|
PR EXCISION INFECTED GRAFT ABDOMEN
|
Professional
|
Both
|
$4,043.00
|
|
|
Service Code
|
HCPCS 35907
|
| Min. Negotiated Rate |
$1,617.20 |
| Max. Negotiated Rate |
$3,399.01 |
| Rate for Payer: Aetna Commercial |
$2,461.98
|
| Rate for Payer: Aetna Medicare |
$1,910.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,645.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,461.98
|
| Rate for Payer: BCBS Complete |
$1,617.20
|
| Rate for Payer: BCBS MAPPO |
$1,837.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,837.30
|
| Rate for Payer: Cash Price |
$3,234.40
|
| Rate for Payer: Cash Price |
$3,234.40
|
| Rate for Payer: Cofinity Commercial |
$2,645.71
|
| Rate for Payer: Cofinity Commercial |
$2,461.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,837.30
|
| Rate for Payer: Healthscope Commercial |
$3,399.01
|
| Rate for Payer: Healthscope Commercial |
$2,939.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,929.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,627.95
|
| Rate for Payer: Nomi Health Commercial |
$2,204.76
|
| Rate for Payer: PACE SWMI |
$1,837.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,837.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,627.95
|
| Rate for Payer: Priority Health Medicare |
$1,837.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,837.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,837.30
|
|
|
PR EXCISION INFECTED GRAFT EXTREMITY
|
Professional
|
Both
|
$2,005.00
|
|
|
Service Code
|
HCPCS 35903
|
| Min. Negotiated Rate |
$536.34 |
| Max. Negotiated Rate |
$1,303.25 |
| Rate for Payer: Aetna Commercial |
$718.70
|
| Rate for Payer: Aetna Medicare |
$557.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$772.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$718.70
|
| Rate for Payer: BCBS Complete |
$802.00
|
| Rate for Payer: BCBS MAPPO |
$536.34
|
| Rate for Payer: BCN Medicare Advantage |
$536.34
|
| Rate for Payer: Cash Price |
$1,604.00
|
| Rate for Payer: Cash Price |
$1,604.00
|
| Rate for Payer: Cofinity Commercial |
$772.33
|
| Rate for Payer: Cofinity Commercial |
$718.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$536.34
|
| Rate for Payer: Healthscope Commercial |
$858.14
|
| Rate for Payer: Healthscope Commercial |
$992.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$563.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,303.25
|
| Rate for Payer: Nomi Health Commercial |
$643.61
|
| Rate for Payer: PACE SWMI |
$536.34
|
| Rate for Payer: PHP Medicare Advantage |
$536.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.25
|
| Rate for Payer: Priority Health Medicare |
$536.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$536.34
|
| Rate for Payer: UHC Medicare Advantage |
$536.34
|
|
|
PR EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE
|
Professional
|
Both
|
$805.00
|
|
|
Service Code
|
HCPCS 30130
|
| Min. Negotiated Rate |
$322.00 |
| Max. Negotiated Rate |
$708.85 |
| Rate for Payer: Aetna Commercial |
$513.43
|
| Rate for Payer: Aetna Medicare |
$398.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$551.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$513.43
|
| Rate for Payer: BCBS Complete |
$322.00
|
| Rate for Payer: BCBS MAPPO |
$383.16
|
| Rate for Payer: BCN Medicare Advantage |
$383.16
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cofinity Commercial |
$551.75
|
| Rate for Payer: Cofinity Commercial |
$513.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.16
|
| Rate for Payer: Healthscope Commercial |
$708.85
|
| Rate for Payer: Healthscope Commercial |
$613.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$402.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$523.25
|
| Rate for Payer: Nomi Health Commercial |
$459.79
|
| Rate for Payer: PACE SWMI |
$383.16
|
| Rate for Payer: PHP Medicare Advantage |
$383.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.25
|
| Rate for Payer: Priority Health Medicare |
$383.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.16
|
| Rate for Payer: UHC Medicare Advantage |
$383.16
|
|
|
PR EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH
|
Professional
|
Both
|
$886.00
|
|
|
Service Code
|
HCPCS 28080
|
| Min. Negotiated Rate |
$354.40 |
| Max. Negotiated Rate |
$672.01 |
| Rate for Payer: Aetna Commercial |
$486.75
|
| Rate for Payer: Aetna Medicare |
$377.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$486.75
|
| Rate for Payer: BCBS Complete |
$354.40
|
| Rate for Payer: BCBS MAPPO |
$363.25
|
| Rate for Payer: BCN Medicare Advantage |
$363.25
|
| Rate for Payer: Cash Price |
$708.80
|
| Rate for Payer: Cash Price |
$708.80
|
| Rate for Payer: Cofinity Commercial |
$523.08
|
| Rate for Payer: Cofinity Commercial |
$486.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.25
|
| Rate for Payer: Healthscope Commercial |
$581.20
|
| Rate for Payer: Healthscope Commercial |
$672.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$575.90
|
| Rate for Payer: Nomi Health Commercial |
$435.90
|
| Rate for Payer: PACE SWMI |
$363.25
|
| Rate for Payer: PHP Medicare Advantage |
$363.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$575.90
|
| Rate for Payer: Priority Health Medicare |
$363.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.25
|
| Rate for Payer: UHC Medicare Advantage |
$363.25
|
|
|
PR EXCISION LACTIFEROUS DUCT FISTULA
|
Professional
|
Both
|
$794.00
|
|
|
Service Code
|
HCPCS 19112
|
| Min. Negotiated Rate |
$311.59 |
| Max. Negotiated Rate |
$576.44 |
| Rate for Payer: Aetna Commercial |
$417.53
|
| Rate for Payer: Aetna Medicare |
$324.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.53
|
| Rate for Payer: BCBS Complete |
$317.60
|
| Rate for Payer: BCBS MAPPO |
$311.59
|
| Rate for Payer: BCN Medicare Advantage |
$311.59
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cofinity Commercial |
$448.69
|
| Rate for Payer: Cofinity Commercial |
$417.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.59
|
| Rate for Payer: Healthscope Commercial |
$576.44
|
| Rate for Payer: Healthscope Commercial |
$498.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$516.10
|
| Rate for Payer: Nomi Health Commercial |
$373.91
|
| Rate for Payer: PACE SWMI |
$311.59
|
| Rate for Payer: PHP Medicare Advantage |
$311.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$516.10
|
| Rate for Payer: Priority Health Medicare |
$311.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.59
|
| Rate for Payer: UHC Medicare Advantage |
$311.59
|
|
|
PR EXCISION LESION FLOOR MOUTH
|
Professional
|
Both
|
$588.00
|
|
|
Service Code
|
HCPCS 41116
|
| Min. Negotiated Rate |
$204.03 |
| Max. Negotiated Rate |
$382.20 |
| Rate for Payer: Aetna Commercial |
$273.40
|
| Rate for Payer: Aetna Medicare |
$212.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$293.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.40
|
| Rate for Payer: BCBS Complete |
$235.20
|
| Rate for Payer: BCBS MAPPO |
$204.03
|
| Rate for Payer: BCN Medicare Advantage |
$204.03
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Cofinity Commercial |
$293.80
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.03
|
| Rate for Payer: Healthscope Commercial |
$326.45
|
| Rate for Payer: Healthscope Commercial |
$377.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.20
|
| Rate for Payer: Nomi Health Commercial |
$244.84
|
| Rate for Payer: PACE SWMI |
$204.03
|
| Rate for Payer: PHP Medicare Advantage |
$204.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$382.20
|
| Rate for Payer: Priority Health Medicare |
$204.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.03
|
| Rate for Payer: UHC Medicare Advantage |
$204.03
|
|
|
PR EXCISION LESION MENISCUS/CAPSULE KNEE
|
Professional
|
Both
|
$2,340.00
|
|
|
Service Code
|
HCPCS 27347
|
| Min. Negotiated Rate |
$511.14 |
| Max. Negotiated Rate |
$1,521.00 |
| Rate for Payer: Aetna Commercial |
$684.93
|
| Rate for Payer: Aetna Medicare |
$531.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$736.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.93
|
| Rate for Payer: BCBS Complete |
$936.00
|
| Rate for Payer: BCBS MAPPO |
$511.14
|
| Rate for Payer: BCN Medicare Advantage |
$511.14
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cash Price |
$1,872.00
|
| Rate for Payer: Cofinity Commercial |
$736.04
|
| Rate for Payer: Cofinity Commercial |
$684.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$511.14
|
| Rate for Payer: Healthscope Commercial |
$945.61
|
| Rate for Payer: Healthscope Commercial |
$817.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,521.00
|
| Rate for Payer: Nomi Health Commercial |
$613.37
|
| Rate for Payer: PACE SWMI |
$511.14
|
| Rate for Payer: PHP Medicare Advantage |
$511.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,521.00
|
| Rate for Payer: Priority Health Medicare |
$511.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$511.14
|
| Rate for Payer: UHC Medicare Advantage |
$511.14
|
|
|
PR EXCISION LESION MESENTERY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,508.00
|
|
|
Service Code
|
HCPCS 44820
|
| Min. Negotiated Rate |
$603.20 |
| Max. Negotiated Rate |
$1,533.78 |
| Rate for Payer: Aetna Commercial |
$1,110.95
|
| Rate for Payer: Aetna Medicare |
$862.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,193.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.95
|
| Rate for Payer: BCBS Complete |
$603.20
|
| Rate for Payer: BCBS MAPPO |
$829.07
|
| Rate for Payer: BCN Medicare Advantage |
$829.07
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,193.86
|
| Rate for Payer: Cofinity Commercial |
$1,110.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$829.07
|
| Rate for Payer: Healthscope Commercial |
$1,326.51
|
| Rate for Payer: Healthscope Commercial |
$1,533.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$870.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$980.20
|
| Rate for Payer: Nomi Health Commercial |
$994.88
|
| Rate for Payer: PACE SWMI |
$829.07
|
| Rate for Payer: PHP Medicare Advantage |
$829.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$980.20
|
| Rate for Payer: Priority Health Medicare |
$829.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$829.07
|
| Rate for Payer: UHC Medicare Advantage |
$829.07
|
|
|
PR EXCISION LESION PANCREAS
|
Professional
|
Both
|
$2,275.00
|
|
|
Service Code
|
HCPCS 48120
|
| Min. Negotiated Rate |
$910.00 |
| Max. Negotiated Rate |
$2,004.22 |
| Rate for Payer: Aetna Commercial |
$1,451.70
|
| Rate for Payer: Aetna Medicare |
$1,126.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,560.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,451.70
|
| Rate for Payer: BCBS Complete |
$910.00
|
| Rate for Payer: BCBS MAPPO |
$1,083.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,083.36
|
| Rate for Payer: Cash Price |
$1,820.00
|
| Rate for Payer: Cash Price |
$1,820.00
|
| Rate for Payer: Cofinity Commercial |
$1,560.04
|
| Rate for Payer: Cofinity Commercial |
$1,451.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,083.36
|
| Rate for Payer: Healthscope Commercial |
$2,004.22
|
| Rate for Payer: Healthscope Commercial |
$1,733.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,137.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,478.75
|
| Rate for Payer: Nomi Health Commercial |
$1,300.03
|
| Rate for Payer: PACE SWMI |
$1,083.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,083.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,478.75
|
| Rate for Payer: Priority Health Medicare |
$1,083.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,083.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.36
|
|
|
PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 27630
|
| Min. Negotiated Rate |
$345.27 |
| Max. Negotiated Rate |
$873.60 |
| Rate for Payer: Aetna Commercial |
$462.66
|
| Rate for Payer: Aetna Medicare |
$359.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.66
|
| Rate for Payer: BCBS Complete |
$537.60
|
| Rate for Payer: BCBS MAPPO |
$345.27
|
| Rate for Payer: BCN Medicare Advantage |
$345.27
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$497.19
|
| Rate for Payer: Cofinity Commercial |
$462.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.27
|
| Rate for Payer: Healthscope Commercial |
$552.43
|
| Rate for Payer: Healthscope Commercial |
$638.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$873.60
|
| Rate for Payer: Nomi Health Commercial |
$414.32
|
| Rate for Payer: PACE SWMI |
$345.27
|
| Rate for Payer: PHP Medicare Advantage |
$345.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$873.60
|
| Rate for Payer: Priority Health Medicare |
$345.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.27
|
| Rate for Payer: UHC Medicare Advantage |
$345.27
|
|
|
PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 25110
|
| Min. Negotiated Rate |
$335.52 |
| Max. Negotiated Rate |
$750.75 |
| Rate for Payer: Aetna Commercial |
$449.60
|
| Rate for Payer: Aetna Medicare |
$348.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.60
|
| Rate for Payer: BCBS Complete |
$462.00
|
| Rate for Payer: BCBS MAPPO |
$335.52
|
| Rate for Payer: BCN Medicare Advantage |
$335.52
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$483.15
|
| Rate for Payer: Cofinity Commercial |
$449.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.52
|
| Rate for Payer: Healthscope Commercial |
$620.71
|
| Rate for Payer: Healthscope Commercial |
$536.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$750.75
|
| Rate for Payer: Nomi Health Commercial |
$402.62
|
| Rate for Payer: PACE SWMI |
$335.52
|
| Rate for Payer: PHP Medicare Advantage |
$335.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$335.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.52
|
| Rate for Payer: UHC Medicare Advantage |
$335.52
|
|
|
PR EXCISION LESION TONGUE W/O CLOSURE
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 41110
|
| Min. Negotiated Rate |
$121.78 |
| Max. Negotiated Rate |
$247.65 |
| Rate for Payer: Aetna Commercial |
$163.19
|
| Rate for Payer: Aetna Medicare |
$126.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$175.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$163.19
|
| Rate for Payer: BCBS Complete |
$152.40
|
| Rate for Payer: BCBS MAPPO |
$121.78
|
| Rate for Payer: BCN Medicare Advantage |
$121.78
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cofinity Commercial |
$175.36
|
| Rate for Payer: Cofinity Commercial |
$163.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.78
|
| Rate for Payer: Healthscope Commercial |
$194.85
|
| Rate for Payer: Healthscope Commercial |
$225.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$127.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.65
|
| Rate for Payer: Nomi Health Commercial |
$146.14
|
| Rate for Payer: PACE SWMI |
$121.78
|
| Rate for Payer: PHP Medicare Advantage |
$121.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.65
|
| Rate for Payer: Priority Health Medicare |
$121.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$121.78
|
| Rate for Payer: UHC Medicare Advantage |
$121.78
|
|
|
PR EXCISION LINGUAL FRENUM FRENECTOMY
|
Professional
|
Both
|
$447.00
|
|
|
Service Code
|
HCPCS 41115
|
| Min. Negotiated Rate |
$137.52 |
| Max. Negotiated Rate |
$290.55 |
| Rate for Payer: Aetna Commercial |
$184.28
|
| Rate for Payer: Aetna Medicare |
$143.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.28
|
| Rate for Payer: BCBS Complete |
$178.80
|
| Rate for Payer: BCBS MAPPO |
$137.52
|
| Rate for Payer: BCN Medicare Advantage |
$137.52
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cofinity Commercial |
$198.03
|
| Rate for Payer: Cofinity Commercial |
$184.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.52
|
| Rate for Payer: Healthscope Commercial |
$254.41
|
| Rate for Payer: Healthscope Commercial |
$220.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.55
|
| Rate for Payer: Nomi Health Commercial |
$165.02
|
| Rate for Payer: PACE SWMI |
$137.52
|
| Rate for Payer: PHP Medicare Advantage |
$137.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$290.55
|
| Rate for Payer: Priority Health Medicare |
$137.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.52
|
| Rate for Payer: UHC Medicare Advantage |
$137.52
|
|
|
PR EXCISION LOCAL LESION EPIDIDYMIS
|
Professional
|
Both
|
$617.00
|
|
|
Service Code
|
HCPCS 54830
|
| Min. Negotiated Rate |
$246.80 |
| Max. Negotiated Rate |
$659.47 |
| Rate for Payer: Aetna Commercial |
$477.67
|
| Rate for Payer: Aetna Medicare |
$370.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$513.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$477.67
|
| Rate for Payer: BCBS Complete |
$246.80
|
| Rate for Payer: BCBS MAPPO |
$356.47
|
| Rate for Payer: BCN Medicare Advantage |
$356.47
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cofinity Commercial |
$513.32
|
| Rate for Payer: Cofinity Commercial |
$477.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.47
|
| Rate for Payer: Healthscope Commercial |
$570.35
|
| Rate for Payer: Healthscope Commercial |
$659.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$401.05
|
| Rate for Payer: Nomi Health Commercial |
$427.76
|
| Rate for Payer: PACE SWMI |
$356.47
|
| Rate for Payer: PHP Medicare Advantage |
$356.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$401.05
|
| Rate for Payer: Priority Health Medicare |
$356.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.47
|
| Rate for Payer: UHC Medicare Advantage |
$356.47
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
IP
|
$333.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$209.79 |
| Max. Negotiated Rate |
$299.70 |
| Rate for Payer: Aetna Commercial |
$283.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.45
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$233.10
|
| Rate for Payer: Cofinity Commercial |
$286.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$233.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.40
|
| Rate for Payer: Healthscope Commercial |
$299.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.05
|
| Rate for Payer: PHP Commercial |
$283.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health SBD |
$209.79
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
OP
|
$333.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$209.79 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna Commercial |
$283.05
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$286.38
|
| Rate for Payer: Cofinity Commercial |
$233.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$233.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$299.70
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.05
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$283.05
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$209.79
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$386.33
|
| Rate for Payer: VA VA |
$686.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 11640
|
| Min. Negotiated Rate |
$119.45 |
| Max. Negotiated Rate |
$220.98 |
| Rate for Payer: Aetna Commercial |
$160.06
|
| Rate for Payer: Aetna Medicare |
$124.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.06
|
| Rate for Payer: BCBS Complete |
$133.20
|
| Rate for Payer: BCBS MAPPO |
$119.45
|
| Rate for Payer: BCN Medicare Advantage |
$119.45
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$172.01
|
| Rate for Payer: Cofinity Commercial |
$160.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.45
|
| Rate for Payer: Healthscope Commercial |
$220.98
|
| Rate for Payer: Healthscope Commercial |
$191.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$125.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$216.45
|
| Rate for Payer: Nomi Health Commercial |
$143.34
|
| Rate for Payer: PACE SWMI |
$119.45
|
| Rate for Payer: PHP Medicare Advantage |
$119.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health Medicare |
$119.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.45
|
| Rate for Payer: UHC Medicare Advantage |
$119.45
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 11640
|
| Hospital Charge Code |
11640
|
| Min. Negotiated Rate |
$119.45 |
| Max. Negotiated Rate |
$220.98 |
| Rate for Payer: Aetna Commercial |
$160.06
|
| Rate for Payer: Aetna Medicare |
$124.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.01
|
| Rate for Payer: BCBS Complete |
$133.20
|
| Rate for Payer: BCBS MAPPO |
$119.45
|
| Rate for Payer: BCN Medicare Advantage |
$119.45
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$160.06
|
| Rate for Payer: Cofinity Commercial |
$172.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.45
|
| Rate for Payer: Healthscope Commercial |
$220.98
|
| Rate for Payer: Healthscope Commercial |
$191.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$125.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$216.45
|
| Rate for Payer: Nomi Health Commercial |
$143.34
|
| Rate for Payer: PACE SWMI |
$119.45
|
| Rate for Payer: PHP Medicare Advantage |
$119.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health Medicare |
$119.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.45
|
| Rate for Payer: UHC Medicare Advantage |
$119.45
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 11641
|
| Hospital Charge Code |
11641
|
| Min. Negotiated Rate |
$147.12 |
| Max. Negotiated Rate |
$272.17 |
| Rate for Payer: Aetna Commercial |
$197.14
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.85
|
| Rate for Payer: BCBS Complete |
$157.60
|
| Rate for Payer: BCBS MAPPO |
$147.12
|
| Rate for Payer: BCN Medicare Advantage |
$147.12
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$211.85
|
| Rate for Payer: Cofinity Commercial |
$197.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.12
|
| Rate for Payer: Healthscope Commercial |
$235.39
|
| Rate for Payer: Healthscope Commercial |
$272.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256.10
|
| Rate for Payer: Nomi Health Commercial |
$176.54
|
| Rate for Payer: PACE SWMI |
$147.12
|
| Rate for Payer: PHP Medicare Advantage |
$147.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health Medicare |
$147.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.12
|
| Rate for Payer: UHC Medicare Advantage |
$147.12
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 11641
|
| Min. Negotiated Rate |
$147.12 |
| Max. Negotiated Rate |
$272.17 |
| Rate for Payer: Aetna Commercial |
$197.14
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.14
|
| Rate for Payer: BCBS Complete |
$157.60
|
| Rate for Payer: BCBS MAPPO |
$147.12
|
| Rate for Payer: BCN Medicare Advantage |
$147.12
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$211.85
|
| Rate for Payer: Cofinity Commercial |
$197.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.12
|
| Rate for Payer: Healthscope Commercial |
$235.39
|
| Rate for Payer: Healthscope Commercial |
$272.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256.10
|
| Rate for Payer: Nomi Health Commercial |
$176.54
|
| Rate for Payer: PACE SWMI |
$147.12
|
| Rate for Payer: PHP Medicare Advantage |
$147.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health Medicare |
$147.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.12
|
| Rate for Payer: UHC Medicare Advantage |
$147.12
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
OP
|
$394.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$248.22 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna Commercial |
$334.90
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$275.80
|
| Rate for Payer: Cofinity Commercial |
$338.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$275.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$354.60
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.90
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$334.90
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$248.22
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$386.33
|
| Rate for Payer: VA VA |
$686.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
IP
|
$394.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$248.22 |
| Max. Negotiated Rate |
$354.60 |
| Rate for Payer: Aetna Commercial |
$334.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.10
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$275.80
|
| Rate for Payer: Cofinity Commercial |
$338.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$275.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.20
|
| Rate for Payer: Healthscope Commercial |
$354.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.90
|
| Rate for Payer: PHP Commercial |
$334.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health SBD |
$248.22
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 11642
|
| Min. Negotiated Rate |
$171.82 |
| Max. Negotiated Rate |
$387.40 |
| Rate for Payer: Aetna Commercial |
$230.24
|
| Rate for Payer: Aetna Medicare |
$178.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.24
|
| Rate for Payer: BCBS Complete |
$238.40
|
| Rate for Payer: BCBS MAPPO |
$171.82
|
| Rate for Payer: BCN Medicare Advantage |
$171.82
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$247.42
|
| Rate for Payer: Cofinity Commercial |
$230.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.82
|
| Rate for Payer: Healthscope Commercial |
$317.87
|
| Rate for Payer: Healthscope Commercial |
$274.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$387.40
|
| Rate for Payer: Nomi Health Commercial |
$206.18
|
| Rate for Payer: PACE SWMI |
$171.82
|
| Rate for Payer: PHP Medicare Advantage |
$171.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health Medicare |
$171.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.82
|
| Rate for Payer: UHC Medicare Advantage |
$171.82
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
OP
|
$596.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$367.80 |
| Max. Negotiated Rate |
$1,931.58 |
| Rate for Payer: Aetna Commercial |
$506.60
|
| Rate for Payer: Aetna Medicare |
$713.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$387.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$857.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$857.75
|
| Rate for Payer: BCBS Complete |
$386.19
|
| Rate for Payer: BCBS MAPPO |
$686.20
|
| Rate for Payer: BCN Medicare Advantage |
$686.20
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$417.20
|
| Rate for Payer: Cofinity Commercial |
$512.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$417.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.20
|
| Rate for Payer: Healthscope Commercial |
$536.40
|
| Rate for Payer: Mclaren Medicaid |
$367.80
|
| Rate for Payer: Mclaren Medicare |
$686.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.51
|
| Rate for Payer: Meridian Medicaid |
$386.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$789.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.60
|
| Rate for Payer: PACE Medicare |
$651.89
|
| Rate for Payer: PACE SWMI |
$686.20
|
| Rate for Payer: PHP Commercial |
$506.60
|
| Rate for Payer: PHP Medicare Advantage |
$686.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health Medicare |
$686.20
|
| Rate for Payer: Priority Health SBD |
$375.48
|
| Rate for Payer: Railroad Medicare Medicare |
$686.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$686.20
|
| Rate for Payer: UHC Medicare Advantage |
$686.20
|
| Rate for Payer: UHCCP Medicaid |
$386.33
|
| Rate for Payer: VA VA |
$686.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 11642
|
| Hospital Charge Code |
11642
|
| Min. Negotiated Rate |
$171.82 |
| Max. Negotiated Rate |
$387.40 |
| Rate for Payer: Aetna Commercial |
$230.24
|
| Rate for Payer: Aetna Medicare |
$178.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.42
|
| Rate for Payer: BCBS Complete |
$238.40
|
| Rate for Payer: BCBS MAPPO |
$171.82
|
| Rate for Payer: BCN Medicare Advantage |
$171.82
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$247.42
|
| Rate for Payer: Cofinity Commercial |
$230.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.82
|
| Rate for Payer: Healthscope Commercial |
$274.91
|
| Rate for Payer: Healthscope Commercial |
$317.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$387.40
|
| Rate for Payer: Nomi Health Commercial |
$206.18
|
| Rate for Payer: PACE SWMI |
$171.82
|
| Rate for Payer: PHP Medicare Advantage |
$171.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health Medicare |
$171.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.82
|
| Rate for Payer: UHC Medicare Advantage |
$171.82
|
|
