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Charge Type Setting Price  
Service Code HCPCS 00055
Hospital Revenue Code 990
Min. Negotiated Rate $20.40
Max. Negotiated Rate $33.15
Rate for Payer: Aetna Medicare $25.50
Rate for Payer: BCBS Complete $20.40
Rate for Payer: Cash Price $40.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $33.15
Rate for Payer: Priority Health Cigna Priority Health $33.15
Service Code HCPCS 00056
Hospital Revenue Code 990
Min. Negotiated Rate $51.20
Max. Negotiated Rate $83.20
Rate for Payer: Aetna Medicare $64.00
Rate for Payer: BCBS Complete $51.20
Rate for Payer: Cash Price $102.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial $83.20
Rate for Payer: Priority Health Cigna Priority Health $83.20
Service Code HCPCS 00061
Hospital Revenue Code 990
Min. Negotiated Rate $14.40
Max. Negotiated Rate $23.40
Rate for Payer: Aetna Medicare $18.00
Rate for Payer: BCBS Complete $14.40
Rate for Payer: Cash Price $28.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $23.40
Rate for Payer: Priority Health Cigna Priority Health $23.40
Service Code HCPCS 00057
Hospital Revenue Code 990
Min. Negotiated Rate $20.40
Max. Negotiated Rate $33.15
Rate for Payer: Aetna Medicare $25.50
Rate for Payer: BCBS Complete $20.40
Rate for Payer: Cash Price $40.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $33.15
Rate for Payer: Priority Health Cigna Priority Health $33.15
Service Code HCPCS 00058
Hospital Revenue Code 990
Min. Negotiated Rate $36.80
Max. Negotiated Rate $59.80
Rate for Payer: Aetna Medicare $46.00
Rate for Payer: BCBS Complete $36.80
Rate for Payer: Cash Price $73.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $59.80
Rate for Payer: Priority Health Cigna Priority Health $59.80
Service Code HCPCS 00059
Hospital Revenue Code 990
Min. Negotiated Rate $163.20
Max. Negotiated Rate $265.20
Rate for Payer: Aetna Medicare $204.00
Rate for Payer: BCBS Complete $163.20
Rate for Payer: Cash Price $326.40
Rate for Payer: Multiplan/Beech St/PHCS Commercial $265.20
Rate for Payer: Priority Health Cigna Priority Health $265.20
Service Code HCPCS 00053
Hospital Revenue Code 990
Min. Negotiated Rate $40.80
Max. Negotiated Rate $66.30
Rate for Payer: Aetna Medicare $51.00
Rate for Payer: BCBS Complete $40.80
Rate for Payer: Cash Price $81.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $66.30
Rate for Payer: Priority Health Cigna Priority Health $66.30
Service Code HCPCS 00062
Hospital Revenue Code 990
Min. Negotiated Rate $14.40
Max. Negotiated Rate $23.40
Rate for Payer: Aetna Medicare $18.00
Rate for Payer: BCBS Complete $14.40
Rate for Payer: Cash Price $28.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $23.40
Rate for Payer: Priority Health Cigna Priority Health $23.40
Service Code HCPCS 00063
Hospital Revenue Code 990
Min. Negotiated Rate $32.80
Max. Negotiated Rate $53.30
Rate for Payer: Aetna Medicare $41.00
Rate for Payer: BCBS Complete $32.80
Rate for Payer: Cash Price $65.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $53.30
Rate for Payer: Priority Health Cigna Priority Health $53.30
Service Code HCPCS 00064
Hospital Revenue Code 990
Min. Negotiated Rate $20.40
Max. Negotiated Rate $33.15
Rate for Payer: Aetna Medicare $25.50
Rate for Payer: BCBS Complete $20.40
Rate for Payer: Cash Price $40.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $33.15
Rate for Payer: Priority Health Cigna Priority Health $33.15
Service Code HCPCS 00065
Hospital Revenue Code 990
Min. Negotiated Rate $81.60
Max. Negotiated Rate $132.60
Rate for Payer: Aetna Medicare $102.00
Rate for Payer: BCBS Complete $81.60
Rate for Payer: Cash Price $163.20
Rate for Payer: Multiplan/Beech St/PHCS Commercial $132.60
Rate for Payer: Priority Health Cigna Priority Health $132.60
Service Code HCPCS 28291
Min. Negotiated Rate $456.65
Max. Negotiated Rate $955.50
Rate for Payer: Aetna Commercial $611.91
Rate for Payer: Aetna Medicare $474.92
Rate for Payer: Aetna New Business (MI Preferred) $657.58
Rate for Payer: Aetna New Business (MI Preferred) $611.91
Rate for Payer: BCBS Complete $588.00
Rate for Payer: BCBS MAPPO $456.65
Rate for Payer: BCN Medicare Advantage $456.65
Rate for Payer: Cash Price $1,176.00
Rate for Payer: Cash Price $1,176.00
Rate for Payer: Cofinity Commercial $657.58
Rate for Payer: Cofinity Commercial $611.91
Rate for Payer: Health Alliance Plan Medicare Advantage $456.65
Rate for Payer: Healthscope Commercial $844.80
Rate for Payer: Healthscope Commercial $730.64
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $479.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial $955.50
Rate for Payer: Nomi Health Commercial $547.98
Rate for Payer: PACE SWMI $456.65
Rate for Payer: PHP Medicare Advantage $456.65
Rate for Payer: Priority Health Cigna Priority Health $955.50
Rate for Payer: Priority Health Medicare $456.65
Rate for Payer: UHC Dual Complete DSNP $456.65
Rate for Payer: UHC Medicare Advantage $456.65
Service Code HCPCS 28289
Min. Negotiated Rate $442.81
Max. Negotiated Rate $819.20
Rate for Payer: Aetna Commercial $593.37
Rate for Payer: Aetna Medicare $460.52
Rate for Payer: Aetna New Business (MI Preferred) $637.65
Rate for Payer: Aetna New Business (MI Preferred) $593.37
Rate for Payer: BCBS Complete $494.40
Rate for Payer: BCBS MAPPO $442.81
Rate for Payer: BCN Medicare Advantage $442.81
Rate for Payer: Cash Price $988.80
Rate for Payer: Cash Price $988.80
Rate for Payer: Cofinity Commercial $637.65
Rate for Payer: Cofinity Commercial $593.37
Rate for Payer: Health Alliance Plan Medicare Advantage $442.81
Rate for Payer: Healthscope Commercial $708.50
Rate for Payer: Healthscope Commercial $819.20
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $464.95
Rate for Payer: Multiplan/Beech St/PHCS Commercial $803.40
Rate for Payer: Nomi Health Commercial $531.37
Rate for Payer: PACE SWMI $442.81
Rate for Payer: PHP Medicare Advantage $442.81
Rate for Payer: Priority Health Cigna Priority Health $803.40
Rate for Payer: Priority Health Medicare $442.81
Rate for Payer: UHC Dual Complete DSNP $442.81
Rate for Payer: UHC Medicare Advantage $442.81
Service Code HCPCS 00044
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00045
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00042
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00043
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00040
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00041
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00046
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS 00047
Hospital Revenue Code 990
Min. Negotiated Rate $2.80
Max. Negotiated Rate $4.55
Rate for Payer: Aetna Medicare $3.50
Rate for Payer: BCBS Complete $2.80
Rate for Payer: Cash Price $5.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial $4.55
Rate for Payer: Priority Health Cigna Priority Health $4.55
Service Code HCPCS A4614
Min. Negotiated Rate $20.40
Max. Negotiated Rate $61.48
Rate for Payer: Aetna Commercial $44.53
Rate for Payer: Aetna Medicare $34.56
Rate for Payer: Aetna New Business (MI Preferred) $44.53
Rate for Payer: Aetna New Business (MI Preferred) $47.85
Rate for Payer: BCBS Complete $20.40
Rate for Payer: BCBS MAPPO $33.23
Rate for Payer: BCN Medicare Advantage $33.23
Rate for Payer: Cash Price $40.80
Rate for Payer: Cash Price $40.80
Rate for Payer: Cofinity Commercial $44.53
Rate for Payer: Cofinity Commercial $47.85
Rate for Payer: Health Alliance Plan Medicare Advantage $33.23
Rate for Payer: Healthscope Commercial $53.17
Rate for Payer: Healthscope Commercial $61.48
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $34.89
Rate for Payer: Multiplan/Beech St/PHCS Commercial $33.15
Rate for Payer: Nomi Health Commercial $39.88
Rate for Payer: PACE SWMI $33.23
Rate for Payer: PHP Medicare Advantage $33.23
Rate for Payer: Priority Health Cigna Priority Health $33.15
Rate for Payer: Priority Health Medicare $33.23
Rate for Payer: UHC Dual Complete DSNP $33.23
Rate for Payer: UHC Medicare Advantage $33.23
Service Code HCPCS 99000
Min. Negotiated Rate $6.40
Max. Negotiated Rate $10.40
Rate for Payer: Aetna Medicare $8.00
Rate for Payer: BCBS Complete $6.40
Rate for Payer: Cash Price $12.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $10.40
Rate for Payer: Priority Health Cigna Priority Health $10.40
Service Code HCPCS 95832
Min. Negotiated Rate $34.40
Max. Negotiated Rate $55.90
Rate for Payer: Aetna Medicare $43.00
Rate for Payer: BCBS Complete $34.40
Rate for Payer: Cash Price $68.80
Rate for Payer: Multiplan/Beech St/PHCS Commercial $55.90
Rate for Payer: Priority Health Cigna Priority Health $55.90
Service Code HCPCS 35572
Min. Negotiated Rate $329.15
Max. Negotiated Rate $742.30
Rate for Payer: Aetna Commercial $441.06
Rate for Payer: Aetna Medicare $342.32
Rate for Payer: Aetna New Business (MI Preferred) $473.98
Rate for Payer: Aetna New Business (MI Preferred) $441.06
Rate for Payer: BCBS Complete $456.80
Rate for Payer: BCBS MAPPO $329.15
Rate for Payer: BCN Medicare Advantage $329.15
Rate for Payer: Cash Price $913.60
Rate for Payer: Cash Price $913.60
Rate for Payer: Cofinity Commercial $441.06
Rate for Payer: Cofinity Commercial $473.98
Rate for Payer: Health Alliance Plan Medicare Advantage $329.15
Rate for Payer: Healthscope Commercial $608.93
Rate for Payer: Healthscope Commercial $526.64
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage $345.61
Rate for Payer: Multiplan/Beech St/PHCS Commercial $742.30
Rate for Payer: Nomi Health Commercial $394.98
Rate for Payer: PACE SWMI $329.15
Rate for Payer: PHP Medicare Advantage $329.15
Rate for Payer: Priority Health Cigna Priority Health $742.30
Rate for Payer: Priority Health Medicare $329.15
Rate for Payer: UHC Dual Complete DSNP $329.15
Rate for Payer: UHC Medicare Advantage $329.15