|
PR RESECTION MEDIASTINAL TUMOR
|
Professional
|
Both
|
$5,955.00
|
|
|
Service Code
|
HCPCS 39220
|
| Min. Negotiated Rate |
$680.96 |
| Max. Negotiated Rate |
$4,466.25 |
| Rate for Payer: Aetna Commercial |
$1,423.54
|
| Rate for Payer: Aetna Medicare |
$1,062.34
|
| Rate for Payer: BCBS Complete |
$715.01
|
| Rate for Payer: BCBS MAPPO |
$1,062.34
|
| Rate for Payer: BCN Commercial |
$1,690.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,062.34
|
| Rate for Payer: Cash Price |
$4,764.00
|
| Rate for Payer: Cash Price |
$4,764.00
|
| Rate for Payer: Cofinity Commercial |
$1,529.77
|
| Rate for Payer: Cofinity Commercial |
$1,423.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,062.34
|
| Rate for Payer: Healthscope Commercial |
$1,274.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,274.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,115.46
|
| Rate for Payer: Meridian Medicaid |
$715.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,168.57
|
| Rate for Payer: Nomi Health Commercial |
$1,274.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,466.25
|
| Rate for Payer: PACE SWMI |
$1,062.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,062.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$680.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,818.07
|
| Rate for Payer: Priority Health Medicare |
$1,062.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,818.07
|
| Rate for Payer: Railroad Medicare Medicare |
$1,062.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,011.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,062.34
|
| Rate for Payer: UHC Exchange |
$2,011.51
|
| Rate for Payer: UHC Medicaid |
$680.96
|
| Rate for Payer: UHCCP DNSP |
$1,062.34
|
| Rate for Payer: UHCCP Medicaid |
$680.96
|
|
|
PR RESECTION OF MEDIASTINAL CYST
|
Professional
|
Both
|
$5,192.00
|
|
|
Service Code
|
HCPCS 39200
|
| Min. Negotiated Rate |
$530.37 |
| Max. Negotiated Rate |
$3,894.00 |
| Rate for Payer: Aetna Commercial |
$1,110.55
|
| Rate for Payer: Aetna Medicare |
$828.77
|
| Rate for Payer: BCBS Complete |
$556.89
|
| Rate for Payer: BCBS MAPPO |
$828.77
|
| Rate for Payer: BCN Commercial |
$1,289.77
|
| Rate for Payer: BCN Medicare Advantage |
$828.77
|
| Rate for Payer: Cash Price |
$4,153.60
|
| Rate for Payer: Cash Price |
$4,153.60
|
| Rate for Payer: Cofinity Commercial |
$1,193.43
|
| Rate for Payer: Cofinity Commercial |
$1,110.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$828.77
|
| Rate for Payer: Healthscope Commercial |
$994.52
|
| Rate for Payer: Healthscope Whirlpool |
$994.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$870.21
|
| Rate for Payer: Meridian Medicaid |
$556.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$911.65
|
| Rate for Payer: Nomi Health Commercial |
$994.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,894.00
|
| Rate for Payer: PACE SWMI |
$828.77
|
| Rate for Payer: PHP Medicare Advantage |
$828.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$530.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,386.98
|
| Rate for Payer: Priority Health Medicare |
$828.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,386.98
|
| Rate for Payer: Railroad Medicare Medicare |
$828.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,547.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$828.77
|
| Rate for Payer: UHC Exchange |
$1,547.21
|
| Rate for Payer: UHC Medicaid |
$530.37
|
| Rate for Payer: UHCCP DNSP |
$828.77
|
| Rate for Payer: UHCCP Medicaid |
$530.37
|
|
|
PR RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 28126
|
| Min. Negotiated Rate |
$151.87 |
| Max. Negotiated Rate |
$535.50 |
| Rate for Payer: Aetna Commercial |
$308.86
|
| Rate for Payer: Aetna Medicare |
$230.49
|
| Rate for Payer: BCBS Complete |
$159.46
|
| Rate for Payer: BCBS MAPPO |
$230.49
|
| Rate for Payer: BCN Commercial |
$379.96
|
| Rate for Payer: BCN Medicare Advantage |
$230.49
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$331.91
|
| Rate for Payer: Cofinity Commercial |
$308.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.49
|
| Rate for Payer: Healthscope Commercial |
$276.59
|
| Rate for Payer: Healthscope Whirlpool |
$276.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.01
|
| Rate for Payer: Meridian Medicaid |
$159.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$253.54
|
| Rate for Payer: Nomi Health Commercial |
$276.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$535.50
|
| Rate for Payer: PACE SWMI |
$230.49
|
| Rate for Payer: PHP Medicare Advantage |
$230.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$406.16
|
| Rate for Payer: Priority Health Medicare |
$230.49
|
| Rate for Payer: Priority Health Narrow Network |
$406.16
|
| Rate for Payer: Railroad Medicare Medicare |
$230.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$429.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$230.49
|
| Rate for Payer: UHC Exchange |
$429.75
|
| Rate for Payer: UHC Medicaid |
$151.87
|
| Rate for Payer: UHCCP DNSP |
$230.49
|
| Rate for Payer: UHCCP Medicaid |
$151.87
|
|
|
PR RESECTION PERICARDIAL CYST/TUMOR
|
Professional
|
Both
|
$2,955.00
|
|
|
Service Code
|
HCPCS 33050
|
| Min. Negotiated Rate |
$618.13 |
| Max. Negotiated Rate |
$2,216.25 |
| Rate for Payer: Aetna Commercial |
$1,290.61
|
| Rate for Payer: Aetna Medicare |
$963.14
|
| Rate for Payer: BCBS Complete |
$649.04
|
| Rate for Payer: BCBS MAPPO |
$963.14
|
| Rate for Payer: BCN Commercial |
$1,493.94
|
| Rate for Payer: BCN Medicare Advantage |
$963.14
|
| Rate for Payer: Cash Price |
$2,364.00
|
| Rate for Payer: Cash Price |
$2,364.00
|
| Rate for Payer: Cofinity Commercial |
$1,386.92
|
| Rate for Payer: Cofinity Commercial |
$1,290.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$963.14
|
| Rate for Payer: Healthscope Commercial |
$1,155.77
|
| Rate for Payer: Healthscope Whirlpool |
$1,155.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,011.30
|
| Rate for Payer: Meridian Medicaid |
$649.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,059.45
|
| Rate for Payer: Nomi Health Commercial |
$1,155.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,216.25
|
| Rate for Payer: PACE SWMI |
$963.14
|
| Rate for Payer: PHP Medicare Advantage |
$963.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,606.55
|
| Rate for Payer: Priority Health Medicare |
$963.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,606.55
|
| Rate for Payer: Railroad Medicare Medicare |
$963.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,777.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$963.14
|
| Rate for Payer: UHC Exchange |
$1,777.81
|
| Rate for Payer: UHC Medicaid |
$618.13
|
| Rate for Payer: UHCCP DNSP |
$963.14
|
| Rate for Payer: UHCCP Medicaid |
$618.13
|
|
|
PR RESECTION RIBS EXTRAPLEURAL ALL STAGES
|
Professional
|
Both
|
$3,238.00
|
|
|
Service Code
|
HCPCS 32900
|
| Min. Negotiated Rate |
$823.88 |
| Max. Negotiated Rate |
$2,513.92 |
| Rate for Payer: Aetna Commercial |
$1,727.53
|
| Rate for Payer: Aetna Medicare |
$1,289.20
|
| Rate for Payer: BCBS Complete |
$865.07
|
| Rate for Payer: BCBS MAPPO |
$1,289.20
|
| Rate for Payer: BCN Commercial |
$2,174.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.20
|
| Rate for Payer: Cash Price |
$2,590.40
|
| Rate for Payer: Cash Price |
$2,590.40
|
| Rate for Payer: Cofinity Commercial |
$1,856.45
|
| Rate for Payer: Cofinity Commercial |
$1,727.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.20
|
| Rate for Payer: Healthscope Commercial |
$1,547.04
|
| Rate for Payer: Healthscope Whirlpool |
$1,547.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,353.66
|
| Rate for Payer: Meridian Medicaid |
$865.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,418.12
|
| Rate for Payer: Nomi Health Commercial |
$1,547.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,428.50
|
| Rate for Payer: PACE SWMI |
$1,289.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$823.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,047.44
|
| Rate for Payer: Priority Health Medicare |
$1,289.20
|
| Rate for Payer: Priority Health Narrow Network |
$2,047.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,289.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,513.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,289.20
|
| Rate for Payer: UHC Exchange |
$2,513.92
|
| Rate for Payer: UHC Medicaid |
$823.88
|
| Rate for Payer: UHCCP DNSP |
$1,289.20
|
| Rate for Payer: UHCCP Medicaid |
$823.88
|
|
|
PR RESECTION SCROTUM
|
Professional
|
Both
|
$1,634.00
|
|
|
Service Code
|
HCPCS 55150
|
| Min. Negotiated Rate |
$290.53 |
| Max. Negotiated Rate |
$1,225.50 |
| Rate for Payer: Aetna Commercial |
$598.74
|
| Rate for Payer: Aetna Medicare |
$446.82
|
| Rate for Payer: BCBS Complete |
$305.06
|
| Rate for Payer: BCBS MAPPO |
$446.82
|
| Rate for Payer: BCN Commercial |
$743.98
|
| Rate for Payer: BCN Medicare Advantage |
$446.82
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cofinity Commercial |
$643.42
|
| Rate for Payer: Cofinity Commercial |
$598.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$446.82
|
| Rate for Payer: Healthscope Commercial |
$536.18
|
| Rate for Payer: Healthscope Whirlpool |
$536.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$469.16
|
| Rate for Payer: Meridian Medicaid |
$305.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$491.50
|
| Rate for Payer: Nomi Health Commercial |
$536.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,225.50
|
| Rate for Payer: PACE SWMI |
$446.82
|
| Rate for Payer: PHP Medicare Advantage |
$446.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$810.45
|
| Rate for Payer: Priority Health Medicare |
$446.82
|
| Rate for Payer: Priority Health Narrow Network |
$810.45
|
| Rate for Payer: Railroad Medicare Medicare |
$446.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$864.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$446.82
|
| Rate for Payer: UHC Exchange |
$864.57
|
| Rate for Payer: UHC Medicaid |
$290.53
|
| Rate for Payer: UHCCP DNSP |
$446.82
|
| Rate for Payer: UHCCP Medicaid |
$290.53
|
|
|
PR RESECTION/TRANSPLANTATION LONG TENDON BICEPS
|
Professional
|
Both
|
$1,394.00
|
|
|
Service Code
|
HCPCS 23440
|
| Min. Negotiated Rate |
$447.30 |
| Max. Negotiated Rate |
$1,321.97 |
| Rate for Payer: Aetna Commercial |
$919.49
|
| Rate for Payer: Aetna Medicare |
$686.19
|
| Rate for Payer: BCBS Complete |
$469.67
|
| Rate for Payer: BCBS MAPPO |
$686.19
|
| Rate for Payer: BCN Commercial |
$1,152.83
|
| Rate for Payer: BCN Medicare Advantage |
$686.19
|
| Rate for Payer: Cash Price |
$1,115.20
|
| Rate for Payer: Cash Price |
$1,115.20
|
| Rate for Payer: Cofinity Commercial |
$988.11
|
| Rate for Payer: Cofinity Commercial |
$919.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.19
|
| Rate for Payer: Healthscope Commercial |
$823.43
|
| Rate for Payer: Healthscope Whirlpool |
$823.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.50
|
| Rate for Payer: Meridian Medicaid |
$469.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$754.81
|
| Rate for Payer: Nomi Health Commercial |
$823.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,045.50
|
| Rate for Payer: PACE SWMI |
$686.19
|
| Rate for Payer: PHP Medicare Advantage |
$686.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,232.34
|
| Rate for Payer: Priority Health Medicare |
$686.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,232.34
|
| Rate for Payer: Railroad Medicare Medicare |
$686.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,321.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$686.19
|
| Rate for Payer: UHC Exchange |
$1,321.97
|
| Rate for Payer: UHC Medicaid |
$447.30
|
| Rate for Payer: UHCCP DNSP |
$686.19
|
| Rate for Payer: UHCCP Medicaid |
$447.30
|
|
|
PR RESPIRATORY FLOW VOLUME LOOP
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 94375
|
| Min. Negotiated Rate |
$39.44 |
| Max. Negotiated Rate |
$86.25 |
| Rate for Payer: Aetna Commercial |
$52.85
|
| Rate for Payer: Aetna Medicare |
$39.44
|
| Rate for Payer: BCBS MAPPO |
$39.44
|
| Rate for Payer: BCN Commercial |
$58.26
|
| Rate for Payer: BCN Medicare Advantage |
$39.44
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$56.79
|
| Rate for Payer: Cofinity Commercial |
$52.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.44
|
| Rate for Payer: Healthscope Commercial |
$47.33
|
| Rate for Payer: Healthscope Whirlpool |
$47.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.38
|
| Rate for Payer: Nomi Health Commercial |
$47.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.25
|
| Rate for Payer: PACE SWMI |
$39.44
|
| Rate for Payer: PHP Medicare Advantage |
$39.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$53.74
|
| Rate for Payer: Priority Health Medicare |
$39.44
|
| Rate for Payer: Priority Health Narrow Network |
$53.74
|
| Rate for Payer: Railroad Medicare Medicare |
$39.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$60.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.44
|
| Rate for Payer: UHC Exchange |
$60.12
|
| Rate for Payer: UHCCP DNSP |
$39.44
|
|
|
PR RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E
|
Professional
|
Both
|
$3,801.00
|
|
|
Service Code
|
HCPCS 90378
|
| Min. Negotiated Rate |
$1,791.52 |
| Max. Negotiated Rate |
$2,850.75 |
| Rate for Payer: Aetna Commercial |
$1,857.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,820.66
|
| Rate for Payer: BCN Commercial |
$1,791.52
|
| Rate for Payer: Cash Price |
$3,040.80
|
| Rate for Payer: Cash Price |
$3,040.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,850.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,875.28
|
| Rate for Payer: UHC Exchange |
$1,875.28
|
|
|
PR REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL
|
Professional
|
Both
|
$614.00
|
|
|
Service Code
|
HCPCS 37222
|
| Min. Negotiated Rate |
$245.60 |
| Max. Negotiated Rate |
$460.50 |
| Rate for Payer: Aetna Commercial |
$249.11
|
| Rate for Payer: BCBS Complete |
$245.60
|
| Rate for Payer: BCN Commercial |
$269.91
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Cash Price |
$491.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$460.50
|
|
|
PR REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 37220
|
| Min. Negotiated Rate |
$399.20 |
| Max. Negotiated Rate |
$748.50 |
| Rate for Payer: Aetna Commercial |
$538.63
|
| Rate for Payer: BCBS Complete |
$399.20
|
| Rate for Payer: BCN Commercial |
$581.14
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$748.50
|
|
|
PR REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT
|
Professional
|
Both
|
$5,149.00
|
|
|
Service Code
|
HCPCS 24371
|
| Min. Negotiated Rate |
$1,002.17 |
| Max. Negotiated Rate |
$3,861.75 |
| Rate for Payer: Aetna Commercial |
$2,078.84
|
| Rate for Payer: Aetna Medicare |
$1,551.37
|
| Rate for Payer: BCBS Complete |
$1,052.28
|
| Rate for Payer: BCBS MAPPO |
$1,551.37
|
| Rate for Payer: BCN Commercial |
$2,660.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,551.37
|
| Rate for Payer: Cash Price |
$4,119.20
|
| Rate for Payer: Cash Price |
$4,119.20
|
| Rate for Payer: Cofinity Commercial |
$2,078.84
|
| Rate for Payer: Cofinity Commercial |
$2,233.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,551.37
|
| Rate for Payer: Healthscope Commercial |
$1,861.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,861.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,628.94
|
| Rate for Payer: Meridian Medicaid |
$1,052.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,706.51
|
| Rate for Payer: Nomi Health Commercial |
$1,861.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,861.75
|
| Rate for Payer: PACE SWMI |
$1,551.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,551.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,002.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,843.69
|
| Rate for Payer: Priority Health Medicare |
$1,551.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,843.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,551.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,133.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,551.37
|
| Rate for Payer: UHC Exchange |
$3,133.20
|
| Rate for Payer: UHC Medicaid |
$1,002.17
|
| Rate for Payer: UHCCP DNSP |
$1,551.37
|
| Rate for Payer: UHCCP Medicaid |
$1,002.17
|
|
|
PR REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT
|
Professional
|
Both
|
$3,893.00
|
|
|
Service Code
|
HCPCS 24370
|
| Min. Negotiated Rate |
$877.99 |
| Max. Negotiated Rate |
$2,919.75 |
| Rate for Payer: Aetna Commercial |
$1,818.35
|
| Rate for Payer: Aetna Medicare |
$1,356.98
|
| Rate for Payer: BCBS Complete |
$921.89
|
| Rate for Payer: BCBS MAPPO |
$1,356.98
|
| Rate for Payer: BCN Commercial |
$2,320.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,356.98
|
| Rate for Payer: Cash Price |
$3,114.40
|
| Rate for Payer: Cash Price |
$3,114.40
|
| Rate for Payer: Cofinity Commercial |
$1,818.35
|
| Rate for Payer: Cofinity Commercial |
$1,954.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,356.98
|
| Rate for Payer: Healthscope Commercial |
$1,628.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,628.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,424.83
|
| Rate for Payer: Meridian Medicaid |
$921.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,492.68
|
| Rate for Payer: Nomi Health Commercial |
$1,628.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,919.75
|
| Rate for Payer: PACE SWMI |
$1,356.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,356.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$877.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,480.65
|
| Rate for Payer: Priority Health Medicare |
$1,356.98
|
| Rate for Payer: Priority Health Narrow Network |
$2,480.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,356.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,713.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,356.98
|
| Rate for Payer: UHC Exchange |
$2,713.95
|
| Rate for Payer: UHC Medicaid |
$877.99
|
| Rate for Payer: UHCCP DNSP |
$1,356.98
|
| Rate for Payer: UHCCP Medicaid |
$877.99
|
|
|
PR REVISION OF LARYNX, UNSPECIFIED
|
Professional
|
Both
|
$2,122.00
|
|
|
Service Code
|
HCPCS 31588
|
| Min. Negotiated Rate |
$848.80 |
| Max. Negotiated Rate |
$1,591.50 |
| Rate for Payer: BCBS Complete |
$848.80
|
| Rate for Payer: Cash Price |
$1,697.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,591.50
|
|
|
PR REVISION OF RECONSTRUCTED BREAST
|
Professional
|
Both
|
$1,255.00
|
|
|
Service Code
|
HCPCS 19380
|
| Min. Negotiated Rate |
$469.24 |
| Max. Negotiated Rate |
$1,356.42 |
| Rate for Payer: Aetna Commercial |
$962.44
|
| Rate for Payer: Aetna Medicare |
$718.24
|
| Rate for Payer: BCBS Complete |
$492.70
|
| Rate for Payer: BCBS MAPPO |
$718.24
|
| Rate for Payer: BCN Commercial |
$1,222.54
|
| Rate for Payer: BCN Medicare Advantage |
$718.24
|
| Rate for Payer: Cash Price |
$1,004.00
|
| Rate for Payer: Cash Price |
$1,004.00
|
| Rate for Payer: Cofinity Commercial |
$962.44
|
| Rate for Payer: Cofinity Commercial |
$1,034.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$718.24
|
| Rate for Payer: Healthscope Commercial |
$861.89
|
| Rate for Payer: Healthscope Whirlpool |
$861.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$754.15
|
| Rate for Payer: Meridian Medicaid |
$492.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$790.06
|
| Rate for Payer: Nomi Health Commercial |
$861.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$941.25
|
| Rate for Payer: PACE SWMI |
$718.24
|
| Rate for Payer: PHP Medicare Advantage |
$718.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,118.95
|
| Rate for Payer: Priority Health Medicare |
$718.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,118.95
|
| Rate for Payer: Railroad Medicare Medicare |
$718.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,356.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$718.24
|
| Rate for Payer: UHC Exchange |
$1,356.42
|
| Rate for Payer: UHC Medicaid |
$469.24
|
| Rate for Payer: UHCCP DNSP |
$718.24
|
| Rate for Payer: UHCCP Medicaid |
$469.24
|
|
|
PR REVISION PERI-IMPLANT CAPSULE BREAST
|
Professional
|
Both
|
$1,281.00
|
|
|
Service Code
|
HCPCS 19370
|
| Min. Negotiated Rate |
$392.77 |
| Max. Negotiated Rate |
$1,201.54 |
| Rate for Payer: Aetna Commercial |
$804.58
|
| Rate for Payer: Aetna Medicare |
$600.43
|
| Rate for Payer: BCBS Complete |
$412.41
|
| Rate for Payer: BCBS MAPPO |
$600.43
|
| Rate for Payer: BCN Commercial |
$1,018.37
|
| Rate for Payer: BCN Medicare Advantage |
$600.43
|
| Rate for Payer: Cash Price |
$1,024.80
|
| Rate for Payer: Cash Price |
$1,024.80
|
| Rate for Payer: Cofinity Commercial |
$864.62
|
| Rate for Payer: Cofinity Commercial |
$804.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.43
|
| Rate for Payer: Healthscope Commercial |
$720.52
|
| Rate for Payer: Healthscope Whirlpool |
$720.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.45
|
| Rate for Payer: Meridian Medicaid |
$412.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$660.47
|
| Rate for Payer: Nomi Health Commercial |
$720.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$960.75
|
| Rate for Payer: PACE SWMI |
$600.43
|
| Rate for Payer: PHP Medicare Advantage |
$600.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$932.08
|
| Rate for Payer: Priority Health Medicare |
$600.43
|
| Rate for Payer: Priority Health Narrow Network |
$932.08
|
| Rate for Payer: Railroad Medicare Medicare |
$600.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,201.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$600.43
|
| Rate for Payer: UHC Exchange |
$1,201.54
|
| Rate for Payer: UHC Medicaid |
$392.77
|
| Rate for Payer: UHCCP DNSP |
$600.43
|
| Rate for Payer: UHCCP Medicaid |
$392.77
|
|
|
PR REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC
|
Professional
|
Both
|
$1,660.00
|
|
|
Service Code
|
HCPCS 57426
|
| Min. Negotiated Rate |
$494.80 |
| Max. Negotiated Rate |
$1,516.39 |
| Rate for Payer: Aetna Commercial |
$1,026.06
|
| Rate for Payer: Aetna Medicare |
$765.72
|
| Rate for Payer: BCBS Complete |
$519.54
|
| Rate for Payer: BCBS MAPPO |
$765.72
|
| Rate for Payer: BCN Commercial |
$1,309.20
|
| Rate for Payer: BCN Medicare Advantage |
$765.72
|
| Rate for Payer: Cash Price |
$1,328.00
|
| Rate for Payer: Cash Price |
$1,328.00
|
| Rate for Payer: Cofinity Commercial |
$1,102.64
|
| Rate for Payer: Cofinity Commercial |
$1,026.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.72
|
| Rate for Payer: Healthscope Commercial |
$918.86
|
| Rate for Payer: Healthscope Whirlpool |
$918.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.01
|
| Rate for Payer: Meridian Medicaid |
$519.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$842.29
|
| Rate for Payer: Nomi Health Commercial |
$918.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,245.00
|
| Rate for Payer: PACE SWMI |
$765.72
|
| Rate for Payer: PHP Medicare Advantage |
$765.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,325.93
|
| Rate for Payer: Priority Health Medicare |
$765.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,325.93
|
| Rate for Payer: Railroad Medicare Medicare |
$765.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,516.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.72
|
| Rate for Payer: UHC Exchange |
$1,516.39
|
| Rate for Payer: UHC Medicaid |
$494.80
|
| Rate for Payer: UHCCP DNSP |
$765.72
|
| Rate for Payer: UHCCP Medicaid |
$494.80
|
|
|
PR REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV
|
Professional
|
Both
|
$2,297.00
|
|
|
Service Code
|
HCPCS 64569
|
| Min. Negotiated Rate |
$475.84 |
| Max. Negotiated Rate |
$1,722.75 |
| Rate for Payer: Aetna Commercial |
$990.64
|
| Rate for Payer: Aetna Medicare |
$739.28
|
| Rate for Payer: BCBS Complete |
$499.63
|
| Rate for Payer: BCBS MAPPO |
$739.28
|
| Rate for Payer: BCN Commercial |
$1,178.72
|
| Rate for Payer: BCN Medicare Advantage |
$739.28
|
| Rate for Payer: Cash Price |
$1,837.60
|
| Rate for Payer: Cash Price |
$1,837.60
|
| Rate for Payer: Cofinity Commercial |
$990.64
|
| Rate for Payer: Cofinity Commercial |
$1,064.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$739.28
|
| Rate for Payer: Healthscope Commercial |
$887.14
|
| Rate for Payer: Healthscope Whirlpool |
$887.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$776.24
|
| Rate for Payer: Meridian Medicaid |
$499.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$813.21
|
| Rate for Payer: Nomi Health Commercial |
$887.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,722.75
|
| Rate for Payer: PACE SWMI |
$739.28
|
| Rate for Payer: PHP Medicare Advantage |
$739.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,369.06
|
| Rate for Payer: Priority Health Medicare |
$739.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,369.06
|
| Rate for Payer: Railroad Medicare Medicare |
$739.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,334.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$739.28
|
| Rate for Payer: UHC Exchange |
$1,334.20
|
| Rate for Payer: UHC Medicaid |
$475.84
|
| Rate for Payer: UHCCP DNSP |
$739.28
|
| Rate for Payer: UHCCP Medicaid |
$475.84
|
|
|
PR REVISION STAPEDECTOMY/STAPEDOTOMY
|
Professional
|
Both
|
$4,035.00
|
|
|
Service Code
|
HCPCS 69662
|
| Min. Negotiated Rate |
$650.72 |
| Max. Negotiated Rate |
$3,026.25 |
| Rate for Payer: Aetna Commercial |
$1,330.03
|
| Rate for Payer: Aetna Medicare |
$992.56
|
| Rate for Payer: BCBS Complete |
$683.26
|
| Rate for Payer: BCBS MAPPO |
$992.56
|
| Rate for Payer: BCN Commercial |
$1,718.53
|
| Rate for Payer: BCN Medicare Advantage |
$992.56
|
| Rate for Payer: Cash Price |
$3,228.00
|
| Rate for Payer: Cash Price |
$3,228.00
|
| Rate for Payer: Cofinity Commercial |
$1,429.29
|
| Rate for Payer: Cofinity Commercial |
$1,330.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$992.56
|
| Rate for Payer: Healthscope Commercial |
$1,191.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,191.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,042.19
|
| Rate for Payer: Meridian Medicaid |
$683.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,091.82
|
| Rate for Payer: Nomi Health Commercial |
$1,191.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,026.25
|
| Rate for Payer: PACE SWMI |
$992.56
|
| Rate for Payer: PHP Medicare Advantage |
$992.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,698.08
|
| Rate for Payer: Priority Health Medicare |
$992.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,698.08
|
| Rate for Payer: Railroad Medicare Medicare |
$992.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,974.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$992.56
|
| Rate for Payer: UHC Exchange |
$1,974.48
|
| Rate for Payer: UHC Medicaid |
$650.72
|
| Rate for Payer: UHCCP DNSP |
$992.56
|
| Rate for Payer: UHCCP Medicaid |
$650.72
|
|
|
PR REVISION TRACHEOSTOMY SCAR
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 31830
|
| Min. Negotiated Rate |
$211.08 |
| Max. Negotiated Rate |
$608.43 |
| Rate for Payer: Aetna Commercial |
$428.76
|
| Rate for Payer: Aetna Medicare |
$319.97
|
| Rate for Payer: BCBS Complete |
$221.63
|
| Rate for Payer: BCBS MAPPO |
$319.97
|
| Rate for Payer: BCN Commercial |
$554.25
|
| Rate for Payer: BCN Medicare Advantage |
$319.97
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cofinity Commercial |
$460.76
|
| Rate for Payer: Cofinity Commercial |
$428.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.97
|
| Rate for Payer: Healthscope Commercial |
$383.96
|
| Rate for Payer: Healthscope Whirlpool |
$383.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.97
|
| Rate for Payer: Meridian Medicaid |
$221.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$351.97
|
| Rate for Payer: Nomi Health Commercial |
$383.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$538.50
|
| Rate for Payer: PACE SWMI |
$319.97
|
| Rate for Payer: PHP Medicare Advantage |
$319.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$521.95
|
| Rate for Payer: Priority Health Medicare |
$319.97
|
| Rate for Payer: Priority Health Narrow Network |
$521.95
|
| Rate for Payer: Railroad Medicare Medicare |
$319.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$608.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$319.97
|
| Rate for Payer: UHC Exchange |
$608.43
|
| Rate for Payer: UHC Medicaid |
$211.08
|
| Rate for Payer: UHCCP DNSP |
$319.97
|
| Rate for Payer: UHCCP Medicaid |
$211.08
|
|
|
PR REVIS PERITONEAL-VENOUS SHUNT
|
Professional
|
Both
|
$2,122.00
|
|
|
Service Code
|
HCPCS 49426
|
| Min. Negotiated Rate |
$409.81 |
| Max. Negotiated Rate |
$1,591.50 |
| Rate for Payer: Aetna Commercial |
$851.93
|
| Rate for Payer: Aetna Medicare |
$635.77
|
| Rate for Payer: BCBS Complete |
$430.30
|
| Rate for Payer: BCBS MAPPO |
$635.77
|
| Rate for Payer: BCN Commercial |
$1,013.39
|
| Rate for Payer: BCN Medicare Advantage |
$635.77
|
| Rate for Payer: Cash Price |
$1,697.60
|
| Rate for Payer: Cash Price |
$1,697.60
|
| Rate for Payer: Cofinity Commercial |
$915.51
|
| Rate for Payer: Cofinity Commercial |
$851.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.77
|
| Rate for Payer: Healthscope Commercial |
$762.92
|
| Rate for Payer: Healthscope Whirlpool |
$762.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$667.56
|
| Rate for Payer: Meridian Medicaid |
$430.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$699.35
|
| Rate for Payer: Nomi Health Commercial |
$762.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,591.50
|
| Rate for Payer: PACE SWMI |
$635.77
|
| Rate for Payer: PHP Medicare Advantage |
$635.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,234.75
|
| Rate for Payer: Priority Health Medicare |
$635.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,234.75
|
| Rate for Payer: Railroad Medicare Medicare |
$635.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,186.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$635.77
|
| Rate for Payer: UHC Exchange |
$1,186.58
|
| Rate for Payer: UHC Medicaid |
$409.81
|
| Rate for Payer: UHCCP DNSP |
$635.77
|
| Rate for Payer: UHCCP Medicaid |
$409.81
|
|
|
PR REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT
|
Professional
|
Both
|
$4,318.00
|
|
|
Service Code
|
HCPCS 23474
|
| Min. Negotiated Rate |
$989.81 |
| Max. Negotiated Rate |
$3,238.50 |
| Rate for Payer: Aetna Commercial |
$2,054.23
|
| Rate for Payer: Aetna Medicare |
$1,533.01
|
| Rate for Payer: BCBS Complete |
$1,039.30
|
| Rate for Payer: BCBS MAPPO |
$1,533.01
|
| Rate for Payer: BCN Commercial |
$2,612.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,533.01
|
| Rate for Payer: Cash Price |
$3,454.40
|
| Rate for Payer: Cash Price |
$3,454.40
|
| Rate for Payer: Cofinity Commercial |
$2,207.53
|
| Rate for Payer: Cofinity Commercial |
$2,054.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,533.01
|
| Rate for Payer: Healthscope Commercial |
$1,839.61
|
| Rate for Payer: Healthscope Whirlpool |
$1,839.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,609.66
|
| Rate for Payer: Meridian Medicaid |
$1,039.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,686.31
|
| Rate for Payer: Nomi Health Commercial |
$1,839.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,238.50
|
| Rate for Payer: PACE SWMI |
$1,533.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,533.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$989.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,793.12
|
| Rate for Payer: Priority Health Medicare |
$1,533.01
|
| Rate for Payer: Priority Health Narrow Network |
$2,793.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,533.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,080.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,533.01
|
| Rate for Payer: UHC Exchange |
$3,080.11
|
| Rate for Payer: UHC Medicaid |
$989.81
|
| Rate for Payer: UHCCP DNSP |
$1,533.01
|
| Rate for Payer: UHCCP Medicaid |
$989.81
|
|
|
PR REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT
|
Professional
|
Both
|
$3,694.00
|
|
|
Service Code
|
HCPCS 23473
|
| Min. Negotiated Rate |
$918.46 |
| Max. Negotiated Rate |
$2,849.48 |
| Rate for Payer: Aetna Commercial |
$1,904.23
|
| Rate for Payer: Aetna Medicare |
$1,421.07
|
| Rate for Payer: BCBS Complete |
$964.38
|
| Rate for Payer: BCBS MAPPO |
$1,421.07
|
| Rate for Payer: BCN Commercial |
$2,421.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,421.07
|
| Rate for Payer: Cash Price |
$2,955.20
|
| Rate for Payer: Cash Price |
$2,955.20
|
| Rate for Payer: Cofinity Commercial |
$2,046.34
|
| Rate for Payer: Cofinity Commercial |
$1,904.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,421.07
|
| Rate for Payer: Healthscope Commercial |
$1,705.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,705.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,492.12
|
| Rate for Payer: Meridian Medicaid |
$964.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,563.18
|
| Rate for Payer: Nomi Health Commercial |
$1,705.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,770.50
|
| Rate for Payer: PACE SWMI |
$1,421.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,421.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$918.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,588.18
|
| Rate for Payer: Priority Health Medicare |
$1,421.07
|
| Rate for Payer: Priority Health Narrow Network |
$2,588.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1,421.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,849.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,421.07
|
| Rate for Payer: UHC Exchange |
$2,849.48
|
| Rate for Payer: UHC Medicaid |
$918.46
|
| Rate for Payer: UHCCP DNSP |
$1,421.07
|
| Rate for Payer: UHCCP Medicaid |
$918.46
|
|
|
PR REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT
|
Professional
|
Both
|
$2,145.00
|
|
|
Service Code
|
HCPCS 25449
|
| Min. Negotiated Rate |
$594.48 |
| Max. Negotiated Rate |
$1,810.42 |
| Rate for Payer: Aetna Commercial |
$1,224.40
|
| Rate for Payer: Aetna Medicare |
$913.73
|
| Rate for Payer: BCBS Complete |
$624.20
|
| Rate for Payer: BCBS MAPPO |
$913.73
|
| Rate for Payer: BCN Commercial |
$1,569.64
|
| Rate for Payer: BCN Medicare Advantage |
$913.73
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cofinity Commercial |
$1,315.77
|
| Rate for Payer: Cofinity Commercial |
$1,224.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$913.73
|
| Rate for Payer: Healthscope Commercial |
$1,096.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,096.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$959.42
|
| Rate for Payer: Meridian Medicaid |
$624.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,005.10
|
| Rate for Payer: Nomi Health Commercial |
$1,096.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,608.75
|
| Rate for Payer: PACE SWMI |
$913.73
|
| Rate for Payer: PHP Medicare Advantage |
$913.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,677.89
|
| Rate for Payer: Priority Health Medicare |
$913.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,677.89
|
| Rate for Payer: Railroad Medicare Medicare |
$913.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,810.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$913.73
|
| Rate for Payer: UHC Exchange |
$1,810.42
|
| Rate for Payer: UHC Medicaid |
$594.48
|
| Rate for Payer: UHCCP DNSP |
$913.73
|
| Rate for Payer: UHCCP Medicaid |
$594.48
|
|
|
PR REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX
|
Professional
|
Both
|
$2,189.00
|
|
|
Service Code
|
HCPCS 44345
|
| Min. Negotiated Rate |
$629.20 |
| Max. Negotiated Rate |
$1,921.59 |
| Rate for Payer: Aetna Commercial |
$1,308.74
|
| Rate for Payer: Aetna Medicare |
$976.67
|
| Rate for Payer: BCBS Complete |
$660.66
|
| Rate for Payer: BCBS MAPPO |
$976.67
|
| Rate for Payer: BCN Commercial |
$1,577.10
|
| Rate for Payer: BCN Medicare Advantage |
$976.67
|
| Rate for Payer: Cash Price |
$1,751.20
|
| Rate for Payer: Cash Price |
$1,751.20
|
| Rate for Payer: Cofinity Commercial |
$1,406.40
|
| Rate for Payer: Cofinity Commercial |
$1,308.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$976.67
|
| Rate for Payer: Healthscope Commercial |
$1,172.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,172.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,025.50
|
| Rate for Payer: Meridian Medicaid |
$660.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,074.34
|
| Rate for Payer: Nomi Health Commercial |
$1,172.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,641.75
|
| Rate for Payer: PACE SWMI |
$976.67
|
| Rate for Payer: PHP Medicare Advantage |
$976.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$629.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,921.59
|
| Rate for Payer: Priority Health Medicare |
$976.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,921.59
|
| Rate for Payer: Railroad Medicare Medicare |
$976.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,861.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$976.67
|
| Rate for Payer: UHC Exchange |
$1,861.97
|
| Rate for Payer: UHC Medicaid |
$629.20
|
| Rate for Payer: UHCCP DNSP |
$976.67
|
| Rate for Payer: UHCCP Medicaid |
$629.20
|
|
