|
PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR
|
Professional
|
Both
|
$2,266.00
|
|
|
Service Code
|
HCPCS 22102
|
| Min. Negotiated Rate |
$447.73 |
| Max. Negotiated Rate |
$1,699.50 |
| Rate for Payer: Aetna Commercial |
$917.91
|
| Rate for Payer: Aetna Medicare |
$685.01
|
| Rate for Payer: BCBS Complete |
$470.12
|
| Rate for Payer: BCBS MAPPO |
$685.01
|
| Rate for Payer: BCN Commercial |
$1,155.31
|
| Rate for Payer: BCN Medicare Advantage |
$685.01
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cofinity Commercial |
$986.41
|
| Rate for Payer: Cofinity Commercial |
$917.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$685.01
|
| Rate for Payer: Healthscope Commercial |
$822.01
|
| Rate for Payer: Healthscope Whirlpool |
$822.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$719.26
|
| Rate for Payer: Meridian Medicaid |
$470.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$753.51
|
| Rate for Payer: Nomi Health Commercial |
$822.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,699.50
|
| Rate for Payer: PACE SWMI |
$685.01
|
| Rate for Payer: PHP Medicare Advantage |
$685.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,235.00
|
| Rate for Payer: Priority Health Medicare |
$685.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.00
|
| Rate for Payer: Railroad Medicare Medicare |
$685.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,431.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$685.01
|
| Rate for Payer: UHC Exchange |
$1,431.53
|
| Rate for Payer: UHC Medicaid |
$447.73
|
| Rate for Payer: UHCCP DNSP |
$685.01
|
| Rate for Payer: UHCCP Medicaid |
$447.73
|
|
|
PR PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC
|
Professional
|
Both
|
$2,338.00
|
|
|
Service Code
|
HCPCS 22101
|
| Min. Negotiated Rate |
$553.37 |
| Max. Negotiated Rate |
$1,753.50 |
| Rate for Payer: Aetna Commercial |
$1,136.84
|
| Rate for Payer: Aetna Medicare |
$848.39
|
| Rate for Payer: BCBS Complete |
$581.04
|
| Rate for Payer: BCBS MAPPO |
$848.39
|
| Rate for Payer: BCN Commercial |
$1,361.48
|
| Rate for Payer: BCN Medicare Advantage |
$848.39
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cash Price |
$1,870.40
|
| Rate for Payer: Cofinity Commercial |
$1,221.68
|
| Rate for Payer: Cofinity Commercial |
$1,136.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$848.39
|
| Rate for Payer: Healthscope Commercial |
$1,018.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,018.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$890.81
|
| Rate for Payer: Meridian Medicaid |
$581.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$933.23
|
| Rate for Payer: Nomi Health Commercial |
$1,018.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,753.50
|
| Rate for Payer: PACE SWMI |
$848.39
|
| Rate for Payer: PHP Medicare Advantage |
$848.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$553.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,455.38
|
| Rate for Payer: Priority Health Medicare |
$848.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,455.38
|
| Rate for Payer: Railroad Medicare Medicare |
$848.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,520.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$848.39
|
| Rate for Payer: UHC Exchange |
$1,520.73
|
| Rate for Payer: UHC Medicaid |
$553.37
|
| Rate for Payer: UHCCP DNSP |
$848.39
|
| Rate for Payer: UHCCP Medicaid |
$553.37
|
|
|
PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV
|
Professional
|
Both
|
$3,362.00
|
|
|
Service Code
|
HCPCS 22110
|
| Min. Negotiated Rate |
$649.86 |
| Max. Negotiated Rate |
$2,521.50 |
| Rate for Payer: Aetna Commercial |
$1,342.43
|
| Rate for Payer: Aetna Medicare |
$1,001.81
|
| Rate for Payer: BCBS Complete |
$682.35
|
| Rate for Payer: BCBS MAPPO |
$1,001.81
|
| Rate for Payer: BCN Commercial |
$1,770.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,001.81
|
| Rate for Payer: Cash Price |
$2,689.60
|
| Rate for Payer: Cash Price |
$2,689.60
|
| Rate for Payer: Cofinity Commercial |
$1,442.61
|
| Rate for Payer: Cofinity Commercial |
$1,342.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,001.81
|
| Rate for Payer: Healthscope Commercial |
$1,202.17
|
| Rate for Payer: Healthscope Whirlpool |
$1,202.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,051.90
|
| Rate for Payer: Meridian Medicaid |
$682.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,101.99
|
| Rate for Payer: Nomi Health Commercial |
$1,202.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,521.50
|
| Rate for Payer: PACE SWMI |
$1,001.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,001.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$649.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,723.15
|
| Rate for Payer: Priority Health Medicare |
$1,001.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,723.15
|
| Rate for Payer: Railroad Medicare Medicare |
$1,001.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,825.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,001.81
|
| Rate for Payer: UHC Exchange |
$1,825.90
|
| Rate for Payer: UHC Medicaid |
$649.86
|
| Rate for Payer: UHCCP DNSP |
$1,001.81
|
| Rate for Payer: UHCCP Medicaid |
$649.86
|
|
|
PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 22116
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$620.25 |
| Rate for Payer: Aetna Commercial |
$170.21
|
| Rate for Payer: Aetna Medicare |
$127.02
|
| Rate for Payer: BCBS Complete |
$84.31
|
| Rate for Payer: BCBS MAPPO |
$127.02
|
| Rate for Payer: BCN Commercial |
$213.13
|
| Rate for Payer: BCN Medicare Advantage |
$127.02
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$182.91
|
| Rate for Payer: Cofinity Commercial |
$170.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.02
|
| Rate for Payer: Healthscope Commercial |
$152.42
|
| Rate for Payer: Healthscope Whirlpool |
$152.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.37
|
| Rate for Payer: Meridian Medicaid |
$84.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$139.72
|
| Rate for Payer: Nomi Health Commercial |
$152.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PACE SWMI |
$127.02
|
| Rate for Payer: PHP Medicare Advantage |
$127.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$227.83
|
| Rate for Payer: Priority Health Medicare |
$127.02
|
| Rate for Payer: Priority Health Narrow Network |
$227.83
|
| Rate for Payer: Railroad Medicare Medicare |
$127.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$250.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$127.02
|
| Rate for Payer: UHC Exchange |
$250.30
|
| Rate for Payer: UHC Medicaid |
$80.30
|
| Rate for Payer: UHCCP DNSP |
$127.02
|
| Rate for Payer: UHCCP Medicaid |
$80.30
|
|
|
PR PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR
|
Professional
|
Both
|
$2,505.00
|
|
|
Service Code
|
HCPCS 22114
|
| Min. Negotiated Rate |
$746.78 |
| Max. Negotiated Rate |
$1,958.49 |
| Rate for Payer: Aetna Commercial |
$1,541.87
|
| Rate for Payer: Aetna Medicare |
$1,150.65
|
| Rate for Payer: BCBS Complete |
$784.12
|
| Rate for Payer: BCBS MAPPO |
$1,150.65
|
| Rate for Payer: BCN Commercial |
$1,744.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,150.65
|
| Rate for Payer: Cash Price |
$2,004.00
|
| Rate for Payer: Cash Price |
$2,004.00
|
| Rate for Payer: Cofinity Commercial |
$1,656.94
|
| Rate for Payer: Cofinity Commercial |
$1,541.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,150.65
|
| Rate for Payer: Healthscope Commercial |
$1,380.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.18
|
| Rate for Payer: Meridian Medicaid |
$784.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,265.71
|
| Rate for Payer: Nomi Health Commercial |
$1,380.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,878.75
|
| Rate for Payer: PACE SWMI |
$1,150.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,150.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$746.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,865.27
|
| Rate for Payer: Priority Health Medicare |
$1,150.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,865.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,150.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,958.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,150.65
|
| Rate for Payer: UHC Exchange |
$1,958.49
|
| Rate for Payer: UHC Medicaid |
$746.78
|
| Rate for Payer: UHCCP DNSP |
$1,150.65
|
| Rate for Payer: UHCCP Medicaid |
$746.78
|
|
|
PR PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY
|
Professional
|
Both
|
$4,087.00
|
|
|
Service Code
|
HCPCS 60210
|
| Min. Negotiated Rate |
$412.79 |
| Max. Negotiated Rate |
$3,065.25 |
| Rate for Payer: Aetna Commercial |
$856.61
|
| Rate for Payer: Aetna Medicare |
$639.26
|
| Rate for Payer: BCBS Complete |
$433.43
|
| Rate for Payer: BCBS MAPPO |
$639.26
|
| Rate for Payer: BCN Commercial |
$1,069.16
|
| Rate for Payer: BCN Medicare Advantage |
$639.26
|
| Rate for Payer: Cash Price |
$3,269.60
|
| Rate for Payer: Cash Price |
$3,269.60
|
| Rate for Payer: Cofinity Commercial |
$920.53
|
| Rate for Payer: Cofinity Commercial |
$856.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.26
|
| Rate for Payer: Healthscope Commercial |
$767.11
|
| Rate for Payer: Healthscope Whirlpool |
$767.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.22
|
| Rate for Payer: Meridian Medicaid |
$433.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$703.19
|
| Rate for Payer: Nomi Health Commercial |
$767.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,065.25
|
| Rate for Payer: PACE SWMI |
$639.26
|
| Rate for Payer: PHP Medicare Advantage |
$639.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,159.34
|
| Rate for Payer: Priority Health Medicare |
$639.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,159.34
|
| Rate for Payer: Railroad Medicare Medicare |
$639.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,243.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$639.26
|
| Rate for Payer: UHC Exchange |
$1,243.54
|
| Rate for Payer: UHC Medicaid |
$412.79
|
| Rate for Payer: UHCCP DNSP |
$639.26
|
| Rate for Payer: UHCCP Medicaid |
$412.79
|
|
|
PR PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC
|
Professional
|
Both
|
$1,886.00
|
|
|
Service Code
|
HCPCS 60212
|
| Min. Negotiated Rate |
$620.47 |
| Max. Negotiated Rate |
$1,823.82 |
| Rate for Payer: Aetna Commercial |
$1,294.11
|
| Rate for Payer: Aetna Medicare |
$965.75
|
| Rate for Payer: BCBS Complete |
$651.49
|
| Rate for Payer: BCBS MAPPO |
$965.75
|
| Rate for Payer: BCN Commercial |
$1,545.24
|
| Rate for Payer: BCN Medicare Advantage |
$965.75
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cofinity Commercial |
$1,390.68
|
| Rate for Payer: Cofinity Commercial |
$1,294.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$965.75
|
| Rate for Payer: Healthscope Commercial |
$1,158.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,158.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,014.04
|
| Rate for Payer: Meridian Medicaid |
$651.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,062.33
|
| Rate for Payer: Nomi Health Commercial |
$1,158.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,414.50
|
| Rate for Payer: PACE SWMI |
$965.75
|
| Rate for Payer: PHP Medicare Advantage |
$965.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$620.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,675.56
|
| Rate for Payer: Priority Health Medicare |
$965.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,675.56
|
| Rate for Payer: Railroad Medicare Medicare |
$965.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,823.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$965.75
|
| Rate for Payer: UHC Exchange |
$1,823.82
|
| Rate for Payer: UHC Medicaid |
$620.47
|
| Rate for Payer: UHCCP DNSP |
$965.75
|
| Rate for Payer: UHCCP Medicaid |
$620.47
|
|
|
PR PSA SCREENING
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS G0103
|
| Min. Negotiated Rate |
$8.11 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: Aetna Commercial |
$25.88
|
| Rate for Payer: Aetna Medicare |
$19.31
|
| Rate for Payer: BCBS MAPPO |
$19.31
|
| Rate for Payer: BCN Commercial |
$14.48
|
| Rate for Payer: BCN Medicare Advantage |
$19.31
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$25.88
|
| Rate for Payer: Cofinity Commercial |
$27.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.31
|
| Rate for Payer: Healthscope Commercial |
$23.17
|
| Rate for Payer: Healthscope Whirlpool |
$23.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.24
|
| Rate for Payer: Nomi Health Commercial |
$23.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: PACE SWMI |
$19.31
|
| Rate for Payer: PHP Medicare Advantage |
$19.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20.18
|
| Rate for Payer: Priority Health Medicare |
$19.31
|
| Rate for Payer: Priority Health Narrow Network |
$20.18
|
| Rate for Payer: Railroad Medicare Medicare |
$19.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19.31
|
| Rate for Payer: UHC Exchange |
$8.11
|
| Rate for Payer: UHCCP DNSP |
$19.31
|
|
|
PR PSYCHIATRIC DIAGNOSTIC EVALUATION
|
Professional
|
Both
|
$273.00
|
|
|
Service Code
|
HCPCS 90791
|
| Min. Negotiated Rate |
$136.64 |
| Max. Negotiated Rate |
$204.75 |
| Rate for Payer: Aetna Commercial |
$183.10
|
| Rate for Payer: Aetna Medicare |
$136.64
|
| Rate for Payer: BCBS Complete |
$143.47
|
| Rate for Payer: BCBS MAPPO |
$136.64
|
| Rate for Payer: BCN Commercial |
$173.57
|
| Rate for Payer: BCN Medicare Advantage |
$136.64
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cofinity Commercial |
$196.76
|
| Rate for Payer: Cofinity Commercial |
$183.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.64
|
| Rate for Payer: Healthscope Commercial |
$163.97
|
| Rate for Payer: Healthscope Whirlpool |
$163.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.47
|
| Rate for Payer: Meridian Medicaid |
$143.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$150.30
|
| Rate for Payer: Nomi Health Commercial |
$163.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$204.75
|
| Rate for Payer: PACE SWMI |
$136.64
|
| Rate for Payer: PHP Medicare Advantage |
$136.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$194.98
|
| Rate for Payer: Priority Health Medicare |
$136.64
|
| Rate for Payer: Priority Health Narrow Network |
$194.98
|
| Rate for Payer: Railroad Medicare Medicare |
$136.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$203.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$136.64
|
| Rate for Payer: UHC Exchange |
$203.55
|
| Rate for Payer: UHC Medicaid |
$136.64
|
| Rate for Payer: UHCCP DNSP |
$136.64
|
| Rate for Payer: UHCCP Medicaid |
$136.64
|
|
|
PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 90792
|
| Min. Negotiated Rate |
$158.78 |
| Max. Negotiated Rate |
$228.64 |
| Rate for Payer: Aetna Commercial |
$212.77
|
| Rate for Payer: Aetna Medicare |
$158.78
|
| Rate for Payer: BCBS Complete |
$166.72
|
| Rate for Payer: BCBS MAPPO |
$158.78
|
| Rate for Payer: BCN Commercial |
$198.71
|
| Rate for Payer: BCN Medicare Advantage |
$158.78
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$228.64
|
| Rate for Payer: Cofinity Commercial |
$212.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.78
|
| Rate for Payer: Healthscope Commercial |
$190.54
|
| Rate for Payer: Healthscope Whirlpool |
$190.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.72
|
| Rate for Payer: Meridian Medicaid |
$166.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$174.66
|
| Rate for Payer: Nomi Health Commercial |
$190.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$204.00
|
| Rate for Payer: PACE SWMI |
$158.78
|
| Rate for Payer: PHP Medicare Advantage |
$158.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$213.34
|
| Rate for Payer: Priority Health Medicare |
$158.78
|
| Rate for Payer: Priority Health Narrow Network |
$213.34
|
| Rate for Payer: Railroad Medicare Medicare |
$158.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$227.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$158.78
|
| Rate for Payer: UHC Exchange |
$227.12
|
| Rate for Payer: UHC Medicaid |
$158.78
|
| Rate for Payer: UHCCP DNSP |
$158.78
|
| Rate for Payer: UHCCP Medicaid |
$158.78
|
|
|
PR PSYCHOANALYSIS
|
Professional
|
Both
|
$207.00
|
|
|
Service Code
|
HCPCS 90845
|
| Min. Negotiated Rate |
$82.80 |
| Max. Negotiated Rate |
$155.25 |
| Rate for Payer: Aetna Commercial |
$117.61
|
| Rate for Payer: Aetna Medicare |
$87.77
|
| Rate for Payer: BCBS Complete |
$82.80
|
| Rate for Payer: BCBS MAPPO |
$87.77
|
| Rate for Payer: BCN Commercial |
$98.08
|
| Rate for Payer: BCN Medicare Advantage |
$87.77
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cofinity Commercial |
$117.61
|
| Rate for Payer: Cofinity Commercial |
$126.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.77
|
| Rate for Payer: Healthscope Commercial |
$105.32
|
| Rate for Payer: Healthscope Whirlpool |
$105.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$96.55
|
| Rate for Payer: Nomi Health Commercial |
$105.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$155.25
|
| Rate for Payer: PACE SWMI |
$87.77
|
| Rate for Payer: PHP Medicare Advantage |
$87.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$115.44
|
| Rate for Payer: Priority Health Medicare |
$87.77
|
| Rate for Payer: Priority Health Narrow Network |
$115.44
|
| Rate for Payer: Railroad Medicare Medicare |
$87.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$145.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$87.77
|
| Rate for Payer: UHC Exchange |
$145.32
|
| Rate for Payer: UHCCP DNSP |
$87.77
|
|
|
PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR
|
Professional
|
Both
|
$187.00
|
|
|
Service Code
|
HCPCS 96131
|
| Min. Negotiated Rate |
$44.73 |
| Max. Negotiated Rate |
$140.25 |
| Rate for Payer: Aetna Commercial |
$93.55
|
| Rate for Payer: Aetna Medicare |
$69.81
|
| Rate for Payer: BCBS Complete |
$46.97
|
| Rate for Payer: BCBS MAPPO |
$69.81
|
| Rate for Payer: BCN Commercial |
$127.49
|
| Rate for Payer: BCN Medicare Advantage |
$69.81
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cofinity Commercial |
$93.55
|
| Rate for Payer: Cofinity Commercial |
$100.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.81
|
| Rate for Payer: Healthscope Commercial |
$83.77
|
| Rate for Payer: Healthscope Whirlpool |
$83.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.30
|
| Rate for Payer: Meridian Medicaid |
$46.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.79
|
| Rate for Payer: Nomi Health Commercial |
$83.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.25
|
| Rate for Payer: PACE SWMI |
$69.81
|
| Rate for Payer: PHP Medicare Advantage |
$69.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$102.88
|
| Rate for Payer: Priority Health Medicare |
$69.81
|
| Rate for Payer: Priority Health Narrow Network |
$102.88
|
| Rate for Payer: Railroad Medicare Medicare |
$69.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$136.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$69.81
|
| Rate for Payer: UHC Exchange |
$136.13
|
| Rate for Payer: UHC Medicaid |
$44.73
|
| Rate for Payer: UHCCP DNSP |
$69.81
|
| Rate for Payer: UHCCP Medicaid |
$44.73
|
|
|
PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR
|
Professional
|
Both
|
$246.00
|
|
|
Service Code
|
HCPCS 96130
|
| Min. Negotiated Rate |
$63.47 |
| Max. Negotiated Rate |
$184.50 |
| Rate for Payer: Aetna Commercial |
$132.61
|
| Rate for Payer: Aetna Medicare |
$98.96
|
| Rate for Payer: BCBS Complete |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$98.96
|
| Rate for Payer: BCN Commercial |
$180.76
|
| Rate for Payer: BCN Medicare Advantage |
$98.96
|
| Rate for Payer: Cash Price |
$196.80
|
| Rate for Payer: Cash Price |
$196.80
|
| Rate for Payer: Cofinity Commercial |
$142.50
|
| Rate for Payer: Cofinity Commercial |
$132.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.96
|
| Rate for Payer: Healthscope Commercial |
$118.75
|
| Rate for Payer: Healthscope Whirlpool |
$118.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.91
|
| Rate for Payer: Meridian Medicaid |
$66.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.86
|
| Rate for Payer: Nomi Health Commercial |
$118.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$184.50
|
| Rate for Payer: PACE SWMI |
$98.96
|
| Rate for Payer: PHP Medicare Advantage |
$98.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$150.64
|
| Rate for Payer: Priority Health Medicare |
$98.96
|
| Rate for Payer: Priority Health Narrow Network |
$150.64
|
| Rate for Payer: Railroad Medicare Medicare |
$98.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$176.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$98.96
|
| Rate for Payer: UHC Exchange |
$176.83
|
| Rate for Payer: UHC Medicaid |
$63.47
|
| Rate for Payer: UHCCP DNSP |
$98.96
|
| Rate for Payer: UHCCP Medicaid |
$63.47
|
|
|
PR PSYCHOLOGIC TESTING ADMIN BY COMPUTER
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 96103
|
| Min. Negotiated Rate |
$22.80 |
| Max. Negotiated Rate |
$42.75 |
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
|
|
PR PSYCHOLOGIC TESTING BY PSYCH/PHYS
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 96101
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$114.75 |
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.75
|
|
|
PR PSYCHOTHERAPY COMPLEX INTERACTIVE
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 90785
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$111.00 |
| Rate for Payer: Aetna Commercial |
$15.58
|
| Rate for Payer: Aetna Medicare |
$11.63
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS MAPPO |
$11.63
|
| Rate for Payer: BCN Commercial |
$14.92
|
| Rate for Payer: BCN Medicare Advantage |
$11.63
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$16.75
|
| Rate for Payer: Cofinity Commercial |
$15.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.63
|
| Rate for Payer: Healthscope Commercial |
$13.96
|
| Rate for Payer: Healthscope Whirlpool |
$13.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.21
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.79
|
| Rate for Payer: Nomi Health Commercial |
$13.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.00
|
| Rate for Payer: PACE SWMI |
$11.63
|
| Rate for Payer: PHP Medicare Advantage |
$11.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$18.55
|
| Rate for Payer: Priority Health Medicare |
$11.63
|
| Rate for Payer: Priority Health Narrow Network |
$18.55
|
| Rate for Payer: Railroad Medicare Medicare |
$11.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.63
|
| Rate for Payer: UHC Exchange |
$22.41
|
| Rate for Payer: UHC Medicaid |
$7.46
|
| Rate for Payer: UHCCP DNSP |
$11.63
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
|
|
PR PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 90840
|
| Min. Negotiated Rate |
$42.09 |
| Max. Negotiated Rate |
$101.80 |
| Rate for Payer: Aetna Commercial |
$83.27
|
| Rate for Payer: Aetna Medicare |
$62.14
|
| Rate for Payer: BCBS Complete |
$44.19
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCN Commercial |
$78.54
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cofinity Commercial |
$89.48
|
| Rate for Payer: Cofinity Commercial |
$83.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$74.57
|
| Rate for Payer: Healthscope Whirlpool |
$74.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Meridian Medicaid |
$44.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Nomi Health Commercial |
$74.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$91.50
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$88.63
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health Narrow Network |
$88.63
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$101.80
|
| Rate for Payer: UHC Medicaid |
$42.09
|
| Rate for Payer: UHCCP DNSP |
$62.14
|
| Rate for Payer: UHCCP Medicaid |
$42.09
|
|
|
PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES
|
Professional
|
Both
|
$237.00
|
|
|
Service Code
|
HCPCS 90839
|
| Min. Negotiated Rate |
$87.33 |
| Max. Negotiated Rate |
$212.18 |
| Rate for Payer: Aetna Commercial |
$172.78
|
| Rate for Payer: Aetna Medicare |
$128.94
|
| Rate for Payer: BCBS Complete |
$91.70
|
| Rate for Payer: BCBS MAPPO |
$128.94
|
| Rate for Payer: BCN Commercial |
$158.26
|
| Rate for Payer: BCN Medicare Advantage |
$128.94
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Cofinity Commercial |
$185.67
|
| Rate for Payer: Cofinity Commercial |
$172.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.94
|
| Rate for Payer: Healthscope Commercial |
$154.73
|
| Rate for Payer: Healthscope Whirlpool |
$154.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.39
|
| Rate for Payer: Meridian Medicaid |
$91.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.83
|
| Rate for Payer: Nomi Health Commercial |
$154.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.75
|
| Rate for Payer: PACE SWMI |
$128.94
|
| Rate for Payer: PHP Medicare Advantage |
$128.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$172.63
|
| Rate for Payer: Priority Health Medicare |
$128.94
|
| Rate for Payer: Priority Health Narrow Network |
$172.63
|
| Rate for Payer: Railroad Medicare Medicare |
$128.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$212.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.94
|
| Rate for Payer: UHC Exchange |
$212.18
|
| Rate for Payer: UHC Medicaid |
$87.33
|
| Rate for Payer: UHCCP DNSP |
$128.94
|
| Rate for Payer: UHCCP Medicaid |
$87.33
|
|
|
PR PSYCHOTHERAPY W/PATIENT 30 MINUTES
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 90832
|
| Min. Negotiated Rate |
$46.83 |
| Max. Negotiated Rate |
$101.80 |
| Rate for Payer: Aetna Commercial |
$92.65
|
| Rate for Payer: Aetna Medicare |
$69.14
|
| Rate for Payer: BCBS Complete |
$49.17
|
| Rate for Payer: BCBS MAPPO |
$69.14
|
| Rate for Payer: BCN Commercial |
$83.65
|
| Rate for Payer: BCN Medicare Advantage |
$69.14
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$99.56
|
| Rate for Payer: Cofinity Commercial |
$92.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.14
|
| Rate for Payer: Healthscope Commercial |
$82.97
|
| Rate for Payer: Healthscope Whirlpool |
$82.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.60
|
| Rate for Payer: Meridian Medicaid |
$49.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.05
|
| Rate for Payer: Nomi Health Commercial |
$82.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: PACE SWMI |
$69.14
|
| Rate for Payer: PHP Medicare Advantage |
$69.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$89.05
|
| Rate for Payer: Priority Health Medicare |
$69.14
|
| Rate for Payer: Priority Health Narrow Network |
$89.05
|
| Rate for Payer: Railroad Medicare Medicare |
$69.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$69.14
|
| Rate for Payer: UHC Exchange |
$101.80
|
| Rate for Payer: UHC Medicaid |
$46.83
|
| Rate for Payer: UHCCP DNSP |
$69.14
|
| Rate for Payer: UHCCP Medicaid |
$46.83
|
|
|
PR PSYCHOTHERAPY W/PATIENT 45 MINUTES
|
Professional
|
Both
|
$175.00
|
|
|
Service Code
|
HCPCS 90834
|
| Min. Negotiated Rate |
$61.93 |
| Max. Negotiated Rate |
$135.74 |
| Rate for Payer: Aetna Commercial |
$122.53
|
| Rate for Payer: Aetna Medicare |
$91.44
|
| Rate for Payer: BCBS Complete |
$65.03
|
| Rate for Payer: BCBS MAPPO |
$91.44
|
| Rate for Payer: BCN Commercial |
$110.35
|
| Rate for Payer: BCN Medicare Advantage |
$91.44
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cofinity Commercial |
$131.67
|
| Rate for Payer: Cofinity Commercial |
$122.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.44
|
| Rate for Payer: Healthscope Commercial |
$109.73
|
| Rate for Payer: Healthscope Whirlpool |
$109.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.01
|
| Rate for Payer: Meridian Medicaid |
$65.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.58
|
| Rate for Payer: Nomi Health Commercial |
$109.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$131.25
|
| Rate for Payer: PACE SWMI |
$91.44
|
| Rate for Payer: PHP Medicare Advantage |
$91.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$117.40
|
| Rate for Payer: Priority Health Medicare |
$91.44
|
| Rate for Payer: Priority Health Narrow Network |
$117.40
|
| Rate for Payer: Railroad Medicare Medicare |
$91.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$135.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.44
|
| Rate for Payer: UHC Exchange |
$135.74
|
| Rate for Payer: UHC Medicaid |
$61.93
|
| Rate for Payer: UHCCP DNSP |
$91.44
|
| Rate for Payer: UHCCP Medicaid |
$61.93
|
|
|
PR PSYCHOTHERAPY W/PATIENT 60 MINUTES
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 90837
|
| Min. Negotiated Rate |
$91.18 |
| Max. Negotiated Rate |
$203.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna Medicare |
$134.63
|
| Rate for Payer: BCBS Complete |
$95.74
|
| Rate for Payer: BCBS MAPPO |
$134.63
|
| Rate for Payer: BCN Commercial |
$163.36
|
| Rate for Payer: BCN Medicare Advantage |
$134.63
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cofinity Commercial |
$193.87
|
| Rate for Payer: Cofinity Commercial |
$180.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.63
|
| Rate for Payer: Healthscope Commercial |
$161.56
|
| Rate for Payer: Healthscope Whirlpool |
$161.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.36
|
| Rate for Payer: Meridian Medicaid |
$95.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$148.09
|
| Rate for Payer: Nomi Health Commercial |
$161.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.75
|
| Rate for Payer: PACE SWMI |
$134.63
|
| Rate for Payer: PHP Medicare Advantage |
$134.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$173.99
|
| Rate for Payer: Priority Health Medicare |
$134.63
|
| Rate for Payer: Priority Health Narrow Network |
$173.99
|
| Rate for Payer: Railroad Medicare Medicare |
$134.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$203.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$134.63
|
| Rate for Payer: UHC Exchange |
$203.02
|
| Rate for Payer: UHC Medicaid |
$91.18
|
| Rate for Payer: UHCCP DNSP |
$134.63
|
| Rate for Payer: UHCCP Medicaid |
$91.18
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 90833
|
| Min. Negotiated Rate |
$36.15 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$87.84
|
| Rate for Payer: Aetna Medicare |
$65.55
|
| Rate for Payer: BCBS Complete |
$46.62
|
| Rate for Payer: BCBS MAPPO |
$65.55
|
| Rate for Payer: BCN Commercial |
$36.15
|
| Rate for Payer: BCN Medicare Advantage |
$65.55
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$94.39
|
| Rate for Payer: Cofinity Commercial |
$87.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.55
|
| Rate for Payer: Healthscope Commercial |
$78.66
|
| Rate for Payer: Healthscope Whirlpool |
$78.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.83
|
| Rate for Payer: Meridian Medicaid |
$46.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.11
|
| Rate for Payer: Nomi Health Commercial |
$78.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
| Rate for Payer: PACE SWMI |
$65.55
|
| Rate for Payer: PHP Medicare Advantage |
$65.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$83.82
|
| Rate for Payer: Priority Health Medicare |
$65.55
|
| Rate for Payer: Priority Health Narrow Network |
$83.82
|
| Rate for Payer: Railroad Medicare Medicare |
$65.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.55
|
| Rate for Payer: UHC Exchange |
$105.52
|
| Rate for Payer: UHC Medicaid |
$44.40
|
| Rate for Payer: UHCCP DNSP |
$65.55
|
| Rate for Payer: UHCCP Medicaid |
$44.40
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN
|
Professional
|
Both
|
$177.00
|
|
|
Service Code
|
HCPCS 90836
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$133.65 |
| Rate for Payer: Aetna Commercial |
$110.98
|
| Rate for Payer: Aetna Medicare |
$82.82
|
| Rate for Payer: BCBS Complete |
$58.89
|
| Rate for Payer: BCBS MAPPO |
$82.82
|
| Rate for Payer: BCN Commercial |
$45.96
|
| Rate for Payer: BCN Medicare Advantage |
$82.82
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cofinity Commercial |
$119.26
|
| Rate for Payer: Cofinity Commercial |
$110.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.82
|
| Rate for Payer: Healthscope Commercial |
$99.38
|
| Rate for Payer: Healthscope Whirlpool |
$99.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.96
|
| Rate for Payer: Meridian Medicaid |
$58.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$91.10
|
| Rate for Payer: Nomi Health Commercial |
$99.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.75
|
| Rate for Payer: PACE SWMI |
$82.82
|
| Rate for Payer: PHP Medicare Advantage |
$82.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$106.67
|
| Rate for Payer: Priority Health Medicare |
$82.82
|
| Rate for Payer: Priority Health Narrow Network |
$106.67
|
| Rate for Payer: Railroad Medicare Medicare |
$82.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$133.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$82.82
|
| Rate for Payer: UHC Exchange |
$133.65
|
| Rate for Payer: UHC Medicaid |
$56.09
|
| Rate for Payer: UHCCP DNSP |
$82.82
|
| Rate for Payer: UHCCP Medicaid |
$56.09
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 90838
|
| Min. Negotiated Rate |
$61.39 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$147.15
|
| Rate for Payer: Aetna Medicare |
$109.81
|
| Rate for Payer: BCBS Complete |
$78.09
|
| Rate for Payer: BCBS MAPPO |
$109.81
|
| Rate for Payer: BCN Commercial |
$61.39
|
| Rate for Payer: BCN Medicare Advantage |
$109.81
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$158.13
|
| Rate for Payer: Cofinity Commercial |
$147.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.81
|
| Rate for Payer: Healthscope Commercial |
$131.77
|
| Rate for Payer: Healthscope Whirlpool |
$131.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.30
|
| Rate for Payer: Meridian Medicaid |
$78.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.79
|
| Rate for Payer: Nomi Health Commercial |
$131.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: PACE SWMI |
$109.81
|
| Rate for Payer: PHP Medicare Advantage |
$109.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$147.89
|
| Rate for Payer: Priority Health Medicare |
$109.81
|
| Rate for Payer: Priority Health Narrow Network |
$147.89
|
| Rate for Payer: Railroad Medicare Medicare |
$109.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$175.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$109.81
|
| Rate for Payer: UHC Exchange |
$175.47
|
| Rate for Payer: UHC Medicaid |
$74.37
|
| Rate for Payer: UHCCP DNSP |
$109.81
|
| Rate for Payer: UHCCP Medicaid |
$74.37
|
|
|
PR PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT
|
Professional
|
Both
|
$4.00
|
|
|
Service Code
|
HCPCS 96146
|
| Min. Negotiated Rate |
$2.21 |
| Max. Negotiated Rate |
$3.49 |
| Rate for Payer: Aetna Commercial |
$2.96
|
| Rate for Payer: Aetna Medicare |
$2.21
|
| Rate for Payer: BCBS MAPPO |
$2.21
|
| Rate for Payer: BCN Commercial |
$3.49
|
| Rate for Payer: BCN Medicare Advantage |
$2.21
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cofinity Commercial |
$2.96
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.21
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Whirlpool |
$2.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.43
|
| Rate for Payer: Nomi Health Commercial |
$2.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.00
|
| Rate for Payer: PACE SWMI |
$2.21
|
| Rate for Payer: PHP Medicare Advantage |
$2.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3.21
|
| Rate for Payer: Priority Health Medicare |
$2.21
|
| Rate for Payer: Priority Health Narrow Network |
$3.21
|
| Rate for Payer: Railroad Medicare Medicare |
$2.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.21
|
| Rate for Payer: UHC Exchange |
$3.24
|
| Rate for Payer: UHCCP DNSP |
$2.21
|
|
