|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$248.97 |
| Max. Negotiated Rate |
$436.15 |
| Rate for Payer: Aetna Commercial |
$333.62
|
| Rate for Payer: Aetna Medicare |
$258.93
|
| Rate for Payer: BCBS Complete |
$268.40
|
| Rate for Payer: BCBS MAPPO |
$248.97
|
| Rate for Payer: BCN Medicare Advantage |
$248.97
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$358.52
|
| Rate for Payer: Cofinity Commercial |
$333.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.42
|
| Rate for Payer: Nomi Health Commercial |
$298.76
|
| Rate for Payer: PACE SWMI |
$248.97
|
| Rate for Payer: PHP Medicare Advantage |
$248.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health Medicare |
$251.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$248.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.97
|
| Rate for Payer: UHC Exchange |
$248.97
|
| Rate for Payer: UHC Medicare Advantage |
$248.97
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$400.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Exchange |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$400.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Exchange |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$677.95 |
| Max. Negotiated Rate |
$938.70 |
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: BCBS Trust/PPO |
$851.40
|
| Rate for Payer: BCN Commercial |
$806.03
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$907.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$917.84
|
| Rate for Payer: UHC Core |
$870.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$247.71 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna Medicare |
$271.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$325.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$325.94
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$260.75
|
| Rate for Payer: BCBS Trust/PPO |
$857.45
|
| Rate for Payer: BCN Commercial |
$810.93
|
| Rate for Payer: BCN Medicare Advantage |
$260.75
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.75
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.79
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$299.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| Rate for Payer: PACE Senior Care Partners |
$247.71
|
| Rate for Payer: PACE SWMI |
$260.75
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: PHP Medicare Advantage |
$260.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$907.41
|
| Rate for Payer: Priority Health Medicare |
$263.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.81
|
| Rate for Payer: Railroad Medicare Medicare |
$260.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$917.84
|
| Rate for Payer: UHC Core |
$870.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.75
|
| Rate for Payer: UHC Exchange |
$260.75
|
| Rate for Payer: UHC Medicare Advantage |
$260.75
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$260.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$234.18 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna Medicare |
$256.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$308.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$308.12
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$246.50
|
| Rate for Payer: BCBS Trust/PPO |
$810.59
|
| Rate for Payer: BCN Commercial |
$766.62
|
| Rate for Payer: BCN Medicare Advantage |
$246.50
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.50
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$258.82
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$283.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PACE Senior Care Partners |
$234.18
|
| Rate for Payer: PACE SWMI |
$246.50
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: PHP Medicare Advantage |
$246.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$857.82
|
| Rate for Payer: Priority Health Medicare |
$248.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.62
|
| Rate for Payer: Railroad Medicare Medicare |
$246.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.68
|
| Rate for Payer: UHC Core |
$823.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.50
|
| Rate for Payer: UHC Exchange |
$246.50
|
| Rate for Payer: UHC Medicare Advantage |
$246.50
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$246.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$460.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Exchange |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$887.40 |
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: BCBS Trust/PPO |
$804.87
|
| Rate for Payer: BCN Commercial |
$761.98
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$857.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.68
|
| Rate for Payer: UHC Core |
$823.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$460.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Exchange |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$587.76 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$412.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Exchange |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$675.00 |
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: BCBS Trust/PPO |
$612.23
|
| Rate for Payer: BCN Commercial |
$579.60
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$652.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$502.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.00
|
| Rate for Payer: UHC Core |
$626.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$178.12 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna Medicare |
$195.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$234.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$234.38
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$187.50
|
| Rate for Payer: BCBS Trust/PPO |
$616.58
|
| Rate for Payer: BCN Commercial |
$583.12
|
| Rate for Payer: BCN Medicare Advantage |
$187.50
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.50
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$196.88
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$215.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PACE Senior Care Partners |
$178.12
|
| Rate for Payer: PACE SWMI |
$187.50
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: PHP Medicare Advantage |
$187.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$652.50
|
| Rate for Payer: Priority Health Medicare |
$189.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$502.50
|
| Rate for Payer: Railroad Medicare Medicare |
$187.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.00
|
| Rate for Payer: UHC Core |
$626.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.50
|
| Rate for Payer: UHC Exchange |
$187.50
|
| Rate for Payer: UHC Medicare Advantage |
$187.50
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$187.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$587.76 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$412.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Exchange |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$317.58 |
| Max. Negotiated Rate |
$563.55 |
| Rate for Payer: Aetna Commercial |
$425.56
|
| Rate for Payer: Aetna Medicare |
$330.28
|
| Rate for Payer: BCBS Complete |
$346.80
|
| Rate for Payer: BCBS MAPPO |
$317.58
|
| Rate for Payer: BCN Medicare Advantage |
$317.58
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$457.32
|
| Rate for Payer: Cofinity Commercial |
$425.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.46
|
| Rate for Payer: Nomi Health Commercial |
$381.10
|
| Rate for Payer: PACE SWMI |
$317.58
|
| Rate for Payer: PHP Medicare Advantage |
$317.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health Medicare |
$320.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.58
|
| Rate for Payer: UHC Exchange |
$317.58
|
| Rate for Payer: UHC Medicare Advantage |
$317.58
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$303.56 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health Medicare |
$306.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Exchange |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$309.94 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna Medicare |
$339.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$407.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$407.81
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$326.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.84
|
| Rate for Payer: BCN Commercial |
$1,014.64
|
| Rate for Payer: BCN Medicare Advantage |
$326.25
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$326.25
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.75
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.56
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$375.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: PACE Senior Care Partners |
$309.94
|
| Rate for Payer: PACE SWMI |
$326.25
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: PHP Medicare Advantage |
$326.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,135.35
|
| Rate for Payer: Priority Health Medicare |
$329.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.35
|
| Rate for Payer: Railroad Medicare Medicare |
$326.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,148.40
|
| Rate for Payer: UHC Core |
$1,089.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$326.25
|
| Rate for Payer: UHC Exchange |
$326.25
|
| Rate for Payer: UHC Medicare Advantage |
$326.25
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$326.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.75
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$848.25 |
| Max. Negotiated Rate |
$1,174.50 |
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.27
|
| Rate for Payer: BCN Commercial |
$1,008.50
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,135.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,148.40
|
| Rate for Payer: UHC Core |
$1,089.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.75
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$303.56 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health Medicare |
$306.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Exchange |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$903.03 |
| Max. Negotiated Rate |
$1,900.60 |
| Rate for Payer: Aetna Commercial |
$1,210.06
|
| Rate for Payer: Aetna Medicare |
$939.15
|
| Rate for Payer: BCBS Complete |
$1,169.60
|
| Rate for Payer: BCBS MAPPO |
$903.03
|
| Rate for Payer: BCN Medicare Advantage |
$903.03
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.36
|
| Rate for Payer: Cofinity Commercial |
$1,210.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.18
|
| Rate for Payer: Nomi Health Commercial |
$1,083.64
|
| Rate for Payer: PACE SWMI |
$903.03
|
| Rate for Payer: PHP Medicare Advantage |
$903.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,900.60
|
| Rate for Payer: Priority Health Medicare |
$912.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$903.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.03
|
| Rate for Payer: UHC Exchange |
$903.03
|
| Rate for Payer: UHC Medicare Advantage |
$903.03
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$179.43 |
| Max. Negotiated Rate |
$436.15 |
| Rate for Payer: Aetna Commercial |
$240.44
|
| Rate for Payer: Aetna Medicare |
$186.61
|
| Rate for Payer: BCBS Complete |
$268.40
|
| Rate for Payer: BCBS MAPPO |
$179.43
|
| Rate for Payer: BCN Medicare Advantage |
$179.43
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$258.38
|
| Rate for Payer: Cofinity Commercial |
$240.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.40
|
| Rate for Payer: Nomi Health Commercial |
$215.32
|
| Rate for Payer: PACE SWMI |
$179.43
|
| Rate for Payer: PHP Medicare Advantage |
$179.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health Medicare |
$181.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.43
|
| Rate for Payer: UHC Exchange |
$179.43
|
| Rate for Payer: UHC Medicare Advantage |
$179.43
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$164.76 |
| Max. Negotiated Rate |
$750.75 |
| Rate for Payer: Aetna Commercial |
$220.78
|
| Rate for Payer: Aetna Medicare |
$171.35
|
| Rate for Payer: BCBS Complete |
$462.00
|
| Rate for Payer: BCBS MAPPO |
$164.76
|
| Rate for Payer: BCN Medicare Advantage |
$164.76
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$237.25
|
| Rate for Payer: Cofinity Commercial |
$220.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.00
|
| Rate for Payer: Nomi Health Commercial |
$197.71
|
| Rate for Payer: PACE SWMI |
$164.76
|
| Rate for Payer: PHP Medicare Advantage |
$164.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$166.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.76
|
| Rate for Payer: UHC Exchange |
$164.76
|
| Rate for Payer: UHC Medicare Advantage |
$164.76
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$352.21 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna Medicare |
$385.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$463.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$463.44
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$370.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,219.17
|
| Rate for Payer: BCN Commercial |
$1,153.03
|
| Rate for Payer: BCN Medicare Advantage |
$370.75
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.75
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.29
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$426.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$1,216.06
|
| Rate for Payer: PACE Senior Care Partners |
$352.21
|
| Rate for Payer: PACE SWMI |
$370.75
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: PHP Medicare Advantage |
$370.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,290.21
|
| Rate for Payer: Priority Health Medicare |
$374.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.61
|
| Rate for Payer: Railroad Medicare Medicare |
$370.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,305.04
|
| Rate for Payer: UHC Core |
$1,238.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.75
|
| Rate for Payer: UHC Exchange |
$370.75
|
| Rate for Payer: UHC Medicare Advantage |
$370.75
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$370.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$963.95 |
| Max. Negotiated Rate |
$1,334.70 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,210.57
|
| Rate for Payer: BCN Commercial |
$1,146.06
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$1,216.06
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,290.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,305.04
|
| Rate for Payer: UHC Core |
$1,238.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$407.87 |
| Max. Negotiated Rate |
$963.95 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health Medicare |
$411.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Exchange |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$407.87 |
| Max. Negotiated Rate |
$963.95 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health Medicare |
$411.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Exchange |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
|
