|
PR RELEASE PALM CONTRACT,OPEN,PARTIAL
|
Professional
|
Both
|
$887.54
|
|
|
Service Code
|
CPT 26045
|
| Hospital Charge Code |
z26045
|
| Min. Negotiated Rate |
$433.06 |
| Max. Negotiated Rate |
$66,600.00 |
| Rate for Payer: Aetna Commercial |
$442.42
|
| Rate for Payer: Aetna Commercial |
$442.42
|
| Rate for Payer: Aetna Medicare |
$442.42
|
| Rate for Payer: Aetna Medicare |
$442.42
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$661.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$661.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$436.52
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$436.52
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$508.78
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$508.78
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$486.66
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$486.66
|
| Rate for Payer: Cash Price |
$550.27
|
| Rate for Payer: Cash Price |
$536.99
|
| Rate for Payer: Centivo All Commercial |
$685.75
|
| Rate for Payer: Centivo All Commercial |
$685.75
|
| Rate for Payer: Cigna All Commercial |
$442.42
|
| Rate for Payer: Cigna All Commercial |
$442.42
|
| Rate for Payer: CORVEL All Commercial |
$442.42
|
| Rate for Payer: CORVEL All Commercial |
$442.42
|
| Rate for Payer: Coventry All Commercial |
$530.90
|
| Rate for Payer: Coventry All Commercial |
$530.90
|
| Rate for Payer: Encore All Commercial |
$442.42
|
| Rate for Payer: Encore All Commercial |
$442.42
|
| Rate for Payer: Frontpath All Commercial |
$610.53
|
| Rate for Payer: Frontpath All Commercial |
$610.53
|
| Rate for Payer: Humana ChoiceCare |
$483.87
|
| Rate for Payer: Humana ChoiceCare |
$483.87
|
| Rate for Payer: Humana Medicare |
$442.42
|
| Rate for Payer: Humana Medicare |
$442.42
|
| Rate for Payer: Lucent All Commercial |
$619.39
|
| Rate for Payer: Lucent All Commercial |
$619.39
|
| Rate for Payer: Lutheran Preferred All Commercial |
$710.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$710.00
|
| Rate for Payer: Managed Health Services Medicaid |
$436.52
|
| Rate for Payer: Managed Health Services Medicaid |
$436.52
|
| Rate for Payer: MDWise Medicaid |
$436.52
|
| Rate for Payer: MDWise Medicaid |
$436.52
|
| Rate for Payer: PHCS All Commercial |
$442.42
|
| Rate for Payer: PHCS All Commercial |
$442.42
|
| Rate for Payer: PHP All Commercial |
$753.52
|
| Rate for Payer: PHP All Commercial |
$753.52
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$442.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$442.42
|
| Rate for Payer: Sagamore Health Network All Products |
$442.42
|
| Rate for Payer: Sagamore Health Network All Products |
$442.42
|
| Rate for Payer: Signature Care EPO |
$643.45
|
| Rate for Payer: Signature Care EPO |
$643.45
|
| Rate for Payer: Signature Care PPO |
$643.45
|
| Rate for Payer: Signature Care PPO |
$643.45
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$66,600.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$66,600.00
|
| Rate for Payer: United Healthcare Commercial |
$491.21
|
| Rate for Payer: United Healthcare Commercial |
$491.21
|
| Rate for Payer: United Healthcare Medicare |
$433.06
|
| Rate for Payer: United Healthcare Medicare |
$433.06
|
|
|
PR RELEASE SHLDR JOINT CONTRACTURE
|
Professional
|
Both
|
$1,282.94
|
|
|
Service Code
|
CPT 23020
|
| Hospital Charge Code |
z23020
|
| Min. Negotiated Rate |
$628.24 |
| Max. Negotiated Rate |
$998.87 |
| Rate for Payer: Aetna Commercial |
$644.43
|
| Rate for Payer: Aetna Medicare |
$644.43
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$631.00
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$741.09
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$708.87
|
| Rate for Payer: Cash Price |
$795.42
|
| Rate for Payer: Centivo All Commercial |
$998.87
|
| Rate for Payer: Cigna All Commercial |
$644.43
|
| Rate for Payer: CORVEL All Commercial |
$644.43
|
| Rate for Payer: Coventry All Commercial |
$773.32
|
| Rate for Payer: Encore All Commercial |
$644.43
|
| Rate for Payer: Frontpath All Commercial |
$895.86
|
| Rate for Payer: Humana ChoiceCare |
$718.56
|
| Rate for Payer: Humana Medicare |
$644.43
|
| Rate for Payer: Lucent All Commercial |
$902.20
|
| Rate for Payer: Managed Health Services Medicaid |
$631.00
|
| Rate for Payer: MDWise Medicaid |
$631.00
|
| Rate for Payer: PHCS All Commercial |
$644.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$644.43
|
| Rate for Payer: Sagamore Health Network All Products |
$644.43
|
| Rate for Payer: United Healthcare Commercial |
$743.73
|
| Rate for Payer: United Healthcare Medicare |
$628.24
|
|
|
PR RELEASE TIB/FIB/ANKLE FLEX TENDON,EA
|
Professional
|
Both
|
$790.62
|
|
|
Service Code
|
CPT 27680
|
| Hospital Charge Code |
z27680
|
| Min. Negotiated Rate |
$383.49 |
| Max. Negotiated Rate |
$59,000.00 |
| Rate for Payer: Aetna Commercial |
$393.16
|
| Rate for Payer: Aetna Commercial |
$393.16
|
| Rate for Payer: Aetna Medicare |
$393.16
|
| Rate for Payer: Aetna Medicare |
$393.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$557.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$557.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$388.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$388.86
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$452.13
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$452.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$432.48
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$432.48
|
| Rate for Payer: Cash Price |
$490.18
|
| Rate for Payer: Cash Price |
$475.53
|
| Rate for Payer: Centivo All Commercial |
$609.40
|
| Rate for Payer: Centivo All Commercial |
$609.40
|
| Rate for Payer: Cigna All Commercial |
$393.16
|
| Rate for Payer: Cigna All Commercial |
$393.16
|
| Rate for Payer: CORVEL All Commercial |
$393.16
|
| Rate for Payer: CORVEL All Commercial |
$393.16
|
| Rate for Payer: Coventry All Commercial |
$471.79
|
| Rate for Payer: Coventry All Commercial |
$471.79
|
| Rate for Payer: Encore All Commercial |
$393.16
|
| Rate for Payer: Encore All Commercial |
$393.16
|
| Rate for Payer: Frontpath All Commercial |
$539.58
|
| Rate for Payer: Frontpath All Commercial |
$539.58
|
| Rate for Payer: Humana ChoiceCare |
$470.38
|
| Rate for Payer: Humana ChoiceCare |
$470.38
|
| Rate for Payer: Humana Medicare |
$393.16
|
| Rate for Payer: Humana Medicare |
$393.16
|
| Rate for Payer: Lucent All Commercial |
$550.42
|
| Rate for Payer: Lucent All Commercial |
$550.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$629.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$629.00
|
| Rate for Payer: Managed Health Services Medicaid |
$388.86
|
| Rate for Payer: Managed Health Services Medicaid |
$388.86
|
| Rate for Payer: MDWise Medicaid |
$388.86
|
| Rate for Payer: MDWise Medicaid |
$388.86
|
| Rate for Payer: PHCS All Commercial |
$393.16
|
| Rate for Payer: PHCS All Commercial |
$393.16
|
| Rate for Payer: PHP All Commercial |
$667.28
|
| Rate for Payer: PHP All Commercial |
$667.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$393.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$393.16
|
| Rate for Payer: Sagamore Health Network All Products |
$393.16
|
| Rate for Payer: Sagamore Health Network All Products |
$393.16
|
| Rate for Payer: Signature Care EPO |
$636.65
|
| Rate for Payer: Signature Care EPO |
$636.65
|
| Rate for Payer: Signature Care PPO |
$636.65
|
| Rate for Payer: Signature Care PPO |
$636.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$59,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$59,000.00
|
| Rate for Payer: United Healthcare Commercial |
$471.98
|
| Rate for Payer: United Healthcare Commercial |
$471.98
|
| Rate for Payer: United Healthcare Medicare |
$383.49
|
| Rate for Payer: United Healthcare Medicare |
$383.49
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
Both
|
$617.48
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
z33222
|
| Min. Negotiated Rate |
$303.70 |
| Max. Negotiated Rate |
$46,900.00 |
| Rate for Payer: Aetna Commercial |
$316.66
|
| Rate for Payer: Aetna Commercial |
$316.66
|
| Rate for Payer: Aetna Medicare |
$316.66
|
| Rate for Payer: Aetna Medicare |
$316.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$501.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$501.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$303.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$303.70
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$364.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$364.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$348.33
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$348.33
|
| Rate for Payer: Cash Price |
$382.84
|
| Rate for Payer: Cash Price |
$378.58
|
| Rate for Payer: Centivo All Commercial |
$490.82
|
| Rate for Payer: Centivo All Commercial |
$490.82
|
| Rate for Payer: Cigna All Commercial |
$316.66
|
| Rate for Payer: Cigna All Commercial |
$316.66
|
| Rate for Payer: CORVEL All Commercial |
$316.66
|
| Rate for Payer: CORVEL All Commercial |
$316.66
|
| Rate for Payer: Coventry All Commercial |
$379.99
|
| Rate for Payer: Coventry All Commercial |
$379.99
|
| Rate for Payer: Encore All Commercial |
$316.66
|
| Rate for Payer: Encore All Commercial |
$316.66
|
| Rate for Payer: Frontpath All Commercial |
$445.25
|
| Rate for Payer: Frontpath All Commercial |
$445.25
|
| Rate for Payer: Humana ChoiceCare |
$446.53
|
| Rate for Payer: Humana ChoiceCare |
$446.53
|
| Rate for Payer: Humana Medicare |
$316.66
|
| Rate for Payer: Humana Medicare |
$316.66
|
| Rate for Payer: Lucent All Commercial |
$443.32
|
| Rate for Payer: Lucent All Commercial |
$443.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$501.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$501.00
|
| Rate for Payer: Managed Health Services Medicaid |
$303.70
|
| Rate for Payer: Managed Health Services Medicaid |
$303.70
|
| Rate for Payer: MDWise Medicaid |
$303.70
|
| Rate for Payer: MDWise Medicaid |
$303.70
|
| Rate for Payer: PHCS All Commercial |
$316.66
|
| Rate for Payer: PHCS All Commercial |
$316.66
|
| Rate for Payer: PHP All Commercial |
$427.43
|
| Rate for Payer: PHP All Commercial |
$427.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$316.66
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$316.66
|
| Rate for Payer: Sagamore Health Network All Products |
$316.66
|
| Rate for Payer: Sagamore Health Network All Products |
$316.66
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$46,900.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$46,900.00
|
| Rate for Payer: United Healthcare Commercial |
$414.76
|
| Rate for Payer: United Healthcare Commercial |
$414.76
|
| Rate for Payer: United Healthcare Medicare |
$305.31
|
| Rate for Payer: United Healthcare Medicare |
$305.31
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
Both
|
$47.68
|
|
|
Service Code
|
CPT 93297
|
| Hospital Charge Code |
z93297
|
| Min. Negotiated Rate |
$23.84 |
| Max. Negotiated Rate |
$3,700.00 |
| Rate for Payer: Aetna Commercial |
$25.18
|
| Rate for Payer: Aetna Commercial |
$25.18
|
| Rate for Payer: Aetna Medicare |
$25.18
|
| Rate for Payer: Aetna Medicare |
$25.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$36.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$36.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$55.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$55.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.96
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.70
|
| Rate for Payer: Cash Price |
$29.56
|
| Rate for Payer: Cash Price |
$70.01
|
| Rate for Payer: Centivo All Commercial |
$39.03
|
| Rate for Payer: Centivo All Commercial |
$39.03
|
| Rate for Payer: Cigna All Commercial |
$25.18
|
| Rate for Payer: Cigna All Commercial |
$25.18
|
| Rate for Payer: CORVEL All Commercial |
$25.18
|
| Rate for Payer: CORVEL All Commercial |
$25.18
|
| Rate for Payer: Coventry All Commercial |
$30.22
|
| Rate for Payer: Coventry All Commercial |
$30.22
|
| Rate for Payer: Encore All Commercial |
$25.18
|
| Rate for Payer: Encore All Commercial |
$25.18
|
| Rate for Payer: Frontpath All Commercial |
$28.75
|
| Rate for Payer: Frontpath All Commercial |
$28.75
|
| Rate for Payer: Humana ChoiceCare |
$33.73
|
| Rate for Payer: Humana ChoiceCare |
$33.73
|
| Rate for Payer: Humana Medicare |
$25.18
|
| Rate for Payer: Humana Medicare |
$25.18
|
| Rate for Payer: Lucent All Commercial |
$35.25
|
| Rate for Payer: Lucent All Commercial |
$35.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$39.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$39.00
|
| Rate for Payer: Managed Health Services Medicaid |
$55.54
|
| Rate for Payer: Managed Health Services Medicaid |
$55.54
|
| Rate for Payer: MDWise Medicaid |
$55.54
|
| Rate for Payer: MDWise Medicaid |
$55.54
|
| Rate for Payer: PHCS All Commercial |
$25.18
|
| Rate for Payer: PHCS All Commercial |
$25.18
|
| Rate for Payer: PHP All Commercial |
$35.05
|
| Rate for Payer: PHP All Commercial |
$35.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$25.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$25.18
|
| Rate for Payer: Sagamore Health Network All Products |
$25.18
|
| Rate for Payer: Sagamore Health Network All Products |
$25.18
|
| Rate for Payer: Signature Care EPO |
$37.97
|
| Rate for Payer: Signature Care EPO |
$37.97
|
| Rate for Payer: Signature Care PPO |
$37.97
|
| Rate for Payer: Signature Care PPO |
$37.97
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,700.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,700.00
|
| Rate for Payer: United Healthcare Commercial |
$31.03
|
| Rate for Payer: United Healthcare Commercial |
$31.03
|
| Rate for Payer: United Healthcare Medicare |
$23.84
|
| Rate for Payer: United Healthcare Medicare |
$23.84
|
|
|
PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP
|
Professional
|
Both
|
$55.38
|
|
|
Service Code
|
CPT 93294
|
| Hospital Charge Code |
z93294
|
| Min. Negotiated Rate |
$27.23 |
| Max. Negotiated Rate |
$4,300.00 |
| Rate for Payer: Aetna Commercial |
$28.88
|
| Rate for Payer: Aetna Commercial |
$28.88
|
| Rate for Payer: Aetna Medicare |
$28.88
|
| Rate for Payer: Aetna Medicare |
$28.88
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$52.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$52.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$27.23
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$27.23
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.21
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$31.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$31.77
|
| Rate for Payer: Cash Price |
$34.34
|
| Rate for Payer: Cash Price |
$34.32
|
| Rate for Payer: Centivo All Commercial |
$44.76
|
| Rate for Payer: Centivo All Commercial |
$44.76
|
| Rate for Payer: Cigna All Commercial |
$28.88
|
| Rate for Payer: Cigna All Commercial |
$28.88
|
| Rate for Payer: CORVEL All Commercial |
$28.88
|
| Rate for Payer: CORVEL All Commercial |
$28.88
|
| Rate for Payer: Coventry All Commercial |
$34.66
|
| Rate for Payer: Coventry All Commercial |
$34.66
|
| Rate for Payer: Encore All Commercial |
$28.88
|
| Rate for Payer: Encore All Commercial |
$28.88
|
| Rate for Payer: Frontpath All Commercial |
$32.85
|
| Rate for Payer: Frontpath All Commercial |
$32.85
|
| Rate for Payer: Humana ChoiceCare |
$48.04
|
| Rate for Payer: Humana ChoiceCare |
$48.04
|
| Rate for Payer: Humana Medicare |
$28.88
|
| Rate for Payer: Humana Medicare |
$28.88
|
| Rate for Payer: Lucent All Commercial |
$40.43
|
| Rate for Payer: Lucent All Commercial |
$40.43
|
| Rate for Payer: Lutheran Preferred All Commercial |
$45.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$45.00
|
| Rate for Payer: Managed Health Services Medicaid |
$27.23
|
| Rate for Payer: Managed Health Services Medicaid |
$27.23
|
| Rate for Payer: MDWise Medicaid |
$27.23
|
| Rate for Payer: MDWise Medicaid |
$27.23
|
| Rate for Payer: PHCS All Commercial |
$28.88
|
| Rate for Payer: PHCS All Commercial |
$28.88
|
| Rate for Payer: PHP All Commercial |
$40.71
|
| Rate for Payer: PHP All Commercial |
$40.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$28.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$28.88
|
| Rate for Payer: Sagamore Health Network All Products |
$28.88
|
| Rate for Payer: Sagamore Health Network All Products |
$28.88
|
| Rate for Payer: Signature Care EPO |
$49.10
|
| Rate for Payer: Signature Care EPO |
$49.10
|
| Rate for Payer: Signature Care PPO |
$49.10
|
| Rate for Payer: Signature Care PPO |
$49.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,300.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,300.00
|
| Rate for Payer: United Healthcare Commercial |
$44.19
|
| Rate for Payer: United Healthcare Commercial |
$44.19
|
| Rate for Payer: United Healthcare Medicare |
$27.69
|
| Rate for Payer: United Healthcare Medicare |
$27.69
|
|
|
PR REM INTERROG PM/LDLS PM/IDS <90 D PHYS/QHP
|
Professional
|
Both
|
$40.08
|
|
|
Service Code
|
CPT 93296
|
| Hospital Charge Code |
z93296
|
| Min. Negotiated Rate |
$19.18 |
| Max. Negotiated Rate |
$3,100.00 |
| Rate for Payer: Aetna Commercial |
$21.34
|
| Rate for Payer: Aetna Commercial |
$21.34
|
| Rate for Payer: Aetna Medicare |
$21.34
|
| Rate for Payer: Aetna Medicare |
$21.34
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$49.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$49.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$19.18
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$19.18
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$24.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$24.54
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$23.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$23.47
|
| Rate for Payer: Cash Price |
$24.85
|
| Rate for Payer: Cash Price |
$24.18
|
| Rate for Payer: Centivo All Commercial |
$33.08
|
| Rate for Payer: Centivo All Commercial |
$33.08
|
| Rate for Payer: Cigna All Commercial |
$21.34
|
| Rate for Payer: Cigna All Commercial |
$21.34
|
| Rate for Payer: CORVEL All Commercial |
$21.34
|
| Rate for Payer: CORVEL All Commercial |
$21.34
|
| Rate for Payer: Coventry All Commercial |
$25.61
|
| Rate for Payer: Coventry All Commercial |
$25.61
|
| Rate for Payer: Encore All Commercial |
$21.34
|
| Rate for Payer: Encore All Commercial |
$21.34
|
| Rate for Payer: Frontpath All Commercial |
$24.05
|
| Rate for Payer: Frontpath All Commercial |
$24.05
|
| Rate for Payer: Humana ChoiceCare |
$45.30
|
| Rate for Payer: Humana ChoiceCare |
$45.30
|
| Rate for Payer: Humana Medicare |
$21.34
|
| Rate for Payer: Humana Medicare |
$21.34
|
| Rate for Payer: Lucent All Commercial |
$29.88
|
| Rate for Payer: Lucent All Commercial |
$29.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$33.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$33.00
|
| Rate for Payer: Managed Health Services Medicaid |
$19.18
|
| Rate for Payer: Managed Health Services Medicaid |
$19.18
|
| Rate for Payer: MDWise Medicaid |
$19.18
|
| Rate for Payer: MDWise Medicaid |
$19.18
|
| Rate for Payer: PHCS All Commercial |
$21.34
|
| Rate for Payer: PHCS All Commercial |
$21.34
|
| Rate for Payer: PHP All Commercial |
$29.45
|
| Rate for Payer: PHP All Commercial |
$29.45
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$21.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$21.34
|
| Rate for Payer: Sagamore Health Network All Products |
$21.34
|
| Rate for Payer: Sagamore Health Network All Products |
$21.34
|
| Rate for Payer: Signature Care EPO |
$36.28
|
| Rate for Payer: Signature Care EPO |
$36.28
|
| Rate for Payer: Signature Care PPO |
$36.28
|
| Rate for Payer: Signature Care PPO |
$36.28
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,100.00
|
| Rate for Payer: United Healthcare Commercial |
$41.66
|
| Rate for Payer: United Healthcare Commercial |
$41.66
|
| Rate for Payer: United Healthcare Medicare |
$20.04
|
| Rate for Payer: United Healthcare Medicare |
$20.04
|
|
|
PR REM INTERROG SCRMS <30 D PHYS/QHP
|
Professional
|
Both
|
$48.28
|
|
|
Service Code
|
CPT 93298
|
| Hospital Charge Code |
z93298
|
| Min. Negotiated Rate |
$24.14 |
| Max. Negotiated Rate |
$3,700.00 |
| Rate for Payer: Aetna Commercial |
$25.18
|
| Rate for Payer: Aetna Commercial |
$25.18
|
| Rate for Payer: Aetna Medicare |
$25.18
|
| Rate for Payer: Aetna Medicare |
$25.18
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$42.41
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$42.41
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$92.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$92.84
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.96
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$28.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$27.70
|
| Rate for Payer: Cash Price |
$29.93
|
| Rate for Payer: Cash Price |
$117.03
|
| Rate for Payer: Centivo All Commercial |
$39.03
|
| Rate for Payer: Centivo All Commercial |
$39.03
|
| Rate for Payer: Cigna All Commercial |
$25.18
|
| Rate for Payer: Cigna All Commercial |
$25.18
|
| Rate for Payer: CORVEL All Commercial |
$25.18
|
| Rate for Payer: CORVEL All Commercial |
$25.18
|
| Rate for Payer: Coventry All Commercial |
$30.22
|
| Rate for Payer: Coventry All Commercial |
$30.22
|
| Rate for Payer: Encore All Commercial |
$25.18
|
| Rate for Payer: Encore All Commercial |
$25.18
|
| Rate for Payer: Frontpath All Commercial |
$28.75
|
| Rate for Payer: Frontpath All Commercial |
$28.75
|
| Rate for Payer: Humana ChoiceCare |
$38.68
|
| Rate for Payer: Humana ChoiceCare |
$38.68
|
| Rate for Payer: Humana Medicare |
$25.18
|
| Rate for Payer: Humana Medicare |
$25.18
|
| Rate for Payer: Lucent All Commercial |
$35.25
|
| Rate for Payer: Lucent All Commercial |
$35.25
|
| Rate for Payer: Lutheran Preferred All Commercial |
$40.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$40.00
|
| Rate for Payer: Managed Health Services Medicaid |
$92.84
|
| Rate for Payer: Managed Health Services Medicaid |
$92.84
|
| Rate for Payer: MDWise Medicaid |
$92.84
|
| Rate for Payer: MDWise Medicaid |
$92.84
|
| Rate for Payer: PHCS All Commercial |
$25.18
|
| Rate for Payer: PHCS All Commercial |
$25.18
|
| Rate for Payer: PHP All Commercial |
$35.49
|
| Rate for Payer: PHP All Commercial |
$35.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$25.18
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$25.18
|
| Rate for Payer: Sagamore Health Network All Products |
$25.18
|
| Rate for Payer: Sagamore Health Network All Products |
$25.18
|
| Rate for Payer: Signature Care EPO |
$42.81
|
| Rate for Payer: Signature Care EPO |
$42.81
|
| Rate for Payer: Signature Care PPO |
$42.81
|
| Rate for Payer: Signature Care PPO |
$42.81
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,700.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$3,700.00
|
| Rate for Payer: United Healthcare Commercial |
$35.58
|
| Rate for Payer: United Healthcare Commercial |
$35.58
|
| Rate for Payer: United Healthcare Medicare |
$24.14
|
| Rate for Payer: United Healthcare Medicare |
$24.14
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D
|
Professional
|
Both
|
$88.86
|
|
|
Service Code
|
CPT 99454
|
| Hospital Charge Code |
z99454
|
| Min. Negotiated Rate |
$42.73 |
| Max. Negotiated Rate |
$77.48 |
| Rate for Payer: Aetna Commercial |
$49.99
|
| Rate for Payer: Aetna Commercial |
$49.99
|
| Rate for Payer: Aetna Medicare |
$49.99
|
| Rate for Payer: Aetna Medicare |
$49.99
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$42.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$42.73
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$57.49
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$57.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$54.99
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$54.99
|
| Rate for Payer: Cash Price |
$53.87
|
| Rate for Payer: Cash Price |
$55.09
|
| Rate for Payer: Centivo All Commercial |
$77.48
|
| Rate for Payer: Centivo All Commercial |
$77.48
|
| Rate for Payer: Cigna All Commercial |
$49.99
|
| Rate for Payer: Cigna All Commercial |
$49.99
|
| Rate for Payer: CORVEL All Commercial |
$49.99
|
| Rate for Payer: CORVEL All Commercial |
$49.99
|
| Rate for Payer: Coventry All Commercial |
$59.99
|
| Rate for Payer: Coventry All Commercial |
$59.99
|
| Rate for Payer: Encore All Commercial |
$49.99
|
| Rate for Payer: Encore All Commercial |
$49.99
|
| Rate for Payer: Frontpath All Commercial |
$52.97
|
| Rate for Payer: Frontpath All Commercial |
$52.97
|
| Rate for Payer: Humana ChoiceCare |
$62.52
|
| Rate for Payer: Humana ChoiceCare |
$62.52
|
| Rate for Payer: Humana Medicare |
$49.99
|
| Rate for Payer: Humana Medicare |
$49.99
|
| Rate for Payer: Lucent All Commercial |
$69.99
|
| Rate for Payer: Lucent All Commercial |
$69.99
|
| Rate for Payer: Managed Health Services Medicaid |
$42.73
|
| Rate for Payer: Managed Health Services Medicaid |
$42.73
|
| Rate for Payer: MDWise Medicaid |
$42.73
|
| Rate for Payer: MDWise Medicaid |
$42.73
|
| Rate for Payer: PHCS All Commercial |
$49.99
|
| Rate for Payer: PHCS All Commercial |
$49.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$49.99
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$49.99
|
| Rate for Payer: Sagamore Health Network All Products |
$49.99
|
| Rate for Payer: Sagamore Health Network All Products |
$49.99
|
| Rate for Payer: United Healthcare Commercial |
$61.76
|
| Rate for Payer: United Healthcare Commercial |
$61.76
|
| Rate for Payer: United Healthcare Medicare |
$44.43
|
| Rate for Payer: United Healthcare Medicare |
$44.43
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP
|
Professional
|
Both
|
$36.24
|
|
|
Service Code
|
CPT 99453
|
| Hospital Charge Code |
z99453
|
| Min. Negotiated Rate |
$16.88 |
| Max. Negotiated Rate |
$26.32 |
| Rate for Payer: Aetna Commercial |
$16.98
|
| Rate for Payer: Aetna Commercial |
$16.98
|
| Rate for Payer: Aetna Medicare |
$16.98
|
| Rate for Payer: Aetna Medicare |
$16.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$17.83
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$17.83
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$19.53
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$19.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$18.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$18.68
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cash Price |
$22.47
|
| Rate for Payer: Centivo All Commercial |
$26.32
|
| Rate for Payer: Centivo All Commercial |
$26.32
|
| Rate for Payer: Cigna All Commercial |
$16.98
|
| Rate for Payer: Cigna All Commercial |
$16.98
|
| Rate for Payer: CORVEL All Commercial |
$16.98
|
| Rate for Payer: CORVEL All Commercial |
$16.98
|
| Rate for Payer: Coventry All Commercial |
$20.38
|
| Rate for Payer: Coventry All Commercial |
$20.38
|
| Rate for Payer: Encore All Commercial |
$16.98
|
| Rate for Payer: Encore All Commercial |
$16.98
|
| Rate for Payer: Frontpath All Commercial |
$18.14
|
| Rate for Payer: Frontpath All Commercial |
$18.14
|
| Rate for Payer: Humana ChoiceCare |
$18.82
|
| Rate for Payer: Humana ChoiceCare |
$18.82
|
| Rate for Payer: Humana Medicare |
$16.98
|
| Rate for Payer: Humana Medicare |
$16.98
|
| Rate for Payer: Lucent All Commercial |
$23.77
|
| Rate for Payer: Lucent All Commercial |
$23.77
|
| Rate for Payer: Managed Health Services Medicaid |
$17.83
|
| Rate for Payer: Managed Health Services Medicaid |
$17.83
|
| Rate for Payer: MDWise Medicaid |
$17.83
|
| Rate for Payer: MDWise Medicaid |
$17.83
|
| Rate for Payer: PHCS All Commercial |
$16.98
|
| Rate for Payer: PHCS All Commercial |
$16.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$16.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$16.98
|
| Rate for Payer: Sagamore Health Network All Products |
$16.98
|
| Rate for Payer: Sagamore Health Network All Products |
$16.98
|
| Rate for Payer: United Healthcare Commercial |
$18.65
|
| Rate for Payer: United Healthcare Commercial |
$18.65
|
| Rate for Payer: United Healthcare Medicare |
$16.88
|
| Rate for Payer: United Healthcare Medicare |
$16.88
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH
|
Professional
|
Both
|
$92.24
|
|
|
Service Code
|
CPT 99457
|
| Hospital Charge Code |
z99457
|
| Min. Negotiated Rate |
$25.36 |
| Max. Negotiated Rate |
$45.79 |
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$25.36
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$25.36
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$45.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$45.37
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.97
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.97
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.49
|
| Rate for Payer: Cash Price |
$55.29
|
| Rate for Payer: Cash Price |
$57.19
|
| Rate for Payer: Centivo All Commercial |
$45.79
|
| Rate for Payer: Centivo All Commercial |
$45.79
|
| Rate for Payer: Cigna All Commercial |
$29.54
|
| Rate for Payer: Cigna All Commercial |
$29.54
|
| Rate for Payer: CORVEL All Commercial |
$29.54
|
| Rate for Payer: CORVEL All Commercial |
$29.54
|
| Rate for Payer: Coventry All Commercial |
$35.45
|
| Rate for Payer: Coventry All Commercial |
$35.45
|
| Rate for Payer: Encore All Commercial |
$29.54
|
| Rate for Payer: Encore All Commercial |
$29.54
|
| Rate for Payer: Frontpath All Commercial |
$31.74
|
| Rate for Payer: Frontpath All Commercial |
$31.74
|
| Rate for Payer: Humana ChoiceCare |
$32.78
|
| Rate for Payer: Humana ChoiceCare |
$32.78
|
| Rate for Payer: Humana Medicare |
$29.54
|
| Rate for Payer: Humana Medicare |
$29.54
|
| Rate for Payer: Lucent All Commercial |
$41.36
|
| Rate for Payer: Lucent All Commercial |
$41.36
|
| Rate for Payer: Managed Health Services Medicaid |
$45.37
|
| Rate for Payer: Managed Health Services Medicaid |
$45.37
|
| Rate for Payer: MDWise Medicaid |
$45.37
|
| Rate for Payer: MDWise Medicaid |
$45.37
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$25.36
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$25.36
|
| Rate for Payer: PHCS All Commercial |
$29.54
|
| Rate for Payer: PHCS All Commercial |
$29.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.54
|
| Rate for Payer: Sagamore Health Network All Products |
$29.54
|
| Rate for Payer: Sagamore Health Network All Products |
$29.54
|
| Rate for Payer: United Healthcare Commercial |
$32.70
|
| Rate for Payer: United Healthcare Commercial |
$32.70
|
| Rate for Payer: United Healthcare Medicare |
$44.59
|
| Rate for Payer: United Healthcare Medicare |
$44.59
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO
|
Professional
|
Both
|
$74.44
|
|
|
Service Code
|
CPT 99458
|
| Hospital Charge Code |
z99458
|
| Min. Negotiated Rate |
$29.53 |
| Max. Negotiated Rate |
$45.79 |
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Commercial |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Aetna Medicare |
$29.54
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$29.53
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$29.53
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$36.61
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$36.61
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.97
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$33.97
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.49
|
| Rate for Payer: Cash Price |
$45.21
|
| Rate for Payer: Cash Price |
$46.15
|
| Rate for Payer: Centivo All Commercial |
$45.79
|
| Rate for Payer: Centivo All Commercial |
$45.79
|
| Rate for Payer: Cigna All Commercial |
$29.54
|
| Rate for Payer: Cigna All Commercial |
$29.54
|
| Rate for Payer: CORVEL All Commercial |
$29.54
|
| Rate for Payer: CORVEL All Commercial |
$29.54
|
| Rate for Payer: Coventry All Commercial |
$35.45
|
| Rate for Payer: Coventry All Commercial |
$35.45
|
| Rate for Payer: Encore All Commercial |
$29.54
|
| Rate for Payer: Encore All Commercial |
$29.54
|
| Rate for Payer: Frontpath All Commercial |
$31.74
|
| Rate for Payer: Frontpath All Commercial |
$31.74
|
| Rate for Payer: Humana ChoiceCare |
$32.97
|
| Rate for Payer: Humana ChoiceCare |
$32.97
|
| Rate for Payer: Humana Medicare |
$29.54
|
| Rate for Payer: Humana Medicare |
$29.54
|
| Rate for Payer: Lucent All Commercial |
$41.36
|
| Rate for Payer: Lucent All Commercial |
$41.36
|
| Rate for Payer: Managed Health Services Medicaid |
$36.61
|
| Rate for Payer: Managed Health Services Medicaid |
$36.61
|
| Rate for Payer: MDWise Medicaid |
$36.61
|
| Rate for Payer: MDWise Medicaid |
$36.61
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$29.53
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$29.53
|
| Rate for Payer: PHCS All Commercial |
$29.54
|
| Rate for Payer: PHCS All Commercial |
$29.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.54
|
| Rate for Payer: Sagamore Health Network All Products |
$29.54
|
| Rate for Payer: Sagamore Health Network All Products |
$29.54
|
| Rate for Payer: United Healthcare Commercial |
$32.93
|
| Rate for Payer: United Healthcare Commercial |
$32.93
|
| Rate for Payer: United Healthcare Medicare |
$36.46
|
| Rate for Payer: United Healthcare Medicare |
$36.46
|
|
|
PR REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP
|
Professional
|
Both
|
$36.24
|
|
|
Service Code
|
CPT 98975
|
| Hospital Charge Code |
z98975
|
| Min. Negotiated Rate |
$16.88 |
| Max. Negotiated Rate |
$26.57 |
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Medicare |
$17.14
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$17.83
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$19.71
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$18.85
|
| Rate for Payer: Cash Price |
$22.47
|
| Rate for Payer: Centivo All Commercial |
$26.57
|
| Rate for Payer: Cigna All Commercial |
$17.14
|
| Rate for Payer: CORVEL All Commercial |
$17.14
|
| Rate for Payer: Coventry All Commercial |
$20.57
|
| Rate for Payer: Encore All Commercial |
$17.14
|
| Rate for Payer: Humana ChoiceCare |
$17.30
|
| Rate for Payer: Humana Medicare |
$17.14
|
| Rate for Payer: Lucent All Commercial |
$24.00
|
| Rate for Payer: Managed Health Services Medicaid |
$17.83
|
| Rate for Payer: MDWise Medicaid |
$17.83
|
| Rate for Payer: PHCS All Commercial |
$17.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$17.14
|
| Rate for Payer: Sagamore Health Network All Products |
$17.14
|
| Rate for Payer: United Healthcare Commercial |
$19.23
|
| Rate for Payer: United Healthcare Medicare |
$16.88
|
|
|
PR REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN
|
Professional
|
Both
|
$95.36
|
|
|
Service Code
|
CPT 98980
|
| Hospital Charge Code |
z98980
|
| Min. Negotiated Rate |
$23.98 |
| Max. Negotiated Rate |
$46.90 |
| Rate for Payer: Aetna Commercial |
$29.89
|
| Rate for Payer: Aetna Medicare |
$29.89
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$23.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$46.90
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$34.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.88
|
| Rate for Payer: Cash Price |
$59.12
|
| Rate for Payer: Centivo All Commercial |
$46.33
|
| Rate for Payer: Cigna All Commercial |
$29.89
|
| Rate for Payer: CORVEL All Commercial |
$29.89
|
| Rate for Payer: Coventry All Commercial |
$35.87
|
| Rate for Payer: Encore All Commercial |
$29.89
|
| Rate for Payer: Humana ChoiceCare |
$29.37
|
| Rate for Payer: Humana Medicare |
$29.89
|
| Rate for Payer: Lucent All Commercial |
$41.85
|
| Rate for Payer: Managed Health Services Medicaid |
$46.90
|
| Rate for Payer: MDWise Medicaid |
$46.90
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$23.98
|
| Rate for Payer: PHCS All Commercial |
$29.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.89
|
| Rate for Payer: Sagamore Health Network All Products |
$29.89
|
| Rate for Payer: United Healthcare Commercial |
$33.08
|
| Rate for Payer: United Healthcare Medicare |
$45.22
|
|
|
PR REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN
|
Professional
|
Both
|
$75.66
|
|
|
Service Code
|
CPT 98981
|
| Hospital Charge Code |
z98981
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$46.03 |
| Rate for Payer: Aetna Commercial |
$29.70
|
| Rate for Payer: Aetna Medicare |
$29.70
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$24.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$37.21
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$34.16
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$32.67
|
| Rate for Payer: Cash Price |
$46.91
|
| Rate for Payer: Centivo All Commercial |
$46.03
|
| Rate for Payer: Cigna All Commercial |
$29.70
|
| Rate for Payer: CORVEL All Commercial |
$29.70
|
| Rate for Payer: Coventry All Commercial |
$35.64
|
| Rate for Payer: Encore All Commercial |
$29.70
|
| Rate for Payer: Humana ChoiceCare |
$28.72
|
| Rate for Payer: Humana Medicare |
$29.70
|
| Rate for Payer: Lucent All Commercial |
$41.58
|
| Rate for Payer: Managed Health Services Medicaid |
$37.21
|
| Rate for Payer: MDWise Medicaid |
$37.21
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$24.00
|
| Rate for Payer: PHCS All Commercial |
$29.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$29.70
|
| Rate for Payer: Sagamore Health Network All Products |
$29.70
|
| Rate for Payer: United Healthcare Commercial |
$32.93
|
| Rate for Payer: United Healthcare Medicare |
$36.46
|
|
|
PR REMOVAL ADENOIDS,PRIMARY,<12 Y/O
|
Professional
|
Both
|
$400.78
|
|
|
Service Code
|
CPT 42830
|
| Hospital Charge Code |
z42830
|
| Min. Negotiated Rate |
$195.22 |
| Max. Negotiated Rate |
$28,000.00 |
| Rate for Payer: Aetna Commercial |
$198.89
|
| Rate for Payer: Aetna Commercial |
$198.89
|
| Rate for Payer: Aetna Medicare |
$198.89
|
| Rate for Payer: Aetna Medicare |
$198.89
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$228.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$228.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$197.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$197.12
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.72
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$218.78
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$218.78
|
| Rate for Payer: Cash Price |
$248.48
|
| Rate for Payer: Cash Price |
$242.07
|
| Rate for Payer: Centivo All Commercial |
$308.28
|
| Rate for Payer: Centivo All Commercial |
$308.28
|
| Rate for Payer: Cigna All Commercial |
$198.89
|
| Rate for Payer: Cigna All Commercial |
$198.89
|
| Rate for Payer: CORVEL All Commercial |
$198.89
|
| Rate for Payer: CORVEL All Commercial |
$198.89
|
| Rate for Payer: Coventry All Commercial |
$238.67
|
| Rate for Payer: Coventry All Commercial |
$238.67
|
| Rate for Payer: Encore All Commercial |
$198.89
|
| Rate for Payer: Encore All Commercial |
$198.89
|
| Rate for Payer: Frontpath All Commercial |
$271.49
|
| Rate for Payer: Frontpath All Commercial |
$271.49
|
| Rate for Payer: Humana ChoiceCare |
$226.16
|
| Rate for Payer: Humana ChoiceCare |
$226.16
|
| Rate for Payer: Humana Medicare |
$198.89
|
| Rate for Payer: Humana Medicare |
$198.89
|
| Rate for Payer: Lucent All Commercial |
$278.45
|
| Rate for Payer: Lucent All Commercial |
$278.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$300.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$300.00
|
| Rate for Payer: Managed Health Services Medicaid |
$197.12
|
| Rate for Payer: Managed Health Services Medicaid |
$197.12
|
| Rate for Payer: MDWise Medicaid |
$197.12
|
| Rate for Payer: MDWise Medicaid |
$197.12
|
| Rate for Payer: PHCS All Commercial |
$198.89
|
| Rate for Payer: PHCS All Commercial |
$198.89
|
| Rate for Payer: PHP All Commercial |
$341.64
|
| Rate for Payer: PHP All Commercial |
$341.64
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$198.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$198.89
|
| Rate for Payer: Sagamore Health Network All Products |
$198.89
|
| Rate for Payer: Sagamore Health Network All Products |
$198.89
|
| Rate for Payer: Signature Care EPO |
$290.70
|
| Rate for Payer: Signature Care EPO |
$290.70
|
| Rate for Payer: Signature Care PPO |
$290.70
|
| Rate for Payer: Signature Care PPO |
$290.70
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$28,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$28,000.00
|
| Rate for Payer: United Healthcare Commercial |
$225.25
|
| Rate for Payer: United Healthcare Commercial |
$225.25
|
| Rate for Payer: United Healthcare Medicare |
$195.22
|
| Rate for Payer: United Healthcare Medicare |
$195.22
|
|
|
PR REMOVAL ANAL FISTULA,INTERSPNINCTERIC
|
Professional
|
Both
|
$1,044.32
|
|
|
Service Code
|
CPT 46275
|
| Hospital Charge Code |
z46275
|
| Min. Negotiated Rate |
$245.50 |
| Max. Negotiated Rate |
$55,100.00 |
| Rate for Payer: Aetna Commercial |
$397.05
|
| Rate for Payer: Aetna Commercial |
$397.05
|
| Rate for Payer: Aetna Medicare |
$397.05
|
| Rate for Payer: Aetna Medicare |
$397.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$470.90
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$470.90
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$245.50
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$245.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$513.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$513.64
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$456.61
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$456.61
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$436.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$436.75
|
| Rate for Payer: Cash Price |
$637.86
|
| Rate for Payer: Cash Price |
$647.48
|
| Rate for Payer: Centivo All Commercial |
$615.43
|
| Rate for Payer: Centivo All Commercial |
$615.43
|
| Rate for Payer: Cigna All Commercial |
$397.05
|
| Rate for Payer: Cigna All Commercial |
$397.05
|
| Rate for Payer: CORVEL All Commercial |
$397.05
|
| Rate for Payer: CORVEL All Commercial |
$397.05
|
| Rate for Payer: Coventry All Commercial |
$476.46
|
| Rate for Payer: Coventry All Commercial |
$476.46
|
| Rate for Payer: Encore All Commercial |
$397.05
|
| Rate for Payer: Encore All Commercial |
$397.05
|
| Rate for Payer: Frontpath All Commercial |
$546.98
|
| Rate for Payer: Frontpath All Commercial |
$546.98
|
| Rate for Payer: Humana ChoiceCare |
$339.16
|
| Rate for Payer: Humana ChoiceCare |
$339.16
|
| Rate for Payer: Humana Medicare |
$397.05
|
| Rate for Payer: Humana Medicare |
$397.05
|
| Rate for Payer: Lucent All Commercial |
$555.87
|
| Rate for Payer: Lucent All Commercial |
$555.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$591.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$591.00
|
| Rate for Payer: Managed Health Services Medicaid |
$513.64
|
| Rate for Payer: Managed Health Services Medicaid |
$513.64
|
| Rate for Payer: MDWise Medicaid |
$513.64
|
| Rate for Payer: MDWise Medicaid |
$513.64
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$245.50
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$245.50
|
| Rate for Payer: PHCS All Commercial |
$397.05
|
| Rate for Payer: PHCS All Commercial |
$397.05
|
| Rate for Payer: PHP All Commercial |
$672.50
|
| Rate for Payer: PHP All Commercial |
$672.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$397.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$397.05
|
| Rate for Payer: Sagamore Health Network All Products |
$397.05
|
| Rate for Payer: Sagamore Health Network All Products |
$397.05
|
| Rate for Payer: Signature Care EPO |
$502.35
|
| Rate for Payer: Signature Care EPO |
$502.35
|
| Rate for Payer: Signature Care PPO |
$502.35
|
| Rate for Payer: Signature Care PPO |
$502.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$55,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$55,100.00
|
| Rate for Payer: United Healthcare Commercial |
$408.64
|
| Rate for Payer: United Healthcare Commercial |
$408.64
|
| Rate for Payer: United Healthcare Medicare |
$514.40
|
| Rate for Payer: United Healthcare Medicare |
$514.40
|
|
|
PR REMOVAL ANAL FISTULA,SUBCUTANEOUS
|
Professional
|
Both
|
$985.30
|
|
|
Service Code
|
CPT 46270
|
| Hospital Charge Code |
z46270
|
| Min. Negotiated Rate |
$207.12 |
| Max. Negotiated Rate |
$52,200.00 |
| Rate for Payer: Aetna Commercial |
$375.39
|
| Rate for Payer: Aetna Commercial |
$375.39
|
| Rate for Payer: Aetna Medicare |
$375.39
|
| Rate for Payer: Aetna Medicare |
$375.39
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$382.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$382.07
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$207.12
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$207.12
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$484.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$484.60
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.70
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.93
|
| Rate for Payer: Cash Price |
$603.00
|
| Rate for Payer: Cash Price |
$610.89
|
| Rate for Payer: Centivo All Commercial |
$581.85
|
| Rate for Payer: Centivo All Commercial |
$581.85
|
| Rate for Payer: Cigna All Commercial |
$375.39
|
| Rate for Payer: Cigna All Commercial |
$375.39
|
| Rate for Payer: CORVEL All Commercial |
$375.39
|
| Rate for Payer: CORVEL All Commercial |
$375.39
|
| Rate for Payer: Coventry All Commercial |
$450.47
|
| Rate for Payer: Coventry All Commercial |
$450.47
|
| Rate for Payer: Encore All Commercial |
$375.39
|
| Rate for Payer: Encore All Commercial |
$375.39
|
| Rate for Payer: Frontpath All Commercial |
$518.73
|
| Rate for Payer: Frontpath All Commercial |
$518.73
|
| Rate for Payer: Humana ChoiceCare |
$294.11
|
| Rate for Payer: Humana ChoiceCare |
$294.11
|
| Rate for Payer: Humana Medicare |
$375.39
|
| Rate for Payer: Humana Medicare |
$375.39
|
| Rate for Payer: Lucent All Commercial |
$525.55
|
| Rate for Payer: Lucent All Commercial |
$525.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.00
|
| Rate for Payer: Managed Health Services Medicaid |
$484.60
|
| Rate for Payer: Managed Health Services Medicaid |
$484.60
|
| Rate for Payer: MDWise Medicaid |
$484.60
|
| Rate for Payer: MDWise Medicaid |
$484.60
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$207.12
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$207.12
|
| Rate for Payer: PHCS All Commercial |
$375.39
|
| Rate for Payer: PHCS All Commercial |
$375.39
|
| Rate for Payer: PHP All Commercial |
$636.49
|
| Rate for Payer: PHP All Commercial |
$636.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$375.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$375.39
|
| Rate for Payer: Sagamore Health Network All Products |
$375.39
|
| Rate for Payer: Sagamore Health Network All Products |
$375.39
|
| Rate for Payer: Signature Care EPO |
$468.35
|
| Rate for Payer: Signature Care EPO |
$468.35
|
| Rate for Payer: Signature Care PPO |
$468.35
|
| Rate for Payer: Signature Care PPO |
$468.35
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$52,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$52,200.00
|
| Rate for Payer: United Healthcare Commercial |
$380.75
|
| Rate for Payer: United Healthcare Commercial |
$380.75
|
| Rate for Payer: United Healthcare Medicare |
$486.29
|
| Rate for Payer: United Healthcare Medicare |
$486.29
|
|
|
PR REMOVAL ARM/ELBOW F.B.,DEEP
|
Professional
|
Both
|
$999.02
|
|
|
Service Code
|
CPT 24201
|
| Hospital Charge Code |
z24201
|
| Min. Negotiated Rate |
$188.95 |
| Max. Negotiated Rate |
$51,300.00 |
| Rate for Payer: Aetna Commercial |
$341.02
|
| Rate for Payer: Aetna Commercial |
$341.02
|
| Rate for Payer: Aetna Medicare |
$341.02
|
| Rate for Payer: Aetna Medicare |
$341.02
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$568.71
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$568.71
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$188.95
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$188.95
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$561.77
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$561.77
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$392.17
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$392.17
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$375.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$375.12
|
| Rate for Payer: Cash Price |
$708.16
|
| Rate for Payer: Cash Price |
$619.39
|
| Rate for Payer: Centivo All Commercial |
$528.58
|
| Rate for Payer: Centivo All Commercial |
$528.58
|
| Rate for Payer: Cigna All Commercial |
$341.02
|
| Rate for Payer: Cigna All Commercial |
$341.02
|
| Rate for Payer: CORVEL All Commercial |
$341.02
|
| Rate for Payer: CORVEL All Commercial |
$341.02
|
| Rate for Payer: Coventry All Commercial |
$409.22
|
| Rate for Payer: Coventry All Commercial |
$409.22
|
| Rate for Payer: Encore All Commercial |
$341.02
|
| Rate for Payer: Encore All Commercial |
$341.02
|
| Rate for Payer: Frontpath All Commercial |
$475.23
|
| Rate for Payer: Frontpath All Commercial |
$475.23
|
| Rate for Payer: Humana ChoiceCare |
$380.06
|
| Rate for Payer: Humana ChoiceCare |
$380.06
|
| Rate for Payer: Humana Medicare |
$341.02
|
| Rate for Payer: Humana Medicare |
$341.02
|
| Rate for Payer: Lucent All Commercial |
$477.43
|
| Rate for Payer: Lucent All Commercial |
$477.43
|
| Rate for Payer: Lutheran Preferred All Commercial |
$548.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$548.00
|
| Rate for Payer: Managed Health Services Medicaid |
$561.77
|
| Rate for Payer: Managed Health Services Medicaid |
$561.77
|
| Rate for Payer: MDWise Medicaid |
$561.77
|
| Rate for Payer: MDWise Medicaid |
$561.77
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$188.95
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$188.95
|
| Rate for Payer: PHCS All Commercial |
$341.02
|
| Rate for Payer: PHCS All Commercial |
$341.02
|
| Rate for Payer: PHP All Commercial |
$580.91
|
| Rate for Payer: PHP All Commercial |
$580.91
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$341.02
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$341.02
|
| Rate for Payer: Sagamore Health Network All Products |
$341.02
|
| Rate for Payer: Sagamore Health Network All Products |
$341.02
|
| Rate for Payer: Signature Care EPO |
$586.50
|
| Rate for Payer: Signature Care EPO |
$586.50
|
| Rate for Payer: Signature Care PPO |
$586.50
|
| Rate for Payer: Signature Care PPO |
$586.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$51,300.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$51,300.00
|
| Rate for Payer: United Healthcare Commercial |
$387.03
|
| Rate for Payer: United Healthcare Commercial |
$387.03
|
| Rate for Payer: United Healthcare Medicare |
$499.51
|
| Rate for Payer: United Healthcare Medicare |
$499.51
|
|
|
PR REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY
|
Professional
|
Both
|
$1,455.72
|
|
|
Service Code
|
CPT 0412T
|
| Hospital Charge Code |
z0412T
|
| Min. Negotiated Rate |
$188.66 |
| Max. Negotiated Rate |
$283.79 |
| Rate for Payer: Cash Price |
$902.55
|
| Rate for Payer: Frontpath All Commercial |
$283.79
|
| Rate for Payer: Humana ChoiceCare |
$188.66
|
| Rate for Payer: United Healthcare Commercial |
$262.03
|
|
|
PR REMOVAL DRUG IMPLANT DEVICE
|
Professional
|
Both
|
$205.00
|
|
|
Service Code
|
CPT 11982
|
| Hospital Charge Code |
z11982
|
| Min. Negotiated Rate |
$49.51 |
| Max. Negotiated Rate |
$8,200.00 |
| Rate for Payer: Aetna Commercial |
$69.08
|
| Rate for Payer: Aetna Commercial |
$69.08
|
| Rate for Payer: Aetna Medicare |
$69.08
|
| Rate for Payer: Aetna Medicare |
$69.08
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$171.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$171.20
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$49.51
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$49.51
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$100.82
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$100.82
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$79.44
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$79.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$75.99
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$75.99
|
| Rate for Payer: Cash Price |
$126.28
|
| Rate for Payer: Cash Price |
$127.10
|
| Rate for Payer: Centivo All Commercial |
$107.07
|
| Rate for Payer: Centivo All Commercial |
$107.07
|
| Rate for Payer: Cigna All Commercial |
$69.08
|
| Rate for Payer: Cigna All Commercial |
$69.08
|
| Rate for Payer: CORVEL All Commercial |
$69.08
|
| Rate for Payer: CORVEL All Commercial |
$69.08
|
| Rate for Payer: Coventry All Commercial |
$82.90
|
| Rate for Payer: Coventry All Commercial |
$82.90
|
| Rate for Payer: Encore All Commercial |
$69.08
|
| Rate for Payer: Encore All Commercial |
$69.08
|
| Rate for Payer: Frontpath All Commercial |
$97.23
|
| Rate for Payer: Frontpath All Commercial |
$97.23
|
| Rate for Payer: Humana ChoiceCare |
$98.76
|
| Rate for Payer: Humana ChoiceCare |
$98.76
|
| Rate for Payer: Humana Medicare |
$69.08
|
| Rate for Payer: Humana Medicare |
$69.08
|
| Rate for Payer: Lucent All Commercial |
$96.71
|
| Rate for Payer: Lucent All Commercial |
$96.71
|
| Rate for Payer: Lutheran Preferred All Commercial |
$89.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$89.00
|
| Rate for Payer: Managed Health Services Medicaid |
$100.82
|
| Rate for Payer: Managed Health Services Medicaid |
$100.82
|
| Rate for Payer: MDWise Medicaid |
$100.82
|
| Rate for Payer: MDWise Medicaid |
$100.82
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$49.51
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$49.51
|
| Rate for Payer: PHCS All Commercial |
$69.08
|
| Rate for Payer: PHCS All Commercial |
$69.08
|
| Rate for Payer: PHP All Commercial |
$93.24
|
| Rate for Payer: PHP All Commercial |
$93.24
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$69.08
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$69.08
|
| Rate for Payer: Sagamore Health Network All Products |
$69.08
|
| Rate for Payer: Sagamore Health Network All Products |
$69.08
|
| Rate for Payer: Signature Care EPO |
$154.70
|
| Rate for Payer: Signature Care EPO |
$154.70
|
| Rate for Payer: Signature Care PPO |
$154.70
|
| Rate for Payer: Signature Care PPO |
$154.70
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$8,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$8,200.00
|
| Rate for Payer: United Healthcare Commercial |
$117.13
|
| Rate for Payer: United Healthcare Commercial |
$117.13
|
| Rate for Payer: United Healthcare Medicare |
$101.84
|
| Rate for Payer: United Healthcare Medicare |
$101.84
|
|
|
PR REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
|
Professional
|
Both
|
$803.64
|
|
|
Service Code
|
CPT 20694
|
| Hospital Charge Code |
z20694
|
| Min. Negotiated Rate |
$174.24 |
| Max. Negotiated Rate |
$47,800.00 |
| Rate for Payer: Aetna Commercial |
$316.86
|
| Rate for Payer: Aetna Commercial |
$316.86
|
| Rate for Payer: Aetna Medicare |
$316.86
|
| Rate for Payer: Aetna Medicare |
$316.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$473.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$473.10
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$174.24
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$174.24
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$395.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$395.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$364.39
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$364.39
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$348.55
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$348.55
|
| Rate for Payer: Cash Price |
$486.61
|
| Rate for Payer: Cash Price |
$498.26
|
| Rate for Payer: Centivo All Commercial |
$491.13
|
| Rate for Payer: Centivo All Commercial |
$491.13
|
| Rate for Payer: Cigna All Commercial |
$316.86
|
| Rate for Payer: Cigna All Commercial |
$316.86
|
| Rate for Payer: CORVEL All Commercial |
$316.86
|
| Rate for Payer: CORVEL All Commercial |
$316.86
|
| Rate for Payer: Coventry All Commercial |
$380.23
|
| Rate for Payer: Coventry All Commercial |
$380.23
|
| Rate for Payer: Encore All Commercial |
$316.86
|
| Rate for Payer: Encore All Commercial |
$316.86
|
| Rate for Payer: Frontpath All Commercial |
$436.64
|
| Rate for Payer: Frontpath All Commercial |
$436.64
|
| Rate for Payer: Humana ChoiceCare |
$354.89
|
| Rate for Payer: Humana ChoiceCare |
$354.89
|
| Rate for Payer: Humana Medicare |
$316.86
|
| Rate for Payer: Humana Medicare |
$316.86
|
| Rate for Payer: Lucent All Commercial |
$443.60
|
| Rate for Payer: Lucent All Commercial |
$443.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$510.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$510.00
|
| Rate for Payer: Managed Health Services Medicaid |
$395.26
|
| Rate for Payer: Managed Health Services Medicaid |
$395.26
|
| Rate for Payer: MDWise Medicaid |
$395.26
|
| Rate for Payer: MDWise Medicaid |
$395.26
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$174.24
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$174.24
|
| Rate for Payer: PHCS All Commercial |
$316.86
|
| Rate for Payer: PHCS All Commercial |
$316.86
|
| Rate for Payer: PHP All Commercial |
$540.81
|
| Rate for Payer: PHP All Commercial |
$540.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$316.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$316.86
|
| Rate for Payer: Sagamore Health Network All Products |
$316.86
|
| Rate for Payer: Sagamore Health Network All Products |
$316.86
|
| Rate for Payer: Signature Care EPO |
$626.45
|
| Rate for Payer: Signature Care EPO |
$626.45
|
| Rate for Payer: Signature Care PPO |
$626.45
|
| Rate for Payer: Signature Care PPO |
$626.45
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$47,800.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$47,800.00
|
| Rate for Payer: United Healthcare Commercial |
$361.65
|
| Rate for Payer: United Healthcare Commercial |
$361.65
|
| Rate for Payer: United Healthcare Medicare |
$392.43
|
| Rate for Payer: United Healthcare Medicare |
$392.43
|
|
|
PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
|
Professional
|
Both
|
$178.48
|
|
|
Service Code
|
CPT 69210
|
| Hospital Charge Code |
z69210
|
| Min. Negotiated Rate |
$16.79 |
| Max. Negotiated Rate |
$4,600.00 |
| Rate for Payer: Aetna Commercial |
$30.97
|
| Rate for Payer: Aetna Commercial |
$30.97
|
| Rate for Payer: Aetna Commercial |
$30.97
|
| Rate for Payer: Aetna Commercial |
$30.97
|
| Rate for Payer: Aetna Medicare |
$30.97
|
| Rate for Payer: Aetna Medicare |
$30.97
|
| Rate for Payer: Aetna Medicare |
$30.97
|
| Rate for Payer: Aetna Medicare |
$30.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$62.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$62.80
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$16.79
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$16.79
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$16.79
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$16.79
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$43.89
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$43.89
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$43.89
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$43.89
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$35.62
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$35.62
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$35.62
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$35.62
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$34.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$34.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$34.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$34.07
|
| Rate for Payer: Cash Price |
$53.83
|
| Rate for Payer: Cash Price |
$110.66
|
| Rate for Payer: Cash Price |
$55.33
|
| Rate for Payer: Cash Price |
$107.66
|
| Rate for Payer: Centivo All Commercial |
$48.00
|
| Rate for Payer: Centivo All Commercial |
$48.00
|
| Rate for Payer: Centivo All Commercial |
$48.00
|
| Rate for Payer: Centivo All Commercial |
$48.00
|
| Rate for Payer: Cigna All Commercial |
$30.97
|
| Rate for Payer: Cigna All Commercial |
$30.97
|
| Rate for Payer: Cigna All Commercial |
$30.97
|
| Rate for Payer: Cigna All Commercial |
$30.97
|
| Rate for Payer: CORVEL All Commercial |
$30.97
|
| Rate for Payer: CORVEL All Commercial |
$30.97
|
| Rate for Payer: CORVEL All Commercial |
$30.97
|
| Rate for Payer: CORVEL All Commercial |
$30.97
|
| Rate for Payer: Coventry All Commercial |
$37.16
|
| Rate for Payer: Coventry All Commercial |
$37.16
|
| Rate for Payer: Coventry All Commercial |
$37.16
|
| Rate for Payer: Coventry All Commercial |
$37.16
|
| Rate for Payer: Encore All Commercial |
$30.97
|
| Rate for Payer: Encore All Commercial |
$30.97
|
| Rate for Payer: Encore All Commercial |
$30.97
|
| Rate for Payer: Encore All Commercial |
$30.97
|
| Rate for Payer: Frontpath All Commercial |
$42.96
|
| Rate for Payer: Frontpath All Commercial |
$42.96
|
| Rate for Payer: Frontpath All Commercial |
$42.96
|
| Rate for Payer: Frontpath All Commercial |
$42.96
|
| Rate for Payer: Humana ChoiceCare |
$35.25
|
| Rate for Payer: Humana ChoiceCare |
$35.25
|
| Rate for Payer: Humana ChoiceCare |
$35.25
|
| Rate for Payer: Humana ChoiceCare |
$35.25
|
| Rate for Payer: Humana Medicare |
$30.97
|
| Rate for Payer: Humana Medicare |
$30.97
|
| Rate for Payer: Humana Medicare |
$30.97
|
| Rate for Payer: Humana Medicare |
$30.97
|
| Rate for Payer: Lucent All Commercial |
$43.36
|
| Rate for Payer: Lucent All Commercial |
$43.36
|
| Rate for Payer: Lucent All Commercial |
$43.36
|
| Rate for Payer: Lucent All Commercial |
$43.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$49.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$49.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$49.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$49.00
|
| Rate for Payer: Managed Health Services Medicaid |
$43.89
|
| Rate for Payer: Managed Health Services Medicaid |
$43.89
|
| Rate for Payer: Managed Health Services Medicaid |
$43.89
|
| Rate for Payer: Managed Health Services Medicaid |
$43.89
|
| Rate for Payer: MDWise Medicaid |
$43.89
|
| Rate for Payer: MDWise Medicaid |
$43.89
|
| Rate for Payer: MDWise Medicaid |
$43.89
|
| Rate for Payer: MDWise Medicaid |
$43.89
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$16.79
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$16.79
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$16.79
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$16.79
|
| Rate for Payer: PHCS All Commercial |
$30.97
|
| Rate for Payer: PHCS All Commercial |
$30.97
|
| Rate for Payer: PHCS All Commercial |
$30.97
|
| Rate for Payer: PHCS All Commercial |
$30.97
|
| Rate for Payer: PHP All Commercial |
$38.81
|
| Rate for Payer: PHP All Commercial |
$38.81
|
| Rate for Payer: PHP All Commercial |
$38.81
|
| Rate for Payer: PHP All Commercial |
$38.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$30.97
|
| Rate for Payer: Sagamore Health Network All Products |
$30.97
|
| Rate for Payer: Sagamore Health Network All Products |
$30.97
|
| Rate for Payer: Sagamore Health Network All Products |
$30.97
|
| Rate for Payer: Sagamore Health Network All Products |
$30.97
|
| Rate for Payer: Signature Care EPO |
$59.50
|
| Rate for Payer: Signature Care EPO |
$59.50
|
| Rate for Payer: Signature Care EPO |
$59.50
|
| Rate for Payer: Signature Care EPO |
$59.50
|
| Rate for Payer: Signature Care PPO |
$59.50
|
| Rate for Payer: Signature Care PPO |
$59.50
|
| Rate for Payer: Signature Care PPO |
$59.50
|
| Rate for Payer: Signature Care PPO |
$59.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,600.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,600.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,600.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,600.00
|
| Rate for Payer: United Healthcare Commercial |
$36.71
|
| Rate for Payer: United Healthcare Commercial |
$36.71
|
| Rate for Payer: United Healthcare Commercial |
$36.71
|
| Rate for Payer: United Healthcare Commercial |
$36.71
|
| Rate for Payer: United Healthcare Medicare |
$43.41
|
| Rate for Payer: United Healthcare Medicare |
$43.41
|
| Rate for Payer: United Healthcare Medicare |
$43.41
|
| Rate for Payer: United Healthcare Medicare |
$43.41
|
|
|
PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT
|
Professional
|
Both
|
$27.42
|
|
|
Service Code
|
CPT 69209
|
| Hospital Charge Code |
z69209
|
| Min. Negotiated Rate |
$12.51 |
| Max. Negotiated Rate |
$2,100.00 |
| Rate for Payer: Aetna Commercial |
$13.86
|
| Rate for Payer: Aetna Commercial |
$13.86
|
| Rate for Payer: Aetna Commercial |
$13.86
|
| Rate for Payer: Aetna Commercial |
$13.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$23.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$23.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$14.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$14.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$14.35
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$14.35
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$15.94
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$15.94
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$15.94
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$15.94
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$15.25
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$15.25
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$15.25
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$15.25
|
| Rate for Payer: Cash Price |
$17.00
|
| Rate for Payer: Cash Price |
$36.18
|
| Rate for Payer: Cash Price |
$34.00
|
| Rate for Payer: Cash Price |
$18.09
|
| Rate for Payer: Centivo All Commercial |
$21.48
|
| Rate for Payer: Centivo All Commercial |
$21.48
|
| Rate for Payer: Centivo All Commercial |
$21.48
|
| Rate for Payer: Centivo All Commercial |
$21.48
|
| Rate for Payer: Cigna All Commercial |
$13.86
|
| Rate for Payer: Cigna All Commercial |
$13.86
|
| Rate for Payer: Cigna All Commercial |
$13.86
|
| Rate for Payer: Cigna All Commercial |
$13.86
|
| Rate for Payer: CORVEL All Commercial |
$13.86
|
| Rate for Payer: CORVEL All Commercial |
$13.86
|
| Rate for Payer: CORVEL All Commercial |
$13.86
|
| Rate for Payer: CORVEL All Commercial |
$13.86
|
| Rate for Payer: Coventry All Commercial |
$16.63
|
| Rate for Payer: Coventry All Commercial |
$16.63
|
| Rate for Payer: Coventry All Commercial |
$16.63
|
| Rate for Payer: Coventry All Commercial |
$16.63
|
| Rate for Payer: Encore All Commercial |
$13.86
|
| Rate for Payer: Encore All Commercial |
$13.86
|
| Rate for Payer: Encore All Commercial |
$13.86
|
| Rate for Payer: Encore All Commercial |
$13.86
|
| Rate for Payer: Frontpath All Commercial |
$18.56
|
| Rate for Payer: Frontpath All Commercial |
$18.56
|
| Rate for Payer: Frontpath All Commercial |
$18.56
|
| Rate for Payer: Frontpath All Commercial |
$18.56
|
| Rate for Payer: Humana ChoiceCare |
$13.02
|
| Rate for Payer: Humana ChoiceCare |
$13.02
|
| Rate for Payer: Humana ChoiceCare |
$13.02
|
| Rate for Payer: Humana ChoiceCare |
$13.02
|
| Rate for Payer: Humana Medicare |
$13.86
|
| Rate for Payer: Humana Medicare |
$13.86
|
| Rate for Payer: Humana Medicare |
$13.86
|
| Rate for Payer: Humana Medicare |
$13.86
|
| Rate for Payer: Lucent All Commercial |
$19.40
|
| Rate for Payer: Lucent All Commercial |
$19.40
|
| Rate for Payer: Lucent All Commercial |
$19.40
|
| Rate for Payer: Lucent All Commercial |
$19.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$22.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$22.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$22.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$22.00
|
| Rate for Payer: Managed Health Services Medicaid |
$14.35
|
| Rate for Payer: Managed Health Services Medicaid |
$14.35
|
| Rate for Payer: Managed Health Services Medicaid |
$14.35
|
| Rate for Payer: Managed Health Services Medicaid |
$14.35
|
| Rate for Payer: MDWise Medicaid |
$14.35
|
| Rate for Payer: MDWise Medicaid |
$14.35
|
| Rate for Payer: MDWise Medicaid |
$14.35
|
| Rate for Payer: MDWise Medicaid |
$14.35
|
| Rate for Payer: PHCS All Commercial |
$13.86
|
| Rate for Payer: PHCS All Commercial |
$13.86
|
| Rate for Payer: PHCS All Commercial |
$13.86
|
| Rate for Payer: PHCS All Commercial |
$13.86
|
| Rate for Payer: PHP All Commercial |
$17.82
|
| Rate for Payer: PHP All Commercial |
$17.82
|
| Rate for Payer: PHP All Commercial |
$17.82
|
| Rate for Payer: PHP All Commercial |
$17.82
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$13.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$13.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$13.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$13.86
|
| Rate for Payer: Sagamore Health Network All Products |
$13.86
|
| Rate for Payer: Sagamore Health Network All Products |
$13.86
|
| Rate for Payer: Sagamore Health Network All Products |
$13.86
|
| Rate for Payer: Sagamore Health Network All Products |
$13.86
|
| Rate for Payer: Signature Care EPO |
$12.51
|
| Rate for Payer: Signature Care EPO |
$12.51
|
| Rate for Payer: Signature Care EPO |
$12.51
|
| Rate for Payer: Signature Care EPO |
$12.51
|
| Rate for Payer: Signature Care PPO |
$12.51
|
| Rate for Payer: Signature Care PPO |
$12.51
|
| Rate for Payer: Signature Care PPO |
$12.51
|
| Rate for Payer: Signature Care PPO |
$12.51
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,100.00
|
| Rate for Payer: United Healthcare Commercial |
$14.75
|
| Rate for Payer: United Healthcare Commercial |
$14.75
|
| Rate for Payer: United Healthcare Commercial |
$14.75
|
| Rate for Payer: United Healthcare Commercial |
$14.75
|
| Rate for Payer: United Healthcare Medicare |
$13.71
|
| Rate for Payer: United Healthcare Medicare |
$13.71
|
| Rate for Payer: United Healthcare Medicare |
$13.71
|
| Rate for Payer: United Healthcare Medicare |
$13.71
|
|
|
PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY
|
Professional
|
Both
|
$386.42
|
|
|
Service Code
|
CPT 33241
|
| Hospital Charge Code |
z33241
|
| Min. Negotiated Rate |
$190.06 |
| Max. Negotiated Rate |
$29,400.00 |
| Rate for Payer: Aetna Commercial |
$198.70
|
| Rate for Payer: Aetna Commercial |
$198.70
|
| Rate for Payer: Aetna Medicare |
$198.70
|
| Rate for Payer: Aetna Medicare |
$198.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$320.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$320.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$190.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$190.06
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.50
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$228.50
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$218.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$218.57
|
| Rate for Payer: Cash Price |
$239.58
|
| Rate for Payer: Cash Price |
$237.01
|
| Rate for Payer: Centivo All Commercial |
$307.99
|
| Rate for Payer: Centivo All Commercial |
$307.99
|
| Rate for Payer: Cigna All Commercial |
$198.70
|
| Rate for Payer: Cigna All Commercial |
$198.70
|
| Rate for Payer: CORVEL All Commercial |
$198.70
|
| Rate for Payer: CORVEL All Commercial |
$198.70
|
| Rate for Payer: Coventry All Commercial |
$238.44
|
| Rate for Payer: Coventry All Commercial |
$238.44
|
| Rate for Payer: Encore All Commercial |
$198.70
|
| Rate for Payer: Encore All Commercial |
$198.70
|
| Rate for Payer: Frontpath All Commercial |
$280.23
|
| Rate for Payer: Frontpath All Commercial |
$280.23
|
| Rate for Payer: Humana ChoiceCare |
$297.20
|
| Rate for Payer: Humana ChoiceCare |
$297.20
|
| Rate for Payer: Humana Medicare |
$198.70
|
| Rate for Payer: Humana Medicare |
$198.70
|
| Rate for Payer: Lucent All Commercial |
$278.18
|
| Rate for Payer: Lucent All Commercial |
$278.18
|
| Rate for Payer: Lutheran Preferred All Commercial |
$313.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$313.00
|
| Rate for Payer: Managed Health Services Medicaid |
$190.06
|
| Rate for Payer: Managed Health Services Medicaid |
$190.06
|
| Rate for Payer: MDWise Medicaid |
$190.06
|
| Rate for Payer: MDWise Medicaid |
$190.06
|
| Rate for Payer: PHCS All Commercial |
$198.70
|
| Rate for Payer: PHCS All Commercial |
$198.70
|
| Rate for Payer: PHP All Commercial |
$267.60
|
| Rate for Payer: PHP All Commercial |
$267.60
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$198.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$198.70
|
| Rate for Payer: Sagamore Health Network All Products |
$198.70
|
| Rate for Payer: Sagamore Health Network All Products |
$198.70
|
| Rate for Payer: Signature Care EPO |
$337.79
|
| Rate for Payer: Signature Care EPO |
$337.79
|
| Rate for Payer: Signature Care PPO |
$337.79
|
| Rate for Payer: Signature Care PPO |
$337.79
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$29,400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$29,400.00
|
| Rate for Payer: United Healthcare Commercial |
$274.34
|
| Rate for Payer: United Healthcare Commercial |
$274.34
|
| Rate for Payer: United Healthcare Medicare |
$191.14
|
| Rate for Payer: United Healthcare Medicare |
$191.14
|
|
