|
PR CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 26742
|
| Min. Negotiated Rate |
$183.81 |
| Max. Negotiated Rate |
$641.90 |
| Rate for Payer: Aetna Commercial |
$449.22
|
| Rate for Payer: Aetna Medicare |
$348.65
|
| Rate for Payer: BCBS Complete |
$233.49
|
| Rate for Payer: BCBS MAPPO |
$335.24
|
| Rate for Payer: BCBS Trust/PPO |
$183.81
|
| Rate for Payer: BCN Commercial |
$562.96
|
| Rate for Payer: BCN Medicare Advantage |
$335.24
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cofinity Commercial |
$449.22
|
| Rate for Payer: Cofinity Commercial |
$482.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.24
|
| Rate for Payer: Mclaren Medicaid |
$222.37
|
| Rate for Payer: Meridian Medicaid |
$233.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$352.00
|
| Rate for Payer: PACE SWMI |
$335.24
|
| Rate for Payer: PHP Medicare Advantage |
$335.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$641.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$527.49
|
| Rate for Payer: Priority Health Medicare |
$335.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$527.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.24
|
| Rate for Payer: UHC Medicare Advantage |
$345.30
|
|
|
PR CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ
|
Professional
|
Both
|
$620.00
|
|
|
Service Code
|
HCPCS 26740
|
| Min. Negotiated Rate |
$147.82 |
| Max. Negotiated Rate |
$434.00 |
| Rate for Payer: Aetna Commercial |
$292.44
|
| Rate for Payer: Aetna Medicare |
$226.97
|
| Rate for Payer: BCBS Complete |
$155.21
|
| Rate for Payer: BCBS MAPPO |
$218.24
|
| Rate for Payer: BCBS Trust/PPO |
$153.74
|
| Rate for Payer: BCN Commercial |
$350.87
|
| Rate for Payer: BCN Medicare Advantage |
$218.24
|
| Rate for Payer: Cash Price |
$496.00
|
| Rate for Payer: Cash Price |
$496.00
|
| Rate for Payer: Cofinity Commercial |
$314.27
|
| Rate for Payer: Cofinity Commercial |
$292.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.24
|
| Rate for Payer: Mclaren Medicaid |
$147.82
|
| Rate for Payer: Meridian Medicaid |
$155.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$229.15
|
| Rate for Payer: PACE SWMI |
$218.24
|
| Rate for Payer: PHP Medicare Advantage |
$218.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$147.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$347.24
|
| Rate for Payer: Priority Health Medicare |
$218.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$347.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.24
|
| Rate for Payer: UHC Medicare Advantage |
$224.79
|
|
|
PR CLTX CARPAL BONE FX W/MANJ EACH BONE
|
Professional
|
Both
|
$1,101.00
|
|
|
Service Code
|
HCPCS 25635
|
| Min. Negotiated Rate |
$280.73 |
| Max. Negotiated Rate |
$1,016.45 |
| Rate for Payer: Aetna Commercial |
$561.15
|
| Rate for Payer: Aetna Medicare |
$435.52
|
| Rate for Payer: BCBS Complete |
$294.77
|
| Rate for Payer: BCBS MAPPO |
$418.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,016.45
|
| Rate for Payer: BCN Commercial |
$697.83
|
| Rate for Payer: BCN Medicare Advantage |
$418.77
|
| Rate for Payer: Cash Price |
$880.80
|
| Rate for Payer: Cash Price |
$880.80
|
| Rate for Payer: Cofinity Commercial |
$603.03
|
| Rate for Payer: Cofinity Commercial |
$561.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$418.77
|
| Rate for Payer: Mclaren Medicaid |
$280.73
|
| Rate for Payer: Meridian Medicaid |
$294.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$439.71
|
| Rate for Payer: PACE SWMI |
$418.77
|
| Rate for Payer: PHP Medicare Advantage |
$418.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$661.29
|
| Rate for Payer: Priority Health Medicare |
$418.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$661.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$418.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$418.77
|
| Rate for Payer: UHC Medicare Advantage |
$431.33
|
|
|
PR CLTX CARPAL BONE FX W/O MANJ EACH BONE
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 25630
|
| Min. Negotiated Rate |
$189.78 |
| Max. Negotiated Rate |
$962.74 |
| Rate for Payer: Aetna Commercial |
$379.38
|
| Rate for Payer: Aetna Medicare |
$294.44
|
| Rate for Payer: BCBS Complete |
$199.27
|
| Rate for Payer: BCBS MAPPO |
$283.12
|
| Rate for Payer: BCBS Trust/PPO |
$962.74
|
| Rate for Payer: BCN Commercial |
$461.32
|
| Rate for Payer: BCN Medicare Advantage |
$283.12
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$379.38
|
| Rate for Payer: Cofinity Commercial |
$407.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$283.12
|
| Rate for Payer: Mclaren Medicaid |
$189.78
|
| Rate for Payer: Meridian Medicaid |
$199.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$297.28
|
| Rate for Payer: PACE SWMI |
$283.12
|
| Rate for Payer: PHP Medicare Advantage |
$283.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$189.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$447.84
|
| Rate for Payer: Priority Health Medicare |
$283.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$447.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$283.12
|
| Rate for Payer: UHC Medicare Advantage |
$291.61
|
|
|
PR CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 26641
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$628.93 |
| Rate for Payer: Aetna Commercial |
$507.24
|
| Rate for Payer: Aetna Medicare |
$393.68
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$378.54
|
| Rate for Payer: BCBS Trust/PPO |
$525.66
|
| Rate for Payer: BCN Commercial |
$628.93
|
| Rate for Payer: BCN Medicare Advantage |
$378.54
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$545.10
|
| Rate for Payer: Cofinity Commercial |
$507.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.54
|
| Rate for Payer: Mclaren Medicaid |
$253.90
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$397.47
|
| Rate for Payer: PACE SWMI |
$378.54
|
| Rate for Payer: PHP Medicare Advantage |
$378.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$597.97
|
| Rate for Payer: Priority Health Medicare |
$378.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$597.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$378.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.54
|
| Rate for Payer: UHC Medicare Advantage |
$389.90
|
|
|
PR CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 26645
|
| Min. Negotiated Rate |
$23.25 |
| Max. Negotiated Rate |
$698.60 |
| Rate for Payer: Aetna Commercial |
$525.87
|
| Rate for Payer: Aetna Medicare |
$408.14
|
| Rate for Payer: BCBS Complete |
$274.87
|
| Rate for Payer: BCBS MAPPO |
$392.44
|
| Rate for Payer: BCBS Trust/PPO |
$23.25
|
| Rate for Payer: BCN Commercial |
$649.45
|
| Rate for Payer: BCN Medicare Advantage |
$392.44
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$565.11
|
| Rate for Payer: Cofinity Commercial |
$525.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$392.44
|
| Rate for Payer: Mclaren Medicaid |
$261.78
|
| Rate for Payer: Meridian Medicaid |
$274.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$412.06
|
| Rate for Payer: PACE SWMI |
$392.44
|
| Rate for Payer: PHP Medicare Advantage |
$392.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$617.89
|
| Rate for Payer: Priority Health Medicare |
$392.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$392.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$392.44
|
| Rate for Payer: UHC Medicare Advantage |
$404.21
|
|
|
PR CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES
|
Professional
|
Both
|
$593.00
|
|
|
Service Code
|
HCPCS 26670
|
| Min. Negotiated Rate |
$57.73 |
| Max. Negotiated Rate |
$524.35 |
| Rate for Payer: Aetna Commercial |
$417.40
|
| Rate for Payer: Aetna Medicare |
$323.95
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$311.49
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$524.35
|
| Rate for Payer: BCN Medicare Advantage |
$311.49
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cofinity Commercial |
$448.55
|
| Rate for Payer: Cofinity Commercial |
$417.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.49
|
| Rate for Payer: Mclaren Medicaid |
$208.74
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$327.06
|
| Rate for Payer: PACE SWMI |
$311.49
|
| Rate for Payer: PHP Medicare Advantage |
$311.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$415.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.20
|
| Rate for Payer: Priority Health Medicare |
$311.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$489.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$311.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.49
|
| Rate for Payer: UHC Medicare Advantage |
$320.83
|
|
|
PR CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES
|
Professional
|
Both
|
$1,240.00
|
|
|
Service Code
|
HCPCS 26675
|
| Min. Negotiated Rate |
$46.70 |
| Max. Negotiated Rate |
$868.00 |
| Rate for Payer: Aetna Commercial |
$561.67
|
| Rate for Payer: Aetna Medicare |
$435.93
|
| Rate for Payer: BCBS Complete |
$293.65
|
| Rate for Payer: BCBS MAPPO |
$419.16
|
| Rate for Payer: BCBS Trust/PPO |
$46.70
|
| Rate for Payer: BCN Commercial |
$692.95
|
| Rate for Payer: BCN Medicare Advantage |
$419.16
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cofinity Commercial |
$603.59
|
| Rate for Payer: Cofinity Commercial |
$561.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.16
|
| Rate for Payer: Mclaren Medicaid |
$279.67
|
| Rate for Payer: Meridian Medicaid |
$293.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$440.12
|
| Rate for Payer: PACE SWMI |
$419.16
|
| Rate for Payer: PHP Medicare Advantage |
$419.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$868.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$660.27
|
| Rate for Payer: Priority Health Medicare |
$419.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$419.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$419.16
|
| Rate for Payer: UHC Medicare Advantage |
$431.73
|
|
|
PR CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ
|
Professional
|
Both
|
$1,280.00
|
|
|
Service Code
|
HCPCS 27516
|
| Min. Negotiated Rate |
$319.71 |
| Max. Negotiated Rate |
$1,829.50 |
| Rate for Payer: Aetna Commercial |
$642.88
|
| Rate for Payer: Aetna Medicare |
$498.95
|
| Rate for Payer: BCBS Complete |
$335.70
|
| Rate for Payer: BCBS MAPPO |
$479.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,829.50
|
| Rate for Payer: BCN Commercial |
$773.09
|
| Rate for Payer: BCN Medicare Advantage |
$479.76
|
| Rate for Payer: Cash Price |
$1,024.00
|
| Rate for Payer: Cash Price |
$1,024.00
|
| Rate for Payer: Cofinity Commercial |
$690.85
|
| Rate for Payer: Cofinity Commercial |
$642.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.76
|
| Rate for Payer: Mclaren Medicaid |
$319.71
|
| Rate for Payer: Meridian Medicaid |
$335.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$503.75
|
| Rate for Payer: PACE SWMI |
$479.76
|
| Rate for Payer: PHP Medicare Advantage |
$479.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$896.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$755.25
|
| Rate for Payer: Priority Health Medicare |
$479.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$755.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.76
|
| Rate for Payer: UHC Medicare Advantage |
$494.15
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ
|
Professional
|
Both
|
$1,330.00
|
|
|
Service Code
|
HCPCS 27788
|
| Min. Negotiated Rate |
$254.54 |
| Max. Negotiated Rate |
$931.00 |
| Rate for Payer: Aetna Commercial |
$513.14
|
| Rate for Payer: Aetna Medicare |
$398.26
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$382.94
|
| Rate for Payer: BCBS Trust/PPO |
$677.10
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$382.94
|
| Rate for Payer: Cash Price |
$1,064.00
|
| Rate for Payer: Cash Price |
$1,064.00
|
| Rate for Payer: Cofinity Commercial |
$551.43
|
| Rate for Payer: Cofinity Commercial |
$513.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$382.94
|
| Rate for Payer: Mclaren Medicaid |
$254.54
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$402.09
|
| Rate for Payer: PACE SWMI |
$382.94
|
| Rate for Payer: PHP Medicare Advantage |
$382.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$931.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$602.06
|
| Rate for Payer: Priority Health Medicare |
$382.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$602.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$382.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$382.94
|
| Rate for Payer: UHC Medicare Advantage |
$394.43
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27786
|
| Min. Negotiated Rate |
$191.06 |
| Max. Negotiated Rate |
$2,764.24 |
| Rate for Payer: Aetna Commercial |
$381.52
|
| Rate for Payer: Aetna Medicare |
$296.11
|
| Rate for Payer: BCBS Complete |
$200.61
|
| Rate for Payer: BCBS MAPPO |
$284.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,764.24
|
| Rate for Payer: BCN Commercial |
$378.53
|
| Rate for Payer: BCN Medicare Advantage |
$284.72
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$381.52
|
| Rate for Payer: Cofinity Commercial |
$410.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$284.72
|
| Rate for Payer: Mclaren Medicaid |
$191.06
|
| Rate for Payer: Meridian Medicaid |
$200.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$298.96
|
| Rate for Payer: PACE SWMI |
$284.72
|
| Rate for Payer: PHP Medicare Advantage |
$284.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$532.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.90
|
| Rate for Payer: Priority Health Medicare |
$284.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$450.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$284.72
|
| Rate for Payer: UHC Medicare Advantage |
$293.26
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA
|
Professional
|
Both
|
$539.00
|
|
|
Service Code
|
HCPCS 26755
|
| Min. Negotiated Rate |
$182.54 |
| Max. Negotiated Rate |
$1,776.67 |
| Rate for Payer: Aetna Commercial |
$368.23
|
| Rate for Payer: Aetna Medicare |
$285.79
|
| Rate for Payer: BCBS Complete |
$191.67
|
| Rate for Payer: BCBS MAPPO |
$274.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,776.67
|
| Rate for Payer: BCN Commercial |
$482.81
|
| Rate for Payer: BCN Medicare Advantage |
$274.80
|
| Rate for Payer: Cash Price |
$431.20
|
| Rate for Payer: Cash Price |
$431.20
|
| Rate for Payer: Cofinity Commercial |
$368.23
|
| Rate for Payer: Cofinity Commercial |
$395.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.80
|
| Rate for Payer: Mclaren Medicaid |
$182.54
|
| Rate for Payer: Meridian Medicaid |
$191.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.54
|
| Rate for Payer: PACE SWMI |
$274.80
|
| Rate for Payer: PHP Medicare Advantage |
$274.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$377.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$432.51
|
| Rate for Payer: Priority Health Medicare |
$274.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$432.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$274.80
|
| Rate for Payer: UHC Medicare Advantage |
$283.04
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA
|
Professional
|
Both
|
$404.00
|
|
|
Service Code
|
HCPCS 26750
|
| Min. Negotiated Rate |
$127.80 |
| Max. Negotiated Rate |
$945.13 |
| Rate for Payer: Aetna Commercial |
$252.31
|
| Rate for Payer: Aetna Medicare |
$195.82
|
| Rate for Payer: BCBS Complete |
$134.19
|
| Rate for Payer: BCBS MAPPO |
$188.29
|
| Rate for Payer: BCBS Trust/PPO |
$945.13
|
| Rate for Payer: BCN Commercial |
$283.92
|
| Rate for Payer: BCN Medicare Advantage |
$188.29
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cofinity Commercial |
$271.14
|
| Rate for Payer: Cofinity Commercial |
$252.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.29
|
| Rate for Payer: Mclaren Medicaid |
$127.80
|
| Rate for Payer: Meridian Medicaid |
$134.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$197.70
|
| Rate for Payer: PACE SWMI |
$188.29
|
| Rate for Payer: PHP Medicare Advantage |
$188.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.24
|
| Rate for Payer: Priority Health Medicare |
$188.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$188.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$188.29
|
| Rate for Payer: UHC Medicare Advantage |
$193.94
|
|
|
PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ
|
Professional
|
Both
|
$739.00
|
|
|
Service Code
|
HCPCS 25600
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$579.96 |
| Rate for Payer: Aetna Commercial |
$428.55
|
| Rate for Payer: Aetna Medicare |
$332.60
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS MAPPO |
$319.81
|
| Rate for Payer: BCBS Trust/PPO |
$579.96
|
| Rate for Payer: BCN Commercial |
$410.33
|
| Rate for Payer: BCN Medicare Advantage |
$319.81
|
| Rate for Payer: Cash Price |
$591.20
|
| Rate for Payer: Cash Price |
$591.20
|
| Rate for Payer: Cofinity Commercial |
$460.53
|
| Rate for Payer: Cofinity Commercial |
$428.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.81
|
| Rate for Payer: Mclaren Medicaid |
$216.83
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$335.80
|
| Rate for Payer: PACE SWMI |
$319.81
|
| Rate for Payer: PHP Medicare Advantage |
$319.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$517.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.13
|
| Rate for Payer: Priority Health Medicare |
$319.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.81
|
| Rate for Payer: UHC Medicare Advantage |
$329.40
|
|
|
PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF
|
Professional
|
Both
|
$1,361.00
|
|
|
Service Code
|
HCPCS 25605
|
| Min. Negotiated Rate |
$101.96 |
| Max. Negotiated Rate |
$952.70 |
| Rate for Payer: Aetna Commercial |
$681.20
|
| Rate for Payer: Aetna Medicare |
$528.69
|
| Rate for Payer: BCBS Complete |
$353.82
|
| Rate for Payer: BCBS MAPPO |
$508.36
|
| Rate for Payer: BCBS Trust/PPO |
$101.96
|
| Rate for Payer: BCN Commercial |
$808.76
|
| Rate for Payer: BCN Medicare Advantage |
$508.36
|
| Rate for Payer: Cash Price |
$1,088.80
|
| Rate for Payer: Cash Price |
$1,088.80
|
| Rate for Payer: Cofinity Commercial |
$732.04
|
| Rate for Payer: Cofinity Commercial |
$681.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.36
|
| Rate for Payer: Mclaren Medicaid |
$336.97
|
| Rate for Payer: Meridian Medicaid |
$353.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$533.78
|
| Rate for Payer: PACE SWMI |
$508.36
|
| Rate for Payer: PHP Medicare Advantage |
$508.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$952.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$798.15
|
| Rate for Payer: Priority Health Medicare |
$508.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$798.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$508.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$508.36
|
| Rate for Payer: UHC Medicare Advantage |
$523.61
|
|
|
PR CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING
|
Professional
|
Both
|
$1,026.00
|
|
|
Service Code
|
HCPCS 26432
|
| Min. Negotiated Rate |
$257.28 |
| Max. Negotiated Rate |
$849.20 |
| Rate for Payer: Aetna Commercial |
$710.52
|
| Rate for Payer: Aetna Medicare |
$551.45
|
| Rate for Payer: BCBS Complete |
$370.59
|
| Rate for Payer: BCBS MAPPO |
$530.24
|
| Rate for Payer: BCBS Trust/PPO |
$257.28
|
| Rate for Payer: BCN Commercial |
$812.67
|
| Rate for Payer: BCN Medicare Advantage |
$530.24
|
| Rate for Payer: Cash Price |
$820.80
|
| Rate for Payer: Cash Price |
$820.80
|
| Rate for Payer: Cofinity Commercial |
$763.55
|
| Rate for Payer: Cofinity Commercial |
$710.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.24
|
| Rate for Payer: Mclaren Medicaid |
$352.94
|
| Rate for Payer: Meridian Medicaid |
$370.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$556.75
|
| Rate for Payer: PACE SWMI |
$530.24
|
| Rate for Payer: PHP Medicare Advantage |
$530.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$718.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.20
|
| Rate for Payer: Priority Health Medicare |
$530.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$849.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$530.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$530.24
|
| Rate for Payer: UHC Medicare Advantage |
$546.15
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ
|
Professional
|
Both
|
$1,389.00
|
|
|
Service Code
|
HCPCS 27510
|
| Min. Negotiated Rate |
$442.19 |
| Max. Negotiated Rate |
$1,050.92 |
| Rate for Payer: Aetna Commercial |
$905.71
|
| Rate for Payer: Aetna Medicare |
$702.94
|
| Rate for Payer: BCBS Complete |
$464.30
|
| Rate for Payer: BCBS MAPPO |
$675.90
|
| Rate for Payer: BCBS Trust/PPO |
$768.68
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: BCN Medicare Advantage |
$675.90
|
| Rate for Payer: Cash Price |
$1,111.20
|
| Rate for Payer: Cash Price |
$1,111.20
|
| Rate for Payer: Cofinity Commercial |
$905.71
|
| Rate for Payer: Cofinity Commercial |
$973.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$675.90
|
| Rate for Payer: Mclaren Medicaid |
$442.19
|
| Rate for Payer: Meridian Medicaid |
$464.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$709.70
|
| Rate for Payer: PACE SWMI |
$675.90
|
| Rate for Payer: PHP Medicare Advantage |
$675.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$972.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,050.92
|
| Rate for Payer: Priority Health Medicare |
$675.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,050.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$675.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$675.90
|
| Rate for Payer: UHC Medicare Advantage |
$696.18
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ
|
Professional
|
Both
|
$1,078.00
|
|
|
Service Code
|
HCPCS 27508
|
| Min. Negotiated Rate |
$326.53 |
| Max. Negotiated Rate |
$781.39 |
| Rate for Payer: Aetna Commercial |
$660.83
|
| Rate for Payer: Aetna Medicare |
$512.89
|
| Rate for Payer: BCBS Complete |
$342.86
|
| Rate for Payer: BCBS MAPPO |
$493.16
|
| Rate for Payer: BCBS Trust/PPO |
$738.04
|
| Rate for Payer: BCN Commercial |
$781.39
|
| Rate for Payer: BCN Medicare Advantage |
$493.16
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Cofinity Commercial |
$660.83
|
| Rate for Payer: Cofinity Commercial |
$710.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$493.16
|
| Rate for Payer: Mclaren Medicaid |
$326.53
|
| Rate for Payer: Meridian Medicaid |
$342.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$517.82
|
| Rate for Payer: PACE SWMI |
$493.16
|
| Rate for Payer: PHP Medicare Advantage |
$493.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$773.63
|
| Rate for Payer: Priority Health Medicare |
$493.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$773.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$493.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$493.16
|
| Rate for Payer: UHC Medicare Advantage |
$507.95
|
|
|
PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,346.00
|
|
|
Service Code
|
HCPCS 27232
|
| Min. Negotiated Rate |
$467.75 |
| Max. Negotiated Rate |
$1,113.73 |
| Rate for Payer: Aetna Commercial |
$967.20
|
| Rate for Payer: Aetna Medicare |
$750.66
|
| Rate for Payer: BCBS Complete |
$491.14
|
| Rate for Payer: BCBS MAPPO |
$721.79
|
| Rate for Payer: BCBS Trust/PPO |
$835.77
|
| Rate for Payer: BCN Commercial |
$1,065.80
|
| Rate for Payer: BCN Medicare Advantage |
$721.79
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cofinity Commercial |
$967.20
|
| Rate for Payer: Cofinity Commercial |
$1,039.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$721.79
|
| Rate for Payer: Mclaren Medicaid |
$467.75
|
| Rate for Payer: Meridian Medicaid |
$491.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$757.88
|
| Rate for Payer: PACE SWMI |
$721.79
|
| Rate for Payer: PHP Medicare Advantage |
$721.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$942.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,113.73
|
| Rate for Payer: Priority Health Medicare |
$721.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,113.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$721.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$721.79
|
| Rate for Payer: UHC Medicare Advantage |
$743.44
|
|
|
PR CLTX FEM FX PROX END NCK W/O MANJ
|
Professional
|
Both
|
$979.00
|
|
|
Service Code
|
HCPCS 27230
|
| Min. Negotiated Rate |
$313.75 |
| Max. Negotiated Rate |
$806.71 |
| Rate for Payer: Aetna Commercial |
$632.75
|
| Rate for Payer: Aetna Medicare |
$491.09
|
| Rate for Payer: BCBS Complete |
$329.44
|
| Rate for Payer: BCBS MAPPO |
$472.20
|
| Rate for Payer: BCBS Trust/PPO |
$806.71
|
| Rate for Payer: BCN Commercial |
$723.73
|
| Rate for Payer: BCN Medicare Advantage |
$472.20
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cofinity Commercial |
$679.97
|
| Rate for Payer: Cofinity Commercial |
$632.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.20
|
| Rate for Payer: Mclaren Medicaid |
$313.75
|
| Rate for Payer: Meridian Medicaid |
$329.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$495.81
|
| Rate for Payer: PACE SWMI |
$472.20
|
| Rate for Payer: PHP Medicare Advantage |
$472.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$685.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$741.46
|
| Rate for Payer: Priority Health Medicare |
$472.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$741.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.20
|
| Rate for Payer: UHC Medicare Advantage |
$486.37
|
|
|
PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ
|
Professional
|
Both
|
$1,796.00
|
|
|
Service Code
|
HCPCS 27502
|
| Min. Negotiated Rate |
$486.71 |
| Max. Negotiated Rate |
$1,257.20 |
| Rate for Payer: Aetna Commercial |
$1,004.18
|
| Rate for Payer: Aetna Medicare |
$779.37
|
| Rate for Payer: BCBS Complete |
$511.05
|
| Rate for Payer: BCBS MAPPO |
$749.39
|
| Rate for Payer: BCBS Trust/PPO |
$878.56
|
| Rate for Payer: BCN Commercial |
$1,111.74
|
| Rate for Payer: BCN Medicare Advantage |
$749.39
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cofinity Commercial |
$1,079.12
|
| Rate for Payer: Cofinity Commercial |
$1,004.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$749.39
|
| Rate for Payer: Mclaren Medicaid |
$486.71
|
| Rate for Payer: Meridian Medicaid |
$511.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$786.86
|
| Rate for Payer: PACE SWMI |
$749.39
|
| Rate for Payer: PHP Medicare Advantage |
$749.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$486.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,257.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.72
|
| Rate for Payer: Priority Health Medicare |
$749.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,161.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$749.39
|
| Rate for Payer: UHC Medicare Advantage |
$771.87
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/MANJ
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 28495
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$413.04 |
| Rate for Payer: Aetna Commercial |
$194.37
|
| Rate for Payer: Aetna Medicare |
$150.85
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$145.05
|
| Rate for Payer: BCBS Trust/PPO |
$413.04
|
| Rate for Payer: BCN Commercial |
$263.88
|
| Rate for Payer: BCN Medicare Advantage |
$145.05
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$208.87
|
| Rate for Payer: Cofinity Commercial |
$194.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.05
|
| Rate for Payer: Mclaren Medicaid |
$98.41
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$152.30
|
| Rate for Payer: PACE SWMI |
$145.05
|
| Rate for Payer: PHP Medicare Advantage |
$145.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.79
|
| Rate for Payer: Priority Health Medicare |
$145.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.05
|
| Rate for Payer: UHC Medicare Advantage |
$149.40
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ
|
Facility
|
IP
|
$297.00
|
|
|
Service Code
|
CPT 28490
|
| Hospital Charge Code |
28490
|
| Min. Negotiated Rate |
$181.14 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: BCBS Trust/PPO |
$229.52
|
| Rate for Payer: BCN Commercial |
$229.52
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.36
|
| Rate for Payer: UHC Core |
$248.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ
|
Professional
|
Both
|
$297.00
|
|
|
Service Code
|
HCPCS 28490
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$1,548.98 |
| Rate for Payer: Aetna Commercial |
$163.20
|
| Rate for Payer: Aetna Medicare |
$126.66
|
| Rate for Payer: BCBS Complete |
$86.55
|
| Rate for Payer: BCBS MAPPO |
$121.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,548.98
|
| Rate for Payer: BCN Commercial |
$210.62
|
| Rate for Payer: BCN Medicare Advantage |
$121.79
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$175.38
|
| Rate for Payer: Cofinity Commercial |
$163.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.79
|
| Rate for Payer: Mclaren Medicaid |
$82.43
|
| Rate for Payer: Meridian Medicaid |
$86.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$127.88
|
| Rate for Payer: PACE SWMI |
$121.79
|
| Rate for Payer: PHP Medicare Advantage |
$121.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.04
|
| Rate for Payer: Priority Health Medicare |
$121.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$121.79
|
| Rate for Payer: UHC Medicare Advantage |
$125.44
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ
|
Facility
|
OP
|
$297.00
|
|
|
Service Code
|
CPT 28490
|
| Hospital Charge Code |
28490
|
| Min. Negotiated Rate |
$70.54 |
| Max. Negotiated Rate |
$267.30 |
| Rate for Payer: Aetna Commercial |
$252.45
|
| Rate for Payer: Aetna Medicare |
$77.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.81
|
| Rate for Payer: BCBS Complete |
$162.43
|
| Rate for Payer: BCBS MAPPO |
$74.25
|
| Rate for Payer: BCBS Trust/PPO |
$230.92
|
| Rate for Payer: BCN Commercial |
$230.92
|
| Rate for Payer: BCN Medicare Advantage |
$74.25
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$255.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.25
|
| Rate for Payer: Healthscope Commercial |
$267.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.75
|
| Rate for Payer: Mclaren Medicaid |
$154.70
|
| Rate for Payer: Meridian Medicaid |
$162.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$252.45
|
| Rate for Payer: PACE Senior Care Partners |
$70.54
|
| Rate for Payer: PACE SWMI |
$74.25
|
| Rate for Payer: PHP Commercial |
$252.45
|
| Rate for Payer: PHP Medicare Advantage |
$74.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.39
|
| Rate for Payer: Priority Health Medicare |
$74.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.14
|
| Rate for Payer: Railroad Medicare Medicare |
$74.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.36
|
| Rate for Payer: UHC Core |
$248.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.25
|
| Rate for Payer: UHC Medicare Advantage |
$76.48
|
| Rate for Payer: VA VA |
$74.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.75
|
|
