|
PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)
|
Professional
|
Both
|
$423.00
|
|
|
Service Code
|
HCPCS 31577
|
| Min. Negotiated Rate |
$75.83 |
| Max. Negotiated Rate |
$317.25 |
| Rate for Payer: Aetna Commercial |
$157.09
|
| Rate for Payer: Aetna Medicare |
$117.23
|
| Rate for Payer: BCBS Complete |
$79.62
|
| Rate for Payer: BCBS MAPPO |
$117.23
|
| Rate for Payer: BCN Commercial |
$200.19
|
| Rate for Payer: BCN Medicare Advantage |
$117.23
|
| Rate for Payer: Cash Price |
$338.40
|
| Rate for Payer: Cash Price |
$338.40
|
| Rate for Payer: Cofinity Commercial |
$168.81
|
| Rate for Payer: Cofinity Commercial |
$157.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.23
|
| Rate for Payer: Healthscope Commercial |
$140.68
|
| Rate for Payer: Healthscope Whirlpool |
$140.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.09
|
| Rate for Payer: Meridian Medicaid |
$79.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$128.95
|
| Rate for Payer: Nomi Health Commercial |
$140.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.25
|
| Rate for Payer: PACE SWMI |
$117.23
|
| Rate for Payer: PHP Medicare Advantage |
$117.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$188.51
|
| Rate for Payer: Priority Health Medicare |
$117.23
|
| Rate for Payer: Priority Health Narrow Network |
$188.51
|
| Rate for Payer: Railroad Medicare Medicare |
$117.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$232.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$117.23
|
| Rate for Payer: UHC Exchange |
$232.86
|
| Rate for Payer: UHC Medicaid |
$75.83
|
| Rate for Payer: UHCCP DNSP |
$117.23
|
| Rate for Payer: UHCCP Medicaid |
$75.83
|
|
|
PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE
|
Professional
|
Both
|
$478.00
|
|
|
Service Code
|
HCPCS 31531
|
| Min. Negotiated Rate |
$115.87 |
| Max. Negotiated Rate |
$368.74 |
| Rate for Payer: Aetna Commercial |
$240.72
|
| Rate for Payer: Aetna Medicare |
$179.64
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$179.64
|
| Rate for Payer: BCN Commercial |
$314.23
|
| Rate for Payer: BCN Medicare Advantage |
$179.64
|
| Rate for Payer: Cash Price |
$382.40
|
| Rate for Payer: Cash Price |
$382.40
|
| Rate for Payer: Cofinity Commercial |
$258.68
|
| Rate for Payer: Cofinity Commercial |
$240.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.64
|
| Rate for Payer: Healthscope Commercial |
$215.57
|
| Rate for Payer: Healthscope Whirlpool |
$215.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.62
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$197.60
|
| Rate for Payer: Nomi Health Commercial |
$215.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$358.50
|
| Rate for Payer: PACE SWMI |
$179.64
|
| Rate for Payer: PHP Medicare Advantage |
$179.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$295.91
|
| Rate for Payer: Priority Health Medicare |
$179.64
|
| Rate for Payer: Priority Health Narrow Network |
$295.91
|
| Rate for Payer: Railroad Medicare Medicare |
$179.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$368.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$179.64
|
| Rate for Payer: UHC Exchange |
$368.74
|
| Rate for Payer: UHC Medicaid |
$115.87
|
| Rate for Payer: UHCCP DNSP |
$179.64
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Professional
|
Both
|
$217.00
|
|
|
Service Code
|
HCPCS 31505
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$162.75 |
| Rate for Payer: Aetna Commercial |
$57.73
|
| Rate for Payer: Aetna Medicare |
$43.08
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$43.08
|
| Rate for Payer: BCN Commercial |
$74.70
|
| Rate for Payer: BCN Medicare Advantage |
$43.08
|
| Rate for Payer: Cash Price |
$173.60
|
| Rate for Payer: Cash Price |
$173.60
|
| Rate for Payer: Cofinity Commercial |
$62.04
|
| Rate for Payer: Cofinity Commercial |
$57.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.08
|
| Rate for Payer: Healthscope Commercial |
$51.70
|
| Rate for Payer: Healthscope Whirlpool |
$51.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.23
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.39
|
| Rate for Payer: Nomi Health Commercial |
$51.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.75
|
| Rate for Payer: PACE SWMI |
$43.08
|
| Rate for Payer: PHP Medicare Advantage |
$43.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$70.34
|
| Rate for Payer: Priority Health Medicare |
$43.08
|
| Rate for Payer: Priority Health Narrow Network |
$70.34
|
| Rate for Payer: Railroad Medicare Medicare |
$43.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$83.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.08
|
| Rate for Payer: UHC Exchange |
$83.59
|
| Rate for Payer: UHC Medicaid |
$28.54
|
| Rate for Payer: UHCCP DNSP |
$43.08
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PR LARYNGOSCOPY INDIRECT W/BIOPSY
|
Professional
|
Both
|
$456.00
|
|
|
Service Code
|
HCPCS 31510
|
| Min. Negotiated Rate |
$103.37 |
| Max. Negotiated Rate |
$342.00 |
| Rate for Payer: Aetna Commercial |
$138.52
|
| Rate for Payer: Aetna Medicare |
$103.37
|
| Rate for Payer: BCBS Complete |
$182.40
|
| Rate for Payer: BCBS MAPPO |
$103.37
|
| Rate for Payer: BCN Commercial |
$182.26
|
| Rate for Payer: BCN Medicare Advantage |
$103.37
|
| Rate for Payer: Cash Price |
$364.80
|
| Rate for Payer: Cash Price |
$364.80
|
| Rate for Payer: Cofinity Commercial |
$138.52
|
| Rate for Payer: Cofinity Commercial |
$148.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.37
|
| Rate for Payer: Healthscope Commercial |
$124.04
|
| Rate for Payer: Healthscope Whirlpool |
$124.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$113.71
|
| Rate for Payer: Nomi Health Commercial |
$124.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$342.00
|
| Rate for Payer: PACE SWMI |
$103.37
|
| Rate for Payer: PHP Medicare Advantage |
$103.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$171.64
|
| Rate for Payer: Priority Health Medicare |
$103.37
|
| Rate for Payer: Priority Health Narrow Network |
$171.64
|
| Rate for Payer: Railroad Medicare Medicare |
$103.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$209.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$103.37
|
| Rate for Payer: UHC Exchange |
$209.90
|
| Rate for Payer: UHCCP DNSP |
$103.37
|
|
|
PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$587.00
|
|
|
Service Code
|
HCPCS 31511
|
| Min. Negotiated Rate |
$114.72 |
| Max. Negotiated Rate |
$440.25 |
| Rate for Payer: Aetna Commercial |
$153.72
|
| Rate for Payer: Aetna Medicare |
$114.72
|
| Rate for Payer: BCBS Complete |
$234.80
|
| Rate for Payer: BCBS MAPPO |
$114.72
|
| Rate for Payer: BCN Commercial |
$200.69
|
| Rate for Payer: BCN Medicare Advantage |
$114.72
|
| Rate for Payer: Cash Price |
$469.60
|
| Rate for Payer: Cash Price |
$469.60
|
| Rate for Payer: Cofinity Commercial |
$165.20
|
| Rate for Payer: Cofinity Commercial |
$153.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.72
|
| Rate for Payer: Healthscope Commercial |
$137.66
|
| Rate for Payer: Healthscope Whirlpool |
$137.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.19
|
| Rate for Payer: Nomi Health Commercial |
$137.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$440.25
|
| Rate for Payer: PACE SWMI |
$114.72
|
| Rate for Payer: PHP Medicare Advantage |
$114.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$188.99
|
| Rate for Payer: Priority Health Medicare |
$114.72
|
| Rate for Payer: Priority Health Narrow Network |
$188.99
|
| Rate for Payer: Railroad Medicare Medicare |
$114.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$114.72
|
| Rate for Payer: UHC Exchange |
$230.99
|
| Rate for Payer: UHCCP DNSP |
$114.72
|
|
|
PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$979.00
|
|
|
Service Code
|
HCPCS 31536
|
| Min. Negotiated Rate |
$114.17 |
| Max. Negotiated Rate |
$734.25 |
| Rate for Payer: Aetna Commercial |
$237.23
|
| Rate for Payer: Aetna Medicare |
$177.04
|
| Rate for Payer: BCBS Complete |
$119.88
|
| Rate for Payer: BCBS MAPPO |
$177.04
|
| Rate for Payer: BCN Commercial |
$313.23
|
| Rate for Payer: BCN Medicare Advantage |
$177.04
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cofinity Commercial |
$254.94
|
| Rate for Payer: Cofinity Commercial |
$237.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.04
|
| Rate for Payer: Healthscope Commercial |
$212.45
|
| Rate for Payer: Healthscope Whirlpool |
$212.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.89
|
| Rate for Payer: Meridian Medicaid |
$119.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.74
|
| Rate for Payer: Nomi Health Commercial |
$212.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$734.25
|
| Rate for Payer: PACE SWMI |
$177.04
|
| Rate for Payer: PHP Medicare Advantage |
$177.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$294.97
|
| Rate for Payer: Priority Health Medicare |
$177.04
|
| Rate for Payer: Priority Health Narrow Network |
$294.97
|
| Rate for Payer: Railroad Medicare Medicare |
$177.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$366.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$177.04
|
| Rate for Payer: UHC Exchange |
$366.29
|
| Rate for Payer: UHC Medicaid |
$114.17
|
| Rate for Payer: UHCCP DNSP |
$177.04
|
| Rate for Payer: UHCCP Medicaid |
$114.17
|
|
|
PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$375.00
|
|
|
Service Code
|
HCPCS 31530
|
| Min. Negotiated Rate |
$110.33 |
| Max. Negotiated Rate |
$348.09 |
| Rate for Payer: Aetna Commercial |
$229.45
|
| Rate for Payer: Aetna Medicare |
$171.23
|
| Rate for Payer: BCBS Complete |
$115.85
|
| Rate for Payer: BCBS MAPPO |
$171.23
|
| Rate for Payer: BCN Commercial |
$296.80
|
| Rate for Payer: BCN Medicare Advantage |
$171.23
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cofinity Commercial |
$246.57
|
| Rate for Payer: Cofinity Commercial |
$229.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.23
|
| Rate for Payer: Healthscope Commercial |
$205.48
|
| Rate for Payer: Healthscope Whirlpool |
$205.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.79
|
| Rate for Payer: Meridian Medicaid |
$115.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$188.35
|
| Rate for Payer: Nomi Health Commercial |
$205.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: PACE SWMI |
$171.23
|
| Rate for Payer: PHP Medicare Advantage |
$171.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$279.50
|
| Rate for Payer: Priority Health Medicare |
$171.23
|
| Rate for Payer: Priority Health Narrow Network |
$279.50
|
| Rate for Payer: Railroad Medicare Medicare |
$171.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$171.23
|
| Rate for Payer: UHC Exchange |
$348.09
|
| Rate for Payer: UHC Medicaid |
$110.33
|
| Rate for Payer: UHCCP DNSP |
$171.23
|
| Rate for Payer: UHCCP Medicaid |
$110.33
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION
|
Professional
|
Both
|
$383.00
|
|
|
Service Code
|
HCPCS 31515
|
| Min. Negotiated Rate |
$64.75 |
| Max. Negotiated Rate |
$287.25 |
| Rate for Payer: Aetna Commercial |
$133.60
|
| Rate for Payer: Aetna Medicare |
$99.70
|
| Rate for Payer: BCBS Complete |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$99.70
|
| Rate for Payer: BCN Commercial |
$166.82
|
| Rate for Payer: BCN Medicare Advantage |
$99.70
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cofinity Commercial |
$143.57
|
| Rate for Payer: Cofinity Commercial |
$133.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.70
|
| Rate for Payer: Healthscope Commercial |
$119.64
|
| Rate for Payer: Healthscope Whirlpool |
$119.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.69
|
| Rate for Payer: Meridian Medicaid |
$67.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.67
|
| Rate for Payer: Nomi Health Commercial |
$119.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.25
|
| Rate for Payer: PACE SWMI |
$99.70
|
| Rate for Payer: PHP Medicare Advantage |
$99.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$157.10
|
| Rate for Payer: Priority Health Medicare |
$99.70
|
| Rate for Payer: Priority Health Narrow Network |
$157.10
|
| Rate for Payer: Railroad Medicare Medicare |
$99.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$191.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$99.70
|
| Rate for Payer: UHC Exchange |
$191.30
|
| Rate for Payer: UHC Medicaid |
$64.75
|
| Rate for Payer: UHCCP DNSP |
$99.70
|
| Rate for Payer: UHCCP Medicaid |
$64.75
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ
|
Professional
|
Both
|
$338.00
|
|
|
Service Code
|
HCPCS 31529
|
| Min. Negotiated Rate |
$87.97 |
| Max. Negotiated Rate |
$279.98 |
| Rate for Payer: Aetna Commercial |
$182.60
|
| Rate for Payer: Aetna Medicare |
$136.27
|
| Rate for Payer: BCBS Complete |
$92.37
|
| Rate for Payer: BCBS MAPPO |
$136.27
|
| Rate for Payer: BCN Commercial |
$240.53
|
| Rate for Payer: BCN Medicare Advantage |
$136.27
|
| Rate for Payer: Cash Price |
$270.40
|
| Rate for Payer: Cash Price |
$270.40
|
| Rate for Payer: Cofinity Commercial |
$196.23
|
| Rate for Payer: Cofinity Commercial |
$182.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.27
|
| Rate for Payer: Healthscope Commercial |
$163.52
|
| Rate for Payer: Healthscope Whirlpool |
$163.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.08
|
| Rate for Payer: Meridian Medicaid |
$92.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.90
|
| Rate for Payer: Nomi Health Commercial |
$163.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.50
|
| Rate for Payer: PACE SWMI |
$136.27
|
| Rate for Payer: PHP Medicare Advantage |
$136.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$226.50
|
| Rate for Payer: Priority Health Medicare |
$136.27
|
| Rate for Payer: Priority Health Narrow Network |
$226.50
|
| Rate for Payer: Railroad Medicare Medicare |
$136.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$279.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$136.27
|
| Rate for Payer: UHC Exchange |
$279.98
|
| Rate for Payer: UHC Medicaid |
$87.97
|
| Rate for Payer: UHCCP DNSP |
$136.27
|
| Rate for Payer: UHCCP Medicaid |
$87.97
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 31525
|
| Min. Negotiated Rate |
$87.76 |
| Max. Negotiated Rate |
$482.25 |
| Rate for Payer: Aetna Commercial |
$182.00
|
| Rate for Payer: Aetna Medicare |
$135.82
|
| Rate for Payer: BCBS Complete |
$92.15
|
| Rate for Payer: BCBS MAPPO |
$135.82
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$135.82
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cofinity Commercial |
$195.58
|
| Rate for Payer: Cofinity Commercial |
$182.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.82
|
| Rate for Payer: Healthscope Commercial |
$162.98
|
| Rate for Payer: Healthscope Whirlpool |
$162.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.61
|
| Rate for Payer: Meridian Medicaid |
$92.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.40
|
| Rate for Payer: Nomi Health Commercial |
$162.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$482.25
|
| Rate for Payer: PACE SWMI |
$135.82
|
| Rate for Payer: PHP Medicare Advantage |
$135.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$225.57
|
| Rate for Payer: Priority Health Medicare |
$135.82
|
| Rate for Payer: Priority Health Narrow Network |
$225.57
|
| Rate for Payer: Railroad Medicare Medicare |
$135.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$278.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$135.82
|
| Rate for Payer: UHC Exchange |
$278.00
|
| Rate for Payer: UHC Medicaid |
$87.76
|
| Rate for Payer: UHCCP DNSP |
$135.82
|
| Rate for Payer: UHCCP Medicaid |
$87.76
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN
|
Professional
|
Both
|
$816.00
|
|
|
Service Code
|
HCPCS 31528
|
| Min. Negotiated Rate |
$79.66 |
| Max. Negotiated Rate |
$612.00 |
| Rate for Payer: Aetna Commercial |
$165.21
|
| Rate for Payer: Aetna Medicare |
$123.29
|
| Rate for Payer: BCBS Complete |
$83.64
|
| Rate for Payer: BCBS MAPPO |
$123.29
|
| Rate for Payer: BCN Commercial |
$216.13
|
| Rate for Payer: BCN Medicare Advantage |
$123.29
|
| Rate for Payer: Cash Price |
$652.80
|
| Rate for Payer: Cash Price |
$652.80
|
| Rate for Payer: Cofinity Commercial |
$177.54
|
| Rate for Payer: Cofinity Commercial |
$165.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.29
|
| Rate for Payer: Healthscope Commercial |
$147.95
|
| Rate for Payer: Healthscope Whirlpool |
$147.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.45
|
| Rate for Payer: Meridian Medicaid |
$83.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$135.62
|
| Rate for Payer: Nomi Health Commercial |
$147.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$612.00
|
| Rate for Payer: PACE SWMI |
$123.29
|
| Rate for Payer: PHP Medicare Advantage |
$123.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$203.52
|
| Rate for Payer: Priority Health Medicare |
$123.29
|
| Rate for Payer: Priority Health Narrow Network |
$203.52
|
| Rate for Payer: Railroad Medicare Medicare |
$123.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$123.29
|
| Rate for Payer: UHC Exchange |
$249.34
|
| Rate for Payer: UHC Medicaid |
$79.66
|
| Rate for Payer: UHCCP DNSP |
$123.29
|
| Rate for Payer: UHCCP Medicaid |
$79.66
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 31526
|
| Min. Negotiated Rate |
$86.27 |
| Max. Negotiated Rate |
$271.82 |
| Rate for Payer: Aetna Commercial |
$178.85
|
| Rate for Payer: Aetna Medicare |
$133.47
|
| Rate for Payer: BCBS Complete |
$90.58
|
| Rate for Payer: BCBS MAPPO |
$133.47
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Medicare Advantage |
$133.47
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$192.20
|
| Rate for Payer: Cofinity Commercial |
$178.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.47
|
| Rate for Payer: Healthscope Commercial |
$160.16
|
| Rate for Payer: Healthscope Whirlpool |
$160.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.14
|
| Rate for Payer: Meridian Medicaid |
$90.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$146.82
|
| Rate for Payer: Nomi Health Commercial |
$160.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: PACE SWMI |
$133.47
|
| Rate for Payer: PHP Medicare Advantage |
$133.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$221.82
|
| Rate for Payer: Priority Health Medicare |
$133.47
|
| Rate for Payer: Priority Health Narrow Network |
$221.82
|
| Rate for Payer: Railroad Medicare Medicare |
$133.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$271.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.47
|
| Rate for Payer: UHC Exchange |
$271.82
|
| Rate for Payer: UHC Medicaid |
$86.27
|
| Rate for Payer: UHCCP DNSP |
$133.47
|
| Rate for Payer: UHCCP Medicaid |
$86.27
|
|
|
PR LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY
|
Professional
|
Both
|
$2,339.00
|
|
|
Service Code
|
HCPCS 31300
|
| Min. Negotiated Rate |
$715.25 |
| Max. Negotiated Rate |
$2,172.34 |
| Rate for Payer: Aetna Commercial |
$1,454.44
|
| Rate for Payer: Aetna Medicare |
$1,085.40
|
| Rate for Payer: BCBS Complete |
$751.01
|
| Rate for Payer: BCBS MAPPO |
$1,085.40
|
| Rate for Payer: BCN Commercial |
$1,870.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,085.40
|
| Rate for Payer: Cash Price |
$1,871.20
|
| Rate for Payer: Cash Price |
$1,871.20
|
| Rate for Payer: Cofinity Commercial |
$1,454.44
|
| Rate for Payer: Cofinity Commercial |
$1,562.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,085.40
|
| Rate for Payer: Healthscope Commercial |
$1,302.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,302.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,139.67
|
| Rate for Payer: Meridian Medicaid |
$751.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,193.94
|
| Rate for Payer: Nomi Health Commercial |
$1,302.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,754.25
|
| Rate for Payer: PACE SWMI |
$1,085.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,085.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$715.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,761.85
|
| Rate for Payer: Priority Health Medicare |
$1,085.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,761.85
|
| Rate for Payer: Railroad Medicare Medicare |
$1,085.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,172.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,085.40
|
| Rate for Payer: UHC Exchange |
$2,172.34
|
| Rate for Payer: UHC Medicaid |
$715.25
|
| Rate for Payer: UHCCP DNSP |
$1,085.40
|
| Rate for Payer: UHCCP Medicaid |
$715.25
|
|
|
PR LASER CO2 - FULL FACE
|
Professional
|
Both
|
$2,889.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,155.60 |
| Max. Negotiated Rate |
$2,166.75 |
| Rate for Payer: BCBS Complete |
$1,155.60
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,166.75
|
|
|
PR LASER CO2 - ONE AREA
|
Professional
|
Both
|
$1,839.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$735.60 |
| Max. Negotiated Rate |
$1,379.25 |
| Rate for Payer: BCBS Complete |
$735.60
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
|
|
PR LASER CO2 - TWO AREAS
|
Professional
|
Both
|
$2,364.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$945.60 |
| Max. Negotiated Rate |
$1,773.00 |
| Rate for Payer: BCBS Complete |
$945.60
|
| Rate for Payer: Cash Price |
$1,891.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,773.00
|
|
|
PR LASER ENUCLEATION PROSTATE W/MORCELLATION
|
Professional
|
Both
|
$1,760.00
|
|
|
Service Code
|
HCPCS 52649
|
| Min. Negotiated Rate |
$418.97 |
| Max. Negotiated Rate |
$1,455.81 |
| Rate for Payer: Aetna Commercial |
$868.91
|
| Rate for Payer: Aetna Medicare |
$648.44
|
| Rate for Payer: BCBS Complete |
$439.92
|
| Rate for Payer: BCBS MAPPO |
$648.44
|
| Rate for Payer: BCN Commercial |
$1,234.50
|
| Rate for Payer: BCN Medicare Advantage |
$648.44
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cofinity Commercial |
$933.75
|
| Rate for Payer: Cofinity Commercial |
$868.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.44
|
| Rate for Payer: Healthscope Commercial |
$778.13
|
| Rate for Payer: Healthscope Whirlpool |
$778.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$680.86
|
| Rate for Payer: Meridian Medicaid |
$439.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$713.28
|
| Rate for Payer: Nomi Health Commercial |
$778.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,320.00
|
| Rate for Payer: PACE SWMI |
$648.44
|
| Rate for Payer: PHP Medicare Advantage |
$648.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,344.77
|
| Rate for Payer: Priority Health Medicare |
$648.44
|
| Rate for Payer: Priority Health Narrow Network |
$1,344.77
|
| Rate for Payer: Railroad Medicare Medicare |
$648.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,455.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$648.44
|
| Rate for Payer: UHC Exchange |
$1,455.81
|
| Rate for Payer: UHC Medicaid |
$418.97
|
| Rate for Payer: UHCCP DNSP |
$648.44
|
| Rate for Payer: UHCCP Medicaid |
$418.97
|
|
|
PR LASER VAPORIZATION OF PROSTATE FOR URINE FLOW
|
Professional
|
Both
|
$3,407.00
|
|
|
Service Code
|
HCPCS 52648
|
| Min. Negotiated Rate |
$336.97 |
| Max. Negotiated Rate |
$2,555.25 |
| Rate for Payer: Aetna Commercial |
$696.89
|
| Rate for Payer: Aetna Medicare |
$520.07
|
| Rate for Payer: BCBS Complete |
$353.82
|
| Rate for Payer: BCBS MAPPO |
$520.07
|
| Rate for Payer: BCN Commercial |
$1,038.79
|
| Rate for Payer: BCN Medicare Advantage |
$520.07
|
| Rate for Payer: Cash Price |
$2,725.60
|
| Rate for Payer: Cash Price |
$2,725.60
|
| Rate for Payer: Cofinity Commercial |
$748.90
|
| Rate for Payer: Cofinity Commercial |
$696.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.07
|
| Rate for Payer: Healthscope Commercial |
$624.08
|
| Rate for Payer: Healthscope Whirlpool |
$624.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$546.07
|
| Rate for Payer: Meridian Medicaid |
$353.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$572.08
|
| Rate for Payer: Nomi Health Commercial |
$624.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,555.25
|
| Rate for Payer: PACE SWMI |
$520.07
|
| Rate for Payer: PHP Medicare Advantage |
$520.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,131.58
|
| Rate for Payer: Priority Health Medicare |
$520.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,131.58
|
| Rate for Payer: Railroad Medicare Medicare |
$520.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,217.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$520.07
|
| Rate for Payer: UHC Exchange |
$1,217.90
|
| Rate for Payer: UHC Medicaid |
$336.97
|
| Rate for Payer: UHCCP DNSP |
$520.07
|
| Rate for Payer: UHCCP Medicaid |
$336.97
|
|
|
PR LATERAL RETINACULAR RELEASE OPEN
|
Professional
|
Both
|
$1,748.00
|
|
|
Service Code
|
HCPCS 27425
|
| Min. Negotiated Rate |
$282.44 |
| Max. Negotiated Rate |
$1,311.00 |
| Rate for Payer: Aetna Commercial |
$573.06
|
| Rate for Payer: Aetna Medicare |
$427.66
|
| Rate for Payer: BCBS Complete |
$296.56
|
| Rate for Payer: BCBS MAPPO |
$427.66
|
| Rate for Payer: BCN Commercial |
$770.82
|
| Rate for Payer: BCN Medicare Advantage |
$427.66
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cash Price |
$1,398.40
|
| Rate for Payer: Cofinity Commercial |
$615.83
|
| Rate for Payer: Cofinity Commercial |
$573.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.66
|
| Rate for Payer: Healthscope Commercial |
$513.19
|
| Rate for Payer: Healthscope Whirlpool |
$513.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.04
|
| Rate for Payer: Meridian Medicaid |
$296.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$470.43
|
| Rate for Payer: Nomi Health Commercial |
$513.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,311.00
|
| Rate for Payer: PACE SWMI |
$427.66
|
| Rate for Payer: PHP Medicare Advantage |
$427.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$750.05
|
| Rate for Payer: Priority Health Medicare |
$427.66
|
| Rate for Payer: Priority Health Narrow Network |
$750.05
|
| Rate for Payer: Railroad Medicare Medicare |
$427.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$778.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$427.66
|
| Rate for Payer: UHC Exchange |
$778.96
|
| Rate for Payer: UHC Medicaid |
$282.44
|
| Rate for Payer: UHCCP DNSP |
$427.66
|
| Rate for Payer: UHCCP Medicaid |
$282.44
|
|
|
PR LATISSE
|
Professional
|
Both
|
$188.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$75.20 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
|
|
PR LAVAGE CANNULATION MAXILLARY SINUS
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 31000
|
| Min. Negotiated Rate |
$65.18 |
| Max. Negotiated Rate |
$225.75 |
| Rate for Payer: Aetna Commercial |
$131.15
|
| Rate for Payer: Aetna Medicare |
$97.87
|
| Rate for Payer: BCBS Complete |
$68.44
|
| Rate for Payer: BCBS MAPPO |
$97.87
|
| Rate for Payer: BCN Commercial |
$167.32
|
| Rate for Payer: BCN Medicare Advantage |
$97.87
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Cofinity Commercial |
$131.15
|
| Rate for Payer: Cofinity Commercial |
$140.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.87
|
| Rate for Payer: Healthscope Commercial |
$117.44
|
| Rate for Payer: Healthscope Whirlpool |
$117.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.76
|
| Rate for Payer: Meridian Medicaid |
$68.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$107.66
|
| Rate for Payer: Nomi Health Commercial |
$117.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.75
|
| Rate for Payer: PACE SWMI |
$97.87
|
| Rate for Payer: PHP Medicare Advantage |
$97.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$157.56
|
| Rate for Payer: Priority Health Medicare |
$97.87
|
| Rate for Payer: Priority Health Narrow Network |
$157.56
|
| Rate for Payer: Railroad Medicare Medicare |
$97.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$180.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$97.87
|
| Rate for Payer: UHC Exchange |
$180.77
|
| Rate for Payer: UHC Medicaid |
$65.18
|
| Rate for Payer: UHCCP DNSP |
$97.87
|
| Rate for Payer: UHCCP Medicaid |
$65.18
|
|
|
PR LAVAGE CANNULATION SPHENOID SINUS
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS 31002
|
| Min. Negotiated Rate |
$106.71 |
| Max. Negotiated Rate |
$321.17 |
| Rate for Payer: Aetna Commercial |
$214.00
|
| Rate for Payer: Aetna Medicare |
$159.70
|
| Rate for Payer: BCBS Complete |
$112.05
|
| Rate for Payer: BCBS MAPPO |
$159.70
|
| Rate for Payer: BCN Commercial |
$279.37
|
| Rate for Payer: BCN Medicare Advantage |
$159.70
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cofinity Commercial |
$229.97
|
| Rate for Payer: Cofinity Commercial |
$214.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.70
|
| Rate for Payer: Healthscope Commercial |
$191.64
|
| Rate for Payer: Healthscope Whirlpool |
$191.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.69
|
| Rate for Payer: Meridian Medicaid |
$112.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$175.67
|
| Rate for Payer: Nomi Health Commercial |
$191.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$260.25
|
| Rate for Payer: PACE SWMI |
$159.70
|
| Rate for Payer: PHP Medicare Advantage |
$159.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$263.08
|
| Rate for Payer: Priority Health Medicare |
$159.70
|
| Rate for Payer: Priority Health Narrow Network |
$263.08
|
| Rate for Payer: Railroad Medicare Medicare |
$159.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$321.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$159.70
|
| Rate for Payer: UHC Exchange |
$321.17
|
| Rate for Payer: UHC Medicaid |
$106.71
|
| Rate for Payer: UHCCP DNSP |
$159.70
|
| Rate for Payer: UHCCP Medicaid |
$106.71
|
|
|
PR LEFT HEART CATH BY TRANSEPTAL PUNCTURE
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 93462
|
| Min. Negotiated Rate |
$112.89 |
| Max. Negotiated Rate |
$346.68 |
| Rate for Payer: Aetna Commercial |
$239.07
|
| Rate for Payer: Aetna Medicare |
$178.41
|
| Rate for Payer: BCBS Complete |
$118.53
|
| Rate for Payer: BCBS MAPPO |
$178.41
|
| Rate for Payer: BCN Commercial |
$301.78
|
| Rate for Payer: BCN Medicare Advantage |
$178.41
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$256.91
|
| Rate for Payer: Cofinity Commercial |
$239.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.41
|
| Rate for Payer: Healthscope Commercial |
$214.09
|
| Rate for Payer: Healthscope Whirlpool |
$214.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$187.33
|
| Rate for Payer: Meridian Medicaid |
$118.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$196.25
|
| Rate for Payer: Nomi Health Commercial |
$214.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$341.25
|
| Rate for Payer: PACE SWMI |
$178.41
|
| Rate for Payer: PHP Medicare Advantage |
$178.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$286.82
|
| Rate for Payer: Priority Health Medicare |
$178.41
|
| Rate for Payer: Priority Health Narrow Network |
$286.82
|
| Rate for Payer: Railroad Medicare Medicare |
$178.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$346.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$178.41
|
| Rate for Payer: UHC Exchange |
$346.68
|
| Rate for Payer: UHC Medicaid |
$112.89
|
| Rate for Payer: UHCCP DNSP |
$178.41
|
| Rate for Payer: UHCCP Medicaid |
$112.89
|
|
|
PR LENGTHENING TENDON EXTENSOR HAND/FINGER EACH
|
Professional
|
Both
|
$1,388.00
|
|
|
Service Code
|
HCPCS 26476
|
| Min. Negotiated Rate |
$413.43 |
| Max. Negotiated Rate |
$1,041.34 |
| Rate for Payer: Aetna Commercial |
$824.31
|
| Rate for Payer: Aetna Medicare |
$615.16
|
| Rate for Payer: BCBS Complete |
$434.10
|
| Rate for Payer: BCBS MAPPO |
$615.16
|
| Rate for Payer: BCN Commercial |
$970.57
|
| Rate for Payer: BCN Medicare Advantage |
$615.16
|
| Rate for Payer: Cash Price |
$1,110.40
|
| Rate for Payer: Cash Price |
$1,110.40
|
| Rate for Payer: Cofinity Commercial |
$885.83
|
| Rate for Payer: Cofinity Commercial |
$824.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.16
|
| Rate for Payer: Healthscope Commercial |
$738.19
|
| Rate for Payer: Healthscope Whirlpool |
$738.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$645.92
|
| Rate for Payer: Meridian Medicaid |
$434.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$676.68
|
| Rate for Payer: Nomi Health Commercial |
$738.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,041.00
|
| Rate for Payer: PACE SWMI |
$615.16
|
| Rate for Payer: PHP Medicare Advantage |
$615.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,037.50
|
| Rate for Payer: Priority Health Medicare |
$615.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,037.50
|
| Rate for Payer: Railroad Medicare Medicare |
$615.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,041.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$615.16
|
| Rate for Payer: UHC Exchange |
$1,041.34
|
| Rate for Payer: UHC Medicaid |
$413.43
|
| Rate for Payer: UHCCP DNSP |
$615.16
|
| Rate for Payer: UHCCP Medicaid |
$413.43
|
|
|
PR LENGTHENING TENDON FLEXOR HAND/FINGER EACH
|
Professional
|
Both
|
$2,101.00
|
|
|
Service Code
|
HCPCS 26478
|
| Min. Negotiated Rate |
$415.14 |
| Max. Negotiated Rate |
$1,575.75 |
| Rate for Payer: Aetna Commercial |
$830.01
|
| Rate for Payer: Aetna Medicare |
$619.41
|
| Rate for Payer: BCBS Complete |
$435.90
|
| Rate for Payer: BCBS MAPPO |
$619.41
|
| Rate for Payer: BCN Commercial |
$995.47
|
| Rate for Payer: BCN Medicare Advantage |
$619.41
|
| Rate for Payer: Cash Price |
$1,680.80
|
| Rate for Payer: Cash Price |
$1,680.80
|
| Rate for Payer: Cofinity Commercial |
$891.95
|
| Rate for Payer: Cofinity Commercial |
$830.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$619.41
|
| Rate for Payer: Healthscope Commercial |
$743.29
|
| Rate for Payer: Healthscope Whirlpool |
$743.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$650.38
|
| Rate for Payer: Meridian Medicaid |
$435.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$681.35
|
| Rate for Payer: Nomi Health Commercial |
$743.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,575.75
|
| Rate for Payer: PACE SWMI |
$619.41
|
| Rate for Payer: PHP Medicare Advantage |
$619.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$415.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,064.13
|
| Rate for Payer: Priority Health Medicare |
$619.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,064.13
|
| Rate for Payer: Railroad Medicare Medicare |
$619.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,086.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$619.41
|
| Rate for Payer: UHC Exchange |
$1,086.02
|
| Rate for Payer: UHC Medicaid |
$415.14
|
| Rate for Payer: UHCCP DNSP |
$619.41
|
| Rate for Payer: UHCCP Medicaid |
$415.14
|
|
