|
PR RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER
|
Professional
|
Both
|
$480.00
|
|
|
Service Code
|
HCPCS 33284
|
| Min. Negotiated Rate |
$192.00 |
| Max. Negotiated Rate |
$336.00 |
| Rate for Payer: BCBS Complete |
$192.00
|
| Rate for Payer: Cash Price |
$384.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$336.00
|
|
|
PR RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 33262
|
| Min. Negotiated Rate |
$234.09 |
| Max. Negotiated Rate |
$5,175.23 |
| Rate for Payer: Aetna Commercial |
$489.84
|
| Rate for Payer: Aetna Medicare |
$380.17
|
| Rate for Payer: BCBS Complete |
$245.79
|
| Rate for Payer: BCBS MAPPO |
$365.55
|
| Rate for Payer: BCBS Trust/PPO |
$5,175.23
|
| Rate for Payer: BCN Commercial |
$539.50
|
| Rate for Payer: BCN Medicare Advantage |
$365.55
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$489.84
|
| Rate for Payer: Cofinity Commercial |
$526.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$365.55
|
| Rate for Payer: Mclaren Medicaid |
$234.09
|
| Rate for Payer: Meridian Medicaid |
$245.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$383.83
|
| Rate for Payer: PACE SWMI |
$365.55
|
| Rate for Payer: PHP Medicare Advantage |
$365.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.27
|
| Rate for Payer: Priority Health Medicare |
$365.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$587.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$365.55
|
| Rate for Payer: UHC Medicare Advantage |
$376.52
|
|
|
PR RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
|
Professional
|
Both
|
$772.00
|
|
|
Service Code
|
HCPCS 33263
|
| Min. Negotiated Rate |
$243.25 |
| Max. Negotiated Rate |
$6,021.04 |
| Rate for Payer: Aetna Commercial |
$508.68
|
| Rate for Payer: Aetna Medicare |
$394.79
|
| Rate for Payer: BCBS Complete |
$255.41
|
| Rate for Payer: BCBS MAPPO |
$379.61
|
| Rate for Payer: BCBS Trust/PPO |
$6,021.04
|
| Rate for Payer: BCN Commercial |
$560.02
|
| Rate for Payer: BCN Medicare Advantage |
$379.61
|
| Rate for Payer: Cash Price |
$617.60
|
| Rate for Payer: Cash Price |
$617.60
|
| Rate for Payer: Cofinity Commercial |
$508.68
|
| Rate for Payer: Cofinity Commercial |
$546.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.61
|
| Rate for Payer: Mclaren Medicaid |
$243.25
|
| Rate for Payer: Meridian Medicaid |
$255.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$398.59
|
| Rate for Payer: PACE SWMI |
$379.61
|
| Rate for Payer: PHP Medicare Advantage |
$379.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$243.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$540.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$609.63
|
| Rate for Payer: Priority Health Medicare |
$379.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$609.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.61
|
| Rate for Payer: UHC Medicare Advantage |
$391.00
|
|
|
PR RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 33264
|
| Min. Negotiated Rate |
$253.68 |
| Max. Negotiated Rate |
$2,214.63 |
| Rate for Payer: Aetna Commercial |
$530.41
|
| Rate for Payer: Aetna Medicare |
$411.66
|
| Rate for Payer: BCBS Complete |
$266.36
|
| Rate for Payer: BCBS MAPPO |
$395.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,214.63
|
| Rate for Payer: BCN Commercial |
$583.97
|
| Rate for Payer: BCN Medicare Advantage |
$395.83
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$570.00
|
| Rate for Payer: Cofinity Commercial |
$530.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.83
|
| Rate for Payer: Mclaren Medicaid |
$253.68
|
| Rate for Payer: Meridian Medicaid |
$266.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$415.62
|
| Rate for Payer: PACE SWMI |
$395.83
|
| Rate for Payer: PHP Medicare Advantage |
$395.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.69
|
| Rate for Payer: Priority Health Medicare |
$395.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$635.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.83
|
| Rate for Payer: UHC Medicare Advantage |
$407.70
|
|
|
PR RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH
|
Professional
|
Both
|
$1,365.00
|
|
|
Service Code
|
HCPCS 54406
|
| Min. Negotiated Rate |
$466.04 |
| Max. Negotiated Rate |
$1,959.10 |
| Rate for Payer: Aetna Commercial |
$957.18
|
| Rate for Payer: Aetna Medicare |
$742.88
|
| Rate for Payer: BCBS Complete |
$489.34
|
| Rate for Payer: BCBS MAPPO |
$714.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.10
|
| Rate for Payer: BCN Commercial |
$1,055.55
|
| Rate for Payer: BCN Medicare Advantage |
$714.31
|
| Rate for Payer: Cash Price |
$1,092.00
|
| Rate for Payer: Cash Price |
$1,092.00
|
| Rate for Payer: Cofinity Commercial |
$957.18
|
| Rate for Payer: Cofinity Commercial |
$1,028.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.31
|
| Rate for Payer: Mclaren Medicaid |
$466.04
|
| Rate for Payer: Meridian Medicaid |
$489.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$750.03
|
| Rate for Payer: PACE SWMI |
$714.31
|
| Rate for Payer: PHP Medicare Advantage |
$714.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$466.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$955.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,167.17
|
| Rate for Payer: Priority Health Medicare |
$714.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,167.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$714.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$714.31
|
| Rate for Payer: UHC Medicare Advantage |
$735.74
|
|
|
PR RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY
|
Professional
|
Both
|
$3,619.00
|
|
|
Service Code
|
HCPCS 32484
|
| Min. Negotiated Rate |
$524.07 |
| Max. Negotiated Rate |
$2,533.30 |
| Rate for Payer: Aetna Commercial |
$1,891.46
|
| Rate for Payer: Aetna Medicare |
$1,468.00
|
| Rate for Payer: BCBS Complete |
$946.93
|
| Rate for Payer: BCBS MAPPO |
$1,411.54
|
| Rate for Payer: BCBS Trust/PPO |
$524.07
|
| Rate for Payer: BCN Commercial |
$2,059.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,411.54
|
| Rate for Payer: Cash Price |
$2,895.20
|
| Rate for Payer: Cash Price |
$2,895.20
|
| Rate for Payer: Cofinity Commercial |
$2,032.62
|
| Rate for Payer: Cofinity Commercial |
$1,891.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,411.54
|
| Rate for Payer: Mclaren Medicaid |
$901.84
|
| Rate for Payer: Meridian Medicaid |
$946.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,482.12
|
| Rate for Payer: PACE SWMI |
$1,411.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,411.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$901.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,533.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,951.74
|
| Rate for Payer: Priority Health Medicare |
$1,411.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,951.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,411.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,411.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,453.89
|
|
|
PR RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC
|
Professional
|
Both
|
$5,257.00
|
|
|
Service Code
|
HCPCS 32482
|
| Min. Negotiated Rate |
$550.49 |
| Max. Negotiated Rate |
$3,679.90 |
| Rate for Payer: Aetna Commercial |
$2,084.42
|
| Rate for Payer: Aetna Medicare |
$1,617.76
|
| Rate for Payer: BCBS Complete |
$1,045.57
|
| Rate for Payer: BCBS MAPPO |
$1,555.54
|
| Rate for Payer: BCBS Trust/PPO |
$550.49
|
| Rate for Payer: BCN Commercial |
$2,273.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,555.54
|
| Rate for Payer: Cash Price |
$4,205.60
|
| Rate for Payer: Cash Price |
$4,205.60
|
| Rate for Payer: Cofinity Commercial |
$2,239.98
|
| Rate for Payer: Cofinity Commercial |
$2,084.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,555.54
|
| Rate for Payer: Mclaren Medicaid |
$995.78
|
| Rate for Payer: Meridian Medicaid |
$1,045.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,633.32
|
| Rate for Payer: PACE SWMI |
$1,555.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,555.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$995.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,679.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,154.55
|
| Rate for Payer: Priority Health Medicare |
$1,555.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,154.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,555.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,555.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,602.21
|
|
|
PR RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT
|
Professional
|
Both
|
$4,673.00
|
|
|
Service Code
|
HCPCS 32480
|
| Min. Negotiated Rate |
$546.26 |
| Max. Negotiated Rate |
$3,271.10 |
| Rate for Payer: Aetna Commercial |
$1,951.19
|
| Rate for Payer: Aetna Medicare |
$1,514.35
|
| Rate for Payer: BCBS Complete |
$978.24
|
| Rate for Payer: BCBS MAPPO |
$1,456.11
|
| Rate for Payer: BCBS Trust/PPO |
$546.26
|
| Rate for Payer: BCN Commercial |
$2,127.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,456.11
|
| Rate for Payer: Cash Price |
$3,738.40
|
| Rate for Payer: Cash Price |
$3,738.40
|
| Rate for Payer: Cofinity Commercial |
$2,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,951.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,456.11
|
| Rate for Payer: Mclaren Medicaid |
$931.66
|
| Rate for Payer: Meridian Medicaid |
$978.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,528.92
|
| Rate for Payer: PACE SWMI |
$1,456.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,456.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,016.10
|
| Rate for Payer: Priority Health Medicare |
$1,456.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,016.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,456.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,456.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,499.79
|
|
|
PR RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC
|
Professional
|
Both
|
$4,395.00
|
|
|
Service Code
|
HCPCS 32488
|
| Min. Negotiated Rate |
$873.28 |
| Max. Negotiated Rate |
$3,431.00 |
| Rate for Payer: Aetna Commercial |
$3,155.70
|
| Rate for Payer: Aetna Medicare |
$2,449.20
|
| Rate for Payer: BCBS Complete |
$1,577.18
|
| Rate for Payer: BCBS MAPPO |
$2,355.00
|
| Rate for Payer: BCBS Trust/PPO |
$873.28
|
| Rate for Payer: BCN Commercial |
$3,431.00
|
| Rate for Payer: BCN Medicare Advantage |
$2,355.00
|
| Rate for Payer: Cash Price |
$3,516.00
|
| Rate for Payer: Cash Price |
$3,516.00
|
| Rate for Payer: Cofinity Commercial |
$3,391.20
|
| Rate for Payer: Cofinity Commercial |
$3,155.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,355.00
|
| Rate for Payer: Mclaren Medicaid |
$1,502.08
|
| Rate for Payer: Meridian Medicaid |
$1,577.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,472.75
|
| Rate for Payer: PACE SWMI |
$2,355.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,355.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,502.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,076.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,251.04
|
| Rate for Payer: Priority Health Medicare |
$2,355.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,251.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,355.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,355.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,425.65
|
|
|
PR RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY
|
Professional
|
Both
|
$4,349.00
|
|
|
Service Code
|
HCPCS 32486
|
| Min. Negotiated Rate |
$663.54 |
| Max. Negotiated Rate |
$3,356.72 |
| Rate for Payer: Aetna Commercial |
$3,092.22
|
| Rate for Payer: Aetna Medicare |
$2,399.94
|
| Rate for Payer: BCBS Complete |
$1,541.84
|
| Rate for Payer: BCBS MAPPO |
$2,307.63
|
| Rate for Payer: BCBS Trust/PPO |
$663.54
|
| Rate for Payer: BCN Commercial |
$3,356.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,307.63
|
| Rate for Payer: Cash Price |
$3,479.20
|
| Rate for Payer: Cash Price |
$3,479.20
|
| Rate for Payer: Cofinity Commercial |
$3,322.99
|
| Rate for Payer: Cofinity Commercial |
$3,092.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,307.63
|
| Rate for Payer: Mclaren Medicaid |
$1,468.42
|
| Rate for Payer: Meridian Medicaid |
$1,541.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,423.01
|
| Rate for Payer: PACE SWMI |
$2,307.63
|
| Rate for Payer: PHP Medicare Advantage |
$2,307.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,044.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,180.65
|
| Rate for Payer: Priority Health Medicare |
$2,307.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,180.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,307.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,307.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,376.86
|
|
|
PR RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF
|
Professional
|
Both
|
$339.00
|
|
|
Service Code
|
HCPCS 32552
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$887.54 |
| Rate for Payer: Aetna Commercial |
$204.87
|
| Rate for Payer: Aetna Medicare |
$159.01
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$152.89
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$265.85
|
| Rate for Payer: BCN Medicare Advantage |
$152.89
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Cofinity Commercial |
$204.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.89
|
| Rate for Payer: Mclaren Medicaid |
$99.26
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.53
|
| Rate for Payer: PACE SWMI |
$152.89
|
| Rate for Payer: PHP Medicare Advantage |
$152.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.86
|
| Rate for Payer: Priority Health Medicare |
$152.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.89
|
| Rate for Payer: UHC Medicare Advantage |
$157.48
|
|
|
PR RMVL NFROS TUBE REQ FLUORO GUIDANCE
|
Professional
|
Both
|
$296.00
|
|
|
Service Code
|
HCPCS 50389
|
| Min. Negotiated Rate |
$33.23 |
| Max. Negotiated Rate |
$3,593.50 |
| Rate for Payer: Aetna Commercial |
$69.80
|
| Rate for Payer: Aetna Medicare |
$54.17
|
| Rate for Payer: BCBS Complete |
$34.89
|
| Rate for Payer: BCBS MAPPO |
$52.09
|
| Rate for Payer: BCBS Trust/PPO |
$3,593.50
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$52.09
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cofinity Commercial |
$75.01
|
| Rate for Payer: Cofinity Commercial |
$69.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.09
|
| Rate for Payer: Mclaren Medicaid |
$33.23
|
| Rate for Payer: Meridian Medicaid |
$34.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$54.69
|
| Rate for Payer: PACE SWMI |
$52.09
|
| Rate for Payer: PHP Medicare Advantage |
$52.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.29
|
| Rate for Payer: Priority Health Medicare |
$52.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.09
|
| Rate for Payer: UHC Medicare Advantage |
$53.65
|
|
|
PR RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 49623
|
| Min. Negotiated Rate |
$125.24 |
| Max. Negotiated Rate |
$3,514.78 |
| Rate for Payer: Aetna Commercial |
$264.32
|
| Rate for Payer: Aetna Medicare |
$205.14
|
| Rate for Payer: BCBS Complete |
$131.50
|
| Rate for Payer: BCBS MAPPO |
$197.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,514.78
|
| Rate for Payer: BCN Commercial |
$287.34
|
| Rate for Payer: BCN Medicare Advantage |
$197.25
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$284.04
|
| Rate for Payer: Cofinity Commercial |
$264.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.25
|
| Rate for Payer: Mclaren Medicaid |
$125.24
|
| Rate for Payer: Meridian Medicaid |
$131.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$207.11
|
| Rate for Payer: PACE SWMI |
$197.25
|
| Rate for Payer: PHP Medicare Advantage |
$197.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.73
|
| Rate for Payer: Priority Health Medicare |
$197.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$345.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.25
|
| Rate for Payer: UHC Medicare Advantage |
$203.17
|
|
|
PR RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT
|
Professional
|
Both
|
$1,063.00
|
|
|
Service Code
|
HCPCS 54415
|
| Min. Negotiated Rate |
$340.80 |
| Max. Negotiated Rate |
$1,959.10 |
| Rate for Payer: Aetna Commercial |
$694.54
|
| Rate for Payer: Aetna Medicare |
$539.04
|
| Rate for Payer: BCBS Complete |
$357.84
|
| Rate for Payer: BCBS MAPPO |
$518.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.10
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$518.31
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$694.54
|
| Rate for Payer: Cofinity Commercial |
$746.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$518.31
|
| Rate for Payer: Mclaren Medicaid |
$340.80
|
| Rate for Payer: Meridian Medicaid |
$357.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$544.23
|
| Rate for Payer: PACE SWMI |
$518.31
|
| Rate for Payer: PHP Medicare Advantage |
$518.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$340.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.99
|
| Rate for Payer: Priority Health Medicare |
$518.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$849.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$518.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$518.31
|
| Rate for Payer: UHC Medicare Advantage |
$533.86
|
|
|
PR RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE
|
Professional
|
Both
|
$706.00
|
|
|
Service Code
|
HCPCS 33272
|
| Min. Negotiated Rate |
$218.54 |
| Max. Negotiated Rate |
$2,196.14 |
| Rate for Payer: Aetna Commercial |
$455.40
|
| Rate for Payer: Aetna Medicare |
$353.44
|
| Rate for Payer: BCBS Complete |
$229.47
|
| Rate for Payer: BCBS MAPPO |
$339.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,196.14
|
| Rate for Payer: BCN Commercial |
$501.39
|
| Rate for Payer: BCN Medicare Advantage |
$339.85
|
| Rate for Payer: Cash Price |
$564.80
|
| Rate for Payer: Cash Price |
$564.80
|
| Rate for Payer: Cofinity Commercial |
$489.38
|
| Rate for Payer: Cofinity Commercial |
$455.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.85
|
| Rate for Payer: Mclaren Medicaid |
$218.54
|
| Rate for Payer: Meridian Medicaid |
$229.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$356.84
|
| Rate for Payer: PACE SWMI |
$339.85
|
| Rate for Payer: PHP Medicare Advantage |
$339.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$545.78
|
| Rate for Payer: Priority Health Medicare |
$339.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$545.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.85
|
| Rate for Payer: UHC Medicare Advantage |
$350.05
|
|
|
PR RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH
|
Professional
|
Both
|
$2,251.00
|
|
|
Service Code
|
HCPCS 62355
|
| Min. Negotiated Rate |
$178.49 |
| Max. Negotiated Rate |
$1,575.70 |
| Rate for Payer: Aetna Commercial |
$362.19
|
| Rate for Payer: Aetna Medicare |
$281.10
|
| Rate for Payer: BCBS Complete |
$187.41
|
| Rate for Payer: BCBS MAPPO |
$270.29
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$403.65
|
| Rate for Payer: BCN Medicare Advantage |
$270.29
|
| Rate for Payer: Cash Price |
$1,800.80
|
| Rate for Payer: Cash Price |
$1,800.80
|
| Rate for Payer: Cofinity Commercial |
$362.19
|
| Rate for Payer: Cofinity Commercial |
$389.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$270.29
|
| Rate for Payer: Mclaren Medicaid |
$178.49
|
| Rate for Payer: Meridian Medicaid |
$187.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$283.80
|
| Rate for Payer: PACE SWMI |
$270.29
|
| Rate for Payer: PHP Medicare Advantage |
$270.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,575.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$467.70
|
| Rate for Payer: Priority Health Medicare |
$270.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$467.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$270.29
|
| Rate for Payer: UHC Medicare Advantage |
$278.40
|
|
|
PR RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY
|
Professional
|
Both
|
$2,588.00
|
|
|
Service Code
|
HCPCS 33237
|
| Min. Negotiated Rate |
$530.16 |
| Max. Negotiated Rate |
$1,811.60 |
| Rate for Payer: Aetna Commercial |
$1,104.74
|
| Rate for Payer: Aetna Medicare |
$857.41
|
| Rate for Payer: BCBS Complete |
$556.67
|
| Rate for Payer: BCBS MAPPO |
$824.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,126.34
|
| Rate for Payer: BCN Commercial |
$1,211.44
|
| Rate for Payer: BCN Medicare Advantage |
$824.43
|
| Rate for Payer: Cash Price |
$2,070.40
|
| Rate for Payer: Cash Price |
$2,070.40
|
| Rate for Payer: Cofinity Commercial |
$1,187.18
|
| Rate for Payer: Cofinity Commercial |
$1,104.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$824.43
|
| Rate for Payer: Mclaren Medicaid |
$530.16
|
| Rate for Payer: Meridian Medicaid |
$556.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$865.65
|
| Rate for Payer: PACE SWMI |
$824.43
|
| Rate for Payer: PHP Medicare Advantage |
$824.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$530.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,811.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,318.72
|
| Rate for Payer: Priority Health Medicare |
$824.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,318.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$824.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$824.43
|
| Rate for Payer: UHC Medicare Advantage |
$849.16
|
|
|
PR RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER
|
Professional
|
Both
|
$3,301.00
|
|
|
Service Code
|
HCPCS 27488
|
| Min. Negotiated Rate |
$771.27 |
| Max. Negotiated Rate |
$2,310.70 |
| Rate for Payer: Aetna Commercial |
$1,584.24
|
| Rate for Payer: Aetna Medicare |
$1,229.56
|
| Rate for Payer: BCBS Complete |
$809.83
|
| Rate for Payer: BCBS MAPPO |
$1,182.27
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$1,756.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,182.27
|
| Rate for Payer: Cash Price |
$2,640.80
|
| Rate for Payer: Cash Price |
$2,640.80
|
| Rate for Payer: Cofinity Commercial |
$1,584.24
|
| Rate for Payer: Cofinity Commercial |
$1,702.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,182.27
|
| Rate for Payer: Mclaren Medicaid |
$771.27
|
| Rate for Payer: Meridian Medicaid |
$809.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,241.38
|
| Rate for Payer: PACE SWMI |
$1,182.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,182.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$771.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,310.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,835.28
|
| Rate for Payer: Priority Health Medicare |
$1,182.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,835.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,182.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,217.74
|
|
|
PR RMVL/REVJ SLING MALE URINARY INCONTINENCE
|
Professional
|
Both
|
$1,556.00
|
|
|
Service Code
|
HCPCS 53442
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$1,276.37 |
| Rate for Payer: Aetna Commercial |
$1,026.64
|
| Rate for Payer: Aetna Medicare |
$796.80
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$766.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,276.37
|
| Rate for Payer: BCN Commercial |
$1,134.22
|
| Rate for Payer: BCN Medicare Advantage |
$766.15
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cofinity Commercial |
$1,103.26
|
| Rate for Payer: Cofinity Commercial |
$1,026.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.15
|
| Rate for Payer: Mclaren Medicaid |
$501.19
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$804.46
|
| Rate for Payer: PACE SWMI |
$766.15
|
| Rate for Payer: PHP Medicare Advantage |
$766.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.17
|
| Rate for Payer: Priority Health Medicare |
$766.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,254.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.15
|
| Rate for Payer: UHC Medicare Advantage |
$789.13
|
|
|
PR RMVL/REVJ SLING STRESS INCONTINENCE
|
Professional
|
Both
|
$1,210.00
|
|
|
Service Code
|
HCPCS 57287
|
| Min. Negotiated Rate |
$477.33 |
| Max. Negotiated Rate |
$2,457.12 |
| Rate for Payer: Aetna Commercial |
$978.12
|
| Rate for Payer: Aetna Medicare |
$759.14
|
| Rate for Payer: BCBS Complete |
$501.20
|
| Rate for Payer: BCBS MAPPO |
$729.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,457.12
|
| Rate for Payer: BCN Commercial |
$1,509.08
|
| Rate for Payer: BCN Medicare Advantage |
$729.94
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cofinity Commercial |
$978.12
|
| Rate for Payer: Cofinity Commercial |
$1,051.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.94
|
| Rate for Payer: Mclaren Medicaid |
$477.33
|
| Rate for Payer: Meridian Medicaid |
$501.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$766.44
|
| Rate for Payer: PACE SWMI |
$729.94
|
| Rate for Payer: PHP Medicare Advantage |
$729.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$847.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,053.84
|
| Rate for Payer: Priority Health Medicare |
$729.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,053.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$729.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$729.94
|
| Rate for Payer: UHC Medicare Advantage |
$751.84
|
|
|
PR RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 54410
|
| Min. Negotiated Rate |
$549.75 |
| Max. Negotiated Rate |
$2,612.13 |
| Rate for Payer: Aetna Commercial |
$1,128.47
|
| Rate for Payer: Aetna Medicare |
$875.83
|
| Rate for Payer: BCBS Complete |
$577.24
|
| Rate for Payer: BCBS MAPPO |
$842.14
|
| Rate for Payer: BCBS Trust/PPO |
$2,612.13
|
| Rate for Payer: BCN Commercial |
$1,244.66
|
| Rate for Payer: BCN Medicare Advantage |
$842.14
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.47
|
| Rate for Payer: Cofinity Commercial |
$1,212.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$842.14
|
| Rate for Payer: Mclaren Medicaid |
$549.75
|
| Rate for Payer: Meridian Medicaid |
$577.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$884.25
|
| Rate for Payer: PACE SWMI |
$842.14
|
| Rate for Payer: PHP Medicare Advantage |
$842.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,148.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.30
|
| Rate for Payer: Priority Health Medicare |
$842.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,376.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$842.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$842.14
|
| Rate for Payer: UHC Medicare Advantage |
$867.40
|
|
|
PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ
|
Professional
|
Both
|
$2,108.00
|
|
|
Service Code
|
HCPCS 50382
|
| Min. Negotiated Rate |
$155.92 |
| Max. Negotiated Rate |
$4,259.15 |
| Rate for Payer: Aetna Commercial |
$329.80
|
| Rate for Payer: Aetna Medicare |
$255.96
|
| Rate for Payer: BCBS Complete |
$163.72
|
| Rate for Payer: BCBS MAPPO |
$246.12
|
| Rate for Payer: BCBS Trust/PPO |
$4,259.15
|
| Rate for Payer: BCN Commercial |
$1,487.05
|
| Rate for Payer: BCN Medicare Advantage |
$246.12
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cofinity Commercial |
$354.41
|
| Rate for Payer: Cofinity Commercial |
$329.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.12
|
| Rate for Payer: Mclaren Medicaid |
$155.92
|
| Rate for Payer: Meridian Medicaid |
$163.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$258.43
|
| Rate for Payer: PACE SWMI |
$246.12
|
| Rate for Payer: PHP Medicare Advantage |
$246.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$155.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$397.70
|
| Rate for Payer: Priority Health Medicare |
$246.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$397.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.12
|
| Rate for Payer: UHC Medicare Advantage |
$253.50
|
|
|
PR RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD
|
Professional
|
Both
|
$2,600.00
|
|
|
Service Code
|
HCPCS 53448
|
| Min. Negotiated Rate |
$807.77 |
| Max. Negotiated Rate |
$2,027.97 |
| Rate for Payer: Aetna Commercial |
$1,668.15
|
| Rate for Payer: Aetna Medicare |
$1,294.69
|
| Rate for Payer: BCBS Complete |
$848.31
|
| Rate for Payer: BCBS MAPPO |
$1,244.89
|
| Rate for Payer: BCBS Trust/PPO |
$807.77
|
| Rate for Payer: BCN Commercial |
$1,834.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,244.89
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,792.64
|
| Rate for Payer: Cofinity Commercial |
$1,668.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,244.89
|
| Rate for Payer: Mclaren Medicaid |
$807.91
|
| Rate for Payer: Meridian Medicaid |
$848.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,307.13
|
| Rate for Payer: PACE SWMI |
$1,244.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,244.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$807.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,027.97
|
| Rate for Payer: Priority Health Medicare |
$1,244.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,027.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,244.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,244.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.24
|
|
|
PR RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL
|
Professional
|
Both
|
$2,089.00
|
|
|
Service Code
|
HCPCS 54411
|
| Min. Negotiated Rate |
$653.91 |
| Max. Negotiated Rate |
$3,265.16 |
| Rate for Payer: Aetna Commercial |
$1,347.61
|
| Rate for Payer: Aetna Medicare |
$1,045.91
|
| Rate for Payer: BCBS Complete |
$686.61
|
| Rate for Payer: BCBS MAPPO |
$1,005.68
|
| Rate for Payer: BCBS Trust/PPO |
$3,265.16
|
| Rate for Payer: BCN Commercial |
$1,484.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,005.68
|
| Rate for Payer: Cash Price |
$1,671.20
|
| Rate for Payer: Cash Price |
$1,671.20
|
| Rate for Payer: Cofinity Commercial |
$1,347.61
|
| Rate for Payer: Cofinity Commercial |
$1,448.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,005.68
|
| Rate for Payer: Mclaren Medicaid |
$653.91
|
| Rate for Payer: Meridian Medicaid |
$686.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,055.96
|
| Rate for Payer: PACE SWMI |
$1,005.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,005.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,462.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,641.60
|
| Rate for Payer: Priority Health Medicare |
$1,005.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,005.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,005.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,035.85
|
|
|
PR RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC
|
Professional
|
Both
|
$2,466.00
|
|
|
Service Code
|
HCPCS 53447
|
| Min. Negotiated Rate |
$512.90 |
| Max. Negotiated Rate |
$1,726.20 |
| Rate for Payer: Aetna Commercial |
$1,054.50
|
| Rate for Payer: Aetna Medicare |
$818.42
|
| Rate for Payer: BCBS Complete |
$538.54
|
| Rate for Payer: BCBS MAPPO |
$786.94
|
| Rate for Payer: BCBS Trust/PPO |
$790.34
|
| Rate for Payer: BCN Commercial |
$1,162.57
|
| Rate for Payer: BCN Medicare Advantage |
$786.94
|
| Rate for Payer: Cash Price |
$1,972.80
|
| Rate for Payer: Cash Price |
$1,972.80
|
| Rate for Payer: Cofinity Commercial |
$1,054.50
|
| Rate for Payer: Cofinity Commercial |
$1,133.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$786.94
|
| Rate for Payer: Mclaren Medicaid |
$512.90
|
| Rate for Payer: Meridian Medicaid |
$538.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$826.29
|
| Rate for Payer: PACE SWMI |
$786.94
|
| Rate for Payer: PHP Medicare Advantage |
$786.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,726.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,285.52
|
| Rate for Payer: Priority Health Medicare |
$786.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,285.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$786.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$786.94
|
| Rate for Payer: UHC Medicare Advantage |
$810.55
|
|
