|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$176.86 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: BCBS Complete |
$384.00
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$178.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Exchange |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$228.00 |
| Max. Negotiated Rate |
$2,413.90 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna Medicare |
$249.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$300.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$300.00
|
| Rate for Payer: BCBS Complete |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$240.00
|
| Rate for Payer: BCBS Trust/PPO |
$789.22
|
| Rate for Payer: BCN Commercial |
$746.40
|
| Rate for Payer: BCN Medicare Advantage |
$240.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Mclaren Medicaid |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.00
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: Nomi Health Commercial |
$787.20
|
| Rate for Payer: PACE Senior Care Partners |
$228.00
|
| Rate for Payer: PACE SWMI |
$240.00
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: PHP Medicare Advantage |
$240.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$835.20
|
| Rate for Payer: Priority Health Medicare |
$242.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.20
|
| Rate for Payer: Railroad Medicare Medicare |
$240.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$844.80
|
| Rate for Payer: UHC Core |
$801.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.00
|
| Rate for Payer: UHC Exchange |
$240.00
|
| Rate for Payer: UHC Medicare Advantage |
$240.00
|
| Rate for Payer: UHCCP Medicaid |
$2,298.80
|
| Rate for Payer: VA VA |
$240.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$624.00 |
| Max. Negotiated Rate |
$864.00 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: BCBS Trust/PPO |
$783.65
|
| Rate for Payer: BCN Commercial |
$741.89
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: Nomi Health Commercial |
$787.20
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$835.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$844.80
|
| Rate for Payer: UHC Core |
$801.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$420.55 |
| Max. Negotiated Rate |
$582.30 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: BCBS Trust/PPO |
$528.15
|
| Rate for Payer: BCN Commercial |
$500.00
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: Nomi Health Commercial |
$530.54
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$562.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.36
|
| Rate for Payer: UHC Core |
$540.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$153.66 |
| Max. Negotiated Rate |
$2,413.90 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna Medicare |
$168.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.19
|
| Rate for Payer: BCBS Complete |
$2,413.90
|
| Rate for Payer: BCBS MAPPO |
$161.75
|
| Rate for Payer: BCBS Trust/PPO |
$531.90
|
| Rate for Payer: BCN Commercial |
$503.04
|
| Rate for Payer: BCN Medicare Advantage |
$161.75
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.75
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.84
|
| Rate for Payer: Meridian Medicaid |
$2,413.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: Nomi Health Commercial |
$530.54
|
| Rate for Payer: PACE Senior Care Partners |
$153.66
|
| Rate for Payer: PACE SWMI |
$161.75
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: PHP Medicare Advantage |
$161.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$562.89
|
| Rate for Payer: Priority Health Medicare |
$163.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.49
|
| Rate for Payer: Railroad Medicare Medicare |
$161.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.36
|
| Rate for Payer: UHC Core |
$540.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$161.75
|
| Rate for Payer: UHC Exchange |
$161.75
|
| Rate for Payer: UHC Medicare Advantage |
$161.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.80
|
| Rate for Payer: VA VA |
$161.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$155.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Exchange |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$155.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Exchange |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$86.75 |
| Max. Negotiated Rate |
$152.75 |
| Rate for Payer: Aetna Commercial |
$116.25
|
| Rate for Payer: Aetna Medicare |
$90.22
|
| Rate for Payer: BCBS Complete |
$94.00
|
| Rate for Payer: BCBS MAPPO |
$86.75
|
| Rate for Payer: BCN Medicare Advantage |
$86.75
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$124.92
|
| Rate for Payer: Cofinity Commercial |
$116.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.09
|
| Rate for Payer: Nomi Health Commercial |
$104.10
|
| Rate for Payer: PACE SWMI |
$86.75
|
| Rate for Payer: PHP Medicare Advantage |
$86.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health Medicare |
$87.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.75
|
| Rate for Payer: UHC Exchange |
$86.75
|
| Rate for Payer: UHC Medicare Advantage |
$86.75
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$117.78 |
| Max. Negotiated Rate |
$198.25 |
| Rate for Payer: Aetna Commercial |
$157.83
|
| Rate for Payer: Aetna Medicare |
$122.49
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$117.78
|
| Rate for Payer: BCN Medicare Advantage |
$117.78
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$157.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.67
|
| Rate for Payer: Nomi Health Commercial |
$141.34
|
| Rate for Payer: PACE SWMI |
$117.78
|
| Rate for Payer: PHP Medicare Advantage |
$117.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health Medicare |
$118.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$117.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$117.78
|
| Rate for Payer: UHC Exchange |
$117.78
|
| Rate for Payer: UHC Medicare Advantage |
$117.78
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$80.91 |
| Max. Negotiated Rate |
$209.30 |
| Rate for Payer: Aetna Commercial |
$108.42
|
| Rate for Payer: Aetna Medicare |
$84.15
|
| Rate for Payer: BCBS Complete |
$128.80
|
| Rate for Payer: BCBS MAPPO |
$80.91
|
| Rate for Payer: BCN Medicare Advantage |
$80.91
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$116.51
|
| Rate for Payer: Cofinity Commercial |
$108.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.96
|
| Rate for Payer: Nomi Health Commercial |
$97.09
|
| Rate for Payer: PACE SWMI |
$80.91
|
| Rate for Payer: PHP Medicare Advantage |
$80.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health Medicare |
$81.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.91
|
| Rate for Payer: UHC Exchange |
$80.91
|
| Rate for Payer: UHC Medicare Advantage |
$80.91
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$110.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Exchange |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$228.15 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: BCBS Trust/PPO |
$286.52
|
| Rate for Payer: BCN Commercial |
$271.25
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: Nomi Health Commercial |
$287.82
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$305.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.88
|
| Rate for Payer: UHC Core |
$293.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$83.36 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna Medicare |
$91.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$109.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$109.69
|
| Rate for Payer: BCBS Complete |
$230.94
|
| Rate for Payer: BCBS MAPPO |
$87.75
|
| Rate for Payer: BCBS Trust/PPO |
$288.56
|
| Rate for Payer: BCN Commercial |
$272.90
|
| Rate for Payer: BCN Medicare Advantage |
$87.75
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.75
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Mclaren Medicaid |
$219.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.14
|
| Rate for Payer: Meridian Medicaid |
$230.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: Nomi Health Commercial |
$287.82
|
| Rate for Payer: PACE Senior Care Partners |
$83.36
|
| Rate for Payer: PACE SWMI |
$87.75
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: PHP Medicare Advantage |
$87.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$305.37
|
| Rate for Payer: Priority Health Medicare |
$88.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.17
|
| Rate for Payer: Railroad Medicare Medicare |
$87.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.88
|
| Rate for Payer: UHC Core |
$293.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.75
|
| Rate for Payer: UHC Exchange |
$87.75
|
| Rate for Payer: UHC Medicare Advantage |
$87.75
|
| Rate for Payer: UHCCP Medicaid |
$219.93
|
| Rate for Payer: VA VA |
$87.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$110.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Exchange |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$401.20 |
| Max. Negotiated Rate |
$651.95 |
| Rate for Payer: Aetna Commercial |
$584.76
|
| Rate for Payer: Aetna Medicare |
$453.85
|
| Rate for Payer: BCBS Complete |
$401.20
|
| Rate for Payer: BCBS MAPPO |
$436.39
|
| Rate for Payer: BCN Medicare Advantage |
$436.39
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$628.40
|
| Rate for Payer: Cofinity Commercial |
$584.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.21
|
| Rate for Payer: Nomi Health Commercial |
$523.67
|
| Rate for Payer: PACE SWMI |
$436.39
|
| Rate for Payer: PHP Medicare Advantage |
$436.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$651.95
|
| Rate for Payer: Priority Health Medicare |
$440.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.39
|
| Rate for Payer: UHC Exchange |
$436.39
|
| Rate for Payer: UHC Medicare Advantage |
$436.39
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
IP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$925.60 |
| Max. Negotiated Rate |
$1,281.60 |
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,162.41
|
| Rate for Payer: BCN Commercial |
$1,100.47
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: Nomi Health Commercial |
$1,167.68
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,238.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$954.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,253.12
|
| Rate for Payer: UHC Core |
$1,189.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.00
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$246.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Exchange |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
OP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$338.20 |
| Max. Negotiated Rate |
$1,281.60 |
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: Aetna Medicare |
$370.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$445.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$445.00
|
| Rate for Payer: BCBS Complete |
$895.16
|
| Rate for Payer: BCBS MAPPO |
$356.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,170.67
|
| Rate for Payer: BCN Commercial |
$1,107.16
|
| Rate for Payer: BCN Medicare Advantage |
$356.00
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.00
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.00
|
| Rate for Payer: Mclaren Medicaid |
$852.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.80
|
| Rate for Payer: Meridian Medicaid |
$895.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$409.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: Nomi Health Commercial |
$1,167.68
|
| Rate for Payer: PACE Senior Care Partners |
$338.20
|
| Rate for Payer: PACE SWMI |
$356.00
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: PHP Medicare Advantage |
$356.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,238.88
|
| Rate for Payer: Priority Health Medicare |
$359.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$954.08
|
| Rate for Payer: Railroad Medicare Medicare |
$356.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,253.12
|
| Rate for Payer: UHC Core |
$1,189.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.00
|
| Rate for Payer: UHC Exchange |
$356.00
|
| Rate for Payer: UHC Medicare Advantage |
$356.00
|
| Rate for Payer: UHCCP Medicaid |
$852.47
|
| Rate for Payer: VA VA |
$356.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.00
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$246.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Exchange |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,320.00
|
|
|
Service Code
|
HCPCS 45386
|
| Min. Negotiated Rate |
$200.44 |
| Max. Negotiated Rate |
$858.00 |
| Rate for Payer: Aetna Commercial |
$268.59
|
| Rate for Payer: Aetna Medicare |
$208.46
|
| Rate for Payer: BCBS Complete |
$528.00
|
| Rate for Payer: BCBS MAPPO |
$200.44
|
| Rate for Payer: BCN Medicare Advantage |
$200.44
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$288.63
|
| Rate for Payer: Cofinity Commercial |
$268.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.46
|
| Rate for Payer: Nomi Health Commercial |
$240.53
|
| Rate for Payer: PACE SWMI |
$200.44
|
| Rate for Payer: PHP Medicare Advantage |
$200.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$202.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.44
|
| Rate for Payer: UHC Exchange |
$200.44
|
| Rate for Payer: UHC Medicare Advantage |
$200.44
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Facility
|
IP
|
$1,320.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$858.00 |
| Max. Negotiated Rate |
$1,188.00 |
| Rate for Payer: Aetna Commercial |
$1,122.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,077.52
|
| Rate for Payer: BCN Commercial |
$1,020.10
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$1,135.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,056.00
|
| Rate for Payer: Healthscope Commercial |
$1,188.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$990.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,122.00
|
| Rate for Payer: Nomi Health Commercial |
$1,082.40
|
| Rate for Payer: PHP Commercial |
$1,122.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,148.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$884.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,161.60
|
| Rate for Payer: UHC Core |
$1,102.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$990.00
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,320.00
|
|
|
Service Code
|
HCPCS 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$200.44 |
| Max. Negotiated Rate |
$858.00 |
| Rate for Payer: Aetna Commercial |
$268.59
|
| Rate for Payer: Aetna Medicare |
$208.46
|
| Rate for Payer: BCBS Complete |
$528.00
|
| Rate for Payer: BCBS MAPPO |
$200.44
|
| Rate for Payer: BCN Medicare Advantage |
$200.44
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$288.63
|
| Rate for Payer: Cofinity Commercial |
$268.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.46
|
| Rate for Payer: Nomi Health Commercial |
$240.53
|
| Rate for Payer: PACE SWMI |
$200.44
|
| Rate for Payer: PHP Medicare Advantage |
$200.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$202.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.44
|
| Rate for Payer: UHC Exchange |
$200.44
|
| Rate for Payer: UHC Medicare Advantage |
$200.44
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Facility
|
OP
|
$1,320.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$313.50 |
| Max. Negotiated Rate |
$1,188.00 |
| Rate for Payer: Aetna Commercial |
$1,122.00
|
| Rate for Payer: Aetna Medicare |
$343.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$412.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$412.50
|
| Rate for Payer: BCBS Complete |
$895.16
|
| Rate for Payer: BCBS MAPPO |
$330.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.17
|
| Rate for Payer: BCN Commercial |
$1,026.30
|
| Rate for Payer: BCN Medicare Advantage |
$330.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$1,135.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,056.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$330.00
|
| Rate for Payer: Healthscope Commercial |
$1,188.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$990.00
|
| Rate for Payer: Mclaren Medicaid |
$852.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.50
|
| Rate for Payer: Meridian Medicaid |
$895.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$379.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,122.00
|
| Rate for Payer: Nomi Health Commercial |
$1,082.40
|
| Rate for Payer: PACE Senior Care Partners |
$313.50
|
| Rate for Payer: PACE SWMI |
$330.00
|
| Rate for Payer: PHP Commercial |
$1,122.00
|
| Rate for Payer: PHP Medicare Advantage |
$330.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,148.40
|
| Rate for Payer: Priority Health Medicare |
$333.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$884.40
|
| Rate for Payer: Railroad Medicare Medicare |
$330.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,161.60
|
| Rate for Payer: UHC Core |
$1,102.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$330.00
|
| Rate for Payer: UHC Exchange |
$330.00
|
| Rate for Payer: UHC Medicare Advantage |
$330.00
|
| Rate for Payer: UHCCP Medicaid |
$852.47
|
| Rate for Payer: VA VA |
$330.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$990.00
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Professional
|
Both
|
$1,406.00
|
|
|
Service Code
|
HCPCS 45381
|
| Hospital Charge Code |
45381
|
| Min. Negotiated Rate |
$189.86 |
| Max. Negotiated Rate |
$913.90 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: BCBS Complete |
$562.40
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Cofinity Commercial |
$254.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.35
|
| Rate for Payer: Nomi Health Commercial |
$227.83
|
| Rate for Payer: PACE SWMI |
$189.86
|
| Rate for Payer: PHP Medicare Advantage |
$189.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health Medicare |
$191.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Exchange |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Facility
|
IP
|
$1,406.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
45381
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$913.90 |
| Max. Negotiated Rate |
$1,265.40 |
| Rate for Payer: Aetna Commercial |
$1,195.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,147.72
|
| Rate for Payer: BCN Commercial |
$1,086.56
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$1,209.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,124.80
|
| Rate for Payer: Healthscope Commercial |
$1,265.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,054.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,195.10
|
| Rate for Payer: Nomi Health Commercial |
$1,152.92
|
| Rate for Payer: PHP Commercial |
$1,195.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,223.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$942.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.28
|
| Rate for Payer: UHC Core |
$1,174.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,054.50
|
|
