|
PR EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 42815
|
| Min. Negotiated Rate |
$510.56 |
| Max. Negotiated Rate |
$1,075.75 |
| Rate for Payer: Aetna Commercial |
$684.15
|
| Rate for Payer: Aetna Medicare |
$530.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.15
|
| Rate for Payer: BCBS Complete |
$662.00
|
| Rate for Payer: BCBS MAPPO |
$510.56
|
| Rate for Payer: BCN Medicare Advantage |
$510.56
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$735.21
|
| Rate for Payer: Cofinity Commercial |
$684.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$510.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.09
|
| Rate for Payer: Nomi Health Commercial |
$612.67
|
| Rate for Payer: PACE SWMI |
$510.56
|
| Rate for Payer: PHP Commercial |
$714.78
|
| Rate for Payer: PHP Medicare Advantage |
$510.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,075.75
|
| Rate for Payer: Priority Health Medicare |
$510.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$510.56
|
| Rate for Payer: UHC Medicare Advantage |
$510.56
|
| Rate for Payer: UMR Bronson Commercial |
$761.30
|
|
|
PR EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 42810
|
| Min. Negotiated Rate |
$268.27 |
| Max. Negotiated Rate |
$563.55 |
| Rate for Payer: Aetna Commercial |
$359.48
|
| Rate for Payer: Aetna Medicare |
$279.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$386.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.48
|
| Rate for Payer: BCBS Complete |
$346.80
|
| Rate for Payer: BCBS MAPPO |
$268.27
|
| Rate for Payer: BCN Medicare Advantage |
$268.27
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$386.31
|
| Rate for Payer: Cofinity Commercial |
$359.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$268.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$281.68
|
| Rate for Payer: Nomi Health Commercial |
$321.92
|
| Rate for Payer: PACE SWMI |
$268.27
|
| Rate for Payer: PHP Commercial |
$375.58
|
| Rate for Payer: PHP Medicare Advantage |
$268.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health Medicare |
$268.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$268.27
|
| Rate for Payer: UHC Medicare Advantage |
$268.27
|
| Rate for Payer: UMR Bronson Commercial |
$398.82
|
|
|
PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
|
Professional
|
Both
|
$1,263.00
|
|
|
Service Code
|
HCPCS 19125
|
| Min. Negotiated Rate |
$449.37 |
| Max. Negotiated Rate |
$820.95 |
| Rate for Payer: Aetna Commercial |
$602.16
|
| Rate for Payer: Aetna Medicare |
$467.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$602.16
|
| Rate for Payer: BCBS Complete |
$505.20
|
| Rate for Payer: BCBS MAPPO |
$449.37
|
| Rate for Payer: BCN Medicare Advantage |
$449.37
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$647.09
|
| Rate for Payer: Cofinity Commercial |
$602.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$471.84
|
| Rate for Payer: Nomi Health Commercial |
$539.24
|
| Rate for Payer: PACE SWMI |
$449.37
|
| Rate for Payer: PHP Commercial |
$629.12
|
| Rate for Payer: PHP Medicare Advantage |
$449.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.95
|
| Rate for Payer: Priority Health Medicare |
$449.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.37
|
| Rate for Payer: UHC Medicare Advantage |
$449.37
|
| Rate for Payer: UMR Bronson Commercial |
$580.98
|
|
|
PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
|
Facility
|
OP
|
$1,263.00
|
|
|
Service Code
|
CPT 19125
|
| Hospital Charge Code |
19125
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$467.31 |
| Max. Negotiated Rate |
$10,512.58 |
| Rate for Payer: Aetna American Axle |
$820.95
|
| Rate for Payer: Aetna Commercial |
$1,073.55
|
| Rate for Payer: Aetna Medicare |
$3,884.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,668.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,668.27
|
| Rate for Payer: BCBS Complete |
$2,101.84
|
| Rate for Payer: BCBS MAPPO |
$3,734.62
|
| Rate for Payer: BCN Medicare Advantage |
$3,734.62
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$1,086.18
|
| Rate for Payer: Cofinity Commercial |
$884.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$884.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,734.62
|
| Rate for Payer: Healthscope Commercial |
$1,136.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$884.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$947.25
|
| Rate for Payer: Mclaren Medicaid |
$2,001.76
|
| Rate for Payer: Mclaren Medicare |
$3,734.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,921.35
|
| Rate for Payer: Meridian Medicaid |
$2,101.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,294.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,073.55
|
| Rate for Payer: PACE Medicare |
$3,547.89
|
| Rate for Payer: PACE SWMI |
$3,734.62
|
| Rate for Payer: PHP Commercial |
$1,073.55
|
| Rate for Payer: PHP Medicare Advantage |
$3,734.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,001.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.95
|
| Rate for Payer: Priority Health Medicare |
$3,734.62
|
| Rate for Payer: Priority Health SBD |
$795.69
|
| Rate for Payer: Railroad Medicare Medicare |
$3,734.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10,512.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,734.62
|
| Rate for Payer: UHC Exchange |
$7,137.23
|
| Rate for Payer: UHC Medicare Advantage |
$3,734.62
|
| Rate for Payer: UHCCP Medicaid |
$2,001.76
|
| Rate for Payer: UMR Bronson Commercial |
$467.31
|
| Rate for Payer: VA VA |
$3,734.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$947.25
|
|
|
PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
|
Professional
|
Both
|
$1,263.00
|
|
|
Service Code
|
HCPCS 19125
|
| Hospital Charge Code |
19125
|
| Min. Negotiated Rate |
$449.37 |
| Max. Negotiated Rate |
$820.95 |
| Rate for Payer: Aetna Commercial |
$602.16
|
| Rate for Payer: Aetna Medicare |
$467.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$602.16
|
| Rate for Payer: BCBS Complete |
$505.20
|
| Rate for Payer: BCBS MAPPO |
$449.37
|
| Rate for Payer: BCN Medicare Advantage |
$449.37
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$602.16
|
| Rate for Payer: Cofinity Commercial |
$647.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$471.84
|
| Rate for Payer: Nomi Health Commercial |
$539.24
|
| Rate for Payer: PACE SWMI |
$449.37
|
| Rate for Payer: PHP Commercial |
$629.12
|
| Rate for Payer: PHP Medicare Advantage |
$449.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.95
|
| Rate for Payer: Priority Health Medicare |
$449.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.37
|
| Rate for Payer: UHC Medicare Advantage |
$449.37
|
| Rate for Payer: UMR Bronson Commercial |
$580.98
|
|
|
PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
|
Facility
|
IP
|
$1,263.00
|
|
|
Service Code
|
CPT 19125
|
| Hospital Charge Code |
19125
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$555.72 |
| Max. Negotiated Rate |
$1,136.70 |
| Rate for Payer: Aetna American Axle |
$820.95
|
| Rate for Payer: Aetna Commercial |
$1,073.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.95
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$1,086.18
|
| Rate for Payer: Cofinity Commercial |
$884.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$884.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,010.40
|
| Rate for Payer: Healthscope Commercial |
$1,136.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$884.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$947.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,073.55
|
| Rate for Payer: PHP Commercial |
$1,073.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.95
|
| Rate for Payer: Priority Health SBD |
$795.69
|
| Rate for Payer: UMR Bronson Commercial |
$555.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$947.25
|
|
|
PR EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 19126
|
| Min. Negotiated Rate |
$108.80 |
| Max. Negotiated Rate |
$223.76 |
| Rate for Payer: Aetna Commercial |
$208.22
|
| Rate for Payer: Aetna Medicare |
$161.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.22
|
| Rate for Payer: BCBS Complete |
$108.80
|
| Rate for Payer: BCBS MAPPO |
$155.39
|
| Rate for Payer: BCN Medicare Advantage |
$155.39
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$223.76
|
| Rate for Payer: Cofinity Commercial |
$208.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.16
|
| Rate for Payer: Nomi Health Commercial |
$186.47
|
| Rate for Payer: PACE SWMI |
$155.39
|
| Rate for Payer: PHP Commercial |
$217.55
|
| Rate for Payer: PHP Medicare Advantage |
$155.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Medicare |
$155.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.39
|
| Rate for Payer: UHC Medicare Advantage |
$155.39
|
| Rate for Payer: UMR Bronson Commercial |
$125.12
|
|
|
PR EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY
|
Professional
|
Both
|
$2,765.00
|
|
|
Service Code
|
HCPCS 60600
|
| Min. Negotiated Rate |
$1,106.00 |
| Max. Negotiated Rate |
$1,885.28 |
| Rate for Payer: Aetna Commercial |
$1,754.35
|
| Rate for Payer: Aetna Medicare |
$1,361.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,885.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,754.35
|
| Rate for Payer: BCBS Complete |
$1,106.00
|
| Rate for Payer: BCBS MAPPO |
$1,309.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,309.22
|
| Rate for Payer: Cash Price |
$2,212.00
|
| Rate for Payer: Cash Price |
$2,212.00
|
| Rate for Payer: Cofinity Commercial |
$1,885.28
|
| Rate for Payer: Cofinity Commercial |
$1,754.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,309.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,374.68
|
| Rate for Payer: Nomi Health Commercial |
$1,571.06
|
| Rate for Payer: PACE SWMI |
$1,309.22
|
| Rate for Payer: PHP Commercial |
$1,832.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,309.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,797.25
|
| Rate for Payer: Priority Health Medicare |
$1,309.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,309.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,309.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,271.90
|
|
|
PR EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 26596
|
| Min. Negotiated Rate |
$530.80 |
| Max. Negotiated Rate |
$1,117.12 |
| Rate for Payer: Aetna Commercial |
$1,039.55
|
| Rate for Payer: Aetna Medicare |
$806.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,117.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,039.55
|
| Rate for Payer: BCBS Complete |
$530.80
|
| Rate for Payer: BCBS MAPPO |
$775.78
|
| Rate for Payer: BCN Medicare Advantage |
$775.78
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$1,117.12
|
| Rate for Payer: Cofinity Commercial |
$1,039.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$775.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$814.57
|
| Rate for Payer: Nomi Health Commercial |
$930.94
|
| Rate for Payer: PACE SWMI |
$775.78
|
| Rate for Payer: PHP Commercial |
$1,086.09
|
| Rate for Payer: PHP Medicare Advantage |
$775.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health Medicare |
$775.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$775.78
|
| Rate for Payer: UHC Medicare Advantage |
$775.78
|
| Rate for Payer: UMR Bronson Commercial |
$610.42
|
|
|
PR EXC CRV STUMP VAG APPR W/RPR NTRCL
|
Professional
|
Both
|
$1,282.00
|
|
|
Service Code
|
HCPCS 57556
|
| Min. Negotiated Rate |
$512.80 |
| Max. Negotiated Rate |
$833.30 |
| Rate for Payer: Aetna Commercial |
$753.64
|
| Rate for Payer: Aetna Medicare |
$584.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$809.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.64
|
| Rate for Payer: BCBS Complete |
$512.80
|
| Rate for Payer: BCBS MAPPO |
$562.42
|
| Rate for Payer: BCN Medicare Advantage |
$562.42
|
| Rate for Payer: Cash Price |
$1,025.60
|
| Rate for Payer: Cash Price |
$1,025.60
|
| Rate for Payer: Cofinity Commercial |
$809.88
|
| Rate for Payer: Cofinity Commercial |
$753.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$590.54
|
| Rate for Payer: Nomi Health Commercial |
$674.90
|
| Rate for Payer: PACE SWMI |
$562.42
|
| Rate for Payer: PHP Commercial |
$787.39
|
| Rate for Payer: PHP Medicare Advantage |
$562.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$833.30
|
| Rate for Payer: Priority Health Medicare |
$562.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.42
|
| Rate for Payer: UHC Medicare Advantage |
$562.42
|
| Rate for Payer: UMR Bronson Commercial |
$589.72
|
|
|
PR EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ
|
Professional
|
Both
|
$4,205.00
|
|
|
Service Code
|
HCPCS 38555
|
| Min. Negotiated Rate |
$995.35 |
| Max. Negotiated Rate |
$2,733.25 |
| Rate for Payer: Aetna Commercial |
$1,333.77
|
| Rate for Payer: Aetna Medicare |
$1,035.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,433.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,333.77
|
| Rate for Payer: BCBS Complete |
$1,682.00
|
| Rate for Payer: BCBS MAPPO |
$995.35
|
| Rate for Payer: BCN Medicare Advantage |
$995.35
|
| Rate for Payer: Cash Price |
$3,364.00
|
| Rate for Payer: Cash Price |
$3,364.00
|
| Rate for Payer: Cofinity Commercial |
$1,433.30
|
| Rate for Payer: Cofinity Commercial |
$1,333.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$995.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,045.12
|
| Rate for Payer: Nomi Health Commercial |
$1,194.42
|
| Rate for Payer: PACE SWMI |
$995.35
|
| Rate for Payer: PHP Commercial |
$1,393.49
|
| Rate for Payer: PHP Medicare Advantage |
$995.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,733.25
|
| Rate for Payer: Priority Health Medicare |
$995.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$995.35
|
| Rate for Payer: UHC Medicare Advantage |
$995.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,934.30
|
|
|
PR EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ
|
Professional
|
Both
|
$1,577.00
|
|
|
Service Code
|
HCPCS 38550
|
| Min. Negotiated Rate |
$506.03 |
| Max. Negotiated Rate |
$1,025.05 |
| Rate for Payer: Aetna Commercial |
$678.08
|
| Rate for Payer: Aetna Medicare |
$526.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$728.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$678.08
|
| Rate for Payer: BCBS Complete |
$630.80
|
| Rate for Payer: BCBS MAPPO |
$506.03
|
| Rate for Payer: BCN Medicare Advantage |
$506.03
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cash Price |
$1,261.60
|
| Rate for Payer: Cofinity Commercial |
$728.68
|
| Rate for Payer: Cofinity Commercial |
$678.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$506.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$531.33
|
| Rate for Payer: Nomi Health Commercial |
$607.24
|
| Rate for Payer: PACE SWMI |
$506.03
|
| Rate for Payer: PHP Commercial |
$708.44
|
| Rate for Payer: PHP Medicare Advantage |
$506.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,025.05
|
| Rate for Payer: Priority Health Medicare |
$506.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$506.03
|
| Rate for Payer: UHC Medicare Advantage |
$506.03
|
| Rate for Payer: UMR Bronson Commercial |
$725.42
|
|
|
PR EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT
|
Professional
|
Both
|
$2,361.00
|
|
|
Service Code
|
HCPCS 26205
|
| Min. Negotiated Rate |
$586.51 |
| Max. Negotiated Rate |
$1,534.65 |
| Rate for Payer: Aetna Commercial |
$785.92
|
| Rate for Payer: Aetna Medicare |
$609.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$844.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$785.92
|
| Rate for Payer: BCBS Complete |
$944.40
|
| Rate for Payer: BCBS MAPPO |
$586.51
|
| Rate for Payer: BCN Medicare Advantage |
$586.51
|
| Rate for Payer: Cash Price |
$1,888.80
|
| Rate for Payer: Cash Price |
$1,888.80
|
| Rate for Payer: Cofinity Commercial |
$844.57
|
| Rate for Payer: Cofinity Commercial |
$785.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$586.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.84
|
| Rate for Payer: Nomi Health Commercial |
$703.81
|
| Rate for Payer: PACE SWMI |
$586.51
|
| Rate for Payer: PHP Commercial |
$821.11
|
| Rate for Payer: PHP Medicare Advantage |
$586.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,534.65
|
| Rate for Payer: Priority Health Medicare |
$586.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$586.51
|
| Rate for Payer: UHC Medicare Advantage |
$586.51
|
| Rate for Payer: UMR Bronson Commercial |
$1,086.06
|
|
|
PR EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT
|
Professional
|
Both
|
$1,782.00
|
|
|
Service Code
|
HCPCS 26215
|
| Min. Negotiated Rate |
$548.78 |
| Max. Negotiated Rate |
$1,158.30 |
| Rate for Payer: Aetna Commercial |
$735.37
|
| Rate for Payer: Aetna Medicare |
$570.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$790.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.37
|
| Rate for Payer: BCBS Complete |
$712.80
|
| Rate for Payer: BCBS MAPPO |
$548.78
|
| Rate for Payer: BCN Medicare Advantage |
$548.78
|
| Rate for Payer: Cash Price |
$1,425.60
|
| Rate for Payer: Cash Price |
$1,425.60
|
| Rate for Payer: Cofinity Commercial |
$790.24
|
| Rate for Payer: Cofinity Commercial |
$735.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.22
|
| Rate for Payer: Nomi Health Commercial |
$658.54
|
| Rate for Payer: PACE SWMI |
$548.78
|
| Rate for Payer: PHP Commercial |
$768.29
|
| Rate for Payer: PHP Medicare Advantage |
$548.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.30
|
| Rate for Payer: Priority Health Medicare |
$548.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.78
|
| Rate for Payer: UHC Medicare Advantage |
$548.78
|
| Rate for Payer: UMR Bronson Commercial |
$819.72
|
|
|
PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT
|
Professional
|
Both
|
$2,775.00
|
|
|
Service Code
|
HCPCS 27637
|
| Min. Negotiated Rate |
$722.87 |
| Max. Negotiated Rate |
$1,803.75 |
| Rate for Payer: Aetna Commercial |
$968.65
|
| Rate for Payer: Aetna Medicare |
$751.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.93
|
| Rate for Payer: BCBS Complete |
$1,110.00
|
| Rate for Payer: BCBS MAPPO |
$722.87
|
| Rate for Payer: BCN Medicare Advantage |
$722.87
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cofinity Commercial |
$968.65
|
| Rate for Payer: Cofinity Commercial |
$1,040.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$759.01
|
| Rate for Payer: Nomi Health Commercial |
$867.44
|
| Rate for Payer: PACE SWMI |
$722.87
|
| Rate for Payer: PHP Commercial |
$1,012.02
|
| Rate for Payer: PHP Medicare Advantage |
$722.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,803.75
|
| Rate for Payer: Priority Health Medicare |
$722.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$722.87
|
| Rate for Payer: UHC Medicare Advantage |
$722.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,276.50
|
|
|
PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT
|
Professional
|
Both
|
$2,213.00
|
|
|
Service Code
|
HCPCS 27638
|
| Min. Negotiated Rate |
$718.72 |
| Max. Negotiated Rate |
$1,438.45 |
| Rate for Payer: Aetna Commercial |
$963.08
|
| Rate for Payer: Aetna Medicare |
$747.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,034.96
|
| Rate for Payer: BCBS Complete |
$885.20
|
| Rate for Payer: BCBS MAPPO |
$718.72
|
| Rate for Payer: BCN Medicare Advantage |
$718.72
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cofinity Commercial |
$963.08
|
| Rate for Payer: Cofinity Commercial |
$1,034.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$718.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$754.66
|
| Rate for Payer: Nomi Health Commercial |
$862.46
|
| Rate for Payer: PACE SWMI |
$718.72
|
| Rate for Payer: PHP Commercial |
$1,006.21
|
| Rate for Payer: PHP Medicare Advantage |
$718.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,438.45
|
| Rate for Payer: Priority Health Medicare |
$718.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$718.72
|
| Rate for Payer: UHC Medicare Advantage |
$718.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,017.98
|
|
|
PR EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL
|
Professional
|
Both
|
$969.00
|
|
|
Service Code
|
HCPCS 28104
|
| Min. Negotiated Rate |
$341.68 |
| Max. Negotiated Rate |
$629.85 |
| Rate for Payer: Aetna Commercial |
$457.85
|
| Rate for Payer: Aetna Medicare |
$355.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.85
|
| Rate for Payer: BCBS Complete |
$387.60
|
| Rate for Payer: BCBS MAPPO |
$341.68
|
| Rate for Payer: BCN Medicare Advantage |
$341.68
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$492.02
|
| Rate for Payer: Cofinity Commercial |
$457.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$358.76
|
| Rate for Payer: Nomi Health Commercial |
$410.02
|
| Rate for Payer: PACE SWMI |
$341.68
|
| Rate for Payer: PHP Commercial |
$478.35
|
| Rate for Payer: PHP Medicare Advantage |
$341.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.85
|
| Rate for Payer: Priority Health Medicare |
$341.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$341.68
|
| Rate for Payer: UHC Medicare Advantage |
$341.68
|
| Rate for Payer: UMR Bronson Commercial |
$445.74
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT
|
Professional
|
Both
|
$1,734.00
|
|
|
Service Code
|
HCPCS 24116
|
| Min. Negotiated Rate |
$693.60 |
| Max. Negotiated Rate |
$1,196.12 |
| Rate for Payer: Aetna Commercial |
$1,113.06
|
| Rate for Payer: Aetna Medicare |
$863.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,196.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.06
|
| Rate for Payer: BCBS Complete |
$693.60
|
| Rate for Payer: BCBS MAPPO |
$830.64
|
| Rate for Payer: BCN Medicare Advantage |
$830.64
|
| Rate for Payer: Cash Price |
$1,387.20
|
| Rate for Payer: Cash Price |
$1,387.20
|
| Rate for Payer: Cofinity Commercial |
$1,196.12
|
| Rate for Payer: Cofinity Commercial |
$1,113.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.17
|
| Rate for Payer: Nomi Health Commercial |
$996.77
|
| Rate for Payer: PACE SWMI |
$830.64
|
| Rate for Payer: PHP Commercial |
$1,162.90
|
| Rate for Payer: PHP Medicare Advantage |
$830.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,127.10
|
| Rate for Payer: Priority Health Medicare |
$830.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.64
|
| Rate for Payer: UHC Medicare Advantage |
$830.64
|
| Rate for Payer: UMR Bronson Commercial |
$797.64
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 23140
|
| Min. Negotiated Rate |
$376.40 |
| Max. Negotiated Rate |
$775.20 |
| Rate for Payer: Aetna Commercial |
$721.36
|
| Rate for Payer: Aetna Medicare |
$559.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$775.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$721.36
|
| Rate for Payer: BCBS Complete |
$376.40
|
| Rate for Payer: BCBS MAPPO |
$538.33
|
| Rate for Payer: BCN Medicare Advantage |
$538.33
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$721.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$538.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$565.25
|
| Rate for Payer: Nomi Health Commercial |
$646.00
|
| Rate for Payer: PACE SWMI |
$538.33
|
| Rate for Payer: PHP Commercial |
$753.66
|
| Rate for Payer: PHP Medicare Advantage |
$538.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.65
|
| Rate for Payer: Priority Health Medicare |
$538.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$538.33
|
| Rate for Payer: UHC Medicare Advantage |
$538.33
|
| Rate for Payer: UMR Bronson Commercial |
$432.86
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Professional
|
Both
|
$1,253.00
|
|
|
Service Code
|
HCPCS 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$501.20 |
| Max. Negotiated Rate |
$814.45 |
| Rate for Payer: Aetna Commercial |
$693.57
|
| Rate for Payer: Aetna Medicare |
$538.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.57
|
| Rate for Payer: BCBS Complete |
$501.20
|
| Rate for Payer: BCBS MAPPO |
$517.59
|
| Rate for Payer: BCN Medicare Advantage |
$517.59
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cofinity Commercial |
$693.57
|
| Rate for Payer: Cofinity Commercial |
$745.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.47
|
| Rate for Payer: Nomi Health Commercial |
$621.11
|
| Rate for Payer: PACE SWMI |
$517.59
|
| Rate for Payer: PHP Commercial |
$724.63
|
| Rate for Payer: PHP Medicare Advantage |
$517.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.45
|
| Rate for Payer: Priority Health Medicare |
$517.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.59
|
| Rate for Payer: UHC Medicare Advantage |
$517.59
|
| Rate for Payer: UMR Bronson Commercial |
$576.38
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Facility
|
OP
|
$1,253.00
|
|
|
Service Code
|
CPT 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$463.61 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$814.45
|
| Rate for Payer: Aetna Commercial |
$1,065.05
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cofinity Commercial |
$1,077.58
|
| Rate for Payer: Cofinity Commercial |
$877.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$877.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,127.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$877.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$939.75
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.05
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,065.05
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.45
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$789.39
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: UMR Bronson Commercial |
$463.61
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$939.75
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Facility
|
IP
|
$1,253.00
|
|
|
Service Code
|
CPT 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$551.32 |
| Max. Negotiated Rate |
$1,127.70 |
| Rate for Payer: Aetna American Axle |
$814.45
|
| Rate for Payer: Aetna Commercial |
$1,065.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.45
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cofinity Commercial |
$1,077.58
|
| Rate for Payer: Cofinity Commercial |
$877.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$877.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,002.40
|
| Rate for Payer: Healthscope Commercial |
$1,127.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$877.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$939.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.05
|
| Rate for Payer: PHP Commercial |
$1,065.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.45
|
| Rate for Payer: Priority Health SBD |
$789.39
|
| Rate for Payer: UMR Bronson Commercial |
$551.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$939.75
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Professional
|
Both
|
$1,253.00
|
|
|
Service Code
|
HCPCS 24120
|
| Min. Negotiated Rate |
$501.20 |
| Max. Negotiated Rate |
$814.45 |
| Rate for Payer: Aetna Commercial |
$693.57
|
| Rate for Payer: Aetna Medicare |
$538.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.57
|
| Rate for Payer: BCBS Complete |
$501.20
|
| Rate for Payer: BCBS MAPPO |
$517.59
|
| Rate for Payer: BCN Medicare Advantage |
$517.59
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cash Price |
$1,002.40
|
| Rate for Payer: Cofinity Commercial |
$745.33
|
| Rate for Payer: Cofinity Commercial |
$693.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.47
|
| Rate for Payer: Nomi Health Commercial |
$621.11
|
| Rate for Payer: PACE SWMI |
$517.59
|
| Rate for Payer: PHP Commercial |
$724.63
|
| Rate for Payer: PHP Medicare Advantage |
$517.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.45
|
| Rate for Payer: Priority Health Medicare |
$517.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.59
|
| Rate for Payer: UHC Medicare Advantage |
$517.59
|
| Rate for Payer: UMR Bronson Commercial |
$576.38
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT
|
Professional
|
Both
|
$1,411.00
|
|
|
Service Code
|
HCPCS 23155
|
| Min. Negotiated Rate |
$564.40 |
| Max. Negotiated Rate |
$1,111.00 |
| Rate for Payer: Aetna Commercial |
$1,033.85
|
| Rate for Payer: Aetna Medicare |
$802.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,111.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.85
|
| Rate for Payer: BCBS Complete |
$564.40
|
| Rate for Payer: BCBS MAPPO |
$771.53
|
| Rate for Payer: BCN Medicare Advantage |
$771.53
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cofinity Commercial |
$1,111.00
|
| Rate for Payer: Cofinity Commercial |
$1,033.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.11
|
| Rate for Payer: Nomi Health Commercial |
$925.84
|
| Rate for Payer: PACE SWMI |
$771.53
|
| Rate for Payer: PHP Commercial |
$1,080.14
|
| Rate for Payer: PHP Medicare Advantage |
$771.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$917.15
|
| Rate for Payer: Priority Health Medicare |
$771.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.53
|
| Rate for Payer: UHC Medicare Advantage |
$771.53
|
| Rate for Payer: UMR Bronson Commercial |
$649.06
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT
|
Professional
|
Both
|
$1,299.00
|
|
|
Service Code
|
HCPCS 23156
|
| Min. Negotiated Rate |
$519.60 |
| Max. Negotiated Rate |
$948.41 |
| Rate for Payer: Aetna Commercial |
$882.55
|
| Rate for Payer: Aetna Medicare |
$684.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$948.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$882.55
|
| Rate for Payer: BCBS Complete |
$519.60
|
| Rate for Payer: BCBS MAPPO |
$658.62
|
| Rate for Payer: BCN Medicare Advantage |
$658.62
|
| Rate for Payer: Cash Price |
$1,039.20
|
| Rate for Payer: Cash Price |
$1,039.20
|
| Rate for Payer: Cofinity Commercial |
$948.41
|
| Rate for Payer: Cofinity Commercial |
$882.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.55
|
| Rate for Payer: Nomi Health Commercial |
$790.34
|
| Rate for Payer: PACE SWMI |
$658.62
|
| Rate for Payer: PHP Commercial |
$922.07
|
| Rate for Payer: PHP Medicare Advantage |
$658.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$844.35
|
| Rate for Payer: Priority Health Medicare |
$658.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$658.62
|
| Rate for Payer: UHC Medicare Advantage |
$658.62
|
| Rate for Payer: UMR Bronson Commercial |
$597.54
|
|
