|
PR REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO
|
Professional
|
Both
|
$387.00
|
|
|
Service Code
|
HCPCS 43761
|
| Min. Negotiated Rate |
$56.45 |
| Max. Negotiated Rate |
$290.25 |
| Rate for Payer: Aetna Commercial |
$118.63
|
| Rate for Payer: Aetna Medicare |
$88.53
|
| Rate for Payer: BCBS Complete |
$59.27
|
| Rate for Payer: BCBS MAPPO |
$88.53
|
| Rate for Payer: BCN Commercial |
$153.38
|
| Rate for Payer: BCN Medicare Advantage |
$88.53
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cofinity Commercial |
$127.48
|
| Rate for Payer: Cofinity Commercial |
$118.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.53
|
| Rate for Payer: Healthscope Commercial |
$106.24
|
| Rate for Payer: Healthscope Whirlpool |
$106.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.96
|
| Rate for Payer: Meridian Medicaid |
$59.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$97.38
|
| Rate for Payer: Nomi Health Commercial |
$106.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.25
|
| Rate for Payer: PACE SWMI |
$88.53
|
| Rate for Payer: PHP Medicare Advantage |
$88.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$186.89
|
| Rate for Payer: Priority Health Medicare |
$88.53
|
| Rate for Payer: Priority Health Narrow Network |
$186.89
|
| Rate for Payer: Railroad Medicare Medicare |
$88.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$185.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$88.53
|
| Rate for Payer: UHC Exchange |
$185.10
|
| Rate for Payer: UHC Medicaid |
$56.45
|
| Rate for Payer: UHCCP DNSP |
$88.53
|
| Rate for Payer: UHCCP Medicaid |
$56.45
|
|
|
PR REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 33273
|
| Min. Negotiated Rate |
$228.98 |
| Max. Negotiated Rate |
$708.28 |
| Rate for Payer: Aetna Commercial |
$478.47
|
| Rate for Payer: Aetna Medicare |
$357.07
|
| Rate for Payer: BCBS Complete |
$240.43
|
| Rate for Payer: BCBS MAPPO |
$357.07
|
| Rate for Payer: BCN Commercial |
$592.59
|
| Rate for Payer: BCN Medicare Advantage |
$357.07
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$514.18
|
| Rate for Payer: Cofinity Commercial |
$478.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.07
|
| Rate for Payer: Healthscope Commercial |
$428.48
|
| Rate for Payer: Healthscope Whirlpool |
$428.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.92
|
| Rate for Payer: Meridian Medicaid |
$240.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.78
|
| Rate for Payer: Nomi Health Commercial |
$428.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$650.25
|
| Rate for Payer: PACE SWMI |
$357.07
|
| Rate for Payer: PHP Medicare Advantage |
$357.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$637.26
|
| Rate for Payer: Priority Health Medicare |
$357.07
|
| Rate for Payer: Priority Health Narrow Network |
$637.26
|
| Rate for Payer: Railroad Medicare Medicare |
$357.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$708.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$357.07
|
| Rate for Payer: UHC Exchange |
$708.28
|
| Rate for Payer: UHC Medicaid |
$228.98
|
| Rate for Payer: UHCCP DNSP |
$357.07
|
| Rate for Payer: UHCCP Medicaid |
$228.98
|
|
|
PR REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT
|
Professional
|
Both
|
$315.00
|
|
|
Service Code
|
HCPCS 62252
|
| Min. Negotiated Rate |
$98.95 |
| Max. Negotiated Rate |
$236.25 |
| Rate for Payer: Aetna Commercial |
$132.59
|
| Rate for Payer: Aetna Medicare |
$98.95
|
| Rate for Payer: BCBS MAPPO |
$98.95
|
| Rate for Payer: BCN Commercial |
$182.32
|
| Rate for Payer: BCN Medicare Advantage |
$98.95
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cofinity Commercial |
$132.59
|
| Rate for Payer: Cofinity Commercial |
$142.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.95
|
| Rate for Payer: Healthscope Commercial |
$118.74
|
| Rate for Payer: Healthscope Whirlpool |
$118.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.84
|
| Rate for Payer: Nomi Health Commercial |
$118.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
| Rate for Payer: PACE SWMI |
$98.95
|
| Rate for Payer: PHP Medicare Advantage |
$98.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$153.28
|
| Rate for Payer: Priority Health Medicare |
$98.95
|
| Rate for Payer: Priority Health Narrow Network |
$153.28
|
| Rate for Payer: Railroad Medicare Medicare |
$98.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$138.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$98.95
|
| Rate for Payer: UHC Exchange |
$138.05
|
| Rate for Payer: UHCCP DNSP |
$98.95
|
|
|
PR RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ
|
Professional
|
Both
|
$5,079.00
|
|
|
Service Code
|
HCPCS 32504
|
| Min. Negotiated Rate |
$1,224.11 |
| Max. Negotiated Rate |
$3,809.25 |
| Rate for Payer: Aetna Commercial |
$2,574.06
|
| Rate for Payer: Aetna Medicare |
$1,920.94
|
| Rate for Payer: BCBS Complete |
$1,285.32
|
| Rate for Payer: BCBS MAPPO |
$1,920.94
|
| Rate for Payer: BCN Commercial |
$3,012.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,920.94
|
| Rate for Payer: Cash Price |
$4,063.20
|
| Rate for Payer: Cash Price |
$4,063.20
|
| Rate for Payer: Cofinity Commercial |
$2,766.15
|
| Rate for Payer: Cofinity Commercial |
$2,574.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,920.94
|
| Rate for Payer: Healthscope Commercial |
$2,305.13
|
| Rate for Payer: Healthscope Whirlpool |
$2,305.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,016.99
|
| Rate for Payer: Meridian Medicaid |
$1,285.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,113.03
|
| Rate for Payer: Nomi Health Commercial |
$2,305.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,809.25
|
| Rate for Payer: PACE SWMI |
$1,920.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,920.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,224.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,836.68
|
| Rate for Payer: Priority Health Medicare |
$1,920.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,836.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,920.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,638.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,920.94
|
| Rate for Payer: UHC Exchange |
$3,638.25
|
| Rate for Payer: UHC Medicaid |
$1,224.11
|
| Rate for Payer: UHCCP DNSP |
$1,920.94
|
| Rate for Payer: UHCCP Medicaid |
$1,224.11
|
|
|
PR RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ
|
Professional
|
Both
|
$3,780.00
|
|
|
Service Code
|
HCPCS 32503
|
| Min. Negotiated Rate |
$1,079.70 |
| Max. Negotiated Rate |
$3,190.27 |
| Rate for Payer: Aetna Commercial |
$2,267.39
|
| Rate for Payer: Aetna Medicare |
$1,692.08
|
| Rate for Payer: BCBS Complete |
$1,133.68
|
| Rate for Payer: BCBS MAPPO |
$1,692.08
|
| Rate for Payer: BCN Commercial |
$2,647.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,692.08
|
| Rate for Payer: Cash Price |
$3,024.00
|
| Rate for Payer: Cash Price |
$3,024.00
|
| Rate for Payer: Cofinity Commercial |
$2,436.60
|
| Rate for Payer: Cofinity Commercial |
$2,267.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,692.08
|
| Rate for Payer: Healthscope Commercial |
$2,030.50
|
| Rate for Payer: Healthscope Whirlpool |
$2,030.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,776.68
|
| Rate for Payer: Meridian Medicaid |
$1,133.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,861.29
|
| Rate for Payer: Nomi Health Commercial |
$2,030.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,835.00
|
| Rate for Payer: PACE SWMI |
$1,692.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,692.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,079.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,493.40
|
| Rate for Payer: Priority Health Medicare |
$1,692.08
|
| Rate for Payer: Priority Health Narrow Network |
$2,493.40
|
| Rate for Payer: Railroad Medicare Medicare |
$1,692.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,190.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,692.08
|
| Rate for Payer: UHC Exchange |
$3,190.27
|
| Rate for Payer: UHC Medicaid |
$1,079.70
|
| Rate for Payer: UHCCP DNSP |
$1,692.08
|
| Rate for Payer: UHCCP Medicaid |
$1,079.70
|
|
|
PR RESCJ DIAPHRAGM W/COMPLEX REPAIR
|
Professional
|
Both
|
$2,329.00
|
|
|
Service Code
|
HCPCS 39561
|
| Min. Negotiated Rate |
$776.60 |
| Max. Negotiated Rate |
$2,191.46 |
| Rate for Payer: Aetna Commercial |
$1,613.72
|
| Rate for Payer: Aetna Medicare |
$1,204.27
|
| Rate for Payer: BCBS Complete |
$815.43
|
| Rate for Payer: BCBS MAPPO |
$1,204.27
|
| Rate for Payer: BCN Commercial |
$1,883.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,204.27
|
| Rate for Payer: Cash Price |
$1,863.20
|
| Rate for Payer: Cash Price |
$1,863.20
|
| Rate for Payer: Cofinity Commercial |
$1,734.15
|
| Rate for Payer: Cofinity Commercial |
$1,613.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,204.27
|
| Rate for Payer: Healthscope Commercial |
$1,445.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,445.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,264.48
|
| Rate for Payer: Meridian Medicaid |
$815.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,324.70
|
| Rate for Payer: Nomi Health Commercial |
$1,445.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,746.75
|
| Rate for Payer: PACE SWMI |
$1,204.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,204.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$776.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,025.86
|
| Rate for Payer: Priority Health Medicare |
$1,204.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,025.86
|
| Rate for Payer: Railroad Medicare Medicare |
$1,204.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,191.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,204.27
|
| Rate for Payer: UHC Exchange |
$2,191.46
|
| Rate for Payer: UHC Medicaid |
$776.60
|
| Rate for Payer: UHCCP DNSP |
$1,204.27
|
| Rate for Payer: UHCCP Medicaid |
$776.60
|
|
|
PR RESCJ DIAPHRAGM W/SIMPLE REPAIR
|
Professional
|
Both
|
$3,786.00
|
|
|
Service Code
|
HCPCS 39560
|
| Min. Negotiated Rate |
$483.94 |
| Max. Negotiated Rate |
$2,839.50 |
| Rate for Payer: Aetna Commercial |
$1,007.28
|
| Rate for Payer: Aetna Medicare |
$751.70
|
| Rate for Payer: BCBS Complete |
$508.14
|
| Rate for Payer: BCBS MAPPO |
$751.70
|
| Rate for Payer: BCN Commercial |
$1,205.61
|
| Rate for Payer: BCN Medicare Advantage |
$751.70
|
| Rate for Payer: Cash Price |
$3,028.80
|
| Rate for Payer: Cash Price |
$3,028.80
|
| Rate for Payer: Cofinity Commercial |
$1,082.45
|
| Rate for Payer: Cofinity Commercial |
$1,007.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$751.70
|
| Rate for Payer: Healthscope Commercial |
$902.04
|
| Rate for Payer: Healthscope Whirlpool |
$902.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$789.28
|
| Rate for Payer: Meridian Medicaid |
$508.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$826.87
|
| Rate for Payer: Nomi Health Commercial |
$902.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,839.50
|
| Rate for Payer: PACE SWMI |
$751.70
|
| Rate for Payer: PHP Medicare Advantage |
$751.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,296.49
|
| Rate for Payer: Priority Health Medicare |
$751.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,296.49
|
| Rate for Payer: Railroad Medicare Medicare |
$751.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,414.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$751.70
|
| Rate for Payer: UHC Exchange |
$1,414.85
|
| Rate for Payer: UHC Medicaid |
$483.94
|
| Rate for Payer: UHCCP DNSP |
$751.70
|
| Rate for Payer: UHCCP Medicaid |
$483.94
|
|
|
PR RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL
|
Professional
|
Both
|
$5,580.00
|
|
|
Service Code
|
HCPCS 61600
|
| Min. Negotiated Rate |
$1,221.13 |
| Max. Negotiated Rate |
$4,185.00 |
| Rate for Payer: Aetna Commercial |
$2,519.37
|
| Rate for Payer: Aetna Medicare |
$1,880.13
|
| Rate for Payer: BCBS Complete |
$1,282.19
|
| Rate for Payer: BCBS MAPPO |
$1,880.13
|
| Rate for Payer: BCN Commercial |
$3,166.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,880.13
|
| Rate for Payer: Cash Price |
$4,464.00
|
| Rate for Payer: Cash Price |
$4,464.00
|
| Rate for Payer: Cofinity Commercial |
$2,707.39
|
| Rate for Payer: Cofinity Commercial |
$2,519.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,880.13
|
| Rate for Payer: Healthscope Commercial |
$2,256.16
|
| Rate for Payer: Healthscope Whirlpool |
$2,256.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,974.14
|
| Rate for Payer: Meridian Medicaid |
$1,282.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,068.14
|
| Rate for Payer: Nomi Health Commercial |
$2,256.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,185.00
|
| Rate for Payer: PACE SWMI |
$1,880.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,880.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,221.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,678.01
|
| Rate for Payer: Priority Health Medicare |
$1,880.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,678.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1,880.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,718.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,880.13
|
| Rate for Payer: UHC Exchange |
$3,718.10
|
| Rate for Payer: UHC Medicaid |
$1,221.13
|
| Rate for Payer: UHCCP DNSP |
$1,880.13
|
| Rate for Payer: UHCCP Medicaid |
$1,221.13
|
|
|
PR RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF
|
Professional
|
Both
|
$7,688.00
|
|
|
Service Code
|
HCPCS 61601
|
| Min. Negotiated Rate |
$1,530.83 |
| Max. Negotiated Rate |
$5,766.00 |
| Rate for Payer: Aetna Commercial |
$3,170.59
|
| Rate for Payer: Aetna Medicare |
$2,366.11
|
| Rate for Payer: BCBS Complete |
$1,607.37
|
| Rate for Payer: BCBS MAPPO |
$2,366.11
|
| Rate for Payer: BCN Commercial |
$5,040.09
|
| Rate for Payer: BCN Medicare Advantage |
$2,366.11
|
| Rate for Payer: Cash Price |
$6,150.40
|
| Rate for Payer: Cash Price |
$6,150.40
|
| Rate for Payer: Cofinity Commercial |
$3,407.20
|
| Rate for Payer: Cofinity Commercial |
$3,170.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,366.11
|
| Rate for Payer: Healthscope Commercial |
$2,839.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,839.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,484.42
|
| Rate for Payer: Meridian Medicaid |
$1,607.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,602.72
|
| Rate for Payer: Nomi Health Commercial |
$2,839.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,766.00
|
| Rate for Payer: PACE SWMI |
$2,366.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,366.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,530.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,237.32
|
| Rate for Payer: Priority Health Medicare |
$2,366.11
|
| Rate for Payer: Priority Health Narrow Network |
$4,237.32
|
| Rate for Payer: Railroad Medicare Medicare |
$2,366.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,221.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,366.11
|
| Rate for Payer: UHC Exchange |
$4,221.69
|
| Rate for Payer: UHC Medicaid |
$1,530.83
|
| Rate for Payer: UHCCP DNSP |
$2,366.11
|
| Rate for Payer: UHCCP Medicaid |
$1,530.83
|
|
|
PR RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL
|
Professional
|
Both
|
$7,183.00
|
|
|
Service Code
|
HCPCS 61616
|
| Min. Negotiated Rate |
$2,012.21 |
| Max. Negotiated Rate |
$6,919.64 |
| Rate for Payer: Aetna Commercial |
$4,199.35
|
| Rate for Payer: Aetna Medicare |
$3,133.84
|
| Rate for Payer: BCBS Complete |
$2,112.82
|
| Rate for Payer: BCBS MAPPO |
$3,133.84
|
| Rate for Payer: BCN Commercial |
$6,919.64
|
| Rate for Payer: BCN Medicare Advantage |
$3,133.84
|
| Rate for Payer: Cash Price |
$5,746.40
|
| Rate for Payer: Cash Price |
$5,746.40
|
| Rate for Payer: Cofinity Commercial |
$4,512.73
|
| Rate for Payer: Cofinity Commercial |
$4,199.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,133.84
|
| Rate for Payer: Healthscope Commercial |
$3,760.61
|
| Rate for Payer: Healthscope Whirlpool |
$3,760.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,290.53
|
| Rate for Payer: Meridian Medicaid |
$2,112.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,447.22
|
| Rate for Payer: Nomi Health Commercial |
$3,760.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,387.25
|
| Rate for Payer: PACE SWMI |
$3,133.84
|
| Rate for Payer: PHP Medicare Advantage |
$3,133.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,012.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,817.50
|
| Rate for Payer: Priority Health Medicare |
$3,133.84
|
| Rate for Payer: Priority Health Narrow Network |
$5,817.50
|
| Rate for Payer: Railroad Medicare Medicare |
$3,133.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,847.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,133.84
|
| Rate for Payer: UHC Exchange |
$5,847.58
|
| Rate for Payer: UHC Medicaid |
$2,012.21
|
| Rate for Payer: UHCCP DNSP |
$3,133.84
|
| Rate for Payer: UHCCP Medicaid |
$2,012.21
|
|
|
PR RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL
|
Professional
|
Both
|
$7,442.00
|
|
|
Service Code
|
HCPCS 61615
|
| Min. Negotiated Rate |
$1,797.29 |
| Max. Negotiated Rate |
$5,581.50 |
| Rate for Payer: Aetna Commercial |
$3,726.37
|
| Rate for Payer: Aetna Medicare |
$2,780.87
|
| Rate for Payer: BCBS Complete |
$1,887.15
|
| Rate for Payer: BCBS MAPPO |
$2,780.87
|
| Rate for Payer: BCN Commercial |
$4,248.77
|
| Rate for Payer: BCN Medicare Advantage |
$2,780.87
|
| Rate for Payer: Cash Price |
$5,953.60
|
| Rate for Payer: Cash Price |
$5,953.60
|
| Rate for Payer: Cofinity Commercial |
$4,004.45
|
| Rate for Payer: Cofinity Commercial |
$3,726.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,780.87
|
| Rate for Payer: Healthscope Commercial |
$3,337.04
|
| Rate for Payer: Healthscope Whirlpool |
$3,337.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,919.91
|
| Rate for Payer: Meridian Medicaid |
$1,887.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,058.96
|
| Rate for Payer: Nomi Health Commercial |
$3,337.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,581.50
|
| Rate for Payer: PACE SWMI |
$2,780.87
|
| Rate for Payer: PHP Medicare Advantage |
$2,780.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,797.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,934.86
|
| Rate for Payer: Priority Health Medicare |
$2,780.87
|
| Rate for Payer: Priority Health Narrow Network |
$4,934.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,780.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,932.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,780.87
|
| Rate for Payer: UHC Exchange |
$4,932.45
|
| Rate for Payer: UHC Medicaid |
$1,797.29
|
| Rate for Payer: UHCCP DNSP |
$2,780.87
|
| Rate for Payer: UHCCP Medicaid |
$1,797.29
|
|
|
PR RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL
|
Professional
|
Both
|
$4,866.00
|
|
|
Service Code
|
HCPCS 61605
|
| Min. Negotiated Rate |
$1,219.64 |
| Max. Negotiated Rate |
$3,776.22 |
| Rate for Payer: Aetna Commercial |
$2,517.35
|
| Rate for Payer: Aetna Medicare |
$1,878.62
|
| Rate for Payer: BCBS Complete |
$1,280.62
|
| Rate for Payer: BCBS MAPPO |
$1,878.62
|
| Rate for Payer: BCN Commercial |
$3,247.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,878.62
|
| Rate for Payer: Cash Price |
$3,892.80
|
| Rate for Payer: Cash Price |
$3,892.80
|
| Rate for Payer: Cofinity Commercial |
$2,705.21
|
| Rate for Payer: Cofinity Commercial |
$2,517.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,878.62
|
| Rate for Payer: Healthscope Commercial |
$2,254.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,254.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,972.55
|
| Rate for Payer: Meridian Medicaid |
$1,280.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,066.48
|
| Rate for Payer: Nomi Health Commercial |
$2,254.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,649.50
|
| Rate for Payer: PACE SWMI |
$1,878.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,878.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,219.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,772.30
|
| Rate for Payer: Priority Health Medicare |
$1,878.62
|
| Rate for Payer: Priority Health Narrow Network |
$3,772.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,878.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,776.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,878.62
|
| Rate for Payer: UHC Exchange |
$3,776.22
|
| Rate for Payer: UHC Medicaid |
$1,219.64
|
| Rate for Payer: UHCCP DNSP |
$1,878.62
|
| Rate for Payer: UHCCP Medicaid |
$1,219.64
|
|
|
PR RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR
|
Professional
|
Both
|
$10,526.00
|
|
|
Service Code
|
HCPCS 61606
|
| Min. Negotiated Rate |
$1,739.78 |
| Max. Negotiated Rate |
$7,894.50 |
| Rate for Payer: Aetna Commercial |
$3,633.38
|
| Rate for Payer: Aetna Medicare |
$2,711.48
|
| Rate for Payer: BCBS Complete |
$1,826.77
|
| Rate for Payer: BCBS MAPPO |
$2,711.48
|
| Rate for Payer: BCN Commercial |
$6,053.47
|
| Rate for Payer: BCN Medicare Advantage |
$2,711.48
|
| Rate for Payer: Cash Price |
$8,420.80
|
| Rate for Payer: Cash Price |
$8,420.80
|
| Rate for Payer: Cofinity Commercial |
$3,904.53
|
| Rate for Payer: Cofinity Commercial |
$3,633.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,711.48
|
| Rate for Payer: Healthscope Commercial |
$3,253.78
|
| Rate for Payer: Healthscope Whirlpool |
$3,253.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,847.05
|
| Rate for Payer: Meridian Medicaid |
$1,826.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,982.63
|
| Rate for Payer: Nomi Health Commercial |
$3,253.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,894.50
|
| Rate for Payer: PACE SWMI |
$2,711.48
|
| Rate for Payer: PHP Medicare Advantage |
$2,711.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,739.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,089.31
|
| Rate for Payer: Priority Health Medicare |
$2,711.48
|
| Rate for Payer: Priority Health Narrow Network |
$5,089.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2,711.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,166.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,711.48
|
| Rate for Payer: UHC Exchange |
$5,166.22
|
| Rate for Payer: UHC Medicaid |
$1,739.78
|
| Rate for Payer: UHCCP DNSP |
$2,711.48
|
| Rate for Payer: UHCCP Medicaid |
$1,739.78
|
|
|
PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL
|
Professional
|
Both
|
$10,973.00
|
|
|
Service Code
|
HCPCS 61608
|
| Min. Negotiated Rate |
$2,016.05 |
| Max. Negotiated Rate |
$8,229.75 |
| Rate for Payer: Aetna Commercial |
$4,215.49
|
| Rate for Payer: Aetna Medicare |
$3,145.89
|
| Rate for Payer: BCBS Complete |
$2,116.85
|
| Rate for Payer: BCBS MAPPO |
$3,145.89
|
| Rate for Payer: BCN Commercial |
$6,830.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,145.89
|
| Rate for Payer: Cash Price |
$8,778.40
|
| Rate for Payer: Cash Price |
$8,778.40
|
| Rate for Payer: Cofinity Commercial |
$4,530.08
|
| Rate for Payer: Cofinity Commercial |
$4,215.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,145.89
|
| Rate for Payer: Healthscope Commercial |
$3,775.07
|
| Rate for Payer: Healthscope Whirlpool |
$3,775.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,303.18
|
| Rate for Payer: Meridian Medicaid |
$2,116.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,460.48
|
| Rate for Payer: Nomi Health Commercial |
$3,775.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,229.75
|
| Rate for Payer: PACE SWMI |
$3,145.89
|
| Rate for Payer: PHP Medicare Advantage |
$3,145.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,016.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,742.31
|
| Rate for Payer: Priority Health Medicare |
$3,145.89
|
| Rate for Payer: Priority Health Narrow Network |
$5,742.31
|
| Rate for Payer: Railroad Medicare Medicare |
$3,145.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,740.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,145.89
|
| Rate for Payer: UHC Exchange |
$5,740.31
|
| Rate for Payer: UHC Medicaid |
$2,016.05
|
| Rate for Payer: UHCCP DNSP |
$3,145.89
|
| Rate for Payer: UHCCP Medicaid |
$2,016.05
|
|
|
PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL
|
Professional
|
Both
|
$6,202.00
|
|
|
Service Code
|
HCPCS 61607
|
| Min. Negotiated Rate |
$1,589.83 |
| Max. Negotiated Rate |
$5,329.34 |
| Rate for Payer: Aetna Commercial |
$3,314.30
|
| Rate for Payer: Aetna Medicare |
$2,473.36
|
| Rate for Payer: BCBS Complete |
$1,669.32
|
| Rate for Payer: BCBS MAPPO |
$2,473.36
|
| Rate for Payer: BCN Commercial |
$4,588.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,473.36
|
| Rate for Payer: Cash Price |
$4,961.60
|
| Rate for Payer: Cash Price |
$4,961.60
|
| Rate for Payer: Cofinity Commercial |
$3,561.64
|
| Rate for Payer: Cofinity Commercial |
$3,314.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,473.36
|
| Rate for Payer: Healthscope Commercial |
$2,968.03
|
| Rate for Payer: Healthscope Whirlpool |
$2,968.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,597.03
|
| Rate for Payer: Meridian Medicaid |
$1,669.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,720.70
|
| Rate for Payer: Nomi Health Commercial |
$2,968.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,651.50
|
| Rate for Payer: PACE SWMI |
$2,473.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,473.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,589.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,329.34
|
| Rate for Payer: Priority Health Medicare |
$2,473.36
|
| Rate for Payer: Priority Health Narrow Network |
$5,329.34
|
| Rate for Payer: Railroad Medicare Medicare |
$2,473.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,711.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,473.36
|
| Rate for Payer: UHC Exchange |
$4,711.68
|
| Rate for Payer: UHC Medicaid |
$1,589.83
|
| Rate for Payer: UHCCP DNSP |
$2,473.36
|
| Rate for Payer: UHCCP Medicaid |
$1,589.83
|
|
|
PR RESCJ PALATE/EXTENSIVE RESCJ LESION
|
Professional
|
Both
|
$2,114.00
|
|
|
Service Code
|
HCPCS 42120
|
| Min. Negotiated Rate |
$581.70 |
| Max. Negotiated Rate |
$1,829.38 |
| Rate for Payer: Aetna Commercial |
$1,177.32
|
| Rate for Payer: Aetna Medicare |
$878.60
|
| Rate for Payer: BCBS Complete |
$610.78
|
| Rate for Payer: BCBS MAPPO |
$878.60
|
| Rate for Payer: BCN Commercial |
$1,501.41
|
| Rate for Payer: BCN Medicare Advantage |
$878.60
|
| Rate for Payer: Cash Price |
$1,691.20
|
| Rate for Payer: Cash Price |
$1,691.20
|
| Rate for Payer: Cofinity Commercial |
$1,265.18
|
| Rate for Payer: Cofinity Commercial |
$1,177.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$878.60
|
| Rate for Payer: Healthscope Commercial |
$1,054.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,054.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$922.53
|
| Rate for Payer: Meridian Medicaid |
$610.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$966.46
|
| Rate for Payer: Nomi Health Commercial |
$1,054.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,585.50
|
| Rate for Payer: PACE SWMI |
$878.60
|
| Rate for Payer: PHP Medicare Advantage |
$878.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$581.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,829.38
|
| Rate for Payer: Priority Health Medicare |
$878.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,829.38
|
| Rate for Payer: Railroad Medicare Medicare |
$878.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,723.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$878.60
|
| Rate for Payer: UHC Exchange |
$1,723.14
|
| Rate for Payer: UHC Medicaid |
$581.70
|
| Rate for Payer: UHCCP DNSP |
$878.60
|
| Rate for Payer: UHCCP Medicaid |
$581.70
|
|
|
PR RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING
|
Professional
|
Both
|
$3,572.00
|
|
|
Service Code
|
HCPCS 58952
|
| Min. Negotiated Rate |
$969.15 |
| Max. Negotiated Rate |
$2,867.31 |
| Rate for Payer: Aetna Commercial |
$2,019.17
|
| Rate for Payer: Aetna Medicare |
$1,506.84
|
| Rate for Payer: BCBS Complete |
$1,017.61
|
| Rate for Payer: BCBS MAPPO |
$1,506.84
|
| Rate for Payer: BCN Commercial |
$2,470.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,506.84
|
| Rate for Payer: Cash Price |
$2,857.60
|
| Rate for Payer: Cash Price |
$2,857.60
|
| Rate for Payer: Cofinity Commercial |
$2,169.85
|
| Rate for Payer: Cofinity Commercial |
$2,019.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,506.84
|
| Rate for Payer: Healthscope Commercial |
$1,808.21
|
| Rate for Payer: Healthscope Whirlpool |
$1,808.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,582.18
|
| Rate for Payer: Meridian Medicaid |
$1,017.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,657.52
|
| Rate for Payer: Nomi Health Commercial |
$1,808.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,679.00
|
| Rate for Payer: PACE SWMI |
$1,506.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,506.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$969.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,502.06
|
| Rate for Payer: Priority Health Medicare |
$1,506.84
|
| Rate for Payer: Priority Health Narrow Network |
$2,502.06
|
| Rate for Payer: Railroad Medicare Medicare |
$1,506.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,867.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,506.84
|
| Rate for Payer: UHC Exchange |
$2,867.31
|
| Rate for Payer: UHC Medicaid |
$969.15
|
| Rate for Payer: UHCCP DNSP |
$1,506.84
|
| Rate for Payer: UHCCP Medicaid |
$969.15
|
|
|
PR RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD
|
Professional
|
Both
|
$5,084.00
|
|
|
Service Code
|
HCPCS 58951
|
| Min. Negotiated Rate |
$848.59 |
| Max. Negotiated Rate |
$3,813.00 |
| Rate for Payer: Aetna Commercial |
$1,769.58
|
| Rate for Payer: Aetna Medicare |
$1,320.58
|
| Rate for Payer: BCBS Complete |
$891.02
|
| Rate for Payer: BCBS MAPPO |
$1,320.58
|
| Rate for Payer: BCN Commercial |
$2,166.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,320.58
|
| Rate for Payer: Cash Price |
$4,067.20
|
| Rate for Payer: Cash Price |
$4,067.20
|
| Rate for Payer: Cofinity Commercial |
$1,901.64
|
| Rate for Payer: Cofinity Commercial |
$1,769.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,320.58
|
| Rate for Payer: Healthscope Commercial |
$1,584.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,584.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,386.61
|
| Rate for Payer: Meridian Medicaid |
$891.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,452.64
|
| Rate for Payer: Nomi Health Commercial |
$1,584.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,813.00
|
| Rate for Payer: PACE SWMI |
$1,320.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,320.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$848.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,194.42
|
| Rate for Payer: Priority Health Medicare |
$1,320.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,194.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,320.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,526.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,320.58
|
| Rate for Payer: UHC Exchange |
$2,526.17
|
| Rate for Payer: UHC Medicaid |
$848.59
|
| Rate for Payer: UHCCP DNSP |
$1,320.58
|
| Rate for Payer: UHCCP Medicaid |
$848.59
|
|
|
PR RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS
|
Professional
|
Both
|
$6,835.00
|
|
|
Service Code
|
HCPCS 48105
|
| Min. Negotiated Rate |
$1,629.88 |
| Max. Negotiated Rate |
$5,142.88 |
| Rate for Payer: Aetna Commercial |
$3,414.52
|
| Rate for Payer: Aetna Medicare |
$2,548.15
|
| Rate for Payer: BCBS Complete |
$1,711.37
|
| Rate for Payer: BCBS MAPPO |
$2,548.15
|
| Rate for Payer: BCN Commercial |
$4,220.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,548.15
|
| Rate for Payer: Cash Price |
$5,468.00
|
| Rate for Payer: Cash Price |
$5,468.00
|
| Rate for Payer: Cofinity Commercial |
$3,414.52
|
| Rate for Payer: Cofinity Commercial |
$3,669.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,548.15
|
| Rate for Payer: Healthscope Commercial |
$3,057.78
|
| Rate for Payer: Healthscope Whirlpool |
$3,057.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,675.56
|
| Rate for Payer: Meridian Medicaid |
$1,711.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,802.97
|
| Rate for Payer: Nomi Health Commercial |
$3,057.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,126.25
|
| Rate for Payer: PACE SWMI |
$2,548.15
|
| Rate for Payer: PHP Medicare Advantage |
$2,548.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,629.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,142.88
|
| Rate for Payer: Priority Health Medicare |
$2,548.15
|
| Rate for Payer: Priority Health Narrow Network |
$5,142.88
|
| Rate for Payer: Railroad Medicare Medicare |
$2,548.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,076.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,548.15
|
| Rate for Payer: UHC Exchange |
$5,076.82
|
| Rate for Payer: UHC Medicaid |
$1,629.88
|
| Rate for Payer: UHCCP DNSP |
$2,548.15
|
| Rate for Payer: UHCCP Medicaid |
$1,629.88
|
|
|
PR RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY
|
Professional
|
Both
|
$3,425.00
|
|
|
Service Code
|
HCPCS 58957
|
| Min. Negotiated Rate |
$1,370.00 |
| Max. Negotiated Rate |
$2,568.75 |
| Rate for Payer: Aetna Commercial |
$1,889.07
|
| Rate for Payer: BCBS Complete |
$1,370.00
|
| Rate for Payer: BCN Commercial |
$2,362.28
|
| Rate for Payer: Cash Price |
$2,740.00
|
| Rate for Payer: Cash Price |
$2,740.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,568.75
|
|
|
PR RESEC RECURRENT LARYNX NERVE
|
Professional
|
Both
|
$1,418.00
|
|
|
Service Code
|
HCPCS 31595
|
| Min. Negotiated Rate |
$567.20 |
| Max. Negotiated Rate |
$1,063.50 |
| Rate for Payer: BCBS Complete |
$567.20
|
| Rate for Payer: Cash Price |
$1,134.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,063.50
|
|
|
PR RESECTION CONDYLE DISTAL END PHALANX EACH TOE
|
Professional
|
Both
|
$674.00
|
|
|
Service Code
|
HCPCS 28153
|
| Min. Negotiated Rate |
$159.96 |
| Max. Negotiated Rate |
$505.50 |
| Rate for Payer: Aetna Commercial |
$324.82
|
| Rate for Payer: Aetna Medicare |
$242.40
|
| Rate for Payer: BCBS Complete |
$167.96
|
| Rate for Payer: BCBS MAPPO |
$242.40
|
| Rate for Payer: BCN Commercial |
$400.87
|
| Rate for Payer: BCN Medicare Advantage |
$242.40
|
| Rate for Payer: Cash Price |
$539.20
|
| Rate for Payer: Cash Price |
$539.20
|
| Rate for Payer: Cofinity Commercial |
$324.82
|
| Rate for Payer: Cofinity Commercial |
$349.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.40
|
| Rate for Payer: Healthscope Commercial |
$290.88
|
| Rate for Payer: Healthscope Whirlpool |
$290.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.52
|
| Rate for Payer: Meridian Medicaid |
$167.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$266.64
|
| Rate for Payer: Nomi Health Commercial |
$290.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$505.50
|
| Rate for Payer: PACE SWMI |
$242.40
|
| Rate for Payer: PHP Medicare Advantage |
$242.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$428.52
|
| Rate for Payer: Priority Health Medicare |
$242.40
|
| Rate for Payer: Priority Health Narrow Network |
$428.52
|
| Rate for Payer: Railroad Medicare Medicare |
$242.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$461.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$242.40
|
| Rate for Payer: UHC Exchange |
$461.22
|
| Rate for Payer: UHC Medicaid |
$159.96
|
| Rate for Payer: UHCCP DNSP |
$242.40
|
| Rate for Payer: UHCCP Medicaid |
$159.96
|
|
|
PR RESECTION EXTERNAL CARDIAC TUMOR
|
Professional
|
Both
|
$4,783.00
|
|
|
Service Code
|
HCPCS 33130
|
| Min. Negotiated Rate |
$835.39 |
| Max. Negotiated Rate |
$3,587.25 |
| Rate for Payer: Aetna Commercial |
$1,748.86
|
| Rate for Payer: Aetna Medicare |
$1,305.12
|
| Rate for Payer: BCBS Complete |
$877.16
|
| Rate for Payer: BCBS MAPPO |
$1,305.12
|
| Rate for Payer: BCN Commercial |
$2,011.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,305.12
|
| Rate for Payer: Cash Price |
$3,826.40
|
| Rate for Payer: Cash Price |
$3,826.40
|
| Rate for Payer: Cofinity Commercial |
$1,879.37
|
| Rate for Payer: Cofinity Commercial |
$1,748.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,305.12
|
| Rate for Payer: Healthscope Commercial |
$1,566.14
|
| Rate for Payer: Healthscope Whirlpool |
$1,566.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,370.38
|
| Rate for Payer: Meridian Medicaid |
$877.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,435.63
|
| Rate for Payer: Nomi Health Commercial |
$1,566.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,587.25
|
| Rate for Payer: PACE SWMI |
$1,305.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,305.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,163.48
|
| Rate for Payer: Priority Health Medicare |
$1,305.12
|
| Rate for Payer: Priority Health Narrow Network |
$2,163.48
|
| Rate for Payer: Railroad Medicare Medicare |
$1,305.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,429.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,305.12
|
| Rate for Payer: UHC Exchange |
$2,429.61
|
| Rate for Payer: UHC Medicaid |
$835.39
|
| Rate for Payer: UHCCP DNSP |
$1,305.12
|
| Rate for Payer: UHCCP Medicaid |
$835.39
|
|
|
PR RESECTION HUMERAL HEAD
|
Professional
|
Both
|
$1,694.00
|
|
|
Service Code
|
HCPCS 23195
|
| Min. Negotiated Rate |
$452.63 |
| Max. Negotiated Rate |
$1,305.70 |
| Rate for Payer: Aetna Commercial |
$928.46
|
| Rate for Payer: Aetna Medicare |
$692.88
|
| Rate for Payer: BCBS Complete |
$475.26
|
| Rate for Payer: BCBS MAPPO |
$692.88
|
| Rate for Payer: BCN Commercial |
$1,143.36
|
| Rate for Payer: BCN Medicare Advantage |
$692.88
|
| Rate for Payer: Cash Price |
$1,355.20
|
| Rate for Payer: Cash Price |
$1,355.20
|
| Rate for Payer: Cofinity Commercial |
$997.75
|
| Rate for Payer: Cofinity Commercial |
$928.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$692.88
|
| Rate for Payer: Healthscope Commercial |
$831.46
|
| Rate for Payer: Healthscope Whirlpool |
$831.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$727.52
|
| Rate for Payer: Meridian Medicaid |
$475.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$762.17
|
| Rate for Payer: Nomi Health Commercial |
$831.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,270.50
|
| Rate for Payer: PACE SWMI |
$692.88
|
| Rate for Payer: PHP Medicare Advantage |
$692.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,222.23
|
| Rate for Payer: Priority Health Medicare |
$692.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,222.23
|
| Rate for Payer: Railroad Medicare Medicare |
$692.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,305.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$692.88
|
| Rate for Payer: UHC Exchange |
$1,305.70
|
| Rate for Payer: UHC Medicaid |
$452.63
|
| Rate for Payer: UHCCP DNSP |
$692.88
|
| Rate for Payer: UHCCP Medicaid |
$452.63
|
|
|
PR RESECTION/INCISION SUBVALVULAR TISSUE
|
Professional
|
Both
|
$6,407.00
|
|
|
Service Code
|
HCPCS 33415
|
| Min. Negotiated Rate |
$1,214.31 |
| Max. Negotiated Rate |
$4,805.25 |
| Rate for Payer: Aetna Commercial |
$2,558.13
|
| Rate for Payer: Aetna Medicare |
$1,909.05
|
| Rate for Payer: BCBS Complete |
$1,275.03
|
| Rate for Payer: BCBS MAPPO |
$1,909.05
|
| Rate for Payer: BCN Commercial |
$2,979.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,909.05
|
| Rate for Payer: Cash Price |
$5,125.60
|
| Rate for Payer: Cash Price |
$5,125.60
|
| Rate for Payer: Cofinity Commercial |
$2,749.03
|
| Rate for Payer: Cofinity Commercial |
$2,558.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,909.05
|
| Rate for Payer: Healthscope Commercial |
$2,290.86
|
| Rate for Payer: Healthscope Whirlpool |
$2,290.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,004.50
|
| Rate for Payer: Meridian Medicaid |
$1,275.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,099.95
|
| Rate for Payer: Nomi Health Commercial |
$2,290.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,805.25
|
| Rate for Payer: PACE SWMI |
$1,909.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,909.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,214.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,204.52
|
| Rate for Payer: Priority Health Medicare |
$1,909.05
|
| Rate for Payer: Priority Health Narrow Network |
$3,204.52
|
| Rate for Payer: Railroad Medicare Medicare |
$1,909.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,622.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,909.05
|
| Rate for Payer: UHC Exchange |
$3,622.30
|
| Rate for Payer: UHC Medicaid |
$1,214.31
|
| Rate for Payer: UHCCP DNSP |
$1,909.05
|
| Rate for Payer: UHCCP Medicaid |
$1,214.31
|
|
