|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$7,788.85
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$7,417.96 |
| Max. Negotiated Rate |
$7,788.85 |
| Rate for Payer: BCBS Complete |
$7,788.85
|
| Rate for Payer: Mclaren Medicaid |
$7,417.96
|
| Rate for Payer: Meridian Medicaid |
$7,788.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,417.96
|
| Rate for Payer: UHC Medicaid |
$7,417.96
|
| Rate for Payer: UHCCP Medicaid |
$7,417.96
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$6,422.68
|
|
|
Service Code
|
APR-DRG 7572
|
| Min. Negotiated Rate |
$6,116.84 |
| Max. Negotiated Rate |
$6,422.68 |
| Rate for Payer: BCBS Complete |
$6,422.68
|
| Rate for Payer: Mclaren Medicaid |
$6,116.84
|
| Rate for Payer: Meridian Medicaid |
$6,422.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,116.84
|
| Rate for Payer: UHC Medicaid |
$6,116.84
|
| Rate for Payer: UHCCP Medicaid |
$6,116.84
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$17,582.54
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$16,745.27 |
| Max. Negotiated Rate |
$17,582.54 |
| Rate for Payer: BCBS Complete |
$17,582.54
|
| Rate for Payer: Mclaren Medicaid |
$16,745.27
|
| Rate for Payer: Meridian Medicaid |
$17,582.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,745.27
|
| Rate for Payer: UHC Medicaid |
$16,745.27
|
| Rate for Payer: UHCCP Medicaid |
$16,745.27
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,524.48
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$4,309.03 |
| Max. Negotiated Rate |
$4,524.48 |
| Rate for Payer: BCBS Complete |
$4,524.48
|
| Rate for Payer: Mclaren Medicaid |
$4,309.03
|
| Rate for Payer: Meridian Medicaid |
$4,524.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,309.03
|
| Rate for Payer: UHC Medicaid |
$4,309.03
|
| Rate for Payer: UHCCP Medicaid |
$4,309.03
|
|
|
ORITAVANCIN 400 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$10,674.63
|
|
|
Service Code
|
HCPCS J2407
|
| Hospital Charge Code |
172319
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.94 |
| Max. Negotiated Rate |
$9,607.17 |
| Rate for Payer: Aetna Commercial |
$9,073.44
|
| Rate for Payer: Aetna Commercial |
$3,024.48
|
| Rate for Payer: Aetna Medicare |
$29.71
|
| Rate for Payer: Aetna Medicare |
$29.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,312.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,938.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35.71
|
| Rate for Payer: BCBS Complete |
$15.69
|
| Rate for Payer: BCBS Complete |
$15.69
|
| Rate for Payer: BCBS MAPPO |
$28.57
|
| Rate for Payer: BCBS MAPPO |
$28.57
|
| Rate for Payer: BCBS Trust/PPO |
$71.41
|
| Rate for Payer: BCBS Trust/PPO |
$71.41
|
| Rate for Payer: BCN Commercial |
$71.41
|
| Rate for Payer: BCN Commercial |
$71.41
|
| Rate for Payer: BCN Medicare Advantage |
$28.57
|
| Rate for Payer: BCN Medicare Advantage |
$28.57
|
| Rate for Payer: Cash Price |
$8,539.70
|
| Rate for Payer: Cash Price |
$2,846.57
|
| Rate for Payer: Cash Price |
$2,846.57
|
| Rate for Payer: Cash Price |
$8,539.70
|
| Rate for Payer: Cofinity Advantage |
$2,490.75
|
| Rate for Payer: Cofinity Advantage |
$7,472.24
|
| Rate for Payer: Cofinity Commercial |
$3,060.06
|
| Rate for Payer: Cofinity Commercial |
$9,180.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,539.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,846.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.57
|
| Rate for Payer: Healthscope Commercial |
$9,607.17
|
| Rate for Payer: Healthscope Commercial |
$3,202.39
|
| Rate for Payer: Mclaren Medicaid |
$14.94
|
| Rate for Payer: Mclaren Medicaid |
$14.94
|
| Rate for Payer: Mclaren Medicare |
$28.57
|
| Rate for Payer: Mclaren Medicare |
$28.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.00
|
| Rate for Payer: Meridian Medicaid |
$30.00
|
| Rate for Payer: Meridian Medicaid |
$30.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,073.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,024.48
|
| Rate for Payer: Nomi Health Commercial |
$85.71
|
| Rate for Payer: Nomi Health Commercial |
$85.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,005.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,668.66
|
| Rate for Payer: PACE Medicare |
$27.14
|
| Rate for Payer: PACE Medicare |
$27.14
|
| Rate for Payer: PACE SWMI |
$28.57
|
| Rate for Payer: PACE SWMI |
$28.57
|
| Rate for Payer: PHP Commercial |
$3,024.48
|
| Rate for Payer: PHP Commercial |
$9,073.44
|
| Rate for Payer: PHP Medicare Advantage |
$28.57
|
| Rate for Payer: PHP Medicare Advantage |
$28.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$90.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$90.45
|
| Rate for Payer: Priority Health Medicare |
$28.57
|
| Rate for Payer: Priority Health Medicare |
$28.57
|
| Rate for Payer: Priority Health SBD |
$2,241.67
|
| Rate for Payer: Priority Health SBD |
$6,725.02
|
| Rate for Payer: Priority Health Tiered Network |
$72.36
|
| Rate for Payer: Priority Health Tiered Network |
$72.36
|
| Rate for Payer: Railroad Medicare Medicare |
$28.57
|
| Rate for Payer: Railroad Medicare Medicare |
$28.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.98
|
| Rate for Payer: UHC Core |
$46.98
|
| Rate for Payer: UHC Core |
$46.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.57
|
| Rate for Payer: UHC Exchange |
$46.98
|
| Rate for Payer: UHC Exchange |
$46.98
|
| Rate for Payer: UHC Medicaid |
$14.94
|
| Rate for Payer: UHC Medicaid |
$14.94
|
| Rate for Payer: UHCCP Medicaid |
$14.94
|
| Rate for Payer: UHCCP Medicaid |
$14.94
|
| Rate for Payer: VA VA |
$28.57
|
| Rate for Payer: VA VA |
$28.57
|
|
|
ORITAVANCIN 400 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$10,674.63
|
|
|
Service Code
|
HCPCS J2407
|
| Hospital Charge Code |
172319
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6,725.02 |
| Max. Negotiated Rate |
$9,607.17 |
| Rate for Payer: Aetna Commercial |
$9,073.44
|
| Rate for Payer: Aetna Commercial |
$3,024.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6,938.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,312.84
|
| Rate for Payer: Cash Price |
$8,539.70
|
| Rate for Payer: Cash Price |
$2,846.57
|
| Rate for Payer: Cofinity Advantage |
$7,472.24
|
| Rate for Payer: Cofinity Advantage |
$2,490.75
|
| Rate for Payer: Cofinity Commercial |
$9,180.18
|
| Rate for Payer: Cofinity Commercial |
$3,060.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,846.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8,539.70
|
| Rate for Payer: Healthscope Commercial |
$3,202.39
|
| Rate for Payer: Healthscope Commercial |
$9,607.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,073.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,024.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8,005.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,668.66
|
| Rate for Payer: PHP Commercial |
$9,073.44
|
| Rate for Payer: PHP Commercial |
$3,024.48
|
| Rate for Payer: Priority Health SBD |
$6,725.02
|
| Rate for Payer: Priority Health SBD |
$2,241.67
|
|
|
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$60.02
|
|
|
Service Code
|
HCPCS J2360
|
| Hospital Charge Code |
5886
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$37.81 |
| Max. Negotiated Rate |
$54.02 |
| Rate for Payer: Aetna Commercial |
$51.02
|
| Rate for Payer: Aetna Commercial |
$51.31
|
| Rate for Payer: Aetna Commercial |
$36.71
|
| Rate for Payer: Aetna Commercial |
$38.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.07
|
| Rate for Payer: Cash Price |
$48.02
|
| Rate for Payer: Cash Price |
$48.29
|
| Rate for Payer: Cash Price |
$36.41
|
| Rate for Payer: Cash Price |
$34.55
|
| Rate for Payer: Cofinity Advantage |
$42.01
|
| Rate for Payer: Cofinity Advantage |
$30.23
|
| Rate for Payer: Cofinity Advantage |
$42.25
|
| Rate for Payer: Cofinity Advantage |
$31.86
|
| Rate for Payer: Cofinity Commercial |
$51.91
|
| Rate for Payer: Cofinity Commercial |
$51.62
|
| Rate for Payer: Cofinity Commercial |
$39.14
|
| Rate for Payer: Cofinity Commercial |
$37.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.02
|
| Rate for Payer: Healthscope Commercial |
$54.02
|
| Rate for Payer: Healthscope Commercial |
$54.32
|
| Rate for Payer: Healthscope Commercial |
$38.87
|
| Rate for Payer: Healthscope Commercial |
$40.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.13
|
| Rate for Payer: PHP Commercial |
$51.02
|
| Rate for Payer: PHP Commercial |
$38.68
|
| Rate for Payer: PHP Commercial |
$36.71
|
| Rate for Payer: PHP Commercial |
$51.31
|
| Rate for Payer: Priority Health SBD |
$28.67
|
| Rate for Payer: Priority Health SBD |
$38.03
|
| Rate for Payer: Priority Health SBD |
$37.81
|
| Rate for Payer: Priority Health SBD |
$27.21
|
|
|
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$45.51
|
|
|
Service Code
|
HCPCS J2360
|
| Hospital Charge Code |
5886
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.54 |
| Max. Negotiated Rate |
$40.96 |
| Rate for Payer: Aetna Commercial |
$38.68
|
| Rate for Payer: Aetna Commercial |
$51.31
|
| Rate for Payer: Aetna Commercial |
$51.02
|
| Rate for Payer: Aetna Commercial |
$36.71
|
| Rate for Payer: Aetna Medicare |
$22.75
|
| Rate for Payer: Aetna Medicare |
$30.18
|
| Rate for Payer: Aetna Medicare |
$30.01
|
| Rate for Payer: Aetna Medicare |
$21.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.58
|
| Rate for Payer: BCBS Complete |
$24.14
|
| Rate for Payer: BCBS Complete |
$18.20
|
| Rate for Payer: BCBS Complete |
$17.28
|
| Rate for Payer: BCBS Complete |
$24.01
|
| Rate for Payer: BCBS Trust/PPO |
$16.03
|
| Rate for Payer: BCBS Trust/PPO |
$16.03
|
| Rate for Payer: BCBS Trust/PPO |
$16.03
|
| Rate for Payer: BCBS Trust/PPO |
$16.03
|
| Rate for Payer: BCN Commercial |
$16.03
|
| Rate for Payer: BCN Commercial |
$16.03
|
| Rate for Payer: BCN Commercial |
$16.03
|
| Rate for Payer: BCN Commercial |
$16.03
|
| Rate for Payer: Cash Price |
$36.41
|
| Rate for Payer: Cash Price |
$48.02
|
| Rate for Payer: Cash Price |
$48.29
|
| Rate for Payer: Cash Price |
$48.02
|
| Rate for Payer: Cash Price |
$34.55
|
| Rate for Payer: Cash Price |
$34.55
|
| Rate for Payer: Cash Price |
$48.29
|
| Rate for Payer: Cash Price |
$36.41
|
| Rate for Payer: Cofinity Advantage |
$42.25
|
| Rate for Payer: Cofinity Advantage |
$30.23
|
| Rate for Payer: Cofinity Advantage |
$42.01
|
| Rate for Payer: Cofinity Advantage |
$31.86
|
| Rate for Payer: Cofinity Commercial |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$51.91
|
| Rate for Payer: Cofinity Commercial |
$39.14
|
| Rate for Payer: Cofinity Commercial |
$51.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.41
|
| Rate for Payer: Healthscope Commercial |
$54.02
|
| Rate for Payer: Healthscope Commercial |
$38.87
|
| Rate for Payer: Healthscope Commercial |
$54.32
|
| Rate for Payer: Healthscope Commercial |
$40.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$36.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.27
|
| Rate for Payer: PHP Commercial |
$51.02
|
| Rate for Payer: PHP Commercial |
$38.68
|
| Rate for Payer: PHP Commercial |
$51.31
|
| Rate for Payer: PHP Commercial |
$36.71
|
| Rate for Payer: Priority Health SBD |
$27.21
|
| Rate for Payer: Priority Health SBD |
$37.81
|
| Rate for Payer: Priority Health SBD |
$38.03
|
| Rate for Payer: Priority Health SBD |
$28.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.54
|
| Rate for Payer: UHC Core |
$10.54
|
| Rate for Payer: UHC Core |
$10.54
|
| Rate for Payer: UHC Core |
$10.54
|
| Rate for Payer: UHC Core |
$10.54
|
| Rate for Payer: UHC Exchange |
$10.54
|
| Rate for Payer: UHC Exchange |
$10.54
|
| Rate for Payer: UHC Exchange |
$10.54
|
| Rate for Payer: UHC Exchange |
$10.54
|
|
|
O.R. PROCEDURES FOR OBESITY WITH CC
|
Facility
|
IP
|
$29,412.15
|
|
|
Service Code
|
MSDRG 620
|
| Min. Negotiated Rate |
$12,299.16 |
| Max. Negotiated Rate |
$29,412.15 |
| Rate for Payer: Aetna Medicare |
$13,464.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,183.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,183.10
|
| Rate for Payer: BCBS MAPPO |
$12,946.48
|
| Rate for Payer: BCBS Trust/PPO |
$29,412.15
|
| Rate for Payer: BCN Commercial |
$29,412.15
|
| Rate for Payer: BCN Medicare Advantage |
$12,946.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,946.48
|
| Rate for Payer: Mclaren Medicare |
$12,946.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,593.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,888.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,241.13
|
| Rate for Payer: Nomi Health Commercial |
$20,643.87
|
| Rate for Payer: PACE Medicare |
$12,299.16
|
| Rate for Payer: PACE SWMI |
$12,946.48
|
| Rate for Payer: PHP Medicare Advantage |
$12,946.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25,800.26
|
| Rate for Payer: Priority Health Medicare |
$12,946.48
|
| Rate for Payer: Priority Health Tiered Network |
$20,640.21
|
| Rate for Payer: Railroad Medicare Medicare |
$12,946.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26,084.89
|
| Rate for Payer: UHC Core |
$21,823.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,946.48
|
| Rate for Payer: UHC Exchange |
$17,822.54
|
| Rate for Payer: VA VA |
$12,946.48
|
|
|
O.R. PROCEDURES FOR OBESITY WITH MCC
|
Facility
|
IP
|
$47,064.62
|
|
|
Service Code
|
MSDRG 619
|
| Min. Negotiated Rate |
$21,748.81 |
| Max. Negotiated Rate |
$47,064.62 |
| Rate for Payer: Aetna Medicare |
$23,809.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$28,616.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$28,616.85
|
| Rate for Payer: BCBS MAPPO |
$22,893.48
|
| Rate for Payer: BCBS Trust/PPO |
$40,758.01
|
| Rate for Payer: BCN Commercial |
$40,758.01
|
| Rate for Payer: BCN Medicare Advantage |
$22,893.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22,893.48
|
| Rate for Payer: Mclaren Medicare |
$22,893.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24,038.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26,327.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$25,182.83
|
| Rate for Payer: Nomi Health Commercial |
$37,247.46
|
| Rate for Payer: PACE Medicare |
$21,748.81
|
| Rate for Payer: PACE SWMI |
$22,893.48
|
| Rate for Payer: PHP Medicare Advantage |
$22,893.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$46,551.07
|
| Rate for Payer: Priority Health Medicare |
$22,893.48
|
| Rate for Payer: Priority Health Tiered Network |
$37,240.85
|
| Rate for Payer: Railroad Medicare Medicare |
$22,893.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47,064.62
|
| Rate for Payer: UHC Core |
$39,375.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22,893.48
|
| Rate for Payer: UHC Exchange |
$32,156.97
|
| Rate for Payer: VA VA |
$22,893.48
|
|
|
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
|
Facility
|
IP
|
$26,760.03
|
|
|
Service Code
|
MSDRG 621
|
| Min. Negotiated Rate |
$11,624.44 |
| Max. Negotiated Rate |
$26,760.03 |
| Rate for Payer: Aetna Medicare |
$12,725.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,295.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,295.31
|
| Rate for Payer: BCBS MAPPO |
$12,236.25
|
| Rate for Payer: BCBS Trust/PPO |
$26,760.03
|
| Rate for Payer: BCN Commercial |
$26,760.03
|
| Rate for Payer: BCN Medicare Advantage |
$12,236.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,236.25
|
| Rate for Payer: Mclaren Medicare |
$12,236.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,848.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,071.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,459.88
|
| Rate for Payer: Nomi Health Commercial |
$19,458.36
|
| Rate for Payer: PACE Medicare |
$11,624.44
|
| Rate for Payer: PACE SWMI |
$12,236.25
|
| Rate for Payer: PHP Medicare Advantage |
$12,236.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24,318.64
|
| Rate for Payer: Priority Health Medicare |
$12,236.25
|
| Rate for Payer: Priority Health Tiered Network |
$19,454.91
|
| Rate for Payer: Railroad Medicare Medicare |
$12,236.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24,586.92
|
| Rate for Payer: UHC Core |
$20,570.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,236.25
|
| Rate for Payer: UHC Exchange |
$16,799.05
|
| Rate for Payer: VA VA |
$12,236.25
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
|
Facility
|
IP
|
$38,501.48
|
|
|
Service Code
|
MSDRG 940
|
| Min. Negotiated Rate |
$17,707.15 |
| Max. Negotiated Rate |
$38,501.48 |
| Rate for Payer: Aetna Medicare |
$19,384.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,298.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,298.89
|
| Rate for Payer: BCBS MAPPO |
$18,639.11
|
| Rate for Payer: BCBS Trust/PPO |
$38,501.48
|
| Rate for Payer: BCN Commercial |
$38,501.48
|
| Rate for Payer: BCN Medicare Advantage |
$18,639.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,639.11
|
| Rate for Payer: Mclaren Medicare |
$18,639.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,571.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,434.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,503.02
|
| Rate for Payer: Nomi Health Commercial |
$30,146.01
|
| Rate for Payer: PACE Medicare |
$17,707.15
|
| Rate for Payer: PACE SWMI |
$18,639.11
|
| Rate for Payer: PHP Medicare Advantage |
$18,639.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37,675.83
|
| Rate for Payer: Priority Health Medicare |
$18,639.11
|
| Rate for Payer: Priority Health Tiered Network |
$30,140.66
|
| Rate for Payer: Railroad Medicare Medicare |
$18,639.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38,091.47
|
| Rate for Payer: UHC Core |
$31,868.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,639.11
|
| Rate for Payer: UHC Exchange |
$26,026.06
|
| Rate for Payer: VA VA |
$18,639.11
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
|
Facility
|
IP
|
$59,144.55
|
|
|
Service Code
|
MSDRG 939
|
| Min. Negotiated Rate |
$27,189.84 |
| Max. Negotiated Rate |
$59,144.55 |
| Rate for Payer: Aetna Medicare |
$29,765.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$35,776.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$35,776.10
|
| Rate for Payer: BCBS MAPPO |
$28,620.88
|
| Rate for Payer: BCBS Trust/PPO |
$57,136.59
|
| Rate for Payer: BCN Commercial |
$57,136.59
|
| Rate for Payer: BCN Medicare Advantage |
$28,620.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28,620.88
|
| Rate for Payer: Mclaren Medicare |
$28,620.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30,051.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,914.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$31,482.97
|
| Rate for Payer: Nomi Health Commercial |
$46,807.65
|
| Rate for Payer: PACE Medicare |
$27,189.84
|
| Rate for Payer: PACE SWMI |
$28,620.88
|
| Rate for Payer: PHP Medicare Advantage |
$28,620.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$58,499.18
|
| Rate for Payer: Priority Health Medicare |
$28,620.88
|
| Rate for Payer: Priority Health Tiered Network |
$46,799.34
|
| Rate for Payer: Railroad Medicare Medicare |
$28,620.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$59,144.55
|
| Rate for Payer: UHC Core |
$49,481.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28,620.88
|
| Rate for Payer: UHC Exchange |
$40,410.60
|
| Rate for Payer: VA VA |
$28,620.88
|
|
|
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,051.51
|
|
|
Service Code
|
MSDRG 941
|
| Min. Negotiated Rate |
$15,437.04 |
| Max. Negotiated Rate |
$33,051.51 |
| Rate for Payer: Aetna Medicare |
$16,899.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$20,311.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$20,311.90
|
| Rate for Payer: BCBS MAPPO |
$16,249.52
|
| Rate for Payer: BCBS Trust/PPO |
$32,289.00
|
| Rate for Payer: BCN Commercial |
$32,289.00
|
| Rate for Payer: BCN Medicare Advantage |
$16,249.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16,249.52
|
| Rate for Payer: Mclaren Medicare |
$16,249.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17,062.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18,686.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$17,874.47
|
| Rate for Payer: Nomi Health Commercial |
$26,157.33
|
| Rate for Payer: PACE Medicare |
$15,437.04
|
| Rate for Payer: PACE SWMI |
$16,249.52
|
| Rate for Payer: PHP Medicare Advantage |
$16,249.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32,690.86
|
| Rate for Payer: Priority Health Medicare |
$16,249.52
|
| Rate for Payer: Priority Health Tiered Network |
$26,152.69
|
| Rate for Payer: Railroad Medicare Medicare |
$16,249.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33,051.51
|
| Rate for Payer: UHC Core |
$27,651.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16,249.52
|
| Rate for Payer: UHC Exchange |
$22,582.49
|
| Rate for Payer: VA VA |
$16,249.52
|
|
|
O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
|
Facility
|
IP
|
$62,997.87
|
|
|
Service Code
|
MSDRG 876
|
| Min. Negotiated Rate |
$28,925.45 |
| Max. Negotiated Rate |
$62,997.87 |
| Rate for Payer: Aetna Medicare |
$31,665.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38,059.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38,059.80
|
| Rate for Payer: BCBS MAPPO |
$30,447.84
|
| Rate for Payer: BCBS Trust/PPO |
$46,499.99
|
| Rate for Payer: BCN Commercial |
$46,499.99
|
| Rate for Payer: BCN Medicare Advantage |
$30,447.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30,447.84
|
| Rate for Payer: Mclaren Medicare |
$30,447.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31,970.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35,015.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$33,492.62
|
| Rate for Payer: Nomi Health Commercial |
$49,857.21
|
| Rate for Payer: PACE Medicare |
$28,925.45
|
| Rate for Payer: PACE SWMI |
$30,447.84
|
| Rate for Payer: PHP Medicare Advantage |
$30,447.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62,310.46
|
| Rate for Payer: Priority Health Medicare |
$30,447.84
|
| Rate for Payer: Priority Health Tiered Network |
$49,848.36
|
| Rate for Payer: Railroad Medicare Medicare |
$30,447.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62,997.87
|
| Rate for Payer: UHC Core |
$52,705.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30,447.84
|
| Rate for Payer: UHC Exchange |
$43,043.39
|
| Rate for Payer: VA VA |
$30,447.84
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$479.49
|
|
|
Service Code
|
NDC 00004080285
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$188.44 |
| Max. Negotiated Rate |
$431.54 |
| Rate for Payer: UHC All Payor (Choice/PPO) |
$311.67
|
| Rate for Payer: Aetna Commercial |
$407.57
|
| Rate for Payer: Aetna Medicare |
$239.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.67
|
| Rate for Payer: BCBS Complete |
$191.80
|
| Rate for Payer: Cash Price |
$383.59
|
| Rate for Payer: Cofinity Advantage |
$335.64
|
| Rate for Payer: Cofinity Commercial |
$412.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$383.59
|
| Rate for Payer: Healthscope Commercial |
$431.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$383.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$407.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$359.62
|
| Rate for Payer: PHP Commercial |
$407.57
|
| Rate for Payer: Priority Health SBD |
$302.08
|
| Rate for Payer: UHC Core |
$249.81
|
| Rate for Payer: UHC Exchange |
$188.44
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$322.05
|
|
|
Service Code
|
NDC 47781046813
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$202.89 |
| Max. Negotiated Rate |
$289.85 |
| Rate for Payer: Aetna Commercial |
$273.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.33
|
| Rate for Payer: Cash Price |
$257.64
|
| Rate for Payer: Cofinity Advantage |
$225.44
|
| Rate for Payer: Cofinity Commercial |
$276.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.64
|
| Rate for Payer: Healthscope Commercial |
$289.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.54
|
| Rate for Payer: PHP Commercial |
$273.74
|
| Rate for Payer: Priority Health SBD |
$202.89
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$86.07
|
|
|
Service Code
|
NDC 33342025666
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$54.22 |
| Max. Negotiated Rate |
$77.46 |
| Rate for Payer: Aetna Commercial |
$73.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.95
|
| Rate for Payer: Cash Price |
$68.86
|
| Rate for Payer: Cofinity Advantage |
$60.25
|
| Rate for Payer: Cofinity Commercial |
$74.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.86
|
| Rate for Payer: Healthscope Commercial |
$77.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.55
|
| Rate for Payer: PHP Commercial |
$73.16
|
| Rate for Payer: Priority Health SBD |
$54.22
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$73.68
|
|
|
Service Code
|
NDC 72205004211
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$28.96 |
| Max. Negotiated Rate |
$66.31 |
| Rate for Payer: Aetna Commercial |
$62.63
|
| Rate for Payer: Aetna Medicare |
$36.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.89
|
| Rate for Payer: BCBS Complete |
$29.47
|
| Rate for Payer: Cash Price |
$58.94
|
| Rate for Payer: Cofinity Advantage |
$51.58
|
| Rate for Payer: Cofinity Commercial |
$63.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.94
|
| Rate for Payer: Healthscope Commercial |
$66.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.26
|
| Rate for Payer: PHP Commercial |
$62.63
|
| Rate for Payer: Priority Health SBD |
$46.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.89
|
| Rate for Payer: UHC Core |
$38.39
|
| Rate for Payer: UHC Exchange |
$28.96
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$63.70
|
|
|
Service Code
|
NDC 68180067511
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$25.03 |
| Max. Negotiated Rate |
$57.33 |
| Rate for Payer: Aetna Commercial |
$54.15
|
| Rate for Payer: Aetna Medicare |
$31.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.41
|
| Rate for Payer: BCBS Complete |
$25.48
|
| Rate for Payer: Cash Price |
$50.96
|
| Rate for Payer: Cofinity Advantage |
$44.59
|
| Rate for Payer: Cofinity Commercial |
$54.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.96
|
| Rate for Payer: Healthscope Commercial |
$57.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$50.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.77
|
| Rate for Payer: PHP Commercial |
$54.15
|
| Rate for Payer: Priority Health SBD |
$40.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.41
|
| Rate for Payer: UHC Core |
$33.19
|
| Rate for Payer: UHC Exchange |
$25.03
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$479.49
|
|
|
Service Code
|
NDC 00004080285
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$302.08 |
| Max. Negotiated Rate |
$431.54 |
| Rate for Payer: Aetna Commercial |
$407.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.67
|
| Rate for Payer: Cash Price |
$383.59
|
| Rate for Payer: Cofinity Advantage |
$335.64
|
| Rate for Payer: Cofinity Commercial |
$412.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$383.59
|
| Rate for Payer: Healthscope Commercial |
$431.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$407.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$359.62
|
| Rate for Payer: PHP Commercial |
$407.57
|
| Rate for Payer: Priority Health SBD |
$302.08
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$322.05
|
|
|
Service Code
|
NDC 47781046813
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$126.57 |
| Max. Negotiated Rate |
$289.85 |
| Rate for Payer: Aetna Commercial |
$273.74
|
| Rate for Payer: Aetna Medicare |
$161.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.33
|
| Rate for Payer: BCBS Complete |
$128.82
|
| Rate for Payer: Cash Price |
$257.64
|
| Rate for Payer: Cofinity Advantage |
$225.44
|
| Rate for Payer: Cofinity Commercial |
$276.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.64
|
| Rate for Payer: Healthscope Commercial |
$289.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.54
|
| Rate for Payer: PHP Commercial |
$273.74
|
| Rate for Payer: Priority Health SBD |
$202.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.33
|
| Rate for Payer: UHC Core |
$167.79
|
| Rate for Payer: UHC Exchange |
$126.57
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$37.49
|
|
|
Service Code
|
NDC 00527459113
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$14.73 |
| Max. Negotiated Rate |
$33.74 |
| Rate for Payer: Aetna Commercial |
$31.87
|
| Rate for Payer: Aetna Medicare |
$18.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.37
|
| Rate for Payer: BCBS Complete |
$15.00
|
| Rate for Payer: Cash Price |
$29.99
|
| Rate for Payer: Cofinity Advantage |
$26.24
|
| Rate for Payer: Cofinity Commercial |
$32.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.99
|
| Rate for Payer: Healthscope Commercial |
$33.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.12
|
| Rate for Payer: PHP Commercial |
$31.87
|
| Rate for Payer: Priority Health SBD |
$23.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.37
|
| Rate for Payer: UHC Core |
$19.53
|
| Rate for Payer: UHC Exchange |
$14.73
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$37.49
|
|
|
Service Code
|
NDC 00527459113
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$23.62 |
| Max. Negotiated Rate |
$33.74 |
| Rate for Payer: Aetna Commercial |
$31.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.37
|
| Rate for Payer: Cash Price |
$29.99
|
| Rate for Payer: Cofinity Advantage |
$26.24
|
| Rate for Payer: Cofinity Commercial |
$32.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.99
|
| Rate for Payer: Healthscope Commercial |
$33.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.12
|
| Rate for Payer: PHP Commercial |
$31.87
|
| Rate for Payer: Priority Health SBD |
$23.62
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$73.68
|
|
|
Service Code
|
NDC 72205004211
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.42 |
| Max. Negotiated Rate |
$66.31 |
| Rate for Payer: Aetna Commercial |
$62.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.89
|
| Rate for Payer: Cash Price |
$58.94
|
| Rate for Payer: Cofinity Advantage |
$51.58
|
| Rate for Payer: Cofinity Commercial |
$63.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.94
|
| Rate for Payer: Healthscope Commercial |
$66.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.26
|
| Rate for Payer: PHP Commercial |
$62.63
|
| Rate for Payer: Priority Health SBD |
$46.42
|
|
