Psychiatric Evaluation by Physician H2000
|
Professional
|
$250.63
|
|
Service Code
|
CPT H2000
|
Hospital Charge Code |
114H2000
|
Min. Negotiated Rate |
$24.82 |
Max. Negotiated Rate |
$32.58 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$32.58
|
Rate for Payer: Carelon Medicaid |
$26.00
|
Rate for Payer: Magellan Medicaid |
$31.03
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$31.03
|
Rate for Payer: Sunshine Health FHK |
$31.03
|
Rate for Payer: Sunshine Health Medicaid |
$24.82
|
Rate for Payer: Sunshine Health Medicaid |
$31.03
|
|
Psychiatric Evaluation by Physician H2000
|
Professional
|
$263.16
|
|
Service Code
|
CPT H2000 HP
|
Hospital Charge Code |
115H2000
|
Min. Negotiated Rate |
$200.50 |
Max. Negotiated Rate |
$263.16 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$263.16
|
Rate for Payer: Carelon Medicaid |
$210.00
|
Rate for Payer: Magellan Medicaid |
$250.63
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$250.63
|
Rate for Payer: Molina Complete Care Marketplace |
$263.16
|
Rate for Payer: Sunshine Health FHK |
$250.63
|
Rate for Payer: Sunshine Health Medicaid |
$200.50
|
Rate for Payer: Sunshine Health Medicaid |
$250.63
|
|
Psychiatric Evaluation by Physician H2000HP
|
Professional
|
$263.16
|
|
Service Code
|
CPT H2000 HP
|
Hospital Charge Code |
116H2000
|
Min. Negotiated Rate |
$200.50 |
Max. Negotiated Rate |
$263.16 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$263.16
|
Rate for Payer: Carelon Medicaid |
$210.00
|
Rate for Payer: Magellan Medicaid |
$250.63
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$250.63
|
Rate for Payer: Molina Complete Care Marketplace |
$263.16
|
Rate for Payer: Sunshine Health FHK |
$250.63
|
Rate for Payer: Sunshine Health Medicaid |
$200.50
|
Rate for Payer: Sunshine Health Medicaid |
$250.63
|
|
Psychosocial Rehab
|
Professional
|
$24.00
|
|
Service Code
|
CPT H2017
|
Hospital Charge Code |
123H2017
|
Min. Negotiated Rate |
$7.26 |
Max. Negotiated Rate |
$9.53 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$9.53
|
Rate for Payer: Carelon Medicaid |
$9.00
|
Rate for Payer: Magellan Medicaid |
$9.08
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$9.08
|
Rate for Payer: Molina Complete Care Marketplace |
$9.08
|
Rate for Payer: Sunshine Health FHK |
$9.08
|
Rate for Payer: Sunshine Health Medicaid |
$7.26
|
Rate for Payer: Sunshine Health Medicaid |
$9.08
|
|
Psychosocial Rehabilitative Services - H2017
|
Professional
|
$9.53
|
|
Service Code
|
CPT H2017
|
Hospital Charge Code |
124H2017
|
Min. Negotiated Rate |
$7.26 |
Max. Negotiated Rate |
$9.53 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$9.53
|
Rate for Payer: Carelon Medicaid |
$9.00
|
Rate for Payer: Magellan Medicaid |
$9.08
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$9.08
|
Rate for Payer: Molina Complete Care Marketplace |
$9.08
|
Rate for Payer: Sunshine Health FHK |
$9.08
|
Rate for Payer: Sunshine Health Medicaid |
$9.08
|
Rate for Payer: Sunshine Health Medicaid |
$7.26
|
|
SA Alcohol and/or Drug Screening - H0049
|
Professional
|
$25.00
|
|
Service Code
|
CPT H0049
|
Hospital Charge Code |
105H0049
|
Min. Negotiated Rate |
$14.34 |
Max. Negotiated Rate |
$24.94 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$18.83
|
Rate for Payer: Carelon Medicaid |
$17.08
|
Rate for Payer: Magellan Medicaid |
$17.93
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$17.93
|
Rate for Payer: Molina Complete Care Marketplace |
$17.08
|
Rate for Payer: Sunshine Health FHK |
$17.93
|
Rate for Payer: Sunshine Health Medicaid |
$14.34
|
Rate for Payer: Sunshine Health Medicaid |
$17.93
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$23.38
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$21.82
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$24.94
|
|
SA Alcohol/Drug Scrn Brief Intrvntion H0050
|
Professional
|
$35.00
|
|
Service Code
|
CPT H0050
|
Hospital Charge Code |
107H0050
|
Min. Negotiated Rate |
$24.13 |
Max. Negotiated Rate |
$31.67 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$31.67
|
Rate for Payer: Carelon Medicaid |
$28.73
|
Rate for Payer: Magellan Medicaid |
$30.16
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$30.16
|
Rate for Payer: Molina Complete Care Marketplace |
$28.73
|
Rate for Payer: Sunshine Health FHK |
$30.16
|
Rate for Payer: Sunshine Health Medicaid |
$30.16
|
Rate for Payer: Sunshine Health Medicaid |
$24.13
|
|
SA Bio-Psychosocial 90791
|
Professional
|
$180.00
|
|
Service Code
|
CPT 90791
|
Hospital Charge Code |
1190791
|
Min. Negotiated Rate |
$55.00 |
Max. Negotiated Rate |
$266.62 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$127.47
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$145.62
|
Rate for Payer: Behavioral Services Network Medicare |
$145.62
|
Rate for Payer: Carelon Commercial/Medicare |
$60.00
|
Rate for Payer: Carelon Commercial/Medicare |
$55.00
|
Rate for Payer: Carelon Medicare |
$145.62
|
Rate for Payer: Humana Commercial |
$177.74
|
Rate for Payer: Humana Commercial |
$192.56
|
Rate for Payer: Humana Commercial |
$207.37
|
Rate for Payer: Humana Medicare |
$177.74
|
Rate for Payer: Humana Medicare |
$192.56
|
Rate for Payer: Humana Medicare |
$207.37
|
Rate for Payer: Lucet Commercial |
$109.22
|
Rate for Payer: Lucet Commercial |
$123.78
|
Rate for Payer: Lucet Commercial |
$131.06
|
Rate for Payer: Magellan Medicaid |
$121.40
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$121.40
|
Rate for Payer: Molina Complete Care Medicare |
$145.62
|
Rate for Payer: Prime Health Services Workers Comp |
$266.62
|
Rate for Payer: Sunshine Health FHK |
$121.40
|
Rate for Payer: Sunshine Health Medicaid |
$121.40
|
Rate for Payer: Sunshine Health Medicaid |
$97.12
|
Rate for Payer: Sunshine Health MMP/Medicare |
$145.62
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$111.03
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$103.63
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$118.43
|
|
SA Bio-Psychosocial 90791HN
|
Professional
|
$150.00
|
|
Service Code
|
CPT 90791
|
Hospital Charge Code |
1290791
|
Min. Negotiated Rate |
$55.00 |
Max. Negotiated Rate |
$266.62 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$127.47
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$145.62
|
Rate for Payer: Behavioral Services Network Medicare |
$145.62
|
Rate for Payer: Carelon Commercial/Medicare |
$60.00
|
Rate for Payer: Carelon Commercial/Medicare |
$55.00
|
Rate for Payer: Carelon Medicare |
$145.62
|
Rate for Payer: Humana Commercial |
$192.56
|
Rate for Payer: Humana Commercial |
$207.37
|
Rate for Payer: Humana Commercial |
$177.74
|
Rate for Payer: Humana Medicare |
$207.37
|
Rate for Payer: Humana Medicare |
$192.56
|
Rate for Payer: Humana Medicare |
$177.74
|
Rate for Payer: Lucet Commercial |
$123.78
|
Rate for Payer: Lucet Commercial |
$109.22
|
Rate for Payer: Lucet Commercial |
$131.06
|
Rate for Payer: Magellan Medicaid |
$121.40
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$121.40
|
Rate for Payer: Molina Complete Care Medicare |
$145.62
|
Rate for Payer: Prime Health Services Workers Comp |
$266.62
|
Rate for Payer: Sunshine Health FHK |
$121.40
|
Rate for Payer: Sunshine Health Medicaid |
$97.12
|
Rate for Payer: Sunshine Health Medicaid |
$121.40
|
Rate for Payer: Sunshine Health MMP/Medicare |
$145.62
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$118.43
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$111.03
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$103.63
|
|
SA Bio-Psychosocial H0001HN
|
Professional
|
$60.14
|
|
Service Code
|
CPT H0001 HN
|
Hospital Charge Code |
78H0001
|
Min. Negotiated Rate |
$45.82 |
Max. Negotiated Rate |
$60.14 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$60.14
|
Rate for Payer: Carelon Medicaid |
$48.00
|
Rate for Payer: Magellan Medicaid |
$57.28
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$57.28
|
Rate for Payer: Sunshine Health FHK |
$57.28
|
Rate for Payer: Sunshine Health Medicaid |
$45.82
|
Rate for Payer: Sunshine Health Medicaid |
$57.28
|
|
SA Bio-Psychosocial H0001HN
|
Professional
|
$57.28
|
|
Service Code
|
CPT H0001
|
Hospital Charge Code |
77H0001
|
Min. Negotiated Rate |
$12.10 |
Max. Negotiated Rate |
$15.89 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$15.89
|
Rate for Payer: Carelon Medicaid |
$15.00
|
Rate for Payer: Magellan Medicaid |
$15.13
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$15.13
|
Rate for Payer: Sunshine Health FHK |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$12.10
|
Rate for Payer: Sunshine Health Medicaid |
$15.13
|
|
SA Brief Behavioral Status Exam - H2010
|
Professional
|
$60.00
|
|
Service Code
|
CPT H2010 HO
|
Hospital Charge Code |
120H2010
|
Min. Negotiated Rate |
$11.83 |
Max. Negotiated Rate |
$15.53 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$15.53
|
Rate for Payer: Carelon Medicaid |
$14.66
|
Rate for Payer: Magellan Medicaid |
$14.79
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$14.79
|
Rate for Payer: Molina Complete Care Marketplace |
$14.79
|
Rate for Payer: Sunshine Health FHK |
$14.79
|
Rate for Payer: Sunshine Health Medicaid |
$11.83
|
Rate for Payer: Sunshine Health Medicaid |
$14.79
|
|
SA ETG T1015HF
|
Professional
|
$48.00
|
|
Service Code
|
CPT T1015 HF
|
Hospital Charge Code |
162T1015
|
Min. Negotiated Rate |
$8.07 |
Max. Negotiated Rate |
$10.59 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$10.59
|
Rate for Payer: Carelon Medicaid |
$10.00
|
Rate for Payer: Magellan Medicaid |
$10.09
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$10.09
|
Rate for Payer: Sunshine Health FHK |
$10.09
|
Rate for Payer: Sunshine Health Medicaid |
$8.07
|
Rate for Payer: Sunshine Health Medicaid |
$10.09
|
|
SA ETG T1015HF
|
Professional
|
$10.09
|
|
Service Code
|
CPT T1015
|
Hospital Charge Code |
161T1015
|
Min. Negotiated Rate |
$57.29 |
Max. Negotiated Rate |
$75.19 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$75.19
|
Rate for Payer: Carelon Medicaid |
$60.00
|
Rate for Payer: Magellan Medicaid |
$71.61
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$71.61
|
Rate for Payer: Molina Complete Care Marketplace |
$75.19
|
Rate for Payer: Sunshine Health FHK |
$71.61
|
Rate for Payer: Sunshine Health Medicaid |
$71.61
|
Rate for Payer: Sunshine Health Medicaid |
$57.29
|
|
SA Family Therapy 90847
|
Professional
|
$86.16
|
|
Service Code
|
CPT 90847
|
Hospital Charge Code |
2890847
|
Min. Negotiated Rate |
$55.00 |
Max. Negotiated Rate |
$159.67 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$81.06
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$100.23
|
Rate for Payer: Behavioral Services Network Medicare |
$100.23
|
Rate for Payer: Carelon Commercial/Medicare |
$55.00
|
Rate for Payer: Carelon Commercial/Medicare |
$60.00
|
Rate for Payer: Carelon Medicare |
$100.23
|
Rate for Payer: Humana Commercial |
$105.41
|
Rate for Payer: Humana Commercial |
$114.18
|
Rate for Payer: Humana Commercial |
$122.98
|
Rate for Payer: Humana Medicare |
$122.98
|
Rate for Payer: Humana Medicare |
$114.18
|
Rate for Payer: Humana Medicare |
$105.41
|
Rate for Payer: Lucet Commercial |
$90.21
|
Rate for Payer: Lucet Commercial |
$85.20
|
Rate for Payer: Lucet Commercial |
$75.17
|
Rate for Payer: Magellan Medicaid |
$77.20
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$77.20
|
Rate for Payer: Molina Complete Care Medicare |
$100.23
|
Rate for Payer: Prime Health Services Workers Comp |
$159.67
|
Rate for Payer: Sunshine Health FHK |
$77.20
|
Rate for Payer: Sunshine Health Medicaid |
$61.76
|
Rate for Payer: Sunshine Health Medicaid |
$77.20
|
Rate for Payer: Sunshine Health MMP/Medicare |
$100.23
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$81.52
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$71.33
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$76.42
|
|
SA Family Therapy H2019HR
|
Professional
|
$22.96
|
|
Service Code
|
CPT H2019 HR
|
Hospital Charge Code |
132H2019
|
Min. Negotiated Rate |
$17.50 |
Max. Negotiated Rate |
$22.96 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$22.96
|
Rate for Payer: Carelon Medicaid |
$18.33
|
Rate for Payer: Magellan Medicaid |
$21.87
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$21.87
|
Rate for Payer: Molina Complete Care Marketplace |
$22.96
|
Rate for Payer: Sunshine Health FHK |
$21.87
|
Rate for Payer: Sunshine Health Medicaid |
$21.87
|
Rate for Payer: Sunshine Health Medicaid |
$17.50
|
|
SA Family Therapy H2019HR
|
Professional
|
$21.87
|
|
Service Code
|
CPT H2019
|
Hospital Charge Code |
131H2019
|
Min. Negotiated Rate |
$14.32 |
Max. Negotiated Rate |
$38.65 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$18.80
|
Rate for Payer: Carelon Medicaid |
$15.00
|
Rate for Payer: Magellan Medicaid |
$17.90
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$17.90
|
Rate for Payer: Sunshine Health FHK |
$17.90
|
Rate for Payer: Sunshine Health Medicaid |
$17.90
|
Rate for Payer: Sunshine Health Medicaid |
$14.32
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$38.65
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$33.82
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$36.23
|
|
SA In-Depth Assessment Established Client
|
Professional
|
$240.00
|
|
Service Code
|
CPT H0001 TS
|
Hospital Charge Code |
80H0001
|
Min. Negotiated Rate |
$80.70 |
Max. Negotiated Rate |
$105.92 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$105.92
|
Rate for Payer: Carelon Medicaid |
$100.00
|
Rate for Payer: Magellan Medicaid |
$100.88
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$100.88
|
Rate for Payer: Sunshine Health FHK |
$100.88
|
Rate for Payer: Sunshine Health Medicaid |
$100.88
|
Rate for Payer: Sunshine Health Medicaid |
$80.70
|
|
SA In-Depth Assessment Established Client
|
Professional
|
$100.00
|
|
Service Code
|
CPT H0001
|
Hospital Charge Code |
79H0001
|
Min. Negotiated Rate |
$12.10 |
Max. Negotiated Rate |
$15.89 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$15.89
|
Rate for Payer: Carelon Medicaid |
$15.00
|
Rate for Payer: Magellan Medicaid |
$15.13
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$15.13
|
Rate for Payer: Sunshine Health FHK |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$12.10
|
|
SA In-Depth Assessment New Client
|
Professional
|
$126.11
|
|
Service Code
|
CPT H0001
|
Hospital Charge Code |
81H0001
|
Min. Negotiated Rate |
$12.10 |
Max. Negotiated Rate |
$15.89 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$15.89
|
Rate for Payer: Carelon Medicaid |
$15.00
|
Rate for Payer: Magellan Medicaid |
$15.13
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$15.13
|
Rate for Payer: Sunshine Health FHK |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$12.10
|
|
SA In-Depth Assessment New Client
|
Professional
|
$240.00
|
|
Service Code
|
CPT H0001 HO
|
Hospital Charge Code |
82H0001
|
Min. Negotiated Rate |
$100.89 |
Max. Negotiated Rate |
$132.42 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$132.42
|
Rate for Payer: Carelon Medicaid |
$125.00
|
Rate for Payer: Magellan Medicaid |
$126.11
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$126.11
|
Rate for Payer: Molina Complete Care Marketplace |
$126.11
|
Rate for Payer: Sunshine Health FHK |
$126.11
|
Rate for Payer: Sunshine Health Medicaid |
$100.89
|
Rate for Payer: Sunshine Health Medicaid |
$126.11
|
|
SA Inpatient R&B
|
Professional
|
$700.00
|
|
Service Code
|
CPT S9485
|
Hospital Charge Code |
139S9485
|
Min. Negotiated Rate |
$700.00 |
Max. Negotiated Rate |
$700.00 |
Rate for Payer: Molina Complete Care Marketplace |
$700.00
|
|
SA IOP Group Therapy
|
Professional
|
$30.00
|
|
Service Code
|
CPT 90853
|
Hospital Charge Code |
3090853
|
Min. Negotiated Rate |
$16.70 |
Max. Negotiated Rate |
$55.00 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$21.91
|
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility |
$23.72
|
Rate for Payer: Behavioral Services Network Medicare |
$23.72
|
Rate for Payer: Carelon Commercial/Medicare |
$55.00
|
Rate for Payer: Carelon Commercial/Medicare |
$35.00
|
Rate for Payer: Carelon Medicare |
$23.72
|
Rate for Payer: Humana Commercial |
$34.23
|
Rate for Payer: Humana Commercial |
$31.78
|
Rate for Payer: Humana Commercial |
$29.34
|
Rate for Payer: Humana Medicare |
$31.78
|
Rate for Payer: Humana Medicare |
$34.23
|
Rate for Payer: Humana Medicare |
$29.34
|
Rate for Payer: Lucet Commercial |
$21.35
|
Rate for Payer: Lucet Commercial |
$20.16
|
Rate for Payer: Lucet Commercial |
$17.79
|
Rate for Payer: Magellan Medicaid |
$20.87
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$20.87
|
Rate for Payer: Molina Complete Care Medicare |
$23.72
|
Rate for Payer: Prime Health Services Workers Comp |
$42.92
|
Rate for Payer: Sunshine Health FHK |
$20.87
|
Rate for Payer: Sunshine Health Medicaid |
$16.70
|
Rate for Payer: Sunshine Health Medicaid |
$20.87
|
Rate for Payer: Sunshine Health MMP/Medicare |
$23.72
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$19.30
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$18.09
|
Rate for Payer: Tricare Military (Humana Behavioral Health) CHAMPVA/Tricare |
$16.88
|
|
SA Limited Functional Assessment H0001
|
Professional
|
$15.13
|
|
Service Code
|
CPT H0001 GT
|
Hospital Charge Code |
84H0001
|
Min. Negotiated Rate |
$15.00 |
Max. Negotiated Rate |
$15.00 |
Rate for Payer: Carelon Medicaid |
$15.00
|
|
SA Limited Functional Assessment H0001
|
Professional
|
$48.00
|
|
Service Code
|
CPT H0001
|
Hospital Charge Code |
83H0001
|
Min. Negotiated Rate |
$12.10 |
Max. Negotiated Rate |
$15.89 |
Rate for Payer: Aetna Better Health CHIP/Medicaid |
$15.89
|
Rate for Payer: Carelon Medicaid |
$15.00
|
Rate for Payer: Magellan Medicaid |
$15.13
|
Rate for Payer: Molina Complete Care CHIP/Medicaid |
$15.13
|
Rate for Payer: Sunshine Health FHK |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$15.13
|
Rate for Payer: Sunshine Health Medicaid |
$12.10
|
|