|
HC FRESH FROZEN PLASMA 2X CMPT
|
Facility
|
OP
|
$268.11
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000050
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.06 |
| Max. Negotiated Rate |
$241.30 |
| Rate for Payer: Aetna Commercial |
$227.89
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.76
|
| Rate for Payer: BCBS Complete |
$46.27
|
| Rate for Payer: BCBS MAPPO |
$82.21
|
| Rate for Payer: BCN Medicare Advantage |
$82.21
|
| Rate for Payer: Cash Price |
$214.49
|
| Rate for Payer: Cash Price |
$214.49
|
| Rate for Payer: Cofinity Commercial |
$230.57
|
| Rate for Payer: Cofinity Commercial |
$187.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$187.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$214.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.21
|
| Rate for Payer: Healthscope Commercial |
$241.30
|
| Rate for Payer: Mclaren Medicaid |
$44.06
|
| Rate for Payer: Mclaren Medicare |
$82.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.32
|
| Rate for Payer: Meridian Medicaid |
$46.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227.89
|
| Rate for Payer: PACE Medicare |
$78.10
|
| Rate for Payer: PACE SWMI |
$82.21
|
| Rate for Payer: PHP Commercial |
$227.89
|
| Rate for Payer: PHP Medicare Advantage |
$82.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.27
|
| Rate for Payer: Priority Health Medicare |
$82.21
|
| Rate for Payer: Priority Health SBD |
$168.91
|
| Rate for Payer: Railroad Medicare Medicare |
$82.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.41
|
| Rate for Payer: UHC Core |
$198.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.21
|
| Rate for Payer: UHC Exchange |
$198.40
|
| Rate for Payer: UHC Medicare Advantage |
$82.21
|
| Rate for Payer: UHCCP Medicaid |
$46.28
|
| Rate for Payer: VA VA |
$82.21
|
|
|
HC FRESH FROZEN PLASMA 3X
|
Facility
|
OP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000053
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.06 |
| Max. Negotiated Rate |
$231.41 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.76
|
| Rate for Payer: BCBS Complete |
$46.27
|
| Rate for Payer: BCBS MAPPO |
$82.21
|
| Rate for Payer: BCN Medicare Advantage |
$82.21
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.21
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Mclaren Medicaid |
$44.06
|
| Rate for Payer: Mclaren Medicare |
$82.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.32
|
| Rate for Payer: Meridian Medicaid |
$46.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PACE Medicare |
$78.10
|
| Rate for Payer: PACE SWMI |
$82.21
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: PHP Medicare Advantage |
$82.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health Medicare |
$82.21
|
| Rate for Payer: Priority Health SBD |
$146.04
|
| Rate for Payer: Railroad Medicare Medicare |
$82.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.41
|
| Rate for Payer: UHC Core |
$171.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.21
|
| Rate for Payer: UHC Exchange |
$171.54
|
| Rate for Payer: UHC Medicare Advantage |
$82.21
|
| Rate for Payer: UHCCP Medicaid |
$46.28
|
| Rate for Payer: VA VA |
$82.21
|
|
|
HC FRESH FROZEN PLASMA 3X
|
Facility
|
IP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000053
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$146.04 |
| Max. Negotiated Rate |
$208.63 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health SBD |
$146.04
|
|
|
HC FRESH FROZEN PLASMA 3X CMPT1
|
Facility
|
IP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000054
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$146.04 |
| Max. Negotiated Rate |
$208.63 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health SBD |
$146.04
|
|
|
HC FRESH FROZEN PLASMA 3X CMPT1
|
Facility
|
OP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000054
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.06 |
| Max. Negotiated Rate |
$231.41 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.76
|
| Rate for Payer: BCBS Complete |
$46.27
|
| Rate for Payer: BCBS MAPPO |
$82.21
|
| Rate for Payer: BCN Medicare Advantage |
$82.21
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.21
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Mclaren Medicaid |
$44.06
|
| Rate for Payer: Mclaren Medicare |
$82.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.32
|
| Rate for Payer: Meridian Medicaid |
$46.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PACE Medicare |
$78.10
|
| Rate for Payer: PACE SWMI |
$82.21
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: PHP Medicare Advantage |
$82.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health Medicare |
$82.21
|
| Rate for Payer: Priority Health SBD |
$146.04
|
| Rate for Payer: Railroad Medicare Medicare |
$82.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.41
|
| Rate for Payer: UHC Core |
$171.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.21
|
| Rate for Payer: UHC Exchange |
$171.54
|
| Rate for Payer: UHC Medicare Advantage |
$82.21
|
| Rate for Payer: UHCCP Medicaid |
$46.28
|
| Rate for Payer: VA VA |
$82.21
|
|
|
HC FRESH FROZEN PLASMA 3X CMPT2
|
Facility
|
OP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000055
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.06 |
| Max. Negotiated Rate |
$231.41 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.76
|
| Rate for Payer: BCBS Complete |
$46.27
|
| Rate for Payer: BCBS MAPPO |
$82.21
|
| Rate for Payer: BCN Medicare Advantage |
$82.21
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.21
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Mclaren Medicaid |
$44.06
|
| Rate for Payer: Mclaren Medicare |
$82.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.32
|
| Rate for Payer: Meridian Medicaid |
$46.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PACE Medicare |
$78.10
|
| Rate for Payer: PACE SWMI |
$82.21
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: PHP Medicare Advantage |
$82.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health Medicare |
$82.21
|
| Rate for Payer: Priority Health SBD |
$146.04
|
| Rate for Payer: Railroad Medicare Medicare |
$82.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.41
|
| Rate for Payer: UHC Core |
$171.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.21
|
| Rate for Payer: UHC Exchange |
$171.54
|
| Rate for Payer: UHC Medicare Advantage |
$82.21
|
| Rate for Payer: UHCCP Medicaid |
$46.28
|
| Rate for Payer: VA VA |
$82.21
|
|
|
HC FRESH FROZEN PLASMA 3X CMPT2
|
Facility
|
IP
|
$231.81
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000055
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$146.04 |
| Max. Negotiated Rate |
$208.63 |
| Rate for Payer: Aetna Commercial |
$197.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.68
|
| Rate for Payer: Cash Price |
$185.45
|
| Rate for Payer: Cofinity Commercial |
$162.27
|
| Rate for Payer: Cofinity Commercial |
$199.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$162.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$185.45
|
| Rate for Payer: Healthscope Commercial |
$208.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.04
|
| Rate for Payer: PHP Commercial |
$197.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.68
|
| Rate for Payer: Priority Health SBD |
$146.04
|
|
|
HC FRESH FROZEN PLASMA SPLIT
|
Facility
|
OP
|
$96.59
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000056
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$44.06 |
| Max. Negotiated Rate |
$231.41 |
| Rate for Payer: Aetna Commercial |
$82.10
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$102.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$102.76
|
| Rate for Payer: BCBS Complete |
$46.27
|
| Rate for Payer: BCBS MAPPO |
$82.21
|
| Rate for Payer: BCN Medicare Advantage |
$82.21
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cofinity Commercial |
$83.07
|
| Rate for Payer: Cofinity Commercial |
$67.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.21
|
| Rate for Payer: Healthscope Commercial |
$86.93
|
| Rate for Payer: Mclaren Medicaid |
$44.06
|
| Rate for Payer: Mclaren Medicare |
$82.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.32
|
| Rate for Payer: Meridian Medicaid |
$46.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.10
|
| Rate for Payer: PACE Medicare |
$78.10
|
| Rate for Payer: PACE SWMI |
$82.21
|
| Rate for Payer: PHP Commercial |
$82.10
|
| Rate for Payer: PHP Medicare Advantage |
$82.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.78
|
| Rate for Payer: Priority Health Medicare |
$82.21
|
| Rate for Payer: Priority Health SBD |
$60.85
|
| Rate for Payer: Railroad Medicare Medicare |
$82.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.41
|
| Rate for Payer: UHC Core |
$71.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.21
|
| Rate for Payer: UHC Exchange |
$71.48
|
| Rate for Payer: UHC Medicare Advantage |
$82.21
|
| Rate for Payer: UHCCP Medicaid |
$46.28
|
| Rate for Payer: VA VA |
$82.21
|
|
|
HC FRESH FROZEN PLASMA SPLIT
|
Facility
|
IP
|
$96.59
|
|
|
Service Code
|
HCPCS P9017
|
| Hospital Charge Code |
39000056
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$60.85 |
| Max. Negotiated Rate |
$86.93 |
| Rate for Payer: Aetna Commercial |
$82.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.78
|
| Rate for Payer: Cash Price |
$77.27
|
| Rate for Payer: Cofinity Commercial |
$67.61
|
| Rate for Payer: Cofinity Commercial |
$83.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.27
|
| Rate for Payer: Healthscope Commercial |
$86.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.10
|
| Rate for Payer: PHP Commercial |
$82.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.78
|
| Rate for Payer: Priority Health SBD |
$60.85
|
|
|
HC FROZEN SECTION
|
Facility
|
IP
|
$127.03
|
|
|
Service Code
|
CPT 88331
|
| Hospital Charge Code |
31000056
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$80.03 |
| Max. Negotiated Rate |
$114.33 |
| Rate for Payer: Aetna Commercial |
$107.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.57
|
| Rate for Payer: Cash Price |
$101.62
|
| Rate for Payer: Cofinity Commercial |
$109.25
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.62
|
| Rate for Payer: Healthscope Commercial |
$114.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.98
|
| Rate for Payer: PHP Commercial |
$107.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.57
|
| Rate for Payer: Priority Health SBD |
$80.03
|
|
|
HC FROZEN SECTION
|
Facility
|
OP
|
$127.03
|
|
|
Service Code
|
CPT 88331
|
| Hospital Charge Code |
31000056
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$80.03 |
| Max. Negotiated Rate |
$470.43 |
| Rate for Payer: Aetna Commercial |
$107.98
|
| Rate for Payer: Aetna Medicare |
$173.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$208.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$208.90
|
| Rate for Payer: BCBS Complete |
$94.06
|
| Rate for Payer: BCBS MAPPO |
$167.12
|
| Rate for Payer: BCN Medicare Advantage |
$167.12
|
| Rate for Payer: Cash Price |
$101.62
|
| Rate for Payer: Cash Price |
$101.62
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Cofinity Commercial |
$109.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$88.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.12
|
| Rate for Payer: Healthscope Commercial |
$114.33
|
| Rate for Payer: Mclaren Medicaid |
$89.58
|
| Rate for Payer: Mclaren Medicare |
$167.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.48
|
| Rate for Payer: Meridian Medicaid |
$94.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$192.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$107.98
|
| Rate for Payer: PACE Medicare |
$158.76
|
| Rate for Payer: PACE SWMI |
$167.12
|
| Rate for Payer: PHP Commercial |
$107.98
|
| Rate for Payer: PHP Medicare Advantage |
$167.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.57
|
| Rate for Payer: Priority Health Medicare |
$167.12
|
| Rate for Payer: Priority Health SBD |
$80.03
|
| Rate for Payer: Railroad Medicare Medicare |
$167.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$470.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$167.12
|
| Rate for Payer: UHC Medicare Advantage |
$167.12
|
| Rate for Payer: UHCCP Medicaid |
$94.09
|
| Rate for Payer: VA VA |
$167.12
|
|
|
HC FRUCTOSAMINE
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 82985
|
| Hospital Charge Code |
30100627
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$32.77 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.81
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$36.41
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$36.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health SBD |
$32.77
|
|
|
HC FRUCTOSAMINE
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
CPT 82985
|
| Hospital Charge Code |
30100627
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$47.18 |
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$17.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20.95
|
| Rate for Payer: BCBS Complete |
$9.43
|
| Rate for Payer: BCBS MAPPO |
$16.76
|
| Rate for Payer: BCN Medicare Advantage |
$16.76
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Cofinity Commercial |
$36.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$36.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.76
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Mclaren Medicaid |
$8.98
|
| Rate for Payer: Mclaren Medicare |
$16.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.60
|
| Rate for Payer: Meridian Medicaid |
$9.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: PACE Medicare |
$15.92
|
| Rate for Payer: PACE SWMI |
$16.76
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$16.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.81
|
| Rate for Payer: Priority Health Medicare |
$16.76
|
| Rate for Payer: Priority Health SBD |
$32.77
|
| Rate for Payer: Railroad Medicare Medicare |
$16.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.76
|
| Rate for Payer: UHC Medicare Advantage |
$16.76
|
| Rate for Payer: UHCCP Medicaid |
$9.44
|
| Rate for Payer: VA VA |
$16.76
|
|
|
HC FRUCTOSE SEMEN
|
Facility
|
IP
|
$96.80
|
|
|
Service Code
|
CPT 82757
|
| Hospital Charge Code |
30100206
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$60.98 |
| Max. Negotiated Rate |
$87.12 |
| Rate for Payer: Aetna Commercial |
$82.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.92
|
| Rate for Payer: Cash Price |
$77.44
|
| Rate for Payer: Cofinity Commercial |
$67.76
|
| Rate for Payer: Cofinity Commercial |
$83.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.44
|
| Rate for Payer: Healthscope Commercial |
$87.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.28
|
| Rate for Payer: PHP Commercial |
$82.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.92
|
| Rate for Payer: Priority Health SBD |
$60.98
|
|
|
HC FRUCTOSE SEMEN
|
Facility
|
OP
|
$96.80
|
|
|
Service Code
|
CPT 82757
|
| Hospital Charge Code |
30100206
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.29 |
| Max. Negotiated Rate |
$87.12 |
| Rate for Payer: Aetna Commercial |
$82.28
|
| Rate for Payer: Aetna Medicare |
$18.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.68
|
| Rate for Payer: BCBS Complete |
$9.76
|
| Rate for Payer: BCBS MAPPO |
$17.34
|
| Rate for Payer: BCN Medicare Advantage |
$17.34
|
| Rate for Payer: Cash Price |
$77.44
|
| Rate for Payer: Cash Price |
$77.44
|
| Rate for Payer: Cofinity Commercial |
$83.25
|
| Rate for Payer: Cofinity Commercial |
$67.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.34
|
| Rate for Payer: Healthscope Commercial |
$87.12
|
| Rate for Payer: Mclaren Medicaid |
$9.29
|
| Rate for Payer: Mclaren Medicare |
$17.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.21
|
| Rate for Payer: Meridian Medicaid |
$9.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.28
|
| Rate for Payer: PACE Medicare |
$16.47
|
| Rate for Payer: PACE SWMI |
$17.34
|
| Rate for Payer: PHP Commercial |
$82.28
|
| Rate for Payer: PHP Medicare Advantage |
$17.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.92
|
| Rate for Payer: Priority Health Medicare |
$17.34
|
| Rate for Payer: Priority Health SBD |
$60.98
|
| Rate for Payer: Railroad Medicare Medicare |
$17.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.34
|
| Rate for Payer: UHC Medicare Advantage |
$17.34
|
| Rate for Payer: UHCCP Medicaid |
$9.76
|
| Rate for Payer: VA VA |
$17.34
|
|
|
HC F/U EP STUDY
|
Facility
|
OP
|
$5,613.56
|
|
|
Service Code
|
CPT 93624
|
| Hospital Charge Code |
48100040
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,536.54 |
| Max. Negotiated Rate |
$20,831.72 |
| Rate for Payer: Aetna Commercial |
$4,771.53
|
| Rate for Payer: Aetna Medicare |
$7,696.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,648.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,250.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,250.65
|
| Rate for Payer: BCBS Complete |
$4,165.01
|
| Rate for Payer: BCBS MAPPO |
$7,400.52
|
| Rate for Payer: BCN Medicare Advantage |
$7,400.52
|
| Rate for Payer: Cash Price |
$4,490.85
|
| Rate for Payer: Cash Price |
$4,490.85
|
| Rate for Payer: Cofinity Commercial |
$4,827.66
|
| Rate for Payer: Cofinity Commercial |
$3,929.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,929.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,490.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,400.52
|
| Rate for Payer: Healthscope Commercial |
$5,052.20
|
| Rate for Payer: Mclaren Medicaid |
$3,966.68
|
| Rate for Payer: Mclaren Medicare |
$7,400.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,770.55
|
| Rate for Payer: Meridian Medicaid |
$4,165.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,510.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,771.53
|
| Rate for Payer: PACE Medicare |
$7,030.49
|
| Rate for Payer: PACE SWMI |
$7,400.52
|
| Rate for Payer: PHP Commercial |
$4,771.53
|
| Rate for Payer: PHP Medicare Advantage |
$7,400.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,966.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,648.81
|
| Rate for Payer: Priority Health Medicare |
$7,400.52
|
| Rate for Payer: Priority Health SBD |
$3,536.54
|
| Rate for Payer: Railroad Medicare Medicare |
$7,400.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20,831.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$7,400.52
|
| Rate for Payer: UHC Medicare Advantage |
$7,400.52
|
| Rate for Payer: UHCCP Medicaid |
$4,166.49
|
| Rate for Payer: VA VA |
$7,400.52
|
|
|
HC F/U EP STUDY
|
Facility
|
IP
|
$5,613.56
|
|
|
Service Code
|
CPT 93624
|
| Hospital Charge Code |
48100040
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,536.54 |
| Max. Negotiated Rate |
$5,052.20 |
| Rate for Payer: Aetna Commercial |
$4,771.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,648.81
|
| Rate for Payer: Cash Price |
$4,490.85
|
| Rate for Payer: Cofinity Commercial |
$3,929.49
|
| Rate for Payer: Cofinity Commercial |
$4,827.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,929.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,490.85
|
| Rate for Payer: Healthscope Commercial |
$5,052.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,771.53
|
| Rate for Payer: PHP Commercial |
$4,771.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,648.81
|
| Rate for Payer: Priority Health SBD |
$3,536.54
|
|
|
HC FUNC BACK EVAL
|
Facility
|
IP
|
$125.65
|
|
| Hospital Charge Code |
42400003
|
|
Hospital Revenue Code
|
424
|
| Min. Negotiated Rate |
$79.16 |
| Max. Negotiated Rate |
$113.08 |
| Rate for Payer: Aetna Commercial |
$106.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.67
|
| Rate for Payer: Cash Price |
$100.52
|
| Rate for Payer: Cofinity Commercial |
$108.06
|
| Rate for Payer: Cofinity Commercial |
$87.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$87.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.52
|
| Rate for Payer: Healthscope Commercial |
$113.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.80
|
| Rate for Payer: PHP Commercial |
$106.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.67
|
| Rate for Payer: Priority Health SBD |
$79.16
|
|
|
HC FUNC BACK EVAL
|
Facility
|
OP
|
$125.65
|
|
| Hospital Charge Code |
42400003
|
|
Hospital Revenue Code
|
424
|
| Min. Negotiated Rate |
$50.26 |
| Max. Negotiated Rate |
$135.00 |
| Rate for Payer: Aetna Commercial |
$106.80
|
| Rate for Payer: Aetna Medicare |
$62.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.67
|
| Rate for Payer: BCBS Complete |
$50.26
|
| Rate for Payer: Cash Price |
$100.52
|
| Rate for Payer: Cash Price |
$100.52
|
| Rate for Payer: Cofinity Commercial |
$87.95
|
| Rate for Payer: Cofinity Commercial |
$108.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$87.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.52
|
| Rate for Payer: Healthscope Commercial |
$113.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.80
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$106.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.67
|
| Rate for Payer: Priority Health SBD |
$79.16
|
| Rate for Payer: UHC Core |
$92.98
|
| Rate for Payer: UHC Exchange |
$92.98
|
|
|
HC FUNGAL ID MOLD
|
Facility
|
OP
|
$67.42
|
|
|
Service Code
|
CPT 87107
|
| Hospital Charge Code |
30600085
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.53 |
| Max. Negotiated Rate |
$60.68 |
| Rate for Payer: Aetna Commercial |
$57.31
|
| Rate for Payer: Aetna Medicare |
$10.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.90
|
| Rate for Payer: BCBS Complete |
$5.81
|
| Rate for Payer: BCBS MAPPO |
$10.32
|
| Rate for Payer: BCN Medicare Advantage |
$10.32
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cofinity Commercial |
$57.98
|
| Rate for Payer: Cofinity Commercial |
$47.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$47.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.32
|
| Rate for Payer: Healthscope Commercial |
$60.68
|
| Rate for Payer: Mclaren Medicaid |
$5.53
|
| Rate for Payer: Mclaren Medicare |
$10.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.84
|
| Rate for Payer: Meridian Medicaid |
$5.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.31
|
| Rate for Payer: PACE Medicare |
$9.80
|
| Rate for Payer: PACE SWMI |
$10.32
|
| Rate for Payer: PHP Commercial |
$57.31
|
| Rate for Payer: PHP Medicare Advantage |
$10.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.82
|
| Rate for Payer: Priority Health Medicare |
$10.32
|
| Rate for Payer: Priority Health SBD |
$42.47
|
| Rate for Payer: Railroad Medicare Medicare |
$10.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.32
|
| Rate for Payer: UHC Medicare Advantage |
$10.32
|
| Rate for Payer: UHCCP Medicaid |
$5.81
|
| Rate for Payer: VA VA |
$10.32
|
|
|
HC FUNGAL ID MOLD
|
Facility
|
IP
|
$67.42
|
|
|
Service Code
|
CPT 87107
|
| Hospital Charge Code |
30600085
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$42.47 |
| Max. Negotiated Rate |
$60.68 |
| Rate for Payer: Aetna Commercial |
$57.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.82
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cofinity Commercial |
$47.19
|
| Rate for Payer: Cofinity Commercial |
$57.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$47.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.94
|
| Rate for Payer: Healthscope Commercial |
$60.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.31
|
| Rate for Payer: PHP Commercial |
$57.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.82
|
| Rate for Payer: Priority Health SBD |
$42.47
|
|
|
HC FUNGAL ID YEAST
|
Facility
|
IP
|
$67.42
|
|
|
Service Code
|
CPT 87106
|
| Hospital Charge Code |
30600084
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$42.47 |
| Max. Negotiated Rate |
$60.68 |
| Rate for Payer: Aetna Commercial |
$57.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.82
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cofinity Commercial |
$47.19
|
| Rate for Payer: Cofinity Commercial |
$57.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$47.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.94
|
| Rate for Payer: Healthscope Commercial |
$60.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.31
|
| Rate for Payer: PHP Commercial |
$57.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.82
|
| Rate for Payer: Priority Health SBD |
$42.47
|
|
|
HC FUNGAL ID YEAST
|
Facility
|
OP
|
$67.42
|
|
|
Service Code
|
CPT 87106
|
| Hospital Charge Code |
30600084
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$5.53 |
| Max. Negotiated Rate |
$60.68 |
| Rate for Payer: Aetna Commercial |
$57.31
|
| Rate for Payer: Aetna Medicare |
$10.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.90
|
| Rate for Payer: BCBS Complete |
$5.81
|
| Rate for Payer: BCBS MAPPO |
$10.32
|
| Rate for Payer: BCN Medicare Advantage |
$10.32
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cash Price |
$53.94
|
| Rate for Payer: Cofinity Commercial |
$57.98
|
| Rate for Payer: Cofinity Commercial |
$47.19
|
| Rate for Payer: Cofinity Medicare Advantage |
$47.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.32
|
| Rate for Payer: Healthscope Commercial |
$60.68
|
| Rate for Payer: Mclaren Medicaid |
$5.53
|
| Rate for Payer: Mclaren Medicare |
$10.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.84
|
| Rate for Payer: Meridian Medicaid |
$5.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.31
|
| Rate for Payer: PACE Medicare |
$9.80
|
| Rate for Payer: PACE SWMI |
$10.32
|
| Rate for Payer: PHP Commercial |
$57.31
|
| Rate for Payer: PHP Medicare Advantage |
$10.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.82
|
| Rate for Payer: Priority Health Medicare |
$10.32
|
| Rate for Payer: Priority Health SBD |
$42.47
|
| Rate for Payer: Railroad Medicare Medicare |
$10.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.32
|
| Rate for Payer: UHC Medicare Advantage |
$10.32
|
| Rate for Payer: UHCCP Medicaid |
$5.81
|
| Rate for Payer: VA VA |
$10.32
|
|
|
HC FUNGAL SEROLOGY SURVEY
|
Facility
|
IP
|
$41.62
|
|
|
Service Code
|
CPT 87327
|
| Hospital Charge Code |
30600137
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$26.22 |
| Max. Negotiated Rate |
$37.46 |
| Rate for Payer: Aetna Commercial |
$35.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.05
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$29.13
|
| Rate for Payer: Cofinity Commercial |
$35.79
|
| Rate for Payer: Cofinity Medicare Advantage |
$29.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Healthscope Commercial |
$37.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: PHP Commercial |
$35.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: Priority Health SBD |
$26.22
|
|
|
HC FUNGAL SEROLOGY SURVEY
|
Facility
|
OP
|
$41.62
|
|
|
Service Code
|
CPT 87327
|
| Hospital Charge Code |
30600137
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$7.19 |
| Max. Negotiated Rate |
$37.78 |
| Rate for Payer: Aetna Commercial |
$35.38
|
| Rate for Payer: Aetna Medicare |
$13.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.77
|
| Rate for Payer: BCBS Complete |
$7.55
|
| Rate for Payer: BCBS MAPPO |
$13.42
|
| Rate for Payer: BCN Medicare Advantage |
$13.42
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cash Price |
$33.30
|
| Rate for Payer: Cofinity Commercial |
$35.79
|
| Rate for Payer: Cofinity Commercial |
$29.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$29.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.42
|
| Rate for Payer: Healthscope Commercial |
$37.46
|
| Rate for Payer: Mclaren Medicaid |
$7.19
|
| Rate for Payer: Mclaren Medicare |
$13.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.09
|
| Rate for Payer: Meridian Medicaid |
$7.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.38
|
| Rate for Payer: PACE Medicare |
$12.75
|
| Rate for Payer: PACE SWMI |
$13.42
|
| Rate for Payer: PHP Commercial |
$35.38
|
| Rate for Payer: PHP Medicare Advantage |
$13.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.05
|
| Rate for Payer: Priority Health Medicare |
$13.42
|
| Rate for Payer: Priority Health SBD |
$26.22
|
| Rate for Payer: Railroad Medicare Medicare |
$13.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.42
|
| Rate for Payer: UHC Medicare Advantage |
$13.42
|
| Rate for Payer: UHCCP Medicaid |
$7.56
|
| Rate for Payer: VA VA |
$13.42
|
|
