|
PR EPISIOTOMY/VAG RPR OTH/THN ATTENDING
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 59300
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$439.02 |
| Rate for Payer: Aetna Commercial |
$192.80
|
| Rate for Payer: Aetna Medicare |
$149.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.19
|
| Rate for Payer: BCBS Complete |
$99.30
|
| Rate for Payer: BCBS MAPPO |
$143.88
|
| Rate for Payer: BCBS Trust/PPO |
$439.02
|
| Rate for Payer: BCN Commercial |
$340.61
|
| Rate for Payer: BCN Medicare Advantage |
$143.88
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cofinity Commercial |
$192.80
|
| Rate for Payer: Cofinity Commercial |
$207.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.07
|
| Rate for Payer: Meridian Medicaid |
$99.30
|
| Rate for Payer: Nomi Health Commercial |
$172.66
|
| Rate for Payer: PACE SWMI |
$143.88
|
| Rate for Payer: PHP Commercial |
$201.43
|
| Rate for Payer: PHP Medicare Advantage |
$143.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$207.26
|
| Rate for Payer: Priority Health Medicare |
$143.88
|
| Rate for Payer: Priority Health Narrow Network |
$207.26
|
| Rate for Payer: Priority Health SBD |
$207.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.88
|
| Rate for Payer: UHC Medicare Advantage |
$143.88
|
| Rate for Payer: UHCCP Medicaid |
$94.57
|
| Rate for Payer: UMR Bronson Commercial |
$175.26
|
|
|
PR EPOETIN ALFA, NON-ESRD
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS J0885
|
| Min. Negotiated Rate |
$6.02 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Aetna Commercial |
$10.29
|
| Rate for Payer: Aetna Medicare |
$7.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.05
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS MAPPO |
$7.68
|
| Rate for Payer: BCBS Trust/PPO |
$6.75
|
| Rate for Payer: BCN Commercial |
$6.02
|
| Rate for Payer: BCN Medicare Advantage |
$7.68
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$11.05
|
| Rate for Payer: Cofinity Commercial |
$10.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.06
|
| Rate for Payer: Nomi Health Commercial |
$9.21
|
| Rate for Payer: PACE SWMI |
$7.68
|
| Rate for Payer: PHP Commercial |
$10.75
|
| Rate for Payer: PHP Medicare Advantage |
$7.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Medicare |
$7.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.68
|
| Rate for Payer: UHC Medicare Advantage |
$7.68
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
PR ERCP,ABLATION TUMOR
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 43272
|
| Min. Negotiated Rate |
$662.00 |
| Max. Negotiated Rate |
$1,075.75 |
| Rate for Payer: Aetna Medicare |
$827.50
|
| Rate for Payer: BCBS Complete |
$662.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,075.75
|
| Rate for Payer: UMR Bronson Commercial |
$761.30
|
|
|
PR ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS 43277
|
| Min. Negotiated Rate |
$237.50 |
| Max. Negotiated Rate |
$947.77 |
| Rate for Payer: Aetna Commercial |
$476.09
|
| Rate for Payer: Aetna Medicare |
$369.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$476.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$511.62
|
| Rate for Payer: BCBS Complete |
$249.38
|
| Rate for Payer: BCBS MAPPO |
$355.29
|
| Rate for Payer: BCBS Trust/PPO |
$947.77
|
| Rate for Payer: BCN Commercial |
$540.97
|
| Rate for Payer: BCN Medicare Advantage |
$355.29
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$476.09
|
| Rate for Payer: Cofinity Commercial |
$511.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.05
|
| Rate for Payer: Meridian Medicaid |
$249.38
|
| Rate for Payer: Nomi Health Commercial |
$426.35
|
| Rate for Payer: PACE SWMI |
$355.29
|
| Rate for Payer: PHP Commercial |
$497.41
|
| Rate for Payer: PHP Medicare Advantage |
$355.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$664.01
|
| Rate for Payer: Priority Health Medicare |
$355.29
|
| Rate for Payer: Priority Health Narrow Network |
$664.01
|
| Rate for Payer: Priority Health SBD |
$664.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.29
|
| Rate for Payer: UHC Medicare Advantage |
$355.29
|
| Rate for Payer: UHCCP Medicaid |
$237.50
|
| Rate for Payer: UMR Bronson Commercial |
$545.10
|
|
|
PR ERCP,BALLOON DIL DUCTS
|
Professional
|
Both
|
$1,672.00
|
|
|
Service Code
|
HCPCS 43271
|
| Min. Negotiated Rate |
$668.80 |
| Max. Negotiated Rate |
$1,086.80 |
| Rate for Payer: Aetna Medicare |
$836.00
|
| Rate for Payer: BCBS Complete |
$668.80
|
| Rate for Payer: Cash Price |
$1,337.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,086.80
|
| Rate for Payer: UMR Bronson Commercial |
$769.12
|
|
|
PR ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE
|
Professional
|
Both
|
$1,487.00
|
|
|
Service Code
|
HCPCS 43276
|
| Min. Negotiated Rate |
$301.82 |
| Max. Negotiated Rate |
$966.55 |
| Rate for Payer: Aetna Commercial |
$605.32
|
| Rate for Payer: Aetna Medicare |
$469.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.49
|
| Rate for Payer: BCBS Complete |
$316.91
|
| Rate for Payer: BCBS MAPPO |
$451.73
|
| Rate for Payer: BCBS Trust/PPO |
$841.58
|
| Rate for Payer: BCN Commercial |
$688.54
|
| Rate for Payer: BCN Medicare Advantage |
$451.73
|
| Rate for Payer: Cash Price |
$1,189.60
|
| Rate for Payer: Cash Price |
$1,189.60
|
| Rate for Payer: Cofinity Commercial |
$650.49
|
| Rate for Payer: Cofinity Commercial |
$605.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$474.32
|
| Rate for Payer: Meridian Medicaid |
$316.91
|
| Rate for Payer: Nomi Health Commercial |
$542.08
|
| Rate for Payer: PACE SWMI |
$451.73
|
| Rate for Payer: PHP Commercial |
$632.42
|
| Rate for Payer: PHP Medicare Advantage |
$451.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$966.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$845.37
|
| Rate for Payer: Priority Health Medicare |
$451.73
|
| Rate for Payer: Priority Health Narrow Network |
$845.37
|
| Rate for Payer: Priority Health SBD |
$845.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$451.73
|
| Rate for Payer: UHC Medicare Advantage |
$451.73
|
| Rate for Payer: UHCCP Medicaid |
$301.82
|
| Rate for Payer: UMR Bronson Commercial |
$684.02
|
|
|
PR ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD
|
Professional
|
Both
|
$1,905.00
|
|
|
Service Code
|
HCPCS 43265
|
| Min. Negotiated Rate |
$271.15 |
| Max. Negotiated Rate |
$1,693.20 |
| Rate for Payer: Aetna Commercial |
$543.58
|
| Rate for Payer: Aetna Medicare |
$421.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$543.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$584.15
|
| Rate for Payer: BCBS Complete |
$284.71
|
| Rate for Payer: BCBS MAPPO |
$405.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,693.20
|
| Rate for Payer: BCN Commercial |
$618.67
|
| Rate for Payer: BCN Medicare Advantage |
$405.66
|
| Rate for Payer: Cash Price |
$1,524.00
|
| Rate for Payer: Cash Price |
$1,524.00
|
| Rate for Payer: Cofinity Commercial |
$543.58
|
| Rate for Payer: Cofinity Commercial |
$584.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.94
|
| Rate for Payer: Meridian Medicaid |
$284.71
|
| Rate for Payer: Nomi Health Commercial |
$486.79
|
| Rate for Payer: PACE SWMI |
$405.66
|
| Rate for Payer: PHP Commercial |
$567.92
|
| Rate for Payer: PHP Medicare Advantage |
$405.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,238.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$760.06
|
| Rate for Payer: Priority Health Medicare |
$405.66
|
| Rate for Payer: Priority Health Narrow Network |
$760.06
|
| Rate for Payer: Priority Health SBD |
$760.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.66
|
| Rate for Payer: UHC Medicare Advantage |
$405.66
|
| Rate for Payer: UHCCP Medicaid |
$271.15
|
| Rate for Payer: UMR Bronson Commercial |
$876.30
|
|
|
PR ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING
|
Professional
|
Both
|
$1,104.00
|
|
|
Service Code
|
HCPCS 43260
|
| Min. Negotiated Rate |
$202.56 |
| Max. Negotiated Rate |
$949.92 |
| Rate for Payer: Aetna Commercial |
$405.93
|
| Rate for Payer: Aetna Medicare |
$315.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$405.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.22
|
| Rate for Payer: BCBS Complete |
$212.69
|
| Rate for Payer: BCBS MAPPO |
$302.93
|
| Rate for Payer: BCBS Trust/PPO |
$949.92
|
| Rate for Payer: BCN Commercial |
$460.83
|
| Rate for Payer: BCN Medicare Advantage |
$302.93
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cofinity Commercial |
$405.93
|
| Rate for Payer: Cofinity Commercial |
$436.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$302.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.08
|
| Rate for Payer: Meridian Medicaid |
$212.69
|
| Rate for Payer: Nomi Health Commercial |
$363.52
|
| Rate for Payer: PACE SWMI |
$302.93
|
| Rate for Payer: PHP Commercial |
$424.10
|
| Rate for Payer: PHP Medicare Advantage |
$302.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$566.76
|
| Rate for Payer: Priority Health Medicare |
$302.93
|
| Rate for Payer: Priority Health Narrow Network |
$566.76
|
| Rate for Payer: Priority Health SBD |
$566.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$302.93
|
| Rate for Payer: UHC Medicare Advantage |
$302.93
|
| Rate for Payer: UHCCP Medicaid |
$202.56
|
| Rate for Payer: UMR Bronson Commercial |
$507.84
|
|
|
PR ERCP,INSERT STENT,BILIARY/PANC
|
Professional
|
Both
|
$1,705.00
|
|
|
Service Code
|
HCPCS 43268
|
| Min. Negotiated Rate |
$682.00 |
| Max. Negotiated Rate |
$1,108.25 |
| Rate for Payer: Aetna Medicare |
$852.50
|
| Rate for Payer: BCBS Complete |
$682.00
|
| Rate for Payer: Cash Price |
$1,364.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,108.25
|
| Rate for Payer: UMR Bronson Commercial |
$784.30
|
|
|
PR ERCP,NASOBILIARY DRAIN TUBE
|
Professional
|
Both
|
$1,649.00
|
|
|
Service Code
|
HCPCS 43267
|
| Min. Negotiated Rate |
$659.60 |
| Max. Negotiated Rate |
$1,071.85 |
| Rate for Payer: Aetna Medicare |
$824.50
|
| Rate for Payer: BCBS Complete |
$659.60
|
| Rate for Payer: Cash Price |
$1,319.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.85
|
| Rate for Payer: UMR Bronson Commercial |
$758.54
|
|
|
PR ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 43264
|
| Min. Negotiated Rate |
$216.92 |
| Max. Negotiated Rate |
$1,195.35 |
| Rate for Payer: Aetna Commercial |
$458.63
|
| Rate for Payer: Aetna Medicare |
$355.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$458.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.85
|
| Rate for Payer: BCBS Complete |
$240.20
|
| Rate for Payer: BCBS MAPPO |
$342.26
|
| Rate for Payer: BCBS Trust/PPO |
$216.92
|
| Rate for Payer: BCN Commercial |
$520.44
|
| Rate for Payer: BCN Medicare Advantage |
$342.26
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cofinity Commercial |
$458.63
|
| Rate for Payer: Cofinity Commercial |
$492.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.37
|
| Rate for Payer: Meridian Medicaid |
$240.20
|
| Rate for Payer: Nomi Health Commercial |
$410.71
|
| Rate for Payer: PACE SWMI |
$342.26
|
| Rate for Payer: PHP Commercial |
$479.16
|
| Rate for Payer: PHP Medicare Advantage |
$342.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,195.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.95
|
| Rate for Payer: Priority Health Medicare |
$342.26
|
| Rate for Payer: Priority Health Narrow Network |
$638.95
|
| Rate for Payer: Priority Health SBD |
$638.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.26
|
| Rate for Payer: UHC Medicare Advantage |
$342.26
|
| Rate for Payer: UHCCP Medicaid |
$228.76
|
| Rate for Payer: UMR Bronson Commercial |
$845.94
|
|
|
PR ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT
|
Professional
|
Both
|
$818.00
|
|
|
Service Code
|
HCPCS 43275
|
| Min. Negotiated Rate |
$236.22 |
| Max. Negotiated Rate |
$933.51 |
| Rate for Payer: Aetna Commercial |
$473.57
|
| Rate for Payer: Aetna Medicare |
$367.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.91
|
| Rate for Payer: BCBS Complete |
$248.03
|
| Rate for Payer: BCBS MAPPO |
$353.41
|
| Rate for Payer: BCBS Trust/PPO |
$933.51
|
| Rate for Payer: BCN Commercial |
$537.55
|
| Rate for Payer: BCN Medicare Advantage |
$353.41
|
| Rate for Payer: Cash Price |
$654.40
|
| Rate for Payer: Cash Price |
$654.40
|
| Rate for Payer: Cofinity Commercial |
$473.57
|
| Rate for Payer: Cofinity Commercial |
$508.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$371.08
|
| Rate for Payer: Meridian Medicaid |
$248.03
|
| Rate for Payer: Nomi Health Commercial |
$424.09
|
| Rate for Payer: PACE SWMI |
$353.41
|
| Rate for Payer: PHP Commercial |
$494.77
|
| Rate for Payer: PHP Medicare Advantage |
$353.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$531.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$660.42
|
| Rate for Payer: Priority Health Medicare |
$353.41
|
| Rate for Payer: Priority Health Narrow Network |
$660.42
|
| Rate for Payer: Priority Health SBD |
$660.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$353.41
|
| Rate for Payer: UHC Medicare Advantage |
$353.41
|
| Rate for Payer: UHCCP Medicaid |
$236.22
|
| Rate for Payer: UMR Bronson Commercial |
$376.28
|
|
|
PR ERCP,RMV F.B./CHANGE STENT
|
Professional
|
Both
|
$1,693.00
|
|
|
Service Code
|
HCPCS 43269
|
| Min. Negotiated Rate |
$677.20 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Medicare |
$846.50
|
| Rate for Payer: BCBS Complete |
$677.20
|
| Rate for Payer: Cash Price |
$1,354.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,100.45
|
| Rate for Payer: UMR Bronson Commercial |
$778.78
|
|
|
PR ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT
|
Professional
|
Both
|
$1,429.00
|
|
|
Service Code
|
HCPCS 43274
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$928.85 |
| Rate for Payer: Aetna Commercial |
$581.88
|
| Rate for Payer: Aetna Medicare |
$451.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$581.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$625.31
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$434.24
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$434.24
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Cofinity Commercial |
$581.88
|
| Rate for Payer: Cofinity Commercial |
$625.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$455.95
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Nomi Health Commercial |
$521.09
|
| Rate for Payer: PACE SWMI |
$434.24
|
| Rate for Payer: PHP Commercial |
$607.94
|
| Rate for Payer: PHP Medicare Advantage |
$434.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$928.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$811.96
|
| Rate for Payer: Priority Health Medicare |
$434.24
|
| Rate for Payer: Priority Health Narrow Network |
$811.96
|
| Rate for Payer: Priority Health SBD |
$811.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.24
|
| Rate for Payer: UHC Medicare Advantage |
$434.24
|
| Rate for Payer: UHCCP Medicaid |
$290.11
|
| Rate for Payer: UMR Bronson Commercial |
$657.34
|
|
|
PR ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE
|
Professional
|
Both
|
$1,348.00
|
|
|
Service Code
|
HCPCS 43278
|
| Min. Negotiated Rate |
$271.58 |
| Max. Negotiated Rate |
$876.20 |
| Rate for Payer: Aetna Commercial |
$544.68
|
| Rate for Payer: Aetna Medicare |
$422.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$585.33
|
| Rate for Payer: BCBS Complete |
$285.16
|
| Rate for Payer: BCBS MAPPO |
$406.48
|
| Rate for Payer: BCBS Trust/PPO |
$722.19
|
| Rate for Payer: BCN Commercial |
$618.18
|
| Rate for Payer: BCN Medicare Advantage |
$406.48
|
| Rate for Payer: Cash Price |
$1,078.40
|
| Rate for Payer: Cash Price |
$1,078.40
|
| Rate for Payer: Cofinity Commercial |
$544.68
|
| Rate for Payer: Cofinity Commercial |
$585.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$406.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$426.80
|
| Rate for Payer: Meridian Medicaid |
$285.16
|
| Rate for Payer: Nomi Health Commercial |
$487.78
|
| Rate for Payer: PACE SWMI |
$406.48
|
| Rate for Payer: PHP Commercial |
$569.07
|
| Rate for Payer: PHP Medicare Advantage |
$406.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$876.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$760.06
|
| Rate for Payer: Priority Health Medicare |
$406.48
|
| Rate for Payer: Priority Health Narrow Network |
$760.06
|
| Rate for Payer: Priority Health SBD |
$760.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$406.48
|
| Rate for Payer: UHC Medicare Advantage |
$406.48
|
| Rate for Payer: UHCCP Medicaid |
$271.58
|
| Rate for Payer: UMR Bronson Commercial |
$620.08
|
|
|
PR ERCP W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 43261
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$1,040.08 |
| Rate for Payer: Aetna Commercial |
$425.58
|
| Rate for Payer: Aetna Medicare |
$330.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.34
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$317.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.08
|
| Rate for Payer: BCN Commercial |
$484.28
|
| Rate for Payer: BCN Medicare Advantage |
$317.60
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$425.58
|
| Rate for Payer: Cofinity Commercial |
$457.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.48
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Nomi Health Commercial |
$381.12
|
| Rate for Payer: PACE SWMI |
$317.60
|
| Rate for Payer: PHP Commercial |
$444.64
|
| Rate for Payer: PHP Medicare Advantage |
$317.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$594.81
|
| Rate for Payer: Priority Health Medicare |
$317.60
|
| Rate for Payer: Priority Health Narrow Network |
$594.81
|
| Rate for Payer: Priority Health SBD |
$594.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.60
|
| Rate for Payer: UHC Medicare Advantage |
$317.60
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
| Rate for Payer: UMR Bronson Commercial |
$538.20
|
|
|
PR ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI
|
Professional
|
Both
|
$1,622.00
|
|
|
Service Code
|
HCPCS 43263
|
| Min. Negotiated Rate |
$224.50 |
| Max. Negotiated Rate |
$1,054.30 |
| Rate for Payer: Aetna Commercial |
$450.01
|
| Rate for Payer: Aetna Medicare |
$349.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$450.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.60
|
| Rate for Payer: BCBS Complete |
$235.72
|
| Rate for Payer: BCBS MAPPO |
$335.83
|
| Rate for Payer: BCBS Trust/PPO |
$935.09
|
| Rate for Payer: BCN Commercial |
$511.16
|
| Rate for Payer: BCN Medicare Advantage |
$335.83
|
| Rate for Payer: Cash Price |
$1,297.60
|
| Rate for Payer: Cash Price |
$1,297.60
|
| Rate for Payer: Cofinity Commercial |
$450.01
|
| Rate for Payer: Cofinity Commercial |
$483.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.62
|
| Rate for Payer: Meridian Medicaid |
$235.72
|
| Rate for Payer: Nomi Health Commercial |
$403.00
|
| Rate for Payer: PACE SWMI |
$335.83
|
| Rate for Payer: PHP Commercial |
$470.16
|
| Rate for Payer: PHP Medicare Advantage |
$335.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,054.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.61
|
| Rate for Payer: Priority Health Medicare |
$335.83
|
| Rate for Payer: Priority Health Narrow Network |
$627.61
|
| Rate for Payer: Priority Health SBD |
$627.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.83
|
| Rate for Payer: UHC Medicare Advantage |
$335.83
|
| Rate for Payer: UHCCP Medicaid |
$224.50
|
| Rate for Payer: UMR Bronson Commercial |
$746.12
|
|
|
PR ERCP W/SPHINCTEROTOMY/PAPILLOTOMY
|
Professional
|
Both
|
$1,688.00
|
|
|
Service Code
|
HCPCS 43262
|
| Min. Negotiated Rate |
$224.08 |
| Max. Negotiated Rate |
$1,187.83 |
| Rate for Payer: Aetna Commercial |
$449.10
|
| Rate for Payer: Aetna Medicare |
$348.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.62
|
| Rate for Payer: BCBS Complete |
$235.28
|
| Rate for Payer: BCBS MAPPO |
$335.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,187.83
|
| Rate for Payer: BCN Commercial |
$510.66
|
| Rate for Payer: BCN Medicare Advantage |
$335.15
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$449.10
|
| Rate for Payer: Cofinity Commercial |
$482.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$351.91
|
| Rate for Payer: Meridian Medicaid |
$235.28
|
| Rate for Payer: Nomi Health Commercial |
$402.18
|
| Rate for Payer: PACE SWMI |
$335.15
|
| Rate for Payer: PHP Commercial |
$469.21
|
| Rate for Payer: PHP Medicare Advantage |
$335.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$626.43
|
| Rate for Payer: Priority Health Medicare |
$335.15
|
| Rate for Payer: Priority Health Narrow Network |
$626.43
|
| Rate for Payer: Priority Health SBD |
$626.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.15
|
| Rate for Payer: UHC Medicare Advantage |
$335.15
|
| Rate for Payer: UHCCP Medicaid |
$224.08
|
| Rate for Payer: UMR Bronson Commercial |
$776.48
|
|
|
PR ESCHAROTOMY EACH ADDITIONAL INCISION
|
Professional
|
Both
|
$434.00
|
|
|
Service Code
|
HCPCS 16036
|
| Min. Negotiated Rate |
$52.61 |
| Max. Negotiated Rate |
$282.10 |
| Rate for Payer: Aetna Commercial |
$107.17
|
| Rate for Payer: Aetna Medicare |
$83.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.17
|
| Rate for Payer: BCBS Complete |
$55.24
|
| Rate for Payer: BCBS MAPPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$119.96
|
| Rate for Payer: BCN Commercial |
$119.72
|
| Rate for Payer: BCN Medicare Advantage |
$79.98
|
| Rate for Payer: Cash Price |
$347.20
|
| Rate for Payer: Cash Price |
$347.20
|
| Rate for Payer: Cofinity Commercial |
$107.17
|
| Rate for Payer: Cofinity Commercial |
$115.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.98
|
| Rate for Payer: Meridian Medicaid |
$55.24
|
| Rate for Payer: Nomi Health Commercial |
$95.98
|
| Rate for Payer: PACE SWMI |
$79.98
|
| Rate for Payer: PHP Commercial |
$111.97
|
| Rate for Payer: PHP Medicare Advantage |
$79.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.62
|
| Rate for Payer: Priority Health Medicare |
$79.98
|
| Rate for Payer: Priority Health Narrow Network |
$110.62
|
| Rate for Payer: Priority Health SBD |
$110.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.98
|
| Rate for Payer: UHC Medicare Advantage |
$79.98
|
| Rate for Payer: UHCCP Medicaid |
$52.61
|
| Rate for Payer: UMR Bronson Commercial |
$199.64
|
|
|
PR ESCHAROTOMY FIRST INCISION
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 16035
|
| Min. Negotiated Rate |
$23.70 |
| Max. Negotiated Rate |
$559.00 |
| Rate for Payer: Aetna Commercial |
$252.01
|
| Rate for Payer: Aetna Medicare |
$195.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.82
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$188.07
|
| Rate for Payer: BCBS Trust/PPO |
$23.70
|
| Rate for Payer: BCN Commercial |
$281.48
|
| Rate for Payer: BCN Medicare Advantage |
$188.07
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cofinity Commercial |
$252.01
|
| Rate for Payer: Cofinity Commercial |
$270.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$188.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.47
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Nomi Health Commercial |
$225.68
|
| Rate for Payer: PACE SWMI |
$188.07
|
| Rate for Payer: PHP Commercial |
$263.30
|
| Rate for Payer: PHP Medicare Advantage |
$188.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$559.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$263.24
|
| Rate for Payer: Priority Health Medicare |
$188.07
|
| Rate for Payer: Priority Health Narrow Network |
$263.24
|
| Rate for Payer: Priority Health SBD |
$263.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$188.07
|
| Rate for Payer: UHC Medicare Advantage |
$188.07
|
| Rate for Payer: UHCCP Medicaid |
$124.61
|
| Rate for Payer: UMR Bronson Commercial |
$395.60
|
|
|
PR ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH
|
Professional
|
Both
|
$3,466.00
|
|
|
Service Code
|
HCPCS 43325
|
| Min. Negotiated Rate |
$873.30 |
| Max. Negotiated Rate |
$2,431.72 |
| Rate for Payer: Aetna Commercial |
$1,771.44
|
| Rate for Payer: Aetna Medicare |
$1,374.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,771.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,903.64
|
| Rate for Payer: BCBS Complete |
$916.96
|
| Rate for Payer: BCBS MAPPO |
$1,321.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,668.90
|
| Rate for Payer: BCN Commercial |
$1,983.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,321.97
|
| Rate for Payer: Cash Price |
$2,772.80
|
| Rate for Payer: Cash Price |
$2,772.80
|
| Rate for Payer: Cofinity Commercial |
$1,771.44
|
| Rate for Payer: Cofinity Commercial |
$1,903.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,321.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,388.07
|
| Rate for Payer: Meridian Medicaid |
$916.96
|
| Rate for Payer: Nomi Health Commercial |
$1,586.36
|
| Rate for Payer: PACE SWMI |
$1,321.97
|
| Rate for Payer: PHP Commercial |
$1,850.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,321.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$873.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,252.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,431.72
|
| Rate for Payer: Priority Health Medicare |
$1,321.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,431.72
|
| Rate for Payer: Priority Health SBD |
$2,431.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,321.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,321.97
|
| Rate for Payer: UHCCP Medicaid |
$873.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,594.36
|
|
|
PR ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY
|
Professional
|
Both
|
$2,096.00
|
|
|
Service Code
|
HCPCS 43327
|
| Min. Negotiated Rate |
$537.19 |
| Max. Negotiated Rate |
$2,023.92 |
| Rate for Payer: Aetna Commercial |
$1,086.08
|
| Rate for Payer: Aetna Medicare |
$842.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,086.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,167.13
|
| Rate for Payer: BCBS Complete |
$564.05
|
| Rate for Payer: BCBS MAPPO |
$810.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,023.92
|
| Rate for Payer: BCN Commercial |
$1,197.26
|
| Rate for Payer: BCN Medicare Advantage |
$810.51
|
| Rate for Payer: Cash Price |
$1,676.80
|
| Rate for Payer: Cash Price |
$1,676.80
|
| Rate for Payer: Cofinity Commercial |
$1,086.08
|
| Rate for Payer: Cofinity Commercial |
$1,167.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$810.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$851.04
|
| Rate for Payer: Meridian Medicaid |
$564.05
|
| Rate for Payer: Nomi Health Commercial |
$972.61
|
| Rate for Payer: PACE SWMI |
$810.51
|
| Rate for Payer: PHP Commercial |
$1,134.71
|
| Rate for Payer: PHP Medicare Advantage |
$810.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,362.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,461.65
|
| Rate for Payer: Priority Health Medicare |
$810.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,461.65
|
| Rate for Payer: Priority Health SBD |
$1,461.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$810.51
|
| Rate for Payer: UHC Medicare Advantage |
$810.51
|
| Rate for Payer: UHCCP Medicaid |
$537.19
|
| Rate for Payer: UMR Bronson Commercial |
$964.16
|
|
|
PR ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE
|
Professional
|
Both
|
$886.00
|
|
|
Service Code
|
HCPCS 43460
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$1,198.18 |
| Rate for Payer: Aetna Commercial |
$268.72
|
| Rate for Payer: Aetna Medicare |
$208.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.78
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$200.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,198.18
|
| Rate for Payer: BCN Commercial |
$304.45
|
| Rate for Payer: BCN Medicare Advantage |
$200.54
|
| Rate for Payer: Cash Price |
$708.80
|
| Rate for Payer: Cash Price |
$708.80
|
| Rate for Payer: Cofinity Commercial |
$268.72
|
| Rate for Payer: Cofinity Commercial |
$288.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.57
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Nomi Health Commercial |
$240.65
|
| Rate for Payer: PACE SWMI |
$200.54
|
| Rate for Payer: PHP Commercial |
$280.76
|
| Rate for Payer: PHP Medicare Advantage |
$200.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$575.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$373.47
|
| Rate for Payer: Priority Health Medicare |
$200.54
|
| Rate for Payer: Priority Health Narrow Network |
$373.47
|
| Rate for Payer: Priority Health SBD |
$373.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.54
|
| Rate for Payer: UHC Medicare Advantage |
$200.54
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
| Rate for Payer: UMR Bronson Commercial |
$407.56
|
|
|
PR ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 91013
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$1,265.81 |
| Rate for Payer: Aetna Commercial |
$30.42
|
| Rate for Payer: Aetna Medicare |
$23.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.69
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$22.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,265.81
|
| Rate for Payer: BCN Commercial |
$37.63
|
| Rate for Payer: BCN Medicare Advantage |
$22.70
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$30.42
|
| Rate for Payer: Cofinity Commercial |
$32.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.84
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Nomi Health Commercial |
$27.24
|
| Rate for Payer: PACE SWMI |
$22.70
|
| Rate for Payer: PHP Commercial |
$31.78
|
| Rate for Payer: PHP Medicare Advantage |
$22.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.38
|
| Rate for Payer: Priority Health Medicare |
$22.70
|
| Rate for Payer: Priority Health Narrow Network |
$34.38
|
| Rate for Payer: Priority Health SBD |
$12.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.70
|
| Rate for Payer: UHC Medicare Advantage |
$22.70
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
|
|
PR ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT
|
Professional
|
Both
|
$123.00
|
|
|
Service Code
|
HCPCS 91010
|
| Min. Negotiated Rate |
$40.26 |
| Max. Negotiated Rate |
$323.99 |
| Rate for Payer: Aetna Commercial |
$261.21
|
| Rate for Payer: Aetna Commercial |
$261.21
|
| Rate for Payer: Aetna Medicare |
$202.73
|
| Rate for Payer: Aetna Medicare |
$202.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$261.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$261.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$280.70
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCBS MAPPO |
$194.93
|
| Rate for Payer: BCBS MAPPO |
$194.93
|
| Rate for Payer: BCBS Trust/PPO |
$47.55
|
| Rate for Payer: BCBS Trust/PPO |
$47.55
|
| Rate for Payer: BCN Commercial |
$323.99
|
| Rate for Payer: BCN Commercial |
$323.99
|
| Rate for Payer: BCN Medicare Advantage |
$194.93
|
| Rate for Payer: BCN Medicare Advantage |
$194.93
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cofinity Commercial |
$261.21
|
| Rate for Payer: Cofinity Commercial |
$280.70
|
| Rate for Payer: Cofinity Commercial |
$280.70
|
| Rate for Payer: Cofinity Commercial |
$261.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.68
|
| Rate for Payer: Meridian Medicaid |
$42.27
|
| Rate for Payer: Meridian Medicaid |
$42.27
|
| Rate for Payer: Nomi Health Commercial |
$233.92
|
| Rate for Payer: Nomi Health Commercial |
$233.92
|
| Rate for Payer: PACE SWMI |
$194.93
|
| Rate for Payer: PACE SWMI |
$194.93
|
| Rate for Payer: PHP Commercial |
$272.90
|
| Rate for Payer: PHP Commercial |
$272.90
|
| Rate for Payer: PHP Medicare Advantage |
$194.93
|
| Rate for Payer: PHP Medicare Advantage |
$194.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.89
|
| Rate for Payer: Priority Health Medicare |
$194.93
|
| Rate for Payer: Priority Health Medicare |
$194.93
|
| Rate for Payer: Priority Health Narrow Network |
$299.89
|
| Rate for Payer: Priority Health Narrow Network |
$299.89
|
| Rate for Payer: Priority Health SBD |
$85.94
|
| Rate for Payer: Priority Health SBD |
$85.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.93
|
| Rate for Payer: UHC Medicare Advantage |
$194.93
|
| Rate for Payer: UHC Medicare Advantage |
$194.93
|
| Rate for Payer: UHCCP Medicaid |
$40.26
|
| Rate for Payer: UHCCP Medicaid |
$40.26
|
| Rate for Payer: UMR Bronson Commercial |
$176.64
|
| Rate for Payer: UMR Bronson Commercial |
$56.58
|
|
