|
PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU
|
Professional
|
Both
|
$1,079.00
|
|
|
Service Code
|
HCPCS 57210
|
| Min. Negotiated Rate |
$373.72 |
| Max. Negotiated Rate |
$701.35 |
| Rate for Payer: Aetna Commercial |
$500.78
|
| Rate for Payer: Aetna Medicare |
$388.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$538.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$500.78
|
| Rate for Payer: BCBS Complete |
$431.60
|
| Rate for Payer: BCBS MAPPO |
$373.72
|
| Rate for Payer: BCN Medicare Advantage |
$373.72
|
| Rate for Payer: Cash Price |
$863.20
|
| Rate for Payer: Cash Price |
$863.20
|
| Rate for Payer: Cofinity Commercial |
$538.16
|
| Rate for Payer: Cofinity Commercial |
$500.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$373.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$392.41
|
| Rate for Payer: Nomi Health Commercial |
$448.46
|
| Rate for Payer: PACE SWMI |
$373.72
|
| Rate for Payer: PHP Commercial |
$523.21
|
| Rate for Payer: PHP Medicare Advantage |
$373.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.35
|
| Rate for Payer: Priority Health Medicare |
$373.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$373.72
|
| Rate for Payer: UHC Medicare Advantage |
$373.72
|
| Rate for Payer: UMR Bronson Commercial |
$496.34
|
|
|
PR COLPOPEXY ABDOMINAL APPROACH
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 57280
|
| Min. Negotiated Rate |
$841.20 |
| Max. Negotiated Rate |
$1,366.95 |
| Rate for Payer: Aetna Commercial |
$1,240.60
|
| Rate for Payer: Aetna Medicare |
$962.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,333.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,240.60
|
| Rate for Payer: BCBS Complete |
$841.20
|
| Rate for Payer: BCBS MAPPO |
$925.82
|
| Rate for Payer: BCN Medicare Advantage |
$925.82
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,333.18
|
| Rate for Payer: Cofinity Commercial |
$1,240.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$925.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.11
|
| Rate for Payer: Nomi Health Commercial |
$1,110.98
|
| Rate for Payer: PACE SWMI |
$925.82
|
| Rate for Payer: PHP Commercial |
$1,296.15
|
| Rate for Payer: PHP Medicare Advantage |
$925.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health Medicare |
$925.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$925.82
|
| Rate for Payer: UHC Medicare Advantage |
$925.82
|
| Rate for Payer: UMR Bronson Commercial |
$967.38
|
|
|
PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$2,128.00
|
|
|
Service Code
|
HCPCS 57282
|
| Min. Negotiated Rate |
$664.31 |
| Max. Negotiated Rate |
$1,383.20 |
| Rate for Payer: Aetna Commercial |
$890.18
|
| Rate for Payer: Aetna Medicare |
$690.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$956.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.18
|
| Rate for Payer: BCBS Complete |
$851.20
|
| Rate for Payer: BCBS MAPPO |
$664.31
|
| Rate for Payer: BCN Medicare Advantage |
$664.31
|
| Rate for Payer: Cash Price |
$1,702.40
|
| Rate for Payer: Cash Price |
$1,702.40
|
| Rate for Payer: Cofinity Commercial |
$956.61
|
| Rate for Payer: Cofinity Commercial |
$890.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.53
|
| Rate for Payer: Nomi Health Commercial |
$797.17
|
| Rate for Payer: PACE SWMI |
$664.31
|
| Rate for Payer: PHP Commercial |
$930.03
|
| Rate for Payer: PHP Medicare Advantage |
$664.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.20
|
| Rate for Payer: Priority Health Medicare |
$664.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.31
|
| Rate for Payer: UHC Medicare Advantage |
$664.31
|
| Rate for Payer: UMR Bronson Commercial |
$978.88
|
|
|
PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$1,164.00
|
|
|
Service Code
|
HCPCS 57283
|
| Min. Negotiated Rate |
$465.60 |
| Max. Negotiated Rate |
$965.17 |
| Rate for Payer: Aetna Commercial |
$898.15
|
| Rate for Payer: Aetna Medicare |
$697.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$965.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$898.15
|
| Rate for Payer: BCBS Complete |
$465.60
|
| Rate for Payer: BCBS MAPPO |
$670.26
|
| Rate for Payer: BCN Medicare Advantage |
$670.26
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cofinity Commercial |
$965.17
|
| Rate for Payer: Cofinity Commercial |
$898.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$670.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$703.77
|
| Rate for Payer: Nomi Health Commercial |
$804.31
|
| Rate for Payer: PACE SWMI |
$670.26
|
| Rate for Payer: PHP Commercial |
$938.36
|
| Rate for Payer: PHP Medicare Advantage |
$670.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$756.60
|
| Rate for Payer: Priority Health Medicare |
$670.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$670.26
|
| Rate for Payer: UHC Medicare Advantage |
$670.26
|
| Rate for Payer: UMR Bronson Commercial |
$535.44
|
|
|
PR COLPORRHAPHY SUTURE INJURY VAGINA
|
Professional
|
Both
|
$875.00
|
|
|
Service Code
|
HCPCS 57200
|
| Min. Negotiated Rate |
$314.77 |
| Max. Negotiated Rate |
$568.75 |
| Rate for Payer: Aetna Commercial |
$421.79
|
| Rate for Payer: Aetna Medicare |
$327.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$421.79
|
| Rate for Payer: BCBS Complete |
$350.00
|
| Rate for Payer: BCBS MAPPO |
$314.77
|
| Rate for Payer: BCN Medicare Advantage |
$314.77
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cofinity Commercial |
$453.27
|
| Rate for Payer: Cofinity Commercial |
$421.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.51
|
| Rate for Payer: Nomi Health Commercial |
$377.72
|
| Rate for Payer: PACE SWMI |
$314.77
|
| Rate for Payer: PHP Commercial |
$440.68
|
| Rate for Payer: PHP Medicare Advantage |
$314.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$568.75
|
| Rate for Payer: Priority Health Medicare |
$314.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.77
|
| Rate for Payer: UHC Medicare Advantage |
$314.77
|
| Rate for Payer: UMR Bronson Commercial |
$402.50
|
|
|
PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE
|
Professional
|
Both
|
$361.00
|
|
|
Service Code
|
HCPCS 57454
|
| Min. Negotiated Rate |
$128.47 |
| Max. Negotiated Rate |
$234.65 |
| Rate for Payer: Aetna Commercial |
$172.15
|
| Rate for Payer: Aetna Medicare |
$133.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.15
|
| Rate for Payer: BCBS Complete |
$144.40
|
| Rate for Payer: BCBS MAPPO |
$128.47
|
| Rate for Payer: BCN Medicare Advantage |
$128.47
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cofinity Commercial |
$185.00
|
| Rate for Payer: Cofinity Commercial |
$172.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.89
|
| Rate for Payer: Nomi Health Commercial |
$154.16
|
| Rate for Payer: PACE SWMI |
$128.47
|
| Rate for Payer: PHP Commercial |
$179.86
|
| Rate for Payer: PHP Medicare Advantage |
$128.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.65
|
| Rate for Payer: Priority Health Medicare |
$128.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$128.47
|
| Rate for Payer: UHC Medicare Advantage |
$128.47
|
| Rate for Payer: UMR Bronson Commercial |
$166.06
|
|
|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$96.48 |
| Max. Negotiated Rate |
$236.60 |
| Rate for Payer: Aetna Commercial |
$129.28
|
| Rate for Payer: Aetna Medicare |
$100.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.28
|
| Rate for Payer: BCBS Complete |
$145.60
|
| Rate for Payer: BCBS MAPPO |
$96.48
|
| Rate for Payer: BCN Medicare Advantage |
$96.48
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$138.93
|
| Rate for Payer: Cofinity Commercial |
$129.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.30
|
| Rate for Payer: Nomi Health Commercial |
$115.78
|
| Rate for Payer: PACE SWMI |
$96.48
|
| Rate for Payer: PHP Commercial |
$135.07
|
| Rate for Payer: PHP Medicare Advantage |
$96.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health Medicare |
$96.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.48
|
| Rate for Payer: UHC Medicare Advantage |
$96.48
|
| Rate for Payer: UMR Bronson Commercial |
$167.44
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$87.09 |
| Max. Negotiated Rate |
$181.35 |
| Rate for Payer: Aetna Commercial |
$116.70
|
| Rate for Payer: Aetna Medicare |
$90.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.70
|
| Rate for Payer: BCBS Complete |
$111.60
|
| Rate for Payer: BCBS MAPPO |
$87.09
|
| Rate for Payer: BCN Medicare Advantage |
$87.09
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cofinity Commercial |
$125.41
|
| Rate for Payer: Cofinity Commercial |
$116.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.44
|
| Rate for Payer: Nomi Health Commercial |
$104.51
|
| Rate for Payer: PACE SWMI |
$87.09
|
| Rate for Payer: PHP Commercial |
$121.93
|
| Rate for Payer: PHP Medicare Advantage |
$87.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
| Rate for Payer: Priority Health Medicare |
$87.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.09
|
| Rate for Payer: UHC Medicare Advantage |
$87.09
|
| Rate for Payer: UMR Bronson Commercial |
$128.34
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$104.97 |
| Max. Negotiated Rate |
$236.60 |
| Rate for Payer: Aetna Commercial |
$140.66
|
| Rate for Payer: Aetna Medicare |
$109.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$151.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.66
|
| Rate for Payer: BCBS Complete |
$145.60
|
| Rate for Payer: BCBS MAPPO |
$104.97
|
| Rate for Payer: BCN Medicare Advantage |
$104.97
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$151.16
|
| Rate for Payer: Cofinity Commercial |
$140.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.22
|
| Rate for Payer: Nomi Health Commercial |
$125.96
|
| Rate for Payer: PACE SWMI |
$104.97
|
| Rate for Payer: PHP Commercial |
$146.96
|
| Rate for Payer: PHP Medicare Advantage |
$104.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health Medicare |
$104.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.97
|
| Rate for Payer: UHC Medicare Advantage |
$104.97
|
| Rate for Payer: UMR Bronson Commercial |
$167.44
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$422.40 |
| Max. Negotiated Rate |
$864.00 |
| Rate for Payer: Aetna American Axle |
$624.00
|
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$672.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$672.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health SBD |
$604.80
|
| Rate for Payer: UMR Bronson Commercial |
$422.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$176.86 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.99
|
| Rate for Payer: BCBS Complete |
$384.00
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Commercial |
$247.60
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
| Rate for Payer: UMR Bronson Commercial |
$441.60
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$176.86 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.99
|
| Rate for Payer: BCBS Complete |
$384.00
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Commercial |
$247.60
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
| Rate for Payer: UMR Bronson Commercial |
$441.60
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$355.20 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna American Axle |
$624.00
|
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$672.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$672.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health SBD |
$604.80
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$5,926.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: UMR Bronson Commercial |
$355.20
|
| Rate for Payer: VA VA |
$3,100.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$284.68 |
| Max. Negotiated Rate |
$582.30 |
| Rate for Payer: Aetna American Axle |
$420.55
|
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.55
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$452.90
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$452.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health SBD |
$407.61
|
| Rate for Payer: UMR Bronson Commercial |
$284.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.41
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Commercial |
$215.66
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
| Rate for Payer: UMR Bronson Commercial |
$297.62
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$239.39 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna American Axle |
$420.55
|
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$452.90
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$452.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$452.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health SBD |
$407.61
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$5,926.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: UMR Bronson Commercial |
$239.39
|
| Rate for Payer: VA VA |
$3,100.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$154.04 |
| Max. Negotiated Rate |
$420.55 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.41
|
| Rate for Payer: BCBS Complete |
$258.80
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Commercial |
$215.66
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health Medicare |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
| Rate for Payer: UMR Bronson Commercial |
$297.62
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$86.75 |
| Max. Negotiated Rate |
$152.75 |
| Rate for Payer: Aetna Commercial |
$116.25
|
| Rate for Payer: Aetna Medicare |
$90.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.25
|
| Rate for Payer: BCBS Complete |
$94.00
|
| Rate for Payer: BCBS MAPPO |
$86.75
|
| Rate for Payer: BCN Medicare Advantage |
$86.75
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$124.92
|
| Rate for Payer: Cofinity Commercial |
$116.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.09
|
| Rate for Payer: Nomi Health Commercial |
$104.10
|
| Rate for Payer: PACE SWMI |
$86.75
|
| Rate for Payer: PHP Commercial |
$121.45
|
| Rate for Payer: PHP Medicare Advantage |
$86.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health Medicare |
$86.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.75
|
| Rate for Payer: UHC Medicare Advantage |
$86.75
|
| Rate for Payer: UMR Bronson Commercial |
$108.10
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$117.78 |
| Max. Negotiated Rate |
$198.25 |
| Rate for Payer: Aetna Commercial |
$157.83
|
| Rate for Payer: Aetna Medicare |
$122.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$169.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.83
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$117.78
|
| Rate for Payer: BCN Medicare Advantage |
$117.78
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$157.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.67
|
| Rate for Payer: Nomi Health Commercial |
$141.34
|
| Rate for Payer: PACE SWMI |
$117.78
|
| Rate for Payer: PHP Commercial |
$164.89
|
| Rate for Payer: PHP Medicare Advantage |
$117.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health Medicare |
$117.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$117.78
|
| Rate for Payer: UHC Medicare Advantage |
$117.78
|
| Rate for Payer: UMR Bronson Commercial |
$140.30
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$80.91 |
| Max. Negotiated Rate |
$209.30 |
| Rate for Payer: Aetna Commercial |
$108.42
|
| Rate for Payer: Aetna Medicare |
$84.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.42
|
| Rate for Payer: BCBS Complete |
$128.80
|
| Rate for Payer: BCBS MAPPO |
$80.91
|
| Rate for Payer: BCN Medicare Advantage |
$80.91
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$116.51
|
| Rate for Payer: Cofinity Commercial |
$108.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.96
|
| Rate for Payer: Nomi Health Commercial |
$97.09
|
| Rate for Payer: PACE SWMI |
$80.91
|
| Rate for Payer: PHP Commercial |
$113.27
|
| Rate for Payer: PHP Medicare Advantage |
$80.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health Medicare |
$80.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.91
|
| Rate for Payer: UHC Medicare Advantage |
$80.91
|
| Rate for Payer: UMR Bronson Commercial |
$148.12
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.53
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Commercial |
$153.09
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
| Rate for Payer: UMR Bronson Commercial |
$161.46
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$154.44 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna American Axle |
$228.15
|
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.15
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$245.70
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$245.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health SBD |
$221.13
|
| Rate for Payer: UMR Bronson Commercial |
$154.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$129.87 |
| Max. Negotiated Rate |
$835.10 |
| Rate for Payer: Aetna American Axle |
$228.15
|
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna Medicare |
$308.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.84
|
| Rate for Payer: BCBS Complete |
$166.97
|
| Rate for Payer: BCBS MAPPO |
$296.67
|
| Rate for Payer: BCN Medicare Advantage |
$296.67
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$245.70
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$245.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.67
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$245.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Mclaren Medicaid |
$159.02
|
| Rate for Payer: Mclaren Medicare |
$296.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.50
|
| Rate for Payer: Meridian Medicaid |
$166.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$341.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: PACE Medicare |
$281.84
|
| Rate for Payer: PACE SWMI |
$296.67
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: PHP Medicare Advantage |
$296.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$296.67
|
| Rate for Payer: Priority Health SBD |
$221.13
|
| Rate for Payer: Railroad Medicare Medicare |
$296.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$835.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.67
|
| Rate for Payer: UHC Exchange |
$566.97
|
| Rate for Payer: UHC Medicare Advantage |
$296.67
|
| Rate for Payer: UHCCP Medicaid |
$159.02
|
| Rate for Payer: UMR Bronson Commercial |
$129.87
|
| Rate for Payer: VA VA |
$296.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$109.35 |
| Max. Negotiated Rate |
$228.15 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.53
|
| Rate for Payer: BCBS Complete |
$140.40
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Commercial |
$153.09
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health Medicare |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
| Rate for Payer: UMR Bronson Commercial |
$161.46
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$401.20 |
| Max. Negotiated Rate |
$651.95 |
| Rate for Payer: Aetna Commercial |
$584.76
|
| Rate for Payer: Aetna Medicare |
$453.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$628.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$584.76
|
| Rate for Payer: BCBS Complete |
$401.20
|
| Rate for Payer: BCBS MAPPO |
$436.39
|
| Rate for Payer: BCN Medicare Advantage |
$436.39
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$628.40
|
| Rate for Payer: Cofinity Commercial |
$584.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.21
|
| Rate for Payer: Nomi Health Commercial |
$523.67
|
| Rate for Payer: PACE SWMI |
$436.39
|
| Rate for Payer: PHP Commercial |
$610.95
|
| Rate for Payer: PHP Medicare Advantage |
$436.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$651.95
|
| Rate for Payer: Priority Health Medicare |
$436.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.39
|
| Rate for Payer: UHC Medicare Advantage |
$436.39
|
| Rate for Payer: UMR Bronson Commercial |
$461.38
|
|
