|
PR CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT
|
Professional
|
Both
|
$269.00
|
|
|
Service Code
|
HCPCS 95250
|
| Min. Negotiated Rate |
$107.60 |
| Max. Negotiated Rate |
$424.22 |
| Rate for Payer: Aetna Commercial |
$179.83
|
| Rate for Payer: Aetna Medicare |
$139.57
|
| Rate for Payer: BCBS Complete |
$107.60
|
| Rate for Payer: BCBS MAPPO |
$134.20
|
| Rate for Payer: BCBS Trust/PPO |
$424.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: BCN Medicare Advantage |
$134.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cash Price |
$215.20
|
| Rate for Payer: Cofinity Commercial |
$193.25
|
| Rate for Payer: Cofinity Commercial |
$179.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.91
|
| Rate for Payer: PACE SWMI |
$134.20
|
| Rate for Payer: PHP Medicare Advantage |
$134.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.93
|
| Rate for Payer: Priority Health Medicare |
$134.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$134.20
|
| Rate for Payer: UHC Medicare Advantage |
$138.23
|
|
|
PR CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 95249
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$234.04 |
| Rate for Payer: Aetna Commercial |
$75.59
|
| Rate for Payer: Aetna Medicare |
$58.67
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$56.41
|
| Rate for Payer: BCBS Trust/PPO |
$234.04
|
| Rate for Payer: BCN Medicare Advantage |
$56.41
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$81.23
|
| Rate for Payer: Cofinity Commercial |
$75.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$59.23
|
| Rate for Payer: PACE SWMI |
$56.41
|
| Rate for Payer: PHP Medicare Advantage |
$56.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.74
|
| Rate for Payer: Priority Health Medicare |
$56.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.41
|
| Rate for Payer: UHC Medicare Advantage |
$58.10
|
|
|
PR CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN
|
Professional
|
Both
|
$3,367.00
|
|
|
Service Code
|
HCPCS 50825
|
| Min. Negotiated Rate |
$1,040.51 |
| Max. Negotiated Rate |
$3,355.23 |
| Rate for Payer: Aetna Commercial |
$2,151.04
|
| Rate for Payer: Aetna Medicare |
$1,669.46
|
| Rate for Payer: BCBS Complete |
$1,092.54
|
| Rate for Payer: BCBS MAPPO |
$1,605.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,355.23
|
| Rate for Payer: BCN Commercial |
$2,362.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,605.25
|
| Rate for Payer: Cash Price |
$2,693.60
|
| Rate for Payer: Cash Price |
$2,693.60
|
| Rate for Payer: Cofinity Commercial |
$2,311.56
|
| Rate for Payer: Cofinity Commercial |
$2,151.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,605.25
|
| Rate for Payer: Mclaren Medicaid |
$1,040.51
|
| Rate for Payer: Meridian Medicaid |
$1,092.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,685.51
|
| Rate for Payer: PACE SWMI |
$1,605.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,605.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,040.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,356.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,612.09
|
| Rate for Payer: Priority Health Medicare |
$1,605.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,612.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,605.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,605.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,653.41
|
|
|
PR CONTINENT ILEOSTOMY KOCK PROCEDURE SPX
|
Professional
|
Both
|
$3,962.00
|
|
|
Service Code
|
HCPCS 44316
|
| Min. Negotiated Rate |
$202.06 |
| Max. Negotiated Rate |
$2,773.40 |
| Rate for Payer: Aetna Commercial |
$1,887.47
|
| Rate for Payer: Aetna Medicare |
$1,464.90
|
| Rate for Payer: BCBS Complete |
$949.62
|
| Rate for Payer: BCBS MAPPO |
$1,408.56
|
| Rate for Payer: BCBS Trust/PPO |
$202.06
|
| Rate for Payer: BCN Commercial |
$2,064.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,408.56
|
| Rate for Payer: Cash Price |
$3,169.60
|
| Rate for Payer: Cash Price |
$3,169.60
|
| Rate for Payer: Cofinity Commercial |
$2,028.33
|
| Rate for Payer: Cofinity Commercial |
$1,887.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,408.56
|
| Rate for Payer: Mclaren Medicaid |
$904.40
|
| Rate for Payer: Meridian Medicaid |
$949.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,478.99
|
| Rate for Payer: PACE SWMI |
$1,408.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,408.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$904.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,773.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,484.18
|
| Rate for Payer: Priority Health Medicare |
$1,408.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,484.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,408.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,408.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,450.82
|
|
|
PR CONT INTRAOP NEURO MONITOR
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS G0453
|
| Min. Negotiated Rate |
$31.05 |
| Max. Negotiated Rate |
$1,643.01 |
| Rate for Payer: Aetna Commercial |
$41.61
|
| Rate for Payer: Aetna Medicare |
$32.29
|
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: BCBS MAPPO |
$31.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,643.01
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Medicare Advantage |
$31.05
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$44.71
|
| Rate for Payer: Cofinity Commercial |
$41.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.60
|
| Rate for Payer: PACE SWMI |
$31.05
|
| Rate for Payer: PHP Medicare Advantage |
$31.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42.21
|
| Rate for Payer: Priority Health Medicare |
$31.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.05
|
| Rate for Payer: UHC Medicare Advantage |
$31.98
|
|
|
PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 95251
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$534.11 |
| Rate for Payer: Aetna Commercial |
$45.32
|
| Rate for Payer: Aetna Medicare |
$35.17
|
| Rate for Payer: BCBS Complete |
$23.04
|
| Rate for Payer: BCBS MAPPO |
$33.82
|
| Rate for Payer: BCBS Trust/PPO |
$534.11
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Medicare Advantage |
$33.82
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$45.32
|
| Rate for Payer: Cofinity Commercial |
$48.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.82
|
| Rate for Payer: Mclaren Medicaid |
$21.94
|
| Rate for Payer: Meridian Medicaid |
$23.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.51
|
| Rate for Payer: PACE SWMI |
$33.82
|
| Rate for Payer: PHP Medicare Advantage |
$33.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.81
|
| Rate for Payer: Priority Health Medicare |
$33.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.82
|
| Rate for Payer: UHC Medicare Advantage |
$34.83
|
|
|
PR CONTINUOUS INHALATION TREATMENT 1ST HR
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 94644
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$270.49 |
| Rate for Payer: Aetna Commercial |
$73.71
|
| Rate for Payer: Aetna Medicare |
$57.21
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: BCBS MAPPO |
$55.01
|
| Rate for Payer: BCBS Trust/PPO |
$270.49
|
| Rate for Payer: BCN Commercial |
$86.99
|
| Rate for Payer: BCN Medicare Advantage |
$55.01
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cofinity Commercial |
$79.21
|
| Rate for Payer: Cofinity Commercial |
$73.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.76
|
| Rate for Payer: PACE SWMI |
$55.01
|
| Rate for Payer: PHP Medicare Advantage |
$55.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.95
|
| Rate for Payer: Priority Health Medicare |
$55.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.01
|
| Rate for Payer: UHC Medicare Advantage |
$56.66
|
|
|
PR CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE
|
Professional
|
Both
|
$60.68
|
|
|
Service Code
|
HCPCS 49465
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$1,618.71 |
| Rate for Payer: Aetna Commercial |
$40.19
|
| Rate for Payer: Aetna Medicare |
$31.19
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$29.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,618.71
|
| Rate for Payer: BCN Commercial |
$200.85
|
| Rate for Payer: BCN Medicare Advantage |
$29.99
|
| Rate for Payer: Cash Price |
$48.54
|
| Rate for Payer: Cash Price |
$48.54
|
| Rate for Payer: Cofinity Commercial |
$43.19
|
| Rate for Payer: Cofinity Commercial |
$40.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.99
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.49
|
| Rate for Payer: PACE SWMI |
$29.99
|
| Rate for Payer: PHP Medicare Advantage |
$29.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.92
|
| Rate for Payer: Priority Health Medicare |
$29.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.99
|
| Rate for Payer: UHC Medicare Advantage |
$30.89
|
|
|
PR CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX
|
Professional
|
Both
|
$388.00
|
|
|
Service Code
|
HCPCS 30903
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$798.79 |
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Medicare |
$80.51
|
| Rate for Payer: BCBS Complete |
$51.44
|
| Rate for Payer: BCBS MAPPO |
$77.41
|
| Rate for Payer: BCBS Trust/PPO |
$798.79
|
| Rate for Payer: BCN Commercial |
$363.58
|
| Rate for Payer: BCN Medicare Advantage |
$77.41
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Cash Price |
$310.40
|
| Rate for Payer: Cofinity Commercial |
$111.47
|
| Rate for Payer: Cofinity Commercial |
$103.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.41
|
| Rate for Payer: Mclaren Medicaid |
$48.99
|
| Rate for Payer: Meridian Medicaid |
$51.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$81.28
|
| Rate for Payer: PACE SWMI |
$77.41
|
| Rate for Payer: PHP Medicare Advantage |
$77.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$271.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$106.96
|
| Rate for Payer: Priority Health Medicare |
$77.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$106.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.41
|
| Rate for Payer: UHC Medicare Advantage |
$79.73
|
|
|
PR CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 30901
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$897.05 |
| Rate for Payer: Aetna Commercial |
$75.78
|
| Rate for Payer: Aetna Medicare |
$58.81
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$56.55
|
| Rate for Payer: BCBS Trust/PPO |
$897.05
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Medicare Advantage |
$56.55
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$75.78
|
| Rate for Payer: Cofinity Commercial |
$81.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.55
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$59.38
|
| Rate for Payer: PACE SWMI |
$56.55
|
| Rate for Payer: PHP Medicare Advantage |
$56.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.26
|
| Rate for Payer: Priority Health Medicare |
$56.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.55
|
| Rate for Payer: UHC Medicare Advantage |
$58.25
|
|
|
PR CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE
|
Professional
|
Both
|
$320.00
|
|
|
Service Code
|
HCPCS 42960
|
| Min. Negotiated Rate |
$103.73 |
| Max. Negotiated Rate |
$283.41 |
| Rate for Payer: Aetna Commercial |
$211.25
|
| Rate for Payer: Aetna Medicare |
$163.96
|
| Rate for Payer: BCBS Complete |
$108.92
|
| Rate for Payer: BCBS MAPPO |
$157.65
|
| Rate for Payer: BCBS Trust/PPO |
$278.94
|
| Rate for Payer: BCN Commercial |
$235.54
|
| Rate for Payer: BCN Medicare Advantage |
$157.65
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Cofinity Commercial |
$227.02
|
| Rate for Payer: Cofinity Commercial |
$211.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.65
|
| Rate for Payer: Mclaren Medicaid |
$103.73
|
| Rate for Payer: Meridian Medicaid |
$108.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.53
|
| Rate for Payer: PACE SWMI |
$157.65
|
| Rate for Payer: PHP Medicare Advantage |
$157.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$224.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.41
|
| Rate for Payer: Priority Health Medicare |
$157.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$157.65
|
| Rate for Payer: UHC Medicare Advantage |
$162.38
|
|
|
PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ
|
Professional
|
Both
|
$2,055.00
|
|
|
Service Code
|
HCPCS 49446
|
| Min. Negotiated Rate |
$90.74 |
| Max. Negotiated Rate |
$1,438.50 |
| Rate for Payer: Aetna Commercial |
$191.74
|
| Rate for Payer: Aetna Medicare |
$148.81
|
| Rate for Payer: BCBS Complete |
$95.28
|
| Rate for Payer: BCBS MAPPO |
$143.09
|
| Rate for Payer: BCBS Trust/PPO |
$605.43
|
| Rate for Payer: BCN Commercial |
$1,182.11
|
| Rate for Payer: BCN Medicare Advantage |
$143.09
|
| Rate for Payer: Cash Price |
$1,644.00
|
| Rate for Payer: Cash Price |
$1,644.00
|
| Rate for Payer: Cofinity Commercial |
$206.05
|
| Rate for Payer: Cofinity Commercial |
$191.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.09
|
| Rate for Payer: Mclaren Medicaid |
$90.74
|
| Rate for Payer: Meridian Medicaid |
$95.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.24
|
| Rate for Payer: PACE SWMI |
$143.09
|
| Rate for Payer: PHP Medicare Advantage |
$143.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,438.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.66
|
| Rate for Payer: Priority Health Medicare |
$143.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.09
|
| Rate for Payer: UHC Medicare Advantage |
$147.38
|
|
|
PR CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT
|
Professional
|
Both
|
$3,387.18
|
|
|
Service Code
|
HCPCS 27132
|
| Min. Negotiated Rate |
$429.51 |
| Max. Negotiated Rate |
$2,546.60 |
| Rate for Payer: Aetna Commercial |
$2,205.40
|
| Rate for Payer: Aetna Medicare |
$1,711.65
|
| Rate for Payer: BCBS Complete |
$1,121.83
|
| Rate for Payer: BCBS MAPPO |
$1,645.82
|
| Rate for Payer: BCBS Trust/PPO |
$429.51
|
| Rate for Payer: BCN Commercial |
$2,437.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.82
|
| Rate for Payer: Cash Price |
$2,709.74
|
| Rate for Payer: Cash Price |
$2,709.74
|
| Rate for Payer: Cofinity Commercial |
$2,369.98
|
| Rate for Payer: Cofinity Commercial |
$2,205.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.82
|
| Rate for Payer: Mclaren Medicaid |
$1,068.41
|
| Rate for Payer: Meridian Medicaid |
$1,121.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,728.11
|
| Rate for Payer: PACE SWMI |
$1,645.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,068.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,371.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,546.60
|
| Rate for Payer: Priority Health Medicare |
$1,645.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,546.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,645.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,645.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,695.19
|
|
|
PR CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY
|
Professional
|
Both
|
$1,740.00
|
|
|
Service Code
|
HCPCS 23415
|
| Min. Negotiated Rate |
$94.66 |
| Max. Negotiated Rate |
$1,218.00 |
| Rate for Payer: Aetna Commercial |
$923.19
|
| Rate for Payer: Aetna Medicare |
$716.51
|
| Rate for Payer: BCBS Complete |
$475.48
|
| Rate for Payer: BCBS MAPPO |
$688.95
|
| Rate for Payer: BCBS Trust/PPO |
$94.66
|
| Rate for Payer: BCN Commercial |
$1,030.14
|
| Rate for Payer: BCN Medicare Advantage |
$688.95
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cofinity Commercial |
$992.09
|
| Rate for Payer: Cofinity Commercial |
$923.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$688.95
|
| Rate for Payer: Mclaren Medicaid |
$452.84
|
| Rate for Payer: Meridian Medicaid |
$475.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$723.40
|
| Rate for Payer: PACE SWMI |
$688.95
|
| Rate for Payer: PHP Medicare Advantage |
$688.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,218.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,076.45
|
| Rate for Payer: Priority Health Medicare |
$688.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,076.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$688.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$688.95
|
| Rate for Payer: UHC Medicare Advantage |
$709.62
|
|
|
PR CORDOCENTESIS INTRAUTERINE
|
Professional
|
Both
|
$525.00
|
|
|
Service Code
|
HCPCS 59012
|
| Min. Negotiated Rate |
$128.87 |
| Max. Negotiated Rate |
$556.83 |
| Rate for Payer: Aetna Commercial |
$270.24
|
| Rate for Payer: Aetna Medicare |
$209.74
|
| Rate for Payer: BCBS Complete |
$135.31
|
| Rate for Payer: BCBS MAPPO |
$201.67
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$293.70
|
| Rate for Payer: BCN Medicare Advantage |
$201.67
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cofinity Commercial |
$270.24
|
| Rate for Payer: Cofinity Commercial |
$290.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.67
|
| Rate for Payer: Mclaren Medicaid |
$128.87
|
| Rate for Payer: Meridian Medicaid |
$135.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$211.75
|
| Rate for Payer: PACE SWMI |
$201.67
|
| Rate for Payer: PHP Medicare Advantage |
$201.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.77
|
| Rate for Payer: Priority Health Medicare |
$201.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.67
|
| Rate for Payer: UHC Medicare Advantage |
$207.72
|
|
|
PR CORF RELATED SERV 15 MINS EA
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS G0409
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$1,772.97 |
| Rate for Payer: Aetna Commercial |
$28.21
|
| Rate for Payer: Aetna Medicare |
$21.89
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS MAPPO |
$21.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,772.97
|
| Rate for Payer: BCN Commercial |
$33.23
|
| Rate for Payer: BCN Medicare Advantage |
$21.05
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$28.21
|
| Rate for Payer: Cofinity Commercial |
$30.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.10
|
| Rate for Payer: PACE SWMI |
$21.05
|
| Rate for Payer: PHP Medicare Advantage |
$21.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.70
|
| Rate for Payer: Priority Health Medicare |
$21.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.05
|
| Rate for Payer: UHC Medicare Advantage |
$21.68
|
|
|
PR CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT
|
Professional
|
Both
|
$3,966.72
|
|
|
Service Code
|
HCPCS 33510
|
| Min. Negotiated Rate |
$1,211.54 |
| Max. Negotiated Rate |
$3,016.19 |
| Rate for Payer: Aetna Commercial |
$2,547.82
|
| Rate for Payer: Aetna Medicare |
$1,977.41
|
| Rate for Payer: BCBS Complete |
$1,272.12
|
| Rate for Payer: BCBS MAPPO |
$1,901.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,333.43
|
| Rate for Payer: BCN Commercial |
$2,770.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,901.36
|
| Rate for Payer: Cash Price |
$3,173.38
|
| Rate for Payer: Cash Price |
$3,173.38
|
| Rate for Payer: Cofinity Commercial |
$2,547.82
|
| Rate for Payer: Cofinity Commercial |
$2,737.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,901.36
|
| Rate for Payer: Mclaren Medicaid |
$1,211.54
|
| Rate for Payer: Meridian Medicaid |
$1,272.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,996.43
|
| Rate for Payer: PACE SWMI |
$1,901.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,901.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,211.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,776.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,016.19
|
| Rate for Payer: Priority Health Medicare |
$1,901.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,016.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,901.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,901.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,958.40
|
|
|
PR CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS
|
Professional
|
Both
|
$4,357.00
|
|
|
Service Code
|
HCPCS 33511
|
| Min. Negotiated Rate |
$1,241.51 |
| Max. Negotiated Rate |
$3,310.37 |
| Rate for Payer: Aetna Commercial |
$2,796.53
|
| Rate for Payer: Aetna Medicare |
$2,170.44
|
| Rate for Payer: BCBS Complete |
$1,396.92
|
| Rate for Payer: BCBS MAPPO |
$2,086.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,241.51
|
| Rate for Payer: BCN Commercial |
$3,041.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,086.96
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cofinity Commercial |
$3,005.22
|
| Rate for Payer: Cofinity Commercial |
$2,796.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,086.96
|
| Rate for Payer: Mclaren Medicaid |
$1,330.40
|
| Rate for Payer: Meridian Medicaid |
$1,396.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,191.31
|
| Rate for Payer: PACE SWMI |
$2,086.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,086.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,330.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,049.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,310.37
|
| Rate for Payer: Priority Health Medicare |
$2,086.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,310.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,086.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,086.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,149.57
|
|
|
PR CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS
|
Professional
|
Both
|
$9,723.00
|
|
|
Service Code
|
HCPCS 33512
|
| Min. Negotiated Rate |
$1,337.66 |
| Max. Negotiated Rate |
$6,806.10 |
| Rate for Payer: Aetna Commercial |
$3,189.82
|
| Rate for Payer: Aetna Medicare |
$2,475.68
|
| Rate for Payer: BCBS Complete |
$1,591.28
|
| Rate for Payer: BCBS MAPPO |
$2,380.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,337.66
|
| Rate for Payer: BCN Commercial |
$3,467.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,380.46
|
| Rate for Payer: Cash Price |
$7,778.40
|
| Rate for Payer: Cash Price |
$7,778.40
|
| Rate for Payer: Cofinity Commercial |
$3,189.82
|
| Rate for Payer: Cofinity Commercial |
$3,427.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,380.46
|
| Rate for Payer: Mclaren Medicaid |
$1,515.50
|
| Rate for Payer: Meridian Medicaid |
$1,591.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,499.48
|
| Rate for Payer: PACE SWMI |
$2,380.46
|
| Rate for Payer: PHP Medicare Advantage |
$2,380.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,515.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,806.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,774.78
|
| Rate for Payer: Priority Health Medicare |
$2,380.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,774.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,380.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,380.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,451.87
|
|
|
PR CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS
|
Professional
|
Both
|
$9,922.00
|
|
|
Service Code
|
HCPCS 33513
|
| Min. Negotiated Rate |
$1,257.88 |
| Max. Negotiated Rate |
$6,945.40 |
| Rate for Payer: Aetna Commercial |
$3,265.42
|
| Rate for Payer: Aetna Medicare |
$2,534.36
|
| Rate for Payer: BCBS Complete |
$1,624.82
|
| Rate for Payer: BCBS MAPPO |
$2,436.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,257.88
|
| Rate for Payer: BCN Commercial |
$3,547.31
|
| Rate for Payer: BCN Medicare Advantage |
$2,436.88
|
| Rate for Payer: Cash Price |
$7,937.60
|
| Rate for Payer: Cash Price |
$7,937.60
|
| Rate for Payer: Cofinity Commercial |
$3,509.11
|
| Rate for Payer: Cofinity Commercial |
$3,265.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,436.88
|
| Rate for Payer: Mclaren Medicaid |
$1,547.45
|
| Rate for Payer: Meridian Medicaid |
$1,624.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,558.72
|
| Rate for Payer: PACE SWMI |
$2,436.88
|
| Rate for Payer: PHP Medicare Advantage |
$2,436.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,547.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,945.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,861.48
|
| Rate for Payer: Priority Health Medicare |
$2,436.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,861.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,436.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,436.88
|
| Rate for Payer: UHC Medicare Advantage |
$2,509.99
|
|
|
PR CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT
|
Professional
|
Both
|
$11,159.00
|
|
|
Service Code
|
HCPCS 33516
|
| Min. Negotiated Rate |
$1,382.03 |
| Max. Negotiated Rate |
$7,811.30 |
| Rate for Payer: Aetna Commercial |
$3,551.47
|
| Rate for Payer: Aetna Medicare |
$2,756.36
|
| Rate for Payer: BCBS Complete |
$1,767.96
|
| Rate for Payer: BCBS MAPPO |
$2,650.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,382.03
|
| Rate for Payer: BCN Commercial |
$3,858.60
|
| Rate for Payer: BCN Medicare Advantage |
$2,650.35
|
| Rate for Payer: Cash Price |
$8,927.20
|
| Rate for Payer: Cash Price |
$8,927.20
|
| Rate for Payer: Cofinity Commercial |
$3,551.47
|
| Rate for Payer: Cofinity Commercial |
$3,816.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,650.35
|
| Rate for Payer: Mclaren Medicaid |
$1,683.77
|
| Rate for Payer: Meridian Medicaid |
$1,767.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,782.87
|
| Rate for Payer: PACE SWMI |
$2,650.35
|
| Rate for Payer: PHP Medicare Advantage |
$2,650.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,683.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,200.33
|
| Rate for Payer: Priority Health Medicare |
$2,650.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,200.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,650.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,650.35
|
| Rate for Payer: UHC Medicare Advantage |
$2,729.86
|
|
|
PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN
|
Professional
|
Both
|
$788.00
|
|
|
Service Code
|
HCPCS 33517
|
| Min. Negotiated Rate |
$116.72 |
| Max. Negotiated Rate |
$1,181.81 |
| Rate for Payer: Aetna Commercial |
$246.27
|
| Rate for Payer: Aetna Medicare |
$191.13
|
| Rate for Payer: BCBS Complete |
$122.56
|
| Rate for Payer: BCBS MAPPO |
$183.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$266.33
|
| Rate for Payer: BCN Medicare Advantage |
$183.78
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Cash Price |
$630.40
|
| Rate for Payer: Cofinity Commercial |
$264.64
|
| Rate for Payer: Cofinity Commercial |
$246.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.78
|
| Rate for Payer: Mclaren Medicaid |
$116.72
|
| Rate for Payer: Meridian Medicaid |
$122.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$192.97
|
| Rate for Payer: PACE SWMI |
$183.78
|
| Rate for Payer: PHP Medicare Advantage |
$183.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$289.92
|
| Rate for Payer: Priority Health Medicare |
$183.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$289.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.78
|
| Rate for Payer: UHC Medicare Advantage |
$189.29
|
|
|
PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN
|
Professional
|
Both
|
$1,299.00
|
|
|
Service Code
|
HCPCS 33518
|
| Min. Negotiated Rate |
$255.60 |
| Max. Negotiated Rate |
$1,337.66 |
| Rate for Payer: Aetna Commercial |
$542.81
|
| Rate for Payer: Aetna Medicare |
$421.28
|
| Rate for Payer: BCBS Complete |
$268.38
|
| Rate for Payer: BCBS MAPPO |
$405.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,337.66
|
| Rate for Payer: BCN Commercial |
$586.90
|
| Rate for Payer: BCN Medicare Advantage |
$405.08
|
| Rate for Payer: Cash Price |
$1,039.20
|
| Rate for Payer: Cash Price |
$1,039.20
|
| Rate for Payer: Cofinity Commercial |
$583.32
|
| Rate for Payer: Cofinity Commercial |
$542.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.08
|
| Rate for Payer: Mclaren Medicaid |
$255.60
|
| Rate for Payer: Meridian Medicaid |
$268.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.33
|
| Rate for Payer: PACE SWMI |
$405.08
|
| Rate for Payer: PHP Medicare Advantage |
$405.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$255.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$909.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.89
|
| Rate for Payer: Priority Health Medicare |
$405.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$638.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$405.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.08
|
| Rate for Payer: UHC Medicare Advantage |
$417.23
|
|
|
PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN
|
Professional
|
Both
|
$1,892.00
|
|
|
Service Code
|
HCPCS 33519
|
| Min. Negotiated Rate |
$338.24 |
| Max. Negotiated Rate |
$1,324.40 |
| Rate for Payer: Aetna Commercial |
$717.25
|
| Rate for Payer: Aetna Medicare |
$556.67
|
| Rate for Payer: BCBS Complete |
$355.15
|
| Rate for Payer: BCBS MAPPO |
$535.26
|
| Rate for Payer: BCBS Trust/PPO |
$987.39
|
| Rate for Payer: BCN Commercial |
$775.53
|
| Rate for Payer: BCN Medicare Advantage |
$535.26
|
| Rate for Payer: Cash Price |
$1,513.60
|
| Rate for Payer: Cash Price |
$1,513.60
|
| Rate for Payer: Cofinity Commercial |
$770.77
|
| Rate for Payer: Cofinity Commercial |
$717.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.26
|
| Rate for Payer: Mclaren Medicaid |
$338.24
|
| Rate for Payer: Meridian Medicaid |
$355.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$562.02
|
| Rate for Payer: PACE SWMI |
$535.26
|
| Rate for Payer: PHP Medicare Advantage |
$535.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,324.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$844.22
|
| Rate for Payer: Priority Health Medicare |
$535.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$844.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$535.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$535.26
|
| Rate for Payer: UHC Medicare Advantage |
$551.32
|
|
|
PR CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN
|
Professional
|
Both
|
$2,540.00
|
|
|
Service Code
|
HCPCS 33521
|
| Min. Negotiated Rate |
$158.49 |
| Max. Negotiated Rate |
$1,778.00 |
| Rate for Payer: Aetna Commercial |
$859.57
|
| Rate for Payer: Aetna Medicare |
$667.13
|
| Rate for Payer: BCBS Complete |
$425.61
|
| Rate for Payer: BCBS MAPPO |
$641.47
|
| Rate for Payer: BCBS Trust/PPO |
$158.49
|
| Rate for Payer: BCN Commercial |
$929.47
|
| Rate for Payer: BCN Medicare Advantage |
$641.47
|
| Rate for Payer: Cash Price |
$2,032.00
|
| Rate for Payer: Cash Price |
$2,032.00
|
| Rate for Payer: Cofinity Commercial |
$859.57
|
| Rate for Payer: Cofinity Commercial |
$923.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.47
|
| Rate for Payer: Mclaren Medicaid |
$405.34
|
| Rate for Payer: Meridian Medicaid |
$425.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$673.54
|
| Rate for Payer: PACE SWMI |
$641.47
|
| Rate for Payer: PHP Medicare Advantage |
$641.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,778.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,011.78
|
| Rate for Payer: Priority Health Medicare |
$641.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,011.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$641.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$641.47
|
| Rate for Payer: UHC Medicare Advantage |
$660.71
|
|
