|
PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS
|
Professional
|
Both
|
$315.00
|
|
|
Service Code
|
HCPCS 93923
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$415.24 |
| Rate for Payer: Aetna Commercial |
$139.53
|
| Rate for Payer: Aetna Commercial |
$139.53
|
| Rate for Payer: Aetna Medicare |
$157.50
|
| Rate for Payer: Aetna Medicare |
$22.50
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCBS Trust/PPO |
$415.24
|
| Rate for Payer: BCBS Trust/PPO |
$415.24
|
| Rate for Payer: BCN Commercial |
$187.65
|
| Rate for Payer: BCN Commercial |
$187.65
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$204.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.94
|
| Rate for Payer: Priority Health Narrow Network |
$28.94
|
| Rate for Payer: Priority Health Narrow Network |
$28.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.21
|
| Rate for Payer: UHC Exchange |
$185.21
|
| Rate for Payer: UHC Exchange |
$185.21
|
| Rate for Payer: UHCCP Medicaid |
$13.42
|
| Rate for Payer: UHCCP Medicaid |
$13.42
|
|
|
PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL
|
Professional
|
Both
|
$205.00
|
|
|
Service Code
|
HCPCS 93922
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$133.25 |
| Rate for Payer: Aetna Commercial |
$90.01
|
| Rate for Payer: Aetna Commercial |
$90.01
|
| Rate for Payer: Aetna Medicare |
$102.50
|
| Rate for Payer: Aetna Medicare |
$13.50
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS Trust/PPO |
$131.55
|
| Rate for Payer: BCBS Trust/PPO |
$131.55
|
| Rate for Payer: BCN Commercial |
$120.21
|
| Rate for Payer: BCN Commercial |
$120.21
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$164.00
|
| Rate for Payer: Cash Price |
$164.00
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.83
|
| Rate for Payer: Priority Health Narrow Network |
$15.83
|
| Rate for Payer: Priority Health Narrow Network |
$15.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$120.39
|
| Rate for Payer: UHC Exchange |
$120.39
|
| Rate for Payer: UHC Exchange |
$120.39
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
|
|
PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART
|
Professional
|
Both
|
$1,140.00
|
|
|
Service Code
|
HCPCS 36221
|
| Min. Negotiated Rate |
$125.03 |
| Max. Negotiated Rate |
$1,452.84 |
| Rate for Payer: Aetna Commercial |
$269.74
|
| Rate for Payer: Aetna Medicare |
$570.00
|
| Rate for Payer: BCBS Complete |
$131.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,320.46
|
| Rate for Payer: BCN Commercial |
$1,452.84
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Meridian Medicaid |
$131.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$311.11
|
| Rate for Payer: Priority Health Narrow Network |
$311.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$295.26
|
| Rate for Payer: UHC Exchange |
$295.26
|
| Rate for Payer: UHCCP Medicaid |
$125.03
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$8.00
|
|
|
Service Code
|
HCPCS J7040
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$5.20 |
| Rate for Payer: Aetna Commercial |
$1.39
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Trust/PPO |
$0.40
|
| Rate for Payer: BCN Commercial |
$0.39
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.35
|
| Rate for Payer: UHC Exchange |
$1.35
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS J7050
|
| Min. Negotiated Rate |
$0.38 |
| Max. Negotiated Rate |
$3.25 |
| Rate for Payer: Aetna Commercial |
$0.69
|
| Rate for Payer: Aetna Medicare |
$2.50
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.39
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$0.67
|
| Rate for Payer: UHC Exchange |
$0.67
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J7030
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna Commercial |
$2.77
|
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.64
|
| Rate for Payer: BCN Commercial |
$0.52
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.69
|
| Rate for Payer: UHC Exchange |
$2.69
|
|
|
PR NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
HCPCS 98971
|
| Min. Negotiated Rate |
$22.59 |
| Max. Negotiated Rate |
$529.88 |
| Rate for Payer: Aetna Commercial |
$22.59
|
| Rate for Payer: Aetna Medicare |
$33.50
|
| Rate for Payer: BCBS Complete |
$26.80
|
| Rate for Payer: BCBS Trust/PPO |
$529.88
|
| Rate for Payer: BCN Commercial |
$29.32
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.05
|
| Rate for Payer: Priority Health Narrow Network |
$28.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.19
|
| Rate for Payer: UHC Exchange |
$24.19
|
|
|
PR NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN
|
Professional
|
Both
|
$93.00
|
|
|
Service Code
|
HCPCS 98972
|
| Min. Negotiated Rate |
$35.97 |
| Max. Negotiated Rate |
$800.90 |
| Rate for Payer: Aetna Commercial |
$35.97
|
| Rate for Payer: Aetna Medicare |
$46.50
|
| Rate for Payer: BCBS Complete |
$37.20
|
| Rate for Payer: BCBS Trust/PPO |
$800.90
|
| Rate for Payer: BCN Commercial |
$44.96
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.16
|
| Rate for Payer: Priority Health Narrow Network |
$41.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.50
|
| Rate for Payer: UHC Exchange |
$37.50
|
|
|
PR NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN
|
Professional
|
Both
|
$35.00
|
|
|
Service Code
|
HCPCS 98970
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$131.55 |
| Rate for Payer: Aetna Commercial |
$12.64
|
| Rate for Payer: Aetna Medicare |
$17.50
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS Trust/PPO |
$131.55
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.83
|
| Rate for Payer: Priority Health Narrow Network |
$15.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.71
|
| Rate for Payer: UHC Exchange |
$13.71
|
|
|
PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS
|
Professional
|
Both
|
$809.00
|
|
|
Service Code
|
HCPCS 31267
|
| Min. Negotiated Rate |
$168.91 |
| Max. Negotiated Rate |
$1,047.62 |
| Rate for Payer: Aetna Commercial |
$338.24
|
| Rate for Payer: Aetna Medicare |
$404.50
|
| Rate for Payer: BCBS Complete |
$177.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,047.62
|
| Rate for Payer: BCN Commercial |
$385.57
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Meridian Medicaid |
$177.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$525.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$367.07
|
| Rate for Payer: Priority Health Narrow Network |
$367.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$365.88
|
| Rate for Payer: UHC Exchange |
$365.88
|
| Rate for Payer: UHCCP Medicaid |
$168.91
|
|
|
PR NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS
|
Professional
|
Both
|
$769.00
|
|
|
Service Code
|
HCPCS 31288
|
| Min. Negotiated Rate |
$149.31 |
| Max. Negotiated Rate |
$1,515.16 |
| Rate for Payer: Aetna Commercial |
$298.93
|
| Rate for Payer: Aetna Medicare |
$384.50
|
| Rate for Payer: BCBS Complete |
$156.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,515.16
|
| Rate for Payer: BCN Commercial |
$340.61
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Cash Price |
$615.20
|
| Rate for Payer: Meridian Medicaid |
$156.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$499.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$323.50
|
| Rate for Payer: Priority Health Narrow Network |
$323.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$309.86
|
| Rate for Payer: UHC Exchange |
$309.86
|
| Rate for Payer: UHCCP Medicaid |
$149.31
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 99447
|
| Min. Negotiated Rate |
$22.79 |
| Max. Negotiated Rate |
$873.81 |
| Rate for Payer: Aetna Commercial |
$35.14
|
| Rate for Payer: Aetna Medicare |
$37.00
|
| Rate for Payer: BCBS Complete |
$23.93
|
| Rate for Payer: BCBS Trust/PPO |
$873.81
|
| Rate for Payer: BCN Commercial |
$51.31
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Meridian Medicaid |
$23.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.39
|
| Rate for Payer: Priority Health Narrow Network |
$40.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.69
|
| Rate for Payer: UHC Exchange |
$40.69
|
| Rate for Payer: UHCCP Medicaid |
$22.79
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 99448
|
| Min. Negotiated Rate |
$33.87 |
| Max. Negotiated Rate |
$899.17 |
| Rate for Payer: Aetna Commercial |
$55.57
|
| Rate for Payer: Aetna Medicare |
$46.00
|
| Rate for Payer: BCBS Complete |
$35.56
|
| Rate for Payer: BCBS Trust/PPO |
$899.17
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Meridian Medicaid |
$35.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.84
|
| Rate for Payer: Priority Health Narrow Network |
$59.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$61.23
|
| Rate for Payer: UHC Exchange |
$61.23
|
| Rate for Payer: UHCCP Medicaid |
$33.87
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 99449
|
| Min. Negotiated Rate |
$45.80 |
| Max. Negotiated Rate |
$1,202.41 |
| Rate for Payer: Aetna Commercial |
$75.64
|
| Rate for Payer: Aetna Medicare |
$74.00
|
| Rate for Payer: BCBS Complete |
$48.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.41
|
| Rate for Payer: BCN Commercial |
$103.60
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Meridian Medicaid |
$48.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.65
|
| Rate for Payer: Priority Health Narrow Network |
$79.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.76
|
| Rate for Payer: UHC Exchange |
$81.76
|
| Rate for Payer: UHCCP Medicaid |
$45.80
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN
|
Professional
|
Both
|
$37.00
|
|
|
Service Code
|
HCPCS 99446
|
| Min. Negotiated Rate |
$11.29 |
| Max. Negotiated Rate |
$776.07 |
| Rate for Payer: Aetna Commercial |
$19.45
|
| Rate for Payer: Aetna Medicare |
$18.50
|
| Rate for Payer: BCBS Complete |
$11.85
|
| Rate for Payer: BCBS Trust/PPO |
$776.07
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Meridian Medicaid |
$11.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.81
|
| Rate for Payer: Priority Health Narrow Network |
$19.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.54
|
| Rate for Payer: UHC Exchange |
$20.54
|
| Rate for Payer: UHCCP Medicaid |
$11.29
|
|
|
PR NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS
|
Professional
|
Both
|
$7,109.00
|
|
|
Service Code
|
HCPCS 62161
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$4,620.85 |
| Rate for Payer: Aetna Commercial |
$1,957.24
|
| Rate for Payer: Aetna Medicare |
$3,554.50
|
| Rate for Payer: BCBS Complete |
$1,045.34
|
| Rate for Payer: BCBS Trust/PPO |
$214.49
|
| Rate for Payer: BCN Commercial |
$3,118.49
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Meridian Medicaid |
$1,045.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$995.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,620.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,649.64
|
| Rate for Payer: Priority Health Narrow Network |
$2,649.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,751.72
|
| Rate for Payer: UHC Exchange |
$1,751.72
|
| Rate for Payer: UHCCP Medicaid |
$995.56
|
|
|
PR NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID
|
Professional
|
Both
|
$2,824.00
|
|
|
Service Code
|
HCPCS 62165
|
| Min. Negotiated Rate |
$981.50 |
| Max. Negotiated Rate |
$2,613.25 |
| Rate for Payer: Aetna Commercial |
$1,955.95
|
| Rate for Payer: Aetna Medicare |
$1,412.00
|
| Rate for Payer: BCBS Complete |
$1,030.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,355.62
|
| Rate for Payer: BCN Commercial |
$2,234.73
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Cash Price |
$2,259.20
|
| Rate for Payer: Meridian Medicaid |
$1,030.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$981.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,835.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,613.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,613.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,817.83
|
| Rate for Payer: UHC Exchange |
$1,817.83
|
| Rate for Payer: UHCCP Medicaid |
$981.50
|
|
|
PR NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG
|
Professional
|
Both
|
$7,834.00
|
|
|
Service Code
|
HCPCS 62162
|
| Min. Negotiated Rate |
$757.05 |
| Max. Negotiated Rate |
$5,092.10 |
| Rate for Payer: Aetna Commercial |
$2,441.45
|
| Rate for Payer: Aetna Medicare |
$3,917.00
|
| Rate for Payer: BCBS Complete |
$1,294.26
|
| Rate for Payer: BCBS Trust/PPO |
$757.05
|
| Rate for Payer: BCN Commercial |
$2,789.86
|
| Rate for Payer: Cash Price |
$6,267.20
|
| Rate for Payer: Cash Price |
$6,267.20
|
| Rate for Payer: Meridian Medicaid |
$1,294.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,232.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,092.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,276.95
|
| Rate for Payer: Priority Health Narrow Network |
$3,276.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,193.29
|
| Rate for Payer: UHC Exchange |
$2,193.29
|
| Rate for Payer: UHCCP Medicaid |
$1,232.63
|
|
|
PR NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS
|
Professional
|
Both
|
$816.00
|
|
|
Service Code
|
HCPCS 62160
|
| Min. Negotiated Rate |
$120.98 |
| Max. Negotiated Rate |
$530.40 |
| Rate for Payer: Aetna Commercial |
$245.74
|
| Rate for Payer: Aetna Medicare |
$408.00
|
| Rate for Payer: BCBS Complete |
$127.03
|
| Rate for Payer: BCBS Trust/PPO |
$437.96
|
| Rate for Payer: BCN Commercial |
$381.67
|
| Rate for Payer: Cash Price |
$652.80
|
| Rate for Payer: Cash Price |
$652.80
|
| Rate for Payer: Meridian Medicaid |
$127.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.32
|
| Rate for Payer: Priority Health Narrow Network |
$321.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$226.79
|
| Rate for Payer: UHC Exchange |
$226.79
|
| Rate for Payer: UHCCP Medicaid |
$120.98
|
|
|
PR NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 99316
|
| Min. Negotiated Rate |
$79.00 |
| Max. Negotiated Rate |
$1,849.05 |
| Rate for Payer: Aetna Commercial |
$102.91
|
| Rate for Payer: Aetna Medicare |
$79.00
|
| Rate for Payer: BCBS Complete |
$87.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,849.05
|
| Rate for Payer: BCN Commercial |
$189.61
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Meridian Medicaid |
$87.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$174.99
|
| Rate for Payer: Priority Health Narrow Network |
$174.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$86.49
|
| Rate for Payer: UHC Exchange |
$86.49
|
| Rate for Payer: UHCCP Medicaid |
$82.86
|
|
|
PR NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME
|
Professional
|
Both
|
$110.00
|
|
|
Service Code
|
HCPCS 99315
|
| Min. Negotiated Rate |
$51.76 |
| Max. Negotiated Rate |
$402.56 |
| Rate for Payer: Aetna Commercial |
$71.33
|
| Rate for Payer: Aetna Medicare |
$55.00
|
| Rate for Payer: BCBS Complete |
$54.35
|
| Rate for Payer: BCBS Trust/PPO |
$402.56
|
| Rate for Payer: BCN Commercial |
$117.77
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Meridian Medicaid |
$54.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$109.04
|
| Rate for Payer: Priority Health Narrow Network |
$109.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$66.36
|
| Rate for Payer: UHC Exchange |
$66.36
|
| Rate for Payer: UHCCP Medicaid |
$51.76
|
|
|
PR O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS 94690
|
| Min. Negotiated Rate |
$2.34 |
| Max. Negotiated Rate |
$603.85 |
| Rate for Payer: Aetna Commercial |
$45.87
|
| Rate for Payer: Aetna Medicare |
$65.00
|
| Rate for Payer: BCBS Complete |
$2.46
|
| Rate for Payer: BCBS Trust/PPO |
$603.85
|
| Rate for Payer: BCN Commercial |
$69.39
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Meridian Medicaid |
$2.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.97
|
| Rate for Payer: Priority Health Narrow Network |
$4.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.73
|
| Rate for Payer: UHC Exchange |
$49.73
|
| Rate for Payer: UHCCP Medicaid |
$2.34
|
|
|
PR O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 94680
|
| Min. Negotiated Rate |
$7.88 |
| Max. Negotiated Rate |
$444.83 |
| Rate for Payer: Aetna Commercial |
$56.14
|
| Rate for Payer: Aetna Medicare |
$57.00
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS Trust/PPO |
$444.83
|
| Rate for Payer: BCN Commercial |
$76.72
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.74
|
| Rate for Payer: Priority Health Narrow Network |
$16.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.09
|
| Rate for Payer: UHC Exchange |
$57.09
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
|
|
PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM
|
Professional
|
Both
|
$4,249.00
|
|
|
Service Code
|
HCPCS 59510
|
| Min. Negotiated Rate |
$69.21 |
| Max. Negotiated Rate |
$3,780.59 |
| Rate for Payer: Aetna Commercial |
$2,150.00
|
| Rate for Payer: Aetna Medicare |
$2,124.50
|
| Rate for Payer: BCBS Complete |
$2,599.55
|
| Rate for Payer: BCBS Trust/PPO |
$69.21
|
| Rate for Payer: BCN Commercial |
$3,201.80
|
| Rate for Payer: Cash Price |
$3,399.20
|
| Rate for Payer: Cash Price |
$3,399.20
|
| Rate for Payer: Meridian Medicaid |
$2,599.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,475.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,761.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,780.59
|
| Rate for Payer: Priority Health Narrow Network |
$3,780.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,426.95
|
| Rate for Payer: UHC Exchange |
$2,426.95
|
| Rate for Payer: UHCCP Medicaid |
$2,475.76
|
|
|
PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM
|
Professional
|
Both
|
$3,830.00
|
|
|
Service Code
|
HCPCS 59400
|
| Min. Negotiated Rate |
$42.26 |
| Max. Negotiated Rate |
$3,400.06 |
| Rate for Payer: Aetna Commercial |
$2,150.00
|
| Rate for Payer: Aetna Medicare |
$1,915.00
|
| Rate for Payer: BCBS Complete |
$2,331.77
|
| Rate for Payer: BCBS Trust/PPO |
$42.26
|
| Rate for Payer: BCN Commercial |
$3,201.80
|
| Rate for Payer: Cash Price |
$3,064.00
|
| Rate for Payer: Cash Price |
$3,064.00
|
| Rate for Payer: Meridian Medicaid |
$2,331.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,220.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,489.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,400.06
|
| Rate for Payer: Priority Health Narrow Network |
$3,400.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,140.75
|
| Rate for Payer: UHC Exchange |
$2,140.75
|
| Rate for Payer: UHCCP Medicaid |
$2,220.73
|
|
