|
PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR
|
Professional
|
Both
|
$514.00
|
|
|
Service Code
|
HCPCS 95961
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$44,762.00 |
| Rate for Payer: Aetna Commercial |
$403.13
|
| Rate for Payer: Aetna Medicare |
$312.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.21
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$300.84
|
| Rate for Payer: BCBS Trust/PPO |
$173.28
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$300.84
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cofinity Commercial |
$403.13
|
| Rate for Payer: Cofinity Commercial |
$433.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.84
|
| Rate for Payer: Healthscope Commercial |
$556.55
|
| Rate for Payer: Healthscope Commercial |
$481.34
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.88
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44,762.00
|
| Rate for Payer: Nomi Health Commercial |
$361.01
|
| Rate for Payer: PACE SWMI |
$300.84
|
| Rate for Payer: PHP Medicare Advantage |
$300.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$334.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$445.53
|
| Rate for Payer: Priority Health Medicare |
$300.84
|
| Rate for Payer: Priority Health Narrow Network |
$445.53
|
| Rate for Payer: Priority Health SBD |
$215.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$300.84
|
| Rate for Payer: UHC Exchange |
$246.36
|
| Rate for Payer: UHC Medicare Advantage |
$300.84
|
| Rate for Payer: UHCCP Medicaid |
$100.96
|
|
|
PR FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT
|
Professional
|
Both
|
$124.00
|
|
|
Service Code
|
HCPCS 92250
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$5,339.00 |
| Rate for Payer: Aetna Commercial |
$45.21
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.59
|
| Rate for Payer: BCBS Complete |
$13.64
|
| Rate for Payer: BCBS MAPPO |
$33.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,952.60
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$33.74
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cofinity Commercial |
$48.59
|
| Rate for Payer: Cofinity Commercial |
$45.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.74
|
| Rate for Payer: Healthscope Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$53.98
|
| Rate for Payer: Mclaren Medicaid |
$12.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.43
|
| Rate for Payer: Meridian Medicaid |
$13.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,339.00
|
| Rate for Payer: Nomi Health Commercial |
$40.49
|
| Rate for Payer: PACE SWMI |
$33.74
|
| Rate for Payer: PHP Medicare Advantage |
$33.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.09
|
| Rate for Payer: Priority Health Medicare |
$33.74
|
| Rate for Payer: Priority Health Narrow Network |
$46.09
|
| Rate for Payer: Priority Health SBD |
$25.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.74
|
| Rate for Payer: UHC Exchange |
$86.68
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
| Rate for Payer: UHCCP Medicaid |
$12.99
|
|
|
PR F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY
|
Professional
|
Both
|
$327.00
|
|
|
Service Code
|
HCPCS 93304
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$21,923.00 |
| Rate for Payer: Aetna Commercial |
$182.62
|
| Rate for Payer: Aetna Medicare |
$141.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.24
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$136.28
|
| Rate for Payer: BCBS Trust/PPO |
$799.32
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: BCN Medicare Advantage |
$136.28
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cofinity Commercial |
$196.24
|
| Rate for Payer: Cofinity Commercial |
$182.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.28
|
| Rate for Payer: Healthscope Commercial |
$252.12
|
| Rate for Payer: Healthscope Commercial |
$218.05
|
| Rate for Payer: Mclaren Medicaid |
$22.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.09
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,923.00
|
| Rate for Payer: Nomi Health Commercial |
$163.54
|
| Rate for Payer: PACE SWMI |
$136.28
|
| Rate for Payer: PHP Medicare Advantage |
$136.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.41
|
| Rate for Payer: Priority Health Medicare |
$136.28
|
| Rate for Payer: Priority Health Narrow Network |
$219.41
|
| Rate for Payer: Priority Health SBD |
$49.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$136.28
|
| Rate for Payer: UHC Exchange |
$142.27
|
| Rate for Payer: UHC Medicare Advantage |
$136.28
|
| Rate for Payer: UHCCP Medicaid |
$22.15
|
|
|
PR FUROSEMIDE INJECTION
|
Professional
|
Both
|
$4.00
|
|
|
Service Code
|
HCPCS J1940
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$58.00 |
| Rate for Payer: Aetna Commercial |
$0.59
|
| Rate for Payer: Aetna Medicare |
$2.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.59
|
| Rate for Payer: BCBS Complete |
$1.60
|
| Rate for Payer: BCBS Trust/PPO |
$0.13
|
| Rate for Payer: BCN Commercial |
$0.13
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.41
|
| Rate for Payer: UHC Exchange |
$0.41
|
|
|
PR GARAMYCIN GENTAMICIN INJ
|
Professional
|
Both
|
$4.00
|
|
|
Service Code
|
HCPCS J1580
|
| Min. Negotiated Rate |
$0.68 |
| Max. Negotiated Rate |
$292.00 |
| Rate for Payer: Aetna Commercial |
$3.50
|
| Rate for Payer: Aetna Medicare |
$2.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.77
|
| Rate for Payer: BCBS Complete |
$1.60
|
| Rate for Payer: BCBS MAPPO |
$2.62
|
| Rate for Payer: BCBS Trust/PPO |
$0.88
|
| Rate for Payer: BCN Commercial |
$0.68
|
| Rate for Payer: BCN Medicare Advantage |
$2.62
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cofinity Commercial |
$3.50
|
| Rate for Payer: Cofinity Commercial |
$3.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.62
|
| Rate for Payer: Healthscope Commercial |
$4.84
|
| Rate for Payer: Healthscope Commercial |
$4.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$292.00
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: PACE SWMI |
$2.62
|
| Rate for Payer: PHP Medicare Advantage |
$2.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.60
|
| Rate for Payer: Priority Health Medicare |
$2.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.62
|
| Rate for Payer: UHC Exchange |
$2.62
|
| Rate for Payer: UHC Medicare Advantage |
$2.62
|
|
|
PR GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V
|
Professional
|
Both
|
$123.00
|
|
|
Service Code
|
HCPCS 94727
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$6,155.00 |
| Rate for Payer: Aetna Commercial |
$54.54
|
| Rate for Payer: Aetna Medicare |
$42.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.61
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS MAPPO |
$40.70
|
| Rate for Payer: BCBS Trust/PPO |
$251.47
|
| Rate for Payer: BCN Commercial |
$63.53
|
| Rate for Payer: BCN Medicare Advantage |
$40.70
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$58.61
|
| Rate for Payer: Cofinity Commercial |
$54.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.70
|
| Rate for Payer: Healthscope Commercial |
$65.12
|
| Rate for Payer: Healthscope Commercial |
$75.30
|
| Rate for Payer: Mclaren Medicaid |
$7.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.74
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,155.00
|
| Rate for Payer: Nomi Health Commercial |
$48.84
|
| Rate for Payer: PACE SWMI |
$40.70
|
| Rate for Payer: PHP Medicare Advantage |
$40.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.62
|
| Rate for Payer: Priority Health Medicare |
$40.70
|
| Rate for Payer: Priority Health Narrow Network |
$60.62
|
| Rate for Payer: Priority Health SBD |
$15.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.70
|
| Rate for Payer: UHC Medicare Advantage |
$40.70
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
|
|
PR GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 43753
|
| Min. Negotiated Rate |
$13.63 |
| Max. Negotiated Rate |
$3,881.00 |
| Rate for Payer: Aetna Commercial |
$27.80
|
| Rate for Payer: Aetna Medicare |
$21.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.88
|
| Rate for Payer: BCBS Complete |
$14.31
|
| Rate for Payer: BCBS MAPPO |
$20.75
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$31.27
|
| Rate for Payer: BCN Medicare Advantage |
$20.75
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$29.88
|
| Rate for Payer: Cofinity Commercial |
$27.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.75
|
| Rate for Payer: Healthscope Commercial |
$33.20
|
| Rate for Payer: Healthscope Commercial |
$38.39
|
| Rate for Payer: Mclaren Medicaid |
$13.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.79
|
| Rate for Payer: Meridian Medicaid |
$14.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,881.00
|
| Rate for Payer: Nomi Health Commercial |
$24.90
|
| Rate for Payer: PACE SWMI |
$20.75
|
| Rate for Payer: PHP Medicare Advantage |
$20.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.17
|
| Rate for Payer: Priority Health Medicare |
$20.75
|
| Rate for Payer: Priority Health Narrow Network |
$38.17
|
| Rate for Payer: Priority Health SBD |
$38.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.75
|
| Rate for Payer: UHC Medicare Advantage |
$20.75
|
| Rate for Payer: UHCCP Medicaid |
$13.63
|
|
|
PR GASTROCNEMIUS RECESSION
|
Professional
|
Both
|
$1,518.00
|
|
|
Service Code
|
HCPCS 27687
|
| Min. Negotiated Rate |
$296.71 |
| Max. Negotiated Rate |
$80,136.00 |
| Rate for Payer: Aetna Commercial |
$585.22
|
| Rate for Payer: Aetna Medicare |
$454.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$585.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$628.89
|
| Rate for Payer: BCBS Complete |
$311.55
|
| Rate for Payer: BCBS MAPPO |
$436.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,402.71
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Medicare Advantage |
$436.73
|
| Rate for Payer: Cash Price |
$1,214.40
|
| Rate for Payer: Cash Price |
$1,214.40
|
| Rate for Payer: Cofinity Commercial |
$628.89
|
| Rate for Payer: Cofinity Commercial |
$585.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.73
|
| Rate for Payer: Healthscope Commercial |
$807.95
|
| Rate for Payer: Healthscope Commercial |
$698.77
|
| Rate for Payer: Mclaren Medicaid |
$296.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.57
|
| Rate for Payer: Meridian Medicaid |
$311.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80,136.00
|
| Rate for Payer: Nomi Health Commercial |
$524.08
|
| Rate for Payer: PACE SWMI |
$436.73
|
| Rate for Payer: PHP Medicare Advantage |
$436.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$986.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$702.74
|
| Rate for Payer: Priority Health Medicare |
$436.73
|
| Rate for Payer: Priority Health Narrow Network |
$702.74
|
| Rate for Payer: Priority Health SBD |
$702.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$622.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.73
|
| Rate for Payer: UHC Exchange |
$622.01
|
| Rate for Payer: UHC Medicare Advantage |
$436.73
|
| Rate for Payer: UHCCP Medicaid |
$296.71
|
|
|
PR GASTRODUODENOSTOMY
|
Professional
|
Both
|
$2,486.00
|
|
|
Service Code
|
HCPCS 43810
|
| Min. Negotiated Rate |
$486.56 |
| Max. Negotiated Rate |
$182,282.00 |
| Rate for Payer: Aetna Commercial |
$1,328.28
|
| Rate for Payer: Aetna Medicare |
$1,030.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,328.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,427.40
|
| Rate for Payer: BCBS Complete |
$687.73
|
| Rate for Payer: BCBS MAPPO |
$991.25
|
| Rate for Payer: BCBS Trust/PPO |
$486.56
|
| Rate for Payer: BCN Commercial |
$1,485.09
|
| Rate for Payer: BCN Medicare Advantage |
$991.25
|
| Rate for Payer: Cash Price |
$1,988.80
|
| Rate for Payer: Cash Price |
$1,988.80
|
| Rate for Payer: Cofinity Commercial |
$1,427.40
|
| Rate for Payer: Cofinity Commercial |
$1,328.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$991.25
|
| Rate for Payer: Healthscope Commercial |
$1,833.81
|
| Rate for Payer: Healthscope Commercial |
$1,586.00
|
| Rate for Payer: Mclaren Medicaid |
$654.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,040.81
|
| Rate for Payer: Meridian Medicaid |
$687.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182,282.00
|
| Rate for Payer: Nomi Health Commercial |
$1,189.50
|
| Rate for Payer: PACE SWMI |
$991.25
|
| Rate for Payer: PHP Medicare Advantage |
$991.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$654.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,615.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,823.20
|
| Rate for Payer: Priority Health Medicare |
$991.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,823.20
|
| Rate for Payer: Priority Health SBD |
$1,823.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$933.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$991.25
|
| Rate for Payer: UHC Exchange |
$933.80
|
| Rate for Payer: UHC Medicare Advantage |
$991.25
|
| Rate for Payer: UHCCP Medicaid |
$654.98
|
|
|
PR GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 91034
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$27,225.00 |
| Rate for Payer: Aetna Commercial |
$225.66
|
| Rate for Payer: Aetna Commercial |
$225.66
|
| Rate for Payer: Aetna Medicare |
$175.14
|
| Rate for Payer: Aetna Medicare |
$175.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.66
|
| Rate for Payer: BCBS Complete |
$32.43
|
| Rate for Payer: BCBS Complete |
$32.43
|
| Rate for Payer: BCBS MAPPO |
$168.40
|
| Rate for Payer: BCBS MAPPO |
$168.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,518.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,518.86
|
| Rate for Payer: BCN Commercial |
$281.97
|
| Rate for Payer: BCN Commercial |
$281.97
|
| Rate for Payer: BCN Medicare Advantage |
$168.40
|
| Rate for Payer: BCN Medicare Advantage |
$168.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$242.50
|
| Rate for Payer: Cofinity Commercial |
$225.66
|
| Rate for Payer: Cofinity Commercial |
$225.66
|
| Rate for Payer: Cofinity Commercial |
$242.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.40
|
| Rate for Payer: Healthscope Commercial |
$269.44
|
| Rate for Payer: Healthscope Commercial |
$311.54
|
| Rate for Payer: Healthscope Commercial |
$269.44
|
| Rate for Payer: Healthscope Commercial |
$311.54
|
| Rate for Payer: Mclaren Medicaid |
$30.89
|
| Rate for Payer: Mclaren Medicaid |
$30.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.82
|
| Rate for Payer: Meridian Medicaid |
$32.43
|
| Rate for Payer: Meridian Medicaid |
$32.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,225.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,225.00
|
| Rate for Payer: Nomi Health Commercial |
$202.08
|
| Rate for Payer: Nomi Health Commercial |
$202.08
|
| Rate for Payer: PACE SWMI |
$168.40
|
| Rate for Payer: PACE SWMI |
$168.40
|
| Rate for Payer: PHP Medicare Advantage |
$168.40
|
| Rate for Payer: PHP Medicare Advantage |
$168.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.63
|
| Rate for Payer: Priority Health Medicare |
$168.40
|
| Rate for Payer: Priority Health Medicare |
$168.40
|
| Rate for Payer: Priority Health Narrow Network |
$259.63
|
| Rate for Payer: Priority Health Narrow Network |
$259.63
|
| Rate for Payer: Priority Health SBD |
$66.04
|
| Rate for Payer: Priority Health SBD |
$66.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$241.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$241.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.40
|
| Rate for Payer: UHC Exchange |
$241.84
|
| Rate for Payer: UHC Exchange |
$241.84
|
| Rate for Payer: UHC Medicare Advantage |
$168.40
|
| Rate for Payer: UHC Medicare Advantage |
$168.40
|
| Rate for Payer: UHCCP Medicaid |
$30.89
|
| Rate for Payer: UHCCP Medicaid |
$30.89
|
|
|
PR GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 91037
|
| Min. Negotiated Rate |
$30.67 |
| Max. Negotiated Rate |
$23,874.00 |
| Rate for Payer: Aetna Commercial |
$199.89
|
| Rate for Payer: Aetna Commercial |
$199.89
|
| Rate for Payer: Aetna Medicare |
$155.14
|
| Rate for Payer: Aetna Medicare |
$155.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.89
|
| Rate for Payer: BCBS Complete |
$32.20
|
| Rate for Payer: BCBS Complete |
$32.20
|
| Rate for Payer: BCBS MAPPO |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$149.17
|
| Rate for Payer: BCBS Trust/PPO |
$963.09
|
| Rate for Payer: BCBS Trust/PPO |
$963.09
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$149.17
|
| Rate for Payer: BCN Medicare Advantage |
$149.17
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cofinity Commercial |
$214.80
|
| Rate for Payer: Cofinity Commercial |
$199.89
|
| Rate for Payer: Cofinity Commercial |
$199.89
|
| Rate for Payer: Cofinity Commercial |
$214.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.17
|
| Rate for Payer: Healthscope Commercial |
$238.67
|
| Rate for Payer: Healthscope Commercial |
$275.96
|
| Rate for Payer: Healthscope Commercial |
$238.67
|
| Rate for Payer: Healthscope Commercial |
$275.96
|
| Rate for Payer: Mclaren Medicaid |
$30.67
|
| Rate for Payer: Mclaren Medicaid |
$30.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.63
|
| Rate for Payer: Meridian Medicaid |
$32.20
|
| Rate for Payer: Meridian Medicaid |
$32.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,874.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,874.00
|
| Rate for Payer: Nomi Health Commercial |
$179.00
|
| Rate for Payer: Nomi Health Commercial |
$179.00
|
| Rate for Payer: PACE SWMI |
$149.17
|
| Rate for Payer: PACE SWMI |
$149.17
|
| Rate for Payer: PHP Medicare Advantage |
$149.17
|
| Rate for Payer: PHP Medicare Advantage |
$149.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$202.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.86
|
| Rate for Payer: Priority Health Medicare |
$149.17
|
| Rate for Payer: Priority Health Medicare |
$149.17
|
| Rate for Payer: Priority Health Narrow Network |
$228.86
|
| Rate for Payer: Priority Health Narrow Network |
$228.86
|
| Rate for Payer: Priority Health SBD |
$64.68
|
| Rate for Payer: Priority Health SBD |
$64.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.17
|
| Rate for Payer: UHC Exchange |
$155.63
|
| Rate for Payer: UHC Exchange |
$155.63
|
| Rate for Payer: UHC Medicare Advantage |
$149.17
|
| Rate for Payer: UHC Medicare Advantage |
$149.17
|
| Rate for Payer: UHCCP Medicaid |
$30.67
|
| Rate for Payer: UHCCP Medicaid |
$30.67
|
|
|
PR GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD
|
Professional
|
Both
|
$875.00
|
|
|
Service Code
|
HCPCS 91035
|
| Min. Negotiated Rate |
$51.12 |
| Max. Negotiated Rate |
$65,010.00 |
| Rate for Payer: Aetna Commercial |
$525.51
|
| Rate for Payer: Aetna Commercial |
$525.51
|
| Rate for Payer: Aetna Medicare |
$407.86
|
| Rate for Payer: Aetna Medicare |
$407.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$525.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$525.51
|
| Rate for Payer: BCBS Complete |
$53.68
|
| Rate for Payer: BCBS Complete |
$53.68
|
| Rate for Payer: BCBS MAPPO |
$392.17
|
| Rate for Payer: BCBS MAPPO |
$392.17
|
| Rate for Payer: BCBS Trust/PPO |
$976.30
|
| Rate for Payer: BCBS Trust/PPO |
$976.30
|
| Rate for Payer: BCN Commercial |
$677.30
|
| Rate for Payer: BCN Commercial |
$677.30
|
| Rate for Payer: BCN Medicare Advantage |
$392.17
|
| Rate for Payer: BCN Medicare Advantage |
$392.17
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cofinity Commercial |
$564.72
|
| Rate for Payer: Cofinity Commercial |
$525.51
|
| Rate for Payer: Cofinity Commercial |
$525.51
|
| Rate for Payer: Cofinity Commercial |
$564.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$392.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$392.17
|
| Rate for Payer: Healthscope Commercial |
$627.47
|
| Rate for Payer: Healthscope Commercial |
$725.51
|
| Rate for Payer: Healthscope Commercial |
$627.47
|
| Rate for Payer: Healthscope Commercial |
$725.51
|
| Rate for Payer: Mclaren Medicaid |
$51.12
|
| Rate for Payer: Mclaren Medicaid |
$51.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.78
|
| Rate for Payer: Meridian Medicaid |
$53.68
|
| Rate for Payer: Meridian Medicaid |
$53.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65,010.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65,010.00
|
| Rate for Payer: Nomi Health Commercial |
$470.60
|
| Rate for Payer: Nomi Health Commercial |
$470.60
|
| Rate for Payer: PACE SWMI |
$392.17
|
| Rate for Payer: PACE SWMI |
$392.17
|
| Rate for Payer: PHP Medicare Advantage |
$392.17
|
| Rate for Payer: PHP Medicare Advantage |
$392.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$568.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$616.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$616.95
|
| Rate for Payer: Priority Health Medicare |
$392.17
|
| Rate for Payer: Priority Health Medicare |
$392.17
|
| Rate for Payer: Priority Health Narrow Network |
$616.95
|
| Rate for Payer: Priority Health Narrow Network |
$616.95
|
| Rate for Payer: Priority Health SBD |
$108.11
|
| Rate for Payer: Priority Health SBD |
$108.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$474.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$474.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$392.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$392.17
|
| Rate for Payer: UHC Exchange |
$474.23
|
| Rate for Payer: UHC Exchange |
$474.23
|
| Rate for Payer: UHC Medicare Advantage |
$392.17
|
| Rate for Payer: UHC Medicare Advantage |
$392.17
|
| Rate for Payer: UHCCP Medicaid |
$51.12
|
| Rate for Payer: UHCCP Medicaid |
$51.12
|
|
|
PR GASTROJEJUNOSTOMY W/O VAGOTOMY
|
Professional
|
Both
|
$2,621.00
|
|
|
Service Code
|
HCPCS 43820
|
| Min. Negotiated Rate |
$864.78 |
| Max. Negotiated Rate |
$240,691.00 |
| Rate for Payer: Aetna Commercial |
$1,752.87
|
| Rate for Payer: Aetna Medicare |
$1,360.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,752.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,883.68
|
| Rate for Payer: BCBS Complete |
$908.02
|
| Rate for Payer: BCBS MAPPO |
$1,308.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,050.26
|
| Rate for Payer: BCN Commercial |
$1,961.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,308.11
|
| Rate for Payer: Cash Price |
$2,096.80
|
| Rate for Payer: Cash Price |
$2,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,883.68
|
| Rate for Payer: Cofinity Commercial |
$1,752.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,308.11
|
| Rate for Payer: Healthscope Commercial |
$2,420.00
|
| Rate for Payer: Healthscope Commercial |
$2,092.98
|
| Rate for Payer: Mclaren Medicaid |
$864.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,373.52
|
| Rate for Payer: Meridian Medicaid |
$908.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240,691.00
|
| Rate for Payer: Nomi Health Commercial |
$1,569.73
|
| Rate for Payer: PACE SWMI |
$1,308.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,308.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$864.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,703.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,409.05
|
| Rate for Payer: Priority Health Medicare |
$1,308.11
|
| Rate for Payer: Priority Health Narrow Network |
$2,409.05
|
| Rate for Payer: Priority Health SBD |
$2,409.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,090.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,308.11
|
| Rate for Payer: UHC Exchange |
$1,090.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,308.11
|
| Rate for Payer: UHCCP Medicaid |
$864.78
|
|
|
PR GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE
|
Professional
|
Both
|
$2,581.00
|
|
|
Service Code
|
HCPCS 43825
|
| Min. Negotiated Rate |
$669.36 |
| Max. Negotiated Rate |
$235,080.00 |
| Rate for Payer: Aetna Commercial |
$1,711.54
|
| Rate for Payer: Aetna Medicare |
$1,328.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,711.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,839.27
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCBS MAPPO |
$1,277.27
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$1,915.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,277.27
|
| Rate for Payer: Cash Price |
$2,064.80
|
| Rate for Payer: Cash Price |
$2,064.80
|
| Rate for Payer: Cofinity Commercial |
$1,839.27
|
| Rate for Payer: Cofinity Commercial |
$1,711.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,277.27
|
| Rate for Payer: Healthscope Commercial |
$2,362.95
|
| Rate for Payer: Healthscope Commercial |
$2,043.63
|
| Rate for Payer: Mclaren Medicaid |
$843.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,341.13
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235,080.00
|
| Rate for Payer: Nomi Health Commercial |
$1,532.72
|
| Rate for Payer: PACE SWMI |
$1,277.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,277.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,677.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,349.98
|
| Rate for Payer: Priority Health Medicare |
$1,277.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,349.98
|
| Rate for Payer: Priority Health SBD |
$2,349.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,296.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,277.27
|
| Rate for Payer: UHC Exchange |
$1,296.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,277.27
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
|
|
PR GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ
|
Professional
|
Both
|
$2,821.00
|
|
|
Service Code
|
HCPCS 43840
|
| Min. Negotiated Rate |
$75.56 |
| Max. Negotiated Rate |
$243,556.00 |
| Rate for Payer: Aetna Commercial |
$1,772.31
|
| Rate for Payer: Aetna Medicare |
$1,375.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,772.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,904.57
|
| Rate for Payer: BCBS Complete |
$917.86
|
| Rate for Payer: BCBS MAPPO |
$1,322.62
|
| Rate for Payer: BCBS Trust/PPO |
$75.56
|
| Rate for Payer: BCN Commercial |
$1,984.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,322.62
|
| Rate for Payer: Cash Price |
$2,256.80
|
| Rate for Payer: Cash Price |
$2,256.80
|
| Rate for Payer: Cofinity Commercial |
$1,904.57
|
| Rate for Payer: Cofinity Commercial |
$1,772.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,322.62
|
| Rate for Payer: Healthscope Commercial |
$2,446.85
|
| Rate for Payer: Healthscope Commercial |
$2,116.19
|
| Rate for Payer: Mclaren Medicaid |
$874.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,388.75
|
| Rate for Payer: Meridian Medicaid |
$917.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243,556.00
|
| Rate for Payer: Nomi Health Commercial |
$1,587.14
|
| Rate for Payer: PACE SWMI |
$1,322.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,322.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$874.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,833.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,434.10
|
| Rate for Payer: Priority Health Medicare |
$1,322.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,434.10
|
| Rate for Payer: Priority Health SBD |
$2,434.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,322.62
|
| Rate for Payer: UHC Exchange |
$1,014.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,322.62
|
| Rate for Payer: UHCCP Medicaid |
$874.15
|
|
|
PR GASTROSTOMY OPEN NEONATAL FOR FEEDING
|
Professional
|
Both
|
$2,132.00
|
|
|
Service Code
|
HCPCS 43831
|
| Min. Negotiated Rate |
$394.90 |
| Max. Negotiated Rate |
$108,608.00 |
| Rate for Payer: Aetna Commercial |
$789.25
|
| Rate for Payer: Aetna Medicare |
$612.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$789.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.15
|
| Rate for Payer: BCBS Complete |
$414.64
|
| Rate for Payer: BCBS MAPPO |
$588.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,286.41
|
| Rate for Payer: BCN Commercial |
$895.74
|
| Rate for Payer: BCN Medicare Advantage |
$588.99
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cofinity Commercial |
$848.15
|
| Rate for Payer: Cofinity Commercial |
$789.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$588.99
|
| Rate for Payer: Healthscope Commercial |
$942.38
|
| Rate for Payer: Healthscope Commercial |
$1,089.63
|
| Rate for Payer: Mclaren Medicaid |
$394.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$618.44
|
| Rate for Payer: Meridian Medicaid |
$414.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108,608.00
|
| Rate for Payer: Nomi Health Commercial |
$706.79
|
| Rate for Payer: PACE SWMI |
$588.99
|
| Rate for Payer: PHP Medicare Advantage |
$588.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,385.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,100.71
|
| Rate for Payer: Priority Health Medicare |
$588.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.71
|
| Rate for Payer: Priority Health SBD |
$1,100.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$578.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$588.99
|
| Rate for Payer: UHC Exchange |
$578.42
|
| Rate for Payer: UHC Medicare Advantage |
$588.99
|
| Rate for Payer: UHCCP Medicaid |
$394.90
|
|
|
PR GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE
|
Professional
|
Both
|
$2,934.00
|
|
|
Service Code
|
HCPCS 43832
|
| Min. Negotiated Rate |
$673.72 |
| Max. Negotiated Rate |
$186,827.00 |
| Rate for Payer: Aetna Commercial |
$1,364.23
|
| Rate for Payer: Aetna Medicare |
$1,058.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,466.04
|
| Rate for Payer: BCBS Complete |
$707.41
|
| Rate for Payer: BCBS MAPPO |
$1,018.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,303.84
|
| Rate for Payer: BCN Commercial |
$1,523.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.08
|
| Rate for Payer: Cash Price |
$2,347.20
|
| Rate for Payer: Cash Price |
$2,347.20
|
| Rate for Payer: Cofinity Commercial |
$1,466.04
|
| Rate for Payer: Cofinity Commercial |
$1,364.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.08
|
| Rate for Payer: Healthscope Commercial |
$1,883.45
|
| Rate for Payer: Healthscope Commercial |
$1,628.93
|
| Rate for Payer: Mclaren Medicaid |
$673.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.98
|
| Rate for Payer: Meridian Medicaid |
$707.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186,827.00
|
| Rate for Payer: Nomi Health Commercial |
$1,221.70
|
| Rate for Payer: PACE SWMI |
$1,018.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$673.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,907.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,876.88
|
| Rate for Payer: Priority Health Medicare |
$1,018.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,876.88
|
| Rate for Payer: Priority Health SBD |
$1,876.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,018.08
|
| Rate for Payer: UHC Exchange |
$1,029.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.08
|
| Rate for Payer: UHCCP Medicaid |
$673.72
|
|
|
PR GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX
|
Professional
|
Both
|
$2,132.00
|
|
|
Service Code
|
HCPCS 43830
|
| Min. Negotiated Rate |
$281.06 |
| Max. Negotiated Rate |
$125,665.00 |
| Rate for Payer: Aetna Commercial |
$912.51
|
| Rate for Payer: Aetna Medicare |
$708.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.61
|
| Rate for Payer: BCBS Complete |
$476.15
|
| Rate for Payer: BCBS MAPPO |
$680.98
|
| Rate for Payer: BCBS Trust/PPO |
$281.06
|
| Rate for Payer: BCN Commercial |
$1,030.14
|
| Rate for Payer: BCN Medicare Advantage |
$680.98
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cofinity Commercial |
$980.61
|
| Rate for Payer: Cofinity Commercial |
$912.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.98
|
| Rate for Payer: Healthscope Commercial |
$1,259.81
|
| Rate for Payer: Healthscope Commercial |
$1,089.57
|
| Rate for Payer: Mclaren Medicaid |
$453.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$715.03
|
| Rate for Payer: Meridian Medicaid |
$476.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125,665.00
|
| Rate for Payer: Nomi Health Commercial |
$817.18
|
| Rate for Payer: PACE SWMI |
$680.98
|
| Rate for Payer: PHP Medicare Advantage |
$680.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,385.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.18
|
| Rate for Payer: Priority Health Medicare |
$680.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,264.18
|
| Rate for Payer: Priority Health SBD |
$1,264.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$602.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$680.98
|
| Rate for Payer: UHC Exchange |
$602.77
|
| Rate for Payer: UHC Medicare Advantage |
$680.98
|
| Rate for Payer: UHCCP Medicaid |
$453.48
|
|
|
PR GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$2,256.00
|
|
|
Service Code
|
HCPCS 43500
|
| Min. Negotiated Rate |
$508.22 |
| Max. Negotiated Rate |
$140,150.00 |
| Rate for Payer: Aetna Commercial |
$1,027.26
|
| Rate for Payer: Aetna Medicare |
$797.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,027.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,103.92
|
| Rate for Payer: BCBS Complete |
$533.63
|
| Rate for Payer: BCBS MAPPO |
$766.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,939.39
|
| Rate for Payer: BCN Commercial |
$1,144.97
|
| Rate for Payer: BCN Medicare Advantage |
$766.61
|
| Rate for Payer: Cash Price |
$1,804.80
|
| Rate for Payer: Cash Price |
$1,804.80
|
| Rate for Payer: Cofinity Commercial |
$1,103.92
|
| Rate for Payer: Cofinity Commercial |
$1,027.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.61
|
| Rate for Payer: Healthscope Commercial |
$1,418.23
|
| Rate for Payer: Healthscope Commercial |
$1,226.58
|
| Rate for Payer: Mclaren Medicaid |
$508.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$804.94
|
| Rate for Payer: Meridian Medicaid |
$533.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140,150.00
|
| Rate for Payer: Nomi Health Commercial |
$919.93
|
| Rate for Payer: PACE SWMI |
$766.61
|
| Rate for Payer: PHP Medicare Advantage |
$766.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,466.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,412.74
|
| Rate for Payer: Priority Health Medicare |
$766.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,412.74
|
| Rate for Payer: Priority Health SBD |
$1,412.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$724.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.61
|
| Rate for Payer: UHC Exchange |
$724.07
|
| Rate for Payer: UHC Medicare Advantage |
$766.61
|
| Rate for Payer: UHCCP Medicaid |
$508.22
|
|
|
PR GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER
|
Professional
|
Both
|
$3,976.00
|
|
|
Service Code
|
HCPCS 43501
|
| Min. Negotiated Rate |
$864.57 |
| Max. Negotiated Rate |
$241,229.00 |
| Rate for Payer: Aetna Commercial |
$1,752.75
|
| Rate for Payer: Aetna Medicare |
$1,360.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,752.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,883.55
|
| Rate for Payer: BCBS Complete |
$907.80
|
| Rate for Payer: BCBS MAPPO |
$1,308.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,062.41
|
| Rate for Payer: BCN Commercial |
$1,964.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,308.02
|
| Rate for Payer: Cash Price |
$3,180.80
|
| Rate for Payer: Cash Price |
$3,180.80
|
| Rate for Payer: Cofinity Commercial |
$1,883.55
|
| Rate for Payer: Cofinity Commercial |
$1,752.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,308.02
|
| Rate for Payer: Healthscope Commercial |
$2,419.84
|
| Rate for Payer: Healthscope Commercial |
$2,092.83
|
| Rate for Payer: Mclaren Medicaid |
$864.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,373.42
|
| Rate for Payer: Meridian Medicaid |
$907.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$241,229.00
|
| Rate for Payer: Nomi Health Commercial |
$1,569.62
|
| Rate for Payer: PACE SWMI |
$1,308.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,308.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$864.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,584.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,420.98
|
| Rate for Payer: Priority Health Medicare |
$1,308.02
|
| Rate for Payer: Priority Health Narrow Network |
$2,420.98
|
| Rate for Payer: Priority Health SBD |
$2,420.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,255.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,308.02
|
| Rate for Payer: UHC Exchange |
$1,255.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,308.02
|
| Rate for Payer: UHCCP Medicaid |
$864.57
|
|
|
PR GEL-ONE
|
Professional
|
Both
|
$1,367.00
|
|
|
Service Code
|
HCPCS J7326
|
| Min. Negotiated Rate |
$506.67 |
| Max. Negotiated Rate |
$51,530.00 |
| Rate for Payer: Aetna Commercial |
$702.18
|
| Rate for Payer: Aetna Medicare |
$544.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$702.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$754.58
|
| Rate for Payer: BCBS Complete |
$546.80
|
| Rate for Payer: BCBS MAPPO |
$524.02
|
| Rate for Payer: BCBS Trust/PPO |
$506.67
|
| Rate for Payer: BCN Commercial |
$1,159.20
|
| Rate for Payer: BCN Medicare Advantage |
$524.02
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Cofinity Commercial |
$702.18
|
| Rate for Payer: Cofinity Commercial |
$754.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$524.02
|
| Rate for Payer: Healthscope Commercial |
$969.43
|
| Rate for Payer: Healthscope Commercial |
$838.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$550.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,530.00
|
| Rate for Payer: Nomi Health Commercial |
$628.82
|
| Rate for Payer: PACE SWMI |
$524.02
|
| Rate for Payer: PHP Medicare Advantage |
$524.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$888.55
|
| Rate for Payer: Priority Health Medicare |
$524.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$524.02
|
| Rate for Payer: UHC Exchange |
$557.96
|
| Rate for Payer: UHC Medicare Advantage |
$524.02
|
|
|
PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP
|
Professional
|
Both
|
$3,417.00
|
|
|
Service Code
|
HCPCS 91112
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$229,929.00 |
| Rate for Payer: Aetna Commercial |
$1,813.27
|
| Rate for Payer: Aetna Commercial |
$1,813.27
|
| Rate for Payer: Aetna Medicare |
$1,407.32
|
| Rate for Payer: Aetna Medicare |
$1,407.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,813.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,813.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,948.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,948.59
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$1,353.19
|
| Rate for Payer: BCBS MAPPO |
$1,353.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,077.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,077.20
|
| Rate for Payer: BCN Commercial |
$2,415.54
|
| Rate for Payer: BCN Commercial |
$2,415.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,353.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,353.19
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cash Price |
$2,733.60
|
| Rate for Payer: Cofinity Commercial |
$1,948.59
|
| Rate for Payer: Cofinity Commercial |
$1,813.27
|
| Rate for Payer: Cofinity Commercial |
$1,813.27
|
| Rate for Payer: Cofinity Commercial |
$1,948.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,353.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,353.19
|
| Rate for Payer: Healthscope Commercial |
$2,165.10
|
| Rate for Payer: Healthscope Commercial |
$2,503.40
|
| Rate for Payer: Healthscope Commercial |
$2,165.10
|
| Rate for Payer: Healthscope Commercial |
$2,503.40
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,420.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,420.85
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$229,929.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$229,929.00
|
| Rate for Payer: Nomi Health Commercial |
$1,623.83
|
| Rate for Payer: Nomi Health Commercial |
$1,623.83
|
| Rate for Payer: PACE SWMI |
$1,353.19
|
| Rate for Payer: PACE SWMI |
$1,353.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,353.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,353.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,221.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,183.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,183.32
|
| Rate for Payer: Priority Health Medicare |
$1,353.19
|
| Rate for Payer: Priority Health Medicare |
$1,353.19
|
| Rate for Payer: Priority Health Narrow Network |
$2,183.32
|
| Rate for Payer: Priority Health Narrow Network |
$2,183.32
|
| Rate for Payer: Priority Health SBD |
$140.22
|
| Rate for Payer: Priority Health SBD |
$140.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,353.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,353.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,353.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,353.19
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
|
|
PR GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R
|
Professional
|
Both
|
$1,618.00
|
|
|
Service Code
|
HCPCS 91110
|
| Min. Negotiated Rate |
$70.29 |
| Max. Negotiated Rate |
$104,484.00 |
| Rate for Payer: Aetna Commercial |
$834.31
|
| Rate for Payer: Aetna Medicare |
$647.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$834.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$896.57
|
| Rate for Payer: BCBS Complete |
$73.80
|
| Rate for Payer: BCBS MAPPO |
$622.62
|
| Rate for Payer: BCBS Trust/PPO |
$910.79
|
| Rate for Payer: BCN Commercial |
$1,091.21
|
| Rate for Payer: BCN Medicare Advantage |
$622.62
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cofinity Commercial |
$896.57
|
| Rate for Payer: Cofinity Commercial |
$834.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$622.62
|
| Rate for Payer: Healthscope Commercial |
$996.19
|
| Rate for Payer: Healthscope Commercial |
$1,151.85
|
| Rate for Payer: Mclaren Medicaid |
$70.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$653.75
|
| Rate for Payer: Meridian Medicaid |
$73.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,484.00
|
| Rate for Payer: Nomi Health Commercial |
$747.14
|
| Rate for Payer: PACE SWMI |
$622.62
|
| Rate for Payer: PHP Medicare Advantage |
$622.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$990.57
|
| Rate for Payer: Priority Health Medicare |
$622.62
|
| Rate for Payer: Priority Health Narrow Network |
$990.57
|
| Rate for Payer: Priority Health SBD |
$149.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,110.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$622.62
|
| Rate for Payer: UHC Exchange |
$1,110.15
|
| Rate for Payer: UHC Medicare Advantage |
$622.62
|
| Rate for Payer: UHCCP Medicaid |
$70.29
|
|
|
PR GLOSSECTOMY HEMIGLOSSECTOMY
|
Professional
|
Both
|
$2,388.00
|
|
|
Service Code
|
HCPCS 41130
|
| Min. Negotiated Rate |
$761.81 |
| Max. Negotiated Rate |
$229,567.00 |
| Rate for Payer: Aetna Commercial |
$1,634.44
|
| Rate for Payer: Aetna Medicare |
$1,268.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,634.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,756.41
|
| Rate for Payer: BCBS Complete |
$876.49
|
| Rate for Payer: BCBS MAPPO |
$1,219.73
|
| Rate for Payer: BCBS Trust/PPO |
$761.81
|
| Rate for Payer: BCN Commercial |
$1,923.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,219.73
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cofinity Commercial |
$1,756.41
|
| Rate for Payer: Cofinity Commercial |
$1,634.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,219.73
|
| Rate for Payer: Healthscope Commercial |
$2,256.50
|
| Rate for Payer: Healthscope Commercial |
$1,951.57
|
| Rate for Payer: Mclaren Medicaid |
$834.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,280.72
|
| Rate for Payer: Meridian Medicaid |
$876.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$229,567.00
|
| Rate for Payer: Nomi Health Commercial |
$1,463.68
|
| Rate for Payer: PACE SWMI |
$1,219.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,219.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$834.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,552.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,339.24
|
| Rate for Payer: Priority Health Medicare |
$1,219.73
|
| Rate for Payer: Priority Health Narrow Network |
$2,339.24
|
| Rate for Payer: Priority Health SBD |
$2,339.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$836.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,219.73
|
| Rate for Payer: UHC Exchange |
$836.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,219.73
|
| Rate for Payer: UHCCP Medicaid |
$834.75
|
|
|
PR GLOSSECTOMY <ONE-HALF TONGUE
|
Professional
|
Both
|
$1,900.00
|
|
|
Service Code
|
HCPCS 41120
|
| Min. Negotiated Rate |
$640.83 |
| Max. Negotiated Rate |
$184,743.00 |
| Rate for Payer: Aetna Commercial |
$1,311.81
|
| Rate for Payer: Aetna Medicare |
$1,018.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,311.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.70
|
| Rate for Payer: BCBS Complete |
$708.30
|
| Rate for Payer: BCBS MAPPO |
$978.96
|
| Rate for Payer: BCBS Trust/PPO |
$640.83
|
| Rate for Payer: BCN Commercial |
$1,557.41
|
| Rate for Payer: BCN Medicare Advantage |
$978.96
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cofinity Commercial |
$1,409.70
|
| Rate for Payer: Cofinity Commercial |
$1,311.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$978.96
|
| Rate for Payer: Healthscope Commercial |
$1,811.08
|
| Rate for Payer: Healthscope Commercial |
$1,566.34
|
| Rate for Payer: Mclaren Medicaid |
$674.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,027.91
|
| Rate for Payer: Meridian Medicaid |
$708.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184,743.00
|
| Rate for Payer: Nomi Health Commercial |
$1,174.75
|
| Rate for Payer: PACE SWMI |
$978.96
|
| Rate for Payer: PHP Medicare Advantage |
$978.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$674.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,235.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,891.20
|
| Rate for Payer: Priority Health Medicare |
$978.96
|
| Rate for Payer: Priority Health Narrow Network |
$1,891.20
|
| Rate for Payer: Priority Health SBD |
$1,891.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$747.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$978.96
|
| Rate for Payer: UHC Exchange |
$747.48
|
| Rate for Payer: UHC Medicare Advantage |
$978.96
|
| Rate for Payer: UHCCP Medicaid |
$674.57
|
|
