|
PR RADICAL RESECTION TUMOR CLAVICLE
|
Professional
|
Both
|
$2,630.00
|
|
|
Service Code
|
HCPCS 23200
|
| Min. Negotiated Rate |
$1,052.00 |
| Max. Negotiated Rate |
$2,681.08 |
| Rate for Payer: Aetna Commercial |
$1,941.97
|
| Rate for Payer: Aetna Medicare |
$1,507.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,086.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,941.97
|
| Rate for Payer: BCBS Complete |
$1,052.00
|
| Rate for Payer: BCBS MAPPO |
$1,449.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,449.23
|
| Rate for Payer: Cash Price |
$2,104.00
|
| Rate for Payer: Cash Price |
$2,104.00
|
| Rate for Payer: Cofinity Commercial |
$2,086.89
|
| Rate for Payer: Cofinity Commercial |
$1,941.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,449.23
|
| Rate for Payer: Healthscope Commercial |
$2,681.08
|
| Rate for Payer: Healthscope Commercial |
$2,318.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,521.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,709.50
|
| Rate for Payer: Nomi Health Commercial |
$1,739.08
|
| Rate for Payer: PACE SWMI |
$1,449.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,449.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,709.50
|
| Rate for Payer: Priority Health Medicare |
$1,449.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,449.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,449.23
|
|
|
PR RADICAL RESECTION TUMOR FEMOR OR KNEE
|
Professional
|
Both
|
$5,511.00
|
|
|
Service Code
|
HCPCS 27365
|
| Min. Negotiated Rate |
$1,976.41 |
| Max. Negotiated Rate |
$3,656.36 |
| Rate for Payer: Aetna Commercial |
$2,648.39
|
| Rate for Payer: Aetna Medicare |
$2,055.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,846.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,648.39
|
| Rate for Payer: BCBS Complete |
$2,204.40
|
| Rate for Payer: BCBS MAPPO |
$1,976.41
|
| Rate for Payer: BCN Medicare Advantage |
$1,976.41
|
| Rate for Payer: Cash Price |
$4,408.80
|
| Rate for Payer: Cash Price |
$4,408.80
|
| Rate for Payer: Cofinity Commercial |
$2,846.03
|
| Rate for Payer: Cofinity Commercial |
$2,648.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,976.41
|
| Rate for Payer: Healthscope Commercial |
$3,162.26
|
| Rate for Payer: Healthscope Commercial |
$3,656.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,075.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,582.15
|
| Rate for Payer: Nomi Health Commercial |
$2,371.69
|
| Rate for Payer: PACE SWMI |
$1,976.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,976.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,582.15
|
| Rate for Payer: Priority Health Medicare |
$1,976.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,976.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,976.41
|
|
|
PR RADICAL RESECTION TUMOR METACARPAL
|
Professional
|
Both
|
$3,029.00
|
|
|
Service Code
|
HCPCS 26250
|
| Min. Negotiated Rate |
$1,027.84 |
| Max. Negotiated Rate |
$1,968.85 |
| Rate for Payer: Aetna Commercial |
$1,377.31
|
| Rate for Payer: Aetna Medicare |
$1,068.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,480.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,377.31
|
| Rate for Payer: BCBS Complete |
$1,211.60
|
| Rate for Payer: BCBS MAPPO |
$1,027.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.84
|
| Rate for Payer: Cash Price |
$2,423.20
|
| Rate for Payer: Cash Price |
$2,423.20
|
| Rate for Payer: Cofinity Commercial |
$1,480.09
|
| Rate for Payer: Cofinity Commercial |
$1,377.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.84
|
| Rate for Payer: Healthscope Commercial |
$1,901.50
|
| Rate for Payer: Healthscope Commercial |
$1,644.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,079.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,968.85
|
| Rate for Payer: Nomi Health Commercial |
$1,233.41
|
| Rate for Payer: PACE SWMI |
$1,027.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,968.85
|
| Rate for Payer: Priority Health Medicare |
$1,027.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.84
|
|
|
PR RADICAL RESECTION TUMOR METATARSAL
|
Professional
|
Both
|
$1,379.00
|
|
|
Service Code
|
HCPCS 28173
|
| Min. Negotiated Rate |
$551.60 |
| Max. Negotiated Rate |
$1,285.77 |
| Rate for Payer: Aetna Commercial |
$931.31
|
| Rate for Payer: Aetna Medicare |
$722.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$931.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,000.81
|
| Rate for Payer: BCBS Complete |
$551.60
|
| Rate for Payer: BCBS MAPPO |
$695.01
|
| Rate for Payer: BCN Medicare Advantage |
$695.01
|
| Rate for Payer: Cash Price |
$1,103.20
|
| Rate for Payer: Cash Price |
$1,103.20
|
| Rate for Payer: Cofinity Commercial |
$931.31
|
| Rate for Payer: Cofinity Commercial |
$1,000.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.01
|
| Rate for Payer: Healthscope Commercial |
$1,112.02
|
| Rate for Payer: Healthscope Commercial |
$1,285.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$729.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$896.35
|
| Rate for Payer: Nomi Health Commercial |
$834.01
|
| Rate for Payer: PACE SWMI |
$695.01
|
| Rate for Payer: PHP Medicare Advantage |
$695.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$896.35
|
| Rate for Payer: Priority Health Medicare |
$695.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.01
|
| Rate for Payer: UHC Medicare Advantage |
$695.01
|
|
|
PR RADICAL RESECTION TUMOR RADIUS OR ULNA
|
Professional
|
Both
|
$2,595.00
|
|
|
Service Code
|
HCPCS 25170
|
| Min. Negotiated Rate |
$1,038.00 |
| Max. Negotiated Rate |
$2,614.70 |
| Rate for Payer: Aetna Commercial |
$1,893.89
|
| Rate for Payer: Aetna Medicare |
$1,469.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,035.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,893.89
|
| Rate for Payer: BCBS Complete |
$1,038.00
|
| Rate for Payer: BCBS MAPPO |
$1,413.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,413.35
|
| Rate for Payer: Cash Price |
$2,076.00
|
| Rate for Payer: Cash Price |
$2,076.00
|
| Rate for Payer: Cofinity Commercial |
$2,035.22
|
| Rate for Payer: Cofinity Commercial |
$1,893.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,413.35
|
| Rate for Payer: Healthscope Commercial |
$2,614.70
|
| Rate for Payer: Healthscope Commercial |
$2,261.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,484.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,686.75
|
| Rate for Payer: Nomi Health Commercial |
$1,696.02
|
| Rate for Payer: PACE SWMI |
$1,413.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,413.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,686.75
|
| Rate for Payer: Priority Health Medicare |
$1,413.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,413.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,413.35
|
|
|
PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS
|
Professional
|
Both
|
$2,314.00
|
|
|
Service Code
|
HCPCS 24150
|
| Min. Negotiated Rate |
$925.60 |
| Max. Negotiated Rate |
$2,750.80 |
| Rate for Payer: Aetna Commercial |
$1,992.47
|
| Rate for Payer: Aetna Medicare |
$1,546.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,141.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,992.47
|
| Rate for Payer: BCBS Complete |
$925.60
|
| Rate for Payer: BCBS MAPPO |
$1,486.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,486.92
|
| Rate for Payer: Cash Price |
$1,851.20
|
| Rate for Payer: Cash Price |
$1,851.20
|
| Rate for Payer: Cofinity Commercial |
$2,141.16
|
| Rate for Payer: Cofinity Commercial |
$1,992.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,486.92
|
| Rate for Payer: Healthscope Commercial |
$2,379.07
|
| Rate for Payer: Healthscope Commercial |
$2,750.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,561.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,504.10
|
| Rate for Payer: Nomi Health Commercial |
$1,784.30
|
| Rate for Payer: PACE SWMI |
$1,486.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,486.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,504.10
|
| Rate for Payer: Priority Health Medicare |
$1,486.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,486.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,486.92
|
|
|
PR RADICAL STYLOIDECTOMY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,539.00
|
|
|
Service Code
|
HCPCS 25230
|
| Min. Negotiated Rate |
$421.03 |
| Max. Negotiated Rate |
$1,000.35 |
| Rate for Payer: Aetna Commercial |
$564.18
|
| Rate for Payer: Aetna Medicare |
$437.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$606.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.18
|
| Rate for Payer: BCBS Complete |
$615.60
|
| Rate for Payer: BCBS MAPPO |
$421.03
|
| Rate for Payer: BCN Medicare Advantage |
$421.03
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cofinity Commercial |
$606.28
|
| Rate for Payer: Cofinity Commercial |
$564.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.03
|
| Rate for Payer: Healthscope Commercial |
$778.91
|
| Rate for Payer: Healthscope Commercial |
$673.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,000.35
|
| Rate for Payer: Nomi Health Commercial |
$505.24
|
| Rate for Payer: PACE SWMI |
$421.03
|
| Rate for Payer: PHP Medicare Advantage |
$421.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,000.35
|
| Rate for Payer: Priority Health Medicare |
$421.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.03
|
| Rate for Payer: UHC Medicare Advantage |
$421.03
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
HCPCS 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$186.42 |
| Max. Negotiated Rate |
$607.10 |
| Rate for Payer: Aetna Commercial |
$249.80
|
| Rate for Payer: Aetna Medicare |
$193.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.44
|
| Rate for Payer: BCBS Complete |
$373.60
|
| Rate for Payer: BCBS MAPPO |
$186.42
|
| Rate for Payer: BCN Medicare Advantage |
$186.42
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$268.44
|
| Rate for Payer: Cofinity Commercial |
$249.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.42
|
| Rate for Payer: Healthscope Commercial |
$298.27
|
| Rate for Payer: Healthscope Commercial |
$344.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$607.10
|
| Rate for Payer: Nomi Health Commercial |
$223.70
|
| Rate for Payer: PACE SWMI |
$186.42
|
| Rate for Payer: PHP Medicare Advantage |
$186.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health Medicare |
$186.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.42
|
| Rate for Payer: UHC Medicare Advantage |
$186.42
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Facility
|
OP
|
$934.00
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$588.42 |
| Max. Negotiated Rate |
$5,360.98 |
| Rate for Payer: Aetna Commercial |
$793.90
|
| Rate for Payer: Aetna Medicare |
$1,980.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,380.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,380.62
|
| Rate for Payer: BCBS Complete |
$1,071.85
|
| Rate for Payer: BCBS MAPPO |
$1,904.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.50
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$653.80
|
| Rate for Payer: Cofinity Commercial |
$803.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$653.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$747.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,904.50
|
| Rate for Payer: Healthscope Commercial |
$840.60
|
| Rate for Payer: Mclaren Medicaid |
$1,020.81
|
| Rate for Payer: Mclaren Medicare |
$1,904.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.72
|
| Rate for Payer: Meridian Medicaid |
$1,071.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,190.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$793.90
|
| Rate for Payer: PACE Medicare |
$1,809.28
|
| Rate for Payer: PACE SWMI |
$1,904.50
|
| Rate for Payer: PHP Commercial |
$793.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health Medicare |
$1,904.50
|
| Rate for Payer: Priority Health SBD |
$588.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,360.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,904.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,904.50
|
| Rate for Payer: UHCCP Medicaid |
$1,072.23
|
| Rate for Payer: VA VA |
$1,904.50
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
HCPCS 64625
|
| Min. Negotiated Rate |
$186.42 |
| Max. Negotiated Rate |
$607.10 |
| Rate for Payer: Aetna Commercial |
$249.80
|
| Rate for Payer: Aetna Medicare |
$193.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.80
|
| Rate for Payer: BCBS Complete |
$373.60
|
| Rate for Payer: BCBS MAPPO |
$186.42
|
| Rate for Payer: BCN Medicare Advantage |
$186.42
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$268.44
|
| Rate for Payer: Cofinity Commercial |
$249.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.42
|
| Rate for Payer: Healthscope Commercial |
$298.27
|
| Rate for Payer: Healthscope Commercial |
$344.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$607.10
|
| Rate for Payer: Nomi Health Commercial |
$223.70
|
| Rate for Payer: PACE SWMI |
$186.42
|
| Rate for Payer: PHP Medicare Advantage |
$186.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health Medicare |
$186.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.42
|
| Rate for Payer: UHC Medicare Advantage |
$186.42
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Facility
|
IP
|
$934.00
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$588.42 |
| Max. Negotiated Rate |
$840.60 |
| Rate for Payer: Aetna Commercial |
$793.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$653.80
|
| Rate for Payer: Cofinity Commercial |
$803.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$653.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$747.20
|
| Rate for Payer: Healthscope Commercial |
$840.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$793.90
|
| Rate for Payer: PHP Commercial |
$793.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health SBD |
$588.42
|
|
|
PR RAD RESCJ CAPSL TISS&HTRTPC B1 ELBW CONTRCT RLS
|
Professional
|
Both
|
$2,668.00
|
|
|
Service Code
|
HCPCS 24149
|
| Min. Negotiated Rate |
$1,067.20 |
| Max. Negotiated Rate |
$2,101.97 |
| Rate for Payer: Aetna Commercial |
$1,522.51
|
| Rate for Payer: Aetna Medicare |
$1,181.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,636.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,522.51
|
| Rate for Payer: BCBS Complete |
$1,067.20
|
| Rate for Payer: BCBS MAPPO |
$1,136.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,136.20
|
| Rate for Payer: Cash Price |
$2,134.40
|
| Rate for Payer: Cash Price |
$2,134.40
|
| Rate for Payer: Cofinity Commercial |
$1,636.13
|
| Rate for Payer: Cofinity Commercial |
$1,522.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,136.20
|
| Rate for Payer: Healthscope Commercial |
$2,101.97
|
| Rate for Payer: Healthscope Commercial |
$1,817.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,193.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,734.20
|
| Rate for Payer: Nomi Health Commercial |
$1,363.44
|
| Rate for Payer: PACE SWMI |
$1,136.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,136.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,734.20
|
| Rate for Payer: Priority Health Medicare |
$1,136.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,136.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,136.20
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM
|
Professional
|
Both
|
$1,847.00
|
|
|
Service Code
|
HCPCS 24077
|
| Min. Negotiated Rate |
$738.80 |
| Max. Negotiated Rate |
$1,835.74 |
| Rate for Payer: Aetna Commercial |
$1,329.67
|
| Rate for Payer: Aetna Medicare |
$1,031.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,428.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,329.67
|
| Rate for Payer: BCBS Complete |
$738.80
|
| Rate for Payer: BCBS MAPPO |
$992.29
|
| Rate for Payer: BCN Medicare Advantage |
$992.29
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,428.90
|
| Rate for Payer: Cofinity Commercial |
$1,329.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$992.29
|
| Rate for Payer: Healthscope Commercial |
$1,587.66
|
| Rate for Payer: Healthscope Commercial |
$1,835.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,041.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,200.55
|
| Rate for Payer: Nomi Health Commercial |
$1,190.75
|
| Rate for Payer: PACE SWMI |
$992.29
|
| Rate for Payer: PHP Medicare Advantage |
$992.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,200.55
|
| Rate for Payer: Priority Health Medicare |
$992.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$992.29
|
| Rate for Payer: UHC Medicare Advantage |
$992.29
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+
|
Professional
|
Both
|
$3,117.00
|
|
|
Service Code
|
HCPCS 24079
|
| Min. Negotiated Rate |
$1,246.80 |
| Max. Negotiated Rate |
$2,375.66 |
| Rate for Payer: Aetna Commercial |
$1,720.75
|
| Rate for Payer: Aetna Medicare |
$1,335.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,849.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,720.75
|
| Rate for Payer: BCBS Complete |
$1,246.80
|
| Rate for Payer: BCBS MAPPO |
$1,284.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,284.14
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cofinity Commercial |
$1,849.16
|
| Rate for Payer: Cofinity Commercial |
$1,720.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,284.14
|
| Rate for Payer: Healthscope Commercial |
$2,375.66
|
| Rate for Payer: Healthscope Commercial |
$2,054.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,348.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,026.05
|
| Rate for Payer: Nomi Health Commercial |
$1,540.97
|
| Rate for Payer: PACE SWMI |
$1,284.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,284.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,026.05
|
| Rate for Payer: Priority Health Medicare |
$1,284.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,284.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,284.14
|
|
|
PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>
|
Professional
|
Both
|
$3,940.00
|
|
|
Service Code
|
HCPCS 25078
|
| Min. Negotiated Rate |
$1,128.40 |
| Max. Negotiated Rate |
$2,561.00 |
| Rate for Payer: Aetna Commercial |
$1,512.06
|
| Rate for Payer: Aetna Medicare |
$1,173.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,624.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,512.06
|
| Rate for Payer: BCBS Complete |
$1,576.00
|
| Rate for Payer: BCBS MAPPO |
$1,128.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,128.40
|
| Rate for Payer: Cash Price |
$3,152.00
|
| Rate for Payer: Cash Price |
$3,152.00
|
| Rate for Payer: Cofinity Commercial |
$1,624.90
|
| Rate for Payer: Cofinity Commercial |
$1,512.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,128.40
|
| Rate for Payer: Healthscope Commercial |
$1,805.44
|
| Rate for Payer: Healthscope Commercial |
$2,087.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,184.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,561.00
|
| Rate for Payer: Nomi Health Commercial |
$1,354.08
|
| Rate for Payer: PACE SWMI |
$1,128.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,128.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,561.00
|
| Rate for Payer: Priority Health Medicare |
$1,128.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,128.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,128.40
|
|
|
PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>
|
Professional
|
Both
|
$3,509.00
|
|
|
Service Code
|
HCPCS 26118
|
| Min. Negotiated Rate |
$1,015.82 |
| Max. Negotiated Rate |
$2,280.85 |
| Rate for Payer: Aetna Commercial |
$1,361.20
|
| Rate for Payer: Aetna Medicare |
$1,056.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,361.20
|
| Rate for Payer: BCBS Complete |
$1,403.60
|
| Rate for Payer: BCBS MAPPO |
$1,015.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.82
|
| Rate for Payer: Cash Price |
$2,807.20
|
| Rate for Payer: Cash Price |
$2,807.20
|
| Rate for Payer: Cofinity Commercial |
$1,462.78
|
| Rate for Payer: Cofinity Commercial |
$1,361.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.82
|
| Rate for Payer: Healthscope Commercial |
$1,879.27
|
| Rate for Payer: Healthscope Commercial |
$1,625.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,066.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,280.85
|
| Rate for Payer: Nomi Health Commercial |
$1,218.98
|
| Rate for Payer: PACE SWMI |
$1,015.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,280.85
|
| Rate for Payer: Priority Health Medicare |
$1,015.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.82
|
|
|
PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL
|
Professional
|
Both
|
$4,271.00
|
|
|
Service Code
|
HCPCS 27075
|
| Min. Negotiated Rate |
$1,708.40 |
| Max. Negotiated Rate |
$3,705.38 |
| Rate for Payer: Aetna Commercial |
$2,683.90
|
| Rate for Payer: Aetna Medicare |
$2,083.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,884.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,683.90
|
| Rate for Payer: BCBS Complete |
$1,708.40
|
| Rate for Payer: BCBS MAPPO |
$2,002.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,002.91
|
| Rate for Payer: Cash Price |
$3,416.80
|
| Rate for Payer: Cash Price |
$3,416.80
|
| Rate for Payer: Cofinity Commercial |
$2,884.19
|
| Rate for Payer: Cofinity Commercial |
$2,683.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,002.91
|
| Rate for Payer: Healthscope Commercial |
$3,204.66
|
| Rate for Payer: Healthscope Commercial |
$3,705.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,103.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,776.15
|
| Rate for Payer: Nomi Health Commercial |
$2,403.49
|
| Rate for Payer: PACE SWMI |
$2,002.91
|
| Rate for Payer: PHP Medicare Advantage |
$2,002.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,776.15
|
| Rate for Payer: Priority Health Medicare |
$2,002.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,002.91
|
| Rate for Payer: UHC Medicare Advantage |
$2,002.91
|
|
|
PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,646.00
|
|
|
Service Code
|
HCPCS 26260
|
| Min. Negotiated Rate |
$658.40 |
| Max. Negotiated Rate |
$1,425.91 |
| Rate for Payer: Aetna Commercial |
$1,032.82
|
| Rate for Payer: Aetna Medicare |
$801.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,109.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,032.82
|
| Rate for Payer: BCBS Complete |
$658.40
|
| Rate for Payer: BCBS MAPPO |
$770.76
|
| Rate for Payer: BCN Medicare Advantage |
$770.76
|
| Rate for Payer: Cash Price |
$1,316.80
|
| Rate for Payer: Cash Price |
$1,316.80
|
| Rate for Payer: Cofinity Commercial |
$1,109.89
|
| Rate for Payer: Cofinity Commercial |
$1,032.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$770.76
|
| Rate for Payer: Healthscope Commercial |
$1,425.91
|
| Rate for Payer: Healthscope Commercial |
$1,233.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,069.90
|
| Rate for Payer: Nomi Health Commercial |
$924.91
|
| Rate for Payer: PACE SWMI |
$770.76
|
| Rate for Payer: PHP Medicare Advantage |
$770.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,069.90
|
| Rate for Payer: Priority Health Medicare |
$770.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$770.76
|
| Rate for Payer: UHC Medicare Advantage |
$770.76
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
|
Professional
|
Both
|
$1,757.00
|
|
|
Service Code
|
HCPCS 21016
|
| Min. Negotiated Rate |
$702.80 |
| Max. Negotiated Rate |
$1,783.77 |
| Rate for Payer: Aetna Commercial |
$1,292.03
|
| Rate for Payer: Aetna Medicare |
$1,002.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,388.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.03
|
| Rate for Payer: BCBS Complete |
$702.80
|
| Rate for Payer: BCBS MAPPO |
$964.20
|
| Rate for Payer: BCN Medicare Advantage |
$964.20
|
| Rate for Payer: Cash Price |
$1,405.60
|
| Rate for Payer: Cash Price |
$1,405.60
|
| Rate for Payer: Cofinity Commercial |
$1,388.45
|
| Rate for Payer: Cofinity Commercial |
$1,292.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.20
|
| Rate for Payer: Healthscope Commercial |
$1,542.72
|
| Rate for Payer: Healthscope Commercial |
$1,783.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,012.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,142.05
|
| Rate for Payer: Nomi Health Commercial |
$1,157.04
|
| Rate for Payer: PACE SWMI |
$964.20
|
| Rate for Payer: PHP Medicare Advantage |
$964.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.05
|
| Rate for Payer: Priority Health Medicare |
$964.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.20
|
| Rate for Payer: UHC Medicare Advantage |
$964.20
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 21015
|
| Min. Negotiated Rate |
$358.40 |
| Max. Negotiated Rate |
$1,239.02 |
| Rate for Payer: Aetna Commercial |
$897.45
|
| Rate for Payer: Aetna Medicare |
$696.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$964.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.45
|
| Rate for Payer: BCBS Complete |
$358.40
|
| Rate for Payer: BCBS MAPPO |
$669.74
|
| Rate for Payer: BCN Medicare Advantage |
$669.74
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$964.43
|
| Rate for Payer: Cofinity Commercial |
$897.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$669.74
|
| Rate for Payer: Healthscope Commercial |
$1,239.02
|
| Rate for Payer: Healthscope Commercial |
$1,071.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$703.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$582.40
|
| Rate for Payer: Nomi Health Commercial |
$803.69
|
| Rate for Payer: PACE SWMI |
$669.74
|
| Rate for Payer: PHP Medicare Advantage |
$669.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$582.40
|
| Rate for Payer: Priority Health Medicare |
$669.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$669.74
|
| Rate for Payer: UHC Medicare Advantage |
$669.74
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>
|
Professional
|
Both
|
$2,420.00
|
|
|
Service Code
|
HCPCS 22905
|
| Min. Negotiated Rate |
$968.00 |
| Max. Negotiated Rate |
$2,390.20 |
| Rate for Payer: Aetna Commercial |
$1,731.28
|
| Rate for Payer: Aetna Medicare |
$1,343.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,860.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,731.28
|
| Rate for Payer: BCBS Complete |
$968.00
|
| Rate for Payer: BCBS MAPPO |
$1,292.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,292.00
|
| Rate for Payer: Cash Price |
$1,936.00
|
| Rate for Payer: Cash Price |
$1,936.00
|
| Rate for Payer: Cofinity Commercial |
$1,860.48
|
| Rate for Payer: Cofinity Commercial |
$1,731.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,292.00
|
| Rate for Payer: Healthscope Commercial |
$2,067.20
|
| Rate for Payer: Healthscope Commercial |
$2,390.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,356.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,573.00
|
| Rate for Payer: Nomi Health Commercial |
$1,550.40
|
| Rate for Payer: PACE SWMI |
$1,292.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,292.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,573.00
|
| Rate for Payer: Priority Health Medicare |
$1,292.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,292.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,292.00
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM
|
Professional
|
Both
|
$2,134.00
|
|
|
Service Code
|
HCPCS 22904
|
| Min. Negotiated Rate |
$853.60 |
| Max. Negotiated Rate |
$1,868.87 |
| Rate for Payer: Aetna Commercial |
$1,353.67
|
| Rate for Payer: Aetna Medicare |
$1,050.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,454.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,353.67
|
| Rate for Payer: BCBS Complete |
$853.60
|
| Rate for Payer: BCBS MAPPO |
$1,010.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,010.20
|
| Rate for Payer: Cash Price |
$1,707.20
|
| Rate for Payer: Cash Price |
$1,707.20
|
| Rate for Payer: Cofinity Commercial |
$1,454.69
|
| Rate for Payer: Cofinity Commercial |
$1,353.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,010.20
|
| Rate for Payer: Healthscope Commercial |
$1,868.87
|
| Rate for Payer: Healthscope Commercial |
$1,616.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,060.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,387.10
|
| Rate for Payer: Nomi Health Commercial |
$1,212.24
|
| Rate for Payer: PACE SWMI |
$1,010.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,010.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,387.10
|
| Rate for Payer: Priority Health Medicare |
$1,010.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,010.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,010.20
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM
|
Professional
|
Both
|
$2,940.00
|
|
|
Service Code
|
HCPCS 21935
|
| Min. Negotiated Rate |
$984.68 |
| Max. Negotiated Rate |
$1,911.00 |
| Rate for Payer: Aetna Commercial |
$1,319.47
|
| Rate for Payer: Aetna Medicare |
$1,024.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,417.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,319.47
|
| Rate for Payer: BCBS Complete |
$1,176.00
|
| Rate for Payer: BCBS MAPPO |
$984.68
|
| Rate for Payer: BCN Medicare Advantage |
$984.68
|
| Rate for Payer: Cash Price |
$2,352.00
|
| Rate for Payer: Cash Price |
$2,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,417.94
|
| Rate for Payer: Cofinity Commercial |
$1,319.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$984.68
|
| Rate for Payer: Healthscope Commercial |
$1,575.49
|
| Rate for Payer: Healthscope Commercial |
$1,821.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,033.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,911.00
|
| Rate for Payer: Nomi Health Commercial |
$1,181.62
|
| Rate for Payer: PACE SWMI |
$984.68
|
| Rate for Payer: PHP Medicare Advantage |
$984.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,911.00
|
| Rate for Payer: Priority Health Medicare |
$984.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$984.68
|
| Rate for Payer: UHC Medicare Advantage |
$984.68
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
|
Professional
|
Both
|
$2,598.00
|
|
|
Service Code
|
HCPCS 21936
|
| Min. Negotiated Rate |
$1,039.20 |
| Max. Negotiated Rate |
$2,530.30 |
| Rate for Payer: Aetna Commercial |
$1,832.76
|
| Rate for Payer: Aetna Medicare |
$1,422.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,969.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,832.76
|
| Rate for Payer: BCBS Complete |
$1,039.20
|
| Rate for Payer: BCBS MAPPO |
$1,367.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,367.73
|
| Rate for Payer: Cash Price |
$2,078.40
|
| Rate for Payer: Cash Price |
$2,078.40
|
| Rate for Payer: Cofinity Commercial |
$1,969.53
|
| Rate for Payer: Cofinity Commercial |
$1,832.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,367.73
|
| Rate for Payer: Healthscope Commercial |
$2,530.30
|
| Rate for Payer: Healthscope Commercial |
$2,188.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,436.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,688.70
|
| Rate for Payer: Nomi Health Commercial |
$1,641.28
|
| Rate for Payer: PACE SWMI |
$1,367.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,367.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,688.70
|
| Rate for Payer: Priority Health Medicare |
$1,367.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,367.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,367.73
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>
|
Professional
|
Both
|
$2,313.00
|
|
|
Service Code
|
HCPCS 27616
|
| Min. Negotiated Rate |
$925.20 |
| Max. Negotiated Rate |
$2,228.25 |
| Rate for Payer: Aetna Commercial |
$1,613.98
|
| Rate for Payer: Aetna Medicare |
$1,252.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,734.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,613.98
|
| Rate for Payer: BCBS Complete |
$925.20
|
| Rate for Payer: BCBS MAPPO |
$1,204.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,204.46
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cofinity Commercial |
$1,734.42
|
| Rate for Payer: Cofinity Commercial |
$1,613.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,204.46
|
| Rate for Payer: Healthscope Commercial |
$1,927.14
|
| Rate for Payer: Healthscope Commercial |
$2,228.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,264.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,503.45
|
| Rate for Payer: Nomi Health Commercial |
$1,445.35
|
| Rate for Payer: PACE SWMI |
$1,204.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,204.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,503.45
|
| Rate for Payer: Priority Health Medicare |
$1,204.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,204.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,204.46
|
|
