|
EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$16,215.00
|
|
|
Service Code
|
HCPCS 42440 80
|
| Min. Negotiated Rate |
$12,161.25 |
| Max. Negotiated Rate |
$16,215.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$15,890.70
|
| Rate for Payer: Beech Street Commercial |
$15,404.25
|
| Rate for Payer: Cash Price |
$11,350.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$15,728.55
|
| Rate for Payer: Cigna of WY Commercial |
$15,890.70
|
| Rate for Payer: First Choice Health Commercial |
$14,593.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$15,404.25
|
| Rate for Payer: HealthUtah PPO |
$16,215.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$15,728.55
|
| Rate for Payer: One Health Plan of WY PPO |
$15,890.70
|
| Rate for Payer: PacificSource Commercial |
$14,593.50
|
| Rate for Payer: PHCS PPO |
$15,404.25
|
| Rate for Payer: Three Rivers PPO |
$12,161.25
|
| Rate for Payer: United Healthcare Commercial |
$15,404.25
|
| Rate for Payer: WINHealth Partners Commercial |
$13,782.75
|
|
|
EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$8,108.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$344.28 |
| Max. Negotiated Rate |
$8,108.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$7,945.84
|
| Rate for Payer: Aetna of WY Medicare |
$405.04
|
| Rate for Payer: Beech Street Commercial |
$7,702.60
|
| Rate for Payer: Cash Price |
$5,675.60
|
| Rate for Payer: Cash Price |
$5,675.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$7,864.76
|
| Rate for Payer: Cigna of WY Commercial |
$7,945.84
|
| Rate for Payer: First Choice Health Commercial |
$7,297.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$7,702.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$405.04
|
| Rate for Payer: HealthUtah PPO |
$8,108.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$7,864.76
|
| Rate for Payer: Multiplan Medicare/VA |
$344.28
|
| Rate for Payer: One Health Plan of WY PPO |
$7,945.84
|
| Rate for Payer: PacificSource Commercial |
$7,297.20
|
| Rate for Payer: PHCS PPO |
$7,702.60
|
| Rate for Payer: Three Rivers PPO |
$6,081.00
|
| Rate for Payer: TriWest Veterans Administration |
$405.04
|
| Rate for Payer: United Healthcare Commercial |
$7,702.60
|
| Rate for Payer: WINHealth Partners Commercial |
$6,891.80
|
|
|
EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$4,048.00
|
|
|
Service Code
|
HCPCS 27345 80
|
| Min. Negotiated Rate |
$405.84 |
| Max. Negotiated Rate |
$4,048.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,967.04
|
| Rate for Payer: Beech Street Commercial |
$3,845.60
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,926.56
|
| Rate for Payer: Cigna of WY Commercial |
$3,967.04
|
| Rate for Payer: First Choice Health Commercial |
$3,643.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,845.60
|
| Rate for Payer: HealthUtah PPO |
$4,048.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,926.56
|
| Rate for Payer: One Health Plan of WY PPO |
$3,967.04
|
| Rate for Payer: PacificSource Commercial |
$3,643.20
|
| Rate for Payer: PHCS PPO |
$3,845.60
|
| Rate for Payer: Three Rivers PPO |
$3,036.00
|
| Rate for Payer: United Healthcare Commercial |
$3,845.60
|
| Rate for Payer: WINHealth Partners Commercial |
$3,440.80
|
|
|
EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$810.00
|
|
|
Service Code
|
HCPCS 27345 AS
|
| Min. Negotiated Rate |
$607.50 |
| Max. Negotiated Rate |
$810.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$793.80
|
| Rate for Payer: Beech Street Commercial |
$769.50
|
| Rate for Payer: Cash Price |
$567.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$785.70
|
| Rate for Payer: Cigna of WY Commercial |
$793.80
|
| Rate for Payer: First Choice Health Commercial |
$729.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$769.50
|
| Rate for Payer: HealthUtah PPO |
$810.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$785.70
|
| Rate for Payer: One Health Plan of WY PPO |
$793.80
|
| Rate for Payer: PacificSource Commercial |
$729.00
|
| Rate for Payer: PHCS PPO |
$769.50
|
| Rate for Payer: Three Rivers PPO |
$607.50
|
| Rate for Payer: United Healthcare Commercial |
$769.50
|
| Rate for Payer: WINHealth Partners Commercial |
$688.50
|
|
|
EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$4,048.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$405.84 |
| Max. Negotiated Rate |
$4,048.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,967.04
|
| Rate for Payer: Aetna of WY Medicare |
$477.46
|
| Rate for Payer: Beech Street Commercial |
$3,845.60
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,926.56
|
| Rate for Payer: Cigna of WY Commercial |
$3,967.04
|
| Rate for Payer: First Choice Health Commercial |
$3,643.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,845.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$477.46
|
| Rate for Payer: HealthUtah PPO |
$4,048.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,926.56
|
| Rate for Payer: Multiplan Medicare/VA |
$405.84
|
| Rate for Payer: One Health Plan of WY PPO |
$3,967.04
|
| Rate for Payer: PacificSource Commercial |
$3,643.20
|
| Rate for Payer: PHCS PPO |
$3,845.60
|
| Rate for Payer: Three Rivers PPO |
$3,036.00
|
| Rate for Payer: TriWest Veterans Administration |
$477.46
|
| Rate for Payer: United Healthcare Commercial |
$3,845.60
|
| Rate for Payer: WINHealth Partners Commercial |
$3,440.80
|
|
|
EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$3,601.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$377.87 |
| Max. Negotiated Rate |
$3,601.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,528.98
|
| Rate for Payer: Aetna of WY Medicare |
$444.55
|
| Rate for Payer: Beech Street Commercial |
$3,420.95
|
| Rate for Payer: Cash Price |
$2,520.70
|
| Rate for Payer: Cash Price |
$2,520.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,492.97
|
| Rate for Payer: Cigna of WY Commercial |
$3,528.98
|
| Rate for Payer: First Choice Health Commercial |
$3,240.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,420.95
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$444.55
|
| Rate for Payer: HealthUtah PPO |
$3,601.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,492.97
|
| Rate for Payer: Multiplan Medicare/VA |
$377.87
|
| Rate for Payer: One Health Plan of WY PPO |
$3,528.98
|
| Rate for Payer: PacificSource Commercial |
$3,240.90
|
| Rate for Payer: PHCS PPO |
$3,420.95
|
| Rate for Payer: Three Rivers PPO |
$2,700.75
|
| Rate for Payer: TriWest Veterans Administration |
$444.55
|
| Rate for Payer: United Healthcare Commercial |
$3,420.95
|
| Rate for Payer: WINHealth Partners Commercial |
$3,060.85
|
|
|
EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,194.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$342.89 |
| Max. Negotiated Rate |
$1,194.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,170.12
|
| Rate for Payer: Aetna of WY Medicare |
$403.40
|
| Rate for Payer: Beech Street Commercial |
$1,134.30
|
| Rate for Payer: Cash Price |
$835.80
|
| Rate for Payer: Cash Price |
$835.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,158.18
|
| Rate for Payer: Cigna of WY Commercial |
$1,170.12
|
| Rate for Payer: First Choice Health Commercial |
$1,074.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,134.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$403.40
|
| Rate for Payer: HealthUtah PPO |
$1,194.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,158.18
|
| Rate for Payer: Multiplan Medicare/VA |
$342.89
|
| Rate for Payer: One Health Plan of WY PPO |
$1,170.12
|
| Rate for Payer: PacificSource Commercial |
$1,074.60
|
| Rate for Payer: PHCS PPO |
$1,134.30
|
| Rate for Payer: Three Rivers PPO |
$895.50
|
| Rate for Payer: TriWest Veterans Administration |
$403.40
|
| Rate for Payer: United Healthcare Commercial |
$1,134.30
|
| Rate for Payer: WINHealth Partners Commercial |
$1,014.90
|
|
|
EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$2,988.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$378.45 |
| Max. Negotiated Rate |
$2,988.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,928.24
|
| Rate for Payer: Aetna of WY Medicare |
$445.23
|
| Rate for Payer: Beech Street Commercial |
$2,838.60
|
| Rate for Payer: Cash Price |
$2,091.60
|
| Rate for Payer: Cash Price |
$2,091.60
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,898.36
|
| Rate for Payer: Cigna of WY Commercial |
$2,928.24
|
| Rate for Payer: First Choice Health Commercial |
$2,689.20
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,838.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$445.23
|
| Rate for Payer: HealthUtah PPO |
$2,988.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,898.36
|
| Rate for Payer: Multiplan Medicare/VA |
$378.45
|
| Rate for Payer: One Health Plan of WY PPO |
$2,928.24
|
| Rate for Payer: PacificSource Commercial |
$2,689.20
|
| Rate for Payer: PHCS PPO |
$2,838.60
|
| Rate for Payer: Three Rivers PPO |
$2,241.00
|
| Rate for Payer: TriWest Veterans Administration |
$445.23
|
| Rate for Payer: United Healthcare Commercial |
$2,838.60
|
| Rate for Payer: WINHealth Partners Commercial |
$2,539.80
|
|
|
EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$2,451.00
|
|
|
Service Code
|
HCPCS 27062 AS
|
| Min. Negotiated Rate |
$1,838.25 |
| Max. Negotiated Rate |
$2,451.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,401.98
|
| Rate for Payer: Beech Street Commercial |
$2,328.45
|
| Rate for Payer: Cash Price |
$1,715.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,377.47
|
| Rate for Payer: Cigna of WY Commercial |
$2,401.98
|
| Rate for Payer: First Choice Health Commercial |
$2,205.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,328.45
|
| Rate for Payer: HealthUtah PPO |
$2,451.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,377.47
|
| Rate for Payer: One Health Plan of WY PPO |
$2,401.98
|
| Rate for Payer: PacificSource Commercial |
$2,205.90
|
| Rate for Payer: PHCS PPO |
$2,328.45
|
| Rate for Payer: Three Rivers PPO |
$1,838.25
|
| Rate for Payer: United Healthcare Commercial |
$2,328.45
|
| Rate for Payer: WINHealth Partners Commercial |
$2,083.35
|
|
|
EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$403.00
|
|
|
Service Code
|
HCPCS 27062 80
|
| Min. Negotiated Rate |
$302.25 |
| Max. Negotiated Rate |
$403.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$394.94
|
| Rate for Payer: Beech Street Commercial |
$382.85
|
| Rate for Payer: Cash Price |
$282.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$390.91
|
| Rate for Payer: Cigna of WY Commercial |
$394.94
|
| Rate for Payer: First Choice Health Commercial |
$362.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$382.85
|
| Rate for Payer: HealthUtah PPO |
$403.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$390.91
|
| Rate for Payer: One Health Plan of WY PPO |
$394.94
|
| Rate for Payer: PacificSource Commercial |
$362.70
|
| Rate for Payer: PHCS PPO |
$382.85
|
| Rate for Payer: Three Rivers PPO |
$302.25
|
| Rate for Payer: United Healthcare Commercial |
$382.85
|
| Rate for Payer: WINHealth Partners Commercial |
$342.55
|
|
|
EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$2,075.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$384.42 |
| Max. Negotiated Rate |
$2,075.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,033.50
|
| Rate for Payer: Aetna of WY Medicare |
$452.26
|
| Rate for Payer: Beech Street Commercial |
$1,971.25
|
| Rate for Payer: Cash Price |
$1,452.50
|
| Rate for Payer: Cash Price |
$1,452.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,012.75
|
| Rate for Payer: Cigna of WY Commercial |
$2,033.50
|
| Rate for Payer: First Choice Health Commercial |
$1,867.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,971.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$452.26
|
| Rate for Payer: HealthUtah PPO |
$2,075.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,012.75
|
| Rate for Payer: Multiplan Medicare/VA |
$384.42
|
| Rate for Payer: One Health Plan of WY PPO |
$2,033.50
|
| Rate for Payer: PacificSource Commercial |
$1,867.50
|
| Rate for Payer: PHCS PPO |
$1,971.25
|
| Rate for Payer: Three Rivers PPO |
$1,556.25
|
| Rate for Payer: TriWest Veterans Administration |
$452.26
|
| Rate for Payer: United Healthcare Commercial |
$1,971.25
|
| Rate for Payer: WINHealth Partners Commercial |
$1,763.75
|
|
|
EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$1,525.00
|
|
|
Service Code
|
HCPCS 28039 80
|
| Min. Negotiated Rate |
$280.30 |
| Max. Negotiated Rate |
$1,525.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,494.50
|
| Rate for Payer: Beech Street Commercial |
$1,448.75
|
| Rate for Payer: Cash Price |
$1,067.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,479.25
|
| Rate for Payer: Cigna of WY Commercial |
$1,494.50
|
| Rate for Payer: First Choice Health Commercial |
$1,372.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,448.75
|
| Rate for Payer: HealthUtah PPO |
$1,525.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,479.25
|
| Rate for Payer: One Health Plan of WY PPO |
$1,494.50
|
| Rate for Payer: PacificSource Commercial |
$1,372.50
|
| Rate for Payer: PHCS PPO |
$1,448.75
|
| Rate for Payer: Three Rivers PPO |
$1,143.75
|
| Rate for Payer: United Healthcare Commercial |
$1,448.75
|
| Rate for Payer: WINHealth Partners Commercial |
$1,296.25
|
|
|
EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$1,525.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$280.30 |
| Max. Negotiated Rate |
$1,525.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,494.50
|
| Rate for Payer: Aetna of WY Medicare |
$329.76
|
| Rate for Payer: Beech Street Commercial |
$1,448.75
|
| Rate for Payer: Cash Price |
$1,067.50
|
| Rate for Payer: Cash Price |
$1,067.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,479.25
|
| Rate for Payer: Cigna of WY Commercial |
$1,494.50
|
| Rate for Payer: First Choice Health Commercial |
$1,372.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,448.75
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$329.76
|
| Rate for Payer: HealthUtah PPO |
$1,525.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,479.25
|
| Rate for Payer: Multiplan Medicare/VA |
$280.30
|
| Rate for Payer: One Health Plan of WY PPO |
$1,494.50
|
| Rate for Payer: PacificSource Commercial |
$1,372.50
|
| Rate for Payer: PHCS PPO |
$1,448.75
|
| Rate for Payer: Three Rivers PPO |
$1,143.75
|
| Rate for Payer: TriWest Veterans Administration |
$329.76
|
| Rate for Payer: United Healthcare Commercial |
$1,448.75
|
| Rate for Payer: WINHealth Partners Commercial |
$1,296.25
|
|
|
EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$1,525.00
|
|
|
Service Code
|
HCPCS 28039 AS
|
| Min. Negotiated Rate |
$280.30 |
| Max. Negotiated Rate |
$1,525.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,494.50
|
| Rate for Payer: Beech Street Commercial |
$1,448.75
|
| Rate for Payer: Cash Price |
$1,067.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,479.25
|
| Rate for Payer: Cigna of WY Commercial |
$1,494.50
|
| Rate for Payer: First Choice Health Commercial |
$1,372.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,448.75
|
| Rate for Payer: HealthUtah PPO |
$1,525.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,479.25
|
| Rate for Payer: One Health Plan of WY PPO |
$1,494.50
|
| Rate for Payer: PacificSource Commercial |
$1,372.50
|
| Rate for Payer: PHCS PPO |
$1,448.75
|
| Rate for Payer: Three Rivers PPO |
$1,143.75
|
| Rate for Payer: United Healthcare Commercial |
$1,448.75
|
| Rate for Payer: WINHealth Partners Commercial |
$1,296.25
|
|
|
EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$3,051.00
|
|
|
Service Code
|
HCPCS 28039 50
|
| Min. Negotiated Rate |
$2,288.25 |
| Max. Negotiated Rate |
$3,051.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,989.98
|
| Rate for Payer: Beech Street Commercial |
$2,898.45
|
| Rate for Payer: Cash Price |
$2,135.70
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,959.47
|
| Rate for Payer: Cigna of WY Commercial |
$2,989.98
|
| Rate for Payer: First Choice Health Commercial |
$2,745.90
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,898.45
|
| Rate for Payer: HealthUtah PPO |
$3,051.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,959.47
|
| Rate for Payer: One Health Plan of WY PPO |
$2,989.98
|
| Rate for Payer: PacificSource Commercial |
$2,745.90
|
| Rate for Payer: PHCS PPO |
$2,898.45
|
| Rate for Payer: Three Rivers PPO |
$2,288.25
|
| Rate for Payer: United Healthcare Commercial |
$2,898.45
|
| Rate for Payer: WINHealth Partners Commercial |
$2,593.35
|
|
|
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$2,974.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$279.79 |
| Max. Negotiated Rate |
$2,974.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,914.52
|
| Rate for Payer: Aetna of WY Medicare |
$329.16
|
| Rate for Payer: Beech Street Commercial |
$2,825.30
|
| Rate for Payer: Cash Price |
$2,081.80
|
| Rate for Payer: Cash Price |
$2,081.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,884.78
|
| Rate for Payer: Cigna of WY Commercial |
$2,914.52
|
| Rate for Payer: First Choice Health Commercial |
$2,676.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,825.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$329.16
|
| Rate for Payer: HealthUtah PPO |
$2,974.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,884.78
|
| Rate for Payer: Multiplan Medicare/VA |
$279.79
|
| Rate for Payer: One Health Plan of WY PPO |
$2,914.52
|
| Rate for Payer: PacificSource Commercial |
$2,676.60
|
| Rate for Payer: PHCS PPO |
$2,825.30
|
| Rate for Payer: Three Rivers PPO |
$2,230.50
|
| Rate for Payer: TriWest Veterans Administration |
$329.16
|
| Rate for Payer: United Healthcare Commercial |
$2,825.30
|
| Rate for Payer: WINHealth Partners Commercial |
$2,527.90
|
|
|
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$1,130.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$216.45 |
| Max. Negotiated Rate |
$1,130.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,107.40
|
| Rate for Payer: Aetna of WY Medicare |
$254.65
|
| Rate for Payer: Beech Street Commercial |
$1,073.50
|
| Rate for Payer: Cash Price |
$791.00
|
| Rate for Payer: Cash Price |
$791.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,096.10
|
| Rate for Payer: Cigna of WY Commercial |
$1,107.40
|
| Rate for Payer: First Choice Health Commercial |
$1,017.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,073.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$254.65
|
| Rate for Payer: HealthUtah PPO |
$1,130.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,096.10
|
| Rate for Payer: Multiplan Medicare/VA |
$216.45
|
| Rate for Payer: One Health Plan of WY PPO |
$1,107.40
|
| Rate for Payer: PacificSource Commercial |
$1,017.00
|
| Rate for Payer: PHCS PPO |
$1,073.50
|
| Rate for Payer: Three Rivers PPO |
$847.50
|
| Rate for Payer: TriWest Veterans Administration |
$254.65
|
| Rate for Payer: United Healthcare Commercial |
$1,073.50
|
| Rate for Payer: WINHealth Partners Commercial |
$960.50
|
|
|
EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,599.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$301.10 |
| Max. Negotiated Rate |
$1,599.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,567.02
|
| Rate for Payer: Aetna of WY Medicare |
$354.23
|
| Rate for Payer: Beech Street Commercial |
$1,519.05
|
| Rate for Payer: Cash Price |
$1,119.30
|
| Rate for Payer: Cash Price |
$1,119.30
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,551.03
|
| Rate for Payer: Cigna of WY Commercial |
$1,567.02
|
| Rate for Payer: First Choice Health Commercial |
$1,439.10
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,519.05
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$354.23
|
| Rate for Payer: HealthUtah PPO |
$1,599.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,551.03
|
| Rate for Payer: Multiplan Medicare/VA |
$301.10
|
| Rate for Payer: One Health Plan of WY PPO |
$1,567.02
|
| Rate for Payer: PacificSource Commercial |
$1,439.10
|
| Rate for Payer: PHCS PPO |
$1,519.05
|
| Rate for Payer: Three Rivers PPO |
$1,199.25
|
| Rate for Payer: TriWest Veterans Administration |
$354.23
|
| Rate for Payer: United Healthcare Commercial |
$1,519.05
|
| Rate for Payer: WINHealth Partners Commercial |
$1,359.15
|
|
|
EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$6,774.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$335.91 |
| Max. Negotiated Rate |
$6,774.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$6,638.52
|
| Rate for Payer: Aetna of WY Medicare |
$395.19
|
| Rate for Payer: Beech Street Commercial |
$6,435.30
|
| Rate for Payer: Cash Price |
$4,741.80
|
| Rate for Payer: Cash Price |
$4,741.80
|
| Rate for Payer: ChoiceCare Network Commercial |
$6,570.78
|
| Rate for Payer: Cigna of WY Commercial |
$6,638.52
|
| Rate for Payer: First Choice Health Commercial |
$6,096.60
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$6,435.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$395.19
|
| Rate for Payer: HealthUtah PPO |
$6,774.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$6,570.78
|
| Rate for Payer: Multiplan Medicare/VA |
$335.91
|
| Rate for Payer: One Health Plan of WY PPO |
$6,638.52
|
| Rate for Payer: PacificSource Commercial |
$6,096.60
|
| Rate for Payer: PHCS PPO |
$6,435.30
|
| Rate for Payer: Three Rivers PPO |
$5,080.50
|
| Rate for Payer: TriWest Veterans Administration |
$395.19
|
| Rate for Payer: United Healthcare Commercial |
$6,435.30
|
| Rate for Payer: WINHealth Partners Commercial |
$5,757.90
|
|
|
EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$3,543.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$384.07 |
| Max. Negotiated Rate |
$3,543.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$3,472.14
|
| Rate for Payer: Aetna of WY Medicare |
$451.85
|
| Rate for Payer: Beech Street Commercial |
$3,365.85
|
| Rate for Payer: Cash Price |
$2,480.10
|
| Rate for Payer: Cash Price |
$2,480.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$3,436.71
|
| Rate for Payer: Cigna of WY Commercial |
$3,472.14
|
| Rate for Payer: First Choice Health Commercial |
$3,188.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$3,365.85
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$451.85
|
| Rate for Payer: HealthUtah PPO |
$3,543.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$3,436.71
|
| Rate for Payer: Multiplan Medicare/VA |
$384.07
|
| Rate for Payer: One Health Plan of WY PPO |
$3,472.14
|
| Rate for Payer: PacificSource Commercial |
$3,188.70
|
| Rate for Payer: PHCS PPO |
$3,365.85
|
| Rate for Payer: Three Rivers PPO |
$2,657.25
|
| Rate for Payer: TriWest Veterans Administration |
$451.85
|
| Rate for Payer: United Healthcare Commercial |
$3,365.85
|
| Rate for Payer: WINHealth Partners Commercial |
$3,011.55
|
|
|
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$345.12 |
| Max. Negotiated Rate |
$1,840.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,803.20
|
| Rate for Payer: Aetna of WY Medicare |
$406.02
|
| Rate for Payer: Beech Street Commercial |
$1,748.00
|
| Rate for Payer: Cash Price |
$1,288.00
|
| Rate for Payer: Cash Price |
$1,288.00
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,784.80
|
| Rate for Payer: Cigna of WY Commercial |
$1,803.20
|
| Rate for Payer: First Choice Health Commercial |
$1,656.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,748.00
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$406.02
|
| Rate for Payer: HealthUtah PPO |
$1,840.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,784.80
|
| Rate for Payer: Multiplan Medicare/VA |
$345.12
|
| Rate for Payer: One Health Plan of WY PPO |
$1,803.20
|
| Rate for Payer: PacificSource Commercial |
$1,656.00
|
| Rate for Payer: PHCS PPO |
$1,748.00
|
| Rate for Payer: Three Rivers PPO |
$1,380.00
|
| Rate for Payer: TriWest Veterans Administration |
$406.02
|
| Rate for Payer: United Healthcare Commercial |
$1,748.00
|
| Rate for Payer: WINHealth Partners Commercial |
$1,564.00
|
|
|
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$1,432.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$272.82 |
| Max. Negotiated Rate |
$1,432.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,403.36
|
| Rate for Payer: Aetna of WY Medicare |
$320.97
|
| Rate for Payer: Beech Street Commercial |
$1,360.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,389.04
|
| Rate for Payer: Cigna of WY Commercial |
$1,403.36
|
| Rate for Payer: First Choice Health Commercial |
$1,288.80
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,360.40
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$320.97
|
| Rate for Payer: HealthUtah PPO |
$1,432.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,389.04
|
| Rate for Payer: Multiplan Medicare/VA |
$272.82
|
| Rate for Payer: One Health Plan of WY PPO |
$1,403.36
|
| Rate for Payer: PacificSource Commercial |
$1,288.80
|
| Rate for Payer: PHCS PPO |
$1,360.40
|
| Rate for Payer: Three Rivers PPO |
$1,074.00
|
| Rate for Payer: TriWest Veterans Administration |
$320.97
|
| Rate for Payer: United Healthcare Commercial |
$1,360.40
|
| Rate for Payer: WINHealth Partners Commercial |
$1,217.20
|
|
|
EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,377.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$261.43 |
| Max. Negotiated Rate |
$1,377.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$1,349.46
|
| Rate for Payer: Aetna of WY Medicare |
$307.56
|
| Rate for Payer: Beech Street Commercial |
$1,308.15
|
| Rate for Payer: Cash Price |
$963.90
|
| Rate for Payer: Cash Price |
$963.90
|
| Rate for Payer: ChoiceCare Network Commercial |
$1,335.69
|
| Rate for Payer: Cigna of WY Commercial |
$1,349.46
|
| Rate for Payer: First Choice Health Commercial |
$1,239.30
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$1,308.15
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$307.56
|
| Rate for Payer: HealthUtah PPO |
$1,377.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$1,335.69
|
| Rate for Payer: Multiplan Medicare/VA |
$261.43
|
| Rate for Payer: One Health Plan of WY PPO |
$1,349.46
|
| Rate for Payer: PacificSource Commercial |
$1,239.30
|
| Rate for Payer: PHCS PPO |
$1,308.15
|
| Rate for Payer: Three Rivers PPO |
$1,032.75
|
| Rate for Payer: TriWest Veterans Administration |
$307.56
|
| Rate for Payer: United Healthcare Commercial |
$1,308.15
|
| Rate for Payer: WINHealth Partners Commercial |
$1,170.45
|
|
|
EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$2,753.00
|
|
|
Service Code
|
HCPCS 27327 50
|
| Min. Negotiated Rate |
$2,064.75 |
| Max. Negotiated Rate |
$2,753.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$2,697.94
|
| Rate for Payer: Beech Street Commercial |
$2,615.35
|
| Rate for Payer: Cash Price |
$1,927.10
|
| Rate for Payer: ChoiceCare Network Commercial |
$2,670.41
|
| Rate for Payer: Cigna of WY Commercial |
$2,697.94
|
| Rate for Payer: First Choice Health Commercial |
$2,477.70
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$2,615.35
|
| Rate for Payer: HealthUtah PPO |
$2,753.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$2,670.41
|
| Rate for Payer: One Health Plan of WY PPO |
$2,697.94
|
| Rate for Payer: PacificSource Commercial |
$2,477.70
|
| Rate for Payer: PHCS PPO |
$2,615.35
|
| Rate for Payer: Three Rivers PPO |
$2,064.75
|
| Rate for Payer: United Healthcare Commercial |
$2,615.35
|
| Rate for Payer: WINHealth Partners Commercial |
$2,340.05
|
|
|
EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$1,015.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$155.17 |
| Max. Negotiated Rate |
$1,015.00 |
| Rate for Payer: Aetna of WY Commercial/Medical Rental |
$994.70
|
| Rate for Payer: Aetna of WY Medicare |
$182.55
|
| Rate for Payer: Beech Street Commercial |
$964.25
|
| Rate for Payer: Cash Price |
$710.50
|
| Rate for Payer: Cash Price |
$710.50
|
| Rate for Payer: ChoiceCare Network Commercial |
$984.55
|
| Rate for Payer: Cigna of WY Commercial |
$994.70
|
| Rate for Payer: First Choice Health Commercial |
$913.50
|
| Rate for Payer: Government Employees Health Association (GEHA) Commercial |
$964.25
|
| Rate for Payer: Government Employees Health Association (GEHA) Medicare |
$182.55
|
| Rate for Payer: HealthUtah PPO |
$1,015.00
|
| Rate for Payer: Idaho Integrated Healthcare Commercial |
$984.55
|
| Rate for Payer: Multiplan Medicare/VA |
$155.17
|
| Rate for Payer: One Health Plan of WY PPO |
$994.70
|
| Rate for Payer: PacificSource Commercial |
$913.50
|
| Rate for Payer: PHCS PPO |
$964.25
|
| Rate for Payer: Three Rivers PPO |
$761.25
|
| Rate for Payer: TriWest Veterans Administration |
$182.55
|
| Rate for Payer: United Healthcare Commercial |
$964.25
|
| Rate for Payer: WINHealth Partners Commercial |
$862.75
|
|
