|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 22900
|
| Hospital Charge Code |
22900
|
| Min. Negotiated Rate |
$464.40 |
| Max. Negotiated Rate |
$791.90 |
| Rate for Payer: Aetna Commercial |
$736.91
|
| Rate for Payer: Aetna Medicare |
$571.93
|
| Rate for Payer: BCBS Complete |
$464.40
|
| Rate for Payer: BCBS MAPPO |
$549.93
|
| Rate for Payer: BCN Medicare Advantage |
$549.93
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$791.90
|
| Rate for Payer: Cofinity Commercial |
$736.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.43
|
| Rate for Payer: Nomi Health Commercial |
$659.92
|
| Rate for Payer: PACE SWMI |
$549.93
|
| Rate for Payer: PHP Medicare Advantage |
$549.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health Medicare |
$555.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$549.93
|
| Rate for Payer: UHC Exchange |
$549.93
|
| Rate for Payer: UHC Medicare Advantage |
$549.93
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 22900
|
| Min. Negotiated Rate |
$464.40 |
| Max. Negotiated Rate |
$791.90 |
| Rate for Payer: Aetna Commercial |
$736.91
|
| Rate for Payer: Aetna Medicare |
$571.93
|
| Rate for Payer: BCBS Complete |
$464.40
|
| Rate for Payer: BCBS MAPPO |
$549.93
|
| Rate for Payer: BCN Medicare Advantage |
$549.93
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$791.90
|
| Rate for Payer: Cofinity Commercial |
$736.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.43
|
| Rate for Payer: Nomi Health Commercial |
$659.92
|
| Rate for Payer: PACE SWMI |
$549.93
|
| Rate for Payer: PHP Medicare Advantage |
$549.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health Medicare |
$555.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$549.93
|
| Rate for Payer: UHC Exchange |
$549.93
|
| Rate for Payer: UHC Medicare Advantage |
$549.93
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
OP
|
$1,161.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$275.74 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$986.85
|
| Rate for Payer: Aetna Medicare |
$301.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$362.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$362.81
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$290.25
|
| Rate for Payer: BCBS Trust/PPO |
$954.46
|
| Rate for Payer: BCN Commercial |
$902.68
|
| Rate for Payer: BCN Medicare Advantage |
$290.25
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$998.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$928.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.25
|
| Rate for Payer: Healthscope Commercial |
$1,044.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$870.75
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$304.76
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$333.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$986.85
|
| Rate for Payer: Nomi Health Commercial |
$952.02
|
| Rate for Payer: PACE Senior Care Partners |
$275.74
|
| Rate for Payer: PACE SWMI |
$290.25
|
| Rate for Payer: PHP Commercial |
$986.85
|
| Rate for Payer: PHP Medicare Advantage |
$290.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,010.07
|
| Rate for Payer: Priority Health Medicare |
$293.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.87
|
| Rate for Payer: Railroad Medicare Medicare |
$290.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,021.68
|
| Rate for Payer: UHC Core |
$969.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.25
|
| Rate for Payer: UHC Exchange |
$290.25
|
| Rate for Payer: UHC Medicare Advantage |
$290.25
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$290.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$870.75
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
IP
|
$1,161.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$754.65 |
| Max. Negotiated Rate |
$1,044.90 |
| Rate for Payer: Aetna Commercial |
$986.85
|
| Rate for Payer: BCBS Trust/PPO |
$947.72
|
| Rate for Payer: BCN Commercial |
$897.22
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$998.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$928.80
|
| Rate for Payer: Healthscope Commercial |
$1,044.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$870.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$986.85
|
| Rate for Payer: Nomi Health Commercial |
$952.02
|
| Rate for Payer: PHP Commercial |
$986.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,010.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,021.68
|
| Rate for Payer: UHC Core |
$969.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$870.75
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>
|
Professional
|
Both
|
$1,203.00
|
|
|
Service Code
|
HCPCS 22901
|
| Min. Negotiated Rate |
$481.20 |
| Max. Negotiated Rate |
$933.02 |
| Rate for Payer: Aetna Commercial |
$868.23
|
| Rate for Payer: Aetna Medicare |
$673.85
|
| Rate for Payer: BCBS Complete |
$481.20
|
| Rate for Payer: BCBS MAPPO |
$647.93
|
| Rate for Payer: BCN Medicare Advantage |
$647.93
|
| Rate for Payer: Cash Price |
$962.40
|
| Rate for Payer: Cash Price |
$962.40
|
| Rate for Payer: Cofinity Commercial |
$933.02
|
| Rate for Payer: Cofinity Commercial |
$868.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$680.33
|
| Rate for Payer: Nomi Health Commercial |
$777.52
|
| Rate for Payer: PACE SWMI |
$647.93
|
| Rate for Payer: PHP Medicare Advantage |
$647.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$781.95
|
| Rate for Payer: Priority Health Medicare |
$654.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.93
|
| Rate for Payer: UHC Exchange |
$647.93
|
| Rate for Payer: UHC Medicare Advantage |
$647.93
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
OP
|
$714.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$169.57 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$606.90
|
| Rate for Payer: Aetna Medicare |
$185.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$223.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$223.12
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$178.50
|
| Rate for Payer: BCBS Trust/PPO |
$586.98
|
| Rate for Payer: BCN Commercial |
$555.13
|
| Rate for Payer: BCN Medicare Advantage |
$178.50
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$614.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$571.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.50
|
| Rate for Payer: Healthscope Commercial |
$642.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$535.50
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$187.43
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$205.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$606.90
|
| Rate for Payer: Nomi Health Commercial |
$585.48
|
| Rate for Payer: PACE Senior Care Partners |
$169.57
|
| Rate for Payer: PACE SWMI |
$178.50
|
| Rate for Payer: PHP Commercial |
$606.90
|
| Rate for Payer: PHP Medicare Advantage |
$178.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO |
$621.18
|
| Rate for Payer: Priority Health Medicare |
$180.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$478.38
|
| Rate for Payer: Railroad Medicare Medicare |
$178.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$628.32
|
| Rate for Payer: UHC Core |
$596.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$178.50
|
| Rate for Payer: UHC Exchange |
$178.50
|
| Rate for Payer: UHC Medicare Advantage |
$178.50
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$178.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$535.50
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 22903
|
| Hospital Charge Code |
22903
|
| Min. Negotiated Rate |
$285.60 |
| Max. Negotiated Rate |
$616.56 |
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna Medicare |
$445.30
|
| Rate for Payer: BCBS Complete |
$285.60
|
| Rate for Payer: BCBS MAPPO |
$428.17
|
| Rate for Payer: BCN Medicare Advantage |
$428.17
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$616.56
|
| Rate for Payer: Cofinity Commercial |
$573.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.58
|
| Rate for Payer: Nomi Health Commercial |
$513.80
|
| Rate for Payer: PACE SWMI |
$428.17
|
| Rate for Payer: PHP Medicare Advantage |
$428.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health Medicare |
$432.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$428.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$428.17
|
| Rate for Payer: UHC Exchange |
$428.17
|
| Rate for Payer: UHC Medicare Advantage |
$428.17
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 22903
|
| Min. Negotiated Rate |
$285.60 |
| Max. Negotiated Rate |
$616.56 |
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna Medicare |
$445.30
|
| Rate for Payer: BCBS Complete |
$285.60
|
| Rate for Payer: BCBS MAPPO |
$428.17
|
| Rate for Payer: BCN Medicare Advantage |
$428.17
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$616.56
|
| Rate for Payer: Cofinity Commercial |
$573.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.58
|
| Rate for Payer: Nomi Health Commercial |
$513.80
|
| Rate for Payer: PACE SWMI |
$428.17
|
| Rate for Payer: PHP Medicare Advantage |
$428.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health Medicare |
$432.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$428.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$428.17
|
| Rate for Payer: UHC Exchange |
$428.17
|
| Rate for Payer: UHC Medicare Advantage |
$428.17
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
IP
|
$714.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$464.10 |
| Max. Negotiated Rate |
$642.60 |
| Rate for Payer: Aetna Commercial |
$606.90
|
| Rate for Payer: BCBS Trust/PPO |
$582.84
|
| Rate for Payer: BCN Commercial |
$551.78
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$614.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$571.20
|
| Rate for Payer: Healthscope Commercial |
$642.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$535.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$606.90
|
| Rate for Payer: Nomi Health Commercial |
$585.48
|
| Rate for Payer: PHP Commercial |
$606.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO |
$621.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$478.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$628.32
|
| Rate for Payer: UHC Core |
$596.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$535.50
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM
|
Professional
|
Both
|
$791.00
|
|
|
Service Code
|
HCPCS 22902
|
| Min. Negotiated Rate |
$316.40 |
| Max. Negotiated Rate |
$514.15 |
| Rate for Payer: Aetna Commercial |
$433.09
|
| Rate for Payer: Aetna Medicare |
$336.13
|
| Rate for Payer: BCBS Complete |
$316.40
|
| Rate for Payer: BCBS MAPPO |
$323.20
|
| Rate for Payer: BCN Medicare Advantage |
$323.20
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cofinity Commercial |
$465.41
|
| Rate for Payer: Cofinity Commercial |
$433.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$339.36
|
| Rate for Payer: Nomi Health Commercial |
$387.84
|
| Rate for Payer: PACE SWMI |
$323.20
|
| Rate for Payer: PHP Medicare Advantage |
$323.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.15
|
| Rate for Payer: Priority Health Medicare |
$326.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$323.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$323.20
|
| Rate for Payer: UHC Exchange |
$323.20
|
| Rate for Payer: UHC Medicare Advantage |
$323.20
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
OP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$286.43 |
| Max. Negotiated Rate |
$2,172.87 |
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: Aetna Medicare |
$313.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$376.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$376.88
|
| Rate for Payer: BCBS Complete |
$2,172.87
|
| Rate for Payer: BCBS MAPPO |
$301.50
|
| Rate for Payer: BCBS Trust/PPO |
$991.45
|
| Rate for Payer: BCN Commercial |
$937.66
|
| Rate for Payer: BCN Medicare Advantage |
$301.50
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.50
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| Rate for Payer: Mclaren Medicaid |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.57
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$346.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.10
|
| Rate for Payer: Nomi Health Commercial |
$988.92
|
| Rate for Payer: PACE Senior Care Partners |
$286.43
|
| Rate for Payer: PACE SWMI |
$301.50
|
| Rate for Payer: PHP Commercial |
$1,025.10
|
| Rate for Payer: PHP Medicare Advantage |
$301.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,049.22
|
| Rate for Payer: Priority Health Medicare |
$304.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$808.02
|
| Rate for Payer: Railroad Medicare Medicare |
$301.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.28
|
| Rate for Payer: UHC Core |
$1,007.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.50
|
| Rate for Payer: UHC Exchange |
$301.50
|
| Rate for Payer: UHC Medicare Advantage |
$301.50
|
| Rate for Payer: UHCCP Medicaid |
$2,069.26
|
| Rate for Payer: VA VA |
$301.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,206.00
|
|
|
Service Code
|
HCPCS 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$431.18 |
| Max. Negotiated Rate |
$783.90 |
| Rate for Payer: Aetna Commercial |
$577.78
|
| Rate for Payer: Aetna Medicare |
$448.43
|
| Rate for Payer: BCBS Complete |
$482.40
|
| Rate for Payer: BCBS MAPPO |
$431.18
|
| Rate for Payer: BCN Medicare Advantage |
$431.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$620.90
|
| Rate for Payer: Cofinity Commercial |
$577.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.74
|
| Rate for Payer: Nomi Health Commercial |
$517.42
|
| Rate for Payer: PACE SWMI |
$431.18
|
| Rate for Payer: PHP Medicare Advantage |
$431.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health Medicare |
$435.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$431.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.18
|
| Rate for Payer: UHC Exchange |
$431.18
|
| Rate for Payer: UHC Medicare Advantage |
$431.18
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,206.00
|
|
|
Service Code
|
HCPCS 28041
|
| Min. Negotiated Rate |
$431.18 |
| Max. Negotiated Rate |
$783.90 |
| Rate for Payer: Aetna Commercial |
$577.78
|
| Rate for Payer: Aetna Medicare |
$448.43
|
| Rate for Payer: BCBS Complete |
$482.40
|
| Rate for Payer: BCBS MAPPO |
$431.18
|
| Rate for Payer: BCN Medicare Advantage |
$431.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$620.90
|
| Rate for Payer: Cofinity Commercial |
$577.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.74
|
| Rate for Payer: Nomi Health Commercial |
$517.42
|
| Rate for Payer: PACE SWMI |
$431.18
|
| Rate for Payer: PHP Medicare Advantage |
$431.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health Medicare |
$435.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$431.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.18
|
| Rate for Payer: UHC Exchange |
$431.18
|
| Rate for Payer: UHC Medicare Advantage |
$431.18
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
IP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$783.90 |
| Max. Negotiated Rate |
$1,085.40 |
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: BCBS Trust/PPO |
$984.46
|
| Rate for Payer: BCN Commercial |
$932.00
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.10
|
| Rate for Payer: Nomi Health Commercial |
$988.92
|
| Rate for Payer: PHP Commercial |
$1,025.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,049.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$808.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.28
|
| Rate for Payer: UHC Core |
$1,007.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 28045
|
| Min. Negotiated Rate |
$334.01 |
| Max. Negotiated Rate |
$572.65 |
| Rate for Payer: Aetna Commercial |
$447.57
|
| Rate for Payer: Aetna Medicare |
$347.37
|
| Rate for Payer: BCBS Complete |
$352.40
|
| Rate for Payer: BCBS MAPPO |
$334.01
|
| Rate for Payer: BCN Medicare Advantage |
$334.01
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$480.97
|
| Rate for Payer: Cofinity Commercial |
$447.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$400.81
|
| Rate for Payer: PACE SWMI |
$334.01
|
| Rate for Payer: PHP Medicare Advantage |
$334.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health Medicare |
$337.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.01
|
| Rate for Payer: UHC Exchange |
$334.01
|
| Rate for Payer: UHC Medicare Advantage |
$334.01
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Hospital Charge Code |
25075
|
| Min. Negotiated Rate |
$305.49 |
| Max. Negotiated Rate |
$763.75 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: BCBS Complete |
$470.00
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health Medicare |
$308.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Exchange |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
IP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$763.75 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: BCBS Trust/PPO |
$959.15
|
| Rate for Payer: BCN Commercial |
$908.04
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: Nomi Health Commercial |
$963.50
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,022.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.00
|
| Rate for Payer: UHC Core |
$981.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Min. Negotiated Rate |
$305.49 |
| Max. Negotiated Rate |
$763.75 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: BCBS Complete |
$470.00
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health Medicare |
$308.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Exchange |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
OP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$279.06 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna Medicare |
$305.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$367.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$367.19
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$293.75
|
| Rate for Payer: BCBS Trust/PPO |
$965.97
|
| Rate for Payer: BCN Commercial |
$913.56
|
| Rate for Payer: BCN Medicare Advantage |
$293.75
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.75
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$308.44
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$337.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: Nomi Health Commercial |
$963.50
|
| Rate for Payer: PACE Senior Care Partners |
$279.06
|
| Rate for Payer: PACE SWMI |
$293.75
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: PHP Medicare Advantage |
$293.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,022.25
|
| Rate for Payer: Priority Health Medicare |
$296.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.25
|
| Rate for Payer: Railroad Medicare Medicare |
$293.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.00
|
| Rate for Payer: UHC Core |
$981.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$293.75
|
| Rate for Payer: UHC Exchange |
$293.75
|
| Rate for Payer: UHC Medicare Advantage |
$293.75
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$293.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27634
|
| Min. Negotiated Rate |
$647.12 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$867.14
|
| Rate for Payer: Aetna Medicare |
$673.00
|
| Rate for Payer: BCBS Complete |
$954.00
|
| Rate for Payer: BCBS MAPPO |
$647.12
|
| Rate for Payer: BCN Medicare Advantage |
$647.12
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$931.85
|
| Rate for Payer: Cofinity Commercial |
$867.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.48
|
| Rate for Payer: Nomi Health Commercial |
$776.54
|
| Rate for Payer: PACE SWMI |
$647.12
|
| Rate for Payer: PHP Medicare Advantage |
$647.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health Medicare |
$653.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.12
|
| Rate for Payer: UHC Exchange |
$647.12
|
| Rate for Payer: UHC Medicare Advantage |
$647.12
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 27619
|
| Min. Negotiated Rate |
$449.64 |
| Max. Negotiated Rate |
$810.55 |
| Rate for Payer: Aetna Commercial |
$602.52
|
| Rate for Payer: Aetna Medicare |
$467.63
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: BCBS MAPPO |
$449.64
|
| Rate for Payer: BCN Medicare Advantage |
$449.64
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$647.48
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$472.12
|
| Rate for Payer: Nomi Health Commercial |
$539.57
|
| Rate for Payer: PACE SWMI |
$449.64
|
| Rate for Payer: PHP Medicare Advantage |
$449.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health Medicare |
$454.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.64
|
| Rate for Payer: UHC Exchange |
$449.64
|
| Rate for Payer: UHC Medicare Advantage |
$449.64
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$294.33 |
| Max. Negotiated Rate |
$704.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: BCBS Complete |
$433.60
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health Medicare |
$297.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Exchange |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
OP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$257.45 |
| Max. Negotiated Rate |
$1,230.09 |
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna Medicare |
$281.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$338.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$338.75
|
| Rate for Payer: BCBS Complete |
$1,230.09
|
| Rate for Payer: BCBS MAPPO |
$271.00
|
| Rate for Payer: BCBS Trust/PPO |
$891.16
|
| Rate for Payer: BCN Commercial |
$842.81
|
| Rate for Payer: BCN Medicare Advantage |
$271.00
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.00
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Mclaren Medicaid |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$284.55
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$311.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: Nomi Health Commercial |
$888.88
|
| Rate for Payer: PACE Senior Care Partners |
$257.45
|
| Rate for Payer: PACE SWMI |
$271.00
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: PHP Medicare Advantage |
$271.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$943.08
|
| Rate for Payer: Priority Health Medicare |
$273.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$726.28
|
| Rate for Payer: Railroad Medicare Medicare |
$271.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.92
|
| Rate for Payer: UHC Core |
$905.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.00
|
| Rate for Payer: UHC Exchange |
$271.00
|
| Rate for Payer: UHC Medicare Advantage |
$271.00
|
| Rate for Payer: UHCCP Medicaid |
$1,171.43
|
| Rate for Payer: VA VA |
$271.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
IP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$704.60 |
| Max. Negotiated Rate |
$975.60 |
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: BCBS Trust/PPO |
$884.87
|
| Rate for Payer: BCN Commercial |
$837.72
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: Nomi Health Commercial |
$888.88
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$943.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$726.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.92
|
| Rate for Payer: UHC Core |
$905.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Min. Negotiated Rate |
$294.33 |
| Max. Negotiated Rate |
$704.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: BCBS Complete |
$433.60
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health Medicare |
$297.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$294.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Exchange |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
|
