|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$378.71 |
| Max. Negotiated Rate |
$936.15 |
| Rate for Payer: Aetna Commercial |
$767.82
|
| Rate for Payer: Aetna Medicare |
$595.92
|
| Rate for Payer: BCBS Complete |
$397.65
|
| Rate for Payer: BCBS MAPPO |
$573.00
|
| Rate for Payer: BCBS Trust/PPO |
$936.15
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$573.00
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$767.82
|
| Rate for Payer: Cofinity Commercial |
$825.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$573.00
|
| Rate for Payer: Mclaren Medicaid |
$378.71
|
| Rate for Payer: Meridian Medicaid |
$397.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.65
|
| Rate for Payer: PACE SWMI |
$573.00
|
| Rate for Payer: PHP Medicare Advantage |
$573.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$779.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$896.19
|
| Rate for Payer: Priority Health Medicare |
$573.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$896.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$573.00
|
| Rate for Payer: UHC Medicare Advantage |
$590.19
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,758.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$321.63 |
| Max. Negotiated Rate |
$3,450.64 |
| Rate for Payer: Aetna Commercial |
$653.22
|
| Rate for Payer: Aetna Medicare |
$506.98
|
| Rate for Payer: BCBS Complete |
$337.71
|
| Rate for Payer: BCBS MAPPO |
$487.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.64
|
| Rate for Payer: BCN Commercial |
$799.48
|
| Rate for Payer: BCN Medicare Advantage |
$487.48
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cofinity Commercial |
$701.97
|
| Rate for Payer: Cofinity Commercial |
$653.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$487.48
|
| Rate for Payer: Mclaren Medicaid |
$321.63
|
| Rate for Payer: Meridian Medicaid |
$337.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$511.85
|
| Rate for Payer: PACE SWMI |
$487.48
|
| Rate for Payer: PHP Medicare Advantage |
$487.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,230.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$763.42
|
| Rate for Payer: Priority Health Medicare |
$487.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$763.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$487.48
|
| Rate for Payer: UHC Medicare Advantage |
$502.10
|
|
|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$903.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$215.13 |
| Max. Negotiated Rate |
$632.10 |
| Rate for Payer: Aetna Commercial |
$428.85
|
| Rate for Payer: Aetna Medicare |
$332.84
|
| Rate for Payer: BCBS Complete |
$225.89
|
| Rate for Payer: BCBS MAPPO |
$320.04
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: BCN Medicare Advantage |
$320.04
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Cofinity Commercial |
$460.86
|
| Rate for Payer: Cofinity Commercial |
$428.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.04
|
| Rate for Payer: Mclaren Medicaid |
$215.13
|
| Rate for Payer: Meridian Medicaid |
$225.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$336.04
|
| Rate for Payer: PACE SWMI |
$320.04
|
| Rate for Payer: PHP Medicare Advantage |
$320.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$506.56
|
| Rate for Payer: Priority Health Medicare |
$320.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.04
|
| Rate for Payer: UHC Medicare Advantage |
$329.64
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ
|
Professional
|
Both
|
$876.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,480.30 |
| Rate for Payer: Aetna Commercial |
$703.11
|
| Rate for Payer: Aetna Medicare |
$545.70
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCBS MAPPO |
$524.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.30
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: BCN Medicare Advantage |
$524.71
|
| Rate for Payer: Cash Price |
$700.80
|
| Rate for Payer: Cash Price |
$700.80
|
| Rate for Payer: Cofinity Commercial |
$703.11
|
| Rate for Payer: Cofinity Commercial |
$755.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$524.71
|
| Rate for Payer: Mclaren Medicaid |
$348.68
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$550.95
|
| Rate for Payer: PACE SWMI |
$524.71
|
| Rate for Payer: PHP Medicare Advantage |
$524.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.21
|
| Rate for Payer: Priority Health Medicare |
$524.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$825.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$524.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$524.71
|
| Rate for Payer: UHC Medicare Advantage |
$540.45
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,663.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$290.32 |
| Max. Negotiated Rate |
$3,352.06 |
| Rate for Payer: Aetna Commercial |
$587.03
|
| Rate for Payer: Aetna Medicare |
$455.60
|
| Rate for Payer: BCBS Complete |
$304.84
|
| Rate for Payer: BCBS MAPPO |
$438.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.06
|
| Rate for Payer: BCN Commercial |
$736.44
|
| Rate for Payer: BCN Medicare Advantage |
$438.08
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Cofinity Commercial |
$630.84
|
| Rate for Payer: Cofinity Commercial |
$587.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.08
|
| Rate for Payer: Mclaren Medicaid |
$290.32
|
| Rate for Payer: Meridian Medicaid |
$304.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$459.98
|
| Rate for Payer: PACE SWMI |
$438.08
|
| Rate for Payer: PHP Medicare Advantage |
$438.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,164.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$685.81
|
| Rate for Payer: Priority Health Medicare |
$438.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$685.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.08
|
| Rate for Payer: UHC Medicare Advantage |
$451.22
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$573.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$196.17 |
| Max. Negotiated Rate |
$2,170.78 |
| Rate for Payer: Aetna Commercial |
$389.89
|
| Rate for Payer: Aetna Medicare |
$302.60
|
| Rate for Payer: BCBS Complete |
$205.98
|
| Rate for Payer: BCBS MAPPO |
$290.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$496.49
|
| Rate for Payer: BCN Medicare Advantage |
$290.96
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cofinity Commercial |
$418.98
|
| Rate for Payer: Cofinity Commercial |
$389.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.96
|
| Rate for Payer: Mclaren Medicaid |
$196.17
|
| Rate for Payer: Meridian Medicaid |
$205.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$305.51
|
| Rate for Payer: PACE SWMI |
$290.96
|
| Rate for Payer: PHP Medicare Advantage |
$290.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$401.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$460.60
|
| Rate for Payer: Priority Health Medicare |
$290.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$460.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$290.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.96
|
| Rate for Payer: UHC Medicare Advantage |
$299.69
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$877.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$193.83 |
| Max. Negotiated Rate |
$613.90 |
| Rate for Payer: Aetna Commercial |
$391.45
|
| Rate for Payer: Aetna Medicare |
$303.82
|
| Rate for Payer: BCBS Complete |
$203.52
|
| Rate for Payer: BCBS MAPPO |
$292.13
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$292.13
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cofinity Commercial |
$391.45
|
| Rate for Payer: Cofinity Commercial |
$420.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.13
|
| Rate for Payer: Mclaren Medicaid |
$193.83
|
| Rate for Payer: Meridian Medicaid |
$203.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$306.74
|
| Rate for Payer: PACE SWMI |
$292.13
|
| Rate for Payer: PHP Medicare Advantage |
$292.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$459.08
|
| Rate for Payer: Priority Health Medicare |
$292.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$459.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.13
|
| Rate for Payer: UHC Medicare Advantage |
$300.89
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,276.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$368.43 |
| Max. Negotiated Rate |
$1,305.75 |
| Rate for Payer: Aetna Commercial |
$1,020.74
|
| Rate for Payer: Aetna Medicare |
$792.22
|
| Rate for Payer: BCBS Complete |
$530.05
|
| Rate for Payer: BCBS MAPPO |
$761.75
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$1,305.75
|
| Rate for Payer: BCN Medicare Advantage |
$761.75
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cofinity Commercial |
$1,096.92
|
| Rate for Payer: Cofinity Commercial |
$1,020.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.75
|
| Rate for Payer: Mclaren Medicaid |
$504.81
|
| Rate for Payer: Meridian Medicaid |
$530.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$799.84
|
| Rate for Payer: PACE SWMI |
$761.75
|
| Rate for Payer: PHP Medicare Advantage |
$761.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$504.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$893.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,187.78
|
| Rate for Payer: Priority Health Medicare |
$761.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,187.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$761.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$761.75
|
| Rate for Payer: UHC Medicare Advantage |
$784.60
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$1,989.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$499.91 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$1,035.55
|
| Rate for Payer: Aetna Medicare |
$803.71
|
| Rate for Payer: BCBS Complete |
$524.91
|
| Rate for Payer: BCBS MAPPO |
$772.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,141.55
|
| Rate for Payer: BCN Medicare Advantage |
$772.80
|
| Rate for Payer: Cash Price |
$1,591.20
|
| Rate for Payer: Cash Price |
$1,591.20
|
| Rate for Payer: Cofinity Commercial |
$1,112.83
|
| Rate for Payer: Cofinity Commercial |
$1,035.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.80
|
| Rate for Payer: Mclaren Medicaid |
$499.91
|
| Rate for Payer: Meridian Medicaid |
$524.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$811.44
|
| Rate for Payer: PACE SWMI |
$772.80
|
| Rate for Payer: PHP Medicare Advantage |
$772.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,105.91
|
| Rate for Payer: Priority Health Medicare |
$772.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,105.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$772.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.80
|
| Rate for Payer: UHC Medicare Advantage |
$795.98
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,561.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.91 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,160.51
|
| Rate for Payer: Aetna Medicare |
$900.69
|
| Rate for Payer: BCBS Complete |
$586.86
|
| Rate for Payer: BCBS MAPPO |
$866.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: BCN Medicare Advantage |
$866.05
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cofinity Commercial |
$1,160.51
|
| Rate for Payer: Cofinity Commercial |
$1,247.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.05
|
| Rate for Payer: Mclaren Medicaid |
$558.91
|
| Rate for Payer: Meridian Medicaid |
$586.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$909.35
|
| Rate for Payer: PACE SWMI |
$866.05
|
| Rate for Payer: PHP Medicare Advantage |
$866.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,238.00
|
| Rate for Payer: Priority Health Medicare |
$866.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,238.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$866.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$866.05
|
| Rate for Payer: UHC Medicare Advantage |
$892.03
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$387.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$669.36 |
| Rate for Payer: Aetna Commercial |
$46.95
|
| Rate for Payer: Aetna Medicare |
$36.44
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$35.04
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$35.04
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cofinity Commercial |
$46.95
|
| Rate for Payer: Cofinity Commercial |
$50.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.04
|
| Rate for Payer: Mclaren Medicaid |
$22.15
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.79
|
| Rate for Payer: PACE SWMI |
$35.04
|
| Rate for Payer: PHP Medicare Advantage |
$35.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.85
|
| Rate for Payer: Priority Health Medicare |
$35.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.04
|
| Rate for Payer: UHC Medicare Advantage |
$36.09
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,913.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,339.10 |
| Rate for Payer: Aetna Commercial |
$678.36
|
| Rate for Payer: Aetna Medicare |
$526.49
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$506.24
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: BCN Medicare Advantage |
$506.24
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cofinity Commercial |
$728.99
|
| Rate for Payer: Cofinity Commercial |
$678.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$506.24
|
| Rate for Payer: Mclaren Medicaid |
$329.72
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$531.55
|
| Rate for Payer: PACE SWMI |
$506.24
|
| Rate for Payer: PHP Medicare Advantage |
$506.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,339.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.93
|
| Rate for Payer: Priority Health Medicare |
$506.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$506.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$506.24
|
| Rate for Payer: UHC Medicare Advantage |
$521.43
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$500.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$200.00 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: BCBS Complete |
$200.00
|
| Rate for Payer: Cash Price |
$400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.00
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$138.80 |
| Max. Negotiated Rate |
$536.22 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: BCBS Complete |
$138.80
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$242.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.00
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$70.83
|
| Rate for Payer: Aetna Commercial |
$70.83
|
| Rate for Payer: Aetna Medicare |
$54.97
|
| Rate for Payer: Aetna Medicare |
$54.97
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS MAPPO |
$52.86
|
| Rate for Payer: BCBS MAPPO |
$52.86
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$52.86
|
| Rate for Payer: BCN Medicare Advantage |
$52.86
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$76.12
|
| Rate for Payer: Cofinity Commercial |
$70.83
|
| Rate for Payer: Cofinity Commercial |
$76.12
|
| Rate for Payer: Cofinity Commercial |
$70.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.50
|
| Rate for Payer: PACE SWMI |
$52.86
|
| Rate for Payer: PACE SWMI |
$52.86
|
| Rate for Payer: PHP Medicare Advantage |
$52.86
|
| Rate for Payer: PHP Medicare Advantage |
$52.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.91
|
| Rate for Payer: Priority Health Medicare |
$52.86
|
| Rate for Payer: Priority Health Medicare |
$52.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.86
|
| Rate for Payer: UHC Medicare Advantage |
$54.45
|
| Rate for Payer: UHC Medicare Advantage |
$54.45
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,765.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,369.38 |
| Max. Negotiated Rate |
$3,767.73 |
| Rate for Payer: Aetna Commercial |
$2,857.51
|
| Rate for Payer: Aetna Medicare |
$2,217.77
|
| Rate for Payer: BCBS Complete |
$1,437.85
|
| Rate for Payer: BCBS MAPPO |
$2,132.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,132.47
|
| Rate for Payer: Cash Price |
$3,012.00
|
| Rate for Payer: Cash Price |
$3,012.00
|
| Rate for Payer: Cofinity Commercial |
$3,070.76
|
| Rate for Payer: Cofinity Commercial |
$2,857.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,132.47
|
| Rate for Payer: Mclaren Medicaid |
$1,369.38
|
| Rate for Payer: Meridian Medicaid |
$1,437.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,239.09
|
| Rate for Payer: PACE SWMI |
$2,132.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,132.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,369.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,635.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,767.73
|
| Rate for Payer: Priority Health Medicare |
$2,132.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,767.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,132.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,132.47
|
| Rate for Payer: UHC Medicare Advantage |
$2,196.44
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,521.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$3,240.31 |
| Rate for Payer: Aetna Commercial |
$2,451.03
|
| Rate for Payer: Aetna Medicare |
$1,902.30
|
| Rate for Payer: BCBS Complete |
$1,236.33
|
| Rate for Payer: BCBS MAPPO |
$1,829.13
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,829.13
|
| Rate for Payer: Cash Price |
$3,616.80
|
| Rate for Payer: Cash Price |
$3,616.80
|
| Rate for Payer: Cofinity Commercial |
$2,633.95
|
| Rate for Payer: Cofinity Commercial |
$2,451.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,829.13
|
| Rate for Payer: Mclaren Medicaid |
$1,177.46
|
| Rate for Payer: Meridian Medicaid |
$1,236.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,920.59
|
| Rate for Payer: PACE SWMI |
$1,829.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,829.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,177.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,164.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,240.31
|
| Rate for Payer: Priority Health Medicare |
$1,829.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,240.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,829.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,829.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,884.00
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,607.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$3,924.13 |
| Rate for Payer: Aetna Commercial |
$2,978.19
|
| Rate for Payer: Aetna Medicare |
$2,311.43
|
| Rate for Payer: BCBS Complete |
$1,498.00
|
| Rate for Payer: BCBS MAPPO |
$2,222.53
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,222.53
|
| Rate for Payer: Cash Price |
$3,685.60
|
| Rate for Payer: Cash Price |
$3,685.60
|
| Rate for Payer: Cofinity Commercial |
$3,200.44
|
| Rate for Payer: Cofinity Commercial |
$2,978.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,222.53
|
| Rate for Payer: Mclaren Medicaid |
$1,426.67
|
| Rate for Payer: Meridian Medicaid |
$1,498.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,333.66
|
| Rate for Payer: PACE SWMI |
$2,222.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,222.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,426.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,224.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,924.13
|
| Rate for Payer: Priority Health Medicare |
$2,222.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,924.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,222.53
|
| Rate for Payer: UHC Medicare Advantage |
$2,289.21
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,798.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$902.02 |
| Max. Negotiated Rate |
$3,418.20 |
| Rate for Payer: Aetna Commercial |
$3,228.30
|
| Rate for Payer: Aetna Medicare |
$987.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,186.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,186.88
|
| Rate for Payer: BCBS Complete |
$1,519.20
|
| Rate for Payer: BCBS MAPPO |
$949.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,952.94
|
| Rate for Payer: BCN Commercial |
$2,952.94
|
| Rate for Payer: BCN Medicare Advantage |
$949.50
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$3,266.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,038.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$949.50
|
| Rate for Payer: Healthscope Commercial |
$3,418.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,848.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$996.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,091.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,228.30
|
| Rate for Payer: PACE Senior Care Partners |
$902.02
|
| Rate for Payer: PACE SWMI |
$949.50
|
| Rate for Payer: PHP Commercial |
$3,228.30
|
| Rate for Payer: PHP Medicare Advantage |
$949.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,304.26
|
| Rate for Payer: Priority Health Medicare |
$949.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,316.40
|
| Rate for Payer: Railroad Medicare Medicare |
$949.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,342.24
|
| Rate for Payer: UHC Core |
$3,171.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$949.50
|
| Rate for Payer: UHC Medicare Advantage |
$977.98
|
| Rate for Payer: VA VA |
$949.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,848.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,798.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$855.83 |
| Max. Negotiated Rate |
$2,658.60 |
| Rate for Payer: Aetna Commercial |
$1,783.45
|
| Rate for Payer: Aetna Medicare |
$1,384.17
|
| Rate for Payer: BCBS Complete |
$898.62
|
| Rate for Payer: BCBS MAPPO |
$1,330.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,330.93
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,783.45
|
| Rate for Payer: Cofinity Commercial |
$1,916.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,330.93
|
| Rate for Payer: Mclaren Medicaid |
$855.83
|
| Rate for Payer: Meridian Medicaid |
$898.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,397.48
|
| Rate for Payer: PACE SWMI |
$1,330.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,330.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$855.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,349.54
|
| Rate for Payer: Priority Health Medicare |
$1,330.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,349.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,330.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,330.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,370.86
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,798.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,316.40 |
| Max. Negotiated Rate |
$3,418.20 |
| Rate for Payer: Aetna Commercial |
$3,228.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,935.09
|
| Rate for Payer: BCN Commercial |
$2,935.09
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$3,266.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,038.40
|
| Rate for Payer: Healthscope Commercial |
$3,418.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,848.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,228.30
|
| Rate for Payer: PHP Commercial |
$3,228.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,304.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,316.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,342.24
|
| Rate for Payer: UHC Core |
$3,171.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,848.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,798.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$855.83 |
| Max. Negotiated Rate |
$2,658.60 |
| Rate for Payer: Aetna Commercial |
$1,783.45
|
| Rate for Payer: Aetna Medicare |
$1,384.17
|
| Rate for Payer: BCBS Complete |
$898.62
|
| Rate for Payer: BCBS MAPPO |
$1,330.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,330.93
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,916.54
|
| Rate for Payer: Cofinity Commercial |
$1,783.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,330.93
|
| Rate for Payer: Mclaren Medicaid |
$855.83
|
| Rate for Payer: Meridian Medicaid |
$898.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,397.48
|
| Rate for Payer: PACE SWMI |
$1,330.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,330.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$855.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,349.54
|
| Rate for Payer: Priority Health Medicare |
$1,330.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,349.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,330.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,330.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,370.86
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,698.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,370.25 |
| Rate for Payer: Aetna Commercial |
$2,563.30
|
| Rate for Payer: Aetna Medicare |
$1,989.43
|
| Rate for Payer: BCBS Complete |
$1,289.12
|
| Rate for Payer: BCBS MAPPO |
$1,912.91
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$2,801.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,912.91
|
| Rate for Payer: Cash Price |
$2,158.40
|
| Rate for Payer: Cash Price |
$2,158.40
|
| Rate for Payer: Cofinity Commercial |
$2,754.59
|
| Rate for Payer: Cofinity Commercial |
$2,563.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,912.91
|
| Rate for Payer: Mclaren Medicaid |
$1,227.73
|
| Rate for Payer: Meridian Medicaid |
$1,289.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,008.56
|
| Rate for Payer: PACE SWMI |
$1,912.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,912.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,227.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,888.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,370.25
|
| Rate for Payer: Priority Health Medicare |
$1,912.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,370.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,912.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,912.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,970.30
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,352.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$122.04 |
| Max. Negotiated Rate |
$2,881.06 |
| Rate for Payer: Aetna Commercial |
$2,187.47
|
| Rate for Payer: Aetna Medicare |
$1,697.74
|
| Rate for Payer: BCBS Complete |
$1,100.81
|
| Rate for Payer: BCBS MAPPO |
$1,632.44
|
| Rate for Payer: BCBS Trust/PPO |
$122.04
|
| Rate for Payer: BCN Commercial |
$2,394.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,632.44
|
| Rate for Payer: Cash Price |
$2,681.60
|
| Rate for Payer: Cash Price |
$2,681.60
|
| Rate for Payer: Cofinity Commercial |
$2,187.47
|
| Rate for Payer: Cofinity Commercial |
$2,350.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,632.44
|
| Rate for Payer: Mclaren Medicaid |
$1,048.39
|
| Rate for Payer: Meridian Medicaid |
$1,100.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,714.06
|
| Rate for Payer: PACE SWMI |
$1,632.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,632.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,048.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,346.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,881.06
|
| Rate for Payer: Priority Health Medicare |
$1,632.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,881.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,632.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,632.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,681.41
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,044.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$3,661.89 |
| Rate for Payer: Aetna Commercial |
$2,774.70
|
| Rate for Payer: Aetna Medicare |
$2,153.50
|
| Rate for Payer: BCBS Complete |
$1,399.38
|
| Rate for Payer: BCBS MAPPO |
$2,070.67
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$3,043.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,070.67
|
| Rate for Payer: Cash Price |
$4,035.20
|
| Rate for Payer: Cash Price |
$4,035.20
|
| Rate for Payer: Cofinity Commercial |
$2,774.70
|
| Rate for Payer: Cofinity Commercial |
$2,981.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,070.67
|
| Rate for Payer: Mclaren Medicaid |
$1,332.74
|
| Rate for Payer: Meridian Medicaid |
$1,399.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,174.20
|
| Rate for Payer: PACE SWMI |
$2,070.67
|
| Rate for Payer: PHP Medicare Advantage |
$2,070.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,332.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,530.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,661.89
|
| Rate for Payer: Priority Health Medicare |
$2,070.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,661.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,070.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,070.67
|
| Rate for Payer: UHC Medicare Advantage |
$2,132.79
|
|
