|
PR RECONSTRUCTION NAIL BED W/GRAFT
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 11762
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$345.00 |
| Rate for Payer: Aetna Commercial |
$228.59
|
| Rate for Payer: Aetna Medicare |
$170.59
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.59
|
| Rate for Payer: BCN Commercial |
$283.35
|
| Rate for Payer: BCN Medicare Advantage |
$170.59
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cofinity Commercial |
$245.65
|
| Rate for Payer: Cofinity Commercial |
$228.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.59
|
| Rate for Payer: Healthscope Commercial |
$204.71
|
| Rate for Payer: Healthscope Whirlpool |
$204.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.12
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.65
|
| Rate for Payer: Nomi Health Commercial |
$204.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.00
|
| Rate for Payer: PACE SWMI |
$170.59
|
| Rate for Payer: PHP Medicare Advantage |
$170.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$259.34
|
| Rate for Payer: Priority Health Medicare |
$170.59
|
| Rate for Payer: Priority Health Narrow Network |
$259.34
|
| Rate for Payer: Railroad Medicare Medicare |
$170.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$332.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.59
|
| Rate for Payer: UHC Exchange |
$332.25
|
| Rate for Payer: UHC Medicaid |
$111.61
|
| Rate for Payer: UHCCP DNSP |
$170.59
|
| Rate for Payer: UHCCP Medicaid |
$111.61
|
|
|
PR RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
|
Professional
|
Both
|
$4,106.00
|
|
|
Service Code
|
HCPCS 23420
|
| Min. Negotiated Rate |
$578.08 |
| Max. Negotiated Rate |
$3,079.50 |
| Rate for Payer: Aetna Commercial |
$1,187.21
|
| Rate for Payer: Aetna Medicare |
$885.98
|
| Rate for Payer: BCBS Complete |
$606.98
|
| Rate for Payer: BCBS MAPPO |
$885.98
|
| Rate for Payer: BCN Commercial |
$1,630.81
|
| Rate for Payer: BCN Medicare Advantage |
$885.98
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cofinity Commercial |
$1,275.81
|
| Rate for Payer: Cofinity Commercial |
$1,187.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$885.98
|
| Rate for Payer: Healthscope Commercial |
$1,063.18
|
| Rate for Payer: Healthscope Whirlpool |
$1,063.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$930.28
|
| Rate for Payer: Meridian Medicaid |
$606.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$974.58
|
| Rate for Payer: Nomi Health Commercial |
$1,063.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,079.50
|
| Rate for Payer: PACE SWMI |
$885.98
|
| Rate for Payer: PHP Medicare Advantage |
$885.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,586.87
|
| Rate for Payer: Priority Health Medicare |
$885.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,586.87
|
| Rate for Payer: Railroad Medicare Medicare |
$885.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,699.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$885.98
|
| Rate for Payer: UHC Exchange |
$1,699.21
|
| Rate for Payer: UHC Medicaid |
$578.08
|
| Rate for Payer: UHCCP DNSP |
$885.98
|
| Rate for Payer: UHCCP Medicaid |
$578.08
|
|
|
PR RECONSTRUCTION TOE POLYDACTYLY
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 28344
|
| Min. Negotiated Rate |
$168.27 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$343.11
|
| Rate for Payer: Aetna Medicare |
$256.05
|
| Rate for Payer: BCBS Complete |
$176.68
|
| Rate for Payer: BCBS MAPPO |
$256.05
|
| Rate for Payer: BCN Commercial |
$424.78
|
| Rate for Payer: BCN Medicare Advantage |
$256.05
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$368.71
|
| Rate for Payer: Cofinity Commercial |
$343.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.05
|
| Rate for Payer: Healthscope Commercial |
$307.26
|
| Rate for Payer: Healthscope Whirlpool |
$307.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$268.85
|
| Rate for Payer: Meridian Medicaid |
$176.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$281.65
|
| Rate for Payer: Nomi Health Commercial |
$307.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$637.50
|
| Rate for Payer: PACE SWMI |
$256.05
|
| Rate for Payer: PHP Medicare Advantage |
$256.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$454.08
|
| Rate for Payer: Priority Health Medicare |
$256.05
|
| Rate for Payer: Priority Health Narrow Network |
$454.08
|
| Rate for Payer: Railroad Medicare Medicare |
$256.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$487.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$256.05
|
| Rate for Payer: UHC Exchange |
$487.23
|
| Rate for Payer: UHC Medicaid |
$168.27
|
| Rate for Payer: UHCCP DNSP |
$256.05
|
| Rate for Payer: UHCCP Medicaid |
$168.27
|
|
|
PR RECONSTRUCTION VENA CAVA ANY METHOD
|
Professional
|
Both
|
$2,471.00
|
|
|
Service Code
|
HCPCS 34502
|
| Min. Negotiated Rate |
$903.33 |
| Max. Negotiated Rate |
$2,753.62 |
| Rate for Payer: Aetna Commercial |
$1,901.66
|
| Rate for Payer: Aetna Medicare |
$1,419.15
|
| Rate for Payer: BCBS Complete |
$948.50
|
| Rate for Payer: BCBS MAPPO |
$1,419.15
|
| Rate for Payer: BCN Commercial |
$2,274.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,419.15
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$2,043.58
|
| Rate for Payer: Cofinity Commercial |
$1,901.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,419.15
|
| Rate for Payer: Healthscope Commercial |
$1,702.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,702.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,490.11
|
| Rate for Payer: Meridian Medicaid |
$948.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,561.07
|
| Rate for Payer: Nomi Health Commercial |
$1,702.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,853.25
|
| Rate for Payer: PACE SWMI |
$1,419.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,419.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$903.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,445.69
|
| Rate for Payer: Priority Health Medicare |
$1,419.15
|
| Rate for Payer: Priority Health Narrow Network |
$2,445.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,419.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,753.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,419.15
|
| Rate for Payer: UHC Exchange |
$2,753.62
|
| Rate for Payer: UHC Medicaid |
$903.33
|
| Rate for Payer: UHCCP DNSP |
$1,419.15
|
| Rate for Payer: UHCCP Medicaid |
$903.33
|
|
|
PR RECTAL SESATION TONE & COMPLIANCE TEST
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 91120
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$713.11 |
| Rate for Payer: Aetna Commercial |
$562.84
|
| Rate for Payer: Aetna Commercial |
$562.84
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS Complete |
$292.40
|
| Rate for Payer: BCN Commercial |
$713.11
|
| Rate for Payer: BCN Commercial |
$713.11
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
|
|
PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
|
Professional
|
Both
|
$1,847.00
|
|
|
Service Code
|
HCPCS 0184T
|
| Min. Negotiated Rate |
$490.58 |
| Max. Negotiated Rate |
$5,565.88 |
| Rate for Payer: Aetna Commercial |
$771.30
|
| Rate for Payer: BCBS Complete |
$738.80
|
| Rate for Payer: BCN Commercial |
$5,565.88
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,385.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,238.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,238.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$490.58
|
| Rate for Payer: UHC Exchange |
$490.58
|
|
|
PR REGION IV LOCAL ANESTH,UPPER/LOWER EXT
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS 01995
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.75 |
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.75
|
|
|
PR REIMPLANTATION ANOMALOUS PULMONARY ARTERY
|
Professional
|
Both
|
$6,904.00
|
|
|
Service Code
|
HCPCS 33788
|
| Min. Negotiated Rate |
$917.18 |
| Max. Negotiated Rate |
$5,178.00 |
| Rate for Payer: Aetna Commercial |
$1,928.53
|
| Rate for Payer: Aetna Medicare |
$1,439.20
|
| Rate for Payer: BCBS Complete |
$963.04
|
| Rate for Payer: BCBS MAPPO |
$1,439.20
|
| Rate for Payer: BCN Commercial |
$2,258.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,439.20
|
| Rate for Payer: Cash Price |
$5,523.20
|
| Rate for Payer: Cash Price |
$5,523.20
|
| Rate for Payer: Cofinity Commercial |
$2,072.45
|
| Rate for Payer: Cofinity Commercial |
$1,928.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,439.20
|
| Rate for Payer: Healthscope Commercial |
$1,727.04
|
| Rate for Payer: Healthscope Whirlpool |
$1,727.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,511.16
|
| Rate for Payer: Meridian Medicaid |
$963.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,583.12
|
| Rate for Payer: Nomi Health Commercial |
$1,727.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,178.00
|
| Rate for Payer: PACE SWMI |
$1,439.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,439.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$917.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,428.56
|
| Rate for Payer: Priority Health Medicare |
$1,439.20
|
| Rate for Payer: Priority Health Narrow Network |
$2,428.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,439.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,729.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,439.20
|
| Rate for Payer: UHC Exchange |
$2,729.85
|
| Rate for Payer: UHC Medicaid |
$917.18
|
| Rate for Payer: UHCCP DNSP |
$1,439.20
|
| Rate for Payer: UHCCP Medicaid |
$917.18
|
|
|
PR REINSERTION SPINAL FIXATION DEVICE
|
Professional
|
Both
|
$5,150.00
|
|
|
Service Code
|
HCPCS 22849
|
| Min. Negotiated Rate |
$782.35 |
| Max. Negotiated Rate |
$3,862.50 |
| Rate for Payer: Aetna Commercial |
$1,629.56
|
| Rate for Payer: Aetna Medicare |
$1,216.09
|
| Rate for Payer: BCBS Complete |
$821.47
|
| Rate for Payer: BCBS MAPPO |
$1,216.09
|
| Rate for Payer: BCN Commercial |
$2,176.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,216.09
|
| Rate for Payer: Cash Price |
$4,120.00
|
| Rate for Payer: Cash Price |
$4,120.00
|
| Rate for Payer: Cofinity Commercial |
$1,751.17
|
| Rate for Payer: Cofinity Commercial |
$1,629.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,216.09
|
| Rate for Payer: Healthscope Commercial |
$1,459.31
|
| Rate for Payer: Healthscope Whirlpool |
$1,459.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,276.89
|
| Rate for Payer: Meridian Medicaid |
$821.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,337.70
|
| Rate for Payer: Nomi Health Commercial |
$1,459.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,862.50
|
| Rate for Payer: PACE SWMI |
$1,216.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,216.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,117.59
|
| Rate for Payer: Priority Health Medicare |
$1,216.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,117.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,216.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,299.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,216.09
|
| Rate for Payer: UHC Exchange |
$2,299.06
|
| Rate for Payer: UHC Medicaid |
$782.35
|
| Rate for Payer: UHCCP DNSP |
$1,216.09
|
| Rate for Payer: UHCCP Medicaid |
$782.35
|
|
|
PR RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE
|
Professional
|
Both
|
$1,074.00
|
|
|
Service Code
|
HCPCS 26593
|
| Min. Negotiated Rate |
$405.34 |
| Max. Negotiated Rate |
$1,048.56 |
| Rate for Payer: Aetna Commercial |
$808.56
|
| Rate for Payer: Aetna Medicare |
$603.40
|
| Rate for Payer: BCBS Complete |
$425.61
|
| Rate for Payer: BCBS MAPPO |
$603.40
|
| Rate for Payer: BCN Commercial |
$973.55
|
| Rate for Payer: BCN Medicare Advantage |
$603.40
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$868.90
|
| Rate for Payer: Cofinity Commercial |
$808.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.40
|
| Rate for Payer: Healthscope Commercial |
$724.08
|
| Rate for Payer: Healthscope Whirlpool |
$724.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.57
|
| Rate for Payer: Meridian Medicaid |
$425.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$663.74
|
| Rate for Payer: Nomi Health Commercial |
$724.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
| Rate for Payer: PACE SWMI |
$603.40
|
| Rate for Payer: PHP Medicare Advantage |
$603.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,040.69
|
| Rate for Payer: Priority Health Medicare |
$603.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,040.69
|
| Rate for Payer: Railroad Medicare Medicare |
$603.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,048.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$603.40
|
| Rate for Payer: UHC Exchange |
$1,048.56
|
| Rate for Payer: UHC Medicaid |
$405.34
|
| Rate for Payer: UHCCP DNSP |
$603.40
|
| Rate for Payer: UHCCP Medicaid |
$405.34
|
|
|
PR RELEASE/RECESSION HAMSTRING PROXIMAL
|
Professional
|
Both
|
$2,396.00
|
|
|
Service Code
|
HCPCS 27097
|
| Min. Negotiated Rate |
$410.66 |
| Max. Negotiated Rate |
$1,797.00 |
| Rate for Payer: Aetna Commercial |
$841.61
|
| Rate for Payer: Aetna Medicare |
$628.07
|
| Rate for Payer: BCBS Complete |
$431.19
|
| Rate for Payer: BCBS MAPPO |
$628.07
|
| Rate for Payer: BCN Commercial |
$1,045.76
|
| Rate for Payer: BCN Medicare Advantage |
$628.07
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cofinity Commercial |
$904.42
|
| Rate for Payer: Cofinity Commercial |
$841.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$628.07
|
| Rate for Payer: Healthscope Commercial |
$753.68
|
| Rate for Payer: Healthscope Whirlpool |
$753.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$659.47
|
| Rate for Payer: Meridian Medicaid |
$431.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$690.88
|
| Rate for Payer: Nomi Health Commercial |
$753.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,797.00
|
| Rate for Payer: PACE SWMI |
$628.07
|
| Rate for Payer: PHP Medicare Advantage |
$628.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,117.89
|
| Rate for Payer: Priority Health Medicare |
$628.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.89
|
| Rate for Payer: Railroad Medicare Medicare |
$628.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,191.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$628.07
|
| Rate for Payer: UHC Exchange |
$1,191.12
|
| Rate for Payer: UHC Medicaid |
$410.66
|
| Rate for Payer: UHCCP DNSP |
$628.07
|
| Rate for Payer: UHCCP Medicaid |
$410.66
|
|
|
PR RELEASE TARSAL TUNNEL
|
Professional
|
Both
|
$1,426.00
|
|
|
Service Code
|
HCPCS 28035
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$1,069.50 |
| Rate for Payer: Aetna Commercial |
$446.73
|
| Rate for Payer: Aetna Medicare |
$333.38
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.38
|
| Rate for Payer: BCN Commercial |
$551.76
|
| Rate for Payer: BCN Medicare Advantage |
$333.38
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cofinity Commercial |
$480.07
|
| Rate for Payer: Cofinity Commercial |
$446.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.38
|
| Rate for Payer: Healthscope Commercial |
$400.06
|
| Rate for Payer: Healthscope Whirlpool |
$400.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.05
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$366.72
|
| Rate for Payer: Nomi Health Commercial |
$400.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,069.50
|
| Rate for Payer: PACE SWMI |
$333.38
|
| Rate for Payer: PHP Medicare Advantage |
$333.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$589.82
|
| Rate for Payer: Priority Health Medicare |
$333.38
|
| Rate for Payer: Priority Health Narrow Network |
$589.82
|
| Rate for Payer: Railroad Medicare Medicare |
$333.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$617.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$333.38
|
| Rate for Payer: UHC Exchange |
$617.73
|
| Rate for Payer: UHC Medicaid |
$219.18
|
| Rate for Payer: UHCCP DNSP |
$333.38
|
| Rate for Payer: UHCCP Medicaid |
$219.18
|
|
|
PR RELEASE THENAR MUSCLE
|
Professional
|
Both
|
$1,634.00
|
|
|
Service Code
|
HCPCS 26508
|
| Min. Negotiated Rate |
$408.96 |
| Max. Negotiated Rate |
$1,225.50 |
| Rate for Payer: Aetna Commercial |
$818.11
|
| Rate for Payer: Aetna Medicare |
$610.53
|
| Rate for Payer: BCBS Complete |
$429.41
|
| Rate for Payer: BCBS MAPPO |
$610.53
|
| Rate for Payer: BCN Commercial |
$1,018.87
|
| Rate for Payer: BCN Medicare Advantage |
$610.53
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cofinity Commercial |
$879.16
|
| Rate for Payer: Cofinity Commercial |
$818.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.53
|
| Rate for Payer: Healthscope Commercial |
$732.64
|
| Rate for Payer: Healthscope Whirlpool |
$732.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$641.06
|
| Rate for Payer: Meridian Medicaid |
$429.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.58
|
| Rate for Payer: Nomi Health Commercial |
$732.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,225.50
|
| Rate for Payer: PACE SWMI |
$610.53
|
| Rate for Payer: PHP Medicare Advantage |
$610.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,089.14
|
| Rate for Payer: Priority Health Medicare |
$610.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,089.14
|
| Rate for Payer: Railroad Medicare Medicare |
$610.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,108.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.53
|
| Rate for Payer: UHC Exchange |
$1,108.24
|
| Rate for Payer: UHC Medicaid |
$408.96
|
| Rate for Payer: UHCCP DNSP |
$610.53
|
| Rate for Payer: UHCCP Medicaid |
$408.96
|
|
|
PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR
|
Professional
|
Both
|
$1,398.00
|
|
|
Service Code
|
HCPCS 33223
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$1,048.50 |
| Rate for Payer: Aetna Commercial |
$483.24
|
| Rate for Payer: Aetna Medicare |
$360.63
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCBS MAPPO |
$360.63
|
| Rate for Payer: BCN Commercial |
$603.55
|
| Rate for Payer: BCN Medicare Advantage |
$360.63
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cofinity Commercial |
$519.31
|
| Rate for Payer: Cofinity Commercial |
$483.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.63
|
| Rate for Payer: Healthscope Commercial |
$432.76
|
| Rate for Payer: Healthscope Whirlpool |
$432.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$378.66
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$396.69
|
| Rate for Payer: Nomi Health Commercial |
$432.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,048.50
|
| Rate for Payer: PACE SWMI |
$360.63
|
| Rate for Payer: PHP Medicare Advantage |
$360.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$649.05
|
| Rate for Payer: Priority Health Medicare |
$360.63
|
| Rate for Payer: Priority Health Narrow Network |
$649.05
|
| Rate for Payer: Railroad Medicare Medicare |
$360.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$723.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$360.63
|
| Rate for Payer: UHC Exchange |
$723.56
|
| Rate for Payer: UHC Medicaid |
$232.17
|
| Rate for Payer: UHCCP DNSP |
$360.63
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
Both
|
$1,186.00
|
|
|
Service Code
|
HCPCS 33222
|
| Min. Negotiated Rate |
$197.88 |
| Max. Negotiated Rate |
$889.50 |
| Rate for Payer: Aetna Commercial |
$408.86
|
| Rate for Payer: Aetna Medicare |
$305.12
|
| Rate for Payer: BCBS Complete |
$207.77
|
| Rate for Payer: BCBS MAPPO |
$305.12
|
| Rate for Payer: BCN Commercial |
$508.94
|
| Rate for Payer: BCN Medicare Advantage |
$305.12
|
| Rate for Payer: Cash Price |
$948.80
|
| Rate for Payer: Cash Price |
$948.80
|
| Rate for Payer: Cofinity Commercial |
$439.37
|
| Rate for Payer: Cofinity Commercial |
$408.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.12
|
| Rate for Payer: Healthscope Commercial |
$366.14
|
| Rate for Payer: Healthscope Whirlpool |
$366.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.38
|
| Rate for Payer: Meridian Medicaid |
$207.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$335.63
|
| Rate for Payer: Nomi Health Commercial |
$366.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$889.50
|
| Rate for Payer: PACE SWMI |
$305.12
|
| Rate for Payer: PHP Medicare Advantage |
$305.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$547.29
|
| Rate for Payer: Priority Health Medicare |
$305.12
|
| Rate for Payer: Priority Health Narrow Network |
$547.29
|
| Rate for Payer: Railroad Medicare Medicare |
$305.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$596.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.12
|
| Rate for Payer: UHC Exchange |
$596.92
|
| Rate for Payer: UHC Medicaid |
$197.88
|
| Rate for Payer: UHCCP DNSP |
$305.12
|
| Rate for Payer: UHCCP Medicaid |
$197.88
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 93297
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$89.64 |
| Rate for Payer: Aetna Commercial |
$76.65
|
| Rate for Payer: Aetna Medicare |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$57.20
|
| Rate for Payer: BCN Commercial |
$89.64
|
| Rate for Payer: BCN Medicare Advantage |
$57.20
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$76.65
|
| Rate for Payer: Cofinity Commercial |
$82.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.20
|
| Rate for Payer: Healthscope Commercial |
$68.64
|
| Rate for Payer: Healthscope Whirlpool |
$68.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.92
|
| Rate for Payer: Nomi Health Commercial |
$68.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: PACE SWMI |
$57.20
|
| Rate for Payer: PHP Medicare Advantage |
$57.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$85.19
|
| Rate for Payer: Priority Health Medicare |
$57.20
|
| Rate for Payer: Priority Health Narrow Network |
$85.19
|
| Rate for Payer: Railroad Medicare Medicare |
$57.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.20
|
| Rate for Payer: UHC Exchange |
$43.74
|
| Rate for Payer: UHCCP DNSP |
$57.20
|
|
|
PR REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW
|
Professional
|
Both
|
$239.00
|
|
|
Service Code
|
HCPCS 93299
|
| Min. Negotiated Rate |
$95.60 |
| Max. Negotiated Rate |
$179.25 |
| Rate for Payer: BCBS Complete |
$95.60
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.25
|
|
|
PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP
|
Professional
|
Both
|
$64.00
|
|
|
Service Code
|
HCPCS 93294
|
| Min. Negotiated Rate |
$18.74 |
| Max. Negotiated Rate |
$50.52 |
| Rate for Payer: Aetna Commercial |
$38.65
|
| Rate for Payer: Aetna Medicare |
$28.84
|
| Rate for Payer: BCBS Complete |
$19.68
|
| Rate for Payer: BCBS MAPPO |
$28.84
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.84
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$38.65
|
| Rate for Payer: Cofinity Commercial |
$41.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.84
|
| Rate for Payer: Healthscope Commercial |
$34.61
|
| Rate for Payer: Healthscope Whirlpool |
$34.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.28
|
| Rate for Payer: Meridian Medicaid |
$19.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.72
|
| Rate for Payer: Nomi Health Commercial |
$34.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.00
|
| Rate for Payer: PACE SWMI |
$28.84
|
| Rate for Payer: PHP Medicare Advantage |
$28.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$41.18
|
| Rate for Payer: Priority Health Medicare |
$28.84
|
| Rate for Payer: Priority Health Narrow Network |
$41.18
|
| Rate for Payer: Railroad Medicare Medicare |
$28.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.84
|
| Rate for Payer: UHC Exchange |
$50.52
|
| Rate for Payer: UHC Medicaid |
$18.74
|
| Rate for Payer: UHCCP DNSP |
$28.84
|
| Rate for Payer: UHCCP Medicaid |
$18.74
|
|
|
PR REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 93296
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$41.82 |
| Rate for Payer: Aetna Commercial |
$38.91
|
| Rate for Payer: Aetna Medicare |
$29.04
|
| Rate for Payer: BCBS MAPPO |
$29.04
|
| Rate for Payer: BCN Commercial |
$29.88
|
| Rate for Payer: BCN Medicare Advantage |
$29.04
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$38.91
|
| Rate for Payer: Cofinity Commercial |
$41.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.04
|
| Rate for Payer: Healthscope Commercial |
$34.85
|
| Rate for Payer: Healthscope Whirlpool |
$34.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.94
|
| Rate for Payer: Nomi Health Commercial |
$34.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$29.04
|
| Rate for Payer: PHP Medicare Advantage |
$29.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$28.40
|
| Rate for Payer: Priority Health Medicare |
$29.04
|
| Rate for Payer: Priority Health Narrow Network |
$28.40
|
| Rate for Payer: Railroad Medicare Medicare |
$29.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.04
|
| Rate for Payer: UHC Exchange |
$38.33
|
| Rate for Payer: UHCCP DNSP |
$29.04
|
|
|
PR REM INTERROG SCRMS <30 D PHYS/QHP
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 93298
|
| Min. Negotiated Rate |
$42.75 |
| Max. Negotiated Rate |
$150.39 |
| Rate for Payer: Aetna Commercial |
$128.64
|
| Rate for Payer: Aetna Medicare |
$96.00
|
| Rate for Payer: BCBS MAPPO |
$96.00
|
| Rate for Payer: BCN Commercial |
$150.39
|
| Rate for Payer: BCN Medicare Advantage |
$96.00
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$128.64
|
| Rate for Payer: Cofinity Commercial |
$138.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.00
|
| Rate for Payer: Healthscope Commercial |
$115.20
|
| Rate for Payer: Healthscope Whirlpool |
$115.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.60
|
| Rate for Payer: Nomi Health Commercial |
$115.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: PACE SWMI |
$96.00
|
| Rate for Payer: PHP Medicare Advantage |
$96.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$142.94
|
| Rate for Payer: Priority Health Medicare |
$96.00
|
| Rate for Payer: Priority Health Narrow Network |
$142.94
|
| Rate for Payer: Railroad Medicare Medicare |
$96.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$96.00
|
| Rate for Payer: UHC Exchange |
$44.28
|
| Rate for Payer: UHCCP DNSP |
$96.00
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 99453
|
| Min. Negotiated Rate |
$19.97 |
| Max. Negotiated Rate |
$30.38 |
| Rate for Payer: Aetna Commercial |
$26.76
|
| Rate for Payer: Aetna Medicare |
$19.97
|
| Rate for Payer: BCBS MAPPO |
$19.97
|
| Rate for Payer: BCN Commercial |
$30.38
|
| Rate for Payer: BCN Medicare Advantage |
$19.97
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$26.76
|
| Rate for Payer: Cofinity Commercial |
$28.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.97
|
| Rate for Payer: Healthscope Commercial |
$21.97
|
| Rate for Payer: Healthscope Whirlpool |
$21.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.97
|
| Rate for Payer: Nomi Health Commercial |
$23.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$19.97
|
| Rate for Payer: PHP Medicare Advantage |
$19.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$27.32
|
| Rate for Payer: Priority Health Medicare |
$19.97
|
| Rate for Payer: Priority Health Narrow Network |
$27.32
|
| Rate for Payer: Railroad Medicare Medicare |
$19.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19.97
|
| Rate for Payer: UHC Exchange |
$24.42
|
| Rate for Payer: UHCCP DNSP |
$19.97
|
|
|
PR REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 99454
|
| Min. Negotiated Rate |
$47.64 |
| Max. Negotiated Rate |
$85.50 |
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Medicare |
$47.64
|
| Rate for Payer: BCBS MAPPO |
$47.64
|
| Rate for Payer: BCN Commercial |
$66.24
|
| Rate for Payer: BCN Medicare Advantage |
$47.64
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$63.84
|
| Rate for Payer: Cofinity Commercial |
$68.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.64
|
| Rate for Payer: Healthscope Commercial |
$52.40
|
| Rate for Payer: Healthscope Whirlpool |
$52.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.40
|
| Rate for Payer: Nomi Health Commercial |
$57.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: PACE SWMI |
$47.64
|
| Rate for Payer: PHP Medicare Advantage |
$47.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$59.58
|
| Rate for Payer: Priority Health Medicare |
$47.64
|
| Rate for Payer: Priority Health Narrow Network |
$59.58
|
| Rate for Payer: Railroad Medicare Medicare |
$47.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$47.64
|
| Rate for Payer: UHC Exchange |
$81.17
|
| Rate for Payer: UHCCP DNSP |
$47.64
|
|
|
PR REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D
|
Professional
|
Both
|
$104.00
|
|
|
Service Code
|
HCPCS 93264
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$78.00 |
| Rate for Payer: Aetna Commercial |
$39.50
|
| Rate for Payer: Aetna Medicare |
$29.48
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$29.48
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Medicare Advantage |
$29.48
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$42.45
|
| Rate for Payer: Cofinity Commercial |
$39.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.48
|
| Rate for Payer: Healthscope Commercial |
$35.38
|
| Rate for Payer: Healthscope Whirlpool |
$35.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.95
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.43
|
| Rate for Payer: Nomi Health Commercial |
$35.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: PACE SWMI |
$29.48
|
| Rate for Payer: PHP Medicare Advantage |
$29.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49.69
|
| Rate for Payer: Priority Health Medicare |
$29.48
|
| Rate for Payer: Priority Health Narrow Network |
$49.69
|
| Rate for Payer: Railroad Medicare Medicare |
$29.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.48
|
| Rate for Payer: UHC Exchange |
$58.46
|
| Rate for Payer: UHC Medicaid |
$18.96
|
| Rate for Payer: UHCCP DNSP |
$29.48
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR REMOT IMAGE SUBMIT BY PT
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS G2010
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: Aetna Medicare |
$7.91
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$7.91
|
| Rate for Payer: BCN Commercial |
$13.45
|
| Rate for Payer: BCN Medicare Advantage |
$7.91
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$11.39
|
| Rate for Payer: Cofinity Commercial |
$10.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.91
|
| Rate for Payer: Healthscope Commercial |
$9.49
|
| Rate for Payer: Healthscope Whirlpool |
$9.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.31
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.70
|
| Rate for Payer: Nomi Health Commercial |
$9.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.75
|
| Rate for Payer: PACE SWMI |
$7.91
|
| Rate for Payer: PHP Medicare Advantage |
$7.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12.09
|
| Rate for Payer: Priority Health Medicare |
$7.91
|
| Rate for Payer: Priority Health Narrow Network |
$12.09
|
| Rate for Payer: Railroad Medicare Medicare |
$7.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.91
|
| Rate for Payer: UHC Exchange |
$13.02
|
| Rate for Payer: UHC Medicaid |
$5.11
|
| Rate for Payer: UHCCP DNSP |
$7.91
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
PR REMOVAL ANAL SETON OTHER MARKER
|
Professional
|
Both
|
$248.00
|
|
|
Service Code
|
HCPCS 46030
|
| Min. Negotiated Rate |
$79.41 |
| Max. Negotiated Rate |
$186.00 |
| Rate for Payer: Aetna Commercial |
$106.41
|
| Rate for Payer: Aetna Medicare |
$79.41
|
| Rate for Payer: BCBS Complete |
$99.20
|
| Rate for Payer: BCBS MAPPO |
$79.41
|
| Rate for Payer: BCN Commercial |
$130.47
|
| Rate for Payer: BCN Medicare Advantage |
$79.41
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Cofinity Commercial |
$114.35
|
| Rate for Payer: Cofinity Commercial |
$106.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.41
|
| Rate for Payer: Healthscope Commercial |
$95.29
|
| Rate for Payer: Healthscope Whirlpool |
$95.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$87.35
|
| Rate for Payer: Nomi Health Commercial |
$95.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.00
|
| Rate for Payer: PACE SWMI |
$79.41
|
| Rate for Payer: PHP Medicare Advantage |
$79.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$158.97
|
| Rate for Payer: Priority Health Medicare |
$79.41
|
| Rate for Payer: Priority Health Narrow Network |
$158.97
|
| Rate for Payer: Railroad Medicare Medicare |
$79.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$156.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$79.41
|
| Rate for Payer: UHC Exchange |
$156.70
|
| Rate for Payer: UHCCP DNSP |
$79.41
|
|
