|
SIGMOIDOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45350
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$98.23 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$821.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.05
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$98.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE
|
Facility
|
OP
|
$2,557.47
|
|
|
Service Code
|
CPT 45331
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$70.40 |
| Max. Negotiated Rate |
$2,557.47 |
| Rate for Payer: Aetna Medicare |
$844.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.89
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.47
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,045.98
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.44
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$812.40
|
| Rate for Payer: UHC Exchange |
$70.40
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45334
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$113.95 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$704.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.34
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$113.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE
|
Facility
|
OP
|
$2,557.47
|
|
|
Service Code
|
CPT 45335
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$65.16 |
| Max. Negotiated Rate |
$2,557.47 |
| Rate for Payer: Aetna Medicare |
$844.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$535.79
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.47
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,045.98
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.68
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$812.40
|
| Rate for Payer: UHC Exchange |
$65.16
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
OP
|
$7,856.86
|
|
|
Service Code
|
CPT 45349
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$191.23 |
| Max. Negotiated Rate |
$7,856.86 |
| Rate for Payer: Aetna Medicare |
$2,595.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,119.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,119.72
|
| Rate for Payer: BCBS Complete |
$1,433.58
|
| Rate for Payer: BCBS MAPPO |
$2,495.78
|
| Rate for Payer: BCBS Trust/PPO |
$821.64
|
| Rate for Payer: BCN Medicare Advantage |
$2,495.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,495.78
|
| Rate for Payer: Mclaren Medicaid |
$1,365.19
|
| Rate for Payer: Mclaren Medicare |
$2,495.78
|
| Rate for Payer: Meridian Medicaid |
$1,433.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,620.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,870.15
|
| Rate for Payer: PACE Medicare |
$2,370.99
|
| Rate for Payer: PACE SWMI |
$2,495.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,495.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,365.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7,856.86
|
| Rate for Payer: Priority Health Medicare |
$2,495.78
|
| Rate for Payer: Priority Health Narrow Network |
$6,285.49
|
| Rate for Payer: Railroad Medicare Medicare |
$2,495.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$210.35
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,495.78
|
| Rate for Payer: UHC Exchange |
$191.23
|
| Rate for Payer: UHC Medicare Advantage |
$2,570.65
|
| Rate for Payer: VA VA |
$2,495.78
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION
|
Facility
|
OP
|
$2,557.47
|
|
|
Service Code
|
CPT 45341
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$120.17 |
| Max. Negotiated Rate |
$2,557.47 |
| Rate for Payer: Aetna Medicare |
$844.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,483.51
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.47
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,045.98
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.19
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$812.40
|
| Rate for Payer: UHC Exchange |
$120.17
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45332
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$704.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.74
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$102.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS
|
Facility
|
OP
|
$2,557.47
|
|
|
Service Code
|
CPT 45333
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$91.68 |
| Max. Negotiated Rate |
$2,557.47 |
| Rate for Payer: Aetna Medicare |
$844.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$535.79
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.47
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,045.98
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.85
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$812.40
|
| Rate for Payer: UHC Exchange |
$91.68
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45338
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$116.57 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,414.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.23
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$116.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45340
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$76.29 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$821.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.92
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$76.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)
|
Facility
|
OP
|
$3,302.11
|
|
|
Service Code
|
CPT 45342
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$165.03 |
| Max. Negotiated Rate |
$3,302.11 |
| Rate for Payer: Aetna Medicare |
$1,090.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,302.11
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$181.53
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.94
|
| Rate for Payer: UHC Exchange |
$165.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
|
IP
|
$31,624.85
|
|
|
Service Code
|
MS-DRG 555
|
| Min. Negotiated Rate |
$10,728.43 |
| Max. Negotiated Rate |
$31,624.85 |
| Rate for Payer: Aetna Medicare |
$11,744.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,116.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,116.35
|
| Rate for Payer: BCBS MAPPO |
$11,293.08
|
| Rate for Payer: BCBS Trust/PPO |
$31,624.85
|
| Rate for Payer: BCN Medicare Advantage |
$11,293.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,293.08
|
| Rate for Payer: Mclaren Medicare |
$11,293.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11,857.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,987.04
|
| Rate for Payer: PACE Medicare |
$10,728.43
|
| Rate for Payer: PACE SWMI |
$11,293.08
|
| Rate for Payer: PHP Medicare Advantage |
$11,293.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20,075.54
|
| Rate for Payer: Priority Health Medicare |
$11,293.08
|
| Rate for Payer: Priority Health Narrow Network |
$16,060.43
|
| Rate for Payer: Railroad Medicare Medicare |
$11,293.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21,340.35
|
| Rate for Payer: UHC Core |
$17,498.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,293.08
|
| Rate for Payer: UHC Exchange |
$13,911.66
|
| Rate for Payer: UHC Medicare Advantage |
$11,631.87
|
| Rate for Payer: VA VA |
$11,293.08
|
|
|
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
|
Facility
|
IP
|
$17,826.51
|
|
|
Service Code
|
MS-DRG 556
|
| Min. Negotiated Rate |
$6,521.94 |
| Max. Negotiated Rate |
$17,826.51 |
| Rate for Payer: Aetna Medicare |
$7,139.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,581.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,581.50
|
| Rate for Payer: BCBS MAPPO |
$6,865.20
|
| Rate for Payer: BCBS Trust/PPO |
$17,826.51
|
| Rate for Payer: BCN Medicare Advantage |
$6,865.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,865.20
|
| Rate for Payer: Mclaren Medicare |
$6,865.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,208.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,894.98
|
| Rate for Payer: PACE Medicare |
$6,521.94
|
| Rate for Payer: PACE SWMI |
$6,865.20
|
| Rate for Payer: PHP Medicare Advantage |
$6,865.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,830.07
|
| Rate for Payer: Priority Health Medicare |
$6,865.20
|
| Rate for Payer: Priority Health Narrow Network |
$9,464.06
|
| Rate for Payer: Railroad Medicare Medicare |
$6,865.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,575.40
|
| Rate for Payer: UHC Core |
$10,311.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,865.20
|
| Rate for Payer: UHC Exchange |
$8,197.83
|
| Rate for Payer: UHC Medicare Advantage |
$7,071.16
|
| Rate for Payer: VA VA |
$6,865.20
|
|
|
SIGNS AND SYMPTOMS WITH MCC
|
Facility
|
IP
|
$24,028.35
|
|
|
Service Code
|
MS-DRG 947
|
| Min. Negotiated Rate |
$9,649.37 |
| Max. Negotiated Rate |
$24,028.35 |
| Rate for Payer: Aetna Medicare |
$10,563.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,696.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,696.54
|
| Rate for Payer: BCBS MAPPO |
$10,157.23
|
| Rate for Payer: BCBS Trust/PPO |
$24,028.35
|
| Rate for Payer: BCN Medicare Advantage |
$10,157.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,157.23
|
| Rate for Payer: Mclaren Medicare |
$10,157.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$10,665.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,680.81
|
| Rate for Payer: PACE Medicare |
$9,649.37
|
| Rate for Payer: PACE SWMI |
$10,157.23
|
| Rate for Payer: PHP Medicare Advantage |
$10,157.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,960.36
|
| Rate for Payer: Priority Health Medicare |
$10,157.23
|
| Rate for Payer: Priority Health Narrow Network |
$14,368.29
|
| Rate for Payer: Railroad Medicare Medicare |
$10,157.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,091.91
|
| Rate for Payer: UHC Core |
$15,655.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$10,157.23
|
| Rate for Payer: UHC Exchange |
$12,445.91
|
| Rate for Payer: UHC Medicare Advantage |
$10,461.95
|
| Rate for Payer: VA VA |
$10,157.23
|
|
|
SIGNS AND SYMPTOMS WITHOUT MCC
|
Facility
|
IP
|
$18,781.41
|
|
|
Service Code
|
MS-DRG 948
|
| Min. Negotiated Rate |
$6,350.63 |
| Max. Negotiated Rate |
$18,781.41 |
| Rate for Payer: Aetna Medicare |
$6,952.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,356.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,356.09
|
| Rate for Payer: BCBS MAPPO |
$6,684.87
|
| Rate for Payer: BCBS Trust/PPO |
$18,781.41
|
| Rate for Payer: BCN Medicare Advantage |
$6,684.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,684.87
|
| Rate for Payer: Mclaren Medicare |
$6,684.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$7,019.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,687.60
|
| Rate for Payer: PACE Medicare |
$6,350.63
|
| Rate for Payer: PACE SWMI |
$6,684.87
|
| Rate for Payer: PHP Medicare Advantage |
$6,684.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,494.29
|
| Rate for Payer: Priority Health Medicare |
$6,684.87
|
| Rate for Payer: Priority Health Narrow Network |
$9,195.43
|
| Rate for Payer: Railroad Medicare Medicare |
$6,684.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12,218.45
|
| Rate for Payer: UHC Core |
$10,018.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,684.87
|
| Rate for Payer: UHC Exchange |
$7,965.14
|
| Rate for Payer: UHC Medicare Advantage |
$6,885.42
|
| Rate for Payer: VA VA |
$6,684.87
|
|
|
SILDENAFIL 100 MG TABLET
|
Facility
|
IP
|
$8,595.40
|
|
|
Service Code
|
NDC 0069-4220-30
|
| Hospital Charge Code |
22838
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3,781.98 |
| Max. Negotiated Rate |
$7,735.86 |
| Rate for Payer: Aetna American Axle |
$5,587.01
|
| Rate for Payer: Aetna Commercial |
$7,306.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,587.01
|
| Rate for Payer: Cash Price |
$6,876.32
|
| Rate for Payer: Cofinity Commercial |
$6,016.78
|
| Rate for Payer: Cofinity Commercial |
$7,392.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,876.32
|
| Rate for Payer: Healthscope Commercial |
$7,735.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6,016.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6,446.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$7,306.09
|
| Rate for Payer: PHP Commercial |
$7,306.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,016.78
|
| Rate for Payer: Priority Health SBD |
$5,415.10
|
| Rate for Payer: UMR Bronson Commercial |
$3,781.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6,446.55
|
|
|
SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION
|
Facility
|
IP
|
$535.45
|
|
|
Service Code
|
NDC 69238-1574-1
|
| Hospital Charge Code |
172285
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$235.60 |
| Max. Negotiated Rate |
$481.90 |
| Rate for Payer: Aetna American Axle |
$348.04
|
| Rate for Payer: Aetna Commercial |
$455.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.04
|
| Rate for Payer: Cash Price |
$428.36
|
| Rate for Payer: Cofinity Commercial |
$374.82
|
| Rate for Payer: Cofinity Commercial |
$460.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.36
|
| Rate for Payer: Healthscope Commercial |
$481.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$374.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$455.13
|
| Rate for Payer: PHP Commercial |
$455.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.82
|
| Rate for Payer: Priority Health SBD |
$337.33
|
| Rate for Payer: UMR Bronson Commercial |
$235.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.59
|
|
|
SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION
|
Facility
|
IP
|
$535.45
|
|
|
Service Code
|
NDC 31722-136-31
|
| Hospital Charge Code |
172285
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$235.60 |
| Max. Negotiated Rate |
$481.90 |
| Rate for Payer: Aetna American Axle |
$348.04
|
| Rate for Payer: Aetna Commercial |
$455.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.04
|
| Rate for Payer: Cash Price |
$428.36
|
| Rate for Payer: Cofinity Commercial |
$374.82
|
| Rate for Payer: Cofinity Commercial |
$460.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$428.36
|
| Rate for Payer: Healthscope Commercial |
$481.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$374.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$401.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$455.13
|
| Rate for Payer: PHP Commercial |
$455.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.82
|
| Rate for Payer: Priority Health SBD |
$337.33
|
| Rate for Payer: UMR Bronson Commercial |
$235.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$401.59
|
|
|
SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION
|
Facility
|
IP
|
$340.48
|
|
|
Service Code
|
NDC 69543-419-72
|
| Hospital Charge Code |
172285
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$149.81 |
| Max. Negotiated Rate |
$306.43 |
| Rate for Payer: Aetna American Axle |
$221.31
|
| Rate for Payer: Aetna Commercial |
$289.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.31
|
| Rate for Payer: Cash Price |
$272.38
|
| Rate for Payer: Cofinity Commercial |
$238.34
|
| Rate for Payer: Cofinity Commercial |
$292.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$272.38
|
| Rate for Payer: Healthscope Commercial |
$306.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$238.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$255.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$289.41
|
| Rate for Payer: PHP Commercial |
$289.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.34
|
| Rate for Payer: Priority Health SBD |
$214.50
|
| Rate for Payer: UMR Bronson Commercial |
$149.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$255.36
|
|
|
SILDENAFIL (REVATIO) 20 MG TABLET
|
Facility
|
IP
|
$18,243.74
|
|
|
Service Code
|
NDC 0069-4190-68
|
| Hospital Charge Code |
41832
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$8,027.25 |
| Max. Negotiated Rate |
$16,419.37 |
| Rate for Payer: Aetna American Axle |
$11,858.43
|
| Rate for Payer: Aetna Commercial |
$15,507.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11,858.43
|
| Rate for Payer: Cash Price |
$14,594.99
|
| Rate for Payer: Cofinity Commercial |
$12,770.62
|
| Rate for Payer: Cofinity Commercial |
$15,689.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14,594.99
|
| Rate for Payer: Healthscope Commercial |
$16,419.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12,770.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13,682.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$15,507.18
|
| Rate for Payer: PHP Commercial |
$15,507.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12,770.62
|
| Rate for Payer: Priority Health SBD |
$11,493.56
|
| Rate for Payer: UMR Bronson Commercial |
$8,027.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13,682.80
|
|
|
SILDENAFIL (REVATIO) 20 MG TABLET
|
Facility
|
IP
|
$176.99
|
|
|
Service Code
|
NDC 0093-5517-98
|
| Hospital Charge Code |
41832
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.88 |
| Max. Negotiated Rate |
$159.29 |
| Rate for Payer: Aetna American Axle |
$115.04
|
| Rate for Payer: Aetna Commercial |
$150.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.04
|
| Rate for Payer: Cash Price |
$141.59
|
| Rate for Payer: Cofinity Commercial |
$123.89
|
| Rate for Payer: Cofinity Commercial |
$152.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.59
|
| Rate for Payer: Healthscope Commercial |
$159.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$150.44
|
| Rate for Payer: PHP Commercial |
$150.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$123.89
|
| Rate for Payer: Priority Health SBD |
$111.50
|
| Rate for Payer: UMR Bronson Commercial |
$77.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.74
|
|
|
SILDENAFIL (REVATIO) 20 MG TABLET
|
Facility
|
IP
|
$410.40
|
|
|
Service Code
|
NDC 59762-0033-1
|
| Hospital Charge Code |
41832
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$180.58 |
| Max. Negotiated Rate |
$369.36 |
| Rate for Payer: Aetna American Axle |
$266.76
|
| Rate for Payer: Aetna Commercial |
$348.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.76
|
| Rate for Payer: Cash Price |
$328.32
|
| Rate for Payer: Cofinity Commercial |
$287.28
|
| Rate for Payer: Cofinity Commercial |
$352.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$328.32
|
| Rate for Payer: Healthscope Commercial |
$369.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$287.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$307.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$348.84
|
| Rate for Payer: PHP Commercial |
$348.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.28
|
| Rate for Payer: Priority Health SBD |
$258.55
|
| Rate for Payer: UMR Bronson Commercial |
$180.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$307.80
|
|
|
SILDENAFIL (REVATIO) 20 MG TABLET
|
Facility
|
IP
|
$162.86
|
|
|
Service Code
|
NDC 65162-351-09
|
| Hospital Charge Code |
41832
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$71.66 |
| Max. Negotiated Rate |
$146.57 |
| Rate for Payer: Aetna American Axle |
$105.86
|
| Rate for Payer: Aetna Commercial |
$138.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.86
|
| Rate for Payer: Cash Price |
$130.29
|
| Rate for Payer: Cofinity Commercial |
$114.00
|
| Rate for Payer: Cofinity Commercial |
$140.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$130.29
|
| Rate for Payer: Healthscope Commercial |
$146.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$114.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$122.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$138.43
|
| Rate for Payer: PHP Commercial |
$138.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.00
|
| Rate for Payer: Priority Health SBD |
$102.60
|
| Rate for Payer: UMR Bronson Commercial |
$71.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$122.14
|
|
|
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK
|
Facility
|
IP
|
$78.05
|
|
|
Service Code
|
NDC 12165-100-01
|
| Hospital Charge Code |
11359
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$34.34 |
| Max. Negotiated Rate |
$70.24 |
| Rate for Payer: Aetna American Axle |
$50.73
|
| Rate for Payer: Aetna Commercial |
$66.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.73
|
| Rate for Payer: Cash Price |
$62.44
|
| Rate for Payer: Cofinity Commercial |
$54.64
|
| Rate for Payer: Cofinity Commercial |
$67.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.44
|
| Rate for Payer: Healthscope Commercial |
$70.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.34
|
| Rate for Payer: PHP Commercial |
$66.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.64
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: UMR Bronson Commercial |
$34.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.54
|
|
|
SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK
|
Facility
|
IP
|
$78.05
|
|
|
Service Code
|
NDC 12165-100-03
|
| Hospital Charge Code |
11359
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$34.34 |
| Max. Negotiated Rate |
$70.24 |
| Rate for Payer: Aetna American Axle |
$50.73
|
| Rate for Payer: Aetna Commercial |
$66.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.73
|
| Rate for Payer: Cash Price |
$62.44
|
| Rate for Payer: Cofinity Commercial |
$54.64
|
| Rate for Payer: Cofinity Commercial |
$67.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.44
|
| Rate for Payer: Healthscope Commercial |
$70.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$54.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$58.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$66.34
|
| Rate for Payer: PHP Commercial |
$66.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.64
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: UMR Bronson Commercial |
$34.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$58.54
|
|
