|
PR I&D OF VULVA/PERINEUM ABSCESS
|
Professional
|
$270.22
|
|
|
Service Code
|
CPT 56405
|
| Hospital Charge Code |
Z12685
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$324.26 |
| Rate for Payer: Aetna Medicare |
$119.04
|
| Rate for Payer: Anthem Exchange |
$143.91
|
| Rate for Payer: Anthem Medicare |
$119.04
|
| Rate for Payer: Anthem PPO |
$143.91
|
| Rate for Payer: Anthem Traditional |
$143.91
|
| Rate for Payer: Caresource Just 4 Me |
$136.90
|
| Rate for Payer: Caresource Medicare |
$130.94
|
| Rate for Payer: Centivo/Paragon All Products |
$184.51
|
| Rate for Payer: Coventry/First Health All Products |
$324.26
|
| Rate for Payer: Frontpath All Products |
$163.94
|
| Rate for Payer: Humana ChoiceCare |
$270.22
|
| Rate for Payer: Humana Medicare |
$119.04
|
| Rate for Payer: Lucent/Coldwater Veneers |
$202.37
|
| Rate for Payer: Lutheran Preferred All Products |
$167.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$202.67
|
| Rate for Payer: PHP All Products |
$153.30
|
| Rate for Payer: Plain Church Group Ministry All Products |
$119.04
|
| Rate for Payer: Signature Care EPO |
$136.00
|
| Rate for Payer: Signature Care PPO |
$136.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$155.00
|
| Rate for Payer: United Healthcare Commercial |
$118.43
|
| Rate for Payer: United Healthcare Medicare |
$135.11
|
|
|
PR I&D PERIANAL ABSCESS,SUPERFICIAL
|
Professional
|
$430.78
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
Z12641
|
| Min. Negotiated Rate |
$93.89 |
| Max. Negotiated Rate |
$516.94 |
| Rate for Payer: Aetna Medicare |
$93.89
|
| Rate for Payer: Anthem Exchange |
$153.40
|
| Rate for Payer: Anthem Medicare |
$93.89
|
| Rate for Payer: Anthem PPO |
$153.40
|
| Rate for Payer: Anthem Traditional |
$153.40
|
| Rate for Payer: Caresource Just 4 Me |
$107.97
|
| Rate for Payer: Caresource Medicare |
$103.28
|
| Rate for Payer: Centivo/Paragon All Products |
$145.53
|
| Rate for Payer: Coventry/First Health All Products |
$516.94
|
| Rate for Payer: Frontpath All Products |
$129.21
|
| Rate for Payer: Humana ChoiceCare |
$430.78
|
| Rate for Payer: Humana Medicare |
$93.89
|
| Rate for Payer: Lucent/Coldwater Veneers |
$159.61
|
| Rate for Payer: Lutheran Preferred All Products |
$141.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$323.08
|
| Rate for Payer: PHP All Products |
$160.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$93.89
|
| Rate for Payer: Signature Care EPO |
$206.55
|
| Rate for Payer: Signature Care PPO |
$206.55
|
| Rate for Payer: Three Rivers Preferred All Products |
$131.00
|
| Rate for Payer: United Healthcare Commercial |
$97.24
|
| Rate for Payer: United Healthcare Medicare |
$215.39
|
|
|
PR I&D PERIRECTAL ABSCESS
|
Professional
|
$1,005.58
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
Z12640
|
| Min. Negotiated Rate |
$394.03 |
| Max. Negotiated Rate |
$1,206.70 |
| Rate for Payer: Aetna Medicare |
$394.03
|
| Rate for Payer: Anthem Exchange |
$419.30
|
| Rate for Payer: Anthem Medicare |
$394.03
|
| Rate for Payer: Anthem PPO |
$419.30
|
| Rate for Payer: Anthem Traditional |
$419.30
|
| Rate for Payer: Caresource Just 4 Me |
$453.13
|
| Rate for Payer: Caresource Medicare |
$433.43
|
| Rate for Payer: Centivo/Paragon All Products |
$610.75
|
| Rate for Payer: Coventry/First Health All Products |
$1,206.70
|
| Rate for Payer: Frontpath All Products |
$553.33
|
| Rate for Payer: Humana ChoiceCare |
$1,005.58
|
| Rate for Payer: Humana Medicare |
$394.03
|
| Rate for Payer: Lucent/Coldwater Veneers |
$669.85
|
| Rate for Payer: Lutheran Preferred All Products |
$591.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$754.19
|
| Rate for Payer: PHP All Products |
$672.74
|
| Rate for Payer: Plain Church Group Ministry All Products |
$394.03
|
| Rate for Payer: Signature Care EPO |
$577.15
|
| Rate for Payer: Signature Care PPO |
$577.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$552.00
|
| Rate for Payer: United Healthcare Commercial |
$415.70
|
| Rate for Payer: United Healthcare Medicare |
$502.79
|
|
|
PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID
|
Professional
|
$36.86
|
|
|
Service Code
|
CPT 90471
|
| Hospital Charge Code |
Z13012
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$44.23 |
| Rate for Payer: Aetna Medicare |
$18.89
|
| Rate for Payer: Anthem Exchange |
$25.42
|
| Rate for Payer: Anthem Medicare |
$18.89
|
| Rate for Payer: Anthem PPO |
$25.42
|
| Rate for Payer: Anthem Traditional |
$25.42
|
| Rate for Payer: Caresource Just 4 Me |
$21.72
|
| Rate for Payer: Caresource Medicare |
$20.78
|
| Rate for Payer: Centivo/Paragon All Products |
$29.28
|
| Rate for Payer: Coventry/First Health All Products |
$44.23
|
| Rate for Payer: Frontpath All Products |
$17.67
|
| Rate for Payer: Humana ChoiceCare |
$36.86
|
| Rate for Payer: Humana Medicare |
$18.89
|
| Rate for Payer: Lucent/Coldwater Veneers |
$32.11
|
| Rate for Payer: Lutheran Preferred All Products |
$25.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$27.64
|
| Rate for Payer: PHP All Products |
$26.72
|
| Rate for Payer: Plain Church Group Ministry All Products |
$18.89
|
| Rate for Payer: Signature Care EPO |
$15.00
|
| Rate for Payer: Signature Care PPO |
$15.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$23.00
|
| Rate for Payer: United Healthcare Commercial |
$19.59
|
| Rate for Payer: United Healthcare Medicare |
$18.43
|
|
|
PR IMMUNIZ,ADMIN,EACH ADDL
|
Professional
|
$26.50
|
|
|
Service Code
|
CPT 90472
|
| Hospital Charge Code |
Z13013
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$31.80 |
| Rate for Payer: Aetna Medicare |
$13.58
|
| Rate for Payer: Anthem Exchange |
$12.51
|
| Rate for Payer: Anthem Medicare |
$13.58
|
| Rate for Payer: Anthem PPO |
$12.51
|
| Rate for Payer: Anthem Traditional |
$12.51
|
| Rate for Payer: Caresource Just 4 Me |
$15.62
|
| Rate for Payer: Caresource Medicare |
$14.94
|
| Rate for Payer: Centivo/Paragon All Products |
$21.05
|
| Rate for Payer: Coventry/First Health All Products |
$31.80
|
| Rate for Payer: Frontpath All Products |
$13.42
|
| Rate for Payer: Humana ChoiceCare |
$26.50
|
| Rate for Payer: Humana Medicare |
$13.58
|
| Rate for Payer: Lucent/Coldwater Veneers |
$23.09
|
| Rate for Payer: Lutheran Preferred All Products |
$18.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$19.88
|
| Rate for Payer: PHP All Products |
$19.21
|
| Rate for Payer: Plain Church Group Ministry All Products |
$13.58
|
| Rate for Payer: Signature Care EPO |
$7.50
|
| Rate for Payer: Signature Care PPO |
$7.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$16.00
|
| Rate for Payer: United Healthcare Commercial |
$7.61
|
| Rate for Payer: United Healthcare Medicare |
$13.25
|
|
|
PR IMMUNIZ ADMIN,INTRANASAL/ORAL,1 VAC/TOX
|
Professional
|
$30.22
|
|
|
Service Code
|
CPT 90473
|
| Hospital Charge Code |
Z13014
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$36.26 |
| Rate for Payer: Caresource Just 4 Me |
$17.81
|
| Rate for Payer: Caresource Medicare |
$17.04
|
| Rate for Payer: Aetna Medicare |
$15.49
|
| Rate for Payer: Anthem Exchange |
$25.42
|
| Rate for Payer: Anthem Medicare |
$15.49
|
| Rate for Payer: Anthem PPO |
$25.42
|
| Rate for Payer: Anthem Traditional |
$25.42
|
| Rate for Payer: Centivo/Paragon All Products |
$24.01
|
| Rate for Payer: Coventry/First Health All Products |
$36.26
|
| Rate for Payer: Frontpath All Products |
$17.67
|
| Rate for Payer: Humana ChoiceCare |
$30.22
|
| Rate for Payer: Humana Medicare |
$15.49
|
| Rate for Payer: Lucent/Coldwater Veneers |
$26.33
|
| Rate for Payer: Lutheran Preferred All Products |
$20.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$22.66
|
| Rate for Payer: PHP All Products |
$21.92
|
| Rate for Payer: Plain Church Group Ministry All Products |
$15.49
|
| Rate for Payer: Signature Care EPO |
$17.00
|
| Rate for Payer: Signature Care PPO |
$17.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$19.00
|
| Rate for Payer: United Healthcare Commercial |
$8.00
|
| Rate for Payer: United Healthcare Medicare |
$15.11
|
|
|
PR IMMUNIZ ADMIN,INTRANASAL/ORAL,EACH ADDL
|
Professional
|
$21.68
|
|
|
Service Code
|
CPT 90474
|
| Hospital Charge Code |
Z13015
|
| Min. Negotiated Rate |
$7.28 |
| Max. Negotiated Rate |
$26.02 |
| Rate for Payer: Aetna Medicare |
$11.11
|
| Rate for Payer: Anthem Exchange |
$12.51
|
| Rate for Payer: Anthem Medicare |
$11.11
|
| Rate for Payer: Anthem PPO |
$12.51
|
| Rate for Payer: Anthem Traditional |
$12.51
|
| Rate for Payer: Caresource Just 4 Me |
$12.78
|
| Rate for Payer: Caresource Medicare |
$12.22
|
| Rate for Payer: Centivo/Paragon All Products |
$17.22
|
| Rate for Payer: Coventry/First Health All Products |
$26.02
|
| Rate for Payer: Frontpath All Products |
$13.42
|
| Rate for Payer: Humana ChoiceCare |
$21.68
|
| Rate for Payer: Humana Medicare |
$11.11
|
| Rate for Payer: Lucent/Coldwater Veneers |
$18.89
|
| Rate for Payer: Lutheran Preferred All Products |
$14.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$16.26
|
| Rate for Payer: PHP All Products |
$15.72
|
| Rate for Payer: Plain Church Group Ministry All Products |
$11.11
|
| Rate for Payer: Signature Care EPO |
$17.00
|
| Rate for Payer: Signature Care PPO |
$17.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$13.00
|
| Rate for Payer: United Healthcare Commercial |
$7.28
|
| Rate for Payer: United Healthcare Medicare |
$10.84
|
|
|
PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID
|
Professional
|
$41.20
|
|
|
Service Code
|
CPT 90460
|
| Hospital Charge Code |
Z13010
|
| Min. Negotiated Rate |
$17.67 |
| Max. Negotiated Rate |
$49.44 |
| Rate for Payer: Aetna Medicare |
$21.11
|
| Rate for Payer: Anthem Exchange |
$25.42
|
| Rate for Payer: Anthem Medicare |
$21.11
|
| Rate for Payer: Anthem PPO |
$25.42
|
| Rate for Payer: Anthem Traditional |
$25.42
|
| Rate for Payer: Caresource Just 4 Me |
$24.28
|
| Rate for Payer: Caresource Medicare |
$23.22
|
| Rate for Payer: Centivo/Paragon All Products |
$32.72
|
| Rate for Payer: Coventry/First Health All Products |
$49.44
|
| Rate for Payer: Frontpath All Products |
$17.67
|
| Rate for Payer: Humana ChoiceCare |
$41.20
|
| Rate for Payer: Humana Medicare |
$21.11
|
| Rate for Payer: Lucent/Coldwater Veneers |
$35.89
|
| Rate for Payer: Lutheran Preferred All Products |
$27.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$30.90
|
| Rate for Payer: PHP All Products |
$29.87
|
| Rate for Payer: Plain Church Group Ministry All Products |
$21.11
|
| Rate for Payer: Signature Care EPO |
$23.75
|
| Rate for Payer: Signature Care PPO |
$23.75
|
| Rate for Payer: Three Rivers Preferred All Products |
$25.00
|
| Rate for Payer: United Healthcare Commercial |
$22.90
|
| Rate for Payer: United Healthcare Medicare |
$20.60
|
|
|
PR IMMUNIZ ADMIN THRU AGE 18 ANY ROUTE,W COUNSEL EA ADD VACCINE/TOXOID
|
Professional
|
$18.84
|
|
|
Service Code
|
CPT 90461
|
| Hospital Charge Code |
Z13011
|
| Min. Negotiated Rate |
$9.42 |
| Max. Negotiated Rate |
$22.61 |
| Rate for Payer: Aetna Medicare |
$9.66
|
| Rate for Payer: Anthem Exchange |
$12.51
|
| Rate for Payer: Anthem Medicare |
$9.66
|
| Rate for Payer: Anthem PPO |
$12.51
|
| Rate for Payer: Anthem Traditional |
$12.51
|
| Rate for Payer: Caresource Just 4 Me |
$11.11
|
| Rate for Payer: Caresource Medicare |
$10.63
|
| Rate for Payer: Centivo/Paragon All Products |
$14.97
|
| Rate for Payer: Coventry/First Health All Products |
$22.61
|
| Rate for Payer: Frontpath All Products |
$13.42
|
| Rate for Payer: Humana ChoiceCare |
$18.84
|
| Rate for Payer: Humana Medicare |
$9.66
|
| Rate for Payer: Lucent/Coldwater Veneers |
$16.42
|
| Rate for Payer: Lutheran Preferred All Products |
$13.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$14.13
|
| Rate for Payer: PHP All Products |
$13.66
|
| Rate for Payer: Plain Church Group Ministry All Products |
$9.66
|
| Rate for Payer: Signature Care EPO |
$12.17
|
| Rate for Payer: Signature Care PPO |
$12.17
|
| Rate for Payer: Three Rivers Preferred All Products |
$12.00
|
| Rate for Payer: United Healthcare Commercial |
$11.59
|
| Rate for Payer: United Healthcare Medicare |
$9.42
|
|
|
PR IMMUNOTHERAPY, 2+ INJECTIONS
|
Professional
|
$20.80
|
|
|
Service Code
|
CPT 95117
|
| Hospital Charge Code |
Z13135
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$24.96 |
| Rate for Payer: Aetna Medicare |
$10.66
|
| Rate for Payer: Anthem Exchange |
$19.30
|
| Rate for Payer: Anthem Medicare |
$10.66
|
| Rate for Payer: Anthem PPO |
$19.30
|
| Rate for Payer: Anthem Traditional |
$19.30
|
| Rate for Payer: Caresource Just 4 Me |
$12.26
|
| Rate for Payer: Caresource Medicare |
$11.73
|
| Rate for Payer: Centivo/Paragon All Products |
$16.52
|
| Rate for Payer: Coventry/First Health All Products |
$24.96
|
| Rate for Payer: Frontpath All Products |
$17.99
|
| Rate for Payer: Humana ChoiceCare |
$20.80
|
| Rate for Payer: Humana Medicare |
$10.66
|
| Rate for Payer: Lucent/Coldwater Veneers |
$18.12
|
| Rate for Payer: Lutheran Preferred All Products |
$14.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$15.60
|
| Rate for Payer: PHP All Products |
$11.96
|
| Rate for Payer: Plain Church Group Ministry All Products |
$10.66
|
| Rate for Payer: Signature Care EPO |
$16.05
|
| Rate for Payer: Signature Care PPO |
$16.05
|
| Rate for Payer: Three Rivers Preferred All Products |
$13.00
|
| Rate for Payer: United Healthcare Commercial |
$14.20
|
| Rate for Payer: United Healthcare Medicare |
$10.40
|
|
|
PR IMMUNOTHERAPY, ONE INJECTION
|
Professional
|
$17.78
|
|
|
Service Code
|
CPT 95115
|
| Hospital Charge Code |
Z13134
|
| Min. Negotiated Rate |
$8.89 |
| Max. Negotiated Rate |
$21.34 |
| Rate for Payer: Aetna Medicare |
$9.11
|
| Rate for Payer: Anthem Exchange |
$15.00
|
| Rate for Payer: Anthem Medicare |
$9.11
|
| Rate for Payer: Anthem PPO |
$15.00
|
| Rate for Payer: Anthem Traditional |
$15.00
|
| Rate for Payer: Caresource Just 4 Me |
$10.48
|
| Rate for Payer: Caresource Medicare |
$10.02
|
| Rate for Payer: Centivo/Paragon All Products |
$14.12
|
| Rate for Payer: Coventry/First Health All Products |
$21.34
|
| Rate for Payer: Frontpath All Products |
$14.19
|
| Rate for Payer: Humana ChoiceCare |
$17.78
|
| Rate for Payer: Humana Medicare |
$9.11
|
| Rate for Payer: Lucent/Coldwater Veneers |
$15.49
|
| Rate for Payer: Lutheran Preferred All Products |
$12.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$13.34
|
| Rate for Payer: PHP All Products |
$10.23
|
| Rate for Payer: Plain Church Group Ministry All Products |
$9.11
|
| Rate for Payer: Signature Care EPO |
$11.90
|
| Rate for Payer: Signature Care PPO |
$11.90
|
| Rate for Payer: Three Rivers Preferred All Products |
$11.00
|
| Rate for Payer: United Healthcare Commercial |
$11.71
|
| Rate for Payer: United Healthcare Medicare |
$8.89
|
|
|
PR IMPLANT,HORMONE,SUBCUTANEOUS
|
Professional
|
$171.44
|
|
|
Service Code
|
CPT 11980
|
| Hospital Charge Code |
Z12034
|
| Min. Negotiated Rate |
$52.05 |
| Max. Negotiated Rate |
$205.73 |
| Rate for Payer: Aetna Medicare |
$52.05
|
| Rate for Payer: Anthem Exchange |
$123.13
|
| Rate for Payer: Anthem Medicare |
$52.05
|
| Rate for Payer: Anthem PPO |
$123.13
|
| Rate for Payer: Anthem Traditional |
$123.13
|
| Rate for Payer: Caresource Just 4 Me |
$59.86
|
| Rate for Payer: Caresource Medicare |
$57.26
|
| Rate for Payer: Centivo/Paragon All Products |
$80.68
|
| Rate for Payer: Coventry/First Health All Products |
$205.73
|
| Rate for Payer: Frontpath All Products |
$71.01
|
| Rate for Payer: Humana ChoiceCare |
$171.44
|
| Rate for Payer: Humana Medicare |
$52.05
|
| Rate for Payer: Lucent/Coldwater Veneers |
$88.48
|
| Rate for Payer: Lutheran Preferred All Products |
$68.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$128.58
|
| Rate for Payer: PHP All Products |
$71.10
|
| Rate for Payer: Plain Church Group Ministry All Products |
$52.05
|
| Rate for Payer: Signature Care EPO |
$107.10
|
| Rate for Payer: Signature Care PPO |
$107.10
|
| Rate for Payer: Three Rivers Preferred All Products |
$62.00
|
| Rate for Payer: United Healthcare Commercial |
$91.34
|
| Rate for Payer: United Healthcare Medicare |
$85.72
|
|
|
PR INC/DRAIN PERITONSIL ABSCESS
|
Professional
|
$353.80
|
|
|
Service Code
|
CPT 42700
|
| Hospital Charge Code |
Z12576
|
| Min. Negotiated Rate |
$127.61 |
| Max. Negotiated Rate |
$424.56 |
| Rate for Payer: Aetna Medicare |
$127.61
|
| Rate for Payer: Anthem Exchange |
$162.30
|
| Rate for Payer: Anthem Medicare |
$127.61
|
| Rate for Payer: Anthem PPO |
$162.30
|
| Rate for Payer: Anthem Traditional |
$162.30
|
| Rate for Payer: Caresource Just 4 Me |
$146.75
|
| Rate for Payer: Caresource Medicare |
$140.37
|
| Rate for Payer: Centivo/Paragon All Products |
$197.80
|
| Rate for Payer: Coventry/First Health All Products |
$424.56
|
| Rate for Payer: Frontpath All Products |
$172.87
|
| Rate for Payer: Humana ChoiceCare |
$353.80
|
| Rate for Payer: Humana Medicare |
$127.61
|
| Rate for Payer: Lucent/Coldwater Veneers |
$216.94
|
| Rate for Payer: Lutheran Preferred All Products |
$191.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$265.35
|
| Rate for Payer: PHP All Products |
$217.86
|
| Rate for Payer: Plain Church Group Ministry All Products |
$127.61
|
| Rate for Payer: Signature Care EPO |
$240.55
|
| Rate for Payer: Signature Care PPO |
$240.55
|
| Rate for Payer: Three Rivers Preferred All Products |
$179.00
|
| Rate for Payer: United Healthcare Commercial |
$146.98
|
| Rate for Payer: United Healthcare Medicare |
$176.90
|
|
|
PR INCIS ACHILLES TENDON+LOCAL ANESTH
|
Professional
|
$603.34
|
|
|
Service Code
|
CPT 27605
|
| Hospital Charge Code |
Z12375
|
| Min. Negotiated Rate |
$173.37 |
| Max. Negotiated Rate |
$724.01 |
| Rate for Payer: Aetna Medicare |
$173.37
|
| Rate for Payer: Anthem Exchange |
$379.34
|
| Rate for Payer: Anthem Medicare |
$173.37
|
| Rate for Payer: Anthem PPO |
$379.34
|
| Rate for Payer: Anthem Traditional |
$379.34
|
| Rate for Payer: Caresource Just 4 Me |
$199.38
|
| Rate for Payer: Caresource Medicare |
$190.71
|
| Rate for Payer: Centivo/Paragon All Products |
$268.72
|
| Rate for Payer: Coventry/First Health All Products |
$724.01
|
| Rate for Payer: Frontpath All Products |
$234.61
|
| Rate for Payer: Humana ChoiceCare |
$603.34
|
| Rate for Payer: Humana Medicare |
$173.37
|
| Rate for Payer: Lucent/Coldwater Veneers |
$294.73
|
| Rate for Payer: Lutheran Preferred All Products |
$277.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$452.50
|
| Rate for Payer: PHP All Products |
$294.31
|
| Rate for Payer: Plain Church Group Ministry All Products |
$173.37
|
| Rate for Payer: Signature Care EPO |
$533.92
|
| Rate for Payer: Signature Care PPO |
$533.92
|
| Rate for Payer: Three Rivers Preferred All Products |
$260.00
|
| Rate for Payer: United Healthcare Commercial |
$220.41
|
| Rate for Payer: United Healthcare Medicare |
$301.67
|
|
|
PR INCIS DEEP FINGR/HAND BONE LESN
|
Professional
|
$1,008.94
|
|
|
Service Code
|
CPT 26034
|
| Hospital Charge Code |
Z12259
|
| Min. Negotiated Rate |
$504.47 |
| Max. Negotiated Rate |
$1,210.73 |
| Rate for Payer: Aetna Medicare |
$517.08
|
| Rate for Payer: Anthem Exchange |
$703.00
|
| Rate for Payer: Anthem Medicare |
$517.08
|
| Rate for Payer: Anthem PPO |
$703.00
|
| Rate for Payer: Anthem Traditional |
$703.00
|
| Rate for Payer: Caresource Just 4 Me |
$594.64
|
| Rate for Payer: Caresource Medicare |
$568.79
|
| Rate for Payer: Centivo/Paragon All Products |
$801.47
|
| Rate for Payer: Coventry/First Health All Products |
$1,210.73
|
| Rate for Payer: Frontpath All Products |
$712.28
|
| Rate for Payer: Humana ChoiceCare |
$1,008.94
|
| Rate for Payer: Humana Medicare |
$517.08
|
| Rate for Payer: Lucent/Coldwater Veneers |
$879.04
|
| Rate for Payer: Lutheran Preferred All Products |
$827.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$756.71
|
| Rate for Payer: PHP All Products |
$877.77
|
| Rate for Payer: Plain Church Group Ministry All Products |
$517.08
|
| Rate for Payer: Signature Care EPO |
$722.50
|
| Rate for Payer: Signature Care PPO |
$722.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$776.00
|
| Rate for Payer: United Healthcare Commercial |
$562.39
|
| Rate for Payer: United Healthcare Medicare |
$504.47
|
|
|
PR INCIS/DRAIN ARM,DEEP ABSC/HEMATOMA
|
Professional
|
$654.52
|
|
|
Service Code
|
CPT 23930
|
| Hospital Charge Code |
Z12185
|
| Min. Negotiated Rate |
$199.61 |
| Max. Negotiated Rate |
$785.42 |
| Rate for Payer: Aetna Medicare |
$199.61
|
| Rate for Payer: Anthem Exchange |
$365.65
|
| Rate for Payer: Anthem Medicare |
$199.61
|
| Rate for Payer: Anthem PPO |
$365.65
|
| Rate for Payer: Anthem Traditional |
$365.65
|
| Rate for Payer: Caresource Just 4 Me |
$229.55
|
| Rate for Payer: Caresource Medicare |
$219.57
|
| Rate for Payer: Centivo/Paragon All Products |
$309.40
|
| Rate for Payer: Coventry/First Health All Products |
$785.42
|
| Rate for Payer: Frontpath All Products |
$279.63
|
| Rate for Payer: Humana ChoiceCare |
$654.52
|
| Rate for Payer: Humana Medicare |
$199.61
|
| Rate for Payer: Lucent/Coldwater Veneers |
$339.34
|
| Rate for Payer: Lutheran Preferred All Products |
$319.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$490.89
|
| Rate for Payer: PHP All Products |
$338.85
|
| Rate for Payer: Plain Church Group Ministry All Products |
$199.61
|
| Rate for Payer: Signature Care EPO |
$326.40
|
| Rate for Payer: Signature Care PPO |
$326.40
|
| Rate for Payer: Three Rivers Preferred All Products |
$299.00
|
| Rate for Payer: United Healthcare Commercial |
$232.39
|
| Rate for Payer: United Healthcare Medicare |
$327.26
|
|
|
PR INCIS/DRAIN ARM/ELBOW INFECT BURSA
|
Professional
|
$553.70
|
|
|
Service Code
|
CPT 23931
|
| Hospital Charge Code |
Z12186
|
| Min. Negotiated Rate |
$150.41 |
| Max. Negotiated Rate |
$664.44 |
| Rate for Payer: Aetna Medicare |
$150.41
|
| Rate for Payer: Anthem Exchange |
$283.68
|
| Rate for Payer: Anthem Medicare |
$150.41
|
| Rate for Payer: Anthem PPO |
$283.68
|
| Rate for Payer: Anthem Traditional |
$283.68
|
| Rate for Payer: Caresource Just 4 Me |
$172.97
|
| Rate for Payer: Caresource Medicare |
$165.45
|
| Rate for Payer: Centivo/Paragon All Products |
$233.14
|
| Rate for Payer: Coventry/First Health All Products |
$664.44
|
| Rate for Payer: Frontpath All Products |
$205.48
|
| Rate for Payer: Humana ChoiceCare |
$553.70
|
| Rate for Payer: Humana Medicare |
$150.41
|
| Rate for Payer: Lucent/Coldwater Veneers |
$255.70
|
| Rate for Payer: Lutheran Preferred All Products |
$241.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$415.28
|
| Rate for Payer: PHP All Products |
$255.33
|
| Rate for Payer: Plain Church Group Ministry All Products |
$150.41
|
| Rate for Payer: Signature Care EPO |
$243.56
|
| Rate for Payer: Signature Care PPO |
$243.56
|
| Rate for Payer: Three Rivers Preferred All Products |
$226.00
|
| Rate for Payer: United Healthcare Commercial |
$166.55
|
| Rate for Payer: United Healthcare Medicare |
$276.85
|
|
|
PR INCIS/DRAIN FOREARM DEEP ABSCESS
|
Professional
|
$1,266.12
|
|
|
Service Code
|
CPT 25028
|
| Hospital Charge Code |
Z12219
|
| Min. Negotiated Rate |
$524.30 |
| Max. Negotiated Rate |
$1,519.34 |
| Rate for Payer: Aetna Medicare |
$648.89
|
| Rate for Payer: Anthem Exchange |
$524.30
|
| Rate for Payer: Anthem Medicare |
$648.89
|
| Rate for Payer: Anthem PPO |
$524.30
|
| Rate for Payer: Anthem Traditional |
$524.30
|
| Rate for Payer: Caresource Just 4 Me |
$746.22
|
| Rate for Payer: Caresource Medicare |
$713.78
|
| Rate for Payer: Centivo/Paragon All Products |
$1,005.78
|
| Rate for Payer: Coventry/First Health All Products |
$1,519.34
|
| Rate for Payer: Frontpath All Products |
$898.52
|
| Rate for Payer: Humana ChoiceCare |
$1,266.12
|
| Rate for Payer: Humana Medicare |
$648.89
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,103.11
|
| Rate for Payer: Lutheran Preferred All Products |
$1,038.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$949.59
|
| Rate for Payer: PHP All Products |
$1,101.53
|
| Rate for Payer: Plain Church Group Ministry All Products |
$648.89
|
| Rate for Payer: Signature Care EPO |
$777.75
|
| Rate for Payer: Signature Care PPO |
$777.75
|
| Rate for Payer: Three Rivers Preferred All Products |
$973.00
|
| Rate for Payer: United Healthcare Commercial |
$541.00
|
| Rate for Payer: United Healthcare Medicare |
$633.06
|
|
|
PR INCIS/DRAIN PELVIS/HIP,OPEN BONE
|
Professional
|
$1,825.80
|
|
|
Service Code
|
CPT 26992
|
| Hospital Charge Code |
Z12303
|
| Min. Negotiated Rate |
$912.90 |
| Max. Negotiated Rate |
$2,190.96 |
| Rate for Payer: Aetna Medicare |
$935.72
|
| Rate for Payer: Anthem Exchange |
$1,221.30
|
| Rate for Payer: Anthem Medicare |
$935.72
|
| Rate for Payer: Anthem PPO |
$1,221.30
|
| Rate for Payer: Anthem Traditional |
$1,221.30
|
| Rate for Payer: Caresource Just 4 Me |
$1,076.08
|
| Rate for Payer: Caresource Medicare |
$1,029.29
|
| Rate for Payer: Centivo/Paragon All Products |
$1,450.37
|
| Rate for Payer: Coventry/First Health All Products |
$2,190.96
|
| Rate for Payer: Frontpath All Products |
$1,310.58
|
| Rate for Payer: Humana ChoiceCare |
$1,825.80
|
| Rate for Payer: Humana Medicare |
$935.72
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,590.72
|
| Rate for Payer: Lutheran Preferred All Products |
$1,497.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$1,369.35
|
| Rate for Payer: PHP All Products |
$1,588.44
|
| Rate for Payer: Plain Church Group Ministry All Products |
$935.72
|
| Rate for Payer: Signature Care EPO |
$1,393.15
|
| Rate for Payer: Signature Care PPO |
$1,393.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$1,404.00
|
| Rate for Payer: United Healthcare Commercial |
$1,041.70
|
| Rate for Payer: United Healthcare Medicare |
$912.90
|
|
|
PR INCIS/DRAIN SHLDR ABSC/HEMA,DEEP
|
Professional
|
$800.48
|
|
|
Service Code
|
CPT 23030
|
| Hospital Charge Code |
Z12156
|
| Min. Negotiated Rate |
$236.44 |
| Max. Negotiated Rate |
$960.58 |
| Rate for Payer: Aetna Medicare |
$236.44
|
| Rate for Payer: Anthem Exchange |
$439.90
|
| Rate for Payer: Anthem Medicare |
$236.44
|
| Rate for Payer: Anthem PPO |
$439.90
|
| Rate for Payer: Anthem Traditional |
$439.90
|
| Rate for Payer: Caresource Just 4 Me |
$271.91
|
| Rate for Payer: Caresource Medicare |
$260.08
|
| Rate for Payer: Centivo/Paragon All Products |
$366.48
|
| Rate for Payer: Coventry/First Health All Products |
$960.58
|
| Rate for Payer: Frontpath All Products |
$331.20
|
| Rate for Payer: Humana ChoiceCare |
$800.48
|
| Rate for Payer: Humana Medicare |
$236.44
|
| Rate for Payer: Lucent/Coldwater Veneers |
$401.95
|
| Rate for Payer: Lutheran Preferred All Products |
$378.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$600.36
|
| Rate for Payer: PHP All Products |
$401.36
|
| Rate for Payer: Plain Church Group Ministry All Products |
$236.44
|
| Rate for Payer: Signature Care EPO |
$373.15
|
| Rate for Payer: Signature Care PPO |
$373.15
|
| Rate for Payer: Three Rivers Preferred All Products |
$355.00
|
| Rate for Payer: United Healthcare Commercial |
$276.43
|
| Rate for Payer: United Healthcare Medicare |
$400.24
|
|
|
PR INCIS/DRAIN THIGH/KNEE ABSCESS,DEEP
|
Professional
|
$1,224.14
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
Z12329
|
| Min. Negotiated Rate |
$472.24 |
| Max. Negotiated Rate |
$1,468.97 |
| Rate for Payer: Aetna Medicare |
$472.24
|
| Rate for Payer: Anthem Exchange |
$711.00
|
| Rate for Payer: Anthem Medicare |
$472.24
|
| Rate for Payer: Anthem PPO |
$711.00
|
| Rate for Payer: Anthem Traditional |
$711.00
|
| Rate for Payer: Caresource Just 4 Me |
$543.08
|
| Rate for Payer: Caresource Medicare |
$519.46
|
| Rate for Payer: Centivo/Paragon All Products |
$731.97
|
| Rate for Payer: Coventry/First Health All Products |
$1,468.97
|
| Rate for Payer: Frontpath All Products |
$658.40
|
| Rate for Payer: Humana ChoiceCare |
$1,224.14
|
| Rate for Payer: Humana Medicare |
$472.24
|
| Rate for Payer: Lucent/Coldwater Veneers |
$802.81
|
| Rate for Payer: Lutheran Preferred All Products |
$756.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$918.11
|
| Rate for Payer: PHP All Products |
$801.93
|
| Rate for Payer: Plain Church Group Ministry All Products |
$472.24
|
| Rate for Payer: Signature Care EPO |
$794.75
|
| Rate for Payer: Signature Care PPO |
$794.75
|
| Rate for Payer: Three Rivers Preferred All Products |
$708.00
|
| Rate for Payer: United Healthcare Commercial |
$530.75
|
| Rate for Payer: United Healthcare Medicare |
$612.07
|
|
|
PR INCISE EXTERNAL HEMORRHOID
|
Professional
|
$378.44
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
Z12642
|
| Min. Negotiated Rate |
$101.95 |
| Max. Negotiated Rate |
$454.13 |
| Rate for Payer: Aetna Medicare |
$101.95
|
| Rate for Payer: Anthem Exchange |
$235.89
|
| Rate for Payer: Anthem Medicare |
$101.95
|
| Rate for Payer: Anthem PPO |
$235.89
|
| Rate for Payer: Anthem Traditional |
$235.89
|
| Rate for Payer: Caresource Just 4 Me |
$117.24
|
| Rate for Payer: Caresource Medicare |
$112.15
|
| Rate for Payer: Centivo/Paragon All Products |
$158.02
|
| Rate for Payer: Coventry/First Health All Products |
$454.13
|
| Rate for Payer: Frontpath All Products |
$142.18
|
| Rate for Payer: Humana ChoiceCare |
$378.44
|
| Rate for Payer: Humana Medicare |
$101.95
|
| Rate for Payer: Lucent/Coldwater Veneers |
$173.31
|
| Rate for Payer: Lutheran Preferred All Products |
$153.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$283.83
|
| Rate for Payer: PHP All Products |
$174.06
|
| Rate for Payer: Plain Church Group Ministry All Products |
$101.95
|
| Rate for Payer: Signature Care EPO |
$215.05
|
| Rate for Payer: Signature Care PPO |
$215.05
|
| Rate for Payer: Three Rivers Preferred All Products |
$143.00
|
| Rate for Payer: United Healthcare Commercial |
$112.35
|
| Rate for Payer: United Healthcare Medicare |
$189.22
|
|
|
PR INCISE FINGER TENDON SHEATH
|
Professional
|
$1,081.62
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
Z12261
|
| Min. Negotiated Rate |
$274.33 |
| Max. Negotiated Rate |
$1,297.94 |
| Rate for Payer: Caresource Medicare |
$301.76
|
| Rate for Payer: Aetna Medicare |
$274.33
|
| Rate for Payer: Anthem Exchange |
$1,000.00
|
| Rate for Payer: Anthem Medicare |
$274.33
|
| Rate for Payer: Anthem PPO |
$1,000.00
|
| Rate for Payer: Anthem Traditional |
$1,000.00
|
| Rate for Payer: Caresource Just 4 Me |
$315.48
|
| Rate for Payer: Centivo/Paragon All Products |
$425.21
|
| Rate for Payer: Coventry/First Health All Products |
$1,297.94
|
| Rate for Payer: Frontpath All Products |
$374.00
|
| Rate for Payer: Humana ChoiceCare |
$1,081.62
|
| Rate for Payer: Humana Medicare |
$274.33
|
| Rate for Payer: Lucent/Coldwater Veneers |
$466.36
|
| Rate for Payer: Lutheran Preferred All Products |
$439.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$811.21
|
| Rate for Payer: PHP All Products |
$465.69
|
| Rate for Payer: Plain Church Group Ministry All Products |
$274.33
|
| Rate for Payer: Signature Care EPO |
$891.89
|
| Rate for Payer: Signature Care PPO |
$891.89
|
| Rate for Payer: Three Rivers Preferred All Products |
$411.00
|
| Rate for Payer: United Healthcare Commercial |
$307.03
|
| Rate for Payer: United Healthcare Medicare |
$540.81
|
|
|
PR INCISE WRIST/FOREARM TENDON
|
Professional
|
$800.64
|
|
|
Service Code
|
CPT 25290
|
| Hospital Charge Code |
Z12229
|
| Min. Negotiated Rate |
$400.32 |
| Max. Negotiated Rate |
$960.77 |
| Rate for Payer: Aetna Medicare |
$410.32
|
| Rate for Payer: Anthem Exchange |
$661.30
|
| Rate for Payer: Anthem Medicare |
$410.32
|
| Rate for Payer: Anthem PPO |
$661.30
|
| Rate for Payer: Anthem Traditional |
$661.30
|
| Rate for Payer: Caresource Just 4 Me |
$471.87
|
| Rate for Payer: Caresource Medicare |
$451.35
|
| Rate for Payer: Centivo/Paragon All Products |
$636.00
|
| Rate for Payer: Coventry/First Health All Products |
$960.77
|
| Rate for Payer: Frontpath All Products |
$564.17
|
| Rate for Payer: Humana ChoiceCare |
$800.64
|
| Rate for Payer: Humana Medicare |
$410.32
|
| Rate for Payer: Lucent/Coldwater Veneers |
$697.54
|
| Rate for Payer: Lutheran Preferred All Products |
$657.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$600.48
|
| Rate for Payer: PHP All Products |
$696.55
|
| Rate for Payer: Plain Church Group Ministry All Products |
$410.32
|
| Rate for Payer: Signature Care EPO |
$695.73
|
| Rate for Payer: Signature Care PPO |
$695.73
|
| Rate for Payer: Three Rivers Preferred All Products |
$615.00
|
| Rate for Payer: United Healthcare Commercial |
$561.29
|
| Rate for Payer: United Healthcare Medicare |
$400.32
|
|
|
PR INCISION EARDRUM,ASPIR
|
Professional
|
$350.82
|
|
|
Service Code
|
CPT 69420
|
| Hospital Charge Code |
Z12856
|
| Min. Negotiated Rate |
$113.11 |
| Max. Negotiated Rate |
$420.98 |
| Rate for Payer: Aetna Medicare |
$113.11
|
| Rate for Payer: Anthem Exchange |
$204.41
|
| Rate for Payer: Anthem Medicare |
$113.11
|
| Rate for Payer: Anthem PPO |
$204.41
|
| Rate for Payer: Anthem Traditional |
$204.41
|
| Rate for Payer: Caresource Just 4 Me |
$130.08
|
| Rate for Payer: Caresource Medicare |
$124.42
|
| Rate for Payer: Centivo/Paragon All Products |
$175.32
|
| Rate for Payer: Coventry/First Health All Products |
$420.98
|
| Rate for Payer: Frontpath All Products |
$152.84
|
| Rate for Payer: Humana ChoiceCare |
$350.82
|
| Rate for Payer: Humana Medicare |
$113.11
|
| Rate for Payer: Lucent/Coldwater Veneers |
$192.29
|
| Rate for Payer: Lutheran Preferred All Products |
$181.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$263.12
|
| Rate for Payer: PHP All Products |
$143.46
|
| Rate for Payer: Plain Church Group Ministry All Products |
$113.11
|
| Rate for Payer: Signature Care EPO |
$190.96
|
| Rate for Payer: Signature Care PPO |
$190.96
|
| Rate for Payer: Three Rivers Preferred All Products |
$170.00
|
| Rate for Payer: United Healthcare Commercial |
$128.81
|
| Rate for Payer: United Healthcare Medicare |
$175.41
|
|
