|
PR IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE
|
Professional
|
Both
|
$1,040.00
|
|
|
Service Code
|
HCPCS 49568
|
| Min. Negotiated Rate |
$416.00 |
| Max. Negotiated Rate |
$780.00 |
| Rate for Payer: BCBS Complete |
$416.00
|
| Rate for Payer: Cash Price |
$832.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$780.00
|
|
|
PR IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT
|
Professional
|
Both
|
$461.00
|
|
|
Service Code
|
HCPCS 15777
|
| Min. Negotiated Rate |
$116.30 |
| Max. Negotiated Rate |
$381.96 |
| Rate for Payer: Aetna Commercial |
$243.45
|
| Rate for Payer: Aetna Medicare |
$181.68
|
| Rate for Payer: BCBS Complete |
$122.11
|
| Rate for Payer: BCBS MAPPO |
$181.68
|
| Rate for Payer: BCN Commercial |
$319.70
|
| Rate for Payer: BCN Medicare Advantage |
$181.68
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cofinity Commercial |
$261.62
|
| Rate for Payer: Cofinity Commercial |
$243.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.68
|
| Rate for Payer: Healthscope Commercial |
$218.02
|
| Rate for Payer: Healthscope Whirlpool |
$218.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$190.76
|
| Rate for Payer: Meridian Medicaid |
$122.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$199.85
|
| Rate for Payer: Nomi Health Commercial |
$218.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.75
|
| Rate for Payer: PACE SWMI |
$181.68
|
| Rate for Payer: PHP Medicare Advantage |
$181.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$292.61
|
| Rate for Payer: Priority Health Medicare |
$181.68
|
| Rate for Payer: Priority Health Narrow Network |
$292.61
|
| Rate for Payer: Railroad Medicare Medicare |
$181.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$381.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$181.68
|
| Rate for Payer: UHC Exchange |
$381.96
|
| Rate for Payer: UHC Medicaid |
$116.30
|
| Rate for Payer: UHCCP DNSP |
$181.68
|
| Rate for Payer: UHCCP Medicaid |
$116.30
|
|
|
PR IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100
|
Professional
|
Both
|
$1,383.00
|
|
|
Service Code
|
HCPCS 69716
|
| Min. Negotiated Rate |
$347.19 |
| Max. Negotiated Rate |
$1,089.41 |
| Rate for Payer: Aetna Commercial |
$713.00
|
| Rate for Payer: Aetna Medicare |
$532.09
|
| Rate for Payer: BCBS Complete |
$364.55
|
| Rate for Payer: BCBS MAPPO |
$532.09
|
| Rate for Payer: BCN Commercial |
$930.73
|
| Rate for Payer: BCN Medicare Advantage |
$532.09
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cofinity Commercial |
$766.21
|
| Rate for Payer: Cofinity Commercial |
$713.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.09
|
| Rate for Payer: Healthscope Commercial |
$638.51
|
| Rate for Payer: Healthscope Whirlpool |
$638.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.69
|
| Rate for Payer: Meridian Medicaid |
$364.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$585.30
|
| Rate for Payer: Nomi Health Commercial |
$638.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,037.25
|
| Rate for Payer: PACE SWMI |
$532.09
|
| Rate for Payer: PHP Medicare Advantage |
$532.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$347.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$919.66
|
| Rate for Payer: Priority Health Medicare |
$532.09
|
| Rate for Payer: Priority Health Narrow Network |
$919.66
|
| Rate for Payer: Railroad Medicare Medicare |
$532.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,089.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.09
|
| Rate for Payer: UHC Exchange |
$1,089.41
|
| Rate for Payer: UHC Medicaid |
$347.19
|
| Rate for Payer: UHCCP DNSP |
$532.09
|
| Rate for Payer: UHCCP Medicaid |
$347.19
|
|
|
PR IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$2,012.00
|
|
|
Service Code
|
HCPCS 69714
|
| Min. Negotiated Rate |
$279.03 |
| Max. Negotiated Rate |
$1,818.21 |
| Rate for Payer: Aetna Commercial |
$569.94
|
| Rate for Payer: Aetna Medicare |
$425.33
|
| Rate for Payer: BCBS Complete |
$292.98
|
| Rate for Payer: BCBS MAPPO |
$425.33
|
| Rate for Payer: BCN Commercial |
$743.48
|
| Rate for Payer: BCN Medicare Advantage |
$425.33
|
| Rate for Payer: Cash Price |
$1,609.60
|
| Rate for Payer: Cash Price |
$1,609.60
|
| Rate for Payer: Cofinity Commercial |
$612.48
|
| Rate for Payer: Cofinity Commercial |
$569.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$425.33
|
| Rate for Payer: Healthscope Commercial |
$510.40
|
| Rate for Payer: Healthscope Whirlpool |
$510.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$446.60
|
| Rate for Payer: Meridian Medicaid |
$292.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$467.86
|
| Rate for Payer: Nomi Health Commercial |
$510.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,509.00
|
| Rate for Payer: PACE SWMI |
$425.33
|
| Rate for Payer: PHP Medicare Advantage |
$425.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$734.63
|
| Rate for Payer: Priority Health Medicare |
$425.33
|
| Rate for Payer: Priority Health Narrow Network |
$734.63
|
| Rate for Payer: Railroad Medicare Medicare |
$425.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,818.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$425.33
|
| Rate for Payer: UHC Exchange |
$1,818.21
|
| Rate for Payer: UHC Medicaid |
$279.03
|
| Rate for Payer: UHCCP DNSP |
$425.33
|
| Rate for Payer: UHCCP Medicaid |
$279.03
|
|
|
PR IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT
|
Professional
|
Both
|
$432.00
|
|
|
Service Code
|
HCPCS 61517
|
| Min. Negotiated Rate |
$50.69 |
| Max. Negotiated Rate |
$324.00 |
| Rate for Payer: Aetna Commercial |
$107.92
|
| Rate for Payer: Aetna Medicare |
$80.54
|
| Rate for Payer: BCBS Complete |
$53.22
|
| Rate for Payer: BCBS MAPPO |
$80.54
|
| Rate for Payer: BCN Commercial |
$131.47
|
| Rate for Payer: BCN Medicare Advantage |
$80.54
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cofinity Commercial |
$107.92
|
| Rate for Payer: Cofinity Commercial |
$115.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.54
|
| Rate for Payer: Healthscope Commercial |
$96.65
|
| Rate for Payer: Healthscope Whirlpool |
$96.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.57
|
| Rate for Payer: Meridian Medicaid |
$53.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.59
|
| Rate for Payer: Nomi Health Commercial |
$96.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$324.00
|
| Rate for Payer: PACE SWMI |
$80.54
|
| Rate for Payer: PHP Medicare Advantage |
$80.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$152.69
|
| Rate for Payer: Priority Health Medicare |
$80.54
|
| Rate for Payer: Priority Health Narrow Network |
$152.69
|
| Rate for Payer: Railroad Medicare Medicare |
$80.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$155.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$80.54
|
| Rate for Payer: UHC Exchange |
$155.43
|
| Rate for Payer: UHC Medicaid |
$50.69
|
| Rate for Payer: UHCCP DNSP |
$80.54
|
| Rate for Payer: UHCCP Medicaid |
$50.69
|
|
|
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
|
Professional
|
Both
|
$505.00
|
|
|
Service Code
|
HCPCS 0437T
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$498.30 |
| Rate for Payer: Aetna Commercial |
$294.80
|
| Rate for Payer: BCBS Complete |
$202.00
|
| Rate for Payer: Cash Price |
$404.00
|
| Rate for Payer: Cash Price |
$404.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$378.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$498.30
|
| Rate for Payer: UHC Exchange |
$498.30
|
|
|
PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM
|
Professional
|
Both
|
$846.00
|
|
|
Service Code
|
HCPCS 62350
|
| Min. Negotiated Rate |
$240.90 |
| Max. Negotiated Rate |
$702.18 |
| Rate for Payer: Aetna Commercial |
$496.44
|
| Rate for Payer: Aetna Medicare |
$370.48
|
| Rate for Payer: BCBS Complete |
$252.94
|
| Rate for Payer: BCBS MAPPO |
$370.48
|
| Rate for Payer: BCN Commercial |
$604.55
|
| Rate for Payer: BCN Medicare Advantage |
$370.48
|
| Rate for Payer: Cash Price |
$676.80
|
| Rate for Payer: Cash Price |
$676.80
|
| Rate for Payer: Cofinity Commercial |
$533.49
|
| Rate for Payer: Cofinity Commercial |
$496.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.48
|
| Rate for Payer: Healthscope Commercial |
$444.58
|
| Rate for Payer: Healthscope Whirlpool |
$444.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.00
|
| Rate for Payer: Meridian Medicaid |
$252.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$407.53
|
| Rate for Payer: Nomi Health Commercial |
$444.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.50
|
| Rate for Payer: PACE SWMI |
$370.48
|
| Rate for Payer: PHP Medicare Advantage |
$370.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$702.18
|
| Rate for Payer: Priority Health Medicare |
$370.48
|
| Rate for Payer: Priority Health Narrow Network |
$702.18
|
| Rate for Payer: Railroad Medicare Medicare |
$370.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$696.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$370.48
|
| Rate for Payer: UHC Exchange |
$696.10
|
| Rate for Payer: UHC Medicaid |
$240.90
|
| Rate for Payer: UHCCP DNSP |
$370.48
|
| Rate for Payer: UHCCP Medicaid |
$240.90
|
|
|
PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP
|
Professional
|
Both
|
$2,602.00
|
|
|
Service Code
|
HCPCS 62362
|
| Min. Negotiated Rate |
$237.07 |
| Max. Negotiated Rate |
$1,951.50 |
| Rate for Payer: Aetna Commercial |
$488.26
|
| Rate for Payer: Aetna Medicare |
$364.37
|
| Rate for Payer: BCBS Complete |
$248.92
|
| Rate for Payer: BCBS MAPPO |
$364.37
|
| Rate for Payer: BCN Commercial |
$584.63
|
| Rate for Payer: BCN Medicare Advantage |
$364.37
|
| Rate for Payer: Cash Price |
$2,081.60
|
| Rate for Payer: Cash Price |
$2,081.60
|
| Rate for Payer: Cofinity Commercial |
$524.69
|
| Rate for Payer: Cofinity Commercial |
$488.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.37
|
| Rate for Payer: Healthscope Commercial |
$437.24
|
| Rate for Payer: Healthscope Whirlpool |
$437.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.59
|
| Rate for Payer: Meridian Medicaid |
$248.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$400.81
|
| Rate for Payer: Nomi Health Commercial |
$437.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,951.50
|
| Rate for Payer: PACE SWMI |
$364.37
|
| Rate for Payer: PHP Medicare Advantage |
$364.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$679.04
|
| Rate for Payer: Priority Health Medicare |
$364.37
|
| Rate for Payer: Priority Health Narrow Network |
$679.04
|
| Rate for Payer: Railroad Medicare Medicare |
$364.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$669.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$364.37
|
| Rate for Payer: UHC Exchange |
$669.83
|
| Rate for Payer: UHC Medicaid |
$237.07
|
| Rate for Payer: UHCCP DNSP |
$364.37
|
| Rate for Payer: UHCCP Medicaid |
$237.07
|
|
|
PR IMPREG GAUZE NO H20/SAL/YARD
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS A6266
|
| Min. Negotiated Rate |
$0.89 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Medicare |
$2.72
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCBS MAPPO |
$2.72
|
| Rate for Payer: BCN Commercial |
$2.61
|
| Rate for Payer: BCN Medicare Advantage |
$2.72
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cofinity Commercial |
$3.92
|
| Rate for Payer: Cofinity Commercial |
$3.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.72
|
| Rate for Payer: Healthscope Commercial |
$3.26
|
| Rate for Payer: Healthscope Whirlpool |
$3.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.99
|
| Rate for Payer: Nomi Health Commercial |
$3.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: PACE SWMI |
$2.72
|
| Rate for Payer: PHP Medicare Advantage |
$2.72
|
| Rate for Payer: Priority Health Medicare |
$2.72
|
| Rate for Payer: Railroad Medicare Medicare |
$2.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$0.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.72
|
| Rate for Payer: UHC Exchange |
$0.89
|
| Rate for Payer: UHCCP DNSP |
$2.72
|
|
|
PR INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW
|
Professional
|
Both
|
$1,542.00
|
|
|
Service Code
|
HCPCS 23935
|
| Min. Negotiated Rate |
$315.88 |
| Max. Negotiated Rate |
$1,156.50 |
| Rate for Payer: Aetna Commercial |
$642.78
|
| Rate for Payer: Aetna Medicare |
$479.69
|
| Rate for Payer: BCBS Complete |
$331.67
|
| Rate for Payer: BCBS MAPPO |
$479.69
|
| Rate for Payer: BCN Commercial |
$790.30
|
| Rate for Payer: BCN Medicare Advantage |
$479.69
|
| Rate for Payer: Cash Price |
$1,233.60
|
| Rate for Payer: Cash Price |
$1,233.60
|
| Rate for Payer: Cofinity Commercial |
$690.75
|
| Rate for Payer: Cofinity Commercial |
$642.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.69
|
| Rate for Payer: Healthscope Commercial |
$575.63
|
| Rate for Payer: Healthscope Whirlpool |
$575.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.67
|
| Rate for Payer: Meridian Medicaid |
$331.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$527.66
|
| Rate for Payer: Nomi Health Commercial |
$575.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,156.50
|
| Rate for Payer: PACE SWMI |
$479.69
|
| Rate for Payer: PHP Medicare Advantage |
$479.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$844.81
|
| Rate for Payer: Priority Health Medicare |
$479.69
|
| Rate for Payer: Priority Health Narrow Network |
$844.81
|
| Rate for Payer: Railroad Medicare Medicare |
$479.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$887.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$479.69
|
| Rate for Payer: UHC Exchange |
$887.52
|
| Rate for Payer: UHC Medicaid |
$315.88
|
| Rate for Payer: UHCCP DNSP |
$479.69
|
| Rate for Payer: UHCCP Medicaid |
$315.88
|
|
|
PR INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE
|
Professional
|
Both
|
$1,617.00
|
|
|
Service Code
|
HCPCS 27303
|
| Min. Negotiated Rate |
$385.10 |
| Max. Negotiated Rate |
$1,212.75 |
| Rate for Payer: Aetna Commercial |
$788.38
|
| Rate for Payer: Aetna Medicare |
$588.34
|
| Rate for Payer: BCBS Complete |
$404.36
|
| Rate for Payer: BCBS MAPPO |
$588.34
|
| Rate for Payer: BCN Commercial |
$981.52
|
| Rate for Payer: BCN Medicare Advantage |
$588.34
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cofinity Commercial |
$847.21
|
| Rate for Payer: Cofinity Commercial |
$788.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$588.34
|
| Rate for Payer: Healthscope Commercial |
$706.01
|
| Rate for Payer: Healthscope Whirlpool |
$706.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$617.76
|
| Rate for Payer: Meridian Medicaid |
$404.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$647.17
|
| Rate for Payer: Nomi Health Commercial |
$706.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,212.75
|
| Rate for Payer: PACE SWMI |
$588.34
|
| Rate for Payer: PHP Medicare Advantage |
$588.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,049.22
|
| Rate for Payer: Priority Health Medicare |
$588.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,049.22
|
| Rate for Payer: Railroad Medicare Medicare |
$588.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,118.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$588.34
|
| Rate for Payer: UHC Exchange |
$1,118.58
|
| Rate for Payer: UHC Medicaid |
$385.10
|
| Rate for Payer: UHCCP DNSP |
$588.34
|
| Rate for Payer: UHCCP Medicaid |
$385.10
|
|
|
PR INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT
|
Professional
|
Both
|
$606.00
|
|
|
Service Code
|
HCPCS 62148
|
| Min. Negotiated Rate |
$73.49 |
| Max. Negotiated Rate |
$454.50 |
| Rate for Payer: Aetna Commercial |
$156.50
|
| Rate for Payer: Aetna Medicare |
$116.79
|
| Rate for Payer: BCBS Complete |
$77.16
|
| Rate for Payer: BCBS MAPPO |
$116.79
|
| Rate for Payer: BCN Commercial |
$261.43
|
| Rate for Payer: BCN Medicare Advantage |
$116.79
|
| Rate for Payer: Cash Price |
$484.80
|
| Rate for Payer: Cash Price |
$484.80
|
| Rate for Payer: Cofinity Commercial |
$168.18
|
| Rate for Payer: Cofinity Commercial |
$156.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.79
|
| Rate for Payer: Healthscope Commercial |
$140.15
|
| Rate for Payer: Healthscope Whirlpool |
$140.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.63
|
| Rate for Payer: Meridian Medicaid |
$77.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$128.47
|
| Rate for Payer: Nomi Health Commercial |
$140.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$454.50
|
| Rate for Payer: PACE SWMI |
$116.79
|
| Rate for Payer: PHP Medicare Advantage |
$116.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$219.80
|
| Rate for Payer: Priority Health Medicare |
$116.79
|
| Rate for Payer: Priority Health Narrow Network |
$219.80
|
| Rate for Payer: Railroad Medicare Medicare |
$116.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$225.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$116.79
|
| Rate for Payer: UHC Exchange |
$225.45
|
| Rate for Payer: UHC Medicaid |
$73.49
|
| Rate for Payer: UHCCP DNSP |
$116.79
|
| Rate for Payer: UHCCP Medicaid |
$73.49
|
|
|
PR INCIS HEART SAC TUBE
|
Professional
|
Both
|
$1,733.00
|
|
|
Service Code
|
HCPCS 33015
|
| Min. Negotiated Rate |
$693.20 |
| Max. Negotiated Rate |
$1,299.75 |
| Rate for Payer: BCBS Complete |
$693.20
|
| Rate for Payer: Cash Price |
$1,386.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,299.75
|
|
|
PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN
|
Professional
|
Both
|
$376.00
|
|
|
Service Code
|
HCPCS 67810
|
| Min. Negotiated Rate |
$35.15 |
| Max. Negotiated Rate |
$282.00 |
| Rate for Payer: Aetna Commercial |
$72.96
|
| Rate for Payer: Aetna Medicare |
$54.45
|
| Rate for Payer: BCBS Complete |
$36.91
|
| Rate for Payer: BCBS MAPPO |
$54.45
|
| Rate for Payer: BCN Commercial |
$101.59
|
| Rate for Payer: BCN Medicare Advantage |
$54.45
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Cofinity Commercial |
$72.96
|
| Rate for Payer: Cofinity Commercial |
$78.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.45
|
| Rate for Payer: Healthscope Commercial |
$65.34
|
| Rate for Payer: Healthscope Whirlpool |
$65.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.17
|
| Rate for Payer: Meridian Medicaid |
$36.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$59.90
|
| Rate for Payer: Nomi Health Commercial |
$65.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.00
|
| Rate for Payer: PACE SWMI |
$54.45
|
| Rate for Payer: PHP Medicare Advantage |
$54.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$119.00
|
| Rate for Payer: Priority Health Medicare |
$54.45
|
| Rate for Payer: Priority Health Narrow Network |
$119.00
|
| Rate for Payer: Railroad Medicare Medicare |
$54.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$121.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$54.45
|
| Rate for Payer: UHC Exchange |
$121.80
|
| Rate for Payer: UHC Medicaid |
$35.15
|
| Rate for Payer: UHCCP DNSP |
$54.45
|
| Rate for Payer: UHCCP Medicaid |
$35.15
|
|
|
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$146.00
|
|
|
Service Code
|
HCPCS 11107
|
| Min. Negotiated Rate |
$15.98 |
| Max. Negotiated Rate |
$109.50 |
| Rate for Payer: Aetna Commercial |
$33.29
|
| Rate for Payer: Aetna Medicare |
$24.84
|
| Rate for Payer: BCBS Complete |
$16.78
|
| Rate for Payer: BCBS MAPPO |
$24.84
|
| Rate for Payer: BCN Commercial |
$35.74
|
| Rate for Payer: BCN Medicare Advantage |
$24.84
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cofinity Commercial |
$35.77
|
| Rate for Payer: Cofinity Commercial |
$33.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.84
|
| Rate for Payer: Healthscope Commercial |
$29.81
|
| Rate for Payer: Healthscope Whirlpool |
$29.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.08
|
| Rate for Payer: Meridian Medicaid |
$16.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$27.32
|
| Rate for Payer: Nomi Health Commercial |
$29.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$109.50
|
| Rate for Payer: PACE SWMI |
$24.84
|
| Rate for Payer: PHP Medicare Advantage |
$24.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$41.48
|
| Rate for Payer: Priority Health Medicare |
$24.84
|
| Rate for Payer: Priority Health Narrow Network |
$41.48
|
| Rate for Payer: Railroad Medicare Medicare |
$24.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$55.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.84
|
| Rate for Payer: UHC Exchange |
$55.44
|
| Rate for Payer: UHC Medicaid |
$15.98
|
| Rate for Payer: UHCCP DNSP |
$24.84
|
| Rate for Payer: UHCCP Medicaid |
$15.98
|
|
|
PR INCISIONAL BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 11106
|
| Min. Negotiated Rate |
$29.61 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna Commercial |
$61.77
|
| Rate for Payer: Aetna Medicare |
$46.10
|
| Rate for Payer: BCBS Complete |
$31.09
|
| Rate for Payer: BCBS MAPPO |
$46.10
|
| Rate for Payer: BCN Commercial |
$66.37
|
| Rate for Payer: BCN Medicare Advantage |
$46.10
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$66.38
|
| Rate for Payer: Cofinity Commercial |
$61.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.10
|
| Rate for Payer: Healthscope Commercial |
$55.32
|
| Rate for Payer: Healthscope Whirlpool |
$55.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.41
|
| Rate for Payer: Meridian Medicaid |
$31.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$50.71
|
| Rate for Payer: Nomi Health Commercial |
$55.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.00
|
| Rate for Payer: PACE SWMI |
$46.10
|
| Rate for Payer: PHP Medicare Advantage |
$46.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$77.03
|
| Rate for Payer: Priority Health Medicare |
$46.10
|
| Rate for Payer: Priority Health Narrow Network |
$77.03
|
| Rate for Payer: Railroad Medicare Medicare |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$102.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$46.10
|
| Rate for Payer: UHC Exchange |
$102.97
|
| Rate for Payer: UHC Medicaid |
$29.61
|
| Rate for Payer: UHCCP DNSP |
$46.10
|
| Rate for Payer: UHCCP Medicaid |
$29.61
|
|
|
PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN
|
Professional
|
Both
|
$1,428.00
|
|
|
Service Code
|
HCPCS 44900
|
| Min. Negotiated Rate |
$474.35 |
| Max. Negotiated Rate |
$1,440.45 |
| Rate for Payer: Aetna Commercial |
$989.38
|
| Rate for Payer: Aetna Medicare |
$738.34
|
| Rate for Payer: BCBS Complete |
$498.07
|
| Rate for Payer: BCBS MAPPO |
$738.34
|
| Rate for Payer: BCN Commercial |
$1,182.20
|
| Rate for Payer: BCN Medicare Advantage |
$738.34
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Cofinity Commercial |
$989.38
|
| Rate for Payer: Cofinity Commercial |
$1,063.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.34
|
| Rate for Payer: Healthscope Commercial |
$886.01
|
| Rate for Payer: Healthscope Whirlpool |
$886.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$775.26
|
| Rate for Payer: Meridian Medicaid |
$498.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$812.17
|
| Rate for Payer: Nomi Health Commercial |
$886.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,071.00
|
| Rate for Payer: PACE SWMI |
$738.34
|
| Rate for Payer: PHP Medicare Advantage |
$738.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,440.45
|
| Rate for Payer: Priority Health Medicare |
$738.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,440.45
|
| Rate for Payer: Railroad Medicare Medicare |
$738.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,395.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$738.34
|
| Rate for Payer: UHC Exchange |
$1,395.06
|
| Rate for Payer: UHC Medicaid |
$474.35
|
| Rate for Payer: UHCCP DNSP |
$738.34
|
| Rate for Payer: UHCCP Medicaid |
$474.35
|
|
|
PR INCISION BONE CORTEX FOOT
|
Professional
|
Both
|
$1,187.00
|
|
|
Service Code
|
HCPCS 28005
|
| Min. Negotiated Rate |
$341.01 |
| Max. Negotiated Rate |
$1,011.24 |
| Rate for Payer: Aetna Commercial |
$699.33
|
| Rate for Payer: Aetna Medicare |
$521.89
|
| Rate for Payer: BCBS Complete |
$358.06
|
| Rate for Payer: BCBS MAPPO |
$521.89
|
| Rate for Payer: BCN Commercial |
$864.49
|
| Rate for Payer: BCN Medicare Advantage |
$521.89
|
| Rate for Payer: Cash Price |
$949.60
|
| Rate for Payer: Cash Price |
$949.60
|
| Rate for Payer: Cofinity Commercial |
$751.52
|
| Rate for Payer: Cofinity Commercial |
$699.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$521.89
|
| Rate for Payer: Healthscope Commercial |
$626.27
|
| Rate for Payer: Healthscope Whirlpool |
$626.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$547.98
|
| Rate for Payer: Meridian Medicaid |
$358.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$574.08
|
| Rate for Payer: Nomi Health Commercial |
$626.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$890.25
|
| Rate for Payer: PACE SWMI |
$521.89
|
| Rate for Payer: PHP Medicare Advantage |
$521.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$924.13
|
| Rate for Payer: Priority Health Medicare |
$521.89
|
| Rate for Payer: Priority Health Narrow Network |
$924.13
|
| Rate for Payer: Railroad Medicare Medicare |
$521.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,011.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$521.89
|
| Rate for Payer: UHC Exchange |
$1,011.24
|
| Rate for Payer: UHC Medicaid |
$341.01
|
| Rate for Payer: UHCCP DNSP |
$521.89
|
| Rate for Payer: UHCCP Medicaid |
$341.01
|
|
|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$981.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$335.48 |
| Max. Negotiated Rate |
$945.06 |
| Rate for Payer: Aetna Commercial |
$680.93
|
| Rate for Payer: Aetna Medicare |
$508.16
|
| Rate for Payer: BCBS Complete |
$352.25
|
| Rate for Payer: BCBS MAPPO |
$508.16
|
| Rate for Payer: BCN Commercial |
$850.55
|
| Rate for Payer: BCN Medicare Advantage |
$508.16
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Cofinity Commercial |
$731.75
|
| Rate for Payer: Cofinity Commercial |
$680.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.16
|
| Rate for Payer: Healthscope Commercial |
$609.79
|
| Rate for Payer: Healthscope Whirlpool |
$609.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$533.57
|
| Rate for Payer: Meridian Medicaid |
$352.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$558.98
|
| Rate for Payer: Nomi Health Commercial |
$609.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$735.75
|
| Rate for Payer: PACE SWMI |
$508.16
|
| Rate for Payer: PHP Medicare Advantage |
$508.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$335.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$909.22
|
| Rate for Payer: Priority Health Medicare |
$508.16
|
| Rate for Payer: Priority Health Narrow Network |
$909.22
|
| Rate for Payer: Railroad Medicare Medicare |
$508.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$945.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$508.16
|
| Rate for Payer: UHC Exchange |
$945.06
|
| Rate for Payer: UHC Medicaid |
$335.48
|
| Rate for Payer: UHCCP DNSP |
$508.16
|
| Rate for Payer: UHCCP Medicaid |
$335.48
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,132.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$602.58 |
| Max. Negotiated Rate |
$1,726.62 |
| Rate for Payer: Aetna Commercial |
$1,234.93
|
| Rate for Payer: Aetna Medicare |
$921.59
|
| Rate for Payer: BCBS Complete |
$632.71
|
| Rate for Payer: BCBS MAPPO |
$921.59
|
| Rate for Payer: BCN Commercial |
$1,520.83
|
| Rate for Payer: BCN Medicare Advantage |
$921.59
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cofinity Commercial |
$1,327.09
|
| Rate for Payer: Cofinity Commercial |
$1,234.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$921.59
|
| Rate for Payer: Healthscope Commercial |
$1,105.91
|
| Rate for Payer: Healthscope Whirlpool |
$1,105.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$967.67
|
| Rate for Payer: Meridian Medicaid |
$632.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,013.75
|
| Rate for Payer: Nomi Health Commercial |
$1,105.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,599.00
|
| Rate for Payer: PACE SWMI |
$921.59
|
| Rate for Payer: PHP Medicare Advantage |
$921.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,625.73
|
| Rate for Payer: Priority Health Medicare |
$921.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,625.73
|
| Rate for Payer: Railroad Medicare Medicare |
$921.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,726.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$921.59
|
| Rate for Payer: UHC Exchange |
$1,726.62
|
| Rate for Payer: UHC Medicaid |
$602.58
|
| Rate for Payer: UHCCP DNSP |
$921.59
|
| Rate for Payer: UHCCP Medicaid |
$602.58
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,400.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$404.70 |
| Max. Negotiated Rate |
$1,186.87 |
| Rate for Payer: Aetna Commercial |
$828.96
|
| Rate for Payer: Aetna Medicare |
$618.63
|
| Rate for Payer: BCBS Complete |
$424.94
|
| Rate for Payer: BCBS MAPPO |
$618.63
|
| Rate for Payer: BCN Commercial |
$1,039.79
|
| Rate for Payer: BCN Medicare Advantage |
$618.63
|
| Rate for Payer: Cash Price |
$1,120.00
|
| Rate for Payer: Cash Price |
$1,120.00
|
| Rate for Payer: Cofinity Commercial |
$890.83
|
| Rate for Payer: Cofinity Commercial |
$828.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$618.63
|
| Rate for Payer: Healthscope Commercial |
$742.36
|
| Rate for Payer: Healthscope Whirlpool |
$742.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$649.56
|
| Rate for Payer: Meridian Medicaid |
$424.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$680.49
|
| Rate for Payer: Nomi Health Commercial |
$742.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,050.00
|
| Rate for Payer: PACE SWMI |
$618.63
|
| Rate for Payer: PHP Medicare Advantage |
$618.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,111.49
|
| Rate for Payer: Priority Health Medicare |
$618.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,111.49
|
| Rate for Payer: Railroad Medicare Medicare |
$618.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,186.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$618.63
|
| Rate for Payer: UHC Exchange |
$1,186.87
|
| Rate for Payer: UHC Medicaid |
$404.70
|
| Rate for Payer: UHCCP DNSP |
$618.63
|
| Rate for Payer: UHCCP Medicaid |
$404.70
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$359.33 |
| Max. Negotiated Rate |
$1,260.75 |
| Rate for Payer: Aetna Commercial |
$733.78
|
| Rate for Payer: Aetna Medicare |
$547.60
|
| Rate for Payer: BCBS Complete |
$377.30
|
| Rate for Payer: BCBS MAPPO |
$547.60
|
| Rate for Payer: BCN Commercial |
$905.83
|
| Rate for Payer: BCN Medicare Advantage |
$547.60
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$788.54
|
| Rate for Payer: Cofinity Commercial |
$733.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$547.60
|
| Rate for Payer: Healthscope Commercial |
$657.12
|
| Rate for Payer: Healthscope Whirlpool |
$657.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$574.98
|
| Rate for Payer: Meridian Medicaid |
$377.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$602.36
|
| Rate for Payer: Nomi Health Commercial |
$657.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,260.75
|
| Rate for Payer: PACE SWMI |
$547.60
|
| Rate for Payer: PHP Medicare Advantage |
$547.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$968.30
|
| Rate for Payer: Priority Health Medicare |
$547.60
|
| Rate for Payer: Priority Health Narrow Network |
$968.30
|
| Rate for Payer: Railroad Medicare Medicare |
$547.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,014.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$547.60
|
| Rate for Payer: UHC Exchange |
$1,014.87
|
| Rate for Payer: UHC Medicaid |
$359.33
|
| Rate for Payer: UHCCP DNSP |
$547.60
|
| Rate for Payer: UHCCP Medicaid |
$359.33
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$378.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$378.00 |
| Rate for Payer: Aetna Commercial |
$340.20
|
| Rate for Payer: ASR ASR |
$366.66
|
| Rate for Payer: BCBS Trust/PPO |
$310.41
|
| Rate for Payer: BCN Commercial |
$310.41
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$355.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.40
|
| Rate for Payer: Healthscope Commercial |
$366.66
|
| Rate for Payer: Healthscope Whirlpool |
$378.00
|
| Rate for Payer: Mclaren Commercial |
$340.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.30
|
| Rate for Payer: Nomi Health Commercial |
$309.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$332.64
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$314.12 |
| Rate for Payer: Aetna Commercial |
$224.58
|
| Rate for Payer: Aetna Medicare |
$167.60
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCBS MAPPO |
$167.60
|
| Rate for Payer: BCN Commercial |
$218.34
|
| Rate for Payer: BCN Medicare Advantage |
$167.60
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$241.34
|
| Rate for Payer: Cofinity Commercial |
$224.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.60
|
| Rate for Payer: Healthscope Commercial |
$201.12
|
| Rate for Payer: Healthscope Whirlpool |
$201.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.98
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.36
|
| Rate for Payer: Nomi Health Commercial |
$201.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: PACE SWMI |
$167.60
|
| Rate for Payer: PHP Medicare Advantage |
$167.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$253.42
|
| Rate for Payer: Priority Health Medicare |
$167.60
|
| Rate for Payer: Priority Health Narrow Network |
$253.42
|
| Rate for Payer: Railroad Medicare Medicare |
$167.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$314.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.60
|
| Rate for Payer: UHC Exchange |
$314.12
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP DNSP |
$167.60
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$314.12 |
| Rate for Payer: Aetna Commercial |
$224.58
|
| Rate for Payer: Aetna Medicare |
$167.60
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCBS MAPPO |
$167.60
|
| Rate for Payer: BCN Commercial |
$218.34
|
| Rate for Payer: BCN Medicare Advantage |
$167.60
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$241.34
|
| Rate for Payer: Cofinity Commercial |
$224.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.60
|
| Rate for Payer: Healthscope Commercial |
$201.12
|
| Rate for Payer: Healthscope Whirlpool |
$201.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.98
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.36
|
| Rate for Payer: Nomi Health Commercial |
$201.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: PACE SWMI |
$167.60
|
| Rate for Payer: PHP Medicare Advantage |
$167.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$253.42
|
| Rate for Payer: Priority Health Medicare |
$167.60
|
| Rate for Payer: Priority Health Narrow Network |
$253.42
|
| Rate for Payer: Railroad Medicare Medicare |
$167.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$314.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.60
|
| Rate for Payer: UHC Exchange |
$314.12
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP DNSP |
$167.60
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
|
