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Charge Type Setting Price  
Service Code CPT 28080
Hospital Revenue Code 360
Min. Negotiated Rate $376.23
Max. Negotiated Rate $4,336.79
Rate for Payer: Aetna Medicare $1,487.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,787.60
Rate for Payer: Amish Plain Church Group Commercial $1,787.60
Rate for Payer: BCBS Complete $821.44
Rate for Payer: BCBS MAPPO $1,430.08
Rate for Payer: BCBS Trust/PPO $873.66
Rate for Payer: BCN Medicare Advantage $1,430.08
Rate for Payer: Health Alliance Plan Medicare Advantage $1,430.08
Rate for Payer: Mclaren Medicaid $782.25
Rate for Payer: Mclaren Medicare $1,430.08
Rate for Payer: Meridian Medicaid $821.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,501.58
Rate for Payer: MI Amish Medical Board Commercial $1,644.59
Rate for Payer: PACE Medicare $1,358.58
Rate for Payer: PACE SWMI $1,430.08
Rate for Payer: PHP Medicare Advantage $1,430.08
Rate for Payer: Priority Health Choice Medicaid $782.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,336.79
Rate for Payer: Priority Health Medicare $1,430.08
Rate for Payer: Priority Health Narrow Network $3,469.43
Rate for Payer: Railroad Medicare Medicare $1,430.08
Rate for Payer: UHC All Payor (Choice/PPO) $413.85
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $1,430.08
Rate for Payer: UHC Exchange $376.23
Rate for Payer: UHC Medicare Advantage $1,472.98
Rate for Payer: VA VA $1,430.08
Service Code CPT 42104
Hospital Revenue Code 360
Min. Negotiated Rate $113.26
Max. Negotiated Rate $8,517.99
Rate for Payer: Aetna Medicare $2,979.38
Rate for Payer: Allen County Amish Medical Aid Commercial $3,580.99
Rate for Payer: Amish Plain Church Group Commercial $3,580.99
Rate for Payer: BCBS Complete $1,645.54
Rate for Payer: BCBS MAPPO $2,864.79
Rate for Payer: BCBS Trust/PPO $113.26
Rate for Payer: BCN Medicare Advantage $2,864.79
Rate for Payer: Health Alliance Plan Medicare Advantage $2,864.79
Rate for Payer: Mclaren Medicaid $1,567.04
Rate for Payer: Mclaren Medicare $2,864.79
Rate for Payer: Meridian Medicaid $1,645.54
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,008.03
Rate for Payer: MI Amish Medical Board Commercial $3,294.51
Rate for Payer: PACE Medicare $2,721.55
Rate for Payer: PACE SWMI $2,864.79
Rate for Payer: PHP Medicare Advantage $2,864.79
Rate for Payer: Priority Health Choice Medicaid $1,567.04
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,517.99
Rate for Payer: Priority Health Medicare $2,864.79
Rate for Payer: Priority Health Narrow Network $6,814.39
Rate for Payer: Railroad Medicare Medicare $2,864.79
Rate for Payer: UHC All Payor (Choice/PPO) $146.96
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $2,864.79
Rate for Payer: UHC Exchange $133.60
Rate for Payer: UHC Medicare Advantage $2,950.73
Rate for Payer: VA VA $2,864.79
Service Code CPT 11641
Hospital Revenue Code 360
Min. Negotiated Rate $112.74
Max. Negotiated Rate $1,937.58
Rate for Payer: Aetna Medicare $651.08
Rate for Payer: Allen County Amish Medical Aid Commercial $782.55
Rate for Payer: Amish Plain Church Group Commercial $782.55
Rate for Payer: BCBS Complete $359.60
Rate for Payer: BCBS MAPPO $626.04
Rate for Payer: BCBS Trust/PPO $112.74
Rate for Payer: BCN Medicare Advantage $626.04
Rate for Payer: Health Alliance Plan Medicare Advantage $626.04
Rate for Payer: Mclaren Medicaid $342.44
Rate for Payer: Mclaren Medicare $626.04
Rate for Payer: Meridian Medicaid $359.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $657.34
Rate for Payer: MI Amish Medical Board Commercial $719.95
Rate for Payer: PACE Medicare $594.74
Rate for Payer: PACE SWMI $626.04
Rate for Payer: PHP Medicare Advantage $626.04
Rate for Payer: Priority Health Choice Medicaid $342.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,937.58
Rate for Payer: Priority Health Medicare $626.04
Rate for Payer: Priority Health Narrow Network $1,550.06
Rate for Payer: Railroad Medicare Medicare $626.04
Rate for Payer: UHC All Payor (Choice/PPO) $167.85
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $626.04
Rate for Payer: UHC Exchange $152.59
Rate for Payer: UHC Medicare Advantage $644.82
Rate for Payer: VA VA $626.04
Service Code CPT 11642
Hospital Revenue Code 360
Min. Negotiated Rate $178.46
Max. Negotiated Rate $1,937.58
Rate for Payer: Aetna Medicare $651.08
Rate for Payer: Allen County Amish Medical Aid Commercial $782.55
Rate for Payer: Amish Plain Church Group Commercial $782.55
Rate for Payer: BCBS Complete $359.60
Rate for Payer: BCBS MAPPO $626.04
Rate for Payer: BCBS Trust/PPO $405.67
Rate for Payer: BCN Medicare Advantage $626.04
Rate for Payer: Health Alliance Plan Medicare Advantage $626.04
Rate for Payer: Mclaren Medicaid $342.44
Rate for Payer: Mclaren Medicare $626.04
Rate for Payer: Meridian Medicaid $359.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $657.34
Rate for Payer: MI Amish Medical Board Commercial $719.95
Rate for Payer: PACE Medicare $594.74
Rate for Payer: PACE SWMI $626.04
Rate for Payer: PHP Medicare Advantage $626.04
Rate for Payer: Priority Health Choice Medicaid $342.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,937.58
Rate for Payer: Priority Health Medicare $626.04
Rate for Payer: Priority Health Narrow Network $1,550.06
Rate for Payer: Railroad Medicare Medicare $626.04
Rate for Payer: UHC All Payor (Choice/PPO) $196.31
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $626.04
Rate for Payer: UHC Exchange $178.46
Rate for Payer: UHC Medicare Advantage $644.82
Rate for Payer: VA VA $626.04
Service Code CPT 11620
Hospital Revenue Code 360
Min. Negotiated Rate $95.80
Max. Negotiated Rate $4,536.73
Rate for Payer: Aetna Medicare $1,500.31
Rate for Payer: Allen County Amish Medical Aid Commercial $1,803.26
Rate for Payer: Amish Plain Church Group Commercial $1,803.26
Rate for Payer: BCBS Complete $828.64
Rate for Payer: BCBS MAPPO $1,442.61
Rate for Payer: BCBS Trust/PPO $95.80
Rate for Payer: BCN Medicare Advantage $1,442.61
Rate for Payer: Health Alliance Plan Medicare Advantage $1,442.61
Rate for Payer: Mclaren Medicaid $789.11
Rate for Payer: Mclaren Medicare $1,442.61
Rate for Payer: Meridian Medicaid $828.64
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,514.74
Rate for Payer: MI Amish Medical Board Commercial $1,659.00
Rate for Payer: PACE Medicare $1,370.48
Rate for Payer: PACE SWMI $1,442.61
Rate for Payer: PHP Medicare Advantage $1,442.61
Rate for Payer: Priority Health Choice Medicaid $789.11
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,536.73
Rate for Payer: Priority Health Medicare $1,442.61
Rate for Payer: Priority Health Narrow Network $3,629.38
Rate for Payer: Railroad Medicare Medicare $1,442.61
Rate for Payer: UHC All Payor (Choice/PPO) $133.63
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $1,442.61
Rate for Payer: UHC Exchange $121.48
Rate for Payer: UHC Medicare Advantage $1,485.89
Rate for Payer: VA VA $1,442.61
Service Code CPT 11622
Hospital Revenue Code 360
Min. Negotiated Rate $119.37
Max. Negotiated Rate $1,937.58
Rate for Payer: Aetna Medicare $651.08
Rate for Payer: Allen County Amish Medical Aid Commercial $782.55
Rate for Payer: Amish Plain Church Group Commercial $782.55
Rate for Payer: BCBS Complete $359.60
Rate for Payer: BCBS MAPPO $626.04
Rate for Payer: BCBS Trust/PPO $119.37
Rate for Payer: BCN Medicare Advantage $626.04
Rate for Payer: Health Alliance Plan Medicare Advantage $626.04
Rate for Payer: Mclaren Medicaid $342.44
Rate for Payer: Mclaren Medicare $626.04
Rate for Payer: Meridian Medicaid $359.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $657.34
Rate for Payer: MI Amish Medical Board Commercial $719.95
Rate for Payer: PACE Medicare $594.74
Rate for Payer: PACE SWMI $626.04
Rate for Payer: PHP Medicare Advantage $626.04
Rate for Payer: Priority Health Choice Medicaid $342.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,937.58
Rate for Payer: Priority Health Medicare $626.04
Rate for Payer: Priority Health Narrow Network $1,550.06
Rate for Payer: Railroad Medicare Medicare $626.04
Rate for Payer: UHC All Payor (Choice/PPO) $182.61
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $626.04
Rate for Payer: UHC Exchange $166.01
Rate for Payer: UHC Medicare Advantage $644.82
Rate for Payer: VA VA $626.04
Service Code CPT 11623
Hospital Revenue Code 360
Min. Negotiated Rate $131.00
Max. Negotiated Rate $4,536.73
Rate for Payer: Aetna Medicare $1,500.31
Rate for Payer: Allen County Amish Medical Aid Commercial $1,803.26
Rate for Payer: Amish Plain Church Group Commercial $1,803.26
Rate for Payer: BCBS Complete $828.64
Rate for Payer: BCBS MAPPO $1,442.61
Rate for Payer: BCBS Trust/PPO $131.00
Rate for Payer: BCN Medicare Advantage $1,442.61
Rate for Payer: Health Alliance Plan Medicare Advantage $1,442.61
Rate for Payer: Mclaren Medicaid $789.11
Rate for Payer: Mclaren Medicare $1,442.61
Rate for Payer: Meridian Medicaid $828.64
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,514.74
Rate for Payer: MI Amish Medical Board Commercial $1,659.00
Rate for Payer: PACE Medicare $1,370.48
Rate for Payer: PACE SWMI $1,442.61
Rate for Payer: PHP Medicare Advantage $1,442.61
Rate for Payer: Priority Health Choice Medicaid $789.11
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,536.73
Rate for Payer: Priority Health Medicare $1,442.61
Rate for Payer: Priority Health Narrow Network $3,629.38
Rate for Payer: Railroad Medicare Medicare $1,442.61
Rate for Payer: UHC All Payor (Choice/PPO) $225.12
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $1,442.61
Rate for Payer: UHC Exchange $204.65
Rate for Payer: UHC Medicare Advantage $1,485.89
Rate for Payer: VA VA $1,442.61
Service Code CPT 11624
Hospital Revenue Code 360
Min. Negotiated Rate $232.81
Max. Negotiated Rate $4,536.73
Rate for Payer: Aetna Medicare $1,500.31
Rate for Payer: Allen County Amish Medical Aid Commercial $1,803.26
Rate for Payer: Amish Plain Church Group Commercial $1,803.26
Rate for Payer: BCBS Complete $828.64
Rate for Payer: BCBS MAPPO $1,442.61
Rate for Payer: BCBS Trust/PPO $617.50
Rate for Payer: BCN Medicare Advantage $1,442.61
Rate for Payer: Health Alliance Plan Medicare Advantage $1,442.61
Rate for Payer: Mclaren Medicaid $789.11
Rate for Payer: Mclaren Medicare $1,442.61
Rate for Payer: Meridian Medicaid $828.64
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,514.74
Rate for Payer: MI Amish Medical Board Commercial $1,659.00
Rate for Payer: PACE Medicare $1,370.48
Rate for Payer: PACE SWMI $1,442.61
Rate for Payer: PHP Medicare Advantage $1,442.61
Rate for Payer: Priority Health Choice Medicaid $789.11
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,536.73
Rate for Payer: Priority Health Medicare $1,442.61
Rate for Payer: Priority Health Narrow Network $3,629.38
Rate for Payer: Railroad Medicare Medicare $1,442.61
Rate for Payer: UHC All Payor (Choice/PPO) $256.09
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $1,442.61
Rate for Payer: UHC Exchange $232.81
Rate for Payer: UHC Medicare Advantage $1,485.89
Rate for Payer: VA VA $1,442.61
Service Code CPT 11626
Hospital Revenue Code 360
Min. Negotiated Rate $284.55
Max. Negotiated Rate $7,382.58
Rate for Payer: Aetna Medicare $2,629.47
Rate for Payer: Allen County Amish Medical Aid Commercial $3,160.42
Rate for Payer: Amish Plain Church Group Commercial $3,160.42
Rate for Payer: BCBS Complete $1,452.28
Rate for Payer: BCBS MAPPO $2,528.34
Rate for Payer: BCBS Trust/PPO $895.36
Rate for Payer: BCN Medicare Advantage $2,528.34
Rate for Payer: Health Alliance Plan Medicare Advantage $2,528.34
Rate for Payer: Mclaren Medicaid $1,383.00
Rate for Payer: Mclaren Medicare $2,528.34
Rate for Payer: Meridian Medicaid $1,452.28
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,654.76
Rate for Payer: MI Amish Medical Board Commercial $2,907.59
Rate for Payer: PACE Medicare $2,401.92
Rate for Payer: PACE SWMI $2,528.34
Rate for Payer: PHP Medicare Advantage $2,528.34
Rate for Payer: Priority Health Choice Medicaid $1,383.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $7,382.58
Rate for Payer: Priority Health Medicare $2,528.34
Rate for Payer: Priority Health Narrow Network $5,906.06
Rate for Payer: Railroad Medicare Medicare $2,528.34
Rate for Payer: UHC All Payor (Choice/PPO) $313.00
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $2,528.34
Rate for Payer: UHC Exchange $284.55
Rate for Payer: UHC Medicare Advantage $2,604.19
Rate for Payer: VA VA $2,528.34
Service Code CPT 11604
Hospital Revenue Code 360
Min. Negotiated Rate $207.93
Max. Negotiated Rate $1,937.58
Rate for Payer: Aetna Medicare $651.08
Rate for Payer: Allen County Amish Medical Aid Commercial $782.55
Rate for Payer: Amish Plain Church Group Commercial $782.55
Rate for Payer: BCBS Complete $359.60
Rate for Payer: BCBS MAPPO $626.04
Rate for Payer: BCBS Trust/PPO $642.39
Rate for Payer: BCN Medicare Advantage $626.04
Rate for Payer: Health Alliance Plan Medicare Advantage $626.04
Rate for Payer: Mclaren Medicaid $342.44
Rate for Payer: Mclaren Medicare $626.04
Rate for Payer: Meridian Medicaid $359.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $657.34
Rate for Payer: MI Amish Medical Board Commercial $719.95
Rate for Payer: PACE Medicare $594.74
Rate for Payer: PACE SWMI $626.04
Rate for Payer: PHP Medicare Advantage $626.04
Rate for Payer: Priority Health Choice Medicaid $342.44
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,937.58
Rate for Payer: Priority Health Medicare $626.04
Rate for Payer: Priority Health Narrow Network $1,550.06
Rate for Payer: Railroad Medicare Medicare $626.04
Rate for Payer: UHC All Payor (Choice/PPO) $228.72
Rate for Payer: UHC Core $1,463.00
Rate for Payer: UHC Dual Complete DSNP $626.04
Rate for Payer: UHC Exchange $207.93
Rate for Payer: UHC Medicare Advantage $644.82
Rate for Payer: VA VA $626.04
Service Code CPT 11606
Hospital Revenue Code 360
Min. Negotiated Rate $309.76
Max. Negotiated Rate $4,536.73
Rate for Payer: Aetna Medicare $1,500.31
Rate for Payer: Allen County Amish Medical Aid Commercial $1,803.26
Rate for Payer: Amish Plain Church Group Commercial $1,803.26
Rate for Payer: BCBS Complete $828.64
Rate for Payer: BCBS MAPPO $1,442.61
Rate for Payer: BCBS Trust/PPO $1,315.30
Rate for Payer: BCN Medicare Advantage $1,442.61
Rate for Payer: Health Alliance Plan Medicare Advantage $1,442.61
Rate for Payer: Mclaren Medicaid $789.11
Rate for Payer: Mclaren Medicare $1,442.61
Rate for Payer: Meridian Medicaid $828.64
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,514.74
Rate for Payer: MI Amish Medical Board Commercial $1,659.00
Rate for Payer: PACE Medicare $1,370.48
Rate for Payer: PACE SWMI $1,442.61
Rate for Payer: PHP Medicare Advantage $1,442.61
Rate for Payer: Priority Health Choice Medicaid $789.11
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,536.73
Rate for Payer: Priority Health Medicare $1,442.61
Rate for Payer: Priority Health Narrow Network $3,629.38
Rate for Payer: Railroad Medicare Medicare $1,442.61
Rate for Payer: UHC All Payor (Choice/PPO) $340.74
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $1,442.61
Rate for Payer: UHC Exchange $309.76
Rate for Payer: UHC Medicare Advantage $1,485.89
Rate for Payer: VA VA $1,442.61
Service Code CPT 56740
Hospital Revenue Code 360
Min. Negotiated Rate $311.72
Max. Negotiated Rate $4,155.00
Rate for Payer: Aetna Medicare $2,893.08
Rate for Payer: Allen County Amish Medical Aid Commercial $3,477.26
Rate for Payer: Amish Plain Church Group Commercial $3,477.26
Rate for Payer: BCBS Complete $1,597.87
Rate for Payer: BCBS MAPPO $2,781.81
Rate for Payer: BCBS Trust/PPO $1,679.74
Rate for Payer: BCN Medicare Advantage $2,781.81
Rate for Payer: Health Alliance Plan Medicare Advantage $2,781.81
Rate for Payer: Mclaren Medicaid $1,521.65
Rate for Payer: Mclaren Medicare $2,781.81
Rate for Payer: Meridian Medicaid $1,597.87
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,920.90
Rate for Payer: MI Amish Medical Board Commercial $3,199.08
Rate for Payer: PACE Medicare $2,642.72
Rate for Payer: PACE SWMI $2,781.81
Rate for Payer: PHP Medicare Advantage $2,781.81
Rate for Payer: Priority Health Choice Medicaid $1,521.65
Rate for Payer: Priority Health Medicare $2,781.81
Rate for Payer: Railroad Medicare Medicare $2,781.81
Rate for Payer: UHC All Payor (Choice/PPO) $342.89
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $2,781.81
Rate for Payer: UHC Exchange $311.72
Rate for Payer: UHC Medicare Advantage $2,865.26
Rate for Payer: VA VA $2,781.81
Service Code CPT 19126
Hospital Revenue Code 360
Min. Negotiated Rate $156.19
Max. Negotiated Rate $878.00
Rate for Payer: BCBS Trust/PPO $329.54
Rate for Payer: BCCCP Commercial $177.01
Rate for Payer: UHC All Payor (Choice/PPO) $171.81
Rate for Payer: UHC Core $878.00
Rate for Payer: UHC Exchange $156.19
Service Code CPT 19125
Hospital Revenue Code 360
Min. Negotiated Rate $458.42
Max. Negotiated Rate $10,308.37
Rate for Payer: Aetna Medicare $3,527.33
Rate for Payer: Allen County Amish Medical Aid Commercial $4,239.58
Rate for Payer: Amish Plain Church Group Commercial $4,239.58
Rate for Payer: BCBS Complete $1,948.17
Rate for Payer: BCBS MAPPO $3,391.66
Rate for Payer: BCBS Trust/PPO $1,512.30
Rate for Payer: BCCCP Commercial $618.15
Rate for Payer: BCN Medicare Advantage $3,391.66
Rate for Payer: Health Alliance Plan Medicare Advantage $3,391.66
Rate for Payer: Mclaren Medicaid $1,855.24
Rate for Payer: Mclaren Medicare $3,391.66
Rate for Payer: Meridian Medicaid $1,948.17
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,561.24
Rate for Payer: MI Amish Medical Board Commercial $3,900.41
Rate for Payer: PACE Medicare $3,222.08
Rate for Payer: PACE SWMI $3,391.66
Rate for Payer: PHP Medicare Advantage $3,391.66
Rate for Payer: Priority Health Choice Medicaid $1,855.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $10,308.37
Rate for Payer: Priority Health Medicare $3,391.66
Rate for Payer: Priority Health Narrow Network $8,246.70
Rate for Payer: Railroad Medicare Medicare $3,391.66
Rate for Payer: UHC All Payor (Choice/PPO) $504.26
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $3,391.66
Rate for Payer: UHC Exchange $458.42
Rate for Payer: UHC Medicare Advantage $3,493.41
Rate for Payer: VA VA $3,391.66
Service Code CPT 19120
Hospital Revenue Code 360
Min. Negotiated Rate $414.54
Max. Negotiated Rate $10,308.37
Rate for Payer: Aetna Medicare $3,527.33
Rate for Payer: Allen County Amish Medical Aid Commercial $4,239.58
Rate for Payer: Amish Plain Church Group Commercial $4,239.58
Rate for Payer: BCBS Complete $1,948.17
Rate for Payer: BCBS MAPPO $3,391.66
Rate for Payer: BCBS Trust/PPO $1,553.65
Rate for Payer: BCCCP Commercial $559.44
Rate for Payer: BCN Medicare Advantage $3,391.66
Rate for Payer: Health Alliance Plan Medicare Advantage $3,391.66
Rate for Payer: Mclaren Medicaid $1,855.24
Rate for Payer: Mclaren Medicare $3,391.66
Rate for Payer: Meridian Medicaid $1,948.17
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,561.24
Rate for Payer: MI Amish Medical Board Commercial $3,900.41
Rate for Payer: PACE Medicare $3,222.08
Rate for Payer: PACE SWMI $3,391.66
Rate for Payer: PHP Medicare Advantage $3,391.66
Rate for Payer: Priority Health Choice Medicaid $1,855.24
Rate for Payer: Priority Health HMO/PPO/Tiered Network $10,308.37
Rate for Payer: Priority Health Medicare $3,391.66
Rate for Payer: Priority Health Narrow Network $8,246.70
Rate for Payer: Railroad Medicare Medicare $3,391.66
Rate for Payer: UHC All Payor (Choice/PPO) $455.99
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $3,391.66
Rate for Payer: UHC Exchange $414.54
Rate for Payer: UHC Medicare Advantage $3,493.41
Rate for Payer: VA VA $3,391.66
Service Code CPT 54512
Hospital Revenue Code 360
Min. Negotiated Rate $528.16
Max. Negotiated Rate $9,610.69
Rate for Payer: Aetna Medicare $3,226.04
Rate for Payer: Allen County Amish Medical Aid Commercial $3,877.45
Rate for Payer: Amish Plain Church Group Commercial $3,877.45
Rate for Payer: BCBS Complete $1,781.77
Rate for Payer: BCBS MAPPO $3,101.96
Rate for Payer: BCBS Trust/PPO $979.54
Rate for Payer: BCN Medicare Advantage $3,101.96
Rate for Payer: Health Alliance Plan Medicare Advantage $3,101.96
Rate for Payer: Mclaren Medicaid $1,696.77
Rate for Payer: Mclaren Medicare $3,101.96
Rate for Payer: Meridian Medicaid $1,781.77
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,257.06
Rate for Payer: MI Amish Medical Board Commercial $3,567.25
Rate for Payer: PACE Medicare $2,946.86
Rate for Payer: PACE SWMI $3,101.96
Rate for Payer: PHP Medicare Advantage $3,101.96
Rate for Payer: Priority Health Choice Medicaid $1,696.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $9,610.69
Rate for Payer: Priority Health Medicare $3,101.96
Rate for Payer: Priority Health Narrow Network $7,688.55
Rate for Payer: Railroad Medicare Medicare $3,101.96
Rate for Payer: UHC All Payor (Choice/PPO) $580.98
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $3,101.96
Rate for Payer: UHC Exchange $528.16
Rate for Payer: UHC Medicare Advantage $3,195.02
Rate for Payer: VA VA $3,101.96
Service Code CPT 40819
Hospital Revenue Code 360
Min. Negotiated Rate $196.79
Max. Negotiated Rate $3,138.00
Rate for Payer: Aetna Medicare $1,411.25
Rate for Payer: Allen County Amish Medical Aid Commercial $1,696.21
Rate for Payer: Amish Plain Church Group Commercial $1,696.21
Rate for Payer: BCBS Complete $779.44
Rate for Payer: BCBS MAPPO $1,356.97
Rate for Payer: BCBS Trust/PPO $764.80
Rate for Payer: BCN Medicare Advantage $1,356.97
Rate for Payer: Health Alliance Plan Medicare Advantage $1,356.97
Rate for Payer: Mclaren Medicaid $742.26
Rate for Payer: Mclaren Medicare $1,356.97
Rate for Payer: Meridian Medicaid $779.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,424.82
Rate for Payer: MI Amish Medical Board Commercial $1,560.52
Rate for Payer: PACE Medicare $1,289.12
Rate for Payer: PACE SWMI $1,356.97
Rate for Payer: PHP Medicare Advantage $1,356.97
Rate for Payer: Priority Health Choice Medicaid $742.26
Rate for Payer: Priority Health Medicare $1,356.97
Rate for Payer: Railroad Medicare Medicare $1,356.97
Rate for Payer: UHC All Payor (Choice/PPO) $216.47
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $1,356.97
Rate for Payer: UHC Exchange $196.79
Rate for Payer: UHC Medicare Advantage $1,397.68
Rate for Payer: VA VA $1,356.97
Service Code CPT 25111
Hospital Revenue Code 360
Min. Negotiated Rate $328.75
Max. Negotiated Rate $4,336.79
Rate for Payer: Aetna Medicare $1,487.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,787.60
Rate for Payer: Amish Plain Church Group Commercial $1,787.60
Rate for Payer: BCBS Complete $821.44
Rate for Payer: BCBS MAPPO $1,430.08
Rate for Payer: BCBS Trust/PPO $1,257.31
Rate for Payer: BCN Medicare Advantage $1,430.08
Rate for Payer: Health Alliance Plan Medicare Advantage $1,430.08
Rate for Payer: Mclaren Medicaid $782.25
Rate for Payer: Mclaren Medicare $1,430.08
Rate for Payer: Meridian Medicaid $821.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,501.58
Rate for Payer: MI Amish Medical Board Commercial $1,644.59
Rate for Payer: PACE Medicare $1,358.58
Rate for Payer: PACE SWMI $1,430.08
Rate for Payer: PHP Medicare Advantage $1,430.08
Rate for Payer: Priority Health Choice Medicaid $782.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,336.79
Rate for Payer: Priority Health Medicare $1,430.08
Rate for Payer: Priority Health Narrow Network $3,469.43
Rate for Payer: Railroad Medicare Medicare $1,430.08
Rate for Payer: UHC All Payor (Choice/PPO) $361.62
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $1,430.08
Rate for Payer: UHC Exchange $328.75
Rate for Payer: UHC Medicare Advantage $1,472.98
Rate for Payer: VA VA $1,430.08
Service Code CPT 55040
Hospital Revenue Code 360
Min. Negotiated Rate $334.32
Max. Negotiated Rate $9,906.28
Rate for Payer: Aetna Medicare $3,201.53
Rate for Payer: Allen County Amish Medical Aid Commercial $3,847.99
Rate for Payer: Amish Plain Church Group Commercial $3,847.99
Rate for Payer: BCBS Complete $1,768.23
Rate for Payer: BCBS MAPPO $3,078.39
Rate for Payer: BCBS Trust/PPO $1,741.15
Rate for Payer: BCN Medicare Advantage $3,078.39
Rate for Payer: Health Alliance Plan Medicare Advantage $3,078.39
Rate for Payer: Mclaren Medicaid $1,683.88
Rate for Payer: Mclaren Medicare $3,078.39
Rate for Payer: Meridian Medicaid $1,768.23
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,232.31
Rate for Payer: MI Amish Medical Board Commercial $3,540.15
Rate for Payer: PACE Medicare $2,924.47
Rate for Payer: PACE SWMI $3,078.39
Rate for Payer: PHP Medicare Advantage $3,078.39
Rate for Payer: Priority Health Choice Medicaid $1,683.88
Rate for Payer: Priority Health HMO/PPO/Tiered Network $9,906.28
Rate for Payer: Priority Health Medicare $3,078.39
Rate for Payer: Priority Health Narrow Network $7,925.02
Rate for Payer: Railroad Medicare Medicare $3,078.39
Rate for Payer: UHC All Payor (Choice/PPO) $367.75
Rate for Payer: UHC Core $5,427.00
Rate for Payer: UHC Dual Complete DSNP $3,078.39
Rate for Payer: UHC Exchange $334.32
Rate for Payer: UHC Medicare Advantage $3,170.74
Rate for Payer: VA VA $3,078.39
Service Code CPT 35903
Hospital Revenue Code 360
Min. Negotiated Rate $544.86
Max. Negotiated Rate $8,913.25
Rate for Payer: Aetna Medicare $2,949.65
Rate for Payer: Allen County Amish Medical Aid Commercial $3,545.25
Rate for Payer: Amish Plain Church Group Commercial $3,545.25
Rate for Payer: BCBS Complete $1,629.11
Rate for Payer: BCBS MAPPO $2,836.20
Rate for Payer: BCBS Trust/PPO $1,228.77
Rate for Payer: BCN Medicare Advantage $2,836.20
Rate for Payer: Health Alliance Plan Medicare Advantage $2,836.20
Rate for Payer: Mclaren Medicaid $1,551.40
Rate for Payer: Mclaren Medicare $2,836.20
Rate for Payer: Meridian Medicaid $1,629.11
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,978.01
Rate for Payer: MI Amish Medical Board Commercial $3,261.63
Rate for Payer: PACE Medicare $2,694.39
Rate for Payer: PACE SWMI $2,836.20
Rate for Payer: PHP Medicare Advantage $2,836.20
Rate for Payer: Priority Health Choice Medicaid $1,551.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,913.25
Rate for Payer: Priority Health Medicare $2,836.20
Rate for Payer: Priority Health Narrow Network $7,130.60
Rate for Payer: Railroad Medicare Medicare $2,836.20
Rate for Payer: UHC All Payor (Choice/PPO) $599.35
Rate for Payer: UHC Core $5,427.00
Rate for Payer: UHC Dual Complete DSNP $2,836.20
Rate for Payer: UHC Exchange $544.86
Rate for Payer: UHC Medicare Advantage $2,921.29
Rate for Payer: VA VA $2,836.20
Service Code CPT 55520
Hospital Revenue Code 360
Min. Negotiated Rate $454.49
Max. Negotiated Rate $9,573.02
Rate for Payer: Aetna Medicare $3,226.04
Rate for Payer: Allen County Amish Medical Aid Commercial $3,877.45
Rate for Payer: Amish Plain Church Group Commercial $3,877.45
Rate for Payer: BCBS Complete $1,781.77
Rate for Payer: BCBS MAPPO $3,101.96
Rate for Payer: BCBS Trust/PPO $1,025.05
Rate for Payer: BCN Medicare Advantage $3,101.96
Rate for Payer: Health Alliance Plan Medicare Advantage $3,101.96
Rate for Payer: Mclaren Medicaid $1,696.77
Rate for Payer: Mclaren Medicare $3,101.96
Rate for Payer: Meridian Medicaid $1,781.77
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,257.06
Rate for Payer: MI Amish Medical Board Commercial $3,567.25
Rate for Payer: PACE Medicare $2,946.86
Rate for Payer: PACE SWMI $3,101.96
Rate for Payer: PHP Medicare Advantage $3,101.96
Rate for Payer: Priority Health Choice Medicaid $1,696.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $9,573.02
Rate for Payer: Priority Health Medicare $3,101.96
Rate for Payer: Priority Health Narrow Network $7,658.42
Rate for Payer: Railroad Medicare Medicare $3,101.96
Rate for Payer: UHC All Payor (Choice/PPO) $499.94
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $3,101.96
Rate for Payer: UHC Exchange $454.49
Rate for Payer: UHC Medicare Advantage $3,195.02
Rate for Payer: VA VA $3,101.96
Service Code CPT 27630
Hospital Revenue Code 360
Min. Negotiated Rate $356.26
Max. Negotiated Rate $8,925.64
Rate for Payer: Aetna Medicare $2,995.31
Rate for Payer: Allen County Amish Medical Aid Commercial $3,600.14
Rate for Payer: Amish Plain Church Group Commercial $3,600.14
Rate for Payer: BCBS Complete $1,654.34
Rate for Payer: BCBS MAPPO $2,880.11
Rate for Payer: BCBS Trust/PPO $1,058.03
Rate for Payer: BCN Medicare Advantage $2,880.11
Rate for Payer: Health Alliance Plan Medicare Advantage $2,880.11
Rate for Payer: Mclaren Medicaid $1,575.42
Rate for Payer: Mclaren Medicare $2,880.11
Rate for Payer: Meridian Medicaid $1,654.34
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,024.12
Rate for Payer: MI Amish Medical Board Commercial $3,312.13
Rate for Payer: PACE Medicare $2,736.10
Rate for Payer: PACE SWMI $2,880.11
Rate for Payer: PHP Medicare Advantage $2,880.11
Rate for Payer: Priority Health Choice Medicaid $1,575.42
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,925.64
Rate for Payer: Priority Health Medicare $2,880.11
Rate for Payer: Priority Health Narrow Network $7,140.51
Rate for Payer: Railroad Medicare Medicare $2,880.11
Rate for Payer: UHC All Payor (Choice/PPO) $391.89
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $2,880.11
Rate for Payer: UHC Exchange $356.26
Rate for Payer: UHC Medicare Advantage $2,966.51
Rate for Payer: VA VA $2,880.11
Service Code CPT 26160
Hospital Revenue Code 360
Min. Negotiated Rate $318.93
Max. Negotiated Rate $4,301.45
Rate for Payer: Aetna Medicare $1,487.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,787.60
Rate for Payer: Amish Plain Church Group Commercial $1,787.60
Rate for Payer: BCBS Complete $821.44
Rate for Payer: BCBS MAPPO $1,430.08
Rate for Payer: BCBS Trust/PPO $968.49
Rate for Payer: BCN Medicare Advantage $1,430.08
Rate for Payer: Health Alliance Plan Medicare Advantage $1,430.08
Rate for Payer: Mclaren Medicaid $782.25
Rate for Payer: Mclaren Medicare $1,430.08
Rate for Payer: Meridian Medicaid $821.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,501.58
Rate for Payer: MI Amish Medical Board Commercial $1,644.59
Rate for Payer: PACE Medicare $1,358.58
Rate for Payer: PACE SWMI $1,430.08
Rate for Payer: PHP Medicare Advantage $1,430.08
Rate for Payer: Priority Health Choice Medicaid $782.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,301.45
Rate for Payer: Priority Health Medicare $1,430.08
Rate for Payer: Priority Health Narrow Network $3,441.16
Rate for Payer: Railroad Medicare Medicare $1,430.08
Rate for Payer: UHC All Payor (Choice/PPO) $350.82
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $1,430.08
Rate for Payer: UHC Exchange $318.93
Rate for Payer: UHC Medicare Advantage $1,472.98
Rate for Payer: VA VA $1,430.08
Service Code CPT 41112
Hospital Revenue Code 360
Min. Negotiated Rate $240.01
Max. Negotiated Rate $8,517.99
Rate for Payer: Aetna Medicare $2,979.38
Rate for Payer: Allen County Amish Medical Aid Commercial $3,580.99
Rate for Payer: Amish Plain Church Group Commercial $3,580.99
Rate for Payer: BCBS Complete $1,645.54
Rate for Payer: BCBS MAPPO $2,864.79
Rate for Payer: BCBS Trust/PPO $2,055.27
Rate for Payer: BCN Medicare Advantage $2,864.79
Rate for Payer: Health Alliance Plan Medicare Advantage $2,864.79
Rate for Payer: Mclaren Medicaid $1,567.04
Rate for Payer: Mclaren Medicare $2,864.79
Rate for Payer: Meridian Medicaid $1,645.54
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,008.03
Rate for Payer: MI Amish Medical Board Commercial $3,294.51
Rate for Payer: PACE Medicare $2,721.55
Rate for Payer: PACE SWMI $2,864.79
Rate for Payer: PHP Medicare Advantage $2,864.79
Rate for Payer: Priority Health Choice Medicaid $1,567.04
Rate for Payer: Priority Health HMO/PPO/Tiered Network $8,517.99
Rate for Payer: Priority Health Medicare $2,864.79
Rate for Payer: Priority Health Narrow Network $6,814.39
Rate for Payer: Railroad Medicare Medicare $2,864.79
Rate for Payer: UHC All Payor (Choice/PPO) $264.01
Rate for Payer: UHC Core $3,138.00
Rate for Payer: UHC Dual Complete DSNP $2,864.79
Rate for Payer: UHC Exchange $240.01
Rate for Payer: UHC Medicare Advantage $2,950.73
Rate for Payer: VA VA $2,864.79
Service Code CPT 28090
Hospital Revenue Code 360
Min. Negotiated Rate $306.49
Max. Negotiated Rate $4,336.79
Rate for Payer: Aetna Medicare $1,487.28
Rate for Payer: Allen County Amish Medical Aid Commercial $1,787.60
Rate for Payer: Amish Plain Church Group Commercial $1,787.60
Rate for Payer: BCBS Complete $821.44
Rate for Payer: BCBS MAPPO $1,430.08
Rate for Payer: BCBS Trust/PPO $1,058.03
Rate for Payer: BCN Medicare Advantage $1,430.08
Rate for Payer: Health Alliance Plan Medicare Advantage $1,430.08
Rate for Payer: Mclaren Medicaid $782.25
Rate for Payer: Mclaren Medicare $1,430.08
Rate for Payer: Meridian Medicaid $821.44
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,501.58
Rate for Payer: MI Amish Medical Board Commercial $1,644.59
Rate for Payer: PACE Medicare $1,358.58
Rate for Payer: PACE SWMI $1,430.08
Rate for Payer: PHP Medicare Advantage $1,430.08
Rate for Payer: Priority Health Choice Medicaid $782.25
Rate for Payer: Priority Health HMO/PPO/Tiered Network $4,336.79
Rate for Payer: Priority Health Medicare $1,430.08
Rate for Payer: Priority Health Narrow Network $3,469.43
Rate for Payer: Railroad Medicare Medicare $1,430.08
Rate for Payer: UHC All Payor (Choice/PPO) $337.14
Rate for Payer: UHC Core $4,155.00
Rate for Payer: UHC Dual Complete DSNP $1,430.08
Rate for Payer: UHC Exchange $306.49
Rate for Payer: UHC Medicare Advantage $1,472.98
Rate for Payer: VA VA $1,430.08