|
PR OPEN TREATMENT PALATAL/MAXILLARY FRACTURE
|
Professional
|
Both
|
$1,343.00
|
|
|
Service Code
|
HCPCS 21422
|
| Min. Negotiated Rate |
$408.32 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$804.95
|
| Rate for Payer: Aetna Medicare |
$624.74
|
| Rate for Payer: BCBS Complete |
$428.74
|
| Rate for Payer: BCBS MAPPO |
$600.71
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$921.16
|
| Rate for Payer: BCN Medicare Advantage |
$600.71
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$865.02
|
| Rate for Payer: Cofinity Commercial |
$804.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.71
|
| Rate for Payer: Mclaren Medicaid |
$408.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.75
|
| Rate for Payer: Meridian Medicaid |
$428.74
|
| Rate for Payer: Nomi Health Commercial |
$720.85
|
| Rate for Payer: PACE SWMI |
$600.71
|
| Rate for Payer: PHP Medicare Advantage |
$600.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.95
|
| Rate for Payer: Priority Health HMO/PPO |
$954.11
|
| Rate for Payer: Priority Health Medicare |
$606.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$954.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.71
|
| Rate for Payer: UHC Exchange |
$600.71
|
| Rate for Payer: UHC Medicare Advantage |
$600.71
|
| Rate for Payer: UHCCP Medicaid |
$408.32
|
|
|
PR OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE
|
Professional
|
Both
|
$1,297.00
|
|
|
Service Code
|
HCPCS 27769
|
| Min. Negotiated Rate |
$473.50 |
| Max. Negotiated Rate |
$2,788.67 |
| Rate for Payer: Aetna Commercial |
$939.17
|
| Rate for Payer: Aetna Medicare |
$728.90
|
| Rate for Payer: BCBS Complete |
$497.18
|
| Rate for Payer: BCBS MAPPO |
$700.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,788.67
|
| Rate for Payer: BCN Commercial |
$1,069.23
|
| Rate for Payer: BCN Medicare Advantage |
$700.87
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cash Price |
$1,037.60
|
| Rate for Payer: Cofinity Commercial |
$939.17
|
| Rate for Payer: Cofinity Commercial |
$1,009.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.87
|
| Rate for Payer: Mclaren Medicaid |
$473.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$735.91
|
| Rate for Payer: Meridian Medicaid |
$497.18
|
| Rate for Payer: Nomi Health Commercial |
$841.04
|
| Rate for Payer: PACE SWMI |
$700.87
|
| Rate for Payer: PHP Medicare Advantage |
$700.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,122.04
|
| Rate for Payer: Priority Health Medicare |
$707.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,122.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.87
|
| Rate for Payer: UHC Exchange |
$700.87
|
| Rate for Payer: UHC Medicare Advantage |
$700.87
|
| Rate for Payer: UHCCP Medicaid |
$473.50
|
|
|
PR OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE
|
Professional
|
Both
|
$2,278.00
|
|
|
Service Code
|
HCPCS 27784
|
| Min. Negotiated Rate |
$463.49 |
| Max. Negotiated Rate |
$2,244.78 |
| Rate for Payer: Aetna Commercial |
$917.77
|
| Rate for Payer: Aetna Medicare |
$712.30
|
| Rate for Payer: BCBS Complete |
$486.66
|
| Rate for Payer: BCBS MAPPO |
$684.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,244.78
|
| Rate for Payer: BCN Commercial |
$1,046.26
|
| Rate for Payer: BCN Medicare Advantage |
$684.90
|
| Rate for Payer: Cash Price |
$1,822.40
|
| Rate for Payer: Cash Price |
$1,822.40
|
| Rate for Payer: Cofinity Commercial |
$986.26
|
| Rate for Payer: Cofinity Commercial |
$917.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.90
|
| Rate for Payer: Mclaren Medicaid |
$463.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$719.14
|
| Rate for Payer: Meridian Medicaid |
$486.66
|
| Rate for Payer: Nomi Health Commercial |
$821.88
|
| Rate for Payer: PACE SWMI |
$684.90
|
| Rate for Payer: PHP Medicare Advantage |
$684.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,480.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,107.29
|
| Rate for Payer: Priority Health Medicare |
$691.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,107.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$684.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$684.90
|
| Rate for Payer: UHC Exchange |
$684.90
|
| Rate for Payer: UHC Medicare Advantage |
$684.90
|
| Rate for Payer: UHCCP Medicaid |
$463.49
|
|
|
PR OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ
|
Professional
|
Both
|
$2,063.00
|
|
|
Service Code
|
HCPCS 25515
|
| Min. Negotiated Rate |
$440.27 |
| Max. Negotiated Rate |
$1,387.32 |
| Rate for Payer: Aetna Commercial |
$869.67
|
| Rate for Payer: Aetna Medicare |
$674.97
|
| Rate for Payer: BCBS Complete |
$462.28
|
| Rate for Payer: BCBS MAPPO |
$649.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,387.32
|
| Rate for Payer: BCN Commercial |
$989.57
|
| Rate for Payer: BCN Medicare Advantage |
$649.01
|
| Rate for Payer: Cash Price |
$1,650.40
|
| Rate for Payer: Cash Price |
$1,650.40
|
| Rate for Payer: Cofinity Commercial |
$934.57
|
| Rate for Payer: Cofinity Commercial |
$869.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$649.01
|
| Rate for Payer: Mclaren Medicaid |
$440.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.46
|
| Rate for Payer: Meridian Medicaid |
$462.28
|
| Rate for Payer: Nomi Health Commercial |
$778.81
|
| Rate for Payer: PACE SWMI |
$649.01
|
| Rate for Payer: PHP Medicare Advantage |
$649.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,340.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,042.65
|
| Rate for Payer: Priority Health Medicare |
$655.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,042.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$649.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$649.01
|
| Rate for Payer: UHC Exchange |
$649.01
|
| Rate for Payer: UHC Medicare Advantage |
$649.01
|
| Rate for Payer: UHCCP Medicaid |
$440.27
|
|
|
PR OPEN TREATMENT TALOTARSAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 28585
|
| Min. Negotiated Rate |
$312.23 |
| Max. Negotiated Rate |
$1,297.40 |
| Rate for Payer: Aetna Commercial |
$918.80
|
| Rate for Payer: Aetna Medicare |
$713.10
|
| Rate for Payer: BCBS Complete |
$486.88
|
| Rate for Payer: BCBS MAPPO |
$685.67
|
| Rate for Payer: BCBS Trust/PPO |
$312.23
|
| Rate for Payer: BCN Commercial |
$1,291.09
|
| Rate for Payer: BCN Medicare Advantage |
$685.67
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cofinity Commercial |
$987.36
|
| Rate for Payer: Cofinity Commercial |
$918.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$685.67
|
| Rate for Payer: Mclaren Medicaid |
$463.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$719.95
|
| Rate for Payer: Meridian Medicaid |
$486.88
|
| Rate for Payer: Nomi Health Commercial |
$822.80
|
| Rate for Payer: PACE SWMI |
$685.67
|
| Rate for Payer: PHP Medicare Advantage |
$685.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,297.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,089.48
|
| Rate for Payer: Priority Health Medicare |
$692.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,089.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$685.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$685.67
|
| Rate for Payer: UHC Exchange |
$685.67
|
| Rate for Payer: UHC Medicare Advantage |
$685.67
|
| Rate for Payer: UHCCP Medicaid |
$463.70
|
|
|
PR OPEN TREATMENT TALUS FRACTURE
|
Professional
|
Both
|
$3,142.00
|
|
|
Service Code
|
HCPCS 28445
|
| Min. Negotiated Rate |
$588.53 |
| Max. Negotiated Rate |
$2,042.30 |
| Rate for Payer: Aetna Commercial |
$1,347.18
|
| Rate for Payer: Aetna Medicare |
$1,045.57
|
| Rate for Payer: BCBS Complete |
$711.43
|
| Rate for Payer: BCBS MAPPO |
$1,005.36
|
| Rate for Payer: BCBS Trust/PPO |
$588.53
|
| Rate for Payer: BCN Commercial |
$1,521.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,005.36
|
| Rate for Payer: Cash Price |
$2,513.60
|
| Rate for Payer: Cash Price |
$2,513.60
|
| Rate for Payer: Cofinity Commercial |
$1,447.72
|
| Rate for Payer: Cofinity Commercial |
$1,347.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,005.36
|
| Rate for Payer: Mclaren Medicaid |
$677.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,055.63
|
| Rate for Payer: Meridian Medicaid |
$711.43
|
| Rate for Payer: Nomi Health Commercial |
$1,206.43
|
| Rate for Payer: PACE SWMI |
$1,005.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,005.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$677.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,042.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,613.08
|
| Rate for Payer: Priority Health Medicare |
$1,015.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,613.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,005.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,005.36
|
| Rate for Payer: UHC Exchange |
$1,005.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,005.36
|
| Rate for Payer: UHCCP Medicaid |
$677.55
|
|
|
PR OPEN TREATMENT TARSAL BONE DISLOCATION
|
Professional
|
Both
|
$1,728.00
|
|
|
Service Code
|
HCPCS 28555
|
| Min. Negotiated Rate |
$422.59 |
| Max. Negotiated Rate |
$1,269.58 |
| Rate for Payer: Aetna Commercial |
$837.11
|
| Rate for Payer: Aetna Medicare |
$649.70
|
| Rate for Payer: BCBS Complete |
$443.72
|
| Rate for Payer: BCBS MAPPO |
$624.71
|
| Rate for Payer: BCBS Trust/PPO |
$645.58
|
| Rate for Payer: BCN Commercial |
$1,269.58
|
| Rate for Payer: BCN Medicare Advantage |
$624.71
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cofinity Commercial |
$899.58
|
| Rate for Payer: Cofinity Commercial |
$837.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.71
|
| Rate for Payer: Mclaren Medicaid |
$422.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.95
|
| Rate for Payer: Meridian Medicaid |
$443.72
|
| Rate for Payer: Nomi Health Commercial |
$749.65
|
| Rate for Payer: PACE SWMI |
$624.71
|
| Rate for Payer: PHP Medicare Advantage |
$624.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,123.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,022.31
|
| Rate for Payer: Priority Health Medicare |
$630.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,022.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.71
|
| Rate for Payer: UHC Exchange |
$624.71
|
| Rate for Payer: UHC Medicare Advantage |
$624.71
|
| Rate for Payer: UHCCP Medicaid |
$422.59
|
|
|
PR OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,795.00
|
|
|
Service Code
|
HCPCS 28615
|
| Min. Negotiated Rate |
$538.04 |
| Max. Negotiated Rate |
$1,778.26 |
| Rate for Payer: Aetna Commercial |
$1,058.81
|
| Rate for Payer: Aetna Medicare |
$821.77
|
| Rate for Payer: BCBS Complete |
$564.94
|
| Rate for Payer: BCBS MAPPO |
$790.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,778.26
|
| Rate for Payer: BCN Commercial |
$1,214.37
|
| Rate for Payer: BCN Medicare Advantage |
$790.16
|
| Rate for Payer: Cash Price |
$1,436.00
|
| Rate for Payer: Cash Price |
$1,436.00
|
| Rate for Payer: Cofinity Commercial |
$1,137.83
|
| Rate for Payer: Cofinity Commercial |
$1,058.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$790.16
|
| Rate for Payer: Mclaren Medicaid |
$538.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$829.67
|
| Rate for Payer: Meridian Medicaid |
$564.94
|
| Rate for Payer: Nomi Health Commercial |
$948.19
|
| Rate for Payer: PACE SWMI |
$790.16
|
| Rate for Payer: PHP Medicare Advantage |
$790.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$538.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,166.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,279.28
|
| Rate for Payer: Priority Health Medicare |
$798.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,279.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$790.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$790.16
|
| Rate for Payer: UHC Exchange |
$790.16
|
| Rate for Payer: UHC Medicare Advantage |
$790.16
|
| Rate for Payer: UHCCP Medicaid |
$538.04
|
|
|
PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END
|
Professional
|
Both
|
$2,343.00
|
|
|
Service Code
|
HCPCS 24685
|
| Min. Negotiated Rate |
$338.11 |
| Max. Negotiated Rate |
$1,522.95 |
| Rate for Payer: Aetna Commercial |
$846.29
|
| Rate for Payer: Aetna Medicare |
$656.82
|
| Rate for Payer: BCBS Complete |
$450.43
|
| Rate for Payer: BCBS MAPPO |
$631.56
|
| Rate for Payer: BCBS Trust/PPO |
$338.11
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$631.56
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cofinity Commercial |
$909.45
|
| Rate for Payer: Cofinity Commercial |
$846.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.56
|
| Rate for Payer: Mclaren Medicaid |
$428.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$663.14
|
| Rate for Payer: Meridian Medicaid |
$450.43
|
| Rate for Payer: Nomi Health Commercial |
$757.87
|
| Rate for Payer: PACE SWMI |
$631.56
|
| Rate for Payer: PHP Medicare Advantage |
$631.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,522.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,016.19
|
| Rate for Payer: Priority Health Medicare |
$637.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$631.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.56
|
| Rate for Payer: UHC Exchange |
$631.56
|
| Rate for Payer: UHC Medicare Advantage |
$631.56
|
| Rate for Payer: UHCCP Medicaid |
$428.98
|
|
|
PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END
|
Facility
|
OP
|
$2,343.00
|
|
|
Service Code
|
CPT 24685
|
| Hospital Charge Code |
24685
|
| Min. Negotiated Rate |
$556.46 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$1,991.55
|
| Rate for Payer: Aetna Medicare |
$609.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$732.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$732.19
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$585.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,926.18
|
| Rate for Payer: BCN Commercial |
$1,821.68
|
| Rate for Payer: BCN Medicare Advantage |
$585.75
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cofinity Commercial |
$2,014.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$585.75
|
| Rate for Payer: Healthscope Commercial |
$2,108.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.25
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.04
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$673.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.55
|
| Rate for Payer: Nomi Health Commercial |
$1,921.26
|
| Rate for Payer: PACE Senior Care Partners |
$556.46
|
| Rate for Payer: PACE SWMI |
$585.75
|
| Rate for Payer: PHP Commercial |
$1,991.55
|
| Rate for Payer: PHP Medicare Advantage |
$585.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,522.95
|
| Rate for Payer: Priority Health HMO/PPO |
$2,038.41
|
| Rate for Payer: Priority Health Medicare |
$591.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,569.81
|
| Rate for Payer: Railroad Medicare Medicare |
$585.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.84
|
| Rate for Payer: UHC Core |
$1,956.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$585.75
|
| Rate for Payer: UHC Exchange |
$585.75
|
| Rate for Payer: UHC Medicare Advantage |
$585.75
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$585.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.25
|
|
|
PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END
|
Professional
|
Both
|
$2,343.00
|
|
|
Service Code
|
HCPCS 24685
|
| Hospital Charge Code |
24685
|
| Min. Negotiated Rate |
$338.11 |
| Max. Negotiated Rate |
$1,522.95 |
| Rate for Payer: Aetna Commercial |
$846.29
|
| Rate for Payer: Aetna Medicare |
$656.82
|
| Rate for Payer: BCBS Complete |
$450.43
|
| Rate for Payer: BCBS MAPPO |
$631.56
|
| Rate for Payer: BCBS Trust/PPO |
$338.11
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$631.56
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cofinity Commercial |
$909.45
|
| Rate for Payer: Cofinity Commercial |
$846.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.56
|
| Rate for Payer: Mclaren Medicaid |
$428.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$663.14
|
| Rate for Payer: Meridian Medicaid |
$450.43
|
| Rate for Payer: Nomi Health Commercial |
$757.87
|
| Rate for Payer: PACE SWMI |
$631.56
|
| Rate for Payer: PHP Medicare Advantage |
$631.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,522.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,016.19
|
| Rate for Payer: Priority Health Medicare |
$637.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$631.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.56
|
| Rate for Payer: UHC Exchange |
$631.56
|
| Rate for Payer: UHC Medicare Advantage |
$631.56
|
| Rate for Payer: UHCCP Medicaid |
$428.98
|
|
|
PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END
|
Facility
|
IP
|
$2,343.00
|
|
|
Service Code
|
CPT 24685
|
| Hospital Charge Code |
24685
|
| Min. Negotiated Rate |
$1,522.95 |
| Max. Negotiated Rate |
$2,108.70 |
| Rate for Payer: Aetna Commercial |
$1,991.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,912.59
|
| Rate for Payer: BCN Commercial |
$1,810.67
|
| Rate for Payer: Cash Price |
$1,874.40
|
| Rate for Payer: Cofinity Commercial |
$2,014.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,874.40
|
| Rate for Payer: Healthscope Commercial |
$2,108.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,757.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,991.55
|
| Rate for Payer: Nomi Health Commercial |
$1,921.26
|
| Rate for Payer: PHP Commercial |
$1,991.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,522.95
|
| Rate for Payer: Priority Health HMO/PPO |
$2,038.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,569.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,061.84
|
| Rate for Payer: UHC Core |
$1,956.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,757.25
|
|
|
PR OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 25545
|
| Min. Negotiated Rate |
$411.52 |
| Max. Negotiated Rate |
$1,263.60 |
| Rate for Payer: Aetna Commercial |
$811.12
|
| Rate for Payer: Aetna Medicare |
$629.52
|
| Rate for Payer: BCBS Complete |
$432.10
|
| Rate for Payer: BCBS MAPPO |
$605.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,170.18
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: BCN Medicare Advantage |
$605.31
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$871.65
|
| Rate for Payer: Cofinity Commercial |
$811.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.31
|
| Rate for Payer: Mclaren Medicaid |
$411.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$635.58
|
| Rate for Payer: Meridian Medicaid |
$432.10
|
| Rate for Payer: Nomi Health Commercial |
$726.37
|
| Rate for Payer: PACE SWMI |
$605.31
|
| Rate for Payer: PHP Medicare Advantage |
$605.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,263.60
|
| Rate for Payer: Priority Health HMO/PPO |
$972.95
|
| Rate for Payer: Priority Health Medicare |
$611.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$972.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.31
|
| Rate for Payer: UHC Exchange |
$605.31
|
| Rate for Payer: UHC Medicare Advantage |
$605.31
|
| Rate for Payer: UHCCP Medicaid |
$411.52
|
|
|
PR OPEN TREATMENT ULNAR STYLOID FRACTURE
|
Professional
|
Both
|
$1,667.00
|
|
|
Service Code
|
HCPCS 25652
|
| Min. Negotiated Rate |
$410.88 |
| Max. Negotiated Rate |
$1,501.43 |
| Rate for Payer: Aetna Commercial |
$810.51
|
| Rate for Payer: Aetna Medicare |
$629.05
|
| Rate for Payer: BCBS Complete |
$431.42
|
| Rate for Payer: BCBS MAPPO |
$604.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,501.43
|
| Rate for Payer: BCN Commercial |
$922.13
|
| Rate for Payer: BCN Medicare Advantage |
$604.86
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cofinity Commercial |
$871.00
|
| Rate for Payer: Cofinity Commercial |
$810.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$604.86
|
| Rate for Payer: Mclaren Medicaid |
$410.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$635.10
|
| Rate for Payer: Meridian Medicaid |
$431.42
|
| Rate for Payer: Nomi Health Commercial |
$725.83
|
| Rate for Payer: PACE SWMI |
$604.86
|
| Rate for Payer: PHP Medicare Advantage |
$604.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,083.55
|
| Rate for Payer: Priority Health HMO/PPO |
$969.89
|
| Rate for Payer: Priority Health Medicare |
$610.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$969.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$604.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$604.86
|
| Rate for Payer: UHC Exchange |
$604.86
|
| Rate for Payer: UHC Medicare Advantage |
$604.86
|
| Rate for Payer: UHCCP Medicaid |
$410.88
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 1-2 RIBS
|
Professional
|
Both
|
$3,348.00
|
|
|
Service Code
|
HCPCS 0245T
|
| Min. Negotiated Rate |
$1,339.20 |
| Max. Negotiated Rate |
$2,176.20 |
| Rate for Payer: Aetna Medicare |
$1,674.00
|
| Rate for Payer: BCBS Complete |
$1,339.20
|
| Rate for Payer: Cash Price |
$2,678.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.20
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 3-4 RIBS
|
Professional
|
Both
|
$3,689.00
|
|
|
Service Code
|
HCPCS 0246T
|
| Min. Negotiated Rate |
$1,475.60 |
| Max. Negotiated Rate |
$2,397.85 |
| Rate for Payer: Aetna Medicare |
$1,844.50
|
| Rate for Payer: BCBS Complete |
$1,475.60
|
| Rate for Payer: Cash Price |
$2,951.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,397.85
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 5-6 RIBS
|
Professional
|
Both
|
$4,080.00
|
|
|
Service Code
|
HCPCS 0247T
|
| Min. Negotiated Rate |
$1,632.00 |
| Max. Negotiated Rate |
$2,652.00 |
| Rate for Payer: Aetna Medicare |
$2,040.00
|
| Rate for Payer: BCBS Complete |
$1,632.00
|
| Rate for Payer: Cash Price |
$3,264.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.00
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 7+ RIBS
|
Professional
|
Both
|
$4,709.00
|
|
|
Service Code
|
HCPCS 0248T
|
| Min. Negotiated Rate |
$1,883.60 |
| Max. Negotiated Rate |
$3,060.85 |
| Rate for Payer: Aetna Medicare |
$2,354.50
|
| Rate for Payer: BCBS Complete |
$1,883.60
|
| Rate for Payer: Cash Price |
$3,767.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,060.85
|
|
|
PR OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$2,743.00
|
|
|
Service Code
|
HCPCS 23550
|
| Min. Negotiated Rate |
$374.67 |
| Max. Negotiated Rate |
$1,782.95 |
| Rate for Payer: Aetna Commercial |
$740.54
|
| Rate for Payer: Aetna Medicare |
$574.75
|
| Rate for Payer: BCBS Complete |
$393.40
|
| Rate for Payer: BCBS MAPPO |
$552.64
|
| Rate for Payer: BCBS Trust/PPO |
$528.83
|
| Rate for Payer: BCN Commercial |
$846.39
|
| Rate for Payer: BCN Medicare Advantage |
$552.64
|
| Rate for Payer: Cash Price |
$2,194.40
|
| Rate for Payer: Cash Price |
$2,194.40
|
| Rate for Payer: Cofinity Commercial |
$795.80
|
| Rate for Payer: Cofinity Commercial |
$740.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$552.64
|
| Rate for Payer: Mclaren Medicaid |
$374.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$580.27
|
| Rate for Payer: Meridian Medicaid |
$393.40
|
| Rate for Payer: Nomi Health Commercial |
$663.17
|
| Rate for Payer: PACE SWMI |
$552.64
|
| Rate for Payer: PHP Medicare Advantage |
$552.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,782.95
|
| Rate for Payer: Priority Health HMO/PPO |
$888.98
|
| Rate for Payer: Priority Health Medicare |
$558.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$888.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$552.64
|
| Rate for Payer: UHC Exchange |
$552.64
|
| Rate for Payer: UHC Medicare Advantage |
$552.64
|
| Rate for Payer: UHCCP Medicaid |
$374.67
|
|
|
PR OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION
|
Professional
|
Both
|
$2,577.00
|
|
|
Service Code
|
HCPCS 24615
|
| Min. Negotiated Rate |
$466.47 |
| Max. Negotiated Rate |
$1,675.05 |
| Rate for Payer: Aetna Commercial |
$924.83
|
| Rate for Payer: Aetna Medicare |
$717.78
|
| Rate for Payer: BCBS Complete |
$489.79
|
| Rate for Payer: BCBS MAPPO |
$690.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$1,053.10
|
| Rate for Payer: BCN Medicare Advantage |
$690.17
|
| Rate for Payer: Cash Price |
$2,061.60
|
| Rate for Payer: Cash Price |
$2,061.60
|
| Rate for Payer: Cofinity Commercial |
$993.84
|
| Rate for Payer: Cofinity Commercial |
$924.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$690.17
|
| Rate for Payer: Mclaren Medicaid |
$466.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$724.68
|
| Rate for Payer: Meridian Medicaid |
$489.79
|
| Rate for Payer: Nomi Health Commercial |
$828.20
|
| Rate for Payer: PACE SWMI |
$690.17
|
| Rate for Payer: PHP Medicare Advantage |
$690.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$466.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,675.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,104.73
|
| Rate for Payer: Priority Health Medicare |
$697.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,104.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$690.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$690.17
|
| Rate for Payer: UHC Exchange |
$690.17
|
| Rate for Payer: UHC Medicare Advantage |
$690.17
|
| Rate for Payer: UHCCP Medicaid |
$466.47
|
|
|
PR OPEN TX ACUTE SHOULDER DISLOCATION
|
Professional
|
Both
|
$2,720.00
|
|
|
Service Code
|
HCPCS 23660
|
| Min. Negotiated Rate |
$367.62 |
| Max. Negotiated Rate |
$1,768.00 |
| Rate for Payer: Aetna Commercial |
$758.76
|
| Rate for Payer: Aetna Medicare |
$588.89
|
| Rate for Payer: BCBS Complete |
$403.24
|
| Rate for Payer: BCBS MAPPO |
$566.24
|
| Rate for Payer: BCBS Trust/PPO |
$367.62
|
| Rate for Payer: BCN Commercial |
$867.89
|
| Rate for Payer: BCN Medicare Advantage |
$566.24
|
| Rate for Payer: Cash Price |
$2,176.00
|
| Rate for Payer: Cash Price |
$2,176.00
|
| Rate for Payer: Cofinity Commercial |
$815.39
|
| Rate for Payer: Cofinity Commercial |
$758.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.24
|
| Rate for Payer: Mclaren Medicaid |
$384.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.55
|
| Rate for Payer: Meridian Medicaid |
$403.24
|
| Rate for Payer: Nomi Health Commercial |
$679.49
|
| Rate for Payer: PACE SWMI |
$566.24
|
| Rate for Payer: PHP Medicare Advantage |
$566.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,768.00
|
| Rate for Payer: Priority Health HMO/PPO |
$909.84
|
| Rate for Payer: Priority Health Medicare |
$571.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.24
|
| Rate for Payer: UHC Exchange |
$566.24
|
| Rate for Payer: UHC Medicare Advantage |
$566.24
|
| Rate for Payer: UHCCP Medicaid |
$384.04
|
|
|
PR OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA
|
Professional
|
Both
|
$2,530.00
|
|
|
Service Code
|
HCPCS 26746
|
| Min. Negotiated Rate |
$486.28 |
| Max. Negotiated Rate |
$1,644.50 |
| Rate for Payer: Aetna Commercial |
$960.18
|
| Rate for Payer: Aetna Medicare |
$745.21
|
| Rate for Payer: BCBS Complete |
$510.59
|
| Rate for Payer: BCBS MAPPO |
$716.55
|
| Rate for Payer: BCBS Trust/PPO |
$663.54
|
| Rate for Payer: BCN Commercial |
$1,095.13
|
| Rate for Payer: BCN Medicare Advantage |
$716.55
|
| Rate for Payer: Cash Price |
$2,024.00
|
| Rate for Payer: Cash Price |
$2,024.00
|
| Rate for Payer: Cofinity Commercial |
$960.18
|
| Rate for Payer: Cofinity Commercial |
$1,031.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.55
|
| Rate for Payer: Mclaren Medicaid |
$486.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$752.38
|
| Rate for Payer: Meridian Medicaid |
$510.59
|
| Rate for Payer: Nomi Health Commercial |
$859.86
|
| Rate for Payer: PACE SWMI |
$716.55
|
| Rate for Payer: PHP Medicare Advantage |
$716.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$486.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,644.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,149.51
|
| Rate for Payer: Priority Health Medicare |
$723.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,149.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$716.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$716.55
|
| Rate for Payer: UHC Exchange |
$716.55
|
| Rate for Payer: UHC Medicare Advantage |
$716.55
|
| Rate for Payer: UHCCP Medicaid |
$486.28
|
|
|
PR OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA
|
Professional
|
Both
|
$1,508.00
|
|
|
Service Code
|
HCPCS 25645
|
| Min. Negotiated Rate |
$375.95 |
| Max. Negotiated Rate |
$1,263.69 |
| Rate for Payer: Aetna Commercial |
$742.83
|
| Rate for Payer: Aetna Medicare |
$576.52
|
| Rate for Payer: BCBS Complete |
$394.75
|
| Rate for Payer: BCBS MAPPO |
$554.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,263.69
|
| Rate for Payer: BCN Commercial |
$846.87
|
| Rate for Payer: BCN Medicare Advantage |
$554.35
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cofinity Commercial |
$798.26
|
| Rate for Payer: Cofinity Commercial |
$742.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$554.35
|
| Rate for Payer: Mclaren Medicaid |
$375.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$582.07
|
| Rate for Payer: Meridian Medicaid |
$394.75
|
| Rate for Payer: Nomi Health Commercial |
$665.22
|
| Rate for Payer: PACE SWMI |
$554.35
|
| Rate for Payer: PHP Medicare Advantage |
$554.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$375.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$980.20
|
| Rate for Payer: Priority Health HMO/PPO |
$890.00
|
| Rate for Payer: Priority Health Medicare |
$559.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$890.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$554.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$554.35
|
| Rate for Payer: UHC Exchange |
$554.35
|
| Rate for Payer: UHC Medicare Advantage |
$554.35
|
| Rate for Payer: UHCCP Medicaid |
$375.95
|
|
|
PR OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ
|
Professional
|
Both
|
$2,024.00
|
|
|
Service Code
|
HCPCS 25628
|
| Min. Negotiated Rate |
$471.80 |
| Max. Negotiated Rate |
$1,315.60 |
| Rate for Payer: Aetna Commercial |
$932.37
|
| Rate for Payer: Aetna Medicare |
$723.63
|
| Rate for Payer: BCBS Complete |
$495.39
|
| Rate for Payer: BCBS MAPPO |
$695.80
|
| Rate for Payer: BCBS Trust/PPO |
$548.81
|
| Rate for Payer: BCN Commercial |
$1,061.41
|
| Rate for Payer: BCN Medicare Advantage |
$695.80
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cofinity Commercial |
$932.37
|
| Rate for Payer: Cofinity Commercial |
$1,001.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.80
|
| Rate for Payer: Mclaren Medicaid |
$471.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.59
|
| Rate for Payer: Meridian Medicaid |
$495.39
|
| Rate for Payer: Nomi Health Commercial |
$834.96
|
| Rate for Payer: PACE SWMI |
$695.80
|
| Rate for Payer: PHP Medicare Advantage |
$695.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$471.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,315.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,114.92
|
| Rate for Payer: Priority Health Medicare |
$702.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,114.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.80
|
| Rate for Payer: UHC Exchange |
$695.80
|
| Rate for Payer: UHC Medicare Advantage |
$695.80
|
| Rate for Payer: UHCCP Medicaid |
$471.80
|
|
|
PR OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB
|
Professional
|
Both
|
$2,255.00
|
|
|
Service Code
|
HCPCS 26685
|
| Min. Negotiated Rate |
$56.88 |
| Max. Negotiated Rate |
$1,465.75 |
| Rate for Payer: Aetna Commercial |
$747.26
|
| Rate for Payer: Aetna Medicare |
$579.97
|
| Rate for Payer: BCBS Complete |
$399.88
|
| Rate for Payer: BCBS MAPPO |
$557.66
|
| Rate for Payer: BCBS Trust/PPO |
$56.88
|
| Rate for Payer: BCN Commercial |
$851.77
|
| Rate for Payer: BCN Medicare Advantage |
$557.66
|
| Rate for Payer: Cash Price |
$1,804.00
|
| Rate for Payer: Cash Price |
$1,804.00
|
| Rate for Payer: Cofinity Commercial |
$803.03
|
| Rate for Payer: Cofinity Commercial |
$747.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.66
|
| Rate for Payer: Mclaren Medicaid |
$380.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.54
|
| Rate for Payer: Meridian Medicaid |
$399.88
|
| Rate for Payer: Nomi Health Commercial |
$669.19
|
| Rate for Payer: PACE SWMI |
$557.66
|
| Rate for Payer: PHP Medicare Advantage |
$557.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,465.75
|
| Rate for Payer: Priority Health HMO/PPO |
$898.13
|
| Rate for Payer: Priority Health Medicare |
$563.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$898.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.66
|
| Rate for Payer: UHC Exchange |
$557.66
|
| Rate for Payer: UHC Medicare Advantage |
$557.66
|
| Rate for Payer: UHCCP Medicaid |
$380.84
|
|
