|
PR DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC
|
Professional
|
Both
|
$5,746.00
|
|
|
Service Code
|
HCPCS 63075
|
| Min. Negotiated Rate |
$170.11 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: Aetna Commercial |
$1,779.94
|
| Rate for Payer: Aetna Medicare |
$1,381.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,912.77
|
| Rate for Payer: BCBS Complete |
$923.90
|
| Rate for Payer: BCBS MAPPO |
$1,328.31
|
| Rate for Payer: BCBS Trust/PPO |
$170.11
|
| Rate for Payer: BCN Commercial |
$2,197.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,328.31
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,779.94
|
| Rate for Payer: Cofinity Commercial |
$1,912.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,328.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,394.73
|
| Rate for Payer: Meridian Medicaid |
$923.90
|
| Rate for Payer: Nomi Health Commercial |
$1,593.97
|
| Rate for Payer: PACE SWMI |
$1,328.31
|
| Rate for Payer: PHP Commercial |
$1,859.63
|
| Rate for Payer: PHP Medicare Advantage |
$1,328.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$879.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,734.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,334.01
|
| Rate for Payer: Priority Health Medicare |
$1,328.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,334.01
|
| Rate for Payer: Priority Health SBD |
$2,334.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,328.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,328.31
|
| Rate for Payer: UHCCP Medicaid |
$879.90
|
| Rate for Payer: UMR Bronson Commercial |
$2,643.16
|
|
|
PR DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC
|
Professional
|
Both
|
$1,928.00
|
|
|
Service Code
|
HCPCS 63076
|
| Min. Negotiated Rate |
$156.13 |
| Max. Negotiated Rate |
$1,253.20 |
| Rate for Payer: Aetna Commercial |
$319.34
|
| Rate for Payer: Aetna Medicare |
$247.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$319.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$343.17
|
| Rate for Payer: BCBS Complete |
$163.94
|
| Rate for Payer: BCBS MAPPO |
$238.31
|
| Rate for Payer: BCBS Trust/PPO |
$174.34
|
| Rate for Payer: BCN Commercial |
$389.03
|
| Rate for Payer: BCN Medicare Advantage |
$238.31
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Cofinity Commercial |
$319.34
|
| Rate for Payer: Cofinity Commercial |
$343.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$250.23
|
| Rate for Payer: Meridian Medicaid |
$163.94
|
| Rate for Payer: Nomi Health Commercial |
$285.97
|
| Rate for Payer: PACE SWMI |
$238.31
|
| Rate for Payer: PHP Commercial |
$333.63
|
| Rate for Payer: PHP Medicare Advantage |
$238.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,253.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$410.62
|
| Rate for Payer: Priority Health Medicare |
$238.31
|
| Rate for Payer: Priority Health Narrow Network |
$410.62
|
| Rate for Payer: Priority Health SBD |
$410.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$238.31
|
| Rate for Payer: UHC Medicare Advantage |
$238.31
|
| Rate for Payer: UHCCP Medicaid |
$156.13
|
| Rate for Payer: UMR Bronson Commercial |
$886.88
|
|
|
PR DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC
|
Professional
|
Both
|
$5,692.00
|
|
|
Service Code
|
HCPCS 63077
|
| Min. Negotiated Rate |
$145.28 |
| Max. Negotiated Rate |
$3,699.80 |
| Rate for Payer: Aetna Commercial |
$1,888.58
|
| Rate for Payer: Aetna Medicare |
$1,465.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,888.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,029.52
|
| Rate for Payer: BCBS Complete |
$989.66
|
| Rate for Payer: BCBS MAPPO |
$1,409.39
|
| Rate for Payer: BCBS Trust/PPO |
$145.28
|
| Rate for Payer: BCN Commercial |
$2,469.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,409.39
|
| Rate for Payer: Cash Price |
$4,553.60
|
| Rate for Payer: Cash Price |
$4,553.60
|
| Rate for Payer: Cofinity Commercial |
$1,888.58
|
| Rate for Payer: Cofinity Commercial |
$2,029.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,409.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,479.86
|
| Rate for Payer: Meridian Medicaid |
$989.66
|
| Rate for Payer: Nomi Health Commercial |
$1,691.27
|
| Rate for Payer: PACE SWMI |
$1,409.39
|
| Rate for Payer: PHP Commercial |
$1,973.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,409.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$942.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,699.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,497.22
|
| Rate for Payer: Priority Health Medicare |
$1,409.39
|
| Rate for Payer: Priority Health Narrow Network |
$2,497.22
|
| Rate for Payer: Priority Health SBD |
$2,497.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,409.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,409.39
|
| Rate for Payer: UHCCP Medicaid |
$942.53
|
| Rate for Payer: UMR Bronson Commercial |
$2,618.32
|
|
|
PR DISEASE MANAGEMENT PROGRAM
|
Professional
|
Both
|
$459.00
|
|
|
Service Code
|
HCPCS S0315
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$298.35 |
| Rate for Payer: Aetna Commercial |
$85.00
|
| Rate for Payer: Aetna Medicare |
$229.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.00
|
| Rate for Payer: BCBS Complete |
$183.60
|
| Rate for Payer: BCBS Trust/PPO |
$111.47
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$298.35
|
| Rate for Payer: UMR Bronson Commercial |
$211.14
|
|
|
PR DISEASE MGMT PER DIEM
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS S0317
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$1,000.00 |
| Rate for Payer: Aetna Commercial |
$175.00
|
| Rate for Payer: Aetna Commercial |
$175.00
|
| Rate for Payer: Aetna Medicare |
$51.00
|
| Rate for Payer: Aetna Medicare |
$76.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$175.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$175.00
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS Trust/PPO |
$58.11
|
| Rate for Payer: BCBS Trust/PPO |
$58.11
|
| Rate for Payer: BCN Commercial |
$1,000.00
|
| Rate for Payer: BCN Commercial |
$1,000.00
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
|
|
PR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX
|
Professional
|
Both
|
$227.00
|
|
|
Service Code
|
HCPCS 42975
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$284.23 |
| Rate for Payer: Aetna Commercial |
$123.90
|
| Rate for Payer: Aetna Medicare |
$96.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.14
|
| Rate for Payer: BCBS Complete |
$65.31
|
| Rate for Payer: BCBS MAPPO |
$92.46
|
| Rate for Payer: BCBS Trust/PPO |
$284.23
|
| Rate for Payer: BCN Commercial |
$139.76
|
| Rate for Payer: BCN Medicare Advantage |
$92.46
|
| Rate for Payer: Cash Price |
$181.60
|
| Rate for Payer: Cash Price |
$181.60
|
| Rate for Payer: Cofinity Commercial |
$123.90
|
| Rate for Payer: Cofinity Commercial |
$133.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.08
|
| Rate for Payer: Meridian Medicaid |
$65.31
|
| Rate for Payer: Nomi Health Commercial |
$110.95
|
| Rate for Payer: PACE SWMI |
$92.46
|
| Rate for Payer: PHP Commercial |
$129.44
|
| Rate for Payer: PHP Medicare Advantage |
$92.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$173.61
|
| Rate for Payer: Priority Health Medicare |
$92.46
|
| Rate for Payer: Priority Health Narrow Network |
$173.61
|
| Rate for Payer: Priority Health SBD |
$173.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.46
|
| Rate for Payer: UHC Medicare Advantage |
$92.46
|
| Rate for Payer: UHCCP Medicaid |
$62.20
|
| Rate for Payer: UMR Bronson Commercial |
$104.42
|
|
|
PR DISPENSING FEE BINAURAL
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS V5160
|
| Min. Negotiated Rate |
$194.00 |
| Max. Negotiated Rate |
$315.25 |
| Rate for Payer: Aetna Commercial |
$289.59
|
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$289.59
|
| Rate for Payer: BCBS Complete |
$194.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR DISPENSING FEE, MONAURAL
|
Professional
|
Both
|
$281.00
|
|
|
Service Code
|
HCPCS V5241
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$182.65 |
| Rate for Payer: Aetna Commercial |
$0.01
|
| Rate for Payer: Aetna Medicare |
$140.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.01
|
| Rate for Payer: BCBS Complete |
$112.40
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.65
|
| Rate for Payer: UMR Bronson Commercial |
$129.26
|
|
|
PR DISP FEE CONTRALATERAL BINAU
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS V5240
|
| Min. Negotiated Rate |
$194.00 |
| Max. Negotiated Rate |
$315.25 |
| Rate for Payer: Aetna Commercial |
$248.26
|
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.26
|
| Rate for Payer: BCBS Complete |
$194.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR DISP FEE CONTRALATERAL MONAU
|
Professional
|
Both
|
$281.00
|
|
|
Service Code
|
HCPCS V5200
|
| Min. Negotiated Rate |
$112.40 |
| Max. Negotiated Rate |
$239.68 |
| Rate for Payer: Aetna Commercial |
$239.68
|
| Rate for Payer: Aetna Medicare |
$140.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$239.68
|
| Rate for Payer: BCBS Complete |
$112.40
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.65
|
| Rate for Payer: UMR Bronson Commercial |
$129.26
|
|
|
PR DISSECTION DEEP JUGULAR NODE
|
Professional
|
Both
|
$938.00
|
|
|
Service Code
|
HCPCS 38542
|
| Min. Negotiated Rate |
$337.82 |
| Max. Negotiated Rate |
$1,052.56 |
| Rate for Payer: Aetna Commercial |
$672.48
|
| Rate for Payer: Aetna Medicare |
$521.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$672.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$722.66
|
| Rate for Payer: BCBS Complete |
$354.71
|
| Rate for Payer: BCBS MAPPO |
$501.85
|
| Rate for Payer: BCBS Trust/PPO |
$975.24
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$501.85
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Commercial |
$722.66
|
| Rate for Payer: Cofinity Commercial |
$672.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$501.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$526.94
|
| Rate for Payer: Meridian Medicaid |
$354.71
|
| Rate for Payer: Nomi Health Commercial |
$602.22
|
| Rate for Payer: PACE SWMI |
$501.85
|
| Rate for Payer: PHP Commercial |
$702.59
|
| Rate for Payer: PHP Medicare Advantage |
$501.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.56
|
| Rate for Payer: Priority Health Medicare |
$501.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,052.56
|
| Rate for Payer: Priority Health SBD |
$1,052.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$501.85
|
| Rate for Payer: UHC Medicare Advantage |
$501.85
|
| Rate for Payer: UHCCP Medicaid |
$337.82
|
| Rate for Payer: UMR Bronson Commercial |
$431.48
|
|
|
PR DISSECTION DEEP JUGULAR NODE
|
Professional
|
Both
|
$938.00
|
|
|
Service Code
|
HCPCS 38542
|
| Hospital Charge Code |
38542
|
| Min. Negotiated Rate |
$337.82 |
| Max. Negotiated Rate |
$1,052.56 |
| Rate for Payer: Aetna Commercial |
$672.48
|
| Rate for Payer: Aetna Medicare |
$521.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$672.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$722.66
|
| Rate for Payer: BCBS Complete |
$354.71
|
| Rate for Payer: BCBS MAPPO |
$501.85
|
| Rate for Payer: BCBS Trust/PPO |
$975.24
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$501.85
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Commercial |
$672.48
|
| Rate for Payer: Cofinity Commercial |
$722.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$501.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$526.94
|
| Rate for Payer: Meridian Medicaid |
$354.71
|
| Rate for Payer: Nomi Health Commercial |
$602.22
|
| Rate for Payer: PACE SWMI |
$501.85
|
| Rate for Payer: PHP Commercial |
$702.59
|
| Rate for Payer: PHP Medicare Advantage |
$501.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.56
|
| Rate for Payer: Priority Health Medicare |
$501.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,052.56
|
| Rate for Payer: Priority Health SBD |
$1,052.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$501.85
|
| Rate for Payer: UHC Medicare Advantage |
$501.85
|
| Rate for Payer: UHCCP Medicaid |
$337.82
|
| Rate for Payer: UMR Bronson Commercial |
$431.48
|
|
|
PR DISSECTION DEEP JUGULAR NODE
|
Facility
|
IP
|
$938.00
|
|
|
Service Code
|
CPT 38542
|
| Hospital Charge Code |
38542
|
| Min. Negotiated Rate |
$412.72 |
| Max. Negotiated Rate |
$844.20 |
| Rate for Payer: Aetna American Axle |
$609.70
|
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Commercial |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$656.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$656.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.70
|
| Rate for Payer: Priority Health SBD |
$590.94
|
| Rate for Payer: UMR Bronson Commercial |
$412.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.50
|
|
|
PR DISSECTION DEEP JUGULAR NODE
|
Facility
|
OP
|
$938.00
|
|
|
Service Code
|
CPT 38542
|
| Hospital Charge Code |
38542
|
| Min. Negotiated Rate |
$347.06 |
| Max. Negotiated Rate |
$17,966.53 |
| Rate for Payer: Aetna American Axle |
$609.70
|
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna Medicare |
$5,945.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,145.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,145.49
|
| Rate for Payer: BCBS Complete |
$3,217.18
|
| Rate for Payer: BCBS MAPPO |
$5,716.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,704.89
|
| Rate for Payer: BCN Commercial |
$3,704.89
|
| Rate for Payer: BCN Medicare Advantage |
$5,716.39
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Commercial |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$656.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,716.39
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$656.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.50
|
| Rate for Payer: Mclaren Medicaid |
$3,063.99
|
| Rate for Payer: Mclaren Medicare |
$5,716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,002.21
|
| Rate for Payer: Meridian Medicaid |
$3,217.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,573.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: Nomi Health Commercial |
$12,004.42
|
| Rate for Payer: PACE Medicare |
$5,430.57
|
| Rate for Payer: PACE SWMI |
$5,716.39
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: PHP Medicare Advantage |
$5,716.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,063.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17,966.53
|
| Rate for Payer: Priority Health Medicare |
$5,716.39
|
| Rate for Payer: Priority Health Narrow Network |
$14,373.22
|
| Rate for Payer: Priority Health SBD |
$590.94
|
| Rate for Payer: Railroad Medicare Medicare |
$5,716.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.37
|
| Rate for Payer: UHC Core |
$8,596.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,716.39
|
| Rate for Payer: UHC Exchange |
$506.70
|
| Rate for Payer: UHC Medicare Advantage |
$5,716.39
|
| Rate for Payer: UHCCP Medicaid |
$3,063.99
|
| Rate for Payer: UMR Bronson Commercial |
$347.06
|
| Rate for Payer: VA VA |
$5,716.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.50
|
|
|
PR DIS SITE TELE SVCS RHC/FQHC
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS G2025
|
| Min. Negotiated Rate |
$75.20 |
| Max. Negotiated Rate |
$1,080.37 |
| Rate for Payer: Aetna Commercial |
$95.30
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.30
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,080.37
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: UMR Bronson Commercial |
$86.48
|
|
|
PR DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD
|
Professional
|
Both
|
$86.00
|
|
|
Service Code
|
HCPCS 92587
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$1,890.26 |
| Rate for Payer: Aetna Commercial |
$27.24
|
| Rate for Payer: Aetna Medicare |
$21.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.28
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS MAPPO |
$20.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,890.26
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Medicare Advantage |
$20.33
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cofinity Commercial |
$27.24
|
| Rate for Payer: Cofinity Commercial |
$29.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.35
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Nomi Health Commercial |
$24.40
|
| Rate for Payer: PACE SWMI |
$20.33
|
| Rate for Payer: PHP Commercial |
$28.46
|
| Rate for Payer: PHP Medicare Advantage |
$20.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.94
|
| Rate for Payer: Priority Health Medicare |
$20.33
|
| Rate for Payer: Priority Health Narrow Network |
$28.94
|
| Rate for Payer: Priority Health SBD |
$23.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.33
|
| Rate for Payer: UHC Medicare Advantage |
$20.33
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
| Rate for Payer: UMR Bronson Commercial |
$39.56
|
|
|
PR DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL
|
Professional
|
Both
|
$69.00
|
|
|
Service Code
|
HCPCS 92588
|
| Min. Negotiated Rate |
$18.11 |
| Max. Negotiated Rate |
$1,499.32 |
| Rate for Payer: Aetna Commercial |
$41.83
|
| Rate for Payer: Aetna Medicare |
$32.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.96
|
| Rate for Payer: BCBS Complete |
$19.02
|
| Rate for Payer: BCBS MAPPO |
$31.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,499.32
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$31.22
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cash Price |
$55.20
|
| Rate for Payer: Cofinity Commercial |
$41.83
|
| Rate for Payer: Cofinity Commercial |
$44.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.78
|
| Rate for Payer: Meridian Medicaid |
$19.02
|
| Rate for Payer: Nomi Health Commercial |
$37.46
|
| Rate for Payer: PACE SWMI |
$31.22
|
| Rate for Payer: PHP Commercial |
$43.71
|
| Rate for Payer: PHP Medicare Advantage |
$31.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.77
|
| Rate for Payer: Priority Health Medicare |
$31.22
|
| Rate for Payer: Priority Health Narrow Network |
$44.77
|
| Rate for Payer: Priority Health SBD |
$37.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.22
|
| Rate for Payer: UHC Medicare Advantage |
$31.22
|
| Rate for Payer: UHCCP Medicaid |
$18.11
|
| Rate for Payer: UMR Bronson Commercial |
$31.74
|
|
|
PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR
|
Professional
|
Both
|
$2,437.00
|
|
|
Service Code
|
HCPCS 43130
|
| Min. Negotiated Rate |
$85.32 |
| Max. Negotiated Rate |
$1,584.05 |
| Rate for Payer: Aetna Commercial |
$1,019.59
|
| Rate for Payer: Aetna Medicare |
$791.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,095.68
|
| Rate for Payer: BCBS Complete |
$535.65
|
| Rate for Payer: BCBS MAPPO |
$760.89
|
| Rate for Payer: BCBS Trust/PPO |
$85.32
|
| Rate for Payer: BCN Commercial |
$1,160.61
|
| Rate for Payer: BCN Medicare Advantage |
$760.89
|
| Rate for Payer: Cash Price |
$1,949.60
|
| Rate for Payer: Cash Price |
$1,949.60
|
| Rate for Payer: Cofinity Commercial |
$1,019.59
|
| Rate for Payer: Cofinity Commercial |
$1,095.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$760.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$798.93
|
| Rate for Payer: Meridian Medicaid |
$535.65
|
| Rate for Payer: Nomi Health Commercial |
$913.07
|
| Rate for Payer: PACE SWMI |
$760.89
|
| Rate for Payer: PHP Commercial |
$1,065.25
|
| Rate for Payer: PHP Medicare Advantage |
$760.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,584.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,426.45
|
| Rate for Payer: Priority Health Medicare |
$760.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,426.45
|
| Rate for Payer: Priority Health SBD |
$1,426.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$760.89
|
| Rate for Payer: UHC Medicare Advantage |
$760.89
|
| Rate for Payer: UHCCP Medicaid |
$510.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,121.02
|
|
|
PR DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR
|
Professional
|
Both
|
$3,167.00
|
|
|
Service Code
|
HCPCS 43135
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$2,595.19 |
| Rate for Payer: Aetna Commercial |
$1,896.94
|
| Rate for Payer: Aetna Medicare |
$1,472.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,896.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,038.51
|
| Rate for Payer: BCBS Complete |
$976.01
|
| Rate for Payer: BCBS MAPPO |
$1,415.63
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$2,116.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,415.63
|
| Rate for Payer: Cash Price |
$2,533.60
|
| Rate for Payer: Cash Price |
$2,533.60
|
| Rate for Payer: Cofinity Commercial |
$1,896.94
|
| Rate for Payer: Cofinity Commercial |
$2,038.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,415.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,486.41
|
| Rate for Payer: Meridian Medicaid |
$976.01
|
| Rate for Payer: Nomi Health Commercial |
$1,698.76
|
| Rate for Payer: PACE SWMI |
$1,415.63
|
| Rate for Payer: PHP Commercial |
$1,981.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,415.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$929.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,058.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,595.19
|
| Rate for Payer: Priority Health Medicare |
$1,415.63
|
| Rate for Payer: Priority Health Narrow Network |
$2,595.19
|
| Rate for Payer: Priority Health SBD |
$2,595.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,415.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,415.63
|
| Rate for Payer: UHCCP Medicaid |
$929.53
|
| Rate for Payer: UMR Bronson Commercial |
$1,456.82
|
|
|
PR DIVISION ABERRANT VESSEL VASCULAR RING
|
Professional
|
Both
|
$4,233.00
|
|
|
Service Code
|
HCPCS 33802
|
| Min. Negotiated Rate |
$689.69 |
| Max. Negotiated Rate |
$2,751.45 |
| Rate for Payer: Aetna Commercial |
$1,400.54
|
| Rate for Payer: Aetna Medicare |
$1,086.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,400.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,505.06
|
| Rate for Payer: BCBS Complete |
$724.17
|
| Rate for Payer: BCBS MAPPO |
$1,045.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,485.05
|
| Rate for Payer: BCN Commercial |
$1,564.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,045.18
|
| Rate for Payer: Cash Price |
$3,386.40
|
| Rate for Payer: Cash Price |
$3,386.40
|
| Rate for Payer: Cofinity Commercial |
$1,400.54
|
| Rate for Payer: Cofinity Commercial |
$1,505.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,045.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,097.44
|
| Rate for Payer: Meridian Medicaid |
$724.17
|
| Rate for Payer: Nomi Health Commercial |
$1,254.22
|
| Rate for Payer: PACE SWMI |
$1,045.18
|
| Rate for Payer: PHP Commercial |
$1,463.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,045.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,751.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,714.60
|
| Rate for Payer: Priority Health Medicare |
$1,045.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,714.60
|
| Rate for Payer: Priority Health SBD |
$1,714.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,045.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,045.18
|
| Rate for Payer: UHCCP Medicaid |
$689.69
|
| Rate for Payer: UMR Bronson Commercial |
$1,947.18
|
|
|
PR DIVISION PLANTAR FASCIA & MUSCLE SPX
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 28250
|
| Min. Negotiated Rate |
$269.45 |
| Max. Negotiated Rate |
$3,050.93 |
| Rate for Payer: Aetna Commercial |
$532.42
|
| Rate for Payer: Aetna Medicare |
$413.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.16
|
| Rate for Payer: BCBS Complete |
$282.92
|
| Rate for Payer: BCBS MAPPO |
$397.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,050.93
|
| Rate for Payer: BCN Commercial |
$856.16
|
| Rate for Payer: BCN Medicare Advantage |
$397.33
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cofinity Commercial |
$532.42
|
| Rate for Payer: Cofinity Commercial |
$572.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.20
|
| Rate for Payer: Meridian Medicaid |
$282.92
|
| Rate for Payer: Nomi Health Commercial |
$476.80
|
| Rate for Payer: PACE SWMI |
$397.33
|
| Rate for Payer: PHP Commercial |
$556.26
|
| Rate for Payer: PHP Medicare Advantage |
$397.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$852.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$636.07
|
| Rate for Payer: Priority Health Medicare |
$397.33
|
| Rate for Payer: Priority Health Narrow Network |
$636.07
|
| Rate for Payer: Priority Health SBD |
$636.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.33
|
| Rate for Payer: UHC Medicare Advantage |
$397.33
|
| Rate for Payer: UHCCP Medicaid |
$269.45
|
| Rate for Payer: UMR Bronson Commercial |
$603.06
|
|
|
PR DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB
|
Professional
|
Both
|
$1,119.00
|
|
|
Service Code
|
HCPCS 21705
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$806.55 |
| Rate for Payer: Aetna Commercial |
$694.21
|
| Rate for Payer: Aetna Medicare |
$538.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$694.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$746.02
|
| Rate for Payer: BCBS Complete |
$355.82
|
| Rate for Payer: BCBS MAPPO |
$518.07
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$770.16
|
| Rate for Payer: BCN Medicare Advantage |
$518.07
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$694.21
|
| Rate for Payer: Cofinity Commercial |
$746.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$518.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.97
|
| Rate for Payer: Meridian Medicaid |
$355.82
|
| Rate for Payer: Nomi Health Commercial |
$621.68
|
| Rate for Payer: PACE SWMI |
$518.07
|
| Rate for Payer: PHP Commercial |
$725.30
|
| Rate for Payer: PHP Medicare Advantage |
$518.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$727.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$806.55
|
| Rate for Payer: Priority Health Medicare |
$518.07
|
| Rate for Payer: Priority Health Narrow Network |
$806.55
|
| Rate for Payer: Priority Health SBD |
$806.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$518.07
|
| Rate for Payer: UHC Medicare Advantage |
$518.07
|
| Rate for Payer: UHCCP Medicaid |
$338.88
|
| Rate for Payer: UMR Bronson Commercial |
$514.74
|
|
|
PR DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB
|
Professional
|
Both
|
$1,549.00
|
|
|
Service Code
|
HCPCS 21700
|
| Min. Negotiated Rate |
$227.27 |
| Max. Negotiated Rate |
$1,117.06 |
| Rate for Payer: Aetna Commercial |
$463.39
|
| Rate for Payer: Aetna Medicare |
$359.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.97
|
| Rate for Payer: BCBS Complete |
$238.63
|
| Rate for Payer: BCBS MAPPO |
$345.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.06
|
| Rate for Payer: BCN Commercial |
$516.04
|
| Rate for Payer: BCN Medicare Advantage |
$345.81
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cofinity Commercial |
$463.39
|
| Rate for Payer: Cofinity Commercial |
$497.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.10
|
| Rate for Payer: Meridian Medicaid |
$238.63
|
| Rate for Payer: Nomi Health Commercial |
$414.97
|
| Rate for Payer: PACE SWMI |
$345.81
|
| Rate for Payer: PHP Commercial |
$484.13
|
| Rate for Payer: PHP Medicare Advantage |
$345.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$540.92
|
| Rate for Payer: Priority Health Medicare |
$345.81
|
| Rate for Payer: Priority Health Narrow Network |
$540.92
|
| Rate for Payer: Priority Health SBD |
$540.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.81
|
| Rate for Payer: UHC Medicare Advantage |
$345.81
|
| Rate for Payer: UHCCP Medicaid |
$227.27
|
| Rate for Payer: UMR Bronson Commercial |
$712.54
|
|
|
PR DIVISION STRICTURE RECTUM
|
Professional
|
Both
|
$1,380.00
|
|
|
Service Code
|
HCPCS 45150
|
| Min. Negotiated Rate |
$275.62 |
| Max. Negotiated Rate |
$897.00 |
| Rate for Payer: Aetna Commercial |
$550.55
|
| Rate for Payer: Aetna Medicare |
$427.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$550.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$591.64
|
| Rate for Payer: BCBS Complete |
$289.40
|
| Rate for Payer: BCBS MAPPO |
$410.86
|
| Rate for Payer: BCN Commercial |
$622.57
|
| Rate for Payer: BCN Medicare Advantage |
$410.86
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cofinity Commercial |
$550.55
|
| Rate for Payer: Cofinity Commercial |
$591.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.40
|
| Rate for Payer: Meridian Medicaid |
$289.40
|
| Rate for Payer: Nomi Health Commercial |
$493.03
|
| Rate for Payer: PACE SWMI |
$410.86
|
| Rate for Payer: PHP Commercial |
$575.20
|
| Rate for Payer: PHP Medicare Advantage |
$410.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$275.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$897.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$766.62
|
| Rate for Payer: Priority Health Medicare |
$410.86
|
| Rate for Payer: Priority Health Narrow Network |
$766.62
|
| Rate for Payer: Priority Health SBD |
$766.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.86
|
| Rate for Payer: UHC Medicare Advantage |
$410.86
|
| Rate for Payer: UHCCP Medicaid |
$275.62
|
| Rate for Payer: UMR Bronson Commercial |
$634.80
|
|
|
PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 34710
|
| Min. Negotiated Rate |
$497.14 |
| Max. Negotiated Rate |
$1,852.75 |
| Rate for Payer: Aetna Commercial |
$1,020.37
|
| Rate for Payer: Aetna Medicare |
$791.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,096.52
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$761.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,852.75
|
| Rate for Payer: BCN Commercial |
$1,133.25
|
| Rate for Payer: BCN Medicare Advantage |
$761.47
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$1,020.37
|
| Rate for Payer: Cofinity Commercial |
$1,096.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.54
|
| Rate for Payer: Meridian Medicaid |
$522.00
|
| Rate for Payer: Nomi Health Commercial |
$913.76
|
| Rate for Payer: PACE SWMI |
$761.47
|
| Rate for Payer: PHP Commercial |
$1,066.06
|
| Rate for Payer: PHP Medicare Advantage |
$761.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$497.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,239.15
|
| Rate for Payer: Priority Health Medicare |
$761.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,239.15
|
| Rate for Payer: Priority Health SBD |
$1,239.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$761.47
|
| Rate for Payer: UHC Medicare Advantage |
$761.47
|
| Rate for Payer: UHCCP Medicaid |
$497.14
|
| Rate for Payer: UMR Bronson Commercial |
$773.26
|
|
