|
PR TEAEC W/WO PATCH GRAFT ILIAC
|
Professional
|
Both
|
$2,478.00
|
|
|
Service Code
|
HCPCS 35351
|
| Min. Negotiated Rate |
$801.73 |
| Max. Negotiated Rate |
$1,993.77 |
| Rate for Payer: Aetna Commercial |
$1,694.27
|
| Rate for Payer: Aetna Medicare |
$1,314.96
|
| Rate for Payer: BCBS Complete |
$841.82
|
| Rate for Payer: BCBS MAPPO |
$1,264.38
|
| Rate for Payer: BCBS Trust/PPO |
$942.49
|
| Rate for Payer: BCN Commercial |
$1,831.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,264.38
|
| Rate for Payer: Cash Price |
$1,982.40
|
| Rate for Payer: Cash Price |
$1,982.40
|
| Rate for Payer: Cofinity Commercial |
$1,694.27
|
| Rate for Payer: Cofinity Commercial |
$1,820.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,264.38
|
| Rate for Payer: Mclaren Medicaid |
$801.73
|
| Rate for Payer: Meridian Medicaid |
$841.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,327.60
|
| Rate for Payer: PACE SWMI |
$1,264.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,264.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$801.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,734.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,993.77
|
| Rate for Payer: Priority Health Medicare |
$1,264.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,993.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,264.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,264.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,302.31
|
|
|
PR TEAEC W/WO PATCH GRAFT ILIOFEMORAL
|
Professional
|
Both
|
$2,013.00
|
|
|
Service Code
|
HCPCS 35355
|
| Min. Negotiated Rate |
$641.34 |
| Max. Negotiated Rate |
$1,596.40 |
| Rate for Payer: Aetna Commercial |
$1,357.66
|
| Rate for Payer: Aetna Medicare |
$1,053.71
|
| Rate for Payer: BCBS Complete |
$673.41
|
| Rate for Payer: BCBS MAPPO |
$1,013.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,096.22
|
| Rate for Payer: BCN Commercial |
$1,466.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,013.18
|
| Rate for Payer: Cash Price |
$1,610.40
|
| Rate for Payer: Cash Price |
$1,610.40
|
| Rate for Payer: Cofinity Commercial |
$1,357.66
|
| Rate for Payer: Cofinity Commercial |
$1,458.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,013.18
|
| Rate for Payer: Mclaren Medicaid |
$641.34
|
| Rate for Payer: Meridian Medicaid |
$673.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,063.84
|
| Rate for Payer: PACE SWMI |
$1,013.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,013.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$641.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,596.40
|
| Rate for Payer: Priority Health Medicare |
$1,013.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,596.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,013.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,013.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,043.58
|
|
|
PR TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL
|
Professional
|
Both
|
$4,420.00
|
|
|
Service Code
|
HCPCS 35341
|
| Min. Negotiated Rate |
$865.42 |
| Max. Negotiated Rate |
$3,094.00 |
| Rate for Payer: Aetna Commercial |
$1,823.10
|
| Rate for Payer: Aetna Medicare |
$1,414.94
|
| Rate for Payer: BCBS Complete |
$908.69
|
| Rate for Payer: BCBS MAPPO |
$1,360.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,030.71
|
| Rate for Payer: BCN Commercial |
$1,972.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,360.52
|
| Rate for Payer: Cash Price |
$3,536.00
|
| Rate for Payer: Cash Price |
$3,536.00
|
| Rate for Payer: Cofinity Commercial |
$1,959.15
|
| Rate for Payer: Cofinity Commercial |
$1,823.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,360.52
|
| Rate for Payer: Mclaren Medicaid |
$865.42
|
| Rate for Payer: Meridian Medicaid |
$908.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,428.55
|
| Rate for Payer: PACE SWMI |
$1,360.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,360.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$865.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,094.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,146.98
|
| Rate for Payer: Priority Health Medicare |
$1,360.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,146.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,360.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,401.34
|
|
|
PR TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL
|
Professional
|
Both
|
$3,779.00
|
|
|
Service Code
|
HCPCS 35321
|
| Min. Negotiated Rate |
$561.89 |
| Max. Negotiated Rate |
$2,645.30 |
| Rate for Payer: Aetna Commercial |
$1,180.85
|
| Rate for Payer: Aetna Medicare |
$916.48
|
| Rate for Payer: BCBS Complete |
$589.98
|
| Rate for Payer: BCBS MAPPO |
$881.23
|
| Rate for Payer: BCBS Trust/PPO |
$677.28
|
| Rate for Payer: BCN Commercial |
$1,280.34
|
| Rate for Payer: BCN Medicare Advantage |
$881.23
|
| Rate for Payer: Cash Price |
$3,023.20
|
| Rate for Payer: Cash Price |
$3,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,268.97
|
| Rate for Payer: Cofinity Commercial |
$1,180.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.23
|
| Rate for Payer: Mclaren Medicaid |
$561.89
|
| Rate for Payer: Meridian Medicaid |
$589.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$925.29
|
| Rate for Payer: PACE SWMI |
$881.23
|
| Rate for Payer: PHP Medicare Advantage |
$881.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$561.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,645.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,393.72
|
| Rate for Payer: Priority Health Medicare |
$881.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,393.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$881.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$881.23
|
| Rate for Payer: UHC Medicare Advantage |
$907.67
|
|
|
PR TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC
|
Professional
|
Both
|
$2,790.00
|
|
|
Service Code
|
HCPCS 35311
|
| Min. Negotiated Rate |
$970.00 |
| Max. Negotiated Rate |
$2,421.48 |
| Rate for Payer: Aetna Commercial |
$2,046.96
|
| Rate for Payer: Aetna Medicare |
$1,588.68
|
| Rate for Payer: BCBS Complete |
$1,018.50
|
| Rate for Payer: BCBS MAPPO |
$1,527.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.71
|
| Rate for Payer: BCN Commercial |
$2,224.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,527.58
|
| Rate for Payer: Cash Price |
$2,232.00
|
| Rate for Payer: Cash Price |
$2,232.00
|
| Rate for Payer: Cofinity Commercial |
$2,046.96
|
| Rate for Payer: Cofinity Commercial |
$2,199.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,527.58
|
| Rate for Payer: Mclaren Medicaid |
$970.00
|
| Rate for Payer: Meridian Medicaid |
$1,018.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,603.96
|
| Rate for Payer: PACE SWMI |
$1,527.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,527.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$970.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.48
|
| Rate for Payer: Priority Health Medicare |
$1,527.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,421.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,527.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,527.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,573.41
|
|
|
PR TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 99368
|
| Min. Negotiated Rate |
$23.20 |
| Max. Negotiated Rate |
$852.68 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: BCBS Complete |
$23.20
|
| Rate for Payer: BCBS Trust/PPO |
$852.68
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.54
|
|
|
PR TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 99367
|
| Min. Negotiated Rate |
$55.68 |
| Max. Negotiated Rate |
$232.98 |
| Rate for Payer: Aetna Commercial |
$55.68
|
| Rate for Payer: BCBS Complete |
$60.00
|
| Rate for Payer: BCBS Trust/PPO |
$232.98
|
| Rate for Payer: BCN Commercial |
$145.07
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.53
|
|
|
PR TENDON GRAFT FROM A DISTANCE
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 20924
|
| Min. Negotiated Rate |
$326.32 |
| Max. Negotiated Rate |
$11,952.59 |
| Rate for Payer: Aetna Commercial |
$664.02
|
| Rate for Payer: Aetna Medicare |
$515.36
|
| Rate for Payer: BCBS Complete |
$342.64
|
| Rate for Payer: BCBS MAPPO |
$495.54
|
| Rate for Payer: BCBS Trust/PPO |
$11,952.59
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$495.54
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$713.58
|
| Rate for Payer: Cofinity Commercial |
$664.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.54
|
| Rate for Payer: Mclaren Medicaid |
$326.32
|
| Rate for Payer: Meridian Medicaid |
$342.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$520.32
|
| Rate for Payer: PACE SWMI |
$495.54
|
| Rate for Payer: PHP Medicare Advantage |
$495.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$775.17
|
| Rate for Payer: Priority Health Medicare |
$495.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$775.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$495.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$495.54
|
| Rate for Payer: UHC Medicare Advantage |
$510.41
|
|
|
PR TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 24305
|
| Min. Negotiated Rate |
$148.45 |
| Max. Negotiated Rate |
$894.65 |
| Rate for Payer: Aetna Commercial |
$766.04
|
| Rate for Payer: Aetna Medicare |
$594.54
|
| Rate for Payer: BCBS Complete |
$396.31
|
| Rate for Payer: BCBS MAPPO |
$571.67
|
| Rate for Payer: BCBS Trust/PPO |
$148.45
|
| Rate for Payer: BCN Commercial |
$856.16
|
| Rate for Payer: BCN Medicare Advantage |
$571.67
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$823.20
|
| Rate for Payer: Cofinity Commercial |
$766.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.67
|
| Rate for Payer: Mclaren Medicaid |
$377.44
|
| Rate for Payer: Meridian Medicaid |
$396.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$600.25
|
| Rate for Payer: PACE SWMI |
$571.67
|
| Rate for Payer: PHP Medicare Advantage |
$571.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$706.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$894.65
|
| Rate for Payer: Priority Health Medicare |
$571.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$894.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.67
|
| Rate for Payer: UHC Medicare Advantage |
$588.82
|
|
|
PR TENDON SHEATH INCISION
|
Facility
|
IP
|
$1,157.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
26055
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$705.65 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Commercial |
$983.45
|
| Rate for Payer: BCBS Trust/PPO |
$894.13
|
| Rate for Payer: BCN Commercial |
$894.13
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$995.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.60
|
| Rate for Payer: Healthscope Commercial |
$1,041.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$867.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$983.45
|
| Rate for Payer: PHP Commercial |
$983.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,006.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$705.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.16
|
| Rate for Payer: UHC Core |
$966.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$867.75
|
|
|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,157.00
|
|
|
Service Code
|
HCPCS 26055
|
| Hospital Charge Code |
26055
|
| Min. Negotiated Rate |
$163.86 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$383.43
|
| Rate for Payer: Aetna Medicare |
$297.59
|
| Rate for Payer: BCBS Complete |
$200.83
|
| Rate for Payer: BCBS MAPPO |
$286.14
|
| Rate for Payer: BCBS Trust/PPO |
$163.86
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$286.14
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$383.43
|
| Rate for Payer: Cofinity Commercial |
$412.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.14
|
| Rate for Payer: Mclaren Medicaid |
$191.27
|
| Rate for Payer: Meridian Medicaid |
$200.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$300.45
|
| Rate for Payer: PACE SWMI |
$286.14
|
| Rate for Payer: PHP Medicare Advantage |
$286.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$452.43
|
| Rate for Payer: Priority Health Medicare |
$286.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.14
|
| Rate for Payer: UHC Medicare Advantage |
$294.72
|
|
|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,157.00
|
|
|
Service Code
|
HCPCS 26055
|
| Min. Negotiated Rate |
$163.86 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$383.43
|
| Rate for Payer: Aetna Medicare |
$297.59
|
| Rate for Payer: BCBS Complete |
$200.83
|
| Rate for Payer: BCBS MAPPO |
$286.14
|
| Rate for Payer: BCBS Trust/PPO |
$163.86
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$286.14
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$383.43
|
| Rate for Payer: Cofinity Commercial |
$412.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.14
|
| Rate for Payer: Mclaren Medicaid |
$191.27
|
| Rate for Payer: Meridian Medicaid |
$200.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$300.45
|
| Rate for Payer: PACE SWMI |
$286.14
|
| Rate for Payer: PHP Medicare Advantage |
$286.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$452.43
|
| Rate for Payer: Priority Health Medicare |
$286.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.14
|
| Rate for Payer: UHC Medicare Advantage |
$294.72
|
|
|
PR TENDON SHEATH INCISION
|
Facility
|
OP
|
$1,157.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
26055
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$274.79 |
| Max. Negotiated Rate |
$1,107.03 |
| Rate for Payer: Aetna Commercial |
$983.45
|
| Rate for Payer: Aetna Medicare |
$300.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$361.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$361.56
|
| Rate for Payer: BCBS Complete |
$1,107.03
|
| Rate for Payer: BCBS MAPPO |
$289.25
|
| Rate for Payer: BCBS Trust/PPO |
$899.57
|
| Rate for Payer: BCN Commercial |
$899.57
|
| Rate for Payer: BCN Medicare Advantage |
$289.25
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$995.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.25
|
| Rate for Payer: Healthscope Commercial |
$1,041.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$867.75
|
| Rate for Payer: Mclaren Medicaid |
$1,054.31
|
| Rate for Payer: Meridian Medicaid |
$1,107.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$303.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$332.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$983.45
|
| Rate for Payer: PACE Senior Care Partners |
$274.79
|
| Rate for Payer: PACE SWMI |
$289.25
|
| Rate for Payer: PHP Commercial |
$983.45
|
| Rate for Payer: PHP Medicare Advantage |
$289.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,054.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,006.59
|
| Rate for Payer: Priority Health Medicare |
$289.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$705.65
|
| Rate for Payer: Railroad Medicare Medicare |
$289.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,018.16
|
| Rate for Payer: UHC Core |
$966.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$289.25
|
| Rate for Payer: UHC Medicare Advantage |
$297.93
|
| Rate for Payer: VA VA |
$289.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$867.75
|
|
|
PR TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT
|
Professional
|
Both
|
$1,391.00
|
|
|
Service Code
|
HCPCS 26483
|
| Min. Negotiated Rate |
$563.60 |
| Max. Negotiated Rate |
$1,351.68 |
| Rate for Payer: Aetna Commercial |
$1,140.96
|
| Rate for Payer: Aetna Medicare |
$885.52
|
| Rate for Payer: BCBS Complete |
$591.78
|
| Rate for Payer: BCBS MAPPO |
$851.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.41
|
| Rate for Payer: BCN Commercial |
$1,293.53
|
| Rate for Payer: BCN Medicare Advantage |
$851.46
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cofinity Commercial |
$1,140.96
|
| Rate for Payer: Cofinity Commercial |
$1,226.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$851.46
|
| Rate for Payer: Mclaren Medicaid |
$563.60
|
| Rate for Payer: Meridian Medicaid |
$591.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$894.03
|
| Rate for Payer: PACE SWMI |
$851.46
|
| Rate for Payer: PHP Medicare Advantage |
$851.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,351.68
|
| Rate for Payer: Priority Health Medicare |
$851.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,351.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$851.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$851.46
|
| Rate for Payer: UHC Medicare Advantage |
$877.00
|
|
|
PR TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,071.00
|
|
|
Service Code
|
HCPCS 24340
|
| Min. Negotiated Rate |
$86.64 |
| Max. Negotiated Rate |
$926.31 |
| Rate for Payer: Aetna Commercial |
$793.92
|
| Rate for Payer: Aetna Medicare |
$616.18
|
| Rate for Payer: BCBS Complete |
$407.72
|
| Rate for Payer: BCBS MAPPO |
$592.48
|
| Rate for Payer: BCBS Trust/PPO |
$86.64
|
| Rate for Payer: BCN Commercial |
$886.46
|
| Rate for Payer: BCN Medicare Advantage |
$592.48
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$853.17
|
| Rate for Payer: Cofinity Commercial |
$793.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$592.48
|
| Rate for Payer: Mclaren Medicaid |
$388.30
|
| Rate for Payer: Meridian Medicaid |
$407.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$622.10
|
| Rate for Payer: PACE SWMI |
$592.48
|
| Rate for Payer: PHP Medicare Advantage |
$592.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$926.31
|
| Rate for Payer: Priority Health Medicare |
$592.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$926.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$592.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$592.48
|
| Rate for Payer: UHC Medicare Advantage |
$610.25
|
|
|
PR TENODESIS DISTAL JOINT EACH
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 26474
|
| Min. Negotiated Rate |
$423.23 |
| Max. Negotiated Rate |
$1,253.66 |
| Rate for Payer: Aetna Commercial |
$853.79
|
| Rate for Payer: Aetna Medicare |
$662.65
|
| Rate for Payer: BCBS Complete |
$444.39
|
| Rate for Payer: BCBS MAPPO |
$637.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.66
|
| Rate for Payer: BCN Commercial |
$972.47
|
| Rate for Payer: BCN Medicare Advantage |
$637.16
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$917.51
|
| Rate for Payer: Cofinity Commercial |
$853.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$637.16
|
| Rate for Payer: Mclaren Medicaid |
$423.23
|
| Rate for Payer: Meridian Medicaid |
$444.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$669.02
|
| Rate for Payer: PACE SWMI |
$637.16
|
| Rate for Payer: PHP Medicare Advantage |
$637.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$696.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.20
|
| Rate for Payer: Priority Health Medicare |
$637.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$637.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$637.16
|
| Rate for Payer: UHC Medicare Advantage |
$656.27
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Facility
|
OP
|
$2,311.00
|
|
|
Service Code
|
CPT 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$548.86 |
| Max. Negotiated Rate |
$4,927.66 |
| Rate for Payer: Aetna Commercial |
$1,964.35
|
| Rate for Payer: Aetna Medicare |
$600.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$722.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$722.19
|
| Rate for Payer: BCBS Complete |
$4,927.66
|
| Rate for Payer: BCBS MAPPO |
$577.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.80
|
| Rate for Payer: BCN Commercial |
$1,796.80
|
| Rate for Payer: BCN Medicare Advantage |
$577.75
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$1,987.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,848.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.75
|
| Rate for Payer: Healthscope Commercial |
$2,079.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,733.25
|
| Rate for Payer: Mclaren Medicaid |
$4,693.01
|
| Rate for Payer: Meridian Medicaid |
$4,927.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$606.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$664.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,964.35
|
| Rate for Payer: PACE Senior Care Partners |
$548.86
|
| Rate for Payer: PACE SWMI |
$577.75
|
| Rate for Payer: PHP Commercial |
$1,964.35
|
| Rate for Payer: PHP Medicare Advantage |
$577.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,010.57
|
| Rate for Payer: Priority Health Medicare |
$577.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,409.48
|
| Rate for Payer: Railroad Medicare Medicare |
$577.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,033.68
|
| Rate for Payer: UHC Core |
$1,929.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$577.75
|
| Rate for Payer: UHC Medicare Advantage |
$595.08
|
| Rate for Payer: VA VA |
$577.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,733.25
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,311.00
|
|
|
Service Code
|
HCPCS 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$106.55 |
| Max. Negotiated Rate |
$1,617.70 |
| Rate for Payer: Aetna Commercial |
$983.65
|
| Rate for Payer: Aetna Medicare |
$763.43
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCBS MAPPO |
$734.07
|
| Rate for Payer: BCBS Trust/PPO |
$106.55
|
| Rate for Payer: BCN Commercial |
$1,096.11
|
| Rate for Payer: BCN Medicare Advantage |
$734.07
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$1,057.06
|
| Rate for Payer: Cofinity Commercial |
$983.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.07
|
| Rate for Payer: Mclaren Medicaid |
$482.02
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$770.77
|
| Rate for Payer: PACE SWMI |
$734.07
|
| Rate for Payer: PHP Medicare Advantage |
$734.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.39
|
| Rate for Payer: Priority Health Medicare |
$734.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$734.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$734.07
|
| Rate for Payer: UHC Medicare Advantage |
$756.09
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,311.00
|
|
|
Service Code
|
HCPCS 23430
|
| Min. Negotiated Rate |
$106.55 |
| Max. Negotiated Rate |
$1,617.70 |
| Rate for Payer: Aetna Commercial |
$983.65
|
| Rate for Payer: Aetna Medicare |
$763.43
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCBS MAPPO |
$734.07
|
| Rate for Payer: BCBS Trust/PPO |
$106.55
|
| Rate for Payer: BCN Commercial |
$1,096.11
|
| Rate for Payer: BCN Medicare Advantage |
$734.07
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$1,057.06
|
| Rate for Payer: Cofinity Commercial |
$983.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.07
|
| Rate for Payer: Mclaren Medicaid |
$482.02
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$770.77
|
| Rate for Payer: PACE SWMI |
$734.07
|
| Rate for Payer: PHP Medicare Advantage |
$734.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.39
|
| Rate for Payer: Priority Health Medicare |
$734.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$734.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$734.07
|
| Rate for Payer: UHC Medicare Advantage |
$756.09
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Facility
|
IP
|
$2,311.00
|
|
|
Service Code
|
CPT 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$1,409.48 |
| Max. Negotiated Rate |
$2,079.90 |
| Rate for Payer: Aetna Commercial |
$1,964.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,785.94
|
| Rate for Payer: BCN Commercial |
$1,785.94
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$1,987.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,848.80
|
| Rate for Payer: Healthscope Commercial |
$2,079.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,733.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,964.35
|
| Rate for Payer: PHP Commercial |
$1,964.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,010.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,409.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,033.68
|
| Rate for Payer: UHC Core |
$1,929.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,733.25
|
|
|
PR TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26471
|
| Min. Negotiated Rate |
$428.13 |
| Max. Negotiated Rate |
$1,867.54 |
| Rate for Payer: Aetna Commercial |
$864.10
|
| Rate for Payer: Aetna Medicare |
$670.64
|
| Rate for Payer: BCBS Complete |
$449.54
|
| Rate for Payer: BCBS MAPPO |
$644.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.54
|
| Rate for Payer: BCN Commercial |
$983.22
|
| Rate for Payer: BCN Medicare Advantage |
$644.85
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$864.10
|
| Rate for Payer: Cofinity Commercial |
$928.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$644.85
|
| Rate for Payer: Mclaren Medicaid |
$428.13
|
| Rate for Payer: Meridian Medicaid |
$449.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$677.09
|
| Rate for Payer: PACE SWMI |
$644.85
|
| Rate for Payer: PHP Medicare Advantage |
$644.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,027.43
|
| Rate for Payer: Priority Health Medicare |
$644.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,027.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$644.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$644.85
|
| Rate for Payer: UHC Medicare Advantage |
$664.20
|
|
|
PR TENODESIS WRIST EXTENSORS FINGERS
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 25301
|
| Min. Negotiated Rate |
$232.45 |
| Max. Negotiated Rate |
$993.72 |
| Rate for Payer: Aetna Commercial |
$851.72
|
| Rate for Payer: Aetna Medicare |
$661.03
|
| Rate for Payer: BCBS Complete |
$439.48
|
| Rate for Payer: BCBS MAPPO |
$635.61
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$950.96
|
| Rate for Payer: BCN Medicare Advantage |
$635.61
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$915.28
|
| Rate for Payer: Cofinity Commercial |
$851.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.61
|
| Rate for Payer: Mclaren Medicaid |
$418.55
|
| Rate for Payer: Meridian Medicaid |
$439.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.39
|
| Rate for Payer: PACE SWMI |
$635.61
|
| Rate for Payer: PHP Medicare Advantage |
$635.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$899.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.72
|
| Rate for Payer: Priority Health Medicare |
$635.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$635.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$635.61
|
| Rate for Payer: UHC Medicare Advantage |
$654.68
|
|
|
PR TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA
|
Professional
|
Both
|
$1,808.00
|
|
|
Service Code
|
HCPCS 26449
|
| Min. Negotiated Rate |
$455.82 |
| Max. Negotiated Rate |
$1,435.39 |
| Rate for Payer: Aetna Commercial |
$920.98
|
| Rate for Payer: Aetna Medicare |
$714.79
|
| Rate for Payer: BCBS Complete |
$478.61
|
| Rate for Payer: BCBS MAPPO |
$687.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,435.39
|
| Rate for Payer: BCN Commercial |
$1,033.07
|
| Rate for Payer: BCN Medicare Advantage |
$687.30
|
| Rate for Payer: Cash Price |
$1,446.40
|
| Rate for Payer: Cash Price |
$1,446.40
|
| Rate for Payer: Cofinity Commercial |
$920.98
|
| Rate for Payer: Cofinity Commercial |
$989.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.30
|
| Rate for Payer: Mclaren Medicaid |
$455.82
|
| Rate for Payer: Meridian Medicaid |
$478.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$721.66
|
| Rate for Payer: PACE SWMI |
$687.30
|
| Rate for Payer: PHP Medicare Advantage |
$687.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,265.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,079.52
|
| Rate for Payer: Priority Health Medicare |
$687.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,079.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$687.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.30
|
| Rate for Payer: UHC Medicare Advantage |
$707.92
|
|
|
PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON
|
Professional
|
Both
|
$780.00
|
|
|
Service Code
|
HCPCS 28226
|
| Min. Negotiated Rate |
$260.29 |
| Max. Negotiated Rate |
$1,180.75 |
| Rate for Payer: Aetna Commercial |
$524.81
|
| Rate for Payer: Aetna Medicare |
$407.32
|
| Rate for Payer: BCBS Complete |
$273.30
|
| Rate for Payer: BCBS MAPPO |
$391.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.75
|
| Rate for Payer: BCN Commercial |
$906.98
|
| Rate for Payer: BCN Medicare Advantage |
$391.65
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cofinity Commercial |
$563.98
|
| Rate for Payer: Cofinity Commercial |
$524.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.65
|
| Rate for Payer: Mclaren Medicaid |
$260.29
|
| Rate for Payer: Meridian Medicaid |
$273.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$411.23
|
| Rate for Payer: PACE SWMI |
$391.65
|
| Rate for Payer: PHP Medicare Advantage |
$391.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$546.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$615.84
|
| Rate for Payer: Priority Health Medicare |
$391.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$615.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.65
|
| Rate for Payer: UHC Medicare Advantage |
$403.40
|
|
|
PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$637.00
|
|
|
Service Code
|
HCPCS 28225
|
| Min. Negotiated Rate |
$171.25 |
| Max. Negotiated Rate |
$1,072.98 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: Aetna Medicare |
$267.18
|
| Rate for Payer: BCBS Complete |
$179.81
|
| Rate for Payer: BCBS MAPPO |
$256.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.98
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$256.90
|
| Rate for Payer: Cash Price |
$509.60
|
| Rate for Payer: Cash Price |
$509.60
|
| Rate for Payer: Cofinity Commercial |
$344.25
|
| Rate for Payer: Cofinity Commercial |
$369.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.90
|
| Rate for Payer: Mclaren Medicaid |
$171.25
|
| Rate for Payer: Meridian Medicaid |
$179.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.74
|
| Rate for Payer: PACE SWMI |
$256.90
|
| Rate for Payer: PHP Medicare Advantage |
$256.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$445.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.39
|
| Rate for Payer: Priority Health Medicare |
$256.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$256.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$256.90
|
| Rate for Payer: UHC Medicare Advantage |
$264.61
|
|
