|
PR ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX
|
Professional
|
Both
|
$1,034.00
|
|
|
Service Code
|
HCPCS 43232
|
| Min. Negotiated Rate |
$186.32 |
| Max. Negotiated Rate |
$672.10 |
| Rate for Payer: Aetna Commercial |
$249.67
|
| Rate for Payer: Aetna Medicare |
$193.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.30
|
| Rate for Payer: BCBS Complete |
$413.60
|
| Rate for Payer: BCBS MAPPO |
$186.32
|
| Rate for Payer: BCN Medicare Advantage |
$186.32
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cofinity Commercial |
$268.30
|
| Rate for Payer: Cofinity Commercial |
$249.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.32
|
| Rate for Payer: Healthscope Commercial |
$344.69
|
| Rate for Payer: Healthscope Commercial |
$298.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$672.10
|
| Rate for Payer: Nomi Health Commercial |
$223.58
|
| Rate for Payer: PACE SWMI |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$186.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.10
|
| Rate for Payer: Priority Health Medicare |
$186.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.32
|
| Rate for Payer: UHC Medicare Advantage |
$186.32
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 43195
|
| Min. Negotiated Rate |
$152.40 |
| Max. Negotiated Rate |
$328.47 |
| Rate for Payer: Aetna Commercial |
$237.92
|
| Rate for Payer: Aetna Medicare |
$184.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.67
|
| Rate for Payer: BCBS Complete |
$152.40
|
| Rate for Payer: BCBS MAPPO |
$177.55
|
| Rate for Payer: BCN Medicare Advantage |
$177.55
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cofinity Commercial |
$237.92
|
| Rate for Payer: Cofinity Commercial |
$255.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.55
|
| Rate for Payer: Healthscope Commercial |
$284.08
|
| Rate for Payer: Healthscope Commercial |
$328.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.65
|
| Rate for Payer: Nomi Health Commercial |
$213.06
|
| Rate for Payer: PACE SWMI |
$177.55
|
| Rate for Payer: PHP Medicare Advantage |
$177.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.65
|
| Rate for Payer: Priority Health Medicare |
$177.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.55
|
| Rate for Payer: UHC Medicare Advantage |
$177.55
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 43191
|
| Min. Negotiated Rate |
$148.97 |
| Max. Negotiated Rate |
$275.59 |
| Rate for Payer: Aetna Commercial |
$199.62
|
| Rate for Payer: Aetna Medicare |
$154.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.62
|
| Rate for Payer: BCBS Complete |
$160.80
|
| Rate for Payer: BCBS MAPPO |
$148.97
|
| Rate for Payer: BCN Medicare Advantage |
$148.97
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$214.52
|
| Rate for Payer: Cofinity Commercial |
$199.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.97
|
| Rate for Payer: Healthscope Commercial |
$275.59
|
| Rate for Payer: Healthscope Commercial |
$238.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$261.30
|
| Rate for Payer: Nomi Health Commercial |
$178.76
|
| Rate for Payer: PACE SWMI |
$148.97
|
| Rate for Payer: PHP Medicare Advantage |
$148.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.30
|
| Rate for Payer: Priority Health Medicare |
$148.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.97
|
| Rate for Payer: UHC Medicare Advantage |
$148.97
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 43192
|
| Min. Negotiated Rate |
$137.60 |
| Max. Negotiated Rate |
$299.70 |
| Rate for Payer: Aetna Commercial |
$217.08
|
| Rate for Payer: Aetna Medicare |
$168.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.08
|
| Rate for Payer: BCBS Complete |
$137.60
|
| Rate for Payer: BCBS MAPPO |
$162.00
|
| Rate for Payer: BCN Medicare Advantage |
$162.00
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$233.28
|
| Rate for Payer: Cofinity Commercial |
$217.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.00
|
| Rate for Payer: Healthscope Commercial |
$259.20
|
| Rate for Payer: Healthscope Commercial |
$299.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.60
|
| Rate for Payer: Nomi Health Commercial |
$194.40
|
| Rate for Payer: PACE SWMI |
$162.00
|
| Rate for Payer: PHP Medicare Advantage |
$162.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$223.60
|
| Rate for Payer: Priority Health Medicare |
$162.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.00
|
| Rate for Payer: UHC Medicare Advantage |
$162.00
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
HCPCS 43193
|
| Min. Negotiated Rate |
$162.47 |
| Max. Negotiated Rate |
$345.15 |
| Rate for Payer: Aetna Commercial |
$217.71
|
| Rate for Payer: Aetna Medicare |
$168.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.71
|
| Rate for Payer: BCBS Complete |
$212.40
|
| Rate for Payer: BCBS MAPPO |
$162.47
|
| Rate for Payer: BCN Medicare Advantage |
$162.47
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cofinity Commercial |
$233.96
|
| Rate for Payer: Cofinity Commercial |
$217.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.47
|
| Rate for Payer: Healthscope Commercial |
$300.57
|
| Rate for Payer: Healthscope Commercial |
$259.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.15
|
| Rate for Payer: Nomi Health Commercial |
$194.96
|
| Rate for Payer: PACE SWMI |
$162.47
|
| Rate for Payer: PHP Medicare Advantage |
$162.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.15
|
| Rate for Payer: Priority Health Medicare |
$162.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.47
|
| Rate for Payer: UHC Medicare Advantage |
$162.47
|
|
|
PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 43194
|
| Min. Negotiated Rate |
$184.75 |
| Max. Negotiated Rate |
$341.79 |
| Rate for Payer: Aetna Commercial |
$247.56
|
| Rate for Payer: Aetna Medicare |
$192.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.56
|
| Rate for Payer: BCBS Complete |
$192.40
|
| Rate for Payer: BCBS MAPPO |
$184.75
|
| Rate for Payer: BCN Medicare Advantage |
$184.75
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cofinity Commercial |
$266.04
|
| Rate for Payer: Cofinity Commercial |
$247.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.75
|
| Rate for Payer: Healthscope Commercial |
$295.60
|
| Rate for Payer: Healthscope Commercial |
$341.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$312.65
|
| Rate for Payer: Nomi Health Commercial |
$221.70
|
| Rate for Payer: PACE SWMI |
$184.75
|
| Rate for Payer: PHP Medicare Advantage |
$184.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health Medicare |
$184.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$184.75
|
| Rate for Payer: UHC Medicare Advantage |
$184.75
|
|
|
PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 43212
|
| Min. Negotiated Rate |
$180.61 |
| Max. Negotiated Rate |
$373.10 |
| Rate for Payer: Aetna Commercial |
$242.02
|
| Rate for Payer: Aetna Medicare |
$187.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$260.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.02
|
| Rate for Payer: BCBS Complete |
$229.60
|
| Rate for Payer: BCBS MAPPO |
$180.61
|
| Rate for Payer: BCN Medicare Advantage |
$180.61
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$260.08
|
| Rate for Payer: Cofinity Commercial |
$242.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.61
|
| Rate for Payer: Healthscope Commercial |
$334.13
|
| Rate for Payer: Healthscope Commercial |
$288.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$373.10
|
| Rate for Payer: Nomi Health Commercial |
$216.73
|
| Rate for Payer: PACE SWMI |
$180.61
|
| Rate for Payer: PHP Medicare Advantage |
$180.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health Medicare |
$180.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.61
|
| Rate for Payer: UHC Medicare Advantage |
$180.61
|
|
|
PR ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH
|
Professional
|
Both
|
$1,322.00
|
|
|
Service Code
|
HCPCS 43180
|
| Min. Negotiated Rate |
$525.04 |
| Max. Negotiated Rate |
$971.32 |
| Rate for Payer: Aetna Commercial |
$703.55
|
| Rate for Payer: Aetna Medicare |
$546.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$703.55
|
| Rate for Payer: BCBS Complete |
$528.80
|
| Rate for Payer: BCBS MAPPO |
$525.04
|
| Rate for Payer: BCN Medicare Advantage |
$525.04
|
| Rate for Payer: Cash Price |
$1,057.60
|
| Rate for Payer: Cash Price |
$1,057.60
|
| Rate for Payer: Cofinity Commercial |
$756.06
|
| Rate for Payer: Cofinity Commercial |
$703.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.04
|
| Rate for Payer: Healthscope Commercial |
$840.06
|
| Rate for Payer: Healthscope Commercial |
$971.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$551.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$859.30
|
| Rate for Payer: Nomi Health Commercial |
$630.05
|
| Rate for Payer: PACE SWMI |
$525.04
|
| Rate for Payer: PHP Medicare Advantage |
$525.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.30
|
| Rate for Payer: Priority Health Medicare |
$525.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.04
|
| Rate for Payer: UHC Medicare Advantage |
$525.04
|
|
|
PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR
|
Professional
|
Both
|
$2,389.00
|
|
|
Service Code
|
HCPCS 43352
|
| Min. Negotiated Rate |
$955.60 |
| Max. Negotiated Rate |
$1,904.43 |
| Rate for Payer: Aetna Commercial |
$1,379.42
|
| Rate for Payer: Aetna Medicare |
$1,070.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,379.42
|
| Rate for Payer: BCBS Complete |
$955.60
|
| Rate for Payer: BCBS MAPPO |
$1,029.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,029.42
|
| Rate for Payer: Cash Price |
$1,911.20
|
| Rate for Payer: Cash Price |
$1,911.20
|
| Rate for Payer: Cofinity Commercial |
$1,482.36
|
| Rate for Payer: Cofinity Commercial |
$1,379.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,029.42
|
| Rate for Payer: Healthscope Commercial |
$1,904.43
|
| Rate for Payer: Healthscope Commercial |
$1,647.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,080.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,552.85
|
| Rate for Payer: Nomi Health Commercial |
$1,235.30
|
| Rate for Payer: PACE SWMI |
$1,029.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,029.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,552.85
|
| Rate for Payer: Priority Health Medicare |
$1,029.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,029.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,029.42
|
|
|
PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR
|
Professional
|
Both
|
$3,537.00
|
|
|
Service Code
|
HCPCS 43351
|
| Min. Negotiated Rate |
$1,271.45 |
| Max. Negotiated Rate |
$2,352.18 |
| Rate for Payer: Aetna Commercial |
$1,703.74
|
| Rate for Payer: Aetna Medicare |
$1,322.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,830.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,703.74
|
| Rate for Payer: BCBS Complete |
$1,414.80
|
| Rate for Payer: BCBS MAPPO |
$1,271.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,271.45
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cofinity Commercial |
$1,830.89
|
| Rate for Payer: Cofinity Commercial |
$1,703.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,271.45
|
| Rate for Payer: Healthscope Commercial |
$2,034.32
|
| Rate for Payer: Healthscope Commercial |
$2,352.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,299.05
|
| Rate for Payer: Nomi Health Commercial |
$1,525.74
|
| Rate for Payer: PACE SWMI |
$1,271.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,271.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,299.05
|
| Rate for Payer: Priority Health Medicare |
$1,271.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,271.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,271.45
|
|
|
PR ESOPHAGOTOMY THORACIC APPR W/RMVL FB
|
Professional
|
Both
|
$3,276.00
|
|
|
Service Code
|
HCPCS 43045
|
| Min. Negotiated Rate |
$1,256.47 |
| Max. Negotiated Rate |
$2,324.47 |
| Rate for Payer: Aetna Commercial |
$1,683.67
|
| Rate for Payer: Aetna Medicare |
$1,306.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,809.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,683.67
|
| Rate for Payer: BCBS Complete |
$1,310.40
|
| Rate for Payer: BCBS MAPPO |
$1,256.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,256.47
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cash Price |
$2,620.80
|
| Rate for Payer: Cofinity Commercial |
$1,809.32
|
| Rate for Payer: Cofinity Commercial |
$1,683.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,256.47
|
| Rate for Payer: Healthscope Commercial |
$2,324.47
|
| Rate for Payer: Healthscope Commercial |
$2,010.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,319.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,129.40
|
| Rate for Payer: Nomi Health Commercial |
$1,507.76
|
| Rate for Payer: PACE SWMI |
$1,256.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,256.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,129.40
|
| Rate for Payer: Priority Health Medicare |
$1,256.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,256.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,256.47
|
|
|
PR ESOPHAGUS LENGTHENING
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 43338
|
| Min. Negotiated Rate |
$94.00 |
| Max. Negotiated Rate |
$203.94 |
| Rate for Payer: Aetna Commercial |
$147.72
|
| Rate for Payer: Aetna Medicare |
$114.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.72
|
| Rate for Payer: BCBS Complete |
$94.00
|
| Rate for Payer: BCBS MAPPO |
$110.24
|
| Rate for Payer: BCN Medicare Advantage |
$110.24
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$158.75
|
| Rate for Payer: Cofinity Commercial |
$147.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.24
|
| Rate for Payer: Healthscope Commercial |
$176.38
|
| Rate for Payer: Healthscope Commercial |
$203.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.75
|
| Rate for Payer: Nomi Health Commercial |
$132.29
|
| Rate for Payer: PACE SWMI |
$110.24
|
| Rate for Payer: PHP Medicare Advantage |
$110.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health Medicare |
$110.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.24
|
| Rate for Payer: UHC Medicare Advantage |
$110.24
|
|
|
PR ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG
|
Professional
|
Both
|
$819.00
|
|
|
Service Code
|
HCPCS 91038
|
| Min. Negotiated Rate |
$327.60 |
| Max. Negotiated Rate |
$638.64 |
| Rate for Payer: Aetna Commercial |
$462.58
|
| Rate for Payer: Aetna Commercial |
$462.58
|
| Rate for Payer: Aetna Medicare |
$359.02
|
| Rate for Payer: Aetna Medicare |
$359.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.10
|
| Rate for Payer: BCBS Complete |
$327.60
|
| Rate for Payer: BCBS Complete |
$45.20
|
| Rate for Payer: BCBS MAPPO |
$345.21
|
| Rate for Payer: BCBS MAPPO |
$345.21
|
| Rate for Payer: BCN Medicare Advantage |
$345.21
|
| Rate for Payer: BCN Medicare Advantage |
$345.21
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cash Price |
$90.40
|
| Rate for Payer: Cofinity Commercial |
$462.58
|
| Rate for Payer: Cofinity Commercial |
$497.10
|
| Rate for Payer: Cofinity Commercial |
$462.58
|
| Rate for Payer: Cofinity Commercial |
$497.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.21
|
| Rate for Payer: Healthscope Commercial |
$638.64
|
| Rate for Payer: Healthscope Commercial |
$638.64
|
| Rate for Payer: Healthscope Commercial |
$552.34
|
| Rate for Payer: Healthscope Commercial |
$552.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$532.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73.45
|
| Rate for Payer: Nomi Health Commercial |
$414.25
|
| Rate for Payer: Nomi Health Commercial |
$414.25
|
| Rate for Payer: PACE SWMI |
$345.21
|
| Rate for Payer: PACE SWMI |
$345.21
|
| Rate for Payer: PHP Medicare Advantage |
$345.21
|
| Rate for Payer: PHP Medicare Advantage |
$345.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$532.35
|
| Rate for Payer: Priority Health Medicare |
$345.21
|
| Rate for Payer: Priority Health Medicare |
$345.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.21
|
| Rate for Payer: UHC Medicare Advantage |
$345.21
|
| Rate for Payer: UHC Medicare Advantage |
$345.21
|
|
|
PR ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 43216
|
| Min. Negotiated Rate |
$126.28 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$169.22
|
| Rate for Payer: Aetna Medicare |
$131.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.22
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$126.28
|
| Rate for Payer: BCN Medicare Advantage |
$126.28
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$181.84
|
| Rate for Payer: Cofinity Commercial |
$169.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.28
|
| Rate for Payer: Healthscope Commercial |
$233.62
|
| Rate for Payer: Healthscope Commercial |
$202.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$760.50
|
| Rate for Payer: Nomi Health Commercial |
$151.54
|
| Rate for Payer: PACE SWMI |
$126.28
|
| Rate for Payer: PHP Medicare Advantage |
$126.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$126.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.28
|
| Rate for Payer: UHC Medicare Advantage |
$126.28
|
|
|
PR ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES
|
Professional
|
Both
|
$1,104.00
|
|
|
Service Code
|
HCPCS 43205
|
| Min. Negotiated Rate |
$132.28 |
| Max. Negotiated Rate |
$717.60 |
| Rate for Payer: Aetna Commercial |
$177.26
|
| Rate for Payer: Aetna Medicare |
$137.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$190.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$177.26
|
| Rate for Payer: BCBS Complete |
$441.60
|
| Rate for Payer: BCBS MAPPO |
$132.28
|
| Rate for Payer: BCN Medicare Advantage |
$132.28
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cofinity Commercial |
$190.48
|
| Rate for Payer: Cofinity Commercial |
$177.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.28
|
| Rate for Payer: Healthscope Commercial |
$211.65
|
| Rate for Payer: Healthscope Commercial |
$244.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$717.60
|
| Rate for Payer: Nomi Health Commercial |
$158.74
|
| Rate for Payer: PACE SWMI |
$132.28
|
| Rate for Payer: PHP Medicare Advantage |
$132.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.60
|
| Rate for Payer: Priority Health Medicare |
$132.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$132.28
|
| Rate for Payer: UHC Medicare Advantage |
$132.28
|
|
|
PR ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL
|
Professional
|
Both
|
$6,658.00
|
|
|
Service Code
|
HCPCS 43313
|
| Min. Negotiated Rate |
$2,663.20 |
| Max. Negotiated Rate |
$5,217.78 |
| Rate for Payer: Aetna Commercial |
$3,779.36
|
| Rate for Payer: Aetna Medicare |
$2,933.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,061.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,779.36
|
| Rate for Payer: BCBS Complete |
$2,663.20
|
| Rate for Payer: BCBS MAPPO |
$2,820.42
|
| Rate for Payer: BCN Medicare Advantage |
$2,820.42
|
| Rate for Payer: Cash Price |
$5,326.40
|
| Rate for Payer: Cash Price |
$5,326.40
|
| Rate for Payer: Cofinity Commercial |
$4,061.40
|
| Rate for Payer: Cofinity Commercial |
$3,779.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,820.42
|
| Rate for Payer: Healthscope Commercial |
$5,217.78
|
| Rate for Payer: Healthscope Commercial |
$4,512.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,961.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,327.70
|
| Rate for Payer: Nomi Health Commercial |
$3,384.50
|
| Rate for Payer: PACE SWMI |
$2,820.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,820.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,327.70
|
| Rate for Payer: Priority Health Medicare |
$2,820.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,820.42
|
| Rate for Payer: UHC Medicare Advantage |
$2,820.42
|
|
|
PR ESPHGP CGEN DFCT THRC APPR W/RPR FSTL
|
Professional
|
Both
|
$7,567.00
|
|
|
Service Code
|
HCPCS 43314
|
| Min. Negotiated Rate |
$3,022.62 |
| Max. Negotiated Rate |
$5,591.85 |
| Rate for Payer: Aetna Commercial |
$4,050.31
|
| Rate for Payer: Aetna Medicare |
$3,143.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,352.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,050.31
|
| Rate for Payer: BCBS Complete |
$3,026.80
|
| Rate for Payer: BCBS MAPPO |
$3,022.62
|
| Rate for Payer: BCN Medicare Advantage |
$3,022.62
|
| Rate for Payer: Cash Price |
$6,053.60
|
| Rate for Payer: Cash Price |
$6,053.60
|
| Rate for Payer: Cofinity Commercial |
$4,352.57
|
| Rate for Payer: Cofinity Commercial |
$4,050.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,022.62
|
| Rate for Payer: Healthscope Commercial |
$4,836.19
|
| Rate for Payer: Healthscope Commercial |
$5,591.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,173.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,918.55
|
| Rate for Payer: Nomi Health Commercial |
$3,627.14
|
| Rate for Payer: PACE SWMI |
$3,022.62
|
| Rate for Payer: PHP Medicare Advantage |
$3,022.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,918.55
|
| Rate for Payer: Priority Health Medicare |
$3,022.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,022.62
|
| Rate for Payer: UHC Medicare Advantage |
$3,022.62
|
|
|
PR ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL
|
Professional
|
Both
|
$2,072.00
|
|
|
Service Code
|
HCPCS 43300
|
| Min. Negotiated Rate |
$598.86 |
| Max. Negotiated Rate |
$1,346.80 |
| Rate for Payer: Aetna Commercial |
$802.47
|
| Rate for Payer: Aetna Medicare |
$622.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$862.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$802.47
|
| Rate for Payer: BCBS Complete |
$828.80
|
| Rate for Payer: BCBS MAPPO |
$598.86
|
| Rate for Payer: BCN Medicare Advantage |
$598.86
|
| Rate for Payer: Cash Price |
$1,657.60
|
| Rate for Payer: Cash Price |
$1,657.60
|
| Rate for Payer: Cofinity Commercial |
$862.36
|
| Rate for Payer: Cofinity Commercial |
$802.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.86
|
| Rate for Payer: Healthscope Commercial |
$958.18
|
| Rate for Payer: Healthscope Commercial |
$1,107.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.80
|
| Rate for Payer: Nomi Health Commercial |
$718.63
|
| Rate for Payer: PACE SWMI |
$598.86
|
| Rate for Payer: PHP Medicare Advantage |
$598.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,346.80
|
| Rate for Payer: Priority Health Medicare |
$598.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.86
|
| Rate for Payer: UHC Medicare Advantage |
$598.86
|
|
|
PR ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL
|
Professional
|
Both
|
$2,313.00
|
|
|
Service Code
|
HCPCS 43305
|
| Min. Negotiated Rate |
$925.20 |
| Max. Negotiated Rate |
$1,938.65 |
| Rate for Payer: Aetna Commercial |
$1,404.21
|
| Rate for Payer: Aetna Medicare |
$1,089.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,509.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,404.21
|
| Rate for Payer: BCBS Complete |
$925.20
|
| Rate for Payer: BCBS MAPPO |
$1,047.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,047.92
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cofinity Commercial |
$1,509.00
|
| Rate for Payer: Cofinity Commercial |
$1,404.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,047.92
|
| Rate for Payer: Healthscope Commercial |
$1,676.67
|
| Rate for Payer: Healthscope Commercial |
$1,938.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,100.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,503.45
|
| Rate for Payer: Nomi Health Commercial |
$1,257.50
|
| Rate for Payer: PACE SWMI |
$1,047.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,047.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,503.45
|
| Rate for Payer: Priority Health Medicare |
$1,047.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,047.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,047.92
|
|
|
PR ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL
|
Professional
|
Both
|
$4,977.00
|
|
|
Service Code
|
HCPCS 43310
|
| Min. Negotiated Rate |
$1,427.55 |
| Max. Negotiated Rate |
$3,235.05 |
| Rate for Payer: Aetna Commercial |
$1,912.92
|
| Rate for Payer: Aetna Medicare |
$1,484.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,055.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,912.92
|
| Rate for Payer: BCBS Complete |
$1,990.80
|
| Rate for Payer: BCBS MAPPO |
$1,427.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,427.55
|
| Rate for Payer: Cash Price |
$3,981.60
|
| Rate for Payer: Cash Price |
$3,981.60
|
| Rate for Payer: Cofinity Commercial |
$2,055.67
|
| Rate for Payer: Cofinity Commercial |
$1,912.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,427.55
|
| Rate for Payer: Healthscope Commercial |
$2,640.97
|
| Rate for Payer: Healthscope Commercial |
$2,284.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,498.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,235.05
|
| Rate for Payer: Nomi Health Commercial |
$1,713.06
|
| Rate for Payer: PACE SWMI |
$1,427.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,427.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,235.05
|
| Rate for Payer: Priority Health Medicare |
$1,427.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,427.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,427.55
|
|
|
PR ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL
|
Professional
|
Both
|
$3,354.00
|
|
|
Service Code
|
HCPCS 43312
|
| Min. Negotiated Rate |
$1,341.60 |
| Max. Negotiated Rate |
$2,827.37 |
| Rate for Payer: Aetna Commercial |
$2,047.94
|
| Rate for Payer: Aetna Medicare |
$1,589.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,200.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,047.94
|
| Rate for Payer: BCBS Complete |
$1,341.60
|
| Rate for Payer: BCBS MAPPO |
$1,528.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,528.31
|
| Rate for Payer: Cash Price |
$2,683.20
|
| Rate for Payer: Cash Price |
$2,683.20
|
| Rate for Payer: Cofinity Commercial |
$2,200.77
|
| Rate for Payer: Cofinity Commercial |
$2,047.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,528.31
|
| Rate for Payer: Healthscope Commercial |
$2,445.30
|
| Rate for Payer: Healthscope Commercial |
$2,827.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,604.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,180.10
|
| Rate for Payer: Nomi Health Commercial |
$1,833.97
|
| Rate for Payer: PACE SWMI |
$1,528.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,528.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,180.10
|
| Rate for Payer: Priority Health Medicare |
$1,528.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,528.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,528.31
|
|
|
PR ESRD RELATED SVC <FULL MONTH 20/>YR OLD
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 90970
|
| Min. Negotiated Rate |
$5.60 |
| Max. Negotiated Rate |
$16.93 |
| Rate for Payer: Aetna Commercial |
$12.26
|
| Rate for Payer: Aetna Medicare |
$9.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.26
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$9.15
|
| Rate for Payer: BCN Medicare Advantage |
$9.15
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$13.18
|
| Rate for Payer: Cofinity Commercial |
$12.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$16.93
|
| Rate for Payer: Healthscope Commercial |
$14.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.10
|
| Rate for Payer: Nomi Health Commercial |
$10.98
|
| Rate for Payer: PACE SWMI |
$9.15
|
| Rate for Payer: PHP Medicare Advantage |
$9.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health Medicare |
$9.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.15
|
| Rate for Payer: UHC Medicare Advantage |
$9.15
|
|
|
PR ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT
|
Professional
|
Both
|
$320.00
|
|
|
Service Code
|
HCPCS 90962
|
| Min. Negotiated Rate |
$128.00 |
| Max. Negotiated Rate |
$353.76 |
| Rate for Payer: Aetna Commercial |
$256.23
|
| Rate for Payer: Aetna Medicare |
$198.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.23
|
| Rate for Payer: BCBS Complete |
$128.00
|
| Rate for Payer: BCBS MAPPO |
$191.22
|
| Rate for Payer: BCN Medicare Advantage |
$191.22
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Cofinity Commercial |
$275.36
|
| Rate for Payer: Cofinity Commercial |
$256.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.22
|
| Rate for Payer: Healthscope Commercial |
$305.95
|
| Rate for Payer: Healthscope Commercial |
$353.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.00
|
| Rate for Payer: Nomi Health Commercial |
$229.46
|
| Rate for Payer: PACE SWMI |
$191.22
|
| Rate for Payer: PHP Medicare Advantage |
$191.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$208.00
|
| Rate for Payer: Priority Health Medicare |
$191.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.22
|
| Rate for Payer: UHC Medicare Advantage |
$191.22
|
|
|
PR ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS
|
Professional
|
Both
|
$414.00
|
|
|
Service Code
|
HCPCS 90961
|
| Min. Negotiated Rate |
$165.60 |
| Max. Negotiated Rate |
$514.47 |
| Rate for Payer: Aetna Commercial |
$372.64
|
| Rate for Payer: Aetna Medicare |
$289.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$400.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.64
|
| Rate for Payer: BCBS Complete |
$165.60
|
| Rate for Payer: BCBS MAPPO |
$278.09
|
| Rate for Payer: BCN Medicare Advantage |
$278.09
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cofinity Commercial |
$400.45
|
| Rate for Payer: Cofinity Commercial |
$372.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.09
|
| Rate for Payer: Healthscope Commercial |
$514.47
|
| Rate for Payer: Healthscope Commercial |
$444.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$291.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.10
|
| Rate for Payer: Nomi Health Commercial |
$333.71
|
| Rate for Payer: PACE SWMI |
$278.09
|
| Rate for Payer: PHP Medicare Advantage |
$278.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.10
|
| Rate for Payer: Priority Health Medicare |
$278.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.09
|
| Rate for Payer: UHC Medicare Advantage |
$278.09
|
|
|
PR ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS
|
Professional
|
Both
|
$492.00
|
|
|
Service Code
|
HCPCS 90960
|
| Min. Negotiated Rate |
$196.80 |
| Max. Negotiated Rate |
$620.51 |
| Rate for Payer: Aetna Commercial |
$449.45
|
| Rate for Payer: Aetna Medicare |
$348.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.45
|
| Rate for Payer: BCBS Complete |
$196.80
|
| Rate for Payer: BCBS MAPPO |
$335.41
|
| Rate for Payer: BCN Medicare Advantage |
$335.41
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cofinity Commercial |
$482.99
|
| Rate for Payer: Cofinity Commercial |
$449.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.41
|
| Rate for Payer: Healthscope Commercial |
$536.66
|
| Rate for Payer: Healthscope Commercial |
$620.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.80
|
| Rate for Payer: Nomi Health Commercial |
$402.49
|
| Rate for Payer: PACE SWMI |
$335.41
|
| Rate for Payer: PHP Medicare Advantage |
$335.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$319.80
|
| Rate for Payer: Priority Health Medicare |
$335.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.41
|
| Rate for Payer: UHC Medicare Advantage |
$335.41
|
|
