|
PR INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS
|
Professional
|
Both
|
$744.00
|
|
|
Service Code
|
HCPCS 33221
|
| Min. Negotiated Rate |
$225.35 |
| Max. Negotiated Rate |
$63,355.00 |
| Rate for Payer: Aetna Commercial |
$453.48
|
| Rate for Payer: Aetna Medicare |
$351.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.32
|
| Rate for Payer: BCBS Complete |
$236.62
|
| Rate for Payer: BCBS MAPPO |
$338.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,089.35
|
| Rate for Payer: BCN Commercial |
$519.95
|
| Rate for Payer: BCN Medicare Advantage |
$338.42
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cofinity Commercial |
$487.32
|
| Rate for Payer: Cofinity Commercial |
$453.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338.42
|
| Rate for Payer: Healthscope Commercial |
$541.47
|
| Rate for Payer: Healthscope Commercial |
$626.08
|
| Rate for Payer: Mclaren Medicaid |
$225.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$355.34
|
| Rate for Payer: Meridian Medicaid |
$236.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63,355.00
|
| Rate for Payer: Nomi Health Commercial |
$406.10
|
| Rate for Payer: PACE SWMI |
$338.42
|
| Rate for Payer: PHP Medicare Advantage |
$338.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$483.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.61
|
| Rate for Payer: Priority Health Medicare |
$338.42
|
| Rate for Payer: Priority Health Narrow Network |
$561.61
|
| Rate for Payer: Priority Health SBD |
$561.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$338.42
|
| Rate for Payer: UHC Medicare Advantage |
$338.42
|
| Rate for Payer: UHCCP Medicaid |
$225.35
|
|
|
PR INS PM PLS GEN W/EXIST SINGLE LEAD
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 33212
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$56,702.00 |
| Rate for Payer: Aetna Commercial |
$412.25
|
| Rate for Payer: Aetna Medicare |
$319.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$412.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$443.02
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$307.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,488.75
|
| Rate for Payer: BCN Commercial |
$464.73
|
| Rate for Payer: BCN Medicare Advantage |
$307.65
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$443.02
|
| Rate for Payer: Cofinity Commercial |
$412.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.65
|
| Rate for Payer: Healthscope Commercial |
$569.15
|
| Rate for Payer: Healthscope Commercial |
$492.24
|
| Rate for Payer: Mclaren Medicaid |
$204.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.03
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,702.00
|
| Rate for Payer: Nomi Health Commercial |
$369.18
|
| Rate for Payer: PACE SWMI |
$307.65
|
| Rate for Payer: PHP Medicare Advantage |
$307.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$507.90
|
| Rate for Payer: Priority Health Medicare |
$307.65
|
| Rate for Payer: Priority Health Narrow Network |
$507.90
|
| Rate for Payer: Priority Health SBD |
$507.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$580.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.65
|
| Rate for Payer: UHC Exchange |
$580.94
|
| Rate for Payer: UHC Medicare Advantage |
$307.65
|
| Rate for Payer: UHCCP Medicaid |
$204.91
|
|
|
PR INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 33270
|
| Min. Negotiated Rate |
$352.73 |
| Max. Negotiated Rate |
$99,317.00 |
| Rate for Payer: Aetna Commercial |
$712.29
|
| Rate for Payer: Aetna Medicare |
$552.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.45
|
| Rate for Payer: BCBS Complete |
$370.37
|
| Rate for Payer: BCBS MAPPO |
$531.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,575.39
|
| Rate for Payer: BCN Commercial |
$812.18
|
| Rate for Payer: BCN Medicare Advantage |
$531.56
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cofinity Commercial |
$765.45
|
| Rate for Payer: Cofinity Commercial |
$712.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.56
|
| Rate for Payer: Healthscope Commercial |
$850.50
|
| Rate for Payer: Healthscope Commercial |
$983.39
|
| Rate for Payer: Mclaren Medicaid |
$352.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.14
|
| Rate for Payer: Meridian Medicaid |
$370.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99,317.00
|
| Rate for Payer: Nomi Health Commercial |
$637.87
|
| Rate for Payer: PACE SWMI |
$531.56
|
| Rate for Payer: PHP Medicare Advantage |
$531.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$877.50
|
| Rate for Payer: Priority Health Medicare |
$531.56
|
| Rate for Payer: Priority Health Narrow Network |
$877.50
|
| Rate for Payer: Priority Health SBD |
$877.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.56
|
| Rate for Payer: UHC Medicare Advantage |
$531.56
|
| Rate for Payer: UHCCP Medicaid |
$352.73
|
|
|
PR INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ&CONN
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 64590
|
| Min. Negotiated Rate |
$188.93 |
| Max. Negotiated Rate |
$28,300.00 |
| Rate for Payer: Aetna Commercial |
$377.99
|
| Rate for Payer: Aetna Medicare |
$293.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.20
|
| Rate for Payer: BCBS Complete |
$198.38
|
| Rate for Payer: BCBS MAPPO |
$282.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,604.98
|
| Rate for Payer: BCN Commercial |
$384.59
|
| Rate for Payer: BCN Medicare Advantage |
$282.08
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$406.20
|
| Rate for Payer: Cofinity Commercial |
$377.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.08
|
| Rate for Payer: Healthscope Commercial |
$521.85
|
| Rate for Payer: Healthscope Commercial |
$451.33
|
| Rate for Payer: Mclaren Medicaid |
$188.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.18
|
| Rate for Payer: Meridian Medicaid |
$198.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,300.00
|
| Rate for Payer: Nomi Health Commercial |
$338.50
|
| Rate for Payer: PACE SWMI |
$282.08
|
| Rate for Payer: PHP Medicare Advantage |
$282.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$502.18
|
| Rate for Payer: Priority Health Medicare |
$282.08
|
| Rate for Payer: Priority Health Narrow Network |
$502.18
|
| Rate for Payer: Priority Health SBD |
$502.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$401.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.08
|
| Rate for Payer: UHC Exchange |
$401.32
|
| Rate for Payer: UHC Medicare Advantage |
$282.08
|
| Rate for Payer: UHCCP Medicaid |
$188.93
|
|
|
PR INSRT CH WALL RESPIR ELTRD/RA & CONJ PULSE GEN
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 0466T
|
| Min. Negotiated Rate |
$194.00 |
| Max. Negotiated Rate |
$315.25 |
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: BCBS Complete |
$194.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
|
|
PR INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 32562
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$10,649.00 |
| Rate for Payer: Aetna Commercial |
$76.15
|
| Rate for Payer: Aetna Medicare |
$59.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.84
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$56.83
|
| Rate for Payer: BCBS Trust/PPO |
$724.30
|
| Rate for Payer: BCN Commercial |
$122.17
|
| Rate for Payer: BCN Medicare Advantage |
$56.83
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cofinity Commercial |
$81.84
|
| Rate for Payer: Cofinity Commercial |
$76.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.83
|
| Rate for Payer: Healthscope Commercial |
$105.14
|
| Rate for Payer: Healthscope Commercial |
$90.93
|
| Rate for Payer: Mclaren Medicaid |
$37.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.67
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,649.00
|
| Rate for Payer: Nomi Health Commercial |
$68.20
|
| Rate for Payer: PACE SWMI |
$56.83
|
| Rate for Payer: PHP Medicare Advantage |
$56.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.04
|
| Rate for Payer: Priority Health Medicare |
$56.83
|
| Rate for Payer: Priority Health Narrow Network |
$82.04
|
| Rate for Payer: Priority Health SBD |
$82.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.83
|
| Rate for Payer: UHC Medicare Advantage |
$56.83
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
|
|
PR INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 32560
|
| Min. Negotiated Rate |
$47.71 |
| Max. Negotiated Rate |
$13,459.00 |
| Rate for Payer: Aetna Commercial |
$97.00
|
| Rate for Payer: Aetna Medicare |
$75.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.00
|
| Rate for Payer: BCBS Complete |
$50.10
|
| Rate for Payer: BCBS MAPPO |
$72.39
|
| Rate for Payer: BCBS Trust/PPO |
$722.19
|
| Rate for Payer: BCN Commercial |
$373.84
|
| Rate for Payer: BCN Medicare Advantage |
$72.39
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$97.00
|
| Rate for Payer: Cofinity Commercial |
$104.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.39
|
| Rate for Payer: Healthscope Commercial |
$115.82
|
| Rate for Payer: Healthscope Commercial |
$133.92
|
| Rate for Payer: Mclaren Medicaid |
$47.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.01
|
| Rate for Payer: Meridian Medicaid |
$50.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,459.00
|
| Rate for Payer: Nomi Health Commercial |
$86.87
|
| Rate for Payer: PACE SWMI |
$72.39
|
| Rate for Payer: PHP Medicare Advantage |
$72.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.81
|
| Rate for Payer: Priority Health Medicare |
$72.39
|
| Rate for Payer: Priority Health Narrow Network |
$103.81
|
| Rate for Payer: Priority Health SBD |
$103.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.39
|
| Rate for Payer: UHC Medicare Advantage |
$72.39
|
| Rate for Payer: UHCCP Medicaid |
$47.71
|
|
|
PR INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 32561
|
| Min. Negotiated Rate |
$42.39 |
| Max. Negotiated Rate |
$11,984.00 |
| Rate for Payer: Aetna Commercial |
$85.76
|
| Rate for Payer: Aetna Medicare |
$66.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.16
|
| Rate for Payer: BCBS Complete |
$44.51
|
| Rate for Payer: BCBS MAPPO |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$892.83
|
| Rate for Payer: BCN Commercial |
$136.83
|
| Rate for Payer: BCN Medicare Advantage |
$64.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$92.16
|
| Rate for Payer: Cofinity Commercial |
$85.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.00
|
| Rate for Payer: Healthscope Commercial |
$102.40
|
| Rate for Payer: Healthscope Commercial |
$118.40
|
| Rate for Payer: Mclaren Medicaid |
$42.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.20
|
| Rate for Payer: Meridian Medicaid |
$44.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,984.00
|
| Rate for Payer: Nomi Health Commercial |
$76.80
|
| Rate for Payer: PACE SWMI |
$64.00
|
| Rate for Payer: PHP Medicare Advantage |
$64.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.77
|
| Rate for Payer: Priority Health Medicare |
$64.00
|
| Rate for Payer: Priority Health Narrow Network |
$91.77
|
| Rate for Payer: Priority Health SBD |
$91.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.00
|
| Rate for Payer: UHC Medicare Advantage |
$64.00
|
| Rate for Payer: UHCCP Medicaid |
$42.39
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 99177
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$657.00 |
| Rate for Payer: Aetna Commercial |
$4.57
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.57
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCN Commercial |
$6.85
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$657.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.78
|
| Rate for Payer: Priority Health Narrow Network |
$6.78
|
| Rate for Payer: Priority Health SBD |
$6.78
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 99174
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$842.00 |
| Rate for Payer: Aetna Commercial |
$5.72
|
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.72
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS Trust/PPO |
$544.15
|
| Rate for Payer: BCN Commercial |
$8.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$842.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.59
|
| Rate for Payer: Priority Health Narrow Network |
$8.59
|
| Rate for Payer: Priority Health SBD |
$8.59
|
|
|
PR INSULIN INJECTION
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS J1815
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$31.00 |
| Rate for Payer: Aetna Commercial |
$0.30
|
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.30
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Trust/PPO |
$0.05
|
| Rate for Payer: BCN Commercial |
$0.05
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT DIRECT
|
Professional
|
Both
|
$1,966.00
|
|
|
Service Code
|
HCPCS 48520
|
| Min. Negotiated Rate |
$260.45 |
| Max. Negotiated Rate |
$197,307.00 |
| Rate for Payer: Aetna Commercial |
$1,432.93
|
| Rate for Payer: Aetna Medicare |
$1,112.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,432.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,539.86
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,069.35
|
| Rate for Payer: BCBS Trust/PPO |
$260.45
|
| Rate for Payer: BCN Commercial |
$1,608.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,069.35
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cofinity Commercial |
$1,539.86
|
| Rate for Payer: Cofinity Commercial |
$1,432.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,069.35
|
| Rate for Payer: Healthscope Commercial |
$1,978.30
|
| Rate for Payer: Healthscope Commercial |
$1,710.96
|
| Rate for Payer: Mclaren Medicaid |
$706.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,122.82
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197,307.00
|
| Rate for Payer: Nomi Health Commercial |
$1,283.22
|
| Rate for Payer: PACE SWMI |
$1,069.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,069.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,277.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,970.56
|
| Rate for Payer: Priority Health Medicare |
$1,069.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,970.56
|
| Rate for Payer: Priority Health SBD |
$1,970.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,172.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,069.35
|
| Rate for Payer: UHC Exchange |
$1,172.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,069.35
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y
|
Professional
|
Both
|
$2,887.00
|
|
|
Service Code
|
HCPCS 48540
|
| Min. Negotiated Rate |
$502.41 |
| Max. Negotiated Rate |
$234,450.00 |
| Rate for Payer: Aetna Commercial |
$1,704.52
|
| Rate for Payer: Aetna Medicare |
$1,322.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,831.72
|
| Rate for Payer: BCBS Complete |
$881.40
|
| Rate for Payer: BCBS MAPPO |
$1,272.03
|
| Rate for Payer: BCBS Trust/PPO |
$502.41
|
| Rate for Payer: BCN Commercial |
$1,908.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.03
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cofinity Commercial |
$1,831.72
|
| Rate for Payer: Cofinity Commercial |
$1,704.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.03
|
| Rate for Payer: Healthscope Commercial |
$2,353.26
|
| Rate for Payer: Healthscope Commercial |
$2,035.25
|
| Rate for Payer: Mclaren Medicaid |
$839.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.63
|
| Rate for Payer: Meridian Medicaid |
$881.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234,450.00
|
| Rate for Payer: Nomi Health Commercial |
$1,526.44
|
| Rate for Payer: PACE SWMI |
$1,272.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,876.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,338.65
|
| Rate for Payer: Priority Health Medicare |
$1,272.03
|
| Rate for Payer: Priority Health Narrow Network |
$2,338.65
|
| Rate for Payer: Priority Health SBD |
$2,338.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,511.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,272.03
|
| Rate for Payer: UHC Exchange |
$1,511.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.03
|
| Rate for Payer: UHCCP Medicaid |
$839.43
|
|
|
PR INTENSIVE OUTPATIENT PSYCHIA
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS S9480
|
| Min. Negotiated Rate |
$52.00 |
| Max. Negotiated Rate |
$820.98 |
| Rate for Payer: Aetna Commercial |
$63.28
|
| Rate for Payer: Aetna Medicare |
$65.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.28
|
| Rate for Payer: BCBS Complete |
$52.00
|
| Rate for Payer: BCBS Trust/PPO |
$820.98
|
| Rate for Payer: BCN Commercial |
$256.38
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.50
|
|
|
PR INTER DEVC REMOTE 30D
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS G2066
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$7,455.00 |
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.35
|
| Rate for Payer: BCN Commercial |
$32.38
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,455.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
|
|
PR INTERMITTENT URINARY CATH
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS A4353
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$932.00 |
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCN Commercial |
$7.71
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$932.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
|
|
PR INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 64727
|
| Min. Negotiated Rate |
$113.53 |
| Max. Negotiated Rate |
$31,667.00 |
| Rate for Payer: Aetna Commercial |
$225.71
|
| Rate for Payer: Aetna Medicare |
$175.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.55
|
| Rate for Payer: BCBS Complete |
$119.21
|
| Rate for Payer: BCBS MAPPO |
$168.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$259.98
|
| Rate for Payer: BCN Medicare Advantage |
$168.44
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$242.55
|
| Rate for Payer: Cofinity Commercial |
$225.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.44
|
| Rate for Payer: Healthscope Commercial |
$311.61
|
| Rate for Payer: Healthscope Commercial |
$269.50
|
| Rate for Payer: Mclaren Medicaid |
$113.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.86
|
| Rate for Payer: Meridian Medicaid |
$119.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,667.00
|
| Rate for Payer: Nomi Health Commercial |
$202.13
|
| Rate for Payer: PACE SWMI |
$168.44
|
| Rate for Payer: PHP Medicare Advantage |
$168.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.56
|
| Rate for Payer: Priority Health Medicare |
$168.44
|
| Rate for Payer: Priority Health Narrow Network |
$302.56
|
| Rate for Payer: Priority Health SBD |
$302.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.44
|
| Rate for Payer: UHC Exchange |
$246.94
|
| Rate for Payer: UHC Medicare Advantage |
$168.44
|
| Rate for Payer: UHCCP Medicaid |
$113.53
|
|
|
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS
|
Professional
|
Both
|
$1,218.00
|
|
|
Service Code
|
HCPCS 22841
|
| Min. Negotiated Rate |
$123.16 |
| Max. Negotiated Rate |
$68,998.00 |
| Rate for Payer: Aetna Commercial |
$519.10
|
| Rate for Payer: Aetna Medicare |
$609.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.10
|
| Rate for Payer: BCBS Complete |
$487.20
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$123.16
|
| Rate for Payer: Cash Price |
$974.40
|
| Rate for Payer: Cash Price |
$974.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,998.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$597.41
|
| Rate for Payer: Priority Health Narrow Network |
$597.41
|
| Rate for Payer: Priority Health SBD |
$597.41
|
|
|
PR INTERPELVIABDOMINAL AMPUTATION
|
Professional
|
Both
|
$5,330.00
|
|
|
Service Code
|
HCPCS 27290
|
| Min. Negotiated Rate |
$1,047.75 |
| Max. Negotiated Rate |
$287,971.00 |
| Rate for Payer: Aetna Commercial |
$2,094.18
|
| Rate for Payer: Aetna Medicare |
$1,625.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,094.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,250.46
|
| Rate for Payer: BCBS Complete |
$1,100.14
|
| Rate for Payer: BCBS MAPPO |
$1,562.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,174.41
|
| Rate for Payer: BCN Commercial |
$2,371.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,562.82
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cofinity Commercial |
$2,094.18
|
| Rate for Payer: Cofinity Commercial |
$2,250.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,562.82
|
| Rate for Payer: Healthscope Commercial |
$2,891.22
|
| Rate for Payer: Healthscope Commercial |
$2,500.51
|
| Rate for Payer: Mclaren Medicaid |
$1,047.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,640.96
|
| Rate for Payer: Meridian Medicaid |
$1,100.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287,971.00
|
| Rate for Payer: Nomi Health Commercial |
$1,875.38
|
| Rate for Payer: PACE SWMI |
$1,562.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,562.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,047.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,464.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,484.26
|
| Rate for Payer: Priority Health Medicare |
$1,562.82
|
| Rate for Payer: Priority Health Narrow Network |
$2,484.26
|
| Rate for Payer: Priority Health SBD |
$2,484.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,175.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,562.82
|
| Rate for Payer: UHC Exchange |
$2,175.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,562.82
|
| Rate for Payer: UHCCP Medicaid |
$1,047.75
|
|
|
PR INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 90887
|
| Min. Negotiated Rate |
$45.58 |
| Max. Negotiated Rate |
$10,710.00 |
| Rate for Payer: Aetna Commercial |
$83.11
|
| Rate for Payer: Aetna Medicare |
$76.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.11
|
| Rate for Payer: BCBS Complete |
$47.86
|
| Rate for Payer: BCBS Trust/PPO |
$60.75
|
| Rate for Payer: BCN Commercial |
$99.35
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Mclaren Medicaid |
$45.58
|
| Rate for Payer: Meridian Medicaid |
$47.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,710.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.40
|
| Rate for Payer: Priority Health Narrow Network |
$98.40
|
| Rate for Payer: Priority Health SBD |
$98.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.73
|
| Rate for Payer: UHC Exchange |
$89.73
|
| Rate for Payer: UHCCP Medicaid |
$45.58
|
|
|
PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 93261
|
| Min. Negotiated Rate |
$22.37 |
| Max. Negotiated Rate |
$10,085.00 |
| Rate for Payer: Aetna Commercial |
$85.33
|
| Rate for Payer: Aetna Medicare |
$66.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.70
|
| Rate for Payer: BCBS Complete |
$23.49
|
| Rate for Payer: BCBS MAPPO |
$63.68
|
| Rate for Payer: BCBS Trust/PPO |
$756.00
|
| Rate for Payer: BCN Commercial |
$102.62
|
| Rate for Payer: BCN Medicare Advantage |
$63.68
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cofinity Commercial |
$91.70
|
| Rate for Payer: Cofinity Commercial |
$85.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.68
|
| Rate for Payer: Healthscope Commercial |
$117.81
|
| Rate for Payer: Healthscope Commercial |
$101.89
|
| Rate for Payer: Mclaren Medicaid |
$22.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.86
|
| Rate for Payer: Meridian Medicaid |
$23.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,085.00
|
| Rate for Payer: Nomi Health Commercial |
$76.42
|
| Rate for Payer: PACE SWMI |
$63.68
|
| Rate for Payer: PHP Medicare Advantage |
$63.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.94
|
| Rate for Payer: Priority Health Medicare |
$63.68
|
| Rate for Payer: Priority Health Narrow Network |
$97.94
|
| Rate for Payer: Priority Health SBD |
$48.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.68
|
| Rate for Payer: UHC Medicare Advantage |
$63.68
|
| Rate for Payer: UHCCP Medicaid |
$22.37
|
|
|
PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR
|
Professional
|
Both
|
$64.00
|
|
|
Service Code
|
HCPCS 93292
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$7,305.00 |
| Rate for Payer: Aetna Commercial |
$61.63
|
| Rate for Payer: Aetna Medicare |
$47.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.23
|
| Rate for Payer: BCBS Complete |
$13.64
|
| Rate for Payer: BCBS MAPPO |
$45.99
|
| Rate for Payer: BCBS Trust/PPO |
$410.49
|
| Rate for Payer: BCN Commercial |
$74.77
|
| Rate for Payer: BCN Medicare Advantage |
$45.99
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$66.23
|
| Rate for Payer: Cofinity Commercial |
$61.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.99
|
| Rate for Payer: Healthscope Commercial |
$73.58
|
| Rate for Payer: Healthscope Commercial |
$85.08
|
| Rate for Payer: Mclaren Medicaid |
$12.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.29
|
| Rate for Payer: Meridian Medicaid |
$13.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,305.00
|
| Rate for Payer: Nomi Health Commercial |
$55.19
|
| Rate for Payer: PACE SWMI |
$45.99
|
| Rate for Payer: PHP Medicare Advantage |
$45.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.04
|
| Rate for Payer: Priority Health Medicare |
$45.99
|
| Rate for Payer: Priority Health Narrow Network |
$72.04
|
| Rate for Payer: Priority Health SBD |
$28.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.99
|
| Rate for Payer: UHC Medicare Advantage |
$45.99
|
| Rate for Payer: UHCCP Medicaid |
$12.99
|
|
|
PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB
|
Professional
|
Both
|
$201.00
|
|
|
Service Code
|
HCPCS 93295
|
| Min. Negotiated Rate |
$22.79 |
| Max. Negotiated Rate |
$5,370.00 |
| Rate for Payer: Aetna Commercial |
$45.56
|
| Rate for Payer: Aetna Medicare |
$35.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.96
|
| Rate for Payer: BCBS Complete |
$23.93
|
| Rate for Payer: BCBS MAPPO |
$34.00
|
| Rate for Payer: BCBS Trust/PPO |
$274.19
|
| Rate for Payer: BCN Commercial |
$52.78
|
| Rate for Payer: BCN Medicare Advantage |
$34.00
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cofinity Commercial |
$48.96
|
| Rate for Payer: Cofinity Commercial |
$45.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.00
|
| Rate for Payer: Healthscope Commercial |
$54.40
|
| Rate for Payer: Healthscope Commercial |
$62.90
|
| Rate for Payer: Mclaren Medicaid |
$22.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.70
|
| Rate for Payer: Meridian Medicaid |
$23.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,370.00
|
| Rate for Payer: Nomi Health Commercial |
$40.80
|
| Rate for Payer: PACE SWMI |
$34.00
|
| Rate for Payer: PHP Medicare Advantage |
$34.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.85
|
| Rate for Payer: Priority Health Medicare |
$34.00
|
| Rate for Payer: Priority Health Narrow Network |
$50.85
|
| Rate for Payer: Priority Health SBD |
$50.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.00
|
| Rate for Payer: UHC Medicare Advantage |
$34.00
|
| Rate for Payer: UHCCP Medicaid |
$22.79
|
|
|
PR INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 93290
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$7,676.00 |
| Rate for Payer: Aetna Commercial |
$63.60
|
| Rate for Payer: Aetna Medicare |
$49.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.34
|
| Rate for Payer: BCBS Complete |
$13.64
|
| Rate for Payer: BCBS MAPPO |
$47.46
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Medicare Advantage |
$47.46
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$68.34
|
| Rate for Payer: Cofinity Commercial |
$63.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.46
|
| Rate for Payer: Healthscope Commercial |
$75.94
|
| Rate for Payer: Healthscope Commercial |
$87.80
|
| Rate for Payer: Mclaren Medicaid |
$12.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.83
|
| Rate for Payer: Meridian Medicaid |
$13.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,676.00
|
| Rate for Payer: Nomi Health Commercial |
$56.95
|
| Rate for Payer: PACE SWMI |
$47.46
|
| Rate for Payer: PHP Medicare Advantage |
$47.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.87
|
| Rate for Payer: Priority Health Medicare |
$47.46
|
| Rate for Payer: Priority Health Narrow Network |
$74.87
|
| Rate for Payer: Priority Health SBD |
$28.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.46
|
| Rate for Payer: UHC Medicare Advantage |
$47.46
|
| Rate for Payer: UHCCP Medicaid |
$12.99
|
|
|
PR INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 93288
|
| Min. Negotiated Rate |
$12.78 |
| Max. Negotiated Rate |
$8,037.00 |
| Rate for Payer: Aetna Commercial |
$67.43
|
| Rate for Payer: Aetna Commercial |
$67.43
|
| Rate for Payer: Aetna Medicare |
$52.33
|
| Rate for Payer: Aetna Medicare |
$52.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.43
|
| Rate for Payer: BCBS Complete |
$13.42
|
| Rate for Payer: BCBS Complete |
$13.42
|
| Rate for Payer: BCBS MAPPO |
$50.32
|
| Rate for Payer: BCBS MAPPO |
$50.32
|
| Rate for Payer: BCBS Trust/PPO |
$79.25
|
| Rate for Payer: BCBS Trust/PPO |
$79.25
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$50.32
|
| Rate for Payer: BCN Medicare Advantage |
$50.32
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$67.43
|
| Rate for Payer: Cofinity Commercial |
$72.46
|
| Rate for Payer: Cofinity Commercial |
$67.43
|
| Rate for Payer: Cofinity Commercial |
$72.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.32
|
| Rate for Payer: Healthscope Commercial |
$80.51
|
| Rate for Payer: Healthscope Commercial |
$93.09
|
| Rate for Payer: Healthscope Commercial |
$93.09
|
| Rate for Payer: Healthscope Commercial |
$80.51
|
| Rate for Payer: Mclaren Medicaid |
$12.78
|
| Rate for Payer: Mclaren Medicaid |
$12.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.84
|
| Rate for Payer: Meridian Medicaid |
$13.42
|
| Rate for Payer: Meridian Medicaid |
$13.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,037.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,037.00
|
| Rate for Payer: Nomi Health Commercial |
$60.38
|
| Rate for Payer: Nomi Health Commercial |
$60.38
|
| Rate for Payer: PACE SWMI |
$50.32
|
| Rate for Payer: PACE SWMI |
$50.32
|
| Rate for Payer: PHP Medicare Advantage |
$50.32
|
| Rate for Payer: PHP Medicare Advantage |
$50.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.10
|
| Rate for Payer: Priority Health Medicare |
$50.32
|
| Rate for Payer: Priority Health Medicare |
$50.32
|
| Rate for Payer: Priority Health Narrow Network |
$79.10
|
| Rate for Payer: Priority Health Narrow Network |
$79.10
|
| Rate for Payer: Priority Health SBD |
$28.25
|
| Rate for Payer: Priority Health SBD |
$28.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.32
|
| Rate for Payer: UHC Medicare Advantage |
$50.32
|
| Rate for Payer: UHC Medicare Advantage |
$50.32
|
| Rate for Payer: UHCCP Medicaid |
$12.78
|
| Rate for Payer: UHCCP Medicaid |
$12.78
|
|
