|
PR LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 50947
|
| Min. Negotiated Rate |
$786.82 |
| Max. Negotiated Rate |
$2,454.64 |
| Rate for Payer: Aetna Commercial |
$1,639.48
|
| Rate for Payer: Aetna Medicare |
$1,223.49
|
| Rate for Payer: BCBS Complete |
$826.16
|
| Rate for Payer: BCBS MAPPO |
$1,223.49
|
| Rate for Payer: BCN Commercial |
$2,055.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,223.49
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,761.83
|
| Rate for Payer: Cofinity Commercial |
$1,639.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,223.49
|
| Rate for Payer: Healthscope Commercial |
$1,468.19
|
| Rate for Payer: Healthscope Whirlpool |
$1,468.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,284.66
|
| Rate for Payer: Meridian Medicaid |
$826.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,345.84
|
| Rate for Payer: Nomi Health Commercial |
$1,468.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,232.75
|
| Rate for Payer: PACE SWMI |
$1,223.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,223.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$786.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,239.28
|
| Rate for Payer: Priority Health Medicare |
$1,223.49
|
| Rate for Payer: Priority Health Narrow Network |
$2,239.28
|
| Rate for Payer: Railroad Medicare Medicare |
$1,223.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,454.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,223.49
|
| Rate for Payer: UHC Exchange |
$2,454.64
|
| Rate for Payer: UHC Medicaid |
$786.82
|
| Rate for Payer: UHCCP DNSP |
$1,223.49
|
| Rate for Payer: UHCCP Medicaid |
$786.82
|
|
|
PR LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT
|
Professional
|
Both
|
$2,696.00
|
|
|
Service Code
|
HCPCS 50948
|
| Min. Negotiated Rate |
$721.43 |
| Max. Negotiated Rate |
$2,255.49 |
| Rate for Payer: Aetna Commercial |
$1,503.65
|
| Rate for Payer: Aetna Medicare |
$1,122.13
|
| Rate for Payer: BCBS Complete |
$757.50
|
| Rate for Payer: BCBS MAPPO |
$1,122.13
|
| Rate for Payer: BCN Commercial |
$1,899.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,122.13
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cofinity Commercial |
$1,615.87
|
| Rate for Payer: Cofinity Commercial |
$1,503.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,122.13
|
| Rate for Payer: Healthscope Commercial |
$1,346.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,346.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,178.24
|
| Rate for Payer: Meridian Medicaid |
$757.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,234.34
|
| Rate for Payer: Nomi Health Commercial |
$1,346.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,022.00
|
| Rate for Payer: PACE SWMI |
$1,122.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,122.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,069.50
|
| Rate for Payer: Priority Health Medicare |
$1,122.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,069.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,122.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,255.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,122.13
|
| Rate for Payer: UHC Exchange |
$2,255.49
|
| Rate for Payer: UHC Medicaid |
$721.43
|
| Rate for Payer: UHCCP DNSP |
$1,122.13
|
| Rate for Payer: UHCCP Medicaid |
$721.43
|
|
|
PR LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR
|
Professional
|
Both
|
$3,327.00
|
|
|
Service Code
|
HCPCS 58554
|
| Min. Negotiated Rate |
$740.81 |
| Max. Negotiated Rate |
$2,495.25 |
| Rate for Payer: Aetna Commercial |
$1,548.79
|
| Rate for Payer: Aetna Medicare |
$1,155.81
|
| Rate for Payer: BCBS Complete |
$777.85
|
| Rate for Payer: BCBS MAPPO |
$1,155.81
|
| Rate for Payer: BCN Commercial |
$1,951.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.81
|
| Rate for Payer: Cash Price |
$2,661.60
|
| Rate for Payer: Cash Price |
$2,661.60
|
| Rate for Payer: Cofinity Commercial |
$1,664.37
|
| Rate for Payer: Cofinity Commercial |
$1,548.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.81
|
| Rate for Payer: Healthscope Commercial |
$1,386.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,386.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.60
|
| Rate for Payer: Meridian Medicaid |
$777.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,271.39
|
| Rate for Payer: Nomi Health Commercial |
$1,386.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,495.25
|
| Rate for Payer: PACE SWMI |
$1,155.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$740.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,976.54
|
| Rate for Payer: Priority Health Medicare |
$1,155.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,976.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,333.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,155.81
|
| Rate for Payer: UHC Exchange |
$2,333.44
|
| Rate for Payer: UHC Medicaid |
$740.81
|
| Rate for Payer: UHCCP DNSP |
$1,155.81
|
| Rate for Payer: UHCCP Medicaid |
$740.81
|
|
|
PR LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<
|
Professional
|
Both
|
$2,593.00
|
|
|
Service Code
|
HCPCS 58550
|
| Min. Negotiated Rate |
$501.62 |
| Max. Negotiated Rate |
$1,944.75 |
| Rate for Payer: Aetna Commercial |
$1,044.97
|
| Rate for Payer: Aetna Medicare |
$779.83
|
| Rate for Payer: BCBS Complete |
$526.70
|
| Rate for Payer: BCBS MAPPO |
$779.83
|
| Rate for Payer: BCN Commercial |
$1,324.63
|
| Rate for Payer: BCN Medicare Advantage |
$779.83
|
| Rate for Payer: Cash Price |
$2,074.40
|
| Rate for Payer: Cash Price |
$2,074.40
|
| Rate for Payer: Cofinity Commercial |
$1,122.96
|
| Rate for Payer: Cofinity Commercial |
$1,044.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$779.83
|
| Rate for Payer: Healthscope Commercial |
$935.80
|
| Rate for Payer: Healthscope Whirlpool |
$935.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$818.82
|
| Rate for Payer: Meridian Medicaid |
$526.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$857.81
|
| Rate for Payer: Nomi Health Commercial |
$935.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,944.75
|
| Rate for Payer: PACE SWMI |
$779.83
|
| Rate for Payer: PHP Medicare Advantage |
$779.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,341.57
|
| Rate for Payer: Priority Health Medicare |
$779.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,341.57
|
| Rate for Payer: Railroad Medicare Medicare |
$779.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,563.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$779.83
|
| Rate for Payer: UHC Exchange |
$1,563.46
|
| Rate for Payer: UHC Medicaid |
$501.62
|
| Rate for Payer: UHCCP DNSP |
$779.83
|
| Rate for Payer: UHCCP Medicaid |
$501.62
|
|
|
PR LAPS W/REVISION INTRAPERITONEAL CATHETER
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 49325
|
| Min. Negotiated Rate |
$247.93 |
| Max. Negotiated Rate |
$755.41 |
| Rate for Payer: Aetna Commercial |
$518.27
|
| Rate for Payer: Aetna Medicare |
$386.77
|
| Rate for Payer: BCBS Complete |
$260.33
|
| Rate for Payer: BCBS MAPPO |
$386.77
|
| Rate for Payer: BCN Commercial |
$619.99
|
| Rate for Payer: BCN Medicare Advantage |
$386.77
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$556.95
|
| Rate for Payer: Cofinity Commercial |
$518.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.77
|
| Rate for Payer: Healthscope Commercial |
$464.12
|
| Rate for Payer: Healthscope Whirlpool |
$464.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.11
|
| Rate for Payer: Meridian Medicaid |
$260.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$425.45
|
| Rate for Payer: Nomi Health Commercial |
$464.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$739.50
|
| Rate for Payer: PACE SWMI |
$386.77
|
| Rate for Payer: PHP Medicare Advantage |
$386.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$755.41
|
| Rate for Payer: Priority Health Medicare |
$386.77
|
| Rate for Payer: Priority Health Narrow Network |
$755.41
|
| Rate for Payer: Railroad Medicare Medicare |
$386.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$740.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$386.77
|
| Rate for Payer: UHC Exchange |
$740.25
|
| Rate for Payer: UHC Medicaid |
$247.93
|
| Rate for Payer: UHCCP DNSP |
$386.77
|
| Rate for Payer: UHCCP Medicaid |
$247.93
|
|
|
PR LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES
|
Professional
|
Both
|
$2,584.00
|
|
|
Service Code
|
HCPCS 58552
|
| Min. Negotiated Rate |
$559.55 |
| Max. Negotiated Rate |
$1,938.00 |
| Rate for Payer: Aetna Commercial |
$1,166.89
|
| Rate for Payer: Aetna Medicare |
$870.81
|
| Rate for Payer: BCBS Complete |
$587.53
|
| Rate for Payer: BCBS MAPPO |
$870.81
|
| Rate for Payer: BCN Commercial |
$1,472.53
|
| Rate for Payer: BCN Medicare Advantage |
$870.81
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Cofinity Commercial |
$1,253.97
|
| Rate for Payer: Cofinity Commercial |
$1,166.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$870.81
|
| Rate for Payer: Healthscope Commercial |
$1,044.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,044.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$914.35
|
| Rate for Payer: Meridian Medicaid |
$587.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$957.89
|
| Rate for Payer: Nomi Health Commercial |
$1,044.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,938.00
|
| Rate for Payer: PACE SWMI |
$870.81
|
| Rate for Payer: PHP Medicare Advantage |
$870.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$559.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,491.36
|
| Rate for Payer: Priority Health Medicare |
$870.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,491.36
|
| Rate for Payer: Railroad Medicare Medicare |
$870.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,743.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$870.81
|
| Rate for Payer: UHC Exchange |
$1,743.05
|
| Rate for Payer: UHC Medicaid |
$559.55
|
| Rate for Payer: UHCCP DNSP |
$870.81
|
| Rate for Payer: UHCCP Medicaid |
$559.55
|
|
|
PR LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS
|
Professional
|
Both
|
$3,106.00
|
|
|
Service Code
|
HCPCS 58553
|
| Min. Negotiated Rate |
$628.56 |
| Max. Negotiated Rate |
$2,329.50 |
| Rate for Payer: Aetna Commercial |
$1,315.20
|
| Rate for Payer: Aetna Medicare |
$981.49
|
| Rate for Payer: BCBS Complete |
$659.99
|
| Rate for Payer: BCBS MAPPO |
$981.49
|
| Rate for Payer: BCN Commercial |
$1,675.71
|
| Rate for Payer: BCN Medicare Advantage |
$981.49
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Cofinity Commercial |
$1,413.35
|
| Rate for Payer: Cofinity Commercial |
$1,315.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$981.49
|
| Rate for Payer: Healthscope Commercial |
$1,177.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,177.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,030.56
|
| Rate for Payer: Meridian Medicaid |
$659.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,079.64
|
| Rate for Payer: Nomi Health Commercial |
$1,177.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,329.50
|
| Rate for Payer: PACE SWMI |
$981.49
|
| Rate for Payer: PHP Medicare Advantage |
$981.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,697.13
|
| Rate for Payer: Priority Health Medicare |
$981.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,697.13
|
| Rate for Payer: Railroad Medicare Medicare |
$981.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,002.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$981.49
|
| Rate for Payer: UHC Exchange |
$2,002.46
|
| Rate for Payer: UHC Medicaid |
$628.56
|
| Rate for Payer: UHCCP DNSP |
$981.49
|
| Rate for Payer: UHCCP Medicaid |
$628.56
|
|
|
PR LAPT RPR PARAESOPH HIATAL HERNIA W/MESH
|
Professional
|
Both
|
$2,704.00
|
|
|
Service Code
|
HCPCS 43333
|
| Min. Negotiated Rate |
$749.76 |
| Max. Negotiated Rate |
$2,298.41 |
| Rate for Payer: Aetna Commercial |
$1,572.15
|
| Rate for Payer: Aetna Medicare |
$1,173.25
|
| Rate for Payer: BCBS Complete |
$787.25
|
| Rate for Payer: BCBS MAPPO |
$1,173.25
|
| Rate for Payer: BCN Commercial |
$1,886.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,173.25
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,689.48
|
| Rate for Payer: Cofinity Commercial |
$1,572.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,173.25
|
| Rate for Payer: Healthscope Commercial |
$1,407.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,407.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,231.91
|
| Rate for Payer: Meridian Medicaid |
$787.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,290.58
|
| Rate for Payer: Nomi Health Commercial |
$1,407.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,028.00
|
| Rate for Payer: PACE SWMI |
$1,173.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,173.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$749.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,298.41
|
| Rate for Payer: Priority Health Medicare |
$1,173.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,298.41
|
| Rate for Payer: Railroad Medicare Medicare |
$1,173.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,256.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,173.25
|
| Rate for Payer: UHC Exchange |
$2,256.90
|
| Rate for Payer: UHC Medicaid |
$749.76
|
| Rate for Payer: UHCCP DNSP |
$1,173.25
|
| Rate for Payer: UHCCP Medicaid |
$749.76
|
|
|
PR LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK
|
Professional
|
Both
|
$2,215.00
|
|
|
Service Code
|
HCPCS 58960
|
| Min. Negotiated Rate |
$601.73 |
| Max. Negotiated Rate |
$1,706.37 |
| Rate for Payer: Aetna Commercial |
$1,248.87
|
| Rate for Payer: Aetna Medicare |
$931.99
|
| Rate for Payer: BCBS Complete |
$631.82
|
| Rate for Payer: BCBS MAPPO |
$931.99
|
| Rate for Payer: BCN Commercial |
$1,501.41
|
| Rate for Payer: BCN Medicare Advantage |
$931.99
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cofinity Commercial |
$1,342.07
|
| Rate for Payer: Cofinity Commercial |
$1,248.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$931.99
|
| Rate for Payer: Healthscope Commercial |
$1,118.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,118.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$978.59
|
| Rate for Payer: Meridian Medicaid |
$631.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,025.19
|
| Rate for Payer: Nomi Health Commercial |
$1,118.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,661.25
|
| Rate for Payer: PACE SWMI |
$931.99
|
| Rate for Payer: PHP Medicare Advantage |
$931.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$601.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,520.61
|
| Rate for Payer: Priority Health Medicare |
$931.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,520.61
|
| Rate for Payer: Railroad Medicare Medicare |
$931.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,706.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$931.99
|
| Rate for Payer: UHC Exchange |
$1,706.37
|
| Rate for Payer: UHC Medicaid |
$601.73
|
| Rate for Payer: UHCCP DNSP |
$931.99
|
| Rate for Payer: UHCCP Medicaid |
$601.73
|
|
|
PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS
|
Professional
|
Both
|
$2,487.00
|
|
|
Service Code
|
HCPCS 47015
|
| Min. Negotiated Rate |
$704.18 |
| Max. Negotiated Rate |
$2,135.79 |
| Rate for Payer: Aetna Commercial |
$1,467.78
|
| Rate for Payer: Aetna Medicare |
$1,095.36
|
| Rate for Payer: BCBS Complete |
$739.39
|
| Rate for Payer: BCBS MAPPO |
$1,095.36
|
| Rate for Payer: BCN Commercial |
$1,752.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,095.36
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cofinity Commercial |
$1,577.32
|
| Rate for Payer: Cofinity Commercial |
$1,467.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,095.36
|
| Rate for Payer: Healthscope Commercial |
$1,314.43
|
| Rate for Payer: Healthscope Whirlpool |
$1,314.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,150.13
|
| Rate for Payer: Meridian Medicaid |
$739.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,204.90
|
| Rate for Payer: Nomi Health Commercial |
$1,314.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,865.25
|
| Rate for Payer: PACE SWMI |
$1,095.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,095.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$704.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,135.79
|
| Rate for Payer: Priority Health Medicare |
$1,095.36
|
| Rate for Payer: Priority Health Narrow Network |
$2,135.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,095.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,074.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,095.36
|
| Rate for Payer: UHC Exchange |
$2,074.34
|
| Rate for Payer: UHC Medicaid |
$704.18
|
| Rate for Payer: UHCCP DNSP |
$1,095.36
|
| Rate for Payer: UHCCP Medicaid |
$704.18
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,BIOPSY
|
Professional
|
Both
|
$2,224.00
|
|
|
Service Code
|
HCPCS 47561
|
| Min. Negotiated Rate |
$889.60 |
| Max. Negotiated Rate |
$1,668.00 |
| Rate for Payer: BCBS Complete |
$889.60
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,668.00
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,W/O BX
|
Professional
|
Both
|
$502.00
|
|
|
Service Code
|
HCPCS 47560
|
| Min. Negotiated Rate |
$200.80 |
| Max. Negotiated Rate |
$376.50 |
| Rate for Payer: BCBS Complete |
$200.80
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$376.50
|
|
|
PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$817.00
|
|
|
Service Code
|
HCPCS 31561
|
| Min. Negotiated Rate |
$183.61 |
| Max. Negotiated Rate |
$612.75 |
| Rate for Payer: Aetna Commercial |
$383.20
|
| Rate for Payer: Aetna Medicare |
$285.97
|
| Rate for Payer: BCBS Complete |
$192.79
|
| Rate for Payer: BCBS MAPPO |
$285.97
|
| Rate for Payer: BCN Commercial |
$506.44
|
| Rate for Payer: BCN Medicare Advantage |
$285.97
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cofinity Commercial |
$411.80
|
| Rate for Payer: Cofinity Commercial |
$383.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.97
|
| Rate for Payer: Healthscope Commercial |
$343.16
|
| Rate for Payer: Healthscope Whirlpool |
$343.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$300.27
|
| Rate for Payer: Meridian Medicaid |
$192.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$314.57
|
| Rate for Payer: Nomi Health Commercial |
$343.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$612.75
|
| Rate for Payer: PACE SWMI |
$285.97
|
| Rate for Payer: PHP Medicare Advantage |
$285.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$476.92
|
| Rate for Payer: Priority Health Medicare |
$285.97
|
| Rate for Payer: Priority Health Narrow Network |
$476.92
|
| Rate for Payer: Railroad Medicare Medicare |
$285.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$595.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$285.97
|
| Rate for Payer: UHC Exchange |
$595.78
|
| Rate for Payer: UHC Medicaid |
$183.61
|
| Rate for Payer: UHCCP DNSP |
$285.97
|
| Rate for Payer: UHCCP Medicaid |
$183.61
|
|
|
PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP
|
Professional
|
Both
|
$1,246.00
|
|
|
Service Code
|
HCPCS 31541
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$934.50 |
| Rate for Payer: Aetna Commercial |
$296.73
|
| Rate for Payer: Aetna Medicare |
$221.44
|
| Rate for Payer: BCBS Complete |
$149.62
|
| Rate for Payer: BCBS MAPPO |
$221.44
|
| Rate for Payer: BCN Commercial |
$391.41
|
| Rate for Payer: BCN Medicare Advantage |
$221.44
|
| Rate for Payer: Cash Price |
$996.80
|
| Rate for Payer: Cash Price |
$996.80
|
| Rate for Payer: Cofinity Commercial |
$318.87
|
| Rate for Payer: Cofinity Commercial |
$296.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$221.44
|
| Rate for Payer: Healthscope Commercial |
$265.73
|
| Rate for Payer: Healthscope Whirlpool |
$265.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$232.51
|
| Rate for Payer: Meridian Medicaid |
$149.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$243.58
|
| Rate for Payer: Nomi Health Commercial |
$265.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$934.50
|
| Rate for Payer: PACE SWMI |
$221.44
|
| Rate for Payer: PHP Medicare Advantage |
$221.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$368.59
|
| Rate for Payer: Priority Health Medicare |
$221.44
|
| Rate for Payer: Priority Health Narrow Network |
$368.59
|
| Rate for Payer: Railroad Medicare Medicare |
$221.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$459.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$221.44
|
| Rate for Payer: UHC Exchange |
$459.48
|
| Rate for Payer: UHC Medicaid |
$142.50
|
| Rate for Payer: UHCCP DNSP |
$221.44
|
| Rate for Payer: UHCCP Medicaid |
$142.50
|
|
|
PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 31545
|
| Min. Negotiated Rate |
$194.90 |
| Max. Negotiated Rate |
$1,028.25 |
| Rate for Payer: Aetna Commercial |
$406.50
|
| Rate for Payer: Aetna Medicare |
$303.36
|
| Rate for Payer: BCBS Complete |
$204.65
|
| Rate for Payer: BCBS MAPPO |
$303.36
|
| Rate for Payer: BCN Commercial |
$536.82
|
| Rate for Payer: BCN Medicare Advantage |
$303.36
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$436.84
|
| Rate for Payer: Cofinity Commercial |
$406.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.36
|
| Rate for Payer: Healthscope Commercial |
$364.03
|
| Rate for Payer: Healthscope Whirlpool |
$364.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.53
|
| Rate for Payer: Meridian Medicaid |
$204.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.70
|
| Rate for Payer: Nomi Health Commercial |
$364.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,028.25
|
| Rate for Payer: PACE SWMI |
$303.36
|
| Rate for Payer: PHP Medicare Advantage |
$303.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$505.54
|
| Rate for Payer: Priority Health Medicare |
$303.36
|
| Rate for Payer: Priority Health Narrow Network |
$505.54
|
| Rate for Payer: Railroad Medicare Medicare |
$303.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$631.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.36
|
| Rate for Payer: UHC Exchange |
$631.65
|
| Rate for Payer: UHC Medicaid |
$194.90
|
| Rate for Payer: UHCCP DNSP |
$303.36
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE
|
Professional
|
Both
|
$1,141.00
|
|
|
Service Code
|
HCPCS 31571
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$855.75 |
| Rate for Payer: Aetna Commercial |
$280.62
|
| Rate for Payer: Aetna Medicare |
$209.42
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCBS MAPPO |
$209.42
|
| Rate for Payer: BCN Commercial |
$371.00
|
| Rate for Payer: BCN Medicare Advantage |
$209.42
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cofinity Commercial |
$301.56
|
| Rate for Payer: Cofinity Commercial |
$280.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.42
|
| Rate for Payer: Healthscope Commercial |
$251.30
|
| Rate for Payer: Healthscope Whirlpool |
$251.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$219.89
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$230.36
|
| Rate for Payer: Nomi Health Commercial |
$251.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$855.75
|
| Rate for Payer: PACE SWMI |
$209.42
|
| Rate for Payer: PHP Medicare Advantage |
$209.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$349.37
|
| Rate for Payer: Priority Health Medicare |
$209.42
|
| Rate for Payer: Priority Health Narrow Network |
$349.37
|
| Rate for Payer: Railroad Medicare Medicare |
$209.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$209.42
|
| Rate for Payer: UHC Exchange |
$433.75
|
| Rate for Payer: UHC Medicaid |
$134.83
|
| Rate for Payer: UHCCP DNSP |
$209.42
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
|
|
PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 31591
|
| Min. Negotiated Rate |
$637.51 |
| Max. Negotiated Rate |
$1,849.60 |
| Rate for Payer: Aetna Commercial |
$1,293.18
|
| Rate for Payer: Aetna Medicare |
$965.06
|
| Rate for Payer: BCBS Complete |
$669.39
|
| Rate for Payer: BCBS MAPPO |
$965.06
|
| Rate for Payer: BCN Commercial |
$1,657.78
|
| Rate for Payer: BCN Medicare Advantage |
$965.06
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$1,389.69
|
| Rate for Payer: Cofinity Commercial |
$1,293.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$965.06
|
| Rate for Payer: Healthscope Commercial |
$1,158.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,158.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,013.31
|
| Rate for Payer: Meridian Medicaid |
$669.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,061.57
|
| Rate for Payer: Nomi Health Commercial |
$1,158.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,704.00
|
| Rate for Payer: PACE SWMI |
$965.06
|
| Rate for Payer: PHP Medicare Advantage |
$965.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,561.13
|
| Rate for Payer: Priority Health Medicare |
$965.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,561.13
|
| Rate for Payer: Railroad Medicare Medicare |
$965.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,849.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$965.06
|
| Rate for Payer: UHC Exchange |
$1,849.60
|
| Rate for Payer: UHC Medicaid |
$637.51
|
| Rate for Payer: UHCCP DNSP |
$965.06
|
| Rate for Payer: UHCCP Medicaid |
$637.51
|
|
|
PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 31570
|
| Min. Negotiated Rate |
$125.24 |
| Max. Negotiated Rate |
$457.50 |
| Rate for Payer: Aetna Commercial |
$260.72
|
| Rate for Payer: Aetna Medicare |
$194.57
|
| Rate for Payer: BCBS Complete |
$131.50
|
| Rate for Payer: BCBS MAPPO |
$194.57
|
| Rate for Payer: BCN Commercial |
$342.12
|
| Rate for Payer: BCN Medicare Advantage |
$194.57
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$280.18
|
| Rate for Payer: Cofinity Commercial |
$260.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.57
|
| Rate for Payer: Healthscope Commercial |
$233.48
|
| Rate for Payer: Healthscope Whirlpool |
$233.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.30
|
| Rate for Payer: Meridian Medicaid |
$131.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$214.03
|
| Rate for Payer: Nomi Health Commercial |
$233.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: PACE SWMI |
$194.57
|
| Rate for Payer: PHP Medicare Advantage |
$194.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$322.17
|
| Rate for Payer: Priority Health Medicare |
$194.57
|
| Rate for Payer: Priority Health Narrow Network |
$322.17
|
| Rate for Payer: Railroad Medicare Medicare |
$194.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$398.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$194.57
|
| Rate for Payer: UHC Exchange |
$398.76
|
| Rate for Payer: UHC Medicaid |
$125.24
|
| Rate for Payer: UHCCP DNSP |
$194.57
|
| Rate for Payer: UHCCP Medicaid |
$125.24
|
|
|
PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY
|
Professional
|
Both
|
$401.00
|
|
|
Service Code
|
HCPCS 31535
|
| Min. Negotiated Rate |
$103.31 |
| Max. Negotiated Rate |
$328.89 |
| Rate for Payer: Aetna Commercial |
$214.53
|
| Rate for Payer: Aetna Medicare |
$160.10
|
| Rate for Payer: BCBS Complete |
$108.48
|
| Rate for Payer: BCBS MAPPO |
$160.10
|
| Rate for Payer: BCN Commercial |
$283.35
|
| Rate for Payer: BCN Medicare Advantage |
$160.10
|
| Rate for Payer: Cash Price |
$320.80
|
| Rate for Payer: Cash Price |
$320.80
|
| Rate for Payer: Cofinity Commercial |
$230.54
|
| Rate for Payer: Cofinity Commercial |
$214.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$160.10
|
| Rate for Payer: Healthscope Commercial |
$192.12
|
| Rate for Payer: Healthscope Whirlpool |
$192.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$168.10
|
| Rate for Payer: Meridian Medicaid |
$108.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$176.11
|
| Rate for Payer: Nomi Health Commercial |
$192.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$300.75
|
| Rate for Payer: PACE SWMI |
$160.10
|
| Rate for Payer: PHP Medicare Advantage |
$160.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$266.83
|
| Rate for Payer: Priority Health Medicare |
$160.10
|
| Rate for Payer: Priority Health Narrow Network |
$266.83
|
| Rate for Payer: Railroad Medicare Medicare |
$160.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$328.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$160.10
|
| Rate for Payer: UHC Exchange |
$328.89
|
| Rate for Payer: UHC Medicaid |
$103.31
|
| Rate for Payer: UHCCP DNSP |
$160.10
|
| Rate for Payer: UHCCP Medicaid |
$103.31
|
|
|
PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT
|
Professional
|
Both
|
$459.00
|
|
|
Service Code
|
HCPCS 31540
|
| Min. Negotiated Rate |
$131.00 |
| Max. Negotiated Rate |
$420.84 |
| Rate for Payer: Aetna Commercial |
$272.57
|
| Rate for Payer: Aetna Medicare |
$203.41
|
| Rate for Payer: BCBS Complete |
$137.55
|
| Rate for Payer: BCBS MAPPO |
$203.41
|
| Rate for Payer: BCN Commercial |
$359.54
|
| Rate for Payer: BCN Medicare Advantage |
$203.41
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Cofinity Commercial |
$292.91
|
| Rate for Payer: Cofinity Commercial |
$272.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.41
|
| Rate for Payer: Healthscope Commercial |
$244.09
|
| Rate for Payer: Healthscope Whirlpool |
$244.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$213.58
|
| Rate for Payer: Meridian Medicaid |
$137.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$223.75
|
| Rate for Payer: Nomi Health Commercial |
$244.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$344.25
|
| Rate for Payer: PACE SWMI |
$203.41
|
| Rate for Payer: PHP Medicare Advantage |
$203.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$338.58
|
| Rate for Payer: Priority Health Medicare |
$203.41
|
| Rate for Payer: Priority Health Narrow Network |
$338.58
|
| Rate for Payer: Railroad Medicare Medicare |
$203.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$420.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$203.41
|
| Rate for Payer: UHC Exchange |
$420.84
|
| Rate for Payer: UHC Medicaid |
$131.00
|
| Rate for Payer: UHCCP DNSP |
$203.41
|
| Rate for Payer: UHCCP Medicaid |
$131.00
|
|
|
PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI
|
Professional
|
Both
|
$778.00
|
|
|
Service Code
|
HCPCS 31572
|
| Min. Negotiated Rate |
$98.83 |
| Max. Negotiated Rate |
$583.50 |
| Rate for Payer: Aetna Commercial |
$205.17
|
| Rate for Payer: Aetna Medicare |
$153.11
|
| Rate for Payer: BCBS Complete |
$103.77
|
| Rate for Payer: BCBS MAPPO |
$153.11
|
| Rate for Payer: BCN Commercial |
$270.40
|
| Rate for Payer: BCN Medicare Advantage |
$153.11
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cofinity Commercial |
$220.48
|
| Rate for Payer: Cofinity Commercial |
$205.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.11
|
| Rate for Payer: Healthscope Commercial |
$183.73
|
| Rate for Payer: Healthscope Whirlpool |
$183.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.77
|
| Rate for Payer: Meridian Medicaid |
$103.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$168.42
|
| Rate for Payer: Nomi Health Commercial |
$183.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$583.50
|
| Rate for Payer: PACE SWMI |
$153.11
|
| Rate for Payer: PHP Medicare Advantage |
$153.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$254.64
|
| Rate for Payer: Priority Health Medicare |
$153.11
|
| Rate for Payer: Priority Health Narrow Network |
$254.64
|
| Rate for Payer: Railroad Medicare Medicare |
$153.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$314.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$153.11
|
| Rate for Payer: UHC Exchange |
$314.19
|
| Rate for Payer: UHC Medicaid |
$98.83
|
| Rate for Payer: UHCCP DNSP |
$153.11
|
| Rate for Payer: UHCCP Medicaid |
$98.83
|
|
|
PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 31575
|
| Min. Negotiated Rate |
$38.98 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna Commercial |
$79.62
|
| Rate for Payer: Aetna Medicare |
$59.42
|
| Rate for Payer: BCBS Complete |
$40.93
|
| Rate for Payer: BCBS MAPPO |
$59.42
|
| Rate for Payer: BCN Commercial |
$82.07
|
| Rate for Payer: BCN Medicare Advantage |
$59.42
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$85.56
|
| Rate for Payer: Cofinity Commercial |
$79.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.42
|
| Rate for Payer: Healthscope Commercial |
$71.30
|
| Rate for Payer: Healthscope Whirlpool |
$71.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.39
|
| Rate for Payer: Meridian Medicaid |
$40.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.36
|
| Rate for Payer: Nomi Health Commercial |
$71.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.00
|
| Rate for Payer: PACE SWMI |
$59.42
|
| Rate for Payer: PHP Medicare Advantage |
$59.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$98.00
|
| Rate for Payer: Priority Health Medicare |
$59.42
|
| Rate for Payer: Priority Health Narrow Network |
$98.00
|
| Rate for Payer: Railroad Medicare Medicare |
$59.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.42
|
| Rate for Payer: UHC Exchange |
$114.82
|
| Rate for Payer: UHC Medicaid |
$38.98
|
| Rate for Payer: UHCCP DNSP |
$59.42
|
| Rate for Payer: UHCCP Medicaid |
$38.98
|
|
|
PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI
|
Professional
|
Both
|
$582.00
|
|
|
Service Code
|
HCPCS 31573
|
| Min. Negotiated Rate |
$82.22 |
| Max. Negotiated Rate |
$436.50 |
| Rate for Payer: Aetna Commercial |
$170.43
|
| Rate for Payer: Aetna Medicare |
$127.19
|
| Rate for Payer: BCBS Complete |
$86.33
|
| Rate for Payer: BCBS MAPPO |
$127.19
|
| Rate for Payer: BCN Commercial |
$222.60
|
| Rate for Payer: BCN Medicare Advantage |
$127.19
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cofinity Commercial |
$183.15
|
| Rate for Payer: Cofinity Commercial |
$170.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.19
|
| Rate for Payer: Healthscope Commercial |
$152.63
|
| Rate for Payer: Healthscope Whirlpool |
$152.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.55
|
| Rate for Payer: Meridian Medicaid |
$86.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$139.91
|
| Rate for Payer: Nomi Health Commercial |
$152.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$436.50
|
| Rate for Payer: PACE SWMI |
$127.19
|
| Rate for Payer: PHP Medicare Advantage |
$127.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$209.62
|
| Rate for Payer: Priority Health Medicare |
$127.19
|
| Rate for Payer: Priority Health Narrow Network |
$209.62
|
| Rate for Payer: Railroad Medicare Medicare |
$127.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$127.19
|
| Rate for Payer: UHC Exchange |
$257.14
|
| Rate for Payer: UHC Medicaid |
$82.22
|
| Rate for Payer: UHCCP DNSP |
$127.19
|
| Rate for Payer: UHCCP Medicaid |
$82.22
|
|
|
PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)
|
Professional
|
Both
|
$415.00
|
|
|
Service Code
|
HCPCS 31576
|
| Min. Negotiated Rate |
$66.24 |
| Max. Negotiated Rate |
$311.25 |
| Rate for Payer: Aetna Commercial |
$136.76
|
| Rate for Payer: Aetna Medicare |
$102.06
|
| Rate for Payer: BCBS Complete |
$69.55
|
| Rate for Payer: BCBS MAPPO |
$102.06
|
| Rate for Payer: BCN Commercial |
$179.77
|
| Rate for Payer: BCN Medicare Advantage |
$102.06
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cash Price |
$332.00
|
| Rate for Payer: Cofinity Commercial |
$146.97
|
| Rate for Payer: Cofinity Commercial |
$136.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.06
|
| Rate for Payer: Healthscope Commercial |
$122.47
|
| Rate for Payer: Healthscope Whirlpool |
$122.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.16
|
| Rate for Payer: Meridian Medicaid |
$69.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$112.27
|
| Rate for Payer: Nomi Health Commercial |
$122.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$311.25
|
| Rate for Payer: PACE SWMI |
$102.06
|
| Rate for Payer: PHP Medicare Advantage |
$102.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.29
|
| Rate for Payer: Priority Health Medicare |
$102.06
|
| Rate for Payer: Priority Health Narrow Network |
$169.29
|
| Rate for Payer: Railroad Medicare Medicare |
$102.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$205.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$102.06
|
| Rate for Payer: UHC Exchange |
$205.67
|
| Rate for Payer: UHC Medicaid |
$66.24
|
| Rate for Payer: UHCCP DNSP |
$102.06
|
| Rate for Payer: UHCCP Medicaid |
$66.24
|
|
|
PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 31579
|
| Min. Negotiated Rate |
$81.48 |
| Max. Negotiated Rate |
$297.00 |
| Rate for Payer: Aetna Commercial |
$136.53
|
| Rate for Payer: Aetna Medicare |
$101.89
|
| Rate for Payer: BCBS Complete |
$85.55
|
| Rate for Payer: BCBS MAPPO |
$101.89
|
| Rate for Payer: BCN Commercial |
$179.77
|
| Rate for Payer: BCN Medicare Advantage |
$101.89
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$146.72
|
| Rate for Payer: Cofinity Commercial |
$136.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.89
|
| Rate for Payer: Healthscope Commercial |
$122.27
|
| Rate for Payer: Healthscope Whirlpool |
$122.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.98
|
| Rate for Payer: Meridian Medicaid |
$85.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$112.08
|
| Rate for Payer: Nomi Health Commercial |
$122.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.00
|
| Rate for Payer: PACE SWMI |
$101.89
|
| Rate for Payer: PHP Medicare Advantage |
$101.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.29
|
| Rate for Payer: Priority Health Medicare |
$101.89
|
| Rate for Payer: Priority Health Narrow Network |
$169.29
|
| Rate for Payer: Railroad Medicare Medicare |
$101.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$101.89
|
| Rate for Payer: UHC Exchange |
$207.34
|
| Rate for Payer: UHC Medicaid |
$81.48
|
| Rate for Payer: UHCCP DNSP |
$101.89
|
| Rate for Payer: UHCCP Medicaid |
$81.48
|
|
