payer: UHCCP Medicaid |
$182.97
|
|
|
PR HBOT, FULL BODY CHAMBER, 30M
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS G0277
|
| Min. Negotiated Rate |
$124.50 |
| Max. Negotiated Rate |
$261.94 |
| Rate for Payer: Aetna Commercial |
$237.39
|
| Rate for Payer: Aetna Medicare |
$177.16
|
| Rate for Payer: BCBS MAPPO |
$177.16
|
| Rate for Payer: BCN Commercial |
$261.94
|
| Rate for Payer: BCN Medicare Advantage |
$177.16
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$255.11
|
| Rate for Payer: Cofinity Commercial |
$237.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.16
|
| Rate for Payer: Healthscope Commercial |
$212.59
|
| Rate for Payer: Healthscope Whirlpool |
$212.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.88
|
| Rate for Payer: Nomi Health Commercial |
$212.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: PACE SWMI |
$177.16
|
| Rate for Payer: PHP Medicare Advantage |
$177.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$241.56
|
| Rate for Payer: Priority Health Medicare |
$177.16
|
| Rate for Payer: Priority Health Narrow Network |
$241.56
|
| Rate for Payer: Railroad Medicare Medicare |
$177.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$203.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$177.16
|
| Rate for Payer: UHC Exchange |
$203.71
|
| Rate for Payer: UHCCP DNSP |
$177.16
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,INIT
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 96150
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$32.25 |
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.25
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,RE-ASSESS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 96151
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$31.50 |
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
|
|
PR HEAL & BEHAV INTERV,EA 15 MIN,FAM W/O PT
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 96155
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
|
|
PR HEAL & BEHAV INTERV,EA 15 MIN,FAM W/PT
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 96154
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$29.25 |
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
|
|
PR HEAL & BEHAV INTERVENT,EA 15 MIN,INDIV
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 96152
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
|
|
PR HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 96156
|
| Min. Negotiated Rate |
$55.38 |
| Max. Negotiated Rate |
$153.00 |
| Rate for Payer: Aetna Commercial |
$115.79
|
| Rate for Payer: Aetna Medicare |
$86.41
|
| Rate for Payer: BCBS Complete |
$58.15
|
| Rate for Payer: BCBS MAPPO |
$86.41
|
| Rate for Payer: BCN Commercial |
$133.46
|
| Rate for Payer: BCN Medicare Advantage |
$86.41
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$124.43
|
| Rate for Payer: Cofinity Commercial |
$115.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.41
|
| Rate for Payer: Healthscope Commercial |
$103.69
|
| Rate for Payer: Healthscope Whirlpool |
$103.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.73
|
| Rate for Payer: Meridian Medicaid |
$58.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.05
|
| Rate for Payer: Nomi Health Commercial |
$103.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.00
|
| Rate for Payer: PACE SWMI |
$86.41
|
| Rate for Payer: PHP Medicare Advantage |
$86.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$123.08
|
| Rate for Payer: Priority Health Medicare |
$86.41
|
| Rate for Payer: Priority Health Narrow Network |
$123.08
|
| Rate for Payer: Railroad Medicare Medicare |
$86.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$144.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.41
|
| Rate for Payer: UHC Exchange |
$144.26
|
| Rate for Payer: UHC Medicaid |
$55.38
|
| Rate for Payer: UHCCP DNSP |
$86.41
|
| Rate for Payer: UHCCP Medicaid |
$55.38
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS 96170
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$124.37 |
| Rate for Payer: Aetna Commercial |
$84.24
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: BCN Commercial |
$108.06
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$99.65
|
| Rate for Payer: Priority Health Narrow Network |
$99.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.37
|
| Rate for Payer: UHC Exchange |
$124.37
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15
|
Professional
|
Both
|
$59.00
|
|
|
Service Code
|
HCPCS 96171
|
| Min. Negotiated Rate |
$23.60 |
| Max. Negotiated Rate |
$45.45 |
| Rate for Payer: Aetna Commercial |
$30.11
|
| Rate for Payer: BCBS Complete |
$23.60
|
| Rate for Payer: BCN Commercial |
$38.84
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$35.82
|
| Rate for Payer: Priority Health Narrow Network |
$35.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$45.45
|
| Rate for Payer: UHC Exchange |
$45.45
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN
|
Professional
|
Both
|
$149.00
|
|
|
Service Code
|
HCPCS 96167
|
| Min. Negotiated Rate |
$40.26 |
| Max. Negotiated Rate |
$111.75 |
| Rate for Payer: Aetna Commercial |
$84.22
|
| Rate for Payer: Aetna Medicare |
$62.85
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCBS MAPPO |
$62.85
|
| Rate for Payer: BCN Commercial |
$97.11
|
| Rate for Payer: BCN Medicare Advantage |
$62.85
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cofinity Commercial |
$90.50
|
| Rate for Payer: Cofinity Commercial |
$84.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.85
|
| Rate for Payer: Healthscope Commercial |
$75.42
|
| Rate for Payer: Healthscope Whirlpool |
$75.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.99
|
| Rate for Payer: Meridian Medicaid |
$42.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$69.14
|
| Rate for Payer: Nomi Health Commercial |
$75.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.75
|
| Rate for Payer: PACE SWMI |
$62.85
|
| Rate for Payer: PHP Medicare Advantage |
$62.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$89.56
|
| Rate for Payer: Priority Health Medicare |
$62.85
|
| Rate for Payer: Priority Health Narrow Network |
$89.56
|
| Rate for Payer: Railroad Medicare Medicare |
$62.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.85
|
| Rate for Payer: UHC Exchange |
$105.25
|
| Rate for Payer: UHC Medicaid |
$40.26
|
| Rate for Payer: UHCCP DNSP |
$62.85
|
| Rate for Payer: UHCCP Medicaid |
$40.26
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 96168
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$39.75 |
| Rate for Payer: Aetna Commercial |
$30.34
|
| Rate for Payer: Aetna Medicare |
$22.64
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$22.64
|
| Rate for Payer: BCN Commercial |
$34.86
|
| Rate for Payer: BCN Medicare Advantage |
$22.64
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$32.60
|
| Rate for Payer: Cofinity Commercial |
$30.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.64
|
| Rate for Payer: Healthscope Commercial |
$27.17
|
| Rate for Payer: Healthscope Whirlpool |
$27.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.77
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.90
|
| Rate for Payer: Nomi Health Commercial |
$27.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$22.64
|
| Rate for Payer: PHP Medicare Advantage |
$22.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32.14
|
| Rate for Payer: Priority Health Medicare |
$22.64
|
| Rate for Payer: Priority Health Narrow Network |
$32.14
|
| Rate for Payer: Railroad Medicare Medicare |
$22.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.64
|
| Rate for Payer: UHC Exchange |
$37.37
|
| Rate for Payer: UHC Medicaid |
$14.48
|
| Rate for Payer: UHCCP DNSP |
$22.64
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
|
|
PR HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 96158
|
| Min. Negotiated Rate |
$38.13 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Aetna Commercial |
$79.70
|
| Rate for Payer: Aetna Medicare |
$59.48
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCBS MAPPO |
$59.48
|
| Rate for Payer: BCN Commercial |
$91.63
|
| Rate for Payer: BCN Medicare Advantage |
$59.48
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cofinity Commercial |
$85.65
|
| Rate for Payer: Cofinity Commercial |
$79.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.48
|
| Rate for Payer: Healthscope Commercial |
$71.38
|
| Rate for Payer: Healthscope Whirlpool |
$71.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.45
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.43
|
| Rate for Payer: Nomi Health Commercial |
$71.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.00
|
| Rate for Payer: PACE SWMI |
$59.48
|
| Rate for Payer: PHP Medicare Advantage |
$59.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84.50
|
| Rate for Payer: Priority Health Medicare |
$59.48
|
| Rate for Payer: Priority Health Narrow Network |
$84.50
|
| Rate for Payer: Railroad Medicare Medicare |
$59.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.48
|
| Rate for Payer: UHC Exchange |
$98.32
|
| Rate for Payer: UHC Medicaid |
$38.13
|
| Rate for Payer: UHCCP DNSP |
$59.48
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
|
|
PR HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 96159
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna Medicare |
$20.26
|
| Rate for Payer: BCBS Complete |
$13.64
|
| Rate for Payer: BCBS MAPPO |
$20.26
|
| Rate for Payer: BCN Commercial |
$31.37
|
| Rate for Payer: BCN Medicare Advantage |
$20.26
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$27.15
|
| Rate for Payer: Cofinity Commercial |
$29.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.26
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Healthscope Whirlpool |
$24.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.27
|
| Rate for Payer: Meridian Medicaid |
$13.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.29
|
| Rate for Payer: Nomi Health Commercial |
$24.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$20.26
|
| Rate for Payer: PHP Medicare Advantage |
$20.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$28.93
|
| Rate for Payer: Priority Health Medicare |
$20.26
|
| Rate for Payer: Priority Health Narrow Network |
$28.93
|
| Rate for Payer: Railroad Medicare Medicare |
$20.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.26
|
| Rate for Payer: UHC Exchange |
$33.94
|
| Rate for Payer: UHC Medicaid |
$12.99
|
| Rate for Payer: UHCCP DNSP |
$20.26
|
| Rate for Payer: UHCCP Medicaid |
$12.99
|
|
