|
PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS
|
Professional
|
Both
|
$3,507.00
|
|
|
Service Code
|
HCPCS 60500
|
| Min. Negotiated Rate |
$624.73 |
| Max. Negotiated Rate |
$3,645.80 |
| Rate for Payer: Aetna Commercial |
$1,250.32
|
| Rate for Payer: Aetna Medicare |
$1,753.50
|
| Rate for Payer: BCBS Complete |
$655.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,645.80
|
| Rate for Payer: BCN Commercial |
$1,419.12
|
| Rate for Payer: Cash Price |
$2,805.60
|
| Rate for Payer: Cash Price |
$2,805.60
|
| Rate for Payer: Meridian Medicaid |
$655.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,279.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,572.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,572.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,139.83
|
| Rate for Payer: UHC Exchange |
$1,139.83
|
| Rate for Payer: UHCCP Medicaid |
$624.73
|
|
|
PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR
|
Professional
|
Both
|
$3,879.00
|
|
|
Service Code
|
HCPCS 60502
|
| Min. Negotiated Rate |
$839.01 |
| Max. Negotiated Rate |
$2,521.35 |
| Rate for Payer: Aetna Commercial |
$1,675.74
|
| Rate for Payer: Aetna Medicare |
$1,939.50
|
| Rate for Payer: BCBS Complete |
$880.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$1,902.42
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Meridian Medicaid |
$880.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,110.91
|
| Rate for Payer: Priority Health Narrow Network |
$2,110.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,433.41
|
| Rate for Payer: UHC Exchange |
$1,433.41
|
| Rate for Payer: UHCCP Medicaid |
$839.01
|
|
|
PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH
|
Professional
|
Both
|
$1,930.00
|
|
|
Service Code
|
HCPCS 57285
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$2,721.80 |
| Rate for Payer: Aetna Commercial |
$826.70
|
| Rate for Payer: Aetna Medicare |
$965.00
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.80
|
| Rate for Payer: BCN Commercial |
$1,014.98
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,254.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,035.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,035.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$778.49
|
| Rate for Payer: UHC Exchange |
$778.49
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 11055
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$242.22 |
| Rate for Payer: Aetna Commercial |
$17.73
|
| Rate for Payer: Aetna Medicare |
$57.50
|
| Rate for Payer: BCBS Complete |
$10.29
|
| Rate for Payer: BCBS Trust/PPO |
$242.22
|
| Rate for Payer: BCN Commercial |
$105.06
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Meridian Medicaid |
$10.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.77
|
| Rate for Payer: Priority Health Narrow Network |
$20.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.40
|
| Rate for Payer: UHC Exchange |
$23.40
|
| Rate for Payer: UHCCP Medicaid |
$9.80
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 11056
|
| Min. Negotiated Rate |
$14.06 |
| Max. Negotiated Rate |
$569.29 |
| Rate for Payer: Aetna Commercial |
$24.54
|
| Rate for Payer: Aetna Medicare |
$61.00
|
| Rate for Payer: BCBS Complete |
$14.76
|
| Rate for Payer: BCBS Trust/PPO |
$569.29
|
| Rate for Payer: BCN Commercial |
$120.70
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Meridian Medicaid |
$14.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.35
|
| Rate for Payer: Priority Health Narrow Network |
$29.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$32.69
|
| Rate for Payer: UHC Exchange |
$32.69
|
| Rate for Payer: UHCCP Medicaid |
$14.06
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 11057
|
| Min. Negotiated Rate |
$17.89 |
| Max. Negotiated Rate |
$131.45 |
| Rate for Payer: Aetna Commercial |
$31.72
|
| Rate for Payer: Aetna Medicare |
$73.50
|
| Rate for Payer: BCBS Complete |
$18.78
|
| Rate for Payer: BCBS Trust/PPO |
$18.83
|
| Rate for Payer: BCN Commercial |
$131.45
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Meridian Medicaid |
$18.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.37
|
| Rate for Payer: Priority Health Narrow Network |
$38.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.38
|
| Rate for Payer: UHC Exchange |
$42.38
|
| Rate for Payer: UHCCP Medicaid |
$17.89
|
|
|
PR PARTIAL EXCISION BONE CLAVICLE
|
Professional
|
Both
|
$1,421.00
|
|
|
Service Code
|
HCPCS 23180
|
| Min. Negotiated Rate |
$70.89 |
| Max. Negotiated Rate |
$1,023.82 |
| Rate for Payer: Aetna Commercial |
$884.68
|
| Rate for Payer: Aetna Medicare |
$710.50
|
| Rate for Payer: BCBS Complete |
$474.81
|
| Rate for Payer: BCBS Trust/PPO |
$70.89
|
| Rate for Payer: BCN Commercial |
$972.96
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Meridian Medicaid |
$474.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$923.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,023.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,023.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$776.08
|
| Rate for Payer: UHC Exchange |
$776.08
|
| Rate for Payer: UHCCP Medicaid |
$452.20
|
|
|
PR PARTIAL EXCISION BONE FIBULA
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27641
|
| Min. Negotiated Rate |
$426.85 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$876.29
|
| Rate for Payer: Aetna Medicare |
$1,192.50
|
| Rate for Payer: BCBS Complete |
$448.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,539.47
|
| Rate for Payer: BCN Commercial |
$956.83
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Meridian Medicaid |
$448.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,005.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,005.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$789.74
|
| Rate for Payer: UHC Exchange |
$789.74
|
| Rate for Payer: UHCCP Medicaid |
$426.85
|
|
|
PR PARTIAL EXCISION BONE HUMERUS
|
Professional
|
Both
|
$1,429.00
|
|
|
Service Code
|
HCPCS 24140
|
| Min. Negotiated Rate |
$460.29 |
| Max. Negotiated Rate |
$1,604.45 |
| Rate for Payer: Aetna Commercial |
$938.53
|
| Rate for Payer: Aetna Medicare |
$714.50
|
| Rate for Payer: BCBS Complete |
$483.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,604.45
|
| Rate for Payer: BCN Commercial |
$1,038.44
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Meridian Medicaid |
$483.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$928.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.96
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$810.97
|
| Rate for Payer: UHC Exchange |
$810.97
|
| Rate for Payer: UHCCP Medicaid |
$460.29
|
|
|
PR PARTIAL EXCISION BONE METACARPAL
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 26230
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$945.10 |
| Rate for Payer: Aetna Commercial |
$666.02
|
| Rate for Payer: Aetna Medicare |
$727.00
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$741.32
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$779.06
|
| Rate for Payer: Priority Health Narrow Network |
$779.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$562.30
|
| Rate for Payer: UHC Exchange |
$562.30
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
|
|
PR PARTIAL EXCISION BONE OLECRANON PROCESS
|
Professional
|
Both
|
$1,482.00
|
|
|
Service Code
|
HCPCS 24147
|
| Hospital Charge Code |
24147
|
| Min. Negotiated Rate |
$413.01 |
| Max. Negotiated Rate |
$976.51 |
| Rate for Payer: Aetna Commercial |
$836.32
|
| Rate for Payer: Aetna Medicare |
$741.00
|
| Rate for Payer: BCBS Complete |
$433.66
|
| Rate for Payer: BCBS Trust/PPO |
$889.13
|
| Rate for Payer: BCN Commercial |
$930.44
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Meridian Medicaid |
$433.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$976.51
|
| Rate for Payer: Priority Health Narrow Network |
$976.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$706.99
|
| Rate for Payer: UHC Exchange |
$706.99
|
| Rate for Payer: UHCCP Medicaid |
$413.01
|
|
|
PR PARTIAL EXCISION BONE OLECRANON PROCESS
|
Professional
|
Both
|
$1,482.00
|
|
|
Service Code
|
HCPCS 24147
|
| Min. Negotiated Rate |
$413.01 |
| Max. Negotiated Rate |
$976.51 |
| Rate for Payer: Aetna Commercial |
$836.32
|
| Rate for Payer: Aetna Medicare |
$741.00
|
| Rate for Payer: BCBS Complete |
$433.66
|
| Rate for Payer: BCBS Trust/PPO |
$889.13
|
| Rate for Payer: BCN Commercial |
$930.44
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Meridian Medicaid |
$433.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$976.51
|
| Rate for Payer: Priority Health Narrow Network |
$976.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$706.99
|
| Rate for Payer: UHC Exchange |
$706.99
|
| Rate for Payer: UHCCP Medicaid |
$413.01
|
|
|
PR PARTIAL EXCISION BONE OLECRANON PROCESS
|
Facility
|
OP
|
$1,482.00
|
|
|
Service Code
|
CPT 24147
|
| Hospital Charge Code |
24147
|
| Min. Negotiated Rate |
$963.30 |
| Max. Negotiated Rate |
$4,927.45 |
| Rate for Payer: Aetna Commercial |
$1,333.80
|
| Rate for Payer: Aetna Medicare |
$3,179.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: ASR ASR |
$1,437.54
|
| Rate for Payer: ASR Commercial |
$1,437.54
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.61
|
| Rate for Payer: BCN Commercial |
$1,148.99
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cofinity Commercial |
$1,393.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,482.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,437.54
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,179.00
|
| Rate for Payer: Mclaren Commercial |
$1,333.80
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.70
|
| Rate for Payer: Nomi Health Commercial |
$1,215.24
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$3,496.90
|
| Rate for Payer: PHP Medicaid |
$1,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,298.53
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,038.88
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,304.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$4,927.45
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP DNSP |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR PARTIAL EXCISION BONE OLECRANON PROCESS
|
Facility
|
IP
|
$1,482.00
|
|
|
Service Code
|
CPT 24147
|
| Hospital Charge Code |
24147
|
| Min. Negotiated Rate |
$963.30 |
| Max. Negotiated Rate |
$1,482.00 |
| Rate for Payer: Aetna Commercial |
$1,333.80
|
| Rate for Payer: ASR ASR |
$1,437.54
|
| Rate for Payer: ASR Commercial |
$1,437.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.68
|
| Rate for Payer: BCN Commercial |
$1,148.99
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cofinity Commercial |
$1,393.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.60
|
| Rate for Payer: Healthscope Commercial |
$1,482.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,437.54
|
| Rate for Payer: Mclaren Commercial |
$1,333.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.70
|
| Rate for Payer: Nomi Health Commercial |
$1,215.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,304.16
|
|
|
PR PARTIAL EXCISION BONE PROXIMAL HUMERUS
|
Professional
|
Both
|
$1,664.00
|
|
|
Service Code
|
HCPCS 23184
|
| Min. Negotiated Rate |
$96.79 |
| Max. Negotiated Rate |
$1,148.50 |
| Rate for Payer: Aetna Commercial |
$986.17
|
| Rate for Payer: Aetna Medicare |
$832.00
|
| Rate for Payer: BCBS Complete |
$507.69
|
| Rate for Payer: BCBS Trust/PPO |
$96.79
|
| Rate for Payer: BCN Commercial |
$1,092.19
|
| Rate for Payer: Cash Price |
$1,331.20
|
| Rate for Payer: Cash Price |
$1,331.20
|
| Rate for Payer: Meridian Medicaid |
$507.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,081.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,148.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,148.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$844.39
|
| Rate for Payer: UHC Exchange |
$844.39
|
| Rate for Payer: UHCCP Medicaid |
$483.51
|
|
|
PR PARTIAL EXCISION BONE RADIUS
|
Professional
|
Both
|
$2,289.00
|
|
|
Service Code
|
HCPCS 25151
|
| Min. Negotiated Rate |
$384.68 |
| Max. Negotiated Rate |
$1,487.85 |
| Rate for Payer: Aetna Commercial |
$780.47
|
| Rate for Payer: Aetna Medicare |
$1,144.50
|
| Rate for Payer: BCBS Complete |
$403.91
|
| Rate for Payer: BCBS Trust/PPO |
$516.15
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: Cash Price |
$1,831.20
|
| Rate for Payer: Cash Price |
$1,831.20
|
| Rate for Payer: Meridian Medicaid |
$403.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,487.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$908.82
|
| Rate for Payer: Priority Health Narrow Network |
$908.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$711.83
|
| Rate for Payer: UHC Exchange |
$711.83
|
| Rate for Payer: UHCCP Medicaid |
$384.68
|
|
|
PR PARTIAL EXCISION BONE SCAPULA
|
Professional
|
Both
|
$1,265.00
|
|
|
Service Code
|
HCPCS 23182
|
| Min. Negotiated Rate |
$38.63 |
| Max. Negotiated Rate |
$1,043.68 |
| Rate for Payer: Aetna Commercial |
$893.47
|
| Rate for Payer: Aetna Medicare |
$632.50
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS Trust/PPO |
$38.63
|
| Rate for Payer: BCN Commercial |
$992.51
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,043.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,043.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$752.40
|
| Rate for Payer: UHC Exchange |
$752.40
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
|
|
PR PARTIAL EXCISION BONE TALUS/CALCANEUS
|
Professional
|
Both
|
$1,274.00
|
|
|
Service Code
|
HCPCS 28120
|
| Min. Negotiated Rate |
$321.63 |
| Max. Negotiated Rate |
$978.82 |
| Rate for Payer: Aetna Commercial |
$658.97
|
| Rate for Payer: Aetna Medicare |
$637.00
|
| Rate for Payer: BCBS Complete |
$337.71
|
| Rate for Payer: BCBS Trust/PPO |
$732.22
|
| Rate for Payer: BCN Commercial |
$978.82
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Meridian Medicaid |
$337.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$763.81
|
| Rate for Payer: Priority Health Narrow Network |
$763.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$601.13
|
| Rate for Payer: UHC Exchange |
$601.13
|
| Rate for Payer: UHCCP Medicaid |
$321.63
|
|
|
PR PARTIAL EXCISION BONE TIBIA
|
Professional
|
Both
|
$2,763.00
|
|
|
Service Code
|
HCPCS 27640
|
| Min. Negotiated Rate |
$536.97 |
| Max. Negotiated Rate |
$2,231.54 |
| Rate for Payer: Aetna Commercial |
$1,110.44
|
| Rate for Payer: Aetna Medicare |
$1,381.50
|
| Rate for Payer: BCBS Complete |
$563.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,231.54
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: Cash Price |
$2,210.40
|
| Rate for Payer: Cash Price |
$2,210.40
|
| Rate for Payer: Meridian Medicaid |
$563.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$536.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,280.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,280.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$986.57
|
| Rate for Payer: UHC Exchange |
$986.57
|
| Rate for Payer: UHCCP Medicaid |
$536.97
|
|
|
PR PARTIAL EXCISION BONE ULNA
|
Professional
|
Both
|
$1,179.00
|
|
|
Service Code
|
HCPCS 25150
|
| Min. Negotiated Rate |
$373.82 |
| Max. Negotiated Rate |
$881.85 |
| Rate for Payer: Aetna Commercial |
$756.27
|
| Rate for Payer: Aetna Medicare |
$589.50
|
| Rate for Payer: BCBS Complete |
$392.51
|
| Rate for Payer: BCBS Trust/PPO |
$386.72
|
| Rate for Payer: BCN Commercial |
$839.55
|
| Rate for Payer: Cash Price |
$943.20
|
| Rate for Payer: Cash Price |
$943.20
|
| Rate for Payer: Meridian Medicaid |
$392.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$373.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$766.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$881.85
|
| Rate for Payer: Priority Health Narrow Network |
$881.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$651.14
|
| Rate for Payer: UHC Exchange |
$651.14
|
| Rate for Payer: UHCCP Medicaid |
$373.82
|
|
|
PR PARTIAL EXCISION DEEP PELVIS
|
Professional
|
Both
|
$3,227.00
|
|
|
Service Code
|
HCPCS 27071
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$2,097.55 |
| Rate for Payer: Aetna Commercial |
$1,287.18
|
| Rate for Payer: Aetna Medicare |
$1,613.50
|
| Rate for Payer: BCBS Complete |
$657.53
|
| Rate for Payer: BCBS Trust/PPO |
$50.72
|
| Rate for Payer: BCN Commercial |
$1,435.25
|
| Rate for Payer: Cash Price |
$2,581.60
|
| Rate for Payer: Cash Price |
$2,581.60
|
| Rate for Payer: Meridian Medicaid |
$657.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,097.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,497.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,497.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,040.09
|
| Rate for Payer: UHC Exchange |
$1,040.09
|
| Rate for Payer: UHCCP Medicaid |
$626.22
|
|
|
PR PARTIAL EXCISION DISTAL PHALANX FINGER
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26236
|
| Min. Negotiated Rate |
$239.32 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$586.97
|
| Rate for Payer: Aetna Medicare |
$636.00
|
| Rate for Payer: BCBS Complete |
$306.62
|
| Rate for Payer: BCBS Trust/PPO |
$239.32
|
| Rate for Payer: BCN Commercial |
$653.85
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Meridian Medicaid |
$306.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$690.52
|
| Rate for Payer: Priority Health Narrow Network |
$690.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$492.76
|
| Rate for Payer: UHC Exchange |
$492.76
|
| Rate for Payer: UHCCP Medicaid |
$292.02
|
|
|
PR PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,363.00
|
|
|
Service Code
|
HCPCS 26235
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$885.95 |
| Rate for Payer: Aetna Commercial |
$655.87
|
| Rate for Payer: Aetna Medicare |
$681.50
|
| Rate for Payer: BCBS Complete |
$341.07
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$729.59
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Meridian Medicaid |
$341.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$885.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.88
|
| Rate for Payer: Priority Health Narrow Network |
$768.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$554.71
|
| Rate for Payer: UHC Exchange |
$554.71
|
| Rate for Payer: UHCCP Medicaid |
$324.83
|
|
|
PR PARTIAL EXCISION SUPERFICIAL PELVIS
|
Professional
|
Both
|
$1,528.00
|
|
|
Service Code
|
HCPCS 27070
|
| Min. Negotiated Rate |
$303.65 |
| Max. Negotiated Rate |
$1,362.23 |
| Rate for Payer: Aetna Commercial |
$1,180.76
|
| Rate for Payer: Aetna Medicare |
$764.00
|
| Rate for Payer: BCBS Complete |
$595.58
|
| Rate for Payer: BCBS Trust/PPO |
$303.65
|
| Rate for Payer: BCN Commercial |
$1,302.82
|
| Rate for Payer: Cash Price |
$1,222.40
|
| Rate for Payer: Cash Price |
$1,222.40
|
| Rate for Payer: Meridian Medicaid |
$595.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$567.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$993.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,362.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,362.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$971.64
|
| Rate for Payer: UHC Exchange |
$971.64
|
| Rate for Payer: UHCCP Medicaid |
$567.22
|
|
|
PR PARTIAL HYMENECTOMY OR REVISION HYMENAL RING
|
Professional
|
Both
|
$657.00
|
|
|
Service Code
|
HCPCS 56700
|
| Min. Negotiated Rate |
$130.78 |
| Max. Negotiated Rate |
$2,047.16 |
| Rate for Payer: Aetna Commercial |
$238.45
|
| Rate for Payer: Aetna Medicare |
$328.50
|
| Rate for Payer: BCBS Complete |
$137.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,047.16
|
| Rate for Payer: BCN Commercial |
$299.56
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Meridian Medicaid |
$137.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$427.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.07
|
| Rate for Payer: Priority Health Narrow Network |
$305.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$211.97
|
| Rate for Payer: UHC Exchange |
$211.97
|
| Rate for Payer: UHCCP Medicaid |
$130.78
|
|
