|
PR EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR
|
Professional
|
Both
|
$5,537.00
|
|
|
Service Code
|
HCPCS 51500
|
| Min. Negotiated Rate |
$409.81 |
| Max. Negotiated Rate |
$3,599.05 |
| Rate for Payer: Aetna Commercial |
$817.68
|
| Rate for Payer: Aetna Medicare |
$634.62
|
| Rate for Payer: BCBS Complete |
$430.30
|
| Rate for Payer: BCBS MAPPO |
$610.21
|
| Rate for Payer: BCBS Trust/PPO |
$3,025.57
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$610.21
|
| Rate for Payer: Cash Price |
$4,429.60
|
| Rate for Payer: Cash Price |
$4,429.60
|
| Rate for Payer: Cofinity Commercial |
$878.70
|
| Rate for Payer: Cofinity Commercial |
$817.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.21
|
| Rate for Payer: Mclaren Medicaid |
$409.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.72
|
| Rate for Payer: Meridian Medicaid |
$430.30
|
| Rate for Payer: Nomi Health Commercial |
$732.25
|
| Rate for Payer: PACE SWMI |
$610.21
|
| Rate for Payer: PHP Medicare Advantage |
$610.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,599.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,016.74
|
| Rate for Payer: Priority Health Medicare |
$616.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$610.21
|
| Rate for Payer: UHC Exchange |
$610.21
|
| Rate for Payer: UHC Medicare Advantage |
$610.21
|
| Rate for Payer: UHCCP Medicaid |
$409.81
|
|
|
PR EXC URETHRAL DIVERTICULUM SPX FEMALE
|
Professional
|
Both
|
$1,149.00
|
|
|
Service Code
|
HCPCS 53230
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$974.66 |
| Rate for Payer: Aetna Commercial |
$782.95
|
| Rate for Payer: Aetna Medicare |
$607.66
|
| Rate for Payer: BCBS Complete |
$411.52
|
| Rate for Payer: BCBS MAPPO |
$584.29
|
| Rate for Payer: BCBS Trust/PPO |
$52.30
|
| Rate for Payer: BCN Commercial |
$882.06
|
| Rate for Payer: BCN Medicare Advantage |
$584.29
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cofinity Commercial |
$841.38
|
| Rate for Payer: Cofinity Commercial |
$782.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.29
|
| Rate for Payer: Mclaren Medicaid |
$391.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$613.50
|
| Rate for Payer: Meridian Medicaid |
$411.52
|
| Rate for Payer: Nomi Health Commercial |
$701.15
|
| Rate for Payer: PACE SWMI |
$584.29
|
| Rate for Payer: PHP Medicare Advantage |
$584.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$746.85
|
| Rate for Payer: Priority Health HMO/PPO |
$974.66
|
| Rate for Payer: Priority Health Medicare |
$590.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$974.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$584.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$584.29
|
| Rate for Payer: UHC Exchange |
$584.29
|
| Rate for Payer: UHC Medicare Advantage |
$584.29
|
| Rate for Payer: UHCCP Medicaid |
$391.92
|
|
|
PR EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL
|
Professional
|
Both
|
$2,143.00
|
|
|
Service Code
|
HCPCS 55535
|
| Min. Negotiated Rate |
$277.54 |
| Max. Negotiated Rate |
$1,511.99 |
| Rate for Payer: Aetna Commercial |
$552.01
|
| Rate for Payer: Aetna Medicare |
$428.43
|
| Rate for Payer: BCBS Complete |
$291.42
|
| Rate for Payer: BCBS MAPPO |
$411.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,511.99
|
| Rate for Payer: BCN Commercial |
$623.55
|
| Rate for Payer: BCN Medicare Advantage |
$411.95
|
| Rate for Payer: Cash Price |
$1,714.40
|
| Rate for Payer: Cash Price |
$1,714.40
|
| Rate for Payer: Cofinity Commercial |
$593.21
|
| Rate for Payer: Cofinity Commercial |
$552.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.95
|
| Rate for Payer: Mclaren Medicaid |
$277.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$432.55
|
| Rate for Payer: Meridian Medicaid |
$291.42
|
| Rate for Payer: Nomi Health Commercial |
$494.34
|
| Rate for Payer: PACE SWMI |
$411.95
|
| Rate for Payer: PHP Medicare Advantage |
$411.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.95
|
| Rate for Payer: Priority Health HMO/PPO |
$689.71
|
| Rate for Payer: Priority Health Medicare |
$416.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$689.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.95
|
| Rate for Payer: UHC Exchange |
$411.95
|
| Rate for Payer: UHC Medicare Advantage |
$411.95
|
| Rate for Payer: UHCCP Medicaid |
$277.54
|
|
|
PR EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX
|
Professional
|
Both
|
$655.00
|
|
|
Service Code
|
HCPCS 55530
|
| Min. Negotiated Rate |
$227.48 |
| Max. Negotiated Rate |
$1,577.50 |
| Rate for Payer: Aetna Commercial |
$451.97
|
| Rate for Payer: Aetna Medicare |
$350.78
|
| Rate for Payer: BCBS Complete |
$238.85
|
| Rate for Payer: BCBS MAPPO |
$337.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,577.50
|
| Rate for Payer: BCN Commercial |
$510.66
|
| Rate for Payer: BCN Medicare Advantage |
$337.29
|
| Rate for Payer: Cash Price |
$524.00
|
| Rate for Payer: Cash Price |
$524.00
|
| Rate for Payer: Cofinity Commercial |
$485.70
|
| Rate for Payer: Cofinity Commercial |
$451.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$337.29
|
| Rate for Payer: Mclaren Medicaid |
$227.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$354.15
|
| Rate for Payer: Meridian Medicaid |
$238.85
|
| Rate for Payer: Nomi Health Commercial |
$404.75
|
| Rate for Payer: PACE SWMI |
$337.29
|
| Rate for Payer: PHP Medicare Advantage |
$337.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$425.75
|
| Rate for Payer: Priority Health HMO/PPO |
$565.09
|
| Rate for Payer: Priority Health Medicare |
$340.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$337.29
|
| Rate for Payer: UHC Exchange |
$337.29
|
| Rate for Payer: UHC Medicare Advantage |
$337.29
|
| Rate for Payer: UHCCP Medicaid |
$227.48
|
|
|
PR EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR
|
Professional
|
Both
|
$792.00
|
|
|
Service Code
|
HCPCS 55540
|
| Min. Negotiated Rate |
$360.40 |
| Max. Negotiated Rate |
$1,332.37 |
| Rate for Payer: Aetna Commercial |
$724.32
|
| Rate for Payer: Aetna Medicare |
$562.16
|
| Rate for Payer: BCBS Complete |
$378.42
|
| Rate for Payer: BCBS MAPPO |
$540.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,332.37
|
| Rate for Payer: BCN Commercial |
$814.14
|
| Rate for Payer: BCN Medicare Advantage |
$540.54
|
| Rate for Payer: Cash Price |
$633.60
|
| Rate for Payer: Cash Price |
$633.60
|
| Rate for Payer: Cofinity Commercial |
$778.38
|
| Rate for Payer: Cofinity Commercial |
$724.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.54
|
| Rate for Payer: Mclaren Medicaid |
$360.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$567.57
|
| Rate for Payer: Meridian Medicaid |
$378.42
|
| Rate for Payer: Nomi Health Commercial |
$648.65
|
| Rate for Payer: PACE SWMI |
$540.54
|
| Rate for Payer: PHP Medicare Advantage |
$540.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.80
|
| Rate for Payer: Priority Health HMO/PPO |
$894.24
|
| Rate for Payer: Priority Health Medicare |
$545.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$894.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$540.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$540.54
|
| Rate for Payer: UHC Exchange |
$540.54
|
| Rate for Payer: UHC Medicare Advantage |
$540.54
|
| Rate for Payer: UHCCP Medicaid |
$360.40
|
|
|
PR EXC XTRPARENCHYMAL LESION TESTIS
|
Professional
|
Both
|
$1,112.00
|
|
|
Service Code
|
HCPCS 54512
|
| Min. Negotiated Rate |
$346.55 |
| Max. Negotiated Rate |
$1,954.18 |
| Rate for Payer: Aetna Commercial |
$691.49
|
| Rate for Payer: Aetna Medicare |
$536.68
|
| Rate for Payer: BCBS Complete |
$363.88
|
| Rate for Payer: BCBS MAPPO |
$516.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,954.18
|
| Rate for Payer: BCN Commercial |
$776.51
|
| Rate for Payer: BCN Medicare Advantage |
$516.04
|
| Rate for Payer: Cash Price |
$889.60
|
| Rate for Payer: Cash Price |
$889.60
|
| Rate for Payer: Cofinity Commercial |
$743.10
|
| Rate for Payer: Cofinity Commercial |
$691.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.04
|
| Rate for Payer: Mclaren Medicaid |
$346.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$541.84
|
| Rate for Payer: Meridian Medicaid |
$363.88
|
| Rate for Payer: Nomi Health Commercial |
$619.25
|
| Rate for Payer: PACE SWMI |
$516.04
|
| Rate for Payer: PHP Medicare Advantage |
$516.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$346.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$722.80
|
| Rate for Payer: Priority Health HMO/PPO |
$859.09
|
| Rate for Payer: Priority Health Medicare |
$521.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$859.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.04
|
| Rate for Payer: UHC Exchange |
$516.04
|
| Rate for Payer: UHC Medicare Advantage |
$516.04
|
| Rate for Payer: UHCCP Medicaid |
$346.55
|
|
|
PR EXERCISE EQUIPMENT
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS A9300
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.25 |
| Rate for Payer: Aetna Medicare |
$2.50
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.25
|
|
|
PR EXISION OF SUBLINGUAL GLAND
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 42450
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$696.86 |
| Rate for Payer: Aetna Commercial |
$464.42
|
| Rate for Payer: Aetna Medicare |
$360.44
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$346.58
|
| Rate for Payer: BCBS Trust/PPO |
$563.70
|
| Rate for Payer: BCN Commercial |
$696.86
|
| Rate for Payer: BCN Medicare Advantage |
$346.58
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$499.08
|
| Rate for Payer: Cofinity Commercial |
$464.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.58
|
| Rate for Payer: Mclaren Medicaid |
$236.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.91
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Nomi Health Commercial |
$415.90
|
| Rate for Payer: PACE SWMI |
$346.58
|
| Rate for Payer: PHP Medicare Advantage |
$346.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$498.55
|
| Rate for Payer: Priority Health HMO/PPO |
$659.24
|
| Rate for Payer: Priority Health Medicare |
$350.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$659.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$346.58
|
| Rate for Payer: UHC Exchange |
$346.58
|
| Rate for Payer: UHC Medicare Advantage |
$346.58
|
| Rate for Payer: UHCCP Medicaid |
$236.43
|
|
|
PR EXPL CONGENITAL ATRESIA BILE DUCTS
|
Professional
|
Both
|
$2,902.00
|
|
|
Service Code
|
HCPCS 47700
|
| Min. Negotiated Rate |
$678.34 |
| Max. Negotiated Rate |
$1,901.95 |
| Rate for Payer: Aetna Commercial |
$1,375.31
|
| Rate for Payer: Aetna Medicare |
$1,067.40
|
| Rate for Payer: BCBS Complete |
$715.90
|
| Rate for Payer: BCBS MAPPO |
$1,026.35
|
| Rate for Payer: BCBS Trust/PPO |
$678.34
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,026.35
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cofinity Commercial |
$1,477.94
|
| Rate for Payer: Cofinity Commercial |
$1,375.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,026.35
|
| Rate for Payer: Mclaren Medicaid |
$681.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,077.67
|
| Rate for Payer: Meridian Medicaid |
$715.90
|
| Rate for Payer: Nomi Health Commercial |
$1,231.62
|
| Rate for Payer: PACE SWMI |
$1,026.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,026.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$681.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,886.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,901.95
|
| Rate for Payer: Priority Health Medicare |
$1,036.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,901.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,026.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,026.35
|
| Rate for Payer: UHC Exchange |
$1,026.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,026.35
|
| Rate for Payer: UHCCP Medicaid |
$681.81
|
|
|
PR EXPLORATION EPIDIDYMIS W/WO BIOPSY
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 54865
|
| Min. Negotiated Rate |
$233.24 |
| Max. Negotiated Rate |
$1,488.22 |
| Rate for Payer: Aetna Commercial |
$462.70
|
| Rate for Payer: Aetna Medicare |
$359.11
|
| Rate for Payer: BCBS Complete |
$244.90
|
| Rate for Payer: BCBS MAPPO |
$345.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,488.22
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: BCN Medicare Advantage |
$345.30
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$497.23
|
| Rate for Payer: Cofinity Commercial |
$462.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.30
|
| Rate for Payer: Mclaren Medicaid |
$233.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.56
|
| Rate for Payer: Meridian Medicaid |
$244.90
|
| Rate for Payer: Nomi Health Commercial |
$414.36
|
| Rate for Payer: PACE SWMI |
$345.30
|
| Rate for Payer: PHP Medicare Advantage |
$345.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO |
$578.40
|
| Rate for Payer: Priority Health Medicare |
$348.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$578.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.30
|
| Rate for Payer: UHC Exchange |
$345.30
|
| Rate for Payer: UHC Medicare Advantage |
$345.30
|
| Rate for Payer: UHCCP Medicaid |
$233.24
|
|
|
PR EXPLORATION, FEMORAL ARTERY
|
Professional
|
Both
|
$1,563.00
|
|
|
Service Code
|
HCPCS 35721
|
| Min. Negotiated Rate |
$625.20 |
| Max. Negotiated Rate |
$1,015.95 |
| Rate for Payer: Aetna Medicare |
$781.50
|
| Rate for Payer: BCBS Complete |
$625.20
|
| Rate for Payer: Cash Price |
$1,250.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,015.95
|
|
|
PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY
|
Professional
|
Both
|
$871.00
|
|
|
Service Code
|
HCPCS 35703
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$2,000.67 |
| Rate for Payer: Aetna Commercial |
$537.21
|
| Rate for Payer: Aetna Medicare |
$416.94
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS MAPPO |
$400.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,000.67
|
| Rate for Payer: BCN Commercial |
$598.14
|
| Rate for Payer: BCN Medicare Advantage |
$400.90
|
| Rate for Payer: Cash Price |
$696.80
|
| Rate for Payer: Cash Price |
$696.80
|
| Rate for Payer: Cofinity Commercial |
$577.30
|
| Rate for Payer: Cofinity Commercial |
$537.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.90
|
| Rate for Payer: Mclaren Medicaid |
$263.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$420.94
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Nomi Health Commercial |
$481.08
|
| Rate for Payer: PACE SWMI |
$400.90
|
| Rate for Payer: PHP Medicare Advantage |
$400.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.15
|
| Rate for Payer: Priority Health HMO/PPO |
$650.95
|
| Rate for Payer: Priority Health Medicare |
$404.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$650.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$400.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$400.90
|
| Rate for Payer: UHC Exchange |
$400.90
|
| Rate for Payer: UHC Medicare Advantage |
$400.90
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR EXPLORATION N/FLWD SURG NECK ARTERY
|
Professional
|
Both
|
$908.00
|
|
|
Service Code
|
HCPCS 35701
|
| Min. Negotiated Rate |
$279.24 |
| Max. Negotiated Rate |
$2,119.54 |
| Rate for Payer: Aetna Commercial |
$561.82
|
| Rate for Payer: Aetna Medicare |
$436.04
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS MAPPO |
$419.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,119.54
|
| Rate for Payer: BCN Commercial |
$638.21
|
| Rate for Payer: BCN Medicare Advantage |
$419.27
|
| Rate for Payer: Cash Price |
$726.40
|
| Rate for Payer: Cash Price |
$726.40
|
| Rate for Payer: Cofinity Commercial |
$603.75
|
| Rate for Payer: Cofinity Commercial |
$561.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$419.27
|
| Rate for Payer: Mclaren Medicaid |
$279.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$440.23
|
| Rate for Payer: Meridian Medicaid |
$293.20
|
| Rate for Payer: Nomi Health Commercial |
$503.12
|
| Rate for Payer: PACE SWMI |
$419.27
|
| Rate for Payer: PHP Medicare Advantage |
$419.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$590.20
|
| Rate for Payer: Priority Health HMO/PPO |
$691.90
|
| Rate for Payer: Priority Health Medicare |
$423.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$691.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$419.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$419.27
|
| Rate for Payer: UHC Exchange |
$419.27
|
| Rate for Payer: UHC Medicare Advantage |
$419.27
|
| Rate for Payer: UHCCP Medicaid |
$279.24
|
|
|
PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY
|
Professional
|
Both
|
$905.00
|
|
|
Service Code
|
HCPCS 35702
|
| Min. Negotiated Rate |
$259.43 |
| Max. Negotiated Rate |
$1,869.13 |
| Rate for Payer: Aetna Commercial |
$527.38
|
| Rate for Payer: Aetna Medicare |
$409.31
|
| Rate for Payer: BCBS Complete |
$272.40
|
| Rate for Payer: BCBS MAPPO |
$393.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,869.13
|
| Rate for Payer: BCN Commercial |
$592.28
|
| Rate for Payer: BCN Medicare Advantage |
$393.57
|
| Rate for Payer: Cash Price |
$724.00
|
| Rate for Payer: Cash Price |
$724.00
|
| Rate for Payer: Cofinity Commercial |
$566.74
|
| Rate for Payer: Cofinity Commercial |
$527.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.57
|
| Rate for Payer: Mclaren Medicaid |
$259.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.25
|
| Rate for Payer: Meridian Medicaid |
$272.40
|
| Rate for Payer: Nomi Health Commercial |
$472.28
|
| Rate for Payer: PACE SWMI |
$393.57
|
| Rate for Payer: PHP Medicare Advantage |
$393.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.25
|
| Rate for Payer: Priority Health HMO/PPO |
$643.51
|
| Rate for Payer: Priority Health Medicare |
$397.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.57
|
| Rate for Payer: UHC Exchange |
$393.57
|
| Rate for Payer: UHC Medicare Advantage |
$393.57
|
| Rate for Payer: UHCCP Medicaid |
$259.43
|
|
|
PR EXPLORATION OF ARTERY/VEIN
|
Professional
|
Both
|
$1,308.00
|
|
|
Service Code
|
HCPCS 35761
|
| Min. Negotiated Rate |
$523.20 |
| Max. Negotiated Rate |
$850.20 |
| Rate for Payer: Aetna Medicare |
$654.00
|
| Rate for Payer: BCBS Complete |
$523.20
|
| Rate for Payer: Cash Price |
$1,046.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$850.20
|
|
|
PR EXPLORATION PENETRATING WOUND SPX CHEST
|
Professional
|
Both
|
$1,148.00
|
|
|
Service Code
|
HCPCS 20101
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$5,215.40 |
| Rate for Payer: Aetna Commercial |
$271.73
|
| Rate for Payer: Aetna Medicare |
$210.89
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCBS MAPPO |
$202.78
|
| Rate for Payer: BCBS Trust/PPO |
$5,215.40
|
| Rate for Payer: BCN Commercial |
$857.63
|
| Rate for Payer: BCN Medicare Advantage |
$202.78
|
| Rate for Payer: Cash Price |
$918.40
|
| Rate for Payer: Cash Price |
$918.40
|
| Rate for Payer: Cofinity Commercial |
$292.00
|
| Rate for Payer: Cofinity Commercial |
$271.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.78
|
| Rate for Payer: Mclaren Medicaid |
$134.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.92
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Nomi Health Commercial |
$243.34
|
| Rate for Payer: PACE SWMI |
$202.78
|
| Rate for Payer: PHP Medicare Advantage |
$202.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$746.20
|
| Rate for Payer: Priority Health HMO/PPO |
$320.58
|
| Rate for Payer: Priority Health Medicare |
$204.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$320.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.78
|
| Rate for Payer: UHC Exchange |
$202.78
|
| Rate for Payer: UHC Medicare Advantage |
$202.78
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
|
|
PR EXPLORATION PENETRATING WOUND SPX EXTREMITY
|
Professional
|
Both
|
$1,817.00
|
|
|
Service Code
|
HCPCS 20103
|
| Min. Negotiated Rate |
$221.95 |
| Max. Negotiated Rate |
$2,940.00 |
| Rate for Payer: Aetna Commercial |
$443.41
|
| Rate for Payer: Aetna Medicare |
$344.14
|
| Rate for Payer: BCBS Complete |
$233.05
|
| Rate for Payer: BCBS MAPPO |
$330.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,940.00
|
| Rate for Payer: BCN Commercial |
$828.31
|
| Rate for Payer: BCN Medicare Advantage |
$330.90
|
| Rate for Payer: Cash Price |
$1,453.60
|
| Rate for Payer: Cash Price |
$1,453.60
|
| Rate for Payer: Cofinity Commercial |
$476.50
|
| Rate for Payer: Cofinity Commercial |
$443.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$330.90
|
| Rate for Payer: Mclaren Medicaid |
$221.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$347.44
|
| Rate for Payer: Meridian Medicaid |
$233.05
|
| Rate for Payer: Nomi Health Commercial |
$397.08
|
| Rate for Payer: PACE SWMI |
$330.90
|
| Rate for Payer: PHP Medicare Advantage |
$330.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,181.05
|
| Rate for Payer: Priority Health HMO/PPO |
$528.19
|
| Rate for Payer: Priority Health Medicare |
$334.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$528.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$330.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$330.90
|
| Rate for Payer: UHC Exchange |
$330.90
|
| Rate for Payer: UHC Medicare Advantage |
$330.90
|
| Rate for Payer: UHCCP Medicaid |
$221.95
|
|
|
PR EXPLORATION PENETRATING WOUND SPX NECK
|
Professional
|
Both
|
$1,939.00
|
|
|
Service Code
|
HCPCS 20100
|
| Min. Negotiated Rate |
$384.89 |
| Max. Negotiated Rate |
$5,215.40 |
| Rate for Payer: Aetna Commercial |
$777.98
|
| Rate for Payer: Aetna Medicare |
$603.80
|
| Rate for Payer: BCBS Complete |
$404.13
|
| Rate for Payer: BCBS MAPPO |
$580.58
|
| Rate for Payer: BCBS Trust/PPO |
$5,215.40
|
| Rate for Payer: BCN Commercial |
$872.77
|
| Rate for Payer: BCN Medicare Advantage |
$580.58
|
| Rate for Payer: Cash Price |
$1,551.20
|
| Rate for Payer: Cash Price |
$1,551.20
|
| Rate for Payer: Cofinity Commercial |
$836.04
|
| Rate for Payer: Cofinity Commercial |
$777.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$580.58
|
| Rate for Payer: Mclaren Medicaid |
$384.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$609.61
|
| Rate for Payer: Meridian Medicaid |
$404.13
|
| Rate for Payer: Nomi Health Commercial |
$696.70
|
| Rate for Payer: PACE SWMI |
$580.58
|
| Rate for Payer: PHP Medicare Advantage |
$580.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,260.35
|
| Rate for Payer: Priority Health HMO/PPO |
$915.44
|
| Rate for Payer: Priority Health Medicare |
$586.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$915.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$580.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$580.58
|
| Rate for Payer: UHC Exchange |
$580.58
|
| Rate for Payer: UHC Medicare Advantage |
$580.58
|
| Rate for Payer: UHCCP Medicaid |
$384.89
|
|
|
PR EXPLORATION POPLITEAL ARTERY
|
Professional
|
Both
|
$1,079.00
|
|
|
Service Code
|
HCPCS 35741
|
| Min. Negotiated Rate |
$431.60 |
| Max. Negotiated Rate |
$701.35 |
| Rate for Payer: Aetna Medicare |
$539.50
|
| Rate for Payer: BCBS Complete |
$431.60
|
| Rate for Payer: Cash Price |
$863.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.35
|
|
|
PR EXPLORATION SPINAL FUSION
|
Professional
|
Both
|
$5,175.00
|
|
|
Service Code
|
HCPCS 22830
|
| Min. Negotiated Rate |
$145.43 |
| Max. Negotiated Rate |
$3,363.75 |
| Rate for Payer: Aetna Commercial |
$1,076.78
|
| Rate for Payer: Aetna Medicare |
$835.71
|
| Rate for Payer: BCBS Complete |
$563.82
|
| Rate for Payer: BCBS MAPPO |
$803.57
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$1,209.96
|
| Rate for Payer: BCN Medicare Advantage |
$803.57
|
| Rate for Payer: Cash Price |
$4,140.00
|
| Rate for Payer: Cash Price |
$4,140.00
|
| Rate for Payer: Cofinity Commercial |
$1,157.14
|
| Rate for Payer: Cofinity Commercial |
$1,076.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$803.57
|
| Rate for Payer: Mclaren Medicaid |
$536.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$843.75
|
| Rate for Payer: Meridian Medicaid |
$563.82
|
| Rate for Payer: Nomi Health Commercial |
$964.28
|
| Rate for Payer: PACE SWMI |
$803.57
|
| Rate for Payer: PHP Medicare Advantage |
$803.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$536.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,363.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,273.16
|
| Rate for Payer: Priority Health Medicare |
$811.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,273.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$803.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$803.57
|
| Rate for Payer: UHC Exchange |
$803.57
|
| Rate for Payer: UHC Medicare Advantage |
$803.57
|
| Rate for Payer: UHCCP Medicaid |
$536.97
|
|
|
PR EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX
|
Professional
|
Both
|
$2,353.00
|
|
|
Service Code
|
HCPCS 49000
|
| Min. Negotiated Rate |
$495.44 |
| Max. Negotiated Rate |
$1,529.45 |
| Rate for Payer: Aetna Commercial |
$1,000.22
|
| Rate for Payer: Aetna Medicare |
$776.29
|
| Rate for Payer: BCBS Complete |
$520.21
|
| Rate for Payer: BCBS MAPPO |
$746.43
|
| Rate for Payer: BCBS Trust/PPO |
$576.90
|
| Rate for Payer: BCN Commercial |
$1,122.01
|
| Rate for Payer: BCN Medicare Advantage |
$746.43
|
| Rate for Payer: Cash Price |
$1,882.40
|
| Rate for Payer: Cash Price |
$1,882.40
|
| Rate for Payer: Cofinity Commercial |
$1,074.86
|
| Rate for Payer: Cofinity Commercial |
$1,000.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$746.43
|
| Rate for Payer: Mclaren Medicaid |
$495.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$783.75
|
| Rate for Payer: Meridian Medicaid |
$520.21
|
| Rate for Payer: Nomi Health Commercial |
$895.72
|
| Rate for Payer: PACE SWMI |
$746.43
|
| Rate for Payer: PHP Medicare Advantage |
$746.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$495.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,529.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,378.13
|
| Rate for Payer: Priority Health Medicare |
$753.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,378.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$746.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$746.43
|
| Rate for Payer: UHC Exchange |
$746.43
|
| Rate for Payer: UHC Medicare Advantage |
$746.43
|
| Rate for Payer: UHCCP Medicaid |
$495.44
|
|
|
PR EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK
|
Professional
|
Both
|
$2,034.00
|
|
|
Service Code
|
HCPCS 20102
|
| Min. Negotiated Rate |
$164.86 |
| Max. Negotiated Rate |
$1,322.10 |
| Rate for Payer: Aetna Commercial |
$331.65
|
| Rate for Payer: Aetna Medicare |
$257.40
|
| Rate for Payer: BCBS Complete |
$173.10
|
| Rate for Payer: BCBS MAPPO |
$247.50
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$895.26
|
| Rate for Payer: BCN Medicare Advantage |
$247.50
|
| Rate for Payer: Cash Price |
$1,627.20
|
| Rate for Payer: Cash Price |
$1,627.20
|
| Rate for Payer: Cofinity Commercial |
$356.40
|
| Rate for Payer: Cofinity Commercial |
$331.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$247.50
|
| Rate for Payer: Mclaren Medicaid |
$164.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.88
|
| Rate for Payer: Meridian Medicaid |
$173.10
|
| Rate for Payer: Nomi Health Commercial |
$297.00
|
| Rate for Payer: PACE SWMI |
$247.50
|
| Rate for Payer: PHP Medicare Advantage |
$247.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,322.10
|
| Rate for Payer: Priority Health HMO/PPO |
$392.34
|
| Rate for Payer: Priority Health Medicare |
$249.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$392.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$247.50
|
| Rate for Payer: UHC Exchange |
$247.50
|
| Rate for Payer: UHC Medicare Advantage |
$247.50
|
| Rate for Payer: UHCCP Medicaid |
$164.86
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD
|
Professional
|
Both
|
$2,353.00
|
|
|
Service Code
|
HCPCS 35840
|
| Min. Negotiated Rate |
$777.45 |
| Max. Negotiated Rate |
$1,925.21 |
| Rate for Payer: Aetna Commercial |
$1,578.20
|
| Rate for Payer: Aetna Medicare |
$1,224.87
|
| Rate for Payer: BCBS Complete |
$816.32
|
| Rate for Payer: BCBS MAPPO |
$1,177.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,458.11
|
| Rate for Payer: BCN Commercial |
$1,757.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,177.76
|
| Rate for Payer: Cash Price |
$1,882.40
|
| Rate for Payer: Cash Price |
$1,882.40
|
| Rate for Payer: Cofinity Commercial |
$1,695.97
|
| Rate for Payer: Cofinity Commercial |
$1,578.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,177.76
|
| Rate for Payer: Mclaren Medicaid |
$777.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,236.65
|
| Rate for Payer: Meridian Medicaid |
$816.32
|
| Rate for Payer: Nomi Health Commercial |
$1,413.31
|
| Rate for Payer: PACE SWMI |
$1,177.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,177.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,529.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,925.21
|
| Rate for Payer: Priority Health Medicare |
$1,189.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,925.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,177.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,177.76
|
| Rate for Payer: UHC Exchange |
$1,177.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,177.76
|
| Rate for Payer: UHCCP Medicaid |
$777.45
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ CH
|
Professional
|
Both
|
$5,591.00
|
|
|
Service Code
|
HCPCS 35820
|
| Min. Negotiated Rate |
$1,168.60 |
| Max. Negotiated Rate |
$3,634.15 |
| Rate for Payer: Aetna Commercial |
$2,589.94
|
| Rate for Payer: Aetna Medicare |
$2,010.10
|
| Rate for Payer: BCBS Complete |
$1,330.50
|
| Rate for Payer: BCBS MAPPO |
$1,932.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.60
|
| Rate for Payer: BCN Commercial |
$2,883.69
|
| Rate for Payer: BCN Medicare Advantage |
$1,932.79
|
| Rate for Payer: Cash Price |
$4,472.80
|
| Rate for Payer: Cash Price |
$4,472.80
|
| Rate for Payer: Cofinity Commercial |
$2,783.22
|
| Rate for Payer: Cofinity Commercial |
$2,589.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,932.79
|
| Rate for Payer: Mclaren Medicaid |
$1,267.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,029.43
|
| Rate for Payer: Meridian Medicaid |
$1,330.50
|
| Rate for Payer: Nomi Health Commercial |
$2,319.35
|
| Rate for Payer: PACE SWMI |
$1,932.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,932.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,267.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,634.15
|
| Rate for Payer: Priority Health HMO/PPO |
$3,148.93
|
| Rate for Payer: Priority Health Medicare |
$1,952.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,148.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,932.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,932.79
|
| Rate for Payer: UHC Exchange |
$1,932.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,932.79
|
| Rate for Payer: UHCCP Medicaid |
$1,267.14
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 35800
|
| Min. Negotiated Rate |
$469.24 |
| Max. Negotiated Rate |
$1,162.56 |
| Rate for Payer: Aetna Commercial |
$942.98
|
| Rate for Payer: Aetna Medicare |
$731.87
|
| Rate for Payer: BCBS Complete |
$492.70
|
| Rate for Payer: BCBS MAPPO |
$703.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,062.38
|
| Rate for Payer: BCN Medicare Advantage |
$703.72
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$942.98
|
| Rate for Payer: Cofinity Commercial |
$1,013.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.72
|
| Rate for Payer: Mclaren Medicaid |
$469.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$738.91
|
| Rate for Payer: Meridian Medicaid |
$492.70
|
| Rate for Payer: Nomi Health Commercial |
$844.46
|
| Rate for Payer: PACE SWMI |
$703.72
|
| Rate for Payer: PHP Medicare Advantage |
$703.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,162.56
|
| Rate for Payer: Priority Health Medicare |
$710.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,162.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$703.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$703.72
|
| Rate for Payer: UHC Exchange |
$703.72
|
| Rate for Payer: UHC Medicare Advantage |
$703.72
|
| Rate for Payer: UHCCP Medicaid |
$469.24
|
|
