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Service Code NDC 51079005101
Hospital Charge Code 26225
Hospital Revenue Code 637
Min. Negotiated Rate $1.40
Max. Negotiated Rate $2.00
Rate for Payer: Aetna Commercial $1.89
Rate for Payer: Aetna New Business (MI Preferred) $1.44
Rate for Payer: Cash Price $1.78
Rate for Payer: Cofinity Commercial $1.55
Rate for Payer: Cofinity Commercial $1.91
Rate for Payer: Cofinity Medicare Advantage $1.55
Rate for Payer: Encore Health Key Benefits Commercial $1.78
Rate for Payer: Healthscope Commercial $2.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1.89
Rate for Payer: PHP Commercial $1.89
Rate for Payer: Priority Health Cigna Priority Health $1.44
Rate for Payer: Priority Health SBD $1.40
Service Code NDC 51079005101
Hospital Charge Code 26225
Hospital Revenue Code 637
Min. Negotiated Rate $0.89
Max. Negotiated Rate $2.00
Rate for Payer: Aetna Commercial $1.89
Rate for Payer: Aetna Medicare $1.11
Rate for Payer: Aetna New Business (MI Preferred) $1.44
Rate for Payer: BCBS Complete $0.89
Rate for Payer: Cash Price $1.78
Rate for Payer: Cofinity Commercial $1.55
Rate for Payer: Cofinity Commercial $1.91
Rate for Payer: Cofinity Medicare Advantage $1.55
Rate for Payer: Encore Health Key Benefits Commercial $1.78
Rate for Payer: Healthscope Commercial $2.00
Rate for Payer: Multiplan/Beech St/PHCS Commercial $1.89
Rate for Payer: PHP Commercial $1.89
Rate for Payer: Priority Health Cigna Priority Health $1.44
Rate for Payer: Priority Health SBD $1.40
Service Code NDC 51079005120
Hospital Charge Code 26225
Hospital Revenue Code 637
Min. Negotiated Rate $139.45
Max. Negotiated Rate $199.22
Rate for Payer: Aetna Commercial $188.15
Rate for Payer: Aetna New Business (MI Preferred) $143.88
Rate for Payer: Cash Price $177.08
Rate for Payer: Cofinity Commercial $154.94
Rate for Payer: Cofinity Commercial $190.36
Rate for Payer: Cofinity Medicare Advantage $154.94
Rate for Payer: Encore Health Key Benefits Commercial $177.08
Rate for Payer: Healthscope Commercial $199.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial $188.15
Rate for Payer: PHP Commercial $188.15
Rate for Payer: Priority Health Cigna Priority Health $143.88
Rate for Payer: Priority Health SBD $139.45
Service Code NDC 60687073665
Hospital Charge Code 26225
Hospital Revenue Code 637
Min. Negotiated Rate $67.68
Max. Negotiated Rate $152.28
Rate for Payer: Aetna Commercial $143.82
Rate for Payer: Aetna Medicare $84.60
Rate for Payer: Aetna New Business (MI Preferred) $109.98
Rate for Payer: BCBS Complete $67.68
Rate for Payer: Cash Price $135.36
Rate for Payer: Cofinity Commercial $118.44
Rate for Payer: Cofinity Commercial $145.51
Rate for Payer: Cofinity Medicare Advantage $118.44
Rate for Payer: Encore Health Key Benefits Commercial $135.36
Rate for Payer: Healthscope Commercial $152.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial $143.82
Rate for Payer: PHP Commercial $143.82
Rate for Payer: Priority Health Cigna Priority Health $109.98
Rate for Payer: Priority Health SBD $106.60
Service Code HCPCS J2440
Hospital Charge Code 6030
Hospital Revenue Code 636
Min. Negotiated Rate $44.33
Max. Negotiated Rate $63.32
Rate for Payer: Aetna Commercial $59.81
Rate for Payer: Aetna Commercial $58.49
Rate for Payer: Aetna New Business (MI Preferred) $44.73
Rate for Payer: Aetna New Business (MI Preferred) $45.73
Rate for Payer: Cash Price $55.05
Rate for Payer: Cash Price $56.29
Rate for Payer: Cofinity Commercial $48.17
Rate for Payer: Cofinity Commercial $49.25
Rate for Payer: Cofinity Commercial $60.51
Rate for Payer: Cofinity Commercial $59.18
Rate for Payer: Cofinity Medicare Advantage $49.25
Rate for Payer: Cofinity Medicare Advantage $48.17
Rate for Payer: Encore Health Key Benefits Commercial $55.05
Rate for Payer: Encore Health Key Benefits Commercial $56.29
Rate for Payer: Healthscope Commercial $61.93
Rate for Payer: Healthscope Commercial $63.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial $58.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial $59.81
Rate for Payer: PHP Commercial $58.49
Rate for Payer: PHP Commercial $59.81
Rate for Payer: Priority Health Cigna Priority Health $45.73
Rate for Payer: Priority Health Cigna Priority Health $44.73
Rate for Payer: Priority Health SBD $44.33
Rate for Payer: Priority Health SBD $43.35
Service Code HCPCS J2440
Hospital Charge Code 6030
Hospital Revenue Code 636
Min. Negotiated Rate $28.14
Max. Negotiated Rate $63.32
Rate for Payer: Aetna Commercial $59.81
Rate for Payer: Aetna Commercial $58.49
Rate for Payer: Aetna Medicare $34.41
Rate for Payer: Aetna Medicare $35.18
Rate for Payer: Aetna New Business (MI Preferred) $44.73
Rate for Payer: Aetna New Business (MI Preferred) $45.73
Rate for Payer: BCBS Complete $28.14
Rate for Payer: BCBS Complete $27.52
Rate for Payer: Cash Price $55.05
Rate for Payer: Cash Price $56.29
Rate for Payer: Cofinity Commercial $48.17
Rate for Payer: Cofinity Commercial $49.25
Rate for Payer: Cofinity Commercial $60.51
Rate for Payer: Cofinity Commercial $59.18
Rate for Payer: Cofinity Medicare Advantage $49.25
Rate for Payer: Cofinity Medicare Advantage $48.17
Rate for Payer: Encore Health Key Benefits Commercial $55.05
Rate for Payer: Encore Health Key Benefits Commercial $56.29
Rate for Payer: Healthscope Commercial $61.93
Rate for Payer: Healthscope Commercial $63.32
Rate for Payer: Multiplan/Beech St/PHCS Commercial $58.49
Rate for Payer: Multiplan/Beech St/PHCS Commercial $59.81
Rate for Payer: PHP Commercial $59.81
Rate for Payer: PHP Commercial $58.49
Rate for Payer: Priority Health Cigna Priority Health $44.73
Rate for Payer: Priority Health Cigna Priority Health $45.73
Rate for Payer: Priority Health SBD $44.33
Rate for Payer: Priority Health SBD $43.35
Service Code NDC 00338064406
Hospital Charge Code 117996
Hospital Revenue Code 250
Min. Negotiated Rate $16.24
Max. Negotiated Rate $36.54
Rate for Payer: Aetna Commercial $34.51
Rate for Payer: Aetna Medicare $20.30
Rate for Payer: Aetna New Business (MI Preferred) $26.39
Rate for Payer: BCBS Complete $16.24
Rate for Payer: Cash Price $32.48
Rate for Payer: Cofinity Commercial $28.42
Rate for Payer: Cofinity Commercial $34.92
Rate for Payer: Cofinity Medicare Advantage $28.42
Rate for Payer: Encore Health Key Benefits Commercial $32.48
Rate for Payer: Healthscope Commercial $36.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial $34.51
Rate for Payer: PHP Commercial $34.51
Rate for Payer: Priority Health Cigna Priority Health $26.39
Rate for Payer: Priority Health SBD $25.58
Service Code NDC 00338064406
Hospital Charge Code 117996
Hospital Revenue Code 250
Min. Negotiated Rate $25.58
Max. Negotiated Rate $36.54
Rate for Payer: Aetna Commercial $34.51
Rate for Payer: Aetna New Business (MI Preferred) $26.39
Rate for Payer: Cash Price $32.48
Rate for Payer: Cofinity Commercial $28.42
Rate for Payer: Cofinity Commercial $34.92
Rate for Payer: Cofinity Medicare Advantage $28.42
Rate for Payer: Encore Health Key Benefits Commercial $32.48
Rate for Payer: Healthscope Commercial $36.54
Rate for Payer: Multiplan/Beech St/PHCS Commercial $34.51
Rate for Payer: PHP Commercial $34.51
Rate for Payer: Priority Health Cigna Priority Health $26.39
Rate for Payer: Priority Health SBD $25.58
Service Code NDC 00338050206
Hospital Charge Code 188047
Hospital Revenue Code 250
Min. Negotiated Rate $45.67
Max. Negotiated Rate $65.25
Rate for Payer: Aetna Commercial $61.62
Rate for Payer: Aetna New Business (MI Preferred) $47.12
Rate for Payer: Cash Price $58.00
Rate for Payer: Cofinity Commercial $50.75
Rate for Payer: Cofinity Commercial $62.35
Rate for Payer: Cofinity Medicare Advantage $50.75
Rate for Payer: Encore Health Key Benefits Commercial $58.00
Rate for Payer: Healthscope Commercial $65.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial $61.62
Rate for Payer: PHP Commercial $61.62
Rate for Payer: Priority Health Cigna Priority Health $47.12
Rate for Payer: Priority Health SBD $45.67
Service Code NDC 00338050203
Hospital Charge Code 188047
Hospital Revenue Code 250
Min. Negotiated Rate $54.36
Max. Negotiated Rate $77.65
Rate for Payer: Aetna Commercial $73.34
Rate for Payer: Aetna New Business (MI Preferred) $56.08
Rate for Payer: Cash Price $69.02
Rate for Payer: Cofinity Commercial $60.40
Rate for Payer: Cofinity Commercial $74.20
Rate for Payer: Cofinity Medicare Advantage $60.40
Rate for Payer: Encore Health Key Benefits Commercial $69.02
Rate for Payer: Healthscope Commercial $77.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial $73.34
Rate for Payer: PHP Commercial $73.34
Rate for Payer: Priority Health Cigna Priority Health $56.08
Rate for Payer: Priority Health SBD $54.36
Service Code NDC 00338050206
Hospital Charge Code 188047
Hospital Revenue Code 250
Min. Negotiated Rate $29.00
Max. Negotiated Rate $65.25
Rate for Payer: Aetna Commercial $61.62
Rate for Payer: Aetna Medicare $36.25
Rate for Payer: Aetna New Business (MI Preferred) $47.12
Rate for Payer: BCBS Complete $29.00
Rate for Payer: Cash Price $58.00
Rate for Payer: Cofinity Commercial $50.75
Rate for Payer: Cofinity Commercial $62.35
Rate for Payer: Cofinity Medicare Advantage $50.75
Rate for Payer: Encore Health Key Benefits Commercial $58.00
Rate for Payer: Healthscope Commercial $65.25
Rate for Payer: Multiplan/Beech St/PHCS Commercial $61.62
Rate for Payer: PHP Commercial $61.62
Rate for Payer: Priority Health Cigna Priority Health $47.12
Rate for Payer: Priority Health SBD $45.67
Service Code NDC 00338050203
Hospital Charge Code 188047
Hospital Revenue Code 250
Min. Negotiated Rate $34.51
Max. Negotiated Rate $77.65
Rate for Payer: Aetna Commercial $73.34
Rate for Payer: Aetna Medicare $43.14
Rate for Payer: Aetna New Business (MI Preferred) $56.08
Rate for Payer: BCBS Complete $34.51
Rate for Payer: Cash Price $69.02
Rate for Payer: Cofinity Commercial $60.40
Rate for Payer: Cofinity Commercial $74.20
Rate for Payer: Cofinity Medicare Advantage $60.40
Rate for Payer: Encore Health Key Benefits Commercial $69.02
Rate for Payer: Healthscope Commercial $77.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial $73.34
Rate for Payer: PHP Commercial $73.34
Rate for Payer: Priority Health Cigna Priority Health $56.08
Rate for Payer: Priority Health SBD $54.36
Service Code HCPCS J2501
Hospital Charge Code 31688
Hospital Revenue Code 636
Min. Negotiated Rate $17.34
Max. Negotiated Rate $24.78
Rate for Payer: Aetna Commercial $23.40
Rate for Payer: Aetna Commercial $13.81
Rate for Payer: Aetna New Business (MI Preferred) $10.56
Rate for Payer: Aetna New Business (MI Preferred) $17.89
Rate for Payer: Cash Price $13.00
Rate for Payer: Cash Price $22.02
Rate for Payer: Cofinity Commercial $11.38
Rate for Payer: Cofinity Commercial $19.27
Rate for Payer: Cofinity Commercial $23.68
Rate for Payer: Cofinity Commercial $13.97
Rate for Payer: Cofinity Medicare Advantage $19.27
Rate for Payer: Cofinity Medicare Advantage $11.38
Rate for Payer: Encore Health Key Benefits Commercial $13.00
Rate for Payer: Encore Health Key Benefits Commercial $22.02
Rate for Payer: Healthscope Commercial $14.62
Rate for Payer: Healthscope Commercial $24.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial $23.40
Rate for Payer: PHP Commercial $13.81
Rate for Payer: PHP Commercial $23.40
Rate for Payer: Priority Health Cigna Priority Health $17.89
Rate for Payer: Priority Health Cigna Priority Health $10.56
Rate for Payer: Priority Health SBD $17.34
Rate for Payer: Priority Health SBD $10.24
Service Code HCPCS J2501
Hospital Charge Code 31688
Hospital Revenue Code 636
Min. Negotiated Rate $11.01
Max. Negotiated Rate $24.78
Rate for Payer: Aetna Commercial $23.40
Rate for Payer: Aetna Commercial $13.81
Rate for Payer: Aetna Medicare $8.12
Rate for Payer: Aetna Medicare $13.77
Rate for Payer: Aetna New Business (MI Preferred) $10.56
Rate for Payer: Aetna New Business (MI Preferred) $17.89
Rate for Payer: BCBS Complete $11.01
Rate for Payer: BCBS Complete $6.50
Rate for Payer: Cash Price $13.00
Rate for Payer: Cash Price $22.02
Rate for Payer: Cofinity Commercial $11.38
Rate for Payer: Cofinity Commercial $19.27
Rate for Payer: Cofinity Commercial $23.68
Rate for Payer: Cofinity Commercial $13.97
Rate for Payer: Cofinity Medicare Advantage $19.27
Rate for Payer: Cofinity Medicare Advantage $11.38
Rate for Payer: Encore Health Key Benefits Commercial $13.00
Rate for Payer: Encore Health Key Benefits Commercial $22.02
Rate for Payer: Healthscope Commercial $14.62
Rate for Payer: Healthscope Commercial $24.78
Rate for Payer: Multiplan/Beech St/PHCS Commercial $13.81
Rate for Payer: Multiplan/Beech St/PHCS Commercial $23.40
Rate for Payer: PHP Commercial $23.40
Rate for Payer: PHP Commercial $13.81
Rate for Payer: Priority Health Cigna Priority Health $10.56
Rate for Payer: Priority Health Cigna Priority Health $17.89
Rate for Payer: Priority Health SBD $17.34
Rate for Payer: Priority Health SBD $10.24
Service Code CPT 11055
Hospital Revenue Code 361
Min. Negotiated Rate $103.87
Max. Negotiated Rate $545.50
Rate for Payer: Aetna Medicare $201.54
Rate for Payer: Allen County Amish Medical Aid Commercial $242.24
Rate for Payer: Amish Plain Church Group Commercial $242.24
Rate for Payer: BCBS Complete $109.07
Rate for Payer: BCBS MAPPO $193.79
Rate for Payer: BCN Medicare Advantage $193.79
Rate for Payer: Health Alliance Plan Medicare Advantage $193.79
Rate for Payer: Mclaren Medicaid $103.87
Rate for Payer: Mclaren Medicare $193.79
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $203.48
Rate for Payer: Meridian Medicaid $109.07
Rate for Payer: MI Amish Medical Board Commercial $222.86
Rate for Payer: PACE Medicare $184.10
Rate for Payer: PACE SWMI $193.79
Rate for Payer: PHP Medicare Advantage $193.79
Rate for Payer: Priority Health Choice Medicaid $103.87
Rate for Payer: Priority Health Medicare $193.79
Rate for Payer: Railroad Medicare Medicare $193.79
Rate for Payer: UHC All Payor (Choice/PPO) $545.50
Rate for Payer: UHC Dual Complete DSNP $193.79
Rate for Payer: UHC Medicare Advantage $193.79
Rate for Payer: UHCCP Medicaid $109.10
Rate for Payer: VA VA $193.79
Service Code CPT 11055
Hospital Revenue Code 360
Min. Negotiated Rate $103.87
Max. Negotiated Rate $545.50
Rate for Payer: Aetna Medicare $201.54
Rate for Payer: Allen County Amish Medical Aid Commercial $242.24
Rate for Payer: Amish Plain Church Group Commercial $242.24
Rate for Payer: BCBS Complete $109.07
Rate for Payer: BCBS MAPPO $193.79
Rate for Payer: BCN Medicare Advantage $193.79
Rate for Payer: Health Alliance Plan Medicare Advantage $193.79
Rate for Payer: Mclaren Medicaid $103.87
Rate for Payer: Mclaren Medicare $193.79
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $203.48
Rate for Payer: Meridian Medicaid $109.07
Rate for Payer: MI Amish Medical Board Commercial $222.86
Rate for Payer: PACE Medicare $184.10
Rate for Payer: PACE SWMI $193.79
Rate for Payer: PHP Medicare Advantage $193.79
Rate for Payer: Priority Health Choice Medicaid $103.87
Rate for Payer: Priority Health Medicare $193.79
Rate for Payer: Railroad Medicare Medicare $193.79
Rate for Payer: UHC All Payor (Choice/PPO) $545.50
Rate for Payer: UHC Dual Complete DSNP $193.79
Rate for Payer: UHC Medicare Advantage $193.79
Rate for Payer: UHCCP Medicaid $109.10
Rate for Payer: VA VA $193.79
Service Code NDC 00904567761
Hospital Charge Code 10855
Hospital Revenue Code 637
Min. Negotiated Rate $158.86
Max. Negotiated Rate $357.44
Rate for Payer: Aetna Commercial $337.58
Rate for Payer: Aetna Medicare $198.57
Rate for Payer: Aetna New Business (MI Preferred) $258.15
Rate for Payer: BCBS Complete $158.86
Rate for Payer: Cash Price $317.72
Rate for Payer: Cofinity Commercial $278.00
Rate for Payer: Cofinity Commercial $341.55
Rate for Payer: Cofinity Medicare Advantage $278.00
Rate for Payer: Encore Health Key Benefits Commercial $317.72
Rate for Payer: Healthscope Commercial $357.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial $337.58
Rate for Payer: PHP Commercial $337.58
Rate for Payer: Priority Health Cigna Priority Health $258.15
Rate for Payer: Priority Health SBD $250.20
Service Code NDC 63739096310
Hospital Charge Code 10855
Hospital Revenue Code 637
Min. Negotiated Rate $202.83
Max. Negotiated Rate $289.75
Rate for Payer: Aetna Commercial $273.66
Rate for Payer: Aetna New Business (MI Preferred) $209.27
Rate for Payer: Cash Price $257.56
Rate for Payer: Cofinity Commercial $225.37
Rate for Payer: Cofinity Commercial $276.88
Rate for Payer: Cofinity Medicare Advantage $225.37
Rate for Payer: Encore Health Key Benefits Commercial $257.56
Rate for Payer: Healthscope Commercial $289.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial $273.66
Rate for Payer: PHP Commercial $273.66
Rate for Payer: Priority Health Cigna Priority Health $209.27
Rate for Payer: Priority Health SBD $202.83
Service Code NDC 00904567761
Hospital Charge Code 10855
Hospital Revenue Code 637
Min. Negotiated Rate $250.20
Max. Negotiated Rate $357.44
Rate for Payer: Aetna Commercial $337.58
Rate for Payer: Aetna New Business (MI Preferred) $258.15
Rate for Payer: Cash Price $317.72
Rate for Payer: Cofinity Commercial $278.00
Rate for Payer: Cofinity Commercial $341.55
Rate for Payer: Cofinity Medicare Advantage $278.00
Rate for Payer: Encore Health Key Benefits Commercial $317.72
Rate for Payer: Healthscope Commercial $357.44
Rate for Payer: Multiplan/Beech St/PHCS Commercial $337.58
Rate for Payer: PHP Commercial $337.58
Rate for Payer: Priority Health Cigna Priority Health $258.15
Rate for Payer: Priority Health SBD $250.20
Service Code NDC 63739096310
Hospital Charge Code 10855
Hospital Revenue Code 637
Min. Negotiated Rate $128.78
Max. Negotiated Rate $289.75
Rate for Payer: Aetna Commercial $273.66
Rate for Payer: Aetna Medicare $160.97
Rate for Payer: Aetna New Business (MI Preferred) $209.27
Rate for Payer: BCBS Complete $128.78
Rate for Payer: Cash Price $257.56
Rate for Payer: Cofinity Commercial $225.37
Rate for Payer: Cofinity Commercial $276.88
Rate for Payer: Cofinity Medicare Advantage $225.37
Rate for Payer: Encore Health Key Benefits Commercial $257.56
Rate for Payer: Healthscope Commercial $289.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial $273.66
Rate for Payer: PHP Commercial $273.66
Rate for Payer: Priority Health Cigna Priority Health $209.27
Rate for Payer: Priority Health SBD $202.83
Service Code CPT 26236
Hospital Revenue Code 360
Min. Negotiated Rate $836.62
Max. Negotiated Rate $4,393.64
Rate for Payer: Aetna Medicare $1,623.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,951.06
Rate for Payer: Amish Plain Church Group Commercial $1,951.06
Rate for Payer: BCBS Complete $878.45
Rate for Payer: BCBS MAPPO $1,560.85
Rate for Payer: BCN Medicare Advantage $1,560.85
Rate for Payer: Health Alliance Plan Medicare Advantage $1,560.85
Rate for Payer: Mclaren Medicaid $836.62
Rate for Payer: Mclaren Medicare $1,560.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $1,638.89
Rate for Payer: Meridian Medicaid $878.45
Rate for Payer: MI Amish Medical Board Commercial $1,794.98
Rate for Payer: PACE Medicare $1,482.81
Rate for Payer: PACE SWMI $1,560.85
Rate for Payer: PHP Medicare Advantage $1,560.85
Rate for Payer: Priority Health Choice Medicaid $836.62
Rate for Payer: Priority Health Medicare $1,560.85
Rate for Payer: Railroad Medicare Medicare $1,560.85
Rate for Payer: UHC All Payor (Choice/PPO) $4,393.64
Rate for Payer: UHC Dual Complete DSNP $1,560.85
Rate for Payer: UHC Medicare Advantage $1,560.85
Rate for Payer: UHCCP Medicaid $878.76
Rate for Payer: VA VA $1,560.85
Service Code CPT 26235
Hospital Revenue Code 360
Min. Negotiated Rate $836.62
Max. Negotiated Rate $4,393.64
Rate for Payer: Aetna Medicare $1,623.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,951.06
Rate for Payer: Amish Plain Church Group Commercial $1,951.06
Rate for Payer: BCBS Complete $878.45
Rate for Payer: BCBS MAPPO $1,560.85
Rate for Payer: BCN Medicare Advantage $1,560.85
Rate for Payer: Health Alliance Plan Medicare Advantage $1,560.85
Rate for Payer: Mclaren Medicaid $836.62
Rate for Payer: Mclaren Medicare $1,560.85
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $1,638.89
Rate for Payer: Meridian Medicaid $878.45
Rate for Payer: MI Amish Medical Board Commercial $1,794.98
Rate for Payer: PACE Medicare $1,482.81
Rate for Payer: PACE SWMI $1,560.85
Rate for Payer: PHP Medicare Advantage $1,560.85
Rate for Payer: Priority Health Choice Medicaid $836.62
Rate for Payer: Priority Health Medicare $1,560.85
Rate for Payer: Railroad Medicare Medicare $1,560.85
Rate for Payer: UHC All Payor (Choice/PPO) $4,393.64
Rate for Payer: UHC Dual Complete DSNP $1,560.85
Rate for Payer: UHC Medicare Advantage $1,560.85
Rate for Payer: UHCCP Medicaid $878.76
Rate for Payer: VA VA $1,560.85
Service Code CPT 28124
Hospital Revenue Code 360
Min. Negotiated Rate $1,696.12
Max. Negotiated Rate $8,907.47
Rate for Payer: Aetna Medicare $3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial $3,955.50
Rate for Payer: Amish Plain Church Group Commercial $3,955.50
Rate for Payer: BCBS Complete $1,780.92
Rate for Payer: BCBS MAPPO $3,164.40
Rate for Payer: BCN Medicare Advantage $3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage $3,164.40
Rate for Payer: Mclaren Medicaid $1,696.12
Rate for Payer: Mclaren Medicare $3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $3,322.62
Rate for Payer: Meridian Medicaid $1,780.92
Rate for Payer: MI Amish Medical Board Commercial $3,639.06
Rate for Payer: PACE Medicare $3,006.18
Rate for Payer: PACE SWMI $3,164.40
Rate for Payer: PHP Medicare Advantage $3,164.40
Rate for Payer: Priority Health Choice Medicaid $1,696.12
Rate for Payer: Priority Health Medicare $3,164.40
Rate for Payer: Railroad Medicare Medicare $3,164.40
Rate for Payer: UHC All Payor (Choice/PPO) $8,907.47
Rate for Payer: UHC Dual Complete DSNP $3,164.40
Rate for Payer: UHC Medicare Advantage $3,164.40
Rate for Payer: UHCCP Medicaid $1,781.56
Rate for Payer: VA VA $3,164.40
Service Code CPT 28120
Hospital Revenue Code 360
Min. Negotiated Rate $1,696.12
Max. Negotiated Rate $8,907.47
Rate for Payer: Aetna Medicare $3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial $3,955.50
Rate for Payer: Amish Plain Church Group Commercial $3,955.50
Rate for Payer: BCBS Complete $1,780.92
Rate for Payer: BCBS MAPPO $3,164.40
Rate for Payer: BCN Medicare Advantage $3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage $3,164.40
Rate for Payer: Mclaren Medicaid $1,696.12
Rate for Payer: Mclaren Medicare $3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $3,322.62
Rate for Payer: Meridian Medicaid $1,780.92
Rate for Payer: MI Amish Medical Board Commercial $3,639.06
Rate for Payer: PACE Medicare $3,006.18
Rate for Payer: PACE SWMI $3,164.40
Rate for Payer: PHP Medicare Advantage $3,164.40
Rate for Payer: Priority Health Choice Medicaid $1,696.12
Rate for Payer: Priority Health Medicare $3,164.40
Rate for Payer: Railroad Medicare Medicare $3,164.40
Rate for Payer: UHC All Payor (Choice/PPO) $8,907.47
Rate for Payer: UHC Dual Complete DSNP $3,164.40
Rate for Payer: UHC Medicare Advantage $3,164.40
Rate for Payer: UHCCP Medicaid $1,781.56
Rate for Payer: VA VA $3,164.40
Service Code CPT 28122
Hospital Revenue Code 360
Min. Negotiated Rate $1,696.12
Max. Negotiated Rate $8,907.47
Rate for Payer: Aetna Medicare $3,290.98
Rate for Payer: Allen County Amish Medical Aid Commercial $3,955.50
Rate for Payer: Amish Plain Church Group Commercial $3,955.50
Rate for Payer: BCBS Complete $1,780.92
Rate for Payer: BCBS MAPPO $3,164.40
Rate for Payer: BCN Medicare Advantage $3,164.40
Rate for Payer: Health Alliance Plan Medicare Advantage $3,164.40
Rate for Payer: Mclaren Medicaid $1,696.12
Rate for Payer: Mclaren Medicare $3,164.40
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $3,322.62
Rate for Payer: Meridian Medicaid $1,780.92
Rate for Payer: MI Amish Medical Board Commercial $3,639.06
Rate for Payer: PACE Medicare $3,006.18
Rate for Payer: PACE SWMI $3,164.40
Rate for Payer: PHP Medicare Advantage $3,164.40
Rate for Payer: Priority Health Choice Medicaid $1,696.12
Rate for Payer: Priority Health Medicare $3,164.40
Rate for Payer: Railroad Medicare Medicare $3,164.40
Rate for Payer: UHC All Payor (Choice/PPO) $8,907.47
Rate for Payer: UHC Dual Complete DSNP $3,164.40
Rate for Payer: UHC Medicare Advantage $3,164.40
Rate for Payer: UHCCP Medicaid $1,781.56
Rate for Payer: VA VA $3,164.40