|
PR SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS
|
Professional
|
Both
|
$1,102.00
|
|
|
Service Code
|
HCPCS 31032
|
| Min. Negotiated Rate |
$382.55 |
| Max. Negotiated Rate |
$880.60 |
| Rate for Payer: Aetna Commercial |
$779.14
|
| Rate for Payer: Aetna Medicare |
$581.45
|
| Rate for Payer: BCBS Complete |
$401.68
|
| Rate for Payer: BCBS MAPPO |
$581.45
|
| Rate for Payer: BCBS Trust/PPO |
$854.26
|
| Rate for Payer: BCN Commercial |
$880.60
|
| Rate for Payer: BCN Medicare Advantage |
$581.45
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Cofinity Commercial |
$779.14
|
| Rate for Payer: Cofinity Commercial |
$837.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$581.45
|
| Rate for Payer: Healthscope Commercial |
$697.74
|
| Rate for Payer: Healthscope Whirlpool |
$697.74
|
| Rate for Payer: Meridian Medicaid |
$401.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$610.52
|
| Rate for Payer: PACE SWMI |
$581.45
|
| Rate for Payer: PHP Medicare Advantage |
$581.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$771.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.41
|
| Rate for Payer: Priority Health Medicare |
$581.45
|
| Rate for Payer: Priority Health Narrow Network |
$834.41
|
| Rate for Payer: UHC Medicare Advantage |
$598.89
|
|
|
PR SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC
|
Professional
|
Both
|
$2,220.00
|
|
|
Service Code
|
HCPCS 31080
|
| Min. Negotiated Rate |
$700.77 |
| Max. Negotiated Rate |
$1,613.62 |
| Rate for Payer: Aetna Commercial |
$1,430.93
|
| Rate for Payer: Aetna Medicare |
$1,067.86
|
| Rate for Payer: BCBS Complete |
$735.81
|
| Rate for Payer: BCBS MAPPO |
$1,067.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.34
|
| Rate for Payer: BCN Commercial |
$1,613.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,067.86
|
| Rate for Payer: Cash Price |
$1,776.00
|
| Rate for Payer: Cash Price |
$1,776.00
|
| Rate for Payer: Cofinity Commercial |
$1,430.93
|
| Rate for Payer: Cofinity Commercial |
$1,537.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,067.86
|
| Rate for Payer: Healthscope Commercial |
$1,281.43
|
| Rate for Payer: Healthscope Whirlpool |
$1,281.43
|
| Rate for Payer: Meridian Medicaid |
$735.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,121.25
|
| Rate for Payer: PACE SWMI |
$1,067.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,067.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$700.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,528.98
|
| Rate for Payer: Priority Health Medicare |
$1,067.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,528.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,099.90
|
|
|
PR SINUSOTOMY FRONTAL EXTERNAL SIMPLE
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 31070
|
| Min. Negotiated Rate |
$306.72 |
| Max. Negotiated Rate |
$1,016.45 |
| Rate for Payer: Aetna Commercial |
$621.57
|
| Rate for Payer: Aetna Medicare |
$463.86
|
| Rate for Payer: BCBS Complete |
$322.06
|
| Rate for Payer: BCBS MAPPO |
$463.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,016.45
|
| Rate for Payer: BCN Commercial |
$707.61
|
| Rate for Payer: BCN Medicare Advantage |
$463.86
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$621.57
|
| Rate for Payer: Cofinity Commercial |
$667.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$463.86
|
| Rate for Payer: Healthscope Commercial |
$556.63
|
| Rate for Payer: Healthscope Whirlpool |
$556.63
|
| Rate for Payer: Meridian Medicaid |
$322.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$487.05
|
| Rate for Payer: PACE SWMI |
$463.86
|
| Rate for Payer: PHP Medicare Advantage |
$463.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$608.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$670.49
|
| Rate for Payer: Priority Health Medicare |
$463.86
|
| Rate for Payer: Priority Health Narrow Network |
$670.49
|
| Rate for Payer: UHC Medicare Advantage |
$477.78
|
|
|
PR SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 31020
|
| Min. Negotiated Rate |
$113.58 |
| Max. Negotiated Rate |
$645.06 |
| Rate for Payer: Aetna Commercial |
$458.15
|
| Rate for Payer: Aetna Medicare |
$341.90
|
| Rate for Payer: BCBS Complete |
$230.58
|
| Rate for Payer: BCBS MAPPO |
$341.90
|
| Rate for Payer: BCBS Trust/PPO |
$113.58
|
| Rate for Payer: BCN Commercial |
$645.06
|
| Rate for Payer: BCN Medicare Advantage |
$341.90
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$492.34
|
| Rate for Payer: Cofinity Commercial |
$458.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.90
|
| Rate for Payer: Healthscope Commercial |
$410.28
|
| Rate for Payer: Healthscope Whirlpool |
$410.28
|
| Rate for Payer: Meridian Medicaid |
$230.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$359.00
|
| Rate for Payer: PACE SWMI |
$341.90
|
| Rate for Payer: PHP Medicare Advantage |
$341.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$495.92
|
| Rate for Payer: Priority Health Medicare |
$341.90
|
| Rate for Payer: Priority Health Narrow Network |
$495.92
|
| Rate for Payer: UHC Medicare Advantage |
$352.16
|
|
|
PR SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS
|
Professional
|
Both
|
$1,133.00
|
|
|
Service Code
|
HCPCS 31030
|
| Min. Negotiated Rate |
$330.15 |
| Max. Negotiated Rate |
$938.26 |
| Rate for Payer: Aetna Commercial |
$665.95
|
| Rate for Payer: Aetna Medicare |
$496.98
|
| Rate for Payer: BCBS Complete |
$346.66
|
| Rate for Payer: BCBS MAPPO |
$496.98
|
| Rate for Payer: BCBS Trust/PPO |
$665.66
|
| Rate for Payer: BCN Commercial |
$938.26
|
| Rate for Payer: BCN Medicare Advantage |
$496.98
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cofinity Commercial |
$715.65
|
| Rate for Payer: Cofinity Commercial |
$665.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$496.98
|
| Rate for Payer: Healthscope Commercial |
$596.38
|
| Rate for Payer: Healthscope Whirlpool |
$596.38
|
| Rate for Payer: Meridian Medicaid |
$346.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$521.83
|
| Rate for Payer: PACE SWMI |
$496.98
|
| Rate for Payer: PHP Medicare Advantage |
$496.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$330.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$793.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$712.62
|
| Rate for Payer: Priority Health Medicare |
$496.98
|
| Rate for Payer: Priority Health Narrow Network |
$712.62
|
| Rate for Payer: UHC Medicare Advantage |
$511.89
|
|
|
PR SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP
|
Professional
|
Both
|
$1,830.00
|
|
|
Service Code
|
HCPCS 31051
|
| Min. Negotiated Rate |
$446.87 |
| Max. Negotiated Rate |
$1,281.00 |
| Rate for Payer: Aetna Commercial |
$908.63
|
| Rate for Payer: Aetna Medicare |
$678.08
|
| Rate for Payer: BCBS Complete |
$469.21
|
| Rate for Payer: BCBS MAPPO |
$678.08
|
| Rate for Payer: BCBS Trust/PPO |
$695.24
|
| Rate for Payer: BCN Commercial |
$1,029.65
|
| Rate for Payer: BCN Medicare Advantage |
$678.08
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Cofinity Commercial |
$976.44
|
| Rate for Payer: Cofinity Commercial |
$908.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.08
|
| Rate for Payer: Healthscope Commercial |
$813.70
|
| Rate for Payer: Healthscope Whirlpool |
$813.70
|
| Rate for Payer: Meridian Medicaid |
$469.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$711.98
|
| Rate for Payer: PACE SWMI |
$678.08
|
| Rate for Payer: PHP Medicare Advantage |
$678.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,281.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$975.63
|
| Rate for Payer: Priority Health Medicare |
$678.08
|
| Rate for Payer: Priority Health Narrow Network |
$975.63
|
| Rate for Payer: UHC Medicare Advantage |
$698.42
|
|
|
PR SKIN LESION SHAVE/EXCISION (15 MIN)
|
Professional
|
Both
|
$250.00
|
|
|
Service Code
|
HCPCS 00367
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: BCBS Complete |
$100.00
|
| Rate for Payer: Cash Price |
$200.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.00
|
|
|
PR SKIN LESION SHAVE/EXCISION (30 MIN)
|
Professional
|
Both
|
$500.00
|
|
|
Service Code
|
HCPCS 00368
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$200.00 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: BCBS Complete |
$200.00
|
| Rate for Payer: Cash Price |
$400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.00
|
|
|
PR SKYLA, 13.5 MG
|
Professional
|
Both
|
$1,433.00
|
|
|
Service Code
|
HCPCS J7301
|
| Min. Negotiated Rate |
$917.35 |
| Max. Negotiated Rate |
$1,003.10 |
| Rate for Payer: Aetna Commercial |
$917.35
|
| Rate for Payer: BCBS Complete |
$963.22
|
| Rate for Payer: BCBS Trust/PPO |
$925.78
|
| Rate for Payer: BCN Commercial |
$925.78
|
| Rate for Payer: Cash Price |
$1,146.40
|
| Rate for Payer: Cash Price |
$1,146.40
|
| Rate for Payer: Meridian Medicaid |
$963.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$917.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,003.10
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN
|
Professional
|
Both
|
$504.00
|
|
|
Service Code
|
HCPCS 36251
|
| Min. Negotiated Rate |
$158.90 |
| Max. Negotiated Rate |
$1,894.60 |
| Rate for Payer: Aetna Commercial |
$336.78
|
| Rate for Payer: Aetna Medicare |
$251.33
|
| Rate for Payer: BCBS Complete |
$166.84
|
| Rate for Payer: BCBS MAPPO |
$251.33
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$1,894.60
|
| Rate for Payer: BCN Medicare Advantage |
$251.33
|
| Rate for Payer: Cash Price |
$403.20
|
| Rate for Payer: Cash Price |
$403.20
|
| Rate for Payer: Cofinity Commercial |
$361.92
|
| Rate for Payer: Cofinity Commercial |
$336.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.33
|
| Rate for Payer: Healthscope Commercial |
$301.60
|
| Rate for Payer: Healthscope Whirlpool |
$301.60
|
| Rate for Payer: Meridian Medicaid |
$166.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$263.90
|
| Rate for Payer: PACE SWMI |
$251.33
|
| Rate for Payer: PHP Medicare Advantage |
$251.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$397.91
|
| Rate for Payer: Priority Health Medicare |
$251.33
|
| Rate for Payer: Priority Health Narrow Network |
$397.91
|
| Rate for Payer: UHC Medicare Advantage |
$258.87
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL
|
Professional
|
Both
|
$656.00
|
|
|
Service Code
|
HCPCS 36252
|
| Min. Negotiated Rate |
$222.16 |
| Max. Negotiated Rate |
$2,039.26 |
| Rate for Payer: Aetna Commercial |
$468.33
|
| Rate for Payer: Aetna Medicare |
$349.50
|
| Rate for Payer: BCBS Complete |
$233.27
|
| Rate for Payer: BCBS MAPPO |
$349.50
|
| Rate for Payer: BCBS Trust/PPO |
$787.70
|
| Rate for Payer: BCN Commercial |
$2,039.26
|
| Rate for Payer: BCN Medicare Advantage |
$349.50
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cofinity Commercial |
$503.28
|
| Rate for Payer: Cofinity Commercial |
$468.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.50
|
| Rate for Payer: Healthscope Commercial |
$419.40
|
| Rate for Payer: Healthscope Whirlpool |
$419.40
|
| Rate for Payer: Meridian Medicaid |
$233.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.98
|
| Rate for Payer: PACE SWMI |
$349.50
|
| Rate for Payer: PHP Medicare Advantage |
$349.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$459.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$553.24
|
| Rate for Payer: Priority Health Medicare |
$349.50
|
| Rate for Payer: Priority Health Narrow Network |
$553.24
|
| Rate for Payer: UHC Medicare Advantage |
$359.98
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART
|
Professional
|
Both
|
$1,766.00
|
|
|
Service Code
|
HCPCS 36223
|
| Min. Negotiated Rate |
$207.25 |
| Max. Negotiated Rate |
$2,411.13 |
| Rate for Payer: Aetna Commercial |
$432.89
|
| Rate for Payer: Aetna Medicare |
$323.05
|
| Rate for Payer: BCBS Complete |
$217.61
|
| Rate for Payer: BCBS MAPPO |
$323.05
|
| Rate for Payer: BCBS Trust/PPO |
$927.17
|
| Rate for Payer: BCN Commercial |
$2,411.13
|
| Rate for Payer: BCN Medicare Advantage |
$323.05
|
| Rate for Payer: Cash Price |
$1,412.80
|
| Rate for Payer: Cash Price |
$1,412.80
|
| Rate for Payer: Cofinity Commercial |
$465.19
|
| Rate for Payer: Cofinity Commercial |
$432.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.05
|
| Rate for Payer: Healthscope Commercial |
$387.66
|
| Rate for Payer: Healthscope Whirlpool |
$387.66
|
| Rate for Payer: Meridian Medicaid |
$217.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$339.20
|
| Rate for Payer: PACE SWMI |
$323.05
|
| Rate for Payer: PHP Medicare Advantage |
$323.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,236.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$511.74
|
| Rate for Payer: Priority Health Medicare |
$323.05
|
| Rate for Payer: Priority Health Narrow Network |
$511.74
|
| Rate for Payer: UHC Medicare Advantage |
$332.74
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART
|
Professional
|
Both
|
$1,623.00
|
|
|
Service Code
|
HCPCS 36222
|
| Min. Negotiated Rate |
$179.35 |
| Max. Negotiated Rate |
$1,787.58 |
| Rate for Payer: Aetna Commercial |
$376.19
|
| Rate for Payer: Aetna Medicare |
$280.74
|
| Rate for Payer: BCBS Complete |
$188.32
|
| Rate for Payer: BCBS MAPPO |
$280.74
|
| Rate for Payer: BCBS Trust/PPO |
$470.19
|
| Rate for Payer: BCN Commercial |
$1,787.58
|
| Rate for Payer: BCN Medicare Advantage |
$280.74
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cofinity Commercial |
$404.27
|
| Rate for Payer: Cofinity Commercial |
$376.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.74
|
| Rate for Payer: Healthscope Commercial |
$336.89
|
| Rate for Payer: Healthscope Whirlpool |
$336.89
|
| Rate for Payer: Meridian Medicaid |
$188.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$294.78
|
| Rate for Payer: PACE SWMI |
$280.74
|
| Rate for Payer: PHP Medicare Advantage |
$280.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,136.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$444.19
|
| Rate for Payer: Priority Health Medicare |
$280.74
|
| Rate for Payer: Priority Health Narrow Network |
$444.19
|
| Rate for Payer: UHC Medicare Advantage |
$289.16
|
|
|
PR SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 36014
|
| Min. Negotiated Rate |
$93.93 |
| Max. Negotiated Rate |
$1,156.70 |
| Rate for Payer: Aetna Commercial |
$198.57
|
| Rate for Payer: Aetna Medicare |
$148.19
|
| Rate for Payer: BCBS Complete |
$98.63
|
| Rate for Payer: BCBS MAPPO |
$148.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,081.43
|
| Rate for Payer: BCN Commercial |
$1,156.70
|
| Rate for Payer: BCN Medicare Advantage |
$148.19
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$213.39
|
| Rate for Payer: Cofinity Commercial |
$198.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.19
|
| Rate for Payer: Healthscope Commercial |
$177.83
|
| Rate for Payer: Healthscope Whirlpool |
$177.83
|
| Rate for Payer: Meridian Medicaid |
$98.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$155.60
|
| Rate for Payer: PACE SWMI |
$148.19
|
| Rate for Payer: PHP Medicare Advantage |
$148.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.12
|
| Rate for Payer: Priority Health Medicare |
$148.19
|
| Rate for Payer: Priority Health Narrow Network |
$235.12
|
| Rate for Payer: UHC Medicare Advantage |
$152.64
|
|
|
PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT
|
Professional
|
Both
|
$1,333.00
|
|
|
Service Code
|
HCPCS 36228
|
| Min. Negotiated Rate |
$157.19 |
| Max. Negotiated Rate |
$1,848.67 |
| Rate for Payer: Aetna Commercial |
$327.09
|
| Rate for Payer: Aetna Medicare |
$244.10
|
| Rate for Payer: BCBS Complete |
$165.05
|
| Rate for Payer: BCBS MAPPO |
$244.10
|
| Rate for Payer: BCBS Trust/PPO |
$761.81
|
| Rate for Payer: BCN Commercial |
$1,848.67
|
| Rate for Payer: BCN Medicare Advantage |
$244.10
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cofinity Commercial |
$327.09
|
| Rate for Payer: Cofinity Commercial |
$351.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.10
|
| Rate for Payer: Healthscope Commercial |
$292.92
|
| Rate for Payer: Healthscope Whirlpool |
$292.92
|
| Rate for Payer: Meridian Medicaid |
$165.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$256.30
|
| Rate for Payer: PACE SWMI |
$244.10
|
| Rate for Payer: PHP Medicare Advantage |
$244.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$933.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$386.20
|
| Rate for Payer: Priority Health Medicare |
$244.10
|
| Rate for Payer: Priority Health Narrow Network |
$386.20
|
| Rate for Payer: UHC Medicare Advantage |
$251.42
|
|
|
PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART
|
Professional
|
Both
|
$1,233.00
|
|
|
Service Code
|
HCPCS 36224
|
| Min. Negotiated Rate |
$232.81 |
| Max. Negotiated Rate |
$2,995.59 |
| Rate for Payer: Aetna Commercial |
$487.05
|
| Rate for Payer: Aetna Medicare |
$363.47
|
| Rate for Payer: BCBS Complete |
$244.45
|
| Rate for Payer: BCBS MAPPO |
$363.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,419.54
|
| Rate for Payer: BCN Commercial |
$2,995.59
|
| Rate for Payer: BCN Medicare Advantage |
$363.47
|
| Rate for Payer: Cash Price |
$986.40
|
| Rate for Payer: Cash Price |
$986.40
|
| Rate for Payer: Cofinity Commercial |
$487.05
|
| Rate for Payer: Cofinity Commercial |
$523.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.47
|
| Rate for Payer: Healthscope Commercial |
$436.16
|
| Rate for Payer: Healthscope Whirlpool |
$436.16
|
| Rate for Payer: Meridian Medicaid |
$244.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$381.64
|
| Rate for Payer: PACE SWMI |
$363.47
|
| Rate for Payer: PHP Medicare Advantage |
$363.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$576.11
|
| Rate for Payer: Priority Health Medicare |
$363.47
|
| Rate for Payer: Priority Health Narrow Network |
$576.11
|
| Rate for Payer: UHC Medicare Advantage |
$374.37
|
|
|
PR SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$2,298.00
|
|
|
Service Code
|
HCPCS 36216
|
| Min. Negotiated Rate |
$169.76 |
| Max. Negotiated Rate |
$1,608.60 |
| Rate for Payer: Aetna Commercial |
$355.66
|
| Rate for Payer: Aetna Medicare |
$265.42
|
| Rate for Payer: BCBS Complete |
$178.25
|
| Rate for Payer: BCBS MAPPO |
$265.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,102.56
|
| Rate for Payer: BCN Commercial |
$1,562.31
|
| Rate for Payer: BCN Medicare Advantage |
$265.42
|
| Rate for Payer: Cash Price |
$1,838.40
|
| Rate for Payer: Cash Price |
$1,838.40
|
| Rate for Payer: Cofinity Commercial |
$355.66
|
| Rate for Payer: Cofinity Commercial |
$382.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$265.42
|
| Rate for Payer: Healthscope Commercial |
$318.50
|
| Rate for Payer: Healthscope Whirlpool |
$318.50
|
| Rate for Payer: Meridian Medicaid |
$178.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$278.69
|
| Rate for Payer: PACE SWMI |
$265.42
|
| Rate for Payer: PHP Medicare Advantage |
$265.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.25
|
| Rate for Payer: Priority Health Medicare |
$265.42
|
| Rate for Payer: Priority Health Narrow Network |
$420.25
|
| Rate for Payer: UHC Medicare Advantage |
$273.38
|
|
|
PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 36246
|
| Min. Negotiated Rate |
$157.19 |
| Max. Negotiated Rate |
$1,388.37 |
| Rate for Payer: Aetna Commercial |
$330.86
|
| Rate for Payer: Aetna Medicare |
$246.91
|
| Rate for Payer: BCBS Complete |
$165.05
|
| Rate for Payer: BCBS MAPPO |
$246.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,388.37
|
| Rate for Payer: BCN Commercial |
$1,224.14
|
| Rate for Payer: BCN Medicare Advantage |
$246.91
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$355.55
|
| Rate for Payer: Cofinity Commercial |
$330.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.91
|
| Rate for Payer: Healthscope Commercial |
$296.29
|
| Rate for Payer: Healthscope Whirlpool |
$296.29
|
| Rate for Payer: Meridian Medicaid |
$165.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$259.26
|
| Rate for Payer: PACE SWMI |
$246.91
|
| Rate for Payer: PHP Medicare Advantage |
$246.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$715.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$389.92
|
| Rate for Payer: Priority Health Medicare |
$246.91
|
| Rate for Payer: Priority Health Narrow Network |
$389.92
|
| Rate for Payer: UHC Medicare Advantage |
$254.32
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH
|
Professional
|
Both
|
$1,278.00
|
|
|
Service Code
|
HCPCS 36247
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$2,090.07 |
| Rate for Payer: Aetna Commercial |
$391.95
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: BCBS Complete |
$194.36
|
| Rate for Payer: BCBS MAPPO |
$292.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,650.94
|
| Rate for Payer: BCN Commercial |
$2,090.07
|
| Rate for Payer: BCN Medicare Advantage |
$292.50
|
| Rate for Payer: Cash Price |
$1,022.40
|
| Rate for Payer: Cash Price |
$1,022.40
|
| Rate for Payer: Cofinity Commercial |
$421.20
|
| Rate for Payer: Cofinity Commercial |
$391.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.50
|
| Rate for Payer: Healthscope Commercial |
$351.00
|
| Rate for Payer: Healthscope Whirlpool |
$351.00
|
| Rate for Payer: Meridian Medicaid |
$194.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$307.12
|
| Rate for Payer: PACE SWMI |
$292.50
|
| Rate for Payer: PHP Medicare Advantage |
$292.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$894.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$462.81
|
| Rate for Payer: Priority Health Medicare |
$292.50
|
| Rate for Payer: Priority Health Narrow Network |
$462.81
|
| Rate for Payer: UHC Medicare Advantage |
$301.28
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$1,350.00
|
|
|
Service Code
|
HCPCS 36217
|
| Min. Negotiated Rate |
$208.31 |
| Max. Negotiated Rate |
$2,617.35 |
| Rate for Payer: Aetna Commercial |
$435.30
|
| Rate for Payer: Aetna Medicare |
$324.85
|
| Rate for Payer: BCBS Complete |
$218.73
|
| Rate for Payer: BCBS MAPPO |
$324.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,410.56
|
| Rate for Payer: BCN Commercial |
$2,617.35
|
| Rate for Payer: BCN Medicare Advantage |
$324.85
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$467.78
|
| Rate for Payer: Cofinity Commercial |
$435.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.85
|
| Rate for Payer: Healthscope Commercial |
$389.82
|
| Rate for Payer: Healthscope Whirlpool |
$389.82
|
| Rate for Payer: Meridian Medicaid |
$218.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.09
|
| Rate for Payer: PACE SWMI |
$324.85
|
| Rate for Payer: PHP Medicare Advantage |
$324.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.87
|
| Rate for Payer: Priority Health Medicare |
$324.85
|
| Rate for Payer: Priority Health Narrow Network |
$513.87
|
| Rate for Payer: UHC Medicare Advantage |
$334.60
|
|
|
PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$819.00
|
|
|
Service Code
|
HCPCS 36245
|
| Min. Negotiated Rate |
$146.54 |
| Max. Negotiated Rate |
$1,828.14 |
| Rate for Payer: Aetna Commercial |
$308.98
|
| Rate for Payer: Aetna Medicare |
$230.58
|
| Rate for Payer: BCBS Complete |
$153.87
|
| Rate for Payer: BCBS MAPPO |
$230.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,012.22
|
| Rate for Payer: BCN Commercial |
$1,828.14
|
| Rate for Payer: BCN Medicare Advantage |
$230.58
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cofinity Commercial |
$308.98
|
| Rate for Payer: Cofinity Commercial |
$332.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.58
|
| Rate for Payer: Healthscope Commercial |
$276.70
|
| Rate for Payer: Healthscope Whirlpool |
$276.70
|
| Rate for Payer: Meridian Medicaid |
$153.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$242.11
|
| Rate for Payer: PACE SWMI |
$230.58
|
| Rate for Payer: PHP Medicare Advantage |
$230.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$573.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.46
|
| Rate for Payer: Priority Health Medicare |
$230.58
|
| Rate for Payer: Priority Health Narrow Network |
$365.46
|
| Rate for Payer: UHC Medicare Advantage |
$237.50
|
|
|
PR SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$900.00
|
|
|
Service Code
|
HCPCS 36215
|
| Min. Negotiated Rate |
$132.27 |
| Max. Negotiated Rate |
$1,519.78 |
| Rate for Payer: Aetna Commercial |
$277.67
|
| Rate for Payer: Aetna Medicare |
$207.22
|
| Rate for Payer: BCBS Complete |
$138.88
|
| Rate for Payer: BCBS MAPPO |
$207.22
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$1,519.78
|
| Rate for Payer: BCN Medicare Advantage |
$207.22
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cash Price |
$720.00
|
| Rate for Payer: Cofinity Commercial |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$277.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.22
|
| Rate for Payer: Healthscope Commercial |
$248.66
|
| Rate for Payer: Healthscope Whirlpool |
$248.66
|
| Rate for Payer: Meridian Medicaid |
$138.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$217.58
|
| Rate for Payer: PACE SWMI |
$207.22
|
| Rate for Payer: PHP Medicare Advantage |
$207.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$329.81
|
| Rate for Payer: Priority Health Medicare |
$207.22
|
| Rate for Payer: Priority Health Narrow Network |
$329.81
|
| Rate for Payer: UHC Medicare Advantage |
$213.44
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$238.00
|
|
|
Service Code
|
HCPCS 36248
|
| Min. Negotiated Rate |
$29.82 |
| Max. Negotiated Rate |
$1,877.58 |
| Rate for Payer: Aetna Commercial |
$63.32
|
| Rate for Payer: Aetna Medicare |
$47.25
|
| Rate for Payer: BCBS Complete |
$31.31
|
| Rate for Payer: BCBS MAPPO |
$47.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,877.58
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Medicare Advantage |
$47.25
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cofinity Commercial |
$63.32
|
| Rate for Payer: Cofinity Commercial |
$68.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.25
|
| Rate for Payer: Healthscope Commercial |
$56.70
|
| Rate for Payer: Healthscope Whirlpool |
$56.70
|
| Rate for Payer: Meridian Medicaid |
$31.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$49.61
|
| Rate for Payer: PACE SWMI |
$47.25
|
| Rate for Payer: PHP Medicare Advantage |
$47.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$166.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$47.25
|
| Rate for Payer: Priority Health Narrow Network |
$75.00
|
| Rate for Payer: UHC Medicare Advantage |
$48.67
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 36218
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$489.73 |
| Rate for Payer: Aetna Commercial |
$68.38
|
| Rate for Payer: Aetna Medicare |
$51.03
|
| Rate for Payer: BCBS Complete |
$34.44
|
| Rate for Payer: BCBS MAPPO |
$51.03
|
| Rate for Payer: BCBS Trust/PPO |
$489.73
|
| Rate for Payer: BCN Commercial |
$304.94
|
| Rate for Payer: BCN Medicare Advantage |
$51.03
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$68.38
|
| Rate for Payer: Cofinity Commercial |
$73.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.03
|
| Rate for Payer: Healthscope Commercial |
$61.24
|
| Rate for Payer: Healthscope Whirlpool |
$61.24
|
| Rate for Payer: Meridian Medicaid |
$34.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.58
|
| Rate for Payer: PACE SWMI |
$51.03
|
| Rate for Payer: PHP Medicare Advantage |
$51.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$80.86
|
| Rate for Payer: Priority Health Medicare |
$51.03
|
| Rate for Payer: Priority Health Narrow Network |
$80.86
|
| Rate for Payer: UHC Medicare Advantage |
$52.56
|
|
|
PR SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART
|
Professional
|
Both
|
$937.00
|
|
|
Service Code
|
HCPCS 36015
|
| Min. Negotiated Rate |
$106.29 |
| Max. Negotiated Rate |
$1,252.48 |
| Rate for Payer: Aetna Commercial |
$223.42
|
| Rate for Payer: Aetna Medicare |
$166.73
|
| Rate for Payer: BCBS Complete |
$111.60
|
| Rate for Payer: BCBS MAPPO |
$166.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,087.24
|
| Rate for Payer: BCN Commercial |
$1,252.48
|
| Rate for Payer: BCN Medicare Advantage |
$166.73
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cofinity Commercial |
$240.09
|
| Rate for Payer: Cofinity Commercial |
$223.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.73
|
| Rate for Payer: Healthscope Commercial |
$200.08
|
| Rate for Payer: Healthscope Whirlpool |
$200.08
|
| Rate for Payer: Meridian Medicaid |
$111.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$175.07
|
| Rate for Payer: PACE SWMI |
$166.73
|
| Rate for Payer: PHP Medicare Advantage |
$166.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$264.92
|
| Rate for Payer: Priority Health Medicare |
$166.73
|
| Rate for Payer: Priority Health Narrow Network |
$264.92
|
| Rate for Payer: UHC Medicare Advantage |
$171.73
|
|
