|
PR COUDE TIP URINARY CATHETER
|
Professional
|
Both
|
$8.00
|
|
|
Service Code
|
HCPCS A4352
|
| Min. Negotiated Rate |
$3.20 |
| Max. Negotiated Rate |
$6.01 |
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCN Commercial |
$6.01
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.20
|
|
|
PR COUNSEL IMMUNE <21 16-30 M
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS G0314
|
| Min. Negotiated Rate |
$18.40 |
| Max. Negotiated Rate |
$29.90 |
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
|
|
PR COUNSEL IMMUNE <21 5-15 M
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS G0315
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$20.15 |
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
|
|
PR CPAP VENTILATION CPAP INITIATION&MGMT
|
Professional
|
Both
|
$233.00
|
|
|
Service Code
|
HCPCS 94660
|
| Min. Negotiated Rate |
$23.22 |
| Max. Negotiated Rate |
$313.28 |
| Rate for Payer: Aetna Commercial |
$46.54
|
| Rate for Payer: Aetna Medicare |
$36.12
|
| Rate for Payer: BCBS Complete |
$24.38
|
| Rate for Payer: BCBS MAPPO |
$34.73
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$91.87
|
| Rate for Payer: BCN Medicare Advantage |
$34.73
|
| Rate for Payer: Cash Price |
$186.40
|
| Rate for Payer: Cash Price |
$186.40
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Cofinity Commercial |
$50.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.73
|
| Rate for Payer: Mclaren Medicaid |
$23.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.47
|
| Rate for Payer: Meridian Medicaid |
$24.38
|
| Rate for Payer: Nomi Health Commercial |
$41.68
|
| Rate for Payer: PACE SWMI |
$34.73
|
| Rate for Payer: PHP Medicare Advantage |
$34.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$151.45
|
| Rate for Payer: Priority Health HMO/PPO |
$49.76
|
| Rate for Payer: Priority Health Medicare |
$35.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.73
|
| Rate for Payer: UHC Exchange |
$34.73
|
| Rate for Payer: UHC Medicare Advantage |
$34.73
|
| Rate for Payer: UHCCP Medicaid |
$23.22
|
|
|
PR CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 99489
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$1,256.83 |
| Rate for Payer: Aetna Commercial |
$62.19
|
| Rate for Payer: Aetna Medicare |
$48.27
|
| Rate for Payer: BCBS Complete |
$32.66
|
| Rate for Payer: BCBS MAPPO |
$46.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,256.83
|
| Rate for Payer: BCN Commercial |
$74.52
|
| Rate for Payer: BCN Medicare Advantage |
$46.41
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$66.83
|
| Rate for Payer: Cofinity Commercial |
$62.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.41
|
| Rate for Payer: Mclaren Medicaid |
$31.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.73
|
| Rate for Payer: Meridian Medicaid |
$32.66
|
| Rate for Payer: Nomi Health Commercial |
$55.69
|
| Rate for Payer: PACE SWMI |
$46.41
|
| Rate for Payer: PHP Medicare Advantage |
$46.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.05
|
| Rate for Payer: Priority Health HMO/PPO |
$66.86
|
| Rate for Payer: Priority Health Medicare |
$46.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.41
|
| Rate for Payer: UHC Exchange |
$46.41
|
| Rate for Payer: UHC Medicare Advantage |
$46.41
|
| Rate for Payer: UHCCP Medicaid |
$31.10
|
|
|
PR CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ
|
Professional
|
Both
|
$10,302.00
|
|
|
Service Code
|
HCPCS 61698
|
| Min. Negotiated Rate |
$905.51 |
| Max. Negotiated Rate |
$9,419.88 |
| Rate for Payer: Aetna Commercial |
$6,138.85
|
| Rate for Payer: Aetna Medicare |
$4,764.48
|
| Rate for Payer: BCBS Complete |
$3,140.72
|
| Rate for Payer: BCBS MAPPO |
$4,581.23
|
| Rate for Payer: BCBS Trust/PPO |
$905.51
|
| Rate for Payer: BCN Commercial |
$9,419.88
|
| Rate for Payer: BCN Medicare Advantage |
$4,581.23
|
| Rate for Payer: Cash Price |
$8,241.60
|
| Rate for Payer: Cash Price |
$8,241.60
|
| Rate for Payer: Cofinity Commercial |
$6,596.97
|
| Rate for Payer: Cofinity Commercial |
$6,138.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,581.23
|
| Rate for Payer: Mclaren Medicaid |
$2,991.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4,810.29
|
| Rate for Payer: Meridian Medicaid |
$3,140.72
|
| Rate for Payer: Nomi Health Commercial |
$5,497.48
|
| Rate for Payer: PACE SWMI |
$4,581.23
|
| Rate for Payer: PHP Medicare Advantage |
$4,581.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,991.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,696.30
|
| Rate for Payer: Priority Health HMO/PPO |
$7,956.89
|
| Rate for Payer: Priority Health Medicare |
$4,627.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7,956.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,581.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,581.23
|
| Rate for Payer: UHC Exchange |
$4,581.23
|
| Rate for Payer: UHC Medicare Advantage |
$4,581.23
|
| Rate for Payer: UHCCP Medicaid |
$2,991.16
|
|
|
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 0055T
|
| Min. Negotiated Rate |
$146.69 |
| Max. Negotiated Rate |
$448.43 |
| Rate for Payer: Aetna Commercial |
$210.14
|
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$154.02
|
| Rate for Payer: BCBS Trust/PPO |
$448.43
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Mclaren Medicaid |
$146.69
|
| Rate for Payer: Meridian Medicaid |
$154.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: UHCCP Medicaid |
$146.69
|
|
|
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 0054T
|
| Min. Negotiated Rate |
$85.82 |
| Max. Negotiated Rate |
$179.20 |
| Rate for Payer: Aetna Commercial |
$179.20
|
| Rate for Payer: Aetna Medicare |
$133.50
|
| Rate for Payer: BCBS Complete |
$96.34
|
| Rate for Payer: BCBS Trust/PPO |
$85.82
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Mclaren Medicaid |
$91.75
|
| Rate for Payer: Meridian Medicaid |
$96.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.55
|
| Rate for Payer: UHCCP Medicaid |
$91.75
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Professional
|
Both
|
$283.00
|
|
|
Service Code
|
HCPCS 20985
|
| Min. Negotiated Rate |
$92.23 |
| Max. Negotiated Rate |
$218.82 |
| Rate for Payer: Aetna Commercial |
$186.41
|
| Rate for Payer: Aetna Medicare |
$144.67
|
| Rate for Payer: BCBS Complete |
$96.84
|
| Rate for Payer: BCBS MAPPO |
$139.11
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$210.13
|
| Rate for Payer: BCN Medicare Advantage |
$139.11
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$200.32
|
| Rate for Payer: Cofinity Commercial |
$186.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.11
|
| Rate for Payer: Mclaren Medicaid |
$92.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$146.07
|
| Rate for Payer: Meridian Medicaid |
$96.84
|
| Rate for Payer: Nomi Health Commercial |
$166.93
|
| Rate for Payer: PACE SWMI |
$139.11
|
| Rate for Payer: PHP Medicare Advantage |
$139.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO |
$218.82
|
| Rate for Payer: Priority Health Medicare |
$140.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$139.11
|
| Rate for Payer: UHC Exchange |
$139.11
|
| Rate for Payer: UHC Medicare Advantage |
$139.11
|
| Rate for Payer: UHCCP Medicaid |
$92.23
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
IP
|
$283.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$183.95 |
| Max. Negotiated Rate |
$254.70 |
| Rate for Payer: Aetna Commercial |
$240.55
|
| Rate for Payer: BCBS Trust/PPO |
$231.01
|
| Rate for Payer: BCN Commercial |
$218.70
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$243.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.40
|
| Rate for Payer: Healthscope Commercial |
$254.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.55
|
| Rate for Payer: Nomi Health Commercial |
$232.06
|
| Rate for Payer: PHP Commercial |
$240.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO |
$246.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.04
|
| Rate for Payer: UHC Core |
$236.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.25
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Professional
|
Both
|
$283.00
|
|
|
Service Code
|
HCPCS 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$92.23 |
| Max. Negotiated Rate |
$218.82 |
| Rate for Payer: Aetna Commercial |
$186.41
|
| Rate for Payer: Aetna Medicare |
$144.67
|
| Rate for Payer: BCBS Complete |
$96.84
|
| Rate for Payer: BCBS MAPPO |
$139.11
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$210.13
|
| Rate for Payer: BCN Medicare Advantage |
$139.11
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$200.32
|
| Rate for Payer: Cofinity Commercial |
$186.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.11
|
| Rate for Payer: Mclaren Medicaid |
$92.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$146.07
|
| Rate for Payer: Meridian Medicaid |
$96.84
|
| Rate for Payer: Nomi Health Commercial |
$166.93
|
| Rate for Payer: PACE SWMI |
$139.11
|
| Rate for Payer: PHP Medicare Advantage |
$139.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO |
$218.82
|
| Rate for Payer: Priority Health Medicare |
$140.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$139.11
|
| Rate for Payer: UHC Exchange |
$139.11
|
| Rate for Payer: UHC Medicare Advantage |
$139.11
|
| Rate for Payer: UHCCP Medicaid |
$92.23
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
OP
|
$283.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$67.21 |
| Max. Negotiated Rate |
$254.70 |
| Rate for Payer: Aetna Commercial |
$240.55
|
| Rate for Payer: Aetna Medicare |
$73.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.44
|
| Rate for Payer: BCBS Complete |
$113.20
|
| Rate for Payer: BCBS MAPPO |
$70.75
|
| Rate for Payer: BCBS Trust/PPO |
$232.65
|
| Rate for Payer: BCN Commercial |
$220.03
|
| Rate for Payer: BCN Medicare Advantage |
$70.75
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$243.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.75
|
| Rate for Payer: Healthscope Commercial |
$254.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.55
|
| Rate for Payer: Nomi Health Commercial |
$232.06
|
| Rate for Payer: PACE Senior Care Partners |
$67.21
|
| Rate for Payer: PACE SWMI |
$70.75
|
| Rate for Payer: PHP Commercial |
$240.55
|
| Rate for Payer: PHP Medicare Advantage |
$70.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO |
$246.21
|
| Rate for Payer: Priority Health Medicare |
$71.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.61
|
| Rate for Payer: Railroad Medicare Medicare |
$70.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.04
|
| Rate for Payer: UHC Core |
$236.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$70.75
|
| Rate for Payer: UHC Exchange |
$70.75
|
| Rate for Payer: UHC Medicare Advantage |
$70.75
|
| Rate for Payer: VA VA |
$70.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.25
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT
|
Professional
|
Both
|
$7,294.00
|
|
|
Service Code
|
HCPCS 61582
|
| Min. Negotiated Rate |
$893.36 |
| Max. Negotiated Rate |
$6,455.95 |
| Rate for Payer: Aetna Commercial |
$3,925.76
|
| Rate for Payer: Aetna Medicare |
$3,046.86
|
| Rate for Payer: BCBS Complete |
$2,059.60
|
| Rate for Payer: BCBS MAPPO |
$2,929.67
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$6,455.95
|
| Rate for Payer: BCN Medicare Advantage |
$2,929.67
|
| Rate for Payer: Cash Price |
$5,835.20
|
| Rate for Payer: Cash Price |
$5,835.20
|
| Rate for Payer: Cofinity Commercial |
$4,218.72
|
| Rate for Payer: Cofinity Commercial |
$3,925.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,929.67
|
| Rate for Payer: Mclaren Medicaid |
$1,961.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,076.15
|
| Rate for Payer: Meridian Medicaid |
$2,059.60
|
| Rate for Payer: Nomi Health Commercial |
$3,515.60
|
| Rate for Payer: PACE SWMI |
$2,929.67
|
| Rate for Payer: PHP Medicare Advantage |
$2,929.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,961.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,741.10
|
| Rate for Payer: Priority Health HMO/PPO |
$5,171.32
|
| Rate for Payer: Priority Health Medicare |
$2,958.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,171.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,929.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,929.67
|
| Rate for Payer: UHC Exchange |
$2,929.67
|
| Rate for Payer: UHC Medicare Advantage |
$2,929.67
|
| Rate for Payer: UHCCP Medicaid |
$1,961.52
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE
|
Professional
|
Both
|
$7,968.00
|
|
|
Service Code
|
HCPCS 61583
|
| Min. Negotiated Rate |
$841.58 |
| Max. Negotiated Rate |
$6,001.73 |
| Rate for Payer: Aetna Commercial |
$3,833.46
|
| Rate for Payer: Aetna Medicare |
$2,975.22
|
| Rate for Payer: BCBS Complete |
$1,990.26
|
| Rate for Payer: BCBS MAPPO |
$2,860.79
|
| Rate for Payer: BCBS Trust/PPO |
$841.58
|
| Rate for Payer: BCN Commercial |
$6,001.73
|
| Rate for Payer: BCN Medicare Advantage |
$2,860.79
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cofinity Commercial |
$4,119.54
|
| Rate for Payer: Cofinity Commercial |
$3,833.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,860.79
|
| Rate for Payer: Mclaren Medicaid |
$1,895.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,003.83
|
| Rate for Payer: Meridian Medicaid |
$1,990.26
|
| Rate for Payer: Nomi Health Commercial |
$3,432.95
|
| Rate for Payer: PACE SWMI |
$2,860.79
|
| Rate for Payer: PHP Medicare Advantage |
$2,860.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,895.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,179.20
|
| Rate for Payer: Priority Health HMO/PPO |
$5,031.43
|
| Rate for Payer: Priority Health Medicare |
$2,889.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,031.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,860.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,860.79
|
| Rate for Payer: UHC Exchange |
$2,860.79
|
| Rate for Payer: UHC Medicare Advantage |
$2,860.79
|
| Rate for Payer: UHCCP Medicaid |
$1,895.49
|
|
|
PR CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP
|
Professional
|
Both
|
$3,387.00
|
|
|
Service Code
|
HCPCS 61557
|
| Min. Negotiated Rate |
$1,103.13 |
| Max. Negotiated Rate |
$3,460.84 |
| Rate for Payer: Aetna Commercial |
$2,243.72
|
| Rate for Payer: Aetna Medicare |
$1,741.40
|
| Rate for Payer: BCBS Complete |
$1,158.29
|
| Rate for Payer: BCBS MAPPO |
$1,674.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,068.29
|
| Rate for Payer: BCN Commercial |
$3,460.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,674.42
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cofinity Commercial |
$2,411.16
|
| Rate for Payer: Cofinity Commercial |
$2,243.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,674.42
|
| Rate for Payer: Mclaren Medicaid |
$1,103.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,758.14
|
| Rate for Payer: Meridian Medicaid |
$1,158.29
|
| Rate for Payer: Nomi Health Commercial |
$2,009.30
|
| Rate for Payer: PACE SWMI |
$1,674.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,674.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,103.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,201.55
|
| Rate for Payer: Priority Health HMO/PPO |
$2,931.16
|
| Rate for Payer: Priority Health Medicare |
$1,691.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,931.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,674.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,674.42
|
| Rate for Payer: UHC Exchange |
$1,674.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,674.42
|
| Rate for Payer: UHCCP Medicaid |
$1,103.13
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN
|
Professional
|
Both
|
$9,394.00
|
|
|
Service Code
|
HCPCS 61570
|
| Min. Negotiated Rate |
$610.19 |
| Max. Negotiated Rate |
$6,106.10 |
| Rate for Payer: Aetna Commercial |
$2,488.53
|
| Rate for Payer: Aetna Medicare |
$1,931.39
|
| Rate for Payer: BCBS Complete |
$1,281.51
|
| Rate for Payer: BCBS MAPPO |
$1,857.11
|
| Rate for Payer: BCBS Trust/PPO |
$610.19
|
| Rate for Payer: BCN Commercial |
$3,835.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,857.11
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cofinity Commercial |
$2,674.24
|
| Rate for Payer: Cofinity Commercial |
$2,488.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,857.11
|
| Rate for Payer: Mclaren Medicaid |
$1,220.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,949.97
|
| Rate for Payer: Meridian Medicaid |
$1,281.51
|
| Rate for Payer: Nomi Health Commercial |
$2,228.53
|
| Rate for Payer: PACE SWMI |
$1,857.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,857.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,220.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,106.10
|
| Rate for Payer: Priority Health HMO/PPO |
$3,246.23
|
| Rate for Payer: Priority Health Medicare |
$1,875.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,246.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,857.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,857.11
|
| Rate for Payer: UHC Exchange |
$1,857.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,857.11
|
| Rate for Payer: UHCCP Medicaid |
$1,220.49
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL
|
Professional
|
Both
|
$4,188.00
|
|
|
Service Code
|
HCPCS 61305
|
| Min. Negotiated Rate |
$1,101.51 |
| Max. Negotiated Rate |
$3,474.28 |
| Rate for Payer: Aetna Commercial |
$2,667.16
|
| Rate for Payer: Aetna Medicare |
$2,070.04
|
| Rate for Payer: BCBS Complete |
$1,372.32
|
| Rate for Payer: BCBS MAPPO |
$1,990.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,101.51
|
| Rate for Payer: BCN Commercial |
$2,959.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,990.42
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cofinity Commercial |
$2,866.20
|
| Rate for Payer: Cofinity Commercial |
$2,667.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,990.42
|
| Rate for Payer: Mclaren Medicaid |
$1,306.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,089.94
|
| Rate for Payer: Meridian Medicaid |
$1,372.32
|
| Rate for Payer: Nomi Health Commercial |
$2,388.50
|
| Rate for Payer: PACE SWMI |
$1,990.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,990.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,306.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,722.20
|
| Rate for Payer: Priority Health HMO/PPO |
$3,474.28
|
| Rate for Payer: Priority Health Medicare |
$2,010.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,474.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,990.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,990.42
|
| Rate for Payer: UHC Exchange |
$1,990.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,990.42
|
| Rate for Payer: UHCCP Medicaid |
$1,306.97
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL
|
Professional
|
Both
|
$5,463.00
|
|
|
Service Code
|
HCPCS 61304
|
| Min. Negotiated Rate |
$797.20 |
| Max. Negotiated Rate |
$3,550.95 |
| Rate for Payer: Aetna Commercial |
$2,180.14
|
| Rate for Payer: Aetna Medicare |
$1,692.05
|
| Rate for Payer: BCBS Complete |
$1,122.94
|
| Rate for Payer: BCBS MAPPO |
$1,626.97
|
| Rate for Payer: BCBS Trust/PPO |
$797.20
|
| Rate for Payer: BCN Commercial |
$3,350.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,626.97
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,342.84
|
| Rate for Payer: Cofinity Commercial |
$2,180.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,626.97
|
| Rate for Payer: Mclaren Medicaid |
$1,069.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,708.32
|
| Rate for Payer: Meridian Medicaid |
$1,122.94
|
| Rate for Payer: Nomi Health Commercial |
$1,952.36
|
| Rate for Payer: PACE SWMI |
$1,626.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,626.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,069.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,550.95
|
| Rate for Payer: Priority Health HMO/PPO |
$2,843.00
|
| Rate for Payer: Priority Health Medicare |
$1,643.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,843.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,626.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,626.97
|
| Rate for Payer: UHC Exchange |
$1,626.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,626.97
|
| Rate for Payer: UHCCP Medicaid |
$1,069.47
|
|
|
PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN
|
Professional
|
Both
|
$8,983.00
|
|
|
Service Code
|
HCPCS 61571
|
| Min. Negotiated Rate |
$723.24 |
| Max. Negotiated Rate |
$5,838.95 |
| Rate for Payer: Aetna Commercial |
$2,648.99
|
| Rate for Payer: Aetna Medicare |
$2,055.93
|
| Rate for Payer: BCBS Complete |
$1,363.15
|
| Rate for Payer: BCBS MAPPO |
$1,976.86
|
| Rate for Payer: BCBS Trust/PPO |
$723.24
|
| Rate for Payer: BCN Commercial |
$2,939.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,976.86
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cofinity Commercial |
$2,846.68
|
| Rate for Payer: Cofinity Commercial |
$2,648.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,976.86
|
| Rate for Payer: Mclaren Medicaid |
$1,298.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,075.70
|
| Rate for Payer: Meridian Medicaid |
$1,363.15
|
| Rate for Payer: Nomi Health Commercial |
$2,372.23
|
| Rate for Payer: PACE SWMI |
$1,976.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,976.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,298.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,838.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,451.54
|
| Rate for Payer: Priority Health Medicare |
$1,996.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,451.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,976.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,976.86
|
| Rate for Payer: UHC Exchange |
$1,976.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,976.86
|
| Rate for Payer: UHCCP Medicaid |
$1,298.24
|
|
|
PR CRANIECTOMY FOR OSTEOMYELITIS
|
Professional
|
Both
|
$5,360.00
|
|
|
Service Code
|
HCPCS 61501
|
| Min. Negotiated Rate |
$264.68 |
| Max. Negotiated Rate |
$3,484.00 |
| Rate for Payer: Aetna Commercial |
$1,479.19
|
| Rate for Payer: Aetna Medicare |
$1,148.02
|
| Rate for Payer: BCBS Complete |
$772.04
|
| Rate for Payer: BCBS MAPPO |
$1,103.87
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCN Commercial |
$2,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,103.87
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cofinity Commercial |
$1,589.57
|
| Rate for Payer: Cofinity Commercial |
$1,479.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,103.87
|
| Rate for Payer: Mclaren Medicaid |
$735.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,159.06
|
| Rate for Payer: Meridian Medicaid |
$772.04
|
| Rate for Payer: Nomi Health Commercial |
$1,324.64
|
| Rate for Payer: PACE SWMI |
$1,103.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,103.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$735.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,484.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,951.84
|
| Rate for Payer: Priority Health Medicare |
$1,114.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,951.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,103.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,103.87
|
| Rate for Payer: UHC Exchange |
$1,103.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,103.87
|
| Rate for Payer: UHCCP Medicaid |
$735.28
|
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NRV
|
Professional
|
Both
|
$6,301.00
|
|
|
Service Code
|
HCPCS 61460
|
| Min. Negotiated Rate |
$1,018.03 |
| Max. Negotiated Rate |
$4,310.97 |
| Rate for Payer: Aetna Commercial |
$2,800.76
|
| Rate for Payer: Aetna Medicare |
$2,173.72
|
| Rate for Payer: BCBS Complete |
$1,440.31
|
| Rate for Payer: BCBS MAPPO |
$2,090.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.03
|
| Rate for Payer: BCN Commercial |
$4,310.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,090.12
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cofinity Commercial |
$3,009.77
|
| Rate for Payer: Cofinity Commercial |
$2,800.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,090.12
|
| Rate for Payer: Mclaren Medicaid |
$1,371.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,194.63
|
| Rate for Payer: Meridian Medicaid |
$1,440.31
|
| Rate for Payer: Nomi Health Commercial |
$2,508.14
|
| Rate for Payer: PACE SWMI |
$2,090.12
|
| Rate for Payer: PHP Medicare Advantage |
$2,090.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,371.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,095.65
|
| Rate for Payer: Priority Health HMO/PPO |
$3,647.74
|
| Rate for Payer: Priority Health Medicare |
$2,111.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,647.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,090.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,090.12
|
| Rate for Payer: UHC Exchange |
$2,090.12
|
| Rate for Payer: UHC Medicare Advantage |
$2,090.12
|
| Rate for Payer: UHCCP Medicaid |
$1,371.72
|
|
|
PR CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL
|
Professional
|
Both
|
$2,739.00
|
|
|
Service Code
|
HCPCS 61500
|
| Min. Negotiated Rate |
$534.64 |
| Max. Negotiated Rate |
$2,658.85 |
| Rate for Payer: Aetna Commercial |
$1,695.96
|
| Rate for Payer: Aetna Medicare |
$1,316.27
|
| Rate for Payer: BCBS Complete |
$882.52
|
| Rate for Payer: BCBS MAPPO |
$1,265.64
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$2,658.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.64
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cofinity Commercial |
$1,822.52
|
| Rate for Payer: Cofinity Commercial |
$1,695.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.64
|
| Rate for Payer: Mclaren Medicaid |
$840.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.92
|
| Rate for Payer: Meridian Medicaid |
$882.52
|
| Rate for Payer: Nomi Health Commercial |
$1,518.77
|
| Rate for Payer: PACE SWMI |
$1,265.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,780.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,243.02
|
| Rate for Payer: Priority Health Medicare |
$1,278.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,243.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,265.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,265.64
|
| Rate for Payer: UHC Exchange |
$1,265.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,265.64
|
| Rate for Payer: UHCCP Medicaid |
$840.50
|
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$5,312.00
|
|
|
Service Code
|
HCPCS 61580
|
| Min. Negotiated Rate |
$901.81 |
| Max. Negotiated Rate |
$4,254.56 |
| Rate for Payer: Aetna Commercial |
$3,174.67
|
| Rate for Payer: Aetna Medicare |
$2,463.93
|
| Rate for Payer: BCBS Complete |
$1,674.03
|
| Rate for Payer: BCBS MAPPO |
$2,369.16
|
| Rate for Payer: BCBS Trust/PPO |
$901.81
|
| Rate for Payer: BCN Commercial |
$3,653.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,369.16
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cofinity Commercial |
$3,411.59
|
| Rate for Payer: Cofinity Commercial |
$3,174.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,369.16
|
| Rate for Payer: Mclaren Medicaid |
$1,594.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,487.62
|
| Rate for Payer: Meridian Medicaid |
$1,674.03
|
| Rate for Payer: Nomi Health Commercial |
$2,842.99
|
| Rate for Payer: PACE SWMI |
$2,369.16
|
| Rate for Payer: PHP Medicare Advantage |
$2,369.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,594.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,452.80
|
| Rate for Payer: Priority Health HMO/PPO |
$4,254.56
|
| Rate for Payer: Priority Health Medicare |
$2,392.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,254.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,369.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,369.16
|
| Rate for Payer: UHC Exchange |
$2,369.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,369.16
|
| Rate for Payer: UHCCP Medicaid |
$1,594.31
|
|
|
PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER
|
Professional
|
Both
|
$5,342.00
|
|
|
Service Code
|
HCPCS 62140
|
| Min. Negotiated Rate |
$330.72 |
| Max. Negotiated Rate |
$3,472.30 |
| Rate for Payer: Aetna Commercial |
$1,349.23
|
| Rate for Payer: Aetna Medicare |
$1,047.17
|
| Rate for Payer: BCBS Complete |
$700.24
|
| Rate for Payer: BCBS MAPPO |
$1,006.89
|
| Rate for Payer: BCBS Trust/PPO |
$330.72
|
| Rate for Payer: BCN Commercial |
$2,092.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,006.89
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cofinity Commercial |
$1,449.92
|
| Rate for Payer: Cofinity Commercial |
$1,349.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,006.89
|
| Rate for Payer: Mclaren Medicaid |
$666.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.23
|
| Rate for Payer: Meridian Medicaid |
$700.24
|
| Rate for Payer: Nomi Health Commercial |
$1,208.27
|
| Rate for Payer: PACE SWMI |
$1,006.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,006.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,472.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,771.56
|
| Rate for Payer: Priority Health Medicare |
$1,016.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,771.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,006.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,006.89
|
| Rate for Payer: UHC Exchange |
$1,006.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.89
|
| Rate for Payer: UHCCP Medicaid |
$666.90
|
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$6,362.00
|
|
|
Service Code
|
HCPCS 62141
|
| Min. Negotiated Rate |
$415.77 |
| Max. Negotiated Rate |
$4,135.30 |
| Rate for Payer: Aetna Commercial |
$1,516.73
|
| Rate for Payer: Aetna Medicare |
$1,177.17
|
| Rate for Payer: BCBS Complete |
$785.23
|
| Rate for Payer: BCBS MAPPO |
$1,131.89
|
| Rate for Payer: BCBS Trust/PPO |
$415.77
|
| Rate for Payer: BCN Commercial |
$2,339.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,131.89
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,629.92
|
| Rate for Payer: Cofinity Commercial |
$1,516.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,131.89
|
| Rate for Payer: Mclaren Medicaid |
$747.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,188.48
|
| Rate for Payer: Meridian Medicaid |
$785.23
|
| Rate for Payer: Nomi Health Commercial |
$1,358.27
|
| Rate for Payer: PACE SWMI |
$1,131.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,131.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$747.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,135.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,983.68
|
| Rate for Payer: Priority Health Medicare |
$1,143.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,983.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,131.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,131.89
|
| Rate for Payer: UHC Exchange |
$1,131.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,131.89
|
| Rate for Payer: UHCCP Medicaid |
$747.84
|
|
