|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM
|
Professional
|
$805.10
|
|
|
Service Code
|
CPT 21552
|
| Hospital Charge Code |
Z12148
|
| Min. Negotiated Rate |
$402.55 |
| Max. Negotiated Rate |
$966.12 |
| Rate for Payer: Aetna Medicare |
$412.62
|
| Rate for Payer: Anthem Exchange |
$525.47
|
| Rate for Payer: Anthem Medicare |
$412.62
|
| Rate for Payer: Anthem PPO |
$525.47
|
| Rate for Payer: Anthem Traditional |
$525.47
|
| Rate for Payer: Caresource Just 4 Me |
$474.51
|
| Rate for Payer: Caresource Medicare |
$453.88
|
| Rate for Payer: Centivo/Paragon All Products |
$639.56
|
| Rate for Payer: Coventry/First Health All Products |
$966.12
|
| Rate for Payer: Frontpath All Products |
$584.97
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$412.62
|
| Rate for Payer: Lucent/Coldwater Veneers |
$701.45
|
| Rate for Payer: Lutheran Preferred All Products |
$660.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$603.83
|
| Rate for Payer: PHP All Products |
$700.44
|
| Rate for Payer: Plain Church Group Ministry All Products |
$412.62
|
| Rate for Payer: Signature Care EPO |
$450.50
|
| Rate for Payer: Signature Care PPO |
$450.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$619.00
|
| Rate for Payer: United Healthcare Commercial |
$514.15
|
| Rate for Payer: United Healthcare Medicare |
$402.55
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
$789.62
|
|
|
Service Code
|
CPT 21555
|
| Hospital Charge Code |
Z12150
|
| Min. Negotiated Rate |
$285.52 |
| Max. Negotiated Rate |
$947.54 |
| Rate for Payer: Aetna Medicare |
$285.52
|
| Rate for Payer: Anthem Exchange |
$450.64
|
| Rate for Payer: Anthem Medicare |
$285.52
|
| Rate for Payer: Anthem PPO |
$450.64
|
| Rate for Payer: Anthem Traditional |
$450.64
|
| Rate for Payer: Caresource Just 4 Me |
$328.35
|
| Rate for Payer: Caresource Medicare |
$314.07
|
| Rate for Payer: Centivo/Paragon All Products |
$442.56
|
| Rate for Payer: Coventry/First Health All Products |
$947.54
|
| Rate for Payer: Frontpath All Products |
$396.53
|
| Rate for Payer: Humana ChoiceCare |
$789.62
|
| Rate for Payer: Humana Medicare |
$285.52
|
| Rate for Payer: Lucent/Coldwater Veneers |
$485.38
|
| Rate for Payer: Lutheran Preferred All Products |
$457.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$592.22
|
| Rate for Payer: PHP All Products |
$484.69
|
| Rate for Payer: Plain Church Group Ministry All Products |
$285.52
|
| Rate for Payer: Signature Care EPO |
$536.35
|
| Rate for Payer: Signature Care PPO |
$536.35
|
| Rate for Payer: Three Rivers Preferred All Products |
$428.00
|
| Rate for Payer: United Healthcare Commercial |
$355.03
|
| Rate for Payer: United Healthcare Medicare |
$394.81
|
|
|
PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM
|
Professional
|
$1,256.40
|
|
|
Service Code
|
CPT 23073
|
| Hospital Charge Code |
Z12158
|
| Min. Negotiated Rate |
$628.20 |
| Max. Negotiated Rate |
$1,507.68 |
| Rate for Payer: Aetna Medicare |
$643.90
|
| Rate for Payer: Anthem Exchange |
$810.28
|
| Rate for Payer: Anthem Medicare |
$643.90
|
| Rate for Payer: Anthem PPO |
$810.28
|
| Rate for Payer: Anthem Traditional |
$810.28
|
| Rate for Payer: Caresource Just 4 Me |
$740.48
|
| Rate for Payer: Caresource Medicare |
$708.29
|
| Rate for Payer: Centivo/Paragon All Products |
$998.04
|
| Rate for Payer: Coventry/First Health All Products |
$1,507.68
|
| Rate for Payer: Frontpath All Products |
$910.34
|
| Rate for Payer: Humana ChoiceCare |
$1,256.40
|
| Rate for Payer: Humana Medicare |
$643.90
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,094.63
|
| Rate for Payer: Lutheran Preferred All Products |
$1,030.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$942.30
|
| Rate for Payer: PHP All Products |
$1,093.06
|
| Rate for Payer: Plain Church Group Ministry All Products |
$643.90
|
| Rate for Payer: Signature Care EPO |
$693.60
|
| Rate for Payer: Signature Care PPO |
$693.60
|
| Rate for Payer: Three Rivers Preferred All Products |
$966.00
|
| Rate for Payer: United Healthcare Commercial |
$791.46
|
| Rate for Payer: United Healthcare Medicare |
$628.20
|
|
|
PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5+CM
|
Professional
|
$1,356.82
|
|
|
Service Code
|
CPT 27339
|
| Hospital Charge Code |
Z12336
|
| Min. Negotiated Rate |
$678.41 |
| Max. Negotiated Rate |
$1,628.18 |
| Rate for Payer: Aetna Medicare |
$695.37
|
| Rate for Payer: Anthem Exchange |
$882.56
|
| Rate for Payer: Anthem Medicare |
$695.37
|
| Rate for Payer: Anthem PPO |
$882.56
|
| Rate for Payer: Anthem Traditional |
$882.56
|
| Rate for Payer: Caresource Just 4 Me |
$799.68
|
| Rate for Payer: Caresource Medicare |
$764.91
|
| Rate for Payer: Centivo/Paragon All Products |
$1,077.82
|
| Rate for Payer: Coventry/First Health All Products |
$1,628.18
|
| Rate for Payer: Frontpath All Products |
$987.26
|
| Rate for Payer: Humana ChoiceCare |
$1,356.82
|
| Rate for Payer: Humana Medicare |
$695.37
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,182.13
|
| Rate for Payer: Lutheran Preferred All Products |
$1,113.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$1,017.62
|
| Rate for Payer: PHP All Products |
$1,180.43
|
| Rate for Payer: Plain Church Group Ministry All Products |
$695.37
|
| Rate for Payer: Signature Care EPO |
$755.65
|
| Rate for Payer: Signature Care PPO |
$755.65
|
| Rate for Payer: Three Rivers Preferred All Products |
$1,043.00
|
| Rate for Payer: United Healthcare Commercial |
$862.80
|
| Rate for Payer: United Healthcare Medicare |
$678.41
|
|
|
PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3+CM
|
Professional
|
$731.52
|
|
|
Service Code
|
CPT 24071
|
| Hospital Charge Code |
Z12188
|
| Min. Negotiated Rate |
$365.76 |
| Max. Negotiated Rate |
$877.82 |
| Rate for Payer: Aetna Medicare |
$374.91
|
| Rate for Payer: Anthem Medicare |
$374.91
|
| Rate for Payer: Caresource Just 4 Me |
$431.15
|
| Rate for Payer: Caresource Medicare |
$412.40
|
| Rate for Payer: Centivo/Paragon All Products |
$581.11
|
| Rate for Payer: Coventry/First Health All Products |
$877.82
|
| Rate for Payer: Frontpath All Products |
$530.22
|
| Rate for Payer: Humana ChoiceCare |
$731.52
|
| Rate for Payer: Humana Medicare |
$374.91
|
| Rate for Payer: Lucent/Coldwater Veneers |
$637.35
|
| Rate for Payer: PHCS/Multiplan All Products |
$548.64
|
| Rate for Payer: Plain Church Group Ministry All Products |
$374.91
|
| Rate for Payer: United Healthcare Commercial |
$463.69
|
| Rate for Payer: United Healthcare Medicare |
$365.76
|
|
|
PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5+CM
|
Professional
|
$1,250.60
|
|
|
Service Code
|
CPT 24073
|
| Hospital Charge Code |
Z12189
|
| Min. Negotiated Rate |
$625.30 |
| Max. Negotiated Rate |
$1,500.72 |
| Rate for Payer: Aetna Medicare |
$640.93
|
| Rate for Payer: Anthem Exchange |
$814.17
|
| Rate for Payer: Anthem Medicare |
$640.93
|
| Rate for Payer: Anthem PPO |
$814.17
|
| Rate for Payer: Anthem Traditional |
$814.17
|
| Rate for Payer: Caresource Just 4 Me |
$737.07
|
| Rate for Payer: Caresource Medicare |
$705.02
|
| Rate for Payer: Centivo/Paragon All Products |
$993.44
|
| Rate for Payer: Coventry/First Health All Products |
$1,500.72
|
| Rate for Payer: Frontpath All Products |
$904.92
|
| Rate for Payer: Humana ChoiceCare |
$1,250.60
|
| Rate for Payer: Humana Medicare |
$640.93
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,089.58
|
| Rate for Payer: Lutheran Preferred All Products |
$1,025.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$937.95
|
| Rate for Payer: PHP All Products |
$1,088.03
|
| Rate for Payer: Plain Church Group Ministry All Products |
$640.93
|
| Rate for Payer: Signature Care EPO |
$697.00
|
| Rate for Payer: Signature Care PPO |
$697.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$961.00
|
| Rate for Payer: United Healthcare Commercial |
$795.89
|
| Rate for Payer: United Healthcare Medicare |
$625.30
|
|
|
PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM
|
Professional
|
$1,005.80
|
|
|
Service Code
|
CPT 26115
|
| Hospital Charge Code |
Z12266
|
| Min. Negotiated Rate |
$311.72 |
| Max. Negotiated Rate |
$1,206.96 |
| Rate for Payer: Aetna Medicare |
$311.72
|
| Rate for Payer: Anthem Exchange |
$630.11
|
| Rate for Payer: Anthem Medicare |
$311.72
|
| Rate for Payer: Anthem PPO |
$630.11
|
| Rate for Payer: Anthem Traditional |
$630.11
|
| Rate for Payer: Caresource Just 4 Me |
$358.48
|
| Rate for Payer: Caresource Medicare |
$342.89
|
| Rate for Payer: Centivo/Paragon All Products |
$483.17
|
| Rate for Payer: Coventry/First Health All Products |
$1,206.96
|
| Rate for Payer: Frontpath All Products |
$426.02
|
| Rate for Payer: Humana ChoiceCare |
$1,005.80
|
| Rate for Payer: Humana Medicare |
$311.72
|
| Rate for Payer: Lucent/Coldwater Veneers |
$529.92
|
| Rate for Payer: Lutheran Preferred All Products |
$499.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$754.35
|
| Rate for Payer: PHP All Products |
$529.17
|
| Rate for Payer: Plain Church Group Ministry All Products |
$311.72
|
| Rate for Payer: Signature Care EPO |
$808.67
|
| Rate for Payer: Signature Care PPO |
$808.67
|
| Rate for Payer: Three Rivers Preferred All Products |
$468.00
|
| Rate for Payer: United Healthcare Commercial |
$374.35
|
| Rate for Payer: United Healthcare Medicare |
$502.90
|
|
|
PR EXPLO/DRAIN BREAST ABSCESS
|
Professional
|
$850.44
|
|
|
Service Code
|
CPT 19020
|
| Hospital Charge Code |
Z12102
|
| Min. Negotiated Rate |
$289.21 |
| Max. Negotiated Rate |
$1,020.53 |
| Rate for Payer: Aetna Medicare |
$289.21
|
| Rate for Payer: Anthem Exchange |
$540.23
|
| Rate for Payer: Anthem Medicare |
$289.21
|
| Rate for Payer: Anthem PPO |
$540.23
|
| Rate for Payer: Anthem Traditional |
$540.23
|
| Rate for Payer: Caresource Just 4 Me |
$332.59
|
| Rate for Payer: Caresource Medicare |
$318.13
|
| Rate for Payer: Centivo/Paragon All Products |
$448.28
|
| Rate for Payer: Coventry/First Health All Products |
$1,020.53
|
| Rate for Payer: Frontpath All Products |
$404.64
|
| Rate for Payer: Humana ChoiceCare |
$850.44
|
| Rate for Payer: Humana Medicare |
$289.21
|
| Rate for Payer: Lucent/Coldwater Veneers |
$491.66
|
| Rate for Payer: Lutheran Preferred All Products |
$376.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$637.83
|
| Rate for Payer: PHP All Products |
$395.02
|
| Rate for Payer: Plain Church Group Ministry All Products |
$289.21
|
| Rate for Payer: Signature Care EPO |
$389.30
|
| Rate for Payer: Signature Care PPO |
$389.30
|
| Rate for Payer: Three Rivers Preferred All Products |
$347.00
|
| Rate for Payer: United Healthcare Commercial |
$303.26
|
| Rate for Payer: United Healthcare Medicare |
$425.22
|
|
|
PR EXPLOR ANKLE JOINT
|
Professional
|
$814.72
|
|
|
Service Code
|
CPT 27620
|
| Hospital Charge Code |
Z12376
|
| Min. Negotiated Rate |
$407.36 |
| Max. Negotiated Rate |
$977.66 |
| Rate for Payer: Aetna Medicare |
$417.54
|
| Rate for Payer: Anthem Exchange |
$625.60
|
| Rate for Payer: Anthem Medicare |
$417.54
|
| Rate for Payer: Anthem PPO |
$625.60
|
| Rate for Payer: Anthem Traditional |
$625.60
|
| Rate for Payer: Caresource Just 4 Me |
$480.17
|
| Rate for Payer: Caresource Medicare |
$459.29
|
| Rate for Payer: Centivo/Paragon All Products |
$647.19
|
| Rate for Payer: Coventry/First Health All Products |
$977.66
|
| Rate for Payer: Frontpath All Products |
$581.62
|
| Rate for Payer: Humana ChoiceCare |
$814.72
|
| Rate for Payer: Humana Medicare |
$417.54
|
| Rate for Payer: Lucent/Coldwater Veneers |
$709.82
|
| Rate for Payer: Lutheran Preferred All Products |
$668.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$611.04
|
| Rate for Payer: PHP All Products |
$708.80
|
| Rate for Payer: Plain Church Group Ministry All Products |
$417.54
|
| Rate for Payer: Signature Care EPO |
$668.10
|
| Rate for Payer: Signature Care PPO |
$668.10
|
| Rate for Payer: Three Rivers Preferred All Products |
$626.00
|
| Rate for Payer: United Healthcare Commercial |
$499.23
|
| Rate for Payer: United Healthcare Medicare |
$407.36
|
|
|
PR EXPLOR/DRAIN KNEE,INFECTN
|
Professional
|
$1,332.42
|
|
|
Service Code
|
CPT 27310
|
| Hospital Charge Code |
Z12331
|
| Min. Negotiated Rate |
$666.21 |
| Max. Negotiated Rate |
$1,598.90 |
| Rate for Payer: Aetna Medicare |
$682.70
|
| Rate for Payer: Anthem Exchange |
$934.70
|
| Rate for Payer: Anthem Medicare |
$682.70
|
| Rate for Payer: Anthem PPO |
$934.70
|
| Rate for Payer: Anthem Traditional |
$934.70
|
| Rate for Payer: Caresource Just 4 Me |
$785.11
|
| Rate for Payer: Caresource Medicare |
$750.97
|
| Rate for Payer: Centivo/Paragon All Products |
$1,058.19
|
| Rate for Payer: Coventry/First Health All Products |
$1,598.90
|
| Rate for Payer: Frontpath All Products |
$951.08
|
| Rate for Payer: Humana ChoiceCare |
$1,332.42
|
| Rate for Payer: Humana Medicare |
$682.70
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,160.59
|
| Rate for Payer: Lutheran Preferred All Products |
$1,092.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$999.32
|
| Rate for Payer: PHP All Products |
$1,159.20
|
| Rate for Payer: Plain Church Group Ministry All Products |
$682.70
|
| Rate for Payer: Signature Care EPO |
$983.45
|
| Rate for Payer: Signature Care PPO |
$983.45
|
| Rate for Payer: Three Rivers Preferred All Products |
$1,024.00
|
| Rate for Payer: United Healthcare Commercial |
$784.40
|
| Rate for Payer: United Healthcare Medicare |
$666.21
|
|
|
PR EXPLORE/DRAIN ELBOW FOR INFECT
|
Professional
|
$874.90
|
|
|
Service Code
|
CPT 24000
|
| Hospital Charge Code |
Z12187
|
| Min. Negotiated Rate |
$437.45 |
| Max. Negotiated Rate |
$1,049.88 |
| Rate for Payer: Aetna Medicare |
$448.39
|
| Rate for Payer: Anthem Exchange |
$585.80
|
| Rate for Payer: Anthem Medicare |
$448.39
|
| Rate for Payer: Anthem PPO |
$585.80
|
| Rate for Payer: Anthem Traditional |
$585.80
|
| Rate for Payer: Caresource Just 4 Me |
$515.65
|
| Rate for Payer: Caresource Medicare |
$493.23
|
| Rate for Payer: Centivo/Paragon All Products |
$695.00
|
| Rate for Payer: Coventry/First Health All Products |
$1,049.88
|
| Rate for Payer: Frontpath All Products |
$614.03
|
| Rate for Payer: Humana ChoiceCare |
$874.90
|
| Rate for Payer: Humana Medicare |
$448.39
|
| Rate for Payer: Lucent/Coldwater Veneers |
$762.26
|
| Rate for Payer: Lutheran Preferred All Products |
$717.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$656.17
|
| Rate for Payer: PHP All Products |
$761.17
|
| Rate for Payer: Plain Church Group Ministry All Products |
$448.39
|
| Rate for Payer: Signature Care EPO |
$649.40
|
| Rate for Payer: Signature Care PPO |
$649.40
|
| Rate for Payer: Three Rivers Preferred All Products |
$673.00
|
| Rate for Payer: United Healthcare Commercial |
$504.00
|
| Rate for Payer: United Healthcare Medicare |
$437.45
|
|
|
PR EXPLORE/TREAT INTERPHALANGEAL JT,EA
|
Professional
|
$732.74
|
|
|
Service Code
|
CPT 26080
|
| Hospital Charge Code |
Z12263
|
| Min. Negotiated Rate |
$366.37 |
| Max. Negotiated Rate |
$879.29 |
| Rate for Payer: Aetna Medicare |
$375.53
|
| Rate for Payer: Anthem Exchange |
$532.80
|
| Rate for Payer: Anthem Medicare |
$375.53
|
| Rate for Payer: Anthem PPO |
$532.80
|
| Rate for Payer: Anthem Traditional |
$532.80
|
| Rate for Payer: Caresource Just 4 Me |
$431.86
|
| Rate for Payer: Caresource Medicare |
$413.08
|
| Rate for Payer: Centivo/Paragon All Products |
$582.07
|
| Rate for Payer: Coventry/First Health All Products |
$879.29
|
| Rate for Payer: Frontpath All Products |
$513.53
|
| Rate for Payer: Humana ChoiceCare |
$732.74
|
| Rate for Payer: Humana Medicare |
$375.53
|
| Rate for Payer: Lucent/Coldwater Veneers |
$638.40
|
| Rate for Payer: Lutheran Preferred All Products |
$601.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$549.56
|
| Rate for Payer: PHP All Products |
$637.48
|
| Rate for Payer: Plain Church Group Ministry All Products |
$375.53
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$563.00
|
| Rate for Payer: United Healthcare Commercial |
$400.63
|
| Rate for Payer: United Healthcare Medicare |
$366.37
|
|
|
PR EXPLORE & TREAT METACARPO-PHAL JT
|
Professional
|
$623.90
|
|
|
Service Code
|
CPT 26075
|
| Hospital Charge Code |
Z12262
|
| Min. Negotiated Rate |
$311.95 |
| Max. Negotiated Rate |
$748.68 |
| Rate for Payer: Aetna Medicare |
$319.44
|
| Rate for Payer: Anthem Exchange |
$511.70
|
| Rate for Payer: Anthem Medicare |
$319.44
|
| Rate for Payer: Anthem PPO |
$511.70
|
| Rate for Payer: Anthem Traditional |
$511.70
|
| Rate for Payer: Caresource Just 4 Me |
$367.36
|
| Rate for Payer: Caresource Medicare |
$351.38
|
| Rate for Payer: Centivo/Paragon All Products |
$495.13
|
| Rate for Payer: Coventry/First Health All Products |
$748.68
|
| Rate for Payer: Frontpath All Products |
$435.68
|
| Rate for Payer: Humana ChoiceCare |
$623.90
|
| Rate for Payer: Humana Medicare |
$319.44
|
| Rate for Payer: Lucent/Coldwater Veneers |
$543.05
|
| Rate for Payer: Lutheran Preferred All Products |
$511.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$467.92
|
| Rate for Payer: PHP All Products |
$542.79
|
| Rate for Payer: Plain Church Group Ministry All Products |
$319.44
|
| Rate for Payer: Signature Care EPO |
$433.50
|
| Rate for Payer: Signature Care PPO |
$433.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$479.00
|
| Rate for Payer: United Healthcare Commercial |
$332.66
|
| Rate for Payer: United Healthcare Medicare |
$311.95
|
|
|
PR EXPLORE WOUND,EXTREMITY
|
Professional
|
$1,024.18
|
|
|
Service Code
|
CPT 20103
|
| Hospital Charge Code |
Z12114
|
| Min. Negotiated Rate |
$319.60 |
| Max. Negotiated Rate |
$1,229.02 |
| Rate for Payer: Aetna Medicare |
$319.60
|
| Rate for Payer: Anthem Exchange |
$589.09
|
| Rate for Payer: Anthem Medicare |
$319.60
|
| Rate for Payer: Anthem PPO |
$589.09
|
| Rate for Payer: Anthem Traditional |
$589.09
|
| Rate for Payer: Caresource Just 4 Me |
$367.54
|
| Rate for Payer: Caresource Medicare |
$351.56
|
| Rate for Payer: Centivo/Paragon All Products |
$495.38
|
| Rate for Payer: Coventry/First Health All Products |
$1,229.02
|
| Rate for Payer: Frontpath All Products |
$447.92
|
| Rate for Payer: Humana ChoiceCare |
$1,024.18
|
| Rate for Payer: Humana Medicare |
$319.60
|
| Rate for Payer: Lucent/Coldwater Veneers |
$543.32
|
| Rate for Payer: Lutheran Preferred All Products |
$511.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$768.13
|
| Rate for Payer: PHP All Products |
$542.54
|
| Rate for Payer: Plain Church Group Ministry All Products |
$319.60
|
| Rate for Payer: Signature Care EPO |
$547.40
|
| Rate for Payer: Signature Care PPO |
$547.40
|
| Rate for Payer: Three Rivers Preferred All Products |
$479.00
|
| Rate for Payer: United Healthcare Commercial |
$384.23
|
| Rate for Payer: United Healthcare Medicare |
$512.09
|
|
|
PR EXPLOR METATARSO-PHALANG JT
|
Professional
|
$885.86
|
|
|
Service Code
|
CPT 28022
|
| Hospital Charge Code |
Z12416
|
| Min. Negotiated Rate |
$307.98 |
| Max. Negotiated Rate |
$1,063.03 |
| Rate for Payer: Aetna Medicare |
$307.98
|
| Rate for Payer: Anthem Exchange |
$449.30
|
| Rate for Payer: Anthem Medicare |
$307.98
|
| Rate for Payer: Anthem PPO |
$449.30
|
| Rate for Payer: Anthem Traditional |
$449.30
|
| Rate for Payer: Caresource Just 4 Me |
$354.18
|
| Rate for Payer: Caresource Medicare |
$338.78
|
| Rate for Payer: Centivo/Paragon All Products |
$477.37
|
| Rate for Payer: Coventry/First Health All Products |
$1,063.03
|
| Rate for Payer: Frontpath All Products |
$418.03
|
| Rate for Payer: Humana ChoiceCare |
$885.86
|
| Rate for Payer: Humana Medicare |
$307.98
|
| Rate for Payer: Lucent/Coldwater Veneers |
$523.57
|
| Rate for Payer: Lutheran Preferred All Products |
$493.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$664.39
|
| Rate for Payer: PHP All Products |
$523.34
|
| Rate for Payer: Plain Church Group Ministry All Products |
$307.98
|
| Rate for Payer: Signature Care EPO |
$617.10
|
| Rate for Payer: Signature Care PPO |
$617.10
|
| Rate for Payer: Three Rivers Preferred All Products |
$462.00
|
| Rate for Payer: United Healthcare Commercial |
$371.08
|
| Rate for Payer: United Healthcare Medicare |
$442.93
|
|
|
PR EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, RECORD
|
Professional
|
$14.78
|
|
|
Service Code
|
CPT 93270
|
| Hospital Charge Code |
Z13089
|
| Min. Negotiated Rate |
$7.39 |
| Max. Negotiated Rate |
$23.69 |
| Rate for Payer: Aetna Medicare |
$7.57
|
| Rate for Payer: Anthem Exchange |
$8.69
|
| Rate for Payer: Anthem Medicare |
$7.57
|
| Rate for Payer: Anthem PPO |
$8.69
|
| Rate for Payer: Anthem Traditional |
$8.69
|
| Rate for Payer: Caresource Just 4 Me |
$8.71
|
| Rate for Payer: Caresource Medicare |
$8.33
|
| Rate for Payer: Centivo/Paragon All Products |
$11.73
|
| Rate for Payer: Coventry/First Health All Products |
$17.74
|
| Rate for Payer: Frontpath All Products |
$8.76
|
| Rate for Payer: Humana ChoiceCare |
$14.78
|
| Rate for Payer: Humana Medicare |
$7.57
|
| Rate for Payer: Lucent/Coldwater Veneers |
$12.87
|
| Rate for Payer: Lutheran Preferred All Products |
$12.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$11.08
|
| Rate for Payer: PHP All Products |
$10.86
|
| Rate for Payer: Plain Church Group Ministry All Products |
$7.57
|
| Rate for Payer: Signature Care EPO |
$12.99
|
| Rate for Payer: Signature Care PPO |
$12.99
|
| Rate for Payer: Three Rivers Preferred All Products |
$11.00
|
| Rate for Payer: United Healthcare Commercial |
$23.69
|
| Rate for Payer: United Healthcare Medicare |
$7.39
|
|
|
PR EXTERNAL ECG REC>48HR<7D RECORDING
|
Professional
|
$21.40
|
|
|
Service Code
|
CPT 93242
|
| Hospital Charge Code |
Z13082
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$25.68 |
| Rate for Payer: Aetna Medicare |
$10.97
|
| Rate for Payer: Anthem Exchange |
$13.67
|
| Rate for Payer: Anthem Medicare |
$10.97
|
| Rate for Payer: Anthem PPO |
$13.67
|
| Rate for Payer: Anthem Traditional |
$13.67
|
| Rate for Payer: Caresource Just 4 Me |
$12.62
|
| Rate for Payer: Caresource Medicare |
$12.07
|
| Rate for Payer: Centivo/Paragon All Products |
$17.00
|
| Rate for Payer: Coventry/First Health All Products |
$25.68
|
| Rate for Payer: Frontpath All Products |
$14.66
|
| Rate for Payer: Humana ChoiceCare |
$21.40
|
| Rate for Payer: Humana Medicare |
$10.97
|
| Rate for Payer: Lucent/Coldwater Veneers |
$18.65
|
| Rate for Payer: Lutheran Preferred All Products |
$18.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$16.05
|
| Rate for Payer: PHP All Products |
$15.73
|
| Rate for Payer: Plain Church Group Ministry All Products |
$10.97
|
| Rate for Payer: Signature Care EPO |
$19.98
|
| Rate for Payer: Signature Care PPO |
$19.98
|
| Rate for Payer: Three Rivers Preferred All Products |
$16.00
|
| Rate for Payer: United Healthcare Commercial |
$18.48
|
| Rate for Payer: United Healthcare Medicare |
$10.70
|
|
|
PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION
|
Professional
|
$43.92
|
|
|
Service Code
|
CPT 93244
|
| Hospital Charge Code |
Z13083
|
| Min. Negotiated Rate |
$21.96 |
| Max. Negotiated Rate |
$52.70 |
| Rate for Payer: Aetna Medicare |
$22.51
|
| Rate for Payer: Anthem Exchange |
$23.74
|
| Rate for Payer: Anthem Medicare |
$22.51
|
| Rate for Payer: Anthem PPO |
$23.74
|
| Rate for Payer: Anthem Traditional |
$23.74
|
| Rate for Payer: Caresource Just 4 Me |
$25.89
|
| Rate for Payer: Caresource Medicare |
$24.76
|
| Rate for Payer: Centivo/Paragon All Products |
$34.89
|
| Rate for Payer: Coventry/First Health All Products |
$52.70
|
| Rate for Payer: Frontpath All Products |
$26.47
|
| Rate for Payer: Humana ChoiceCare |
$43.92
|
| Rate for Payer: Humana Medicare |
$22.51
|
| Rate for Payer: Lucent/Coldwater Veneers |
$38.27
|
| Rate for Payer: Lutheran Preferred All Products |
$36.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$32.94
|
| Rate for Payer: PHP All Products |
$32.29
|
| Rate for Payer: Plain Church Group Ministry All Products |
$22.51
|
| Rate for Payer: Signature Care EPO |
$34.71
|
| Rate for Payer: Signature Care PPO |
$34.71
|
| Rate for Payer: Three Rivers Preferred All Products |
$34.00
|
| Rate for Payer: United Healthcare Commercial |
$31.36
|
| Rate for Payer: United Healthcare Medicare |
$21.96
|
|
|
PR EXTERNAL ECG REC>7D<15D RECORDING
|
Professional
|
$21.40
|
|
|
Service Code
|
CPT 93246
|
| Hospital Charge Code |
Z13084
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$25.68 |
| Rate for Payer: Aetna Medicare |
$10.97
|
| Rate for Payer: Anthem Exchange |
$13.67
|
| Rate for Payer: Anthem Medicare |
$10.97
|
| Rate for Payer: Anthem PPO |
$13.67
|
| Rate for Payer: Anthem Traditional |
$13.67
|
| Rate for Payer: Caresource Just 4 Me |
$12.62
|
| Rate for Payer: Caresource Medicare |
$12.07
|
| Rate for Payer: Centivo/Paragon All Products |
$17.00
|
| Rate for Payer: Coventry/First Health All Products |
$25.68
|
| Rate for Payer: Frontpath All Products |
$14.66
|
| Rate for Payer: Humana ChoiceCare |
$21.40
|
| Rate for Payer: Humana Medicare |
$10.97
|
| Rate for Payer: Lucent/Coldwater Veneers |
$18.65
|
| Rate for Payer: Lutheran Preferred All Products |
$18.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$16.05
|
| Rate for Payer: PHP All Products |
$15.73
|
| Rate for Payer: Plain Church Group Ministry All Products |
$10.97
|
| Rate for Payer: Signature Care EPO |
$19.98
|
| Rate for Payer: Signature Care PPO |
$19.98
|
| Rate for Payer: Three Rivers Preferred All Products |
$16.00
|
| Rate for Payer: United Healthcare Commercial |
$18.48
|
| Rate for Payer: United Healthcare Medicare |
$10.70
|
|
|
PR EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION
|
Professional
|
$48.44
|
|
|
Service Code
|
CPT 93248
|
| Hospital Charge Code |
Z13085
|
| Min. Negotiated Rate |
$24.22 |
| Max. Negotiated Rate |
$58.13 |
| Rate for Payer: Aetna Medicare |
$24.83
|
| Rate for Payer: Anthem Exchange |
$26.11
|
| Rate for Payer: Anthem Medicare |
$24.83
|
| Rate for Payer: Anthem PPO |
$26.11
|
| Rate for Payer: Anthem Traditional |
$26.11
|
| Rate for Payer: Caresource Just 4 Me |
$28.55
|
| Rate for Payer: Caresource Medicare |
$27.31
|
| Rate for Payer: Centivo/Paragon All Products |
$38.49
|
| Rate for Payer: Coventry/First Health All Products |
$58.13
|
| Rate for Payer: Frontpath All Products |
$29.07
|
| Rate for Payer: Humana ChoiceCare |
$48.44
|
| Rate for Payer: Humana Medicare |
$24.83
|
| Rate for Payer: Lucent/Coldwater Veneers |
$42.21
|
| Rate for Payer: Lutheran Preferred All Products |
$40.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$36.33
|
| Rate for Payer: PHP All Products |
$35.60
|
| Rate for Payer: Plain Church Group Ministry All Products |
$24.83
|
| Rate for Payer: Signature Care EPO |
$38.17
|
| Rate for Payer: Signature Care PPO |
$38.17
|
| Rate for Payer: Three Rivers Preferred All Products |
$37.00
|
| Rate for Payer: United Healthcare Commercial |
$34.44
|
| Rate for Payer: United Healthcare Medicare |
$24.22
|
|
|
PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5+CM
|
Professional
|
$759.06
|
|
|
Service Code
|
CPT 26111
|
| Hospital Charge Code |
Z12264
|
| Min. Negotiated Rate |
$379.53 |
| Max. Negotiated Rate |
$910.87 |
| Rate for Payer: Aetna Medicare |
$389.02
|
| Rate for Payer: Anthem Exchange |
$481.32
|
| Rate for Payer: Anthem Medicare |
$389.02
|
| Rate for Payer: Anthem PPO |
$481.32
|
| Rate for Payer: Anthem Traditional |
$481.32
|
| Rate for Payer: Caresource Just 4 Me |
$447.37
|
| Rate for Payer: Caresource Medicare |
$427.92
|
| Rate for Payer: Centivo/Paragon All Products |
$602.98
|
| Rate for Payer: Coventry/First Health All Products |
$910.87
|
| Rate for Payer: Frontpath All Products |
$536.78
|
| Rate for Payer: Humana ChoiceCare |
$759.06
|
| Rate for Payer: Humana Medicare |
$389.02
|
| Rate for Payer: Lucent/Coldwater Veneers |
$661.33
|
| Rate for Payer: Lutheran Preferred All Products |
$622.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$569.29
|
| Rate for Payer: PHP All Products |
$660.38
|
| Rate for Payer: Plain Church Group Ministry All Products |
$389.02
|
| Rate for Payer: Signature Care EPO |
$413.10
|
| Rate for Payer: Signature Care PPO |
$413.10
|
| Rate for Payer: Three Rivers Preferred All Products |
$584.00
|
| Rate for Payer: United Healthcare Commercial |
$471.41
|
| Rate for Payer: United Healthcare Medicare |
$379.53
|
|
|
PR EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5+CM
|
Professional
|
$999.90
|
|
|
Service Code
|
CPT 26113
|
| Hospital Charge Code |
Z12265
|
| Min. Negotiated Rate |
$499.95 |
| Max. Negotiated Rate |
$1,199.88 |
| Rate for Payer: Aetna Medicare |
$512.45
|
| Rate for Payer: Anthem Exchange |
$633.24
|
| Rate for Payer: Anthem Medicare |
$512.45
|
| Rate for Payer: Anthem PPO |
$633.24
|
| Rate for Payer: Anthem Traditional |
$633.24
|
| Rate for Payer: Caresource Just 4 Me |
$589.32
|
| Rate for Payer: Caresource Medicare |
$563.70
|
| Rate for Payer: Centivo/Paragon All Products |
$794.30
|
| Rate for Payer: Coventry/First Health All Products |
$1,199.88
|
| Rate for Payer: Frontpath All Products |
$705.69
|
| Rate for Payer: Humana ChoiceCare |
$999.90
|
| Rate for Payer: Humana Medicare |
$512.45
|
| Rate for Payer: Lucent/Coldwater Veneers |
$871.17
|
| Rate for Payer: Lutheran Preferred All Products |
$820.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$749.92
|
| Rate for Payer: PHP All Products |
$869.92
|
| Rate for Payer: Plain Church Group Ministry All Products |
$512.45
|
| Rate for Payer: Signature Care EPO |
$543.15
|
| Rate for Payer: Signature Care PPO |
$543.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$769.00
|
| Rate for Payer: United Healthcare Commercial |
$619.85
|
| Rate for Payer: United Healthcare Medicare |
$499.95
|
|
|
PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS
|
Professional
|
$181.98
|
|
|
Service Code
|
CPT 90846
|
| Hospital Charge Code |
Z13028
|
| Min. Negotiated Rate |
$83.76 |
| Max. Negotiated Rate |
$218.38 |
| Rate for Payer: Aetna Medicare |
$92.95
|
| Rate for Payer: Anthem Exchange |
$83.76
|
| Rate for Payer: Anthem Medicare |
$92.95
|
| Rate for Payer: Anthem PPO |
$83.76
|
| Rate for Payer: Anthem Traditional |
$83.76
|
| Rate for Payer: Caresource Just 4 Me |
$106.89
|
| Rate for Payer: Caresource Medicare |
$102.25
|
| Rate for Payer: Centivo/Paragon All Products |
$144.07
|
| Rate for Payer: Coventry/First Health All Products |
$218.38
|
| Rate for Payer: Frontpath All Products |
$106.58
|
| Rate for Payer: Humana ChoiceCare |
$181.98
|
| Rate for Payer: Humana Medicare |
$92.95
|
| Rate for Payer: Lucent/Coldwater Veneers |
$158.02
|
| Rate for Payer: Lutheran Preferred All Products |
$121.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$136.48
|
| Rate for Payer: PHP All Products |
$98.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$92.95
|
| Rate for Payer: Signature Care EPO |
$102.85
|
| Rate for Payer: Signature Care PPO |
$102.85
|
| Rate for Payer: Three Rivers Preferred All Products |
$112.00
|
| Rate for Payer: United Healthcare Commercial |
$103.86
|
| Rate for Payer: United Healthcare Medicare |
$90.99
|
|
|
PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS
|
Professional
|
$189.78
|
|
|
Service Code
|
CPT 90847
|
| Hospital Charge Code |
Z13029
|
| Min. Negotiated Rate |
$94.89 |
| Max. Negotiated Rate |
$227.74 |
| Rate for Payer: Aetna Medicare |
$96.96
|
| Rate for Payer: Anthem Exchange |
$104.16
|
| Rate for Payer: Anthem Medicare |
$96.96
|
| Rate for Payer: Anthem PPO |
$104.16
|
| Rate for Payer: Anthem Traditional |
$104.16
|
| Rate for Payer: Caresource Just 4 Me |
$111.50
|
| Rate for Payer: Caresource Medicare |
$106.66
|
| Rate for Payer: Centivo/Paragon All Products |
$150.29
|
| Rate for Payer: Coventry/First Health All Products |
$227.74
|
| Rate for Payer: Frontpath All Products |
$110.74
|
| Rate for Payer: Humana ChoiceCare |
$189.78
|
| Rate for Payer: Humana Medicare |
$96.96
|
| Rate for Payer: Lucent/Coldwater Veneers |
$164.83
|
| Rate for Payer: Lutheran Preferred All Products |
$126.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$142.34
|
| Rate for Payer: PHP All Products |
$103.11
|
| Rate for Payer: Plain Church Group Ministry All Products |
$96.96
|
| Rate for Payer: Signature Care EPO |
$125.80
|
| Rate for Payer: Signature Care PPO |
$125.80
|
| Rate for Payer: Three Rivers Preferred All Products |
$116.00
|
| Rate for Payer: United Healthcare Commercial |
$124.58
|
| Rate for Payer: United Healthcare Medicare |
$94.89
|
|
|
PR FASCIOTOMY,ILIOTIBIAL,OPEN
|
Professional
|
$884.56
|
|
|
Service Code
|
CPT 27305
|
| Hospital Charge Code |
Z12330
|
| Min. Negotiated Rate |
$442.28 |
| Max. Negotiated Rate |
$1,061.47 |
| Rate for Payer: Aetna Medicare |
$453.02
|
| Rate for Payer: Anthem Exchange |
$591.91
|
| Rate for Payer: Anthem Medicare |
$453.02
|
| Rate for Payer: Anthem PPO |
$591.91
|
| Rate for Payer: Anthem Traditional |
$591.91
|
| Rate for Payer: Caresource Just 4 Me |
$520.97
|
| Rate for Payer: Caresource Medicare |
$498.32
|
| Rate for Payer: Centivo/Paragon All Products |
$702.18
|
| Rate for Payer: Coventry/First Health All Products |
$1,061.47
|
| Rate for Payer: Frontpath All Products |
$627.15
|
| Rate for Payer: Humana ChoiceCare |
$884.56
|
| Rate for Payer: Humana Medicare |
$453.02
|
| Rate for Payer: Lucent/Coldwater Veneers |
$770.13
|
| Rate for Payer: Lutheran Preferred All Products |
$725.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$663.42
|
| Rate for Payer: PHP All Products |
$769.56
|
| Rate for Payer: Plain Church Group Ministry All Products |
$453.02
|
| Rate for Payer: Signature Care EPO |
$655.35
|
| Rate for Payer: Signature Care PPO |
$655.35
|
| Rate for Payer: Three Rivers Preferred All Products |
$680.00
|
| Rate for Payer: United Healthcare Commercial |
$500.49
|
| Rate for Payer: United Healthcare Medicare |
$442.28
|
|
