What is the top of the local market (P90) for CPT 17000 under Premera Ak for Grand Rapids-Wyoming-Kentwood, MI providers?

The P90, the top of the local market and Reddenda's target rate, is $109.65.

How does Premera Ak's rate for CPT 17000 compare to Medicare?

The Premera Ak local median of $86.10 is 130% of Medicare's national non-facility rate of $66.47 for CPT 17000.

Reddenda · Rate Intelligence · Grand Rapids-Wyoming-Kentwood, MI

17000 under Premera Ak, for Grand Rapids-Wyoming-Kentwood, MI providers

Name: Premera Ak rates for CPT 17000 among Grand Rapids-Wyoming-Kentwood, MI providers
Creator: Reddenda

Destruction, premalignant lesions, first · Local peer median $86.10 · low

$86.10 local peer median. Premera Ak's published rate file lists a local peer median of $86.10 for CPT 17000 (Destruction, premalignant lesions, first) among 12 indexed providers in Grand Rapids-Wyoming-Kentwood, MI. Where a Blue Cross entity’s label carries a state, that state names the file we found the rate in, not the provider’s location. Blue Cross plans file separately per state and do not share rates, even for the same provider. The top of that filed distribution, the P90 target, is $109.65, 27% above the median. A provider billed below this median is being paid less than peers holding the identical Premera Ak contract for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 12 providers · 12 rate records

P10

$71.36

P25

$86.10

Median

$86.10

P75

$93.01

P90 (target)

$109.65

P10$71.36

P25$86.10

Median (P50)$86.10

P75$93.01

P90 target$109.65

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $69.72 – $139.32

The local peer median for CPT 17000 under Premera Ak for Grand Rapids-Wyoming-Kentwood, MI providers is $86.10, drawn from 12 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
The bottom of the local market (P10) is $71.36 and the top (P90) is $109.65; the median-to-P90 spread is $23.55.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
The lowest published rate in this market is $69.72; the highest is $139.32.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
This benchmark is drawn from 12 individual rate records that Premera Ak itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
Medicare's national non-facility rate for CPT 17000 is $66.47, making the Premera Ak local median 130% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
50% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

12 providers bill this code to this payer in this metro.

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These are the rates Premera Ak publishes for CPT 17000 (Destruction, premalignant lesions, first) among Grand Rapids-Wyoming-Kentwood, MI providers. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Premera Ak's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Premera Ak to publish this rate. Page generated 2026-08-23 23:43 UTC; the live index is queried in real time on every request.