|
PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR
|
Professional
|
Both
|
$7,286.00
|
|
|
Service Code
|
HCPCS 63056
|
| Min. Negotiated Rate |
$895.88 |
| Max. Negotiated Rate |
$5,464.50 |
| Rate for Payer: Aetna Commercial |
$1,870.91
|
| Rate for Payer: Aetna Medicare |
$1,396.20
|
| Rate for Payer: BCBS Complete |
$940.67
|
| Rate for Payer: BCBS MAPPO |
$1,396.20
|
| Rate for Payer: BCN Commercial |
$2,479.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,396.20
|
| Rate for Payer: Cash Price |
$5,828.80
|
| Rate for Payer: Cash Price |
$5,828.80
|
| Rate for Payer: Cofinity Commercial |
$2,010.53
|
| Rate for Payer: Cofinity Commercial |
$1,870.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,396.20
|
| Rate for Payer: Healthscope Commercial |
$1,675.44
|
| Rate for Payer: Healthscope Whirlpool |
$1,675.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,466.01
|
| Rate for Payer: Meridian Medicaid |
$940.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,535.82
|
| Rate for Payer: Nomi Health Commercial |
$1,675.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,464.50
|
| Rate for Payer: PACE SWMI |
$1,396.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,396.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$895.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,621.87
|
| Rate for Payer: Priority Health Medicare |
$1,396.20
|
| Rate for Payer: Priority Health Narrow Network |
$2,621.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,396.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,626.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,396.20
|
| Rate for Payer: UHC Exchange |
$2,626.32
|
| Rate for Payer: UHC Medicaid |
$895.88
|
| Rate for Payer: UHCCP DNSP |
$1,396.20
|
| Rate for Payer: UHCCP Medicaid |
$895.88
|
|
|
PR TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC
|
Professional
|
Both
|
$7,679.00
|
|
|
Service Code
|
HCPCS 63055
|
| Min. Negotiated Rate |
$990.45 |
| Max. Negotiated Rate |
$5,759.25 |
| Rate for Payer: Aetna Commercial |
$2,072.30
|
| Rate for Payer: Aetna Medicare |
$1,546.49
|
| Rate for Payer: BCBS Complete |
$1,039.97
|
| Rate for Payer: BCBS MAPPO |
$1,546.49
|
| Rate for Payer: BCN Commercial |
$2,712.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,546.49
|
| Rate for Payer: Cash Price |
$6,143.20
|
| Rate for Payer: Cash Price |
$6,143.20
|
| Rate for Payer: Cofinity Commercial |
$2,226.95
|
| Rate for Payer: Cofinity Commercial |
$2,072.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,546.49
|
| Rate for Payer: Healthscope Commercial |
$1,855.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,855.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.81
|
| Rate for Payer: Meridian Medicaid |
$1,039.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,701.14
|
| Rate for Payer: Nomi Health Commercial |
$1,855.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,759.25
|
| Rate for Payer: PACE SWMI |
$1,546.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,546.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$990.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,868.26
|
| Rate for Payer: Priority Health Medicare |
$1,546.49
|
| Rate for Payer: Priority Health Narrow Network |
$2,868.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,546.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,869.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,546.49
|
| Rate for Payer: UHC Exchange |
$2,869.10
|
| Rate for Payer: UHC Medicaid |
$990.45
|
| Rate for Payer: UHCCP DNSP |
$1,546.49
|
| Rate for Payer: UHCCP Medicaid |
$990.45
|
|
|
PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX
|
Professional
|
Both
|
$6,886.00
|
|
|
Service Code
|
HCPCS 55874
|
| Min. Negotiated Rate |
$90.95 |
| Max. Negotiated Rate |
$5,164.50 |
| Rate for Payer: Aetna Commercial |
$189.17
|
| Rate for Payer: Aetna Medicare |
$141.17
|
| Rate for Payer: BCBS Complete |
$95.50
|
| Rate for Payer: BCBS MAPPO |
$141.17
|
| Rate for Payer: BCN Commercial |
$244.51
|
| Rate for Payer: BCN Medicare Advantage |
$141.17
|
| Rate for Payer: Cash Price |
$5,508.80
|
| Rate for Payer: Cash Price |
$5,508.80
|
| Rate for Payer: Cofinity Commercial |
$203.28
|
| Rate for Payer: Cofinity Commercial |
$189.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.17
|
| Rate for Payer: Healthscope Commercial |
$169.40
|
| Rate for Payer: Healthscope Whirlpool |
$169.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.23
|
| Rate for Payer: Meridian Medicaid |
$95.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$155.29
|
| Rate for Payer: Nomi Health Commercial |
$169.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,164.50
|
| Rate for Payer: PACE SWMI |
$141.17
|
| Rate for Payer: PHP Medicare Advantage |
$141.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$266.35
|
| Rate for Payer: Priority Health Medicare |
$141.17
|
| Rate for Payer: Priority Health Narrow Network |
$266.35
|
| Rate for Payer: Railroad Medicare Medicare |
$141.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$141.17
|
| Rate for Payer: UHC Exchange |
$291.68
|
| Rate for Payer: UHC Medicaid |
$90.95
|
| Rate for Payer: UHCCP DNSP |
$141.17
|
| Rate for Payer: UHCCP Medicaid |
$90.95
|
|
|
PR TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ
|
Professional
|
Both
|
$2,803.00
|
|
|
Service Code
|
HCPCS 55875
|
| Min. Negotiated Rate |
$438.57 |
| Max. Negotiated Rate |
$2,102.25 |
| Rate for Payer: Aetna Commercial |
$906.19
|
| Rate for Payer: Aetna Medicare |
$676.26
|
| Rate for Payer: BCBS Complete |
$460.50
|
| Rate for Payer: BCBS MAPPO |
$676.26
|
| Rate for Payer: BCN Commercial |
$1,174.73
|
| Rate for Payer: BCN Medicare Advantage |
$676.26
|
| Rate for Payer: Cash Price |
$2,242.40
|
| Rate for Payer: Cash Price |
$2,242.40
|
| Rate for Payer: Cofinity Commercial |
$973.81
|
| Rate for Payer: Cofinity Commercial |
$906.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$676.26
|
| Rate for Payer: Healthscope Commercial |
$811.51
|
| Rate for Payer: Healthscope Whirlpool |
$811.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$710.07
|
| Rate for Payer: Meridian Medicaid |
$460.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$743.89
|
| Rate for Payer: Nomi Health Commercial |
$811.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,102.25
|
| Rate for Payer: PACE SWMI |
$676.26
|
| Rate for Payer: PHP Medicare Advantage |
$676.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,279.66
|
| Rate for Payer: Priority Health Medicare |
$676.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,279.66
|
| Rate for Payer: Railroad Medicare Medicare |
$676.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,354.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$676.26
|
| Rate for Payer: UHC Exchange |
$1,354.75
|
| Rate for Payer: UHC Medicaid |
$438.57
|
| Rate for Payer: UHCCP DNSP |
$676.26
|
| Rate for Payer: UHCCP Medicaid |
$438.57
|
|
|
PR TRANSPLANTATION TESTIS TO THIGH
|
Professional
|
Both
|
$1,463.00
|
|
|
Service Code
|
HCPCS 54680
|
| Min. Negotiated Rate |
$453.90 |
| Max. Negotiated Rate |
$1,390.61 |
| Rate for Payer: Aetna Commercial |
$941.12
|
| Rate for Payer: Aetna Medicare |
$702.33
|
| Rate for Payer: BCBS Complete |
$476.60
|
| Rate for Payer: BCBS MAPPO |
$702.33
|
| Rate for Payer: BCN Commercial |
$1,179.22
|
| Rate for Payer: BCN Medicare Advantage |
$702.33
|
| Rate for Payer: Cash Price |
$1,170.40
|
| Rate for Payer: Cash Price |
$1,170.40
|
| Rate for Payer: Cofinity Commercial |
$941.12
|
| Rate for Payer: Cofinity Commercial |
$1,011.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$702.33
|
| Rate for Payer: Healthscope Commercial |
$842.80
|
| Rate for Payer: Healthscope Whirlpool |
$842.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$737.45
|
| Rate for Payer: Meridian Medicaid |
$476.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$772.56
|
| Rate for Payer: Nomi Health Commercial |
$842.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,097.25
|
| Rate for Payer: PACE SWMI |
$702.33
|
| Rate for Payer: PHP Medicare Advantage |
$702.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,284.56
|
| Rate for Payer: Priority Health Medicare |
$702.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,284.56
|
| Rate for Payer: Railroad Medicare Medicare |
$702.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,390.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$702.33
|
| Rate for Payer: UHC Exchange |
$1,390.61
|
| Rate for Payer: UHC Medicaid |
$453.90
|
| Rate for Payer: UHCCP DNSP |
$702.33
|
| Rate for Payer: UHCCP Medicaid |
$453.90
|
|
|
PR TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN
|
Professional
|
Both
|
$1,936.00
|
|
|
Service Code
|
HCPCS 27397
|
| Min. Negotiated Rate |
$546.13 |
| Max. Negotiated Rate |
$1,598.35 |
| Rate for Payer: Aetna Commercial |
$1,121.11
|
| Rate for Payer: Aetna Medicare |
$836.65
|
| Rate for Payer: BCBS Complete |
$573.44
|
| Rate for Payer: BCBS MAPPO |
$836.65
|
| Rate for Payer: BCN Commercial |
$1,395.84
|
| Rate for Payer: BCN Medicare Advantage |
$836.65
|
| Rate for Payer: Cash Price |
$1,548.80
|
| Rate for Payer: Cash Price |
$1,548.80
|
| Rate for Payer: Cofinity Commercial |
$1,204.78
|
| Rate for Payer: Cofinity Commercial |
$1,121.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$836.65
|
| Rate for Payer: Healthscope Commercial |
$1,003.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,003.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$878.48
|
| Rate for Payer: Meridian Medicaid |
$573.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$920.32
|
| Rate for Payer: Nomi Health Commercial |
$1,003.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,452.00
|
| Rate for Payer: PACE SWMI |
$836.65
|
| Rate for Payer: PHP Medicare Advantage |
$836.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,492.11
|
| Rate for Payer: Priority Health Medicare |
$836.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,492.11
|
| Rate for Payer: Railroad Medicare Medicare |
$836.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,598.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$836.65
|
| Rate for Payer: UHC Exchange |
$1,598.35
|
| Rate for Payer: UHC Medicaid |
$546.13
|
| Rate for Payer: UHCCP DNSP |
$836.65
|
| Rate for Payer: UHCCP Medicaid |
$546.13
|
|
|
PR TRANSPOSITION OVARY
|
Professional
|
Both
|
$1,507.00
|
|
|
Service Code
|
HCPCS 58825
|
| Min. Negotiated Rate |
$400.23 |
| Max. Negotiated Rate |
$1,247.13 |
| Rate for Payer: Aetna Commercial |
$831.99
|
| Rate for Payer: Aetna Medicare |
$620.89
|
| Rate for Payer: BCBS Complete |
$420.24
|
| Rate for Payer: BCBS MAPPO |
$620.89
|
| Rate for Payer: BCN Commercial |
$1,063.68
|
| Rate for Payer: BCN Medicare Advantage |
$620.89
|
| Rate for Payer: Cash Price |
$1,205.60
|
| Rate for Payer: Cash Price |
$1,205.60
|
| Rate for Payer: Cofinity Commercial |
$894.08
|
| Rate for Payer: Cofinity Commercial |
$831.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.89
|
| Rate for Payer: Healthscope Commercial |
$745.07
|
| Rate for Payer: Healthscope Whirlpool |
$745.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.93
|
| Rate for Payer: Meridian Medicaid |
$420.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$682.98
|
| Rate for Payer: Nomi Health Commercial |
$745.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,130.25
|
| Rate for Payer: PACE SWMI |
$620.89
|
| Rate for Payer: PHP Medicare Advantage |
$620.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$400.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,077.28
|
| Rate for Payer: Priority Health Medicare |
$620.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,077.28
|
| Rate for Payer: Railroad Medicare Medicare |
$620.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,247.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$620.89
|
| Rate for Payer: UHC Exchange |
$1,247.13
|
| Rate for Payer: UHC Medicaid |
$400.23
|
| Rate for Payer: UHCCP DNSP |
$620.89
|
| Rate for Payer: UHCCP Medicaid |
$400.23
|
|
|
PR TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM
|
Professional
|
Both
|
$5,231.00
|
|
|
Service Code
|
HCPCS 61598
|
| Min. Negotiated Rate |
$1,816.04 |
| Max. Negotiated Rate |
$5,003.53 |
| Rate for Payer: Aetna Commercial |
$3,768.11
|
| Rate for Payer: Aetna Medicare |
$2,812.02
|
| Rate for Payer: BCBS Complete |
$1,906.84
|
| Rate for Payer: BCBS MAPPO |
$2,812.02
|
| Rate for Payer: BCN Commercial |
$4,305.54
|
| Rate for Payer: BCN Medicare Advantage |
$2,812.02
|
| Rate for Payer: Cash Price |
$4,184.80
|
| Rate for Payer: Cash Price |
$4,184.80
|
| Rate for Payer: Cofinity Commercial |
$4,049.31
|
| Rate for Payer: Cofinity Commercial |
$3,768.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,812.02
|
| Rate for Payer: Healthscope Commercial |
$3,374.42
|
| Rate for Payer: Healthscope Whirlpool |
$3,374.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,952.62
|
| Rate for Payer: Meridian Medicaid |
$1,906.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,093.22
|
| Rate for Payer: Nomi Health Commercial |
$3,374.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,923.25
|
| Rate for Payer: PACE SWMI |
$2,812.02
|
| Rate for Payer: PHP Medicare Advantage |
$2,812.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,816.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,000.81
|
| Rate for Payer: Priority Health Medicare |
$2,812.02
|
| Rate for Payer: Priority Health Narrow Network |
$5,000.81
|
| Rate for Payer: Railroad Medicare Medicare |
$2,812.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,003.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,812.02
|
| Rate for Payer: UHC Exchange |
$5,003.53
|
| Rate for Payer: UHC Medicaid |
$1,816.04
|
| Rate for Payer: UHCCP DNSP |
$2,812.02
|
| Rate for Payer: UHCCP Medicaid |
$1,816.04
|
|
|
PR TRANSRECTAL DRAINAGE OF PELVIC ABSCESS
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 45000
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$789.40 |
| Rate for Payer: Aetna Commercial |
$539.90
|
| Rate for Payer: Aetna Medicare |
$402.91
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS MAPPO |
$402.91
|
| Rate for Payer: BCN Commercial |
$647.87
|
| Rate for Payer: BCN Medicare Advantage |
$402.91
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cofinity Commercial |
$580.19
|
| Rate for Payer: Cofinity Commercial |
$539.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.91
|
| Rate for Payer: Healthscope Commercial |
$483.49
|
| Rate for Payer: Healthscope Whirlpool |
$483.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$423.06
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$443.20
|
| Rate for Payer: Nomi Health Commercial |
$483.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.25
|
| Rate for Payer: PACE SWMI |
$402.91
|
| Rate for Payer: PHP Medicare Advantage |
$402.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$789.40
|
| Rate for Payer: Priority Health Medicare |
$402.91
|
| Rate for Payer: Priority Health Narrow Network |
$789.40
|
| Rate for Payer: Railroad Medicare Medicare |
$402.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$749.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$402.91
|
| Rate for Payer: UHC Exchange |
$749.19
|
| Rate for Payer: UHC Medicaid |
$263.27
|
| Rate for Payer: UHCCP DNSP |
$402.91
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL
|
Professional
|
Both
|
$186.00
|
|
|
Service Code
|
HCPCS 93293
|
| Min. Negotiated Rate |
$37.31 |
| Max. Negotiated Rate |
$139.50 |
| Rate for Payer: Aetna Commercial |
$50.00
|
| Rate for Payer: Aetna Medicare |
$37.31
|
| Rate for Payer: BCBS MAPPO |
$37.31
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: BCN Medicare Advantage |
$37.31
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$53.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.31
|
| Rate for Payer: Healthscope Commercial |
$44.77
|
| Rate for Payer: Healthscope Whirlpool |
$44.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.04
|
| Rate for Payer: Nomi Health Commercial |
$44.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE SWMI |
$37.31
|
| Rate for Payer: PHP Medicare Advantage |
$37.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$58.69
|
| Rate for Payer: Priority Health Medicare |
$37.31
|
| Rate for Payer: Priority Health Narrow Network |
$58.69
|
| Rate for Payer: Railroad Medicare Medicare |
$37.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$79.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.31
|
| Rate for Payer: UHC Exchange |
$79.24
|
| Rate for Payer: UHCCP DNSP |
$37.31
|
|
|
PR TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV
|
Professional
|
Both
|
$6,436.00
|
|
|
Service Code
|
HCPCS 61595
|
| Min. Negotiated Rate |
$1,394.09 |
| Max. Negotiated Rate |
$4,827.00 |
| Rate for Payer: Aetna Commercial |
$2,884.68
|
| Rate for Payer: Aetna Medicare |
$2,152.75
|
| Rate for Payer: BCBS Complete |
$1,463.79
|
| Rate for Payer: BCBS MAPPO |
$2,152.75
|
| Rate for Payer: BCN Commercial |
$3,589.94
|
| Rate for Payer: BCN Medicare Advantage |
$2,152.75
|
| Rate for Payer: Cash Price |
$5,148.80
|
| Rate for Payer: Cash Price |
$5,148.80
|
| Rate for Payer: Cofinity Commercial |
$3,099.96
|
| Rate for Payer: Cofinity Commercial |
$2,884.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,152.75
|
| Rate for Payer: Healthscope Commercial |
$2,583.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,583.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,260.39
|
| Rate for Payer: Meridian Medicaid |
$1,463.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,368.03
|
| Rate for Payer: Nomi Health Commercial |
$2,583.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,827.00
|
| Rate for Payer: PACE SWMI |
$2,152.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,152.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,394.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,169.66
|
| Rate for Payer: Priority Health Medicare |
$2,152.75
|
| Rate for Payer: Priority Health Narrow Network |
$4,169.66
|
| Rate for Payer: Railroad Medicare Medicare |
$2,152.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,142.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,152.75
|
| Rate for Payer: UHC Exchange |
$4,142.38
|
| Rate for Payer: UHC Medicaid |
$1,394.09
|
| Rate for Payer: UHCCP DNSP |
$2,152.75
|
| Rate for Payer: UHCCP Medicaid |
$1,394.09
|
|
|
PR TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR
|
Professional
|
Both
|
$2,225.00
|
|
|
Service Code
|
HCPCS 50770
|
| Min. Negotiated Rate |
$657.11 |
| Max. Negotiated Rate |
$2,040.01 |
| Rate for Payer: Aetna Commercial |
$1,366.81
|
| Rate for Payer: Aetna Medicare |
$1,020.01
|
| Rate for Payer: BCBS Complete |
$689.97
|
| Rate for Payer: BCBS MAPPO |
$1,020.01
|
| Rate for Payer: BCN Commercial |
$1,717.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,020.01
|
| Rate for Payer: Cash Price |
$1,780.00
|
| Rate for Payer: Cash Price |
$1,780.00
|
| Rate for Payer: Cofinity Commercial |
$1,468.81
|
| Rate for Payer: Cofinity Commercial |
$1,366.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,020.01
|
| Rate for Payer: Healthscope Commercial |
$1,224.01
|
| Rate for Payer: Healthscope Whirlpool |
$1,224.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,071.01
|
| Rate for Payer: Meridian Medicaid |
$689.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,122.01
|
| Rate for Payer: Nomi Health Commercial |
$1,224.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,668.75
|
| Rate for Payer: PACE SWMI |
$1,020.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,020.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$657.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,870.95
|
| Rate for Payer: Priority Health Medicare |
$1,020.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,870.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,020.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,040.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,020.01
|
| Rate for Payer: UHC Exchange |
$2,040.01
|
| Rate for Payer: UHC Medicaid |
$657.11
|
| Rate for Payer: UHCCP DNSP |
$1,020.01
|
| Rate for Payer: UHCCP Medicaid |
$657.11
|
|
|
PR TRANSURETHRAL INCISION PROSTATE
|
Professional
|
Both
|
$1,509.00
|
|
|
Service Code
|
HCPCS 52450
|
| Min. Negotiated Rate |
$428.99 |
| Max. Negotiated Rate |
$1,131.75 |
| Rate for Payer: Aetna Commercial |
$574.85
|
| Rate for Payer: Aetna Medicare |
$428.99
|
| Rate for Payer: BCBS Complete |
$603.60
|
| Rate for Payer: BCBS MAPPO |
$428.99
|
| Rate for Payer: BCN Commercial |
$716.59
|
| Rate for Payer: BCN Medicare Advantage |
$428.99
|
| Rate for Payer: Cash Price |
$1,207.20
|
| Rate for Payer: Cash Price |
$1,207.20
|
| Rate for Payer: Cofinity Commercial |
$574.85
|
| Rate for Payer: Cofinity Commercial |
$617.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.99
|
| Rate for Payer: Healthscope Commercial |
$514.79
|
| Rate for Payer: Healthscope Whirlpool |
$514.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$450.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$471.89
|
| Rate for Payer: Nomi Health Commercial |
$514.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,131.75
|
| Rate for Payer: PACE SWMI |
$428.99
|
| Rate for Payer: PHP Medicare Advantage |
$428.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$780.61
|
| Rate for Payer: Priority Health Medicare |
$428.99
|
| Rate for Payer: Priority Health Narrow Network |
$780.61
|
| Rate for Payer: Railroad Medicare Medicare |
$428.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$827.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$428.99
|
| Rate for Payer: UHC Exchange |
$827.07
|
| Rate for Payer: UHCCP DNSP |
$428.99
|
|
|
PR TRANSURETHRAL RESECTION BLADDER NECK
|
Professional
|
Both
|
$1,738.00
|
|
|
Service Code
|
HCPCS 52500
|
| Min. Negotiated Rate |
$224.72 |
| Max. Negotiated Rate |
$1,303.50 |
| Rate for Payer: Aetna Commercial |
$461.23
|
| Rate for Payer: Aetna Medicare |
$344.20
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$344.20
|
| Rate for Payer: BCN Commercial |
$743.48
|
| Rate for Payer: BCN Medicare Advantage |
$344.20
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$461.23
|
| Rate for Payer: Cofinity Commercial |
$495.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.20
|
| Rate for Payer: Healthscope Commercial |
$413.04
|
| Rate for Payer: Healthscope Whirlpool |
$413.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$361.41
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$378.62
|
| Rate for Payer: Nomi Health Commercial |
$413.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,303.50
|
| Rate for Payer: PACE SWMI |
$344.20
|
| Rate for Payer: PHP Medicare Advantage |
$344.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$809.89
|
| Rate for Payer: Priority Health Medicare |
$344.20
|
| Rate for Payer: Priority Health Narrow Network |
$809.89
|
| Rate for Payer: Railroad Medicare Medicare |
$344.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$858.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$344.20
|
| Rate for Payer: UHC Exchange |
$858.46
|
| Rate for Payer: UHC Medicaid |
$224.72
|
| Rate for Payer: UHCCP DNSP |
$344.20
|
| Rate for Payer: UHCCP Medicaid |
$224.72
|
|
|
PR TRANSV AORTIC ARCH GRAFT W BYPASS
|
Professional
|
Both
|
$10,594.00
|
|
|
Service Code
|
HCPCS 33870
|
| Min. Negotiated Rate |
$4,237.60 |
| Max. Negotiated Rate |
$7,945.50 |
| Rate for Payer: BCBS Complete |
$4,237.60
|
| Rate for Payer: Cash Price |
$8,475.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,945.50
|
|
|
PR TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA
|
Professional
|
Both
|
$5,798.00
|
|
|
Service Code
|
HCPCS 33871
|
| Min. Negotiated Rate |
$1,915.30 |
| Max. Negotiated Rate |
$5,842.66 |
| Rate for Payer: Aetna Commercial |
$4,047.87
|
| Rate for Payer: Aetna Medicare |
$3,020.80
|
| Rate for Payer: BCBS Complete |
$2,011.07
|
| Rate for Payer: BCBS MAPPO |
$3,020.80
|
| Rate for Payer: BCN Commercial |
$4,762.69
|
| Rate for Payer: BCN Medicare Advantage |
$3,020.80
|
| Rate for Payer: Cash Price |
$4,638.40
|
| Rate for Payer: Cash Price |
$4,638.40
|
| Rate for Payer: Cofinity Commercial |
$4,047.87
|
| Rate for Payer: Cofinity Commercial |
$4,349.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,020.80
|
| Rate for Payer: Healthscope Commercial |
$3,624.96
|
| Rate for Payer: Healthscope Whirlpool |
$3,624.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,171.84
|
| Rate for Payer: Meridian Medicaid |
$2,011.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,322.88
|
| Rate for Payer: Nomi Health Commercial |
$3,624.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,348.50
|
| Rate for Payer: PACE SWMI |
$3,020.80
|
| Rate for Payer: PHP Medicare Advantage |
$3,020.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,915.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,121.67
|
| Rate for Payer: Priority Health Medicare |
$3,020.80
|
| Rate for Payer: Priority Health Narrow Network |
$5,121.67
|
| Rate for Payer: Railroad Medicare Medicare |
$3,020.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,842.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,020.80
|
| Rate for Payer: UHC Exchange |
$5,842.66
|
| Rate for Payer: UHC Medicaid |
$1,915.30
|
| Rate for Payer: UHCCP DNSP |
$3,020.80
|
| Rate for Payer: UHCCP Medicaid |
$1,915.30
|
|
|
PR TRAY FEE
|
Professional
|
Both
|
$35.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.25
|
|
|
PR TREATMENT CLOSED ELBOW DISLOCATION REQ ANES
|
Professional
|
Both
|
$1,351.00
|
|
|
Service Code
|
HCPCS 24605
|
| Min. Negotiated Rate |
$305.66 |
| Max. Negotiated Rate |
$1,013.25 |
| Rate for Payer: Aetna Commercial |
$619.40
|
| Rate for Payer: Aetna Medicare |
$462.24
|
| Rate for Payer: BCBS Complete |
$320.94
|
| Rate for Payer: BCBS MAPPO |
$462.24
|
| Rate for Payer: BCN Commercial |
$737.51
|
| Rate for Payer: BCN Medicare Advantage |
$462.24
|
| Rate for Payer: Cash Price |
$1,080.80
|
| Rate for Payer: Cash Price |
$1,080.80
|
| Rate for Payer: Cofinity Commercial |
$665.63
|
| Rate for Payer: Cofinity Commercial |
$619.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.24
|
| Rate for Payer: Healthscope Commercial |
$554.69
|
| Rate for Payer: Healthscope Whirlpool |
$554.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$485.35
|
| Rate for Payer: Meridian Medicaid |
$320.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$508.46
|
| Rate for Payer: Nomi Health Commercial |
$554.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,013.25
|
| Rate for Payer: PACE SWMI |
$462.24
|
| Rate for Payer: PHP Medicare Advantage |
$462.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$788.37
|
| Rate for Payer: Priority Health Medicare |
$462.24
|
| Rate for Payer: Priority Health Narrow Network |
$788.37
|
| Rate for Payer: Railroad Medicare Medicare |
$462.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$819.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$462.24
|
| Rate for Payer: UHC Exchange |
$819.59
|
| Rate for Payer: UHC Medicaid |
$305.66
|
| Rate for Payer: UHCCP DNSP |
$462.24
|
| Rate for Payer: UHCCP Medicaid |
$305.66
|
|
|
PR TREATMENT CLOSED ELBOW DISLOCATION W/O ANES
|
Professional
|
Both
|
$773.00
|
|
|
Service Code
|
HCPCS 24600
|
| Min. Negotiated Rate |
$256.45 |
| Max. Negotiated Rate |
$585.74 |
| Rate for Payer: Aetna Commercial |
$518.45
|
| Rate for Payer: Aetna Medicare |
$386.90
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS MAPPO |
$386.90
|
| Rate for Payer: BCN Commercial |
$536.82
|
| Rate for Payer: BCN Medicare Advantage |
$386.90
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cash Price |
$618.40
|
| Rate for Payer: Cofinity Commercial |
$557.14
|
| Rate for Payer: Cofinity Commercial |
$518.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.90
|
| Rate for Payer: Healthscope Commercial |
$464.28
|
| Rate for Payer: Healthscope Whirlpool |
$464.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.25
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$425.59
|
| Rate for Payer: Nomi Health Commercial |
$464.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$579.75
|
| Rate for Payer: PACE SWMI |
$386.90
|
| Rate for Payer: PHP Medicare Advantage |
$386.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$573.86
|
| Rate for Payer: Priority Health Medicare |
$386.90
|
| Rate for Payer: Priority Health Narrow Network |
$573.86
|
| Rate for Payer: Railroad Medicare Medicare |
$386.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$585.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$386.90
|
| Rate for Payer: UHC Exchange |
$585.74
|
| Rate for Payer: UHC Medicaid |
$256.45
|
| Rate for Payer: UHCCP DNSP |
$386.90
|
| Rate for Payer: UHCCP Medicaid |
$256.45
|
|
|
PR TRIAMCINOLONE ACET INJ NOS
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J3301
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$1.21
|
| Rate for Payer: Aetna Medicare |
$0.90
|
| Rate for Payer: BCBS MAPPO |
$0.90
|
| Rate for Payer: BCBS Trust/PPO |
$0.35
|
| Rate for Payer: BCN Commercial |
$0.46
|
| Rate for Payer: BCN Medicare Advantage |
$0.90
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$1.30
|
| Rate for Payer: Cofinity Commercial |
$1.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.90
|
| Rate for Payer: Healthscope Commercial |
$1.08
|
| Rate for Payer: Healthscope Whirlpool |
$1.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.99
|
| Rate for Payer: Nomi Health Commercial |
$1.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
| Rate for Payer: PACE SWMI |
$0.90
|
| Rate for Payer: PHP Medicare Advantage |
$0.90
|
| Rate for Payer: Priority Health Medicare |
$0.90
|
| Rate for Payer: Railroad Medicare Medicare |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$0.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$0.90
|
| Rate for Payer: UHC Exchange |
$0.74
|
| Rate for Payer: UHCCP DNSP |
$0.90
|
|
|
PR TRIMETHOBENZAMIDE HCL INJ
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS J3250
|
| Min. Negotiated Rate |
$18.75 |
| Max. Negotiated Rate |
$82.40 |
| Rate for Payer: Aetna Commercial |
$76.67
|
| Rate for Payer: Aetna Medicare |
$57.22
|
| Rate for Payer: BCBS MAPPO |
$57.22
|
| Rate for Payer: BCBS Trust/PPO |
$58.68
|
| Rate for Payer: BCN Commercial |
$50.98
|
| Rate for Payer: BCN Medicare Advantage |
$57.22
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$76.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.22
|
| Rate for Payer: Healthscope Commercial |
$68.66
|
| Rate for Payer: Healthscope Whirlpool |
$68.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.94
|
| Rate for Payer: Nomi Health Commercial |
$68.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.75
|
| Rate for Payer: PACE SWMI |
$57.22
|
| Rate for Payer: PHP Medicare Advantage |
$57.22
|
| Rate for Payer: Priority Health Medicare |
$57.22
|
| Rate for Payer: Railroad Medicare Medicare |
$57.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.22
|
| Rate for Payer: UHC Exchange |
$57.60
|
| Rate for Payer: UHCCP DNSP |
$57.22
|
|
|
PR TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 11719
|
| Min. Negotiated Rate |
$6.67 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: Aetna Commercial |
$8.94
|
| Rate for Payer: Aetna Medicare |
$6.67
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: BCBS MAPPO |
$6.67
|
| Rate for Payer: BCN Commercial |
$8.64
|
| Rate for Payer: BCN Medicare Advantage |
$6.67
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$8.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.67
|
| Rate for Payer: Healthscope Commercial |
$8.00
|
| Rate for Payer: Healthscope Whirlpool |
$8.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.34
|
| Rate for Payer: Nomi Health Commercial |
$8.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$6.67
|
| Rate for Payer: PHP Medicare Advantage |
$6.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10.03
|
| Rate for Payer: Priority Health Medicare |
$6.67
|
| Rate for Payer: Priority Health Narrow Network |
$10.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.67
|
| Rate for Payer: UHC Exchange |
$13.61
|
| Rate for Payer: UHCCP DNSP |
$6.67
|
|
|
PR TRIM NAIL(S)
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS G0127
|
| Min. Negotiated Rate |
$6.67 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Aetna Commercial |
$8.94
|
| Rate for Payer: Aetna Medicare |
$6.67
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$6.67
|
| Rate for Payer: BCN Commercial |
$10.96
|
| Rate for Payer: BCN Medicare Advantage |
$6.67
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$8.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.67
|
| Rate for Payer: Healthscope Commercial |
$8.00
|
| Rate for Payer: Healthscope Whirlpool |
$8.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.34
|
| Rate for Payer: Nomi Health Commercial |
$8.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$6.67
|
| Rate for Payer: PHP Medicare Advantage |
$6.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$10.03
|
| Rate for Payer: Priority Health Medicare |
$6.67
|
| Rate for Payer: Priority Health Narrow Network |
$10.03
|
| Rate for Payer: Railroad Medicare Medicare |
$6.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.67
|
| Rate for Payer: UHC Exchange |
$13.61
|
| Rate for Payer: UHCCP DNSP |
$6.67
|
|
|
PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART
|
Professional
|
Both
|
$1,131.00
|
|
|
Service Code
|
HCPCS 37246
|
| Min. Negotiated Rate |
$196.60 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$416.71
|
| Rate for Payer: Aetna Medicare |
$310.98
|
| Rate for Payer: BCBS Complete |
$206.43
|
| Rate for Payer: BCBS MAPPO |
$310.98
|
| Rate for Payer: BCN Commercial |
$507.94
|
| Rate for Payer: BCN Medicare Advantage |
$310.98
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cofinity Commercial |
$447.81
|
| Rate for Payer: Cofinity Commercial |
$416.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.98
|
| Rate for Payer: Healthscope Commercial |
$373.18
|
| Rate for Payer: Healthscope Whirlpool |
$373.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$326.53
|
| Rate for Payer: Meridian Medicaid |
$206.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$342.08
|
| Rate for Payer: Nomi Health Commercial |
$373.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$848.25
|
| Rate for Payer: PACE SWMI |
$310.98
|
| Rate for Payer: PHP Medicare Advantage |
$310.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$546.22
|
| Rate for Payer: Priority Health Medicare |
$310.98
|
| Rate for Payer: Priority Health Narrow Network |
$546.22
|
| Rate for Payer: Railroad Medicare Medicare |
$310.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$624.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$310.98
|
| Rate for Payer: UHC Exchange |
$624.90
|
| Rate for Payer: UHC Medicaid |
$196.60
|
| Rate for Payer: UHCCP DNSP |
$310.98
|
| Rate for Payer: UHCCP Medicaid |
$196.60
|
|
|
PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART
|
Professional
|
Both
|
$861.00
|
|
|
Service Code
|
HCPCS 37247
|
| Min. Negotiated Rate |
$96.92 |
| Max. Negotiated Rate |
$645.75 |
| Rate for Payer: Aetna Commercial |
$205.19
|
| Rate for Payer: Aetna Medicare |
$153.13
|
| Rate for Payer: BCBS Complete |
$101.77
|
| Rate for Payer: BCBS MAPPO |
$153.13
|
| Rate for Payer: BCN Commercial |
$253.47
|
| Rate for Payer: BCN Medicare Advantage |
$153.13
|
| Rate for Payer: Cash Price |
$688.80
|
| Rate for Payer: Cash Price |
$688.80
|
| Rate for Payer: Cofinity Commercial |
$220.51
|
| Rate for Payer: Cofinity Commercial |
$205.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.13
|
| Rate for Payer: Healthscope Commercial |
$183.76
|
| Rate for Payer: Healthscope Whirlpool |
$183.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.79
|
| Rate for Payer: Meridian Medicaid |
$101.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$168.44
|
| Rate for Payer: Nomi Health Commercial |
$183.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$645.75
|
| Rate for Payer: PACE SWMI |
$153.13
|
| Rate for Payer: PHP Medicare Advantage |
$153.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$272.57
|
| Rate for Payer: Priority Health Medicare |
$153.13
|
| Rate for Payer: Priority Health Narrow Network |
$272.57
|
| Rate for Payer: Railroad Medicare Medicare |
$153.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$307.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$153.13
|
| Rate for Payer: UHC Exchange |
$307.25
|
| Rate for Payer: UHC Medicaid |
$96.92
|
| Rate for Payer: UHCCP DNSP |
$153.13
|
| Rate for Payer: UHCCP Medicaid |
$96.92
|
|
