|
PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>
|
Professional
|
Both
|
$4,058.00
|
|
|
Service Code
|
HCPCS 25078
|
| Min. Negotiated Rate |
$690.12 |
| Max. Negotiated Rate |
$3,043.50 |
| Rate for Payer: Aetna Commercial |
$1,428.75
|
| Rate for Payer: Aetna Medicare |
$1,066.23
|
| Rate for Payer: BCBS Complete |
$724.63
|
| Rate for Payer: BCBS MAPPO |
$1,066.23
|
| Rate for Payer: BCN Commercial |
$1,764.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,066.23
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,535.37
|
| Rate for Payer: Cofinity Commercial |
$1,428.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,066.23
|
| Rate for Payer: Healthscope Commercial |
$1,279.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,279.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,119.54
|
| Rate for Payer: Meridian Medicaid |
$724.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,172.85
|
| Rate for Payer: Nomi Health Commercial |
$1,279.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,043.50
|
| Rate for Payer: PACE SWMI |
$1,066.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,066.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$690.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,886.57
|
| Rate for Payer: Priority Health Medicare |
$1,066.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,886.57
|
| Rate for Payer: Railroad Medicare Medicare |
$1,066.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,046.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,066.23
|
| Rate for Payer: UHC Exchange |
$2,046.88
|
| Rate for Payer: UHC Medicaid |
$690.12
|
| Rate for Payer: UHCCP DNSP |
$1,066.23
|
| Rate for Payer: UHCCP Medicaid |
$690.12
|
|
|
PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>
|
Professional
|
Both
|
$3,614.00
|
|
|
Service Code
|
HCPCS 26118
|
| Min. Negotiated Rate |
$621.11 |
| Max. Negotiated Rate |
$2,710.50 |
| Rate for Payer: Aetna Commercial |
$1,275.93
|
| Rate for Payer: Aetna Medicare |
$952.19
|
| Rate for Payer: BCBS Complete |
$652.17
|
| Rate for Payer: BCBS MAPPO |
$952.19
|
| Rate for Payer: BCN Commercial |
$1,602.51
|
| Rate for Payer: BCN Medicare Advantage |
$952.19
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Cofinity Commercial |
$1,371.15
|
| Rate for Payer: Cofinity Commercial |
$1,275.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$952.19
|
| Rate for Payer: Healthscope Commercial |
$1,142.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,142.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$999.80
|
| Rate for Payer: Meridian Medicaid |
$652.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,047.41
|
| Rate for Payer: Nomi Health Commercial |
$1,142.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,710.50
|
| Rate for Payer: PACE SWMI |
$952.19
|
| Rate for Payer: PHP Medicare Advantage |
$952.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,713.03
|
| Rate for Payer: Priority Health Medicare |
$952.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,713.03
|
| Rate for Payer: Railroad Medicare Medicare |
$952.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,839.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$952.19
|
| Rate for Payer: UHC Exchange |
$1,839.98
|
| Rate for Payer: UHC Medicaid |
$621.11
|
| Rate for Payer: UHCCP DNSP |
$952.19
|
| Rate for Payer: UHCCP Medicaid |
$621.11
|
|
|
PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL
|
Professional
|
Both
|
$4,399.00
|
|
|
Service Code
|
HCPCS 27075
|
| Min. Negotiated Rate |
$1,185.13 |
| Max. Negotiated Rate |
$3,687.93 |
| Rate for Payer: Aetna Commercial |
$2,463.46
|
| Rate for Payer: Aetna Medicare |
$1,838.40
|
| Rate for Payer: BCBS Complete |
$1,244.39
|
| Rate for Payer: BCBS MAPPO |
$1,838.40
|
| Rate for Payer: BCN Commercial |
$3,129.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,838.40
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Cofinity Commercial |
$2,647.30
|
| Rate for Payer: Cofinity Commercial |
$2,463.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,838.40
|
| Rate for Payer: Healthscope Commercial |
$2,206.08
|
| Rate for Payer: Healthscope Whirlpool |
$2,206.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,930.32
|
| Rate for Payer: Meridian Medicaid |
$1,244.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,022.24
|
| Rate for Payer: Nomi Health Commercial |
$2,206.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,299.25
|
| Rate for Payer: PACE SWMI |
$1,838.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,838.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,185.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,345.68
|
| Rate for Payer: Priority Health Medicare |
$1,838.40
|
| Rate for Payer: Priority Health Narrow Network |
$3,345.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,838.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,687.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,838.40
|
| Rate for Payer: UHC Exchange |
$3,687.93
|
| Rate for Payer: UHC Medicaid |
$1,185.13
|
| Rate for Payer: UHCCP DNSP |
$1,838.40
|
| Rate for Payer: UHCCP Medicaid |
$1,185.13
|
|
|
PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,695.00
|
|
|
Service Code
|
HCPCS 26260
|
| Min. Negotiated Rate |
$475.63 |
| Max. Negotiated Rate |
$1,396.73 |
| Rate for Payer: Aetna Commercial |
$977.37
|
| Rate for Payer: Aetna Medicare |
$729.38
|
| Rate for Payer: BCBS Complete |
$499.41
|
| Rate for Payer: BCBS MAPPO |
$729.38
|
| Rate for Payer: BCN Commercial |
$1,215.57
|
| Rate for Payer: BCN Medicare Advantage |
$729.38
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Cofinity Commercial |
$977.37
|
| Rate for Payer: Cofinity Commercial |
$1,050.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.38
|
| Rate for Payer: Healthscope Commercial |
$875.26
|
| Rate for Payer: Healthscope Whirlpool |
$875.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$765.85
|
| Rate for Payer: Meridian Medicaid |
$499.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$802.32
|
| Rate for Payer: Nomi Health Commercial |
$875.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,271.25
|
| Rate for Payer: PACE SWMI |
$729.38
|
| Rate for Payer: PHP Medicare Advantage |
$729.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,299.42
|
| Rate for Payer: Priority Health Medicare |
$729.38
|
| Rate for Payer: Priority Health Narrow Network |
$1,299.42
|
| Rate for Payer: Railroad Medicare Medicare |
$729.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,396.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$729.38
|
| Rate for Payer: UHC Exchange |
$1,396.73
|
| Rate for Payer: UHC Medicaid |
$475.63
|
| Rate for Payer: UHCCP DNSP |
$729.38
|
| Rate for Payer: UHCCP Medicaid |
$475.63
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
|
Professional
|
Both
|
$1,810.00
|
|
|
Service Code
|
HCPCS 21016
|
| Min. Negotiated Rate |
$574.89 |
| Max. Negotiated Rate |
$1,767.27 |
| Rate for Payer: Aetna Commercial |
$1,187.43
|
| Rate for Payer: Aetna Medicare |
$886.14
|
| Rate for Payer: BCBS Complete |
$603.63
|
| Rate for Payer: BCBS MAPPO |
$886.14
|
| Rate for Payer: BCN Commercial |
$1,514.36
|
| Rate for Payer: BCN Medicare Advantage |
$886.14
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Cofinity Commercial |
$1,276.04
|
| Rate for Payer: Cofinity Commercial |
$1,187.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.14
|
| Rate for Payer: Healthscope Commercial |
$1,063.37
|
| Rate for Payer: Healthscope Whirlpool |
$1,063.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$930.45
|
| Rate for Payer: Meridian Medicaid |
$603.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$974.75
|
| Rate for Payer: Nomi Health Commercial |
$1,063.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,357.50
|
| Rate for Payer: PACE SWMI |
$886.14
|
| Rate for Payer: PHP Medicare Advantage |
$886.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$574.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,618.81
|
| Rate for Payer: Priority Health Medicare |
$886.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,618.81
|
| Rate for Payer: Railroad Medicare Medicare |
$886.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,767.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$886.14
|
| Rate for Payer: UHC Exchange |
$1,767.27
|
| Rate for Payer: UHC Medicaid |
$574.89
|
| Rate for Payer: UHCCP DNSP |
$886.14
|
| Rate for Payer: UHCCP Medicaid |
$574.89
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 21015
|
| Min. Negotiated Rate |
$407.90 |
| Max. Negotiated Rate |
$1,226.91 |
| Rate for Payer: Aetna Commercial |
$836.40
|
| Rate for Payer: Aetna Medicare |
$624.18
|
| Rate for Payer: BCBS Complete |
$428.30
|
| Rate for Payer: BCBS MAPPO |
$624.18
|
| Rate for Payer: BCN Commercial |
$1,059.21
|
| Rate for Payer: BCN Medicare Advantage |
$624.18
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cofinity Commercial |
$898.82
|
| Rate for Payer: Cofinity Commercial |
$836.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.18
|
| Rate for Payer: Healthscope Commercial |
$749.02
|
| Rate for Payer: Healthscope Whirlpool |
$749.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.39
|
| Rate for Payer: Meridian Medicaid |
$428.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$686.60
|
| Rate for Payer: Nomi Health Commercial |
$749.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$692.25
|
| Rate for Payer: PACE SWMI |
$624.18
|
| Rate for Payer: PHP Medicare Advantage |
$624.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,132.26
|
| Rate for Payer: Priority Health Medicare |
$624.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,132.26
|
| Rate for Payer: Railroad Medicare Medicare |
$624.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,226.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$624.18
|
| Rate for Payer: UHC Exchange |
$1,226.91
|
| Rate for Payer: UHC Medicaid |
$407.90
|
| Rate for Payer: UHCCP DNSP |
$624.18
|
| Rate for Payer: UHCCP Medicaid |
$407.90
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>
|
Professional
|
Both
|
$2,493.00
|
|
|
Service Code
|
HCPCS 22905
|
| Min. Negotiated Rate |
$789.17 |
| Max. Negotiated Rate |
$2,356.93 |
| Rate for Payer: Aetna Commercial |
$1,642.61
|
| Rate for Payer: Aetna Medicare |
$1,225.83
|
| Rate for Payer: BCBS Complete |
$828.63
|
| Rate for Payer: BCBS MAPPO |
$1,225.83
|
| Rate for Payer: BCN Commercial |
$2,007.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,225.83
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Cofinity Commercial |
$1,765.20
|
| Rate for Payer: Cofinity Commercial |
$1,642.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,225.83
|
| Rate for Payer: Healthscope Commercial |
$1,471.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,471.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,287.12
|
| Rate for Payer: Meridian Medicaid |
$828.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,348.41
|
| Rate for Payer: Nomi Health Commercial |
$1,471.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,869.75
|
| Rate for Payer: PACE SWMI |
$1,225.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,225.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$789.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,145.82
|
| Rate for Payer: Priority Health Medicare |
$1,225.83
|
| Rate for Payer: Priority Health Narrow Network |
$2,145.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,225.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,356.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,225.83
|
| Rate for Payer: UHC Exchange |
$2,356.93
|
| Rate for Payer: UHC Medicaid |
$789.17
|
| Rate for Payer: UHCCP DNSP |
$1,225.83
|
| Rate for Payer: UHCCP Medicaid |
$789.17
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM
|
Professional
|
Both
|
$2,198.00
|
|
|
Service Code
|
HCPCS 22904
|
| Min. Negotiated Rate |
$628.35 |
| Max. Negotiated Rate |
$1,862.60 |
| Rate for Payer: Aetna Commercial |
$1,305.36
|
| Rate for Payer: Aetna Medicare |
$974.15
|
| Rate for Payer: BCBS Complete |
$659.77
|
| Rate for Payer: BCBS MAPPO |
$974.15
|
| Rate for Payer: BCN Commercial |
$1,573.12
|
| Rate for Payer: BCN Medicare Advantage |
$974.15
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Cofinity Commercial |
$1,402.78
|
| Rate for Payer: Cofinity Commercial |
$1,305.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$974.15
|
| Rate for Payer: Healthscope Commercial |
$1,168.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,168.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,022.86
|
| Rate for Payer: Meridian Medicaid |
$659.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,071.57
|
| Rate for Payer: Nomi Health Commercial |
$1,168.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,648.50
|
| Rate for Payer: PACE SWMI |
$974.15
|
| Rate for Payer: PHP Medicare Advantage |
$974.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,681.63
|
| Rate for Payer: Priority Health Medicare |
$974.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,681.63
|
| Rate for Payer: Railroad Medicare Medicare |
$974.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,862.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$974.15
|
| Rate for Payer: UHC Exchange |
$1,862.60
|
| Rate for Payer: UHC Medicaid |
$628.35
|
| Rate for Payer: UHCCP DNSP |
$974.15
|
| Rate for Payer: UHCCP Medicaid |
$628.35
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM
|
Professional
|
Both
|
$3,028.00
|
|
|
Service Code
|
HCPCS 21935
|
| Min. Negotiated Rate |
$609.61 |
| Max. Negotiated Rate |
$2,271.00 |
| Rate for Payer: Aetna Commercial |
$1,264.10
|
| Rate for Payer: Aetna Medicare |
$943.36
|
| Rate for Payer: BCBS Complete |
$640.09
|
| Rate for Payer: BCBS MAPPO |
$943.36
|
| Rate for Payer: BCN Commercial |
$1,535.28
|
| Rate for Payer: BCN Medicare Advantage |
$943.36
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Cofinity Commercial |
$1,358.44
|
| Rate for Payer: Cofinity Commercial |
$1,264.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$943.36
|
| Rate for Payer: Healthscope Commercial |
$1,132.03
|
| Rate for Payer: Healthscope Whirlpool |
$1,132.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$990.53
|
| Rate for Payer: Meridian Medicaid |
$640.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,037.70
|
| Rate for Payer: Nomi Health Commercial |
$1,132.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,271.00
|
| Rate for Payer: PACE SWMI |
$943.36
|
| Rate for Payer: PHP Medicare Advantage |
$943.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,641.16
|
| Rate for Payer: Priority Health Medicare |
$943.36
|
| Rate for Payer: Priority Health Narrow Network |
$1,641.16
|
| Rate for Payer: Railroad Medicare Medicare |
$943.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,810.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$943.36
|
| Rate for Payer: UHC Exchange |
$1,810.02
|
| Rate for Payer: UHC Medicaid |
$609.61
|
| Rate for Payer: UHCCP DNSP |
$943.36
|
| Rate for Payer: UHCCP Medicaid |
$609.61
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
|
Professional
|
Both
|
$2,676.00
|
|
|
Service Code
|
HCPCS 21936
|
| Min. Negotiated Rate |
$834.11 |
| Max. Negotiated Rate |
$2,502.62 |
| Rate for Payer: Aetna Commercial |
$1,736.40
|
| Rate for Payer: Aetna Medicare |
$1,295.82
|
| Rate for Payer: BCBS Complete |
$875.82
|
| Rate for Payer: BCBS MAPPO |
$1,295.82
|
| Rate for Payer: BCN Commercial |
$2,124.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,295.82
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Cofinity Commercial |
$1,865.98
|
| Rate for Payer: Cofinity Commercial |
$1,736.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,295.82
|
| Rate for Payer: Healthscope Commercial |
$1,554.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,554.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,360.61
|
| Rate for Payer: Meridian Medicaid |
$875.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,425.40
|
| Rate for Payer: Nomi Health Commercial |
$1,554.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,007.00
|
| Rate for Payer: PACE SWMI |
$1,295.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,295.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$834.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,271.45
|
| Rate for Payer: Priority Health Medicare |
$1,295.82
|
| Rate for Payer: Priority Health Narrow Network |
$2,271.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,295.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,502.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,295.82
|
| Rate for Payer: UHC Exchange |
$2,502.62
|
| Rate for Payer: UHC Medicaid |
$834.11
|
| Rate for Payer: UHCCP DNSP |
$1,295.82
|
| Rate for Payer: UHCCP Medicaid |
$834.11
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>
|
Professional
|
Both
|
$2,515.00
|
|
|
Service Code
|
HCPCS 28047
|
| Min. Negotiated Rate |
$610.46 |
| Max. Negotiated Rate |
$1,886.25 |
| Rate for Payer: Aetna Commercial |
$1,263.58
|
| Rate for Payer: Aetna Medicare |
$942.97
|
| Rate for Payer: BCBS Complete |
$640.98
|
| Rate for Payer: BCBS MAPPO |
$942.97
|
| Rate for Payer: BCN Commercial |
$1,567.64
|
| Rate for Payer: BCN Medicare Advantage |
$942.97
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Cofinity Commercial |
$1,357.88
|
| Rate for Payer: Cofinity Commercial |
$1,263.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$942.97
|
| Rate for Payer: Healthscope Commercial |
$1,131.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,131.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$990.12
|
| Rate for Payer: Meridian Medicaid |
$640.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,037.27
|
| Rate for Payer: Nomi Health Commercial |
$1,131.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,886.25
|
| Rate for Payer: PACE SWMI |
$942.97
|
| Rate for Payer: PHP Medicare Advantage |
$942.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,675.77
|
| Rate for Payer: Priority Health Medicare |
$942.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,675.77
|
| Rate for Payer: Railroad Medicare Medicare |
$942.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,834.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$942.97
|
| Rate for Payer: UHC Exchange |
$1,834.20
|
| Rate for Payer: UHC Medicaid |
$610.46
|
| Rate for Payer: UHCCP DNSP |
$942.97
|
| Rate for Payer: UHCCP Medicaid |
$610.46
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>
|
Professional
|
Both
|
$2,382.00
|
|
|
Service Code
|
HCPCS 27616
|
| Min. Negotiated Rate |
$738.90 |
| Max. Negotiated Rate |
$2,242.65 |
| Rate for Payer: Aetna Commercial |
$1,532.40
|
| Rate for Payer: Aetna Medicare |
$1,143.58
|
| Rate for Payer: BCBS Complete |
$775.85
|
| Rate for Payer: BCBS MAPPO |
$1,143.58
|
| Rate for Payer: BCN Commercial |
$1,881.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,143.58
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cofinity Commercial |
$1,646.76
|
| Rate for Payer: Cofinity Commercial |
$1,532.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,143.58
|
| Rate for Payer: Healthscope Commercial |
$1,372.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,372.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,200.76
|
| Rate for Payer: Meridian Medicaid |
$775.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,257.94
|
| Rate for Payer: Nomi Health Commercial |
$1,372.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,786.50
|
| Rate for Payer: PACE SWMI |
$1,143.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,143.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$738.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,011.13
|
| Rate for Payer: Priority Health Medicare |
$1,143.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,011.13
|
| Rate for Payer: Railroad Medicare Medicare |
$1,143.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,242.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,143.58
|
| Rate for Payer: UHC Exchange |
$2,242.65
|
| Rate for Payer: UHC Medicaid |
$738.90
|
| Rate for Payer: UHCCP DNSP |
$1,143.58
|
| Rate for Payer: UHCCP Medicaid |
$738.90
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM
|
Professional
|
Both
|
$2,113.00
|
|
|
Service Code
|
HCPCS 23077
|
| Min. Negotiated Rate |
$670.52 |
| Max. Negotiated Rate |
$1,996.96 |
| Rate for Payer: Aetna Commercial |
$1,391.43
|
| Rate for Payer: Aetna Medicare |
$1,038.38
|
| Rate for Payer: BCBS Complete |
$704.05
|
| Rate for Payer: BCBS MAPPO |
$1,038.38
|
| Rate for Payer: BCN Commercial |
$1,707.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,038.38
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Cofinity Commercial |
$1,495.27
|
| Rate for Payer: Cofinity Commercial |
$1,391.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,038.38
|
| Rate for Payer: Healthscope Commercial |
$1,246.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,246.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,090.30
|
| Rate for Payer: Meridian Medicaid |
$704.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,142.22
|
| Rate for Payer: Nomi Health Commercial |
$1,246.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,584.75
|
| Rate for Payer: PACE SWMI |
$1,038.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,038.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,825.35
|
| Rate for Payer: Priority Health Medicare |
$1,038.38
|
| Rate for Payer: Priority Health Narrow Network |
$1,825.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,038.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,996.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,038.38
|
| Rate for Payer: UHC Exchange |
$1,996.96
|
| Rate for Payer: UHC Medicaid |
$670.52
|
| Rate for Payer: UHCCP DNSP |
$1,038.38
|
| Rate for Payer: UHCCP Medicaid |
$670.52
|
|
|
PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>
|
Professional
|
Both
|
$6,857.00
|
|
|
Service Code
|
HCPCS 27364
|
| Min. Negotiated Rate |
$912.28 |
| Max. Negotiated Rate |
$5,142.75 |
| Rate for Payer: Aetna Commercial |
$1,894.79
|
| Rate for Payer: Aetna Medicare |
$1,414.02
|
| Rate for Payer: BCBS Complete |
$957.89
|
| Rate for Payer: BCBS MAPPO |
$1,414.02
|
| Rate for Payer: BCN Commercial |
$2,358.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,414.02
|
| Rate for Payer: Cash Price |
$5,485.60
|
| Rate for Payer: Cash Price |
$5,485.60
|
| Rate for Payer: Cofinity Commercial |
$2,036.19
|
| Rate for Payer: Cofinity Commercial |
$1,894.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,414.02
|
| Rate for Payer: Healthscope Commercial |
$1,696.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,696.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,484.72
|
| Rate for Payer: Meridian Medicaid |
$957.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,555.42
|
| Rate for Payer: Nomi Health Commercial |
$1,696.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,142.75
|
| Rate for Payer: PACE SWMI |
$1,414.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,414.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$912.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,521.63
|
| Rate for Payer: Priority Health Medicare |
$1,414.02
|
| Rate for Payer: Priority Health Narrow Network |
$2,521.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,414.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,755.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,414.02
|
| Rate for Payer: UHC Exchange |
$2,755.88
|
| Rate for Payer: UHC Medicaid |
$912.28
|
| Rate for Payer: UHCCP DNSP |
$1,414.02
|
| Rate for Payer: UHCCP Medicaid |
$912.28
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Professional
|
Both
|
$2,962.00
|
|
|
Service Code
|
HCPCS 25077
|
| Min. Negotiated Rate |
$529.73 |
| Max. Negotiated Rate |
$2,221.50 |
| Rate for Payer: Aetna Commercial |
$1,097.86
|
| Rate for Payer: Aetna Medicare |
$819.30
|
| Rate for Payer: BCBS Complete |
$556.22
|
| Rate for Payer: BCBS MAPPO |
$819.30
|
| Rate for Payer: BCN Commercial |
$1,301.73
|
| Rate for Payer: BCN Medicare Advantage |
$819.30
|
| Rate for Payer: Cash Price |
$2,369.60
|
| Rate for Payer: Cash Price |
$2,369.60
|
| Rate for Payer: Cofinity Commercial |
$1,179.79
|
| Rate for Payer: Cofinity Commercial |
$1,097.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$819.30
|
| Rate for Payer: Healthscope Commercial |
$983.16
|
| Rate for Payer: Healthscope Whirlpool |
$983.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$860.26
|
| Rate for Payer: Meridian Medicaid |
$556.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$901.23
|
| Rate for Payer: Nomi Health Commercial |
$983.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,221.50
|
| Rate for Payer: PACE SWMI |
$819.30
|
| Rate for Payer: PHP Medicare Advantage |
$819.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,391.51
|
| Rate for Payer: Priority Health Medicare |
$819.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,391.51
|
| Rate for Payer: Railroad Medicare Medicare |
$819.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,556.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$819.30
|
| Rate for Payer: UHC Exchange |
$1,556.59
|
| Rate for Payer: UHC Medicaid |
$529.73
|
| Rate for Payer: UHCCP DNSP |
$819.30
|
| Rate for Payer: UHCCP Medicaid |
$529.73
|
|
|
PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM
|
Professional
|
Both
|
$1,727.00
|
|
|
Service Code
|
HCPCS 21557
|
| Min. Negotiated Rate |
$562.75 |
| Max. Negotiated Rate |
$1,678.09 |
| Rate for Payer: Aetna Commercial |
$1,165.76
|
| Rate for Payer: Aetna Medicare |
$869.97
|
| Rate for Payer: BCBS Complete |
$590.89
|
| Rate for Payer: BCBS MAPPO |
$869.97
|
| Rate for Payer: BCN Commercial |
$1,437.17
|
| Rate for Payer: BCN Medicare Advantage |
$869.97
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,252.76
|
| Rate for Payer: Cofinity Commercial |
$1,165.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$869.97
|
| Rate for Payer: Healthscope Commercial |
$1,043.96
|
| Rate for Payer: Healthscope Whirlpool |
$1,043.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$913.47
|
| Rate for Payer: Meridian Medicaid |
$590.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$956.97
|
| Rate for Payer: Nomi Health Commercial |
$1,043.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,295.25
|
| Rate for Payer: PACE SWMI |
$869.97
|
| Rate for Payer: PHP Medicare Advantage |
$869.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,536.30
|
| Rate for Payer: Priority Health Medicare |
$869.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,536.30
|
| Rate for Payer: Railroad Medicare Medicare |
$869.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,678.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$869.97
|
| Rate for Payer: UHC Exchange |
$1,678.09
|
| Rate for Payer: UHC Medicaid |
$562.75
|
| Rate for Payer: UHCCP DNSP |
$869.97
|
| Rate for Payer: UHCCP Medicaid |
$562.75
|
|
|
PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>
|
Professional
|
Both
|
$3,521.00
|
|
|
Service Code
|
HCPCS 21558
|
| Min. Negotiated Rate |
$778.94 |
| Max. Negotiated Rate |
$2,640.75 |
| Rate for Payer: Aetna Commercial |
$1,619.81
|
| Rate for Payer: Aetna Medicare |
$1,208.81
|
| Rate for Payer: BCBS Complete |
$817.89
|
| Rate for Payer: BCBS MAPPO |
$1,208.81
|
| Rate for Payer: BCN Commercial |
$2,014.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,208.81
|
| Rate for Payer: Cash Price |
$2,816.80
|
| Rate for Payer: Cash Price |
$2,816.80
|
| Rate for Payer: Cofinity Commercial |
$1,740.69
|
| Rate for Payer: Cofinity Commercial |
$1,619.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,208.81
|
| Rate for Payer: Healthscope Commercial |
$1,450.57
|
| Rate for Payer: Healthscope Whirlpool |
$1,450.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,269.25
|
| Rate for Payer: Meridian Medicaid |
$817.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,329.69
|
| Rate for Payer: Nomi Health Commercial |
$1,450.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,640.75
|
| Rate for Payer: PACE SWMI |
$1,208.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,208.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,153.27
|
| Rate for Payer: Priority Health Medicare |
$1,208.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,153.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,208.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,371.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,208.81
|
| Rate for Payer: UHC Exchange |
$2,371.12
|
| Rate for Payer: UHC Medicaid |
$778.94
|
| Rate for Payer: UHCCP DNSP |
$1,208.81
|
| Rate for Payer: UHCCP Medicaid |
$778.94
|
|
|
PR RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM
|
Professional
|
Both
|
$2,432.00
|
|
|
Service Code
|
HCPCS 26117
|
| Min. Negotiated Rate |
$442.83 |
| Max. Negotiated Rate |
$1,824.00 |
| Rate for Payer: Aetna Commercial |
$907.17
|
| Rate for Payer: Aetna Medicare |
$676.99
|
| Rate for Payer: BCBS Complete |
$464.97
|
| Rate for Payer: BCBS MAPPO |
$676.99
|
| Rate for Payer: BCN Commercial |
$1,141.37
|
| Rate for Payer: BCN Medicare Advantage |
$676.99
|
| Rate for Payer: Cash Price |
$1,945.60
|
| Rate for Payer: Cash Price |
$1,945.60
|
| Rate for Payer: Cofinity Commercial |
$974.87
|
| Rate for Payer: Cofinity Commercial |
$907.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$676.99
|
| Rate for Payer: Healthscope Commercial |
$812.39
|
| Rate for Payer: Healthscope Whirlpool |
$812.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$710.84
|
| Rate for Payer: Meridian Medicaid |
$464.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$744.69
|
| Rate for Payer: Nomi Health Commercial |
$812.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,824.00
|
| Rate for Payer: PACE SWMI |
$676.99
|
| Rate for Payer: PHP Medicare Advantage |
$676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,220.09
|
| Rate for Payer: Priority Health Medicare |
$676.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,220.09
|
| Rate for Payer: Railroad Medicare Medicare |
$676.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,296.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$676.99
|
| Rate for Payer: UHC Exchange |
$1,296.63
|
| Rate for Payer: UHC Medicaid |
$442.83
|
| Rate for Payer: UHCCP DNSP |
$676.99
|
| Rate for Payer: UHCCP Medicaid |
$442.83
|
|
|
PR RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM
|
Professional
|
Both
|
$3,257.00
|
|
|
Service Code
|
HCPCS 27049
|
| Min. Negotiated Rate |
$823.88 |
| Max. Negotiated Rate |
$2,442.75 |
| Rate for Payer: Aetna Commercial |
$1,705.62
|
| Rate for Payer: Aetna Medicare |
$1,272.85
|
| Rate for Payer: BCBS Complete |
$865.07
|
| Rate for Payer: BCBS MAPPO |
$1,272.85
|
| Rate for Payer: BCN Commercial |
$2,152.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.85
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Cofinity Commercial |
$1,832.90
|
| Rate for Payer: Cofinity Commercial |
$1,705.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.85
|
| Rate for Payer: Healthscope Commercial |
$1,527.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,527.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,336.49
|
| Rate for Payer: Meridian Medicaid |
$865.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,400.13
|
| Rate for Payer: Nomi Health Commercial |
$1,527.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,442.75
|
| Rate for Payer: PACE SWMI |
$1,272.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$823.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,300.73
|
| Rate for Payer: Priority Health Medicare |
$1,272.85
|
| Rate for Payer: Priority Health Narrow Network |
$2,300.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,272.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,362.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,272.85
|
| Rate for Payer: UHC Exchange |
$2,362.08
|
| Rate for Payer: UHC Medicaid |
$823.88
|
| Rate for Payer: UHCCP DNSP |
$1,272.85
|
| Rate for Payer: UHCCP Medicaid |
$823.88
|
|
|
PR RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM
|
Professional
|
Both
|
$3,479.00
|
|
|
Service Code
|
HCPCS 27329
|
| Min. Negotiated Rate |
$616.00 |
| Max. Negotiated Rate |
$2,609.25 |
| Rate for Payer: Aetna Commercial |
$1,275.10
|
| Rate for Payer: Aetna Medicare |
$951.57
|
| Rate for Payer: BCBS Complete |
$646.80
|
| Rate for Payer: BCBS MAPPO |
$951.57
|
| Rate for Payer: BCN Commercial |
$1,573.62
|
| Rate for Payer: BCN Medicare Advantage |
$951.57
|
| Rate for Payer: Cash Price |
$2,783.20
|
| Rate for Payer: Cash Price |
$2,783.20
|
| Rate for Payer: Cofinity Commercial |
$1,370.26
|
| Rate for Payer: Cofinity Commercial |
$1,275.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$951.57
|
| Rate for Payer: Healthscope Commercial |
$1,141.88
|
| Rate for Payer: Healthscope Whirlpool |
$1,141.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$999.15
|
| Rate for Payer: Meridian Medicaid |
$646.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,046.73
|
| Rate for Payer: Nomi Health Commercial |
$1,141.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,609.25
|
| Rate for Payer: PACE SWMI |
$951.57
|
| Rate for Payer: PHP Medicare Advantage |
$951.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,682.16
|
| Rate for Payer: Priority Health Medicare |
$951.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,682.16
|
| Rate for Payer: Railroad Medicare Medicare |
$951.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,832.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$951.57
|
| Rate for Payer: UHC Exchange |
$1,832.85
|
| Rate for Payer: UHC Medicaid |
$616.00
|
| Rate for Payer: UHCCP DNSP |
$951.57
|
| Rate for Payer: UHCCP Medicaid |
$616.00
|
|
|
PR RAPID DESENSITIZATION PROCEDURE EACH HOUR
|
Professional
|
Both
|
$261.00
|
|
|
Service Code
|
HCPCS 95180
|
| Min. Negotiated Rate |
$55.38 |
| Max. Negotiated Rate |
$195.75 |
| Rate for Payer: Aetna Commercial |
$114.74
|
| Rate for Payer: Aetna Medicare |
$85.63
|
| Rate for Payer: BCBS Complete |
$58.15
|
| Rate for Payer: BCBS MAPPO |
$85.63
|
| Rate for Payer: BCN Commercial |
$151.88
|
| Rate for Payer: BCN Medicare Advantage |
$85.63
|
| Rate for Payer: Cash Price |
$208.80
|
| Rate for Payer: Cash Price |
$208.80
|
| Rate for Payer: Cofinity Commercial |
$123.31
|
| Rate for Payer: Cofinity Commercial |
$114.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.63
|
| Rate for Payer: Healthscope Commercial |
$102.76
|
| Rate for Payer: Healthscope Whirlpool |
$102.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.91
|
| Rate for Payer: Meridian Medicaid |
$58.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$94.19
|
| Rate for Payer: Nomi Health Commercial |
$102.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.75
|
| Rate for Payer: PACE SWMI |
$85.63
|
| Rate for Payer: PHP Medicare Advantage |
$85.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$142.96
|
| Rate for Payer: Priority Health Medicare |
$85.63
|
| Rate for Payer: Priority Health Narrow Network |
$142.96
|
| Rate for Payer: Railroad Medicare Medicare |
$85.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$167.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$85.63
|
| Rate for Payer: UHC Exchange |
$167.20
|
| Rate for Payer: UHC Medicaid |
$55.38
|
| Rate for Payer: UHCCP DNSP |
$85.63
|
| Rate for Payer: UHCCP Medicaid |
$55.38
|
|
|
PR RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY
|
Professional
|
Both
|
$877.00
|
|
|
Service Code
|
HCPCS 28313
|
| Min. Negotiated Rate |
$336.18 |
| Max. Negotiated Rate |
$657.75 |
| Rate for Payer: Aetna Commercial |
$450.48
|
| Rate for Payer: Aetna Medicare |
$336.18
|
| Rate for Payer: BCBS Complete |
$350.80
|
| Rate for Payer: BCBS MAPPO |
$336.18
|
| Rate for Payer: BCN Commercial |
$555.25
|
| Rate for Payer: BCN Medicare Advantage |
$336.18
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cofinity Commercial |
$484.10
|
| Rate for Payer: Cofinity Commercial |
$450.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.18
|
| Rate for Payer: Healthscope Commercial |
$403.42
|
| Rate for Payer: Healthscope Whirlpool |
$403.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$369.80
|
| Rate for Payer: Nomi Health Commercial |
$403.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$657.75
|
| Rate for Payer: PACE SWMI |
$336.18
|
| Rate for Payer: PHP Medicare Advantage |
$336.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$593.54
|
| Rate for Payer: Priority Health Medicare |
$336.18
|
| Rate for Payer: Priority Health Narrow Network |
$593.54
|
| Rate for Payer: Railroad Medicare Medicare |
$336.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$618.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$336.18
|
| Rate for Payer: UHC Exchange |
$618.55
|
| Rate for Payer: UHCCP DNSP |
$336.18
|
|
|
PR RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD
|
Professional
|
Both
|
$7,412.00
|
|
|
Service Code
|
HCPCS 21175
|
| Min. Negotiated Rate |
$1,231.99 |
| Max. Negotiated Rate |
$5,559.00 |
| Rate for Payer: Aetna Commercial |
$2,549.73
|
| Rate for Payer: Aetna Medicare |
$1,902.78
|
| Rate for Payer: BCBS Complete |
$1,293.59
|
| Rate for Payer: BCBS MAPPO |
$1,902.78
|
| Rate for Payer: BCN Commercial |
$3,634.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,902.78
|
| Rate for Payer: Cash Price |
$5,929.60
|
| Rate for Payer: Cash Price |
$5,929.60
|
| Rate for Payer: Cofinity Commercial |
$2,740.00
|
| Rate for Payer: Cofinity Commercial |
$2,549.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,902.78
|
| Rate for Payer: Healthscope Commercial |
$2,283.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,283.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,997.92
|
| Rate for Payer: Meridian Medicaid |
$1,293.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,093.06
|
| Rate for Payer: Nomi Health Commercial |
$2,283.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,559.00
|
| Rate for Payer: PACE SWMI |
$1,902.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,902.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,231.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,536.26
|
| Rate for Payer: Priority Health Medicare |
$1,902.78
|
| Rate for Payer: Priority Health Narrow Network |
$3,536.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,902.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,910.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,902.78
|
| Rate for Payer: UHC Exchange |
$3,910.04
|
| Rate for Payer: UHC Medicaid |
$1,231.99
|
| Rate for Payer: UHCCP DNSP |
$1,902.78
|
| Rate for Payer: UHCCP Medicaid |
$1,231.99
|
|
|
PR RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT
|
Professional
|
Both
|
$1,252.00
|
|
|
Service Code
|
HCPCS 26545
|
| Min. Negotiated Rate |
$451.13 |
| Max. Negotiated Rate |
$1,239.42 |
| Rate for Payer: Aetna Commercial |
$905.13
|
| Rate for Payer: Aetna Medicare |
$675.47
|
| Rate for Payer: BCBS Complete |
$473.69
|
| Rate for Payer: BCBS MAPPO |
$675.47
|
| Rate for Payer: BCN Commercial |
$1,107.01
|
| Rate for Payer: BCN Medicare Advantage |
$675.47
|
| Rate for Payer: Cash Price |
$1,001.60
|
| Rate for Payer: Cash Price |
$1,001.60
|
| Rate for Payer: Cofinity Commercial |
$972.68
|
| Rate for Payer: Cofinity Commercial |
$905.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$675.47
|
| Rate for Payer: Healthscope Commercial |
$810.56
|
| Rate for Payer: Healthscope Whirlpool |
$810.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$709.24
|
| Rate for Payer: Meridian Medicaid |
$473.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$743.02
|
| Rate for Payer: Nomi Health Commercial |
$810.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$939.00
|
| Rate for Payer: PACE SWMI |
$675.47
|
| Rate for Payer: PHP Medicare Advantage |
$675.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,183.36
|
| Rate for Payer: Priority Health Medicare |
$675.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,183.36
|
| Rate for Payer: Railroad Medicare Medicare |
$675.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,239.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$675.47
|
| Rate for Payer: UHC Exchange |
$1,239.42
|
| Rate for Payer: UHC Medicaid |
$451.13
|
| Rate for Payer: UHCCP DNSP |
$675.47
|
| Rate for Payer: UHCCP Medicaid |
$451.13
|
|
|
PR RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS
|
Professional
|
Both
|
$3,673.00
|
|
|
Service Code
|
HCPCS 26542
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$2,754.75 |
| Rate for Payer: Aetna Commercial |
$891.38
|
| Rate for Payer: Aetna Medicare |
$665.21
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCBS MAPPO |
$665.21
|
| Rate for Payer: BCN Commercial |
$1,091.58
|
| Rate for Payer: BCN Medicare Advantage |
$665.21
|
| Rate for Payer: Cash Price |
$2,938.40
|
| Rate for Payer: Cash Price |
$2,938.40
|
| Rate for Payer: Cofinity Commercial |
$957.90
|
| Rate for Payer: Cofinity Commercial |
$891.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.21
|
| Rate for Payer: Healthscope Commercial |
$798.25
|
| Rate for Payer: Healthscope Whirlpool |
$798.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.47
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$731.73
|
| Rate for Payer: Nomi Health Commercial |
$798.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,754.75
|
| Rate for Payer: PACE SWMI |
$665.21
|
| Rate for Payer: PHP Medicare Advantage |
$665.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,166.87
|
| Rate for Payer: Priority Health Medicare |
$665.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,166.87
|
| Rate for Payer: Railroad Medicare Medicare |
$665.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,188.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$665.21
|
| Rate for Payer: UHC Exchange |
$1,188.84
|
| Rate for Payer: UHC Medicaid |
$444.32
|
| Rate for Payer: UHCCP DNSP |
$665.21
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
|
