|
PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE
|
Professional
|
Both
|
$170.00
|
|
|
Service Code
|
HCPCS 95886
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$122.75 |
| Rate for Payer: Aetna Commercial |
$114.22
|
| Rate for Payer: Aetna Commercial |
$114.22
|
| Rate for Payer: Aetna Medicare |
$88.65
|
| Rate for Payer: Aetna Medicare |
$88.65
|
| Rate for Payer: BCBS Complete |
$68.00
|
| Rate for Payer: BCBS Complete |
$96.80
|
| Rate for Payer: BCBS MAPPO |
$85.24
|
| Rate for Payer: BCBS MAPPO |
$85.24
|
| Rate for Payer: BCN Medicare Advantage |
$85.24
|
| Rate for Payer: BCN Medicare Advantage |
$85.24
|
| Rate for Payer: Cash Price |
$193.60
|
| Rate for Payer: Cash Price |
$193.60
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cofinity Commercial |
$122.75
|
| Rate for Payer: Cofinity Commercial |
$114.22
|
| Rate for Payer: Cofinity Commercial |
$122.75
|
| Rate for Payer: Cofinity Commercial |
$114.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.50
|
| Rate for Payer: Nomi Health Commercial |
$102.29
|
| Rate for Payer: Nomi Health Commercial |
$102.29
|
| Rate for Payer: PACE SWMI |
$85.24
|
| Rate for Payer: PACE SWMI |
$85.24
|
| Rate for Payer: PHP Medicare Advantage |
$85.24
|
| Rate for Payer: PHP Medicare Advantage |
$85.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.30
|
| Rate for Payer: Priority Health Medicare |
$86.09
|
| Rate for Payer: Priority Health Medicare |
$86.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.24
|
| Rate for Payer: UHC Exchange |
$85.24
|
| Rate for Payer: UHC Exchange |
$85.24
|
| Rate for Payer: UHC Medicare Advantage |
$85.24
|
| Rate for Payer: UHC Medicare Advantage |
$85.24
|
|
|
PR NEEDLE EMG GUID W/CHEMODENERVATION
|
Professional
|
Both
|
$126.00
|
|
|
Service Code
|
HCPCS 95874
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$95.01 |
| Rate for Payer: Aetna Commercial |
$88.41
|
| Rate for Payer: Aetna Medicare |
$68.62
|
| Rate for Payer: BCBS Complete |
$50.40
|
| Rate for Payer: BCBS MAPPO |
$65.98
|
| Rate for Payer: BCN Medicare Advantage |
$65.98
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$95.01
|
| Rate for Payer: Cofinity Commercial |
$88.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.28
|
| Rate for Payer: Nomi Health Commercial |
$79.18
|
| Rate for Payer: PACE SWMI |
$65.98
|
| Rate for Payer: PHP Medicare Advantage |
$65.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.90
|
| Rate for Payer: Priority Health Medicare |
$66.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.98
|
| Rate for Payer: UHC Exchange |
$65.98
|
| Rate for Payer: UHC Medicare Advantage |
$65.98
|
|
|
PR NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 95870
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$103.74 |
| Rate for Payer: Aetna Commercial |
$96.53
|
| Rate for Payer: Aetna Medicare |
$74.92
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS MAPPO |
$72.04
|
| Rate for Payer: BCN Medicare Advantage |
$72.04
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$96.53
|
| Rate for Payer: Cofinity Commercial |
$103.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.64
|
| Rate for Payer: Nomi Health Commercial |
$86.45
|
| Rate for Payer: PACE SWMI |
$72.04
|
| Rate for Payer: PHP Medicare Advantage |
$72.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health Medicare |
$72.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.04
|
| Rate for Payer: UHC Exchange |
$72.04
|
| Rate for Payer: UHC Medicare Advantage |
$72.04
|
|
|
PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION
|
Professional
|
Both
|
$134.00
|
|
|
Service Code
|
HCPCS 95887
|
| Min. Negotiated Rate |
$53.60 |
| Max. Negotiated Rate |
$106.85 |
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: Aetna Commercial |
$99.43
|
| Rate for Payer: Aetna Medicare |
$77.17
|
| Rate for Payer: Aetna Medicare |
$77.17
|
| Rate for Payer: BCBS Complete |
$53.60
|
| Rate for Payer: BCBS Complete |
$108.80
|
| Rate for Payer: BCBS MAPPO |
$74.20
|
| Rate for Payer: BCBS MAPPO |
$74.20
|
| Rate for Payer: BCN Medicare Advantage |
$74.20
|
| Rate for Payer: BCN Medicare Advantage |
$74.20
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cofinity Commercial |
$99.43
|
| Rate for Payer: Cofinity Commercial |
$106.85
|
| Rate for Payer: Cofinity Commercial |
$99.43
|
| Rate for Payer: Cofinity Commercial |
$106.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.91
|
| Rate for Payer: Nomi Health Commercial |
$89.04
|
| Rate for Payer: Nomi Health Commercial |
$89.04
|
| Rate for Payer: PACE SWMI |
$74.20
|
| Rate for Payer: PACE SWMI |
$74.20
|
| Rate for Payer: PHP Medicare Advantage |
$74.20
|
| Rate for Payer: PHP Medicare Advantage |
$74.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Medicare |
$74.94
|
| Rate for Payer: Priority Health Medicare |
$74.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.20
|
| Rate for Payer: UHC Exchange |
$74.20
|
| Rate for Payer: UHC Exchange |
$74.20
|
| Rate for Payer: UHC Medicare Advantage |
$74.20
|
| Rate for Payer: UHC Medicare Advantage |
$74.20
|
|
|
PR NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12
|
Professional
|
Both
|
$146.00
|
|
|
Service Code
|
HCPCS 95869
|
| Min. Negotiated Rate |
$58.40 |
| Max. Negotiated Rate |
$117.32 |
| Rate for Payer: Aetna Commercial |
$109.17
|
| Rate for Payer: Aetna Medicare |
$84.73
|
| Rate for Payer: BCBS Complete |
$58.40
|
| Rate for Payer: BCBS MAPPO |
$81.47
|
| Rate for Payer: BCN Medicare Advantage |
$81.47
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cofinity Commercial |
$117.32
|
| Rate for Payer: Cofinity Commercial |
$109.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.54
|
| Rate for Payer: Nomi Health Commercial |
$97.76
|
| Rate for Payer: PACE SWMI |
$81.47
|
| Rate for Payer: PHP Medicare Advantage |
$81.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.90
|
| Rate for Payer: Priority Health Medicare |
$82.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.47
|
| Rate for Payer: UHC Exchange |
$81.47
|
| Rate for Payer: UHC Medicare Advantage |
$81.47
|
|
|
PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER
|
Professional
|
Both
|
$324.00
|
|
|
Service Code
|
HCPCS 95872
|
| Min. Negotiated Rate |
$129.60 |
| Max. Negotiated Rate |
$246.54 |
| Rate for Payer: Aetna Commercial |
$229.42
|
| Rate for Payer: Aetna Medicare |
$178.06
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS MAPPO |
$171.21
|
| Rate for Payer: BCN Medicare Advantage |
$171.21
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cofinity Commercial |
$246.54
|
| Rate for Payer: Cofinity Commercial |
$229.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.77
|
| Rate for Payer: Nomi Health Commercial |
$205.45
|
| Rate for Payer: PACE SWMI |
$171.21
|
| Rate for Payer: PHP Medicare Advantage |
$171.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.60
|
| Rate for Payer: Priority Health Medicare |
$172.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.21
|
| Rate for Payer: UHC Exchange |
$171.21
|
| Rate for Payer: UHC Medicare Advantage |
$171.21
|
|
|
PR NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 20560
|
| Min. Negotiated Rate |
$14.35 |
| Max. Negotiated Rate |
$33.80 |
| Rate for Payer: Aetna Commercial |
$19.23
|
| Rate for Payer: Aetna Medicare |
$14.92
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS MAPPO |
$14.35
|
| Rate for Payer: BCN Medicare Advantage |
$14.35
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$20.66
|
| Rate for Payer: Cofinity Commercial |
$19.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.07
|
| Rate for Payer: Nomi Health Commercial |
$17.22
|
| Rate for Payer: PACE SWMI |
$14.35
|
| Rate for Payer: PHP Medicare Advantage |
$14.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.80
|
| Rate for Payer: Priority Health Medicare |
$14.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.35
|
| Rate for Payer: UHC Exchange |
$14.35
|
| Rate for Payer: UHC Medicare Advantage |
$14.35
|
|
|
PR NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 20561
|
| Min. Negotiated Rate |
$21.67 |
| Max. Negotiated Rate |
$48.75 |
| Rate for Payer: Aetna Commercial |
$29.04
|
| Rate for Payer: Aetna Medicare |
$22.54
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS MAPPO |
$21.67
|
| Rate for Payer: BCN Medicare Advantage |
$21.67
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$29.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.75
|
| Rate for Payer: Nomi Health Commercial |
$26.00
|
| Rate for Payer: PACE SWMI |
$21.67
|
| Rate for Payer: PHP Medicare Advantage |
$21.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health Medicare |
$21.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.67
|
| Rate for Payer: UHC Exchange |
$21.67
|
| Rate for Payer: UHC Medicare Advantage |
$21.67
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM
|
Professional
|
Both
|
$98.00
|
|
|
Service Code
|
HCPCS 97605
|
| Min. Negotiated Rate |
$23.18 |
| Max. Negotiated Rate |
$63.70 |
| Rate for Payer: Aetna Commercial |
$31.06
|
| Rate for Payer: Aetna Medicare |
$24.11
|
| Rate for Payer: BCBS Complete |
$39.20
|
| Rate for Payer: BCBS MAPPO |
$23.18
|
| Rate for Payer: BCN Medicare Advantage |
$23.18
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Commercial |
$33.38
|
| Rate for Payer: Cofinity Commercial |
$31.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.34
|
| Rate for Payer: Nomi Health Commercial |
$27.82
|
| Rate for Payer: PACE SWMI |
$23.18
|
| Rate for Payer: PHP Medicare Advantage |
$23.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.70
|
| Rate for Payer: Priority Health Medicare |
$23.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.18
|
| Rate for Payer: UHC Exchange |
$23.18
|
| Rate for Payer: UHC Medicare Advantage |
$23.18
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 97606
|
| Min. Negotiated Rate |
$25.09 |
| Max. Negotiated Rate |
$92.95 |
| Rate for Payer: Aetna Commercial |
$33.62
|
| Rate for Payer: Aetna Medicare |
$26.09
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$25.09
|
| Rate for Payer: BCN Medicare Advantage |
$25.09
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Cofinity Commercial |
$33.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.34
|
| Rate for Payer: Nomi Health Commercial |
$30.11
|
| Rate for Payer: PACE SWMI |
$25.09
|
| Rate for Payer: PHP Medicare Advantage |
$25.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health Medicare |
$25.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.09
|
| Rate for Payer: UHC Exchange |
$25.09
|
| Rate for Payer: UHC Medicare Advantage |
$25.09
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 97607
|
| Min. Negotiated Rate |
$20.17 |
| Max. Negotiated Rate |
$99.45 |
| Rate for Payer: Aetna Commercial |
$27.03
|
| Rate for Payer: Aetna Medicare |
$20.98
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS MAPPO |
$20.17
|
| Rate for Payer: BCN Medicare Advantage |
$20.17
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$29.04
|
| Rate for Payer: Cofinity Commercial |
$27.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.18
|
| Rate for Payer: Nomi Health Commercial |
$24.20
|
| Rate for Payer: PACE SWMI |
$20.17
|
| Rate for Payer: PHP Medicare Advantage |
$20.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health Medicare |
$20.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.17
|
| Rate for Payer: UHC Exchange |
$20.17
|
| Rate for Payer: UHC Medicare Advantage |
$20.17
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 97608
|
| Min. Negotiated Rate |
$23.51 |
| Max. Negotiated Rate |
$99.45 |
| Rate for Payer: Aetna Commercial |
$31.50
|
| Rate for Payer: Aetna Medicare |
$24.45
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS MAPPO |
$23.51
|
| Rate for Payer: BCN Medicare Advantage |
$23.51
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$33.85
|
| Rate for Payer: Cofinity Commercial |
$31.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.69
|
| Rate for Payer: Nomi Health Commercial |
$28.21
|
| Rate for Payer: PACE SWMI |
$23.51
|
| Rate for Payer: PHP Medicare Advantage |
$23.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health Medicare |
$23.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.51
|
| Rate for Payer: UHC Exchange |
$23.51
|
| Rate for Payer: UHC Medicare Advantage |
$23.51
|
|
|
PR NEPHRECTOMY PARTIAL
|
Professional
|
Both
|
$2,530.00
|
|
|
Service Code
|
HCPCS 50240
|
| Min. Negotiated Rate |
$1,012.00 |
| Max. Negotiated Rate |
$1,824.74 |
| Rate for Payer: Aetna Commercial |
$1,698.02
|
| Rate for Payer: Aetna Medicare |
$1,317.87
|
| Rate for Payer: BCBS Complete |
$1,012.00
|
| Rate for Payer: BCBS MAPPO |
$1,267.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,267.18
|
| Rate for Payer: Cash Price |
$2,024.00
|
| Rate for Payer: Cash Price |
$2,024.00
|
| Rate for Payer: Cofinity Commercial |
$1,824.74
|
| Rate for Payer: Cofinity Commercial |
$1,698.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,267.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,330.54
|
| Rate for Payer: Nomi Health Commercial |
$1,520.62
|
| Rate for Payer: PACE SWMI |
$1,267.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,267.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,644.50
|
| Rate for Payer: Priority Health Medicare |
$1,279.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,267.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,267.18
|
| Rate for Payer: UHC Exchange |
$1,267.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,267.18
|
|
|
PR NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN
|
Professional
|
Both
|
$2,808.00
|
|
|
Service Code
|
HCPCS 50236
|
| Min. Negotiated Rate |
$1,123.20 |
| Max. Negotiated Rate |
$2,005.99 |
| Rate for Payer: Aetna Commercial |
$1,866.69
|
| Rate for Payer: Aetna Medicare |
$1,448.77
|
| Rate for Payer: BCBS Complete |
$1,123.20
|
| Rate for Payer: BCBS MAPPO |
$1,393.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,393.05
|
| Rate for Payer: Cash Price |
$2,246.40
|
| Rate for Payer: Cash Price |
$2,246.40
|
| Rate for Payer: Cofinity Commercial |
$2,005.99
|
| Rate for Payer: Cofinity Commercial |
$1,866.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,393.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,462.70
|
| Rate for Payer: Nomi Health Commercial |
$1,671.66
|
| Rate for Payer: PACE SWMI |
$1,393.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,393.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,825.20
|
| Rate for Payer: Priority Health Medicare |
$1,406.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,393.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,393.05
|
| Rate for Payer: UHC Exchange |
$1,393.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,393.05
|
|
|
PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ
|
Professional
|
Both
|
$3,705.00
|
|
|
Service Code
|
HCPCS 50220
|
| Min. Negotiated Rate |
$1,014.55 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna Commercial |
$1,359.50
|
| Rate for Payer: Aetna Medicare |
$1,055.13
|
| Rate for Payer: BCBS Complete |
$1,482.00
|
| Rate for Payer: BCBS MAPPO |
$1,014.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,014.55
|
| Rate for Payer: Cash Price |
$2,964.00
|
| Rate for Payer: Cash Price |
$2,964.00
|
| Rate for Payer: Cofinity Commercial |
$1,460.95
|
| Rate for Payer: Cofinity Commercial |
$1,359.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,014.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.28
|
| Rate for Payer: Nomi Health Commercial |
$1,217.46
|
| Rate for Payer: PACE SWMI |
$1,014.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,014.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,408.25
|
| Rate for Payer: Priority Health Medicare |
$1,024.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,014.55
|
| Rate for Payer: UHC Exchange |
$1,014.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,014.55
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD
|
Professional
|
Both
|
$4,384.00
|
|
|
Service Code
|
HCPCS 50230
|
| Min. Negotiated Rate |
$1,222.17 |
| Max. Negotiated Rate |
$2,849.60 |
| Rate for Payer: Aetna Commercial |
$1,637.71
|
| Rate for Payer: Aetna Medicare |
$1,271.06
|
| Rate for Payer: BCBS Complete |
$1,753.60
|
| Rate for Payer: BCBS MAPPO |
$1,222.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,222.17
|
| Rate for Payer: Cash Price |
$3,507.20
|
| Rate for Payer: Cash Price |
$3,507.20
|
| Rate for Payer: Cofinity Commercial |
$1,759.92
|
| Rate for Payer: Cofinity Commercial |
$1,637.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,222.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,283.28
|
| Rate for Payer: Nomi Health Commercial |
$1,466.60
|
| Rate for Payer: PACE SWMI |
$1,222.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,222.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,849.60
|
| Rate for Payer: Priority Health Medicare |
$1,234.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,222.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,222.17
|
| Rate for Payer: UHC Exchange |
$1,222.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,222.17
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL
|
Professional
|
Both
|
$3,454.00
|
|
|
Service Code
|
HCPCS 50225
|
| Min. Negotiated Rate |
$1,130.96 |
| Max. Negotiated Rate |
$2,245.10 |
| Rate for Payer: Aetna Commercial |
$1,515.49
|
| Rate for Payer: Aetna Medicare |
$1,176.20
|
| Rate for Payer: BCBS Complete |
$1,381.60
|
| Rate for Payer: BCBS MAPPO |
$1,130.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.96
|
| Rate for Payer: Cash Price |
$2,763.20
|
| Rate for Payer: Cash Price |
$2,763.20
|
| Rate for Payer: Cofinity Commercial |
$1,628.58
|
| Rate for Payer: Cofinity Commercial |
$1,515.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,187.51
|
| Rate for Payer: Nomi Health Commercial |
$1,357.15
|
| Rate for Payer: PACE SWMI |
$1,130.96
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,245.10
|
| Rate for Payer: Priority Health Medicare |
$1,142.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,130.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,130.96
|
| Rate for Payer: UHC Exchange |
$1,130.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,130.96
|
|
|
PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC
|
Professional
|
Both
|
$2,488.00
|
|
|
Service Code
|
HCPCS 50234
|
| Min. Negotiated Rate |
$995.20 |
| Max. Negotiated Rate |
$1,788.38 |
| Rate for Payer: Aetna Commercial |
$1,664.19
|
| Rate for Payer: Aetna Medicare |
$1,291.61
|
| Rate for Payer: BCBS Complete |
$995.20
|
| Rate for Payer: BCBS MAPPO |
$1,241.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,241.93
|
| Rate for Payer: Cash Price |
$1,990.40
|
| Rate for Payer: Cash Price |
$1,990.40
|
| Rate for Payer: Cofinity Commercial |
$1,788.38
|
| Rate for Payer: Cofinity Commercial |
$1,664.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,241.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.03
|
| Rate for Payer: Nomi Health Commercial |
$1,490.32
|
| Rate for Payer: PACE SWMI |
$1,241.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,241.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.20
|
| Rate for Payer: Priority Health Medicare |
$1,254.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,241.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,241.93
|
| Rate for Payer: UHC Exchange |
$1,241.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,241.93
|
|
|
PR NEPHROLITHOTOMY REMOVAL CALCULUS
|
Professional
|
Both
|
$2,064.00
|
|
|
Service Code
|
HCPCS 50060
|
| Min. Negotiated Rate |
$825.60 |
| Max. Negotiated Rate |
$1,563.19 |
| Rate for Payer: Aetna Commercial |
$1,454.64
|
| Rate for Payer: Aetna Medicare |
$1,128.97
|
| Rate for Payer: BCBS Complete |
$825.60
|
| Rate for Payer: BCBS MAPPO |
$1,085.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,085.55
|
| Rate for Payer: Cash Price |
$1,651.20
|
| Rate for Payer: Cash Price |
$1,651.20
|
| Rate for Payer: Cofinity Commercial |
$1,563.19
|
| Rate for Payer: Cofinity Commercial |
$1,454.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,085.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,139.83
|
| Rate for Payer: Nomi Health Commercial |
$1,302.66
|
| Rate for Payer: PACE SWMI |
$1,085.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,085.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,341.60
|
| Rate for Payer: Priority Health Medicare |
$1,096.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,085.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,085.55
|
| Rate for Payer: UHC Exchange |
$1,085.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,085.55
|
|
|
PR NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS
|
Professional
|
Both
|
$3,414.00
|
|
|
Service Code
|
HCPCS 50075
|
| Min. Negotiated Rate |
$1,365.60 |
| Max. Negotiated Rate |
$2,219.10 |
| Rate for Payer: Aetna Commercial |
$1,859.30
|
| Rate for Payer: Aetna Medicare |
$1,443.04
|
| Rate for Payer: BCBS Complete |
$1,365.60
|
| Rate for Payer: BCBS MAPPO |
$1,387.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,387.54
|
| Rate for Payer: Cash Price |
$2,731.20
|
| Rate for Payer: Cash Price |
$2,731.20
|
| Rate for Payer: Cofinity Commercial |
$1,998.06
|
| Rate for Payer: Cofinity Commercial |
$1,859.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,387.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,456.92
|
| Rate for Payer: Nomi Health Commercial |
$1,665.05
|
| Rate for Payer: PACE SWMI |
$1,387.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,387.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,219.10
|
| Rate for Payer: Priority Health Medicare |
$1,401.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,387.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,387.54
|
| Rate for Payer: UHC Exchange |
$1,387.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,387.54
|
|
|
PR NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY
|
Professional
|
Both
|
$2,305.00
|
|
|
Service Code
|
HCPCS 50500
|
| Min. Negotiated Rate |
$922.00 |
| Max. Negotiated Rate |
$1,804.52 |
| Rate for Payer: Aetna Commercial |
$1,679.21
|
| Rate for Payer: Aetna Medicare |
$1,303.27
|
| Rate for Payer: BCBS Complete |
$922.00
|
| Rate for Payer: BCBS MAPPO |
$1,253.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,253.14
|
| Rate for Payer: Cash Price |
$1,844.00
|
| Rate for Payer: Cash Price |
$1,844.00
|
| Rate for Payer: Cofinity Commercial |
$1,804.52
|
| Rate for Payer: Cofinity Commercial |
$1,679.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,253.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,315.80
|
| Rate for Payer: Nomi Health Commercial |
$1,503.77
|
| Rate for Payer: PACE SWMI |
$1,253.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,253.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,498.25
|
| Rate for Payer: Priority Health Medicare |
$1,265.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,253.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,253.14
|
| Rate for Payer: UHC Exchange |
$1,253.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,253.14
|
|
|
PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE
|
Professional
|
Both
|
$1,765.00
|
|
|
Service Code
|
HCPCS 50040
|
| Min. Negotiated Rate |
$706.00 |
| Max. Negotiated Rate |
$1,272.60 |
| Rate for Payer: Aetna Commercial |
$1,184.22
|
| Rate for Payer: Aetna Medicare |
$919.10
|
| Rate for Payer: BCBS Complete |
$706.00
|
| Rate for Payer: BCBS MAPPO |
$883.75
|
| Rate for Payer: BCN Medicare Advantage |
$883.75
|
| Rate for Payer: Cash Price |
$1,412.00
|
| Rate for Payer: Cash Price |
$1,412.00
|
| Rate for Payer: Cofinity Commercial |
$1,272.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$883.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$927.94
|
| Rate for Payer: Nomi Health Commercial |
$1,060.50
|
| Rate for Payer: PACE SWMI |
$883.75
|
| Rate for Payer: PHP Medicare Advantage |
$883.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,147.25
|
| Rate for Payer: Priority Health Medicare |
$892.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$883.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$883.75
|
| Rate for Payer: UHC Exchange |
$883.75
|
| Rate for Payer: UHC Medicare Advantage |
$883.75
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$319.00
|
|
|
Service Code
|
HCPCS 95912
|
| Min. Negotiated Rate |
$127.60 |
| Max. Negotiated Rate |
$322.33 |
| Rate for Payer: Aetna Commercial |
$299.95
|
| Rate for Payer: Aetna Commercial |
$299.95
|
| Rate for Payer: Aetna Medicare |
$232.79
|
| Rate for Payer: Aetna Medicare |
$232.79
|
| Rate for Payer: BCBS Complete |
$127.60
|
| Rate for Payer: BCBS Complete |
$212.80
|
| Rate for Payer: BCBS MAPPO |
$223.84
|
| Rate for Payer: BCBS MAPPO |
$223.84
|
| Rate for Payer: BCN Medicare Advantage |
$223.84
|
| Rate for Payer: BCN Medicare Advantage |
$223.84
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cofinity Commercial |
$322.33
|
| Rate for Payer: Cofinity Commercial |
$299.95
|
| Rate for Payer: Cofinity Commercial |
$322.33
|
| Rate for Payer: Cofinity Commercial |
$299.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.03
|
| Rate for Payer: Nomi Health Commercial |
$268.61
|
| Rate for Payer: Nomi Health Commercial |
$268.61
|
| Rate for Payer: PACE SWMI |
$223.84
|
| Rate for Payer: PACE SWMI |
$223.84
|
| Rate for Payer: PHP Medicare Advantage |
$223.84
|
| Rate for Payer: PHP Medicare Advantage |
$223.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health Medicare |
$226.08
|
| Rate for Payer: Priority Health Medicare |
$226.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$223.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$223.84
|
| Rate for Payer: UHC Exchange |
$223.84
|
| Rate for Payer: UHC Exchange |
$223.84
|
| Rate for Payer: UHC Medicare Advantage |
$223.84
|
| Rate for Payer: UHC Medicare Advantage |
$223.84
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$170.00
|
|
|
Service Code
|
HCPCS 95907
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$117.20 |
| Rate for Payer: Aetna Commercial |
$109.06
|
| Rate for Payer: Aetna Commercial |
$109.06
|
| Rate for Payer: Aetna Medicare |
$84.65
|
| Rate for Payer: Aetna Medicare |
$84.65
|
| Rate for Payer: BCBS Complete |
$68.00
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: BCBS MAPPO |
$81.39
|
| Rate for Payer: BCBS MAPPO |
$81.39
|
| Rate for Payer: BCN Medicare Advantage |
$81.39
|
| Rate for Payer: BCN Medicare Advantage |
$81.39
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cofinity Commercial |
$117.20
|
| Rate for Payer: Cofinity Commercial |
$109.06
|
| Rate for Payer: Cofinity Commercial |
$117.20
|
| Rate for Payer: Cofinity Commercial |
$109.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.46
|
| Rate for Payer: Nomi Health Commercial |
$97.67
|
| Rate for Payer: Nomi Health Commercial |
$97.67
|
| Rate for Payer: PACE SWMI |
$81.39
|
| Rate for Payer: PACE SWMI |
$81.39
|
| Rate for Payer: PHP Medicare Advantage |
$81.39
|
| Rate for Payer: PHP Medicare Advantage |
$81.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health Medicare |
$82.20
|
| Rate for Payer: Priority Health Medicare |
$82.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.39
|
| Rate for Payer: UHC Exchange |
$81.39
|
| Rate for Payer: UHC Exchange |
$81.39
|
| Rate for Payer: UHC Medicare Advantage |
$81.39
|
| Rate for Payer: UHC Medicare Advantage |
$81.39
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$534.00
|
|
|
Service Code
|
HCPCS 95913
|
| Min. Negotiated Rate |
$213.60 |
| Max. Negotiated Rate |
$377.51 |
| Rate for Payer: Aetna Commercial |
$351.29
|
| Rate for Payer: Aetna Commercial |
$351.29
|
| Rate for Payer: Aetna Medicare |
$272.65
|
| Rate for Payer: Aetna Medicare |
$272.65
|
| Rate for Payer: BCBS Complete |
$213.60
|
| Rate for Payer: BCBS Complete |
$350.80
|
| Rate for Payer: BCBS MAPPO |
$262.16
|
| Rate for Payer: BCBS MAPPO |
$262.16
|
| Rate for Payer: BCN Medicare Advantage |
$262.16
|
| Rate for Payer: BCN Medicare Advantage |
$262.16
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$427.20
|
| Rate for Payer: Cash Price |
$427.20
|
| Rate for Payer: Cofinity Commercial |
$377.51
|
| Rate for Payer: Cofinity Commercial |
$351.29
|
| Rate for Payer: Cofinity Commercial |
$377.51
|
| Rate for Payer: Cofinity Commercial |
$351.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$262.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$262.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$275.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$275.27
|
| Rate for Payer: Nomi Health Commercial |
$314.59
|
| Rate for Payer: Nomi Health Commercial |
$314.59
|
| Rate for Payer: PACE SWMI |
$262.16
|
| Rate for Payer: PACE SWMI |
$262.16
|
| Rate for Payer: PHP Medicare Advantage |
$262.16
|
| Rate for Payer: PHP Medicare Advantage |
$262.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$347.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$570.05
|
| Rate for Payer: Priority Health Medicare |
$264.78
|
| Rate for Payer: Priority Health Medicare |
$264.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$262.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$262.16
|
| Rate for Payer: UHC Exchange |
$262.16
|
| Rate for Payer: UHC Exchange |
$262.16
|
| Rate for Payer: UHC Medicare Advantage |
$262.16
|
| Rate for Payer: UHC Medicare Advantage |
$262.16
|
|
