|
PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
$108.14
|
|
|
Service Code
|
CPT 11105
|
| Hospital Charge Code |
Z11976
|
| Min. Negotiated Rate |
$23.93 |
| Max. Negotiated Rate |
$129.77 |
| Rate for Payer: Aetna Medicare |
$23.93
|
| Rate for Payer: Anthem Medicare |
$23.93
|
| Rate for Payer: Caresource Just 4 Me |
$27.52
|
| Rate for Payer: Caresource Medicare |
$26.32
|
| Rate for Payer: Centivo/Paragon All Products |
$37.09
|
| Rate for Payer: Coventry/First Health All Products |
$129.77
|
| Rate for Payer: Frontpath All Products |
$32.97
|
| Rate for Payer: Humana ChoiceCare |
$108.14
|
| Rate for Payer: Humana Medicare |
$23.93
|
| Rate for Payer: Lucent/Coldwater Veneers |
$40.68
|
| Rate for Payer: PHCS/Multiplan All Products |
$81.11
|
| Rate for Payer: PHP All Products |
$32.69
|
| Rate for Payer: Plain Church Group Ministry All Products |
$23.93
|
| Rate for Payer: Signature Care EPO |
$57.61
|
| Rate for Payer: Signature Care PPO |
$57.61
|
| Rate for Payer: United Healthcare Commercial |
$33.09
|
| Rate for Payer: United Healthcare Medicare |
$54.07
|
|
|
PR PUNCH BIOPSY SKIN SINGLE LESION
|
Professional
|
$229.70
|
|
|
Service Code
|
CPT 11104
|
| Hospital Charge Code |
Z11975
|
| Min. Negotiated Rate |
$43.94 |
| Max. Negotiated Rate |
$275.64 |
| Rate for Payer: Aetna Medicare |
$43.94
|
| Rate for Payer: Anthem Medicare |
$43.94
|
| Rate for Payer: Caresource Just 4 Me |
$50.53
|
| Rate for Payer: Caresource Medicare |
$48.33
|
| Rate for Payer: Centivo/Paragon All Products |
$68.11
|
| Rate for Payer: Coventry/First Health All Products |
$275.64
|
| Rate for Payer: Frontpath All Products |
$60.26
|
| Rate for Payer: Humana ChoiceCare |
$229.70
|
| Rate for Payer: Humana Medicare |
$43.94
|
| Rate for Payer: Lucent/Coldwater Veneers |
$74.70
|
| Rate for Payer: PHCS/Multiplan All Products |
$172.27
|
| Rate for Payer: PHP All Products |
$60.01
|
| Rate for Payer: Plain Church Group Ministry All Products |
$43.94
|
| Rate for Payer: Signature Care EPO |
$117.21
|
| Rate for Payer: Signature Care PPO |
$117.21
|
| Rate for Payer: United Healthcare Commercial |
$60.68
|
| Rate for Payer: United Healthcare Medicare |
$114.85
|
|
|
PR PUNCTURE DRAINAGE OF LESION
|
Professional
|
$237.38
|
|
|
Service Code
|
CPT 10160
|
| Hospital Charge Code |
Z11957
|
| Min. Negotiated Rate |
$90.17 |
| Max. Negotiated Rate |
$284.86 |
| Rate for Payer: Aetna Medicare |
$90.17
|
| Rate for Payer: Anthem Exchange |
$93.94
|
| Rate for Payer: Anthem Medicare |
$90.17
|
| Rate for Payer: Anthem PPO |
$93.94
|
| Rate for Payer: Anthem Traditional |
$93.94
|
| Rate for Payer: Caresource Just 4 Me |
$103.70
|
| Rate for Payer: Caresource Medicare |
$99.19
|
| Rate for Payer: Centivo/Paragon All Products |
$139.76
|
| Rate for Payer: Coventry/First Health All Products |
$284.86
|
| Rate for Payer: Frontpath All Products |
$120.63
|
| Rate for Payer: Humana ChoiceCare |
$237.38
|
| Rate for Payer: Humana Medicare |
$90.17
|
| Rate for Payer: Lucent/Coldwater Veneers |
$153.29
|
| Rate for Payer: Lutheran Preferred All Products |
$117.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$178.03
|
| Rate for Payer: PHP All Products |
$123.16
|
| Rate for Payer: Plain Church Group Ministry All Products |
$90.17
|
| Rate for Payer: Signature Care EPO |
$104.81
|
| Rate for Payer: Signature Care PPO |
$104.81
|
| Rate for Payer: Three Rivers Preferred All Products |
$108.00
|
| Rate for Payer: United Healthcare Commercial |
$103.06
|
| Rate for Payer: United Healthcare Medicare |
$118.69
|
|
|
PR PURE TONE AUDIOMETRY, AIR
|
Professional
|
$63.56
|
|
|
Service Code
|
CPT 92552
|
| Hospital Charge Code |
Z13040
|
| Min. Negotiated Rate |
$17.50 |
| Max. Negotiated Rate |
$76.27 |
| Rate for Payer: Aetna Medicare |
$32.58
|
| Rate for Payer: Anthem Exchange |
$17.50
|
| Rate for Payer: Anthem Medicare |
$32.58
|
| Rate for Payer: Anthem PPO |
$17.50
|
| Rate for Payer: Anthem Traditional |
$17.50
|
| Rate for Payer: Caresource Just 4 Me |
$37.47
|
| Rate for Payer: Caresource Medicare |
$35.84
|
| Rate for Payer: Centivo/Paragon All Products |
$50.50
|
| Rate for Payer: Coventry/First Health All Products |
$76.27
|
| Rate for Payer: Frontpath All Products |
$34.47
|
| Rate for Payer: Humana ChoiceCare |
$63.56
|
| Rate for Payer: Humana Medicare |
$32.58
|
| Rate for Payer: Lucent/Coldwater Veneers |
$55.39
|
| Rate for Payer: Lutheran Preferred All Products |
$42.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$47.67
|
| Rate for Payer: PHP All Products |
$46.08
|
| Rate for Payer: Plain Church Group Ministry All Products |
$32.58
|
| Rate for Payer: Signature Care EPO |
$26.08
|
| Rate for Payer: Signature Care PPO |
$26.08
|
| Rate for Payer: Three Rivers Preferred All Products |
$39.00
|
| Rate for Payer: United Healthcare Commercial |
$23.84
|
| Rate for Payer: United Healthcare Medicare |
$31.78
|
|
|
PR PURE TONE HEARING TEST, AIR
|
Professional
|
$21.40
|
|
|
Service Code
|
CPT 92551
|
| Hospital Charge Code |
Z13039
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$25.68 |
| Rate for Payer: Anthem Exchange |
$13.15
|
| Rate for Payer: Anthem PPO |
$13.15
|
| Rate for Payer: Anthem Traditional |
$13.15
|
| Rate for Payer: Coventry/First Health All Products |
$25.68
|
| Rate for Payer: Frontpath All Products |
$11.54
|
| Rate for Payer: Humana ChoiceCare |
$21.40
|
| Rate for Payer: Lutheran Preferred All Products |
$14.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$16.05
|
| Rate for Payer: PHP All Products |
$15.51
|
| Rate for Payer: Signature Care EPO |
$18.70
|
| Rate for Payer: Signature Care PPO |
$18.70
|
| Rate for Payer: Three Rivers Preferred All Products |
$13.00
|
| Rate for Payer: United Healthcare Commercial |
$11.86
|
| Rate for Payer: United Healthcare Medicare |
$10.70
|
|
|
PR RECMPL WND HEAD,FAC,HAND 1.1-2.5 CM
|
Professional
|
$712.22
|
|
|
Service Code
|
CPT 13131
|
| Hospital Charge Code |
Z12061
|
| Min. Negotiated Rate |
$225.79 |
| Max. Negotiated Rate |
$854.66 |
| Rate for Payer: Aetna Medicare |
$225.79
|
| Rate for Payer: Anthem Medicare |
$225.79
|
| Rate for Payer: Caresource Just 4 Me |
$259.66
|
| Rate for Payer: Caresource Medicare |
$248.37
|
| Rate for Payer: Centivo/Paragon All Products |
$349.97
|
| Rate for Payer: Coventry/First Health All Products |
$854.66
|
| Rate for Payer: Frontpath All Products |
$308.00
|
| Rate for Payer: Humana ChoiceCare |
$712.22
|
| Rate for Payer: Humana Medicare |
$225.79
|
| Rate for Payer: Lucent/Coldwater Veneers |
$383.84
|
| Rate for Payer: PHCS/Multiplan All Products |
$534.16
|
| Rate for Payer: Plain Church Group Ministry All Products |
$225.79
|
| Rate for Payer: United Healthcare Commercial |
$298.36
|
| Rate for Payer: United Healthcare Medicare |
$356.11
|
|
|
PR RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM
|
Professional
|
$865.22
|
|
|
Service Code
|
CPT 13132
|
| Hospital Charge Code |
Z12062
|
| Min. Negotiated Rate |
$283.21 |
| Max. Negotiated Rate |
$1,038.26 |
| Rate for Payer: Aetna Medicare |
$283.21
|
| Rate for Payer: Anthem Exchange |
$516.40
|
| Rate for Payer: Anthem Medicare |
$283.21
|
| Rate for Payer: Anthem PPO |
$516.40
|
| Rate for Payer: Anthem Traditional |
$516.40
|
| Rate for Payer: Caresource Just 4 Me |
$325.69
|
| Rate for Payer: Caresource Medicare |
$311.53
|
| Rate for Payer: Centivo/Paragon All Products |
$438.98
|
| Rate for Payer: Coventry/First Health All Products |
$1,038.26
|
| Rate for Payer: Frontpath All Products |
$385.63
|
| Rate for Payer: Humana ChoiceCare |
$865.22
|
| Rate for Payer: Humana Medicare |
$283.21
|
| Rate for Payer: Lucent/Coldwater Veneers |
$481.46
|
| Rate for Payer: Lutheran Preferred All Products |
$368.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$648.91
|
| Rate for Payer: PHP All Products |
$386.82
|
| Rate for Payer: Plain Church Group Ministry All Products |
$283.21
|
| Rate for Payer: Signature Care EPO |
$436.90
|
| Rate for Payer: Signature Care PPO |
$436.90
|
| Rate for Payer: Three Rivers Preferred All Products |
$340.00
|
| Rate for Payer: United Healthcare Commercial |
$503.16
|
| Rate for Payer: United Healthcare Medicare |
$432.61
|
|
|
PR RECMPL WND LID,NOS,EAR 2.5-7.5 CM
|
Professional
|
$912.02
|
|
|
Service Code
|
CPT 13152
|
| Hospital Charge Code |
Z12063
|
| Min. Negotiated Rate |
$313.36 |
| Max. Negotiated Rate |
$1,094.42 |
| Rate for Payer: Aetna Medicare |
$313.36
|
| Rate for Payer: Anthem Exchange |
$577.80
|
| Rate for Payer: Anthem Medicare |
$313.36
|
| Rate for Payer: Anthem PPO |
$577.80
|
| Rate for Payer: Anthem Traditional |
$577.80
|
| Rate for Payer: Caresource Just 4 Me |
$360.36
|
| Rate for Payer: Caresource Medicare |
$344.70
|
| Rate for Payer: Centivo/Paragon All Products |
$485.71
|
| Rate for Payer: Coventry/First Health All Products |
$1,094.42
|
| Rate for Payer: Frontpath All Products |
$427.99
|
| Rate for Payer: Humana ChoiceCare |
$912.02
|
| Rate for Payer: Humana Medicare |
$313.36
|
| Rate for Payer: Lucent/Coldwater Veneers |
$532.71
|
| Rate for Payer: Lutheran Preferred All Products |
$407.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$684.01
|
| Rate for Payer: PHP All Products |
$428.01
|
| Rate for Payer: Plain Church Group Ministry All Products |
$313.36
|
| Rate for Payer: Signature Care EPO |
$508.30
|
| Rate for Payer: Signature Care PPO |
$508.30
|
| Rate for Payer: Three Rivers Preferred All Products |
$376.00
|
| Rate for Payer: United Healthcare Commercial |
$465.90
|
| Rate for Payer: United Healthcare Medicare |
$456.01
|
|
|
PR RECMPL WND SCALP,EXTR 2.6-7.5 CM
|
Professional
|
$780.68
|
|
|
Service Code
|
CPT 13121
|
| Hospital Charge Code |
Z12059
|
| Min. Negotiated Rate |
$240.80 |
| Max. Negotiated Rate |
$936.82 |
| Rate for Payer: Aetna Medicare |
$240.80
|
| Rate for Payer: Anthem Exchange |
$371.40
|
| Rate for Payer: Anthem Medicare |
$240.80
|
| Rate for Payer: Anthem PPO |
$371.40
|
| Rate for Payer: Anthem Traditional |
$371.40
|
| Rate for Payer: Caresource Just 4 Me |
$276.92
|
| Rate for Payer: Caresource Medicare |
$264.88
|
| Rate for Payer: Centivo/Paragon All Products |
$373.24
|
| Rate for Payer: Coventry/First Health All Products |
$936.82
|
| Rate for Payer: Frontpath All Products |
$327.13
|
| Rate for Payer: Humana ChoiceCare |
$780.68
|
| Rate for Payer: Humana Medicare |
$240.80
|
| Rate for Payer: Lucent/Coldwater Veneers |
$409.36
|
| Rate for Payer: Lutheran Preferred All Products |
$313.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$585.51
|
| Rate for Payer: PHP All Products |
$328.90
|
| Rate for Payer: Plain Church Group Ministry All Products |
$240.80
|
| Rate for Payer: Signature Care EPO |
$342.87
|
| Rate for Payer: Signature Care PPO |
$342.87
|
| Rate for Payer: Three Rivers Preferred All Products |
$289.00
|
| Rate for Payer: United Healthcare Commercial |
$348.58
|
| Rate for Payer: United Healthcare Medicare |
$390.34
|
|
|
PR RECMPL WND TRUNK 2.6-7.5 CM
|
Professional
|
$728.60
|
|
|
Service Code
|
CPT 13101
|
| Hospital Charge Code |
Z12058
|
| Min. Negotiated Rate |
$231.09 |
| Max. Negotiated Rate |
$874.32 |
| Rate for Payer: Aetna Medicare |
$231.09
|
| Rate for Payer: Anthem Medicare |
$231.09
|
| Rate for Payer: Caresource Just 4 Me |
$265.75
|
| Rate for Payer: Caresource Medicare |
$254.20
|
| Rate for Payer: Centivo/Paragon All Products |
$358.19
|
| Rate for Payer: Coventry/First Health All Products |
$874.32
|
| Rate for Payer: Frontpath All Products |
$314.74
|
| Rate for Payer: Humana ChoiceCare |
$728.60
|
| Rate for Payer: Humana Medicare |
$231.09
|
| Rate for Payer: Lucent/Coldwater Veneers |
$392.85
|
| Rate for Payer: PHCS/Multiplan All Products |
$546.45
|
| Rate for Payer: PHP All Products |
$315.64
|
| Rate for Payer: Plain Church Group Ministry All Products |
$231.09
|
| Rate for Payer: Signature Care EPO |
$320.21
|
| Rate for Payer: Signature Care PPO |
$320.21
|
| Rate for Payer: United Healthcare Commercial |
$307.53
|
| Rate for Payer: United Healthcare Medicare |
$364.30
|
|
|
PR RECONSTR TOTAL SHOULDER IMPLANT
|
Professional
|
$2,609.08
|
|
|
Service Code
|
CPT 23472
|
| Hospital Charge Code |
Z12166
|
| Min. Negotiated Rate |
$1,304.54 |
| Max. Negotiated Rate |
$3,130.90 |
| Rate for Payer: Aetna Medicare |
$1,336.84
|
| Rate for Payer: Anthem Exchange |
$1,673.90
|
| Rate for Payer: Anthem Medicare |
$1,336.84
|
| Rate for Payer: Anthem PPO |
$1,673.90
|
| Rate for Payer: Anthem Traditional |
$1,673.90
|
| Rate for Payer: Caresource Just 4 Me |
$1,537.37
|
| Rate for Payer: Caresource Medicare |
$1,470.52
|
| Rate for Payer: Centivo/Paragon All Products |
$2,072.10
|
| Rate for Payer: Coventry/First Health All Products |
$3,130.90
|
| Rate for Payer: Frontpath All Products |
$1,881.57
|
| Rate for Payer: Humana ChoiceCare |
$2,609.08
|
| Rate for Payer: Humana Medicare |
$1,336.84
|
| Rate for Payer: Lucent/Coldwater Veneers |
$2,272.63
|
| Rate for Payer: Lutheran Preferred All Products |
$2,139.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$1,956.81
|
| Rate for Payer: PHP All Products |
$2,269.91
|
| Rate for Payer: Plain Church Group Ministry All Products |
$1,336.84
|
| Rate for Payer: Signature Care EPO |
$2,063.80
|
| Rate for Payer: Signature Care PPO |
$2,063.80
|
| Rate for Payer: Three Rivers Preferred All Products |
$2,005.00
|
| Rate for Payer: United Healthcare Commercial |
$1,656.36
|
| Rate for Payer: United Healthcare Medicare |
$1,304.54
|
|
|
PR RECONSTRUC OF NAIL BED
|
Professional
|
$342.04
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
Z12028
|
| Min. Negotiated Rate |
$103.68 |
| Max. Negotiated Rate |
$410.45 |
| Rate for Payer: Aetna Medicare |
$103.68
|
| Rate for Payer: Anthem Exchange |
$220.56
|
| Rate for Payer: Anthem Medicare |
$103.68
|
| Rate for Payer: Anthem PPO |
$220.56
|
| Rate for Payer: Anthem Traditional |
$220.56
|
| Rate for Payer: Caresource Just 4 Me |
$119.23
|
| Rate for Payer: Caresource Medicare |
$114.05
|
| Rate for Payer: Centivo/Paragon All Products |
$160.70
|
| Rate for Payer: Coventry/First Health All Products |
$410.45
|
| Rate for Payer: Frontpath All Products |
$142.32
|
| Rate for Payer: Humana ChoiceCare |
$342.04
|
| Rate for Payer: Humana Medicare |
$103.68
|
| Rate for Payer: Lucent/Coldwater Veneers |
$176.26
|
| Rate for Payer: Lutheran Preferred All Products |
$135.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$256.53
|
| Rate for Payer: PHP All Products |
$141.61
|
| Rate for Payer: Plain Church Group Ministry All Products |
$103.68
|
| Rate for Payer: Signature Care EPO |
$182.98
|
| Rate for Payer: Signature Care PPO |
$182.98
|
| Rate for Payer: Three Rivers Preferred All Products |
$124.00
|
| Rate for Payer: United Healthcare Commercial |
$140.71
|
| Rate for Payer: United Healthcare Medicare |
$171.02
|
|
|
PR RECONSTRUCT RADIAL HEAD W IMPLANT
|
Professional
|
$1,241.32
|
|
|
Service Code
|
CPT 24366
|
| Hospital Charge Code |
Z12197
|
| Min. Negotiated Rate |
$620.66 |
| Max. Negotiated Rate |
$1,489.58 |
| Rate for Payer: Aetna Medicare |
$635.86
|
| Rate for Payer: Anthem Exchange |
$906.10
|
| Rate for Payer: Anthem Medicare |
$635.86
|
| Rate for Payer: Anthem PPO |
$906.10
|
| Rate for Payer: Anthem Traditional |
$906.10
|
| Rate for Payer: Caresource Just 4 Me |
$731.24
|
| Rate for Payer: Caresource Medicare |
$699.45
|
| Rate for Payer: Centivo/Paragon All Products |
$985.58
|
| Rate for Payer: Coventry/First Health All Products |
$1,489.58
|
| Rate for Payer: Frontpath All Products |
$885.26
|
| Rate for Payer: Humana ChoiceCare |
$1,241.32
|
| Rate for Payer: Humana Medicare |
$635.86
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,080.96
|
| Rate for Payer: Lutheran Preferred All Products |
$1,017.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$930.99
|
| Rate for Payer: PHP All Products |
$1,079.94
|
| Rate for Payer: Plain Church Group Ministry All Products |
$635.86
|
| Rate for Payer: Signature Care EPO |
$969.00
|
| Rate for Payer: Signature Care PPO |
$969.00
|
| Rate for Payer: Three Rivers Preferred All Products |
$954.00
|
| Rate for Payer: United Healthcare Commercial |
$737.84
|
| Rate for Payer: United Healthcare Medicare |
$620.66
|
|
|
PR REFOREARM TEND/MUSC,EXTEN,PRIM,EA
|
Professional
|
$907.00
|
|
|
Service Code
|
CPT 25270
|
| Hospital Charge Code |
Z12228
|
| Min. Negotiated Rate |
$453.50 |
| Max. Negotiated Rate |
$1,088.40 |
| Rate for Payer: Aetna Medicare |
$464.83
|
| Rate for Payer: Anthem Exchange |
$790.28
|
| Rate for Payer: Anthem Medicare |
$464.83
|
| Rate for Payer: Anthem PPO |
$790.28
|
| Rate for Payer: Anthem Traditional |
$790.28
|
| Rate for Payer: Caresource Just 4 Me |
$534.55
|
| Rate for Payer: Caresource Medicare |
$511.31
|
| Rate for Payer: Centivo/Paragon All Products |
$720.49
|
| Rate for Payer: Coventry/First Health All Products |
$1,088.40
|
| Rate for Payer: Frontpath All Products |
$639.03
|
| Rate for Payer: Humana ChoiceCare |
$907.00
|
| Rate for Payer: Humana Medicare |
$464.83
|
| Rate for Payer: Lucent/Coldwater Veneers |
$790.21
|
| Rate for Payer: Lutheran Preferred All Products |
$744.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$680.25
|
| Rate for Payer: PHP All Products |
$789.08
|
| Rate for Payer: Plain Church Group Ministry All Products |
$464.83
|
| Rate for Payer: Signature Care EPO |
$787.07
|
| Rate for Payer: Signature Care PPO |
$787.07
|
| Rate for Payer: Three Rivers Preferred All Products |
$697.00
|
| Rate for Payer: United Healthcare Commercial |
$582.35
|
| Rate for Payer: United Healthcare Medicare |
$453.50
|
|
|
PR REINSERT BI/TRICEPS TENDON,DISTAL
|
Professional
|
$1,409.26
|
|
|
Service Code
|
CPT 24342
|
| Hospital Charge Code |
Z12194
|
| Min. Negotiated Rate |
$704.63 |
| Max. Negotiated Rate |
$1,691.11 |
| Rate for Payer: Aetna Medicare |
$722.25
|
| Rate for Payer: Anthem Exchange |
$1,012.10
|
| Rate for Payer: Anthem Medicare |
$722.25
|
| Rate for Payer: Anthem PPO |
$1,012.10
|
| Rate for Payer: Anthem Traditional |
$1,012.10
|
| Rate for Payer: Caresource Just 4 Me |
$830.59
|
| Rate for Payer: Caresource Medicare |
$794.48
|
| Rate for Payer: Centivo/Paragon All Products |
$1,119.49
|
| Rate for Payer: Coventry/First Health All Products |
$1,691.11
|
| Rate for Payer: Frontpath All Products |
$1,007.44
|
| Rate for Payer: Humana ChoiceCare |
$1,409.26
|
| Rate for Payer: Humana Medicare |
$722.25
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,227.83
|
| Rate for Payer: Lutheran Preferred All Products |
$1,156.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$1,056.94
|
| Rate for Payer: PHP All Products |
$1,226.06
|
| Rate for Payer: Plain Church Group Ministry All Products |
$722.25
|
| Rate for Payer: Signature Care EPO |
$1,116.05
|
| Rate for Payer: Signature Care PPO |
$1,116.05
|
| Rate for Payer: Three Rivers Preferred All Products |
$1,083.00
|
| Rate for Payer: United Healthcare Commercial |
$849.38
|
| Rate for Payer: United Healthcare Medicare |
$704.63
|
|
|
PR RELEASE I-P JT CONTRACTURE
|
Professional
|
$1,262.50
|
|
|
Service Code
|
CPT 26525
|
| Hospital Charge Code |
Z12277
|
| Min. Negotiated Rate |
$631.25 |
| Max. Negotiated Rate |
$1,515.00 |
| Rate for Payer: Aetna Medicare |
$647.04
|
| Rate for Payer: Anthem Exchange |
$702.10
|
| Rate for Payer: Anthem Medicare |
$647.04
|
| Rate for Payer: Anthem PPO |
$702.10
|
| Rate for Payer: Anthem Traditional |
$702.10
|
| Rate for Payer: Caresource Just 4 Me |
$744.10
|
| Rate for Payer: Caresource Medicare |
$711.74
|
| Rate for Payer: Centivo/Paragon All Products |
$1,002.91
|
| Rate for Payer: Coventry/First Health All Products |
$1,515.00
|
| Rate for Payer: Frontpath All Products |
$885.73
|
| Rate for Payer: Humana ChoiceCare |
$1,262.50
|
| Rate for Payer: Humana Medicare |
$647.04
|
| Rate for Payer: Lucent/Coldwater Veneers |
$1,099.97
|
| Rate for Payer: Lutheran Preferred All Products |
$1,035.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$946.88
|
| Rate for Payer: PHP All Products |
$1,098.38
|
| Rate for Payer: Plain Church Group Ministry All Products |
$647.04
|
| Rate for Payer: Signature Care EPO |
$1,031.83
|
| Rate for Payer: Signature Care PPO |
$1,031.83
|
| Rate for Payer: Three Rivers Preferred All Products |
$971.00
|
| Rate for Payer: United Healthcare Commercial |
$684.11
|
| Rate for Payer: United Healthcare Medicare |
$631.25
|
|
|
PR RELEASE OF NASAL ADHESIONS
|
Professional
|
$593.76
|
|
|
Service Code
|
CPT 30560
|
| Hospital Charge Code |
Z12505
|
| Min. Negotiated Rate |
$122.90 |
| Max. Negotiated Rate |
$712.51 |
| Rate for Payer: Aetna Medicare |
$141.61
|
| Rate for Payer: Anthem Exchange |
$122.90
|
| Rate for Payer: Anthem Medicare |
$141.61
|
| Rate for Payer: Anthem PPO |
$122.90
|
| Rate for Payer: Anthem Traditional |
$122.90
|
| Rate for Payer: Caresource Just 4 Me |
$162.85
|
| Rate for Payer: Caresource Medicare |
$155.77
|
| Rate for Payer: Centivo/Paragon All Products |
$219.50
|
| Rate for Payer: Coventry/First Health All Products |
$712.51
|
| Rate for Payer: Frontpath All Products |
$192.41
|
| Rate for Payer: Humana ChoiceCare |
$593.76
|
| Rate for Payer: Humana Medicare |
$141.61
|
| Rate for Payer: Lucent/Coldwater Veneers |
$240.74
|
| Rate for Payer: Lutheran Preferred All Products |
$227.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$445.32
|
| Rate for Payer: PHP All Products |
$193.42
|
| Rate for Payer: Plain Church Group Ministry All Products |
$141.61
|
| Rate for Payer: Signature Care EPO |
$313.65
|
| Rate for Payer: Signature Care PPO |
$313.65
|
| Rate for Payer: Three Rivers Preferred All Products |
$212.00
|
| Rate for Payer: United Healthcare Commercial |
$145.25
|
| Rate for Payer: United Healthcare Medicare |
$296.88
|
|
|
PR RELEASE PALM CONTRACT,OPEN,PARTIAL
|
Professional
|
$866.12
|
|
|
Service Code
|
CPT 26045
|
| Hospital Charge Code |
Z12260
|
| Min. Negotiated Rate |
$433.06 |
| Max. Negotiated Rate |
$1,039.34 |
| Rate for Payer: Aetna Medicare |
$443.88
|
| Rate for Payer: Anthem Exchange |
$661.80
|
| Rate for Payer: Anthem Medicare |
$443.88
|
| Rate for Payer: Anthem PPO |
$661.80
|
| Rate for Payer: Anthem Traditional |
$661.80
|
| Rate for Payer: Caresource Just 4 Me |
$510.46
|
| Rate for Payer: Caresource Medicare |
$488.27
|
| Rate for Payer: Centivo/Paragon All Products |
$688.01
|
| Rate for Payer: Coventry/First Health All Products |
$1,039.34
|
| Rate for Payer: Frontpath All Products |
$610.53
|
| Rate for Payer: Humana ChoiceCare |
$866.12
|
| Rate for Payer: Humana Medicare |
$443.88
|
| Rate for Payer: Lucent/Coldwater Veneers |
$754.60
|
| Rate for Payer: Lutheran Preferred All Products |
$710.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$649.59
|
| Rate for Payer: PHP All Products |
$753.52
|
| Rate for Payer: Plain Church Group Ministry All Products |
$443.88
|
| Rate for Payer: Signature Care EPO |
$643.45
|
| Rate for Payer: Signature Care PPO |
$643.45
|
| Rate for Payer: Three Rivers Preferred All Products |
$666.00
|
| Rate for Payer: United Healthcare Commercial |
$491.21
|
| Rate for Payer: United Healthcare Medicare |
$433.06
|
|
|
PR RELEASE TIB/FIB/ANKLE FLEX TENDON,EA
|
Professional
|
$766.98
|
|
|
Service Code
|
CPT 27680
|
| Hospital Charge Code |
Z12381
|
| Min. Negotiated Rate |
$383.49 |
| Max. Negotiated Rate |
$920.38 |
| Rate for Payer: Aetna Medicare |
$393.08
|
| Rate for Payer: Anthem Exchange |
$557.60
|
| Rate for Payer: Anthem Medicare |
$393.08
|
| Rate for Payer: Anthem PPO |
$557.60
|
| Rate for Payer: Anthem Traditional |
$557.60
|
| Rate for Payer: Caresource Just 4 Me |
$452.04
|
| Rate for Payer: Caresource Medicare |
$432.39
|
| Rate for Payer: Centivo/Paragon All Products |
$609.27
|
| Rate for Payer: Coventry/First Health All Products |
$920.38
|
| Rate for Payer: Frontpath All Products |
$539.58
|
| Rate for Payer: Humana ChoiceCare |
$766.98
|
| Rate for Payer: Humana Medicare |
$393.08
|
| Rate for Payer: Lucent/Coldwater Veneers |
$668.24
|
| Rate for Payer: Lutheran Preferred All Products |
$629.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$575.24
|
| Rate for Payer: PHP All Products |
$667.28
|
| Rate for Payer: Plain Church Group Ministry All Products |
$393.08
|
| Rate for Payer: Signature Care EPO |
$636.65
|
| Rate for Payer: Signature Care PPO |
$636.65
|
| Rate for Payer: Three Rivers Preferred All Products |
$590.00
|
| Rate for Payer: United Healthcare Commercial |
$471.98
|
| Rate for Payer: United Healthcare Medicare |
$383.49
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
$610.62
|
|
|
Service Code
|
CPT 33222
|
| Hospital Charge Code |
Z12528
|
| Min. Negotiated Rate |
$305.31 |
| Max. Negotiated Rate |
$732.74 |
| Rate for Payer: Aetna Medicare |
$312.94
|
| Rate for Payer: Anthem Exchange |
$501.80
|
| Rate for Payer: Anthem Medicare |
$312.94
|
| Rate for Payer: Anthem PPO |
$501.80
|
| Rate for Payer: Anthem Traditional |
$501.80
|
| Rate for Payer: Caresource Just 4 Me |
$359.88
|
| Rate for Payer: Caresource Medicare |
$344.23
|
| Rate for Payer: Centivo/Paragon All Products |
$485.06
|
| Rate for Payer: Coventry/First Health All Products |
$732.74
|
| Rate for Payer: Frontpath All Products |
$445.25
|
| Rate for Payer: Humana ChoiceCare |
$610.62
|
| Rate for Payer: Humana Medicare |
$312.94
|
| Rate for Payer: Lucent/Coldwater Veneers |
$532.00
|
| Rate for Payer: Lutheran Preferred All Products |
$501.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$457.97
|
| Rate for Payer: PHP All Products |
$427.43
|
| Rate for Payer: Plain Church Group Ministry All Products |
$312.94
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Three Rivers Preferred All Products |
$469.00
|
| Rate for Payer: United Healthcare Commercial |
$414.76
|
| Rate for Payer: United Healthcare Medicare |
$305.31
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
$47.68
|
|
|
Service Code
|
CPT 93297
|
| Hospital Charge Code |
Z13108
|
| Min. Negotiated Rate |
$23.84 |
| Max. Negotiated Rate |
$57.22 |
| Rate for Payer: Aetna Medicare |
$24.44
|
| Rate for Payer: Anthem Exchange |
$36.98
|
| Rate for Payer: Anthem Medicare |
$24.44
|
| Rate for Payer: Anthem PPO |
$36.98
|
| Rate for Payer: Anthem Traditional |
$36.98
|
| Rate for Payer: Caresource Just 4 Me |
$28.11
|
| Rate for Payer: Caresource Medicare |
$26.88
|
| Rate for Payer: Centivo/Paragon All Products |
$37.88
|
| Rate for Payer: Coventry/First Health All Products |
$57.22
|
| Rate for Payer: Frontpath All Products |
$28.75
|
| Rate for Payer: Humana ChoiceCare |
$47.68
|
| Rate for Payer: Humana Medicare |
$24.44
|
| Rate for Payer: Lucent/Coldwater Veneers |
$41.55
|
| Rate for Payer: Lutheran Preferred All Products |
$39.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$35.76
|
| Rate for Payer: PHP All Products |
$35.05
|
| Rate for Payer: Plain Church Group Ministry All Products |
$24.44
|
| Rate for Payer: Signature Care EPO |
$37.97
|
| Rate for Payer: Signature Care PPO |
$37.97
|
| Rate for Payer: Three Rivers Preferred All Products |
$37.00
|
| Rate for Payer: United Healthcare Commercial |
$31.03
|
| Rate for Payer: United Healthcare Medicare |
$23.84
|
|
|
PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP
|
Professional
|
$55.38
|
|
|
Service Code
|
CPT 93294
|
| Hospital Charge Code |
Z13105
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$66.46 |
| Rate for Payer: Aetna Medicare |
$28.39
|
| Rate for Payer: Anthem Exchange |
$52.67
|
| Rate for Payer: Anthem Medicare |
$28.39
|
| Rate for Payer: Anthem PPO |
$52.67
|
| Rate for Payer: Anthem Traditional |
$52.67
|
| Rate for Payer: Caresource Just 4 Me |
$32.65
|
| Rate for Payer: Caresource Medicare |
$31.23
|
| Rate for Payer: Centivo/Paragon All Products |
$44.00
|
| Rate for Payer: Coventry/First Health All Products |
$66.46
|
| Rate for Payer: Frontpath All Products |
$32.85
|
| Rate for Payer: Humana ChoiceCare |
$55.38
|
| Rate for Payer: Humana Medicare |
$28.39
|
| Rate for Payer: Lucent/Coldwater Veneers |
$48.26
|
| Rate for Payer: Lutheran Preferred All Products |
$45.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$41.54
|
| Rate for Payer: PHP All Products |
$40.71
|
| Rate for Payer: Plain Church Group Ministry All Products |
$28.39
|
| Rate for Payer: Signature Care EPO |
$49.10
|
| Rate for Payer: Signature Care PPO |
$49.10
|
| Rate for Payer: Three Rivers Preferred All Products |
$43.00
|
| Rate for Payer: United Healthcare Commercial |
$44.19
|
| Rate for Payer: United Healthcare Medicare |
$27.69
|
|
|
PR REM INTERROG PM/LDLS PM/IDS <90 D PHYS/QHP
|
Professional
|
$40.08
|
|
|
Service Code
|
CPT 93296
|
| Hospital Charge Code |
Z13107
|
| Min. Negotiated Rate |
$20.04 |
| Max. Negotiated Rate |
$49.66 |
| Rate for Payer: Aetna Medicare |
$20.54
|
| Rate for Payer: Anthem Exchange |
$49.66
|
| Rate for Payer: Anthem Medicare |
$20.54
|
| Rate for Payer: Anthem PPO |
$49.66
|
| Rate for Payer: Anthem Traditional |
$49.66
|
| Rate for Payer: Caresource Just 4 Me |
$23.62
|
| Rate for Payer: Caresource Medicare |
$22.59
|
| Rate for Payer: Centivo/Paragon All Products |
$31.84
|
| Rate for Payer: Coventry/First Health All Products |
$48.10
|
| Rate for Payer: Frontpath All Products |
$24.05
|
| Rate for Payer: Humana ChoiceCare |
$40.08
|
| Rate for Payer: Humana Medicare |
$20.54
|
| Rate for Payer: Lucent/Coldwater Veneers |
$34.92
|
| Rate for Payer: Lutheran Preferred All Products |
$33.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$30.06
|
| Rate for Payer: PHP All Products |
$29.45
|
| Rate for Payer: Plain Church Group Ministry All Products |
$20.54
|
| Rate for Payer: Signature Care EPO |
$36.28
|
| Rate for Payer: Signature Care PPO |
$36.28
|
| Rate for Payer: Three Rivers Preferred All Products |
$31.00
|
| Rate for Payer: United Healthcare Commercial |
$41.66
|
| Rate for Payer: United Healthcare Medicare |
$20.04
|
|
|
PR REM INTERROG SCRMS <30 D PHYS/QHP
|
Professional
|
$48.28
|
|
|
Service Code
|
CPT 93298
|
| Hospital Charge Code |
Z13109
|
| Min. Negotiated Rate |
$24.14 |
| Max. Negotiated Rate |
$57.94 |
| Rate for Payer: Aetna Medicare |
$24.75
|
| Rate for Payer: Anthem Exchange |
$42.41
|
| Rate for Payer: Anthem Medicare |
$24.75
|
| Rate for Payer: Anthem PPO |
$42.41
|
| Rate for Payer: Anthem Traditional |
$42.41
|
| Rate for Payer: Caresource Just 4 Me |
$28.46
|
| Rate for Payer: Caresource Medicare |
$27.23
|
| Rate for Payer: Centivo/Paragon All Products |
$38.36
|
| Rate for Payer: Coventry/First Health All Products |
$57.94
|
| Rate for Payer: Frontpath All Products |
$28.75
|
| Rate for Payer: Humana ChoiceCare |
$48.28
|
| Rate for Payer: Humana Medicare |
$24.75
|
| Rate for Payer: Lucent/Coldwater Veneers |
$42.07
|
| Rate for Payer: Lutheran Preferred All Products |
$40.00
|
| Rate for Payer: PHCS/Multiplan All Products |
$36.21
|
| Rate for Payer: PHP All Products |
$35.49
|
| Rate for Payer: Plain Church Group Ministry All Products |
$24.75
|
| Rate for Payer: Signature Care EPO |
$42.81
|
| Rate for Payer: Signature Care PPO |
$42.81
|
| Rate for Payer: Three Rivers Preferred All Products |
$37.00
|
| Rate for Payer: United Healthcare Commercial |
$35.58
|
| Rate for Payer: United Healthcare Medicare |
$24.14
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH
|
Professional
|
$89.18
|
|
|
Service Code
|
CPT 99457
|
| Hospital Charge Code |
Z13227
|
| Min. Negotiated Rate |
$28.72 |
| Max. Negotiated Rate |
$107.02 |
| Rate for Payer: Aetna Medicare |
$28.72
|
| Rate for Payer: Anthem Medicare |
$28.72
|
| Rate for Payer: Caresource Just 4 Me |
$33.03
|
| Rate for Payer: Caresource Medicare |
$31.59
|
| Rate for Payer: Centivo/Paragon All Products |
$44.52
|
| Rate for Payer: Coventry/First Health All Products |
$107.02
|
| Rate for Payer: Frontpath All Products |
$31.74
|
| Rate for Payer: Humana ChoiceCare |
$89.18
|
| Rate for Payer: Humana Medicare |
$28.72
|
| Rate for Payer: Lucent/Coldwater Veneers |
$48.82
|
| Rate for Payer: PHCS/Multiplan All Products |
$66.89
|
| Rate for Payer: Plain Church Group Ministry All Products |
$28.72
|
| Rate for Payer: United Healthcare Commercial |
$32.70
|
| Rate for Payer: United Healthcare Medicare |
$44.59
|
|
