|
PR ROPIVACAINE HCL INJECTION
|
Professional
|
Both
|
$4.00
|
|
|
Service Code
|
HCPCS J2795
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$2.80 |
| Rate for Payer: Aetna Commercial |
$0.10
|
| Rate for Payer: Aetna Medicare |
$0.08
|
| Rate for Payer: BCBS Complete |
$1.60
|
| Rate for Payer: BCBS MAPPO |
$0.07
|
| Rate for Payer: BCBS Trust/PPO |
$0.01
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: BCN Medicare Advantage |
$0.07
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cofinity Commercial |
$0.10
|
| Rate for Payer: Cofinity Commercial |
$0.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$0.08
|
| Rate for Payer: PACE SWMI |
$0.07
|
| Rate for Payer: PHP Medicare Advantage |
$0.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.80
|
| Rate for Payer: Priority Health Medicare |
$0.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.07
|
| Rate for Payer: UHC Medicare Advantage |
$0.08
|
|
|
PR ROPRTJ > 1 MO AFTER ORIGINAL OPRATION
|
Professional
|
Both
|
$567.00
|
|
|
Service Code
|
HCPCS 35700
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$200.42
|
| Rate for Payer: Aetna Medicare |
$155.55
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$149.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$215.51
|
| Rate for Payer: BCN Medicare Advantage |
$149.57
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cofinity Commercial |
$215.38
|
| Rate for Payer: Cofinity Commercial |
$200.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.57
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$157.05
|
| Rate for Payer: PACE SWMI |
$149.57
|
| Rate for Payer: PHP Medicare Advantage |
$149.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$396.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$234.59
|
| Rate for Payer: Priority Health Medicare |
$149.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$234.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.57
|
| Rate for Payer: UHC Medicare Advantage |
$154.06
|
|
|
PR ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ
|
Professional
|
Both
|
$1,670.00
|
|
|
Service Code
|
HCPCS 33530
|
| Min. Negotiated Rate |
$326.32 |
| Max. Negotiated Rate |
$1,169.00 |
| Rate for Payer: Aetna Commercial |
$692.36
|
| Rate for Payer: Aetna Medicare |
$537.36
|
| Rate for Payer: BCBS Complete |
$342.64
|
| Rate for Payer: BCBS MAPPO |
$516.69
|
| Rate for Payer: BCBS Trust/PPO |
$357.13
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Medicare Advantage |
$516.69
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Cofinity Commercial |
$692.36
|
| Rate for Payer: Cofinity Commercial |
$744.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.69
|
| Rate for Payer: Mclaren Medicaid |
$326.32
|
| Rate for Payer: Meridian Medicaid |
$342.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$542.52
|
| Rate for Payer: PACE SWMI |
$516.69
|
| Rate for Payer: PHP Medicare Advantage |
$516.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,169.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$814.96
|
| Rate for Payer: Priority Health Medicare |
$516.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$814.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.69
|
| Rate for Payer: UHC Medicare Advantage |
$532.19
|
|
|
PR ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO
|
Professional
|
Both
|
$310.00
|
|
|
Service Code
|
HCPCS 35390
|
| Min. Negotiated Rate |
$98.62 |
| Max. Negotiated Rate |
$601.21 |
| Rate for Payer: Aetna Commercial |
$209.63
|
| Rate for Payer: Aetna Medicare |
$162.70
|
| Rate for Payer: BCBS Complete |
$103.55
|
| Rate for Payer: BCBS MAPPO |
$156.44
|
| Rate for Payer: BCBS Trust/PPO |
$601.21
|
| Rate for Payer: BCN Commercial |
$225.76
|
| Rate for Payer: BCN Medicare Advantage |
$156.44
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$225.27
|
| Rate for Payer: Cofinity Commercial |
$209.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.44
|
| Rate for Payer: Mclaren Medicaid |
$98.62
|
| Rate for Payer: Meridian Medicaid |
$103.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$164.26
|
| Rate for Payer: PACE SWMI |
$156.44
|
| Rate for Payer: PHP Medicare Advantage |
$156.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.77
|
| Rate for Payer: Priority Health Medicare |
$156.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.44
|
| Rate for Payer: UHC Medicare Advantage |
$161.13
|
|
|
PR ROUT FOOT CARE PER VISIT
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS S0390
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$31.70 |
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Trust/PPO |
$31.70
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
|
|
PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB
|
Professional
|
Both
|
$3,949.00
|
|
|
Service Code
|
HCPCS 59610
|
| Min. Negotiated Rate |
$92.98 |
| Max. Negotiated Rate |
$3,605.23 |
| Rate for Payer: Aetna Commercial |
$3,354.86
|
| Rate for Payer: Aetna Medicare |
$2,603.78
|
| Rate for Payer: BCBS Complete |
$2,459.93
|
| Rate for Payer: BCBS MAPPO |
$2,503.63
|
| Rate for Payer: BCBS Trust/PPO |
$92.98
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,503.63
|
| Rate for Payer: Cash Price |
$3,159.20
|
| Rate for Payer: Cash Price |
$3,159.20
|
| Rate for Payer: Cofinity Commercial |
$3,354.86
|
| Rate for Payer: Cofinity Commercial |
$3,605.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,503.63
|
| Rate for Payer: Mclaren Medicaid |
$2,342.79
|
| Rate for Payer: Meridian Medicaid |
$2,459.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,628.81
|
| Rate for Payer: PACE SWMI |
$2,503.63
|
| Rate for Payer: PHP Medicare Advantage |
$2,503.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,342.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,764.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,555.00
|
| Rate for Payer: Priority Health Medicare |
$2,503.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,555.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,503.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,503.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,578.74
|
|
|
PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC
|
Professional
|
Both
|
$4,238.00
|
|
|
Service Code
|
HCPCS 59618
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,849.32 |
| Rate for Payer: Aetna Commercial |
$3,582.01
|
| Rate for Payer: Aetna Medicare |
$2,780.07
|
| Rate for Payer: BCBS Complete |
$2,637.40
|
| Rate for Payer: BCBS MAPPO |
$2,673.14
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,673.14
|
| Rate for Payer: Cash Price |
$3,390.40
|
| Rate for Payer: Cash Price |
$3,390.40
|
| Rate for Payer: Cofinity Commercial |
$3,849.32
|
| Rate for Payer: Cofinity Commercial |
$3,582.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,673.14
|
| Rate for Payer: Mclaren Medicaid |
$2,511.81
|
| Rate for Payer: Meridian Medicaid |
$2,637.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,806.80
|
| Rate for Payer: PACE SWMI |
$2,673.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,673.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,511.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,966.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,795.33
|
| Rate for Payer: Priority Health Medicare |
$2,673.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,795.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,673.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,673.14
|
| Rate for Payer: UHC Medicare Advantage |
$2,753.33
|
|
|
PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST
|
Professional
|
Both
|
$2,489.00
|
|
|
Service Code
|
HCPCS 50840
|
| Min. Negotiated Rate |
$780.22 |
| Max. Negotiated Rate |
$4,261.27 |
| Rate for Payer: Aetna Commercial |
$1,608.82
|
| Rate for Payer: Aetna Medicare |
$1,248.63
|
| Rate for Payer: BCBS Complete |
$819.23
|
| Rate for Payer: BCBS MAPPO |
$1,200.61
|
| Rate for Payer: BCBS Trust/PPO |
$4,261.27
|
| Rate for Payer: BCN Commercial |
$1,769.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,200.61
|
| Rate for Payer: Cash Price |
$1,991.20
|
| Rate for Payer: Cash Price |
$1,991.20
|
| Rate for Payer: Cofinity Commercial |
$1,728.88
|
| Rate for Payer: Cofinity Commercial |
$1,608.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,200.61
|
| Rate for Payer: Mclaren Medicaid |
$780.22
|
| Rate for Payer: Meridian Medicaid |
$819.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,260.64
|
| Rate for Payer: PACE SWMI |
$1,200.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,200.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$780.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,742.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,957.17
|
| Rate for Payer: Priority Health Medicare |
$1,200.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,957.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,200.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,200.61
|
| Rate for Payer: UHC Medicare Advantage |
$1,236.63
|
|
|
PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS
|
Professional
|
Both
|
$9,500.00
|
|
|
Service Code
|
HCPCS 33411
|
| Min. Negotiated Rate |
$995.85 |
| Max. Negotiated Rate |
$6,650.00 |
| Rate for Payer: Aetna Commercial |
$4,416.77
|
| Rate for Payer: Aetna Medicare |
$3,427.94
|
| Rate for Payer: BCBS Complete |
$2,200.72
|
| Rate for Payer: BCBS MAPPO |
$3,296.10
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$4,794.41
|
| Rate for Payer: BCN Medicare Advantage |
$3,296.10
|
| Rate for Payer: Cash Price |
$7,600.00
|
| Rate for Payer: Cash Price |
$7,600.00
|
| Rate for Payer: Cofinity Commercial |
$4,746.38
|
| Rate for Payer: Cofinity Commercial |
$4,416.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,296.10
|
| Rate for Payer: Mclaren Medicaid |
$2,095.92
|
| Rate for Payer: Meridian Medicaid |
$2,200.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,460.90
|
| Rate for Payer: PACE SWMI |
$3,296.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,296.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,095.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,650.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,219.03
|
| Rate for Payer: Priority Health Medicare |
$3,296.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,219.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,296.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,296.10
|
| Rate for Payer: UHC Medicare Advantage |
$3,394.98
|
|
|
PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
|
Professional
|
Both
|
$6,713.00
|
|
|
Service Code
|
HCPCS 33406
|
| Min. Negotiated Rate |
$820.45 |
| Max. Negotiated Rate |
$4,699.10 |
| Rate for Payer: Aetna Commercial |
$3,802.56
|
| Rate for Payer: Aetna Medicare |
$2,951.24
|
| Rate for Payer: BCBS Complete |
$1,896.77
|
| Rate for Payer: BCBS MAPPO |
$2,837.73
|
| Rate for Payer: BCBS Trust/PPO |
$820.45
|
| Rate for Payer: BCN Commercial |
$4,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$2,837.73
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cofinity Commercial |
$4,086.33
|
| Rate for Payer: Cofinity Commercial |
$3,802.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,837.73
|
| Rate for Payer: Mclaren Medicaid |
$1,806.45
|
| Rate for Payer: Meridian Medicaid |
$1,896.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,979.62
|
| Rate for Payer: PACE SWMI |
$2,837.73
|
| Rate for Payer: PHP Medicare Advantage |
$2,837.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,806.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,699.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,493.98
|
| Rate for Payer: Priority Health Medicare |
$2,837.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,493.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,837.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,837.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,922.86
|
|
|
PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE
|
Professional
|
Both
|
$7,968.00
|
|
|
Service Code
|
HCPCS 33410
|
| Min. Negotiated Rate |
$920.83 |
| Max. Negotiated Rate |
$5,577.60 |
| Rate for Payer: Aetna Commercial |
$3,349.49
|
| Rate for Payer: Aetna Medicare |
$2,599.60
|
| Rate for Payer: BCBS Complete |
$1,670.21
|
| Rate for Payer: BCBS MAPPO |
$2,499.62
|
| Rate for Payer: BCBS Trust/PPO |
$920.83
|
| Rate for Payer: BCN Commercial |
$3,639.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,499.62
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cofinity Commercial |
$3,349.49
|
| Rate for Payer: Cofinity Commercial |
$3,599.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,499.62
|
| Rate for Payer: Mclaren Medicaid |
$1,590.68
|
| Rate for Payer: Meridian Medicaid |
$1,670.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,624.60
|
| Rate for Payer: PACE SWMI |
$2,499.62
|
| Rate for Payer: PHP Medicare Advantage |
$2,499.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,590.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,577.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,961.49
|
| Rate for Payer: Priority Health Medicare |
$2,499.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,961.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,499.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,499.62
|
| Rate for Payer: UHC Medicare Advantage |
$2,574.61
|
|
|
PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL
|
Professional
|
Both
|
$4,934.00
|
|
|
Service Code
|
HCPCS 62143
|
| Min. Negotiated Rate |
$679.90 |
| Max. Negotiated Rate |
$3,453.80 |
| Rate for Payer: Aetna Commercial |
$1,409.02
|
| Rate for Payer: Aetna Medicare |
$1,093.57
|
| Rate for Payer: BCBS Complete |
$713.90
|
| Rate for Payer: BCBS MAPPO |
$1,051.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.60
|
| Rate for Payer: BCN Commercial |
$2,147.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,051.51
|
| Rate for Payer: Cash Price |
$3,947.20
|
| Rate for Payer: Cash Price |
$3,947.20
|
| Rate for Payer: Cofinity Commercial |
$1,514.17
|
| Rate for Payer: Cofinity Commercial |
$1,409.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,051.51
|
| Rate for Payer: Mclaren Medicaid |
$679.90
|
| Rate for Payer: Meridian Medicaid |
$713.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,104.09
|
| Rate for Payer: PACE SWMI |
$1,051.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,051.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$679.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,453.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,793.23
|
| Rate for Payer: Priority Health Medicare |
$1,051.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,793.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,051.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,051.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.06
|
|
|
PR RPLCMT CATH CTR VAD SUBQ PORT/PMP
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 36578
|
| Min. Negotiated Rate |
$128.65 |
| Max. Negotiated Rate |
$1,318.11 |
| Rate for Payer: Aetna Commercial |
$267.20
|
| Rate for Payer: Aetna Medicare |
$207.38
|
| Rate for Payer: BCBS Complete |
$135.08
|
| Rate for Payer: BCBS MAPPO |
$199.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,318.11
|
| Rate for Payer: BCN Commercial |
$636.74
|
| Rate for Payer: BCN Medicare Advantage |
$199.40
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cofinity Commercial |
$267.20
|
| Rate for Payer: Cofinity Commercial |
$287.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.40
|
| Rate for Payer: Mclaren Medicaid |
$128.65
|
| Rate for Payer: Meridian Medicaid |
$135.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$209.37
|
| Rate for Payer: PACE SWMI |
$199.40
|
| Rate for Payer: PHP Medicare Advantage |
$199.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$702.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$320.24
|
| Rate for Payer: Priority Health Medicare |
$199.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$320.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.40
|
| Rate for Payer: UHC Medicare Advantage |
$205.38
|
|
|
PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$756.00
|
|
|
Service Code
|
HCPCS 36580
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$1,034.41 |
| Rate for Payer: Aetna Commercial |
$86.48
|
| Rate for Payer: Aetna Medicare |
$67.12
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$64.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.41
|
| Rate for Payer: BCN Commercial |
$279.53
|
| Rate for Payer: BCN Medicare Advantage |
$64.54
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$86.48
|
| Rate for Payer: Cofinity Commercial |
$92.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.54
|
| Rate for Payer: Mclaren Medicaid |
$40.68
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$67.77
|
| Rate for Payer: PACE SWMI |
$64.54
|
| Rate for Payer: PHP Medicare Advantage |
$64.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$529.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102.66
|
| Rate for Payer: Priority Health Medicare |
$64.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.54
|
| Rate for Payer: UHC Medicare Advantage |
$66.48
|
|
|
PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 36585
|
| Min. Negotiated Rate |
$175.73 |
| Max. Negotiated Rate |
$1,705.98 |
| Rate for Payer: Aetna Commercial |
$368.23
|
| Rate for Payer: Aetna Medicare |
$285.79
|
| Rate for Payer: BCBS Complete |
$184.52
|
| Rate for Payer: BCBS MAPPO |
$274.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,150.02
|
| Rate for Payer: BCN Commercial |
$1,705.98
|
| Rate for Payer: BCN Medicare Advantage |
$274.80
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cofinity Commercial |
$395.71
|
| Rate for Payer: Cofinity Commercial |
$368.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.80
|
| Rate for Payer: Mclaren Medicaid |
$175.73
|
| Rate for Payer: Meridian Medicaid |
$184.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.54
|
| Rate for Payer: PACE SWMI |
$274.80
|
| Rate for Payer: PHP Medicare Advantage |
$274.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.05
|
| Rate for Payer: Priority Health Medicare |
$274.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$442.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$274.80
|
| Rate for Payer: UHC Medicare Advantage |
$283.04
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP
|
Professional
|
Both
|
$1,907.00
|
|
|
Service Code
|
HCPCS 36583
|
| Min. Negotiated Rate |
$209.59 |
| Max. Negotiated Rate |
$1,698.15 |
| Rate for Payer: Aetna Commercial |
$433.97
|
| Rate for Payer: Aetna Medicare |
$336.81
|
| Rate for Payer: BCBS Complete |
$220.07
|
| Rate for Payer: BCBS MAPPO |
$323.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,556.37
|
| Rate for Payer: BCN Commercial |
$1,698.15
|
| Rate for Payer: BCN Medicare Advantage |
$323.86
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cofinity Commercial |
$433.97
|
| Rate for Payer: Cofinity Commercial |
$466.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.86
|
| Rate for Payer: Mclaren Medicaid |
$209.59
|
| Rate for Payer: Meridian Medicaid |
$220.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$340.05
|
| Rate for Payer: PACE SWMI |
$323.86
|
| Rate for Payer: PHP Medicare Advantage |
$323.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,334.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$519.73
|
| Rate for Payer: Priority Health Medicare |
$323.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$519.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$323.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$323.86
|
| Rate for Payer: UHC Medicare Advantage |
$333.58
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 36582
|
| Min. Negotiated Rate |
$180.62 |
| Max. Negotiated Rate |
$2,421.20 |
| Rate for Payer: Aetna Commercial |
$376.85
|
| Rate for Payer: Aetna Medicare |
$292.48
|
| Rate for Payer: BCBS Complete |
$189.65
|
| Rate for Payer: BCBS MAPPO |
$281.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,421.20
|
| Rate for Payer: BCN Commercial |
$1,296.46
|
| Rate for Payer: BCN Medicare Advantage |
$281.23
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$404.97
|
| Rate for Payer: Cofinity Commercial |
$376.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.23
|
| Rate for Payer: Mclaren Medicaid |
$180.62
|
| Rate for Payer: Meridian Medicaid |
$189.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$295.29
|
| Rate for Payer: PACE SWMI |
$281.23
|
| Rate for Payer: PHP Medicare Advantage |
$281.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.56
|
| Rate for Payer: Priority Health Medicare |
$281.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$450.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.23
|
| Rate for Payer: UHC Medicare Advantage |
$289.67
|
|
|
PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$1,539.00
|
|
|
Service Code
|
HCPCS 36581
|
| Min. Negotiated Rate |
$114.59 |
| Max. Negotiated Rate |
$2,785.20 |
| Rate for Payer: Aetna Commercial |
$238.68
|
| Rate for Payer: Aetna Medicare |
$185.24
|
| Rate for Payer: BCBS Complete |
$120.32
|
| Rate for Payer: BCBS MAPPO |
$178.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,785.20
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$178.12
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cofinity Commercial |
$256.49
|
| Rate for Payer: Cofinity Commercial |
$238.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.12
|
| Rate for Payer: Mclaren Medicaid |
$114.59
|
| Rate for Payer: Meridian Medicaid |
$120.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.03
|
| Rate for Payer: PACE SWMI |
$178.12
|
| Rate for Payer: PHP Medicare Advantage |
$178.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,077.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$286.19
|
| Rate for Payer: Priority Health Medicare |
$178.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$178.12
|
| Rate for Payer: UHC Medicare Advantage |
$183.46
|
|
|
PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER
|
Professional
|
Both
|
$1,837.00
|
|
|
Service Code
|
HCPCS 62194
|
| Min. Negotiated Rate |
$323.97 |
| Max. Negotiated Rate |
$1,285.90 |
| Rate for Payer: Aetna Commercial |
$663.14
|
| Rate for Payer: Aetna Medicare |
$514.68
|
| Rate for Payer: BCBS Complete |
$340.17
|
| Rate for Payer: BCBS MAPPO |
$494.88
|
| Rate for Payer: BCBS Trust/PPO |
$624.98
|
| Rate for Payer: BCN Commercial |
$734.97
|
| Rate for Payer: BCN Medicare Advantage |
$494.88
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cofinity Commercial |
$712.63
|
| Rate for Payer: Cofinity Commercial |
$663.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.88
|
| Rate for Payer: Mclaren Medicaid |
$323.97
|
| Rate for Payer: Meridian Medicaid |
$340.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$519.62
|
| Rate for Payer: PACE SWMI |
$494.88
|
| Rate for Payer: PHP Medicare Advantage |
$494.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,285.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$851.59
|
| Rate for Payer: Priority Health Medicare |
$494.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$851.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$494.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$494.88
|
| Rate for Payer: UHC Medicare Advantage |
$509.73
|
|
|
PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT
|
Professional
|
Both
|
$2,222.00
|
|
|
Service Code
|
HCPCS 63744
|
| Min. Negotiated Rate |
$446.66 |
| Max. Negotiated Rate |
$1,555.40 |
| Rate for Payer: Aetna Commercial |
$914.75
|
| Rate for Payer: Aetna Medicare |
$709.96
|
| Rate for Payer: BCBS Complete |
$468.99
|
| Rate for Payer: BCBS MAPPO |
$682.65
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$1,110.58
|
| Rate for Payer: BCN Medicare Advantage |
$682.65
|
| Rate for Payer: Cash Price |
$1,777.60
|
| Rate for Payer: Cash Price |
$1,777.60
|
| Rate for Payer: Cofinity Commercial |
$983.02
|
| Rate for Payer: Cofinity Commercial |
$914.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$682.65
|
| Rate for Payer: Mclaren Medicaid |
$446.66
|
| Rate for Payer: Meridian Medicaid |
$468.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$716.78
|
| Rate for Payer: PACE SWMI |
$682.65
|
| Rate for Payer: PHP Medicare Advantage |
$682.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,555.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,168.68
|
| Rate for Payer: Priority Health Medicare |
$682.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,168.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$682.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$682.65
|
| Rate for Payer: UHC Medicare Advantage |
$703.13
|
|
|
PR RPLCMT/IRRIGATION VENTRICULAR CATHETER
|
Professional
|
Both
|
$2,672.00
|
|
|
Service Code
|
HCPCS 62225
|
| Min. Negotiated Rate |
$351.45 |
| Max. Negotiated Rate |
$1,870.40 |
| Rate for Payer: Aetna Commercial |
$716.50
|
| Rate for Payer: Aetna Medicare |
$556.09
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$534.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,401.05
|
| Rate for Payer: BCN Commercial |
$1,103.00
|
| Rate for Payer: BCN Medicare Advantage |
$534.70
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cofinity Commercial |
$769.97
|
| Rate for Payer: Cofinity Commercial |
$716.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.70
|
| Rate for Payer: Mclaren Medicaid |
$351.45
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$561.44
|
| Rate for Payer: PACE SWMI |
$534.70
|
| Rate for Payer: PHP Medicare Advantage |
$534.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,870.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.24
|
| Rate for Payer: Priority Health Medicare |
$534.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$921.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$534.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$534.70
|
| Rate for Payer: UHC Medicare Advantage |
$550.74
|
|
|
PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 69717
|
| Min. Negotiated Rate |
$360.18 |
| Max. Negotiated Rate |
$1,881.80 |
| Rate for Payer: Aetna Commercial |
$736.65
|
| Rate for Payer: Aetna Medicare |
$571.73
|
| Rate for Payer: BCBS Complete |
$378.19
|
| Rate for Payer: BCBS MAPPO |
$549.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,881.80
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$549.74
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cofinity Commercial |
$791.63
|
| Rate for Payer: Cofinity Commercial |
$736.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.74
|
| Rate for Payer: Mclaren Medicaid |
$360.18
|
| Rate for Payer: Meridian Medicaid |
$378.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$577.23
|
| Rate for Payer: PACE SWMI |
$549.74
|
| Rate for Payer: PHP Medicare Advantage |
$549.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,551.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$793.46
|
| Rate for Payer: Priority Health Medicare |
$549.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$549.74
|
| Rate for Payer: UHC Medicare Advantage |
$566.23
|
|
|
PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT
|
Professional
|
Both
|
$4,659.32
|
|
|
Service Code
|
HCPCS 33405
|
| Min. Negotiated Rate |
$683.09 |
| Max. Negotiated Rate |
$3,539.12 |
| Rate for Payer: Aetna Commercial |
$2,991.24
|
| Rate for Payer: Aetna Medicare |
$2,321.56
|
| Rate for Payer: BCBS Complete |
$1,493.09
|
| Rate for Payer: BCBS MAPPO |
$2,232.27
|
| Rate for Payer: BCBS Trust/PPO |
$683.09
|
| Rate for Payer: BCN Commercial |
$3,251.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,232.27
|
| Rate for Payer: Cash Price |
$3,727.46
|
| Rate for Payer: Cash Price |
$3,727.46
|
| Rate for Payer: Cofinity Commercial |
$2,991.24
|
| Rate for Payer: Cofinity Commercial |
$3,214.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,232.27
|
| Rate for Payer: Mclaren Medicaid |
$1,421.99
|
| Rate for Payer: Meridian Medicaid |
$1,493.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,343.88
|
| Rate for Payer: PACE SWMI |
$2,232.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,232.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,421.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,261.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,539.12
|
| Rate for Payer: Priority Health Medicare |
$2,232.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,539.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,232.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,232.27
|
| Rate for Payer: UHC Medicare Advantage |
$2,299.24
|
|
|
PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS
|
Professional
|
Both
|
$3,485.00
|
|
|
Service Code
|
HCPCS 62230
|
| Min. Negotiated Rate |
$547.84 |
| Max. Negotiated Rate |
$2,439.50 |
| Rate for Payer: Aetna Commercial |
$1,132.42
|
| Rate for Payer: Aetna Medicare |
$878.89
|
| Rate for Payer: BCBS Complete |
$575.23
|
| Rate for Payer: BCBS MAPPO |
$845.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.05
|
| Rate for Payer: BCN Commercial |
$1,726.70
|
| Rate for Payer: BCN Medicare Advantage |
$845.09
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cofinity Commercial |
$1,216.93
|
| Rate for Payer: Cofinity Commercial |
$1,132.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$845.09
|
| Rate for Payer: Mclaren Medicaid |
$547.84
|
| Rate for Payer: Meridian Medicaid |
$575.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$887.34
|
| Rate for Payer: PACE SWMI |
$845.09
|
| Rate for Payer: PHP Medicare Advantage |
$845.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,439.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,442.18
|
| Rate for Payer: Priority Health Medicare |
$845.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,442.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$845.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$845.09
|
| Rate for Payer: UHC Medicare Advantage |
$870.44
|
|
|
PR RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP
|
Professional
|
Both
|
$3,847.00
|
|
|
Service Code
|
HCPCS 20822
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,700.82 |
| Rate for Payer: Aetna Commercial |
$2,335.75
|
| Rate for Payer: Aetna Medicare |
$1,812.82
|
| Rate for Payer: BCBS Complete |
$1,190.71
|
| Rate for Payer: BCBS MAPPO |
$1,743.10
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,584.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,743.10
|
| Rate for Payer: Cash Price |
$3,077.60
|
| Rate for Payer: Cash Price |
$3,077.60
|
| Rate for Payer: Cofinity Commercial |
$2,510.06
|
| Rate for Payer: Cofinity Commercial |
$2,335.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,743.10
|
| Rate for Payer: Mclaren Medicaid |
$1,134.01
|
| Rate for Payer: Meridian Medicaid |
$1,190.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,830.26
|
| Rate for Payer: PACE SWMI |
$1,743.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,743.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,134.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,692.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,700.82
|
| Rate for Payer: Priority Health Medicare |
$1,743.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,700.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,743.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,743.10
|
| Rate for Payer: UHC Medicare Advantage |
$1,795.39
|
|
