|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
IP
|
$1,107.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$675.16 |
| Max. Negotiated Rate |
$996.30 |
| Rate for Payer: Aetna Commercial |
$940.95
|
| Rate for Payer: BCBS Trust/PPO |
$855.49
|
| Rate for Payer: BCN Commercial |
$855.49
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$952.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Healthscope Commercial |
$996.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$830.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: PHP Commercial |
$940.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$963.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.16
|
| Rate for Payer: UHC Core |
$924.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$830.25
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 49553
|
| Min. Negotiated Rate |
$406.83 |
| Max. Negotiated Rate |
$1,814.71 |
| Rate for Payer: Aetna Commercial |
$844.35
|
| Rate for Payer: Aetna Medicare |
$655.31
|
| Rate for Payer: BCBS Complete |
$427.17
|
| Rate for Payer: BCBS MAPPO |
$630.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
| Rate for Payer: BCN Commercial |
$928.49
|
| Rate for Payer: BCN Medicare Advantage |
$630.11
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$907.36
|
| Rate for Payer: Cofinity Commercial |
$844.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.11
|
| Rate for Payer: Mclaren Medicaid |
$406.83
|
| Rate for Payer: Meridian Medicaid |
$427.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.62
|
| Rate for Payer: PACE SWMI |
$630.11
|
| Rate for Payer: PHP Medicare Advantage |
$630.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
| Rate for Payer: Priority Health Medicare |
$630.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.11
|
| Rate for Payer: UHC Medicare Advantage |
$649.01
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
OP
|
$1,107.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$262.91 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$940.95
|
| Rate for Payer: Aetna Medicare |
$287.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$345.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$345.94
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$276.75
|
| Rate for Payer: BCBS Trust/PPO |
$860.69
|
| Rate for Payer: BCN Commercial |
$860.69
|
| Rate for Payer: BCN Medicare Advantage |
$276.75
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$952.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$276.75
|
| Rate for Payer: Healthscope Commercial |
$996.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$830.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$290.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$318.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: PACE Senior Care Partners |
$262.91
|
| Rate for Payer: PACE SWMI |
$276.75
|
| Rate for Payer: PHP Commercial |
$940.95
|
| Rate for Payer: PHP Medicare Advantage |
$276.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$963.09
|
| Rate for Payer: Priority Health Medicare |
$276.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.16
|
| Rate for Payer: Railroad Medicare Medicare |
$276.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.16
|
| Rate for Payer: UHC Core |
$924.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$276.75
|
| Rate for Payer: UHC Medicare Advantage |
$285.05
|
| Rate for Payer: VA VA |
$276.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$830.25
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 49553
|
| Hospital Charge Code |
49553
|
| Min. Negotiated Rate |
$406.83 |
| Max. Negotiated Rate |
$1,814.71 |
| Rate for Payer: Aetna Commercial |
$844.35
|
| Rate for Payer: Aetna Medicare |
$655.31
|
| Rate for Payer: BCBS Complete |
$427.17
|
| Rate for Payer: BCBS MAPPO |
$630.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
| Rate for Payer: BCN Commercial |
$928.49
|
| Rate for Payer: BCN Medicare Advantage |
$630.11
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$907.36
|
| Rate for Payer: Cofinity Commercial |
$844.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.11
|
| Rate for Payer: Mclaren Medicaid |
$406.83
|
| Rate for Payer: Meridian Medicaid |
$427.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.62
|
| Rate for Payer: PACE SWMI |
$630.11
|
| Rate for Payer: PHP Medicare Advantage |
$630.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
| Rate for Payer: Priority Health Medicare |
$630.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,117.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.11
|
| Rate for Payer: UHC Medicare Advantage |
$649.01
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$847.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$516.59 |
| Max. Negotiated Rate |
$762.30 |
| Rate for Payer: Aetna Commercial |
$719.95
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$654.56
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$728.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.60
|
| Rate for Payer: Healthscope Commercial |
$762.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$635.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.95
|
| Rate for Payer: PHP Commercial |
$719.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.36
|
| Rate for Payer: UHC Core |
$707.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$635.25
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$847.00
|
|
|
Service Code
|
HCPCS 49550
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$6,312.66 |
| Rate for Payer: Aetna Commercial |
$771.18
|
| Rate for Payer: Aetna Medicare |
$598.53
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCBS MAPPO |
$575.51
|
| Rate for Payer: BCBS Trust/PPO |
$6,312.66
|
| Rate for Payer: BCN Commercial |
$848.35
|
| Rate for Payer: BCN Medicare Advantage |
$575.51
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$771.18
|
| Rate for Payer: Cofinity Commercial |
$828.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$575.51
|
| Rate for Payer: Mclaren Medicaid |
$372.11
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$604.29
|
| Rate for Payer: PACE SWMI |
$575.51
|
| Rate for Payer: PHP Medicare Advantage |
$575.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.72
|
| Rate for Payer: Priority Health Medicare |
$575.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,020.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$575.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$575.51
|
| Rate for Payer: UHC Medicare Advantage |
$592.78
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$847.00
|
|
|
Service Code
|
HCPCS 49550
|
| Hospital Charge Code |
49550
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$6,312.66 |
| Rate for Payer: Aetna Commercial |
$771.18
|
| Rate for Payer: Aetna Medicare |
$598.53
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCBS MAPPO |
$575.51
|
| Rate for Payer: BCBS Trust/PPO |
$6,312.66
|
| Rate for Payer: BCN Commercial |
$848.35
|
| Rate for Payer: BCN Medicare Advantage |
$575.51
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$771.18
|
| Rate for Payer: Cofinity Commercial |
$828.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$575.51
|
| Rate for Payer: Mclaren Medicaid |
$372.11
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$604.29
|
| Rate for Payer: PACE SWMI |
$575.51
|
| Rate for Payer: PHP Medicare Advantage |
$575.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.72
|
| Rate for Payer: Priority Health Medicare |
$575.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,020.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$575.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$575.51
|
| Rate for Payer: UHC Medicare Advantage |
$592.78
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$847.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$201.16 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$719.95
|
| Rate for Payer: Aetna Medicare |
$220.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.69
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$211.75
|
| Rate for Payer: BCBS Trust/PPO |
$658.54
|
| Rate for Payer: BCN Commercial |
$658.54
|
| Rate for Payer: BCN Medicare Advantage |
$211.75
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$728.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.75
|
| Rate for Payer: Healthscope Commercial |
$762.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$635.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$222.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.95
|
| Rate for Payer: PACE Senior Care Partners |
$201.16
|
| Rate for Payer: PACE SWMI |
$211.75
|
| Rate for Payer: PHP Commercial |
$719.95
|
| Rate for Payer: PHP Medicare Advantage |
$211.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.89
|
| Rate for Payer: Priority Health Medicare |
$211.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.59
|
| Rate for Payer: Railroad Medicare Medicare |
$211.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$745.36
|
| Rate for Payer: UHC Core |
$707.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.75
|
| Rate for Payer: UHC Medicare Advantage |
$218.10
|
| Rate for Payer: VA VA |
$211.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$635.25
|
|
|
PR RPR 1ST INCAL/VNT HERNIA INCARCERATED
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 49561
|
| Min. Negotiated Rate |
$879.60 |
| Max. Negotiated Rate |
$1,539.30 |
| Rate for Payer: BCBS Complete |
$879.60
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,539.30
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 49507
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,142.40 |
| Rate for Payer: Aetna Commercial |
$784.07
|
| Rate for Payer: Aetna Medicare |
$608.54
|
| Rate for Payer: BCBS Complete |
$397.42
|
| Rate for Payer: BCBS MAPPO |
$585.13
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$863.01
|
| Rate for Payer: BCN Medicare Advantage |
$585.13
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$842.59
|
| Rate for Payer: Cofinity Commercial |
$784.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.13
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Medicaid |
$397.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$614.39
|
| Rate for Payer: PACE SWMI |
$585.13
|
| Rate for Payer: PHP Medicare Advantage |
$585.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,038.36
|
| Rate for Payer: Priority Health Medicare |
$585.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,038.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$585.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$585.13
|
| Rate for Payer: UHC Medicare Advantage |
$602.68
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 49507
|
| Hospital Charge Code |
49507
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,142.40 |
| Rate for Payer: Aetna Commercial |
$784.07
|
| Rate for Payer: Aetna Medicare |
$608.54
|
| Rate for Payer: BCBS Complete |
$397.42
|
| Rate for Payer: BCBS MAPPO |
$585.13
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$863.01
|
| Rate for Payer: BCN Medicare Advantage |
$585.13
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$784.07
|
| Rate for Payer: Cofinity Commercial |
$842.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.13
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Medicaid |
$397.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$614.39
|
| Rate for Payer: PACE SWMI |
$585.13
|
| Rate for Payer: PHP Medicare Advantage |
$585.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,038.36
|
| Rate for Payer: Priority Health Medicare |
$585.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,038.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$585.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$585.13
|
| Rate for Payer: UHC Medicare Advantage |
$602.68
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED
|
Facility
|
OP
|
$1,632.00
|
|
|
Service Code
|
CPT 49507
|
| Hospital Charge Code |
49507
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$387.60 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,387.20
|
| Rate for Payer: Aetna Medicare |
$424.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$510.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$510.00
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$408.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,268.88
|
| Rate for Payer: BCN Commercial |
$1,268.88
|
| Rate for Payer: BCN Medicare Advantage |
$408.00
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$1,403.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,305.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.00
|
| Rate for Payer: Healthscope Commercial |
$1,468.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.00
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$428.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$469.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.20
|
| Rate for Payer: PACE Senior Care Partners |
$387.60
|
| Rate for Payer: PACE SWMI |
$408.00
|
| Rate for Payer: PHP Commercial |
$1,387.20
|
| Rate for Payer: PHP Medicare Advantage |
$408.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,419.84
|
| Rate for Payer: Priority Health Medicare |
$408.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$995.36
|
| Rate for Payer: Railroad Medicare Medicare |
$408.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,436.16
|
| Rate for Payer: UHC Core |
$1,362.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.00
|
| Rate for Payer: UHC Medicare Advantage |
$420.24
|
| Rate for Payer: VA VA |
$408.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.00
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED
|
Facility
|
IP
|
$1,632.00
|
|
|
Service Code
|
CPT 49507
|
| Hospital Charge Code |
49507
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$995.36 |
| Max. Negotiated Rate |
$1,468.80 |
| Rate for Payer: Aetna Commercial |
$1,387.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.21
|
| Rate for Payer: BCN Commercial |
$1,261.21
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$1,403.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,305.60
|
| Rate for Payer: Healthscope Commercial |
$1,468.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,224.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,387.20
|
| Rate for Payer: PHP Commercial |
$1,387.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,419.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$995.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,436.16
|
| Rate for Payer: UHC Core |
$1,362.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,224.00
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Facility
|
IP
|
$1,655.00
|
|
|
Service Code
|
CPT 49505
|
| Hospital Charge Code |
49505
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,009.38 |
| Max. Negotiated Rate |
$1,489.50 |
| Rate for Payer: Aetna Commercial |
$1,406.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,278.98
|
| Rate for Payer: BCN Commercial |
$1,278.98
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$1,423.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,324.00
|
| Rate for Payer: Healthscope Commercial |
$1,489.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,241.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,406.75
|
| Rate for Payer: PHP Commercial |
$1,406.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,439.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,009.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,456.40
|
| Rate for Payer: UHC Core |
$1,381.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,241.25
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 49505
|
| Min. Negotiated Rate |
$336.97 |
| Max. Negotiated Rate |
$1,158.50 |
| Rate for Payer: Aetna Commercial |
$696.81
|
| Rate for Payer: Aetna Medicare |
$540.81
|
| Rate for Payer: BCBS Complete |
$353.82
|
| Rate for Payer: BCBS MAPPO |
$520.01
|
| Rate for Payer: BCBS Trust/PPO |
$749.13
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$520.01
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$748.81
|
| Rate for Payer: Cofinity Commercial |
$696.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.01
|
| Rate for Payer: Mclaren Medicaid |
$336.97
|
| Rate for Payer: Meridian Medicaid |
$353.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$546.01
|
| Rate for Payer: PACE SWMI |
$520.01
|
| Rate for Payer: PHP Medicare Advantage |
$520.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$923.71
|
| Rate for Payer: Priority Health Medicare |
$520.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$923.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$520.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$520.01
|
| Rate for Payer: UHC Medicare Advantage |
$535.61
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 49505
|
| Hospital Charge Code |
49505
|
| Min. Negotiated Rate |
$336.97 |
| Max. Negotiated Rate |
$1,158.50 |
| Rate for Payer: Aetna Commercial |
$696.81
|
| Rate for Payer: Aetna Medicare |
$540.81
|
| Rate for Payer: BCBS Complete |
$353.82
|
| Rate for Payer: BCBS MAPPO |
$520.01
|
| Rate for Payer: BCBS Trust/PPO |
$749.13
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$520.01
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$696.81
|
| Rate for Payer: Cofinity Commercial |
$748.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.01
|
| Rate for Payer: Mclaren Medicaid |
$336.97
|
| Rate for Payer: Meridian Medicaid |
$353.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$546.01
|
| Rate for Payer: PACE SWMI |
$520.01
|
| Rate for Payer: PHP Medicare Advantage |
$520.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$923.71
|
| Rate for Payer: Priority Health Medicare |
$520.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$923.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$520.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$520.01
|
| Rate for Payer: UHC Medicare Advantage |
$535.61
|
|
|
PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
Facility
|
OP
|
$1,655.00
|
|
|
Service Code
|
CPT 49505
|
| Hospital Charge Code |
49505
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$393.06 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,406.75
|
| Rate for Payer: Aetna Medicare |
$430.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$517.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$517.19
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$413.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,286.76
|
| Rate for Payer: BCN Commercial |
$1,286.76
|
| Rate for Payer: BCN Medicare Advantage |
$413.75
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$1,423.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,324.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.75
|
| Rate for Payer: Healthscope Commercial |
$1,489.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,241.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$475.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,406.75
|
| Rate for Payer: PACE Senior Care Partners |
$393.06
|
| Rate for Payer: PACE SWMI |
$413.75
|
| Rate for Payer: PHP Commercial |
$1,406.75
|
| Rate for Payer: PHP Medicare Advantage |
$413.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,439.85
|
| Rate for Payer: Priority Health Medicare |
$413.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,009.38
|
| Rate for Payer: Railroad Medicare Medicare |
$413.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,456.40
|
| Rate for Payer: UHC Core |
$1,381.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.75
|
| Rate for Payer: UHC Medicare Advantage |
$426.16
|
| Rate for Payer: VA VA |
$413.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,241.25
|
|
|
PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED
|
Professional
|
Both
|
$1,700.00
|
|
|
Service Code
|
HCPCS 49501
|
| Min. Negotiated Rate |
$390.86 |
| Max. Negotiated Rate |
$1,190.00 |
| Rate for Payer: Aetna Commercial |
$809.56
|
| Rate for Payer: Aetna Medicare |
$628.32
|
| Rate for Payer: BCBS Complete |
$410.40
|
| Rate for Payer: BCBS MAPPO |
$604.15
|
| Rate for Payer: BCBS Trust/PPO |
$622.87
|
| Rate for Payer: BCN Commercial |
$890.86
|
| Rate for Payer: BCN Medicare Advantage |
$604.15
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$869.98
|
| Rate for Payer: Cofinity Commercial |
$809.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$604.15
|
| Rate for Payer: Mclaren Medicaid |
$390.86
|
| Rate for Payer: Meridian Medicaid |
$410.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$634.36
|
| Rate for Payer: PACE SWMI |
$604.15
|
| Rate for Payer: PHP Medicare Advantage |
$604.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$390.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,071.87
|
| Rate for Payer: Priority Health Medicare |
$604.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,071.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$604.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$604.15
|
| Rate for Payer: UHC Medicare Advantage |
$622.27
|
|
|
PR RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE
|
Professional
|
Both
|
$1,335.00
|
|
|
Service Code
|
HCPCS 49500
|
| Min. Negotiated Rate |
$269.23 |
| Max. Negotiated Rate |
$934.50 |
| Rate for Payer: Aetna Commercial |
$553.03
|
| Rate for Payer: Aetna Medicare |
$429.22
|
| Rate for Payer: BCBS Complete |
$282.69
|
| Rate for Payer: BCBS MAPPO |
$412.71
|
| Rate for Payer: BCBS Trust/PPO |
$542.04
|
| Rate for Payer: BCN Commercial |
$612.31
|
| Rate for Payer: BCN Medicare Advantage |
$412.71
|
| Rate for Payer: Cash Price |
$1,068.00
|
| Rate for Payer: Cash Price |
$1,068.00
|
| Rate for Payer: Cofinity Commercial |
$594.30
|
| Rate for Payer: Cofinity Commercial |
$553.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$412.71
|
| Rate for Payer: Mclaren Medicaid |
$269.23
|
| Rate for Payer: Meridian Medicaid |
$282.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$433.35
|
| Rate for Payer: PACE SWMI |
$412.71
|
| Rate for Payer: PHP Medicare Advantage |
$412.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$934.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.74
|
| Rate for Payer: Priority Health Medicare |
$412.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$736.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$412.71
|
| Rate for Payer: UHC Medicare Advantage |
$425.09
|
|
|
PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER
|
Professional
|
Both
|
$1,764.00
|
|
|
Service Code
|
HCPCS 49496
|
| Min. Negotiated Rate |
$396.82 |
| Max. Negotiated Rate |
$1,234.80 |
| Rate for Payer: Aetna Commercial |
$820.23
|
| Rate for Payer: Aetna Medicare |
$636.59
|
| Rate for Payer: BCBS Complete |
$416.66
|
| Rate for Payer: BCBS MAPPO |
$612.11
|
| Rate for Payer: BCBS Trust/PPO |
$704.75
|
| Rate for Payer: BCN Commercial |
$903.08
|
| Rate for Payer: BCN Medicare Advantage |
$612.11
|
| Rate for Payer: Cash Price |
$1,411.20
|
| Rate for Payer: Cash Price |
$1,411.20
|
| Rate for Payer: Cofinity Commercial |
$820.23
|
| Rate for Payer: Cofinity Commercial |
$881.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.11
|
| Rate for Payer: Mclaren Medicaid |
$396.82
|
| Rate for Payer: Meridian Medicaid |
$416.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$642.72
|
| Rate for Payer: PACE SWMI |
$612.11
|
| Rate for Payer: PHP Medicare Advantage |
$612.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$396.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,234.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,086.58
|
| Rate for Payer: Priority Health Medicare |
$612.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,086.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$612.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$612.11
|
| Rate for Payer: UHC Medicare Advantage |
$630.47
|
|
|
PR RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC
|
Professional
|
Both
|
$1,484.00
|
|
|
Service Code
|
HCPCS 49495
|
| Min. Negotiated Rate |
$263.69 |
| Max. Negotiated Rate |
$1,038.80 |
| Rate for Payer: Aetna Commercial |
$545.57
|
| Rate for Payer: Aetna Medicare |
$423.43
|
| Rate for Payer: BCBS Complete |
$276.87
|
| Rate for Payer: BCBS MAPPO |
$407.14
|
| Rate for Payer: BCBS Trust/PPO |
$878.03
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$407.14
|
| Rate for Payer: Cash Price |
$1,187.20
|
| Rate for Payer: Cash Price |
$1,187.20
|
| Rate for Payer: Cofinity Commercial |
$586.28
|
| Rate for Payer: Cofinity Commercial |
$545.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.14
|
| Rate for Payer: Mclaren Medicaid |
$263.69
|
| Rate for Payer: Meridian Medicaid |
$276.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$427.50
|
| Rate for Payer: PACE SWMI |
$407.14
|
| Rate for Payer: PHP Medicare Advantage |
$407.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,038.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$723.20
|
| Rate for Payer: Priority Health Medicare |
$407.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$723.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.14
|
| Rate for Payer: UHC Medicare Advantage |
$419.35
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED
|
Professional
|
Both
|
$1,862.00
|
|
|
Service Code
|
HCPCS 49492
|
| Min. Negotiated Rate |
$616.21 |
| Max. Negotiated Rate |
$1,690.43 |
| Rate for Payer: Aetna Commercial |
$1,280.66
|
| Rate for Payer: Aetna Medicare |
$993.95
|
| Rate for Payer: BCBS Complete |
$647.02
|
| Rate for Payer: BCBS MAPPO |
$955.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,280.07
|
| Rate for Payer: BCN Commercial |
$1,404.95
|
| Rate for Payer: BCN Medicare Advantage |
$955.72
|
| Rate for Payer: Cash Price |
$1,489.60
|
| Rate for Payer: Cash Price |
$1,489.60
|
| Rate for Payer: Cofinity Commercial |
$1,376.24
|
| Rate for Payer: Cofinity Commercial |
$1,280.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$955.72
|
| Rate for Payer: Mclaren Medicaid |
$616.21
|
| Rate for Payer: Meridian Medicaid |
$647.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,003.51
|
| Rate for Payer: PACE SWMI |
$955.72
|
| Rate for Payer: PHP Medicare Advantage |
$955.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,690.43
|
| Rate for Payer: Priority Health Medicare |
$955.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,690.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$955.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$955.72
|
| Rate for Payer: UHC Medicare Advantage |
$984.39
|
|
|
PR RPR 1ST INGUN HRNA PRETERM INFT RDC
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 49491
|
| Min. Negotiated Rate |
$201.81 |
| Max. Negotiated Rate |
$1,408.79 |
| Rate for Payer: Aetna Commercial |
$1,065.41
|
| Rate for Payer: Aetna Medicare |
$826.88
|
| Rate for Payer: BCBS Complete |
$539.00
|
| Rate for Payer: BCBS MAPPO |
$795.08
|
| Rate for Payer: BCBS Trust/PPO |
$201.81
|
| Rate for Payer: BCN Commercial |
$1,170.87
|
| Rate for Payer: BCN Medicare Advantage |
$795.08
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$1,144.92
|
| Rate for Payer: Cofinity Commercial |
$1,065.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$795.08
|
| Rate for Payer: Mclaren Medicaid |
$513.33
|
| Rate for Payer: Meridian Medicaid |
$539.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$834.83
|
| Rate for Payer: PACE SWMI |
$795.08
|
| Rate for Payer: PHP Medicare Advantage |
$795.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$513.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,408.79
|
| Rate for Payer: Priority Health Medicare |
$795.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,408.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$795.08
|
| Rate for Payer: UHC Medicare Advantage |
$818.93
|
|
|
PR RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB
|
Professional
|
Both
|
$1,276.00
|
|
|
Service Code
|
HCPCS 33218
|
| Min. Negotiated Rate |
$245.38 |
| Max. Negotiated Rate |
$1,067.17 |
| Rate for Payer: Aetna Commercial |
$511.73
|
| Rate for Payer: Aetna Medicare |
$397.17
|
| Rate for Payer: BCBS Complete |
$257.65
|
| Rate for Payer: BCBS MAPPO |
$381.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,067.17
|
| Rate for Payer: BCN Commercial |
$565.40
|
| Rate for Payer: BCN Medicare Advantage |
$381.89
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cofinity Commercial |
$511.73
|
| Rate for Payer: Cofinity Commercial |
$549.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.89
|
| Rate for Payer: Mclaren Medicaid |
$245.38
|
| Rate for Payer: Meridian Medicaid |
$257.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.98
|
| Rate for Payer: PACE SWMI |
$381.89
|
| Rate for Payer: PHP Medicare Advantage |
$381.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$893.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$615.47
|
| Rate for Payer: Priority Health Medicare |
$381.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$381.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$381.89
|
| Rate for Payer: UHC Medicare Advantage |
$393.35
|
|
|
PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB
|
Professional
|
Both
|
$1,306.00
|
|
|
Service Code
|
HCPCS 33220
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$1,215.62 |
| Rate for Payer: Aetna Commercial |
$494.57
|
| Rate for Payer: Aetna Medicare |
$383.84
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$369.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,215.62
|
| Rate for Payer: BCN Commercial |
$544.39
|
| Rate for Payer: BCN Medicare Advantage |
$369.08
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cofinity Commercial |
$494.57
|
| Rate for Payer: Cofinity Commercial |
$531.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.08
|
| Rate for Payer: Mclaren Medicaid |
$239.84
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$387.53
|
| Rate for Payer: PACE SWMI |
$369.08
|
| Rate for Payer: PHP Medicare Advantage |
$369.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$914.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$592.60
|
| Rate for Payer: Priority Health Medicare |
$369.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$592.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$369.08
|
| Rate for Payer: UHC Medicare Advantage |
$380.15
|
|
