|
PR IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$1,953.00
|
|
|
Service Code
|
HCPCS 69714
|
| Min. Negotiated Rate |
$318.01 |
| Max. Negotiated Rate |
$3,343.08 |
| Rate for Payer: Aetna Commercial |
$1,199.38
|
| Rate for Payer: Aetna Medicare |
$976.50
|
| Rate for Payer: BCBS Complete |
$333.91
|
| Rate for Payer: BCBS Trust/PPO |
$3,343.08
|
| Rate for Payer: BCN Commercial |
$725.20
|
| Rate for Payer: Cash Price |
$1,562.40
|
| Rate for Payer: Cash Price |
$1,562.40
|
| Rate for Payer: Meridian Medicaid |
$333.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$318.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,269.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$726.15
|
| Rate for Payer: Priority Health Narrow Network |
$726.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,195.34
|
| Rate for Payer: UHC Exchange |
$1,195.34
|
| Rate for Payer: UHCCP Medicaid |
$318.01
|
|
|
PR IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT
|
Professional
|
Both
|
$419.00
|
|
|
Service Code
|
HCPCS 61517
|
| Min. Negotiated Rate |
$56.23 |
| Max. Negotiated Rate |
$975.77 |
| Rate for Payer: Aetna Commercial |
$112.93
|
| Rate for Payer: Aetna Medicare |
$209.50
|
| Rate for Payer: BCBS Complete |
$59.04
|
| Rate for Payer: BCBS Trust/PPO |
$975.77
|
| Rate for Payer: BCN Commercial |
$127.06
|
| Rate for Payer: Cash Price |
$335.20
|
| Rate for Payer: Cash Price |
$335.20
|
| Rate for Payer: Meridian Medicaid |
$59.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.00
|
| Rate for Payer: Priority Health Narrow Network |
$149.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$103.85
|
| Rate for Payer: UHC Exchange |
$103.85
|
| Rate for Payer: UHCCP Medicaid |
$56.23
|
|
|
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
|
Professional
|
Both
|
$490.00
|
|
|
Service Code
|
HCPCS 0437T
|
| Min. Negotiated Rate |
$196.00 |
| Max. Negotiated Rate |
$357.98 |
| Rate for Payer: Aetna Commercial |
$294.80
|
| Rate for Payer: Aetna Medicare |
$245.00
|
| Rate for Payer: BCBS Complete |
$196.00
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$357.98
|
| Rate for Payer: UHC Exchange |
$357.98
|
|
|
PR IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 62350
|
| Min. Negotiated Rate |
$258.58 |
| Max. Negotiated Rate |
$1,703.77 |
| Rate for Payer: Aetna Commercial |
$512.70
|
| Rate for Payer: Aetna Medicare |
$410.50
|
| Rate for Payer: BCBS Complete |
$271.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,703.77
|
| Rate for Payer: BCN Commercial |
$581.53
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Meridian Medicaid |
$271.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$258.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$684.73
|
| Rate for Payer: Priority Health Narrow Network |
$684.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.46
|
| Rate for Payer: UHC Exchange |
$448.46
|
| Rate for Payer: UHCCP Medicaid |
$258.58
|
|
|
PR IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP
|
Professional
|
Both
|
$2,526.00
|
|
|
Service Code
|
HCPCS 62362
|
| Min. Negotiated Rate |
$250.06 |
| Max. Negotiated Rate |
$1,641.90 |
| Rate for Payer: Aetna Commercial |
$496.29
|
| Rate for Payer: Aetna Medicare |
$1,263.00
|
| Rate for Payer: BCBS Complete |
$262.56
|
| Rate for Payer: BCBS Trust/PPO |
$311.17
|
| Rate for Payer: BCN Commercial |
$564.43
|
| Rate for Payer: Cash Price |
$2,020.80
|
| Rate for Payer: Cash Price |
$2,020.80
|
| Rate for Payer: Meridian Medicaid |
$262.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$664.26
|
| Rate for Payer: Priority Health Narrow Network |
$664.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$470.11
|
| Rate for Payer: UHC Exchange |
$470.11
|
| Rate for Payer: UHCCP Medicaid |
$250.06
|
|
|
PR IMPREG GAUZE NO H20/SAL/YARD
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS A6266
|
| Min. Negotiated Rate |
$1.21 |
| Max. Negotiated Rate |
$4.55 |
| Rate for Payer: Aetna Commercial |
$1.78
|
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.11
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.21
|
| Rate for Payer: UHC Exchange |
$1.21
|
|
|
PR INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW
|
Professional
|
Both
|
$1,497.00
|
|
|
Service Code
|
HCPCS 23935
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$973.05 |
| Rate for Payer: Aetna Commercial |
$680.86
|
| Rate for Payer: Aetna Medicare |
$748.50
|
| Rate for Payer: BCBS Complete |
$354.93
|
| Rate for Payer: BCBS Trust/PPO |
$67.50
|
| Rate for Payer: BCN Commercial |
$759.90
|
| Rate for Payer: Cash Price |
$1,197.60
|
| Rate for Payer: Cash Price |
$1,197.60
|
| Rate for Payer: Meridian Medicaid |
$354.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$800.95
|
| Rate for Payer: Priority Health Narrow Network |
$800.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$561.72
|
| Rate for Payer: UHC Exchange |
$561.72
|
| Rate for Payer: UHCCP Medicaid |
$338.03
|
|
|
PR INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 27303
|
| Min. Negotiated Rate |
$419.82 |
| Max. Negotiated Rate |
$2,493.05 |
| Rate for Payer: Aetna Commercial |
$859.62
|
| Rate for Payer: Aetna Medicare |
$785.00
|
| Rate for Payer: BCBS Complete |
$440.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,493.05
|
| Rate for Payer: BCN Commercial |
$939.73
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Meridian Medicaid |
$440.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.80
|
| Rate for Payer: Priority Health Narrow Network |
$993.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$726.90
|
| Rate for Payer: UHC Exchange |
$726.90
|
| Rate for Payer: UHCCP Medicaid |
$419.82
|
|
|
PR INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT
|
Professional
|
Both
|
$588.00
|
|
|
Service Code
|
HCPCS 62148
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$382.20 |
| Rate for Payer: Aetna Commercial |
$163.26
|
| Rate for Payer: Aetna Medicare |
$294.00
|
| Rate for Payer: BCBS Complete |
$84.99
|
| Rate for Payer: BCBS Trust/PPO |
$50.72
|
| Rate for Payer: BCN Commercial |
$254.90
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Meridian Medicaid |
$84.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$382.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.98
|
| Rate for Payer: Priority Health Narrow Network |
$214.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.59
|
| Rate for Payer: UHC Exchange |
$149.59
|
| Rate for Payer: UHCCP Medicaid |
$80.94
|
|
|
PR INCIS HEART SAC TUBE
|
Professional
|
Both
|
$1,683.00
|
|
|
Service Code
|
HCPCS 33015
|
| Min. Negotiated Rate |
$673.20 |
| Max. Negotiated Rate |
$1,093.95 |
| Rate for Payer: Aetna Medicare |
$841.50
|
| Rate for Payer: BCBS Complete |
$673.20
|
| Rate for Payer: Cash Price |
$1,346.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,093.95
|
|
|
PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS 67810
|
| Min. Negotiated Rate |
$43.45 |
| Max. Negotiated Rate |
$562.64 |
| Rate for Payer: Aetna Commercial |
$90.70
|
| Rate for Payer: Aetna Medicare |
$182.50
|
| Rate for Payer: BCBS Complete |
$45.62
|
| Rate for Payer: BCBS Trust/PPO |
$562.64
|
| Rate for Payer: BCN Commercial |
$271.22
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Meridian Medicaid |
$45.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$117.57
|
| Rate for Payer: Priority Health Narrow Network |
$117.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.51
|
| Rate for Payer: UHC Exchange |
$101.51
|
| Rate for Payer: UHCCP Medicaid |
$43.45
|
|
|
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$142.00
|
|
|
Service Code
|
HCPCS 11107
|
| Min. Negotiated Rate |
$11.47 |
| Max. Negotiated Rate |
$92.30 |
| Rate for Payer: Aetna Commercial |
$33.44
|
| Rate for Payer: Aetna Medicare |
$71.00
|
| Rate for Payer: BCBS Complete |
$20.35
|
| Rate for Payer: BCBS Trust/PPO |
$11.47
|
| Rate for Payer: BCN Commercial |
$84.42
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Meridian Medicaid |
$20.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.09
|
| Rate for Payer: Priority Health Narrow Network |
$41.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.47
|
| Rate for Payer: UHC Exchange |
$37.47
|
| Rate for Payer: UHCCP Medicaid |
$19.38
|
|
|
PR INCISIONAL BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 11106
|
| Min. Negotiated Rate |
$13.57 |
| Max. Negotiated Rate |
$191.75 |
| Rate for Payer: Aetna Commercial |
$62.48
|
| Rate for Payer: Aetna Medicare |
$147.50
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS Trust/PPO |
$13.57
|
| Rate for Payer: BCN Commercial |
$183.77
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.85
|
| Rate for Payer: Priority Health Narrow Network |
$75.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$70.14
|
| Rate for Payer: UHC Exchange |
$70.14
|
| Rate for Payer: UHCCP Medicaid |
$36.00
|
|
|
PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN
|
Professional
|
Both
|
$1,386.00
|
|
|
Service Code
|
HCPCS 44900
|
| Min. Negotiated Rate |
$378.79 |
| Max. Negotiated Rate |
$1,408.56 |
| Rate for Payer: Aetna Commercial |
$1,060.30
|
| Rate for Payer: Aetna Medicare |
$693.00
|
| Rate for Payer: BCBS Complete |
$530.94
|
| Rate for Payer: BCBS Trust/PPO |
$378.79
|
| Rate for Payer: BCN Commercial |
$1,148.88
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Meridian Medicaid |
$530.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,408.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,408.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$924.95
|
| Rate for Payer: UHC Exchange |
$924.95
|
| Rate for Payer: UHCCP Medicaid |
$505.66
|
|
|
PR INCISION BONE CORTEX FOOT
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 28005
|
| Min. Negotiated Rate |
$369.77 |
| Max. Negotiated Rate |
$3,691.76 |
| Rate for Payer: Aetna Commercial |
$762.45
|
| Rate for Payer: Aetna Medicare |
$576.00
|
| Rate for Payer: BCBS Complete |
$388.26
|
| Rate for Payer: BCBS Trust/PPO |
$3,691.76
|
| Rate for Payer: BCN Commercial |
$831.24
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Meridian Medicaid |
$388.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$876.76
|
| Rate for Payer: Priority Health Narrow Network |
$876.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$701.80
|
| Rate for Payer: UHC Exchange |
$701.80
|
| Rate for Payer: UHCCP Medicaid |
$369.77
|
|
|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$58.64 |
| Max. Negotiated Rate |
$858.95 |
| Rate for Payer: Aetna Commercial |
$729.44
|
| Rate for Payer: Aetna Medicare |
$476.00
|
| Rate for Payer: BCBS Complete |
$381.99
|
| Rate for Payer: BCBS Trust/PPO |
$58.64
|
| Rate for Payer: BCN Commercial |
$816.09
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Meridian Medicaid |
$381.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$858.95
|
| Rate for Payer: Priority Health Narrow Network |
$858.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$598.69
|
| Rate for Payer: UHC Exchange |
$598.69
|
| Rate for Payer: UHCCP Medicaid |
$363.80
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,070.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$1,556.60 |
| Rate for Payer: Aetna Commercial |
$1,339.72
|
| Rate for Payer: Aetna Medicare |
$1,035.00
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS Trust/PPO |
$764.98
|
| Rate for Payer: BCN Commercial |
$1,480.69
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,345.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,556.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,556.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,100.71
|
| Rate for Payer: UHC Exchange |
$1,100.71
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,359.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$444.74 |
| Max. Negotiated Rate |
$1,048.77 |
| Rate for Payer: Aetna Commercial |
$909.79
|
| Rate for Payer: Aetna Medicare |
$679.50
|
| Rate for Payer: BCBS Complete |
$466.98
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Meridian Medicaid |
$466.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,048.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,048.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$779.29
|
| Rate for Payer: UHC Exchange |
$779.29
|
| Rate for Payer: UHCCP Medicaid |
$444.74
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$1,060.80 |
| Rate for Payer: Aetna Commercial |
$779.94
|
| Rate for Payer: Aetna Medicare |
$816.00
|
| Rate for Payer: BCBS Complete |
$406.82
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$866.91
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Meridian Medicaid |
$406.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$917.47
|
| Rate for Payer: Priority Health Narrow Network |
$917.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$709.55
|
| Rate for Payer: UHC Exchange |
$709.55
|
| Rate for Payer: UHCCP Medicaid |
$387.45
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$195.55
|
| Rate for Payer: Aetna Medicare |
$183.50
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$170.29
|
| Rate for Payer: UHC Exchange |
$170.29
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$238.55 |
| Max. Negotiated Rate |
$367.00 |
| Rate for Payer: Aetna Commercial |
$330.30
|
| Rate for Payer: ASR ASR |
$355.99
|
| Rate for Payer: ASR Commercial |
$355.99
|
| Rate for Payer: BCBS Trust/PPO |
$299.07
|
| Rate for Payer: BCN Commercial |
$284.54
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$344.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Healthscope Commercial |
$367.00
|
| Rate for Payer: Healthscope Whirlpool |
$355.99
|
| Rate for Payer: Mclaren Commercial |
$330.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$300.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.96
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$195.55
|
| Rate for Payer: Aetna Medicare |
$183.50
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$170.29
|
| Rate for Payer: UHC Exchange |
$170.29
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
OP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$186.49 |
| Max. Negotiated Rate |
$606.75 |
| Rate for Payer: Aetna Commercial |
$330.30
|
| Rate for Payer: Aetna Medicare |
$391.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: ASR ASR |
$355.99
|
| Rate for Payer: ASR Commercial |
$355.99
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$300.54
|
| Rate for Payer: BCN Commercial |
$284.54
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$344.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$367.00
|
| Rate for Payer: Healthscope Whirlpool |
$355.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$391.45
|
| Rate for Payer: Mclaren Commercial |
$330.30
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$300.94
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$430.60
|
| Rate for Payer: PHP Medicaid |
$209.82
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$233.11
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$186.49
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$606.75
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP DNSP |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$209.82
|
| Rate for Payer: VA VA |
$391.45
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Hospital Charge Code |
10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$147.64 |
| Rate for Payer: Aetna Commercial |
$109.76
|
| Rate for Payer: Aetna Medicare |
$92.00
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.39
|
| Rate for Payer: Priority Health Narrow Network |
$145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$96.36
|
| Rate for Payer: UHC Exchange |
$96.36
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
IP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$119.60 |
| Max. Negotiated Rate |
$184.00 |
| Rate for Payer: Aetna Commercial |
$165.60
|
| Rate for Payer: ASR ASR |
$178.48
|
| Rate for Payer: ASR Commercial |
$178.48
|
| Rate for Payer: BCBS Trust/PPO |
$149.94
|
| Rate for Payer: BCN Commercial |
$142.66
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$172.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$184.00
|
| Rate for Payer: Healthscope Whirlpool |
$178.48
|
| Rate for Payer: Mclaren Commercial |
$165.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Nomi Health Commercial |
$150.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$161.92
|
|
