|
PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 31591
|
| Min. Negotiated Rate |
$709.08 |
| Max. Negotiated Rate |
$1,621.92 |
| Rate for Payer: Aetna Commercial |
$1,386.63
|
| Rate for Payer: Aetna Medicare |
$1,103.00
|
| Rate for Payer: BCBS Complete |
$744.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,000.07
|
| Rate for Payer: BCN Commercial |
$1,621.92
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Meridian Medicaid |
$744.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$709.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,538.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,538.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,249.00
|
| Rate for Payer: UHC Exchange |
$1,249.00
|
| Rate for Payer: UHCCP Medicaid |
$709.08
|
|
|
PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 31570
|
| Min. Negotiated Rate |
$146.33 |
| Max. Negotiated Rate |
$503.83 |
| Rate for Payer: Aetna Commercial |
$290.94
|
| Rate for Payer: Aetna Medicare |
$296.00
|
| Rate for Payer: BCBS Complete |
$153.65
|
| Rate for Payer: BCBS Trust/PPO |
$419.47
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Meridian Medicaid |
$153.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.54
|
| Rate for Payer: Priority Health Narrow Network |
$316.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$263.58
|
| Rate for Payer: UHC Exchange |
$263.58
|
| Rate for Payer: UHCCP Medicaid |
$146.33
|
|
|
PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY
|
Professional
|
Both
|
$389.00
|
|
|
Service Code
|
HCPCS 31535
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$1,639.31 |
| Rate for Payer: Aetna Commercial |
$239.77
|
| Rate for Payer: Aetna Medicare |
$194.50
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,639.31
|
| Rate for Payer: BCN Commercial |
$273.66
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.39
|
| Rate for Payer: Priority Health Narrow Network |
$261.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$218.34
|
| Rate for Payer: UHC Exchange |
$218.34
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
|
|
PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 31540
|
| Min. Negotiated Rate |
$153.79 |
| Max. Negotiated Rate |
$1,165.96 |
| Rate for Payer: Aetna Commercial |
$306.04
|
| Rate for Payer: Aetna Medicare |
$223.00
|
| Rate for Payer: BCBS Complete |
$161.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,165.96
|
| Rate for Payer: BCN Commercial |
$350.38
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Meridian Medicaid |
$161.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.76
|
| Rate for Payer: Priority Health Narrow Network |
$332.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$280.31
|
| Rate for Payer: UHC Exchange |
$280.31
|
| Rate for Payer: UHCCP Medicaid |
$153.79
|
|
|
PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI
|
Professional
|
Both
|
$755.00
|
|
|
Service Code
|
HCPCS 31572
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$1,069.81 |
| Rate for Payer: Aetna Commercial |
$228.78
|
| Rate for Payer: Aetna Medicare |
$377.50
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,069.81
|
| Rate for Payer: BCN Commercial |
$777.97
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.81
|
| Rate for Payer: Priority Health Narrow Network |
$249.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$219.58
|
| Rate for Payer: UHC Exchange |
$219.58
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
|
|
PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 31575
|
| Min. Negotiated Rate |
$44.52 |
| Max. Negotiated Rate |
$1,261.05 |
| Rate for Payer: Aetna Commercial |
$84.36
|
| Rate for Payer: Aetna Medicare |
$147.50
|
| Rate for Payer: BCBS Complete |
$46.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.05
|
| Rate for Payer: BCN Commercial |
$153.14
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Meridian Medicaid |
$46.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.47
|
| Rate for Payer: Priority Health Narrow Network |
$95.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.46
|
| Rate for Payer: UHC Exchange |
$85.46
|
| Rate for Payer: UHCCP Medicaid |
$44.52
|
|
|
PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI
|
Professional
|
Both
|
$565.00
|
|
|
Service Code
|
HCPCS 31573
|
| Min. Negotiated Rate |
$95.21 |
| Max. Negotiated Rate |
$877.51 |
| Rate for Payer: Aetna Commercial |
$188.11
|
| Rate for Payer: Aetna Medicare |
$282.50
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS Trust/PPO |
$877.51
|
| Rate for Payer: BCN Commercial |
$423.69
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.24
|
| Rate for Payer: Priority Health Narrow Network |
$206.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$181.11
|
| Rate for Payer: UHC Exchange |
$181.11
|
| Rate for Payer: UHCCP Medicaid |
$95.21
|
|
|
PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)
|
Professional
|
Both
|
$403.00
|
|
|
Service Code
|
HCPCS 31576
|
| Min. Negotiated Rate |
$76.89 |
| Max. Negotiated Rate |
$1,520.98 |
| Rate for Payer: Aetna Commercial |
$149.73
|
| Rate for Payer: Aetna Medicare |
$201.50
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,520.98
|
| Rate for Payer: BCN Commercial |
$396.81
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.92
|
| Rate for Payer: Priority Health Narrow Network |
$165.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$140.75
|
| Rate for Payer: UHC Exchange |
$140.75
|
| Rate for Payer: UHCCP Medicaid |
$76.89
|
|
|
PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY
|
Professional
|
Both
|
$384.00
|
|
|
Service Code
|
HCPCS 31579
|
| Min. Negotiated Rate |
$94.58 |
| Max. Negotiated Rate |
$739.09 |
| Rate for Payer: Aetna Commercial |
$150.52
|
| Rate for Payer: Aetna Medicare |
$192.00
|
| Rate for Payer: BCBS Complete |
$99.31
|
| Rate for Payer: BCBS Trust/PPO |
$739.09
|
| Rate for Payer: BCN Commercial |
$291.75
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Meridian Medicaid |
$99.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.92
|
| Rate for Payer: Priority Health Narrow Network |
$165.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$161.00
|
| Rate for Payer: UHC Exchange |
$161.00
|
| Rate for Payer: UHCCP Medicaid |
$94.58
|
|
|
PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)
|
Professional
|
Both
|
$411.00
|
|
|
Service Code
|
HCPCS 31577
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$408.05 |
| Rate for Payer: Aetna Commercial |
$169.34
|
| Rate for Payer: Aetna Medicare |
$205.50
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS Trust/PPO |
$395.70
|
| Rate for Payer: BCN Commercial |
$408.05
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.93
|
| Rate for Payer: Priority Health Narrow Network |
$184.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$171.24
|
| Rate for Payer: UHC Exchange |
$171.24
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 31531
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,325.50 |
| Rate for Payer: Aetna Commercial |
$266.77
|
| Rate for Payer: Aetna Medicare |
$232.00
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,325.50
|
| Rate for Payer: BCN Commercial |
$307.38
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.52
|
| Rate for Payer: Priority Health Narrow Network |
$291.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$245.28
|
| Rate for Payer: UHC Exchange |
$245.28
|
| Rate for Payer: UHCCP Medicaid |
$134.40
|
|
|
PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Professional
|
Both
|
$211.00
|
|
|
Service Code
|
HCPCS 31505
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$1,167.54 |
| Rate for Payer: Aetna Commercial |
$61.01
|
| Rate for Payer: Aetna Medicare |
$105.50
|
| Rate for Payer: BCBS Complete |
$33.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$133.41
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Meridian Medicaid |
$33.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.06
|
| Rate for Payer: Priority Health Narrow Network |
$69.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.87
|
| Rate for Payer: UHC Exchange |
$53.87
|
| Rate for Payer: UHCCP Medicaid |
$31.95
|
|
|
PR LARYNGOSCOPY INDIRECT W/BIOPSY
|
Professional
|
Both
|
$443.00
|
|
|
Service Code
|
HCPCS 31510
|
| Min. Negotiated Rate |
$137.46 |
| Max. Negotiated Rate |
$1,254.71 |
| Rate for Payer: Aetna Commercial |
$152.77
|
| Rate for Payer: Aetna Medicare |
$221.50
|
| Rate for Payer: BCBS Complete |
$177.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.23
|
| Rate for Payer: Priority Health Narrow Network |
$168.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$137.46
|
| Rate for Payer: UHC Exchange |
$137.46
|
|
|
PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 31511
|
| Min. Negotiated Rate |
$148.25 |
| Max. Negotiated Rate |
$1,223.54 |
| Rate for Payer: Aetna Commercial |
$168.39
|
| Rate for Payer: Aetna Medicare |
$285.00
|
| Rate for Payer: BCBS Complete |
$228.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,223.54
|
| Rate for Payer: BCN Commercial |
$309.82
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$370.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$186.78
|
| Rate for Payer: Priority Health Narrow Network |
$186.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$148.25
|
| Rate for Payer: UHC Exchange |
$148.25
|
|
|
PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 31536
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$987.92 |
| Rate for Payer: Aetna Commercial |
$265.82
|
| Rate for Payer: Aetna Medicare |
$475.00
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS Trust/PPO |
$987.92
|
| Rate for Payer: BCN Commercial |
$305.43
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$617.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.13
|
| Rate for Payer: Priority Health Narrow Network |
$290.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$243.60
|
| Rate for Payer: UHC Exchange |
$243.60
|
| Rate for Payer: UHCCP Medicaid |
$133.98
|
|
|
PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 31530
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$1,856.45 |
| Rate for Payer: Aetna Commercial |
$251.91
|
| Rate for Payer: Aetna Medicare |
$182.00
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,856.45
|
| Rate for Payer: BCN Commercial |
$288.81
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$274.83
|
| Rate for Payer: Priority Health Narrow Network |
$274.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.78
|
| Rate for Payer: UHC Exchange |
$227.78
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION
|
Professional
|
Both
|
$372.00
|
|
|
Service Code
|
HCPCS 31515
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$1,491.39 |
| Rate for Payer: Aetna Commercial |
$140.69
|
| Rate for Payer: Aetna Medicare |
$186.00
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,491.39
|
| Rate for Payer: BCN Commercial |
$316.66
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$241.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.86
|
| Rate for Payer: Priority Health Narrow Network |
$153.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$125.80
|
| Rate for Payer: UHC Exchange |
$125.80
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 31529
|
| Min. Negotiated Rate |
$102.88 |
| Max. Negotiated Rate |
$1,150.11 |
| Rate for Payer: Aetna Commercial |
$204.12
|
| Rate for Payer: Aetna Medicare |
$164.00
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,150.11
|
| Rate for Payer: BCN Commercial |
$233.10
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.92
|
| Rate for Payer: Priority Health Narrow Network |
$222.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.91
|
| Rate for Payer: UHC Exchange |
$185.91
|
| Rate for Payer: UHCCP Medicaid |
$102.88
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 31525
|
| Min. Negotiated Rate |
$102.45 |
| Max. Negotiated Rate |
$1,289.05 |
| Rate for Payer: Aetna Commercial |
$202.26
|
| Rate for Payer: Aetna Medicare |
$312.00
|
| Rate for Payer: BCBS Complete |
$107.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,289.05
|
| Rate for Payer: BCN Commercial |
$367.97
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Meridian Medicaid |
$107.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.00
|
| Rate for Payer: Priority Health Narrow Network |
$222.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$182.56
|
| Rate for Payer: UHC Exchange |
$182.56
|
| Rate for Payer: UHCCP Medicaid |
$102.45
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN
|
Professional
|
Both
|
$792.00
|
|
|
Service Code
|
HCPCS 31528
|
| Min. Negotiated Rate |
$92.44 |
| Max. Negotiated Rate |
$1,317.05 |
| Rate for Payer: Aetna Commercial |
$182.08
|
| Rate for Payer: Aetna Medicare |
$396.00
|
| Rate for Payer: BCBS Complete |
$97.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.05
|
| Rate for Payer: BCN Commercial |
$209.64
|
| Rate for Payer: Cash Price |
$633.60
|
| Rate for Payer: Cash Price |
$633.60
|
| Rate for Payer: Meridian Medicaid |
$97.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.76
|
| Rate for Payer: Priority Health Narrow Network |
$199.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$165.73
|
| Rate for Payer: UHC Exchange |
$165.73
|
| Rate for Payer: UHCCP Medicaid |
$92.44
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 31526
|
| Min. Negotiated Rate |
$100.75 |
| Max. Negotiated Rate |
$1,251.54 |
| Rate for Payer: Aetna Commercial |
$198.68
|
| Rate for Payer: Aetna Medicare |
$161.00
|
| Rate for Payer: BCBS Complete |
$105.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,251.54
|
| Rate for Payer: BCN Commercial |
$227.73
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Meridian Medicaid |
$105.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$217.37
|
| Rate for Payer: Priority Health Narrow Network |
$217.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$180.78
|
| Rate for Payer: UHC Exchange |
$180.78
|
| Rate for Payer: UHCCP Medicaid |
$100.75
|
|
|
PR LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY
|
Professional
|
Both
|
$2,271.00
|
|
|
Service Code
|
HCPCS 31300
|
| Min. Negotiated Rate |
$800.24 |
| Max. Negotiated Rate |
$1,841.33 |
| Rate for Payer: Aetna Commercial |
$1,611.16
|
| Rate for Payer: Aetna Medicare |
$1,135.50
|
| Rate for Payer: BCBS Complete |
$840.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,537.35
|
| Rate for Payer: BCN Commercial |
$1,841.33
|
| Rate for Payer: Cash Price |
$1,816.80
|
| Rate for Payer: Cash Price |
$1,816.80
|
| Rate for Payer: Meridian Medicaid |
$840.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$800.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,476.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,743.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,743.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,383.92
|
| Rate for Payer: UHC Exchange |
$1,383.92
|
| Rate for Payer: UHCCP Medicaid |
$800.24
|
|
|
PR LASER CO2 - FULL FACE
|
Professional
|
Both
|
$2,805.00
|
|
|
Service Code
|
HCPCS 00263
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,122.00 |
| Max. Negotiated Rate |
$1,823.25 |
| Rate for Payer: Aetna Medicare |
$1,402.50
|
| Rate for Payer: BCBS Complete |
$1,122.00
|
| Rate for Payer: Cash Price |
$2,244.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,823.25
|
|
|
PR LASER CO2 - ONE AREA
|
Professional
|
Both
|
$1,785.00
|
|
|
Service Code
|
HCPCS 00181
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$714.00 |
| Max. Negotiated Rate |
$1,160.25 |
| Rate for Payer: Aetna Medicare |
$892.50
|
| Rate for Payer: BCBS Complete |
$714.00
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.25
|
|
|
PR LASER CO2 - TWO AREAS
|
Professional
|
Both
|
$2,295.00
|
|
|
Service Code
|
HCPCS 00182
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$1,491.75 |
| Rate for Payer: Aetna Medicare |
$1,147.50
|
| Rate for Payer: BCBS Complete |
$918.00
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,491.75
|
|
