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Charge Type Setting Price  
Service Code HCPCS 92523
Min. Negotiated Rate $140.00
Max. Negotiated Rate $1,440.15
Rate for Payer: Aetna Commercial $297.16
Rate for Payer: Aetna Medicare $230.63
Rate for Payer: BCBS Complete $140.00
Rate for Payer: BCBS MAPPO $221.76
Rate for Payer: BCBS Trust/PPO $1,440.15
Rate for Payer: BCN Commercial $331.82
Rate for Payer: BCN Medicare Advantage $221.76
Rate for Payer: Cash Price $280.00
Rate for Payer: Cash Price $280.00
Rate for Payer: Cofinity Commercial $319.33
Rate for Payer: Cofinity Commercial $297.16
Rate for Payer: Health Alliance Plan Medicare Advantage $221.76
Rate for Payer: Meridian Wellcare - Medicare Advantage $232.85
Rate for Payer: PACE SWMI $221.76
Rate for Payer: PHP Medicare Advantage $221.76
Rate for Payer: Priority Health Cigna Priority Health $245.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $304.96
Rate for Payer: Priority Health Medicare $221.76
Rate for Payer: Priority Health Narrow/Tiered Network $304.96
Rate for Payer: UHC All Payor (Choice/PPO) $221.76
Rate for Payer: UHC Dual Complete DSNP $221.76
Rate for Payer: UHC Medicare Advantage $228.41
Service Code HCPCS 92521
Min. Negotiated Rate $82.80
Max. Negotiated Rate $1,170.71
Rate for Payer: Aetna Commercial $173.32
Rate for Payer: Aetna Medicare $134.51
Rate for Payer: BCBS Complete $82.80
Rate for Payer: BCBS MAPPO $129.34
Rate for Payer: BCBS Trust/PPO $1,170.71
Rate for Payer: BCN Commercial $193.52
Rate for Payer: BCN Medicare Advantage $129.34
Rate for Payer: Cash Price $165.60
Rate for Payer: Cash Price $165.60
Rate for Payer: Cofinity Commercial $173.32
Rate for Payer: Cofinity Commercial $186.25
Rate for Payer: Health Alliance Plan Medicare Advantage $129.34
Rate for Payer: Meridian Wellcare - Medicare Advantage $135.81
Rate for Payer: PACE SWMI $129.34
Rate for Payer: PHP Medicare Advantage $129.34
Rate for Payer: Priority Health Cigna Priority Health $144.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $177.86
Rate for Payer: Priority Health Medicare $129.34
Rate for Payer: Priority Health Narrow/Tiered Network $177.86
Rate for Payer: UHC All Payor (Choice/PPO) $129.34
Rate for Payer: UHC Dual Complete DSNP $129.34
Rate for Payer: UHC Medicare Advantage $133.22
Service Code HCPCS 92522
Min. Negotiated Rate $67.20
Max. Negotiated Rate $1,580.15
Rate for Payer: Aetna Commercial $145.22
Rate for Payer: Aetna Medicare $112.70
Rate for Payer: BCBS Complete $67.20
Rate for Payer: BCBS MAPPO $108.37
Rate for Payer: BCBS Trust/PPO $1,580.15
Rate for Payer: BCN Commercial $161.75
Rate for Payer: BCN Medicare Advantage $108.37
Rate for Payer: Cash Price $134.40
Rate for Payer: Cash Price $134.40
Rate for Payer: Cofinity Commercial $145.22
Rate for Payer: Cofinity Commercial $156.05
Rate for Payer: Health Alliance Plan Medicare Advantage $108.37
Rate for Payer: Meridian Wellcare - Medicare Advantage $113.79
Rate for Payer: PACE SWMI $108.37
Rate for Payer: PHP Medicare Advantage $108.37
Rate for Payer: Priority Health Cigna Priority Health $117.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $148.67
Rate for Payer: Priority Health Medicare $108.37
Rate for Payer: Priority Health Narrow/Tiered Network $148.67
Rate for Payer: UHC All Payor (Choice/PPO) $108.37
Rate for Payer: UHC Dual Complete DSNP $108.37
Rate for Payer: UHC Medicare Advantage $111.62
Service Code HCPCS 61650
Min. Negotiated Rate $318.04
Max. Negotiated Rate $964.28
Rate for Payer: Aetna Commercial $766.86
Rate for Payer: Aetna Medicare $595.17
Rate for Payer: BCBS Complete $389.60
Rate for Payer: BCBS MAPPO $572.28
Rate for Payer: BCBS Trust/PPO $318.04
Rate for Payer: BCN Commercial $832.21
Rate for Payer: BCN Medicare Advantage $572.28
Rate for Payer: Cash Price $866.40
Rate for Payer: Cash Price $866.40
Rate for Payer: Cofinity Commercial $766.86
Rate for Payer: Cofinity Commercial $824.08
Rate for Payer: Health Alliance Plan Medicare Advantage $572.28
Rate for Payer: Mclaren Medicaid $371.05
Rate for Payer: Meridian Medicaid $389.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $600.89
Rate for Payer: PACE SWMI $572.28
Rate for Payer: PHP Medicare Advantage $572.28
Rate for Payer: Priority Health Choice Medicaid $371.05
Rate for Payer: Priority Health Cigna Priority Health $758.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $964.28
Rate for Payer: Priority Health Medicare $572.28
Rate for Payer: Priority Health Narrow/Tiered Network $964.28
Rate for Payer: UHC All Payor (Choice/PPO) $572.28
Rate for Payer: UHC Dual Complete DSNP $572.28
Rate for Payer: UHC Medicare Advantage $589.45
Service Code HCPCS 61651
Min. Negotiated Rate $158.47
Max. Negotiated Rate $415.04
Rate for Payer: Aetna Commercial $330.28
Rate for Payer: Aetna Medicare $256.34
Rate for Payer: BCBS Complete $166.39
Rate for Payer: BCBS MAPPO $246.48
Rate for Payer: BCBS Trust/PPO $301.13
Rate for Payer: BCN Commercial $358.20
Rate for Payer: BCN Medicare Advantage $246.48
Rate for Payer: Cash Price $368.80
Rate for Payer: Cash Price $368.80
Rate for Payer: Cofinity Commercial $354.93
Rate for Payer: Cofinity Commercial $330.28
Rate for Payer: Health Alliance Plan Medicare Advantage $246.48
Rate for Payer: Mclaren Medicaid $158.47
Rate for Payer: Meridian Medicaid $166.39
Rate for Payer: Meridian Wellcare - Medicare Advantage $258.80
Rate for Payer: PACE SWMI $246.48
Rate for Payer: PHP Medicare Advantage $246.48
Rate for Payer: Priority Health Choice Medicaid $158.47
Rate for Payer: Priority Health Cigna Priority Health $322.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $415.04
Rate for Payer: Priority Health Medicare $246.48
Rate for Payer: Priority Health Narrow/Tiered Network $415.04
Rate for Payer: UHC All Payor (Choice/PPO) $246.48
Rate for Payer: UHC Dual Complete DSNP $246.48
Rate for Payer: UHC Medicare Advantage $253.87
Service Code HCPCS 34808
Min. Negotiated Rate $125.88
Max. Negotiated Rate $313.33
Rate for Payer: Aetna Commercial $267.65
Rate for Payer: Aetna Medicare $207.73
Rate for Payer: BCBS Complete $132.17
Rate for Payer: BCBS MAPPO $199.74
Rate for Payer: BCBS Trust/PPO $212.38
Rate for Payer: BCN Commercial $287.83
Rate for Payer: BCN Medicare Advantage $199.74
Rate for Payer: Cash Price $348.80
Rate for Payer: Cash Price $348.80
Rate for Payer: Cofinity Commercial $287.63
Rate for Payer: Cofinity Commercial $267.65
Rate for Payer: Health Alliance Plan Medicare Advantage $199.74
Rate for Payer: Mclaren Medicaid $125.88
Rate for Payer: Meridian Medicaid $132.17
Rate for Payer: Meridian Wellcare - Medicare Advantage $209.73
Rate for Payer: PACE SWMI $199.74
Rate for Payer: PHP Medicare Advantage $199.74
Rate for Payer: Priority Health Choice Medicaid $125.88
Rate for Payer: Priority Health Cigna Priority Health $305.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $313.33
Rate for Payer: Priority Health Medicare $199.74
Rate for Payer: Priority Health Narrow/Tiered Network $313.33
Rate for Payer: UHC All Payor (Choice/PPO) $199.74
Rate for Payer: UHC Dual Complete DSNP $199.74
Rate for Payer: UHC Medicare Advantage $205.73
Service Code HCPCS 34701
Min. Negotiated Rate $769.14
Max. Negotiated Rate $1,919.30
Rate for Payer: Aetna Commercial $1,629.72
Rate for Payer: Aetna Medicare $1,264.86
Rate for Payer: BCBS Complete $807.60
Rate for Payer: BCBS MAPPO $1,216.21
Rate for Payer: BCBS Trust/PPO $1,422.71
Rate for Payer: BCN Commercial $1,763.15
Rate for Payer: BCN Medicare Advantage $1,216.21
Rate for Payer: Cash Price $2,029.60
Rate for Payer: Cash Price $2,029.60
Rate for Payer: Cofinity Commercial $1,751.34
Rate for Payer: Cofinity Commercial $1,629.72
Rate for Payer: Health Alliance Plan Medicare Advantage $1,216.21
Rate for Payer: Mclaren Medicaid $769.14
Rate for Payer: Meridian Medicaid $807.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,277.02
Rate for Payer: PACE SWMI $1,216.21
Rate for Payer: PHP Medicare Advantage $1,216.21
Rate for Payer: Priority Health Choice Medicaid $769.14
Rate for Payer: Priority Health Cigna Priority Health $1,775.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,919.30
Rate for Payer: Priority Health Medicare $1,216.21
Rate for Payer: Priority Health Narrow/Tiered Network $1,919.30
Rate for Payer: UHC All Payor (Choice/PPO) $1,216.21
Rate for Payer: UHC Dual Complete DSNP $1,216.21
Rate for Payer: UHC Medicare Advantage $1,252.70
Service Code HCPCS 34702
Min. Negotiated Rate $1,148.71
Max. Negotiated Rate $2,863.53
Rate for Payer: Aetna Commercial $2,436.07
Rate for Payer: Aetna Medicare $1,890.68
Rate for Payer: BCBS Complete $1,206.15
Rate for Payer: BCBS MAPPO $1,817.96
Rate for Payer: BCBS Trust/PPO $2,005.96
Rate for Payer: BCN Commercial $2,630.55
Rate for Payer: BCN Medicare Advantage $1,817.96
Rate for Payer: Cash Price $3,068.80
Rate for Payer: Cash Price $3,068.80
Rate for Payer: Cofinity Commercial $2,617.86
Rate for Payer: Cofinity Commercial $2,436.07
Rate for Payer: Health Alliance Plan Medicare Advantage $1,817.96
Rate for Payer: Mclaren Medicaid $1,148.71
Rate for Payer: Meridian Medicaid $1,206.15
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,908.86
Rate for Payer: PACE SWMI $1,817.96
Rate for Payer: PHP Medicare Advantage $1,817.96
Rate for Payer: Priority Health Choice Medicaid $1,148.71
Rate for Payer: Priority Health Cigna Priority Health $2,685.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,863.53
Rate for Payer: Priority Health Medicare $1,817.96
Rate for Payer: Priority Health Narrow/Tiered Network $2,863.53
Rate for Payer: UHC All Payor (Choice/PPO) $1,817.96
Rate for Payer: UHC Dual Complete DSNP $1,817.96
Rate for Payer: UHC Medicare Advantage $1,872.50
Service Code HCPCS 34705
Min. Negotiated Rate $949.98
Max. Negotiated Rate $2,747.37
Rate for Payer: Aetna Commercial $2,012.47
Rate for Payer: Aetna Medicare $1,561.91
Rate for Payer: BCBS Complete $997.48
Rate for Payer: BCBS MAPPO $1,501.84
Rate for Payer: BCBS Trust/PPO $2,747.37
Rate for Payer: BCN Commercial $2,174.62
Rate for Payer: BCN Medicare Advantage $1,501.84
Rate for Payer: Cash Price $2,483.20
Rate for Payer: Cash Price $2,483.20
Rate for Payer: Cofinity Commercial $2,162.65
Rate for Payer: Cofinity Commercial $2,012.47
Rate for Payer: Health Alliance Plan Medicare Advantage $1,501.84
Rate for Payer: Mclaren Medicaid $949.98
Rate for Payer: Meridian Medicaid $997.48
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,576.93
Rate for Payer: PACE SWMI $1,501.84
Rate for Payer: PHP Medicare Advantage $1,501.84
Rate for Payer: Priority Health Choice Medicaid $949.98
Rate for Payer: Priority Health Cigna Priority Health $2,172.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,367.21
Rate for Payer: Priority Health Medicare $1,501.84
Rate for Payer: Priority Health Narrow/Tiered Network $2,367.21
Rate for Payer: UHC All Payor (Choice/PPO) $1,501.84
Rate for Payer: UHC Dual Complete DSNP $1,501.84
Rate for Payer: UHC Medicare Advantage $1,546.90
Service Code HCPCS 34706
Min. Negotiated Rate $1,415.81
Max. Negotiated Rate $3,526.88
Rate for Payer: Aetna Commercial $3,004.70
Rate for Payer: Aetna Medicare $2,332.00
Rate for Payer: BCBS Complete $1,486.60
Rate for Payer: BCBS MAPPO $2,242.31
Rate for Payer: BCBS Trust/PPO $2,686.93
Rate for Payer: BCN Commercial $3,239.93
Rate for Payer: BCN Medicare Advantage $2,242.31
Rate for Payer: Cash Price $3,796.00
Rate for Payer: Cash Price $3,796.00
Rate for Payer: Cofinity Commercial $3,228.93
Rate for Payer: Cofinity Commercial $3,004.70
Rate for Payer: Health Alliance Plan Medicare Advantage $2,242.31
Rate for Payer: Mclaren Medicaid $1,415.81
Rate for Payer: Meridian Medicaid $1,486.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $2,354.43
Rate for Payer: PACE SWMI $2,242.31
Rate for Payer: PHP Medicare Advantage $2,242.31
Rate for Payer: Priority Health Choice Medicaid $1,415.81
Rate for Payer: Priority Health Cigna Priority Health $3,321.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $3,526.88
Rate for Payer: Priority Health Medicare $2,242.31
Rate for Payer: Priority Health Narrow/Tiered Network $3,526.88
Rate for Payer: UHC All Payor (Choice/PPO) $2,242.31
Rate for Payer: UHC Dual Complete DSNP $2,242.31
Rate for Payer: UHC Medicare Advantage $2,309.58
Service Code HCPCS 34703
Min. Negotiated Rate $854.34
Max. Negotiated Rate $2,308.14
Rate for Payer: Aetna Commercial $1,814.04
Rate for Payer: Aetna Medicare $1,407.91
Rate for Payer: BCBS Complete $897.06
Rate for Payer: BCBS MAPPO $1,353.76
Rate for Payer: BCBS Trust/PPO $2,308.14
Rate for Payer: BCN Commercial $1,960.57
Rate for Payer: BCN Medicare Advantage $1,353.76
Rate for Payer: Cash Price $2,288.00
Rate for Payer: Cash Price $2,288.00
Rate for Payer: Cofinity Commercial $1,814.04
Rate for Payer: Cofinity Commercial $1,949.41
Rate for Payer: Health Alliance Plan Medicare Advantage $1,353.76
Rate for Payer: Mclaren Medicaid $854.34
Rate for Payer: Meridian Medicaid $897.06
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,421.45
Rate for Payer: PACE SWMI $1,353.76
Rate for Payer: PHP Medicare Advantage $1,353.76
Rate for Payer: Priority Health Choice Medicaid $854.34
Rate for Payer: Priority Health Cigna Priority Health $2,002.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,134.21
Rate for Payer: Priority Health Medicare $1,353.76
Rate for Payer: Priority Health Narrow/Tiered Network $2,134.21
Rate for Payer: UHC All Payor (Choice/PPO) $1,353.76
Rate for Payer: UHC Dual Complete DSNP $1,353.76
Rate for Payer: UHC Medicare Advantage $1,394.37
Service Code HCPCS 34707
Min. Negotiated Rate $722.50
Max. Negotiated Rate $2,209.35
Rate for Payer: Aetna Commercial $1,536.40
Rate for Payer: Aetna Medicare $1,192.43
Rate for Payer: BCBS Complete $758.62
Rate for Payer: BCBS MAPPO $1,146.57
Rate for Payer: BCBS Trust/PPO $2,209.35
Rate for Payer: BCN Commercial $1,662.48
Rate for Payer: BCN Medicare Advantage $1,146.57
Rate for Payer: Cash Price $1,893.60
Rate for Payer: Cash Price $1,893.60
Rate for Payer: Cofinity Commercial $1,651.06
Rate for Payer: Cofinity Commercial $1,536.40
Rate for Payer: Health Alliance Plan Medicare Advantage $1,146.57
Rate for Payer: Mclaren Medicaid $722.50
Rate for Payer: Meridian Medicaid $758.62
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,203.90
Rate for Payer: PACE SWMI $1,146.57
Rate for Payer: PHP Medicare Advantage $1,146.57
Rate for Payer: Priority Health Choice Medicaid $722.50
Rate for Payer: Priority Health Cigna Priority Health $1,656.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,809.72
Rate for Payer: Priority Health Medicare $1,146.57
Rate for Payer: Priority Health Narrow/Tiered Network $1,809.72
Rate for Payer: UHC All Payor (Choice/PPO) $1,146.57
Rate for Payer: UHC Dual Complete DSNP $1,146.57
Rate for Payer: UHC Medicare Advantage $1,180.97
Service Code HCPCS 34708
Min. Negotiated Rate $1,132.52
Max. Negotiated Rate $2,816.72
Rate for Payer: Aetna Commercial $2,404.30
Rate for Payer: Aetna Medicare $1,866.02
Rate for Payer: BCBS Complete $1,189.15
Rate for Payer: BCBS MAPPO $1,794.25
Rate for Payer: BCBS Trust/PPO $1,929.88
Rate for Payer: BCN Commercial $2,587.55
Rate for Payer: BCN Medicare Advantage $1,794.25
Rate for Payer: Cash Price $3,058.40
Rate for Payer: Cash Price $3,058.40
Rate for Payer: Cofinity Commercial $2,583.72
Rate for Payer: Cofinity Commercial $2,404.30
Rate for Payer: Health Alliance Plan Medicare Advantage $1,794.25
Rate for Payer: Mclaren Medicaid $1,132.52
Rate for Payer: Meridian Medicaid $1,189.15
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,883.96
Rate for Payer: PACE SWMI $1,794.25
Rate for Payer: PHP Medicare Advantage $1,794.25
Rate for Payer: Priority Health Choice Medicaid $1,132.52
Rate for Payer: Priority Health Cigna Priority Health $2,676.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,816.72
Rate for Payer: Priority Health Medicare $1,794.25
Rate for Payer: Priority Health Narrow/Tiered Network $2,816.72
Rate for Payer: UHC All Payor (Choice/PPO) $1,794.25
Rate for Payer: UHC Dual Complete DSNP $1,794.25
Rate for Payer: UHC Medicare Advantage $1,848.08
Service Code HCPCS 33880
Min. Negotiated Rate $649.81
Max. Negotiated Rate $5,658.10
Rate for Payer: Aetna Commercial $2,361.63
Rate for Payer: Aetna Medicare $1,832.91
Rate for Payer: BCBS Complete $1,168.80
Rate for Payer: BCBS MAPPO $1,762.41
Rate for Payer: BCBS Trust/PPO $649.81
Rate for Payer: BCN Commercial $2,552.85
Rate for Payer: BCN Medicare Advantage $1,762.41
Rate for Payer: Cash Price $6,466.40
Rate for Payer: Cash Price $6,466.40
Rate for Payer: Cofinity Commercial $2,361.63
Rate for Payer: Cofinity Commercial $2,537.87
Rate for Payer: Health Alliance Plan Medicare Advantage $1,762.41
Rate for Payer: Mclaren Medicaid $1,113.14
Rate for Payer: Meridian Medicaid $1,168.80
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,850.53
Rate for Payer: PACE SWMI $1,762.41
Rate for Payer: PHP Medicare Advantage $1,762.41
Rate for Payer: Priority Health Choice Medicaid $1,113.14
Rate for Payer: Priority Health Cigna Priority Health $5,658.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,778.95
Rate for Payer: Priority Health Medicare $1,762.41
Rate for Payer: Priority Health Narrow/Tiered Network $2,778.95
Rate for Payer: UHC All Payor (Choice/PPO) $1,762.41
Rate for Payer: UHC Dual Complete DSNP $1,762.41
Rate for Payer: UHC Medicare Advantage $1,815.28
Service Code HCPCS 33881
Min. Negotiated Rate $924.53
Max. Negotiated Rate $3,777.20
Rate for Payer: Aetna Commercial $2,022.93
Rate for Payer: Aetna Medicare $1,570.04
Rate for Payer: BCBS Complete $1,003.97
Rate for Payer: BCBS MAPPO $1,509.65
Rate for Payer: BCBS Trust/PPO $924.53
Rate for Payer: BCN Commercial $2,187.32
Rate for Payer: BCN Medicare Advantage $1,509.65
Rate for Payer: Cash Price $4,316.80
Rate for Payer: Cash Price $4,316.80
Rate for Payer: Cofinity Commercial $2,022.93
Rate for Payer: Cofinity Commercial $2,173.90
Rate for Payer: Health Alliance Plan Medicare Advantage $1,509.65
Rate for Payer: Mclaren Medicaid $956.16
Rate for Payer: Meridian Medicaid $1,003.97
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,585.13
Rate for Payer: PACE SWMI $1,509.65
Rate for Payer: PHP Medicare Advantage $1,509.65
Rate for Payer: Priority Health Choice Medicaid $956.16
Rate for Payer: Priority Health Cigna Priority Health $3,777.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,381.04
Rate for Payer: Priority Health Medicare $1,509.65
Rate for Payer: Priority Health Narrow/Tiered Network $2,381.04
Rate for Payer: UHC All Payor (Choice/PPO) $1,509.65
Rate for Payer: UHC Dual Complete DSNP $1,509.65
Rate for Payer: UHC Medicare Advantage $1,554.94
Service Code HCPCS 0254T
Min. Negotiated Rate $376.00
Max. Negotiated Rate $658.00
Rate for Payer: BCBS Complete $376.00
Rate for Payer: Cash Price $752.00
Rate for Payer: Priority Health Cigna Priority Health $658.00
Service Code HCPCS 34718
Min. Negotiated Rate $770.63
Max. Negotiated Rate $1,914.51
Rate for Payer: Aetna Commercial $1,627.99
Rate for Payer: Aetna Medicare $1,263.52
Rate for Payer: BCBS Complete $809.16
Rate for Payer: BCBS MAPPO $1,214.92
Rate for Payer: BCBS Trust/PPO $1,579.62
Rate for Payer: BCN Commercial $1,758.75
Rate for Payer: BCN Medicare Advantage $1,214.92
Rate for Payer: Cash Price $1,696.00
Rate for Payer: Cash Price $1,696.00
Rate for Payer: Cofinity Commercial $1,749.48
Rate for Payer: Cofinity Commercial $1,627.99
Rate for Payer: Health Alliance Plan Medicare Advantage $1,214.92
Rate for Payer: Mclaren Medicaid $770.63
Rate for Payer: Meridian Medicaid $809.16
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,275.67
Rate for Payer: PACE SWMI $1,214.92
Rate for Payer: PHP Medicare Advantage $1,214.92
Rate for Payer: Priority Health Choice Medicaid $770.63
Rate for Payer: Priority Health Cigna Priority Health $1,484.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,914.51
Rate for Payer: Priority Health Medicare $1,214.92
Rate for Payer: Priority Health Narrow/Tiered Network $1,914.51
Rate for Payer: UHC All Payor (Choice/PPO) $1,214.92
Rate for Payer: UHC Dual Complete DSNP $1,214.92
Rate for Payer: UHC Medicare Advantage $1,251.37
Service Code HCPCS 34717
Min. Negotiated Rate $274.98
Max. Negotiated Rate $1,145.35
Rate for Payer: Aetna Commercial $584.92
Rate for Payer: Aetna Medicare $453.97
Rate for Payer: BCBS Complete $288.73
Rate for Payer: BCBS MAPPO $436.51
Rate for Payer: BCBS Trust/PPO $1,145.35
Rate for Payer: BCN Commercial $629.42
Rate for Payer: BCN Medicare Advantage $436.51
Rate for Payer: Cash Price $634.40
Rate for Payer: Cash Price $634.40
Rate for Payer: Cofinity Commercial $628.57
Rate for Payer: Cofinity Commercial $584.92
Rate for Payer: Health Alliance Plan Medicare Advantage $436.51
Rate for Payer: Mclaren Medicaid $274.98
Rate for Payer: Meridian Medicaid $288.73
Rate for Payer: Meridian Wellcare - Medicare Advantage $458.34
Rate for Payer: PACE SWMI $436.51
Rate for Payer: PHP Medicare Advantage $436.51
Rate for Payer: Priority Health Choice Medicaid $274.98
Rate for Payer: Priority Health Cigna Priority Health $555.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $685.17
Rate for Payer: Priority Health Medicare $436.51
Rate for Payer: Priority Health Narrow/Tiered Network $685.17
Rate for Payer: UHC All Payor (Choice/PPO) $436.51
Rate for Payer: UHC Dual Complete DSNP $436.51
Rate for Payer: UHC Medicare Advantage $449.61
Service Code HCPCS 61623
Min. Negotiated Rate $124.15
Max. Negotiated Rate $2,289.70
Rate for Payer: Aetna Commercial $772.03
Rate for Payer: Aetna Medicare $599.19
Rate for Payer: BCBS Complete $385.57
Rate for Payer: BCBS MAPPO $576.14
Rate for Payer: BCBS Trust/PPO $124.15
Rate for Payer: BCN Commercial $838.57
Rate for Payer: BCN Medicare Advantage $576.14
Rate for Payer: Cash Price $2,616.80
Rate for Payer: Cash Price $2,616.80
Rate for Payer: Cofinity Commercial $829.64
Rate for Payer: Cofinity Commercial $772.03
Rate for Payer: Health Alliance Plan Medicare Advantage $576.14
Rate for Payer: Mclaren Medicaid $367.21
Rate for Payer: Meridian Medicaid $385.57
Rate for Payer: Meridian Wellcare - Medicare Advantage $604.95
Rate for Payer: PACE SWMI $576.14
Rate for Payer: PHP Medicare Advantage $576.14
Rate for Payer: Priority Health Choice Medicaid $367.21
Rate for Payer: Priority Health Cigna Priority Health $2,289.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $971.63
Rate for Payer: Priority Health Medicare $576.14
Rate for Payer: Priority Health Narrow/Tiered Network $971.63
Rate for Payer: UHC All Payor (Choice/PPO) $576.14
Rate for Payer: UHC Dual Complete DSNP $576.14
Rate for Payer: UHC Medicare Advantage $593.42
Service Code HCPCS L3763
Min. Negotiated Rate $274.00
Max. Negotiated Rate $646.68
Rate for Payer: Aetna Commercial $410.20
Rate for Payer: BCBS Complete $274.00
Rate for Payer: BCN Commercial $646.68
Rate for Payer: Cash Price $548.00
Rate for Payer: Cash Price $548.00
Rate for Payer: Priority Health Cigna Priority Health $479.50
Service Code HCPCS L3764
Min. Negotiated Rate $286.80
Max. Negotiated Rate $676.76
Rate for Payer: Aetna Commercial $429.28
Rate for Payer: BCBS Complete $286.80
Rate for Payer: BCN Commercial $676.76
Rate for Payer: Cash Price $573.60
Rate for Payer: Cash Price $573.60
Rate for Payer: Priority Health Cigna Priority Health $501.90
Service Code HCPCS 44110
Min. Negotiated Rate $543.79
Max. Negotiated Rate $1,643.01
Rate for Payer: Aetna Commercial $1,123.90
Rate for Payer: Aetna Medicare $872.28
Rate for Payer: BCBS Complete $570.98
Rate for Payer: BCBS MAPPO $838.73
Rate for Payer: BCBS Trust/PPO $1,643.01
Rate for Payer: BCN Commercial $1,234.88
Rate for Payer: BCN Medicare Advantage $838.73
Rate for Payer: Cash Price $1,865.60
Rate for Payer: Cash Price $1,865.60
Rate for Payer: Cofinity Commercial $1,123.90
Rate for Payer: Cofinity Commercial $1,207.77
Rate for Payer: Health Alliance Plan Medicare Advantage $838.73
Rate for Payer: Mclaren Medicaid $543.79
Rate for Payer: Meridian Medicaid $570.98
Rate for Payer: Meridian Wellcare - Medicare Advantage $880.67
Rate for Payer: PACE SWMI $838.73
Rate for Payer: PHP Medicare Advantage $838.73
Rate for Payer: Priority Health Choice Medicaid $543.79
Rate for Payer: Priority Health Cigna Priority Health $1,632.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,485.81
Rate for Payer: Priority Health Medicare $838.73
Rate for Payer: Priority Health Narrow/Tiered Network $1,485.81
Rate for Payer: UHC All Payor (Choice/PPO) $838.73
Rate for Payer: UHC Dual Complete DSNP $838.73
Rate for Payer: UHC Medicare Advantage $863.89
Service Code HCPCS 44111
Min. Negotiated Rate $266.79
Max. Negotiated Rate $2,473.80
Rate for Payer: Aetna Commercial $1,308.18
Rate for Payer: Aetna Medicare $1,015.30
Rate for Payer: BCBS Complete $655.52
Rate for Payer: BCBS MAPPO $976.25
Rate for Payer: BCBS Trust/PPO $266.79
Rate for Payer: BCN Commercial $1,435.25
Rate for Payer: BCN Medicare Advantage $976.25
Rate for Payer: Cash Price $2,827.20
Rate for Payer: Cash Price $2,827.20
Rate for Payer: Cofinity Commercial $1,405.80
Rate for Payer: Cofinity Commercial $1,308.18
Rate for Payer: Health Alliance Plan Medicare Advantage $976.25
Rate for Payer: Mclaren Medicaid $624.30
Rate for Payer: Meridian Medicaid $655.52
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,025.06
Rate for Payer: PACE SWMI $976.25
Rate for Payer: PHP Medicare Advantage $976.25
Rate for Payer: Priority Health Choice Medicaid $624.30
Rate for Payer: Priority Health Cigna Priority Health $2,473.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,726.88
Rate for Payer: Priority Health Medicare $976.25
Rate for Payer: Priority Health Narrow/Tiered Network $1,726.88
Rate for Payer: UHC All Payor (Choice/PPO) $976.25
Rate for Payer: UHC Dual Complete DSNP $976.25
Rate for Payer: UHC Medicare Advantage $1,005.54
Service Code CPT 11440
Hospital Charge Code 11440
Hospital Revenue Code 521
Min. Negotiated Rate $52.25
Max. Negotiated Rate $484.61
Rate for Payer: Aetna Commercial $187.00
Rate for Payer: Aetna Medicare $57.20
Rate for Payer: Allen County Amish Medical Aid Commercial $68.75
Rate for Payer: Amish Plain Church Group Commercial $68.75
Rate for Payer: BCBS Complete $484.61
Rate for Payer: BCBS MAPPO $55.00
Rate for Payer: BCBS Trust/PPO $171.05
Rate for Payer: BCN Commercial $171.05
Rate for Payer: BCN Medicare Advantage $55.00
Rate for Payer: Cash Price $176.00
Rate for Payer: Cash Price $176.00
Rate for Payer: Cofinity Commercial $189.20
Rate for Payer: Encore Health Key Benefits Commercial $176.00
Rate for Payer: Health Alliance Plan Medicare Advantage $55.00
Rate for Payer: Healthscope Commercial $198.00
Rate for Payer: Lakeland Regional Health Systems Commercial $165.00
Rate for Payer: Mclaren Medicaid $461.54
Rate for Payer: Meridian Medicaid $484.61
Rate for Payer: Meridian Wellcare - Medicare Advantage $57.75
Rate for Payer: MI Amish Medical Board Commercial $63.25
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $187.00
Rate for Payer: PACE Senior Care Partners $52.25
Rate for Payer: PACE SWMI $55.00
Rate for Payer: PHP Commercial $187.00
Rate for Payer: PHP Medicare Advantage $55.00
Rate for Payer: Priority Health Choice Medicaid $461.54
Rate for Payer: Priority Health Cigna Priority Health $154.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $191.40
Rate for Payer: Priority Health Medicare $55.00
Rate for Payer: Priority Health Narrow/Tiered Network $134.18
Rate for Payer: Railroad Medicare Medicare $55.00
Rate for Payer: UHC All Payor (Choice/PPO) $193.60
Rate for Payer: UHC Core $183.70
Rate for Payer: UHC Dual Complete DSNP $55.00
Rate for Payer: UHC Medicare Advantage $56.65
Rate for Payer: VA VA $55.00
Rate for Payer: Van Buren County Sheriff Dept. Commercial $165.00
Service Code HCPCS 11440
Min. Negotiated Rate $28.95
Max. Negotiated Rate $169.24
Rate for Payer: Aetna Commercial $136.20
Rate for Payer: Aetna Medicare $105.71
Rate for Payer: BCBS Complete $72.46
Rate for Payer: BCBS MAPPO $101.64
Rate for Payer: BCBS Trust/PPO $28.95
Rate for Payer: BCN Commercial $169.24
Rate for Payer: BCN Medicare Advantage $101.64
Rate for Payer: Cash Price $176.00
Rate for Payer: Cash Price $176.00
Rate for Payer: Cofinity Commercial $146.36
Rate for Payer: Cofinity Commercial $136.20
Rate for Payer: Health Alliance Plan Medicare Advantage $101.64
Rate for Payer: Mclaren Medicaid $69.01
Rate for Payer: Meridian Medicaid $72.46
Rate for Payer: Meridian Wellcare - Medicare Advantage $106.72
Rate for Payer: PACE SWMI $101.64
Rate for Payer: PHP Medicare Advantage $101.64
Rate for Payer: Priority Health Choice Medicaid $69.01
Rate for Payer: Priority Health Cigna Priority Health $154.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $130.30
Rate for Payer: Priority Health Medicare $101.64
Rate for Payer: Priority Health Narrow/Tiered Network $130.30
Rate for Payer: UHC All Payor (Choice/PPO) $101.64
Rate for Payer: UHC Dual Complete DSNP $101.64
Rate for Payer: UHC Medicare Advantage $104.69