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Charge Type Setting Price  
Service Code HCPCS J2730
Hospital Charge Code 6462
Hospital Revenue Code 636
Min. Negotiated Rate $174.58
Max. Negotiated Rate $257.62
Rate for Payer: Aetna Commercial $243.31
Rate for Payer: BCBS Trust/PPO $221.21
Rate for Payer: BCN Commercial $221.21
Rate for Payer: Cash Price $229.00
Rate for Payer: Cofinity Commercial $246.18
Rate for Payer: Encore Health Key Benefits Commercial $229.00
Rate for Payer: Healthscope Commercial $257.62
Rate for Payer: Lakeland Regional Health Systems Commercial $214.69
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $243.31
Rate for Payer: PHP Commercial $243.31
Rate for Payer: Priority Health Cigna Priority Health $200.38
Rate for Payer: Priority Health HMO/PPO/Tiered Network $249.04
Rate for Payer: Priority Health Narrow/Tiered Network $174.58
Rate for Payer: UHC All Payor (Choice/PPO) $251.90
Rate for Payer: UHC Core $239.02
Rate for Payer: Van Buren County Sheriff Dept. Commercial $214.69
Service Code HCPCS 20930
Min. Negotiated Rate $135.79
Max. Negotiated Rate $11,952.59
Rate for Payer: Aetna Commercial $155.86
Rate for Payer: BCBS Complete $191.60
Rate for Payer: BCBS Trust/PPO $11,952.59
Rate for Payer: BCN Commercial $135.79
Rate for Payer: Cash Price $383.20
Rate for Payer: Cash Price $383.20
Rate for Payer: Priority Health Cigna Priority Health $335.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $178.73
Rate for Payer: Priority Health Narrow/Tiered Network $178.73
Service Code HCPCS 20931
Min. Negotiated Rate $70.29
Max. Negotiated Rate $29,358.48
Rate for Payer: Aetna Commercial $147.76
Rate for Payer: Aetna Medicare $114.68
Rate for Payer: BCBS Complete $73.80
Rate for Payer: BCBS MAPPO $110.27
Rate for Payer: BCBS Trust/PPO $29,358.48
Rate for Payer: BCN Commercial $177.03
Rate for Payer: BCN Medicare Advantage $110.27
Rate for Payer: Cash Price $349.60
Rate for Payer: Cash Price $349.60
Rate for Payer: Cofinity Commercial $158.79
Rate for Payer: Cofinity Commercial $147.76
Rate for Payer: Health Alliance Plan Medicare Advantage $110.27
Rate for Payer: Mclaren Medicaid $70.29
Rate for Payer: Meridian Medicaid $73.80
Rate for Payer: Meridian Wellcare - Medicare Advantage $115.78
Rate for Payer: PACE SWMI $110.27
Rate for Payer: PHP Medicare Advantage $110.27
Rate for Payer: Priority Health Choice Medicaid $70.29
Rate for Payer: Priority Health Cigna Priority Health $305.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $168.01
Rate for Payer: Priority Health Medicare $110.27
Rate for Payer: Priority Health Narrow/Tiered Network $168.01
Rate for Payer: UHC All Payor (Choice/PPO) $110.27
Rate for Payer: UHC Dual Complete DSNP $110.27
Rate for Payer: UHC Medicare Advantage $113.58
Service Code HCPCS J2997
Min. Negotiated Rate $35.60
Max. Negotiated Rate $128.37
Rate for Payer: Aetna Commercial $119.46
Rate for Payer: Aetna Medicare $92.71
Rate for Payer: BCBS Complete $35.60
Rate for Payer: BCBS MAPPO $89.15
Rate for Payer: BCBS Trust/PPO $88.53
Rate for Payer: BCN Commercial $87.12
Rate for Payer: BCN Medicare Advantage $89.15
Rate for Payer: Cash Price $71.20
Rate for Payer: Cash Price $71.20
Rate for Payer: Cofinity Commercial $119.46
Rate for Payer: Cofinity Commercial $128.37
Rate for Payer: Health Alliance Plan Medicare Advantage $89.15
Rate for Payer: Meridian Wellcare - Medicare Advantage $93.60
Rate for Payer: PACE SWMI $89.15
Rate for Payer: PHP Medicare Advantage $89.15
Rate for Payer: Priority Health Cigna Priority Health $62.30
Rate for Payer: Priority Health Medicare $89.15
Rate for Payer: UHC All Payor (Choice/PPO) $89.15
Rate for Payer: UHC Dual Complete DSNP $89.15
Rate for Payer: UHC Medicare Advantage $91.82
Service Code HCPCS 93784
Min. Negotiated Rate $37.78
Max. Negotiated Rate $176.40
Rate for Payer: Aetna Commercial $58.02
Rate for Payer: Aetna Medicare $45.03
Rate for Payer: BCBS Complete $100.80
Rate for Payer: BCBS MAPPO $43.30
Rate for Payer: BCBS Trust/PPO $37.78
Rate for Payer: BCN Commercial $66.46
Rate for Payer: BCN Medicare Advantage $43.30
Rate for Payer: Cash Price $201.60
Rate for Payer: Cash Price $201.60
Rate for Payer: Cofinity Commercial $58.02
Rate for Payer: Cofinity Commercial $62.35
Rate for Payer: Health Alliance Plan Medicare Advantage $43.30
Rate for Payer: Meridian Wellcare - Medicare Advantage $45.46
Rate for Payer: PACE SWMI $43.30
Rate for Payer: PHP Medicare Advantage $43.30
Rate for Payer: Priority Health Cigna Priority Health $176.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $64.31
Rate for Payer: Priority Health Medicare $43.30
Rate for Payer: Priority Health Narrow/Tiered Network $64.31
Rate for Payer: UHC All Payor (Choice/PPO) $43.30
Rate for Payer: UHC Dual Complete DSNP $43.30
Rate for Payer: UHC Medicare Advantage $44.60
Service Code HCPCS 93790
Min. Negotiated Rate $14.00
Max. Negotiated Rate $31.84
Rate for Payer: Aetna Commercial $23.53
Rate for Payer: Aetna Medicare $18.26
Rate for Payer: BCBS Complete $14.00
Rate for Payer: BCBS MAPPO $17.56
Rate for Payer: BCBS Trust/PPO $31.84
Rate for Payer: BCN Commercial $25.90
Rate for Payer: BCN Medicare Advantage $17.56
Rate for Payer: Cash Price $28.00
Rate for Payer: Cash Price $28.00
Rate for Payer: Cofinity Commercial $25.29
Rate for Payer: Cofinity Commercial $23.53
Rate for Payer: Health Alliance Plan Medicare Advantage $17.56
Rate for Payer: Meridian Wellcare - Medicare Advantage $18.44
Rate for Payer: PACE SWMI $17.56
Rate for Payer: PHP Medicare Advantage $17.56
Rate for Payer: Priority Health Cigna Priority Health $24.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $25.06
Rate for Payer: Priority Health Medicare $17.56
Rate for Payer: Priority Health Narrow/Tiered Network $25.06
Rate for Payer: UHC All Payor (Choice/PPO) $17.56
Rate for Payer: UHC Dual Complete DSNP $17.56
Rate for Payer: UHC Medicare Advantage $18.09
Service Code HCPCS 95950
Min. Negotiated Rate $229.20
Max. Negotiated Rate $401.10
Rate for Payer: BCBS Complete $229.20
Rate for Payer: Cash Price $458.40
Rate for Payer: Priority Health Cigna Priority Health $401.10
Service Code HCPCS J7308
Min. Negotiated Rate $69.60
Max. Negotiated Rate $563.37
Rate for Payer: Aetna Commercial $524.25
Rate for Payer: Aetna Medicare $406.88
Rate for Payer: BCBS Complete $69.60
Rate for Payer: BCBS MAPPO $391.23
Rate for Payer: BCBS Trust/PPO $399.72
Rate for Payer: BCN Commercial $388.57
Rate for Payer: BCN Medicare Advantage $391.23
Rate for Payer: Cash Price $139.20
Rate for Payer: Cash Price $139.20
Rate for Payer: Cofinity Commercial $563.37
Rate for Payer: Cofinity Commercial $524.25
Rate for Payer: Health Alliance Plan Medicare Advantage $391.23
Rate for Payer: Meridian Wellcare - Medicare Advantage $410.79
Rate for Payer: PACE SWMI $391.23
Rate for Payer: PHP Medicare Advantage $391.23
Rate for Payer: Priority Health Cigna Priority Health $121.80
Rate for Payer: Priority Health Medicare $391.23
Rate for Payer: UHC All Payor (Choice/PPO) $391.23
Rate for Payer: UHC Dual Complete DSNP $391.23
Rate for Payer: UHC Medicare Advantage $402.97
Service Code NDC 68462-330-90
Hospital Charge Code 21287
Hospital Revenue Code 637
Min. Negotiated Rate $132.87
Max. Negotiated Rate $196.06
Rate for Payer: Aetna Commercial $185.17
Rate for Payer: BCBS Trust/PPO $168.35
Rate for Payer: BCN Commercial $168.35
Rate for Payer: Cash Price $174.28
Rate for Payer: Cofinity Commercial $187.35
Rate for Payer: Encore Health Key Benefits Commercial $174.28
Rate for Payer: Healthscope Commercial $196.06
Rate for Payer: Lakeland Regional Health Systems Commercial $163.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $185.17
Rate for Payer: PHP Commercial $185.17
Rate for Payer: Priority Health Cigna Priority Health $152.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $189.53
Rate for Payer: Priority Health Narrow/Tiered Network $132.87
Rate for Payer: UHC All Payor (Choice/PPO) $191.71
Rate for Payer: UHC Core $181.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $163.39
Service Code NDC 13668-092-90
Hospital Charge Code 21290
Hospital Revenue Code 637
Min. Negotiated Rate $65.79
Max. Negotiated Rate $97.08
Rate for Payer: Aetna Commercial $91.69
Rate for Payer: BCBS Trust/PPO $83.36
Rate for Payer: BCN Commercial $83.36
Rate for Payer: Cash Price $86.30
Rate for Payer: Cofinity Commercial $92.77
Rate for Payer: Encore Health Key Benefits Commercial $86.30
Rate for Payer: Healthscope Commercial $97.08
Rate for Payer: Lakeland Regional Health Systems Commercial $80.90
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $91.69
Rate for Payer: PHP Commercial $91.69
Rate for Payer: Priority Health Cigna Priority Health $75.51
Rate for Payer: Priority Health HMO/PPO/Tiered Network $93.85
Rate for Payer: Priority Health Narrow/Tiered Network $65.79
Rate for Payer: UHC All Payor (Choice/PPO) $94.93
Rate for Payer: UHC Core $90.07
Rate for Payer: Van Buren County Sheriff Dept. Commercial $80.90
Service Code NDC 68462-331-90
Hospital Charge Code 21290
Hospital Revenue Code 637
Min. Negotiated Rate $132.87
Max. Negotiated Rate $196.06
Rate for Payer: Aetna Commercial $185.17
Rate for Payer: BCBS Trust/PPO $168.35
Rate for Payer: BCN Commercial $168.35
Rate for Payer: Cash Price $174.28
Rate for Payer: Cofinity Commercial $187.35
Rate for Payer: Encore Health Key Benefits Commercial $174.28
Rate for Payer: Healthscope Commercial $196.06
Rate for Payer: Lakeland Regional Health Systems Commercial $163.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $185.17
Rate for Payer: PHP Commercial $185.17
Rate for Payer: Priority Health Cigna Priority Health $152.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $189.53
Rate for Payer: Priority Health Narrow/Tiered Network $132.87
Rate for Payer: UHC All Payor (Choice/PPO) $191.71
Rate for Payer: UHC Core $181.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $163.39
Service Code NDC 0904-6704-61
Hospital Charge Code 21290
Hospital Revenue Code 637
Min. Negotiated Rate $263.72
Max. Negotiated Rate $389.16
Rate for Payer: Aetna Commercial $367.54
Rate for Payer: BCBS Trust/PPO $334.16
Rate for Payer: BCN Commercial $334.16
Rate for Payer: Cash Price $345.92
Rate for Payer: Cofinity Commercial $371.86
Rate for Payer: Encore Health Key Benefits Commercial $345.92
Rate for Payer: Healthscope Commercial $389.16
Rate for Payer: Lakeland Regional Health Systems Commercial $324.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $367.54
Rate for Payer: PHP Commercial $367.54
Rate for Payer: Priority Health Cigna Priority Health $302.68
Rate for Payer: Priority Health HMO/PPO/Tiered Network $376.19
Rate for Payer: Priority Health Narrow/Tiered Network $263.72
Rate for Payer: UHC All Payor (Choice/PPO) $380.51
Rate for Payer: UHC Core $361.05
Rate for Payer: Van Buren County Sheriff Dept. Commercial $324.30
Service Code NDC 13668-094-90
Hospital Charge Code 21288
Hospital Revenue Code 637
Min. Negotiated Rate $70.95
Max. Negotiated Rate $104.70
Rate for Payer: Aetna Commercial $98.88
Rate for Payer: BCBS Trust/PPO $89.90
Rate for Payer: BCN Commercial $89.90
Rate for Payer: Cash Price $93.06
Rate for Payer: Cofinity Commercial $100.04
Rate for Payer: Encore Health Key Benefits Commercial $93.06
Rate for Payer: Healthscope Commercial $104.70
Rate for Payer: Lakeland Regional Health Systems Commercial $87.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $98.88
Rate for Payer: PHP Commercial $98.88
Rate for Payer: Priority Health Cigna Priority Health $81.43
Rate for Payer: Priority Health HMO/PPO/Tiered Network $101.21
Rate for Payer: Priority Health Narrow/Tiered Network $70.95
Rate for Payer: UHC All Payor (Choice/PPO) $102.37
Rate for Payer: UHC Core $97.14
Rate for Payer: Van Buren County Sheriff Dept. Commercial $87.25
Service Code NDC 68462-333-90
Hospital Charge Code 21288
Hospital Revenue Code 637
Min. Negotiated Rate $132.87
Max. Negotiated Rate $196.06
Rate for Payer: Aetna Commercial $185.17
Rate for Payer: BCBS Trust/PPO $168.35
Rate for Payer: BCN Commercial $168.35
Rate for Payer: Cash Price $174.28
Rate for Payer: Cofinity Commercial $187.35
Rate for Payer: Encore Health Key Benefits Commercial $174.28
Rate for Payer: Healthscope Commercial $196.06
Rate for Payer: Lakeland Regional Health Systems Commercial $163.39
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $185.17
Rate for Payer: PHP Commercial $185.17
Rate for Payer: Priority Health Cigna Priority Health $152.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $189.53
Rate for Payer: Priority Health Narrow/Tiered Network $132.87
Rate for Payer: UHC All Payor (Choice/PPO) $191.71
Rate for Payer: UHC Core $181.90
Rate for Payer: Van Buren County Sheriff Dept. Commercial $163.39
Service Code NDC 60687-592-21
Hospital Charge Code 21288
Hospital Revenue Code 637
Min. Negotiated Rate $79.84
Max. Negotiated Rate $117.81
Rate for Payer: Aetna Commercial $111.26
Rate for Payer: BCBS Trust/PPO $101.16
Rate for Payer: BCN Commercial $101.16
Rate for Payer: Cash Price $104.72
Rate for Payer: Cofinity Commercial $112.57
Rate for Payer: Encore Health Key Benefits Commercial $104.72
Rate for Payer: Healthscope Commercial $117.81
Rate for Payer: Lakeland Regional Health Systems Commercial $98.18
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $111.26
Rate for Payer: PHP Commercial $111.26
Rate for Payer: Priority Health Cigna Priority Health $91.63
Rate for Payer: Priority Health HMO/PPO/Tiered Network $113.88
Rate for Payer: Priority Health Narrow/Tiered Network $79.84
Rate for Payer: UHC All Payor (Choice/PPO) $115.19
Rate for Payer: UHC Core $109.30
Rate for Payer: Van Buren County Sheriff Dept. Commercial $98.18
Service Code NDC 60687-592-11
Hospital Charge Code 21288
Hospital Revenue Code 637
Min. Negotiated Rate $2.67
Max. Negotiated Rate $3.93
Rate for Payer: Aetna Commercial $3.71
Rate for Payer: BCBS Trust/PPO $3.38
Rate for Payer: BCN Commercial $3.38
Rate for Payer: Cash Price $3.50
Rate for Payer: Cofinity Commercial $3.76
Rate for Payer: Encore Health Key Benefits Commercial $3.50
Rate for Payer: Healthscope Commercial $3.93
Rate for Payer: Lakeland Regional Health Systems Commercial $3.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $3.71
Rate for Payer: PHP Commercial $3.71
Rate for Payer: Priority Health Cigna Priority Health $3.06
Rate for Payer: Priority Health HMO/PPO/Tiered Network $3.80
Rate for Payer: Priority Health Narrow/Tiered Network $2.67
Rate for Payer: UHC All Payor (Choice/PPO) $3.85
Rate for Payer: UHC Core $3.65
Rate for Payer: Van Buren County Sheriff Dept. Commercial $3.28
Service Code HCPCS 59000
Min. Negotiated Rate $51.76
Max. Negotiated Rate $570.04
Rate for Payer: Aetna Commercial $107.39
Rate for Payer: Aetna Medicare $83.35
Rate for Payer: BCBS Complete $54.35
Rate for Payer: BCBS MAPPO $80.14
Rate for Payer: BCBS Trust/PPO $570.04
Rate for Payer: BCN Commercial $172.01
Rate for Payer: BCN Medicare Advantage $80.14
Rate for Payer: Cash Price $188.00
Rate for Payer: Cash Price $188.00
Rate for Payer: Cofinity Commercial $115.40
Rate for Payer: Cofinity Commercial $107.39
Rate for Payer: Health Alliance Plan Medicare Advantage $80.14
Rate for Payer: Mclaren Medicaid $51.76
Rate for Payer: Meridian Medicaid $54.35
Rate for Payer: Meridian Wellcare - Medicare Advantage $84.15
Rate for Payer: PACE SWMI $80.14
Rate for Payer: PHP Medicare Advantage $80.14
Rate for Payer: Priority Health Choice Medicaid $51.76
Rate for Payer: Priority Health Cigna Priority Health $164.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $113.32
Rate for Payer: Priority Health Medicare $80.14
Rate for Payer: Priority Health Narrow/Tiered Network $113.32
Rate for Payer: UHC All Payor (Choice/PPO) $80.14
Rate for Payer: UHC Dual Complete DSNP $80.14
Rate for Payer: UHC Medicare Advantage $82.54
Service Code HCPCS 59001
Min. Negotiated Rate $113.96
Max. Negotiated Rate $523.55
Rate for Payer: Aetna Commercial $238.95
Rate for Payer: Aetna Medicare $185.45
Rate for Payer: BCBS Complete $119.66
Rate for Payer: BCBS MAPPO $178.32
Rate for Payer: BCBS Trust/PPO $523.55
Rate for Payer: BCN Commercial $259.98
Rate for Payer: BCN Medicare Advantage $178.32
Rate for Payer: Cash Price $328.00
Rate for Payer: Cash Price $328.00
Rate for Payer: Cofinity Commercial $256.78
Rate for Payer: Cofinity Commercial $238.95
Rate for Payer: Health Alliance Plan Medicare Advantage $178.32
Rate for Payer: Mclaren Medicaid $113.96
Rate for Payer: Meridian Medicaid $119.66
Rate for Payer: Meridian Wellcare - Medicare Advantage $187.24
Rate for Payer: PACE SWMI $178.32
Rate for Payer: PHP Medicare Advantage $178.32
Rate for Payer: Priority Health Choice Medicaid $113.96
Rate for Payer: Priority Health Cigna Priority Health $287.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $251.20
Rate for Payer: Priority Health Medicare $178.32
Rate for Payer: Priority Health Narrow/Tiered Network $251.20
Rate for Payer: UHC All Payor (Choice/PPO) $178.32
Rate for Payer: UHC Dual Complete DSNP $178.32
Rate for Payer: UHC Medicare Advantage $183.67
Service Code NDC 11868-814-01
Hospital Charge Code 40249
Hospital Revenue Code 637
Min. Negotiated Rate $14.60
Max. Negotiated Rate $21.55
Rate for Payer: Aetna Commercial $20.35
Rate for Payer: BCBS Trust/PPO $18.50
Rate for Payer: BCN Commercial $18.50
Rate for Payer: Cash Price $19.15
Rate for Payer: Cofinity Commercial $20.59
Rate for Payer: Encore Health Key Benefits Commercial $19.15
Rate for Payer: Healthscope Commercial $21.55
Rate for Payer: Lakeland Regional Health Systems Commercial $17.96
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $20.35
Rate for Payer: PHP Commercial $20.35
Rate for Payer: Priority Health Cigna Priority Health $16.76
Rate for Payer: Priority Health HMO/PPO/Tiered Network $20.83
Rate for Payer: Priority Health Narrow/Tiered Network $14.60
Rate for Payer: UHC All Payor (Choice/PPO) $21.07
Rate for Payer: UHC Core $19.99
Rate for Payer: Van Buren County Sheriff Dept. Commercial $17.96
Service Code HCPCS 24925
Min. Negotiated Rate $140.00
Max. Negotiated Rate $1,092.00
Rate for Payer: Aetna Commercial $754.18
Rate for Payer: Aetna Medicare $585.33
Rate for Payer: BCBS Complete $389.60
Rate for Payer: BCBS MAPPO $562.82
Rate for Payer: BCBS Trust/PPO $140.00
Rate for Payer: BCN Commercial $842.97
Rate for Payer: BCN Medicare Advantage $562.82
Rate for Payer: Cash Price $1,248.00
Rate for Payer: Cash Price $1,248.00
Rate for Payer: Cofinity Commercial $810.46
Rate for Payer: Cofinity Commercial $754.18
Rate for Payer: Health Alliance Plan Medicare Advantage $562.82
Rate for Payer: Mclaren Medicaid $371.05
Rate for Payer: Meridian Medicaid $389.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $590.96
Rate for Payer: PACE SWMI $562.82
Rate for Payer: PHP Medicare Advantage $562.82
Rate for Payer: Priority Health Choice Medicaid $371.05
Rate for Payer: Priority Health Cigna Priority Health $1,092.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $880.86
Rate for Payer: Priority Health Medicare $562.82
Rate for Payer: Priority Health Narrow/Tiered Network $880.86
Rate for Payer: UHC All Payor (Choice/PPO) $562.82
Rate for Payer: UHC Dual Complete DSNP $562.82
Rate for Payer: UHC Medicare Advantage $579.70
Service Code HCPCS 25907
Min. Negotiated Rate $206.57
Max. Negotiated Rate $1,108.80
Rate for Payer: Aetna Commercial $813.85
Rate for Payer: Aetna Medicare $631.64
Rate for Payer: BCBS Complete $420.24
Rate for Payer: BCBS MAPPO $607.35
Rate for Payer: BCBS Trust/PPO $206.57
Rate for Payer: BCN Commercial $908.45
Rate for Payer: BCN Medicare Advantage $607.35
Rate for Payer: Cash Price $1,267.20
Rate for Payer: Cash Price $1,267.20
Rate for Payer: Cofinity Commercial $874.58
Rate for Payer: Cofinity Commercial $813.85
Rate for Payer: Health Alliance Plan Medicare Advantage $607.35
Rate for Payer: Mclaren Medicaid $400.23
Rate for Payer: Meridian Medicaid $420.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $637.72
Rate for Payer: PACE SWMI $607.35
Rate for Payer: PHP Medicare Advantage $607.35
Rate for Payer: Priority Health Choice Medicaid $400.23
Rate for Payer: Priority Health Cigna Priority Health $1,108.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $949.29
Rate for Payer: Priority Health Medicare $607.35
Rate for Payer: Priority Health Narrow/Tiered Network $949.29
Rate for Payer: UHC All Payor (Choice/PPO) $607.35
Rate for Payer: UHC Dual Complete DSNP $607.35
Rate for Payer: UHC Medicare Advantage $625.57
Service Code HCPCS 25905
Min. Negotiated Rate $173.28
Max. Negotiated Rate $1,317.40
Rate for Payer: Aetna Commercial $929.38
Rate for Payer: Aetna Medicare $721.31
Rate for Payer: BCBS Complete $478.16
Rate for Payer: BCBS MAPPO $693.57
Rate for Payer: BCBS Trust/PPO $173.28
Rate for Payer: BCN Commercial $1,035.02
Rate for Payer: BCN Medicare Advantage $693.57
Rate for Payer: Cash Price $1,505.60
Rate for Payer: Cash Price $1,505.60
Rate for Payer: Cofinity Commercial $998.74
Rate for Payer: Cofinity Commercial $929.38
Rate for Payer: Health Alliance Plan Medicare Advantage $693.57
Rate for Payer: Mclaren Medicaid $455.39
Rate for Payer: Meridian Medicaid $478.16
Rate for Payer: Meridian Wellcare - Medicare Advantage $728.25
Rate for Payer: PACE SWMI $693.57
Rate for Payer: PHP Medicare Advantage $693.57
Rate for Payer: Priority Health Choice Medicaid $455.39
Rate for Payer: Priority Health Cigna Priority Health $1,317.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,081.56
Rate for Payer: Priority Health Medicare $693.57
Rate for Payer: Priority Health Narrow/Tiered Network $1,081.56
Rate for Payer: UHC All Payor (Choice/PPO) $693.57
Rate for Payer: UHC Dual Complete DSNP $693.57
Rate for Payer: UHC Medicare Advantage $714.38
Service Code HCPCS 25909
Min. Negotiated Rate $304.30
Max. Negotiated Rate $1,057.55
Rate for Payer: Aetna Commercial $908.43
Rate for Payer: Aetna Medicare $705.05
Rate for Payer: BCBS Complete $466.76
Rate for Payer: BCBS MAPPO $677.93
Rate for Payer: BCBS Trust/PPO $304.30
Rate for Payer: BCN Commercial $1,012.05
Rate for Payer: BCN Medicare Advantage $677.93
Rate for Payer: Cash Price $970.40
Rate for Payer: Cash Price $970.40
Rate for Payer: Cofinity Commercial $908.43
Rate for Payer: Cofinity Commercial $976.22
Rate for Payer: Health Alliance Plan Medicare Advantage $677.93
Rate for Payer: Mclaren Medicaid $444.53
Rate for Payer: Meridian Medicaid $466.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $711.83
Rate for Payer: PACE SWMI $677.93
Rate for Payer: PHP Medicare Advantage $677.93
Rate for Payer: Priority Health Choice Medicaid $444.53
Rate for Payer: Priority Health Cigna Priority Health $849.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,057.55
Rate for Payer: Priority Health Medicare $677.93
Rate for Payer: Priority Health Narrow/Tiered Network $1,057.55
Rate for Payer: UHC All Payor (Choice/PPO) $677.93
Rate for Payer: UHC Dual Complete DSNP $677.93
Rate for Payer: UHC Medicare Advantage $698.27
Service Code HCPCS 26952
Min. Negotiated Rate $285.28
Max. Negotiated Rate $1,509.90
Rate for Payer: Aetna Commercial $897.28
Rate for Payer: Aetna Medicare $696.39
Rate for Payer: BCBS Complete $465.19
Rate for Payer: BCBS MAPPO $669.61
Rate for Payer: BCBS Trust/PPO $285.28
Rate for Payer: BCN Commercial $1,018.41
Rate for Payer: BCN Medicare Advantage $669.61
Rate for Payer: Cash Price $1,725.60
Rate for Payer: Cash Price $1,725.60
Rate for Payer: Cofinity Commercial $897.28
Rate for Payer: Cofinity Commercial $964.24
Rate for Payer: Health Alliance Plan Medicare Advantage $669.61
Rate for Payer: Mclaren Medicaid $443.04
Rate for Payer: Meridian Medicaid $465.19
Rate for Payer: Meridian Wellcare - Medicare Advantage $703.09
Rate for Payer: PACE SWMI $669.61
Rate for Payer: PHP Medicare Advantage $669.61
Rate for Payer: Priority Health Choice Medicaid $443.04
Rate for Payer: Priority Health Cigna Priority Health $1,509.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,064.20
Rate for Payer: Priority Health Medicare $669.61
Rate for Payer: Priority Health Narrow/Tiered Network $1,064.20
Rate for Payer: UHC All Payor (Choice/PPO) $669.61
Rate for Payer: UHC Dual Complete DSNP $669.61
Rate for Payer: UHC Medicare Advantage $689.70
Service Code HCPCS 26951
Min. Negotiated Rate $455.82
Max. Negotiated Rate $4,383.83
Rate for Payer: Aetna Commercial $915.31
Rate for Payer: Aetna Medicare $710.39
Rate for Payer: BCBS Complete $478.61
Rate for Payer: BCBS MAPPO $683.07
Rate for Payer: BCBS Trust/PPO $4,383.83
Rate for Payer: BCN Commercial $1,042.35
Rate for Payer: BCN Medicare Advantage $683.07
Rate for Payer: Cash Price $1,294.40
Rate for Payer: Cash Price $1,294.40
Rate for Payer: Cofinity Commercial $915.31
Rate for Payer: Cofinity Commercial $983.62
Rate for Payer: Health Alliance Plan Medicare Advantage $683.07
Rate for Payer: Mclaren Medicaid $455.82
Rate for Payer: Meridian Medicaid $478.61
Rate for Payer: Meridian Wellcare - Medicare Advantage $717.22
Rate for Payer: PACE SWMI $683.07
Rate for Payer: PHP Medicare Advantage $683.07
Rate for Payer: Priority Health Choice Medicaid $455.82
Rate for Payer: Priority Health Cigna Priority Health $1,132.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,089.21
Rate for Payer: Priority Health Medicare $683.07
Rate for Payer: Priority Health Narrow/Tiered Network $1,089.21
Rate for Payer: UHC All Payor (Choice/PPO) $683.07
Rate for Payer: UHC Dual Complete DSNP $683.07
Rate for Payer: UHC Medicare Advantage $703.56