|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$432.94 |
| Max. Negotiated Rate |
$1,348.10 |
| Rate for Payer: Aetna Commercial |
$580.14
|
| Rate for Payer: Aetna Medicare |
$450.26
|
| Rate for Payer: BCBS Complete |
$829.60
|
| Rate for Payer: BCBS MAPPO |
$432.94
|
| Rate for Payer: BCN Medicare Advantage |
$432.94
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cofinity Commercial |
$623.43
|
| Rate for Payer: Cofinity Commercial |
$580.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.59
|
| Rate for Payer: Nomi Health Commercial |
$519.53
|
| Rate for Payer: PACE SWMI |
$432.94
|
| Rate for Payer: PHP Medicare Advantage |
$432.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,348.10
|
| Rate for Payer: Priority Health Medicare |
$437.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.94
|
| Rate for Payer: UHC Exchange |
$432.94
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$569.01 |
| Max. Negotiated Rate |
$1,428.05 |
| Rate for Payer: Aetna Commercial |
$762.47
|
| Rate for Payer: Aetna Medicare |
$591.77
|
| Rate for Payer: BCBS Complete |
$878.80
|
| Rate for Payer: BCBS MAPPO |
$569.01
|
| Rate for Payer: BCN Medicare Advantage |
$569.01
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cofinity Commercial |
$819.37
|
| Rate for Payer: Cofinity Commercial |
$762.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.46
|
| Rate for Payer: Nomi Health Commercial |
$682.81
|
| Rate for Payer: PACE SWMI |
$569.01
|
| Rate for Payer: PHP Medicare Advantage |
$569.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.05
|
| Rate for Payer: Priority Health Medicare |
$574.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.01
|
| Rate for Payer: UHC Exchange |
$569.01
|
| Rate for Payer: UHC Medicare Advantage |
$569.01
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$152.00 |
| Max. Negotiated Rate |
$266.59 |
| Rate for Payer: Aetna Commercial |
$248.07
|
| Rate for Payer: Aetna Medicare |
$192.54
|
| Rate for Payer: BCBS Complete |
$152.00
|
| Rate for Payer: BCBS MAPPO |
$185.13
|
| Rate for Payer: BCN Medicare Advantage |
$185.13
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cofinity Commercial |
$266.59
|
| Rate for Payer: Cofinity Commercial |
$248.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.39
|
| Rate for Payer: Nomi Health Commercial |
$222.16
|
| Rate for Payer: PACE SWMI |
$185.13
|
| Rate for Payer: PHP Medicare Advantage |
$185.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health Medicare |
$186.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.13
|
| Rate for Payer: UHC Exchange |
$185.13
|
| Rate for Payer: UHC Medicare Advantage |
$185.13
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,948.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$1,027.09 |
| Max. Negotiated Rate |
$2,566.20 |
| Rate for Payer: Aetna Commercial |
$1,376.30
|
| Rate for Payer: Aetna Medicare |
$1,068.17
|
| Rate for Payer: BCBS Complete |
$1,579.20
|
| Rate for Payer: BCBS MAPPO |
$1,027.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.09
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,479.01
|
| Rate for Payer: Cofinity Commercial |
$1,376.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.44
|
| Rate for Payer: Nomi Health Commercial |
$1,232.51
|
| Rate for Payer: PACE SWMI |
$1,027.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,566.20
|
| Rate for Payer: Priority Health Medicare |
$1,037.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,027.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.09
|
| Rate for Payer: UHC Exchange |
$1,027.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.09
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$438.09 |
| Max. Negotiated Rate |
$1,090.70 |
| Rate for Payer: Aetna Commercial |
$587.04
|
| Rate for Payer: Aetna Medicare |
$455.61
|
| Rate for Payer: BCBS Complete |
$671.20
|
| Rate for Payer: BCBS MAPPO |
$438.09
|
| Rate for Payer: BCN Medicare Advantage |
$438.09
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$630.85
|
| Rate for Payer: Cofinity Commercial |
$587.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.99
|
| Rate for Payer: Nomi Health Commercial |
$525.71
|
| Rate for Payer: PACE SWMI |
$438.09
|
| Rate for Payer: PHP Medicare Advantage |
$438.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health Medicare |
$442.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.09
|
| Rate for Payer: UHC Exchange |
$438.09
|
| Rate for Payer: UHC Medicare Advantage |
$438.09
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$484.25 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: BCBS Trust/PPO |
$608.14
|
| Rate for Payer: BCN Commercial |
$575.74
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$176.94 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna Medicare |
$193.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$232.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$232.81
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$186.25
|
| Rate for Payer: BCBS Trust/PPO |
$612.46
|
| Rate for Payer: BCN Commercial |
$579.24
|
| Rate for Payer: BCN Medicare Advantage |
$186.25
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.25
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.56
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$214.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PACE Senior Care Partners |
$176.94
|
| Rate for Payer: PACE SWMI |
$186.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: PHP Medicare Advantage |
$186.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Medicare |
$188.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: Railroad Medicare Medicare |
$186.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.25
|
| Rate for Payer: UHC Exchange |
$186.25
|
| Rate for Payer: UHC Medicare Advantage |
$186.25
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$186.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$298.00 |
| Max. Negotiated Rate |
$658.31 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: BCBS Complete |
$298.00
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health Medicare |
$461.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Exchange |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$298.00 |
| Max. Negotiated Rate |
$658.31 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: BCBS Complete |
$298.00
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health Medicare |
$461.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Exchange |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$594.10 |
| Max. Negotiated Rate |
$822.60 |
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: BCBS Trust/PPO |
$746.10
|
| Rate for Payer: BCN Commercial |
$706.34
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$786.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Healthscope Commercial |
$822.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$685.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: PHP Commercial |
$776.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$795.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$804.32
|
| Rate for Payer: UHC Core |
$763.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.07 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: Aetna Medicare |
$237.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$285.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$285.62
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$228.50
|
| Rate for Payer: BCBS Trust/PPO |
$751.40
|
| Rate for Payer: BCN Commercial |
$710.63
|
| Rate for Payer: BCN Medicare Advantage |
$228.50
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$786.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228.50
|
| Rate for Payer: Healthscope Commercial |
$822.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$685.50
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$239.93
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$262.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: PACE Senior Care Partners |
$217.07
|
| Rate for Payer: PACE SWMI |
$228.50
|
| Rate for Payer: PHP Commercial |
$776.90
|
| Rate for Payer: PHP Medicare Advantage |
$228.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$795.18
|
| Rate for Payer: Priority Health Medicare |
$230.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.38
|
| Rate for Payer: Railroad Medicare Medicare |
$228.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$804.32
|
| Rate for Payer: UHC Core |
$763.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$228.50
|
| Rate for Payer: UHC Exchange |
$228.50
|
| Rate for Payer: UHC Medicare Advantage |
$228.50
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$228.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$325.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Exchange |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$325.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Exchange |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$329.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Exchange |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$423.80 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: BCBS Trust/PPO |
$532.23
|
| Rate for Payer: BCN Commercial |
$503.87
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$329.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Exchange |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$154.85 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$169.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.75
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$163.00
|
| Rate for Payer: BCBS Trust/PPO |
$536.01
|
| Rate for Payer: BCN Commercial |
$506.93
|
| Rate for Payer: BCN Medicare Advantage |
$163.00
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.00
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.15
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PACE Senior Care Partners |
$154.85
|
| Rate for Payer: PACE SWMI |
$163.00
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$163.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Medicare |
$164.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: Railroad Medicare Medicare |
$163.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.00
|
| Rate for Payer: UHC Exchange |
$163.00
|
| Rate for Payer: UHC Medicare Advantage |
$163.00
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$163.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$251.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Exchange |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$251.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Exchange |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$359.45 |
| Max. Negotiated Rate |
$497.70 |
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: BCBS Trust/PPO |
$451.41
|
| Rate for Payer: BCN Commercial |
$427.36
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$481.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$370.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.64
|
| Rate for Payer: UHC Core |
$461.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$131.34 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: Aetna Medicare |
$143.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$172.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$172.81
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$138.25
|
| Rate for Payer: BCBS Trust/PPO |
$454.62
|
| Rate for Payer: BCN Commercial |
$429.96
|
| Rate for Payer: BCN Medicare Advantage |
$138.25
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.25
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.16
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$158.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: PACE Senior Care Partners |
$131.34
|
| Rate for Payer: PACE SWMI |
$138.25
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: PHP Medicare Advantage |
$138.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$481.11
|
| Rate for Payer: Priority Health Medicare |
$139.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$370.51
|
| Rate for Payer: Railroad Medicare Medicare |
$138.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.64
|
| Rate for Payer: UHC Core |
$461.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$138.25
|
| Rate for Payer: UHC Exchange |
$138.25
|
| Rate for Payer: UHC Medicare Advantage |
$138.25
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$138.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$299.01 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: Aetna Medicare |
$327.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$393.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$393.44
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$314.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,035.02
|
| Rate for Payer: BCN Commercial |
$978.87
|
| Rate for Payer: BCN Medicare Advantage |
$314.75
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.75
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.49
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$361.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: PACE Senior Care Partners |
$299.01
|
| Rate for Payer: PACE SWMI |
$314.75
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: PHP Medicare Advantage |
$314.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,095.33
|
| Rate for Payer: Priority Health Medicare |
$317.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$843.53
|
| Rate for Payer: Railroad Medicare Medicare |
$314.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,107.92
|
| Rate for Payer: UHC Core |
$1,051.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.75
|
| Rate for Payer: UHC Exchange |
$314.75
|
| Rate for Payer: UHC Medicare Advantage |
$314.75
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$314.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$818.35 |
| Max. Negotiated Rate |
$1,133.10 |
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,027.72
|
| Rate for Payer: BCN Commercial |
$972.96
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,095.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$843.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,107.92
|
| Rate for Payer: UHC Core |
$1,051.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$355.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Exchange |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$355.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Exchange |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
|
