|
PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB
|
Professional
|
Both
|
$120.00
|
|
|
Service Code
|
HCPCS 95938
|
| Min. Negotiated Rate |
$48.00 |
| Max. Negotiated Rate |
$556.30 |
| Rate for Payer: Aetna Commercial |
$454.15
|
| Rate for Payer: Aetna Medicare |
$352.48
|
| Rate for Payer: BCBS Complete |
$48.00
|
| Rate for Payer: BCBS MAPPO |
$338.92
|
| Rate for Payer: BCBS Trust/PPO |
$556.30
|
| Rate for Payer: BCN Commercial |
$531.68
|
| Rate for Payer: BCN Medicare Advantage |
$338.92
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Cofinity Commercial |
$454.15
|
| Rate for Payer: Cofinity Commercial |
$488.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$355.87
|
| Rate for Payer: PACE SWMI |
$338.92
|
| Rate for Payer: PHP Medicare Advantage |
$338.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$488.66
|
| Rate for Payer: Priority Health Medicare |
$338.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$488.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$338.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$338.92
|
| Rate for Payer: UHC Medicare Advantage |
$349.09
|
|
|
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS 11311
|
| Min. Negotiated Rate |
$39.62 |
| Max. Negotiated Rate |
$338.18 |
| Rate for Payer: Aetna Commercial |
$82.29
|
| Rate for Payer: Aetna Medicare |
$63.87
|
| Rate for Payer: BCBS Complete |
$41.60
|
| Rate for Payer: BCBS MAPPO |
$61.41
|
| Rate for Payer: BCBS Trust/PPO |
$338.18
|
| Rate for Payer: BCN Commercial |
$161.77
|
| Rate for Payer: BCN Medicare Advantage |
$61.41
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cofinity Commercial |
$82.29
|
| Rate for Payer: Cofinity Commercial |
$88.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.41
|
| Rate for Payer: Mclaren Medicaid |
$39.62
|
| Rate for Payer: Meridian Medicaid |
$41.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$64.48
|
| Rate for Payer: PACE SWMI |
$61.41
|
| Rate for Payer: PHP Medicare Advantage |
$61.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.45
|
| Rate for Payer: Priority Health Medicare |
$61.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$76.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.41
|
| Rate for Payer: UHC Medicare Advantage |
$63.25
|
|
|
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$261.00
|
|
|
Service Code
|
HCPCS 11312
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$184.94 |
| Rate for Payer: Aetna Commercial |
$98.77
|
| Rate for Payer: Aetna Medicare |
$76.66
|
| Rate for Payer: BCBS Complete |
$49.20
|
| Rate for Payer: BCBS MAPPO |
$73.71
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$184.94
|
| Rate for Payer: BCN Medicare Advantage |
$73.71
|
| Rate for Payer: Cash Price |
$208.80
|
| Rate for Payer: Cash Price |
$208.80
|
| Rate for Payer: Cofinity Commercial |
$98.77
|
| Rate for Payer: Cofinity Commercial |
$106.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.71
|
| Rate for Payer: Mclaren Medicaid |
$46.86
|
| Rate for Payer: Meridian Medicaid |
$49.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.40
|
| Rate for Payer: PACE SWMI |
$73.71
|
| Rate for Payer: PHP Medicare Advantage |
$73.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.66
|
| Rate for Payer: Priority Health Medicare |
$73.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.71
|
| Rate for Payer: UHC Medicare Advantage |
$75.92
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Facility
|
IP
|
$194.00
|
|
|
Service Code
|
CPT 11301
|
| Hospital Charge Code |
11301
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$118.32 |
| Max. Negotiated Rate |
$174.60 |
| Rate for Payer: Aetna Commercial |
$164.90
|
| Rate for Payer: BCBS Trust/PPO |
$149.92
|
| Rate for Payer: BCN Commercial |
$149.92
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$166.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.20
|
| Rate for Payer: Healthscope Commercial |
$174.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$164.90
|
| Rate for Payer: PHP Commercial |
$164.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$118.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.72
|
| Rate for Payer: UHC Core |
$161.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.50
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Facility
|
OP
|
$194.00
|
|
|
Service Code
|
CPT 11301
|
| Hospital Charge Code |
11301
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$46.08 |
| Max. Negotiated Rate |
$174.60 |
| Rate for Payer: Aetna Commercial |
$164.90
|
| Rate for Payer: Aetna Medicare |
$50.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$60.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$60.62
|
| Rate for Payer: BCBS Complete |
$137.89
|
| Rate for Payer: BCBS MAPPO |
$48.50
|
| Rate for Payer: BCBS Trust/PPO |
$150.84
|
| Rate for Payer: BCN Commercial |
$150.84
|
| Rate for Payer: BCN Medicare Advantage |
$48.50
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$166.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$155.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.50
|
| Rate for Payer: Healthscope Commercial |
$174.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$145.50
|
| Rate for Payer: Mclaren Medicaid |
$131.33
|
| Rate for Payer: Meridian Medicaid |
$137.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$55.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$164.90
|
| Rate for Payer: PACE Senior Care Partners |
$46.08
|
| Rate for Payer: PACE SWMI |
$48.50
|
| Rate for Payer: PHP Commercial |
$164.90
|
| Rate for Payer: PHP Medicare Advantage |
$48.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.78
|
| Rate for Payer: Priority Health Medicare |
$48.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$118.32
|
| Rate for Payer: Railroad Medicare Medicare |
$48.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.72
|
| Rate for Payer: UHC Core |
$161.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.50
|
| Rate for Payer: UHC Medicare Advantage |
$49.96
|
| Rate for Payer: VA VA |
$48.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$145.50
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 11301
|
| Hospital Charge Code |
11301
|
| Min. Negotiated Rate |
$32.38 |
| Max. Negotiated Rate |
$507.28 |
| Rate for Payer: Aetna Commercial |
$67.27
|
| Rate for Payer: Aetna Medicare |
$52.21
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$50.20
|
| Rate for Payer: BCBS Trust/PPO |
$507.28
|
| Rate for Payer: BCN Commercial |
$144.11
|
| Rate for Payer: BCN Medicare Advantage |
$50.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$72.29
|
| Rate for Payer: Cofinity Commercial |
$67.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.20
|
| Rate for Payer: Mclaren Medicaid |
$32.38
|
| Rate for Payer: Meridian Medicaid |
$34.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.71
|
| Rate for Payer: PACE SWMI |
$50.20
|
| Rate for Payer: PHP Medicare Advantage |
$50.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Medicare |
$50.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.20
|
| Rate for Payer: UHC Medicare Advantage |
$51.71
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 11301
|
| Min. Negotiated Rate |
$32.38 |
| Max. Negotiated Rate |
$507.28 |
| Rate for Payer: Aetna Commercial |
$67.27
|
| Rate for Payer: Aetna Medicare |
$52.21
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$50.20
|
| Rate for Payer: BCBS Trust/PPO |
$507.28
|
| Rate for Payer: BCN Commercial |
$144.11
|
| Rate for Payer: BCN Medicare Advantage |
$50.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$72.29
|
| Rate for Payer: Cofinity Commercial |
$67.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.20
|
| Rate for Payer: Mclaren Medicaid |
$32.38
|
| Rate for Payer: Meridian Medicaid |
$34.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.71
|
| Rate for Payer: PACE SWMI |
$50.20
|
| Rate for Payer: PHP Medicare Advantage |
$50.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Medicare |
$50.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.20
|
| Rate for Payer: UHC Medicare Advantage |
$51.71
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
|
Professional
|
Both
|
$252.00
|
|
|
Service Code
|
HCPCS 11303
|
| Min. Negotiated Rate |
$44.94 |
| Max. Negotiated Rate |
$2,827.44 |
| Rate for Payer: Aetna Commercial |
$92.97
|
| Rate for Payer: Aetna Medicare |
$72.16
|
| Rate for Payer: BCBS Complete |
$47.19
|
| Rate for Payer: BCBS MAPPO |
$69.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,827.44
|
| Rate for Payer: BCN Commercial |
$179.84
|
| Rate for Payer: BCN Medicare Advantage |
$69.38
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cofinity Commercial |
$92.97
|
| Rate for Payer: Cofinity Commercial |
$99.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.38
|
| Rate for Payer: Mclaren Medicaid |
$44.94
|
| Rate for Payer: Meridian Medicaid |
$47.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$72.85
|
| Rate for Payer: PACE SWMI |
$69.38
|
| Rate for Payer: PHP Medicare Advantage |
$69.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.31
|
| Rate for Payer: Priority Health Medicare |
$69.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.38
|
| Rate for Payer: UHC Medicare Advantage |
$71.46
|
|
|
PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$229.00
|
|
|
Service Code
|
HCPCS 11302
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$162.17 |
| Rate for Payer: Aetna Commercial |
$78.28
|
| Rate for Payer: Aetna Medicare |
$60.76
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$58.42
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$162.17
|
| Rate for Payer: BCN Medicare Advantage |
$58.42
|
| Rate for Payer: Cash Price |
$183.20
|
| Rate for Payer: Cash Price |
$183.20
|
| Rate for Payer: Cofinity Commercial |
$78.28
|
| Rate for Payer: Cofinity Commercial |
$84.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.42
|
| Rate for Payer: Mclaren Medicaid |
$37.70
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.34
|
| Rate for Payer: PACE SWMI |
$58.42
|
| Rate for Payer: PHP Medicare Advantage |
$58.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$160.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.75
|
| Rate for Payer: Priority Health Medicare |
$58.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.42
|
| Rate for Payer: UHC Medicare Advantage |
$60.17
|
|
|
PR SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL
|
Professional
|
Both
|
$767.00
|
|
|
Service Code
|
HCPCS 42340
|
| Min. Negotiated Rate |
$223.01 |
| Max. Negotiated Rate |
$788.73 |
| Rate for Payer: Aetna Commercial |
$453.08
|
| Rate for Payer: Aetna Medicare |
$351.64
|
| Rate for Payer: BCBS Complete |
$234.16
|
| Rate for Payer: BCBS MAPPO |
$338.12
|
| Rate for Payer: BCBS Trust/PPO |
$782.41
|
| Rate for Payer: BCN Commercial |
$788.73
|
| Rate for Payer: BCN Medicare Advantage |
$338.12
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cash Price |
$613.60
|
| Rate for Payer: Cofinity Commercial |
$486.89
|
| Rate for Payer: Cofinity Commercial |
$453.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338.12
|
| Rate for Payer: Mclaren Medicaid |
$223.01
|
| Rate for Payer: Meridian Medicaid |
$234.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$355.03
|
| Rate for Payer: PACE SWMI |
$338.12
|
| Rate for Payer: PHP Medicare Advantage |
$338.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$609.73
|
| Rate for Payer: Priority Health Medicare |
$338.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$609.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$338.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$338.12
|
| Rate for Payer: UHC Medicare Advantage |
$348.26
|
|
|
PR SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL
|
Professional
|
Both
|
$1,001.00
|
|
|
Service Code
|
HCPCS 42335
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$700.70 |
| Rate for Payer: Aetna Commercial |
$343.70
|
| Rate for Payer: Aetna Medicare |
$266.75
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$256.49
|
| Rate for Payer: BCBS Trust/PPO |
$395.70
|
| Rate for Payer: BCN Commercial |
$639.67
|
| Rate for Payer: BCN Medicare Advantage |
$256.49
|
| Rate for Payer: Cash Price |
$800.80
|
| Rate for Payer: Cash Price |
$800.80
|
| Rate for Payer: Cofinity Commercial |
$343.70
|
| Rate for Payer: Cofinity Commercial |
$369.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.49
|
| Rate for Payer: Mclaren Medicaid |
$170.19
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.31
|
| Rate for Payer: PACE SWMI |
$256.49
|
| Rate for Payer: PHP Medicare Advantage |
$256.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.91
|
| Rate for Payer: Priority Health Medicare |
$256.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$463.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$256.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$256.49
|
| Rate for Payer: UHC Medicare Advantage |
$264.18
|
|
|
PR SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL
|
Professional
|
Both
|
$411.00
|
|
|
Service Code
|
HCPCS 42330
|
| Min. Negotiated Rate |
$106.71 |
| Max. Negotiated Rate |
$345.01 |
| Rate for Payer: Aetna Commercial |
$216.97
|
| Rate for Payer: Aetna Medicare |
$168.40
|
| Rate for Payer: BCBS Complete |
$112.05
|
| Rate for Payer: BCBS MAPPO |
$161.92
|
| Rate for Payer: BCBS Trust/PPO |
$237.74
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$161.92
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cofinity Commercial |
$216.97
|
| Rate for Payer: Cofinity Commercial |
$233.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.92
|
| Rate for Payer: Mclaren Medicaid |
$106.71
|
| Rate for Payer: Meridian Medicaid |
$112.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$170.02
|
| Rate for Payer: PACE SWMI |
$161.92
|
| Rate for Payer: PHP Medicare Advantage |
$161.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.22
|
| Rate for Payer: Priority Health Medicare |
$161.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$292.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$161.92
|
| Rate for Payer: UHC Medicare Advantage |
$166.78
|
|
|
PR SIGMOIDOSCOPY,ABLATE LESN
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 45339
|
| Min. Negotiated Rate |
$294.40 |
| Max. Negotiated Rate |
$515.20 |
| Rate for Payer: BCBS Complete |
$294.40
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.20
|
|
|
PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 45346
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$3,394.35 |
| Rate for Payer: Aetna Commercial |
$209.23
|
| Rate for Payer: Aetna Medicare |
$162.39
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$156.14
|
| Rate for Payer: BCBS Trust/PPO |
$333.36
|
| Rate for Payer: BCN Commercial |
$3,394.35
|
| Rate for Payer: BCN Medicare Advantage |
$156.14
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cofinity Commercial |
$209.23
|
| Rate for Payer: Cofinity Commercial |
$224.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.14
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.95
|
| Rate for Payer: PACE SWMI |
$156.14
|
| Rate for Payer: PHP Medicare Advantage |
$156.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$518.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.53
|
| Rate for Payer: Priority Health Medicare |
$156.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.14
|
| Rate for Payer: UHC Medicare Advantage |
$160.82
|
|
|
PR SIGMOIDOSCOPY FLX CONTROL BLEEDING
|
Professional
|
Both
|
$654.00
|
|
|
Service Code
|
HCPCS 45334
|
| Min. Negotiated Rate |
$74.12 |
| Max. Negotiated Rate |
$727.15 |
| Rate for Payer: Aetna Commercial |
$153.08
|
| Rate for Payer: Aetna Medicare |
$118.81
|
| Rate for Payer: BCBS Complete |
$77.83
|
| Rate for Payer: BCBS MAPPO |
$114.24
|
| Rate for Payer: BCBS Trust/PPO |
$286.87
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$114.24
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Cofinity Commercial |
$153.08
|
| Rate for Payer: Cofinity Commercial |
$164.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.24
|
| Rate for Payer: Mclaren Medicaid |
$74.12
|
| Rate for Payer: Meridian Medicaid |
$77.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$119.95
|
| Rate for Payer: PACE SWMI |
$114.24
|
| Rate for Payer: PHP Medicare Advantage |
$114.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$203.44
|
| Rate for Payer: Priority Health Medicare |
$114.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$203.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$114.24
|
| Rate for Payer: UHC Medicare Advantage |
$117.67
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 45330
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$239.85 |
| Rate for Payer: Aetna Commercial |
$72.96
|
| Rate for Payer: Aetna Medicare |
$56.63
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$54.45
|
| Rate for Payer: BCBS Trust/PPO |
$239.85
|
| Rate for Payer: BCN Commercial |
$219.89
|
| Rate for Payer: BCN Medicare Advantage |
$54.45
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$78.41
|
| Rate for Payer: Cofinity Commercial |
$72.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.45
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.17
|
| Rate for Payer: PACE SWMI |
$54.45
|
| Rate for Payer: PHP Medicare Advantage |
$54.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.60
|
| Rate for Payer: Priority Health Medicare |
$54.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.45
|
| Rate for Payer: UHC Medicare Advantage |
$56.08
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 45330
|
| Hospital Charge Code |
45330
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$239.85 |
| Rate for Payer: Aetna Commercial |
$72.96
|
| Rate for Payer: Aetna Medicare |
$56.63
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$54.45
|
| Rate for Payer: BCBS Trust/PPO |
$239.85
|
| Rate for Payer: BCN Commercial |
$219.89
|
| Rate for Payer: BCN Medicare Advantage |
$54.45
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$72.96
|
| Rate for Payer: Cofinity Commercial |
$78.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.45
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$57.17
|
| Rate for Payer: PACE SWMI |
$54.45
|
| Rate for Payer: PHP Medicare Advantage |
$54.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.60
|
| Rate for Payer: Priority Health Medicare |
$54.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.45
|
| Rate for Payer: UHC Medicare Advantage |
$56.08
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
IP
|
$244.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$148.82 |
| Max. Negotiated Rate |
$219.60 |
| Rate for Payer: Aetna Commercial |
$207.40
|
| Rate for Payer: BCBS Trust/PPO |
$188.56
|
| Rate for Payer: BCN Commercial |
$188.56
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$209.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.20
|
| Rate for Payer: Healthscope Commercial |
$219.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$207.40
|
| Rate for Payer: PHP Commercial |
$207.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.72
|
| Rate for Payer: UHC Core |
$203.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.00
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
OP
|
$244.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$57.95 |
| Max. Negotiated Rate |
$629.53 |
| Rate for Payer: Aetna Commercial |
$207.40
|
| Rate for Payer: Aetna Medicare |
$63.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$76.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$76.25
|
| Rate for Payer: BCBS Complete |
$629.53
|
| Rate for Payer: BCBS MAPPO |
$61.00
|
| Rate for Payer: BCBS Trust/PPO |
$189.71
|
| Rate for Payer: BCN Commercial |
$189.71
|
| Rate for Payer: BCN Medicare Advantage |
$61.00
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$209.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$195.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.00
|
| Rate for Payer: Healthscope Commercial |
$219.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$183.00
|
| Rate for Payer: Mclaren Medicaid |
$599.55
|
| Rate for Payer: Meridian Medicaid |
$629.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$64.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$70.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$207.40
|
| Rate for Payer: PACE Senior Care Partners |
$57.95
|
| Rate for Payer: PACE SWMI |
$61.00
|
| Rate for Payer: PHP Commercial |
$207.40
|
| Rate for Payer: PHP Medicare Advantage |
$61.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.28
|
| Rate for Payer: Priority Health Medicare |
$61.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.82
|
| Rate for Payer: Railroad Medicare Medicare |
$61.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.72
|
| Rate for Payer: UHC Core |
$203.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.00
|
| Rate for Payer: UHC Medicare Advantage |
$62.83
|
| Rate for Payer: VA VA |
$61.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$183.00
|
|
|
PR SIGMOIDOSCOPY FLX NDSC US XM
|
Professional
|
Both
|
$291.00
|
|
|
Service Code
|
HCPCS 45341
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$291.09 |
| Rate for Payer: Aetna Commercial |
$160.60
|
| Rate for Payer: Aetna Medicare |
$124.64
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$119.85
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$119.85
|
| Rate for Payer: Cash Price |
$232.80
|
| Rate for Payer: Cash Price |
$232.80
|
| Rate for Payer: Cofinity Commercial |
$172.58
|
| Rate for Payer: Cofinity Commercial |
$160.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.85
|
| Rate for Payer: Mclaren Medicaid |
$78.17
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.84
|
| Rate for Payer: PACE SWMI |
$119.85
|
| Rate for Payer: PHP Medicare Advantage |
$119.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$213.43
|
| Rate for Payer: Priority Health Medicare |
$119.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$213.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.85
|
| Rate for Payer: UHC Medicare Advantage |
$123.45
|
|
|
PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 45347
|
| Min. Negotiated Rate |
$96.92 |
| Max. Negotiated Rate |
$265.17 |
| Rate for Payer: Aetna Commercial |
$199.89
|
| Rate for Payer: Aetna Medicare |
$155.14
|
| Rate for Payer: BCBS Complete |
$101.77
|
| Rate for Payer: BCBS MAPPO |
$149.17
|
| Rate for Payer: BCBS Trust/PPO |
$118.87
|
| Rate for Payer: BCN Commercial |
$220.39
|
| Rate for Payer: BCN Medicare Advantage |
$149.17
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$214.80
|
| Rate for Payer: Cofinity Commercial |
$199.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.17
|
| Rate for Payer: Mclaren Medicaid |
$96.92
|
| Rate for Payer: Meridian Medicaid |
$101.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$156.63
|
| Rate for Payer: PACE SWMI |
$149.17
|
| Rate for Payer: PHP Medicare Advantage |
$149.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$265.17
|
| Rate for Payer: Priority Health Medicare |
$149.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$265.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.17
|
| Rate for Payer: UHC Medicare Advantage |
$153.65
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 45340
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$675.35 |
| Rate for Payer: Aetna Commercial |
$101.96
|
| Rate for Payer: Aetna Medicare |
$79.13
|
| Rate for Payer: BCBS Complete |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$76.09
|
| Rate for Payer: BCBS Trust/PPO |
$96.68
|
| Rate for Payer: BCN Commercial |
$675.35
|
| Rate for Payer: BCN Medicare Advantage |
$76.09
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$109.57
|
| Rate for Payer: Cofinity Commercial |
$101.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.09
|
| Rate for Payer: Mclaren Medicaid |
$49.63
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$79.89
|
| Rate for Payer: PACE SWMI |
$76.09
|
| Rate for Payer: PHP Medicare Advantage |
$76.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$135.82
|
| Rate for Payer: Priority Health Medicare |
$76.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.09
|
| Rate for Payer: UHC Medicare Advantage |
$78.37
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX
|
Professional
|
Both
|
$791.00
|
|
|
Service Code
|
HCPCS 45342
|
| Min. Negotiated Rate |
$107.35 |
| Max. Negotiated Rate |
$553.70 |
| Rate for Payer: Aetna Commercial |
$222.71
|
| Rate for Payer: Aetna Medicare |
$172.85
|
| Rate for Payer: BCBS Complete |
$112.72
|
| Rate for Payer: BCBS MAPPO |
$166.20
|
| Rate for Payer: BCBS Trust/PPO |
$269.43
|
| Rate for Payer: BCN Commercial |
$245.32
|
| Rate for Payer: BCN Medicare Advantage |
$166.20
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cofinity Commercial |
$222.71
|
| Rate for Payer: Cofinity Commercial |
$239.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.20
|
| Rate for Payer: Mclaren Medicaid |
$107.35
|
| Rate for Payer: Meridian Medicaid |
$112.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$174.51
|
| Rate for Payer: PACE SWMI |
$166.20
|
| Rate for Payer: PHP Medicare Advantage |
$166.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$295.16
|
| Rate for Payer: Priority Health Medicare |
$166.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.20
|
| Rate for Payer: UHC Medicare Advantage |
$171.19
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$336.00
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
45331
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$204.93 |
| Max. Negotiated Rate |
$302.40 |
| Rate for Payer: Aetna Commercial |
$285.60
|
| Rate for Payer: BCBS Trust/PPO |
$259.66
|
| Rate for Payer: BCN Commercial |
$259.66
|
| Rate for Payer: Cash Price |
$268.80
|
| Rate for Payer: Cofinity Commercial |
$288.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$268.80
|
| Rate for Payer: Healthscope Commercial |
$302.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$285.60
|
| Rate for Payer: PHP Commercial |
$285.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.68
|
| Rate for Payer: UHC Core |
$280.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.00
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$336.00
|
|
|
Service Code
|
HCPCS 45331
|
| Min. Negotiated Rate |
$45.80 |
| Max. Negotiated Rate |
$421.73 |
| Rate for Payer: Aetna Commercial |
$93.36
|
| Rate for Payer: Aetna Medicare |
$72.46
|
| Rate for Payer: BCBS Complete |
$48.09
|
| Rate for Payer: BCBS MAPPO |
$69.67
|
| Rate for Payer: BCBS Trust/PPO |
$302.72
|
| Rate for Payer: BCN Commercial |
$421.73
|
| Rate for Payer: BCN Medicare Advantage |
$69.67
|
| Rate for Payer: Cash Price |
$268.80
|
| Rate for Payer: Cash Price |
$268.80
|
| Rate for Payer: Cofinity Commercial |
$93.36
|
| Rate for Payer: Cofinity Commercial |
$100.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.67
|
| Rate for Payer: Mclaren Medicaid |
$45.80
|
| Rate for Payer: Meridian Medicaid |
$48.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$73.15
|
| Rate for Payer: PACE SWMI |
$69.67
|
| Rate for Payer: PHP Medicare Advantage |
$69.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$124.65
|
| Rate for Payer: Priority Health Medicare |
$69.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$124.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.67
|
| Rate for Payer: UHC Medicare Advantage |
$71.76
|
|
