|
PR OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA
|
Professional
|
Both
|
$1,508.00
|
|
|
Service Code
|
HCPCS 25645
|
| Min. Negotiated Rate |
$554.35 |
| Max. Negotiated Rate |
$980.20 |
| Rate for Payer: Aetna Commercial |
$742.83
|
| Rate for Payer: Aetna Medicare |
$576.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$798.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$742.83
|
| Rate for Payer: BCBS Complete |
$603.20
|
| Rate for Payer: BCBS MAPPO |
$554.35
|
| Rate for Payer: BCN Medicare Advantage |
$554.35
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cash Price |
$1,206.40
|
| Rate for Payer: Cofinity Commercial |
$798.26
|
| Rate for Payer: Cofinity Commercial |
$742.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$554.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$582.07
|
| Rate for Payer: Nomi Health Commercial |
$665.22
|
| Rate for Payer: PACE SWMI |
$554.35
|
| Rate for Payer: PHP Commercial |
$776.09
|
| Rate for Payer: PHP Medicare Advantage |
$554.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$980.20
|
| Rate for Payer: Priority Health Medicare |
$554.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$554.35
|
| Rate for Payer: UHC Medicare Advantage |
$554.35
|
| Rate for Payer: UMR Bronson Commercial |
$693.68
|
|
|
PR OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ
|
Professional
|
Both
|
$2,024.00
|
|
|
Service Code
|
HCPCS 25628
|
| Min. Negotiated Rate |
$695.80 |
| Max. Negotiated Rate |
$1,315.60 |
| Rate for Payer: Aetna Commercial |
$932.37
|
| Rate for Payer: Aetna Medicare |
$723.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,001.95
|
| Rate for Payer: BCBS Complete |
$809.60
|
| Rate for Payer: BCBS MAPPO |
$695.80
|
| Rate for Payer: BCN Medicare Advantage |
$695.80
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cash Price |
$1,619.20
|
| Rate for Payer: Cofinity Commercial |
$932.37
|
| Rate for Payer: Cofinity Commercial |
$1,001.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.59
|
| Rate for Payer: Nomi Health Commercial |
$834.96
|
| Rate for Payer: PACE SWMI |
$695.80
|
| Rate for Payer: PHP Commercial |
$974.12
|
| Rate for Payer: PHP Medicare Advantage |
$695.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,315.60
|
| Rate for Payer: Priority Health Medicare |
$695.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.80
|
| Rate for Payer: UHC Medicare Advantage |
$695.80
|
| Rate for Payer: UMR Bronson Commercial |
$931.04
|
|
|
PR OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB
|
Professional
|
Both
|
$2,255.00
|
|
|
Service Code
|
HCPCS 26685
|
| Min. Negotiated Rate |
$557.66 |
| Max. Negotiated Rate |
$1,465.75 |
| Rate for Payer: Aetna Commercial |
$747.26
|
| Rate for Payer: Aetna Medicare |
$579.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$747.26
|
| Rate for Payer: BCBS Complete |
$902.00
|
| Rate for Payer: BCBS MAPPO |
$557.66
|
| Rate for Payer: BCN Medicare Advantage |
$557.66
|
| Rate for Payer: Cash Price |
$1,804.00
|
| Rate for Payer: Cash Price |
$1,804.00
|
| Rate for Payer: Cofinity Commercial |
$803.03
|
| Rate for Payer: Cofinity Commercial |
$747.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.54
|
| Rate for Payer: Nomi Health Commercial |
$669.19
|
| Rate for Payer: PACE SWMI |
$557.66
|
| Rate for Payer: PHP Commercial |
$780.72
|
| Rate for Payer: PHP Medicare Advantage |
$557.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,465.75
|
| Rate for Payer: Priority Health Medicare |
$557.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.66
|
| Rate for Payer: UHC Medicare Advantage |
$557.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,037.30
|
|
|
PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB
|
Professional
|
Both
|
$2,888.00
|
|
|
Service Code
|
HCPCS 26665
|
| Min. Negotiated Rate |
$606.14 |
| Max. Negotiated Rate |
$1,877.20 |
| Rate for Payer: Aetna Commercial |
$812.23
|
| Rate for Payer: Aetna Medicare |
$630.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$872.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$812.23
|
| Rate for Payer: BCBS Complete |
$1,155.20
|
| Rate for Payer: BCBS MAPPO |
$606.14
|
| Rate for Payer: BCN Medicare Advantage |
$606.14
|
| Rate for Payer: Cash Price |
$2,310.40
|
| Rate for Payer: Cash Price |
$2,310.40
|
| Rate for Payer: Cofinity Commercial |
$872.84
|
| Rate for Payer: Cofinity Commercial |
$812.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$606.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$636.45
|
| Rate for Payer: Nomi Health Commercial |
$727.37
|
| Rate for Payer: PACE SWMI |
$606.14
|
| Rate for Payer: PHP Commercial |
$848.60
|
| Rate for Payer: PHP Medicare Advantage |
$606.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,877.20
|
| Rate for Payer: Priority Health Medicare |
$606.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$606.14
|
| Rate for Payer: UHC Medicare Advantage |
$606.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,328.48
|
|
|
PR OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION
|
Professional
|
Both
|
$2,455.00
|
|
|
Service Code
|
HCPCS 23515
|
| Min. Negotiated Rate |
$695.61 |
| Max. Negotiated Rate |
$1,595.75 |
| Rate for Payer: Aetna Commercial |
$932.12
|
| Rate for Payer: Aetna Medicare |
$723.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,001.68
|
| Rate for Payer: BCBS Complete |
$982.00
|
| Rate for Payer: BCBS MAPPO |
$695.61
|
| Rate for Payer: BCN Medicare Advantage |
$695.61
|
| Rate for Payer: Cash Price |
$1,964.00
|
| Rate for Payer: Cash Price |
$1,964.00
|
| Rate for Payer: Cofinity Commercial |
$932.12
|
| Rate for Payer: Cofinity Commercial |
$1,001.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.39
|
| Rate for Payer: Nomi Health Commercial |
$834.73
|
| Rate for Payer: PACE SWMI |
$695.61
|
| Rate for Payer: PHP Commercial |
$973.85
|
| Rate for Payer: PHP Medicare Advantage |
$695.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,595.75
|
| Rate for Payer: Priority Health Medicare |
$695.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.61
|
| Rate for Payer: UHC Medicare Advantage |
$695.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,129.30
|
|
|
PR OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 21365
|
| Min. Negotiated Rate |
$807.20 |
| Max. Negotiated Rate |
$1,490.82 |
| Rate for Payer: Aetna Commercial |
$1,387.29
|
| Rate for Payer: Aetna Medicare |
$1,076.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,490.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,387.29
|
| Rate for Payer: BCBS Complete |
$807.20
|
| Rate for Payer: BCBS MAPPO |
$1,035.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.29
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cofinity Commercial |
$1,490.82
|
| Rate for Payer: Cofinity Commercial |
$1,387.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,087.05
|
| Rate for Payer: Nomi Health Commercial |
$1,242.35
|
| Rate for Payer: PACE SWMI |
$1,035.29
|
| Rate for Payer: PHP Commercial |
$1,449.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,311.70
|
| Rate for Payer: Priority Health Medicare |
$1,035.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,035.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,035.29
|
| Rate for Payer: UMR Bronson Commercial |
$928.28
|
|
|
PR OPEN TX COMPLICATED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$3,475.00
|
|
|
Service Code
|
HCPCS 21344
|
| Min. Negotiated Rate |
$1,324.03 |
| Max. Negotiated Rate |
$2,258.75 |
| Rate for Payer: Aetna Commercial |
$1,774.20
|
| Rate for Payer: Aetna Medicare |
$1,376.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,906.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.20
|
| Rate for Payer: BCBS Complete |
$1,390.00
|
| Rate for Payer: BCBS MAPPO |
$1,324.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,324.03
|
| Rate for Payer: Cash Price |
$2,780.00
|
| Rate for Payer: Cash Price |
$2,780.00
|
| Rate for Payer: Cofinity Commercial |
$1,906.60
|
| Rate for Payer: Cofinity Commercial |
$1,774.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,324.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,390.23
|
| Rate for Payer: Nomi Health Commercial |
$1,588.84
|
| Rate for Payer: PACE SWMI |
$1,324.03
|
| Rate for Payer: PHP Commercial |
$1,853.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,324.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,258.75
|
| Rate for Payer: Priority Health Medicare |
$1,324.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,324.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,324.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,598.50
|
|
|
PR OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR
|
Professional
|
Both
|
$3,013.00
|
|
|
Service Code
|
HCPCS 21433
|
| Min. Negotiated Rate |
$1,205.20 |
| Max. Negotiated Rate |
$2,388.36 |
| Rate for Payer: Aetna Commercial |
$2,222.50
|
| Rate for Payer: Aetna Medicare |
$1,724.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,388.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,222.50
|
| Rate for Payer: BCBS Complete |
$1,205.20
|
| Rate for Payer: BCBS MAPPO |
$1,658.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,658.58
|
| Rate for Payer: Cash Price |
$2,410.40
|
| Rate for Payer: Cash Price |
$2,410.40
|
| Rate for Payer: Cofinity Commercial |
$2,388.36
|
| Rate for Payer: Cofinity Commercial |
$2,222.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,658.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,741.51
|
| Rate for Payer: Nomi Health Commercial |
$1,990.30
|
| Rate for Payer: PACE SWMI |
$1,658.58
|
| Rate for Payer: PHP Commercial |
$2,322.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,658.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,958.45
|
| Rate for Payer: Priority Health Medicare |
$1,658.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,658.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,658.58
|
| Rate for Payer: UMR Bronson Commercial |
$1,385.98
|
|
|
PR OPEN TX DEPRESSED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$2,453.00
|
|
|
Service Code
|
HCPCS 21343
|
| Min. Negotiated Rate |
$981.20 |
| Max. Negotiated Rate |
$1,594.45 |
| Rate for Payer: Aetna Commercial |
$1,374.30
|
| Rate for Payer: Aetna Medicare |
$1,066.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,476.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,374.30
|
| Rate for Payer: BCBS Complete |
$981.20
|
| Rate for Payer: BCBS MAPPO |
$1,025.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,025.60
|
| Rate for Payer: Cash Price |
$1,962.40
|
| Rate for Payer: Cash Price |
$1,962.40
|
| Rate for Payer: Cofinity Commercial |
$1,476.86
|
| Rate for Payer: Cofinity Commercial |
$1,374.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,025.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,076.88
|
| Rate for Payer: Nomi Health Commercial |
$1,230.72
|
| Rate for Payer: PACE SWMI |
$1,025.60
|
| Rate for Payer: PHP Commercial |
$1,435.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,025.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,594.45
|
| Rate for Payer: Priority Health Medicare |
$1,025.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,025.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,025.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,128.38
|
|
|
PR OPEN TX DEPRESSED MALAR FRACTURE
|
Professional
|
Both
|
$1,037.00
|
|
|
Service Code
|
HCPCS 21360
|
| Min. Negotiated Rate |
$414.80 |
| Max. Negotiated Rate |
$720.16 |
| Rate for Payer: Aetna Commercial |
$670.15
|
| Rate for Payer: Aetna Medicare |
$520.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$720.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.15
|
| Rate for Payer: BCBS Complete |
$414.80
|
| Rate for Payer: BCBS MAPPO |
$500.11
|
| Rate for Payer: BCN Medicare Advantage |
$500.11
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cofinity Commercial |
$720.16
|
| Rate for Payer: Cofinity Commercial |
$670.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$500.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$525.12
|
| Rate for Payer: Nomi Health Commercial |
$600.13
|
| Rate for Payer: PACE SWMI |
$500.11
|
| Rate for Payer: PHP Commercial |
$700.15
|
| Rate for Payer: PHP Medicare Advantage |
$500.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.05
|
| Rate for Payer: Priority Health Medicare |
$500.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$500.11
|
| Rate for Payer: UHC Medicare Advantage |
$500.11
|
| Rate for Payer: UMR Bronson Commercial |
$477.02
|
|
|
PR OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE
|
Professional
|
Both
|
$824.00
|
|
|
Service Code
|
HCPCS 21356
|
| Min. Negotiated Rate |
$329.60 |
| Max. Negotiated Rate |
$551.85 |
| Rate for Payer: Aetna Commercial |
$513.53
|
| Rate for Payer: Aetna Medicare |
$398.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$551.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$513.53
|
| Rate for Payer: BCBS Complete |
$329.60
|
| Rate for Payer: BCBS MAPPO |
$383.23
|
| Rate for Payer: BCN Medicare Advantage |
$383.23
|
| Rate for Payer: Cash Price |
$659.20
|
| Rate for Payer: Cash Price |
$659.20
|
| Rate for Payer: Cofinity Commercial |
$551.85
|
| Rate for Payer: Cofinity Commercial |
$513.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$402.39
|
| Rate for Payer: Nomi Health Commercial |
$459.88
|
| Rate for Payer: PACE SWMI |
$383.23
|
| Rate for Payer: PHP Commercial |
$536.52
|
| Rate for Payer: PHP Medicare Advantage |
$383.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$535.60
|
| Rate for Payer: Priority Health Medicare |
$383.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.23
|
| Rate for Payer: UHC Medicare Advantage |
$383.23
|
| Rate for Payer: UMR Bronson Commercial |
$379.04
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,471.00
|
|
|
Service Code
|
HCPCS 27792
|
| Min. Negotiated Rate |
$619.39 |
| Max. Negotiated Rate |
$1,606.15 |
| Rate for Payer: Aetna Commercial |
$829.98
|
| Rate for Payer: Aetna Medicare |
$644.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$829.98
|
| Rate for Payer: BCBS Complete |
$988.40
|
| Rate for Payer: BCBS MAPPO |
$619.39
|
| Rate for Payer: BCN Medicare Advantage |
$619.39
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$891.92
|
| Rate for Payer: Cofinity Commercial |
$829.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$619.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$650.36
|
| Rate for Payer: Nomi Health Commercial |
$743.27
|
| Rate for Payer: PACE SWMI |
$619.39
|
| Rate for Payer: PHP Commercial |
$867.15
|
| Rate for Payer: PHP Medicare Advantage |
$619.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,606.15
|
| Rate for Payer: Priority Health Medicare |
$619.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$619.39
|
| Rate for Payer: UHC Medicare Advantage |
$619.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,136.66
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
OP
|
$2,471.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$914.27 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna American Axle |
$1,606.15
|
| Rate for Payer: Aetna Commercial |
$2,100.35
|
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,606.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$2,125.06
|
| Rate for Payer: Cofinity Commercial |
$1,729.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,729.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,976.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$2,223.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,729.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,853.25
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,100.35
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$2,100.35
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,606.15
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health SBD |
$1,556.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$13,314.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: UMR Bronson Commercial |
$914.27
|
| Rate for Payer: VA VA |
$6,967.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,853.25
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,471.00
|
|
|
Service Code
|
HCPCS 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$619.39 |
| Max. Negotiated Rate |
$1,606.15 |
| Rate for Payer: Aetna Commercial |
$829.98
|
| Rate for Payer: Aetna Medicare |
$644.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$829.98
|
| Rate for Payer: BCBS Complete |
$988.40
|
| Rate for Payer: BCBS MAPPO |
$619.39
|
| Rate for Payer: BCN Medicare Advantage |
$619.39
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$829.98
|
| Rate for Payer: Cofinity Commercial |
$891.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$619.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$650.36
|
| Rate for Payer: Nomi Health Commercial |
$743.27
|
| Rate for Payer: PACE SWMI |
$619.39
|
| Rate for Payer: PHP Commercial |
$867.15
|
| Rate for Payer: PHP Medicare Advantage |
$619.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,606.15
|
| Rate for Payer: Priority Health Medicare |
$619.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$619.39
|
| Rate for Payer: UHC Medicare Advantage |
$619.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,136.66
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
IP
|
$2,471.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$1,087.24 |
| Max. Negotiated Rate |
$2,223.90 |
| Rate for Payer: Aetna American Axle |
$1,606.15
|
| Rate for Payer: Aetna Commercial |
$2,100.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,606.15
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$1,729.70
|
| Rate for Payer: Cofinity Commercial |
$2,125.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,729.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,976.80
|
| Rate for Payer: Healthscope Commercial |
$2,223.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,729.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,853.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,100.35
|
| Rate for Payer: PHP Commercial |
$2,100.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,606.15
|
| Rate for Payer: Priority Health SBD |
$1,556.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,087.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,853.25
|
|
|
PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$877.00
|
|
|
Service Code
|
HCPCS 26765
|
| Min. Negotiated Rate |
$350.80 |
| Max. Negotiated Rate |
$700.65 |
| Rate for Payer: Aetna Commercial |
$651.99
|
| Rate for Payer: Aetna Medicare |
$506.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$651.99
|
| Rate for Payer: BCBS Complete |
$350.80
|
| Rate for Payer: BCBS MAPPO |
$486.56
|
| Rate for Payer: BCN Medicare Advantage |
$486.56
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cofinity Commercial |
$700.65
|
| Rate for Payer: Cofinity Commercial |
$651.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$510.89
|
| Rate for Payer: Nomi Health Commercial |
$583.87
|
| Rate for Payer: PACE SWMI |
$486.56
|
| Rate for Payer: PHP Commercial |
$681.18
|
| Rate for Payer: PHP Medicare Advantage |
$486.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$570.05
|
| Rate for Payer: Priority Health Medicare |
$486.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.56
|
| Rate for Payer: UHC Medicare Advantage |
$486.56
|
| Rate for Payer: UMR Bronson Commercial |
$403.42
|
|
|
PR OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$1,785.00
|
|
|
Service Code
|
HCPCS 25676
|
| Min. Negotiated Rate |
$609.64 |
| Max. Negotiated Rate |
$1,160.25 |
| Rate for Payer: Aetna Commercial |
$816.92
|
| Rate for Payer: Aetna Medicare |
$634.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$816.92
|
| Rate for Payer: BCBS Complete |
$714.00
|
| Rate for Payer: BCBS MAPPO |
$609.64
|
| Rate for Payer: BCN Medicare Advantage |
$609.64
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cofinity Commercial |
$877.88
|
| Rate for Payer: Cofinity Commercial |
$816.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$609.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.12
|
| Rate for Payer: Nomi Health Commercial |
$731.57
|
| Rate for Payer: PACE SWMI |
$609.64
|
| Rate for Payer: PHP Commercial |
$853.50
|
| Rate for Payer: PHP Medicare Advantage |
$609.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.25
|
| Rate for Payer: Priority Health Medicare |
$609.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$609.64
|
| Rate for Payer: UHC Medicare Advantage |
$609.64
|
| Rate for Payer: UMR Bronson Commercial |
$821.10
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,302.00
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$672.53 |
| Max. Negotiated Rate |
$1,496.30 |
| Rate for Payer: Aetna Commercial |
$901.19
|
| Rate for Payer: Aetna Medicare |
$699.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$901.19
|
| Rate for Payer: BCBS Complete |
$920.80
|
| Rate for Payer: BCBS MAPPO |
$672.53
|
| Rate for Payer: BCN Medicare Advantage |
$672.53
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cofinity Commercial |
$968.44
|
| Rate for Payer: Cofinity Commercial |
$901.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$706.16
|
| Rate for Payer: Nomi Health Commercial |
$807.04
|
| Rate for Payer: PACE SWMI |
$672.53
|
| Rate for Payer: PHP Commercial |
$941.54
|
| Rate for Payer: PHP Medicare Advantage |
$672.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.30
|
| Rate for Payer: Priority Health Medicare |
$672.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.53
|
| Rate for Payer: UHC Medicare Advantage |
$672.53
|
| Rate for Payer: UMR Bronson Commercial |
$1,058.92
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
OP
|
$2,302.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$851.74 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna American Axle |
$1,496.30
|
| Rate for Payer: Aetna Commercial |
$1,956.70
|
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,496.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cofinity Commercial |
$1,611.40
|
| Rate for Payer: Cofinity Commercial |
$1,979.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,611.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,841.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$2,071.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,611.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,726.50
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,956.70
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$1,956.70
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.30
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health SBD |
$1,450.26
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$13,314.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: UMR Bronson Commercial |
$851.74
|
| Rate for Payer: VA VA |
$6,967.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,726.50
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
IP
|
$2,302.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$1,012.88 |
| Max. Negotiated Rate |
$2,071.80 |
| Rate for Payer: Aetna American Axle |
$1,496.30
|
| Rate for Payer: Aetna Commercial |
$1,956.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,496.30
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cofinity Commercial |
$1,611.40
|
| Rate for Payer: Cofinity Commercial |
$1,979.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,611.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,841.60
|
| Rate for Payer: Healthscope Commercial |
$2,071.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,611.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,726.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,956.70
|
| Rate for Payer: PHP Commercial |
$1,956.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.30
|
| Rate for Payer: Priority Health SBD |
$1,450.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,012.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,726.50
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,302.00
|
|
|
Service Code
|
HCPCS 27829
|
| Min. Negotiated Rate |
$672.53 |
| Max. Negotiated Rate |
$1,496.30 |
| Rate for Payer: Aetna Commercial |
$901.19
|
| Rate for Payer: Aetna Medicare |
$699.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$901.19
|
| Rate for Payer: BCBS Complete |
$920.80
|
| Rate for Payer: BCBS MAPPO |
$672.53
|
| Rate for Payer: BCN Medicare Advantage |
$672.53
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cash Price |
$1,841.60
|
| Rate for Payer: Cofinity Commercial |
$968.44
|
| Rate for Payer: Cofinity Commercial |
$901.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$706.16
|
| Rate for Payer: Nomi Health Commercial |
$807.04
|
| Rate for Payer: PACE SWMI |
$672.53
|
| Rate for Payer: PHP Commercial |
$941.54
|
| Rate for Payer: PHP Medicare Advantage |
$672.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.30
|
| Rate for Payer: Priority Health Medicare |
$672.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$672.53
|
| Rate for Payer: UHC Medicare Advantage |
$672.53
|
| Rate for Payer: UMR Bronson Commercial |
$1,058.92
|
|
|
PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE
|
Professional
|
Both
|
$3,921.00
|
|
|
Service Code
|
HCPCS 27514
|
| Min. Negotiated Rate |
$931.19 |
| Max. Negotiated Rate |
$2,548.65 |
| Rate for Payer: Aetna Commercial |
$1,247.79
|
| Rate for Payer: Aetna Medicare |
$968.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,340.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.79
|
| Rate for Payer: BCBS Complete |
$1,568.40
|
| Rate for Payer: BCBS MAPPO |
$931.19
|
| Rate for Payer: BCN Medicare Advantage |
$931.19
|
| Rate for Payer: Cash Price |
$3,136.80
|
| Rate for Payer: Cash Price |
$3,136.80
|
| Rate for Payer: Cofinity Commercial |
$1,340.91
|
| Rate for Payer: Cofinity Commercial |
$1,247.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$931.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$977.75
|
| Rate for Payer: Nomi Health Commercial |
$1,117.43
|
| Rate for Payer: PACE SWMI |
$931.19
|
| Rate for Payer: PHP Commercial |
$1,303.67
|
| Rate for Payer: PHP Medicare Advantage |
$931.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,548.65
|
| Rate for Payer: Priority Health Medicare |
$931.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$931.19
|
| Rate for Payer: UHC Medicare Advantage |
$931.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,803.66
|
|
|
PR OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD
|
Professional
|
Both
|
$3,919.00
|
|
|
Service Code
|
HCPCS 27269
|
| Min. Negotiated Rate |
$1,195.96 |
| Max. Negotiated Rate |
$2,547.35 |
| Rate for Payer: Aetna Commercial |
$1,602.59
|
| Rate for Payer: Aetna Medicare |
$1,243.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,722.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,602.59
|
| Rate for Payer: BCBS Complete |
$1,567.60
|
| Rate for Payer: BCBS MAPPO |
$1,195.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,195.96
|
| Rate for Payer: Cash Price |
$3,135.20
|
| Rate for Payer: Cash Price |
$3,135.20
|
| Rate for Payer: Cofinity Commercial |
$1,722.18
|
| Rate for Payer: Cofinity Commercial |
$1,602.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,195.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,255.76
|
| Rate for Payer: Nomi Health Commercial |
$1,435.15
|
| Rate for Payer: PACE SWMI |
$1,195.96
|
| Rate for Payer: PHP Commercial |
$1,674.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,195.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,547.35
|
| Rate for Payer: Priority Health Medicare |
$1,195.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,195.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,195.96
|
| Rate for Payer: UMR Bronson Commercial |
$1,802.74
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$3,848.00
|
|
|
Service Code
|
HCPCS 27511
|
| Min. Negotiated Rate |
$958.39 |
| Max. Negotiated Rate |
$2,501.20 |
| Rate for Payer: Aetna Commercial |
$1,284.24
|
| Rate for Payer: Aetna Medicare |
$996.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,380.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.24
|
| Rate for Payer: BCBS Complete |
$1,539.20
|
| Rate for Payer: BCBS MAPPO |
$958.39
|
| Rate for Payer: BCN Medicare Advantage |
$958.39
|
| Rate for Payer: Cash Price |
$3,078.40
|
| Rate for Payer: Cash Price |
$3,078.40
|
| Rate for Payer: Cofinity Commercial |
$1,380.08
|
| Rate for Payer: Cofinity Commercial |
$1,284.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,006.31
|
| Rate for Payer: Nomi Health Commercial |
$1,150.07
|
| Rate for Payer: PACE SWMI |
$958.39
|
| Rate for Payer: PHP Commercial |
$1,341.75
|
| Rate for Payer: PHP Medicare Advantage |
$958.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,501.20
|
| Rate for Payer: Priority Health Medicare |
$958.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.39
|
| Rate for Payer: UHC Medicare Advantage |
$958.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,770.08
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN
|
Professional
|
Both
|
$4,397.00
|
|
|
Service Code
|
HCPCS 27513
|
| Min. Negotiated Rate |
$1,188.41 |
| Max. Negotiated Rate |
$2,858.05 |
| Rate for Payer: Aetna Commercial |
$1,592.47
|
| Rate for Payer: Aetna Medicare |
$1,235.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,711.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,592.47
|
| Rate for Payer: BCBS Complete |
$1,758.80
|
| Rate for Payer: BCBS MAPPO |
$1,188.41
|
| Rate for Payer: BCN Medicare Advantage |
$1,188.41
|
| Rate for Payer: Cash Price |
$3,517.60
|
| Rate for Payer: Cash Price |
$3,517.60
|
| Rate for Payer: Cofinity Commercial |
$1,711.31
|
| Rate for Payer: Cofinity Commercial |
$1,592.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,188.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,247.83
|
| Rate for Payer: Nomi Health Commercial |
$1,426.09
|
| Rate for Payer: PACE SWMI |
$1,188.41
|
| Rate for Payer: PHP Commercial |
$1,663.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,188.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,858.05
|
| Rate for Payer: Priority Health Medicare |
$1,188.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,188.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,188.41
|
| Rate for Payer: UMR Bronson Commercial |
$2,022.62
|
|
