|
PR SKYLA, 13.5 MG
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS J7301
|
| Min. Negotiated Rate |
$584.80 |
| Max. Negotiated Rate |
$950.30 |
| Rate for Payer: Aetna Medicare |
$731.00
|
| Rate for Payer: BCBS Complete |
$584.80
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$950.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$950.30
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN
|
Professional
|
Both
|
$514.00
|
|
|
Service Code
|
HCPCS 36251
|
| Min. Negotiated Rate |
$205.60 |
| Max. Negotiated Rate |
$447.96 |
| Rate for Payer: Aetna Commercial |
$324.47
|
| Rate for Payer: Aetna Medicare |
$251.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.68
|
| Rate for Payer: BCBS Complete |
$205.60
|
| Rate for Payer: BCBS MAPPO |
$242.14
|
| Rate for Payer: BCN Medicare Advantage |
$242.14
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cofinity Commercial |
$324.47
|
| Rate for Payer: Cofinity Commercial |
$348.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.14
|
| Rate for Payer: Healthscope Commercial |
$447.96
|
| Rate for Payer: Healthscope Commercial |
$387.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.10
|
| Rate for Payer: Nomi Health Commercial |
$290.57
|
| Rate for Payer: PACE SWMI |
$242.14
|
| Rate for Payer: PHP Medicare Advantage |
$242.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$334.10
|
| Rate for Payer: Priority Health Medicare |
$242.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.14
|
| Rate for Payer: UHC Medicare Advantage |
$242.14
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL
|
Professional
|
Both
|
$669.00
|
|
|
Service Code
|
HCPCS 36252
|
| Min. Negotiated Rate |
$267.60 |
| Max. Negotiated Rate |
$628.63 |
| Rate for Payer: Aetna Commercial |
$455.33
|
| Rate for Payer: Aetna Medicare |
$353.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.33
|
| Rate for Payer: BCBS Complete |
$267.60
|
| Rate for Payer: BCBS MAPPO |
$339.80
|
| Rate for Payer: BCN Medicare Advantage |
$339.80
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cofinity Commercial |
$489.31
|
| Rate for Payer: Cofinity Commercial |
$455.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.80
|
| Rate for Payer: Healthscope Commercial |
$628.63
|
| Rate for Payer: Healthscope Commercial |
$543.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.85
|
| Rate for Payer: Nomi Health Commercial |
$407.76
|
| Rate for Payer: PACE SWMI |
$339.80
|
| Rate for Payer: PHP Medicare Advantage |
$339.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.85
|
| Rate for Payer: Priority Health Medicare |
$339.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.80
|
| Rate for Payer: UHC Medicare Advantage |
$339.80
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART
|
Professional
|
Both
|
$1,801.00
|
|
|
Service Code
|
HCPCS 36223
|
| Min. Negotiated Rate |
$320.20 |
| Max. Negotiated Rate |
$1,170.65 |
| Rate for Payer: Aetna Commercial |
$429.07
|
| Rate for Payer: Aetna Medicare |
$333.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.07
|
| Rate for Payer: BCBS Complete |
$720.40
|
| Rate for Payer: BCBS MAPPO |
$320.20
|
| Rate for Payer: BCN Medicare Advantage |
$320.20
|
| Rate for Payer: Cash Price |
$1,440.80
|
| Rate for Payer: Cash Price |
$1,440.80
|
| Rate for Payer: Cofinity Commercial |
$461.09
|
| Rate for Payer: Cofinity Commercial |
$429.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.20
|
| Rate for Payer: Healthscope Commercial |
$512.32
|
| Rate for Payer: Healthscope Commercial |
$592.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,170.65
|
| Rate for Payer: Nomi Health Commercial |
$384.24
|
| Rate for Payer: PACE SWMI |
$320.20
|
| Rate for Payer: PHP Medicare Advantage |
$320.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,170.65
|
| Rate for Payer: Priority Health Medicare |
$320.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.20
|
| Rate for Payer: UHC Medicare Advantage |
$320.20
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 36222
|
| Min. Negotiated Rate |
$275.22 |
| Max. Negotiated Rate |
$1,075.75 |
| Rate for Payer: Aetna Commercial |
$368.79
|
| Rate for Payer: Aetna Medicare |
$286.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.79
|
| Rate for Payer: BCBS Complete |
$662.00
|
| Rate for Payer: BCBS MAPPO |
$275.22
|
| Rate for Payer: BCN Medicare Advantage |
$275.22
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$396.32
|
| Rate for Payer: Cofinity Commercial |
$368.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.22
|
| Rate for Payer: Healthscope Commercial |
$509.16
|
| Rate for Payer: Healthscope Commercial |
$440.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$288.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,075.75
|
| Rate for Payer: Nomi Health Commercial |
$330.26
|
| Rate for Payer: PACE SWMI |
$275.22
|
| Rate for Payer: PHP Medicare Advantage |
$275.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,075.75
|
| Rate for Payer: Priority Health Medicare |
$275.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$275.22
|
| Rate for Payer: UHC Medicare Advantage |
$275.22
|
|
|
PR SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 36014
|
| Min. Negotiated Rate |
$144.36 |
| Max. Negotiated Rate |
$655.85 |
| Rate for Payer: Aetna Commercial |
$193.44
|
| Rate for Payer: Aetna Medicare |
$150.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.44
|
| Rate for Payer: BCBS Complete |
$403.60
|
| Rate for Payer: BCBS MAPPO |
$144.36
|
| Rate for Payer: BCN Medicare Advantage |
$144.36
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$207.88
|
| Rate for Payer: Cofinity Commercial |
$193.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.36
|
| Rate for Payer: Healthscope Commercial |
$230.98
|
| Rate for Payer: Healthscope Commercial |
$267.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.85
|
| Rate for Payer: Nomi Health Commercial |
$173.23
|
| Rate for Payer: PACE SWMI |
$144.36
|
| Rate for Payer: PHP Medicare Advantage |
$144.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$144.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.36
|
| Rate for Payer: UHC Medicare Advantage |
$144.36
|
|
|
PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT
|
Professional
|
Both
|
$1,360.00
|
|
|
Service Code
|
HCPCS 36228
|
| Min. Negotiated Rate |
$244.43 |
| Max. Negotiated Rate |
$884.00 |
| Rate for Payer: Aetna Commercial |
$327.54
|
| Rate for Payer: Aetna Medicare |
$254.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$351.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.54
|
| Rate for Payer: BCBS Complete |
$544.00
|
| Rate for Payer: BCBS MAPPO |
$244.43
|
| Rate for Payer: BCN Medicare Advantage |
$244.43
|
| Rate for Payer: Cash Price |
$1,088.00
|
| Rate for Payer: Cash Price |
$1,088.00
|
| Rate for Payer: Cofinity Commercial |
$351.98
|
| Rate for Payer: Cofinity Commercial |
$327.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.43
|
| Rate for Payer: Healthscope Commercial |
$452.20
|
| Rate for Payer: Healthscope Commercial |
$391.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$256.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$884.00
|
| Rate for Payer: Nomi Health Commercial |
$293.32
|
| Rate for Payer: PACE SWMI |
$244.43
|
| Rate for Payer: PHP Medicare Advantage |
$244.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$884.00
|
| Rate for Payer: Priority Health Medicare |
$244.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$244.43
|
| Rate for Payer: UHC Medicare Advantage |
$244.43
|
|
|
PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART
|
Professional
|
Both
|
$1,258.00
|
|
|
Service Code
|
HCPCS 36224
|
| Min. Negotiated Rate |
$359.67 |
| Max. Negotiated Rate |
$817.70 |
| Rate for Payer: Aetna Commercial |
$481.96
|
| Rate for Payer: Aetna Medicare |
$374.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$517.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.96
|
| Rate for Payer: BCBS Complete |
$503.20
|
| Rate for Payer: BCBS MAPPO |
$359.67
|
| Rate for Payer: BCN Medicare Advantage |
$359.67
|
| Rate for Payer: Cash Price |
$1,006.40
|
| Rate for Payer: Cash Price |
$1,006.40
|
| Rate for Payer: Cofinity Commercial |
$517.92
|
| Rate for Payer: Cofinity Commercial |
$481.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$359.67
|
| Rate for Payer: Healthscope Commercial |
$575.47
|
| Rate for Payer: Healthscope Commercial |
$665.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$377.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$817.70
|
| Rate for Payer: Nomi Health Commercial |
$431.60
|
| Rate for Payer: PACE SWMI |
$359.67
|
| Rate for Payer: PHP Medicare Advantage |
$359.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$817.70
|
| Rate for Payer: Priority Health Medicare |
$359.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$359.67
|
| Rate for Payer: UHC Medicare Advantage |
$359.67
|
|
|
PR SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$2,344.00
|
|
|
Service Code
|
HCPCS 36216
|
| Min. Negotiated Rate |
$260.65 |
| Max. Negotiated Rate |
$1,523.60 |
| Rate for Payer: Aetna Commercial |
$349.27
|
| Rate for Payer: Aetna Medicare |
$271.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$375.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$349.27
|
| Rate for Payer: BCBS Complete |
$937.60
|
| Rate for Payer: BCBS MAPPO |
$260.65
|
| Rate for Payer: BCN Medicare Advantage |
$260.65
|
| Rate for Payer: Cash Price |
$1,875.20
|
| Rate for Payer: Cash Price |
$1,875.20
|
| Rate for Payer: Cofinity Commercial |
$375.34
|
| Rate for Payer: Cofinity Commercial |
$349.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.65
|
| Rate for Payer: Healthscope Commercial |
$482.20
|
| Rate for Payer: Healthscope Commercial |
$417.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,523.60
|
| Rate for Payer: Nomi Health Commercial |
$312.78
|
| Rate for Payer: PACE SWMI |
$260.65
|
| Rate for Payer: PHP Medicare Advantage |
$260.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,523.60
|
| Rate for Payer: Priority Health Medicare |
$260.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.65
|
| Rate for Payer: UHC Medicare Advantage |
$260.65
|
|
|
PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$1,042.00
|
|
|
Service Code
|
HCPCS 36246
|
| Min. Negotiated Rate |
$240.57 |
| Max. Negotiated Rate |
$677.30 |
| Rate for Payer: Aetna Commercial |
$322.36
|
| Rate for Payer: Aetna Medicare |
$250.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.36
|
| Rate for Payer: BCBS Complete |
$416.80
|
| Rate for Payer: BCBS MAPPO |
$240.57
|
| Rate for Payer: BCN Medicare Advantage |
$240.57
|
| Rate for Payer: Cash Price |
$833.60
|
| Rate for Payer: Cash Price |
$833.60
|
| Rate for Payer: Cofinity Commercial |
$346.42
|
| Rate for Payer: Cofinity Commercial |
$322.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.57
|
| Rate for Payer: Healthscope Commercial |
$384.91
|
| Rate for Payer: Healthscope Commercial |
$445.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$677.30
|
| Rate for Payer: Nomi Health Commercial |
$288.68
|
| Rate for Payer: PACE SWMI |
$240.57
|
| Rate for Payer: PHP Medicare Advantage |
$240.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.30
|
| Rate for Payer: Priority Health Medicare |
$240.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.57
|
| Rate for Payer: UHC Medicare Advantage |
$240.57
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH
|
Professional
|
Both
|
$1,304.00
|
|
|
Service Code
|
HCPCS 36247
|
| Min. Negotiated Rate |
$282.44 |
| Max. Negotiated Rate |
$847.60 |
| Rate for Payer: Aetna Commercial |
$378.47
|
| Rate for Payer: Aetna Medicare |
$293.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$378.47
|
| Rate for Payer: BCBS Complete |
$521.60
|
| Rate for Payer: BCBS MAPPO |
$282.44
|
| Rate for Payer: BCN Medicare Advantage |
$282.44
|
| Rate for Payer: Cash Price |
$1,043.20
|
| Rate for Payer: Cash Price |
$1,043.20
|
| Rate for Payer: Cofinity Commercial |
$406.71
|
| Rate for Payer: Cofinity Commercial |
$378.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.44
|
| Rate for Payer: Healthscope Commercial |
$522.51
|
| Rate for Payer: Healthscope Commercial |
$451.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$847.60
|
| Rate for Payer: Nomi Health Commercial |
$338.93
|
| Rate for Payer: PACE SWMI |
$282.44
|
| Rate for Payer: PHP Medicare Advantage |
$282.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$847.60
|
| Rate for Payer: Priority Health Medicare |
$282.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.44
|
| Rate for Payer: UHC Medicare Advantage |
$282.44
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$1,377.00
|
|
|
Service Code
|
HCPCS 36217
|
| Min. Negotiated Rate |
$324.61 |
| Max. Negotiated Rate |
$895.05 |
| Rate for Payer: Aetna Commercial |
$434.98
|
| Rate for Payer: Aetna Medicare |
$337.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$467.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$434.98
|
| Rate for Payer: BCBS Complete |
$550.80
|
| Rate for Payer: BCBS MAPPO |
$324.61
|
| Rate for Payer: BCN Medicare Advantage |
$324.61
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$467.44
|
| Rate for Payer: Cofinity Commercial |
$434.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.61
|
| Rate for Payer: Healthscope Commercial |
$519.38
|
| Rate for Payer: Healthscope Commercial |
$600.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.05
|
| Rate for Payer: Nomi Health Commercial |
$389.53
|
| Rate for Payer: PACE SWMI |
$324.61
|
| Rate for Payer: PHP Medicare Advantage |
$324.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health Medicare |
$324.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.61
|
| Rate for Payer: UHC Medicare Advantage |
$324.61
|
|
|
PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$835.00
|
|
|
Service Code
|
HCPCS 36245
|
| Min. Negotiated Rate |
$224.63 |
| Max. Negotiated Rate |
$542.75 |
| Rate for Payer: Aetna Commercial |
$301.00
|
| Rate for Payer: Aetna Medicare |
$233.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$323.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$301.00
|
| Rate for Payer: BCBS Complete |
$334.00
|
| Rate for Payer: BCBS MAPPO |
$224.63
|
| Rate for Payer: BCN Medicare Advantage |
$224.63
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cofinity Commercial |
$323.47
|
| Rate for Payer: Cofinity Commercial |
$301.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.63
|
| Rate for Payer: Healthscope Commercial |
$415.57
|
| Rate for Payer: Healthscope Commercial |
$359.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$542.75
|
| Rate for Payer: Nomi Health Commercial |
$269.56
|
| Rate for Payer: PACE SWMI |
$224.63
|
| Rate for Payer: PHP Medicare Advantage |
$224.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.75
|
| Rate for Payer: Priority Health Medicare |
$224.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.63
|
| Rate for Payer: UHC Medicare Advantage |
$224.63
|
|
|
PR SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$918.00
|
|
|
Service Code
|
HCPCS 36215
|
| Min. Negotiated Rate |
$202.40 |
| Max. Negotiated Rate |
$596.70 |
| Rate for Payer: Aetna Commercial |
$271.22
|
| Rate for Payer: Aetna Medicare |
$210.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$291.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$271.22
|
| Rate for Payer: BCBS Complete |
$367.20
|
| Rate for Payer: BCBS MAPPO |
$202.40
|
| Rate for Payer: BCN Medicare Advantage |
$202.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cofinity Commercial |
$291.46
|
| Rate for Payer: Cofinity Commercial |
$271.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.40
|
| Rate for Payer: Healthscope Commercial |
$323.84
|
| Rate for Payer: Healthscope Commercial |
$374.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$596.70
|
| Rate for Payer: Nomi Health Commercial |
$242.88
|
| Rate for Payer: PACE SWMI |
$202.40
|
| Rate for Payer: PHP Medicare Advantage |
$202.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.70
|
| Rate for Payer: Priority Health Medicare |
$202.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.40
|
| Rate for Payer: UHC Medicare Advantage |
$202.40
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 36248
|
| Min. Negotiated Rate |
$45.85 |
| Max. Negotiated Rate |
$157.95 |
| Rate for Payer: Aetna Commercial |
$61.44
|
| Rate for Payer: Aetna Medicare |
$47.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.44
|
| Rate for Payer: BCBS Complete |
$97.20
|
| Rate for Payer: BCBS MAPPO |
$45.85
|
| Rate for Payer: BCN Medicare Advantage |
$45.85
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cofinity Commercial |
$66.02
|
| Rate for Payer: Cofinity Commercial |
$61.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.85
|
| Rate for Payer: Healthscope Commercial |
$84.82
|
| Rate for Payer: Healthscope Commercial |
$73.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.95
|
| Rate for Payer: Nomi Health Commercial |
$55.02
|
| Rate for Payer: PACE SWMI |
$45.85
|
| Rate for Payer: PHP Medicare Advantage |
$45.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.95
|
| Rate for Payer: Priority Health Medicare |
$45.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.85
|
| Rate for Payer: UHC Medicare Advantage |
$45.85
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 36218
|
| Min. Negotiated Rate |
$50.36 |
| Max. Negotiated Rate |
$213.20 |
| Rate for Payer: Aetna Commercial |
$67.48
|
| Rate for Payer: Aetna Medicare |
$52.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.48
|
| Rate for Payer: BCBS Complete |
$131.20
|
| Rate for Payer: BCBS MAPPO |
$50.36
|
| Rate for Payer: BCN Medicare Advantage |
$50.36
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$72.52
|
| Rate for Payer: Cofinity Commercial |
$67.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.36
|
| Rate for Payer: Healthscope Commercial |
$80.58
|
| Rate for Payer: Healthscope Commercial |
$93.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$213.20
|
| Rate for Payer: Nomi Health Commercial |
$60.43
|
| Rate for Payer: PACE SWMI |
$50.36
|
| Rate for Payer: PHP Medicare Advantage |
$50.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health Medicare |
$50.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.36
|
| Rate for Payer: UHC Medicare Advantage |
$50.36
|
|
|
PR SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART
|
Professional
|
Both
|
$956.00
|
|
|
Service Code
|
HCPCS 36015
|
| Min. Negotiated Rate |
$163.57 |
| Max. Negotiated Rate |
$621.40 |
| Rate for Payer: Aetna Commercial |
$219.18
|
| Rate for Payer: Aetna Medicare |
$170.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.18
|
| Rate for Payer: BCBS Complete |
$382.40
|
| Rate for Payer: BCBS MAPPO |
$163.57
|
| Rate for Payer: BCN Medicare Advantage |
$163.57
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cofinity Commercial |
$235.54
|
| Rate for Payer: Cofinity Commercial |
$219.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.57
|
| Rate for Payer: Healthscope Commercial |
$302.60
|
| Rate for Payer: Healthscope Commercial |
$261.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$621.40
|
| Rate for Payer: Nomi Health Commercial |
$196.28
|
| Rate for Payer: PACE SWMI |
$163.57
|
| Rate for Payer: PHP Medicare Advantage |
$163.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$621.40
|
| Rate for Payer: Priority Health Medicare |
$163.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.57
|
| Rate for Payer: UHC Medicare Advantage |
$163.57
|
|
|
PR SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 36011
|
| Min. Negotiated Rate |
$148.41 |
| Max. Negotiated Rate |
$485.55 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.87
|
| Rate for Payer: BCBS Complete |
$298.80
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Healthscope Commercial |
$237.46
|
| Rate for Payer: Healthscope Commercial |
$274.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$485.55
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$485.55
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
|
|
PR SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC
|
Professional
|
Both
|
$980.00
|
|
|
Service Code
|
HCPCS 36012
|
| Min. Negotiated Rate |
$166.65 |
| Max. Negotiated Rate |
$637.00 |
| Rate for Payer: Aetna Commercial |
$223.31
|
| Rate for Payer: Aetna Medicare |
$173.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$239.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.31
|
| Rate for Payer: BCBS Complete |
$392.00
|
| Rate for Payer: BCBS MAPPO |
$166.65
|
| Rate for Payer: BCN Medicare Advantage |
$166.65
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cofinity Commercial |
$239.98
|
| Rate for Payer: Cofinity Commercial |
$223.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.65
|
| Rate for Payer: Healthscope Commercial |
$308.30
|
| Rate for Payer: Healthscope Commercial |
$266.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.00
|
| Rate for Payer: Nomi Health Commercial |
$199.98
|
| Rate for Payer: PACE SWMI |
$166.65
|
| Rate for Payer: PHP Medicare Advantage |
$166.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$637.00
|
| Rate for Payer: Priority Health Medicare |
$166.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.65
|
| Rate for Payer: UHC Medicare Advantage |
$166.65
|
|
|
PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY
|
Professional
|
Both
|
$1,788.00
|
|
|
Service Code
|
HCPCS 36225
|
| Min. Negotiated Rate |
$318.61 |
| Max. Negotiated Rate |
$1,162.20 |
| Rate for Payer: Aetna Commercial |
$426.94
|
| Rate for Payer: Aetna Medicare |
$331.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$458.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.94
|
| Rate for Payer: BCBS Complete |
$715.20
|
| Rate for Payer: BCBS MAPPO |
$318.61
|
| Rate for Payer: BCN Medicare Advantage |
$318.61
|
| Rate for Payer: Cash Price |
$1,430.40
|
| Rate for Payer: Cash Price |
$1,430.40
|
| Rate for Payer: Cofinity Commercial |
$458.80
|
| Rate for Payer: Cofinity Commercial |
$426.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.61
|
| Rate for Payer: Healthscope Commercial |
$509.78
|
| Rate for Payer: Healthscope Commercial |
$589.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,162.20
|
| Rate for Payer: Nomi Health Commercial |
$382.33
|
| Rate for Payer: PACE SWMI |
$318.61
|
| Rate for Payer: PHP Medicare Advantage |
$318.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,162.20
|
| Rate for Payer: Priority Health Medicare |
$318.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.61
|
| Rate for Payer: UHC Medicare Advantage |
$318.61
|
|
|
PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY
|
Professional
|
Both
|
$1,260.00
|
|
|
Service Code
|
HCPCS 36226
|
| Min. Negotiated Rate |
$357.06 |
| Max. Negotiated Rate |
$819.00 |
| Rate for Payer: Aetna Commercial |
$478.46
|
| Rate for Payer: Aetna Medicare |
$371.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$514.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.46
|
| Rate for Payer: BCBS Complete |
$504.00
|
| Rate for Payer: BCBS MAPPO |
$357.06
|
| Rate for Payer: BCN Medicare Advantage |
$357.06
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cofinity Commercial |
$514.17
|
| Rate for Payer: Cofinity Commercial |
$478.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.06
|
| Rate for Payer: Healthscope Commercial |
$660.56
|
| Rate for Payer: Healthscope Commercial |
$571.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$819.00
|
| Rate for Payer: Nomi Health Commercial |
$428.47
|
| Rate for Payer: PACE SWMI |
$357.06
|
| Rate for Payer: PHP Medicare Advantage |
$357.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$819.00
|
| Rate for Payer: Priority Health Medicare |
$357.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.06
|
| Rate for Payer: UHC Medicare Advantage |
$357.06
|
|
|
PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC
|
Professional
|
Both
|
$398.00
|
|
|
Service Code
|
HCPCS 36227
|
| Min. Negotiated Rate |
$117.73 |
| Max. Negotiated Rate |
$258.70 |
| Rate for Payer: Aetna Commercial |
$157.76
|
| Rate for Payer: Aetna Medicare |
$122.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.76
|
| Rate for Payer: BCBS Complete |
$159.20
|
| Rate for Payer: BCBS MAPPO |
$117.73
|
| Rate for Payer: BCN Medicare Advantage |
$117.73
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cofinity Commercial |
$169.53
|
| Rate for Payer: Cofinity Commercial |
$157.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.73
|
| Rate for Payer: Healthscope Commercial |
$188.37
|
| Rate for Payer: Healthscope Commercial |
$217.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$258.70
|
| Rate for Payer: Nomi Health Commercial |
$141.28
|
| Rate for Payer: PACE SWMI |
$117.73
|
| Rate for Payer: PHP Medicare Advantage |
$117.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.70
|
| Rate for Payer: Priority Health Medicare |
$117.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$117.73
|
| Rate for Payer: UHC Medicare Advantage |
$117.73
|
|
|
PR SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT
|
Professional
|
Both
|
$567.00
|
|
|
Service Code
|
HCPCS 95806
|
| Min. Negotiated Rate |
$87.97 |
| Max. Negotiated Rate |
$368.55 |
| Rate for Payer: Aetna Commercial |
$117.88
|
| Rate for Payer: Aetna Commercial |
$117.88
|
| Rate for Payer: Aetna Medicare |
$91.49
|
| Rate for Payer: Aetna Medicare |
$91.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$126.68
|
| Rate for Payer: BCBS Complete |
$226.80
|
| Rate for Payer: BCBS Complete |
$59.60
|
| Rate for Payer: BCBS MAPPO |
$87.97
|
| Rate for Payer: BCBS MAPPO |
$87.97
|
| Rate for Payer: BCN Medicare Advantage |
$87.97
|
| Rate for Payer: BCN Medicare Advantage |
$87.97
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cofinity Commercial |
$117.88
|
| Rate for Payer: Cofinity Commercial |
$126.68
|
| Rate for Payer: Cofinity Commercial |
$117.88
|
| Rate for Payer: Cofinity Commercial |
$126.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.97
|
| Rate for Payer: Healthscope Commercial |
$162.74
|
| Rate for Payer: Healthscope Commercial |
$162.74
|
| Rate for Payer: Healthscope Commercial |
$140.75
|
| Rate for Payer: Healthscope Commercial |
$140.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$368.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.85
|
| Rate for Payer: Nomi Health Commercial |
$105.56
|
| Rate for Payer: Nomi Health Commercial |
$105.56
|
| Rate for Payer: PACE SWMI |
$87.97
|
| Rate for Payer: PACE SWMI |
$87.97
|
| Rate for Payer: PHP Medicare Advantage |
$87.97
|
| Rate for Payer: PHP Medicare Advantage |
$87.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$368.55
|
| Rate for Payer: Priority Health Medicare |
$87.97
|
| Rate for Payer: Priority Health Medicare |
$87.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.97
|
| Rate for Payer: UHC Medicare Advantage |
$87.97
|
| Rate for Payer: UHC Medicare Advantage |
$87.97
|
|
|
PR SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN
|
Professional
|
Both
|
$1,489.00
|
|
|
Service Code
|
HCPCS 95807
|
| Min. Negotiated Rate |
$371.03 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$497.18
|
| Rate for Payer: Aetna Commercial |
$497.18
|
| Rate for Payer: Aetna Medicare |
$385.87
|
| Rate for Payer: Aetna Medicare |
$385.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.28
|
| Rate for Payer: BCBS Complete |
$595.60
|
| Rate for Payer: BCBS Complete |
$59.20
|
| Rate for Payer: BCBS MAPPO |
$371.03
|
| Rate for Payer: BCBS MAPPO |
$371.03
|
| Rate for Payer: BCN Medicare Advantage |
$371.03
|
| Rate for Payer: BCN Medicare Advantage |
$371.03
|
| Rate for Payer: Cash Price |
$1,191.20
|
| Rate for Payer: Cash Price |
$1,191.20
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$497.18
|
| Rate for Payer: Cofinity Commercial |
$534.28
|
| Rate for Payer: Cofinity Commercial |
$497.18
|
| Rate for Payer: Cofinity Commercial |
$534.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.03
|
| Rate for Payer: Healthscope Commercial |
$686.41
|
| Rate for Payer: Healthscope Commercial |
$686.41
|
| Rate for Payer: Healthscope Commercial |
$593.65
|
| Rate for Payer: Healthscope Commercial |
$593.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$967.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.20
|
| Rate for Payer: Nomi Health Commercial |
$445.24
|
| Rate for Payer: Nomi Health Commercial |
$445.24
|
| Rate for Payer: PACE SWMI |
$371.03
|
| Rate for Payer: PACE SWMI |
$371.03
|
| Rate for Payer: PHP Medicare Advantage |
$371.03
|
| Rate for Payer: PHP Medicare Advantage |
$371.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$967.85
|
| Rate for Payer: Priority Health Medicare |
$371.03
|
| Rate for Payer: Priority Health Medicare |
$371.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.03
|
| Rate for Payer: UHC Medicare Advantage |
$371.03
|
| Rate for Payer: UHC Medicare Advantage |
$371.03
|
|
|
PR SLING OPERATION STRESS INCONTINENCE
|
Professional
|
Both
|
$2,280.00
|
|
|
Service Code
|
HCPCS 57288
|
| Min. Negotiated Rate |
$712.02 |
| Max. Negotiated Rate |
$1,482.00 |
| Rate for Payer: Aetna Commercial |
$954.11
|
| Rate for Payer: Aetna Medicare |
$740.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$954.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.31
|
| Rate for Payer: BCBS Complete |
$912.00
|
| Rate for Payer: BCBS MAPPO |
$712.02
|
| Rate for Payer: BCN Medicare Advantage |
$712.02
|
| Rate for Payer: Cash Price |
$1,824.00
|
| Rate for Payer: Cash Price |
$1,824.00
|
| Rate for Payer: Cofinity Commercial |
$954.11
|
| Rate for Payer: Cofinity Commercial |
$1,025.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$712.02
|
| Rate for Payer: Healthscope Commercial |
$1,317.24
|
| Rate for Payer: Healthscope Commercial |
$1,139.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$747.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,482.00
|
| Rate for Payer: Nomi Health Commercial |
$854.42
|
| Rate for Payer: PACE SWMI |
$712.02
|
| Rate for Payer: PHP Medicare Advantage |
$712.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,482.00
|
| Rate for Payer: Priority Health Medicare |
$712.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$712.02
|
| Rate for Payer: UHC Medicare Advantage |
$712.02
|
|
