|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 92623
|
| Min. Negotiated Rate |
$16.36 |
| Max. Negotiated Rate |
$27.95 |
| Rate for Payer: Aetna Commercial |
$21.92
|
| Rate for Payer: Aetna Medicare |
$17.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.92
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$16.36
|
| Rate for Payer: BCN Medicare Advantage |
$16.36
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$23.56
|
| Rate for Payer: Cofinity Commercial |
$21.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.18
|
| Rate for Payer: Nomi Health Commercial |
$19.63
|
| Rate for Payer: PACE SWMI |
$16.36
|
| Rate for Payer: PHP Commercial |
$22.90
|
| Rate for Payer: PHP Medicare Advantage |
$16.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23.52
|
| Rate for Payer: Priority Health Medicare |
$16.36
|
| Rate for Payer: Priority Health Narrow Network |
$23.52
|
| Rate for Payer: Priority Health SBD |
$23.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.36
|
| Rate for Payer: UHC Medicare Advantage |
$16.36
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
|
|
PR DYSPORT
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 00385
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$7.80 |
| Rate for Payer: Aetna Medicare |
$6.00
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
| Rate for Payer: UMR Bronson Commercial |
$5.52
|
|
|
PR EAR MOLD/INSERT
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS V5264
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$83.20 |
| Rate for Payer: Aetna Commercial |
$57.45
|
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.45
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: UMR Bronson Commercial |
$58.88
|
|
|
PR EAR PIERCING
|
Professional
|
Both
|
$71.00
|
|
|
Service Code
|
HCPCS 69090
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$248.83 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: Aetna Medicare |
$35.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.41
|
| Rate for Payer: BCBS Complete |
$28.40
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.24
|
| Rate for Payer: Priority Health Narrow Network |
$45.24
|
| Rate for Payer: Priority Health SBD |
$45.24
|
| Rate for Payer: UMR Bronson Commercial |
$32.66
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 93010
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$2,320.82 |
| Rate for Payer: Aetna Commercial |
$10.25
|
| Rate for Payer: Aetna Medicare |
$7.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.02
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$7.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,320.82
|
| Rate for Payer: BCN Commercial |
$9.43
|
| Rate for Payer: BCN Medicare Advantage |
$7.65
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$11.02
|
| Rate for Payer: Cofinity Commercial |
$10.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.03
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$9.18
|
| Rate for Payer: PACE SWMI |
$7.65
|
| Rate for Payer: PHP Commercial |
$10.71
|
| Rate for Payer: PHP Medicare Advantage |
$7.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.30
|
| Rate for Payer: Priority Health Medicare |
$7.65
|
| Rate for Payer: Priority Health Narrow Network |
$11.30
|
| Rate for Payer: Priority Health SBD |
$11.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.65
|
| Rate for Payer: UHC Medicare Advantage |
$7.65
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UMR Bronson Commercial |
$10.58
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 93005
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$1,832.67 |
| Rate for Payer: Aetna Commercial |
$7.61
|
| Rate for Payer: Aetna Medicare |
$5.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.18
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$5.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,832.67
|
| Rate for Payer: BCN Commercial |
$7.46
|
| Rate for Payer: BCN Medicare Advantage |
$5.68
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$7.61
|
| Rate for Payer: Cofinity Commercial |
$8.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.96
|
| Rate for Payer: Nomi Health Commercial |
$6.82
|
| Rate for Payer: PACE SWMI |
$5.68
|
| Rate for Payer: PHP Commercial |
$7.95
|
| Rate for Payer: PHP Medicare Advantage |
$5.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.94
|
| Rate for Payer: Priority Health Medicare |
$5.68
|
| Rate for Payer: Priority Health Narrow Network |
$8.94
|
| Rate for Payer: Priority Health SBD |
$8.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.68
|
| Rate for Payer: UHC Medicare Advantage |
$5.68
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 93000
|
| Min. Negotiated Rate |
$13.33 |
| Max. Negotiated Rate |
$1,966.86 |
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.20
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS MAPPO |
$13.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,966.86
|
| Rate for Payer: BCN Commercial |
$16.88
|
| Rate for Payer: BCN Medicare Advantage |
$13.33
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$17.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.00
|
| Rate for Payer: Nomi Health Commercial |
$16.00
|
| Rate for Payer: PACE SWMI |
$13.33
|
| Rate for Payer: PHP Commercial |
$18.66
|
| Rate for Payer: PHP Medicare Advantage |
$13.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.24
|
| Rate for Payer: Priority Health Medicare |
$13.33
|
| Rate for Payer: Priority Health Narrow Network |
$20.24
|
| Rate for Payer: Priority Health SBD |
$20.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.33
|
| Rate for Payer: UHC Medicare Advantage |
$13.33
|
| Rate for Payer: UMR Bronson Commercial |
$36.34
|
|
|
PR ECHO GUIDANCE RADIOTHERAPY
|
Professional
|
Both
|
$383.00
|
|
|
Service Code
|
HCPCS G6001
|
| Min. Negotiated Rate |
$20.24 |
| Max. Negotiated Rate |
$277.16 |
| Rate for Payer: Aetna Commercial |
$212.26
|
| Rate for Payer: Aetna Medicare |
$164.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.10
|
| Rate for Payer: BCBS Complete |
$21.25
|
| Rate for Payer: BCBS MAPPO |
$158.40
|
| Rate for Payer: BCN Commercial |
$263.39
|
| Rate for Payer: BCN Medicare Advantage |
$158.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cofinity Commercial |
$212.26
|
| Rate for Payer: Cofinity Commercial |
$228.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.32
|
| Rate for Payer: Meridian Medicaid |
$21.25
|
| Rate for Payer: Nomi Health Commercial |
$190.08
|
| Rate for Payer: PACE SWMI |
$158.40
|
| Rate for Payer: PHP Commercial |
$221.76
|
| Rate for Payer: PHP Medicare Advantage |
$158.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.16
|
| Rate for Payer: Priority Health Medicare |
$158.40
|
| Rate for Payer: Priority Health Narrow Network |
$277.16
|
| Rate for Payer: Priority Health SBD |
$48.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.40
|
| Rate for Payer: UHC Medicare Advantage |
$158.40
|
| Rate for Payer: UHCCP Medicaid |
$20.24
|
| Rate for Payer: UMR Bronson Commercial |
$176.18
|
|
|
PR ECHO R-T 2D W/PROBE PLACEMENT ONLY
|
Professional
|
Both
|
$761.00
|
|
|
Service Code
|
HCPCS 93313
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$1,750.26 |
| Rate for Payer: Aetna Commercial |
$14.26
|
| Rate for Payer: Aetna Medicare |
$11.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.32
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$10.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.26
|
| Rate for Payer: BCN Commercial |
$16.12
|
| Rate for Payer: BCN Medicare Advantage |
$10.64
|
| Rate for Payer: Cash Price |
$608.80
|
| Rate for Payer: Cash Price |
$608.80
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$15.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.17
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Nomi Health Commercial |
$12.77
|
| Rate for Payer: PACE SWMI |
$10.64
|
| Rate for Payer: PHP Commercial |
$14.90
|
| Rate for Payer: PHP Medicare Advantage |
$10.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.53
|
| Rate for Payer: Priority Health Medicare |
$10.64
|
| Rate for Payer: Priority Health Narrow Network |
$15.53
|
| Rate for Payer: Priority Health SBD |
$15.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.64
|
| Rate for Payer: UHC Medicare Advantage |
$10.64
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
| Rate for Payer: UMR Bronson Commercial |
$350.06
|
|
|
PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN
|
Professional
|
Both
|
$461.00
|
|
|
Service Code
|
HCPCS 93355
|
| Min. Negotiated Rate |
$140.58 |
| Max. Negotiated Rate |
$1,372.52 |
| Rate for Payer: Aetna Commercial |
$282.34
|
| Rate for Payer: Aetna Medicare |
$219.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$303.41
|
| Rate for Payer: BCBS Complete |
$147.61
|
| Rate for Payer: BCBS MAPPO |
$210.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,372.52
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$210.70
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cofinity Commercial |
$303.41
|
| Rate for Payer: Cofinity Commercial |
$282.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.24
|
| Rate for Payer: Meridian Medicaid |
$147.61
|
| Rate for Payer: Nomi Health Commercial |
$252.84
|
| Rate for Payer: PACE SWMI |
$210.70
|
| Rate for Payer: PHP Commercial |
$294.98
|
| Rate for Payer: PHP Medicare Advantage |
$210.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$309.81
|
| Rate for Payer: Priority Health Medicare |
$210.70
|
| Rate for Payer: Priority Health Narrow Network |
$309.81
|
| Rate for Payer: Priority Health SBD |
$309.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$210.70
|
| Rate for Payer: UHC Medicare Advantage |
$210.70
|
| Rate for Payer: UHCCP Medicaid |
$140.58
|
| Rate for Payer: UMR Bronson Commercial |
$212.06
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Facility
|
IP
|
$592.00
|
|
|
Service Code
|
CPT 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$260.48 |
| Max. Negotiated Rate |
$532.80 |
| Rate for Payer: Aetna American Axle |
$384.80
|
| Rate for Payer: Aetna Commercial |
$503.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.80
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$414.40
|
| Rate for Payer: Cofinity Commercial |
$509.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$414.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$473.60
|
| Rate for Payer: Healthscope Commercial |
$532.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$414.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$444.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$503.20
|
| Rate for Payer: PHP Commercial |
$503.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health SBD |
$372.96
|
| Rate for Payer: UMR Bronson Commercial |
$260.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$444.00
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 93315
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,889.20 |
| Rate for Payer: Aetna Commercial |
$637.15
|
| Rate for Payer: Aetna Medicare |
$296.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$637.15
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,889.20
|
| Rate for Payer: BCN Commercial |
$646.21
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$347.47
|
| Rate for Payer: Priority Health Narrow Network |
$347.47
|
| Rate for Payer: Priority Health SBD |
$173.74
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
| Rate for Payer: UMR Bronson Commercial |
$272.32
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,889.20 |
| Rate for Payer: Aetna Commercial |
$637.15
|
| Rate for Payer: Aetna Medicare |
$296.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$637.15
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,889.20
|
| Rate for Payer: BCN Commercial |
$646.21
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$347.47
|
| Rate for Payer: Priority Health Narrow Network |
$347.47
|
| Rate for Payer: Priority Health SBD |
$173.74
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
| Rate for Payer: UMR Bronson Commercial |
$272.32
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R
|
Facility
|
OP
|
$592.00
|
|
|
Service Code
|
CPT 93315
|
| Hospital Charge Code |
93315
|
| Min. Negotiated Rate |
$219.04 |
| Max. Negotiated Rate |
$1,688.45 |
| Rate for Payer: BCBS Complete |
$302.34
|
| Rate for Payer: Aetna American Axle |
$384.80
|
| Rate for Payer: Aetna Commercial |
$503.20
|
| Rate for Payer: Aetna Medicare |
$558.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.51
|
| Rate for Payer: BCBS MAPPO |
$537.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,391.03
|
| Rate for Payer: BCN Commercial |
$1,391.03
|
| Rate for Payer: BCN Medicare Advantage |
$537.21
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$509.12
|
| Rate for Payer: Cofinity Commercial |
$414.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$414.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$473.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.21
|
| Rate for Payer: Healthscope Commercial |
$532.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$414.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$444.00
|
| Rate for Payer: Mclaren Medicaid |
$287.94
|
| Rate for Payer: Mclaren Medicare |
$537.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.07
|
| Rate for Payer: Meridian Medicaid |
$302.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$617.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$503.20
|
| Rate for Payer: Nomi Health Commercial |
$1,611.63
|
| Rate for Payer: PACE Medicare |
$510.35
|
| Rate for Payer: PACE SWMI |
$537.21
|
| Rate for Payer: PHP Commercial |
$503.20
|
| Rate for Payer: PHP Medicare Advantage |
$537.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,688.45
|
| Rate for Payer: Priority Health Medicare |
$537.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,350.76
|
| Rate for Payer: Priority Health SBD |
$372.96
|
| Rate for Payer: Railroad Medicare Medicare |
$537.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,512.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$537.21
|
| Rate for Payer: UHC Exchange |
$1,026.66
|
| Rate for Payer: UHC Medicare Advantage |
$537.21
|
| Rate for Payer: UHCCP Medicaid |
$287.94
|
| Rate for Payer: UMR Bronson Commercial |
$219.04
|
| Rate for Payer: VA VA |
$537.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$444.00
|
|
|
PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 93316
|
| Min. Negotiated Rate |
$15.98 |
| Max. Negotiated Rate |
$1,443.32 |
| Rate for Payer: Aetna Commercial |
$32.39
|
| Rate for Payer: Aetna Medicare |
$25.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.80
|
| Rate for Payer: BCBS Complete |
$16.78
|
| Rate for Payer: BCBS MAPPO |
$24.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,443.32
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: BCN Medicare Advantage |
$24.17
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cofinity Commercial |
$32.39
|
| Rate for Payer: Cofinity Commercial |
$34.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.38
|
| Rate for Payer: Meridian Medicaid |
$16.78
|
| Rate for Payer: Nomi Health Commercial |
$29.00
|
| Rate for Payer: PACE SWMI |
$24.17
|
| Rate for Payer: PHP Commercial |
$33.84
|
| Rate for Payer: PHP Medicare Advantage |
$24.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.79
|
| Rate for Payer: Priority Health Medicare |
$24.17
|
| Rate for Payer: Priority Health Narrow Network |
$35.79
|
| Rate for Payer: Priority Health SBD |
$35.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.17
|
| Rate for Payer: UHC Medicare Advantage |
$24.17
|
| Rate for Payer: UHCCP Medicaid |
$15.98
|
| Rate for Payer: UMR Bronson Commercial |
$69.46
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Professional
|
Both
|
$302.00
|
|
|
Service Code
|
HCPCS 93317
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$315.68 |
| Rate for Payer: Aetna Commercial |
$233.32
|
| Rate for Payer: Aetna Medicare |
$151.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.32
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCN Commercial |
$315.68
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.01
|
| Rate for Payer: Priority Health Narrow Network |
$242.01
|
| Rate for Payer: Priority Health SBD |
$121.01
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
| Rate for Payer: UMR Bronson Commercial |
$138.92
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Professional
|
Both
|
$302.00
|
|
|
Service Code
|
HCPCS 93317
|
| Hospital Charge Code |
93317
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$315.68 |
| Rate for Payer: Aetna Commercial |
$233.32
|
| Rate for Payer: Aetna Medicare |
$151.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.32
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCN Commercial |
$315.68
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.01
|
| Rate for Payer: Priority Health Narrow Network |
$242.01
|
| Rate for Payer: Priority Health SBD |
$121.01
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
| Rate for Payer: UMR Bronson Commercial |
$138.92
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Facility
|
IP
|
$302.00
|
|
|
Service Code
|
CPT 93317
|
| Hospital Charge Code |
93317
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$132.88 |
| Max. Negotiated Rate |
$271.80 |
| Rate for Payer: Aetna American Axle |
$196.30
|
| Rate for Payer: Aetna Commercial |
$256.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.30
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cofinity Commercial |
$211.40
|
| Rate for Payer: Cofinity Commercial |
$259.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$211.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$241.60
|
| Rate for Payer: Healthscope Commercial |
$271.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256.70
|
| Rate for Payer: PHP Commercial |
$256.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health SBD |
$190.26
|
| Rate for Payer: UMR Bronson Commercial |
$132.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.50
|
|
|
PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT
|
Facility
|
OP
|
$302.00
|
|
|
Service Code
|
CPT 93317
|
| Hospital Charge Code |
93317
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$111.74 |
| Max. Negotiated Rate |
$816.00 |
| Rate for Payer: Aetna American Axle |
$196.30
|
| Rate for Payer: Aetna Commercial |
$256.70
|
| Rate for Payer: Aetna Medicare |
$151.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.30
|
| Rate for Payer: BCBS Complete |
$120.80
|
| Rate for Payer: BCBS Trust/PPO |
$544.05
|
| Rate for Payer: BCN Commercial |
$544.05
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cofinity Commercial |
$259.72
|
| Rate for Payer: Cofinity Commercial |
$211.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$211.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$241.60
|
| Rate for Payer: Healthscope Commercial |
$271.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$211.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$226.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256.70
|
| Rate for Payer: PHP Commercial |
$256.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health SBD |
$190.26
|
| Rate for Payer: UHC Core |
$816.00
|
| Rate for Payer: UMR Bronson Commercial |
$111.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$226.50
|
|
|
PR ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ
|
Professional
|
Both
|
$463.00
|
|
|
Service Code
|
HCPCS 93318
|
| Min. Negotiated Rate |
$63.90 |
| Max. Negotiated Rate |
$2,220.97 |
| Rate for Payer: Aetna Commercial |
$630.42
|
| Rate for Payer: Aetna Medicare |
$231.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$630.42
|
| Rate for Payer: BCBS Complete |
$67.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,220.97
|
| Rate for Payer: BCN Commercial |
$611.51
|
| Rate for Payer: Cash Price |
$370.40
|
| Rate for Payer: Cash Price |
$370.40
|
| Rate for Payer: Meridian Medicaid |
$67.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$279.68
|
| Rate for Payer: Priority Health Narrow Network |
$279.68
|
| Rate for Payer: Priority Health SBD |
$139.83
|
| Rate for Payer: UHCCP Medicaid |
$63.90
|
| Rate for Payer: UMR Bronson Commercial |
$212.98
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Facility
|
OP
|
$555.00
|
|
|
Service Code
|
CPT 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$205.35 |
| Max. Negotiated Rate |
$1,688.45 |
| Rate for Payer: Aetna American Axle |
$360.75
|
| Rate for Payer: Aetna Commercial |
$471.75
|
| Rate for Payer: Aetna Medicare |
$558.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$671.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$671.51
|
| Rate for Payer: BCBS Complete |
$302.34
|
| Rate for Payer: BCBS MAPPO |
$537.21
|
| Rate for Payer: BCBS Trust/PPO |
$556.75
|
| Rate for Payer: BCN Commercial |
$556.75
|
| Rate for Payer: BCN Medicare Advantage |
$537.21
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cofinity Commercial |
$477.30
|
| Rate for Payer: Cofinity Commercial |
$388.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$388.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.21
|
| Rate for Payer: Healthscope Commercial |
$499.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$388.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$416.25
|
| Rate for Payer: Mclaren Medicaid |
$287.94
|
| Rate for Payer: Mclaren Medicare |
$537.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.07
|
| Rate for Payer: Meridian Medicaid |
$302.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$617.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$471.75
|
| Rate for Payer: Nomi Health Commercial |
$1,611.63
|
| Rate for Payer: PACE Medicare |
$510.35
|
| Rate for Payer: PACE SWMI |
$537.21
|
| Rate for Payer: PHP Commercial |
$471.75
|
| Rate for Payer: PHP Medicare Advantage |
$537.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,688.45
|
| Rate for Payer: Priority Health Medicare |
$537.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,350.76
|
| Rate for Payer: Priority Health SBD |
$349.65
|
| Rate for Payer: Railroad Medicare Medicare |
$537.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$537.21
|
| Rate for Payer: UHC Exchange |
$218.25
|
| Rate for Payer: UHC Medicare Advantage |
$537.21
|
| Rate for Payer: UHCCP Medicaid |
$287.94
|
| Rate for Payer: UMR Bronson Commercial |
$205.35
|
| Rate for Payer: VA VA |
$537.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$416.25
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Facility
|
IP
|
$555.00
|
|
|
Service Code
|
CPT 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$244.20 |
| Max. Negotiated Rate |
$499.50 |
| Rate for Payer: Aetna American Axle |
$360.75
|
| Rate for Payer: Aetna Commercial |
$471.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.75
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cofinity Commercial |
$388.50
|
| Rate for Payer: Cofinity Commercial |
$477.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$388.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$444.00
|
| Rate for Payer: Healthscope Commercial |
$499.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$388.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$416.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$471.75
|
| Rate for Payer: PHP Commercial |
$471.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.75
|
| Rate for Payer: Priority Health SBD |
$349.65
|
| Rate for Payer: UMR Bronson Commercial |
$244.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$416.25
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Professional
|
Both
|
$555.00
|
|
|
Service Code
|
HCPCS 93312
|
| Hospital Charge Code |
93312
|
| Min. Negotiated Rate |
$66.46 |
| Max. Negotiated Rate |
$1,669.96 |
| Rate for Payer: Aetna Commercial |
$285.23
|
| Rate for Payer: Aetna Medicare |
$221.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.52
|
| Rate for Payer: BCBS Complete |
$69.78
|
| Rate for Payer: BCBS MAPPO |
$212.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,669.96
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$212.86
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cofinity Commercial |
$306.52
|
| Rate for Payer: Cofinity Commercial |
$285.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.50
|
| Rate for Payer: Meridian Medicaid |
$69.78
|
| Rate for Payer: Nomi Health Commercial |
$255.43
|
| Rate for Payer: PACE SWMI |
$212.86
|
| Rate for Payer: PHP Commercial |
$298.00
|
| Rate for Payer: PHP Medicare Advantage |
$212.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.41
|
| Rate for Payer: Priority Health Medicare |
$212.86
|
| Rate for Payer: Priority Health Narrow Network |
$332.41
|
| Rate for Payer: Priority Health SBD |
$146.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.86
|
| Rate for Payer: UHC Medicare Advantage |
$212.86
|
| Rate for Payer: UHCCP Medicaid |
$66.46
|
| Rate for Payer: UMR Bronson Commercial |
$255.30
|
|
|
PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R
|
Professional
|
Both
|
$555.00
|
|
|
Service Code
|
HCPCS 93312
|
| Min. Negotiated Rate |
$66.46 |
| Max. Negotiated Rate |
$1,669.96 |
| Rate for Payer: Aetna Commercial |
$285.23
|
| Rate for Payer: Aetna Medicare |
$221.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.52
|
| Rate for Payer: BCBS Complete |
$69.78
|
| Rate for Payer: BCBS MAPPO |
$212.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,669.96
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$212.86
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cofinity Commercial |
$306.52
|
| Rate for Payer: Cofinity Commercial |
$285.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.50
|
| Rate for Payer: Meridian Medicaid |
$69.78
|
| Rate for Payer: Nomi Health Commercial |
$255.43
|
| Rate for Payer: PACE SWMI |
$212.86
|
| Rate for Payer: PHP Commercial |
$298.00
|
| Rate for Payer: PHP Medicare Advantage |
$212.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.41
|
| Rate for Payer: Priority Health Medicare |
$212.86
|
| Rate for Payer: Priority Health Narrow Network |
$332.41
|
| Rate for Payer: Priority Health SBD |
$146.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.86
|
| Rate for Payer: UHC Medicare Advantage |
$212.86
|
| Rate for Payer: UHCCP Medicaid |
$66.46
|
| Rate for Payer: UMR Bronson Commercial |
$255.30
|
|
|
PR ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP
|
Professional
|
Both
|
$492.00
|
|
|
Service Code
|
HCPCS 93307
|
| Min. Negotiated Rate |
$27.26 |
| Max. Negotiated Rate |
$1,789.88 |
| Rate for Payer: Aetna Commercial |
$164.04
|
| Rate for Payer: Aetna Commercial |
$164.04
|
| Rate for Payer: Aetna Medicare |
$127.32
|
| Rate for Payer: Aetna Medicare |
$127.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$176.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$176.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.04
|
| Rate for Payer: BCBS Complete |
$28.62
|
| Rate for Payer: BCBS Complete |
$28.62
|
| Rate for Payer: BCBS MAPPO |
$122.42
|
| Rate for Payer: BCBS MAPPO |
$122.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
| Rate for Payer: BCN Commercial |
$199.86
|
| Rate for Payer: BCN Commercial |
$199.86
|
| Rate for Payer: BCN Medicare Advantage |
$122.42
|
| Rate for Payer: BCN Medicare Advantage |
$122.42
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cofinity Commercial |
$164.04
|
| Rate for Payer: Cofinity Commercial |
$176.28
|
| Rate for Payer: Cofinity Commercial |
$176.28
|
| Rate for Payer: Cofinity Commercial |
$164.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.54
|
| Rate for Payer: Meridian Medicaid |
$28.62
|
| Rate for Payer: Meridian Medicaid |
$28.62
|
| Rate for Payer: Nomi Health Commercial |
$146.90
|
| Rate for Payer: Nomi Health Commercial |
$146.90
|
| Rate for Payer: PACE SWMI |
$122.42
|
| Rate for Payer: PACE SWMI |
$122.42
|
| Rate for Payer: PHP Commercial |
$171.39
|
| Rate for Payer: PHP Commercial |
$171.39
|
| Rate for Payer: PHP Medicare Advantage |
$122.42
|
| Rate for Payer: PHP Medicare Advantage |
$122.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$220.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$319.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$192.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$192.58
|
| Rate for Payer: Priority Health Medicare |
$122.42
|
| Rate for Payer: Priority Health Medicare |
$122.42
|
| Rate for Payer: Priority Health Narrow Network |
$192.58
|
| Rate for Payer: Priority Health Narrow Network |
$192.58
|
| Rate for Payer: Priority Health SBD |
$59.80
|
| Rate for Payer: Priority Health SBD |
$59.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$122.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$122.42
|
| Rate for Payer: UHC Medicare Advantage |
$122.42
|
| Rate for Payer: UHC Medicare Advantage |
$122.42
|
| Rate for Payer: UHCCP Medicaid |
$27.26
|
| Rate for Payer: UHCCP Medicaid |
$27.26
|
| Rate for Payer: UMR Bronson Commercial |
$155.94
|
| Rate for Payer: UMR Bronson Commercial |
$226.32
|
|
