|
PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL
|
Professional
|
Both
|
$9,183.00
|
|
|
Service Code
|
HCPCS 61682
|
| Min. Negotiated Rate |
$2,476.13 |
| Max. Negotiated Rate |
$8,649.20 |
| Rate for Payer: Aetna Commercial |
$5,237.99
|
| Rate for Payer: Aetna Medicare |
$3,908.95
|
| Rate for Payer: BCBS Complete |
$2,599.94
|
| Rate for Payer: BCBS MAPPO |
$3,908.95
|
| Rate for Payer: BCN Commercial |
$8,649.20
|
| Rate for Payer: BCN Medicare Advantage |
$3,908.95
|
| Rate for Payer: Cash Price |
$7,346.40
|
| Rate for Payer: Cash Price |
$7,346.40
|
| Rate for Payer: Cofinity Commercial |
$5,628.89
|
| Rate for Payer: Cofinity Commercial |
$5,237.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,908.95
|
| Rate for Payer: Healthscope Commercial |
$4,690.74
|
| Rate for Payer: Healthscope Whirlpool |
$4,690.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,104.40
|
| Rate for Payer: Meridian Medicaid |
$2,599.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$4,299.85
|
| Rate for Payer: Nomi Health Commercial |
$4,690.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,887.25
|
| Rate for Payer: PACE SWMI |
$3,908.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,908.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,476.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,271.59
|
| Rate for Payer: Priority Health Medicare |
$3,908.95
|
| Rate for Payer: Priority Health Narrow Network |
$7,271.59
|
| Rate for Payer: Railroad Medicare Medicare |
$3,908.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,586.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,908.95
|
| Rate for Payer: UHC Exchange |
$7,586.61
|
| Rate for Payer: UHC Medicaid |
$2,476.13
|
| Rate for Payer: UHCCP DNSP |
$3,908.95
|
| Rate for Payer: UHCCP Medicaid |
$2,476.13
|
|
|
PR INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL
|
Professional
|
Both
|
$4,897.00
|
|
|
Service Code
|
HCPCS 61680
|
| Min. Negotiated Rate |
$1,407.72 |
| Max. Negotiated Rate |
$4,742.20 |
| Rate for Payer: Aetna Commercial |
$2,953.99
|
| Rate for Payer: Aetna Medicare |
$2,204.47
|
| Rate for Payer: BCBS Complete |
$1,478.11
|
| Rate for Payer: BCBS MAPPO |
$2,204.47
|
| Rate for Payer: BCN Commercial |
$4,742.20
|
| Rate for Payer: BCN Medicare Advantage |
$2,204.47
|
| Rate for Payer: Cash Price |
$3,917.60
|
| Rate for Payer: Cash Price |
$3,917.60
|
| Rate for Payer: Cofinity Commercial |
$2,953.99
|
| Rate for Payer: Cofinity Commercial |
$3,174.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,204.47
|
| Rate for Payer: Healthscope Commercial |
$2,645.36
|
| Rate for Payer: Healthscope Whirlpool |
$2,645.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,314.69
|
| Rate for Payer: Meridian Medicaid |
$1,478.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,424.92
|
| Rate for Payer: Nomi Health Commercial |
$2,645.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,672.75
|
| Rate for Payer: PACE SWMI |
$2,204.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,204.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,407.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,986.87
|
| Rate for Payer: Priority Health Medicare |
$2,204.47
|
| Rate for Payer: Priority Health Narrow Network |
$3,986.87
|
| Rate for Payer: Railroad Medicare Medicare |
$2,204.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,978.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,204.47
|
| Rate for Payer: UHC Exchange |
$3,978.67
|
| Rate for Payer: UHC Medicaid |
$1,407.72
|
| Rate for Payer: UHCCP DNSP |
$2,204.47
|
| Rate for Payer: UHCCP Medicaid |
$1,407.72
|
|
|
PR INTRAFRACTION TRACK MOTION
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS G6017
|
| Min. Negotiated Rate |
$72.40 |
| Max. Negotiated Rate |
$135.75 |
| Rate for Payer: Aetna Commercial |
$94.22
|
| Rate for Payer: BCBS Complete |
$72.40
|
| Rate for Payer: BCN Commercial |
$105.75
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$135.75
|
|
|
PR INTRAOPERATIVE COLONIC LAVAGE
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 44701
|
| Min. Negotiated Rate |
$97.13 |
| Max. Negotiated Rate |
$318.00 |
| Rate for Payer: Aetna Commercial |
$205.93
|
| Rate for Payer: Aetna Medicare |
$153.68
|
| Rate for Payer: BCBS Complete |
$101.99
|
| Rate for Payer: BCBS MAPPO |
$153.68
|
| Rate for Payer: BCN Commercial |
$252.48
|
| Rate for Payer: BCN Medicare Advantage |
$153.68
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Cofinity Commercial |
$205.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.68
|
| Rate for Payer: Healthscope Commercial |
$184.42
|
| Rate for Payer: Healthscope Whirlpool |
$184.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.36
|
| Rate for Payer: Meridian Medicaid |
$101.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$169.05
|
| Rate for Payer: Nomi Health Commercial |
$184.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: PACE SWMI |
$153.68
|
| Rate for Payer: PHP Medicare Advantage |
$153.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$307.63
|
| Rate for Payer: Priority Health Medicare |
$153.68
|
| Rate for Payer: Priority Health Narrow Network |
$307.63
|
| Rate for Payer: Railroad Medicare Medicare |
$153.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$306.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$153.68
|
| Rate for Payer: UHC Exchange |
$306.12
|
| Rate for Payer: UHC Medicaid |
$97.13
|
| Rate for Payer: UHCCP DNSP |
$153.68
|
| Rate for Payer: UHCCP Medicaid |
$97.13
|
|
|
PR INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION
|
Professional
|
Both
|
$314.00
|
|
|
Service Code
|
HCPCS 38900
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$272.32 |
| Rate for Payer: Aetna Commercial |
$165.58
|
| Rate for Payer: Aetna Medicare |
$123.57
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$123.57
|
| Rate for Payer: BCN Commercial |
$204.67
|
| Rate for Payer: BCN Medicare Advantage |
$123.57
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Cofinity Commercial |
$177.94
|
| Rate for Payer: Cofinity Commercial |
$165.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.57
|
| Rate for Payer: Healthscope Commercial |
$148.28
|
| Rate for Payer: Healthscope Whirlpool |
$148.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.75
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$135.93
|
| Rate for Payer: Nomi Health Commercial |
$148.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$235.50
|
| Rate for Payer: PACE SWMI |
$123.57
|
| Rate for Payer: PHP Medicare Advantage |
$123.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$272.32
|
| Rate for Payer: Priority Health Medicare |
$123.57
|
| Rate for Payer: Priority Health Narrow Network |
$272.32
|
| Rate for Payer: Railroad Medicare Medicare |
$123.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$248.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$123.57
|
| Rate for Payer: UHC Exchange |
$248.07
|
| Rate for Payer: UHC Medicaid |
$78.38
|
| Rate for Payer: UHCCP DNSP |
$123.57
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
|
|
PR INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE
|
Professional
|
Both
|
$703.00
|
|
|
Service Code
|
HCPCS 41009
|
| Min. Negotiated Rate |
$168.48 |
| Max. Negotiated Rate |
$529.69 |
| Rate for Payer: Aetna Commercial |
$341.97
|
| Rate for Payer: Aetna Medicare |
$255.20
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$255.20
|
| Rate for Payer: BCN Commercial |
$434.74
|
| Rate for Payer: BCN Medicare Advantage |
$255.20
|
| Rate for Payer: Cash Price |
$562.40
|
| Rate for Payer: Cash Price |
$562.40
|
| Rate for Payer: Cofinity Commercial |
$367.49
|
| Rate for Payer: Cofinity Commercial |
$341.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.20
|
| Rate for Payer: Healthscope Commercial |
$306.24
|
| Rate for Payer: Healthscope Whirlpool |
$306.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.96
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$280.72
|
| Rate for Payer: Nomi Health Commercial |
$306.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$527.25
|
| Rate for Payer: PACE SWMI |
$255.20
|
| Rate for Payer: PHP Medicare Advantage |
$255.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$529.69
|
| Rate for Payer: Priority Health Medicare |
$255.20
|
| Rate for Payer: Priority Health Narrow Network |
$529.69
|
| Rate for Payer: Railroad Medicare Medicare |
$255.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$492.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$255.20
|
| Rate for Payer: UHC Exchange |
$492.39
|
| Rate for Payer: UHC Medicaid |
$168.48
|
| Rate for Payer: UHCCP DNSP |
$255.20
|
| Rate for Payer: UHCCP Medicaid |
$168.48
|
|
|
PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD
|
Professional
|
Both
|
$619.00
|
|
|
Service Code
|
HCPCS 41006
|
| Min. Negotiated Rate |
$137.39 |
| Max. Negotiated Rate |
$464.25 |
| Rate for Payer: Aetna Commercial |
$279.94
|
| Rate for Payer: Aetna Medicare |
$208.91
|
| Rate for Payer: BCBS Complete |
$144.26
|
| Rate for Payer: BCBS MAPPO |
$208.91
|
| Rate for Payer: BCN Commercial |
$354.07
|
| Rate for Payer: BCN Medicare Advantage |
$208.91
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cofinity Commercial |
$300.83
|
| Rate for Payer: Cofinity Commercial |
$279.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.91
|
| Rate for Payer: Healthscope Commercial |
$250.69
|
| Rate for Payer: Healthscope Whirlpool |
$250.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$219.36
|
| Rate for Payer: Meridian Medicaid |
$144.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$229.80
|
| Rate for Payer: Nomi Health Commercial |
$250.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$464.25
|
| Rate for Payer: PACE SWMI |
$208.91
|
| Rate for Payer: PHP Medicare Advantage |
$208.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$431.40
|
| Rate for Payer: Priority Health Medicare |
$208.91
|
| Rate for Payer: Priority Health Narrow Network |
$431.40
|
| Rate for Payer: Railroad Medicare Medicare |
$208.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$412.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$208.91
|
| Rate for Payer: UHC Exchange |
$412.90
|
| Rate for Payer: UHC Medicaid |
$137.39
|
| Rate for Payer: UHCCP DNSP |
$208.91
|
| Rate for Payer: UHCCP Medicaid |
$137.39
|
|
|
PR INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC
|
Professional
|
Both
|
$404.00
|
|
|
Service Code
|
HCPCS 41005
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$303.00 |
| Rate for Payer: Aetna Commercial |
$143.42
|
| Rate for Payer: Aetna Medicare |
$107.03
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS MAPPO |
$107.03
|
| Rate for Payer: BCN Commercial |
$178.28
|
| Rate for Payer: BCN Medicare Advantage |
$107.03
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cofinity Commercial |
$154.12
|
| Rate for Payer: Cofinity Commercial |
$143.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.03
|
| Rate for Payer: Healthscope Commercial |
$128.44
|
| Rate for Payer: Healthscope Whirlpool |
$128.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.38
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$117.73
|
| Rate for Payer: Nomi Health Commercial |
$128.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.00
|
| Rate for Payer: PACE SWMI |
$107.03
|
| Rate for Payer: PHP Medicare Advantage |
$107.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$217.22
|
| Rate for Payer: Priority Health Medicare |
$107.03
|
| Rate for Payer: Priority Health Narrow Network |
$217.22
|
| Rate for Payer: Railroad Medicare Medicare |
$107.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$197.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.03
|
| Rate for Payer: UHC Exchange |
$197.18
|
| Rate for Payer: UHC Medicaid |
$71.36
|
| Rate for Payer: UHCCP DNSP |
$107.03
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
|
PR INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE
|
Professional
|
Both
|
$728.00
|
|
|
Service Code
|
HCPCS 41008
|
| Min. Negotiated Rate |
$156.13 |
| Max. Negotiated Rate |
$546.00 |
| Rate for Payer: Aetna Commercial |
$317.39
|
| Rate for Payer: Aetna Medicare |
$236.86
|
| Rate for Payer: BCBS Complete |
$163.94
|
| Rate for Payer: BCBS MAPPO |
$236.86
|
| Rate for Payer: BCN Commercial |
$397.89
|
| Rate for Payer: BCN Medicare Advantage |
$236.86
|
| Rate for Payer: Cash Price |
$582.40
|
| Rate for Payer: Cash Price |
$582.40
|
| Rate for Payer: Cofinity Commercial |
$341.08
|
| Rate for Payer: Cofinity Commercial |
$317.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.86
|
| Rate for Payer: Healthscope Commercial |
$284.23
|
| Rate for Payer: Healthscope Whirlpool |
$284.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.70
|
| Rate for Payer: Meridian Medicaid |
$163.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$260.55
|
| Rate for Payer: Nomi Health Commercial |
$284.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$546.00
|
| Rate for Payer: PACE SWMI |
$236.86
|
| Rate for Payer: PHP Medicare Advantage |
$236.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$484.80
|
| Rate for Payer: Priority Health Medicare |
$236.86
|
| Rate for Payer: Priority Health Narrow Network |
$484.80
|
| Rate for Payer: Railroad Medicare Medicare |
$236.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$448.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.86
|
| Rate for Payer: UHC Exchange |
$448.38
|
| Rate for Payer: UHC Medicaid |
$156.13
|
| Rate for Payer: UHCCP DNSP |
$236.86
|
| Rate for Payer: UHCCP Medicaid |
$156.13
|
|
|
PR INTRAPULMONARY SURFACTANT ADMN PHYS/QHP
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 94610
|
| Min. Negotiated Rate |
$30.46 |
| Max. Negotiated Rate |
$90.71 |
| Rate for Payer: Aetna Commercial |
$63.52
|
| Rate for Payer: Aetna Medicare |
$47.40
|
| Rate for Payer: BCBS Complete |
$31.98
|
| Rate for Payer: BCBS MAPPO |
$47.40
|
| Rate for Payer: BCN Commercial |
$82.17
|
| Rate for Payer: BCN Medicare Advantage |
$47.40
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$68.26
|
| Rate for Payer: Cofinity Commercial |
$63.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.40
|
| Rate for Payer: Healthscope Commercial |
$56.88
|
| Rate for Payer: Healthscope Whirlpool |
$56.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.77
|
| Rate for Payer: Meridian Medicaid |
$31.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.14
|
| Rate for Payer: Nomi Health Commercial |
$56.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.25
|
| Rate for Payer: PACE SWMI |
$47.40
|
| Rate for Payer: PHP Medicare Advantage |
$47.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$75.77
|
| Rate for Payer: Priority Health Medicare |
$47.40
|
| Rate for Payer: Priority Health Narrow Network |
$75.77
|
| Rate for Payer: Railroad Medicare Medicare |
$47.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$90.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$47.40
|
| Rate for Payer: UHC Exchange |
$90.71
|
| Rate for Payer: UHC Medicaid |
$30.46
|
| Rate for Payer: UHCCP DNSP |
$47.40
|
| Rate for Payer: UHCCP Medicaid |
$30.46
|
|
|
PR INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 37253
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$327.75 |
| Rate for Payer: Aetna Commercial |
$84.57
|
| Rate for Payer: Aetna Medicare |
$63.11
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$63.11
|
| Rate for Payer: BCN Commercial |
$103.58
|
| Rate for Payer: BCN Medicare Advantage |
$63.11
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Cofinity Commercial |
$84.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.11
|
| Rate for Payer: Healthscope Commercial |
$75.73
|
| Rate for Payer: Healthscope Whirlpool |
$75.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.27
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$69.42
|
| Rate for Payer: Nomi Health Commercial |
$75.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE SWMI |
$63.11
|
| Rate for Payer: PHP Medicare Advantage |
$63.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$111.39
|
| Rate for Payer: Priority Health Medicare |
$63.11
|
| Rate for Payer: Priority Health Narrow Network |
$111.39
|
| Rate for Payer: Railroad Medicare Medicare |
$63.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$130.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$63.11
|
| Rate for Payer: UHC Exchange |
$130.50
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP DNSP |
$63.11
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
|
|
PR INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL
|
Professional
|
Both
|
$199.00
|
|
|
Service Code
|
HCPCS 37252
|
| Min. Negotiated Rate |
$50.48 |
| Max. Negotiated Rate |
$162.67 |
| Rate for Payer: Aetna Commercial |
$107.28
|
| Rate for Payer: Aetna Medicare |
$80.06
|
| Rate for Payer: BCBS Complete |
$53.00
|
| Rate for Payer: BCBS MAPPO |
$80.06
|
| Rate for Payer: BCN Commercial |
$129.97
|
| Rate for Payer: BCN Medicare Advantage |
$80.06
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Cofinity Commercial |
$107.28
|
| Rate for Payer: Cofinity Commercial |
$115.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.06
|
| Rate for Payer: Healthscope Commercial |
$96.07
|
| Rate for Payer: Healthscope Whirlpool |
$96.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.06
|
| Rate for Payer: Meridian Medicaid |
$53.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.07
|
| Rate for Payer: Nomi Health Commercial |
$96.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$149.25
|
| Rate for Payer: PACE SWMI |
$80.06
|
| Rate for Payer: PHP Medicare Advantage |
$80.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$139.76
|
| Rate for Payer: Priority Health Medicare |
$80.06
|
| Rate for Payer: Priority Health Narrow Network |
$139.76
|
| Rate for Payer: Railroad Medicare Medicare |
$80.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$162.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$80.06
|
| Rate for Payer: UHC Exchange |
$162.67
|
| Rate for Payer: UHC Medicaid |
$50.48
|
| Rate for Payer: UHCCP DNSP |
$80.06
|
| Rate for Payer: UHCCP Medicaid |
$50.48
|
|
|
PR INTRAVASC US DURING DX EVAL/ INTERVENTION,EA ADDN VESSEL
|
Professional
|
Both
|
$420.00
|
|
|
Service Code
|
HCPCS 37251
|
| Min. Negotiated Rate |
$168.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: BCBS Complete |
$168.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
|
|
PR INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ
|
Professional
|
Both
|
$602.00
|
|
|
Service Code
|
HCPCS 93609
|
| Min. Negotiated Rate |
$395.40 |
| Max. Negotiated Rate |
$657.65 |
| Rate for Payer: Aetna Commercial |
$507.22
|
| Rate for Payer: BCN Commercial |
$395.40
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$522.05
|
| Rate for Payer: Priority Health Narrow Network |
$522.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$657.65
|
| Rate for Payer: UHC Exchange |
$657.65
|
|
|
PR INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 57180
|
| Min. Negotiated Rate |
$68.16 |
| Max. Negotiated Rate |
$200.83 |
| Rate for Payer: Aetna Commercial |
$139.56
|
| Rate for Payer: Aetna Medicare |
$104.15
|
| Rate for Payer: BCBS Complete |
$71.57
|
| Rate for Payer: BCBS MAPPO |
$104.15
|
| Rate for Payer: BCN Commercial |
$181.76
|
| Rate for Payer: BCN Medicare Advantage |
$104.15
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$149.98
|
| Rate for Payer: Cofinity Commercial |
$139.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.15
|
| Rate for Payer: Healthscope Commercial |
$124.98
|
| Rate for Payer: Healthscope Whirlpool |
$124.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.36
|
| Rate for Payer: Meridian Medicaid |
$71.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.56
|
| Rate for Payer: Nomi Health Commercial |
$124.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.00
|
| Rate for Payer: PACE SWMI |
$104.15
|
| Rate for Payer: PHP Medicare Advantage |
$104.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$184.08
|
| Rate for Payer: Priority Health Medicare |
$104.15
|
| Rate for Payer: Priority Health Narrow Network |
$184.08
|
| Rate for Payer: Railroad Medicare Medicare |
$104.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$200.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$104.15
|
| Rate for Payer: UHC Exchange |
$200.83
|
| Rate for Payer: UHC Medicaid |
$68.16
|
| Rate for Payer: UHCCP DNSP |
$104.15
|
| Rate for Payer: UHCCP Medicaid |
$68.16
|
|
|
PR INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I
|
Professional
|
Both
|
$389.00
|
|
|
Service Code
|
HCPCS 36901
|
| Min. Negotiated Rate |
$93.93 |
| Max. Negotiated Rate |
$302.01 |
| Rate for Payer: Aetna Commercial |
$197.90
|
| Rate for Payer: Aetna Medicare |
$147.69
|
| Rate for Payer: BCBS Complete |
$98.63
|
| Rate for Payer: BCBS MAPPO |
$147.69
|
| Rate for Payer: BCN Commercial |
$246.00
|
| Rate for Payer: BCN Medicare Advantage |
$147.69
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cofinity Commercial |
$212.67
|
| Rate for Payer: Cofinity Commercial |
$197.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.69
|
| Rate for Payer: Healthscope Commercial |
$177.23
|
| Rate for Payer: Healthscope Whirlpool |
$177.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.07
|
| Rate for Payer: Meridian Medicaid |
$98.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$162.46
|
| Rate for Payer: Nomi Health Commercial |
$177.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$291.75
|
| Rate for Payer: PACE SWMI |
$147.69
|
| Rate for Payer: PHP Medicare Advantage |
$147.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$264.54
|
| Rate for Payer: Priority Health Medicare |
$147.69
|
| Rate for Payer: Priority Health Narrow Network |
$264.54
|
| Rate for Payer: Railroad Medicare Medicare |
$147.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$302.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$147.69
|
| Rate for Payer: UHC Exchange |
$302.01
|
| Rate for Payer: UHC Medicaid |
$93.93
|
| Rate for Payer: UHCCP DNSP |
$147.69
|
| Rate for Payer: UHCCP Medicaid |
$93.93
|
|
|
PR INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT
|
Professional
|
Both
|
$794.00
|
|
|
Service Code
|
HCPCS 36903
|
| Min. Negotiated Rate |
$177.00 |
| Max. Negotiated Rate |
$595.50 |
| Rate for Payer: Aetna Commercial |
$373.79
|
| Rate for Payer: Aetna Medicare |
$278.95
|
| Rate for Payer: BCBS Complete |
$185.85
|
| Rate for Payer: BCBS MAPPO |
$278.95
|
| Rate for Payer: BCN Commercial |
$459.14
|
| Rate for Payer: BCN Medicare Advantage |
$278.95
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cofinity Commercial |
$401.69
|
| Rate for Payer: Cofinity Commercial |
$373.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.95
|
| Rate for Payer: Healthscope Commercial |
$334.74
|
| Rate for Payer: Healthscope Whirlpool |
$334.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.90
|
| Rate for Payer: Meridian Medicaid |
$185.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$306.85
|
| Rate for Payer: Nomi Health Commercial |
$334.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$595.50
|
| Rate for Payer: PACE SWMI |
$278.95
|
| Rate for Payer: PHP Medicare Advantage |
$278.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$177.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$493.74
|
| Rate for Payer: Priority Health Medicare |
$278.95
|
| Rate for Payer: Priority Health Narrow Network |
$493.74
|
| Rate for Payer: Railroad Medicare Medicare |
$278.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$567.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$278.95
|
| Rate for Payer: UHC Exchange |
$567.62
|
| Rate for Payer: UHC Medicaid |
$177.00
|
| Rate for Payer: UHCCP DNSP |
$278.95
|
| Rate for Payer: UHCCP Medicaid |
$177.00
|
|
|
PR INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 36902
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$435.00 |
| Rate for Payer: Aetna Commercial |
$282.32
|
| Rate for Payer: Aetna Medicare |
$210.69
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS MAPPO |
$210.69
|
| Rate for Payer: BCN Commercial |
$349.08
|
| Rate for Payer: BCN Medicare Advantage |
$210.69
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$303.39
|
| Rate for Payer: Cofinity Commercial |
$282.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.69
|
| Rate for Payer: Healthscope Commercial |
$252.83
|
| Rate for Payer: Healthscope Whirlpool |
$252.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.22
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$231.76
|
| Rate for Payer: Nomi Health Commercial |
$252.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.00
|
| Rate for Payer: PACE SWMI |
$210.69
|
| Rate for Payer: PHP Medicare Advantage |
$210.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$375.40
|
| Rate for Payer: Priority Health Medicare |
$210.69
|
| Rate for Payer: Priority Health Narrow Network |
$375.40
|
| Rate for Payer: Railroad Medicare Medicare |
$210.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$427.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$210.69
|
| Rate for Payer: UHC Exchange |
$427.92
|
| Rate for Payer: UHC Medicaid |
$133.98
|
| Rate for Payer: UHCCP DNSP |
$210.69
|
| Rate for Payer: UHCCP Medicaid |
$133.98
|
|
|
PR INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY
|
Professional
|
Both
|
$769.00
|
|
|
Service Code
|
HCPCS 36013
|
| Min. Negotiated Rate |
$71.57 |
| Max. Negotiated Rate |
$576.75 |
| Rate for Payer: Aetna Commercial |
$150.75
|
| Rate for Payer: Aetna Medicare |
$112.50
|
| Rate for Payer: BCBS Complete |
$75.15
|
| Rate for Payer: BCBS MAPPO |
$112.50
|
| Rate for Payer: BCN Commercial |
$184.25
|
| Rate for Payer: BCN Medicare Advantage |
$112.50
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Cofinity Commercial |
$162.00
|
| Rate for Payer: Cofinity Commercial |
$150.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.50
|
| Rate for Payer: Healthscope Commercial |
$135.00
|
| Rate for Payer: Healthscope Whirlpool |
$135.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.12
|
| Rate for Payer: Meridian Medicaid |
$75.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.75
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$576.75
|
| Rate for Payer: PACE SWMI |
$112.50
|
| Rate for Payer: PHP Medicare Advantage |
$112.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$198.14
|
| Rate for Payer: Priority Health Medicare |
$112.50
|
| Rate for Payer: Priority Health Narrow Network |
$198.14
|
| Rate for Payer: Railroad Medicare Medicare |
$112.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$217.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.50
|
| Rate for Payer: UHC Exchange |
$217.76
|
| Rate for Payer: UHC Medicaid |
$71.57
|
| Rate for Payer: UHCCP DNSP |
$112.50
|
| Rate for Payer: UHCCP Medicaid |
$71.57
|
|
|
PR INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 36010
|
| Min. Negotiated Rate |
$60.71 |
| Max. Negotiated Rate |
$752.25 |
| Rate for Payer: Aetna Commercial |
$128.72
|
| Rate for Payer: Aetna Medicare |
$96.06
|
| Rate for Payer: BCBS Complete |
$63.75
|
| Rate for Payer: BCBS MAPPO |
$96.06
|
| Rate for Payer: BCN Commercial |
$157.36
|
| Rate for Payer: BCN Medicare Advantage |
$96.06
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$138.33
|
| Rate for Payer: Cofinity Commercial |
$128.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.06
|
| Rate for Payer: Healthscope Commercial |
$115.27
|
| Rate for Payer: Healthscope Whirlpool |
$115.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.86
|
| Rate for Payer: Meridian Medicaid |
$63.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.67
|
| Rate for Payer: Nomi Health Commercial |
$115.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$752.25
|
| Rate for Payer: PACE SWMI |
$96.06
|
| Rate for Payer: PHP Medicare Advantage |
$96.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.21
|
| Rate for Payer: Priority Health Medicare |
$96.06
|
| Rate for Payer: Priority Health Narrow Network |
$169.21
|
| Rate for Payer: Railroad Medicare Medicare |
$96.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$196.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$96.06
|
| Rate for Payer: UHC Exchange |
$196.93
|
| Rate for Payer: UHC Medicaid |
$60.71
|
| Rate for Payer: UHCCP DNSP |
$96.06
|
| Rate for Payer: UHCCP Medicaid |
$60.71
|
|
|
PR INTRODUCTION CATHETER AORTA
|
Professional
|
Both
|
$593.00
|
|
|
Service Code
|
HCPCS 36200
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$444.75 |
| Rate for Payer: Aetna Commercial |
$166.88
|
| Rate for Payer: Aetna Medicare |
$124.54
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$124.54
|
| Rate for Payer: BCN Commercial |
$204.18
|
| Rate for Payer: BCN Medicare Advantage |
$124.54
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cofinity Commercial |
$179.34
|
| Rate for Payer: Cofinity Commercial |
$166.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.54
|
| Rate for Payer: Healthscope Commercial |
$149.45
|
| Rate for Payer: Healthscope Whirlpool |
$149.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.77
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$136.99
|
| Rate for Payer: Nomi Health Commercial |
$149.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$444.75
|
| Rate for Payer: PACE SWMI |
$124.54
|
| Rate for Payer: PHP Medicare Advantage |
$124.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$219.56
|
| Rate for Payer: Priority Health Medicare |
$124.54
|
| Rate for Payer: Priority Health Narrow Network |
$219.56
|
| Rate for Payer: Railroad Medicare Medicare |
$124.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$251.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$124.54
|
| Rate for Payer: UHC Exchange |
$251.24
|
| Rate for Payer: UHC Medicaid |
$78.38
|
| Rate for Payer: UHCCP DNSP |
$124.54
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
|
|
PR INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 44500
|
| Min. Negotiated Rate |
$10.44 |
| Max. Negotiated Rate |
$107.25 |
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: Aetna Medicare |
$16.34
|
| Rate for Payer: BCBS Complete |
$10.96
|
| Rate for Payer: BCBS MAPPO |
$16.34
|
| Rate for Payer: BCN Commercial |
$28.39
|
| Rate for Payer: BCN Medicare Advantage |
$16.34
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cofinity Commercial |
$23.53
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.34
|
| Rate for Payer: Healthscope Commercial |
$19.61
|
| Rate for Payer: Healthscope Whirlpool |
$19.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.16
|
| Rate for Payer: Meridian Medicaid |
$10.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.97
|
| Rate for Payer: Nomi Health Commercial |
$19.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.25
|
| Rate for Payer: PACE SWMI |
$16.34
|
| Rate for Payer: PHP Medicare Advantage |
$16.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$34.59
|
| Rate for Payer: Priority Health Medicare |
$16.34
|
| Rate for Payer: Priority Health Narrow Network |
$34.59
|
| Rate for Payer: Railroad Medicare Medicare |
$16.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$34.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.34
|
| Rate for Payer: UHC Exchange |
$34.42
|
| Rate for Payer: UHC Medicaid |
$10.44
|
| Rate for Payer: UHCCP DNSP |
$16.34
|
| Rate for Payer: UHCCP Medicaid |
$10.44
|
|
|
PR INTRODUCTION NEEDLE/INTRACATHETER VEIN
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 36000
|
| Min. Negotiated Rate |
$10.60 |
| Max. Negotiated Rate |
$138.75 |
| Rate for Payer: Aetna Commercial |
$11.94
|
| Rate for Payer: BCBS Complete |
$74.00
|
| Rate for Payer: BCN Commercial |
$10.60
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$14.45
|
| Rate for Payer: Priority Health Narrow Network |
$14.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.96
|
| Rate for Payer: UHC Exchange |
$15.96
|
|
|
PR INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY
|
Professional
|
Both
|
$757.00
|
|
|
Service Code
|
HCPCS 36100
|
| Min. Negotiated Rate |
$85.41 |
| Max. Negotiated Rate |
$567.75 |
| Rate for Payer: Aetna Commercial |
$182.08
|
| Rate for Payer: Aetna Medicare |
$135.88
|
| Rate for Payer: BCBS Complete |
$89.68
|
| Rate for Payer: BCBS MAPPO |
$135.88
|
| Rate for Payer: BCN Commercial |
$223.09
|
| Rate for Payer: BCN Medicare Advantage |
$135.88
|
| Rate for Payer: Cash Price |
$605.60
|
| Rate for Payer: Cash Price |
$605.60
|
| Rate for Payer: Cofinity Commercial |
$195.67
|
| Rate for Payer: Cofinity Commercial |
$182.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.88
|
| Rate for Payer: Healthscope Commercial |
$163.06
|
| Rate for Payer: Healthscope Whirlpool |
$163.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.67
|
| Rate for Payer: Meridian Medicaid |
$89.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.47
|
| Rate for Payer: Nomi Health Commercial |
$163.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.75
|
| Rate for Payer: PACE SWMI |
$135.88
|
| Rate for Payer: PHP Medicare Advantage |
$135.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$239.91
|
| Rate for Payer: Priority Health Medicare |
$135.88
|
| Rate for Payer: Priority Health Narrow Network |
$239.91
|
| Rate for Payer: Railroad Medicare Medicare |
$135.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$274.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$135.88
|
| Rate for Payer: UHC Exchange |
$274.19
|
| Rate for Payer: UHC Medicaid |
$85.41
|
| Rate for Payer: UHCCP DNSP |
$135.88
|
| Rate for Payer: UHCCP Medicaid |
$85.41
|
|
|
PR INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY
|
Professional
|
Both
|
$970.00
|
|
|
Service Code
|
HCPCS 36140
|
| Min. Negotiated Rate |
$50.27 |
| Max. Negotiated Rate |
$727.50 |
| Rate for Payer: Aetna Commercial |
$106.72
|
| Rate for Payer: Aetna Medicare |
$79.64
|
| Rate for Payer: BCBS Complete |
$52.78
|
| Rate for Payer: BCBS MAPPO |
$79.64
|
| Rate for Payer: BCN Commercial |
$129.48
|
| Rate for Payer: BCN Medicare Advantage |
$79.64
|
| Rate for Payer: Cash Price |
$776.00
|
| Rate for Payer: Cash Price |
$776.00
|
| Rate for Payer: Cofinity Commercial |
$114.68
|
| Rate for Payer: Cofinity Commercial |
$106.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.64
|
| Rate for Payer: Healthscope Commercial |
$95.57
|
| Rate for Payer: Healthscope Whirlpool |
$95.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.62
|
| Rate for Payer: Meridian Medicaid |
$52.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.60
|
| Rate for Payer: Nomi Health Commercial |
$95.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$727.50
|
| Rate for Payer: PACE SWMI |
$79.64
|
| Rate for Payer: PHP Medicare Advantage |
$79.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$139.23
|
| Rate for Payer: Priority Health Medicare |
$79.64
|
| Rate for Payer: Priority Health Narrow Network |
$139.23
|
| Rate for Payer: Railroad Medicare Medicare |
$79.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$160.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$79.64
|
| Rate for Payer: UHC Exchange |
$160.64
|
| Rate for Payer: UHC Medicaid |
$50.27
|
| Rate for Payer: UHCCP DNSP |
$79.64
|
| Rate for Payer: UHCCP Medicaid |
$50.27
|
|
