|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$96.48 |
| Max. Negotiated Rate |
$236.60 |
| Rate for Payer: Aetna Commercial |
$129.28
|
| Rate for Payer: Aetna Medicare |
$100.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.28
|
| Rate for Payer: BCBS Complete |
$145.60
|
| Rate for Payer: BCBS MAPPO |
$96.48
|
| Rate for Payer: BCN Medicare Advantage |
$96.48
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$138.93
|
| Rate for Payer: Cofinity Commercial |
$129.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.48
|
| Rate for Payer: Healthscope Commercial |
$154.37
|
| Rate for Payer: Healthscope Commercial |
$178.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.60
|
| Rate for Payer: Nomi Health Commercial |
$115.78
|
| Rate for Payer: PACE SWMI |
$96.48
|
| Rate for Payer: PHP Medicare Advantage |
$96.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health Medicare |
$96.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.48
|
| Rate for Payer: UHC Medicare Advantage |
$96.48
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$87.09 |
| Max. Negotiated Rate |
$181.35 |
| Rate for Payer: Aetna Commercial |
$116.70
|
| Rate for Payer: Aetna Medicare |
$90.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.70
|
| Rate for Payer: BCBS Complete |
$111.60
|
| Rate for Payer: BCBS MAPPO |
$87.09
|
| Rate for Payer: BCN Medicare Advantage |
$87.09
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cofinity Commercial |
$125.41
|
| Rate for Payer: Cofinity Commercial |
$116.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.09
|
| Rate for Payer: Healthscope Commercial |
$161.12
|
| Rate for Payer: Healthscope Commercial |
$139.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.35
|
| Rate for Payer: Nomi Health Commercial |
$104.51
|
| Rate for Payer: PACE SWMI |
$87.09
|
| Rate for Payer: PHP Medicare Advantage |
$87.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
| Rate for Payer: Priority Health Medicare |
$87.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.09
|
| Rate for Payer: UHC Medicare Advantage |
$87.09
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$104.97 |
| Max. Negotiated Rate |
$236.60 |
| Rate for Payer: Aetna Commercial |
$140.66
|
| Rate for Payer: Aetna Medicare |
$109.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$151.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.66
|
| Rate for Payer: BCBS Complete |
$145.60
|
| Rate for Payer: BCBS MAPPO |
$104.97
|
| Rate for Payer: BCN Medicare Advantage |
$104.97
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$151.16
|
| Rate for Payer: Cofinity Commercial |
$140.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.97
|
| Rate for Payer: Healthscope Commercial |
$167.95
|
| Rate for Payer: Healthscope Commercial |
$194.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.60
|
| Rate for Payer: Nomi Health Commercial |
$125.96
|
| Rate for Payer: PACE SWMI |
$104.97
|
| Rate for Payer: PHP Medicare Advantage |
$104.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health Medicare |
$104.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.97
|
| Rate for Payer: UHC Medicare Advantage |
$104.97
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$176.86 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.99
|
| Rate for Payer: BCBS Complete |
$384.00
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Healthscope Commercial |
$327.19
|
| Rate for Payer: Healthscope Commercial |
$282.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.00
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$604.80 |
| Max. Negotiated Rate |
$864.00 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$672.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health SBD |
$604.80
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$176.86 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.68
|
| Rate for Payer: BCBS Complete |
$384.00
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Healthscope Commercial |
$282.98
|
| Rate for Payer: Healthscope Commercial |
$327.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$624.00
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$604.80 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$672.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health SBD |
$604.80
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,745.82
|
| Rate for Payer: VA VA |
$3,100.93
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.41
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Healthscope Commercial |
$246.46
|
| Rate for Payer: Healthscope Commercial |
$284.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.55
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$407.61 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$452.90
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health SBD |
$407.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,745.82
|
| Rate for Payer: VA VA |
$3,100.93
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$407.61 |
| Max. Negotiated Rate |
$582.30 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.55
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$452.90
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health SBD |
$407.61
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.82
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Healthscope Commercial |
$246.46
|
| Rate for Payer: Healthscope Commercial |
$284.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$420.55
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$86.75 |
| Max. Negotiated Rate |
$160.49 |
| Rate for Payer: Aetna Commercial |
$116.25
|
| Rate for Payer: Aetna Medicare |
$90.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.25
|
| Rate for Payer: BCBS Complete |
$94.00
|
| Rate for Payer: BCBS MAPPO |
$86.75
|
| Rate for Payer: BCN Medicare Advantage |
$86.75
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$124.92
|
| Rate for Payer: Cofinity Commercial |
$116.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.75
|
| Rate for Payer: Healthscope Commercial |
$160.49
|
| Rate for Payer: Healthscope Commercial |
$138.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.75
|
| Rate for Payer: Nomi Health Commercial |
$104.10
|
| Rate for Payer: PACE SWMI |
$86.75
|
| Rate for Payer: PHP Medicare Advantage |
$86.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health Medicare |
$86.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.75
|
| Rate for Payer: UHC Medicare Advantage |
$86.75
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$117.78 |
| Max. Negotiated Rate |
$217.89 |
| Rate for Payer: Aetna Commercial |
$157.83
|
| Rate for Payer: Aetna Medicare |
$122.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.83
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$117.78
|
| Rate for Payer: BCN Medicare Advantage |
$117.78
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$157.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.78
|
| Rate for Payer: Healthscope Commercial |
$188.45
|
| Rate for Payer: Healthscope Commercial |
$217.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198.25
|
| Rate for Payer: Nomi Health Commercial |
$141.34
|
| Rate for Payer: PACE SWMI |
$117.78
|
| Rate for Payer: PHP Medicare Advantage |
$117.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health Medicare |
$117.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$117.78
|
| Rate for Payer: UHC Medicare Advantage |
$117.78
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$80.91 |
| Max. Negotiated Rate |
$209.30 |
| Rate for Payer: Aetna Commercial |
$108.42
|
| Rate for Payer: Aetna Medicare |
$84.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.42
|
| Rate for Payer: BCBS Complete |
$128.80
|
| Rate for Payer: BCBS MAPPO |
$80.91
|
| Rate for Payer: BCN Medicare Advantage |
$80.91
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$116.51
|
| Rate for Payer: Cofinity Commercial |
$108.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.91
|
| Rate for Payer: Healthscope Commercial |
$149.68
|
| Rate for Payer: Healthscope Commercial |
$129.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$209.30
|
| Rate for Payer: Nomi Health Commercial |
$97.09
|
| Rate for Payer: PACE SWMI |
$80.91
|
| Rate for Payer: PHP Medicare Advantage |
$80.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health Medicare |
$80.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.91
|
| Rate for Payer: UHC Medicare Advantage |
$80.91
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.53
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Healthscope Commercial |
$174.96
|
| Rate for Payer: Healthscope Commercial |
$202.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.15
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.46
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Healthscope Commercial |
$202.30
|
| Rate for Payer: Healthscope Commercial |
$174.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228.15
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$221.13 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.15
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$245.70
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$245.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health SBD |
$221.13
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$159.02 |
| Max. Negotiated Rate |
$835.10 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna Medicare |
$308.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Cofinity Commercial |
$245.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$245.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health SBD |
$221.13
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$167.03
|
| Rate for Payer: VA VA |
$296.67
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$401.20 |
| Max. Negotiated Rate |
$807.32 |
| Rate for Payer: Aetna Commercial |
$584.76
|
| Rate for Payer: Aetna Medicare |
$453.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$628.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$584.76
|
| Rate for Payer: BCBS Complete |
$401.20
|
| Rate for Payer: BCBS MAPPO |
$436.39
|
| Rate for Payer: BCN Medicare Advantage |
$436.39
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$628.40
|
| Rate for Payer: Cofinity Commercial |
$584.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.39
|
| Rate for Payer: Healthscope Commercial |
$807.32
|
| Rate for Payer: Healthscope Commercial |
$698.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$651.95
|
| Rate for Payer: Nomi Health Commercial |
$523.67
|
| Rate for Payer: PACE SWMI |
$436.39
|
| Rate for Payer: PHP Medicare Advantage |
$436.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$651.95
|
| Rate for Payer: Priority Health Medicare |
$436.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.39
|
| Rate for Payer: UHC Medicare Advantage |
$436.39
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.41
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Healthscope Commercial |
$389.74
|
| Rate for Payer: Healthscope Commercial |
$450.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$925.60
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.41
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Healthscope Commercial |
$450.64
|
| Rate for Payer: Healthscope Commercial |
$389.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$925.60
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
OP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$996.80
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$897.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$647.41
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
IP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$897.12 |
| Max. Negotiated Rate |
$1,281.60 |
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.60
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Cofinity Commercial |
$996.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health SBD |
$897.12
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Facility
|
OP
|
$1,320.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Commercial |
$1,122.00
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$858.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$1,135.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$924.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,056.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,188.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,122.00
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,122.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$831.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$647.41
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,320.00
|
|
|
Service Code
|
HCPCS 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$200.44 |
| Max. Negotiated Rate |
$858.00 |
| Rate for Payer: Aetna Commercial |
$268.59
|
| Rate for Payer: Aetna Medicare |
$208.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.63
|
| Rate for Payer: BCBS Complete |
$528.00
|
| Rate for Payer: BCBS MAPPO |
$200.44
|
| Rate for Payer: BCN Medicare Advantage |
$200.44
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$288.63
|
| Rate for Payer: Cofinity Commercial |
$268.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.44
|
| Rate for Payer: Healthscope Commercial |
$320.70
|
| Rate for Payer: Healthscope Commercial |
$370.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$858.00
|
| Rate for Payer: Nomi Health Commercial |
$240.53
|
| Rate for Payer: PACE SWMI |
$200.44
|
| Rate for Payer: PHP Medicare Advantage |
$200.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$200.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.44
|
| Rate for Payer: UHC Medicare Advantage |
$200.44
|
|
