|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$209.78
|
| Rate for Payer: Aetna Medicare |
$162.81
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS MAPPO |
$156.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$369.44
|
| Rate for Payer: BCN Medicare Advantage |
$156.55
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$225.43
|
| Rate for Payer: Cofinity Commercial |
$209.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.55
|
| Rate for Payer: Mclaren Medicaid |
$104.16
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$164.38
|
| Rate for Payer: PACE SWMI |
$156.55
|
| Rate for Payer: PHP Medicare Advantage |
$156.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.11
|
| Rate for Payer: Priority Health Medicare |
$156.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.55
|
| Rate for Payer: UHC Medicare Advantage |
$161.25
|
|
|
PR BIOPSY SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$448.00
|
|
|
Service Code
|
HCPCS 21550
|
| Min. Negotiated Rate |
$62.73 |
| Max. Negotiated Rate |
$392.89 |
| Rate for Payer: Aetna Commercial |
$203.96
|
| Rate for Payer: Aetna Medicare |
$158.30
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$152.21
|
| Rate for Payer: BCBS Trust/PPO |
$62.73
|
| Rate for Payer: BCN Commercial |
$392.89
|
| Rate for Payer: BCN Medicare Advantage |
$152.21
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Cofinity Commercial |
$203.96
|
| Rate for Payer: Cofinity Commercial |
$219.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.21
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.82
|
| Rate for Payer: PACE SWMI |
$152.21
|
| Rate for Payer: PHP Medicare Advantage |
$152.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$238.47
|
| Rate for Payer: Priority Health Medicare |
$152.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.21
|
| Rate for Payer: UHC Medicare Advantage |
$156.78
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL
|
Professional
|
Both
|
$585.00
|
|
|
Service Code
|
HCPCS 27040
|
| Min. Negotiated Rate |
$127.59 |
| Max. Negotiated Rate |
$498.94 |
| Rate for Payer: Aetna Commercial |
$260.75
|
| Rate for Payer: Aetna Medicare |
$202.37
|
| Rate for Payer: BCBS Complete |
$133.97
|
| Rate for Payer: BCBS MAPPO |
$194.59
|
| Rate for Payer: BCBS Trust/PPO |
$289.10
|
| Rate for Payer: BCN Commercial |
$498.94
|
| Rate for Payer: BCN Medicare Advantage |
$194.59
|
| Rate for Payer: Cash Price |
$468.00
|
| Rate for Payer: Cash Price |
$468.00
|
| Rate for Payer: Cofinity Commercial |
$280.21
|
| Rate for Payer: Cofinity Commercial |
$260.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.59
|
| Rate for Payer: Mclaren Medicaid |
$127.59
|
| Rate for Payer: Meridian Medicaid |
$133.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.32
|
| Rate for Payer: PACE SWMI |
$194.59
|
| Rate for Payer: PHP Medicare Advantage |
$194.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$409.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.33
|
| Rate for Payer: Priority Health Medicare |
$194.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$194.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.59
|
| Rate for Payer: UHC Medicare Advantage |
$200.43
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27041
|
| Min. Negotiated Rate |
$316.44 |
| Max. Negotiated Rate |
$1,090.75 |
| Rate for Payer: Aetna Commercial |
$939.51
|
| Rate for Payer: Aetna Medicare |
$729.18
|
| Rate for Payer: BCBS Complete |
$479.96
|
| Rate for Payer: BCBS MAPPO |
$701.13
|
| Rate for Payer: BCBS Trust/PPO |
$316.44
|
| Rate for Payer: BCN Commercial |
$1,043.82
|
| Rate for Payer: BCN Medicare Advantage |
$701.13
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$939.51
|
| Rate for Payer: Cofinity Commercial |
$1,009.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$701.13
|
| Rate for Payer: Mclaren Medicaid |
$457.10
|
| Rate for Payer: Meridian Medicaid |
$479.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$736.19
|
| Rate for Payer: PACE SWMI |
$701.13
|
| Rate for Payer: PHP Medicare Advantage |
$701.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,090.75
|
| Rate for Payer: Priority Health Medicare |
$701.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,090.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$701.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$701.13
|
| Rate for Payer: UHC Medicare Advantage |
$722.16
|
|
|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$831.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$240.26 |
| Max. Negotiated Rate |
$833.19 |
| Rate for Payer: Aetna Commercial |
$480.52
|
| Rate for Payer: Aetna Medicare |
$372.94
|
| Rate for Payer: BCBS Complete |
$252.27
|
| Rate for Payer: BCBS MAPPO |
$358.60
|
| Rate for Payer: BCBS Trust/PPO |
$426.87
|
| Rate for Payer: BCN Commercial |
$833.19
|
| Rate for Payer: BCN Medicare Advantage |
$358.60
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cofinity Commercial |
$516.38
|
| Rate for Payer: Cofinity Commercial |
$480.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.60
|
| Rate for Payer: Mclaren Medicaid |
$240.26
|
| Rate for Payer: Meridian Medicaid |
$252.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$376.53
|
| Rate for Payer: PACE SWMI |
$358.60
|
| Rate for Payer: PHP Medicare Advantage |
$358.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$563.75
|
| Rate for Payer: Priority Health Medicare |
$358.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$563.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.60
|
| Rate for Payer: UHC Medicare Advantage |
$369.36
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$682.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$267.32 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$542.20
|
| Rate for Payer: Aetna Medicare |
$420.82
|
| Rate for Payer: BCBS Complete |
$280.69
|
| Rate for Payer: BCBS MAPPO |
$404.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$606.45
|
| Rate for Payer: BCN Medicare Advantage |
$404.63
|
| Rate for Payer: Cash Price |
$545.60
|
| Rate for Payer: Cash Price |
$545.60
|
| Rate for Payer: Cofinity Commercial |
$582.67
|
| Rate for Payer: Cofinity Commercial |
$542.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.63
|
| Rate for Payer: Mclaren Medicaid |
$267.32
|
| Rate for Payer: Meridian Medicaid |
$280.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.86
|
| Rate for Payer: PACE SWMI |
$404.63
|
| Rate for Payer: PHP Medicare Advantage |
$404.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$477.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$633.72
|
| Rate for Payer: Priority Health Medicare |
$404.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$633.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.63
|
| Rate for Payer: UHC Medicare Advantage |
$416.77
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$472.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$2,259.54 |
| Rate for Payer: Aetna Commercial |
$228.72
|
| Rate for Payer: Aetna Medicare |
$177.52
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS MAPPO |
$170.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.54
|
| Rate for Payer: BCN Commercial |
$402.67
|
| Rate for Payer: BCN Medicare Advantage |
$170.69
|
| Rate for Payer: Cash Price |
$377.60
|
| Rate for Payer: Cash Price |
$377.60
|
| Rate for Payer: Cofinity Commercial |
$228.72
|
| Rate for Payer: Cofinity Commercial |
$245.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.69
|
| Rate for Payer: Mclaren Medicaid |
$112.68
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$179.22
|
| Rate for Payer: PACE SWMI |
$170.69
|
| Rate for Payer: PHP Medicare Advantage |
$170.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.58
|
| Rate for Payer: Priority Health Medicare |
$170.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$267.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.69
|
| Rate for Payer: UHC Medicare Advantage |
$175.81
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,052.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$920.67 |
| Rate for Payer: Aetna Commercial |
$555.79
|
| Rate for Payer: Aetna Medicare |
$431.36
|
| Rate for Payer: BCBS Complete |
$288.73
|
| Rate for Payer: BCBS MAPPO |
$414.77
|
| Rate for Payer: BCBS Trust/PPO |
$75.99
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$414.77
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$597.27
|
| Rate for Payer: Cofinity Commercial |
$555.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.77
|
| Rate for Payer: Mclaren Medicaid |
$274.98
|
| Rate for Payer: Meridian Medicaid |
$288.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.51
|
| Rate for Payer: PACE SWMI |
$414.77
|
| Rate for Payer: PHP Medicare Advantage |
$414.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.04
|
| Rate for Payer: Priority Health Medicare |
$414.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$649.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.77
|
| Rate for Payer: UHC Medicare Advantage |
$427.21
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 24065
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$380.19 |
| Rate for Payer: Aetna Commercial |
$211.91
|
| Rate for Payer: Aetna Medicare |
$164.47
|
| Rate for Payer: BCBS Complete |
$110.26
|
| Rate for Payer: BCBS MAPPO |
$158.14
|
| Rate for Payer: BCBS Trust/PPO |
$126.93
|
| Rate for Payer: BCN Commercial |
$380.19
|
| Rate for Payer: BCN Medicare Advantage |
$158.14
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$227.72
|
| Rate for Payer: Cofinity Commercial |
$211.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.14
|
| Rate for Payer: Mclaren Medicaid |
$105.01
|
| Rate for Payer: Meridian Medicaid |
$110.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$166.05
|
| Rate for Payer: PACE SWMI |
$158.14
|
| Rate for Payer: PHP Medicare Advantage |
$158.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.17
|
| Rate for Payer: Priority Health Medicare |
$158.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.14
|
| Rate for Payer: UHC Medicare Advantage |
$162.88
|
|
|
PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$2,495.00
|
|
|
Service Code
|
HCPCS 62269
|
| Min. Negotiated Rate |
$162.95 |
| Max. Negotiated Rate |
$1,746.50 |
| Rate for Payer: Aetna Commercial |
$341.66
|
| Rate for Payer: Aetna Medicare |
$265.17
|
| Rate for Payer: BCBS Complete |
$171.10
|
| Rate for Payer: BCBS MAPPO |
$254.97
|
| Rate for Payer: BCBS Trust/PPO |
$567.92
|
| Rate for Payer: BCN Commercial |
$375.79
|
| Rate for Payer: BCN Medicare Advantage |
$254.97
|
| Rate for Payer: Cash Price |
$1,996.00
|
| Rate for Payer: Cash Price |
$1,996.00
|
| Rate for Payer: Cofinity Commercial |
$367.16
|
| Rate for Payer: Cofinity Commercial |
$341.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.97
|
| Rate for Payer: Mclaren Medicaid |
$162.95
|
| Rate for Payer: Meridian Medicaid |
$171.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$267.72
|
| Rate for Payer: PACE SWMI |
$254.97
|
| Rate for Payer: PHP Medicare Advantage |
$254.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.42
|
| Rate for Payer: Priority Health Medicare |
$254.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$435.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.97
|
| Rate for Payer: UHC Medicare Advantage |
$262.62
|
|
|
PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$668.00
|
|
|
Service Code
|
HCPCS 54505
|
| Min. Negotiated Rate |
$133.76 |
| Max. Negotiated Rate |
$1,963.16 |
| Rate for Payer: Aetna Commercial |
$274.18
|
| Rate for Payer: Aetna Medicare |
$212.79
|
| Rate for Payer: BCBS Complete |
$140.45
|
| Rate for Payer: BCBS MAPPO |
$204.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,963.16
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$204.61
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Cofinity Commercial |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$274.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.61
|
| Rate for Payer: Mclaren Medicaid |
$133.76
|
| Rate for Payer: Meridian Medicaid |
$140.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$214.84
|
| Rate for Payer: PACE SWMI |
$204.61
|
| Rate for Payer: PHP Medicare Advantage |
$204.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$335.56
|
| Rate for Payer: Priority Health Medicare |
$204.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$335.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.61
|
| Rate for Payer: UHC Medicare Advantage |
$210.75
|
|
|
PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 60100
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$172.75 |
| Rate for Payer: Aetna Commercial |
$101.97
|
| Rate for Payer: Aetna Medicare |
$79.14
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCBS MAPPO |
$76.10
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: BCN Commercial |
$161.26
|
| Rate for Payer: BCN Medicare Advantage |
$76.10
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$101.97
|
| Rate for Payer: Cofinity Commercial |
$109.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.10
|
| Rate for Payer: Mclaren Medicaid |
$48.14
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$79.90
|
| Rate for Payer: PACE SWMI |
$76.10
|
| Rate for Payer: PHP Medicare Advantage |
$76.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$107.87
|
| Rate for Payer: Priority Health Medicare |
$76.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.10
|
| Rate for Payer: UHC Medicare Advantage |
$78.38
|
|
|
PR BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 41100
|
| Min. Negotiated Rate |
$69.01 |
| Max. Negotiated Rate |
$824.68 |
| Rate for Payer: Aetna Commercial |
$140.36
|
| Rate for Payer: Aetna Medicare |
$108.94
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$104.75
|
| Rate for Payer: BCBS Trust/PPO |
$824.68
|
| Rate for Payer: BCN Commercial |
$276.59
|
| Rate for Payer: BCN Medicare Advantage |
$104.75
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$150.84
|
| Rate for Payer: Cofinity Commercial |
$140.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.75
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.99
|
| Rate for Payer: PACE SWMI |
$104.75
|
| Rate for Payer: PHP Medicare Advantage |
$104.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.33
|
| Rate for Payer: Priority Health Medicare |
$104.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.75
|
| Rate for Payer: UHC Medicare Advantage |
$107.89
|
|
|
PR BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Professional
|
Both
|
$298.00
|
|
|
Service Code
|
HCPCS 41105
|
| Min. Negotiated Rate |
$70.93 |
| Max. Negotiated Rate |
$609.66 |
| Rate for Payer: Aetna Commercial |
$143.88
|
| Rate for Payer: Aetna Medicare |
$111.66
|
| Rate for Payer: BCBS Complete |
$74.48
|
| Rate for Payer: BCBS MAPPO |
$107.37
|
| Rate for Payer: BCBS Trust/PPO |
$609.66
|
| Rate for Payer: BCN Commercial |
$276.59
|
| Rate for Payer: BCN Medicare Advantage |
$107.37
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cofinity Commercial |
$154.61
|
| Rate for Payer: Cofinity Commercial |
$143.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.37
|
| Rate for Payer: Mclaren Medicaid |
$70.93
|
| Rate for Payer: Meridian Medicaid |
$74.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.74
|
| Rate for Payer: PACE SWMI |
$107.37
|
| Rate for Payer: PHP Medicare Advantage |
$107.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$208.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.03
|
| Rate for Payer: Priority Health Medicare |
$107.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.37
|
| Rate for Payer: UHC Medicare Advantage |
$110.59
|
|
|
PR BIOPSY URETHRA
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 53200
|
| Min. Negotiated Rate |
$90.10 |
| Max. Negotiated Rate |
$364.00 |
| Rate for Payer: Aetna Commercial |
$185.52
|
| Rate for Payer: Aetna Medicare |
$143.99
|
| Rate for Payer: BCBS Complete |
$94.60
|
| Rate for Payer: BCBS MAPPO |
$138.45
|
| Rate for Payer: BCBS Trust/PPO |
$364.00
|
| Rate for Payer: BCN Commercial |
$230.17
|
| Rate for Payer: BCN Medicare Advantage |
$138.45
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$185.52
|
| Rate for Payer: Cofinity Commercial |
$199.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.45
|
| Rate for Payer: Mclaren Medicaid |
$90.10
|
| Rate for Payer: Meridian Medicaid |
$94.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$145.37
|
| Rate for Payer: PACE SWMI |
$138.45
|
| Rate for Payer: PHP Medicare Advantage |
$138.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$264.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$225.33
|
| Rate for Payer: Priority Health Medicare |
$138.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$225.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$138.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$138.45
|
| Rate for Payer: UHC Medicare Advantage |
$142.60
|
|
|
PR BIOPSY VAGINAL MUCOSA EXTENSIVE
|
Professional
|
Both
|
$310.00
|
|
|
Service Code
|
HCPCS 57105
|
| Min. Negotiated Rate |
$94.79 |
| Max. Negotiated Rate |
$3,594.02 |
| Rate for Payer: Aetna Commercial |
$191.49
|
| Rate for Payer: Aetna Medicare |
$148.62
|
| Rate for Payer: BCBS Complete |
$99.53
|
| Rate for Payer: BCBS MAPPO |
$142.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,594.02
|
| Rate for Payer: BCN Commercial |
$260.95
|
| Rate for Payer: BCN Medicare Advantage |
$142.90
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$191.49
|
| Rate for Payer: Cofinity Commercial |
$205.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.90
|
| Rate for Payer: Mclaren Medicaid |
$94.79
|
| Rate for Payer: Meridian Medicaid |
$99.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.04
|
| Rate for Payer: PACE SWMI |
$142.90
|
| Rate for Payer: PHP Medicare Advantage |
$142.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$208.78
|
| Rate for Payer: Priority Health Medicare |
$142.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$208.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.90
|
| Rate for Payer: UHC Medicare Advantage |
$147.19
|
|
|
PR BIOPSY VAGINAL MUCOSA SIMPLE
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 57100
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$3,206.78 |
| Rate for Payer: Aetna Commercial |
$86.52
|
| Rate for Payer: Aetna Medicare |
$67.15
|
| Rate for Payer: BCBS Complete |
$43.84
|
| Rate for Payer: BCBS MAPPO |
$64.57
|
| Rate for Payer: BCBS Trust/PPO |
$3,206.78
|
| Rate for Payer: BCN Commercial |
$151.98
|
| Rate for Payer: BCN Medicare Advantage |
$64.57
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$92.98
|
| Rate for Payer: Cofinity Commercial |
$86.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.57
|
| Rate for Payer: Mclaren Medicaid |
$41.75
|
| Rate for Payer: Meridian Medicaid |
$43.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$67.80
|
| Rate for Payer: PACE SWMI |
$64.57
|
| Rate for Payer: PHP Medicare Advantage |
$64.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.84
|
| Rate for Payer: Priority Health Medicare |
$64.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.57
|
| Rate for Payer: UHC Medicare Advantage |
$66.51
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 20251
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$910.70 |
| Rate for Payer: Aetna Commercial |
$558.44
|
| Rate for Payer: Aetna Medicare |
$433.42
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS MAPPO |
$416.75
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$618.67
|
| Rate for Payer: BCN Medicare Advantage |
$416.75
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$600.12
|
| Rate for Payer: Cofinity Commercial |
$558.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.75
|
| Rate for Payer: Mclaren Medicaid |
$269.66
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$437.59
|
| Rate for Payer: PACE SWMI |
$416.75
|
| Rate for Payer: PHP Medicare Advantage |
$416.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$910.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$646.48
|
| Rate for Payer: Priority Health Medicare |
$416.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$646.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.75
|
| Rate for Payer: UHC Medicare Advantage |
$429.25
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN THORACIC
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 20250
|
| Min. Negotiated Rate |
$252.19 |
| Max. Negotiated Rate |
$595.41 |
| Rate for Payer: Aetna Commercial |
$513.35
|
| Rate for Payer: Aetna Medicare |
$398.42
|
| Rate for Payer: BCBS Complete |
$264.80
|
| Rate for Payer: BCBS MAPPO |
$383.10
|
| Rate for Payer: BCBS Trust/PPO |
$556.70
|
| Rate for Payer: BCN Commercial |
$569.80
|
| Rate for Payer: BCN Medicare Advantage |
$383.10
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$551.66
|
| Rate for Payer: Cofinity Commercial |
$513.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.10
|
| Rate for Payer: Mclaren Medicaid |
$252.19
|
| Rate for Payer: Meridian Medicaid |
$264.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$402.26
|
| Rate for Payer: PACE SWMI |
$383.10
|
| Rate for Payer: PHP Medicare Advantage |
$383.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$595.41
|
| Rate for Payer: Priority Health Medicare |
$383.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.10
|
| Rate for Payer: UHC Medicare Advantage |
$394.59
|
|
|
PR BIOPSY VESTIBULE MOUTH
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 40808
|
| Min. Negotiated Rate |
$57.30 |
| Max. Negotiated Rate |
$547.85 |
| Rate for Payer: Aetna Commercial |
$114.77
|
| Rate for Payer: Aetna Medicare |
$89.08
|
| Rate for Payer: BCBS Complete |
$60.16
|
| Rate for Payer: BCBS MAPPO |
$85.65
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$249.22
|
| Rate for Payer: BCN Medicare Advantage |
$85.65
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$123.34
|
| Rate for Payer: Cofinity Commercial |
$114.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.65
|
| Rate for Payer: Mclaren Medicaid |
$57.30
|
| Rate for Payer: Meridian Medicaid |
$60.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$89.93
|
| Rate for Payer: PACE SWMI |
$85.65
|
| Rate for Payer: PHP Medicare Advantage |
$85.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$155.81
|
| Rate for Payer: Priority Health Medicare |
$85.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$155.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.65
|
| Rate for Payer: UHC Medicare Advantage |
$88.22
|
|
|
PR BIOPSY VULVA/PERINEUM 1 LESION SPX
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 56605
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$2,173.43 |
| Rate for Payer: Aetna Commercial |
$79.02
|
| Rate for Payer: Aetna Medicare |
$61.33
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$58.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,173.43
|
| Rate for Payer: BCN Commercial |
$114.27
|
| Rate for Payer: BCN Medicare Advantage |
$58.97
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$84.92
|
| Rate for Payer: Cofinity Commercial |
$79.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.97
|
| Rate for Payer: Mclaren Medicaid |
$37.70
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.92
|
| Rate for Payer: PACE SWMI |
$58.97
|
| Rate for Payer: PHP Medicare Advantage |
$58.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.80
|
| Rate for Payer: Priority Health Medicare |
$58.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$83.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.97
|
| Rate for Payer: UHC Medicare Advantage |
$60.74
|
|
|
PR BIOPSY VULVA/PERINEUM EACH ADDL LESION
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 56606
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$1,893.96 |
| Rate for Payer: Aetna Commercial |
$39.37
|
| Rate for Payer: Aetna Medicare |
$30.56
|
| Rate for Payer: BCBS Complete |
$19.46
|
| Rate for Payer: BCBS MAPPO |
$29.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,893.96
|
| Rate for Payer: BCN Commercial |
$56.68
|
| Rate for Payer: BCN Medicare Advantage |
$29.38
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$42.31
|
| Rate for Payer: Cofinity Commercial |
$39.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.38
|
| Rate for Payer: Mclaren Medicaid |
$18.53
|
| Rate for Payer: Meridian Medicaid |
$19.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.85
|
| Rate for Payer: PACE SWMI |
$29.38
|
| Rate for Payer: PHP Medicare Advantage |
$29.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$131.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.66
|
| Rate for Payer: Priority Health Medicare |
$29.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.38
|
| Rate for Payer: UHC Medicare Advantage |
$30.26
|
|
|
PR BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT
|
Professional
|
Both
|
$661.00
|
|
|
Service Code
|
HCPCS 33933
|
| Min. Negotiated Rate |
$251.71 |
| Max. Negotiated Rate |
$1,305.43 |
| Rate for Payer: Aetna Commercial |
$536.72
|
| Rate for Payer: BCBS Complete |
$264.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,305.43
|
| Rate for Payer: BCN Commercial |
$627.12
|
| Rate for Payer: Cash Price |
$528.80
|
| Rate for Payer: Cash Price |
$528.80
|
| Rate for Payer: Mclaren Medicaid |
$251.71
|
| Rate for Payer: Meridian Medicaid |
$264.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$462.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$635.15
|
|
|
PR BLADDER INSTILLATION ANTICARCINOGENIC AGENT
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 51720
|
| Min. Negotiated Rate |
$27.48 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$57.70
|
| Rate for Payer: Aetna Medicare |
$44.78
|
| Rate for Payer: BCBS Complete |
$28.85
|
| Rate for Payer: BCBS MAPPO |
$43.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,209.35
|
| Rate for Payer: BCN Commercial |
$102.88
|
| Rate for Payer: BCN Medicare Advantage |
$43.06
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cofinity Commercial |
$62.01
|
| Rate for Payer: Cofinity Commercial |
$57.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.06
|
| Rate for Payer: Mclaren Medicaid |
$27.48
|
| Rate for Payer: Meridian Medicaid |
$28.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$45.21
|
| Rate for Payer: PACE SWMI |
$43.06
|
| Rate for Payer: PHP Medicare Advantage |
$43.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$186.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.70
|
| Rate for Payer: Priority Health Medicare |
$43.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.06
|
| Rate for Payer: UHC Medicare Advantage |
$44.35
|
|
|
PR BLADDER PRESSURE MEASUREMENT DURING FILLING
|
Professional
|
Both
|
$686.00
|
|
|
Service Code
|
HCPCS 51726
|
| Min. Negotiated Rate |
$274.40 |
| Max. Negotiated Rate |
$3,274.93 |
| Rate for Payer: Aetna Commercial |
$382.30
|
| Rate for Payer: Aetna Medicare |
$296.71
|
| Rate for Payer: BCBS Complete |
$274.40
|
| Rate for Payer: BCBS MAPPO |
$285.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,274.93
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$285.30
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cofinity Commercial |
$410.83
|
| Rate for Payer: Cofinity Commercial |
$382.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.56
|
| Rate for Payer: PACE SWMI |
$285.30
|
| Rate for Payer: PHP Medicare Advantage |
$285.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$480.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$488.48
|
| Rate for Payer: Priority Health Medicare |
$285.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$488.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.30
|
| Rate for Payer: UHC Medicare Advantage |
$293.86
|
|
