|
PR OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$2,451.00
|
|
|
Service Code
|
HCPCS 23530
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$102,557.00 |
| Rate for Payer: Aetna Commercial |
$748.03
|
| Rate for Payer: Aetna Medicare |
$580.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$748.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.85
|
| Rate for Payer: BCBS Complete |
$397.42
|
| Rate for Payer: BCBS MAPPO |
$558.23
|
| Rate for Payer: BCBS Trust/PPO |
$414.72
|
| Rate for Payer: BCN Commercial |
$852.74
|
| Rate for Payer: BCN Medicare Advantage |
$558.23
|
| Rate for Payer: Cash Price |
$1,960.80
|
| Rate for Payer: Cash Price |
$1,960.80
|
| Rate for Payer: Cofinity Commercial |
$803.85
|
| Rate for Payer: Cofinity Commercial |
$748.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.23
|
| Rate for Payer: Healthscope Commercial |
$893.17
|
| Rate for Payer: Healthscope Commercial |
$1,032.73
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.14
|
| Rate for Payer: Meridian Medicaid |
$397.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102,557.00
|
| Rate for Payer: Nomi Health Commercial |
$669.88
|
| Rate for Payer: PACE SWMI |
$558.23
|
| Rate for Payer: PHP Medicare Advantage |
$558.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,593.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$895.59
|
| Rate for Payer: Priority Health Medicare |
$558.23
|
| Rate for Payer: Priority Health Narrow Network |
$895.59
|
| Rate for Payer: Priority Health SBD |
$895.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.23
|
| Rate for Payer: UHC Exchange |
$695.95
|
| Rate for Payer: UHC Medicare Advantage |
$558.23
|
| Rate for Payer: UHCCP Medicaid |
$378.50
|
|
|
PR OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 21825
|
| Min. Negotiated Rate |
$358.05 |
| Max. Negotiated Rate |
$97,526.00 |
| Rate for Payer: Aetna Commercial |
$714.15
|
| Rate for Payer: Aetna Medicare |
$554.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$714.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.45
|
| Rate for Payer: BCBS Complete |
$375.95
|
| Rate for Payer: BCBS MAPPO |
$532.95
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$804.85
|
| Rate for Payer: BCN Medicare Advantage |
$532.95
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cofinity Commercial |
$767.45
|
| Rate for Payer: Cofinity Commercial |
$714.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.95
|
| Rate for Payer: Healthscope Commercial |
$985.96
|
| Rate for Payer: Healthscope Commercial |
$852.72
|
| Rate for Payer: Mclaren Medicaid |
$358.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.60
|
| Rate for Payer: Meridian Medicaid |
$375.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97,526.00
|
| Rate for Payer: Nomi Health Commercial |
$639.54
|
| Rate for Payer: PACE SWMI |
$532.95
|
| Rate for Payer: PHP Medicare Advantage |
$532.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$848.79
|
| Rate for Payer: Priority Health Medicare |
$532.95
|
| Rate for Payer: Priority Health Narrow Network |
$848.79
|
| Rate for Payer: Priority Health SBD |
$848.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$723.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$532.95
|
| Rate for Payer: UHC Exchange |
$723.13
|
| Rate for Payer: UHC Medicare Advantage |
$532.95
|
| Rate for Payer: UHCCP Medicaid |
$358.05
|
|
|
PR OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA
|
Professional
|
Both
|
$1,571.00
|
|
|
Service Code
|
HCPCS 28465
|
| Min. Negotiated Rate |
$419.18 |
| Max. Negotiated Rate |
$111,899.00 |
| Rate for Payer: Aetna Commercial |
$825.80
|
| Rate for Payer: Aetna Medicare |
$640.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$825.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.43
|
| Rate for Payer: BCBS Complete |
$440.14
|
| Rate for Payer: BCBS MAPPO |
$616.27
|
| Rate for Payer: BCBS Trust/PPO |
$524.60
|
| Rate for Payer: BCN Commercial |
$931.42
|
| Rate for Payer: BCN Medicare Advantage |
$616.27
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cofinity Commercial |
$887.43
|
| Rate for Payer: Cofinity Commercial |
$825.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.27
|
| Rate for Payer: Healthscope Commercial |
$986.03
|
| Rate for Payer: Healthscope Commercial |
$1,140.10
|
| Rate for Payer: Mclaren Medicaid |
$419.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.08
|
| Rate for Payer: Meridian Medicaid |
$440.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111,899.00
|
| Rate for Payer: Nomi Health Commercial |
$739.52
|
| Rate for Payer: PACE SWMI |
$616.27
|
| Rate for Payer: PHP Medicare Advantage |
$616.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,021.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$991.26
|
| Rate for Payer: Priority Health Medicare |
$616.27
|
| Rate for Payer: Priority Health Narrow Network |
$991.26
|
| Rate for Payer: Priority Health SBD |
$991.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$689.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.27
|
| Rate for Payer: UHC Exchange |
$689.97
|
| Rate for Payer: UHC Medicare Advantage |
$616.27
|
| Rate for Payer: UHCCP Medicaid |
$419.18
|
|
|
PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,786.00
|
|
|
Service Code
|
HCPCS 27535
|
| Min. Negotiated Rate |
$533.05 |
| Max. Negotiated Rate |
$159,278.00 |
| Rate for Payer: Aetna Commercial |
$1,158.35
|
| Rate for Payer: Aetna Medicare |
$899.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,158.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.79
|
| Rate for Payer: BCBS Complete |
$609.22
|
| Rate for Payer: BCBS MAPPO |
$864.44
|
| Rate for Payer: BCBS Trust/PPO |
$533.05
|
| Rate for Payer: BCN Commercial |
$1,313.07
|
| Rate for Payer: BCN Medicare Advantage |
$864.44
|
| Rate for Payer: Cash Price |
$2,228.80
|
| Rate for Payer: Cash Price |
$2,228.80
|
| Rate for Payer: Cofinity Commercial |
$1,244.79
|
| Rate for Payer: Cofinity Commercial |
$1,158.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$864.44
|
| Rate for Payer: Healthscope Commercial |
$1,599.21
|
| Rate for Payer: Healthscope Commercial |
$1,383.10
|
| Rate for Payer: Mclaren Medicaid |
$580.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$907.66
|
| Rate for Payer: Meridian Medicaid |
$609.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159,278.00
|
| Rate for Payer: Nomi Health Commercial |
$1,037.33
|
| Rate for Payer: PACE SWMI |
$864.44
|
| Rate for Payer: PHP Medicare Advantage |
$864.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$580.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,810.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,375.95
|
| Rate for Payer: Priority Health Medicare |
$864.44
|
| Rate for Payer: Priority Health Narrow Network |
$1,375.95
|
| Rate for Payer: Priority Health SBD |
$1,375.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,077.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$864.44
|
| Rate for Payer: UHC Exchange |
$1,077.32
|
| Rate for Payer: UHC Medicare Advantage |
$864.44
|
| Rate for Payer: UHCCP Medicaid |
$580.21
|
|
|
PR OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC
|
Professional
|
Both
|
$2,108.00
|
|
|
Service Code
|
HCPCS 25685
|
| Min. Negotiated Rate |
$481.17 |
| Max. Negotiated Rate |
$130,826.00 |
| Rate for Payer: Aetna Commercial |
$954.43
|
| Rate for Payer: Aetna Medicare |
$740.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$954.43
|
| Rate for Payer: BCBS Complete |
$505.23
|
| Rate for Payer: BCBS MAPPO |
$712.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$1,084.38
|
| Rate for Payer: BCN Medicare Advantage |
$712.26
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cofinity Commercial |
$954.43
|
| Rate for Payer: Cofinity Commercial |
$1,025.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$712.26
|
| Rate for Payer: Healthscope Commercial |
$1,317.68
|
| Rate for Payer: Healthscope Commercial |
$1,139.62
|
| Rate for Payer: Mclaren Medicaid |
$481.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$747.87
|
| Rate for Payer: Meridian Medicaid |
$505.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130,826.00
|
| Rate for Payer: Nomi Health Commercial |
$854.71
|
| Rate for Payer: PACE SWMI |
$712.26
|
| Rate for Payer: PHP Medicare Advantage |
$712.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$481.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,370.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,139.34
|
| Rate for Payer: Priority Health Medicare |
$712.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,139.34
|
| Rate for Payer: Priority Health SBD |
$1,139.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$938.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$712.26
|
| Rate for Payer: UHC Exchange |
$938.81
|
| Rate for Payer: UHC Medicare Advantage |
$712.26
|
| Rate for Payer: UHCCP Medicaid |
$481.17
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP
|
Professional
|
Both
|
$4,168.00
|
|
|
Service Code
|
HCPCS 27823
|
| Min. Negotiated Rate |
$636.66 |
| Max. Negotiated Rate |
$174,289.00 |
| Rate for Payer: Aetna Commercial |
$1,259.31
|
| Rate for Payer: Aetna Medicare |
$977.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,259.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,353.28
|
| Rate for Payer: BCBS Complete |
$668.49
|
| Rate for Payer: BCBS MAPPO |
$939.78
|
| Rate for Payer: BCBS Trust/PPO |
$3,182.48
|
| Rate for Payer: BCN Commercial |
$1,447.95
|
| Rate for Payer: BCN Medicare Advantage |
$939.78
|
| Rate for Payer: Cash Price |
$3,334.40
|
| Rate for Payer: Cash Price |
$3,334.40
|
| Rate for Payer: Cofinity Commercial |
$1,353.28
|
| Rate for Payer: Cofinity Commercial |
$1,259.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$939.78
|
| Rate for Payer: Healthscope Commercial |
$1,738.59
|
| Rate for Payer: Healthscope Commercial |
$1,503.65
|
| Rate for Payer: Mclaren Medicaid |
$636.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$986.77
|
| Rate for Payer: Meridian Medicaid |
$668.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174,289.00
|
| Rate for Payer: Nomi Health Commercial |
$1,127.74
|
| Rate for Payer: PACE SWMI |
$939.78
|
| Rate for Payer: PHP Medicare Advantage |
$939.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$636.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,709.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,516.91
|
| Rate for Payer: Priority Health Medicare |
$939.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,516.91
|
| Rate for Payer: Priority Health SBD |
$1,516.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,242.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$939.78
|
| Rate for Payer: UHC Exchange |
$1,242.51
|
| Rate for Payer: UHC Medicare Advantage |
$939.78
|
| Rate for Payer: UHCCP Medicaid |
$636.66
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP
|
Professional
|
Both
|
$3,537.00
|
|
|
Service Code
|
HCPCS 27822
|
| Min. Negotiated Rate |
$565.30 |
| Max. Negotiated Rate |
$154,546.00 |
| Rate for Payer: Aetna Commercial |
$1,115.30
|
| Rate for Payer: Aetna Medicare |
$865.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,115.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,198.53
|
| Rate for Payer: BCBS Complete |
$593.56
|
| Rate for Payer: BCBS MAPPO |
$832.31
|
| Rate for Payer: BCBS Trust/PPO |
$3,847.61
|
| Rate for Payer: BCN Commercial |
$1,287.17
|
| Rate for Payer: BCN Medicare Advantage |
$832.31
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cofinity Commercial |
$1,198.53
|
| Rate for Payer: Cofinity Commercial |
$1,115.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$832.31
|
| Rate for Payer: Healthscope Commercial |
$1,539.77
|
| Rate for Payer: Healthscope Commercial |
$1,331.70
|
| Rate for Payer: Mclaren Medicaid |
$565.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$873.93
|
| Rate for Payer: Meridian Medicaid |
$593.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154,546.00
|
| Rate for Payer: Nomi Health Commercial |
$998.77
|
| Rate for Payer: PACE SWMI |
$832.31
|
| Rate for Payer: PHP Medicare Advantage |
$832.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$565.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,299.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,347.46
|
| Rate for Payer: Priority Health Medicare |
$832.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,347.46
|
| Rate for Payer: Priority Health SBD |
$1,347.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$832.31
|
| Rate for Payer: UHC Exchange |
$1,132.55
|
| Rate for Payer: UHC Medicare Advantage |
$832.31
|
| Rate for Payer: UHCCP Medicaid |
$565.30
|
|
|
PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 92014
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$11,049.00 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Aetna Medicare |
$72.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.99
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$70.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,611.32
|
| Rate for Payer: BCN Commercial |
$134.35
|
| Rate for Payer: BCN Medicare Advantage |
$70.14
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$93.99
|
| Rate for Payer: Cofinity Commercial |
$101.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.14
|
| Rate for Payer: Healthscope Commercial |
$129.76
|
| Rate for Payer: Healthscope Commercial |
$112.22
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.65
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,049.00
|
| Rate for Payer: Nomi Health Commercial |
$84.17
|
| Rate for Payer: PACE SWMI |
$70.14
|
| Rate for Payer: PHP Medicare Advantage |
$70.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$92.60
|
| Rate for Payer: Priority Health Medicare |
$70.14
|
| Rate for Payer: Priority Health Narrow Network |
$92.60
|
| Rate for Payer: Priority Health SBD |
$92.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$70.14
|
| Rate for Payer: UHC Exchange |
$98.94
|
| Rate for Payer: UHC Medicare Advantage |
$70.14
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
|
Professional
|
Both
|
$209.00
|
|
|
Service Code
|
HCPCS 92004
|
| Min. Negotiated Rate |
$58.79 |
| Max. Negotiated Rate |
$13,685.00 |
| Rate for Payer: Aetna Commercial |
$116.46
|
| Rate for Payer: Aetna Medicare |
$90.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.15
|
| Rate for Payer: BCBS Complete |
$61.73
|
| Rate for Payer: BCBS MAPPO |
$86.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,175.47
|
| Rate for Payer: BCN Commercial |
$159.06
|
| Rate for Payer: BCN Medicare Advantage |
$86.91
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cofinity Commercial |
$125.15
|
| Rate for Payer: Cofinity Commercial |
$116.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.91
|
| Rate for Payer: Healthscope Commercial |
$160.78
|
| Rate for Payer: Healthscope Commercial |
$139.06
|
| Rate for Payer: Mclaren Medicaid |
$58.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.26
|
| Rate for Payer: Meridian Medicaid |
$61.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,685.00
|
| Rate for Payer: Nomi Health Commercial |
$104.29
|
| Rate for Payer: PACE SWMI |
$86.91
|
| Rate for Payer: PHP Medicare Advantage |
$86.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$115.02
|
| Rate for Payer: Priority Health Medicare |
$86.91
|
| Rate for Payer: Priority Health Narrow Network |
$115.02
|
| Rate for Payer: Priority Health SBD |
$115.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.91
|
| Rate for Payer: UHC Exchange |
$134.69
|
| Rate for Payer: UHC Medicare Advantage |
$86.91
|
| Rate for Payer: UHCCP Medicaid |
$58.79
|
|
|
PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 92012
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$7,350.00 |
| Rate for Payer: Aetna Commercial |
$62.32
|
| Rate for Payer: Aetna Medicare |
$48.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.97
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$46.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.51
|
| Rate for Payer: BCN Commercial |
$95.65
|
| Rate for Payer: BCN Medicare Advantage |
$46.51
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$66.97
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$86.04
|
| Rate for Payer: Healthscope Commercial |
$74.42
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.84
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,350.00
|
| Rate for Payer: Nomi Health Commercial |
$55.81
|
| Rate for Payer: PACE SWMI |
$46.51
|
| Rate for Payer: PHP Medicare Advantage |
$46.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.46
|
| Rate for Payer: Priority Health Medicare |
$46.51
|
| Rate for Payer: Priority Health Narrow Network |
$61.46
|
| Rate for Payer: Priority Health SBD |
$61.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.51
|
| Rate for Payer: UHC Exchange |
$67.28
|
| Rate for Payer: UHC Medicare Advantage |
$46.51
|
| Rate for Payer: UHCCP Medicaid |
$31.52
|
|
|
PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE NEW PT
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 92002
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$6,666.00 |
| Rate for Payer: Aetna Commercial |
$56.53
|
| Rate for Payer: Aetna Medicare |
$43.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.75
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$42.19
|
| Rate for Payer: BCBS Trust/PPO |
$902.86
|
| Rate for Payer: BCN Commercial |
$90.99
|
| Rate for Payer: BCN Medicare Advantage |
$42.19
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cofinity Commercial |
$60.75
|
| Rate for Payer: Cofinity Commercial |
$56.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.19
|
| Rate for Payer: Healthscope Commercial |
$78.05
|
| Rate for Payer: Healthscope Commercial |
$67.50
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.30
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,666.00
|
| Rate for Payer: Nomi Health Commercial |
$50.63
|
| Rate for Payer: PACE SWMI |
$42.19
|
| Rate for Payer: PHP Medicare Advantage |
$42.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.65
|
| Rate for Payer: Priority Health Medicare |
$42.19
|
| Rate for Payer: Priority Health Narrow Network |
$55.65
|
| Rate for Payer: Priority Health SBD |
$55.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.19
|
| Rate for Payer: UHC Exchange |
$73.76
|
| Rate for Payer: UHC Medicare Advantage |
$42.19
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; PROXIMAL HUMERUS
|
Facility
|
OP
|
$39,622.51
|
|
|
Service Code
|
CPT 23491
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,083.17 |
| Max. Negotiated Rate |
$39,622.51 |
| Rate for Payer: Aetna Medicare |
$13,110.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,758.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,758.31
|
| Rate for Payer: BCBS Complete |
$7,095.02
|
| Rate for Payer: BCBS MAPPO |
$12,606.65
|
| Rate for Payer: BCBS Trust/PPO |
$4,450.27
|
| Rate for Payer: BCN Commercial |
$4,450.27
|
| Rate for Payer: BCN Medicare Advantage |
$12,606.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,606.65
|
| Rate for Payer: Mclaren Medicaid |
$6,757.16
|
| Rate for Payer: Mclaren Medicare |
$12,606.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,236.98
|
| Rate for Payer: Meridian Medicaid |
$7,095.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,497.65
|
| Rate for Payer: Nomi Health Commercial |
$26,473.96
|
| Rate for Payer: PACE Medicare |
$11,976.32
|
| Rate for Payer: PACE SWMI |
$12,606.65
|
| Rate for Payer: PHP Medicare Advantage |
$12,606.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,757.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,622.51
|
| Rate for Payer: Priority Health Medicare |
$12,606.65
|
| Rate for Payer: Priority Health Narrow Network |
$31,698.01
|
| Rate for Payer: Railroad Medicare Medicare |
$12,606.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,083.17
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,606.65
|
| Rate for Payer: UHC Exchange |
$8,174.00
|
| Rate for Payer: UHC Medicare Advantage |
$12,606.65
|
| Rate for Payer: UHCCP Medicaid |
$7,097.54
|
| Rate for Payer: VA VA |
$12,606.65
|
|
|
PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 34716
|
| Min. Negotiated Rate |
$232.60 |
| Max. Negotiated Rate |
$65,876.00 |
| Rate for Payer: Aetna Commercial |
$478.46
|
| Rate for Payer: Aetna Medicare |
$371.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$514.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.46
|
| Rate for Payer: BCBS Complete |
$244.23
|
| Rate for Payer: BCBS MAPPO |
$357.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,773.50
|
| Rate for Payer: BCN Commercial |
$530.22
|
| Rate for Payer: BCN Medicare Advantage |
$357.06
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$514.17
|
| Rate for Payer: Cofinity Commercial |
$478.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.06
|
| Rate for Payer: Healthscope Commercial |
$660.56
|
| Rate for Payer: Healthscope Commercial |
$571.30
|
| Rate for Payer: Mclaren Medicaid |
$232.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.91
|
| Rate for Payer: Meridian Medicaid |
$244.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65,876.00
|
| Rate for Payer: Nomi Health Commercial |
$428.47
|
| Rate for Payer: PACE SWMI |
$357.06
|
| Rate for Payer: PHP Medicare Advantage |
$357.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$578.10
|
| Rate for Payer: Priority Health Medicare |
$357.06
|
| Rate for Payer: Priority Health Narrow Network |
$578.10
|
| Rate for Payer: Priority Health SBD |
$578.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.06
|
| Rate for Payer: UHC Medicare Advantage |
$357.06
|
| Rate for Payer: UHCCP Medicaid |
$232.60
|
|
|
PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$290.00
|
|
|
Service Code
|
HCPCS 34834
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$23,042.00 |
| Rate for Payer: Aetna Commercial |
$166.36
|
| Rate for Payer: Aetna Medicare |
$129.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.78
|
| Rate for Payer: BCBS Complete |
$84.32
|
| Rate for Payer: BCBS MAPPO |
$124.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,323.92
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$124.15
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cofinity Commercial |
$178.78
|
| Rate for Payer: Cofinity Commercial |
$166.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.15
|
| Rate for Payer: Healthscope Commercial |
$229.68
|
| Rate for Payer: Healthscope Commercial |
$198.64
|
| Rate for Payer: Mclaren Medicaid |
$80.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.36
|
| Rate for Payer: Meridian Medicaid |
$84.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,042.00
|
| Rate for Payer: Nomi Health Commercial |
$148.98
|
| Rate for Payer: PACE SWMI |
$124.15
|
| Rate for Payer: PHP Medicare Advantage |
$124.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$200.49
|
| Rate for Payer: Priority Health Medicare |
$124.15
|
| Rate for Payer: Priority Health Narrow Network |
$200.49
|
| Rate for Payer: Priority Health SBD |
$200.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$338.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$124.15
|
| Rate for Payer: UHC Exchange |
$338.70
|
| Rate for Payer: UHC Medicare Advantage |
$124.15
|
| Rate for Payer: UHCCP Medicaid |
$80.30
|
|
|
PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$1,267.00
|
|
|
Service Code
|
HCPCS 34812
|
| Min. Negotiated Rate |
$128.01 |
| Max. Negotiated Rate |
$36,513.00 |
| Rate for Payer: Aetna Commercial |
$264.82
|
| Rate for Payer: Aetna Medicare |
$205.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.59
|
| Rate for Payer: BCBS Complete |
$134.41
|
| Rate for Payer: BCBS MAPPO |
$197.63
|
| Rate for Payer: BCBS Trust/PPO |
$498.72
|
| Rate for Payer: BCN Commercial |
$292.72
|
| Rate for Payer: BCN Medicare Advantage |
$197.63
|
| Rate for Payer: Cash Price |
$1,013.60
|
| Rate for Payer: Cash Price |
$1,013.60
|
| Rate for Payer: Cofinity Commercial |
$284.59
|
| Rate for Payer: Cofinity Commercial |
$264.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.63
|
| Rate for Payer: Healthscope Commercial |
$365.62
|
| Rate for Payer: Healthscope Commercial |
$316.21
|
| Rate for Payer: Mclaren Medicaid |
$128.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.51
|
| Rate for Payer: Meridian Medicaid |
$134.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,513.00
|
| Rate for Payer: Nomi Health Commercial |
$237.16
|
| Rate for Payer: PACE SWMI |
$197.63
|
| Rate for Payer: PHP Medicare Advantage |
$197.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$823.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$319.63
|
| Rate for Payer: Priority Health Medicare |
$197.63
|
| Rate for Payer: Priority Health Narrow Network |
$319.63
|
| Rate for Payer: Priority Health SBD |
$319.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$463.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.63
|
| Rate for Payer: UHC Exchange |
$463.16
|
| Rate for Payer: UHC Medicare Advantage |
$197.63
|
| Rate for Payer: UHCCP Medicaid |
$128.01
|
|
|
PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH
|
Professional
|
Both
|
$568.00
|
|
|
Service Code
|
HCPCS 34714
|
| Min. Negotiated Rate |
$168.06 |
| Max. Negotiated Rate |
$47,720.00 |
| Rate for Payer: Aetna Commercial |
$346.11
|
| Rate for Payer: Aetna Medicare |
$268.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$371.94
|
| Rate for Payer: BCBS Complete |
$176.46
|
| Rate for Payer: BCBS MAPPO |
$258.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,553.20
|
| Rate for Payer: BCN Commercial |
$383.62
|
| Rate for Payer: BCN Medicare Advantage |
$258.29
|
| Rate for Payer: Cash Price |
$454.40
|
| Rate for Payer: Cash Price |
$454.40
|
| Rate for Payer: Cofinity Commercial |
$371.94
|
| Rate for Payer: Cofinity Commercial |
$346.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$258.29
|
| Rate for Payer: Healthscope Commercial |
$413.26
|
| Rate for Payer: Healthscope Commercial |
$477.84
|
| Rate for Payer: Mclaren Medicaid |
$168.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.20
|
| Rate for Payer: Meridian Medicaid |
$176.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47,720.00
|
| Rate for Payer: Nomi Health Commercial |
$309.95
|
| Rate for Payer: PACE SWMI |
$258.29
|
| Rate for Payer: PHP Medicare Advantage |
$258.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$369.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.54
|
| Rate for Payer: Priority Health Medicare |
$258.29
|
| Rate for Payer: Priority Health Narrow Network |
$418.54
|
| Rate for Payer: Priority Health SBD |
$418.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$258.29
|
| Rate for Payer: UHC Medicare Advantage |
$258.29
|
| Rate for Payer: UHCCP Medicaid |
$168.06
|
|
|
PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP
|
Professional
|
Both
|
$2,232.00
|
|
|
Service Code
|
HCPCS 34833
|
| Min. Negotiated Rate |
$244.52 |
| Max. Negotiated Rate |
$69,817.00 |
| Rate for Payer: Aetna Commercial |
$507.50
|
| Rate for Payer: Aetna Medicare |
$393.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$507.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$545.37
|
| Rate for Payer: BCBS Complete |
$256.75
|
| Rate for Payer: BCBS MAPPO |
$378.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,407.92
|
| Rate for Payer: BCN Commercial |
$557.58
|
| Rate for Payer: BCN Medicare Advantage |
$378.73
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cofinity Commercial |
$545.37
|
| Rate for Payer: Cofinity Commercial |
$507.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.73
|
| Rate for Payer: Healthscope Commercial |
$700.65
|
| Rate for Payer: Healthscope Commercial |
$605.97
|
| Rate for Payer: Mclaren Medicaid |
$244.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.67
|
| Rate for Payer: Meridian Medicaid |
$256.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69,817.00
|
| Rate for Payer: Nomi Health Commercial |
$454.48
|
| Rate for Payer: PACE SWMI |
$378.73
|
| Rate for Payer: PHP Medicare Advantage |
$378.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,450.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$609.46
|
| Rate for Payer: Priority Health Medicare |
$378.73
|
| Rate for Payer: Priority Health Narrow Network |
$609.46
|
| Rate for Payer: Priority Health SBD |
$609.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$712.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.73
|
| Rate for Payer: UHC Exchange |
$712.57
|
| Rate for Payer: UHC Medicare Advantage |
$378.73
|
| Rate for Payer: UHCCP Medicaid |
$244.52
|
|
|
PR OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH
|
Professional
|
Both
|
$4,812.00
|
|
|
Service Code
|
HCPCS 34830
|
| Min. Negotiated Rate |
$841.05 |
| Max. Negotiated Rate |
$313,240.00 |
| Rate for Payer: Aetna Commercial |
$2,275.83
|
| Rate for Payer: Aetna Medicare |
$1,766.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,275.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,445.67
|
| Rate for Payer: BCBS Complete |
$1,156.27
|
| Rate for Payer: BCBS MAPPO |
$1,698.38
|
| Rate for Payer: BCBS Trust/PPO |
$841.05
|
| Rate for Payer: BCN Commercial |
$2,510.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,698.38
|
| Rate for Payer: Cash Price |
$3,849.60
|
| Rate for Payer: Cash Price |
$3,849.60
|
| Rate for Payer: Cofinity Commercial |
$2,445.67
|
| Rate for Payer: Cofinity Commercial |
$2,275.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,698.38
|
| Rate for Payer: Healthscope Commercial |
$3,142.00
|
| Rate for Payer: Healthscope Commercial |
$2,717.41
|
| Rate for Payer: Mclaren Medicaid |
$1,101.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,783.30
|
| Rate for Payer: Meridian Medicaid |
$1,156.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313,240.00
|
| Rate for Payer: Nomi Health Commercial |
$2,038.06
|
| Rate for Payer: PACE SWMI |
$1,698.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,698.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,101.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,127.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,744.22
|
| Rate for Payer: Priority Health Medicare |
$1,698.38
|
| Rate for Payer: Priority Health Narrow Network |
$2,744.22
|
| Rate for Payer: Priority Health SBD |
$2,744.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,310.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,698.38
|
| Rate for Payer: UHC Exchange |
$2,310.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,698.38
|
| Rate for Payer: UHCCP Medicaid |
$1,101.21
|
|
|
PR OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH
|
Professional
|
Both
|
$4,077.00
|
|
|
Service Code
|
HCPCS 34831
|
| Min. Negotiated Rate |
$953.05 |
| Max. Negotiated Rate |
$342,070.00 |
| Rate for Payer: Aetna Commercial |
$2,493.00
|
| Rate for Payer: Aetna Medicare |
$1,934.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,493.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,679.05
|
| Rate for Payer: BCBS Complete |
$1,268.77
|
| Rate for Payer: BCBS MAPPO |
$1,860.45
|
| Rate for Payer: BCBS Trust/PPO |
$953.05
|
| Rate for Payer: BCN Commercial |
$2,745.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,860.45
|
| Rate for Payer: Cash Price |
$3,261.60
|
| Rate for Payer: Cash Price |
$3,261.60
|
| Rate for Payer: Cofinity Commercial |
$2,679.05
|
| Rate for Payer: Cofinity Commercial |
$2,493.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,860.45
|
| Rate for Payer: Healthscope Commercial |
$3,441.83
|
| Rate for Payer: Healthscope Commercial |
$2,976.72
|
| Rate for Payer: Mclaren Medicaid |
$1,208.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,953.47
|
| Rate for Payer: Meridian Medicaid |
$1,268.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$342,070.00
|
| Rate for Payer: Nomi Health Commercial |
$2,232.54
|
| Rate for Payer: PACE SWMI |
$1,860.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,860.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,208.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,001.08
|
| Rate for Payer: Priority Health Medicare |
$1,860.45
|
| Rate for Payer: Priority Health Narrow Network |
$3,001.08
|
| Rate for Payer: Priority Health SBD |
$3,001.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,398.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,860.45
|
| Rate for Payer: UHC Exchange |
$2,398.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,860.45
|
| Rate for Payer: UHCCP Medicaid |
$1,208.35
|
|
|
PR OPN SUBCLA CRTD ART TRPOS NCK INC ULAT
|
Professional
|
Both
|
$3,200.00
|
|
|
Service Code
|
HCPCS 33889
|
| Min. Negotiated Rate |
$497.14 |
| Max. Negotiated Rate |
$141,082.00 |
| Rate for Payer: Aetna Commercial |
$1,027.43
|
| Rate for Payer: Aetna Medicare |
$797.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,027.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.11
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$766.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,852.29
|
| Rate for Payer: BCN Commercial |
$1,130.80
|
| Rate for Payer: BCN Medicare Advantage |
$766.74
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cofinity Commercial |
$1,104.11
|
| Rate for Payer: Cofinity Commercial |
$1,027.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.74
|
| Rate for Payer: Healthscope Commercial |
$1,418.47
|
| Rate for Payer: Healthscope Commercial |
$1,226.78
|
| Rate for Payer: Mclaren Medicaid |
$497.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.08
|
| Rate for Payer: Meridian Medicaid |
$522.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141,082.00
|
| Rate for Payer: Nomi Health Commercial |
$920.09
|
| Rate for Payer: PACE SWMI |
$766.74
|
| Rate for Payer: PHP Medicare Advantage |
$766.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$497.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,080.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,234.90
|
| Rate for Payer: Priority Health Medicare |
$766.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,234.90
|
| Rate for Payer: Priority Health SBD |
$1,234.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$963.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.74
|
| Rate for Payer: UHC Exchange |
$963.87
|
| Rate for Payer: UHC Medicare Advantage |
$766.74
|
| Rate for Payer: UHCCP Medicaid |
$497.14
|
|
|
PROPOFOL 10 MG/ML 20 ML VIAL (BULK CHARGE)
|
Facility
|
OP
|
$76.22
|
|
|
Service Code
|
HCPCS J2704
|
| Hospital Charge Code |
180095
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$68.60 |
| Rate for Payer: Aetna Commercial |
$64.79
|
| Rate for Payer: Aetna Medicare |
$38.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.54
|
| Rate for Payer: BCBS Complete |
$30.49
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: Cash Price |
$60.98
|
| Rate for Payer: Cash Price |
$60.98
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Cofinity Commercial |
$65.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.98
|
| Rate for Payer: Healthscope Commercial |
$68.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.79
|
| Rate for Payer: PHP Commercial |
$64.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.54
|
| Rate for Payer: Priority Health SBD |
$48.02
|
|
|
PROPOFOL 10 MG/ML 20 ML VIAL (BULK CHARGE)
|
Facility
|
IP
|
$76.22
|
|
|
Service Code
|
HCPCS J2704
|
| Hospital Charge Code |
180095
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$48.02 |
| Max. Negotiated Rate |
$68.60 |
| Rate for Payer: Aetna Commercial |
$64.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.54
|
| Rate for Payer: Cash Price |
$60.98
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Cofinity Commercial |
$65.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.98
|
| Rate for Payer: Healthscope Commercial |
$68.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.79
|
| Rate for Payer: PHP Commercial |
$64.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.54
|
| Rate for Payer: Priority Health SBD |
$48.02
|
|
|
PROPOFOL 10 MG/ML CONTINUOUS INFUSION
|
Facility
|
IP
|
$74.97
|
|
|
Service Code
|
HCPCS J2704
|
| Hospital Charge Code |
151165
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$47.23 |
| Max. Negotiated Rate |
$67.47 |
| Rate for Payer: Aetna Commercial |
$63.72
|
| Rate for Payer: Aetna Commercial |
$65.55
|
| Rate for Payer: Aetna Commercial |
$73.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.10
|
| Rate for Payer: Cash Price |
$59.98
|
| Rate for Payer: Cash Price |
$61.70
|
| Rate for Payer: Cash Price |
$69.04
|
| Rate for Payer: Cofinity Commercial |
$60.41
|
| Rate for Payer: Cofinity Commercial |
$52.48
|
| Rate for Payer: Cofinity Commercial |
$64.47
|
| Rate for Payer: Cofinity Commercial |
$74.22
|
| Rate for Payer: Cofinity Commercial |
$53.98
|
| Rate for Payer: Cofinity Commercial |
$66.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$60.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.04
|
| Rate for Payer: Healthscope Commercial |
$69.41
|
| Rate for Payer: Healthscope Commercial |
$77.67
|
| Rate for Payer: Healthscope Commercial |
$67.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.36
|
| Rate for Payer: PHP Commercial |
$73.36
|
| Rate for Payer: PHP Commercial |
$63.72
|
| Rate for Payer: PHP Commercial |
$65.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.13
|
| Rate for Payer: Priority Health SBD |
$54.37
|
| Rate for Payer: Priority Health SBD |
$47.23
|
| Rate for Payer: Priority Health SBD |
$48.59
|
|
|
PROPOFOL 10 MG/ML CONTINUOUS INFUSION
|
Facility
|
OP
|
$86.30
|
|
|
Service Code
|
HCPCS J2704
|
| Hospital Charge Code |
151165
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$77.67 |
| Rate for Payer: Aetna Commercial |
$73.36
|
| Rate for Payer: Aetna Commercial |
$63.72
|
| Rate for Payer: Aetna Commercial |
$65.55
|
| Rate for Payer: Aetna Medicare |
$37.48
|
| Rate for Payer: Aetna Medicare |
$38.56
|
| Rate for Payer: Aetna Medicare |
$43.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.10
|
| Rate for Payer: BCBS Complete |
$30.85
|
| Rate for Payer: BCBS Complete |
$29.99
|
| Rate for Payer: BCBS Complete |
$34.52
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: Cash Price |
$61.70
|
| Rate for Payer: Cash Price |
$59.98
|
| Rate for Payer: Cash Price |
$69.04
|
| Rate for Payer: Cash Price |
$61.70
|
| Rate for Payer: Cash Price |
$59.98
|
| Rate for Payer: Cash Price |
$69.04
|
| Rate for Payer: Cofinity Commercial |
$53.98
|
| Rate for Payer: Cofinity Commercial |
$52.48
|
| Rate for Payer: Cofinity Commercial |
$64.47
|
| Rate for Payer: Cofinity Commercial |
$66.32
|
| Rate for Payer: Cofinity Commercial |
$60.41
|
| Rate for Payer: Cofinity Commercial |
$74.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$60.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.04
|
| Rate for Payer: Healthscope Commercial |
$69.41
|
| Rate for Payer: Healthscope Commercial |
$67.47
|
| Rate for Payer: Healthscope Commercial |
$77.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.36
|
| Rate for Payer: PHP Commercial |
$65.55
|
| Rate for Payer: PHP Commercial |
$73.36
|
| Rate for Payer: PHP Commercial |
$63.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.73
|
| Rate for Payer: Priority Health SBD |
$47.23
|
| Rate for Payer: Priority Health SBD |
$54.37
|
| Rate for Payer: Priority Health SBD |
$48.59
|
|
|
PROPOFOL 10 MG/ML INTRAVENOUS EMULSION
|
Facility
|
OP
|
$89.97
|
|
|
Service Code
|
HCPCS J2704
|
| Hospital Charge Code |
11150
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$80.97 |
| Rate for Payer: Aetna Commercial |
$76.47
|
| Rate for Payer: Aetna Commercial |
$52.30
|
| Rate for Payer: Aetna Commercial |
$46.36
|
| Rate for Payer: Aetna Commercial |
$49.93
|
| Rate for Payer: Aetna Commercial |
$57.66
|
| Rate for Payer: Aetna Commercial |
$63.72
|
| Rate for Payer: Aetna Commercial |
$65.55
|
| Rate for Payer: Aetna Commercial |
$71.86
|
| Rate for Payer: Aetna Commercial |
$73.36
|
| Rate for Payer: Aetna Commercial |
$55.28
|
| Rate for Payer: Aetna Medicare |
$43.15
|
| Rate for Payer: Aetna Medicare |
$30.76
|
| Rate for Payer: Aetna Medicare |
$37.48
|
| Rate for Payer: Aetna Medicare |
$42.27
|
| Rate for Payer: Aetna Medicare |
$44.98
|
| Rate for Payer: Aetna Medicare |
$27.27
|
| Rate for Payer: Aetna Medicare |
$32.52
|
| Rate for Payer: Aetna Medicare |
$29.37
|
| Rate for Payer: Aetna Medicare |
$33.92
|
| Rate for Payer: Aetna Medicare |
$38.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.73
|
| Rate for Payer: BCBS Complete |
$24.61
|
| Rate for Payer: BCBS Complete |
$33.82
|
| Rate for Payer: BCBS Complete |
$21.82
|
| Rate for Payer: BCBS Complete |
$30.85
|
| Rate for Payer: BCBS Complete |
$23.50
|
| Rate for Payer: BCBS Complete |
$26.01
|
| Rate for Payer: BCBS Complete |
$29.99
|
| Rate for Payer: BCBS Complete |
$27.13
|
| Rate for Payer: BCBS Complete |
$35.99
|
| Rate for Payer: BCBS Complete |
$34.52
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCBS Trust/PPO |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: BCN Commercial |
$0.25
|
| Rate for Payer: Cash Price |
$61.70
|
| Rate for Payer: Cash Price |
$61.70
|
| Rate for Payer: Cash Price |
$71.98
|
| Rate for Payer: Cash Price |
$46.99
|
| Rate for Payer: Cash Price |
$43.63
|
| Rate for Payer: Cash Price |
$49.22
|
| Rate for Payer: Cash Price |
$46.99
|
| Rate for Payer: Cash Price |
$71.98
|
| Rate for Payer: Cash Price |
$49.22
|
| Rate for Payer: Cash Price |
$54.26
|
| Rate for Payer: Cash Price |
$69.04
|
| Rate for Payer: Cash Price |
$52.02
|
| Rate for Payer: Cash Price |
$54.26
|
| Rate for Payer: Cash Price |
$52.02
|
| Rate for Payer: Cash Price |
$43.63
|
| Rate for Payer: Cash Price |
$69.04
|
| Rate for Payer: Cash Price |
$67.63
|
| Rate for Payer: Cash Price |
$59.98
|
| Rate for Payer: Cash Price |
$59.98
|
| Rate for Payer: Cash Price |
$67.63
|
| Rate for Payer: Cofinity Commercial |
$64.47
|
| Rate for Payer: Cofinity Commercial |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$38.18
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Cofinity Commercial |
$46.90
|
| Rate for Payer: Cofinity Commercial |
$72.70
|
| Rate for Payer: Cofinity Commercial |
$59.18
|
| Rate for Payer: Cofinity Commercial |
$53.98
|
| Rate for Payer: Cofinity Commercial |
$45.52
|
| Rate for Payer: Cofinity Commercial |
$41.12
|
| Rate for Payer: Cofinity Commercial |
$50.52
|
| Rate for Payer: Cofinity Commercial |
$74.22
|
| Rate for Payer: Cofinity Commercial |
$60.41
|
| Rate for Payer: Cofinity Commercial |
$43.07
|
| Rate for Payer: Cofinity Commercial |
$52.92
|
| Rate for Payer: Cofinity Commercial |
$66.32
|
| Rate for Payer: Cofinity Commercial |
$47.48
|
| Rate for Payer: Cofinity Commercial |
$58.33
|
| Rate for Payer: Cofinity Commercial |
$77.37
|
| Rate for Payer: Cofinity Commercial |
$52.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$41.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$47.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$45.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$43.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$59.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$60.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$62.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$61.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.26
|
| Rate for Payer: Healthscope Commercial |
$61.05
|
| Rate for Payer: Healthscope Commercial |
$58.53
|
| Rate for Payer: Healthscope Commercial |
$55.38
|
| Rate for Payer: Healthscope Commercial |
$49.09
|
| Rate for Payer: Healthscope Commercial |
$67.47
|
| Rate for Payer: Healthscope Commercial |
$80.97
|
| Rate for Payer: Healthscope Commercial |
$52.87
|
| Rate for Payer: Healthscope Commercial |
$69.41
|
| Rate for Payer: Healthscope Commercial |
$76.09
|
| Rate for Payer: Healthscope Commercial |
$77.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.66
|
| Rate for Payer: PHP Commercial |
$63.72
|
| Rate for Payer: PHP Commercial |
$49.93
|
| Rate for Payer: PHP Commercial |
$65.55
|
| Rate for Payer: PHP Commercial |
$76.47
|
| Rate for Payer: PHP Commercial |
$52.30
|
| Rate for Payer: PHP Commercial |
$71.86
|
| Rate for Payer: PHP Commercial |
$57.66
|
| Rate for Payer: PHP Commercial |
$46.36
|
| Rate for Payer: PHP Commercial |
$73.36
|
| Rate for Payer: PHP Commercial |
$55.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.09
|
| Rate for Payer: Priority Health SBD |
$34.36
|
| Rate for Payer: Priority Health SBD |
$54.37
|
| Rate for Payer: Priority Health SBD |
$53.26
|
| Rate for Payer: Priority Health SBD |
$56.68
|
| Rate for Payer: Priority Health SBD |
$40.97
|
| Rate for Payer: Priority Health SBD |
$38.76
|
| Rate for Payer: Priority Health SBD |
$47.23
|
| Rate for Payer: Priority Health SBD |
$37.01
|
| Rate for Payer: Priority Health SBD |
$42.73
|
| Rate for Payer: Priority Health SBD |
$48.59
|
|
