PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN
|
Professional
|
Both
|
$9,037.53
|
|
Service Code
|
HCPCS 61570
|
Min. Negotiated Rate |
$6,778.15 |
Max. Negotiated Rate |
$6,778.15 |
Rate for Payer: Cash Price |
$2,383.15
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$6,778.15
|
Rate for Payer: SOMOS Essential |
$6,778.15
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL
|
Professional
|
Both
|
$9,682.09
|
|
Service Code
|
HCPCS 61305
|
Min. Negotiated Rate |
$7,261.57 |
Max. Negotiated Rate |
$7,261.57 |
Rate for Payer: Cash Price |
$2,551.55
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,261.57
|
Rate for Payer: SOMOS Essential |
$7,261.57
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL
|
Professional
|
Both
|
$7,868.39
|
|
Service Code
|
HCPCS 61304
|
Min. Negotiated Rate |
$5,901.29 |
Max. Negotiated Rate |
$5,901.29 |
Rate for Payer: Cash Price |
$2,082.88
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,901.29
|
Rate for Payer: SOMOS Essential |
$5,901.29
|
|
PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN
|
Professional
|
Both
|
$9,614.22
|
|
Service Code
|
HCPCS 61571
|
Min. Negotiated Rate |
$7,210.66 |
Max. Negotiated Rate |
$7,210.66 |
Rate for Payer: Cash Price |
$2,534.71
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,210.66
|
Rate for Payer: SOMOS Essential |
$7,210.66
|
|
PR CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL
|
Professional
|
Both
|
$8,767.71
|
|
Service Code
|
HCPCS 61314
|
Min. Negotiated Rate |
$6,575.78 |
Max. Negotiated Rate |
$6,575.78 |
Rate for Payer: Cash Price |
$2,319.33
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$6,575.78
|
Rate for Payer: SOMOS Essential |
$6,575.78
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL
|
Professional
|
Both
|
$9,995.58
|
|
Service Code
|
HCPCS 61312
|
Min. Negotiated Rate |
$7,496.68 |
Max. Negotiated Rate |
$7,496.68 |
Rate for Payer: Cash Price |
$2,632.48
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,496.68
|
Rate for Payer: SOMOS Essential |
$7,496.68
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$9,554.27
|
|
Service Code
|
HCPCS 61313
|
Min. Negotiated Rate |
$7,165.70 |
Max. Negotiated Rate |
$7,165.70 |
Rate for Payer: Cash Price |
$2,525.07
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,165.70
|
Rate for Payer: SOMOS Essential |
$7,165.70
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$9,980.25
|
|
Service Code
|
HCPCS 61315
|
Min. Negotiated Rate |
$7,485.19 |
Max. Negotiated Rate |
$7,485.19 |
Rate for Payer: Cash Price |
$2,633.56
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,485.19
|
Rate for Payer: SOMOS Essential |
$7,485.19
|
|
PR CRANIECTOMY OSTEOMYELITIS
|
Professional
|
Both
|
$5,225.01
|
|
Service Code
|
HCPCS 61501
|
Min. Negotiated Rate |
$3,918.76 |
Max. Negotiated Rate |
$3,918.76 |
Rate for Payer: Cash Price |
$1,386.15
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,918.76
|
Rate for Payer: SOMOS Essential |
$3,918.76
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR
|
Professional
|
Both
|
$10,171.18
|
|
Service Code
|
HCPCS 61460
|
Min. Negotiated Rate |
$7,628.38 |
Max. Negotiated Rate |
$7,628.38 |
Rate for Payer: Cash Price |
$2,679.92
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,628.38
|
Rate for Payer: SOMOS Essential |
$7,628.38
|
|
PR CRANIECTOMY W/EXCISION TUMOR/LESION SKULL
|
Professional
|
Both
|
$6,020.67
|
|
Service Code
|
HCPCS 61500
|
Min. Negotiated Rate |
$4,515.50 |
Max. Negotiated Rate |
$4,515.50 |
Rate for Payer: Cash Price |
$1,600.43
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,515.50
|
Rate for Payer: SOMOS Essential |
$4,515.50
|
|
PR CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR
|
Professional
|
Both
|
$10,598.91
|
|
Service Code
|
HCPCS 61510
|
Min. Negotiated Rate |
$7,949.18 |
Max. Negotiated Rate |
$7,949.18 |
Rate for Payer: Cash Price |
$2,798.44
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,949.18
|
Rate for Payer: SOMOS Essential |
$7,949.18
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$11,042.12
|
|
Service Code
|
HCPCS 61580
|
Min. Negotiated Rate |
$8,281.59 |
Max. Negotiated Rate |
$8,281.59 |
Rate for Payer: Cash Price |
$2,962.04
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8,281.59
|
Rate for Payer: SOMOS Essential |
$8,281.59
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ
|
Professional
|
Both
|
$11,743.87
|
|
Service Code
|
HCPCS 61581
|
Min. Negotiated Rate |
$8,807.90 |
Max. Negotiated Rate |
$8,807.90 |
Rate for Payer: Cash Price |
$3,161.17
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8,807.90
|
Rate for Payer: SOMOS Essential |
$8,807.90
|
|
PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER
|
Professional
|
Both
|
$4,804.59
|
|
Service Code
|
HCPCS 62140
|
Min. Negotiated Rate |
$3,603.44 |
Max. Negotiated Rate |
$3,603.44 |
Rate for Payer: Cash Price |
$1,277.46
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,603.44
|
Rate for Payer: SOMOS Essential |
$3,603.44
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$5,420.63
|
|
Service Code
|
HCPCS 62141
|
Min. Negotiated Rate |
$4,065.47 |
Max. Negotiated Rate |
$4,065.47 |
Rate for Payer: Cash Price |
$1,440.59
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,065.47
|
Rate for Payer: SOMOS Essential |
$4,065.47
|
|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$6,813.38
|
|
Service Code
|
HCPCS 62145
|
Min. Negotiated Rate |
$5,110.04 |
Max. Negotiated Rate |
$5,110.04 |
Rate for Payer: Cash Price |
$1,807.47
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,110.04
|
Rate for Payer: SOMOS Essential |
$5,110.04
|
|
PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER
|
Professional
|
Both
|
$6,031.87
|
|
Service Code
|
HCPCS 62146
|
Min. Negotiated Rate |
$4,523.90 |
Max. Negotiated Rate |
$4,523.90 |
Rate for Payer: Cash Price |
$1,593.57
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,523.90
|
Rate for Payer: SOMOS Essential |
$4,523.90
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$6,721.44
|
|
Service Code
|
HCPCS 62147
|
Min. Negotiated Rate |
$5,041.08 |
Max. Negotiated Rate |
$5,041.08 |
Rate for Payer: Cash Price |
$1,782.53
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,041.08
|
Rate for Payer: SOMOS Essential |
$5,041.08
|
|
PR CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY
|
Professional
|
Both
|
$12,454.58
|
|
Service Code
|
HCPCS 61536
|
Min. Negotiated Rate |
$9,340.94 |
Max. Negotiated Rate |
$9,340.94 |
Rate for Payer: Cash Price |
$3,276.44
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$9,340.94
|
Rate for Payer: SOMOS Essential |
$9,340.94
|
|
PR CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY
|
Professional
|
Both
|
$7,966.39
|
|
Service Code
|
HCPCS 61534
|
Min. Negotiated Rate |
$5,974.79 |
Max. Negotiated Rate |
$5,974.79 |
Rate for Payer: Cash Price |
$2,102.71
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,974.79
|
Rate for Payer: SOMOS Essential |
$5,974.79
|
|
PR CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR
|
Professional
|
Both
|
$11,154.50
|
|
Service Code
|
HCPCS 61546
|
Min. Negotiated Rate |
$8,365.88 |
Max. Negotiated Rate |
$8,365.88 |
Rate for Payer: Cash Price |
$2,935.88
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8,365.88
|
Rate for Payer: SOMOS Essential |
$8,365.88
|
|
PR CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY
|
Professional
|
Both
|
$12,862.78
|
|
Service Code
|
HCPCS 61538
|
Min. Negotiated Rate |
$9,647.08 |
Max. Negotiated Rate |
$9,647.08 |
Rate for Payer: Cash Price |
$3,381.27
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$9,647.08
|
Rate for Payer: SOMOS Essential |
$9,647.08
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG
|
Professional
|
Both
|
$11,403.49
|
|
Service Code
|
HCPCS 61539
|
Min. Negotiated Rate |
$8,552.62 |
Max. Negotiated Rate |
$8,552.62 |
Rate for Payer: Cash Price |
$3,001.14
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$8,552.62
|
Rate for Payer: SOMOS Essential |
$8,552.62
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$10,511.90
|
|
Service Code
|
HCPCS 61540
|
Min. Negotiated Rate |
$7,883.92 |
Max. Negotiated Rate |
$7,883.92 |
Rate for Payer: Cash Price |
$2,769.44
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$7,883.92
|
Rate for Payer: SOMOS Essential |
$7,883.92
|
|