|
PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH
|
Professional
|
Both
|
$1,205.00
|
|
|
Service Code
|
HCPCS 26445
|
| Min. Negotiated Rate |
$391.49 |
| Max. Negotiated Rate |
$1,045.51 |
| Rate for Payer: Aetna Commercial |
$790.67
|
| Rate for Payer: Aetna Medicare |
$613.65
|
| Rate for Payer: BCBS Complete |
$411.06
|
| Rate for Payer: BCBS MAPPO |
$590.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,045.51
|
| Rate for Payer: BCN Commercial |
$905.52
|
| Rate for Payer: BCN Medicare Advantage |
$590.05
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cofinity Commercial |
$849.67
|
| Rate for Payer: Cofinity Commercial |
$790.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$590.05
|
| Rate for Payer: Mclaren Medicaid |
$391.49
|
| Rate for Payer: Meridian Medicaid |
$411.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$619.55
|
| Rate for Payer: PACE SWMI |
$590.05
|
| Rate for Payer: PHP Medicare Advantage |
$590.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$946.23
|
| Rate for Payer: Priority Health Medicare |
$590.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$946.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$590.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$590.05
|
| Rate for Payer: UHC Medicare Advantage |
$607.75
|
|
|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$238.99 |
| Max. Negotiated Rate |
$1,051.85 |
| Rate for Payer: Aetna Commercial |
$476.88
|
| Rate for Payer: Aetna Medicare |
$370.12
|
| Rate for Payer: BCBS Complete |
$250.94
|
| Rate for Payer: BCBS MAPPO |
$355.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.85
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$355.88
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cofinity Commercial |
$476.88
|
| Rate for Payer: Cofinity Commercial |
$512.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.88
|
| Rate for Payer: Mclaren Medicaid |
$238.99
|
| Rate for Payer: Meridian Medicaid |
$250.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.67
|
| Rate for Payer: PACE SWMI |
$355.88
|
| Rate for Payer: PHP Medicare Advantage |
$355.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$574.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.56
|
| Rate for Payer: Priority Health Medicare |
$355.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.88
|
| Rate for Payer: UHC Medicare Advantage |
$366.56
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$969.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$197.24 |
| Max. Negotiated Rate |
$1,218.26 |
| Rate for Payer: Aetna Commercial |
$397.71
|
| Rate for Payer: Aetna Medicare |
$308.67
|
| Rate for Payer: BCBS Complete |
$207.10
|
| Rate for Payer: BCBS MAPPO |
$296.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,218.26
|
| Rate for Payer: BCN Commercial |
$653.85
|
| Rate for Payer: BCN Medicare Advantage |
$296.80
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$397.71
|
| Rate for Payer: Cofinity Commercial |
$427.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.80
|
| Rate for Payer: Mclaren Medicaid |
$197.24
|
| Rate for Payer: Meridian Medicaid |
$207.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$311.64
|
| Rate for Payer: PACE SWMI |
$296.80
|
| Rate for Payer: PHP Medicare Advantage |
$296.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$678.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.68
|
| Rate for Payer: Priority Health Medicare |
$296.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$463.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.80
|
| Rate for Payer: UHC Medicare Advantage |
$305.70
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,750.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$640.49 |
| Max. Negotiated Rate |
$1,535.02 |
| Rate for Payer: Aetna Commercial |
$1,296.17
|
| Rate for Payer: Aetna Medicare |
$1,005.98
|
| Rate for Payer: BCBS Complete |
$672.51
|
| Rate for Payer: BCBS MAPPO |
$967.29
|
| Rate for Payer: BCBS Trust/PPO |
$688.90
|
| Rate for Payer: BCN Commercial |
$1,468.96
|
| Rate for Payer: BCN Medicare Advantage |
$967.29
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cofinity Commercial |
$1,392.90
|
| Rate for Payer: Cofinity Commercial |
$1,296.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.29
|
| Rate for Payer: Mclaren Medicaid |
$640.49
|
| Rate for Payer: Meridian Medicaid |
$672.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,015.65
|
| Rate for Payer: PACE SWMI |
$967.29
|
| Rate for Payer: PHP Medicare Advantage |
$967.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$640.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,535.02
|
| Rate for Payer: Priority Health Medicare |
$967.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,535.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$967.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.29
|
| Rate for Payer: UHC Medicare Advantage |
$996.31
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,166.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$421.31 |
| Max. Negotiated Rate |
$1,014.15 |
| Rate for Payer: Aetna Commercial |
$849.45
|
| Rate for Payer: Aetna Medicare |
$659.28
|
| Rate for Payer: BCBS Complete |
$442.38
|
| Rate for Payer: BCBS MAPPO |
$633.92
|
| Rate for Payer: BCBS Trust/PPO |
$497.66
|
| Rate for Payer: BCN Commercial |
$970.51
|
| Rate for Payer: BCN Medicare Advantage |
$633.92
|
| Rate for Payer: Cash Price |
$932.80
|
| Rate for Payer: Cash Price |
$932.80
|
| Rate for Payer: Cofinity Commercial |
$912.84
|
| Rate for Payer: Cofinity Commercial |
$849.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$633.92
|
| Rate for Payer: Mclaren Medicaid |
$421.31
|
| Rate for Payer: Meridian Medicaid |
$442.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$665.62
|
| Rate for Payer: PACE SWMI |
$633.92
|
| Rate for Payer: PHP Medicare Advantage |
$633.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$816.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,014.15
|
| Rate for Payer: Priority Health Medicare |
$633.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,014.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$633.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$633.92
|
| Rate for Payer: UHC Medicare Advantage |
$652.94
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$272.64 |
| Max. Negotiated Rate |
$3,794.78 |
| Rate for Payer: Aetna Commercial |
$550.19
|
| Rate for Payer: Aetna Medicare |
$427.01
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS MAPPO |
$410.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,794.78
|
| Rate for Payer: BCN Commercial |
$614.26
|
| Rate for Payer: BCN Medicare Advantage |
$410.59
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$591.25
|
| Rate for Payer: Cofinity Commercial |
$550.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.59
|
| Rate for Payer: Mclaren Medicaid |
$272.64
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.12
|
| Rate for Payer: PACE SWMI |
$410.59
|
| Rate for Payer: PHP Medicare Advantage |
$410.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.88
|
| Rate for Payer: Priority Health Medicare |
$410.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$641.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.59
|
| Rate for Payer: UHC Medicare Advantage |
$422.91
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,391.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$227.17 |
| Max. Negotiated Rate |
$973.70 |
| Rate for Payer: Aetna Commercial |
$814.63
|
| Rate for Payer: Aetna Medicare |
$632.25
|
| Rate for Payer: BCBS Complete |
$421.13
|
| Rate for Payer: BCBS MAPPO |
$607.93
|
| Rate for Payer: BCBS Trust/PPO |
$227.17
|
| Rate for Payer: BCN Commercial |
$910.40
|
| Rate for Payer: BCN Medicare Advantage |
$607.93
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cofinity Commercial |
$814.63
|
| Rate for Payer: Cofinity Commercial |
$875.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.93
|
| Rate for Payer: Mclaren Medicaid |
$401.08
|
| Rate for Payer: Meridian Medicaid |
$421.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$638.33
|
| Rate for Payer: PACE SWMI |
$607.93
|
| Rate for Payer: PHP Medicare Advantage |
$607.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$951.34
|
| Rate for Payer: Priority Health Medicare |
$607.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$951.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$607.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$607.93
|
| Rate for Payer: UHC Medicare Advantage |
$626.17
|
|
|
PR TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX
|
Professional
|
Both
|
$2,823.00
|
|
|
Service Code
|
HCPCS 27006
|
| Min. Negotiated Rate |
$146.80 |
| Max. Negotiated Rate |
$1,976.10 |
| Rate for Payer: Aetna Commercial |
$938.29
|
| Rate for Payer: Aetna Medicare |
$728.23
|
| Rate for Payer: BCBS Complete |
$485.10
|
| Rate for Payer: BCBS MAPPO |
$700.22
|
| Rate for Payer: BCBS Trust/PPO |
$146.80
|
| Rate for Payer: BCN Commercial |
$1,046.26
|
| Rate for Payer: BCN Medicare Advantage |
$700.22
|
| Rate for Payer: Cash Price |
$2,258.40
|
| Rate for Payer: Cash Price |
$2,258.40
|
| Rate for Payer: Cofinity Commercial |
$1,008.32
|
| Rate for Payer: Cofinity Commercial |
$938.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.22
|
| Rate for Payer: Mclaren Medicaid |
$462.00
|
| Rate for Payer: Meridian Medicaid |
$485.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$735.23
|
| Rate for Payer: PACE SWMI |
$700.22
|
| Rate for Payer: PHP Medicare Advantage |
$700.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$462.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,976.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,093.29
|
| Rate for Payer: Priority Health Medicare |
$700.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,093.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.22
|
| Rate for Payer: UHC Medicare Advantage |
$721.23
|
|
|
PR TENOTOMY ADDUCTOR HIP OPEN
|
Professional
|
Both
|
$1,037.00
|
|
|
Service Code
|
HCPCS 27001
|
| Min. Negotiated Rate |
$350.81 |
| Max. Negotiated Rate |
$834.92 |
| Rate for Payer: Aetna Commercial |
$716.00
|
| Rate for Payer: Aetna Medicare |
$555.70
|
| Rate for Payer: BCBS Complete |
$368.35
|
| Rate for Payer: BCBS MAPPO |
$534.33
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$798.99
|
| Rate for Payer: BCN Medicare Advantage |
$534.33
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cofinity Commercial |
$716.00
|
| Rate for Payer: Cofinity Commercial |
$769.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.33
|
| Rate for Payer: Mclaren Medicaid |
$350.81
|
| Rate for Payer: Meridian Medicaid |
$368.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$561.05
|
| Rate for Payer: PACE SWMI |
$534.33
|
| Rate for Payer: PHP Medicare Advantage |
$534.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$725.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.92
|
| Rate for Payer: Priority Health Medicare |
$534.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$534.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$534.33
|
| Rate for Payer: UHC Medicare Advantage |
$550.36
|
|
|
PR TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX
|
Professional
|
Both
|
$819.00
|
|
|
Service Code
|
HCPCS 27000
|
| Min. Negotiated Rate |
$252.83 |
| Max. Negotiated Rate |
$635.54 |
| Rate for Payer: Aetna Commercial |
$517.07
|
| Rate for Payer: Aetna Medicare |
$401.30
|
| Rate for Payer: BCBS Complete |
$265.47
|
| Rate for Payer: BCBS MAPPO |
$385.87
|
| Rate for Payer: BCBS Trust/PPO |
$635.54
|
| Rate for Payer: BCN Commercial |
$578.11
|
| Rate for Payer: BCN Medicare Advantage |
$385.87
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cash Price |
$655.20
|
| Rate for Payer: Cofinity Commercial |
$555.65
|
| Rate for Payer: Cofinity Commercial |
$517.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$385.87
|
| Rate for Payer: Mclaren Medicaid |
$252.83
|
| Rate for Payer: Meridian Medicaid |
$265.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$405.16
|
| Rate for Payer: PACE SWMI |
$385.87
|
| Rate for Payer: PHP Medicare Advantage |
$385.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$573.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$604.11
|
| Rate for Payer: Priority Health Medicare |
$385.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$604.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$385.87
|
| Rate for Payer: UHC Medicare Advantage |
$397.45
|
|
|
PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS
|
Professional
|
Both
|
$1,248.00
|
|
|
Service Code
|
HCPCS 24357
|
| Min. Negotiated Rate |
$270.94 |
| Max. Negotiated Rate |
$873.60 |
| Rate for Payer: Aetna Commercial |
$549.48
|
| Rate for Payer: Aetna Medicare |
$426.46
|
| Rate for Payer: BCBS Complete |
$284.49
|
| Rate for Payer: BCBS MAPPO |
$410.06
|
| Rate for Payer: BCBS Trust/PPO |
$296.90
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$410.06
|
| Rate for Payer: Cash Price |
$998.40
|
| Rate for Payer: Cash Price |
$998.40
|
| Rate for Payer: Cofinity Commercial |
$590.49
|
| Rate for Payer: Cofinity Commercial |
$549.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.06
|
| Rate for Payer: Mclaren Medicaid |
$270.94
|
| Rate for Payer: Meridian Medicaid |
$284.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$430.56
|
| Rate for Payer: PACE SWMI |
$410.06
|
| Rate for Payer: PHP Medicare Advantage |
$410.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$873.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.96
|
| Rate for Payer: Priority Health Medicare |
$410.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.06
|
| Rate for Payer: UHC Medicare Advantage |
$422.36
|
|
|
PR TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$972.00
|
|
|
Service Code
|
HCPCS 26460
|
| Min. Negotiated Rate |
$293.73 |
| Max. Negotiated Rate |
$1,932.52 |
| Rate for Payer: Aetna Commercial |
$586.89
|
| Rate for Payer: Aetna Medicare |
$455.50
|
| Rate for Payer: BCBS Complete |
$308.42
|
| Rate for Payer: BCBS MAPPO |
$437.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,932.52
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$437.98
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cofinity Commercial |
$586.89
|
| Rate for Payer: Cofinity Commercial |
$630.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$437.98
|
| Rate for Payer: Mclaren Medicaid |
$293.73
|
| Rate for Payer: Meridian Medicaid |
$308.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$459.88
|
| Rate for Payer: PACE SWMI |
$437.98
|
| Rate for Payer: PHP Medicare Advantage |
$437.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$680.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$700.61
|
| Rate for Payer: Priority Health Medicare |
$437.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$700.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$437.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$437.98
|
| Rate for Payer: UHC Medicare Advantage |
$451.12
|
|
|
PR TENOTOMY FLEXOR FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$972.00
|
|
|
Service Code
|
HCPCS 26455
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$1,822.64 |
| Rate for Payer: Aetna Commercial |
$604.62
|
| Rate for Payer: Aetna Medicare |
$469.26
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$451.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,822.64
|
| Rate for Payer: BCN Commercial |
$690.01
|
| Rate for Payer: BCN Medicare Advantage |
$451.21
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cash Price |
$777.60
|
| Rate for Payer: Cofinity Commercial |
$649.74
|
| Rate for Payer: Cofinity Commercial |
$604.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.21
|
| Rate for Payer: Mclaren Medicaid |
$299.90
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$473.77
|
| Rate for Payer: PACE SWMI |
$451.21
|
| Rate for Payer: PHP Medicare Advantage |
$451.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$680.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$721.04
|
| Rate for Payer: Priority Health Medicare |
$451.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$721.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$451.21
|
| Rate for Payer: UHC Medicare Advantage |
$464.75
|
|
|
PR TENOTOMY FLEXOR PALM OPEN EACH TENDON
|
Professional
|
Both
|
$1,105.00
|
|
|
Service Code
|
HCPCS 26450
|
| Min. Negotiated Rate |
$301.82 |
| Max. Negotiated Rate |
$1,515.16 |
| Rate for Payer: Aetna Commercial |
$608.05
|
| Rate for Payer: Aetna Medicare |
$471.92
|
| Rate for Payer: BCBS Complete |
$316.91
|
| Rate for Payer: BCBS MAPPO |
$453.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,515.16
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$453.77
|
| Rate for Payer: Cash Price |
$884.00
|
| Rate for Payer: Cash Price |
$884.00
|
| Rate for Payer: Cofinity Commercial |
$653.43
|
| Rate for Payer: Cofinity Commercial |
$608.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.77
|
| Rate for Payer: Mclaren Medicaid |
$301.82
|
| Rate for Payer: Meridian Medicaid |
$316.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$476.46
|
| Rate for Payer: PACE SWMI |
$453.77
|
| Rate for Payer: PHP Medicare Advantage |
$453.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$773.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$725.13
|
| Rate for Payer: Priority Health Medicare |
$453.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$725.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$453.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$453.77
|
| Rate for Payer: UHC Medicare Advantage |
$467.38
|
|
|
PR TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,383.00
|
|
|
Service Code
|
HCPCS 27005
|
| Min. Negotiated Rate |
$466.04 |
| Max. Negotiated Rate |
$1,100.96 |
| Rate for Payer: Aetna Commercial |
$947.11
|
| Rate for Payer: Aetna Medicare |
$735.07
|
| Rate for Payer: BCBS Complete |
$489.34
|
| Rate for Payer: BCBS MAPPO |
$706.80
|
| Rate for Payer: BCBS Trust/PPO |
$801.96
|
| Rate for Payer: BCN Commercial |
$1,053.58
|
| Rate for Payer: BCN Medicare Advantage |
$706.80
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cofinity Commercial |
$947.11
|
| Rate for Payer: Cofinity Commercial |
$1,017.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$706.80
|
| Rate for Payer: Mclaren Medicaid |
$466.04
|
| Rate for Payer: Meridian Medicaid |
$489.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$742.14
|
| Rate for Payer: PACE SWMI |
$706.80
|
| Rate for Payer: PHP Medicare Advantage |
$706.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$466.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$968.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,100.96
|
| Rate for Payer: Priority Health Medicare |
$706.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,100.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$706.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$706.80
|
| Rate for Payer: UHC Medicare Advantage |
$728.00
|
|
|
PR TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON
|
Professional
|
Both
|
$888.00
|
|
|
Service Code
|
HCPCS 24310
|
| Min. Negotiated Rate |
$182.79 |
| Max. Negotiated Rate |
$736.35 |
| Rate for Payer: Aetna Commercial |
$630.01
|
| Rate for Payer: Aetna Medicare |
$488.97
|
| Rate for Payer: BCBS Complete |
$324.96
|
| Rate for Payer: BCBS MAPPO |
$470.16
|
| Rate for Payer: BCBS Trust/PPO |
$182.79
|
| Rate for Payer: BCN Commercial |
$704.67
|
| Rate for Payer: BCN Medicare Advantage |
$470.16
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cofinity Commercial |
$677.03
|
| Rate for Payer: Cofinity Commercial |
$630.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$470.16
|
| Rate for Payer: Mclaren Medicaid |
$309.49
|
| Rate for Payer: Meridian Medicaid |
$324.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$493.67
|
| Rate for Payer: PACE SWMI |
$470.16
|
| Rate for Payer: PHP Medicare Advantage |
$470.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$621.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.35
|
| Rate for Payer: Priority Health Medicare |
$470.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$736.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$470.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$470.16
|
| Rate for Payer: UHC Medicare Advantage |
$484.26
|
|
|
PR TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON
|
Professional
|
Both
|
$651.00
|
|
|
Service Code
|
HCPCS 28234
|
| Min. Negotiated Rate |
$174.66 |
| Max. Negotiated Rate |
$2,375.77 |
| Rate for Payer: Aetna Commercial |
$348.28
|
| Rate for Payer: Aetna Medicare |
$270.31
|
| Rate for Payer: BCBS Complete |
$183.39
|
| Rate for Payer: BCBS MAPPO |
$259.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,375.77
|
| Rate for Payer: BCN Commercial |
$594.72
|
| Rate for Payer: BCN Medicare Advantage |
$259.91
|
| Rate for Payer: Cash Price |
$520.80
|
| Rate for Payer: Cash Price |
$520.80
|
| Rate for Payer: Cofinity Commercial |
$374.27
|
| Rate for Payer: Cofinity Commercial |
$348.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.91
|
| Rate for Payer: Mclaren Medicaid |
$174.66
|
| Rate for Payer: Meridian Medicaid |
$183.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$272.91
|
| Rate for Payer: PACE SWMI |
$259.91
|
| Rate for Payer: PHP Medicare Advantage |
$259.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$409.04
|
| Rate for Payer: Priority Health Medicare |
$259.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$409.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$259.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.91
|
| Rate for Payer: UHC Medicare Advantage |
$267.71
|
|
|
PR TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG
|
Professional
|
Both
|
$1,130.00
|
|
|
Service Code
|
HCPCS 27391
|
| Min. Negotiated Rate |
$377.01 |
| Max. Negotiated Rate |
$924.00 |
| Rate for Payer: Aetna Commercial |
$767.99
|
| Rate for Payer: Aetna Medicare |
$596.06
|
| Rate for Payer: BCBS Complete |
$395.86
|
| Rate for Payer: BCBS MAPPO |
$573.13
|
| Rate for Payer: BCBS Trust/PPO |
$924.00
|
| Rate for Payer: BCN Commercial |
$858.11
|
| Rate for Payer: BCN Medicare Advantage |
$573.13
|
| Rate for Payer: Cash Price |
$904.00
|
| Rate for Payer: Cash Price |
$904.00
|
| Rate for Payer: Cofinity Commercial |
$825.31
|
| Rate for Payer: Cofinity Commercial |
$767.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$573.13
|
| Rate for Payer: Mclaren Medicaid |
$377.01
|
| Rate for Payer: Meridian Medicaid |
$395.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.79
|
| Rate for Payer: PACE SWMI |
$573.13
|
| Rate for Payer: PHP Medicare Advantage |
$573.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$896.70
|
| Rate for Payer: Priority Health Medicare |
$573.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$896.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$573.13
|
| Rate for Payer: UHC Medicare Advantage |
$590.32
|
|
|
PR TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 28010
|
| Min. Negotiated Rate |
$134.62 |
| Max. Negotiated Rate |
$3,603.53 |
| Rate for Payer: Aetna Commercial |
$269.94
|
| Rate for Payer: Aetna Medicare |
$209.51
|
| Rate for Payer: BCBS Complete |
$141.35
|
| Rate for Payer: BCBS MAPPO |
$201.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,603.53
|
| Rate for Payer: BCN Commercial |
$340.12
|
| Rate for Payer: BCN Medicare Advantage |
$201.45
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$269.94
|
| Rate for Payer: Cofinity Commercial |
$290.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.45
|
| Rate for Payer: Mclaren Medicaid |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$141.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$211.52
|
| Rate for Payer: PACE SWMI |
$201.45
|
| Rate for Payer: PHP Medicare Advantage |
$201.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.09
|
| Rate for Payer: Priority Health Medicare |
$201.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$316.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.45
|
| Rate for Payer: UHC Medicare Advantage |
$207.49
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 27606
|
| Min. Negotiated Rate |
$173.38 |
| Max. Negotiated Rate |
$852.15 |
| Rate for Payer: Aetna Commercial |
$357.18
|
| Rate for Payer: Aetna Medicare |
$277.21
|
| Rate for Payer: BCBS Complete |
$182.05
|
| Rate for Payer: BCBS MAPPO |
$266.55
|
| Rate for Payer: BCBS Trust/PPO |
$852.15
|
| Rate for Payer: BCN Commercial |
$396.32
|
| Rate for Payer: BCN Medicare Advantage |
$266.55
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$383.83
|
| Rate for Payer: Cofinity Commercial |
$357.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.55
|
| Rate for Payer: Mclaren Medicaid |
$173.38
|
| Rate for Payer: Meridian Medicaid |
$182.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$279.88
|
| Rate for Payer: PACE SWMI |
$266.55
|
| Rate for Payer: PHP Medicare Advantage |
$266.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.14
|
| Rate for Payer: Priority Health Medicare |
$266.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$414.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.55
|
| Rate for Payer: UHC Medicare Advantage |
$274.55
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 27605
|
| Min. Negotiated Rate |
$117.58 |
| Max. Negotiated Rate |
$832.60 |
| Rate for Payer: Aetna Commercial |
$239.69
|
| Rate for Payer: Aetna Medicare |
$186.02
|
| Rate for Payer: BCBS Complete |
$123.46
|
| Rate for Payer: BCBS MAPPO |
$178.87
|
| Rate for Payer: BCBS Trust/PPO |
$832.60
|
| Rate for Payer: BCN Commercial |
$481.83
|
| Rate for Payer: BCN Medicare Advantage |
$178.87
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cofinity Commercial |
$257.57
|
| Rate for Payer: Cofinity Commercial |
$239.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.87
|
| Rate for Payer: Mclaren Medicaid |
$117.58
|
| Rate for Payer: Meridian Medicaid |
$123.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.81
|
| Rate for Payer: PACE SWMI |
$178.87
|
| Rate for Payer: PHP Medicare Advantage |
$178.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$278.81
|
| Rate for Payer: Priority Health Medicare |
$178.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$278.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$178.87
|
| Rate for Payer: UHC Medicare Advantage |
$184.24
|
|
|
PR TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON
|
Professional
|
Both
|
$828.00
|
|
|
Service Code
|
HCPCS 27307
|
| Min. Negotiated Rate |
$264.76 |
| Max. Negotiated Rate |
$2,244.75 |
| Rate for Payer: Aetna Commercial |
$539.00
|
| Rate for Payer: Aetna Medicare |
$418.33
|
| Rate for Payer: BCBS Complete |
$278.00
|
| Rate for Payer: BCBS MAPPO |
$402.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,244.75
|
| Rate for Payer: BCN Commercial |
$602.05
|
| Rate for Payer: BCN Medicare Advantage |
$402.24
|
| Rate for Payer: Cash Price |
$662.40
|
| Rate for Payer: Cash Price |
$662.40
|
| Rate for Payer: Cofinity Commercial |
$539.00
|
| Rate for Payer: Cofinity Commercial |
$579.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.24
|
| Rate for Payer: Mclaren Medicaid |
$264.76
|
| Rate for Payer: Meridian Medicaid |
$278.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$422.35
|
| Rate for Payer: PACE SWMI |
$402.24
|
| Rate for Payer: PHP Medicare Advantage |
$402.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$579.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.12
|
| Rate for Payer: Priority Health Medicare |
$402.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$629.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$402.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$402.24
|
| Rate for Payer: UHC Medicare Advantage |
$414.31
|
|
|
PR TENOTOMY SHOULDER AREA 1 TENDON
|
Professional
|
Both
|
$1,698.00
|
|
|
Service Code
|
HCPCS 23405
|
| Min. Negotiated Rate |
$87.87 |
| Max. Negotiated Rate |
$1,188.60 |
| Rate for Payer: Aetna Commercial |
$815.07
|
| Rate for Payer: Aetna Medicare |
$632.59
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCBS MAPPO |
$608.26
|
| Rate for Payer: BCBS Trust/PPO |
$87.87
|
| Rate for Payer: BCN Commercial |
$908.45
|
| Rate for Payer: BCN Medicare Advantage |
$608.26
|
| Rate for Payer: Cash Price |
$1,358.40
|
| Rate for Payer: Cash Price |
$1,358.40
|
| Rate for Payer: Cofinity Commercial |
$875.89
|
| Rate for Payer: Cofinity Commercial |
$815.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$608.26
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$638.67
|
| Rate for Payer: PACE SWMI |
$608.26
|
| Rate for Payer: PHP Medicare Advantage |
$608.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,188.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$949.29
|
| Rate for Payer: Priority Health Medicare |
$608.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$949.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$608.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$608.26
|
| Rate for Payer: UHC Medicare Advantage |
$626.51
|
|
|
PR TERBUTALINE SULFATE INJ
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS J3105
|
| Min. Negotiated Rate |
$0.18 |
| Max. Negotiated Rate |
$26.60 |
| Rate for Payer: Aetna Commercial |
$3.07
|
| Rate for Payer: Aetna Medicare |
$2.38
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$2.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.50
|
| Rate for Payer: BCN Commercial |
$0.18
|
| Rate for Payer: BCN Medicare Advantage |
$2.29
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$3.30
|
| Rate for Payer: Cofinity Commercial |
$3.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.40
|
| Rate for Payer: PACE SWMI |
$2.29
|
| Rate for Payer: PHP Medicare Advantage |
$2.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Medicare |
$2.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.29
|
| Rate for Payer: UHC Medicare Advantage |
$2.36
|
|
|
PR TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION
|
Professional
|
Both
|
$430.00
|
|
|
Service Code
|
HCPCS 95923
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$759.17 |
| Rate for Payer: Aetna Commercial |
$156.24
|
| Rate for Payer: Aetna Medicare |
$121.26
|
| Rate for Payer: BCBS Complete |
$172.00
|
| Rate for Payer: BCBS MAPPO |
$116.60
|
| Rate for Payer: BCBS Trust/PPO |
$759.17
|
| Rate for Payer: BCN Commercial |
$179.83
|
| Rate for Payer: BCN Medicare Advantage |
$116.60
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cash Price |
$344.00
|
| Rate for Payer: Cofinity Commercial |
$167.90
|
| Rate for Payer: Cofinity Commercial |
$156.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$122.43
|
| Rate for Payer: PACE SWMI |
$116.60
|
| Rate for Payer: PHP Medicare Advantage |
$116.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.28
|
| Rate for Payer: Priority Health Medicare |
$116.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$165.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.60
|
| Rate for Payer: UHC Medicare Advantage |
$120.10
|
|
