|
CHG BONE LENGTH STUDIES
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 77073
|
| Min. Negotiated Rate |
$23.20 |
| Max. Negotiated Rate |
$76.00 |
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Medicare |
$42.72
|
| Rate for Payer: Aetna Medicare |
$42.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.05
|
| Rate for Payer: BCBS Complete |
$53.60
|
| Rate for Payer: BCBS Complete |
$23.20
|
| Rate for Payer: BCBS MAPPO |
$41.08
|
| Rate for Payer: BCBS MAPPO |
$41.08
|
| Rate for Payer: BCN Medicare Advantage |
$41.08
|
| Rate for Payer: BCN Medicare Advantage |
$41.08
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$55.05
|
| Rate for Payer: Cofinity Commercial |
$55.05
|
| Rate for Payer: Cofinity Commercial |
$59.16
|
| Rate for Payer: Cofinity Commercial |
$59.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.08
|
| Rate for Payer: Healthscope Commercial |
$76.00
|
| Rate for Payer: Healthscope Commercial |
$76.00
|
| Rate for Payer: Healthscope Commercial |
$65.73
|
| Rate for Payer: Healthscope Commercial |
$65.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.10
|
| Rate for Payer: Nomi Health Commercial |
$49.30
|
| Rate for Payer: Nomi Health Commercial |
$49.30
|
| Rate for Payer: PACE SWMI |
$41.08
|
| Rate for Payer: PACE SWMI |
$41.08
|
| Rate for Payer: PHP Medicare Advantage |
$41.08
|
| Rate for Payer: PHP Medicare Advantage |
$41.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.10
|
| Rate for Payer: Priority Health Medicare |
$41.08
|
| Rate for Payer: Priority Health Medicare |
$41.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.08
|
| Rate for Payer: UHC Medicare Advantage |
$41.08
|
| Rate for Payer: UHC Medicare Advantage |
$41.08
|
|
|
CHG BRACHYTHER DOSE PLAN COMPLX
|
Professional
|
Both
|
$526.00
|
|
|
Service Code
|
HCPCS 77328
|
| Min. Negotiated Rate |
$210.40 |
| Max. Negotiated Rate |
$341.90 |
| Rate for Payer: Aetna Medicare |
$263.00
|
| Rate for Payer: Aetna Medicare |
$154.50
|
| Rate for Payer: BCBS Complete |
$210.40
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: Cash Price |
$420.80
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$341.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$341.90
|
|
|
CHG BRACHYTHER DOSE PLAN SIMPLE
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 77326
|
| Min. Negotiated Rate |
$111.60 |
| Max. Negotiated Rate |
$181.35 |
| Rate for Payer: Aetna Medicare |
$139.50
|
| Rate for Payer: Aetna Medicare |
$92.00
|
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: BCBS Complete |
$111.60
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
|
|
CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 77318
|
| Min. Negotiated Rate |
$257.20 |
| Max. Negotiated Rate |
$777.59 |
| Rate for Payer: Aetna Commercial |
$563.23
|
| Rate for Payer: Aetna Commercial |
$563.23
|
| Rate for Payer: Aetna Medicare |
$437.13
|
| Rate for Payer: Aetna Medicare |
$437.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.23
|
| Rate for Payer: BCBS Complete |
$257.20
|
| Rate for Payer: BCBS Complete |
$283.60
|
| Rate for Payer: BCBS MAPPO |
$420.32
|
| Rate for Payer: BCBS MAPPO |
$420.32
|
| Rate for Payer: BCN Medicare Advantage |
$420.32
|
| Rate for Payer: BCN Medicare Advantage |
$420.32
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$567.20
|
| Rate for Payer: Cash Price |
$567.20
|
| Rate for Payer: Cofinity Commercial |
$605.26
|
| Rate for Payer: Cofinity Commercial |
$563.23
|
| Rate for Payer: Cofinity Commercial |
$605.26
|
| Rate for Payer: Cofinity Commercial |
$563.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.32
|
| Rate for Payer: Healthscope Commercial |
$777.59
|
| Rate for Payer: Healthscope Commercial |
$672.51
|
| Rate for Payer: Healthscope Commercial |
$777.59
|
| Rate for Payer: Healthscope Commercial |
$672.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$460.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$417.95
|
| Rate for Payer: Nomi Health Commercial |
$504.38
|
| Rate for Payer: Nomi Health Commercial |
$504.38
|
| Rate for Payer: PACE SWMI |
$420.32
|
| Rate for Payer: PACE SWMI |
$420.32
|
| Rate for Payer: PHP Medicare Advantage |
$420.32
|
| Rate for Payer: PHP Medicare Advantage |
$420.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$417.95
|
| Rate for Payer: Priority Health Medicare |
$420.32
|
| Rate for Payer: Priority Health Medicare |
$420.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.32
|
| Rate for Payer: UHC Medicare Advantage |
$420.32
|
| Rate for Payer: UHC Medicare Advantage |
$420.32
|
|
|
CHG CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 78472
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$343.92 |
| Rate for Payer: Aetna Commercial |
$249.11
|
| Rate for Payer: Aetna Medicare |
$193.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.11
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: BCBS MAPPO |
$185.90
|
| Rate for Payer: BCN Medicare Advantage |
$185.90
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$267.70
|
| Rate for Payer: Cofinity Commercial |
$249.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.90
|
| Rate for Payer: Healthscope Commercial |
$343.92
|
| Rate for Payer: Healthscope Commercial |
$297.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.75
|
| Rate for Payer: Nomi Health Commercial |
$223.08
|
| Rate for Payer: PACE SWMI |
$185.90
|
| Rate for Payer: PHP Medicare Advantage |
$185.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: Priority Health Medicare |
$185.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.90
|
| Rate for Payer: UHC Medicare Advantage |
$185.90
|
|
|
CHG CELL COUNT MISCELLANEOUS BODY FLUIDS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 89050
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$8.73 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna Medicare |
$4.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.32
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.72
|
| Rate for Payer: BCN Medicare Advantage |
$4.72
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.80
|
| Rate for Payer: Cofinity Commercial |
$6.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.72
|
| Rate for Payer: Healthscope Commercial |
$7.55
|
| Rate for Payer: Healthscope Commercial |
$8.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.15
|
| Rate for Payer: Nomi Health Commercial |
$5.66
|
| Rate for Payer: PACE SWMI |
$4.72
|
| Rate for Payer: PHP Medicare Advantage |
$4.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health Medicare |
$4.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.72
|
| Rate for Payer: UHC Medicare Advantage |
$4.72
|
|
|
CHG CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 78630
|
| Min. Negotiated Rate |
$263.20 |
| Max. Negotiated Rate |
$497.69 |
| Rate for Payer: Aetna Commercial |
$360.49
|
| Rate for Payer: Aetna Medicare |
$279.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$387.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.49
|
| Rate for Payer: BCBS Complete |
$263.20
|
| Rate for Payer: BCBS MAPPO |
$269.02
|
| Rate for Payer: BCN Medicare Advantage |
$269.02
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$387.39
|
| Rate for Payer: Cofinity Commercial |
$360.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$269.02
|
| Rate for Payer: Healthscope Commercial |
$430.43
|
| Rate for Payer: Healthscope Commercial |
$497.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$282.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$427.70
|
| Rate for Payer: Nomi Health Commercial |
$322.82
|
| Rate for Payer: PACE SWMI |
$269.02
|
| Rate for Payer: PHP Medicare Advantage |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$427.70
|
| Rate for Payer: Priority Health Medicare |
$269.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$269.02
|
| Rate for Payer: UHC Medicare Advantage |
$269.02
|
|
|
CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I
|
Professional
|
Both
|
$160.00
|
|
|
Service Code
|
HCPCS 75984
|
| Min. Negotiated Rate |
$64.00 |
| Max. Negotiated Rate |
$159.64 |
| Rate for Payer: Aetna Commercial |
$115.63
|
| Rate for Payer: Aetna Commercial |
$115.63
|
| Rate for Payer: Aetna Medicare |
$89.74
|
| Rate for Payer: Aetna Medicare |
$89.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.63
|
| Rate for Payer: BCBS Complete |
$55.20
|
| Rate for Payer: BCBS Complete |
$64.00
|
| Rate for Payer: BCBS MAPPO |
$86.29
|
| Rate for Payer: BCBS MAPPO |
$86.29
|
| Rate for Payer: BCN Medicare Advantage |
$86.29
|
| Rate for Payer: BCN Medicare Advantage |
$86.29
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Commercial |
$115.63
|
| Rate for Payer: Cofinity Commercial |
$115.63
|
| Rate for Payer: Cofinity Commercial |
$124.26
|
| Rate for Payer: Cofinity Commercial |
$124.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.29
|
| Rate for Payer: Healthscope Commercial |
$159.64
|
| Rate for Payer: Healthscope Commercial |
$159.64
|
| Rate for Payer: Healthscope Commercial |
$138.06
|
| Rate for Payer: Healthscope Commercial |
$138.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.70
|
| Rate for Payer: Nomi Health Commercial |
$103.55
|
| Rate for Payer: Nomi Health Commercial |
$103.55
|
| Rate for Payer: PACE SWMI |
$86.29
|
| Rate for Payer: PACE SWMI |
$86.29
|
| Rate for Payer: PHP Medicare Advantage |
$86.29
|
| Rate for Payer: PHP Medicare Advantage |
$86.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.70
|
| Rate for Payer: Priority Health Medicare |
$86.29
|
| Rate for Payer: Priority Health Medicare |
$86.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.29
|
| Rate for Payer: UHC Medicare Advantage |
$86.29
|
| Rate for Payer: UHC Medicare Advantage |
$86.29
|
|
|
CHG CHEST X-RAY 1 VW
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 71010
|
| Min. Negotiated Rate |
$29.20 |
| Max. Negotiated Rate |
$47.45 |
| Rate for Payer: Aetna Medicare |
$36.50
|
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.45
|
|
|
CHG CHEST X-RAY 2 VW
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 71020
|
| Min. Negotiated Rate |
$17.60 |
| Max. Negotiated Rate |
$28.60 |
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
|
|
CHG CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 74300
|
| Min. Negotiated Rate |
$11.20 |
| Max. Negotiated Rate |
$18.20 |
| Rate for Payer: Aetna Medicare |
$14.00
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
|
|
CHG CHOLESTEROL SERUM/WHOLE BLOOD TOTAL
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82465
|
| Min. Negotiated Rate |
$4.35 |
| Max. Negotiated Rate |
$9.10 |
| Rate for Payer: Aetna Commercial |
$5.83
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.83
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.26
|
| Rate for Payer: Cofinity Commercial |
$5.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Healthscope Commercial |
$8.05
|
| Rate for Payer: Healthscope Commercial |
$6.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.10
|
| Rate for Payer: Nomi Health Commercial |
$5.22
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health Medicare |
$4.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.35
|
| Rate for Payer: UHC Medicare Advantage |
$4.35
|
|
|
CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-
|
Professional
|
Both
|
$112.00
|
|
|
Service Code
|
HCPCS 71271
|
| Min. Negotiated Rate |
$44.80 |
| Max. Negotiated Rate |
$235.26 |
| Rate for Payer: Aetna Commercial |
$170.41
|
| Rate for Payer: Aetna Medicare |
$132.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.41
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS MAPPO |
$127.17
|
| Rate for Payer: BCN Medicare Advantage |
$127.17
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cofinity Commercial |
$183.12
|
| Rate for Payer: Cofinity Commercial |
$170.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.17
|
| Rate for Payer: Healthscope Commercial |
$235.26
|
| Rate for Payer: Healthscope Commercial |
$203.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.80
|
| Rate for Payer: Nomi Health Commercial |
$152.60
|
| Rate for Payer: PACE SWMI |
$127.17
|
| Rate for Payer: PHP Medicare Advantage |
$127.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.80
|
| Rate for Payer: Priority Health Medicare |
$127.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.17
|
| Rate for Payer: UHC Medicare Advantage |
$127.17
|
|
|
CHG CONTINUING MEDICAL PHYSICS CONSLTJ PR WK
|
Professional
|
Both
|
$154.00
|
|
|
Service Code
|
HCPCS 77336
|
| Min. Negotiated Rate |
$61.60 |
| Max. Negotiated Rate |
$150.46 |
| Rate for Payer: Aetna Commercial |
$108.98
|
| Rate for Payer: Aetna Medicare |
$84.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.98
|
| Rate for Payer: BCBS Complete |
$61.60
|
| Rate for Payer: BCBS MAPPO |
$81.33
|
| Rate for Payer: BCN Medicare Advantage |
$81.33
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cofinity Commercial |
$117.12
|
| Rate for Payer: Cofinity Commercial |
$108.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.33
|
| Rate for Payer: Healthscope Commercial |
$130.13
|
| Rate for Payer: Healthscope Commercial |
$150.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.10
|
| Rate for Payer: Nomi Health Commercial |
$97.60
|
| Rate for Payer: PACE SWMI |
$81.33
|
| Rate for Payer: PHP Medicare Advantage |
$81.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health Medicare |
$81.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.33
|
| Rate for Payer: UHC Medicare Advantage |
$81.33
|
|
|
CHG CREATININE OTHER SOURCE
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 82570
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$9.58 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.94
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$9.58
|
| Rate for Payer: Healthscope Commercial |
$8.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.15
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Medicare Advantage |
$5.18
|
|
|
CHG CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 89060
|
| Min. Negotiated Rate |
$7.33 |
| Max. Negotiated Rate |
$36.40 |
| Rate for Payer: Aetna Commercial |
$9.82
|
| Rate for Payer: Aetna Medicare |
$7.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS MAPPO |
$7.33
|
| Rate for Payer: BCN Medicare Advantage |
$7.33
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$10.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$11.73
|
| Rate for Payer: Healthscope Commercial |
$13.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.40
|
| Rate for Payer: Nomi Health Commercial |
$8.80
|
| Rate for Payer: PACE SWMI |
$7.33
|
| Rate for Payer: PHP Medicare Advantage |
$7.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Medicare |
$7.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.33
|
| Rate for Payer: UHC Medicare Advantage |
$7.33
|
|
|
CHG CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP
|
Professional
|
Both
|
$306.00
|
|
|
Service Code
|
HCPCS 75635
|
| Min. Negotiated Rate |
$122.40 |
| Max. Negotiated Rate |
$697.43 |
| Rate for Payer: Aetna Commercial |
$505.17
|
| Rate for Payer: Aetna Medicare |
$392.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$542.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$505.17
|
| Rate for Payer: BCBS Complete |
$122.40
|
| Rate for Payer: BCBS MAPPO |
$376.99
|
| Rate for Payer: BCN Medicare Advantage |
$376.99
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cofinity Commercial |
$542.87
|
| Rate for Payer: Cofinity Commercial |
$505.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.99
|
| Rate for Payer: Healthscope Commercial |
$697.43
|
| Rate for Payer: Healthscope Commercial |
$603.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$395.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.90
|
| Rate for Payer: Nomi Health Commercial |
$452.39
|
| Rate for Payer: PACE SWMI |
$376.99
|
| Rate for Payer: PHP Medicare Advantage |
$376.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.90
|
| Rate for Payer: Priority Health Medicare |
$376.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$376.99
|
| Rate for Payer: UHC Medicare Advantage |
$376.99
|
|
|
CHG CTA ABDOMEN W/CONTRAST&IMG POSTPROCESSING
|
Professional
|
Both
|
$187.00
|
|
|
Service Code
|
HCPCS 74175
|
| Min. Negotiated Rate |
$74.80 |
| Max. Negotiated Rate |
$519.28 |
| Rate for Payer: Aetna Commercial |
$376.12
|
| Rate for Payer: Aetna Medicare |
$291.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$404.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$376.12
|
| Rate for Payer: BCBS Complete |
$74.80
|
| Rate for Payer: BCBS MAPPO |
$280.69
|
| Rate for Payer: BCN Medicare Advantage |
$280.69
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cofinity Commercial |
$404.19
|
| Rate for Payer: Cofinity Commercial |
$376.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.69
|
| Rate for Payer: Healthscope Commercial |
$449.10
|
| Rate for Payer: Healthscope Commercial |
$519.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.55
|
| Rate for Payer: Nomi Health Commercial |
$336.83
|
| Rate for Payer: PACE SWMI |
$280.69
|
| Rate for Payer: PHP Medicare Advantage |
$280.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.55
|
| Rate for Payer: Priority Health Medicare |
$280.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.69
|
| Rate for Payer: UHC Medicare Advantage |
$280.69
|
|
|
CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING
|
Professional
|
Both
|
$225.00
|
|
|
Service Code
|
HCPCS 74174
|
| Min. Negotiated Rate |
$90.00 |
| Max. Negotiated Rate |
$645.13 |
| Rate for Payer: Aetna Commercial |
$467.28
|
| Rate for Payer: Aetna Medicare |
$362.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$502.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$467.28
|
| Rate for Payer: BCBS Complete |
$90.00
|
| Rate for Payer: BCBS MAPPO |
$348.72
|
| Rate for Payer: BCN Medicare Advantage |
$348.72
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cofinity Commercial |
$502.16
|
| Rate for Payer: Cofinity Commercial |
$467.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.72
|
| Rate for Payer: Healthscope Commercial |
$645.13
|
| Rate for Payer: Healthscope Commercial |
$557.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$366.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$146.25
|
| Rate for Payer: Nomi Health Commercial |
$418.46
|
| Rate for Payer: PACE SWMI |
$348.72
|
| Rate for Payer: PHP Medicare Advantage |
$348.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.25
|
| Rate for Payer: Priority Health Medicare |
$348.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.72
|
| Rate for Payer: UHC Medicare Advantage |
$348.72
|
|
|
CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 74177
|
| Min. Negotiated Rate |
$75.20 |
| Max. Negotiated Rate |
$512.56 |
| Rate for Payer: Aetna Commercial |
$371.26
|
| Rate for Payer: Aetna Medicare |
$288.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$371.26
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS MAPPO |
$277.06
|
| Rate for Payer: BCN Medicare Advantage |
$277.06
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$398.97
|
| Rate for Payer: Cofinity Commercial |
$371.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$277.06
|
| Rate for Payer: Healthscope Commercial |
$443.30
|
| Rate for Payer: Healthscope Commercial |
$512.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$290.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.20
|
| Rate for Payer: Nomi Health Commercial |
$332.47
|
| Rate for Payer: PACE SWMI |
$277.06
|
| Rate for Payer: PHP Medicare Advantage |
$277.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health Medicare |
$277.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$277.06
|
| Rate for Payer: UHC Medicare Advantage |
$277.06
|
|
|
CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$180.00
|
|
|
Service Code
|
HCPCS 74176
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$315.57 |
| Rate for Payer: Aetna Commercial |
$228.58
|
| Rate for Payer: Aetna Medicare |
$177.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.58
|
| Rate for Payer: BCBS Complete |
$72.00
|
| Rate for Payer: BCBS MAPPO |
$170.58
|
| Rate for Payer: BCN Medicare Advantage |
$170.58
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cofinity Commercial |
$245.64
|
| Rate for Payer: Cofinity Commercial |
$228.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.58
|
| Rate for Payer: Healthscope Commercial |
$272.93
|
| Rate for Payer: Healthscope Commercial |
$315.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.00
|
| Rate for Payer: Nomi Health Commercial |
$204.70
|
| Rate for Payer: PACE SWMI |
$170.58
|
| Rate for Payer: PHP Medicare Advantage |
$170.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.00
|
| Rate for Payer: Priority Health Medicare |
$170.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.58
|
| Rate for Payer: UHC Medicare Advantage |
$170.58
|
|
|
CHG CT ABDOMEN W/CONTRAST MATERIAL
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS 74160
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$390.72 |
| Rate for Payer: Aetna Commercial |
$283.01
|
| Rate for Payer: Aetna Commercial |
$283.01
|
| Rate for Payer: Aetna Medicare |
$219.65
|
| Rate for Payer: Aetna Medicare |
$219.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.01
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: BCBS MAPPO |
$211.20
|
| Rate for Payer: BCBS MAPPO |
$211.20
|
| Rate for Payer: BCN Medicare Advantage |
$211.20
|
| Rate for Payer: BCN Medicare Advantage |
$211.20
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cofinity Commercial |
$283.01
|
| Rate for Payer: Cofinity Commercial |
$283.01
|
| Rate for Payer: Cofinity Commercial |
$304.13
|
| Rate for Payer: Cofinity Commercial |
$304.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.20
|
| Rate for Payer: Healthscope Commercial |
$390.72
|
| Rate for Payer: Healthscope Commercial |
$390.72
|
| Rate for Payer: Healthscope Commercial |
$337.92
|
| Rate for Payer: Healthscope Commercial |
$337.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.15
|
| Rate for Payer: Nomi Health Commercial |
$253.44
|
| Rate for Payer: Nomi Health Commercial |
$253.44
|
| Rate for Payer: PACE SWMI |
$211.20
|
| Rate for Payer: PACE SWMI |
$211.20
|
| Rate for Payer: PHP Medicare Advantage |
$211.20
|
| Rate for Payer: PHP Medicare Advantage |
$211.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health Medicare |
$211.20
|
| Rate for Payer: Priority Health Medicare |
$211.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.20
|
| Rate for Payer: UHC Medicare Advantage |
$211.20
|
| Rate for Payer: UHC Medicare Advantage |
$211.20
|
|
|
CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL
|
Professional
|
Both
|
$144.00
|
|
|
Service Code
|
HCPCS 74170
|
| Min. Negotiated Rate |
$57.60 |
| Max. Negotiated Rate |
$438.84 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.86
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Healthscope Commercial |
$438.84
|
| Rate for Payer: Healthscope Commercial |
$379.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.60
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.60
|
| Rate for Payer: Priority Health Medicare |
$237.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
|
|
CHG CT ABDOMEN W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 74150
|
| Min. Negotiated Rate |
$48.80 |
| Max. Negotiated Rate |
$233.53 |
| Rate for Payer: Aetna Commercial |
$169.15
|
| Rate for Payer: Aetna Medicare |
$131.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.15
|
| Rate for Payer: BCBS Complete |
$48.80
|
| Rate for Payer: BCBS MAPPO |
$126.23
|
| Rate for Payer: BCN Medicare Advantage |
$126.23
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cofinity Commercial |
$181.77
|
| Rate for Payer: Cofinity Commercial |
$169.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.23
|
| Rate for Payer: Healthscope Commercial |
$201.97
|
| Rate for Payer: Healthscope Commercial |
$233.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Nomi Health Commercial |
$151.48
|
| Rate for Payer: PACE SWMI |
$126.23
|
| Rate for Payer: PHP Medicare Advantage |
$126.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health Medicare |
$126.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.23
|
| Rate for Payer: UHC Medicare Advantage |
$126.23
|
|
|
CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH
|
Professional
|
Both
|
$206.00
|
|
|
Service Code
|
HCPCS 74178
|
| Min. Negotiated Rate |
$82.40 |
| Max. Negotiated Rate |
$573.70 |
| Rate for Payer: Aetna Commercial |
$415.55
|
| Rate for Payer: Aetna Medicare |
$322.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.55
|
| Rate for Payer: BCBS Complete |
$82.40
|
| Rate for Payer: BCBS MAPPO |
$310.11
|
| Rate for Payer: BCN Medicare Advantage |
$310.11
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cofinity Commercial |
$446.56
|
| Rate for Payer: Cofinity Commercial |
$415.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.11
|
| Rate for Payer: Healthscope Commercial |
$573.70
|
| Rate for Payer: Healthscope Commercial |
$496.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.90
|
| Rate for Payer: Nomi Health Commercial |
$372.13
|
| Rate for Payer: PACE SWMI |
$310.11
|
| Rate for Payer: PHP Medicare Advantage |
$310.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.90
|
| Rate for Payer: Priority Health Medicare |
$310.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$310.11
|
| Rate for Payer: UHC Medicare Advantage |
$310.11
|
|
