|
PR REVIS PERITONEAL-VENOUS SHUNT
|
Professional
|
Both
|
$2,060.00
|
|
|
Service Code
|
HCPCS 49426
|
| Min. Negotiated Rate |
$652.09 |
| Max. Negotiated Rate |
$1,339.00 |
| Rate for Payer: Aetna Commercial |
$873.80
|
| Rate for Payer: Aetna Medicare |
$678.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$939.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$873.80
|
| Rate for Payer: BCBS Complete |
$824.00
|
| Rate for Payer: BCBS MAPPO |
$652.09
|
| Rate for Payer: BCN Medicare Advantage |
$652.09
|
| Rate for Payer: Cash Price |
$1,648.00
|
| Rate for Payer: Cash Price |
$1,648.00
|
| Rate for Payer: Cofinity Commercial |
$939.01
|
| Rate for Payer: Cofinity Commercial |
$873.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.09
|
| Rate for Payer: Healthscope Commercial |
$1,206.37
|
| Rate for Payer: Healthscope Commercial |
$1,043.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$684.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,339.00
|
| Rate for Payer: Nomi Health Commercial |
$782.51
|
| Rate for Payer: PACE SWMI |
$652.09
|
| Rate for Payer: PHP Medicare Advantage |
$652.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,339.00
|
| Rate for Payer: Priority Health Medicare |
$652.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.09
|
| Rate for Payer: UHC Medicare Advantage |
$652.09
|
|
|
PR REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT
|
Professional
|
Both
|
$4,192.00
|
|
|
Service Code
|
HCPCS 23474
|
| Min. Negotiated Rate |
$1,669.59 |
| Max. Negotiated Rate |
$3,088.74 |
| Rate for Payer: Aetna Commercial |
$2,237.25
|
| Rate for Payer: Aetna Medicare |
$1,736.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,404.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,237.25
|
| Rate for Payer: BCBS Complete |
$1,676.80
|
| Rate for Payer: BCBS MAPPO |
$1,669.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,669.59
|
| Rate for Payer: Cash Price |
$3,353.60
|
| Rate for Payer: Cash Price |
$3,353.60
|
| Rate for Payer: Cofinity Commercial |
$2,404.21
|
| Rate for Payer: Cofinity Commercial |
$2,237.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,669.59
|
| Rate for Payer: Healthscope Commercial |
$2,671.34
|
| Rate for Payer: Healthscope Commercial |
$3,088.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,753.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,724.80
|
| Rate for Payer: Nomi Health Commercial |
$2,003.51
|
| Rate for Payer: PACE SWMI |
$1,669.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,669.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,724.80
|
| Rate for Payer: Priority Health Medicare |
$1,669.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,669.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,669.59
|
|
|
PR REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT
|
Professional
|
Both
|
$3,586.00
|
|
|
Service Code
|
HCPCS 23473
|
| Min. Negotiated Rate |
$1,434.40 |
| Max. Negotiated Rate |
$2,860.03 |
| Rate for Payer: Aetna Commercial |
$2,071.59
|
| Rate for Payer: Aetna Medicare |
$1,607.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,226.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,071.59
|
| Rate for Payer: BCBS Complete |
$1,434.40
|
| Rate for Payer: BCBS MAPPO |
$1,545.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,545.96
|
| Rate for Payer: Cash Price |
$2,868.80
|
| Rate for Payer: Cash Price |
$2,868.80
|
| Rate for Payer: Cofinity Commercial |
$2,226.18
|
| Rate for Payer: Cofinity Commercial |
$2,071.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,545.96
|
| Rate for Payer: Healthscope Commercial |
$2,860.03
|
| Rate for Payer: Healthscope Commercial |
$2,473.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,623.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,330.90
|
| Rate for Payer: Nomi Health Commercial |
$1,855.15
|
| Rate for Payer: PACE SWMI |
$1,545.96
|
| Rate for Payer: PHP Medicare Advantage |
$1,545.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,330.90
|
| Rate for Payer: Priority Health Medicare |
$1,545.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,545.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,545.96
|
|
|
PR REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT
|
Professional
|
Both
|
$2,083.00
|
|
|
Service Code
|
HCPCS 25449
|
| Min. Negotiated Rate |
$833.20 |
| Max. Negotiated Rate |
$1,842.10 |
| Rate for Payer: Aetna Commercial |
$1,334.28
|
| Rate for Payer: Aetna Medicare |
$1,035.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,433.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,334.28
|
| Rate for Payer: BCBS Complete |
$833.20
|
| Rate for Payer: BCBS MAPPO |
$995.73
|
| Rate for Payer: BCN Medicare Advantage |
$995.73
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cofinity Commercial |
$1,433.85
|
| Rate for Payer: Cofinity Commercial |
$1,334.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$995.73
|
| Rate for Payer: Healthscope Commercial |
$1,593.17
|
| Rate for Payer: Healthscope Commercial |
$1,842.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,045.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,353.95
|
| Rate for Payer: Nomi Health Commercial |
$1,194.88
|
| Rate for Payer: PACE SWMI |
$995.73
|
| Rate for Payer: PHP Medicare Advantage |
$995.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.95
|
| Rate for Payer: Priority Health Medicare |
$995.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$995.73
|
| Rate for Payer: UHC Medicare Advantage |
$995.73
|
|
|
PR REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX
|
Professional
|
Both
|
$2,125.00
|
|
|
Service Code
|
HCPCS 44345
|
| Min. Negotiated Rate |
$850.00 |
| Max. Negotiated Rate |
$1,875.90 |
| Rate for Payer: Aetna Commercial |
$1,358.76
|
| Rate for Payer: Aetna Medicare |
$1,054.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,460.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,358.76
|
| Rate for Payer: BCBS Complete |
$850.00
|
| Rate for Payer: BCBS MAPPO |
$1,014.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,014.00
|
| Rate for Payer: Cash Price |
$1,700.00
|
| Rate for Payer: Cash Price |
$1,700.00
|
| Rate for Payer: Cofinity Commercial |
$1,460.16
|
| Rate for Payer: Cofinity Commercial |
$1,358.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,014.00
|
| Rate for Payer: Healthscope Commercial |
$1,875.90
|
| Rate for Payer: Healthscope Commercial |
$1,622.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,064.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,381.25
|
| Rate for Payer: Nomi Health Commercial |
$1,216.80
|
| Rate for Payer: PACE SWMI |
$1,014.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,014.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,381.25
|
| Rate for Payer: Priority Health Medicare |
$1,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,014.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,014.00
|
|
|
PR REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 44340
|
| Min. Negotiated Rate |
$445.60 |
| Max. Negotiated Rate |
$1,116.96 |
| Rate for Payer: Aetna Commercial |
$809.04
|
| Rate for Payer: Aetna Medicare |
$627.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$809.04
|
| Rate for Payer: BCBS Complete |
$445.60
|
| Rate for Payer: BCBS MAPPO |
$603.76
|
| Rate for Payer: BCN Medicare Advantage |
$603.76
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$869.41
|
| Rate for Payer: Cofinity Commercial |
$809.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.76
|
| Rate for Payer: Healthscope Commercial |
$1,116.96
|
| Rate for Payer: Healthscope Commercial |
$966.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$724.10
|
| Rate for Payer: Nomi Health Commercial |
$724.51
|
| Rate for Payer: PACE SWMI |
$603.76
|
| Rate for Payer: PHP Medicare Advantage |
$603.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health Medicare |
$603.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$603.76
|
| Rate for Payer: UHC Medicare Advantage |
$603.76
|
|
|
PR REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX
|
Professional
|
Both
|
$2,861.00
|
|
|
Service Code
|
HCPCS 44346
|
| Min. Negotiated Rate |
$1,142.04 |
| Max. Negotiated Rate |
$2,112.77 |
| Rate for Payer: Aetna Commercial |
$1,530.33
|
| Rate for Payer: Aetna Medicare |
$1,187.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,644.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,530.33
|
| Rate for Payer: BCBS Complete |
$1,144.40
|
| Rate for Payer: BCBS MAPPO |
$1,142.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,142.04
|
| Rate for Payer: Cash Price |
$2,288.80
|
| Rate for Payer: Cash Price |
$2,288.80
|
| Rate for Payer: Cofinity Commercial |
$1,644.54
|
| Rate for Payer: Cofinity Commercial |
$1,530.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,142.04
|
| Rate for Payer: Healthscope Commercial |
$2,112.77
|
| Rate for Payer: Healthscope Commercial |
$1,827.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,199.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,859.65
|
| Rate for Payer: Nomi Health Commercial |
$1,370.45
|
| Rate for Payer: PACE SWMI |
$1,142.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,142.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,859.65
|
| Rate for Payer: Priority Health Medicare |
$1,142.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,142.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,142.04
|
|
|
PR REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF
|
Professional
|
Both
|
$2,619.00
|
|
|
Service Code
|
HCPCS 35884
|
| Min. Negotiated Rate |
$1,047.60 |
| Max. Negotiated Rate |
$2,208.46 |
| Rate for Payer: Aetna Commercial |
$1,599.64
|
| Rate for Payer: Aetna Medicare |
$1,241.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,719.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,599.64
|
| Rate for Payer: BCBS Complete |
$1,047.60
|
| Rate for Payer: BCBS MAPPO |
$1,193.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,193.76
|
| Rate for Payer: Cash Price |
$2,095.20
|
| Rate for Payer: Cash Price |
$2,095.20
|
| Rate for Payer: Cofinity Commercial |
$1,719.01
|
| Rate for Payer: Cofinity Commercial |
$1,599.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,193.76
|
| Rate for Payer: Healthscope Commercial |
$1,910.02
|
| Rate for Payer: Healthscope Commercial |
$2,208.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,253.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,702.35
|
| Rate for Payer: Nomi Health Commercial |
$1,432.51
|
| Rate for Payer: PACE SWMI |
$1,193.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,193.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,702.35
|
| Rate for Payer: Priority Health Medicare |
$1,193.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,193.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,193.76
|
|
|
PR REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF
|
Professional
|
Both
|
$2,362.00
|
|
|
Service Code
|
HCPCS 35883
|
| Min. Negotiated Rate |
$944.80 |
| Max. Negotiated Rate |
$2,119.91 |
| Rate for Payer: Aetna Commercial |
$1,535.51
|
| Rate for Payer: Aetna Medicare |
$1,191.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,650.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,535.51
|
| Rate for Payer: BCBS Complete |
$944.80
|
| Rate for Payer: BCBS MAPPO |
$1,145.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,145.90
|
| Rate for Payer: Cash Price |
$1,889.60
|
| Rate for Payer: Cash Price |
$1,889.60
|
| Rate for Payer: Cofinity Commercial |
$1,650.10
|
| Rate for Payer: Cofinity Commercial |
$1,535.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,145.90
|
| Rate for Payer: Healthscope Commercial |
$2,119.91
|
| Rate for Payer: Healthscope Commercial |
$1,833.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,203.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,535.30
|
| Rate for Payer: Nomi Health Commercial |
$1,375.08
|
| Rate for Payer: PACE SWMI |
$1,145.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,145.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,535.30
|
| Rate for Payer: Priority Health Medicare |
$1,145.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,145.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,145.90
|
|
|
PR REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY
|
Professional
|
Both
|
$5,384.00
|
|
|
Service Code
|
HCPCS 43860
|
| Min. Negotiated Rate |
$1,591.27 |
| Max. Negotiated Rate |
$3,499.60 |
| Rate for Payer: Aetna Commercial |
$2,132.30
|
| Rate for Payer: Aetna Medicare |
$1,654.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,291.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,132.30
|
| Rate for Payer: BCBS Complete |
$2,153.60
|
| Rate for Payer: BCBS MAPPO |
$1,591.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,591.27
|
| Rate for Payer: Cash Price |
$4,307.20
|
| Rate for Payer: Cash Price |
$4,307.20
|
| Rate for Payer: Cofinity Commercial |
$2,291.43
|
| Rate for Payer: Cofinity Commercial |
$2,132.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,591.27
|
| Rate for Payer: Healthscope Commercial |
$2,546.03
|
| Rate for Payer: Healthscope Commercial |
$2,943.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,670.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,499.60
|
| Rate for Payer: Nomi Health Commercial |
$1,909.52
|
| Rate for Payer: PACE SWMI |
$1,591.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,591.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,499.60
|
| Rate for Payer: Priority Health Medicare |
$1,591.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,591.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,591.27
|
|
|
PR REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX
|
Professional
|
Both
|
$2,587.00
|
|
|
Service Code
|
HCPCS 44314
|
| Min. Negotiated Rate |
$964.69 |
| Max. Negotiated Rate |
$1,784.68 |
| Rate for Payer: Aetna Commercial |
$1,292.68
|
| Rate for Payer: Aetna Medicare |
$1,003.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,389.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.68
|
| Rate for Payer: BCBS Complete |
$1,034.80
|
| Rate for Payer: BCBS MAPPO |
$964.69
|
| Rate for Payer: BCN Medicare Advantage |
$964.69
|
| Rate for Payer: Cash Price |
$2,069.60
|
| Rate for Payer: Cash Price |
$2,069.60
|
| Rate for Payer: Cofinity Commercial |
$1,389.15
|
| Rate for Payer: Cofinity Commercial |
$1,292.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.69
|
| Rate for Payer: Healthscope Commercial |
$1,784.68
|
| Rate for Payer: Healthscope Commercial |
$1,543.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,012.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,681.55
|
| Rate for Payer: Nomi Health Commercial |
$1,157.63
|
| Rate for Payer: PACE SWMI |
$964.69
|
| Rate for Payer: PHP Medicare Advantage |
$964.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,681.55
|
| Rate for Payer: Priority Health Medicare |
$964.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.69
|
| Rate for Payer: UHC Medicare Advantage |
$964.69
|
|
|
PR REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX
|
Professional
|
Both
|
$1,238.00
|
|
|
Service Code
|
HCPCS 44312
|
| Min. Negotiated Rate |
$495.20 |
| Max. Negotiated Rate |
$1,064.49 |
| Rate for Payer: Aetna Commercial |
$771.04
|
| Rate for Payer: Aetna Medicare |
$598.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$828.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$771.04
|
| Rate for Payer: BCBS Complete |
$495.20
|
| Rate for Payer: BCBS MAPPO |
$575.40
|
| Rate for Payer: BCN Medicare Advantage |
$575.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cofinity Commercial |
$828.58
|
| Rate for Payer: Cofinity Commercial |
$771.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$575.40
|
| Rate for Payer: Healthscope Commercial |
$1,064.49
|
| Rate for Payer: Healthscope Commercial |
$920.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$604.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$804.70
|
| Rate for Payer: Nomi Health Commercial |
$690.48
|
| Rate for Payer: PACE SWMI |
$575.40
|
| Rate for Payer: PHP Medicare Advantage |
$575.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$804.70
|
| Rate for Payer: Priority Health Medicare |
$575.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$575.40
|
| Rate for Payer: UHC Medicare Advantage |
$575.40
|
|
|
PR REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR
|
Professional
|
Both
|
$4,128.00
|
|
|
Service Code
|
HCPCS 63664
|
| Min. Negotiated Rate |
$870.61 |
| Max. Negotiated Rate |
$2,683.20 |
| Rate for Payer: Aetna Commercial |
$1,166.62
|
| Rate for Payer: Aetna Medicare |
$905.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,253.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,166.62
|
| Rate for Payer: BCBS Complete |
$1,651.20
|
| Rate for Payer: BCBS MAPPO |
$870.61
|
| Rate for Payer: BCN Medicare Advantage |
$870.61
|
| Rate for Payer: Cash Price |
$3,302.40
|
| Rate for Payer: Cash Price |
$3,302.40
|
| Rate for Payer: Cofinity Commercial |
$1,253.68
|
| Rate for Payer: Cofinity Commercial |
$1,166.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$870.61
|
| Rate for Payer: Healthscope Commercial |
$1,610.63
|
| Rate for Payer: Healthscope Commercial |
$1,392.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$914.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,683.20
|
| Rate for Payer: Nomi Health Commercial |
$1,044.73
|
| Rate for Payer: PACE SWMI |
$870.61
|
| Rate for Payer: PHP Medicare Advantage |
$870.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,683.20
|
| Rate for Payer: Priority Health Medicare |
$870.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$870.61
|
| Rate for Payer: UHC Medicare Advantage |
$870.61
|
|
|
PR REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR
|
Professional
|
Both
|
$4,817.00
|
|
|
Service Code
|
HCPCS 63663
|
| Min. Negotiated Rate |
$431.97 |
| Max. Negotiated Rate |
$3,131.05 |
| Rate for Payer: Aetna Commercial |
$578.84
|
| Rate for Payer: Aetna Medicare |
$449.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$578.84
|
| Rate for Payer: BCBS Complete |
$1,926.80
|
| Rate for Payer: BCBS MAPPO |
$431.97
|
| Rate for Payer: BCN Medicare Advantage |
$431.97
|
| Rate for Payer: Cash Price |
$3,853.60
|
| Rate for Payer: Cash Price |
$3,853.60
|
| Rate for Payer: Cofinity Commercial |
$622.04
|
| Rate for Payer: Cofinity Commercial |
$578.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.97
|
| Rate for Payer: Healthscope Commercial |
$691.15
|
| Rate for Payer: Healthscope Commercial |
$799.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,131.05
|
| Rate for Payer: Nomi Health Commercial |
$518.36
|
| Rate for Payer: PACE SWMI |
$431.97
|
| Rate for Payer: PHP Medicare Advantage |
$431.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,131.05
|
| Rate for Payer: Priority Health Medicare |
$431.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.97
|
| Rate for Payer: UHC Medicare Advantage |
$431.97
|
|
|
PR REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP
|
Professional
|
Both
|
$1,825.00
|
|
|
Service Code
|
HCPCS 35879
|
| Min. Negotiated Rate |
$730.00 |
| Max. Negotiated Rate |
$1,636.57 |
| Rate for Payer: Aetna Commercial |
$1,185.40
|
| Rate for Payer: Aetna Medicare |
$920.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,273.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,185.40
|
| Rate for Payer: BCBS Complete |
$730.00
|
| Rate for Payer: BCBS MAPPO |
$884.63
|
| Rate for Payer: BCN Medicare Advantage |
$884.63
|
| Rate for Payer: Cash Price |
$1,460.00
|
| Rate for Payer: Cash Price |
$1,460.00
|
| Rate for Payer: Cofinity Commercial |
$1,273.87
|
| Rate for Payer: Cofinity Commercial |
$1,185.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$884.63
|
| Rate for Payer: Healthscope Commercial |
$1,636.57
|
| Rate for Payer: Healthscope Commercial |
$1,415.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$928.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,186.25
|
| Rate for Payer: Nomi Health Commercial |
$1,061.56
|
| Rate for Payer: PACE SWMI |
$884.63
|
| Rate for Payer: PHP Medicare Advantage |
$884.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,186.25
|
| Rate for Payer: Priority Health Medicare |
$884.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$884.63
|
| Rate for Payer: UHC Medicare Advantage |
$884.63
|
|
|
PR REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS
|
Professional
|
Both
|
$2,119.00
|
|
|
Service Code
|
HCPCS 35881
|
| Min. Negotiated Rate |
$847.60 |
| Max. Negotiated Rate |
$1,815.16 |
| Rate for Payer: Aetna Commercial |
$1,314.77
|
| Rate for Payer: Aetna Medicare |
$1,020.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,412.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,314.77
|
| Rate for Payer: BCBS Complete |
$847.60
|
| Rate for Payer: BCBS MAPPO |
$981.17
|
| Rate for Payer: BCN Medicare Advantage |
$981.17
|
| Rate for Payer: Cash Price |
$1,695.20
|
| Rate for Payer: Cash Price |
$1,695.20
|
| Rate for Payer: Cofinity Commercial |
$1,412.88
|
| Rate for Payer: Cofinity Commercial |
$1,314.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$981.17
|
| Rate for Payer: Healthscope Commercial |
$1,569.87
|
| Rate for Payer: Healthscope Commercial |
$1,815.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,030.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,377.35
|
| Rate for Payer: Nomi Health Commercial |
$1,177.40
|
| Rate for Payer: PACE SWMI |
$981.17
|
| Rate for Payer: PHP Medicare Advantage |
$981.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,377.35
|
| Rate for Payer: Priority Health Medicare |
$981.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$981.17
|
| Rate for Payer: UHC Medicare Advantage |
$981.17
|
|
|
PR REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY
|
Professional
|
Both
|
$2,087.00
|
|
|
Service Code
|
HCPCS 69601
|
| Min. Negotiated Rate |
$834.80 |
| Max. Negotiated Rate |
$1,766.01 |
| Rate for Payer: Aetna Commercial |
$1,279.16
|
| Rate for Payer: Aetna Medicare |
$992.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,374.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,279.16
|
| Rate for Payer: BCBS Complete |
$834.80
|
| Rate for Payer: BCBS MAPPO |
$954.60
|
| Rate for Payer: BCN Medicare Advantage |
$954.60
|
| Rate for Payer: Cash Price |
$1,669.60
|
| Rate for Payer: Cash Price |
$1,669.60
|
| Rate for Payer: Cofinity Commercial |
$1,374.62
|
| Rate for Payer: Cofinity Commercial |
$1,279.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$954.60
|
| Rate for Payer: Healthscope Commercial |
$1,766.01
|
| Rate for Payer: Healthscope Commercial |
$1,527.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,002.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,356.55
|
| Rate for Payer: Nomi Health Commercial |
$1,145.52
|
| Rate for Payer: PACE SWMI |
$954.60
|
| Rate for Payer: PHP Medicare Advantage |
$954.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,356.55
|
| Rate for Payer: Priority Health Medicare |
$954.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$954.60
|
| Rate for Payer: UHC Medicare Advantage |
$954.60
|
|
|
PR REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY
|
Professional
|
Both
|
$2,239.00
|
|
|
Service Code
|
HCPCS 69604
|
| Min. Negotiated Rate |
$895.60 |
| Max. Negotiated Rate |
$1,923.83 |
| Rate for Payer: Aetna Commercial |
$1,393.48
|
| Rate for Payer: Aetna Medicare |
$1,081.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,497.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.48
|
| Rate for Payer: BCBS Complete |
$895.60
|
| Rate for Payer: BCBS MAPPO |
$1,039.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,039.91
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cofinity Commercial |
$1,497.47
|
| Rate for Payer: Cofinity Commercial |
$1,393.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,039.91
|
| Rate for Payer: Healthscope Commercial |
$1,663.86
|
| Rate for Payer: Healthscope Commercial |
$1,923.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,091.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,455.35
|
| Rate for Payer: Nomi Health Commercial |
$1,247.89
|
| Rate for Payer: PACE SWMI |
$1,039.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,039.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,455.35
|
| Rate for Payer: Priority Health Medicare |
$1,039.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,039.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,039.91
|
|
|
PR REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF
|
Professional
|
Both
|
$1,224.00
|
|
|
Service Code
|
HCPCS 36832
|
| Min. Negotiated Rate |
$489.60 |
| Max. Negotiated Rate |
$1,336.44 |
| Rate for Payer: Aetna Commercial |
$968.02
|
| Rate for Payer: Aetna Medicare |
$751.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.26
|
| Rate for Payer: BCBS Complete |
$489.60
|
| Rate for Payer: BCBS MAPPO |
$722.40
|
| Rate for Payer: BCN Medicare Advantage |
$722.40
|
| Rate for Payer: Cash Price |
$979.20
|
| Rate for Payer: Cash Price |
$979.20
|
| Rate for Payer: Cofinity Commercial |
$968.02
|
| Rate for Payer: Cofinity Commercial |
$1,040.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.40
|
| Rate for Payer: Healthscope Commercial |
$1,336.44
|
| Rate for Payer: Healthscope Commercial |
$1,155.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$758.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$795.60
|
| Rate for Payer: Nomi Health Commercial |
$866.88
|
| Rate for Payer: PACE SWMI |
$722.40
|
| Rate for Payer: PHP Medicare Advantage |
$722.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$795.60
|
| Rate for Payer: Priority Health Medicare |
$722.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$722.40
|
| Rate for Payer: UHC Medicare Advantage |
$722.40
|
|
|
PR REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 36833
|
| Min. Negotiated Rate |
$771.31 |
| Max. Negotiated Rate |
$1,516.45 |
| Rate for Payer: Aetna Commercial |
$1,033.56
|
| Rate for Payer: Aetna Medicare |
$802.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.56
|
| Rate for Payer: BCBS Complete |
$933.20
|
| Rate for Payer: BCBS MAPPO |
$771.31
|
| Rate for Payer: BCN Medicare Advantage |
$771.31
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$1,110.69
|
| Rate for Payer: Cofinity Commercial |
$1,033.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.31
|
| Rate for Payer: Healthscope Commercial |
$1,234.10
|
| Rate for Payer: Healthscope Commercial |
$1,426.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,516.45
|
| Rate for Payer: Nomi Health Commercial |
$925.57
|
| Rate for Payer: PACE SWMI |
$771.31
|
| Rate for Payer: PHP Medicare Advantage |
$771.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,516.45
|
| Rate for Payer: Priority Health Medicare |
$771.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.31
|
| Rate for Payer: UHC Medicare Advantage |
$771.31
|
|
|
PR REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA
|
Professional
|
Both
|
$1,819.00
|
|
|
Service Code
|
HCPCS 63688
|
| Min. Negotiated Rate |
$288.98 |
| Max. Negotiated Rate |
$1,182.35 |
| Rate for Payer: Aetna Commercial |
$387.23
|
| Rate for Payer: Aetna Medicare |
$300.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$387.23
|
| Rate for Payer: BCBS Complete |
$727.60
|
| Rate for Payer: BCBS MAPPO |
$288.98
|
| Rate for Payer: BCN Medicare Advantage |
$288.98
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$416.13
|
| Rate for Payer: Cofinity Commercial |
$387.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$288.98
|
| Rate for Payer: Healthscope Commercial |
$534.61
|
| Rate for Payer: Healthscope Commercial |
$462.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$303.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,182.35
|
| Rate for Payer: Nomi Health Commercial |
$346.78
|
| Rate for Payer: PACE SWMI |
$288.98
|
| Rate for Payer: PHP Medicare Advantage |
$288.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,182.35
|
| Rate for Payer: Priority Health Medicare |
$288.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$288.98
|
| Rate for Payer: UHC Medicare Advantage |
$288.98
|
|
|
PR REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS
|
Professional
|
Both
|
$3,184.00
|
|
|
Service Code
|
HCPCS 61880
|
| Min. Negotiated Rate |
$579.59 |
| Max. Negotiated Rate |
$2,069.60 |
| Rate for Payer: Aetna Commercial |
$776.65
|
| Rate for Payer: Aetna Medicare |
$602.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$834.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$776.65
|
| Rate for Payer: BCBS Complete |
$1,273.60
|
| Rate for Payer: BCBS MAPPO |
$579.59
|
| Rate for Payer: BCN Medicare Advantage |
$579.59
|
| Rate for Payer: Cash Price |
$2,547.20
|
| Rate for Payer: Cash Price |
$2,547.20
|
| Rate for Payer: Cofinity Commercial |
$834.61
|
| Rate for Payer: Cofinity Commercial |
$776.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$579.59
|
| Rate for Payer: Healthscope Commercial |
$1,072.24
|
| Rate for Payer: Healthscope Commercial |
$927.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$608.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,069.60
|
| Rate for Payer: Nomi Health Commercial |
$695.51
|
| Rate for Payer: PACE SWMI |
$579.59
|
| Rate for Payer: PHP Medicare Advantage |
$579.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,069.60
|
| Rate for Payer: Priority Health Medicare |
$579.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$579.59
|
| Rate for Payer: UHC Medicare Advantage |
$579.59
|
|
|
PR REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR
|
Professional
|
Both
|
$1,048.00
|
|
|
Service Code
|
HCPCS 61888
|
| Min. Negotiated Rate |
$392.23 |
| Max. Negotiated Rate |
$725.63 |
| Rate for Payer: Aetna Commercial |
$525.59
|
| Rate for Payer: Aetna Medicare |
$407.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$525.59
|
| Rate for Payer: BCBS Complete |
$419.20
|
| Rate for Payer: BCBS MAPPO |
$392.23
|
| Rate for Payer: BCN Medicare Advantage |
$392.23
|
| Rate for Payer: Cash Price |
$838.40
|
| Rate for Payer: Cash Price |
$838.40
|
| Rate for Payer: Cofinity Commercial |
$564.81
|
| Rate for Payer: Cofinity Commercial |
$525.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$392.23
|
| Rate for Payer: Healthscope Commercial |
$725.63
|
| Rate for Payer: Healthscope Commercial |
$627.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$681.20
|
| Rate for Payer: Nomi Health Commercial |
$470.68
|
| Rate for Payer: PACE SWMI |
$392.23
|
| Rate for Payer: PHP Medicare Advantage |
$392.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$681.20
|
| Rate for Payer: Priority Health Medicare |
$392.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$392.23
|
| Rate for Payer: UHC Medicare Advantage |
$392.23
|
|
|
PR REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY
|
Professional
|
Both
|
$1,338.00
|
|
|
Service Code
|
HCPCS 64585
|
| Min. Negotiated Rate |
$136.72 |
| Max. Negotiated Rate |
$869.70 |
| Rate for Payer: Aetna Commercial |
$183.20
|
| Rate for Payer: Aetna Medicare |
$142.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.20
|
| Rate for Payer: BCBS Complete |
$535.20
|
| Rate for Payer: BCBS MAPPO |
$136.72
|
| Rate for Payer: BCN Medicare Advantage |
$136.72
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cofinity Commercial |
$196.88
|
| Rate for Payer: Cofinity Commercial |
$183.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.72
|
| Rate for Payer: Healthscope Commercial |
$218.75
|
| Rate for Payer: Healthscope Commercial |
$252.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$869.70
|
| Rate for Payer: Nomi Health Commercial |
$164.06
|
| Rate for Payer: PACE SWMI |
$136.72
|
| Rate for Payer: PHP Medicare Advantage |
$136.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$869.70
|
| Rate for Payer: Priority Health Medicare |
$136.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$136.72
|
| Rate for Payer: UHC Medicare Advantage |
$136.72
|
|
|
PR REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 57295
|
| Min. Negotiated Rate |
$478.91 |
| Max. Negotiated Rate |
$923.00 |
| Rate for Payer: Aetna Commercial |
$641.74
|
| Rate for Payer: Aetna Medicare |
$498.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$689.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$641.74
|
| Rate for Payer: BCBS Complete |
$568.00
|
| Rate for Payer: BCBS MAPPO |
$478.91
|
| Rate for Payer: BCN Medicare Advantage |
$478.91
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$689.63
|
| Rate for Payer: Cofinity Commercial |
$641.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$478.91
|
| Rate for Payer: Healthscope Commercial |
$885.98
|
| Rate for Payer: Healthscope Commercial |
$766.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$502.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$923.00
|
| Rate for Payer: Nomi Health Commercial |
$574.69
|
| Rate for Payer: PACE SWMI |
$478.91
|
| Rate for Payer: PHP Medicare Advantage |
$478.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$923.00
|
| Rate for Payer: Priority Health Medicare |
$478.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$478.91
|
| Rate for Payer: UHC Medicare Advantage |
$478.91
|
|
