|
PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN
|
Professional
|
Both
|
$972.00
|
|
|
Service Code
|
HCPCS 37248
|
| Min. Negotiated Rate |
$165.93 |
| Max. Negotiated Rate |
$729.00 |
| Rate for Payer: Aetna Commercial |
$350.10
|
| Rate for Payer: Aetna Medicare |
$261.27
|
| Rate for Payer: BCBS Complete |
$174.23
|
| Rate for Payer: BCBS MAPPO |
$261.27
|
| Rate for Payer: BCN Commercial |
$432.25
|
| Rate for Payer: BCN Medicare Advantage |
$261.27
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cofinity Commercial |
$376.23
|
| Rate for Payer: Cofinity Commercial |
$350.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$261.27
|
| Rate for Payer: Healthscope Commercial |
$313.52
|
| Rate for Payer: Healthscope Whirlpool |
$313.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$274.33
|
| Rate for Payer: Meridian Medicaid |
$174.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$287.40
|
| Rate for Payer: Nomi Health Commercial |
$313.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$729.00
|
| Rate for Payer: PACE SWMI |
$261.27
|
| Rate for Payer: PHP Medicare Advantage |
$261.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$464.83
|
| Rate for Payer: Priority Health Medicare |
$261.27
|
| Rate for Payer: Priority Health Narrow Network |
$464.83
|
| Rate for Payer: Railroad Medicare Medicare |
$261.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$532.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$261.27
|
| Rate for Payer: UHC Exchange |
$532.79
|
| Rate for Payer: UHC Medicaid |
$165.93
|
| Rate for Payer: UHCCP DNSP |
$261.27
|
| Rate for Payer: UHCCP Medicaid |
$165.93
|
|
|
PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 37249
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$357.75 |
| Rate for Payer: Aetna Commercial |
$173.42
|
| Rate for Payer: Aetna Medicare |
$129.42
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$129.42
|
| Rate for Payer: BCN Commercial |
$213.64
|
| Rate for Payer: BCN Medicare Advantage |
$129.42
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cofinity Commercial |
$186.36
|
| Rate for Payer: Cofinity Commercial |
$173.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.42
|
| Rate for Payer: Healthscope Commercial |
$155.30
|
| Rate for Payer: Healthscope Whirlpool |
$155.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.89
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$142.36
|
| Rate for Payer: Nomi Health Commercial |
$155.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$357.75
|
| Rate for Payer: PACE SWMI |
$129.42
|
| Rate for Payer: PHP Medicare Advantage |
$129.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$229.74
|
| Rate for Payer: Priority Health Medicare |
$129.42
|
| Rate for Payer: Priority Health Narrow Network |
$229.74
|
| Rate for Payer: Railroad Medicare Medicare |
$129.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$261.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$129.42
|
| Rate for Payer: UHC Exchange |
$261.80
|
| Rate for Payer: UHC Medicaid |
$81.79
|
| Rate for Payer: UHCCP DNSP |
$129.42
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
|
|
PR TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I
|
Professional
|
Both
|
$334.00
|
|
|
Service Code
|
HCPCS 36907
|
| Min. Negotiated Rate |
$81.37 |
| Max. Negotiated Rate |
$262.37 |
| Rate for Payer: Aetna Commercial |
$171.85
|
| Rate for Payer: Aetna Medicare |
$128.25
|
| Rate for Payer: BCBS Complete |
$85.44
|
| Rate for Payer: BCBS MAPPO |
$128.25
|
| Rate for Payer: BCN Commercial |
$214.13
|
| Rate for Payer: BCN Medicare Advantage |
$128.25
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cofinity Commercial |
$184.68
|
| Rate for Payer: Cofinity Commercial |
$171.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.25
|
| Rate for Payer: Healthscope Commercial |
$153.90
|
| Rate for Payer: Healthscope Whirlpool |
$153.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.66
|
| Rate for Payer: Meridian Medicaid |
$85.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.07
|
| Rate for Payer: Nomi Health Commercial |
$153.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.50
|
| Rate for Payer: PACE SWMI |
$128.25
|
| Rate for Payer: PHP Medicare Advantage |
$128.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$230.27
|
| Rate for Payer: Priority Health Medicare |
$128.25
|
| Rate for Payer: Priority Health Narrow Network |
$230.27
|
| Rate for Payer: Railroad Medicare Medicare |
$128.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.25
|
| Rate for Payer: UHC Exchange |
$262.37
|
| Rate for Payer: UHC Medicaid |
$81.37
|
| Rate for Payer: UHCCP DNSP |
$128.25
|
| Rate for Payer: UHCCP Medicaid |
$81.37
|
|
|
PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
|
Professional
|
Both
|
$10,116.00
|
|
|
Service Code
|
HCPCS 0237T
|
| Min. Negotiated Rate |
$248.53 |
| Max. Negotiated Rate |
$10,603.43 |
| Rate for Payer: Aetna Commercial |
$4,395.81
|
| Rate for Payer: BCBS Complete |
$260.96
|
| Rate for Payer: BCN Commercial |
$10,603.43
|
| Rate for Payer: Cash Price |
$8,092.80
|
| Rate for Payer: Cash Price |
$8,092.80
|
| Rate for Payer: Meridian Medicaid |
$260.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,587.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,548.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,548.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,480.08
|
| Rate for Payer: UHC Exchange |
$1,480.08
|
| Rate for Payer: UHC Medicaid |
$248.53
|
| Rate for Payer: UHCCP Medicaid |
$248.53
|
|
|
PR TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL
|
Professional
|
Both
|
$9,019.00
|
|
|
Service Code
|
HCPCS 61597
|
| Min. Negotiated Rate |
$1,891.23 |
| Max. Negotiated Rate |
$6,764.25 |
| Rate for Payer: Aetna Commercial |
$3,945.74
|
| Rate for Payer: Aetna Medicare |
$2,944.58
|
| Rate for Payer: BCBS Complete |
$1,985.79
|
| Rate for Payer: BCBS MAPPO |
$2,944.58
|
| Rate for Payer: BCN Commercial |
$6,096.82
|
| Rate for Payer: BCN Medicare Advantage |
$2,944.58
|
| Rate for Payer: Cash Price |
$7,215.20
|
| Rate for Payer: Cash Price |
$7,215.20
|
| Rate for Payer: Cofinity Commercial |
$4,240.20
|
| Rate for Payer: Cofinity Commercial |
$3,945.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,944.58
|
| Rate for Payer: Healthscope Commercial |
$3,533.50
|
| Rate for Payer: Healthscope Whirlpool |
$3,533.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,091.81
|
| Rate for Payer: Meridian Medicaid |
$1,985.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,239.04
|
| Rate for Payer: Nomi Health Commercial |
$3,533.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,764.25
|
| Rate for Payer: PACE SWMI |
$2,944.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,944.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,891.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,125.75
|
| Rate for Payer: Priority Health Medicare |
$2,944.58
|
| Rate for Payer: Priority Health Narrow Network |
$5,125.75
|
| Rate for Payer: Railroad Medicare Medicare |
$2,944.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,176.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,944.58
|
| Rate for Payer: UHC Exchange |
$5,176.22
|
| Rate for Payer: UHC Medicaid |
$1,891.23
|
| Rate for Payer: UHCCP DNSP |
$2,944.58
|
| Rate for Payer: UHCCP Medicaid |
$1,891.23
|
|
|
PR TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR
|
Professional
|
Both
|
$473.00
|
|
|
Service Code
|
HCPCS 38207
|
| Min. Negotiated Rate |
$24.28 |
| Max. Negotiated Rate |
$354.75 |
| Rate for Payer: Aetna Commercial |
$54.89
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCN Commercial |
$65.73
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$87.47
|
| Rate for Payer: Priority Health Narrow Network |
$87.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$80.44
|
| Rate for Payer: UHC Exchange |
$80.44
|
| Rate for Payer: UHC Medicaid |
$24.28
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
|
|
PR TR PARASPI MUSC HIP FASC/TDN XTN GRF
|
Professional
|
Both
|
$6,507.00
|
|
|
Service Code
|
HCPCS 27105
|
| Min. Negotiated Rate |
$518.23 |
| Max. Negotiated Rate |
$4,880.25 |
| Rate for Payer: Aetna Commercial |
$1,064.09
|
| Rate for Payer: Aetna Medicare |
$794.10
|
| Rate for Payer: BCBS Complete |
$544.14
|
| Rate for Payer: BCBS MAPPO |
$794.10
|
| Rate for Payer: BCN Commercial |
$1,326.12
|
| Rate for Payer: BCN Medicare Advantage |
$794.10
|
| Rate for Payer: Cash Price |
$5,205.60
|
| Rate for Payer: Cash Price |
$5,205.60
|
| Rate for Payer: Cofinity Commercial |
$1,143.50
|
| Rate for Payer: Cofinity Commercial |
$1,064.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$794.10
|
| Rate for Payer: Healthscope Commercial |
$952.92
|
| Rate for Payer: Healthscope Whirlpool |
$952.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$833.80
|
| Rate for Payer: Meridian Medicaid |
$544.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$873.51
|
| Rate for Payer: Nomi Health Commercial |
$952.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,880.25
|
| Rate for Payer: PACE SWMI |
$794.10
|
| Rate for Payer: PHP Medicare Advantage |
$794.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$518.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,417.59
|
| Rate for Payer: Priority Health Medicare |
$794.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,417.59
|
| Rate for Payer: Railroad Medicare Medicare |
$794.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,516.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$794.10
|
| Rate for Payer: UHC Exchange |
$1,516.67
|
| Rate for Payer: UHC Medicaid |
$518.23
|
| Rate for Payer: UHCCP DNSP |
$794.10
|
| Rate for Payer: UHCCP Medicaid |
$518.23
|
|
|
PR TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART
|
Professional
|
Both
|
$2,138.00
|
|
|
Service Code
|
HCPCS 35695
|
| Min. Negotiated Rate |
$595.97 |
| Max. Negotiated Rate |
$1,843.03 |
| Rate for Payer: Aetna Commercial |
$1,267.67
|
| Rate for Payer: Aetna Medicare |
$946.02
|
| Rate for Payer: BCBS Complete |
$625.77
|
| Rate for Payer: BCBS MAPPO |
$946.02
|
| Rate for Payer: BCN Commercial |
$1,502.40
|
| Rate for Payer: BCN Medicare Advantage |
$946.02
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Cofinity Commercial |
$1,362.27
|
| Rate for Payer: Cofinity Commercial |
$1,267.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.02
|
| Rate for Payer: Healthscope Commercial |
$1,135.22
|
| Rate for Payer: Healthscope Whirlpool |
$1,135.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$993.32
|
| Rate for Payer: Meridian Medicaid |
$625.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,040.62
|
| Rate for Payer: Nomi Health Commercial |
$1,135.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,603.50
|
| Rate for Payer: PACE SWMI |
$946.02
|
| Rate for Payer: PHP Medicare Advantage |
$946.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$595.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,615.64
|
| Rate for Payer: Priority Health Medicare |
$946.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,615.64
|
| Rate for Payer: Railroad Medicare Medicare |
$946.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,843.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$946.02
|
| Rate for Payer: UHC Exchange |
$1,843.03
|
| Rate for Payer: UHC Medicaid |
$595.97
|
| Rate for Payer: UHCCP DNSP |
$946.02
|
| Rate for Payer: UHCCP Medicaid |
$595.97
|
|
|
PR TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 35694
|
| Min. Negotiated Rate |
$574.67 |
| Max. Negotiated Rate |
$1,775.24 |
| Rate for Payer: Aetna Commercial |
$1,222.11
|
| Rate for Payer: Aetna Medicare |
$912.02
|
| Rate for Payer: BCBS Complete |
$603.40
|
| Rate for Payer: BCBS MAPPO |
$912.02
|
| Rate for Payer: BCN Commercial |
$1,448.13
|
| Rate for Payer: BCN Medicare Advantage |
$912.02
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$1,313.31
|
| Rate for Payer: Cofinity Commercial |
$1,222.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$912.02
|
| Rate for Payer: Healthscope Commercial |
$1,094.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,094.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$957.62
|
| Rate for Payer: Meridian Medicaid |
$603.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,003.22
|
| Rate for Payer: Nomi Health Commercial |
$1,094.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,654.50
|
| Rate for Payer: PACE SWMI |
$912.02
|
| Rate for Payer: PHP Medicare Advantage |
$912.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$574.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,557.29
|
| Rate for Payer: Priority Health Medicare |
$912.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,557.29
|
| Rate for Payer: Railroad Medicare Medicare |
$912.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,775.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$912.02
|
| Rate for Payer: UHC Exchange |
$1,775.24
|
| Rate for Payer: UHC Medicaid |
$574.67
|
| Rate for Payer: UHCCP DNSP |
$912.02
|
| Rate for Payer: UHCCP Medicaid |
$574.67
|
|
|
PR TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART
|
Professional
|
Both
|
$4,703.00
|
|
|
Service Code
|
HCPCS 35691
|
| Min. Negotiated Rate |
$550.39 |
| Max. Negotiated Rate |
$3,527.25 |
| Rate for Payer: Aetna Commercial |
$1,170.07
|
| Rate for Payer: Aetna Medicare |
$873.19
|
| Rate for Payer: BCBS Complete |
$577.91
|
| Rate for Payer: BCBS MAPPO |
$873.19
|
| Rate for Payer: BCN Commercial |
$1,385.89
|
| Rate for Payer: BCN Medicare Advantage |
$873.19
|
| Rate for Payer: Cash Price |
$3,762.40
|
| Rate for Payer: Cash Price |
$3,762.40
|
| Rate for Payer: Cofinity Commercial |
$1,257.39
|
| Rate for Payer: Cofinity Commercial |
$1,170.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$873.19
|
| Rate for Payer: Healthscope Commercial |
$1,047.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,047.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$916.85
|
| Rate for Payer: Meridian Medicaid |
$577.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$960.51
|
| Rate for Payer: Nomi Health Commercial |
$1,047.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,527.25
|
| Rate for Payer: PACE SWMI |
$873.19
|
| Rate for Payer: PHP Medicare Advantage |
$873.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$550.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,490.33
|
| Rate for Payer: Priority Health Medicare |
$873.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,490.33
|
| Rate for Payer: Railroad Medicare Medicare |
$873.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,698.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$873.19
|
| Rate for Payer: UHC Exchange |
$1,698.81
|
| Rate for Payer: UHC Medicaid |
$550.39
|
| Rate for Payer: UHCCP DNSP |
$873.19
|
| Rate for Payer: UHCCP Medicaid |
$550.39
|
|
|
PR TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART
|
Professional
|
Both
|
$1,809.00
|
|
|
Service Code
|
HCPCS 35693
|
| Min. Negotiated Rate |
$489.47 |
| Max. Negotiated Rate |
$1,493.81 |
| Rate for Payer: Aetna Commercial |
$1,036.57
|
| Rate for Payer: Aetna Medicare |
$773.56
|
| Rate for Payer: BCBS Complete |
$513.94
|
| Rate for Payer: BCBS MAPPO |
$773.56
|
| Rate for Payer: BCN Commercial |
$1,230.01
|
| Rate for Payer: BCN Medicare Advantage |
$773.56
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cofinity Commercial |
$1,113.93
|
| Rate for Payer: Cofinity Commercial |
$1,036.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.56
|
| Rate for Payer: Healthscope Commercial |
$928.27
|
| Rate for Payer: Healthscope Whirlpool |
$928.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$812.24
|
| Rate for Payer: Meridian Medicaid |
$513.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$850.92
|
| Rate for Payer: Nomi Health Commercial |
$928.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,356.75
|
| Rate for Payer: PACE SWMI |
$773.56
|
| Rate for Payer: PHP Medicare Advantage |
$773.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$489.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,322.73
|
| Rate for Payer: Priority Health Medicare |
$773.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,322.73
|
| Rate for Payer: Railroad Medicare Medicare |
$773.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,493.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$773.56
|
| Rate for Payer: UHC Exchange |
$1,493.81
|
| Rate for Payer: UHC Medicaid |
$489.47
|
| Rate for Payer: UHCCP DNSP |
$773.56
|
| Rate for Payer: UHCCP Medicaid |
$489.47
|
|
|
PR TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR
|
Professional
|
Both
|
$2,858.00
|
|
|
Service Code
|
HCPCS 26497
|
| Min. Negotiated Rate |
$561.04 |
| Max. Negotiated Rate |
$2,143.50 |
| Rate for Payer: Aetna Commercial |
$1,133.13
|
| Rate for Payer: Aetna Medicare |
$845.62
|
| Rate for Payer: BCBS Complete |
$589.09
|
| Rate for Payer: BCBS MAPPO |
$845.62
|
| Rate for Payer: BCN Commercial |
$1,365.96
|
| Rate for Payer: BCN Medicare Advantage |
$845.62
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,217.69
|
| Rate for Payer: Cofinity Commercial |
$1,133.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$845.62
|
| Rate for Payer: Healthscope Commercial |
$1,014.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,014.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$887.90
|
| Rate for Payer: Meridian Medicaid |
$589.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$930.18
|
| Rate for Payer: Nomi Health Commercial |
$1,014.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,143.50
|
| Rate for Payer: PACE SWMI |
$845.62
|
| Rate for Payer: PHP Medicare Advantage |
$845.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$561.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,460.17
|
| Rate for Payer: Priority Health Medicare |
$845.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,460.17
|
| Rate for Payer: Railroad Medicare Medicare |
$845.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,514.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$845.62
|
| Rate for Payer: UHC Exchange |
$1,514.83
|
| Rate for Payer: UHC Medicaid |
$561.04
|
| Rate for Payer: UHCCP DNSP |
$845.62
|
| Rate for Payer: UHCCP Medicaid |
$561.04
|
|
|
PR TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND
|
Professional
|
Both
|
$5,783.00
|
|
|
Service Code
|
HCPCS 26551
|
| Min. Negotiated Rate |
$1,897.40 |
| Max. Negotiated Rate |
$5,778.44 |
| Rate for Payer: Aetna Commercial |
$3,921.80
|
| Rate for Payer: Aetna Medicare |
$2,926.72
|
| Rate for Payer: BCBS Complete |
$1,992.27
|
| Rate for Payer: BCBS MAPPO |
$2,926.72
|
| Rate for Payer: BCN Commercial |
$4,936.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,926.72
|
| Rate for Payer: Cash Price |
$4,626.40
|
| Rate for Payer: Cash Price |
$4,626.40
|
| Rate for Payer: Cofinity Commercial |
$4,214.48
|
| Rate for Payer: Cofinity Commercial |
$3,921.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,926.72
|
| Rate for Payer: Healthscope Commercial |
$3,512.06
|
| Rate for Payer: Healthscope Whirlpool |
$3,512.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,073.06
|
| Rate for Payer: Meridian Medicaid |
$1,992.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,219.39
|
| Rate for Payer: Nomi Health Commercial |
$3,512.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,337.25
|
| Rate for Payer: PACE SWMI |
$2,926.72
|
| Rate for Payer: PHP Medicare Advantage |
$2,926.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,897.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,277.49
|
| Rate for Payer: Priority Health Medicare |
$2,926.72
|
| Rate for Payer: Priority Health Narrow Network |
$5,277.49
|
| Rate for Payer: Railroad Medicare Medicare |
$2,926.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,778.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,926.72
|
| Rate for Payer: UHC Exchange |
$5,778.44
|
| Rate for Payer: UHC Medicaid |
$1,897.40
|
| Rate for Payer: UHCCP DNSP |
$2,926.72
|
| Rate for Payer: UHCCP Medicaid |
$1,897.40
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP
|
Professional
|
Both
|
$2,904.00
|
|
|
Service Code
|
HCPCS 27691
|
| Min. Negotiated Rate |
$447.94 |
| Max. Negotiated Rate |
$2,178.00 |
| Rate for Payer: Aetna Commercial |
$916.21
|
| Rate for Payer: Aetna Medicare |
$683.74
|
| Rate for Payer: BCBS Complete |
$470.34
|
| Rate for Payer: BCBS MAPPO |
$683.74
|
| Rate for Payer: BCN Commercial |
$1,131.91
|
| Rate for Payer: BCN Medicare Advantage |
$683.74
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cash Price |
$2,323.20
|
| Rate for Payer: Cofinity Commercial |
$984.59
|
| Rate for Payer: Cofinity Commercial |
$916.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$683.74
|
| Rate for Payer: Healthscope Commercial |
$820.49
|
| Rate for Payer: Healthscope Whirlpool |
$820.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$717.93
|
| Rate for Payer: Meridian Medicaid |
$470.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$752.11
|
| Rate for Payer: Nomi Health Commercial |
$820.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,178.00
|
| Rate for Payer: PACE SWMI |
$683.74
|
| Rate for Payer: PHP Medicare Advantage |
$683.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,209.99
|
| Rate for Payer: Priority Health Medicare |
$683.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,209.99
|
| Rate for Payer: Railroad Medicare Medicare |
$683.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,298.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$683.74
|
| Rate for Payer: UHC Exchange |
$1,298.01
|
| Rate for Payer: UHC Medicaid |
$447.94
|
| Rate for Payer: UHCCP DNSP |
$683.74
|
| Rate for Payer: UHCCP Medicaid |
$447.94
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN
|
Professional
|
Both
|
$525.00
|
|
|
Service Code
|
HCPCS 27692
|
| Min. Negotiated Rate |
$57.08 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Aetna Commercial |
$119.98
|
| Rate for Payer: Aetna Medicare |
$89.54
|
| Rate for Payer: BCBS Complete |
$59.93
|
| Rate for Payer: BCBS MAPPO |
$89.54
|
| Rate for Payer: BCN Commercial |
$152.88
|
| Rate for Payer: BCN Medicare Advantage |
$89.54
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cofinity Commercial |
$128.94
|
| Rate for Payer: Cofinity Commercial |
$119.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.54
|
| Rate for Payer: Healthscope Commercial |
$107.45
|
| Rate for Payer: Healthscope Whirlpool |
$107.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.02
|
| Rate for Payer: Meridian Medicaid |
$59.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.49
|
| Rate for Payer: Nomi Health Commercial |
$107.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$393.75
|
| Rate for Payer: PACE SWMI |
$89.54
|
| Rate for Payer: PHP Medicare Advantage |
$89.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$163.42
|
| Rate for Payer: Priority Health Medicare |
$89.54
|
| Rate for Payer: Priority Health Narrow Network |
$163.42
|
| Rate for Payer: Railroad Medicare Medicare |
$89.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$89.54
|
| Rate for Payer: UHC Exchange |
$184.61
|
| Rate for Payer: UHC Medicaid |
$57.08
|
| Rate for Payer: UHCCP DNSP |
$89.54
|
| Rate for Payer: UHCCP Medicaid |
$57.08
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC
|
Professional
|
Both
|
$2,055.00
|
|
|
Service Code
|
HCPCS 27690
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$1,541.25 |
| Rate for Payer: Aetna Commercial |
$792.07
|
| Rate for Payer: Aetna Medicare |
$591.10
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCBS MAPPO |
$591.10
|
| Rate for Payer: BCN Commercial |
$974.05
|
| Rate for Payer: BCN Medicare Advantage |
$591.10
|
| Rate for Payer: Cash Price |
$1,644.00
|
| Rate for Payer: Cash Price |
$1,644.00
|
| Rate for Payer: Cofinity Commercial |
$851.18
|
| Rate for Payer: Cofinity Commercial |
$792.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.10
|
| Rate for Payer: Healthscope Commercial |
$709.32
|
| Rate for Payer: Healthscope Whirlpool |
$709.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$620.65
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$650.21
|
| Rate for Payer: Nomi Health Commercial |
$709.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,541.25
|
| Rate for Payer: PACE SWMI |
$591.10
|
| Rate for Payer: PHP Medicare Advantage |
$591.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,041.24
|
| Rate for Payer: Priority Health Medicare |
$591.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.24
|
| Rate for Payer: Railroad Medicare Medicare |
$591.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,113.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$591.10
|
| Rate for Payer: UHC Exchange |
$1,113.57
|
| Rate for Payer: UHC Medicaid |
$387.87
|
| Rate for Payer: UHCCP DNSP |
$591.10
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
|
|
PR TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN
|
Professional
|
Both
|
$2,124.00
|
|
|
Service Code
|
HCPCS 26480
|
| Min. Negotiated Rate |
$426.00 |
| Max. Negotiated Rate |
$1,593.00 |
| Rate for Payer: Aetna Commercial |
$867.50
|
| Rate for Payer: Aetna Medicare |
$647.39
|
| Rate for Payer: BCBS Complete |
$447.30
|
| Rate for Payer: BCBS MAPPO |
$647.39
|
| Rate for Payer: BCN Commercial |
$1,094.06
|
| Rate for Payer: BCN Medicare Advantage |
$647.39
|
| Rate for Payer: Cash Price |
$1,699.20
|
| Rate for Payer: Cash Price |
$1,699.20
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Cofinity Commercial |
$867.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.39
|
| Rate for Payer: Healthscope Commercial |
$776.87
|
| Rate for Payer: Healthscope Whirlpool |
$776.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.76
|
| Rate for Payer: Meridian Medicaid |
$447.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$712.13
|
| Rate for Payer: Nomi Health Commercial |
$776.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,593.00
|
| Rate for Payer: PACE SWMI |
$647.39
|
| Rate for Payer: PHP Medicare Advantage |
$647.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,169.52
|
| Rate for Payer: Priority Health Medicare |
$647.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,169.52
|
| Rate for Payer: Railroad Medicare Medicare |
$647.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,302.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$647.39
|
| Rate for Payer: UHC Exchange |
$1,302.29
|
| Rate for Payer: UHC Medicaid |
$426.00
|
| Rate for Payer: UHCCP DNSP |
$647.39
|
| Rate for Payer: UHCCP Medicaid |
$426.00
|
|
|
PR TRURL DRAINAGE PROSTATIC ABSCESS
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 52700
|
| Min. Negotiated Rate |
$258.58 |
| Max. Negotiated Rate |
$775.90 |
| Rate for Payer: Aetna Commercial |
$533.49
|
| Rate for Payer: Aetna Medicare |
$398.13
|
| Rate for Payer: BCBS Complete |
$271.51
|
| Rate for Payer: BCBS MAPPO |
$398.13
|
| Rate for Payer: BCN Commercial |
$666.30
|
| Rate for Payer: BCN Medicare Advantage |
$398.13
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$573.31
|
| Rate for Payer: Cofinity Commercial |
$533.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.13
|
| Rate for Payer: Healthscope Commercial |
$477.76
|
| Rate for Payer: Healthscope Whirlpool |
$477.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.04
|
| Rate for Payer: Meridian Medicaid |
$271.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$437.94
|
| Rate for Payer: Nomi Health Commercial |
$477.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$639.00
|
| Rate for Payer: PACE SWMI |
$398.13
|
| Rate for Payer: PHP Medicare Advantage |
$398.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$258.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$725.82
|
| Rate for Payer: Priority Health Medicare |
$398.13
|
| Rate for Payer: Priority Health Narrow Network |
$725.82
|
| Rate for Payer: Railroad Medicare Medicare |
$398.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$775.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$398.13
|
| Rate for Payer: UHC Exchange |
$775.90
|
| Rate for Payer: UHC Medicaid |
$258.58
|
| Rate for Payer: UHCCP DNSP |
$398.13
|
| Rate for Payer: UHCCP Medicaid |
$258.58
|
|
|
PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY
|
Professional
|
Both
|
$3,657.00
|
|
|
Service Code
|
HCPCS 53854
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$2,742.75 |
| Rate for Payer: Aetna Commercial |
$462.90
|
| Rate for Payer: Aetna Medicare |
$345.45
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCBS MAPPO |
$345.45
|
| Rate for Payer: BCN Commercial |
$575.67
|
| Rate for Payer: BCN Medicare Advantage |
$345.45
|
| Rate for Payer: Cash Price |
$2,925.60
|
| Rate for Payer: Cash Price |
$2,925.60
|
| Rate for Payer: Cofinity Commercial |
$497.45
|
| Rate for Payer: Cofinity Commercial |
$462.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.45
|
| Rate for Payer: Healthscope Commercial |
$414.54
|
| Rate for Payer: Healthscope Whirlpool |
$414.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.72
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$380.00
|
| Rate for Payer: Nomi Health Commercial |
$414.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,742.75
|
| Rate for Payer: PACE SWMI |
$345.45
|
| Rate for Payer: PHP Medicare Advantage |
$345.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$627.09
|
| Rate for Payer: Priority Health Medicare |
$345.45
|
| Rate for Payer: Priority Health Narrow Network |
$627.09
|
| Rate for Payer: Railroad Medicare Medicare |
$345.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$656.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$345.45
|
| Rate for Payer: UHC Exchange |
$656.21
|
| Rate for Payer: UHC Medicaid |
$225.78
|
| Rate for Payer: UHCCP DNSP |
$345.45
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR TRURL DSTRJ PRSTATE TISS RF THERMOTH
|
Professional
|
Both
|
$3,023.00
|
|
|
Service Code
|
HCPCS 53852
|
| Min. Negotiated Rate |
$225.57 |
| Max. Negotiated Rate |
$2,267.25 |
| Rate for Payer: Aetna Commercial |
$462.50
|
| Rate for Payer: Aetna Medicare |
$345.15
|
| Rate for Payer: BCBS Complete |
$236.85
|
| Rate for Payer: BCBS MAPPO |
$345.15
|
| Rate for Payer: BCN Commercial |
$575.67
|
| Rate for Payer: BCN Medicare Advantage |
$345.15
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cofinity Commercial |
$497.02
|
| Rate for Payer: Cofinity Commercial |
$462.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.15
|
| Rate for Payer: Healthscope Commercial |
$414.18
|
| Rate for Payer: Healthscope Whirlpool |
$414.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.41
|
| Rate for Payer: Meridian Medicaid |
$236.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$379.67
|
| Rate for Payer: Nomi Health Commercial |
$414.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,267.25
|
| Rate for Payer: PACE SWMI |
$345.15
|
| Rate for Payer: PHP Medicare Advantage |
$345.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$627.09
|
| Rate for Payer: Priority Health Medicare |
$345.15
|
| Rate for Payer: Priority Health Narrow Network |
$627.09
|
| Rate for Payer: Railroad Medicare Medicare |
$345.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$656.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$345.15
|
| Rate for Payer: UHC Exchange |
$656.83
|
| Rate for Payer: UHC Medicaid |
$225.57
|
| Rate for Payer: UHCCP DNSP |
$345.15
|
| Rate for Payer: UHCCP Medicaid |
$225.57
|
|
|
PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE
|
Professional
|
Both
|
$1,638.00
|
|
|
Service Code
|
HCPCS 52601
|
| Min. Negotiated Rate |
$335.48 |
| Max. Negotiated Rate |
$1,287.65 |
| Rate for Payer: Aetna Commercial |
$693.74
|
| Rate for Payer: Aetna Medicare |
$517.72
|
| Rate for Payer: BCBS Complete |
$352.25
|
| Rate for Payer: BCBS MAPPO |
$517.72
|
| Rate for Payer: BCN Commercial |
$1,088.58
|
| Rate for Payer: BCN Medicare Advantage |
$517.72
|
| Rate for Payer: Cash Price |
$1,310.40
|
| Rate for Payer: Cash Price |
$1,310.40
|
| Rate for Payer: Cofinity Commercial |
$745.52
|
| Rate for Payer: Cofinity Commercial |
$693.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.72
|
| Rate for Payer: Healthscope Commercial |
$621.26
|
| Rate for Payer: Healthscope Whirlpool |
$621.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.61
|
| Rate for Payer: Meridian Medicaid |
$352.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$569.49
|
| Rate for Payer: Nomi Health Commercial |
$621.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,228.50
|
| Rate for Payer: PACE SWMI |
$517.72
|
| Rate for Payer: PHP Medicare Advantage |
$517.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$335.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,185.82
|
| Rate for Payer: Priority Health Medicare |
$517.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,185.82
|
| Rate for Payer: Railroad Medicare Medicare |
$517.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,287.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$517.72
|
| Rate for Payer: UHC Exchange |
$1,287.65
|
| Rate for Payer: UHC Medicaid |
$335.48
|
| Rate for Payer: UHCCP DNSP |
$517.72
|
| Rate for Payer: UHCCP Medicaid |
$335.48
|
|
|
PR TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE
|
Professional
|
Both
|
$746.00
|
|
|
Service Code
|
HCPCS 52640
|
| Min. Negotiated Rate |
$192.77 |
| Max. Negotiated Rate |
$559.50 |
| Rate for Payer: Aetna Commercial |
$393.71
|
| Rate for Payer: Aetna Medicare |
$293.81
|
| Rate for Payer: BCBS Complete |
$202.41
|
| Rate for Payer: BCBS MAPPO |
$293.81
|
| Rate for Payer: BCN Commercial |
$490.01
|
| Rate for Payer: BCN Medicare Advantage |
$293.81
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cofinity Commercial |
$423.09
|
| Rate for Payer: Cofinity Commercial |
$393.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.81
|
| Rate for Payer: Healthscope Commercial |
$352.57
|
| Rate for Payer: Healthscope Whirlpool |
$352.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$308.50
|
| Rate for Payer: Meridian Medicaid |
$202.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$323.19
|
| Rate for Payer: Nomi Health Commercial |
$352.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$559.50
|
| Rate for Payer: PACE SWMI |
$293.81
|
| Rate for Payer: PHP Medicare Advantage |
$293.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$533.78
|
| Rate for Payer: Priority Health Medicare |
$293.81
|
| Rate for Payer: Priority Health Narrow Network |
$533.78
|
| Rate for Payer: Railroad Medicare Medicare |
$293.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$552.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$293.81
|
| Rate for Payer: UHC Exchange |
$552.43
|
| Rate for Payer: UHC Medicaid |
$192.77
|
| Rate for Payer: UHCCP DNSP |
$293.81
|
| Rate for Payer: UHCCP Medicaid |
$192.77
|
|
|
PR TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS
|
Professional
|
Both
|
$813.00
|
|
|
Service Code
|
HCPCS 52630
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$705.48 |
| Rate for Payer: Aetna Commercial |
$493.03
|
| Rate for Payer: Aetna Medicare |
$367.93
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$367.93
|
| Rate for Payer: BCN Commercial |
$613.01
|
| Rate for Payer: BCN Medicare Advantage |
$367.93
|
| Rate for Payer: Cash Price |
$650.40
|
| Rate for Payer: Cash Price |
$650.40
|
| Rate for Payer: Cofinity Commercial |
$529.82
|
| Rate for Payer: Cofinity Commercial |
$493.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$367.93
|
| Rate for Payer: Healthscope Commercial |
$441.52
|
| Rate for Payer: Healthscope Whirlpool |
$441.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.33
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$404.72
|
| Rate for Payer: Nomi Health Commercial |
$441.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.75
|
| Rate for Payer: PACE SWMI |
$367.93
|
| Rate for Payer: PHP Medicare Advantage |
$367.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$667.78
|
| Rate for Payer: Priority Health Medicare |
$367.93
|
| Rate for Payer: Priority Health Narrow Network |
$667.78
|
| Rate for Payer: Railroad Medicare Medicare |
$367.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$705.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$367.93
|
| Rate for Payer: UHC Exchange |
$705.48
|
| Rate for Payer: UHC Medicaid |
$239.84
|
| Rate for Payer: UHCCP DNSP |
$367.93
|
| Rate for Payer: UHCCP Medicaid |
$239.84
|
|
|
PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP
|
Professional
|
Both
|
$159.00
|
|
|
Service Code
|
HCPCS 95921
|
| Min. Negotiated Rate |
$85.18 |
| Max. Negotiated Rate |
$133.84 |
| Rate for Payer: Aetna Commercial |
$114.14
|
| Rate for Payer: Aetna Medicare |
$85.18
|
| Rate for Payer: BCBS MAPPO |
$85.18
|
| Rate for Payer: BCN Commercial |
$128.97
|
| Rate for Payer: BCN Medicare Advantage |
$85.18
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cofinity Commercial |
$114.14
|
| Rate for Payer: Cofinity Commercial |
$122.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.18
|
| Rate for Payer: Healthscope Commercial |
$102.22
|
| Rate for Payer: Healthscope Whirlpool |
$102.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.70
|
| Rate for Payer: Nomi Health Commercial |
$102.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.25
|
| Rate for Payer: PACE SWMI |
$85.18
|
| Rate for Payer: PHP Medicare Advantage |
$85.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$118.95
|
| Rate for Payer: Priority Health Medicare |
$85.18
|
| Rate for Payer: Priority Health Narrow Network |
$118.95
|
| Rate for Payer: Railroad Medicare Medicare |
$85.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$133.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$85.18
|
| Rate for Payer: UHC Exchange |
$133.84
|
| Rate for Payer: UHCCP DNSP |
$85.18
|
|
|
PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT
|
Professional
|
Both
|
$186.00
|
|
|
Service Code
|
HCPCS 95924
|
| Min. Negotiated Rate |
$139.50 |
| Max. Negotiated Rate |
$235.56 |
| Rate for Payer: Aetna Commercial |
$196.90
|
| Rate for Payer: Aetna Medicare |
$146.94
|
| Rate for Payer: BCBS MAPPO |
$146.94
|
| Rate for Payer: BCN Commercial |
$219.61
|
| Rate for Payer: BCN Medicare Advantage |
$146.94
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$196.90
|
| Rate for Payer: Cofinity Commercial |
$211.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.94
|
| Rate for Payer: Healthscope Commercial |
$176.33
|
| Rate for Payer: Healthscope Whirlpool |
$176.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$161.63
|
| Rate for Payer: Nomi Health Commercial |
$176.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE SWMI |
$146.94
|
| Rate for Payer: PHP Medicare Advantage |
$146.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$202.53
|
| Rate for Payer: Priority Health Medicare |
$146.94
|
| Rate for Payer: Priority Health Narrow Network |
$202.53
|
| Rate for Payer: Railroad Medicare Medicare |
$146.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$235.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$146.94
|
| Rate for Payer: UHC Exchange |
$235.56
|
| Rate for Payer: UHCCP DNSP |
$146.94
|
|
