|
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
|
Facility
|
IP
|
$236.00
|
|
|
Service Code
|
CPT 11976
|
| Hospital Charge Code |
11976
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$143.94 |
| Max. Negotiated Rate |
$212.40 |
| Rate for Payer: Aetna Commercial |
$200.60
|
| Rate for Payer: BCBS Trust/PPO |
$182.38
|
| Rate for Payer: BCN Commercial |
$182.38
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$202.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.80
|
| Rate for Payer: Healthscope Commercial |
$212.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$177.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$200.60
|
| Rate for Payer: PHP Commercial |
$200.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$143.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.68
|
| Rate for Payer: UHC Core |
$197.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$177.00
|
|
|
PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY
|
Professional
|
Both
|
$429.00
|
|
|
Service Code
|
HCPCS 33241
|
| Min. Negotiated Rate |
$135.68 |
| Max. Negotiated Rate |
$1,338.18 |
| Rate for Payer: Aetna Commercial |
$280.81
|
| Rate for Payer: Aetna Medicare |
$217.94
|
| Rate for Payer: BCBS Complete |
$142.46
|
| Rate for Payer: BCBS MAPPO |
$209.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,338.18
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$209.56
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$301.77
|
| Rate for Payer: Cofinity Commercial |
$280.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.56
|
| Rate for Payer: Mclaren Medicaid |
$135.68
|
| Rate for Payer: Meridian Medicaid |
$142.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$220.04
|
| Rate for Payer: PACE SWMI |
$209.56
|
| Rate for Payer: PHP Medicare Advantage |
$209.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$338.85
|
| Rate for Payer: Priority Health Medicare |
$209.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$338.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$209.56
|
| Rate for Payer: UHC Medicare Advantage |
$215.85
|
|
|
PR REMOVAL IMPLANT DEEP
|
Facility
|
IP
|
$1,064.00
|
|
|
Service Code
|
CPT 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$648.93 |
| Max. Negotiated Rate |
$957.60 |
| Rate for Payer: Aetna Commercial |
$904.40
|
| Rate for Payer: BCBS Trust/PPO |
$822.26
|
| Rate for Payer: BCN Commercial |
$822.26
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$915.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.20
|
| Rate for Payer: Healthscope Commercial |
$957.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$904.40
|
| Rate for Payer: PHP Commercial |
$904.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$925.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$648.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.32
|
| Rate for Payer: UHC Core |
$888.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.00
|
|
|
PR REMOVAL IMPLANT DEEP
|
Facility
|
OP
|
$1,064.00
|
|
|
Service Code
|
CPT 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$252.70 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$904.40
|
| Rate for Payer: Aetna Medicare |
$276.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$332.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$332.50
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$266.00
|
| Rate for Payer: BCBS Trust/PPO |
$827.26
|
| Rate for Payer: BCN Commercial |
$827.26
|
| Rate for Payer: BCN Medicare Advantage |
$266.00
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$915.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.00
|
| Rate for Payer: Healthscope Commercial |
$957.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$798.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$279.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$305.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$904.40
|
| Rate for Payer: PACE Senior Care Partners |
$252.70
|
| Rate for Payer: PACE SWMI |
$266.00
|
| Rate for Payer: PHP Commercial |
$904.40
|
| Rate for Payer: PHP Medicare Advantage |
$266.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$925.68
|
| Rate for Payer: Priority Health Medicare |
$266.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$648.93
|
| Rate for Payer: Railroad Medicare Medicare |
$266.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.32
|
| Rate for Payer: UHC Core |
$888.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.00
|
| Rate for Payer: UHC Medicare Advantage |
$273.98
|
| Rate for Payer: VA VA |
$266.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$798.00
|
|
|
PR REMOVAL IMPLANT DEEP
|
Professional
|
Both
|
$1,064.00
|
|
|
Service Code
|
HCPCS 20680
|
| Min. Negotiated Rate |
$270.72 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$551.30
|
| Rate for Payer: Aetna Medicare |
$427.88
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS MAPPO |
$411.42
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$883.04
|
| Rate for Payer: BCN Medicare Advantage |
$411.42
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$592.44
|
| Rate for Payer: Cofinity Commercial |
$551.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.42
|
| Rate for Payer: Mclaren Medicaid |
$270.72
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.99
|
| Rate for Payer: PACE SWMI |
$411.42
|
| Rate for Payer: PHP Medicare Advantage |
$411.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.37
|
| Rate for Payer: Priority Health Medicare |
$411.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$641.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.42
|
| Rate for Payer: UHC Medicare Advantage |
$423.76
|
|
|
PR REMOVAL IMPLANT DEEP
|
Professional
|
Both
|
$1,064.00
|
|
|
Service Code
|
HCPCS 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$270.72 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$551.30
|
| Rate for Payer: Aetna Medicare |
$427.88
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS MAPPO |
$411.42
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$883.04
|
| Rate for Payer: BCN Medicare Advantage |
$411.42
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$592.44
|
| Rate for Payer: Cofinity Commercial |
$551.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.42
|
| Rate for Payer: Mclaren Medicaid |
$270.72
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.99
|
| Rate for Payer: PACE SWMI |
$411.42
|
| Rate for Payer: PHP Medicare Advantage |
$411.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.37
|
| Rate for Payer: Priority Health Medicare |
$411.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$641.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.42
|
| Rate for Payer: UHC Medicare Advantage |
$423.76
|
|
|
PR REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP
|
Professional
|
Both
|
$817.00
|
|
|
Service Code
|
HCPCS 36262
|
| Min. Negotiated Rate |
$203.20 |
| Max. Negotiated Rate |
$571.90 |
| Rate for Payer: Aetna Commercial |
$414.42
|
| Rate for Payer: Aetna Medicare |
$321.64
|
| Rate for Payer: BCBS Complete |
$213.36
|
| Rate for Payer: BCBS MAPPO |
$309.27
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$460.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.27
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cofinity Commercial |
$414.42
|
| Rate for Payer: Cofinity Commercial |
$445.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.27
|
| Rate for Payer: Mclaren Medicaid |
$203.20
|
| Rate for Payer: Meridian Medicaid |
$213.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$324.73
|
| Rate for Payer: PACE SWMI |
$309.27
|
| Rate for Payer: PHP Medicare Advantage |
$309.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$571.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$501.64
|
| Rate for Payer: Priority Health Medicare |
$309.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$501.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.27
|
| Rate for Payer: UHC Medicare Advantage |
$318.55
|
|
|
PR REMOVAL IMPLANT FROM FINGER/HAND
|
Professional
|
Both
|
$1,024.00
|
|
|
Service Code
|
HCPCS 26320
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$716.80 |
| Rate for Payer: Aetna Commercial |
$461.92
|
| Rate for Payer: Aetna Medicare |
$358.51
|
| Rate for Payer: BCBS Complete |
$240.20
|
| Rate for Payer: BCBS MAPPO |
$344.72
|
| Rate for Payer: BCBS Trust/PPO |
$140.00
|
| Rate for Payer: BCN Commercial |
$519.46
|
| Rate for Payer: BCN Medicare Advantage |
$344.72
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cofinity Commercial |
$461.92
|
| Rate for Payer: Cofinity Commercial |
$496.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.72
|
| Rate for Payer: Mclaren Medicaid |
$228.76
|
| Rate for Payer: Meridian Medicaid |
$240.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$361.96
|
| Rate for Payer: PACE SWMI |
$344.72
|
| Rate for Payer: PHP Medicare Advantage |
$344.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$542.82
|
| Rate for Payer: Priority Health Medicare |
$344.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$542.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$344.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.72
|
| Rate for Payer: UHC Medicare Advantage |
$355.06
|
|
|
PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$901.00
|
|
|
Service Code
|
HCPCS 20670
|
| Hospital Charge Code |
20670
|
| Min. Negotiated Rate |
$93.29 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$188.38
|
| Rate for Payer: Aetna Medicare |
$146.20
|
| Rate for Payer: BCBS Complete |
$97.95
|
| Rate for Payer: BCBS MAPPO |
$140.58
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$422.50
|
| Rate for Payer: BCN Medicare Advantage |
$140.58
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cofinity Commercial |
$202.44
|
| Rate for Payer: Cofinity Commercial |
$188.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.58
|
| Rate for Payer: Mclaren Medicaid |
$93.29
|
| Rate for Payer: Meridian Medicaid |
$97.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.61
|
| Rate for Payer: PACE SWMI |
$140.58
|
| Rate for Payer: PHP Medicare Advantage |
$140.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.11
|
| Rate for Payer: Priority Health Medicare |
$140.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.58
|
| Rate for Payer: UHC Medicare Advantage |
$144.80
|
|
|
PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$901.00
|
|
|
Service Code
|
HCPCS 20670
|
| Min. Negotiated Rate |
$93.29 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$188.38
|
| Rate for Payer: Aetna Medicare |
$146.20
|
| Rate for Payer: BCBS Complete |
$97.95
|
| Rate for Payer: BCBS MAPPO |
$140.58
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$422.50
|
| Rate for Payer: BCN Medicare Advantage |
$140.58
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cofinity Commercial |
$188.38
|
| Rate for Payer: Cofinity Commercial |
$202.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.58
|
| Rate for Payer: Mclaren Medicaid |
$93.29
|
| Rate for Payer: Meridian Medicaid |
$97.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.61
|
| Rate for Payer: PACE SWMI |
$140.58
|
| Rate for Payer: PHP Medicare Advantage |
$140.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$93.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.11
|
| Rate for Payer: Priority Health Medicare |
$140.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.58
|
| Rate for Payer: UHC Medicare Advantage |
$144.80
|
|
|
PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
|
Facility
|
OP
|
$901.00
|
|
|
Service Code
|
CPT 20670
|
| Hospital Charge Code |
20670
|
| Min. Negotiated Rate |
$213.99 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$765.85
|
| Rate for Payer: Aetna Medicare |
$234.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$281.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$281.56
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$225.25
|
| Rate for Payer: BCBS Trust/PPO |
$700.53
|
| Rate for Payer: BCN Commercial |
$700.53
|
| Rate for Payer: BCN Medicare Advantage |
$225.25
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cofinity Commercial |
$774.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.25
|
| Rate for Payer: Healthscope Commercial |
$810.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.75
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$236.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$259.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.85
|
| Rate for Payer: PACE Senior Care Partners |
$213.99
|
| Rate for Payer: PACE SWMI |
$225.25
|
| Rate for Payer: PHP Commercial |
$765.85
|
| Rate for Payer: PHP Medicare Advantage |
$225.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.87
|
| Rate for Payer: Priority Health Medicare |
$225.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.52
|
| Rate for Payer: Railroad Medicare Medicare |
$225.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.88
|
| Rate for Payer: UHC Core |
$752.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.25
|
| Rate for Payer: UHC Medicare Advantage |
$232.01
|
| Rate for Payer: VA VA |
$225.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.75
|
|
|
PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
|
Facility
|
IP
|
$901.00
|
|
|
Service Code
|
CPT 20670
|
| Hospital Charge Code |
20670
|
| Min. Negotiated Rate |
$549.52 |
| Max. Negotiated Rate |
$810.90 |
| Rate for Payer: Aetna Commercial |
$765.85
|
| Rate for Payer: BCBS Trust/PPO |
$696.29
|
| Rate for Payer: BCN Commercial |
$696.29
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cofinity Commercial |
$774.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$720.80
|
| Rate for Payer: Healthscope Commercial |
$810.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$675.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$765.85
|
| Rate for Payer: PHP Commercial |
$765.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.88
|
| Rate for Payer: UHC Core |
$752.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$675.75
|
|
|
PR REMOVAL INDWELLING URETERAL STENT PRQ
|
Professional
|
Both
|
$1,662.00
|
|
|
Service Code
|
HCPCS 50384
|
| Min. Negotiated Rate |
$140.79 |
| Max. Negotiated Rate |
$3,794.78 |
| Rate for Payer: Aetna Commercial |
$297.69
|
| Rate for Payer: Aetna Medicare |
$231.05
|
| Rate for Payer: BCBS Complete |
$147.83
|
| Rate for Payer: BCBS MAPPO |
$222.16
|
| Rate for Payer: BCBS Trust/PPO |
$3,794.78
|
| Rate for Payer: BCN Commercial |
$1,270.56
|
| Rate for Payer: BCN Medicare Advantage |
$222.16
|
| Rate for Payer: Cash Price |
$1,329.60
|
| Rate for Payer: Cash Price |
$1,329.60
|
| Rate for Payer: Cofinity Commercial |
$319.91
|
| Rate for Payer: Cofinity Commercial |
$297.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.16
|
| Rate for Payer: Mclaren Medicaid |
$140.79
|
| Rate for Payer: Meridian Medicaid |
$147.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$233.27
|
| Rate for Payer: PACE SWMI |
$222.16
|
| Rate for Payer: PHP Medicare Advantage |
$222.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,163.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.80
|
| Rate for Payer: Priority Health Medicare |
$222.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.16
|
| Rate for Payer: UHC Medicare Advantage |
$228.82
|
|
|
PR REMOVAL INTACT BREAST IMPLANT
|
Professional
|
Both
|
$1,500.00
|
|
|
Service Code
|
HCPCS 19328
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$1,050.00 |
| Rate for Payer: Aetna Commercial |
$727.93
|
| Rate for Payer: Aetna Medicare |
$564.96
|
| Rate for Payer: BCBS Complete |
$373.72
|
| Rate for Payer: BCBS MAPPO |
$543.23
|
| Rate for Payer: BCBS Trust/PPO |
$14.00
|
| Rate for Payer: BCN Commercial |
$812.18
|
| Rate for Payer: BCN Medicare Advantage |
$543.23
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$727.93
|
| Rate for Payer: Cofinity Commercial |
$782.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.23
|
| Rate for Payer: Mclaren Medicaid |
$355.92
|
| Rate for Payer: Meridian Medicaid |
$373.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$570.39
|
| Rate for Payer: PACE SWMI |
$543.23
|
| Rate for Payer: PHP Medicare Advantage |
$543.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$355.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,050.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$683.15
|
| Rate for Payer: Priority Health Medicare |
$543.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$683.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$543.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$543.23
|
| Rate for Payer: UHC Medicare Advantage |
$559.53
|
|
|
PR REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 33968
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$267.85 |
| Rate for Payer: Aetna Commercial |
$44.60
|
| Rate for Payer: Aetna Medicare |
$34.61
|
| Rate for Payer: BCBS Complete |
$22.14
|
| Rate for Payer: BCBS MAPPO |
$33.28
|
| Rate for Payer: BCBS Trust/PPO |
$267.85
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$33.28
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cofinity Commercial |
$47.92
|
| Rate for Payer: Cofinity Commercial |
$44.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.28
|
| Rate for Payer: Mclaren Medicaid |
$21.09
|
| Rate for Payer: Meridian Medicaid |
$22.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.94
|
| Rate for Payer: PACE SWMI |
$33.28
|
| Rate for Payer: PHP Medicare Advantage |
$33.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.67
|
| Rate for Payer: Priority Health Medicare |
$33.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.28
|
| Rate for Payer: UHC Medicare Advantage |
$34.28
|
|
|
PR REMOVAL INTRAUTERINE DEVICE IUD
|
Professional
|
Both
|
$200.00
|
|
|
Service Code
|
HCPCS 58301
|
| Min. Negotiated Rate |
$42.17 |
| Max. Negotiated Rate |
$510.34 |
| Rate for Payer: Aetna Commercial |
$88.12
|
| Rate for Payer: Aetna Medicare |
$68.39
|
| Rate for Payer: BCBS Complete |
$44.28
|
| Rate for Payer: BCBS MAPPO |
$65.76
|
| Rate for Payer: BCBS Trust/PPO |
$510.34
|
| Rate for Payer: BCN Commercial |
$130.36
|
| Rate for Payer: BCN Medicare Advantage |
$65.76
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cofinity Commercial |
$88.12
|
| Rate for Payer: Cofinity Commercial |
$94.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.76
|
| Rate for Payer: Mclaren Medicaid |
$42.17
|
| Rate for Payer: Meridian Medicaid |
$44.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$69.05
|
| Rate for Payer: PACE SWMI |
$65.76
|
| Rate for Payer: PHP Medicare Advantage |
$65.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.27
|
| Rate for Payer: Priority Health Medicare |
$65.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.76
|
| Rate for Payer: UHC Medicare Advantage |
$67.73
|
|
|
PR REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA
|
Professional
|
Both
|
$5,982.00
|
|
|
Service Code
|
HCPCS 32442
|
| Min. Negotiated Rate |
$640.30 |
| Max. Negotiated Rate |
$4,375.62 |
| Rate for Payer: Aetna Commercial |
$4,034.15
|
| Rate for Payer: Aetna Medicare |
$3,130.98
|
| Rate for Payer: BCBS Complete |
$2,009.05
|
| Rate for Payer: BCBS MAPPO |
$3,010.56
|
| Rate for Payer: BCBS Trust/PPO |
$640.30
|
| Rate for Payer: BCN Commercial |
$4,375.62
|
| Rate for Payer: BCN Medicare Advantage |
$3,010.56
|
| Rate for Payer: Cash Price |
$4,785.60
|
| Rate for Payer: Cash Price |
$4,785.60
|
| Rate for Payer: Cofinity Commercial |
$4,335.21
|
| Rate for Payer: Cofinity Commercial |
$4,034.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,010.56
|
| Rate for Payer: Mclaren Medicaid |
$1,913.38
|
| Rate for Payer: Meridian Medicaid |
$2,009.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,161.09
|
| Rate for Payer: PACE SWMI |
$3,010.56
|
| Rate for Payer: PHP Medicare Advantage |
$3,010.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,913.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,187.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,146.10
|
| Rate for Payer: Priority Health Medicare |
$3,010.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,146.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,010.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,010.56
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.88
|
|
|
PR REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 11982
|
| Min. Negotiated Rate |
$46.43 |
| Max. Negotiated Rate |
$438.68 |
| Rate for Payer: Aetna Commercial |
$98.30
|
| Rate for Payer: Aetna Medicare |
$76.29
|
| Rate for Payer: BCBS Complete |
$48.75
|
| Rate for Payer: BCBS MAPPO |
$73.36
|
| Rate for Payer: BCBS Trust/PPO |
$438.68
|
| Rate for Payer: BCN Commercial |
$164.69
|
| Rate for Payer: BCN Medicare Advantage |
$73.36
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$98.30
|
| Rate for Payer: Cofinity Commercial |
$105.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.36
|
| Rate for Payer: Mclaren Medicaid |
$46.43
|
| Rate for Payer: Meridian Medicaid |
$48.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.03
|
| Rate for Payer: PACE SWMI |
$73.36
|
| Rate for Payer: PHP Medicare Advantage |
$73.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.43
|
| Rate for Payer: Priority Health Medicare |
$73.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.36
|
| Rate for Payer: UHC Medicare Advantage |
$75.56
|
|
|
PR REMOVAL OF LUNG PNEUMONECTOMY
|
Professional
|
Both
|
$5,395.00
|
|
|
Service Code
|
HCPCS 32440
|
| Min. Negotiated Rate |
$544.68 |
| Max. Negotiated Rate |
$3,776.50 |
| Rate for Payer: Aetna Commercial |
$2,067.65
|
| Rate for Payer: Aetna Medicare |
$1,604.74
|
| Rate for Payer: BCBS Complete |
$1,037.74
|
| Rate for Payer: BCBS MAPPO |
$1,543.02
|
| Rate for Payer: BCBS Trust/PPO |
$544.68
|
| Rate for Payer: BCN Commercial |
$2,254.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,543.02
|
| Rate for Payer: Cash Price |
$4,316.00
|
| Rate for Payer: Cash Price |
$4,316.00
|
| Rate for Payer: Cofinity Commercial |
$2,221.95
|
| Rate for Payer: Cofinity Commercial |
$2,067.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,543.02
|
| Rate for Payer: Mclaren Medicaid |
$988.32
|
| Rate for Payer: Meridian Medicaid |
$1,037.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,620.17
|
| Rate for Payer: PACE SWMI |
$1,543.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,543.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$988.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,776.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,136.50
|
| Rate for Payer: Priority Health Medicare |
$1,543.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,136.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,543.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,543.02
|
| Rate for Payer: UHC Medicare Advantage |
$1,589.31
|
|
|
PR REMOVAL OF SUTURES
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS S0630
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$66.04 |
| Rate for Payer: Aetna Commercial |
$27.32
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Trust/PPO |
$66.04
|
| Rate for Payer: BCN Commercial |
$37.93
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.00
|
|
|
PR REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY
|
Professional
|
Both
|
$2,213.00
|
|
|
Service Code
|
HCPCS 49402
|
| Min. Negotiated Rate |
$546.98 |
| Max. Negotiated Rate |
$2,108.97 |
| Rate for Payer: Aetna Commercial |
$1,137.59
|
| Rate for Payer: Aetna Medicare |
$882.91
|
| Rate for Payer: BCBS Complete |
$574.33
|
| Rate for Payer: BCBS MAPPO |
$848.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,108.97
|
| Rate for Payer: BCN Commercial |
$1,247.10
|
| Rate for Payer: BCN Medicare Advantage |
$848.95
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cofinity Commercial |
$1,137.59
|
| Rate for Payer: Cofinity Commercial |
$1,222.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$848.95
|
| Rate for Payer: Mclaren Medicaid |
$546.98
|
| Rate for Payer: Meridian Medicaid |
$574.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$891.40
|
| Rate for Payer: PACE SWMI |
$848.95
|
| Rate for Payer: PHP Medicare Advantage |
$848.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,549.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,500.50
|
| Rate for Payer: Priority Health Medicare |
$848.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,500.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$848.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$848.95
|
| Rate for Payer: UHC Medicare Advantage |
$874.42
|
|
|
PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 33233
|
| Min. Negotiated Rate |
$147.40 |
| Max. Negotiated Rate |
$702.64 |
| Rate for Payer: Aetna Commercial |
$305.10
|
| Rate for Payer: Aetna Medicare |
$236.80
|
| Rate for Payer: BCBS Complete |
$154.77
|
| Rate for Payer: BCBS MAPPO |
$227.69
|
| Rate for Payer: BCBS Trust/PPO |
$702.64
|
| Rate for Payer: BCN Commercial |
$339.14
|
| Rate for Payer: BCN Medicare Advantage |
$227.69
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$305.10
|
| Rate for Payer: Cofinity Commercial |
$327.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.69
|
| Rate for Payer: Mclaren Medicaid |
$147.40
|
| Rate for Payer: Meridian Medicaid |
$154.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$239.07
|
| Rate for Payer: PACE SWMI |
$227.69
|
| Rate for Payer: PHP Medicare Advantage |
$227.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$147.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.18
|
| Rate for Payer: Priority Health Medicare |
$227.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$369.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.69
|
| Rate for Payer: UHC Medicare Advantage |
$234.52
|
|
|
PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 33992
|
| Min. Negotiated Rate |
$117.15 |
| Max. Negotiated Rate |
$1,321.81 |
| Rate for Payer: Aetna Commercial |
$246.55
|
| Rate for Payer: Aetna Medicare |
$191.35
|
| Rate for Payer: BCBS Complete |
$123.01
|
| Rate for Payer: BCBS MAPPO |
$183.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,321.81
|
| Rate for Payer: BCN Commercial |
$267.31
|
| Rate for Payer: BCN Medicare Advantage |
$183.99
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cofinity Commercial |
$246.55
|
| Rate for Payer: Cofinity Commercial |
$264.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.99
|
| Rate for Payer: Mclaren Medicaid |
$117.15
|
| Rate for Payer: Meridian Medicaid |
$123.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$193.19
|
| Rate for Payer: PACE SWMI |
$183.99
|
| Rate for Payer: PHP Medicare Advantage |
$183.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.98
|
| Rate for Payer: Priority Health Medicare |
$183.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$290.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.99
|
| Rate for Payer: UHC Medicare Advantage |
$189.51
|
|
|
PR REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,061.00
|
|
|
Service Code
|
HCPCS 22850
|
| Min. Negotiated Rate |
$89.99 |
| Max. Negotiated Rate |
$1,442.70 |
| Rate for Payer: Aetna Commercial |
$978.04
|
| Rate for Payer: Aetna Medicare |
$759.08
|
| Rate for Payer: BCBS Complete |
$500.52
|
| Rate for Payer: BCBS MAPPO |
$729.88
|
| Rate for Payer: BCBS Trust/PPO |
$89.99
|
| Rate for Payer: BCN Commercial |
$1,082.91
|
| Rate for Payer: BCN Medicare Advantage |
$729.88
|
| Rate for Payer: Cash Price |
$1,648.80
|
| Rate for Payer: Cash Price |
$1,648.80
|
| Rate for Payer: Cofinity Commercial |
$978.04
|
| Rate for Payer: Cofinity Commercial |
$1,051.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.88
|
| Rate for Payer: Mclaren Medicaid |
$476.69
|
| Rate for Payer: Meridian Medicaid |
$500.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$766.37
|
| Rate for Payer: PACE SWMI |
$729.88
|
| Rate for Payer: PHP Medicare Advantage |
$729.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,442.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,131.60
|
| Rate for Payer: Priority Health Medicare |
$729.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,131.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$729.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$729.88
|
| Rate for Payer: UHC Medicare Advantage |
$751.78
|
|
|
PR REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 22852
|
| Min. Negotiated Rate |
$459.65 |
| Max. Negotiated Rate |
$1,531.60 |
| Rate for Payer: Aetna Commercial |
$940.76
|
| Rate for Payer: Aetna Medicare |
$730.14
|
| Rate for Payer: BCBS Complete |
$482.63
|
| Rate for Payer: BCBS MAPPO |
$702.06
|
| Rate for Payer: BCBS Trust/PPO |
$648.97
|
| Rate for Payer: BCN Commercial |
$1,042.35
|
| Rate for Payer: BCN Medicare Advantage |
$702.06
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cofinity Commercial |
$940.76
|
| Rate for Payer: Cofinity Commercial |
$1,010.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$702.06
|
| Rate for Payer: Mclaren Medicaid |
$459.65
|
| Rate for Payer: Meridian Medicaid |
$482.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$737.16
|
| Rate for Payer: PACE SWMI |
$702.06
|
| Rate for Payer: PHP Medicare Advantage |
$702.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$459.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,089.21
|
| Rate for Payer: Priority Health Medicare |
$702.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,089.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$702.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$702.06
|
| Rate for Payer: UHC Medicare Advantage |
$723.12
|
|
