|
PR CSTOPLASTY/CSTOURTP PLSTC ANY
|
Professional
|
Both
|
$1,113.00
|
|
|
Service Code
|
HCPCS 51800
|
| Min. Negotiated Rate |
$658.17 |
| Max. Negotiated Rate |
$3,574.48 |
| Rate for Payer: Aetna Commercial |
$1,357.46
|
| Rate for Payer: Aetna Medicare |
$1,053.55
|
| Rate for Payer: BCBS Complete |
$691.08
|
| Rate for Payer: BCBS MAPPO |
$1,013.03
|
| Rate for Payer: BCBS Trust/PPO |
$3,574.48
|
| Rate for Payer: BCN Commercial |
$1,493.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,013.03
|
| Rate for Payer: Cash Price |
$890.40
|
| Rate for Payer: Cash Price |
$890.40
|
| Rate for Payer: Cofinity Commercial |
$1,357.46
|
| Rate for Payer: Cofinity Commercial |
$1,458.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,013.03
|
| Rate for Payer: Mclaren Medicaid |
$658.17
|
| Rate for Payer: Meridian Medicaid |
$691.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,063.68
|
| Rate for Payer: PACE SWMI |
$1,013.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,013.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$658.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$779.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,651.33
|
| Rate for Payer: Priority Health Medicare |
$1,013.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,651.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,013.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,013.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,043.42
|
|
|
PR CSTOURTP W/UNI/BI URTRONEOCSTOST
|
Professional
|
Both
|
$2,370.00
|
|
|
Service Code
|
HCPCS 51820
|
| Min. Negotiated Rate |
$688.20 |
| Max. Negotiated Rate |
$4,989.27 |
| Rate for Payer: Aetna Commercial |
$1,418.32
|
| Rate for Payer: Aetna Medicare |
$1,100.79
|
| Rate for Payer: BCBS Complete |
$722.61
|
| Rate for Payer: BCBS MAPPO |
$1,058.45
|
| Rate for Payer: BCBS Trust/PPO |
$4,989.27
|
| Rate for Payer: BCN Commercial |
$1,561.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,058.45
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cash Price |
$1,896.00
|
| Rate for Payer: Cofinity Commercial |
$1,524.17
|
| Rate for Payer: Cofinity Commercial |
$1,418.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,058.45
|
| Rate for Payer: Mclaren Medicaid |
$688.20
|
| Rate for Payer: Meridian Medicaid |
$722.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,111.37
|
| Rate for Payer: PACE SWMI |
$1,058.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,058.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$688.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,659.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,726.45
|
| Rate for Payer: Priority Health Medicare |
$1,058.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,726.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,058.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,058.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,090.20
|
|
|
PR CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ
|
Professional
|
Both
|
$919.00
|
|
|
Service Code
|
HCPCS 42972
|
| Min. Negotiated Rate |
$252.53 |
| Max. Negotiated Rate |
$896.66 |
| Rate for Payer: Aetna Commercial |
$669.62
|
| Rate for Payer: Aetna Medicare |
$519.71
|
| Rate for Payer: BCBS Complete |
$343.08
|
| Rate for Payer: BCBS MAPPO |
$499.72
|
| Rate for Payer: BCBS Trust/PPO |
$252.53
|
| Rate for Payer: BCN Commercial |
$745.24
|
| Rate for Payer: BCN Medicare Advantage |
$499.72
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cash Price |
$735.20
|
| Rate for Payer: Cofinity Commercial |
$719.60
|
| Rate for Payer: Cofinity Commercial |
$669.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.72
|
| Rate for Payer: Mclaren Medicaid |
$326.74
|
| Rate for Payer: Meridian Medicaid |
$343.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.71
|
| Rate for Payer: PACE SWMI |
$499.72
|
| Rate for Payer: PHP Medicare Advantage |
$499.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$643.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$896.66
|
| Rate for Payer: Priority Health Medicare |
$499.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$896.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$499.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.72
|
| Rate for Payer: UHC Medicare Advantage |
$514.71
|
|
|
PR CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS
|
Professional
|
Both
|
$734.00
|
|
|
Service Code
|
HCPCS 42970
|
| Min. Negotiated Rate |
$265.61 |
| Max. Negotiated Rate |
$727.90 |
| Rate for Payer: Aetna Commercial |
$541.79
|
| Rate for Payer: Aetna Medicare |
$420.49
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$404.32
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$604.99
|
| Rate for Payer: BCN Medicare Advantage |
$404.32
|
| Rate for Payer: Cash Price |
$587.20
|
| Rate for Payer: Cash Price |
$587.20
|
| Rate for Payer: Cofinity Commercial |
$582.22
|
| Rate for Payer: Cofinity Commercial |
$541.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.32
|
| Rate for Payer: Mclaren Medicaid |
$265.61
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.54
|
| Rate for Payer: PACE SWMI |
$404.32
|
| Rate for Payer: PHP Medicare Advantage |
$404.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$513.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$727.90
|
| Rate for Payer: Priority Health Medicare |
$404.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$727.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.32
|
| Rate for Payer: UHC Medicare Advantage |
$416.45
|
|
|
PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST
|
Professional
|
Both
|
$438.00
|
|
|
Service Code
|
HCPCS 30905
|
| Min. Negotiated Rate |
$67.31 |
| Max. Negotiated Rate |
$835.24 |
| Rate for Payer: Aetna Commercial |
$141.30
|
| Rate for Payer: Aetna Medicare |
$109.67
|
| Rate for Payer: BCBS Complete |
$70.68
|
| Rate for Payer: BCBS MAPPO |
$105.45
|
| Rate for Payer: BCBS Trust/PPO |
$835.24
|
| Rate for Payer: BCN Commercial |
$519.95
|
| Rate for Payer: BCN Medicare Advantage |
$105.45
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cofinity Commercial |
$151.85
|
| Rate for Payer: Cofinity Commercial |
$141.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.45
|
| Rate for Payer: Mclaren Medicaid |
$67.31
|
| Rate for Payer: Meridian Medicaid |
$70.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$110.72
|
| Rate for Payer: PACE SWMI |
$105.45
|
| Rate for Payer: PHP Medicare Advantage |
$105.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.32
|
| Rate for Payer: Priority Health Medicare |
$105.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.45
|
| Rate for Payer: UHC Medicare Advantage |
$108.61
|
|
|
PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ
|
Professional
|
Both
|
$587.00
|
|
|
Service Code
|
HCPCS 30906
|
| Min. Negotiated Rate |
$84.35 |
| Max. Negotiated Rate |
$907.62 |
| Rate for Payer: Aetna Commercial |
$176.97
|
| Rate for Payer: Aetna Medicare |
$137.35
|
| Rate for Payer: BCBS Complete |
$88.57
|
| Rate for Payer: BCBS MAPPO |
$132.07
|
| Rate for Payer: BCBS Trust/PPO |
$907.62
|
| Rate for Payer: BCN Commercial |
$551.23
|
| Rate for Payer: BCN Medicare Advantage |
$132.07
|
| Rate for Payer: Cash Price |
$469.60
|
| Rate for Payer: Cash Price |
$469.60
|
| Rate for Payer: Cofinity Commercial |
$176.97
|
| Rate for Payer: Cofinity Commercial |
$190.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.07
|
| Rate for Payer: Mclaren Medicaid |
$84.35
|
| Rate for Payer: Meridian Medicaid |
$88.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$138.67
|
| Rate for Payer: PACE SWMI |
$132.07
|
| Rate for Payer: PHP Medicare Advantage |
$132.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.83
|
| Rate for Payer: Priority Health Medicare |
$132.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$183.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$132.07
|
| Rate for Payer: UHC Medicare Advantage |
$136.03
|
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 42961
|
| Min. Negotiated Rate |
$269.96 |
| Max. Negotiated Rate |
$742.62 |
| Rate for Payer: Aetna Commercial |
$551.93
|
| Rate for Payer: Aetna Medicare |
$428.37
|
| Rate for Payer: BCBS Complete |
$284.49
|
| Rate for Payer: BCBS MAPPO |
$411.89
|
| Rate for Payer: BCBS Trust/PPO |
$269.96
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$411.89
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cofinity Commercial |
$593.12
|
| Rate for Payer: Cofinity Commercial |
$551.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.89
|
| Rate for Payer: Mclaren Medicaid |
$270.94
|
| Rate for Payer: Meridian Medicaid |
$284.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$432.48
|
| Rate for Payer: PACE SWMI |
$411.89
|
| Rate for Payer: PHP Medicare Advantage |
$411.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$535.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.62
|
| Rate for Payer: Priority Health Medicare |
$411.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$742.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.89
|
| Rate for Payer: UHC Medicare Advantage |
$424.25
|
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ
|
Professional
|
Both
|
$1,864.00
|
|
|
Service Code
|
HCPCS 42962
|
| Min. Negotiated Rate |
$333.56 |
| Max. Negotiated Rate |
$1,304.80 |
| Rate for Payer: Aetna Commercial |
$684.00
|
| Rate for Payer: Aetna Medicare |
$530.87
|
| Rate for Payer: BCBS Complete |
$350.24
|
| Rate for Payer: BCBS MAPPO |
$510.45
|
| Rate for Payer: BCBS Trust/PPO |
$346.04
|
| Rate for Payer: BCN Commercial |
$763.31
|
| Rate for Payer: BCN Medicare Advantage |
$510.45
|
| Rate for Payer: Cash Price |
$1,491.20
|
| Rate for Payer: Cash Price |
$1,491.20
|
| Rate for Payer: Cofinity Commercial |
$684.00
|
| Rate for Payer: Cofinity Commercial |
$735.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$510.45
|
| Rate for Payer: Mclaren Medicaid |
$333.56
|
| Rate for Payer: Meridian Medicaid |
$350.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$535.97
|
| Rate for Payer: PACE SWMI |
$510.45
|
| Rate for Payer: PHP Medicare Advantage |
$510.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,304.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$918.42
|
| Rate for Payer: Priority Health Medicare |
$510.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$918.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$510.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$510.45
|
| Rate for Payer: UHC Medicare Advantage |
$525.76
|
|
|
PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS
|
Professional
|
Both
|
$528.00
|
|
|
Service Code
|
HCPCS 95929
|
| Min. Negotiated Rate |
$111.47 |
| Max. Negotiated Rate |
$369.60 |
| Rate for Payer: Aetna Commercial |
$302.44
|
| Rate for Payer: Aetna Medicare |
$234.73
|
| Rate for Payer: BCBS Complete |
$211.20
|
| Rate for Payer: BCBS MAPPO |
$225.70
|
| Rate for Payer: BCBS Trust/PPO |
$111.47
|
| Rate for Payer: BCN Commercial |
$349.40
|
| Rate for Payer: BCN Medicare Advantage |
$225.70
|
| Rate for Payer: Cash Price |
$422.40
|
| Rate for Payer: Cash Price |
$422.40
|
| Rate for Payer: Cofinity Commercial |
$302.44
|
| Rate for Payer: Cofinity Commercial |
$325.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.98
|
| Rate for Payer: PACE SWMI |
$225.70
|
| Rate for Payer: PHP Medicare Advantage |
$225.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$369.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.13
|
| Rate for Payer: Priority Health Medicare |
$225.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$321.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.70
|
| Rate for Payer: UHC Medicare Advantage |
$232.47
|
|
|
PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 95928
|
| Min. Negotiated Rate |
$99.85 |
| Max. Negotiated Rate |
$344.03 |
| Rate for Payer: Aetna Commercial |
$297.96
|
| Rate for Payer: Aetna Commercial |
$297.96
|
| Rate for Payer: Aetna Medicare |
$231.25
|
| Rate for Payer: Aetna Medicare |
$231.25
|
| Rate for Payer: BCBS Complete |
$194.80
|
| Rate for Payer: BCBS Complete |
$133.20
|
| Rate for Payer: BCBS MAPPO |
$222.36
|
| Rate for Payer: BCBS MAPPO |
$222.36
|
| Rate for Payer: BCBS Trust/PPO |
$99.85
|
| Rate for Payer: BCBS Trust/PPO |
$99.85
|
| Rate for Payer: BCN Commercial |
$344.03
|
| Rate for Payer: BCN Commercial |
$344.03
|
| Rate for Payer: BCN Medicare Advantage |
$222.36
|
| Rate for Payer: BCN Medicare Advantage |
$222.36
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$297.96
|
| Rate for Payer: Cofinity Commercial |
$297.96
|
| Rate for Payer: Cofinity Commercial |
$320.20
|
| Rate for Payer: Cofinity Commercial |
$320.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$233.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$233.48
|
| Rate for Payer: PACE SWMI |
$222.36
|
| Rate for Payer: PACE SWMI |
$222.36
|
| Rate for Payer: PHP Medicare Advantage |
$222.36
|
| Rate for Payer: PHP Medicare Advantage |
$222.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$340.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.20
|
| Rate for Payer: Priority Health Medicare |
$222.36
|
| Rate for Payer: Priority Health Medicare |
$222.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$316.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$316.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.36
|
| Rate for Payer: UHC Medicare Advantage |
$229.03
|
| Rate for Payer: UHC Medicare Advantage |
$229.03
|
|
|
PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 95939
|
| Min. Negotiated Rate |
$128.80 |
| Max. Negotiated Rate |
$797.04 |
| Rate for Payer: Aetna Commercial |
$684.85
|
| Rate for Payer: Aetna Medicare |
$531.52
|
| Rate for Payer: BCBS Complete |
$128.80
|
| Rate for Payer: BCBS MAPPO |
$511.08
|
| Rate for Payer: BCBS Trust/PPO |
$596.45
|
| Rate for Payer: BCN Commercial |
$797.04
|
| Rate for Payer: BCN Medicare Advantage |
$511.08
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$735.96
|
| Rate for Payer: Cofinity Commercial |
$684.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$511.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$536.63
|
| Rate for Payer: PACE SWMI |
$511.08
|
| Rate for Payer: PHP Medicare Advantage |
$511.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$732.55
|
| Rate for Payer: Priority Health Medicare |
$511.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$732.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$511.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$511.08
|
| Rate for Payer: UHC Medicare Advantage |
$526.41
|
|
|
PR CURETTAGE POSTPARTUM
|
Professional
|
Both
|
$535.00
|
|
|
Service Code
|
HCPCS 59160
|
| Min. Negotiated Rate |
$121.84 |
| Max. Negotiated Rate |
$516.15 |
| Rate for Payer: Aetna Commercial |
$253.10
|
| Rate for Payer: Aetna Medicare |
$196.44
|
| Rate for Payer: BCBS Complete |
$127.93
|
| Rate for Payer: BCBS MAPPO |
$188.88
|
| Rate for Payer: BCBS Trust/PPO |
$516.15
|
| Rate for Payer: BCN Commercial |
$405.60
|
| Rate for Payer: BCN Medicare Advantage |
$188.88
|
| Rate for Payer: Cash Price |
$428.00
|
| Rate for Payer: Cash Price |
$428.00
|
| Rate for Payer: Cofinity Commercial |
$271.99
|
| Rate for Payer: Cofinity Commercial |
$253.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.88
|
| Rate for Payer: Mclaren Medicaid |
$121.84
|
| Rate for Payer: Meridian Medicaid |
$127.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$198.32
|
| Rate for Payer: PACE SWMI |
$188.88
|
| Rate for Payer: PHP Medicare Advantage |
$188.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.14
|
| Rate for Payer: Priority Health Medicare |
$188.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$188.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$188.88
|
| Rate for Payer: UHC Medicare Advantage |
$194.55
|
|
|
PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 46942
|
| Min. Negotiated Rate |
$83.50 |
| Max. Negotiated Rate |
$1,144.83 |
| Rate for Payer: Aetna Commercial |
$171.45
|
| Rate for Payer: Aetna Medicare |
$133.07
|
| Rate for Payer: BCBS Complete |
$87.68
|
| Rate for Payer: BCBS MAPPO |
$127.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,144.83
|
| Rate for Payer: BCN Commercial |
$373.84
|
| Rate for Payer: BCN Medicare Advantage |
$127.95
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$184.25
|
| Rate for Payer: Cofinity Commercial |
$171.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.95
|
| Rate for Payer: Mclaren Medicaid |
$83.50
|
| Rate for Payer: Meridian Medicaid |
$87.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.35
|
| Rate for Payer: PACE SWMI |
$127.95
|
| Rate for Payer: PHP Medicare Advantage |
$127.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$229.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.72
|
| Rate for Payer: Priority Health Medicare |
$127.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.95
|
| Rate for Payer: UHC Medicare Advantage |
$131.79
|
|
|
PR CUSTOM EAR PLUGS
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 00592
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$56.00 |
| Max. Negotiated Rate |
$98.00 |
| Rate for Payer: BCBS Complete |
$56.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.00
|
|
|
PR CUTANEOUS VESICOSTOMY
|
Professional
|
Both
|
$1,431.00
|
|
|
Service Code
|
HCPCS 51980
|
| Min. Negotiated Rate |
$454.54 |
| Max. Negotiated Rate |
$2,370.48 |
| Rate for Payer: Aetna Commercial |
$934.14
|
| Rate for Payer: Aetna Medicare |
$725.00
|
| Rate for Payer: BCBS Complete |
$477.27
|
| Rate for Payer: BCBS MAPPO |
$697.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,370.48
|
| Rate for Payer: BCN Commercial |
$1,030.14
|
| Rate for Payer: BCN Medicare Advantage |
$697.12
|
| Rate for Payer: Cash Price |
$1,144.80
|
| Rate for Payer: Cash Price |
$1,144.80
|
| Rate for Payer: Cofinity Commercial |
$1,003.85
|
| Rate for Payer: Cofinity Commercial |
$934.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$697.12
|
| Rate for Payer: Mclaren Medicaid |
$454.54
|
| Rate for Payer: Meridian Medicaid |
$477.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$731.98
|
| Rate for Payer: PACE SWMI |
$697.12
|
| Rate for Payer: PHP Medicare Advantage |
$697.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,139.07
|
| Rate for Payer: Priority Health Medicare |
$697.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,139.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$697.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$697.12
|
| Rate for Payer: UHC Medicare Advantage |
$718.03
|
|
|
PR CV STRS TST XERS&/OR RX CONT ECG I&R ONLY
|
Professional
|
Both
|
$167.00
|
|
|
Service Code
|
HCPCS 93018
|
| Min. Negotiated Rate |
$8.73 |
| Max. Negotiated Rate |
$1,814.71 |
| Rate for Payer: Aetna Commercial |
$18.25
|
| Rate for Payer: Aetna Medicare |
$14.16
|
| Rate for Payer: BCBS Complete |
$9.17
|
| Rate for Payer: BCBS MAPPO |
$13.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
| Rate for Payer: BCN Commercial |
$20.04
|
| Rate for Payer: BCN Medicare Advantage |
$13.62
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cofinity Commercial |
$19.61
|
| Rate for Payer: Cofinity Commercial |
$18.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.62
|
| Rate for Payer: Mclaren Medicaid |
$8.73
|
| Rate for Payer: Meridian Medicaid |
$9.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.30
|
| Rate for Payer: PACE SWMI |
$13.62
|
| Rate for Payer: PHP Medicare Advantage |
$13.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.38
|
| Rate for Payer: Priority Health Medicare |
$13.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.62
|
| Rate for Payer: UHC Medicare Advantage |
$14.03
|
|
|
PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 93017
|
| Min. Negotiated Rate |
$33.14 |
| Max. Negotiated Rate |
$1,426.94 |
| Rate for Payer: Aetna Commercial |
$44.41
|
| Rate for Payer: Aetna Medicare |
$34.47
|
| Rate for Payer: BCBS Complete |
$44.40
|
| Rate for Payer: BCBS MAPPO |
$33.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.94
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Medicare Advantage |
$33.14
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cofinity Commercial |
$44.41
|
| Rate for Payer: Cofinity Commercial |
$47.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.80
|
| Rate for Payer: PACE SWMI |
$33.14
|
| Rate for Payer: PHP Medicare Advantage |
$33.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.60
|
| Rate for Payer: Priority Health Medicare |
$33.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.14
|
| Rate for Payer: UHC Medicare Advantage |
$34.13
|
|
|
PR CV STRS TST XERS&/OR RX CONT ECG W/O I&R
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 93016
|
| Min. Negotiated Rate |
$13.21 |
| Max. Negotiated Rate |
$1,780.90 |
| Rate for Payer: Aetna Commercial |
$27.54
|
| Rate for Payer: Aetna Medicare |
$21.37
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS MAPPO |
$20.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,780.90
|
| Rate for Payer: BCN Commercial |
$30.29
|
| Rate for Payer: BCN Medicare Advantage |
$20.55
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cofinity Commercial |
$27.54
|
| Rate for Payer: Cofinity Commercial |
$29.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.55
|
| Rate for Payer: Mclaren Medicaid |
$13.21
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.58
|
| Rate for Payer: PACE SWMI |
$20.55
|
| Rate for Payer: PHP Medicare Advantage |
$20.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.32
|
| Rate for Payer: Priority Health Medicare |
$20.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.55
|
| Rate for Payer: UHC Medicare Advantage |
$21.17
|
|
|
PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R
|
Professional
|
Both
|
$443.00
|
|
|
Service Code
|
HCPCS 93015
|
| Min. Negotiated Rate |
$67.32 |
| Max. Negotiated Rate |
$2,485.65 |
| Rate for Payer: Aetna Commercial |
$90.21
|
| Rate for Payer: Aetna Medicare |
$70.01
|
| Rate for Payer: BCBS Complete |
$177.20
|
| Rate for Payer: BCBS MAPPO |
$67.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,485.65
|
| Rate for Payer: BCN Commercial |
$102.62
|
| Rate for Payer: BCN Medicare Advantage |
$67.32
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cofinity Commercial |
$90.21
|
| Rate for Payer: Cofinity Commercial |
$96.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$67.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$70.69
|
| Rate for Payer: PACE SWMI |
$67.32
|
| Rate for Payer: PHP Medicare Advantage |
$67.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.30
|
| Rate for Payer: Priority Health Medicare |
$67.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$67.32
|
| Rate for Payer: UHC Medicare Advantage |
$69.34
|
|
|
PR CYSTECTOMY COMPLETE SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,756.00
|
|
|
Service Code
|
HCPCS 51570
|
| Min. Negotiated Rate |
$931.24 |
| Max. Negotiated Rate |
$3,145.50 |
| Rate for Payer: Aetna Commercial |
$1,927.74
|
| Rate for Payer: Aetna Medicare |
$1,496.15
|
| Rate for Payer: BCBS Complete |
$977.80
|
| Rate for Payer: BCBS MAPPO |
$1,438.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,145.50
|
| Rate for Payer: BCN Commercial |
$2,115.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,438.61
|
| Rate for Payer: Cash Price |
$2,204.80
|
| Rate for Payer: Cash Price |
$2,204.80
|
| Rate for Payer: Cofinity Commercial |
$1,927.74
|
| Rate for Payer: Cofinity Commercial |
$2,071.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,438.61
|
| Rate for Payer: Mclaren Medicaid |
$931.24
|
| Rate for Payer: Meridian Medicaid |
$977.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,510.54
|
| Rate for Payer: PACE SWMI |
$1,438.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,438.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,929.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,339.76
|
| Rate for Payer: Priority Health Medicare |
$1,438.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,339.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,438.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,438.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,481.77
|
|
|
PR CYSTECTOMY PARTIAL COMPLICATED
|
Professional
|
Both
|
$7,600.00
|
|
|
Service Code
|
HCPCS 51555
|
| Min. Negotiated Rate |
$798.96 |
| Max. Negotiated Rate |
$5,320.00 |
| Rate for Payer: Aetna Commercial |
$1,648.41
|
| Rate for Payer: Aetna Medicare |
$1,279.37
|
| Rate for Payer: BCBS Complete |
$838.91
|
| Rate for Payer: BCBS MAPPO |
$1,230.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,383.69
|
| Rate for Payer: BCN Commercial |
$1,811.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,230.16
|
| Rate for Payer: Cash Price |
$6,080.00
|
| Rate for Payer: Cash Price |
$6,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,648.41
|
| Rate for Payer: Cofinity Commercial |
$1,771.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,230.16
|
| Rate for Payer: Mclaren Medicaid |
$798.96
|
| Rate for Payer: Meridian Medicaid |
$838.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,291.67
|
| Rate for Payer: PACE SWMI |
$1,230.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,230.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$798.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,320.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,002.57
|
| Rate for Payer: Priority Health Medicare |
$1,230.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,002.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,230.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,230.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,267.06
|
|
|
PR CYSTECTOMY PARTIAL SIMPLE
|
Professional
|
Both
|
$1,515.00
|
|
|
Service Code
|
HCPCS 51550
|
| Min. Negotiated Rate |
$612.38 |
| Max. Negotiated Rate |
$2,405.35 |
| Rate for Payer: Aetna Commercial |
$1,261.93
|
| Rate for Payer: Aetna Medicare |
$979.41
|
| Rate for Payer: BCBS Complete |
$643.00
|
| Rate for Payer: BCBS MAPPO |
$941.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,405.35
|
| Rate for Payer: BCN Commercial |
$1,387.84
|
| Rate for Payer: BCN Medicare Advantage |
$941.74
|
| Rate for Payer: Cash Price |
$1,212.00
|
| Rate for Payer: Cash Price |
$1,212.00
|
| Rate for Payer: Cofinity Commercial |
$1,356.11
|
| Rate for Payer: Cofinity Commercial |
$1,261.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$941.74
|
| Rate for Payer: Mclaren Medicaid |
$612.38
|
| Rate for Payer: Meridian Medicaid |
$643.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$988.83
|
| Rate for Payer: PACE SWMI |
$941.74
|
| Rate for Payer: PHP Medicare Advantage |
$941.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$612.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,534.62
|
| Rate for Payer: Priority Health Medicare |
$941.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,534.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$941.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$941.74
|
| Rate for Payer: UHC Medicare Advantage |
$969.99
|
|
|
PR CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY
|
Professional
|
Both
|
$3,722.00
|
|
|
Service Code
|
HCPCS 51575
|
| Min. Negotiated Rate |
$1,146.37 |
| Max. Negotiated Rate |
$3,111.16 |
| Rate for Payer: Aetna Commercial |
$2,378.51
|
| Rate for Payer: Aetna Medicare |
$1,846.01
|
| Rate for Payer: BCBS Complete |
$1,203.69
|
| Rate for Payer: BCBS MAPPO |
$1,775.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,111.16
|
| Rate for Payer: BCN Commercial |
$2,610.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,775.01
|
| Rate for Payer: Cash Price |
$2,977.60
|
| Rate for Payer: Cash Price |
$2,977.60
|
| Rate for Payer: Cofinity Commercial |
$2,556.01
|
| Rate for Payer: Cofinity Commercial |
$2,378.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,775.01
|
| Rate for Payer: Mclaren Medicaid |
$1,146.37
|
| Rate for Payer: Meridian Medicaid |
$1,203.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,863.76
|
| Rate for Payer: PACE SWMI |
$1,775.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,775.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,146.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,605.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,886.06
|
| Rate for Payer: Priority Health Medicare |
$1,775.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,886.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,775.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,775.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,828.26
|
|
|
PR CYSTO BLADDER W/URETERAL CATHETERIZATION
|
Professional
|
Both
|
$548.00
|
|
|
Service Code
|
HCPCS 52005
|
| Min. Negotiated Rate |
$84.14 |
| Max. Negotiated Rate |
$2,077.80 |
| Rate for Payer: Aetna Commercial |
$171.69
|
| Rate for Payer: Aetna Medicare |
$133.26
|
| Rate for Payer: BCBS Complete |
$88.35
|
| Rate for Payer: BCBS MAPPO |
$128.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.80
|
| Rate for Payer: BCN Commercial |
$489.65
|
| Rate for Payer: BCN Medicare Advantage |
$128.13
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cofinity Commercial |
$184.51
|
| Rate for Payer: Cofinity Commercial |
$171.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.13
|
| Rate for Payer: Mclaren Medicaid |
$84.14
|
| Rate for Payer: Meridian Medicaid |
$88.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.54
|
| Rate for Payer: PACE SWMI |
$128.13
|
| Rate for Payer: PHP Medicare Advantage |
$128.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$383.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$209.11
|
| Rate for Payer: Priority Health Medicare |
$128.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$128.13
|
| Rate for Payer: UHC Medicare Advantage |
$131.97
|
|
|
PR CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS
|
Professional
|
Both
|
$758.00
|
|
|
Service Code
|
HCPCS 52281
|
| Min. Negotiated Rate |
$95.85 |
| Max. Negotiated Rate |
$2,364.67 |
| Rate for Payer: Aetna Commercial |
$197.74
|
| Rate for Payer: Aetna Medicare |
$153.47
|
| Rate for Payer: BCBS Complete |
$100.64
|
| Rate for Payer: BCBS MAPPO |
$147.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,364.67
|
| Rate for Payer: BCN Commercial |
$478.42
|
| Rate for Payer: BCN Medicare Advantage |
$147.57
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cofinity Commercial |
$197.74
|
| Rate for Payer: Cofinity Commercial |
$212.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.57
|
| Rate for Payer: Mclaren Medicaid |
$95.85
|
| Rate for Payer: Meridian Medicaid |
$100.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$154.95
|
| Rate for Payer: PACE SWMI |
$147.57
|
| Rate for Payer: PHP Medicare Advantage |
$147.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$240.46
|
| Rate for Payer: Priority Health Medicare |
$147.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$240.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.57
|
| Rate for Payer: UHC Medicare Advantage |
$152.00
|
|
