|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
OP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.88 |
| Max. Negotiated Rate |
$50.10 |
| Rate for Payer: Aetna Commercial |
$47.32
|
| Rate for Payer: Aetna Medicare |
$27.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.19
|
| Rate for Payer: BCBS Complete |
$22.27
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Advantage |
$38.97
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$50.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: PHP Commercial |
$47.32
|
| Rate for Payer: Priority Health SBD |
$35.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.19
|
| Rate for Payer: UHC Core |
$29.00
|
| Rate for Payer: UHC Exchange |
$21.88
|
|
|
HC HEART CATH EXCHANGE WIRE
|
Facility
|
IP
|
$55.67
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200047
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.07 |
| Max. Negotiated Rate |
$50.10 |
| Rate for Payer: Aetna Commercial |
$47.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.19
|
| Rate for Payer: Cash Price |
$44.54
|
| Rate for Payer: Cofinity Advantage |
$38.97
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.54
|
| Rate for Payer: Healthscope Commercial |
$50.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.75
|
| Rate for Payer: PHP Commercial |
$47.32
|
| Rate for Payer: Priority Health SBD |
$35.07
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
OP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$7,353.05
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,622.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,778.84
|
| Rate for Payer: BCN Commercial |
$2,778.84
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Advantage |
$6,055.45
|
| Rate for Payer: Cofinity Commercial |
$7,439.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$7,785.59
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$7,353.05
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$5,449.91
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT ONLY
|
Facility
|
IP
|
$8,650.65
|
|
|
Service Code
|
CPT 93452
|
| Hospital Charge Code |
48100011
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,449.91 |
| Max. Negotiated Rate |
$7,785.59 |
| Rate for Payer: Aetna Commercial |
$7,353.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,622.92
|
| Rate for Payer: Cash Price |
$6,920.52
|
| Rate for Payer: Cofinity Advantage |
$6,055.45
|
| Rate for Payer: Cofinity Commercial |
$7,439.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,920.52
|
| Rate for Payer: Healthscope Commercial |
$7,785.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,353.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,487.99
|
| Rate for Payer: PHP Commercial |
$7,353.05
|
| Rate for Payer: Priority Health SBD |
$5,449.91
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
IP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$9,703.68 |
| Max. Negotiated Rate |
$13,862.39 |
| Rate for Payer: Aetna Commercial |
$13,092.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,011.73
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Advantage |
$10,781.86
|
| Rate for Payer: Cofinity Commercial |
$13,246.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Healthscope Commercial |
$13,862.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: PHP Commercial |
$13,092.26
|
| Rate for Payer: Priority Health SBD |
$9,703.68
|
|
|
HC HEART CATH LT/RT/C/CABGS
|
Facility
|
OP
|
$15,402.66
|
|
|
Service Code
|
CPT 93461
|
| Hospital Charge Code |
48100052
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$13,862.39 |
| Rate for Payer: Aetna Commercial |
$13,092.26
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10,011.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$4,023.92
|
| Rate for Payer: BCN Commercial |
$4,023.92
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cash Price |
$12,322.13
|
| Rate for Payer: Cofinity Advantage |
$10,781.86
|
| Rate for Payer: Cofinity Commercial |
$13,246.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12,322.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$13,862.39
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,092.26
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11,552.00
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$13,092.26
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$9,703.68
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
OP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$11,717.88 |
| Rate for Payer: Aetna Commercial |
$11,066.89
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,462.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,649.36
|
| Rate for Payer: BCN Commercial |
$3,649.36
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Advantage |
$9,113.91
|
| Rate for Payer: Cofinity Commercial |
$11,197.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$11,717.88
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$11,066.89
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$8,202.52
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT/RT CORONARIES
|
Facility
|
IP
|
$13,019.87
|
|
|
Service Code
|
CPT 93460
|
| Hospital Charge Code |
48100019
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,202.52 |
| Max. Negotiated Rate |
$11,717.88 |
| Rate for Payer: Aetna Commercial |
$11,066.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,462.92
|
| Rate for Payer: Cash Price |
$10,415.90
|
| Rate for Payer: Cofinity Advantage |
$9,113.91
|
| Rate for Payer: Cofinity Commercial |
$11,197.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,415.90
|
| Rate for Payer: Healthscope Commercial |
$11,717.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,066.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,764.90
|
| Rate for Payer: PHP Commercial |
$11,066.89
|
| Rate for Payer: Priority Health SBD |
$8,202.52
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
IP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,758.73 |
| Max. Negotiated Rate |
$8,226.76 |
| Rate for Payer: Aetna Commercial |
$7,769.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,941.55
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Advantage |
$6,398.59
|
| Rate for Payer: Cofinity Commercial |
$7,861.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Healthscope Commercial |
$8,226.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: PHP Commercial |
$7,769.71
|
| Rate for Payer: Priority Health SBD |
$5,758.73
|
|
|
HC HEART CATH LT/RT ONLY
|
Facility
|
OP
|
$9,140.84
|
|
|
Service Code
|
CPT 93453
|
| Hospital Charge Code |
48100012
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$7,769.71
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,941.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,485.02
|
| Rate for Payer: BCN Commercial |
$3,485.02
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cash Price |
$7,312.67
|
| Rate for Payer: Cofinity Advantage |
$6,398.59
|
| Rate for Payer: Cofinity Commercial |
$7,861.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,312.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$8,226.76
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,769.71
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,855.63
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$7,769.71
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$5,758.73
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
OP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$11,796.40 |
| Rate for Payer: Aetna Commercial |
$11,141.04
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,519.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,137.11
|
| Rate for Payer: BCN Commercial |
$3,137.11
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Advantage |
$9,174.98
|
| Rate for Payer: Cofinity Commercial |
$11,272.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$11,796.40
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$11,141.04
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$8,257.48
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH LT W CORONARIES
|
Facility
|
IP
|
$13,107.11
|
|
|
Service Code
|
CPT 93458
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,257.48 |
| Max. Negotiated Rate |
$11,796.40 |
| Rate for Payer: Aetna Commercial |
$11,141.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8,519.62
|
| Rate for Payer: Cash Price |
$10,485.69
|
| Rate for Payer: Cofinity Advantage |
$9,174.98
|
| Rate for Payer: Cofinity Commercial |
$11,272.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,485.69
|
| Rate for Payer: Healthscope Commercial |
$11,796.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,141.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,830.33
|
| Rate for Payer: PHP Commercial |
$11,141.04
|
| Rate for Payer: Priority Health SBD |
$8,257.48
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
IP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.57
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Advantage |
$30.77
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: Priority Health SBD |
$27.69
|
|
|
HC HEART CATH NEEDLE
|
Facility
|
OP
|
$43.96
|
|
| Hospital Charge Code |
62200006
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$17.28 |
| Max. Negotiated Rate |
$39.56 |
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna Medicare |
$21.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.57
|
| Rate for Payer: BCBS Complete |
$17.58
|
| Rate for Payer: Cash Price |
$35.17
|
| Rate for Payer: Cofinity Advantage |
$30.77
|
| Rate for Payer: Cofinity Commercial |
$37.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.17
|
| Rate for Payer: Healthscope Commercial |
$39.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.97
|
| Rate for Payer: PHP Commercial |
$37.37
|
| Rate for Payer: Priority Health SBD |
$27.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.57
|
| Rate for Payer: UHC Core |
$22.90
|
| Rate for Payer: UHC Exchange |
$17.28
|
|
|
HC HEART CATH PACK
|
Facility
|
IP
|
$528.75
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$333.11 |
| Max. Negotiated Rate |
$475.88 |
| Rate for Payer: Aetna Commercial |
$449.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$343.69
|
| Rate for Payer: Cash Price |
$423.00
|
| Rate for Payer: Cofinity Advantage |
$370.12
|
| Rate for Payer: Cofinity Commercial |
$454.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.00
|
| Rate for Payer: Healthscope Commercial |
$475.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$396.56
|
| Rate for Payer: PHP Commercial |
$449.44
|
| Rate for Payer: Priority Health SBD |
$333.11
|
|
|
HC HEART CATH PACK
|
Facility
|
OP
|
$528.75
|
|
| Hospital Charge Code |
62200007
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$207.80 |
| Max. Negotiated Rate |
$475.88 |
| Rate for Payer: Aetna Commercial |
$449.44
|
| Rate for Payer: Aetna Medicare |
$264.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$343.69
|
| Rate for Payer: BCBS Complete |
$211.50
|
| Rate for Payer: Cash Price |
$423.00
|
| Rate for Payer: Cofinity Advantage |
$370.12
|
| Rate for Payer: Cofinity Commercial |
$454.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$423.00
|
| Rate for Payer: Healthscope Commercial |
$475.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$423.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$396.56
|
| Rate for Payer: PHP Commercial |
$449.44
|
| Rate for Payer: Priority Health SBD |
$333.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.69
|
| Rate for Payer: UHC Core |
$275.48
|
| Rate for Payer: UHC Exchange |
$207.80
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
IP
|
$9,742.66
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,137.88 |
| Max. Negotiated Rate |
$8,768.39 |
| Rate for Payer: Aetna Commercial |
$8,281.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,332.73
|
| Rate for Payer: Cash Price |
$7,794.13
|
| Rate for Payer: Cofinity Advantage |
$6,819.86
|
| Rate for Payer: Cofinity Commercial |
$8,378.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,794.13
|
| Rate for Payer: Healthscope Commercial |
$8,768.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,281.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,306.99
|
| Rate for Payer: PHP Commercial |
$8,281.26
|
| Rate for Payer: Priority Health SBD |
$6,137.88
|
|
|
HC HEART CATH RT ONLY
|
Facility
|
OP
|
$9,742.66
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
48100010
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,689.43 |
| Max. Negotiated Rate |
$10,446.41 |
| Rate for Payer: Aetna Commercial |
$8,281.26
|
| Rate for Payer: Aetna Medicare |
$3,359.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,332.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,037.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,037.84
|
| Rate for Payer: BCBS Complete |
$1,774.06
|
| Rate for Payer: BCBS MAPPO |
$3,230.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,060.12
|
| Rate for Payer: BCN Commercial |
$3,060.12
|
| Rate for Payer: BCN Medicare Advantage |
$3,230.27
|
| Rate for Payer: Cash Price |
$7,794.13
|
| Rate for Payer: Cash Price |
$7,794.13
|
| Rate for Payer: Cofinity Advantage |
$6,819.86
|
| Rate for Payer: Cofinity Commercial |
$8,378.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,794.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,230.27
|
| Rate for Payer: Healthscope Commercial |
$8,768.39
|
| Rate for Payer: Mclaren Medicaid |
$1,689.43
|
| Rate for Payer: Mclaren Medicare |
$3,230.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,391.78
|
| Rate for Payer: Meridian Medicaid |
$3,391.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,714.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,553.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,281.26
|
| Rate for Payer: Nomi Health Commercial |
$9,690.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,306.99
|
| Rate for Payer: PACE Medicare |
$3,068.76
|
| Rate for Payer: PACE SWMI |
$3,230.27
|
| Rate for Payer: PHP Commercial |
$8,281.26
|
| Rate for Payer: PHP Medicare Advantage |
$3,230.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,689.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,446.41
|
| Rate for Payer: Priority Health Medicare |
$3,230.27
|
| Rate for Payer: Priority Health SBD |
$6,137.88
|
| Rate for Payer: Priority Health Tiered Network |
$8,357.13
|
| Rate for Payer: Railroad Medicare Medicare |
$3,230.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,230.27
|
| Rate for Payer: UHC Medicaid |
$1,689.43
|
| Rate for Payer: UHCCP Medicaid |
$1,689.43
|
| Rate for Payer: VA VA |
$3,230.27
|
|
|
HC HEART CATH WIRE
|
Facility
|
IP
|
$33.94
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.38 |
| Max. Negotiated Rate |
$30.55 |
| Rate for Payer: Aetna Commercial |
$28.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.06
|
| Rate for Payer: Cash Price |
$27.15
|
| Rate for Payer: Cofinity Advantage |
$23.76
|
| Rate for Payer: Cofinity Commercial |
$29.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.15
|
| Rate for Payer: Healthscope Commercial |
$30.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.45
|
| Rate for Payer: PHP Commercial |
$28.85
|
| Rate for Payer: Priority Health SBD |
$21.38
|
|
|
HC HEART CATH WIRE
|
Facility
|
OP
|
$33.94
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.34 |
| Max. Negotiated Rate |
$30.55 |
| Rate for Payer: Aetna Commercial |
$28.85
|
| Rate for Payer: Aetna Medicare |
$16.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.06
|
| Rate for Payer: BCBS Complete |
$13.58
|
| Rate for Payer: Cash Price |
$27.15
|
| Rate for Payer: Cofinity Advantage |
$23.76
|
| Rate for Payer: Cofinity Commercial |
$29.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.15
|
| Rate for Payer: Healthscope Commercial |
$30.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.45
|
| Rate for Payer: PHP Commercial |
$28.85
|
| Rate for Payer: Priority Health SBD |
$21.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.06
|
| Rate for Payer: UHC Core |
$17.68
|
| Rate for Payer: UHC Exchange |
$13.34
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
OP
|
$33.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$30.56 |
| Rate for Payer: Aetna Commercial |
$28.87
|
| Rate for Payer: Aetna Medicare |
$19.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.71
|
| Rate for Payer: BCBS Complete |
$10.42
|
| Rate for Payer: BCBS MAPPO |
$18.97
|
| Rate for Payer: BCBS Trust/PPO |
$20.23
|
| Rate for Payer: BCN Commercial |
$20.23
|
| Rate for Payer: BCN Medicare Advantage |
$18.97
|
| Rate for Payer: Cash Price |
$27.17
|
| Rate for Payer: Cash Price |
$27.17
|
| Rate for Payer: Cofinity Advantage |
$23.77
|
| Rate for Payer: Cofinity Commercial |
$29.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.97
|
| Rate for Payer: Healthscope Commercial |
$30.56
|
| Rate for Payer: Mclaren Medicaid |
$9.92
|
| Rate for Payer: Mclaren Medicare |
$18.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.92
|
| Rate for Payer: Meridian Medicaid |
$19.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.87
|
| Rate for Payer: Nomi Health Commercial |
$28.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.47
|
| Rate for Payer: PACE Medicare |
$18.02
|
| Rate for Payer: PACE SWMI |
$18.97
|
| Rate for Payer: PHP Commercial |
$28.87
|
| Rate for Payer: PHP Medicare Advantage |
$18.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.97
|
| Rate for Payer: Priority Health Medicare |
$18.97
|
| Rate for Payer: Priority Health SBD |
$21.39
|
| Rate for Payer: Priority Health Tiered Network |
$15.18
|
| Rate for Payer: Railroad Medicare Medicare |
$18.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.46
|
| Rate for Payer: UHC Core |
$28.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.97
|
| Rate for Payer: UHC Exchange |
$28.46
|
| Rate for Payer: UHC Medicaid |
$9.92
|
| Rate for Payer: UHCCP Medicaid |
$9.92
|
| Rate for Payer: VA VA |
$18.97
|
|
|
HC HEAVY METAL ARSENIC
|
Facility
|
IP
|
$33.96
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
30100111
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$21.39 |
| Max. Negotiated Rate |
$30.56 |
| Rate for Payer: Aetna Commercial |
$28.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.07
|
| Rate for Payer: Cash Price |
$27.17
|
| Rate for Payer: Cofinity Advantage |
$23.77
|
| Rate for Payer: Cofinity Commercial |
$29.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.17
|
| Rate for Payer: Healthscope Commercial |
$30.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.47
|
| Rate for Payer: PHP Commercial |
$28.87
|
| Rate for Payer: Priority Health SBD |
$21.39
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
IP
|
$29.12
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$26.21 |
| Rate for Payer: Aetna Commercial |
$24.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.93
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Advantage |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$25.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Healthscope Commercial |
$26.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.84
|
| Rate for Payer: PHP Commercial |
$24.75
|
| Rate for Payer: Priority Health SBD |
$18.35
|
|
|
HC HEAVY METAL MERCURY
|
Facility
|
OP
|
$29.12
|
|
|
Service Code
|
CPT 83825
|
| Hospital Charge Code |
30100293
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.50 |
| Max. Negotiated Rate |
$26.21 |
| Rate for Payer: Aetna Commercial |
$24.75
|
| Rate for Payer: Aetna Medicare |
$16.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.32
|
| Rate for Payer: BCBS Complete |
$8.93
|
| Rate for Payer: BCBS MAPPO |
$16.26
|
| Rate for Payer: BCBS Trust/PPO |
$17.34
|
| Rate for Payer: BCN Commercial |
$17.34
|
| Rate for Payer: BCN Medicare Advantage |
$16.26
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cash Price |
$23.30
|
| Rate for Payer: Cofinity Advantage |
$20.38
|
| Rate for Payer: Cofinity Commercial |
$25.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.26
|
| Rate for Payer: Healthscope Commercial |
$26.21
|
| Rate for Payer: Mclaren Medicaid |
$8.50
|
| Rate for Payer: Mclaren Medicare |
$16.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.07
|
| Rate for Payer: Meridian Medicaid |
$17.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.75
|
| Rate for Payer: Nomi Health Commercial |
$24.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.84
|
| Rate for Payer: PACE Medicare |
$15.45
|
| Rate for Payer: PACE SWMI |
$16.26
|
| Rate for Payer: PHP Commercial |
$24.75
|
| Rate for Payer: PHP Medicare Advantage |
$16.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.26
|
| Rate for Payer: Priority Health Medicare |
$16.26
|
| Rate for Payer: Priority Health SBD |
$18.35
|
| Rate for Payer: Priority Health Tiered Network |
$13.01
|
| Rate for Payer: Railroad Medicare Medicare |
$16.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.39
|
| Rate for Payer: UHC Core |
$24.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.26
|
| Rate for Payer: UHC Exchange |
$24.39
|
| Rate for Payer: UHC Medicaid |
$8.50
|
| Rate for Payer: UHCCP Medicaid |
$8.50
|
| Rate for Payer: VA VA |
$16.26
|
|
|
HC HEAVY METAL PANEL CADMIUM LEVEL
|
Facility
|
OP
|
$42.32
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
30100125
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.36 |
| Max. Negotiated Rate |
$38.09 |
| Rate for Payer: Aetna Commercial |
$35.97
|
| Rate for Payer: Aetna Medicare |
$24.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$29.55
|
| Rate for Payer: Amish Plain Church Group Commercial |
$29.55
|
| Rate for Payer: BCBS Complete |
$12.98
|
| Rate for Payer: BCBS MAPPO |
$23.64
|
| Rate for Payer: BCBS Trust/PPO |
$25.20
|
| Rate for Payer: BCN Commercial |
$25.20
|
| Rate for Payer: BCN Medicare Advantage |
$23.64
|
| Rate for Payer: Cash Price |
$33.86
|
| Rate for Payer: Cash Price |
$33.86
|
| Rate for Payer: Cofinity Advantage |
$29.62
|
| Rate for Payer: Cofinity Commercial |
$36.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.64
|
| Rate for Payer: Healthscope Commercial |
$38.09
|
| Rate for Payer: Mclaren Medicaid |
$12.36
|
| Rate for Payer: Mclaren Medicare |
$23.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.82
|
| Rate for Payer: Meridian Medicaid |
$24.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.97
|
| Rate for Payer: Nomi Health Commercial |
$35.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.74
|
| Rate for Payer: PACE Medicare |
$22.46
|
| Rate for Payer: PACE SWMI |
$23.64
|
| Rate for Payer: PHP Commercial |
$35.97
|
| Rate for Payer: PHP Medicare Advantage |
$23.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23.64
|
| Rate for Payer: Priority Health Medicare |
$23.64
|
| Rate for Payer: Priority Health SBD |
$26.66
|
| Rate for Payer: Priority Health Tiered Network |
$18.91
|
| Rate for Payer: Railroad Medicare Medicare |
$23.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.46
|
| Rate for Payer: UHC Core |
$35.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.64
|
| Rate for Payer: UHC Exchange |
$35.46
|
| Rate for Payer: UHC Medicaid |
$12.36
|
| Rate for Payer: UHCCP Medicaid |
$12.36
|
| Rate for Payer: VA VA |
$23.64
|
|
