|
PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 44203
|
| Min. Negotiated Rate |
$232.20 |
| Max. Negotiated Rate |
$692.90 |
| Rate for Payer: Aetna Commercial |
$311.15
|
| Rate for Payer: Aetna Medicare |
$241.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.15
|
| Rate for Payer: BCBS Complete |
$426.40
|
| Rate for Payer: BCBS MAPPO |
$232.20
|
| Rate for Payer: BCN Medicare Advantage |
$232.20
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Cofinity Commercial |
$311.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.20
|
| Rate for Payer: Healthscope Commercial |
$429.57
|
| Rate for Payer: Healthscope Commercial |
$371.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$692.90
|
| Rate for Payer: Nomi Health Commercial |
$278.64
|
| Rate for Payer: PACE SWMI |
$232.20
|
| Rate for Payer: PHP Medicare Advantage |
$232.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.90
|
| Rate for Payer: Priority Health Medicare |
$232.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.20
|
| Rate for Payer: UHC Medicare Advantage |
$232.20
|
|
|
PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<
|
Professional
|
Both
|
$2,025.00
|
|
|
Service Code
|
HCPCS 58541
|
| Min. Negotiated Rate |
$700.91 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$939.22
|
| Rate for Payer: Aetna Medicare |
$728.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$939.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,009.31
|
| Rate for Payer: BCBS Complete |
$810.00
|
| Rate for Payer: BCBS MAPPO |
$700.91
|
| Rate for Payer: BCN Medicare Advantage |
$700.91
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cofinity Commercial |
$939.22
|
| Rate for Payer: Cofinity Commercial |
$1,009.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.91
|
| Rate for Payer: Healthscope Commercial |
$1,121.46
|
| Rate for Payer: Healthscope Commercial |
$1,296.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$735.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,316.25
|
| Rate for Payer: Nomi Health Commercial |
$841.09
|
| Rate for Payer: PACE SWMI |
$700.91
|
| Rate for Payer: PHP Medicare Advantage |
$700.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,316.25
|
| Rate for Payer: Priority Health Medicare |
$700.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.91
|
| Rate for Payer: UHC Medicare Advantage |
$700.91
|
|
|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,762.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$704.80 |
| Max. Negotiated Rate |
$1,620.25 |
| Rate for Payer: Aetna Commercial |
$1,173.59
|
| Rate for Payer: Aetna Medicare |
$910.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,173.59
|
| Rate for Payer: BCBS Complete |
$704.80
|
| Rate for Payer: BCBS MAPPO |
$875.81
|
| Rate for Payer: BCN Medicare Advantage |
$875.81
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cofinity Commercial |
$1,261.17
|
| Rate for Payer: Cofinity Commercial |
$1,173.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$875.81
|
| Rate for Payer: Healthscope Commercial |
$1,620.25
|
| Rate for Payer: Healthscope Commercial |
$1,401.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$919.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,145.30
|
| Rate for Payer: Nomi Health Commercial |
$1,050.97
|
| Rate for Payer: PACE SWMI |
$875.81
|
| Rate for Payer: PHP Medicare Advantage |
$875.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,145.30
|
| Rate for Payer: Priority Health Medicare |
$875.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$875.81
|
| Rate for Payer: UHC Medicare Advantage |
$875.81
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,011.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$643.47 |
| Max. Negotiated Rate |
$1,957.15 |
| Rate for Payer: Aetna Commercial |
$862.25
|
| Rate for Payer: Aetna Medicare |
$669.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$862.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$926.60
|
| Rate for Payer: BCBS Complete |
$1,204.40
|
| Rate for Payer: BCBS MAPPO |
$643.47
|
| Rate for Payer: BCN Medicare Advantage |
$643.47
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$862.25
|
| Rate for Payer: Cofinity Commercial |
$926.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.47
|
| Rate for Payer: Healthscope Commercial |
$1,029.55
|
| Rate for Payer: Healthscope Commercial |
$1,190.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,957.15
|
| Rate for Payer: Nomi Health Commercial |
$772.16
|
| Rate for Payer: PACE SWMI |
$643.47
|
| Rate for Payer: PHP Medicare Advantage |
$643.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health Medicare |
$643.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.47
|
| Rate for Payer: UHC Medicare Advantage |
$643.47
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,011.00
|
|
|
Service Code
|
HCPCS 47562
|
| Min. Negotiated Rate |
$643.47 |
| Max. Negotiated Rate |
$1,957.15 |
| Rate for Payer: Aetna Commercial |
$862.25
|
| Rate for Payer: Aetna Medicare |
$669.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$926.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$862.25
|
| Rate for Payer: BCBS Complete |
$1,204.40
|
| Rate for Payer: BCBS MAPPO |
$643.47
|
| Rate for Payer: BCN Medicare Advantage |
$643.47
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$926.60
|
| Rate for Payer: Cofinity Commercial |
$862.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.47
|
| Rate for Payer: Healthscope Commercial |
$1,029.55
|
| Rate for Payer: Healthscope Commercial |
$1,190.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,957.15
|
| Rate for Payer: Nomi Health Commercial |
$772.16
|
| Rate for Payer: PACE SWMI |
$643.47
|
| Rate for Payer: PHP Medicare Advantage |
$643.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health Medicare |
$643.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.47
|
| Rate for Payer: UHC Medicare Advantage |
$643.47
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
IP
|
$3,011.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,896.93 |
| Max. Negotiated Rate |
$2,709.90 |
| Rate for Payer: Aetna Commercial |
$2,559.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,957.15
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$2,107.70
|
| Rate for Payer: Cofinity Commercial |
$2,589.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,107.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,408.80
|
| Rate for Payer: Healthscope Commercial |
$2,709.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,559.35
|
| Rate for Payer: PHP Commercial |
$2,559.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health SBD |
$1,896.93
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
OP
|
$3,011.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,896.93 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna Commercial |
$2,559.35
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,957.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$2,589.46
|
| Rate for Payer: Cofinity Commercial |
$2,107.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,107.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,408.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$2,709.90
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,559.35
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$2,559.35
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$1,896.93
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,203.54
|
| Rate for Payer: VA VA |
$5,690.13
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
IP
|
$2,762.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,740.06 |
| Max. Negotiated Rate |
$2,485.80 |
| Rate for Payer: Aetna Commercial |
$2,347.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,795.30
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,933.40
|
| Rate for Payer: Cofinity Commercial |
$2,375.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,933.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,209.60
|
| Rate for Payer: Healthscope Commercial |
$2,485.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,347.70
|
| Rate for Payer: PHP Commercial |
$2,347.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health SBD |
$1,740.06
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,762.00
|
|
|
Service Code
|
HCPCS 44188
|
| Min. Negotiated Rate |
$1,104.80 |
| Max. Negotiated Rate |
$2,151.92 |
| Rate for Payer: Aetna Commercial |
$1,558.69
|
| Rate for Payer: Aetna Medicare |
$1,209.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,675.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,558.69
|
| Rate for Payer: BCBS Complete |
$1,104.80
|
| Rate for Payer: BCBS MAPPO |
$1,163.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,163.20
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,675.01
|
| Rate for Payer: Cofinity Commercial |
$1,558.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,163.20
|
| Rate for Payer: Healthscope Commercial |
$2,151.92
|
| Rate for Payer: Healthscope Commercial |
$1,861.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,221.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,795.30
|
| Rate for Payer: Nomi Health Commercial |
$1,395.84
|
| Rate for Payer: PACE SWMI |
$1,163.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,163.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health Medicare |
$1,163.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,163.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,163.20
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,762.00
|
|
|
Service Code
|
HCPCS 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,104.80 |
| Max. Negotiated Rate |
$2,151.92 |
| Rate for Payer: Aetna Commercial |
$1,558.69
|
| Rate for Payer: Aetna Medicare |
$1,209.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,558.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,675.01
|
| Rate for Payer: BCBS Complete |
$1,104.80
|
| Rate for Payer: BCBS MAPPO |
$1,163.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,163.20
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,558.69
|
| Rate for Payer: Cofinity Commercial |
$1,675.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,163.20
|
| Rate for Payer: Healthscope Commercial |
$2,151.92
|
| Rate for Payer: Healthscope Commercial |
$1,861.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,221.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,795.30
|
| Rate for Payer: Nomi Health Commercial |
$1,395.84
|
| Rate for Payer: PACE SWMI |
$1,163.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,163.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health Medicare |
$1,163.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,163.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,163.20
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
OP
|
$2,762.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,104.80 |
| Max. Negotiated Rate |
$2,485.80 |
| Rate for Payer: Aetna Commercial |
$2,347.70
|
| Rate for Payer: Aetna Medicare |
$1,381.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,795.30
|
| Rate for Payer: BCBS Complete |
$1,104.80
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,933.40
|
| Rate for Payer: Cofinity Commercial |
$2,375.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,933.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,209.60
|
| Rate for Payer: Healthscope Commercial |
$2,485.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,347.70
|
| Rate for Payer: PHP Commercial |
$2,347.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health SBD |
$1,740.06
|
|
|
PR LAPAROSCOPY SURGICAL JEJUNOSTOMY
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 44186
|
| Min. Negotiated Rate |
$632.39 |
| Max. Negotiated Rate |
$1,298.70 |
| Rate for Payer: Aetna Commercial |
$847.40
|
| Rate for Payer: Aetna Medicare |
$657.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$910.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$847.40
|
| Rate for Payer: BCBS Complete |
$799.20
|
| Rate for Payer: BCBS MAPPO |
$632.39
|
| Rate for Payer: BCN Medicare Advantage |
$632.39
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$910.64
|
| Rate for Payer: Cofinity Commercial |
$847.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$632.39
|
| Rate for Payer: Healthscope Commercial |
$1,011.82
|
| Rate for Payer: Healthscope Commercial |
$1,169.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$664.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,298.70
|
| Rate for Payer: Nomi Health Commercial |
$758.87
|
| Rate for Payer: PACE SWMI |
$632.39
|
| Rate for Payer: PHP Medicare Advantage |
$632.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,298.70
|
| Rate for Payer: Priority Health Medicare |
$632.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$632.39
|
| Rate for Payer: UHC Medicare Advantage |
$632.39
|
|
|
PR LAPAROSCOPY SURGICAL ORCHIECTOMY
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 54690
|
| Min. Negotiated Rate |
$530.80 |
| Max. Negotiated Rate |
$1,160.15 |
| Rate for Payer: Aetna Commercial |
$840.33
|
| Rate for Payer: Aetna Medicare |
$652.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$903.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$840.33
|
| Rate for Payer: BCBS Complete |
$530.80
|
| Rate for Payer: BCBS MAPPO |
$627.11
|
| Rate for Payer: BCN Medicare Advantage |
$627.11
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$903.04
|
| Rate for Payer: Cofinity Commercial |
$840.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.11
|
| Rate for Payer: Healthscope Commercial |
$1,160.15
|
| Rate for Payer: Healthscope Commercial |
$1,003.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$862.55
|
| Rate for Payer: Nomi Health Commercial |
$752.53
|
| Rate for Payer: PACE SWMI |
$627.11
|
| Rate for Payer: PHP Medicare Advantage |
$627.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health Medicare |
$627.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.11
|
| Rate for Payer: UHC Medicare Advantage |
$627.11
|
|
|
PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE
|
Professional
|
Both
|
$3,023.00
|
|
|
Service Code
|
HCPCS 44187
|
| Min. Negotiated Rate |
$1,041.32 |
| Max. Negotiated Rate |
$1,964.95 |
| Rate for Payer: Aetna Commercial |
$1,395.37
|
| Rate for Payer: Aetna Medicare |
$1,082.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,499.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,395.37
|
| Rate for Payer: BCBS Complete |
$1,209.20
|
| Rate for Payer: BCBS MAPPO |
$1,041.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,041.32
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cofinity Commercial |
$1,499.50
|
| Rate for Payer: Cofinity Commercial |
$1,395.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,041.32
|
| Rate for Payer: Healthscope Commercial |
$1,666.11
|
| Rate for Payer: Healthscope Commercial |
$1,926.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,093.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,964.95
|
| Rate for Payer: Nomi Health Commercial |
$1,249.58
|
| Rate for Payer: PACE SWMI |
$1,041.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,041.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,964.95
|
| Rate for Payer: Priority Health Medicare |
$1,041.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,041.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,041.32
|
|
|
PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY
|
Professional
|
Both
|
$2,852.00
|
|
|
Service Code
|
HCPCS 50543
|
| Min. Negotiated Rate |
$1,140.80 |
| Max. Negotiated Rate |
$2,625.06 |
| Rate for Payer: Aetna Commercial |
$1,901.39
|
| Rate for Payer: Aetna Medicare |
$1,475.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,043.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,901.39
|
| Rate for Payer: BCBS Complete |
$1,140.80
|
| Rate for Payer: BCBS MAPPO |
$1,418.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,418.95
|
| Rate for Payer: Cash Price |
$2,281.60
|
| Rate for Payer: Cash Price |
$2,281.60
|
| Rate for Payer: Cofinity Commercial |
$2,043.29
|
| Rate for Payer: Cofinity Commercial |
$1,901.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,418.95
|
| Rate for Payer: Healthscope Commercial |
$2,625.06
|
| Rate for Payer: Healthscope Commercial |
$2,270.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,489.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,853.80
|
| Rate for Payer: Nomi Health Commercial |
$1,702.74
|
| Rate for Payer: PACE SWMI |
$1,418.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,418.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,853.80
|
| Rate for Payer: Priority Health Medicare |
$1,418.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,418.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,418.95
|
|
|
PR LAPAROSCOPY SURG PYELOPLASTY
|
Professional
|
Both
|
$2,397.00
|
|
|
Service Code
|
HCPCS 50544
|
| Min. Negotiated Rate |
$958.80 |
| Max. Negotiated Rate |
$2,187.37 |
| Rate for Payer: Aetna Commercial |
$1,584.36
|
| Rate for Payer: Aetna Medicare |
$1,229.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,702.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,584.36
|
| Rate for Payer: BCBS Complete |
$958.80
|
| Rate for Payer: BCBS MAPPO |
$1,182.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,182.36
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cofinity Commercial |
$1,702.60
|
| Rate for Payer: Cofinity Commercial |
$1,584.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,182.36
|
| Rate for Payer: Healthscope Commercial |
$1,891.78
|
| Rate for Payer: Healthscope Commercial |
$2,187.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,241.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,558.05
|
| Rate for Payer: Nomi Health Commercial |
$1,418.83
|
| Rate for Payer: PACE SWMI |
$1,182.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,182.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,558.05
|
| Rate for Payer: Priority Health Medicare |
$1,182.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,182.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,182.36
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
IP
|
$1,561.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$983.43 |
| Max. Negotiated Rate |
$1,404.90 |
| Rate for Payer: Aetna Commercial |
$1,326.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,014.65
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,092.70
|
| Rate for Payer: Cofinity Commercial |
$1,342.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,092.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,248.80
|
| Rate for Payer: Healthscope Commercial |
$1,404.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,326.85
|
| Rate for Payer: PHP Commercial |
$1,326.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health SBD |
$983.43
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,561.00
|
|
|
Service Code
|
HCPCS 49650
|
| Min. Negotiated Rate |
$421.35 |
| Max. Negotiated Rate |
$1,014.65 |
| Rate for Payer: Aetna Commercial |
$564.61
|
| Rate for Payer: Aetna Medicare |
$438.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$606.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.61
|
| Rate for Payer: BCBS Complete |
$624.40
|
| Rate for Payer: BCBS MAPPO |
$421.35
|
| Rate for Payer: BCN Medicare Advantage |
$421.35
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$606.74
|
| Rate for Payer: Cofinity Commercial |
$564.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.35
|
| Rate for Payer: Healthscope Commercial |
$779.50
|
| Rate for Payer: Healthscope Commercial |
$674.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,014.65
|
| Rate for Payer: Nomi Health Commercial |
$505.62
|
| Rate for Payer: PACE SWMI |
$421.35
|
| Rate for Payer: PHP Medicare Advantage |
$421.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health Medicare |
$421.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.35
|
| Rate for Payer: UHC Medicare Advantage |
$421.35
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,561.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
49650
|
| Min. Negotiated Rate |
$421.35 |
| Max. Negotiated Rate |
$1,014.65 |
| Rate for Payer: Aetna Commercial |
$564.61
|
| Rate for Payer: Aetna Medicare |
$438.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$606.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.61
|
| Rate for Payer: BCBS Complete |
$624.40
|
| Rate for Payer: BCBS MAPPO |
$421.35
|
| Rate for Payer: BCN Medicare Advantage |
$421.35
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$606.74
|
| Rate for Payer: Cofinity Commercial |
$564.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.35
|
| Rate for Payer: Healthscope Commercial |
$674.16
|
| Rate for Payer: Healthscope Commercial |
$779.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,014.65
|
| Rate for Payer: Nomi Health Commercial |
$505.62
|
| Rate for Payer: PACE SWMI |
$421.35
|
| Rate for Payer: PHP Medicare Advantage |
$421.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health Medicare |
$421.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.35
|
| Rate for Payer: UHC Medicare Advantage |
$421.35
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
OP
|
$1,561.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$983.43 |
| Max. Negotiated Rate |
$16,017.15 |
| Rate for Payer: Aetna Commercial |
$1,326.85
|
| Rate for Payer: Aetna Medicare |
$5,917.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,014.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,112.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,112.66
|
| Rate for Payer: BCBS Complete |
$3,202.41
|
| Rate for Payer: BCBS MAPPO |
$5,690.13
|
| Rate for Payer: BCN Medicare Advantage |
$5,690.13
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,342.46
|
| Rate for Payer: Cofinity Commercial |
$1,092.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,092.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,248.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,690.13
|
| Rate for Payer: Healthscope Commercial |
$1,404.90
|
| Rate for Payer: Mclaren Medicaid |
$3,049.91
|
| Rate for Payer: Mclaren Medicare |
$5,690.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,974.64
|
| Rate for Payer: Meridian Medicaid |
$3,202.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,543.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,326.85
|
| Rate for Payer: PACE Medicare |
$5,405.62
|
| Rate for Payer: PACE SWMI |
$5,690.13
|
| Rate for Payer: PHP Commercial |
$1,326.85
|
| Rate for Payer: PHP Medicare Advantage |
$5,690.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,049.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health Medicare |
$5,690.13
|
| Rate for Payer: Priority Health SBD |
$983.43
|
| Rate for Payer: Railroad Medicare Medicare |
$5,690.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16,017.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,690.13
|
| Rate for Payer: UHC Medicare Advantage |
$5,690.13
|
| Rate for Payer: UHCCP Medicaid |
$3,203.54
|
| Rate for Payer: VA VA |
$5,690.13
|
|
|
PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 49321
|
| Min. Negotiated Rate |
$333.85 |
| Max. Negotiated Rate |
$1,020.50 |
| Rate for Payer: Aetna Commercial |
$447.36
|
| Rate for Payer: Aetna Medicare |
$347.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.36
|
| Rate for Payer: BCBS Complete |
$628.00
|
| Rate for Payer: BCBS MAPPO |
$333.85
|
| Rate for Payer: BCN Medicare Advantage |
$333.85
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$480.74
|
| Rate for Payer: Cofinity Commercial |
$447.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.85
|
| Rate for Payer: Healthscope Commercial |
$534.16
|
| Rate for Payer: Healthscope Commercial |
$617.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,020.50
|
| Rate for Payer: Nomi Health Commercial |
$400.62
|
| Rate for Payer: PACE SWMI |
$333.85
|
| Rate for Payer: PHP Medicare Advantage |
$333.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health Medicare |
$333.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.85
|
| Rate for Payer: UHC Medicare Advantage |
$333.85
|
|
|
PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM
|
Professional
|
Both
|
$2,970.00
|
|
|
Service Code
|
HCPCS 58572
|
| Min. Negotiated Rate |
$1,000.55 |
| Max. Negotiated Rate |
$1,930.50 |
| Rate for Payer: Aetna Commercial |
$1,340.74
|
| Rate for Payer: Aetna Medicare |
$1,040.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,440.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,340.74
|
| Rate for Payer: BCBS Complete |
$1,188.00
|
| Rate for Payer: BCBS MAPPO |
$1,000.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.55
|
| Rate for Payer: Cash Price |
$2,376.00
|
| Rate for Payer: Cash Price |
$2,376.00
|
| Rate for Payer: Cofinity Commercial |
$1,440.79
|
| Rate for Payer: Cofinity Commercial |
$1,340.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.55
|
| Rate for Payer: Healthscope Commercial |
$1,851.02
|
| Rate for Payer: Healthscope Commercial |
$1,600.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,050.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,930.50
|
| Rate for Payer: Nomi Health Commercial |
$1,200.66
|
| Rate for Payer: PACE SWMI |
$1,000.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,930.50
|
| Rate for Payer: Priority Health Medicare |
$1,000.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,000.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,000.55
|
|
|
PR LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR
|
Professional
|
Both
|
$3,465.00
|
|
|
Service Code
|
HCPCS 58573
|
| Min. Negotiated Rate |
$1,170.22 |
| Max. Negotiated Rate |
$2,252.25 |
| Rate for Payer: Aetna Commercial |
$1,568.09
|
| Rate for Payer: Aetna Medicare |
$1,217.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,685.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,568.09
|
| Rate for Payer: BCBS Complete |
$1,386.00
|
| Rate for Payer: BCBS MAPPO |
$1,170.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,170.22
|
| Rate for Payer: Cash Price |
$2,772.00
|
| Rate for Payer: Cash Price |
$2,772.00
|
| Rate for Payer: Cofinity Commercial |
$1,685.12
|
| Rate for Payer: Cofinity Commercial |
$1,568.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,170.22
|
| Rate for Payer: Healthscope Commercial |
$1,872.35
|
| Rate for Payer: Healthscope Commercial |
$2,164.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,228.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,252.25
|
| Rate for Payer: Nomi Health Commercial |
$1,404.26
|
| Rate for Payer: PACE SWMI |
$1,170.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,170.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,252.25
|
| Rate for Payer: Priority Health Medicare |
$1,170.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,170.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,170.22
|
|
|
PR LAPAROSCOPY W/LYSIS OF ADHESIONS
|
Professional
|
Both
|
$2,687.00
|
|
|
Service Code
|
HCPCS 58660
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$1,746.55 |
| Rate for Payer: Aetna Commercial |
$887.63
|
| Rate for Payer: Aetna Medicare |
$688.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$953.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.63
|
| Rate for Payer: BCBS Complete |
$1,074.80
|
| Rate for Payer: BCBS MAPPO |
$662.41
|
| Rate for Payer: BCN Medicare Advantage |
$662.41
|
| Rate for Payer: Cash Price |
$2,149.60
|
| Rate for Payer: Cash Price |
$2,149.60
|
| Rate for Payer: Cofinity Commercial |
$953.87
|
| Rate for Payer: Cofinity Commercial |
$887.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$662.41
|
| Rate for Payer: Healthscope Commercial |
$1,225.46
|
| Rate for Payer: Healthscope Commercial |
$1,059.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$695.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,746.55
|
| Rate for Payer: Nomi Health Commercial |
$794.89
|
| Rate for Payer: PACE SWMI |
$662.41
|
| Rate for Payer: PHP Medicare Advantage |
$662.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.55
|
| Rate for Payer: Priority Health Medicare |
$662.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$662.41
|
| Rate for Payer: UHC Medicare Advantage |
$662.41
|
|
|
PR LAPAROSCOPY W/OMENTOPEXY
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 49326
|
| Min. Negotiated Rate |
$137.60 |
| Max. Negotiated Rate |
$338.11 |
| Rate for Payer: Aetna Commercial |
$244.90
|
| Rate for Payer: Aetna Medicare |
$190.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.90
|
| Rate for Payer: BCBS Complete |
$137.60
|
| Rate for Payer: BCBS MAPPO |
$182.76
|
| Rate for Payer: BCN Medicare Advantage |
$182.76
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$263.17
|
| Rate for Payer: Cofinity Commercial |
$244.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.76
|
| Rate for Payer: Healthscope Commercial |
$292.42
|
| Rate for Payer: Healthscope Commercial |
$338.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$191.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.60
|
| Rate for Payer: Nomi Health Commercial |
$219.31
|
| Rate for Payer: PACE SWMI |
$182.76
|
| Rate for Payer: PHP Medicare Advantage |
$182.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$223.60
|
| Rate for Payer: Priority Health Medicare |
$182.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.76
|
| Rate for Payer: UHC Medicare Advantage |
$182.76
|
|
