|
PR SUTURE TRACHEAL WOUND/INJURY CERVICAL
|
Professional
|
Both
|
$1,637.00
|
|
|
Service Code
|
HCPCS 31800
|
| Min. Negotiated Rate |
$411.09 |
| Max. Negotiated Rate |
$1,227.75 |
| Rate for Payer: Aetna Commercial |
$831.04
|
| Rate for Payer: Aetna Medicare |
$620.18
|
| Rate for Payer: BCBS Complete |
$431.64
|
| Rate for Payer: BCBS MAPPO |
$620.18
|
| Rate for Payer: BCN Commercial |
$1,055.72
|
| Rate for Payer: BCN Medicare Advantage |
$620.18
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cofinity Commercial |
$893.06
|
| Rate for Payer: Cofinity Commercial |
$831.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.18
|
| Rate for Payer: Healthscope Commercial |
$744.22
|
| Rate for Payer: Healthscope Whirlpool |
$744.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.19
|
| Rate for Payer: Meridian Medicaid |
$431.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$682.20
|
| Rate for Payer: Nomi Health Commercial |
$744.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,227.75
|
| Rate for Payer: PACE SWMI |
$620.18
|
| Rate for Payer: PHP Medicare Advantage |
$620.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$994.18
|
| Rate for Payer: Priority Health Medicare |
$620.18
|
| Rate for Payer: Priority Health Narrow Network |
$994.18
|
| Rate for Payer: Railroad Medicare Medicare |
$620.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,219.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$620.18
|
| Rate for Payer: UHC Exchange |
$1,219.43
|
| Rate for Payer: UHC Medicaid |
$411.09
|
| Rate for Payer: UHCCP DNSP |
$620.18
|
| Rate for Payer: UHCCP Medicaid |
$411.09
|
|
|
PR SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC
|
Professional
|
Both
|
$1,721.00
|
|
|
Service Code
|
HCPCS 31805
|
| Min. Negotiated Rate |
$506.94 |
| Max. Negotiated Rate |
$1,441.54 |
| Rate for Payer: Aetna Commercial |
$1,055.29
|
| Rate for Payer: Aetna Medicare |
$787.53
|
| Rate for Payer: BCBS Complete |
$532.29
|
| Rate for Payer: BCBS MAPPO |
$787.53
|
| Rate for Payer: BCN Commercial |
$1,217.57
|
| Rate for Payer: BCN Medicare Advantage |
$787.53
|
| Rate for Payer: Cash Price |
$1,376.80
|
| Rate for Payer: Cash Price |
$1,376.80
|
| Rate for Payer: Cofinity Commercial |
$1,134.04
|
| Rate for Payer: Cofinity Commercial |
$1,055.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.53
|
| Rate for Payer: Healthscope Commercial |
$945.04
|
| Rate for Payer: Healthscope Whirlpool |
$945.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$826.91
|
| Rate for Payer: Meridian Medicaid |
$532.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$866.28
|
| Rate for Payer: Nomi Health Commercial |
$945.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,290.75
|
| Rate for Payer: PACE SWMI |
$787.53
|
| Rate for Payer: PHP Medicare Advantage |
$787.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,146.58
|
| Rate for Payer: Priority Health Medicare |
$787.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,146.58
|
| Rate for Payer: Railroad Medicare Medicare |
$787.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,441.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$787.53
|
| Rate for Payer: UHC Exchange |
$1,441.54
|
| Rate for Payer: UHC Medicaid |
$506.94
|
| Rate for Payer: UHCCP DNSP |
$787.53
|
| Rate for Payer: UHCCP Medicaid |
$506.94
|
|
|
PR SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS
|
Professional
|
Both
|
$59.00
|
|
|
Service Code
|
HCPCS 99058
|
| Min. Negotiated Rate |
$23.60 |
| Max. Negotiated Rate |
$44.25 |
| Rate for Payer: Aetna Commercial |
$28.30
|
| Rate for Payer: BCBS Complete |
$23.60
|
| Rate for Payer: BCN Commercial |
$42.65
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$28.93
|
| Rate for Payer: Priority Health Narrow Network |
$28.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$33.52
|
| Rate for Payer: UHC Exchange |
$33.52
|
|
|
PR SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 99051
|
| Min. Negotiated Rate |
$20.02 |
| Max. Negotiated Rate |
$46.50 |
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: BCBS Complete |
$24.80
|
| Rate for Payer: BCN Commercial |
$20.37
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24.80
|
| Rate for Payer: Priority Health Narrow Network |
$24.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$28.00
|
| Rate for Payer: UHC Exchange |
$28.00
|
|
|
PR SYMPATHECTOMY CERVICAL
|
Professional
|
Both
|
$1,781.00
|
|
|
Service Code
|
HCPCS 64802
|
| Min. Negotiated Rate |
$560.62 |
| Max. Negotiated Rate |
$1,513.07 |
| Rate for Payer: Aetna Commercial |
$1,156.07
|
| Rate for Payer: Aetna Medicare |
$862.74
|
| Rate for Payer: BCBS Complete |
$588.65
|
| Rate for Payer: BCBS MAPPO |
$862.74
|
| Rate for Payer: BCN Commercial |
$1,302.72
|
| Rate for Payer: BCN Medicare Advantage |
$862.74
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Cofinity Commercial |
$1,242.35
|
| Rate for Payer: Cofinity Commercial |
$1,156.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.74
|
| Rate for Payer: Healthscope Commercial |
$1,035.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,035.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.88
|
| Rate for Payer: Meridian Medicaid |
$588.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$949.01
|
| Rate for Payer: Nomi Health Commercial |
$1,035.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,335.75
|
| Rate for Payer: PACE SWMI |
$862.74
|
| Rate for Payer: PHP Medicare Advantage |
$862.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$560.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,513.07
|
| Rate for Payer: Priority Health Medicare |
$862.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,513.07
|
| Rate for Payer: Railroad Medicare Medicare |
$862.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,456.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$862.74
|
| Rate for Payer: UHC Exchange |
$1,456.80
|
| Rate for Payer: UHC Medicaid |
$560.62
|
| Rate for Payer: UHCCP DNSP |
$862.74
|
| Rate for Payer: UHCCP Medicaid |
$560.62
|
|
|
PR SYMPATHECTOMY LUMBAR
|
Professional
|
Both
|
$329.00
|
|
|
Service Code
|
HCPCS 64818
|
| Min. Negotiated Rate |
$246.75 |
| Max. Negotiated Rate |
$1,371.96 |
| Rate for Payer: Aetna Commercial |
$945.66
|
| Rate for Payer: Aetna Medicare |
$705.72
|
| Rate for Payer: BCBS Complete |
$481.52
|
| Rate for Payer: BCBS MAPPO |
$705.72
|
| Rate for Payer: BCN Commercial |
$1,181.21
|
| Rate for Payer: BCN Medicare Advantage |
$705.72
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cofinity Commercial |
$945.66
|
| Rate for Payer: Cofinity Commercial |
$1,016.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.72
|
| Rate for Payer: Healthscope Commercial |
$846.86
|
| Rate for Payer: Healthscope Whirlpool |
$846.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$741.01
|
| Rate for Payer: Meridian Medicaid |
$481.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.29
|
| Rate for Payer: Nomi Health Commercial |
$846.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.75
|
| Rate for Payer: PACE SWMI |
$705.72
|
| Rate for Payer: PHP Medicare Advantage |
$705.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$458.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,371.96
|
| Rate for Payer: Priority Health Medicare |
$705.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,371.96
|
| Rate for Payer: Railroad Medicare Medicare |
$705.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,367.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.72
|
| Rate for Payer: UHC Exchange |
$1,367.50
|
| Rate for Payer: UHC Medicaid |
$458.59
|
| Rate for Payer: UHCCP DNSP |
$705.72
|
| Rate for Payer: UHCCP Medicaid |
$458.59
|
|
|
PR SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI
|
Professional
|
Both
|
$2,233.00
|
|
|
Service Code
|
HCPCS 50540
|
| Min. Negotiated Rate |
$653.91 |
| Max. Negotiated Rate |
$2,028.93 |
| Rate for Payer: Aetna Commercial |
$1,360.13
|
| Rate for Payer: Aetna Medicare |
$1,015.02
|
| Rate for Payer: BCBS Complete |
$686.61
|
| Rate for Payer: BCBS MAPPO |
$1,015.02
|
| Rate for Payer: BCN Commercial |
$1,708.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.02
|
| Rate for Payer: Cash Price |
$1,786.40
|
| Rate for Payer: Cash Price |
$1,786.40
|
| Rate for Payer: Cofinity Commercial |
$1,461.63
|
| Rate for Payer: Cofinity Commercial |
$1,360.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.02
|
| Rate for Payer: Healthscope Commercial |
$1,218.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,218.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.77
|
| Rate for Payer: Meridian Medicaid |
$686.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,116.52
|
| Rate for Payer: Nomi Health Commercial |
$1,218.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,674.75
|
| Rate for Payer: PACE SWMI |
$1,015.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,861.19
|
| Rate for Payer: Priority Health Medicare |
$1,015.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,861.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,015.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,028.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,015.02
|
| Rate for Payer: UHC Exchange |
$2,028.93
|
| Rate for Payer: UHC Medicaid |
$653.91
|
| Rate for Payer: UHCCP DNSP |
$1,015.02
|
| Rate for Payer: UHCCP Medicaid |
$653.91
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 98015
|
| Min. Negotiated Rate |
$134.08 |
| Max. Negotiated Rate |
$274.50 |
| Rate for Payer: BCBS Complete |
$146.40
|
| Rate for Payer: BCN Commercial |
$134.08
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.32
|
| Rate for Payer: Priority Health Narrow Network |
$169.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.26
|
| Rate for Payer: UHC Exchange |
$189.26
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN
|
Professional
|
Both
|
$167.00
|
|
|
Service Code
|
HCPCS 98013
|
| Min. Negotiated Rate |
$66.80 |
| Max. Negotiated Rate |
$125.25 |
| Rate for Payer: BCBS Complete |
$66.80
|
| Rate for Payer: BCN Commercial |
$68.21
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$77.49
|
| Rate for Payer: Priority Health Narrow Network |
$77.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$86.61
|
| Rate for Payer: UHC Exchange |
$86.61
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN
|
Professional
|
Both
|
$248.00
|
|
|
Service Code
|
HCPCS 98014
|
| Min. Negotiated Rate |
$98.90 |
| Max. Negotiated Rate |
$186.00 |
| Rate for Payer: BCBS Complete |
$99.20
|
| Rate for Payer: BCN Commercial |
$98.90
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$114.67
|
| Rate for Payer: Priority Health Narrow Network |
$114.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$128.18
|
| Rate for Payer: UHC Exchange |
$128.18
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 98012
|
| Min. Negotiated Rate |
$36.80 |
| Max. Negotiated Rate |
$69.00 |
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCN Commercial |
$43.40
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42.56
|
| Rate for Payer: Priority Health Narrow Network |
$42.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$47.56
|
| Rate for Payer: UHC Exchange |
$47.56
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN
|
Professional
|
Both
|
$448.00
|
|
|
Service Code
|
HCPCS 98011
|
| Min. Negotiated Rate |
$179.20 |
| Max. Negotiated Rate |
$336.00 |
| Rate for Payer: BCBS Complete |
$179.20
|
| Rate for Payer: BCN Commercial |
$180.08
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$336.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$207.85
|
| Rate for Payer: Priority Health Narrow Network |
$207.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$232.28
|
| Rate for Payer: UHC Exchange |
$232.28
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 98009
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$159.75 |
| Rate for Payer: BCBS Complete |
$85.20
|
| Rate for Payer: BCN Commercial |
$93.27
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$100.34
|
| Rate for Payer: Priority Health Narrow Network |
$100.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$112.14
|
| Rate for Payer: UHC Exchange |
$112.14
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 98010
|
| Min. Negotiated Rate |
$136.80 |
| Max. Negotiated Rate |
$256.50 |
| Rate for Payer: BCBS Complete |
$136.80
|
| Rate for Payer: BCN Commercial |
$142.52
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$256.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$158.12
|
| Rate for Payer: Priority Health Narrow Network |
$158.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$176.76
|
| Rate for Payer: UHC Exchange |
$176.76
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 98008
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$93.75 |
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: BCN Commercial |
$65.87
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$57.79
|
| Rate for Payer: Priority Health Narrow Network |
$57.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$64.58
|
| Rate for Payer: UHC Exchange |
$64.58
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN
|
Professional
|
Both
|
$200.00
|
|
|
Service Code
|
HCPCS 98005
|
| Min. Negotiated Rate |
$68.21 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: BCBS Complete |
$80.00
|
| Rate for Payer: BCN Commercial |
$68.21
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$150.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$84.21
|
| Rate for Payer: Priority Health Narrow Network |
$84.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.12
|
| Rate for Payer: UHC Exchange |
$94.12
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN
|
Professional
|
Both
|
$271.00
|
|
|
Service Code
|
HCPCS 98006
|
| Min. Negotiated Rate |
$98.90 |
| Max. Negotiated Rate |
$203.25 |
| Rate for Payer: BCBS Complete |
$108.40
|
| Rate for Payer: BCN Commercial |
$98.90
|
| Rate for Payer: Cash Price |
$216.80
|
| Rate for Payer: Cash Price |
$216.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$203.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$125.42
|
| Rate for Payer: Priority Health Narrow Network |
$125.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$140.23
|
| Rate for Payer: UHC Exchange |
$140.23
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 98004
|
| Min. Negotiated Rate |
$43.40 |
| Max. Negotiated Rate |
$85.50 |
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCN Commercial |
$43.40
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$45.24
|
| Rate for Payer: Priority Health Narrow Network |
$45.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$50.58
|
| Rate for Payer: UHC Exchange |
$50.58
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 98001
|
| Min. Negotiated Rate |
$93.27 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: BCBS Complete |
$97.60
|
| Rate for Payer: BCN Commercial |
$93.27
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$104.37
|
| Rate for Payer: Priority Health Narrow Network |
$104.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$116.65
|
| Rate for Payer: UHC Exchange |
$116.65
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 98002
|
| Min. Negotiated Rate |
$142.52 |
| Max. Negotiated Rate |
$274.50 |
| Rate for Payer: BCBS Complete |
$146.40
|
| Rate for Payer: BCN Commercial |
$142.52
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.32
|
| Rate for Payer: Priority Health Narrow Network |
$169.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.26
|
| Rate for Payer: UHC Exchange |
$189.26
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 98000
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$98.25 |
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCN Commercial |
$65.87
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$60.47
|
| Rate for Payer: Priority Health Narrow Network |
$60.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$67.56
|
| Rate for Payer: UHC Exchange |
$67.56
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 98007
|
| Min. Negotiated Rate |
$134.08 |
| Max. Negotiated Rate |
$274.50 |
| Rate for Payer: BCBS Complete |
$146.40
|
| Rate for Payer: BCN Commercial |
$134.08
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.32
|
| Rate for Payer: Priority Health Narrow Network |
$169.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$189.26
|
| Rate for Payer: UHC Exchange |
$189.26
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN
|
Professional
|
Both
|
$491.00
|
|
|
Service Code
|
HCPCS 98003
|
| Min. Negotiated Rate |
$180.08 |
| Max. Negotiated Rate |
$368.25 |
| Rate for Payer: BCBS Complete |
$196.40
|
| Rate for Payer: BCN Commercial |
$180.08
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$368.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$227.55
|
| Rate for Payer: Priority Health Narrow Network |
$227.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$254.35
|
| Rate for Payer: UHC Exchange |
$254.35
|
|
|
PR SYNDACTYLIZATION TOES
|
Professional
|
Both
|
$878.00
|
|
|
Service Code
|
HCPCS 28280
|
| Min. Negotiated Rate |
$205.33 |
| Max. Negotiated Rate |
$658.50 |
| Rate for Payer: Aetna Commercial |
$419.39
|
| Rate for Payer: Aetna Medicare |
$312.98
|
| Rate for Payer: BCBS Complete |
$215.60
|
| Rate for Payer: BCBS MAPPO |
$312.98
|
| Rate for Payer: BCN Commercial |
$517.40
|
| Rate for Payer: BCN Medicare Advantage |
$312.98
|
| Rate for Payer: Cash Price |
$702.40
|
| Rate for Payer: Cash Price |
$702.40
|
| Rate for Payer: Cofinity Commercial |
$450.69
|
| Rate for Payer: Cofinity Commercial |
$419.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.98
|
| Rate for Payer: Healthscope Commercial |
$375.58
|
| Rate for Payer: Healthscope Whirlpool |
$375.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$328.63
|
| Rate for Payer: Meridian Medicaid |
$215.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$344.28
|
| Rate for Payer: Nomi Health Commercial |
$375.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$658.50
|
| Rate for Payer: PACE SWMI |
$312.98
|
| Rate for Payer: PHP Medicare Advantage |
$312.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$553.09
|
| Rate for Payer: Priority Health Medicare |
$312.98
|
| Rate for Payer: Priority Health Narrow Network |
$553.09
|
| Rate for Payer: Railroad Medicare Medicare |
$312.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$607.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$312.98
|
| Rate for Payer: UHC Exchange |
$607.71
|
| Rate for Payer: UHC Medicaid |
$205.33
|
| Rate for Payer: UHCCP DNSP |
$312.98
|
| Rate for Payer: UHCCP Medicaid |
$205.33
|
|
|
PR SYNOVECTOMY CARPOMETACARPAL JOINT
|
Professional
|
Both
|
$1,217.00
|
|
|
Service Code
|
HCPCS 26130
|
| Min. Negotiated Rate |
$292.45 |
| Max. Negotiated Rate |
$912.75 |
| Rate for Payer: Aetna Commercial |
$593.58
|
| Rate for Payer: Aetna Medicare |
$442.97
|
| Rate for Payer: BCBS Complete |
$307.07
|
| Rate for Payer: BCBS MAPPO |
$442.97
|
| Rate for Payer: BCN Commercial |
$725.06
|
| Rate for Payer: BCN Medicare Advantage |
$442.97
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cofinity Commercial |
$637.88
|
| Rate for Payer: Cofinity Commercial |
$593.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.97
|
| Rate for Payer: Healthscope Commercial |
$531.56
|
| Rate for Payer: Healthscope Whirlpool |
$531.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$465.12
|
| Rate for Payer: Meridian Medicaid |
$307.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$487.27
|
| Rate for Payer: Nomi Health Commercial |
$531.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$912.75
|
| Rate for Payer: PACE SWMI |
$442.97
|
| Rate for Payer: PHP Medicare Advantage |
$442.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$775.08
|
| Rate for Payer: Priority Health Medicare |
$442.97
|
| Rate for Payer: Priority Health Narrow Network |
$775.08
|
| Rate for Payer: Railroad Medicare Medicare |
$442.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$806.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$442.97
|
| Rate for Payer: UHC Exchange |
$806.21
|
| Rate for Payer: UHC Medicaid |
$292.45
|
| Rate for Payer: UHCCP DNSP |
$442.97
|
| Rate for Payer: UHCCP Medicaid |
$292.45
|
|
