|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
IP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$547.47 |
| Max. Negotiated Rate |
$782.10 |
| Rate for Payer: Aetna Commercial |
$738.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.85
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$608.30
|
| Rate for Payer: Cofinity Commercial |
$747.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$608.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Healthscope Commercial |
$782.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: PHP Commercial |
$738.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health SBD |
$547.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
OP
|
$869.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$547.47 |
| Max. Negotiated Rate |
$9,688.38 |
| Rate for Payer: Aetna Commercial |
$738.65
|
| Rate for Payer: Aetna Medicare |
$3,579.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,302.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,302.27
|
| Rate for Payer: BCBS Complete |
$1,937.06
|
| Rate for Payer: BCBS MAPPO |
$3,441.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,441.82
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$747.34
|
| Rate for Payer: Cofinity Commercial |
$608.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$608.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$695.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,441.82
|
| Rate for Payer: Healthscope Commercial |
$782.10
|
| Rate for Payer: Mclaren Medicaid |
$1,844.82
|
| Rate for Payer: Mclaren Medicare |
$3,441.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,613.91
|
| Rate for Payer: Meridian Medicaid |
$1,937.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$738.65
|
| Rate for Payer: PACE Medicare |
$3,269.73
|
| Rate for Payer: PACE SWMI |
$3,441.82
|
| Rate for Payer: PHP Commercial |
$738.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,441.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,844.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health Medicare |
$3,441.82
|
| Rate for Payer: Priority Health SBD |
$547.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,441.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,688.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,441.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.82
|
| Rate for Payer: UHCCP Medicaid |
$1,937.74
|
| Rate for Payer: VA VA |
$3,441.82
|
|
|
PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,161.00
|
|
|
Service Code
|
HCPCS 49618
|
| Min. Negotiated Rate |
$1,215.78 |
| Max. Negotiated Rate |
$2,249.19 |
| Rate for Payer: Aetna Commercial |
$1,629.15
|
| Rate for Payer: Aetna Medicare |
$1,264.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,750.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,629.15
|
| Rate for Payer: BCBS Complete |
$1,264.40
|
| Rate for Payer: BCBS MAPPO |
$1,215.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,215.78
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cofinity Commercial |
$1,750.72
|
| Rate for Payer: Cofinity Commercial |
$1,629.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,215.78
|
| Rate for Payer: Healthscope Commercial |
$2,249.19
|
| Rate for Payer: Healthscope Commercial |
$1,945.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,276.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,054.65
|
| Rate for Payer: Nomi Health Commercial |
$1,458.94
|
| Rate for Payer: PACE SWMI |
$1,215.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,215.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,054.65
|
| Rate for Payer: Priority Health Medicare |
$1,215.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,215.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,215.78
|
|
|
PR RPR AA HERNIA RECR > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,848.00
|
|
|
Service Code
|
HCPCS 49617
|
| Min. Negotiated Rate |
$739.20 |
| Max. Negotiated Rate |
$1,603.01 |
| Rate for Payer: Aetna Commercial |
$1,161.10
|
| Rate for Payer: Aetna Medicare |
$901.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,161.10
|
| Rate for Payer: BCBS Complete |
$739.20
|
| Rate for Payer: BCBS MAPPO |
$866.49
|
| Rate for Payer: BCN Medicare Advantage |
$866.49
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cash Price |
$1,478.40
|
| Rate for Payer: Cofinity Commercial |
$1,247.75
|
| Rate for Payer: Cofinity Commercial |
$1,161.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.49
|
| Rate for Payer: Healthscope Commercial |
$1,386.38
|
| Rate for Payer: Healthscope Commercial |
$1,603.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$909.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,201.20
|
| Rate for Payer: Nomi Health Commercial |
$1,039.79
|
| Rate for Payer: PACE SWMI |
$866.49
|
| Rate for Payer: PHP Medicare Advantage |
$866.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,201.20
|
| Rate for Payer: Priority Health Medicare |
$866.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$866.49
|
| Rate for Payer: UHC Medicare Advantage |
$866.49
|
|
|
PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,751.00
|
|
|
Service Code
|
HCPCS 49616
|
| Min. Negotiated Rate |
$700.40 |
| Max. Negotiated Rate |
$1,550.91 |
| Rate for Payer: Aetna Commercial |
$1,123.36
|
| Rate for Payer: Aetna Medicare |
$871.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,207.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,123.36
|
| Rate for Payer: BCBS Complete |
$700.40
|
| Rate for Payer: BCBS MAPPO |
$838.33
|
| Rate for Payer: BCN Medicare Advantage |
$838.33
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,207.20
|
| Rate for Payer: Cofinity Commercial |
$1,123.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$838.33
|
| Rate for Payer: Healthscope Commercial |
$1,550.91
|
| Rate for Payer: Healthscope Commercial |
$1,341.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$880.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,138.15
|
| Rate for Payer: Nomi Health Commercial |
$1,006.00
|
| Rate for Payer: PACE SWMI |
$838.33
|
| Rate for Payer: PHP Medicare Advantage |
$838.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,138.15
|
| Rate for Payer: Priority Health Medicare |
$838.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$838.33
|
| Rate for Payer: UHC Medicare Advantage |
$838.33
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,589.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,001.07 |
| Max. Negotiated Rate |
$17,130.07 |
| Rate for Payer: Aetna Commercial |
$1,350.65
|
| Rate for Payer: Aetna Medicare |
$6,328.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,032.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,606.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,606.88
|
| Rate for Payer: BCBS Complete |
$3,424.92
|
| Rate for Payer: BCBS MAPPO |
$6,085.50
|
| Rate for Payer: BCN Medicare Advantage |
$6,085.50
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,112.30
|
| Rate for Payer: Cofinity Commercial |
$1,366.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,112.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,271.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,085.50
|
| Rate for Payer: Healthscope Commercial |
$1,430.10
|
| Rate for Payer: Mclaren Medicaid |
$3,261.83
|
| Rate for Payer: Mclaren Medicare |
$6,085.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,389.77
|
| Rate for Payer: Meridian Medicaid |
$3,424.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,998.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,350.65
|
| Rate for Payer: PACE Medicare |
$5,781.23
|
| Rate for Payer: PACE SWMI |
$6,085.50
|
| Rate for Payer: PHP Commercial |
$1,350.65
|
| Rate for Payer: PHP Medicare Advantage |
$6,085.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,261.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health Medicare |
$6,085.50
|
| Rate for Payer: Priority Health SBD |
$1,001.07
|
| Rate for Payer: Railroad Medicare Medicare |
$6,085.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,130.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,085.50
|
| Rate for Payer: UHC Medicare Advantage |
$6,085.50
|
| Rate for Payer: UHCCP Medicaid |
$3,426.14
|
| Rate for Payer: VA VA |
$6,085.50
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$623.55 |
| Max. Negotiated Rate |
$1,153.57 |
| Rate for Payer: Aetna Commercial |
$835.56
|
| Rate for Payer: Aetna Medicare |
$648.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$835.56
|
| Rate for Payer: BCBS Complete |
$635.60
|
| Rate for Payer: BCBS MAPPO |
$623.55
|
| Rate for Payer: BCN Medicare Advantage |
$623.55
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$897.91
|
| Rate for Payer: Cofinity Commercial |
$835.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.55
|
| Rate for Payer: Healthscope Commercial |
$997.68
|
| Rate for Payer: Healthscope Commercial |
$1,153.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$654.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,032.85
|
| Rate for Payer: Nomi Health Commercial |
$748.26
|
| Rate for Payer: PACE SWMI |
$623.55
|
| Rate for Payer: PHP Medicare Advantage |
$623.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health Medicare |
$623.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$623.55
|
| Rate for Payer: UHC Medicare Advantage |
$623.55
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,589.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,001.07 |
| Max. Negotiated Rate |
$1,430.10 |
| Rate for Payer: Aetna Commercial |
$1,350.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,032.85
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,112.30
|
| Rate for Payer: Cofinity Commercial |
$1,366.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,112.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,271.20
|
| Rate for Payer: Healthscope Commercial |
$1,430.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,350.65
|
| Rate for Payer: PHP Commercial |
$1,350.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health SBD |
$1,001.07
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 49615
|
| Min. Negotiated Rate |
$623.55 |
| Max. Negotiated Rate |
$1,153.57 |
| Rate for Payer: Aetna Commercial |
$835.56
|
| Rate for Payer: Aetna Medicare |
$648.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$835.56
|
| Rate for Payer: BCBS Complete |
$635.60
|
| Rate for Payer: BCBS MAPPO |
$623.55
|
| Rate for Payer: BCN Medicare Advantage |
$623.55
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$897.91
|
| Rate for Payer: Cofinity Commercial |
$835.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.55
|
| Rate for Payer: Healthscope Commercial |
$1,153.57
|
| Rate for Payer: Healthscope Commercial |
$997.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$654.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,032.85
|
| Rate for Payer: Nomi Health Commercial |
$748.26
|
| Rate for Payer: PACE SWMI |
$623.55
|
| Rate for Payer: PHP Medicare Advantage |
$623.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health Medicare |
$623.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$623.55
|
| Rate for Payer: UHC Medicare Advantage |
$623.55
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,165.00
|
|
|
Service Code
|
CPT 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$733.95 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna Commercial |
$990.25
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$757.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$815.50
|
| Rate for Payer: Cofinity Commercial |
$1,001.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$815.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$1,048.50
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.25
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$990.25
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$733.95
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,203.54
|
| Rate for Payer: VA VA |
$5,690.13
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,165.00
|
|
|
Service Code
|
HCPCS 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$466.00 |
| Max. Negotiated Rate |
$1,031.91 |
| Rate for Payer: Aetna Commercial |
$747.44
|
| Rate for Payer: Aetna Medicare |
$580.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$747.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.22
|
| Rate for Payer: BCBS Complete |
$466.00
|
| Rate for Payer: BCBS MAPPO |
$557.79
|
| Rate for Payer: BCN Medicare Advantage |
$557.79
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$803.22
|
| Rate for Payer: Cofinity Commercial |
$747.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.79
|
| Rate for Payer: Healthscope Commercial |
$1,031.91
|
| Rate for Payer: Healthscope Commercial |
$892.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$757.25
|
| Rate for Payer: Nomi Health Commercial |
$669.35
|
| Rate for Payer: PACE SWMI |
$557.79
|
| Rate for Payer: PHP Medicare Advantage |
$557.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health Medicare |
$557.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.79
|
| Rate for Payer: UHC Medicare Advantage |
$557.79
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,165.00
|
|
|
Service Code
|
HCPCS 49614
|
| Min. Negotiated Rate |
$466.00 |
| Max. Negotiated Rate |
$1,031.91 |
| Rate for Payer: Aetna Commercial |
$747.44
|
| Rate for Payer: Aetna Medicare |
$580.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$747.44
|
| Rate for Payer: BCBS Complete |
$466.00
|
| Rate for Payer: BCBS MAPPO |
$557.79
|
| Rate for Payer: BCN Medicare Advantage |
$557.79
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$803.22
|
| Rate for Payer: Cofinity Commercial |
$747.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.79
|
| Rate for Payer: Healthscope Commercial |
$892.46
|
| Rate for Payer: Healthscope Commercial |
$1,031.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$757.25
|
| Rate for Payer: Nomi Health Commercial |
$669.35
|
| Rate for Payer: PACE SWMI |
$557.79
|
| Rate for Payer: PHP Medicare Advantage |
$557.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health Medicare |
$557.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.79
|
| Rate for Payer: UHC Medicare Advantage |
$557.79
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,165.00
|
|
|
Service Code
|
CPT 49614
|
| Hospital Charge Code |
49614
|
| Min. Negotiated Rate |
$733.95 |
| Max. Negotiated Rate |
$1,048.50 |
| Rate for Payer: Aetna Commercial |
$990.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$757.25
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$1,001.90
|
| Rate for Payer: Cofinity Commercial |
$815.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$815.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$932.00
|
| Rate for Payer: Healthscope Commercial |
$1,048.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$990.25
|
| Rate for Payer: PHP Commercial |
$990.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health SBD |
$733.95
|
|
|
PR RPR AA HERNIA RECR < 3 CM REDUCIBLE
|
Professional
|
Both
|
$857.00
|
|
|
Service Code
|
HCPCS 49613
|
| Min. Negotiated Rate |
$342.80 |
| Max. Negotiated Rate |
$759.00 |
| Rate for Payer: Aetna Commercial |
$549.76
|
| Rate for Payer: Aetna Medicare |
$426.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.76
|
| Rate for Payer: BCBS Complete |
$342.80
|
| Rate for Payer: BCBS MAPPO |
$410.27
|
| Rate for Payer: BCN Medicare Advantage |
$410.27
|
| Rate for Payer: Cash Price |
$685.60
|
| Rate for Payer: Cash Price |
$685.60
|
| Rate for Payer: Cofinity Commercial |
$590.79
|
| Rate for Payer: Cofinity Commercial |
$549.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.27
|
| Rate for Payer: Healthscope Commercial |
$656.43
|
| Rate for Payer: Healthscope Commercial |
$759.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$557.05
|
| Rate for Payer: Nomi Health Commercial |
$492.32
|
| Rate for Payer: PACE SWMI |
$410.27
|
| Rate for Payer: PHP Medicare Advantage |
$410.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.05
|
| Rate for Payer: Priority Health Medicare |
$410.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.27
|
| Rate for Payer: UHC Medicare Advantage |
$410.27
|
|
|
PR RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES
|
Professional
|
Both
|
$1,541.00
|
|
|
Service Code
|
HCPCS 35190
|
| Min. Negotiated Rate |
$616.40 |
| Max. Negotiated Rate |
$1,336.88 |
| Rate for Payer: Aetna Commercial |
$968.34
|
| Rate for Payer: Aetna Medicare |
$751.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.60
|
| Rate for Payer: BCBS Complete |
$616.40
|
| Rate for Payer: BCBS MAPPO |
$722.64
|
| Rate for Payer: BCN Medicare Advantage |
$722.64
|
| Rate for Payer: Cash Price |
$1,232.80
|
| Rate for Payer: Cash Price |
$1,232.80
|
| Rate for Payer: Cofinity Commercial |
$968.34
|
| Rate for Payer: Cofinity Commercial |
$1,040.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.64
|
| Rate for Payer: Healthscope Commercial |
$1,336.88
|
| Rate for Payer: Healthscope Commercial |
$1,156.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$758.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,001.65
|
| Rate for Payer: Nomi Health Commercial |
$867.17
|
| Rate for Payer: PACE SWMI |
$722.64
|
| Rate for Payer: PHP Medicare Advantage |
$722.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.65
|
| Rate for Payer: Priority Health Medicare |
$722.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$722.64
|
| Rate for Payer: UHC Medicare Advantage |
$722.64
|
|
|
PR RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD & NECK
|
Professional
|
Both
|
$4,240.00
|
|
|
Service Code
|
HCPCS 35188
|
| Min. Negotiated Rate |
$1,272.15 |
| Max. Negotiated Rate |
$2,756.00 |
| Rate for Payer: Aetna Commercial |
$1,704.68
|
| Rate for Payer: Aetna Medicare |
$1,323.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,831.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.68
|
| Rate for Payer: BCBS Complete |
$1,696.00
|
| Rate for Payer: BCBS MAPPO |
$1,272.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.15
|
| Rate for Payer: Cash Price |
$3,392.00
|
| Rate for Payer: Cash Price |
$3,392.00
|
| Rate for Payer: Cofinity Commercial |
$1,831.90
|
| Rate for Payer: Cofinity Commercial |
$1,704.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.15
|
| Rate for Payer: Healthscope Commercial |
$2,035.44
|
| Rate for Payer: Healthscope Commercial |
$2,353.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,756.00
|
| Rate for Payer: Nomi Health Commercial |
$1,526.58
|
| Rate for Payer: PACE SWMI |
$1,272.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,756.00
|
| Rate for Payer: Priority Health Medicare |
$1,272.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,272.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.15
|
|
|
PR RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON
|
Professional
|
Both
|
$1,983.00
|
|
|
Service Code
|
HCPCS 26350
|
| Min. Negotiated Rate |
$693.38 |
| Max. Negotiated Rate |
$1,288.95 |
| Rate for Payer: Aetna Commercial |
$929.13
|
| Rate for Payer: Aetna Medicare |
$721.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$998.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$929.13
|
| Rate for Payer: BCBS Complete |
$793.20
|
| Rate for Payer: BCBS MAPPO |
$693.38
|
| Rate for Payer: BCN Medicare Advantage |
$693.38
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cofinity Commercial |
$998.47
|
| Rate for Payer: Cofinity Commercial |
$929.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$693.38
|
| Rate for Payer: Healthscope Commercial |
$1,282.75
|
| Rate for Payer: Healthscope Commercial |
$1,109.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$728.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,288.95
|
| Rate for Payer: Nomi Health Commercial |
$832.06
|
| Rate for Payer: PACE SWMI |
$693.38
|
| Rate for Payer: PHP Medicare Advantage |
$693.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.95
|
| Rate for Payer: Priority Health Medicare |
$693.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$693.38
|
| Rate for Payer: UHC Medicare Advantage |
$693.38
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON
|
Professional
|
Both
|
$2,709.00
|
|
|
Service Code
|
HCPCS 26358
|
| Min. Negotiated Rate |
$945.32 |
| Max. Negotiated Rate |
$1,760.85 |
| Rate for Payer: Aetna Commercial |
$1,266.73
|
| Rate for Payer: Aetna Medicare |
$983.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,361.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,266.73
|
| Rate for Payer: BCBS Complete |
$1,083.60
|
| Rate for Payer: BCBS MAPPO |
$945.32
|
| Rate for Payer: BCN Medicare Advantage |
$945.32
|
| Rate for Payer: Cash Price |
$2,167.20
|
| Rate for Payer: Cash Price |
$2,167.20
|
| Rate for Payer: Cofinity Commercial |
$1,361.26
|
| Rate for Payer: Cofinity Commercial |
$1,266.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$945.32
|
| Rate for Payer: Healthscope Commercial |
$1,512.51
|
| Rate for Payer: Healthscope Commercial |
$1,748.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$992.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,760.85
|
| Rate for Payer: Nomi Health Commercial |
$1,134.38
|
| Rate for Payer: PACE SWMI |
$945.32
|
| Rate for Payer: PHP Medicare Advantage |
$945.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,760.85
|
| Rate for Payer: Priority Health Medicare |
$945.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$945.32
|
| Rate for Payer: UHC Medicare Advantage |
$945.32
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,775.00
|
|
|
Service Code
|
HCPCS 26357
|
| Min. Negotiated Rate |
$856.00 |
| Max. Negotiated Rate |
$1,803.75 |
| Rate for Payer: Aetna Commercial |
$1,147.04
|
| Rate for Payer: Aetna Medicare |
$890.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,232.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,147.04
|
| Rate for Payer: BCBS Complete |
$1,110.00
|
| Rate for Payer: BCBS MAPPO |
$856.00
|
| Rate for Payer: BCN Medicare Advantage |
$856.00
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cofinity Commercial |
$1,232.64
|
| Rate for Payer: Cofinity Commercial |
$1,147.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.00
|
| Rate for Payer: Healthscope Commercial |
$1,369.60
|
| Rate for Payer: Healthscope Commercial |
$1,583.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,803.75
|
| Rate for Payer: Nomi Health Commercial |
$1,027.20
|
| Rate for Payer: PACE SWMI |
$856.00
|
| Rate for Payer: PHP Medicare Advantage |
$856.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,803.75
|
| Rate for Payer: Priority Health Medicare |
$856.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.00
|
| Rate for Payer: UHC Medicare Advantage |
$856.00
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,657.00
|
|
|
Service Code
|
HCPCS 26356
|
| Min. Negotiated Rate |
$763.85 |
| Max. Negotiated Rate |
$1,727.05 |
| Rate for Payer: Aetna Commercial |
$1,023.56
|
| Rate for Payer: Aetna Medicare |
$794.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,099.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,023.56
|
| Rate for Payer: BCBS Complete |
$1,062.80
|
| Rate for Payer: BCBS MAPPO |
$763.85
|
| Rate for Payer: BCN Medicare Advantage |
$763.85
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cofinity Commercial |
$1,099.94
|
| Rate for Payer: Cofinity Commercial |
$1,023.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$763.85
|
| Rate for Payer: Healthscope Commercial |
$1,413.12
|
| Rate for Payer: Healthscope Commercial |
$1,222.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$802.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,727.05
|
| Rate for Payer: Nomi Health Commercial |
$916.62
|
| Rate for Payer: PACE SWMI |
$763.85
|
| Rate for Payer: PHP Medicare Advantage |
$763.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,727.05
|
| Rate for Payer: Priority Health Medicare |
$763.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$763.85
|
| Rate for Payer: UHC Medicare Advantage |
$763.85
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN
|
Professional
|
Both
|
$2,340.00
|
|
|
Service Code
|
HCPCS 26370
|
| Min. Negotiated Rate |
$731.54 |
| Max. Negotiated Rate |
$1,521.00 |
| Rate for Payer: Aetna Commercial |
$980.26
|
| Rate for Payer: Aetna Medicare |
$760.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,053.42
|
| Rate for Payer: BCBS Complete |
$936.00
|
| Rate for Payer: BCBS MAPPO |
$731.54
|
| Rate for Payer: BCN Medicare Advantage |
$731.54
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cofinity Commercial |
$980.26
|
| Rate for Payer: Cofinity Commercial |
$1,053.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.54
|
| Rate for Payer: Healthscope Commercial |
$1,353.35
|
| Rate for Payer: Healthscope Commercial |
$1,170.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,521.00
|
| Rate for Payer: Nomi Health Commercial |
$877.85
|
| Rate for Payer: PACE SWMI |
$731.54
|
| Rate for Payer: PHP Medicare Advantage |
$731.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,521.00
|
| Rate for Payer: Priority Health Medicare |
$731.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.54
|
| Rate for Payer: UHC Medicare Advantage |
$731.54
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA
|
Professional
|
Both
|
$3,106.00
|
|
|
Service Code
|
HCPCS 26372
|
| Min. Negotiated Rate |
$856.02 |
| Max. Negotiated Rate |
$2,018.90 |
| Rate for Payer: Aetna Commercial |
$1,147.07
|
| Rate for Payer: Aetna Medicare |
$890.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,232.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,147.07
|
| Rate for Payer: BCBS Complete |
$1,242.40
|
| Rate for Payer: BCBS MAPPO |
$856.02
|
| Rate for Payer: BCN Medicare Advantage |
$856.02
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Cofinity Commercial |
$1,232.67
|
| Rate for Payer: Cofinity Commercial |
$1,147.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.02
|
| Rate for Payer: Healthscope Commercial |
$1,369.63
|
| Rate for Payer: Healthscope Commercial |
$1,583.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$898.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,018.90
|
| Rate for Payer: Nomi Health Commercial |
$1,027.22
|
| Rate for Payer: PACE SWMI |
$856.02
|
| Rate for Payer: PHP Medicare Advantage |
$856.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,018.90
|
| Rate for Payer: Priority Health Medicare |
$856.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.02
|
| Rate for Payer: UHC Medicare Advantage |
$856.02
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA
|
Professional
|
Both
|
$2,854.00
|
|
|
Service Code
|
HCPCS 26373
|
| Min. Negotiated Rate |
$822.63 |
| Max. Negotiated Rate |
$1,855.10 |
| Rate for Payer: Aetna Commercial |
$1,102.32
|
| Rate for Payer: Aetna Medicare |
$855.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,184.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,102.32
|
| Rate for Payer: BCBS Complete |
$1,141.60
|
| Rate for Payer: BCBS MAPPO |
$822.63
|
| Rate for Payer: BCN Medicare Advantage |
$822.63
|
| Rate for Payer: Cash Price |
$2,283.20
|
| Rate for Payer: Cash Price |
$2,283.20
|
| Rate for Payer: Cofinity Commercial |
$1,184.59
|
| Rate for Payer: Cofinity Commercial |
$1,102.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.63
|
| Rate for Payer: Healthscope Commercial |
$1,521.87
|
| Rate for Payer: Healthscope Commercial |
$1,316.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$863.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,855.10
|
| Rate for Payer: Nomi Health Commercial |
$987.16
|
| Rate for Payer: PACE SWMI |
$822.63
|
| Rate for Payer: PHP Medicare Advantage |
$822.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,855.10
|
| Rate for Payer: Priority Health Medicare |
$822.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$822.63
|
| Rate for Payer: UHC Medicare Advantage |
$822.63
|
|
|
PR RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ
|
Professional
|
Both
|
$3,602.00
|
|
|
Service Code
|
HCPCS 33507
|
| Min. Negotiated Rate |
$1,440.80 |
| Max. Negotiated Rate |
$3,057.72 |
| Rate for Payer: Aetna Commercial |
$2,214.78
|
| Rate for Payer: Aetna Medicare |
$1,718.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,380.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,214.78
|
| Rate for Payer: BCBS Complete |
$1,440.80
|
| Rate for Payer: BCBS MAPPO |
$1,652.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,652.82
|
| Rate for Payer: Cash Price |
$2,881.60
|
| Rate for Payer: Cash Price |
$2,881.60
|
| Rate for Payer: Cofinity Commercial |
$2,380.06
|
| Rate for Payer: Cofinity Commercial |
$2,214.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,652.82
|
| Rate for Payer: Healthscope Commercial |
$2,644.51
|
| Rate for Payer: Healthscope Commercial |
$3,057.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,735.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,341.30
|
| Rate for Payer: Nomi Health Commercial |
$1,983.38
|
| Rate for Payer: PACE SWMI |
$1,652.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,652.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,341.30
|
| Rate for Payer: Priority Health Medicare |
$1,652.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,652.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,652.82
|
|
|
PR RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP
|
Professional
|
Both
|
$5,041.00
|
|
|
Service Code
|
HCPCS 33504
|
| Min. Negotiated Rate |
$1,411.26 |
| Max. Negotiated Rate |
$3,276.65 |
| Rate for Payer: Aetna Commercial |
$1,891.09
|
| Rate for Payer: Aetna Medicare |
$1,467.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,032.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,891.09
|
| Rate for Payer: BCBS Complete |
$2,016.40
|
| Rate for Payer: BCBS MAPPO |
$1,411.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,411.26
|
| Rate for Payer: Cash Price |
$4,032.80
|
| Rate for Payer: Cash Price |
$4,032.80
|
| Rate for Payer: Cofinity Commercial |
$2,032.21
|
| Rate for Payer: Cofinity Commercial |
$1,891.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,411.26
|
| Rate for Payer: Healthscope Commercial |
$2,610.83
|
| Rate for Payer: Healthscope Commercial |
$2,258.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,481.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,276.65
|
| Rate for Payer: Nomi Health Commercial |
$1,693.51
|
| Rate for Payer: PACE SWMI |
$1,411.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,411.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,276.65
|
| Rate for Payer: Priority Health Medicare |
$1,411.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,411.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,411.26
|
|
