|
PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR
|
Professional
|
Both
|
$163.00
|
|
|
Service Code
|
HCPCS 90697
|
| Min. Negotiated Rate |
$65.20 |
| Max. Negotiated Rate |
$175.01 |
| Rate for Payer: Aetna Commercial |
$154.01
|
| Rate for Payer: Aetna Medicare |
$81.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.01
|
| Rate for Payer: BCBS Complete |
$65.20
|
| Rate for Payer: BCBS Trust/PPO |
$175.01
|
| Rate for Payer: BCN Commercial |
$175.01
|
| Rate for Payer: Cash Price |
$130.40
|
| Rate for Payer: Cash Price |
$130.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.95
|
| Rate for Payer: UMR Bronson Commercial |
$74.98
|
|
|
PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE
|
Professional
|
Both
|
$110.00
|
|
|
Service Code
|
HCPCS 90698
|
| Min. Negotiated Rate |
$44.00 |
| Max. Negotiated Rate |
$118.20 |
| Rate for Payer: Aetna Commercial |
$118.20
|
| Rate for Payer: Aetna Medicare |
$55.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.20
|
| Rate for Payer: BCBS Complete |
$44.00
|
| Rate for Payer: BCBS Trust/PPO |
$109.23
|
| Rate for Payer: BCN Commercial |
$109.23
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: UMR Bronson Commercial |
$50.60
|
|
|
PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 90696
|
| Min. Negotiated Rate |
$27.20 |
| Max. Negotiated Rate |
$62.89 |
| Rate for Payer: Aetna Commercial |
$62.89
|
| Rate for Payer: Aetna Medicare |
$34.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.89
|
| Rate for Payer: BCBS Complete |
$27.20
|
| Rate for Payer: BCBS Trust/PPO |
$59.91
|
| Rate for Payer: BCN Commercial |
$59.91
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.20
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
PR DTP/HIB VACCINE,IM
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 90720
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$53.30 |
| Rate for Payer: Aetna Medicare |
$41.00
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: UMR Bronson Commercial |
$37.72
|
|
|
PR DT VACCINE YOUNGER THAN 7 YRS FOR IM USE
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 90702
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$79.01 |
| Rate for Payer: Aetna Commercial |
$67.16
|
| Rate for Payer: Aetna Medicare |
$22.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.16
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS Trust/PPO |
$79.01
|
| Rate for Payer: BCN Commercial |
$79.01
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
|
|
PR DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 43756
|
| Min. Negotiated Rate |
$32.16 |
| Max. Negotiated Rate |
$409.52 |
| Rate for Payer: Aetna Commercial |
$63.50
|
| Rate for Payer: Aetna Medicare |
$49.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.24
|
| Rate for Payer: BCBS Complete |
$33.77
|
| Rate for Payer: BCBS MAPPO |
$47.39
|
| Rate for Payer: BCBS Trust/PPO |
$194.41
|
| Rate for Payer: BCN Commercial |
$409.52
|
| Rate for Payer: BCN Medicare Advantage |
$47.39
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cofinity Commercial |
$68.24
|
| Rate for Payer: Cofinity Commercial |
$63.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.76
|
| Rate for Payer: Meridian Medicaid |
$33.77
|
| Rate for Payer: Nomi Health Commercial |
$56.87
|
| Rate for Payer: PACE SWMI |
$47.39
|
| Rate for Payer: PHP Commercial |
$66.35
|
| Rate for Payer: PHP Medicare Advantage |
$47.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.69
|
| Rate for Payer: Priority Health Medicare |
$47.39
|
| Rate for Payer: Priority Health Narrow Network |
$90.69
|
| Rate for Payer: Priority Health SBD |
$90.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.39
|
| Rate for Payer: UHC Medicare Advantage |
$47.39
|
| Rate for Payer: UHCCP Medicaid |
$32.16
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$2,936.00
|
|
|
Service Code
|
HCPCS 44010
|
| Min. Negotiated Rate |
$541.66 |
| Max. Negotiated Rate |
$1,969.50 |
| Rate for Payer: Aetna Commercial |
$1,085.96
|
| Rate for Payer: Aetna Medicare |
$842.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,085.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,167.00
|
| Rate for Payer: BCBS Complete |
$568.74
|
| Rate for Payer: BCBS MAPPO |
$810.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,969.50
|
| Rate for Payer: BCN Commercial |
$1,237.34
|
| Rate for Payer: BCN Medicare Advantage |
$810.42
|
| Rate for Payer: Cash Price |
$2,348.80
|
| Rate for Payer: Cash Price |
$2,348.80
|
| Rate for Payer: Cofinity Commercial |
$1,085.96
|
| Rate for Payer: Cofinity Commercial |
$1,167.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$810.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$850.94
|
| Rate for Payer: Meridian Medicaid |
$568.74
|
| Rate for Payer: Nomi Health Commercial |
$972.50
|
| Rate for Payer: PACE SWMI |
$810.42
|
| Rate for Payer: PHP Commercial |
$1,134.59
|
| Rate for Payer: PHP Medicare Advantage |
$810.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,908.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,518.93
|
| Rate for Payer: Priority Health Medicare |
$810.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,518.93
|
| Rate for Payer: Priority Health SBD |
$1,518.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$810.42
|
| Rate for Payer: UHC Medicare Advantage |
$810.42
|
| Rate for Payer: UHCCP Medicaid |
$541.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,350.56
|
|
|
PR DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ
|
Professional
|
Both
|
$6,281.00
|
|
|
Service Code
|
HCPCS 48547
|
| Min. Negotiated Rate |
$749.66 |
| Max. Negotiated Rate |
$4,082.65 |
| Rate for Payer: Aetna Commercial |
$2,334.60
|
| Rate for Payer: Aetna Medicare |
$1,811.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,334.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,508.83
|
| Rate for Payer: BCBS Complete |
$1,206.15
|
| Rate for Payer: BCBS MAPPO |
$1,742.24
|
| Rate for Payer: BCBS Trust/PPO |
$749.66
|
| Rate for Payer: BCN Commercial |
$2,612.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,742.24
|
| Rate for Payer: Cash Price |
$5,024.80
|
| Rate for Payer: Cash Price |
$5,024.80
|
| Rate for Payer: Cofinity Commercial |
$2,334.60
|
| Rate for Payer: Cofinity Commercial |
$2,508.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,742.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,829.35
|
| Rate for Payer: Meridian Medicaid |
$1,206.15
|
| Rate for Payer: Nomi Health Commercial |
$2,090.69
|
| Rate for Payer: PACE SWMI |
$1,742.24
|
| Rate for Payer: PHP Commercial |
$2,439.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,742.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,148.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,082.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,201.33
|
| Rate for Payer: Priority Health Medicare |
$1,742.24
|
| Rate for Payer: Priority Health Narrow Network |
$3,201.33
|
| Rate for Payer: Priority Health SBD |
$3,201.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,742.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,742.24
|
| Rate for Payer: UHCCP Medicaid |
$1,148.71
|
| Rate for Payer: UMR Bronson Commercial |
$2,889.26
|
|
|
PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD
|
Professional
|
Both
|
$78.00
|
|
|
Service Code
|
HCPCS 93985
|
| Min. Negotiated Rate |
$24.07 |
| Max. Negotiated Rate |
$363.58 |
| Rate for Payer: Aetna Commercial |
$296.43
|
| Rate for Payer: Aetna Medicare |
$230.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.56
|
| Rate for Payer: BCBS Complete |
$25.27
|
| Rate for Payer: BCBS MAPPO |
$221.22
|
| Rate for Payer: BCBS Trust/PPO |
$243.55
|
| Rate for Payer: BCN Commercial |
$363.58
|
| Rate for Payer: BCN Medicare Advantage |
$221.22
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$296.43
|
| Rate for Payer: Cofinity Commercial |
$318.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$221.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$232.28
|
| Rate for Payer: Meridian Medicaid |
$25.27
|
| Rate for Payer: Nomi Health Commercial |
$265.46
|
| Rate for Payer: PACE SWMI |
$221.22
|
| Rate for Payer: PHP Commercial |
$309.71
|
| Rate for Payer: PHP Medicare Advantage |
$221.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$336.07
|
| Rate for Payer: Priority Health Medicare |
$221.22
|
| Rate for Payer: Priority Health Narrow Network |
$336.07
|
| Rate for Payer: Priority Health SBD |
$50.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$221.22
|
| Rate for Payer: UHC Medicare Advantage |
$221.22
|
| Rate for Payer: UHCCP Medicaid |
$24.07
|
| Rate for Payer: UMR Bronson Commercial |
$35.88
|
|
|
PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 93986
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$216.49 |
| Rate for Payer: Aetna Commercial |
$173.93
|
| Rate for Payer: Aetna Medicare |
$134.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.91
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$129.80
|
| Rate for Payer: BCBS Trust/PPO |
$61.81
|
| Rate for Payer: BCN Commercial |
$216.49
|
| Rate for Payer: BCN Medicare Advantage |
$129.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$173.93
|
| Rate for Payer: Cofinity Commercial |
$186.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.29
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Nomi Health Commercial |
$155.76
|
| Rate for Payer: PACE SWMI |
$129.80
|
| Rate for Payer: PHP Commercial |
$181.72
|
| Rate for Payer: PHP Medicare Advantage |
$129.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.67
|
| Rate for Payer: Priority Health Medicare |
$129.80
|
| Rate for Payer: Priority Health Narrow Network |
$197.67
|
| Rate for Payer: Priority Health SBD |
$31.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.80
|
| Rate for Payer: UHC Medicare Advantage |
$129.80
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 93880
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$288.60 |
| Rate for Payer: Aetna Commercial |
$226.02
|
| Rate for Payer: Aetna Medicare |
$175.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.88
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$168.67
|
| Rate for Payer: BCBS Trust/PPO |
$80.30
|
| Rate for Payer: BCN Commercial |
$280.02
|
| Rate for Payer: BCN Medicare Advantage |
$168.67
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$226.02
|
| Rate for Payer: Cofinity Commercial |
$242.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.10
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$202.40
|
| Rate for Payer: PACE SWMI |
$168.67
|
| Rate for Payer: PHP Commercial |
$236.14
|
| Rate for Payer: PHP Medicare Advantage |
$168.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.82
|
| Rate for Payer: Priority Health Medicare |
$168.67
|
| Rate for Payer: Priority Health Narrow Network |
$257.82
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.67
|
| Rate for Payer: UHC Medicare Advantage |
$168.67
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UMR Bronson Commercial |
$204.24
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 93882
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$310.64 |
| Rate for Payer: Aetna Commercial |
$148.03
|
| Rate for Payer: Aetna Medicare |
$114.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.08
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$110.47
|
| Rate for Payer: BCBS Trust/PPO |
$310.64
|
| Rate for Payer: BCN Commercial |
$181.79
|
| Rate for Payer: BCN Medicare Advantage |
$110.47
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$148.03
|
| Rate for Payer: Cofinity Commercial |
$159.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.99
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$132.56
|
| Rate for Payer: PACE SWMI |
$110.47
|
| Rate for Payer: PHP Commercial |
$154.66
|
| Rate for Payer: PHP Medicare Advantage |
$110.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169.17
|
| Rate for Payer: Priority Health Medicare |
$110.47
|
| Rate for Payer: Priority Health Narrow Network |
$169.17
|
| Rate for Payer: Priority Health SBD |
$31.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.47
|
| Rate for Payer: UHC Medicare Advantage |
$110.47
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
| Rate for Payer: UMR Bronson Commercial |
$146.28
|
|
|
PR DUPLEX SCAN HEMODIALYSIS ACCESS
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 93990
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$214.53 |
| Rate for Payer: Aetna Commercial |
$174.44
|
| Rate for Payer: Aetna Commercial |
$174.44
|
| Rate for Payer: Aetna Medicare |
$135.39
|
| Rate for Payer: Aetna Medicare |
$135.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.44
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$130.18
|
| Rate for Payer: BCBS MAPPO |
$130.18
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$130.18
|
| Rate for Payer: BCN Medicare Advantage |
$130.18
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$174.44
|
| Rate for Payer: Cofinity Commercial |
$187.46
|
| Rate for Payer: Cofinity Commercial |
$187.46
|
| Rate for Payer: Cofinity Commercial |
$174.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.69
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Nomi Health Commercial |
$156.22
|
| Rate for Payer: Nomi Health Commercial |
$156.22
|
| Rate for Payer: PACE SWMI |
$130.18
|
| Rate for Payer: PACE SWMI |
$130.18
|
| Rate for Payer: PHP Commercial |
$182.25
|
| Rate for Payer: PHP Commercial |
$182.25
|
| Rate for Payer: PHP Medicare Advantage |
$130.18
|
| Rate for Payer: PHP Medicare Advantage |
$130.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$199.47
|
| Rate for Payer: Priority Health Medicare |
$130.18
|
| Rate for Payer: Priority Health Medicare |
$130.18
|
| Rate for Payer: Priority Health Narrow Network |
$199.47
|
| Rate for Payer: Priority Health Narrow Network |
$199.47
|
| Rate for Payer: Priority Health SBD |
$31.21
|
| Rate for Payer: Priority Health SBD |
$31.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.18
|
| Rate for Payer: UHC Medicare Advantage |
$130.18
|
| Rate for Payer: UHC Medicare Advantage |
$130.18
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UMR Bronson Commercial |
$159.62
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 93978
|
| Min. Negotiated Rate |
$24.28 |
| Max. Negotiated Rate |
$430.56 |
| Rate for Payer: Aetna Commercial |
$217.23
|
| Rate for Payer: Aetna Commercial |
$217.23
|
| Rate for Payer: Aetna Medicare |
$168.59
|
| Rate for Payer: Aetna Medicare |
$168.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.23
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCBS MAPPO |
$162.11
|
| Rate for Payer: BCBS MAPPO |
$162.11
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Medicare Advantage |
$162.11
|
| Rate for Payer: BCN Medicare Advantage |
$162.11
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$217.23
|
| Rate for Payer: Cofinity Commercial |
$233.44
|
| Rate for Payer: Cofinity Commercial |
$233.44
|
| Rate for Payer: Cofinity Commercial |
$217.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.22
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Nomi Health Commercial |
$194.53
|
| Rate for Payer: Nomi Health Commercial |
$194.53
|
| Rate for Payer: PACE SWMI |
$162.11
|
| Rate for Payer: PACE SWMI |
$162.11
|
| Rate for Payer: PHP Commercial |
$226.95
|
| Rate for Payer: PHP Commercial |
$226.95
|
| Rate for Payer: PHP Medicare Advantage |
$162.11
|
| Rate for Payer: PHP Medicare Advantage |
$162.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$244.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$244.71
|
| Rate for Payer: Priority Health Medicare |
$162.11
|
| Rate for Payer: Priority Health Medicare |
$162.11
|
| Rate for Payer: Priority Health Narrow Network |
$244.71
|
| Rate for Payer: Priority Health Narrow Network |
$244.71
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.11
|
| Rate for Payer: UHC Medicare Advantage |
$162.11
|
| Rate for Payer: UHC Medicare Advantage |
$162.11
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
| Rate for Payer: UMR Bronson Commercial |
$183.08
|
| Rate for Payer: UMR Bronson Commercial |
$37.26
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 93979
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$171.52 |
| Rate for Payer: Aetna Commercial |
$140.53
|
| Rate for Payer: Aetna Commercial |
$140.53
|
| Rate for Payer: Aetna Medicare |
$109.06
|
| Rate for Payer: Aetna Medicare |
$109.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$151.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$151.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.53
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$104.87
|
| Rate for Payer: BCBS MAPPO |
$104.87
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Medicare Advantage |
$104.87
|
| Rate for Payer: BCN Medicare Advantage |
$104.87
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$140.53
|
| Rate for Payer: Cofinity Commercial |
$151.01
|
| Rate for Payer: Cofinity Commercial |
$151.01
|
| Rate for Payer: Cofinity Commercial |
$140.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.11
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$125.84
|
| Rate for Payer: Nomi Health Commercial |
$125.84
|
| Rate for Payer: PACE SWMI |
$104.87
|
| Rate for Payer: PACE SWMI |
$104.87
|
| Rate for Payer: PHP Commercial |
$146.82
|
| Rate for Payer: PHP Commercial |
$146.82
|
| Rate for Payer: PHP Medicare Advantage |
$104.87
|
| Rate for Payer: PHP Medicare Advantage |
$104.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.12
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.12
|
| Rate for Payer: Priority Health Medicare |
$104.87
|
| Rate for Payer: Priority Health Medicare |
$104.87
|
| Rate for Payer: Priority Health Narrow Network |
$160.12
|
| Rate for Payer: Priority Health Narrow Network |
$160.12
|
| Rate for Payer: Priority Health SBD |
$31.66
|
| Rate for Payer: Priority Health SBD |
$31.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.87
|
| Rate for Payer: UHC Medicare Advantage |
$104.87
|
| Rate for Payer: UHC Medicare Advantage |
$104.87
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
| Rate for Payer: UMR Bronson Commercial |
$126.50
|
| Rate for Payer: UMR Bronson Commercial |
$23.92
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
|
Professional
|
Both
|
$619.00
|
|
|
Service Code
|
HCPCS 93975
|
| Min. Negotiated Rate |
$34.51 |
| Max. Negotiated Rate |
$402.35 |
| Rate for Payer: Aetna Commercial |
$314.23
|
| Rate for Payer: Aetna Commercial |
$314.23
|
| Rate for Payer: Aetna Medicare |
$243.88
|
| Rate for Payer: Aetna Medicare |
$243.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.23
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS MAPPO |
$234.50
|
| Rate for Payer: BCBS MAPPO |
$234.50
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Medicare Advantage |
$234.50
|
| Rate for Payer: BCN Medicare Advantage |
$234.50
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cofinity Commercial |
$314.23
|
| Rate for Payer: Cofinity Commercial |
$337.68
|
| Rate for Payer: Cofinity Commercial |
$337.68
|
| Rate for Payer: Cofinity Commercial |
$314.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.22
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Nomi Health Commercial |
$281.40
|
| Rate for Payer: Nomi Health Commercial |
$281.40
|
| Rate for Payer: PACE SWMI |
$234.50
|
| Rate for Payer: PACE SWMI |
$234.50
|
| Rate for Payer: PHP Commercial |
$328.30
|
| Rate for Payer: PHP Commercial |
$328.30
|
| Rate for Payer: PHP Medicare Advantage |
$234.50
|
| Rate for Payer: PHP Medicare Advantage |
$234.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$402.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.68
|
| Rate for Payer: Priority Health Medicare |
$234.50
|
| Rate for Payer: Priority Health Medicare |
$234.50
|
| Rate for Payer: Priority Health Narrow Network |
$358.68
|
| Rate for Payer: Priority Health Narrow Network |
$358.68
|
| Rate for Payer: Priority Health SBD |
$73.28
|
| Rate for Payer: Priority Health SBD |
$73.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.50
|
| Rate for Payer: UHC Medicare Advantage |
$234.50
|
| Rate for Payer: UHC Medicare Advantage |
$234.50
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
| Rate for Payer: UMR Bronson Commercial |
$118.68
|
| Rate for Payer: UMR Bronson Commercial |
$284.74
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 93976
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$547.85 |
| Rate for Payer: Aetna Commercial |
$190.66
|
| Rate for Payer: Aetna Commercial |
$190.66
|
| Rate for Payer: Aetna Medicare |
$147.97
|
| Rate for Payer: Aetna Medicare |
$147.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$190.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$190.66
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$142.28
|
| Rate for Payer: BCBS MAPPO |
$142.28
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Medicare Advantage |
$142.28
|
| Rate for Payer: BCN Medicare Advantage |
$142.28
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cofinity Commercial |
$190.66
|
| Rate for Payer: Cofinity Commercial |
$204.88
|
| Rate for Payer: Cofinity Commercial |
$204.88
|
| Rate for Payer: Cofinity Commercial |
$190.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.39
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$170.74
|
| Rate for Payer: Nomi Health Commercial |
$170.74
|
| Rate for Payer: PACE SWMI |
$142.28
|
| Rate for Payer: PACE SWMI |
$142.28
|
| Rate for Payer: PHP Commercial |
$199.19
|
| Rate for Payer: PHP Commercial |
$199.19
|
| Rate for Payer: PHP Medicare Advantage |
$142.28
|
| Rate for Payer: PHP Medicare Advantage |
$142.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$417.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$215.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$215.30
|
| Rate for Payer: Priority Health Medicare |
$142.28
|
| Rate for Payer: Priority Health Medicare |
$142.28
|
| Rate for Payer: Priority Health Narrow Network |
$215.30
|
| Rate for Payer: Priority Health Narrow Network |
$215.30
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.28
|
| Rate for Payer: UHC Medicare Advantage |
$142.28
|
| Rate for Payer: UHC Medicare Advantage |
$142.28
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UMR Bronson Commercial |
$83.26
|
| Rate for Payer: UMR Bronson Commercial |
$295.78
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$428.00
|
|
|
Service Code
|
HCPCS 93925
|
| Min. Negotiated Rate |
$23.43 |
| Max. Negotiated Rate |
$351.85 |
| Rate for Payer: Aetna Commercial |
$283.79
|
| Rate for Payer: Aetna Commercial |
$283.79
|
| Rate for Payer: Aetna Medicare |
$220.25
|
| Rate for Payer: Aetna Medicare |
$220.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.79
|
| Rate for Payer: BCBS Complete |
$24.60
|
| Rate for Payer: BCBS Complete |
$24.60
|
| Rate for Payer: BCBS MAPPO |
$211.78
|
| Rate for Payer: BCBS MAPPO |
$211.78
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Medicare Advantage |
$211.78
|
| Rate for Payer: BCN Medicare Advantage |
$211.78
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cofinity Commercial |
$283.79
|
| Rate for Payer: Cofinity Commercial |
$304.96
|
| Rate for Payer: Cofinity Commercial |
$304.96
|
| Rate for Payer: Cofinity Commercial |
$283.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.37
|
| Rate for Payer: Meridian Medicaid |
$24.60
|
| Rate for Payer: Meridian Medicaid |
$24.60
|
| Rate for Payer: Nomi Health Commercial |
$254.14
|
| Rate for Payer: Nomi Health Commercial |
$254.14
|
| Rate for Payer: PACE SWMI |
$211.78
|
| Rate for Payer: PACE SWMI |
$211.78
|
| Rate for Payer: PHP Commercial |
$296.49
|
| Rate for Payer: PHP Commercial |
$296.49
|
| Rate for Payer: PHP Medicare Advantage |
$211.78
|
| Rate for Payer: PHP Medicare Advantage |
$211.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$326.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$326.11
|
| Rate for Payer: Priority Health Medicare |
$211.78
|
| Rate for Payer: Priority Health Medicare |
$211.78
|
| Rate for Payer: Priority Health Narrow Network |
$326.11
|
| Rate for Payer: Priority Health Narrow Network |
$326.11
|
| Rate for Payer: Priority Health SBD |
$50.21
|
| Rate for Payer: Priority Health SBD |
$50.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.78
|
| Rate for Payer: UHC Medicare Advantage |
$211.78
|
| Rate for Payer: UHC Medicare Advantage |
$211.78
|
| Rate for Payer: UHCCP Medicaid |
$23.43
|
| Rate for Payer: UHCCP Medicaid |
$23.43
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
| Rate for Payer: UMR Bronson Commercial |
$196.88
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 93926
|
| Min. Negotiated Rate |
$14.27 |
| Max. Negotiated Rate |
$416.83 |
| Rate for Payer: Aetna Commercial |
$170.54
|
| Rate for Payer: Aetna Commercial |
$170.54
|
| Rate for Payer: Aetna Medicare |
$132.36
|
| Rate for Payer: Aetna Medicare |
$132.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.54
|
| Rate for Payer: BCBS Complete |
$14.98
|
| Rate for Payer: BCBS Complete |
$14.98
|
| Rate for Payer: BCBS MAPPO |
$127.27
|
| Rate for Payer: BCBS MAPPO |
$127.27
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Medicare Advantage |
$127.27
|
| Rate for Payer: BCN Medicare Advantage |
$127.27
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$170.54
|
| Rate for Payer: Cofinity Commercial |
$183.27
|
| Rate for Payer: Cofinity Commercial |
$183.27
|
| Rate for Payer: Cofinity Commercial |
$170.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.63
|
| Rate for Payer: Meridian Medicaid |
$14.98
|
| Rate for Payer: Meridian Medicaid |
$14.98
|
| Rate for Payer: Nomi Health Commercial |
$152.72
|
| Rate for Payer: Nomi Health Commercial |
$152.72
|
| Rate for Payer: PACE SWMI |
$127.27
|
| Rate for Payer: PACE SWMI |
$127.27
|
| Rate for Payer: PHP Commercial |
$178.18
|
| Rate for Payer: PHP Commercial |
$178.18
|
| Rate for Payer: PHP Medicare Advantage |
$127.27
|
| Rate for Payer: PHP Medicare Advantage |
$127.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$195.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$195.40
|
| Rate for Payer: Priority Health Medicare |
$127.27
|
| Rate for Payer: Priority Health Medicare |
$127.27
|
| Rate for Payer: Priority Health Narrow Network |
$195.40
|
| Rate for Payer: Priority Health Narrow Network |
$195.40
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.27
|
| Rate for Payer: UHC Medicare Advantage |
$127.27
|
| Rate for Payer: UHC Medicare Advantage |
$127.27
|
| Rate for Payer: UHCCP Medicaid |
$14.27
|
| Rate for Payer: UHCCP Medicaid |
$14.27
|
| Rate for Payer: UMR Bronson Commercial |
$153.64
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$64.00
|
|
|
Service Code
|
HCPCS 93930
|
| Min. Negotiated Rate |
$21.13 |
| Max. Negotiated Rate |
$286.85 |
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Medicare |
$184.17
|
| Rate for Payer: Aetna Medicare |
$184.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.30
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$212.51
|
| Rate for Payer: Nomi Health Commercial |
$212.51
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PHP Commercial |
$247.93
|
| Rate for Payer: PHP Commercial |
$247.93
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$268.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$268.68
|
| Rate for Payer: Priority Health Medicare |
$177.09
|
| Rate for Payer: Priority Health Medicare |
$177.09
|
| Rate for Payer: Priority Health Narrow Network |
$268.68
|
| Rate for Payer: Priority Health Narrow Network |
$268.68
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: Priority Health SBD |
$50.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.09
|
| Rate for Payer: UHC Medicare Advantage |
$177.09
|
| Rate for Payer: UHC Medicare Advantage |
$177.09
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UMR Bronson Commercial |
$186.76
|
| Rate for Payer: UMR Bronson Commercial |
$29.44
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 93931
|
| Min. Negotiated Rate |
$12.68 |
| Max. Negotiated Rate |
$180.81 |
| Rate for Payer: Aetna Commercial |
$147.13
|
| Rate for Payer: Aetna Commercial |
$147.13
|
| Rate for Payer: Aetna Medicare |
$114.19
|
| Rate for Payer: Aetna Medicare |
$114.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.13
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$109.80
|
| Rate for Payer: BCBS MAPPO |
$109.80
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Medicare Advantage |
$109.80
|
| Rate for Payer: BCN Medicare Advantage |
$109.80
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$147.13
|
| Rate for Payer: Cofinity Commercial |
$158.11
|
| Rate for Payer: Cofinity Commercial |
$158.11
|
| Rate for Payer: Cofinity Commercial |
$147.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.29
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Nomi Health Commercial |
$131.76
|
| Rate for Payer: Nomi Health Commercial |
$131.76
|
| Rate for Payer: PACE SWMI |
$109.80
|
| Rate for Payer: PACE SWMI |
$109.80
|
| Rate for Payer: PHP Commercial |
$153.72
|
| Rate for Payer: PHP Commercial |
$153.72
|
| Rate for Payer: PHP Medicare Advantage |
$109.80
|
| Rate for Payer: PHP Medicare Advantage |
$109.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167.81
|
| Rate for Payer: Priority Health Medicare |
$109.80
|
| Rate for Payer: Priority Health Medicare |
$109.80
|
| Rate for Payer: Priority Health Narrow Network |
$167.81
|
| Rate for Payer: Priority Health Narrow Network |
$167.81
|
| Rate for Payer: Priority Health SBD |
$31.21
|
| Rate for Payer: Priority Health SBD |
$31.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.80
|
| Rate for Payer: UHC Medicare Advantage |
$109.80
|
| Rate for Payer: UHC Medicare Advantage |
$109.80
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UMR Bronson Commercial |
$125.12
|
| Rate for Payer: UMR Bronson Commercial |
$15.18
|
|
|
PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
|
Professional
|
Both
|
$422.00
|
|
|
Service Code
|
HCPCS 93970
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$276.10 |
| Rate for Payer: Aetna Commercial |
$221.97
|
| Rate for Payer: Aetna Commercial |
$221.97
|
| Rate for Payer: Aetna Medicare |
$172.28
|
| Rate for Payer: Aetna Medicare |
$172.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.97
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS MAPPO |
$165.65
|
| Rate for Payer: BCBS MAPPO |
$165.65
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Medicare Advantage |
$165.65
|
| Rate for Payer: BCN Medicare Advantage |
$165.65
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cofinity Commercial |
$221.97
|
| Rate for Payer: Cofinity Commercial |
$238.54
|
| Rate for Payer: Cofinity Commercial |
$238.54
|
| Rate for Payer: Cofinity Commercial |
$221.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.93
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Nomi Health Commercial |
$198.78
|
| Rate for Payer: Nomi Health Commercial |
$198.78
|
| Rate for Payer: PACE SWMI |
$165.65
|
| Rate for Payer: PACE SWMI |
$165.65
|
| Rate for Payer: PHP Commercial |
$231.91
|
| Rate for Payer: PHP Commercial |
$231.91
|
| Rate for Payer: PHP Medicare Advantage |
$165.65
|
| Rate for Payer: PHP Medicare Advantage |
$165.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$253.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$253.74
|
| Rate for Payer: Priority Health Medicare |
$165.65
|
| Rate for Payer: Priority Health Medicare |
$165.65
|
| Rate for Payer: Priority Health Narrow Network |
$253.74
|
| Rate for Payer: Priority Health Narrow Network |
$253.74
|
| Rate for Payer: Priority Health SBD |
$43.88
|
| Rate for Payer: Priority Health SBD |
$43.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.65
|
| Rate for Payer: UHC Medicare Advantage |
$165.65
|
| Rate for Payer: UHC Medicare Advantage |
$165.65
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
| Rate for Payer: UMR Bronson Commercial |
$53.82
|
| Rate for Payer: UMR Bronson Commercial |
$194.12
|
|
|
PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 93971
|
| Min. Negotiated Rate |
$13.21 |
| Max. Negotiated Rate |
$174.95 |
| Rate for Payer: Aetna Commercial |
$142.08
|
| Rate for Payer: Aetna Commercial |
$142.08
|
| Rate for Payer: Aetna Medicare |
$110.27
|
| Rate for Payer: Aetna Medicare |
$110.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.08
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS MAPPO |
$106.03
|
| Rate for Payer: BCBS MAPPO |
$106.03
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Medicare Advantage |
$106.03
|
| Rate for Payer: BCN Medicare Advantage |
$106.03
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$142.08
|
| Rate for Payer: Cofinity Commercial |
$152.68
|
| Rate for Payer: Cofinity Commercial |
$152.68
|
| Rate for Payer: Cofinity Commercial |
$142.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.33
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: Nomi Health Commercial |
$127.24
|
| Rate for Payer: Nomi Health Commercial |
$127.24
|
| Rate for Payer: PACE SWMI |
$106.03
|
| Rate for Payer: PACE SWMI |
$106.03
|
| Rate for Payer: PHP Commercial |
$148.44
|
| Rate for Payer: PHP Commercial |
$148.44
|
| Rate for Payer: PHP Medicare Advantage |
$106.03
|
| Rate for Payer: PHP Medicare Advantage |
$106.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.48
|
| Rate for Payer: Priority Health Medicare |
$106.03
|
| Rate for Payer: Priority Health Medicare |
$106.03
|
| Rate for Payer: Priority Health Narrow Network |
$161.48
|
| Rate for Payer: Priority Health Narrow Network |
$161.48
|
| Rate for Payer: Priority Health SBD |
$28.05
|
| Rate for Payer: Priority Health SBD |
$28.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.03
|
| Rate for Payer: UHC Medicare Advantage |
$106.03
|
| Rate for Payer: UHC Medicare Advantage |
$106.03
|
| Rate for Payer: UHCCP Medicaid |
$13.21
|
| Rate for Payer: UHCCP Medicaid |
$13.21
|
| Rate for Payer: UMR Bronson Commercial |
$128.34
|
| Rate for Payer: UMR Bronson Commercial |
$34.04
|
|
|
PR DURAL GRAFT SPINAL
|
Professional
|
Both
|
$5,092.00
|
|
|
Service Code
|
HCPCS 63710
|
| Min. Negotiated Rate |
$172.75 |
| Max. Negotiated Rate |
$3,309.80 |
| Rate for Payer: Aetna Commercial |
$1,421.75
|
| Rate for Payer: Aetna Medicare |
$1,103.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,421.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,527.85
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,061.01
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: BCN Commercial |
$1,749.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,061.01
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,527.85
|
| Rate for Payer: Cofinity Commercial |
$1,421.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,061.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,114.06
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Nomi Health Commercial |
$1,273.21
|
| Rate for Payer: PACE SWMI |
$1,061.01
|
| Rate for Payer: PHP Commercial |
$1,485.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,061.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,309.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,871.64
|
| Rate for Payer: Priority Health Medicare |
$1,061.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,871.64
|
| Rate for Payer: Priority Health SBD |
$1,871.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,061.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,061.01
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,342.32
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 92622
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$107.90 |
| Rate for Payer: Aetna Commercial |
$83.35
|
| Rate for Payer: Aetna Medicare |
$64.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.57
|
| Rate for Payer: BCBS Complete |
$66.40
|
| Rate for Payer: BCBS MAPPO |
$62.20
|
| Rate for Payer: BCN Medicare Advantage |
$62.20
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$83.35
|
| Rate for Payer: Cofinity Commercial |
$89.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.31
|
| Rate for Payer: Nomi Health Commercial |
$74.64
|
| Rate for Payer: PACE SWMI |
$62.20
|
| Rate for Payer: PHP Commercial |
$87.08
|
| Rate for Payer: PHP Medicare Advantage |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88.65
|
| Rate for Payer: Priority Health Medicare |
$62.20
|
| Rate for Payer: Priority Health Narrow Network |
$88.65
|
| Rate for Payer: Priority Health SBD |
$88.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.20
|
| Rate for Payer: UHC Medicare Advantage |
$62.20
|
| Rate for Payer: UMR Bronson Commercial |
$76.36
|
|
