|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.64
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Healthscope Commercial |
$1,977.38
|
| Rate for Payer: Healthscope Commercial |
$2,286.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,254.55
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,154.41 |
| Max. Negotiated Rate |
$4,506.30 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$3,504.90
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,504.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
IP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,029.23 |
| Max. Negotiated Rate |
$2,898.90 |
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.65
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,254.70
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health SBD |
$2,029.23
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$1,106.26 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,593.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.39
|
| Rate for Payer: BCBS Complete |
$1,288.40
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Healthscope Commercial |
$2,046.58
|
| Rate for Payer: Healthscope Commercial |
$1,770.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,093.65
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,106.26 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,593.01
|
| Rate for Payer: BCBS Complete |
$1,288.40
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Healthscope Commercial |
$1,770.02
|
| Rate for Payer: Healthscope Commercial |
$2,046.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,093.65
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,029.23 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Cofinity Commercial |
$2,254.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$2,029.23
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$7,064.95
|
| Rate for Payer: VA VA |
$12,548.75
|
|
|
PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT
|
Professional
|
Both
|
$1,690.00
|
|
|
Service Code
|
HCPCS 27441
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$1,473.88 |
| Rate for Payer: Aetna Commercial |
$1,067.56
|
| Rate for Payer: Aetna Medicare |
$828.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,147.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,067.56
|
| Rate for Payer: BCBS Complete |
$676.00
|
| Rate for Payer: BCBS MAPPO |
$796.69
|
| Rate for Payer: BCN Medicare Advantage |
$796.69
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,147.23
|
| Rate for Payer: Cofinity Commercial |
$1,067.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$796.69
|
| Rate for Payer: Healthscope Commercial |
$1,274.70
|
| Rate for Payer: Healthscope Commercial |
$1,473.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$836.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.50
|
| Rate for Payer: Nomi Health Commercial |
$956.03
|
| Rate for Payer: PACE SWMI |
$796.69
|
| Rate for Payer: PHP Medicare Advantage |
$796.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,098.50
|
| Rate for Payer: Priority Health Medicare |
$796.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$796.69
|
| Rate for Payer: UHC Medicare Advantage |
$796.69
|
|
|
PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 26531
|
| Min. Negotiated Rate |
$612.08 |
| Max. Negotiated Rate |
$1,417.65 |
| Rate for Payer: Aetna Commercial |
$820.19
|
| Rate for Payer: Aetna Medicare |
$636.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.19
|
| Rate for Payer: BCBS Complete |
$872.40
|
| Rate for Payer: BCBS MAPPO |
$612.08
|
| Rate for Payer: BCN Medicare Advantage |
$612.08
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cofinity Commercial |
$881.40
|
| Rate for Payer: Cofinity Commercial |
$820.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.08
|
| Rate for Payer: Healthscope Commercial |
$979.33
|
| Rate for Payer: Healthscope Commercial |
$1,132.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$642.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,417.65
|
| Rate for Payer: Nomi Health Commercial |
$734.50
|
| Rate for Payer: PACE SWMI |
$612.08
|
| Rate for Payer: PHP Medicare Advantage |
$612.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,417.65
|
| Rate for Payer: Priority Health Medicare |
$612.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$612.08
|
| Rate for Payer: UHC Medicare Advantage |
$612.08
|
|
|
PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/ENTIR CARPS
|
Professional
|
Both
|
$2,094.00
|
|
|
Service Code
|
HCPCS 25446
|
| Min. Negotiated Rate |
$837.60 |
| Max. Negotiated Rate |
$2,089.20 |
| Rate for Payer: Aetna Commercial |
$1,513.26
|
| Rate for Payer: Aetna Medicare |
$1,174.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,626.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,513.26
|
| Rate for Payer: BCBS Complete |
$837.60
|
| Rate for Payer: BCBS MAPPO |
$1,129.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,129.30
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cofinity Commercial |
$1,626.19
|
| Rate for Payer: Cofinity Commercial |
$1,513.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,129.30
|
| Rate for Payer: Healthscope Commercial |
$1,806.88
|
| Rate for Payer: Healthscope Commercial |
$2,089.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,361.10
|
| Rate for Payer: Nomi Health Commercial |
$1,355.16
|
| Rate for Payer: PACE SWMI |
$1,129.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,129.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,361.10
|
| Rate for Payer: Priority Health Medicare |
$1,129.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,129.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,129.30
|
|
|
PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ
|
Professional
|
Both
|
$3,684.00
|
|
|
Service Code
|
HCPCS 25332
|
| Min. Negotiated Rate |
$816.50 |
| Max. Negotiated Rate |
$2,394.60 |
| Rate for Payer: Aetna Commercial |
$1,094.11
|
| Rate for Payer: Aetna Medicare |
$849.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,175.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,094.11
|
| Rate for Payer: BCBS Complete |
$1,473.60
|
| Rate for Payer: BCBS MAPPO |
$816.50
|
| Rate for Payer: BCN Medicare Advantage |
$816.50
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cofinity Commercial |
$1,175.76
|
| Rate for Payer: Cofinity Commercial |
$1,094.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.50
|
| Rate for Payer: Healthscope Commercial |
$1,510.53
|
| Rate for Payer: Healthscope Commercial |
$1,306.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,394.60
|
| Rate for Payer: Nomi Health Commercial |
$979.80
|
| Rate for Payer: PACE SWMI |
$816.50
|
| Rate for Payer: PHP Medicare Advantage |
$816.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,394.60
|
| Rate for Payer: Priority Health Medicare |
$816.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.50
|
| Rate for Payer: UHC Medicare Advantage |
$816.50
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,078.00
|
|
|
Service Code
|
HCPCS 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$936.55 |
| Max. Negotiated Rate |
$2,650.70 |
| Rate for Payer: Aetna Commercial |
$1,254.98
|
| Rate for Payer: Aetna Medicare |
$974.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,254.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,348.63
|
| Rate for Payer: BCBS Complete |
$1,631.20
|
| Rate for Payer: BCBS MAPPO |
$936.55
|
| Rate for Payer: BCN Medicare Advantage |
$936.55
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$1,348.63
|
| Rate for Payer: Cofinity Commercial |
$1,254.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$936.55
|
| Rate for Payer: Healthscope Commercial |
$1,498.48
|
| Rate for Payer: Healthscope Commercial |
$1,732.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$983.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,650.70
|
| Rate for Payer: Nomi Health Commercial |
$1,123.86
|
| Rate for Payer: PACE SWMI |
$936.55
|
| Rate for Payer: PHP Medicare Advantage |
$936.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health Medicare |
$936.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$936.55
|
| Rate for Payer: UHC Medicare Advantage |
$936.55
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,078.00
|
|
|
Service Code
|
HCPCS 29888
|
| Min. Negotiated Rate |
$936.55 |
| Max. Negotiated Rate |
$2,650.70 |
| Rate for Payer: Aetna Commercial |
$1,254.98
|
| Rate for Payer: Aetna Medicare |
$974.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,348.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,254.98
|
| Rate for Payer: BCBS Complete |
$1,631.20
|
| Rate for Payer: BCBS MAPPO |
$936.55
|
| Rate for Payer: BCN Medicare Advantage |
$936.55
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$1,348.63
|
| Rate for Payer: Cofinity Commercial |
$1,254.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$936.55
|
| Rate for Payer: Healthscope Commercial |
$1,498.48
|
| Rate for Payer: Healthscope Commercial |
$1,732.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$983.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,650.70
|
| Rate for Payer: Nomi Health Commercial |
$1,123.86
|
| Rate for Payer: PACE SWMI |
$936.55
|
| Rate for Payer: PHP Medicare Advantage |
$936.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health Medicare |
$936.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$936.55
|
| Rate for Payer: UHC Medicare Advantage |
$936.55
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
IP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$2,569.14 |
| Max. Negotiated Rate |
$3,670.20 |
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,650.70
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$2,854.60
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,854.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health SBD |
$2,569.14
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
OP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$2,569.14 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,650.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$2,854.60
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,854.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health SBD |
$2,569.14
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,922.50
|
| Rate for Payer: VA VA |
$6,967.14
|
|
|
PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,237.00
|
|
|
Service Code
|
HCPCS 29889
|
| Min. Negotiated Rate |
$1,180.44 |
| Max. Negotiated Rate |
$2,754.05 |
| Rate for Payer: Aetna Commercial |
$1,581.79
|
| Rate for Payer: Aetna Medicare |
$1,227.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,699.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,581.79
|
| Rate for Payer: BCBS Complete |
$1,694.80
|
| Rate for Payer: BCBS MAPPO |
$1,180.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,180.44
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cofinity Commercial |
$1,699.83
|
| Rate for Payer: Cofinity Commercial |
$1,581.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,180.44
|
| Rate for Payer: Healthscope Commercial |
$2,183.81
|
| Rate for Payer: Healthscope Commercial |
$1,888.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,239.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,754.05
|
| Rate for Payer: Nomi Health Commercial |
$1,416.53
|
| Rate for Payer: PACE SWMI |
$1,180.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,180.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,754.05
|
| Rate for Payer: Priority Health Medicare |
$1,180.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,180.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,180.44
|
|
|
PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
HCPCS 29892
|
| Min. Negotiated Rate |
$616.76 |
| Max. Negotiated Rate |
$1,747.20 |
| Rate for Payer: Aetna Commercial |
$826.46
|
| Rate for Payer: Aetna Medicare |
$641.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$888.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$826.46
|
| Rate for Payer: BCBS Complete |
$1,075.20
|
| Rate for Payer: BCBS MAPPO |
$616.76
|
| Rate for Payer: BCN Medicare Advantage |
$616.76
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cofinity Commercial |
$888.13
|
| Rate for Payer: Cofinity Commercial |
$826.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.76
|
| Rate for Payer: Healthscope Commercial |
$1,141.01
|
| Rate for Payer: Healthscope Commercial |
$986.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,747.20
|
| Rate for Payer: Nomi Health Commercial |
$740.11
|
| Rate for Payer: PACE SWMI |
$616.76
|
| Rate for Payer: PHP Medicare Advantage |
$616.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.20
|
| Rate for Payer: Priority Health Medicare |
$616.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.76
|
| Rate for Payer: UHC Medicare Advantage |
$616.76
|
|
|
PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29855
|
| Min. Negotiated Rate |
$753.01 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$1,009.03
|
| Rate for Payer: Aetna Medicare |
$783.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,084.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,009.03
|
| Rate for Payer: BCBS Complete |
$1,016.80
|
| Rate for Payer: BCBS MAPPO |
$753.01
|
| Rate for Payer: BCN Medicare Advantage |
$753.01
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$1,084.33
|
| Rate for Payer: Cofinity Commercial |
$1,009.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.01
|
| Rate for Payer: Healthscope Commercial |
$1,393.07
|
| Rate for Payer: Healthscope Commercial |
$1,204.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$790.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,652.30
|
| Rate for Payer: Nomi Health Commercial |
$903.61
|
| Rate for Payer: PACE SWMI |
$753.01
|
| Rate for Payer: PHP Medicare Advantage |
$753.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health Medicare |
$753.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.01
|
| Rate for Payer: UHC Medicare Advantage |
$753.01
|
|
|
PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR
|
Professional
|
Both
|
$1,786.00
|
|
|
Service Code
|
HCPCS 29856
|
| Min. Negotiated Rate |
$714.40 |
| Max. Negotiated Rate |
$1,773.10 |
| Rate for Payer: Aetna Commercial |
$1,284.30
|
| Rate for Payer: Aetna Medicare |
$996.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,380.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.30
|
| Rate for Payer: BCBS Complete |
$714.40
|
| Rate for Payer: BCBS MAPPO |
$958.43
|
| Rate for Payer: BCN Medicare Advantage |
$958.43
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cofinity Commercial |
$1,380.14
|
| Rate for Payer: Cofinity Commercial |
$1,284.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.43
|
| Rate for Payer: Healthscope Commercial |
$1,533.49
|
| Rate for Payer: Healthscope Commercial |
$1,773.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,006.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,160.90
|
| Rate for Payer: Nomi Health Commercial |
$1,150.12
|
| Rate for Payer: PACE SWMI |
$958.43
|
| Rate for Payer: PHP Medicare Advantage |
$958.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.90
|
| Rate for Payer: Priority Health Medicare |
$958.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.43
|
| Rate for Payer: UHC Medicare Advantage |
$958.43
|
|
|
PR ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29891
|
| Min. Negotiated Rate |
$648.68 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$869.23
|
| Rate for Payer: Aetna Medicare |
$674.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$934.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.23
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$648.68
|
| Rate for Payer: BCN Medicare Advantage |
$648.68
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$934.10
|
| Rate for Payer: Cofinity Commercial |
$869.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.68
|
| Rate for Payer: Healthscope Commercial |
$1,200.06
|
| Rate for Payer: Healthscope Commercial |
$1,037.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,578.20
|
| Rate for Payer: Nomi Health Commercial |
$778.42
|
| Rate for Payer: PACE SWMI |
$648.68
|
| Rate for Payer: PHP Medicare Advantage |
$648.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$648.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$648.68
|
| Rate for Payer: UHC Medicare Advantage |
$648.68
|
|
|
PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29862
|
| Min. Negotiated Rate |
$781.34 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,047.00
|
| Rate for Payer: Aetna Medicare |
$812.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,125.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.00
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$781.34
|
| Rate for Payer: BCN Medicare Advantage |
$781.34
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,125.13
|
| Rate for Payer: Cofinity Commercial |
$1,047.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.34
|
| Rate for Payer: Healthscope Commercial |
$1,250.14
|
| Rate for Payer: Healthscope Commercial |
$1,445.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,792.70
|
| Rate for Payer: Nomi Health Commercial |
$937.61
|
| Rate for Payer: PACE SWMI |
$781.34
|
| Rate for Payer: PHP Medicare Advantage |
$781.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$781.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.34
|
| Rate for Payer: UHC Medicare Advantage |
$781.34
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$639.33 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.64
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Healthscope Commercial |
$1,022.93
|
| Rate for Payer: Healthscope Commercial |
$1,182.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,641.25
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,590.75 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,641.25
|
| 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: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,767.50
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,767.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| 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: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,590.75
|
| 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
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Min. Negotiated Rate |
$639.33 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.70
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Healthscope Commercial |
$1,182.76
|
| Rate for Payer: Healthscope Commercial |
$1,022.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,641.25
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,590.75 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,641.25
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,767.50
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,767.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health SBD |
$1,590.75
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$1,426.95 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| 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: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| 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: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| 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
|
|
