|
PR PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY
|
Professional
|
Both
|
$2,657.00
|
|
|
Service Code
|
HCPCS 33020
|
| Min. Negotiated Rate |
$524.62 |
| Max. Negotiated Rate |
$1,727.05 |
| Rate for Payer: Aetna Commercial |
$1,066.25
|
| Rate for Payer: Aetna Medicare |
$827.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,145.82
|
| Rate for Payer: BCBS Complete |
$550.85
|
| Rate for Payer: BCBS MAPPO |
$795.71
|
| Rate for Payer: BCBS Trust/PPO |
$745.96
|
| Rate for Payer: BCN Commercial |
$1,188.47
|
| Rate for Payer: BCN Medicare Advantage |
$795.71
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cofinity Commercial |
$1,066.25
|
| Rate for Payer: Cofinity Commercial |
$1,145.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$795.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$835.50
|
| Rate for Payer: Meridian Medicaid |
$550.85
|
| Rate for Payer: Nomi Health Commercial |
$954.85
|
| Rate for Payer: PACE SWMI |
$795.71
|
| Rate for Payer: PHP Commercial |
$1,113.99
|
| Rate for Payer: PHP Medicare Advantage |
$795.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$524.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,727.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,296.06
|
| Rate for Payer: Priority Health Medicare |
$795.71
|
| Rate for Payer: Priority Health Narrow Network |
$1,296.06
|
| Rate for Payer: Priority Health SBD |
$1,296.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$795.71
|
| Rate for Payer: UHC Medicare Advantage |
$795.71
|
| Rate for Payer: UHCCP Medicaid |
$524.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,222.22
|
|
|
PR PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE
|
Professional
|
Both
|
$2,152.00
|
|
|
Service Code
|
HCPCS 19371
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$6,614.63 |
| Rate for Payer: Aetna Commercial |
$916.32
|
| Rate for Payer: Aetna Medicare |
$711.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$916.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$984.70
|
| Rate for Payer: BCBS Complete |
$485.10
|
| Rate for Payer: BCBS MAPPO |
$683.82
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$1,043.82
|
| Rate for Payer: BCN Medicare Advantage |
$683.82
|
| Rate for Payer: Cash Price |
$1,721.60
|
| Rate for Payer: Cash Price |
$1,721.60
|
| Rate for Payer: Cofinity Commercial |
$916.32
|
| Rate for Payer: Cofinity Commercial |
$984.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$683.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$718.01
|
| Rate for Payer: Meridian Medicaid |
$485.10
|
| Rate for Payer: Nomi Health Commercial |
$820.58
|
| Rate for Payer: PACE SWMI |
$683.82
|
| Rate for Payer: PHP Commercial |
$957.35
|
| Rate for Payer: PHP Medicare Advantage |
$683.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$462.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,398.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$967.60
|
| Rate for Payer: Priority Health Medicare |
$683.82
|
| Rate for Payer: Priority Health Narrow Network |
$967.60
|
| Rate for Payer: Priority Health SBD |
$967.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$683.82
|
| Rate for Payer: UHC Medicare Advantage |
$683.82
|
| Rate for Payer: UHCCP Medicaid |
$462.00
|
| Rate for Payer: UMR Bronson Commercial |
$989.92
|
|
|
PR PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 56810
|
| Min. Negotiated Rate |
$174.45 |
| Max. Negotiated Rate |
$1,892.90 |
| Rate for Payer: Aetna Commercial |
$347.78
|
| Rate for Payer: Aetna Medicare |
$269.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$347.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$373.74
|
| Rate for Payer: BCBS Complete |
$183.17
|
| Rate for Payer: BCBS MAPPO |
$259.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,892.90
|
| Rate for Payer: BCN Commercial |
$399.25
|
| Rate for Payer: BCN Medicare Advantage |
$259.54
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$373.74
|
| Rate for Payer: Cofinity Commercial |
$347.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$272.52
|
| Rate for Payer: Meridian Medicaid |
$183.17
|
| Rate for Payer: Nomi Health Commercial |
$311.45
|
| Rate for Payer: PACE SWMI |
$259.54
|
| Rate for Payer: PHP Commercial |
$363.36
|
| Rate for Payer: PHP Medicare Advantage |
$259.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$409.73
|
| Rate for Payer: Priority Health Medicare |
$259.54
|
| Rate for Payer: Priority Health Narrow Network |
$409.73
|
| Rate for Payer: Priority Health SBD |
$409.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.54
|
| Rate for Payer: UHC Medicare Advantage |
$259.54
|
| Rate for Payer: UHCCP Medicaid |
$174.45
|
| Rate for Payer: UMR Bronson Commercial |
$421.36
|
|
|
PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
|
Professional
|
Both
|
$154.00
|
|
|
Service Code
|
HCPCS 99391
|
| Min. Negotiated Rate |
$45.89 |
| Max. Negotiated Rate |
$193.36 |
| Rate for Payer: Aetna Commercial |
$71.14
|
| Rate for Payer: Aetna Medicare |
$77.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.14
|
| Rate for Payer: BCBS Complete |
$48.18
|
| Rate for Payer: BCBS Trust/PPO |
$193.36
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Meridian Medicaid |
$48.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.80
|
| Rate for Payer: Priority Health Narrow Network |
$146.80
|
| Rate for Payer: Priority Health SBD |
$146.80
|
| Rate for Payer: UHCCP Medicaid |
$45.89
|
| Rate for Payer: UMR Bronson Commercial |
$70.84
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 99394
|
| Min. Negotiated Rate |
$61.08 |
| Max. Negotiated Rate |
$550.49 |
| Rate for Payer: Aetna Commercial |
$88.48
|
| Rate for Payer: Aetna Medicare |
$83.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.48
|
| Rate for Payer: BCBS Complete |
$64.13
|
| Rate for Payer: BCBS Trust/PPO |
$550.49
|
| Rate for Payer: BCN Commercial |
$120.73
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Meridian Medicaid |
$64.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$107.90
|
| Rate for Payer: Priority Health Narrow Network |
$107.90
|
| Rate for Payer: Priority Health SBD |
$107.90
|
| Rate for Payer: UHCCP Medicaid |
$61.08
|
| Rate for Payer: UMR Bronson Commercial |
$76.36
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS
|
Professional
|
Both
|
$165.00
|
|
|
Service Code
|
HCPCS 99392
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$527.24 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$82.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.23
|
| Rate for Payer: BCBS Complete |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$527.24
|
| Rate for Payer: BCN Commercial |
$151.49
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$156.69
|
| Rate for Payer: Priority Health Narrow Network |
$156.69
|
| Rate for Payer: Priority Health SBD |
$156.69
|
| Rate for Payer: UHCCP Medicaid |
$53.49
|
| Rate for Payer: UMR Bronson Commercial |
$75.90
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 99395
|
| Min. Negotiated Rate |
$61.08 |
| Max. Negotiated Rate |
$668.30 |
| Rate for Payer: Aetna Commercial |
$90.96
|
| Rate for Payer: Aetna Medicare |
$84.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.96
|
| Rate for Payer: BCBS Complete |
$64.13
|
| Rate for Payer: BCBS Trust/PPO |
$668.30
|
| Rate for Payer: BCN Commercial |
$123.60
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Meridian Medicaid |
$64.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$111.39
|
| Rate for Payer: Priority Health Narrow Network |
$111.39
|
| Rate for Payer: Priority Health SBD |
$111.39
|
| Rate for Payer: UHCCP Medicaid |
$61.08
|
| Rate for Payer: UMR Bronson Commercial |
$77.74
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS
|
Professional
|
Both
|
$182.00
|
|
|
Service Code
|
HCPCS 99396
|
| Min. Negotiated Rate |
$69.00 |
| Max. Negotiated Rate |
$972.60 |
| Rate for Payer: Aetna Commercial |
$98.74
|
| Rate for Payer: Aetna Medicare |
$91.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.74
|
| Rate for Payer: BCBS Complete |
$72.45
|
| Rate for Payer: BCBS Trust/PPO |
$972.60
|
| Rate for Payer: BCN Commercial |
$131.12
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Meridian Medicaid |
$72.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$118.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121.04
|
| Rate for Payer: Priority Health Narrow Network |
$121.04
|
| Rate for Payer: Priority Health SBD |
$121.04
|
| Rate for Payer: UHCCP Medicaid |
$69.00
|
| Rate for Payer: UMR Bronson Commercial |
$83.72
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 99393
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$624.98 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$76.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.23
|
| Rate for Payer: BCBS Complete |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$624.98
|
| Rate for Payer: BCN Commercial |
$106.47
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Meridian Medicaid |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.16
|
| Rate for Payer: Priority Health Narrow Network |
$95.16
|
| Rate for Payer: Priority Health SBD |
$95.16
|
| Rate for Payer: UHCCP Medicaid |
$53.49
|
| Rate for Payer: UMR Bronson Commercial |
$69.92
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
|
Professional
|
Both
|
$196.00
|
|
|
Service Code
|
HCPCS 99397
|
| Min. Negotiated Rate |
$76.91 |
| Max. Negotiated Rate |
$977.36 |
| Rate for Payer: Aetna Commercial |
$103.72
|
| Rate for Payer: Aetna Medicare |
$98.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.72
|
| Rate for Payer: BCBS Complete |
$80.76
|
| Rate for Payer: BCBS Trust/PPO |
$977.36
|
| Rate for Payer: BCN Commercial |
$141.51
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Meridian Medicaid |
$80.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$127.19
|
| Rate for Payer: Priority Health Narrow Network |
$127.19
|
| Rate for Payer: Priority Health SBD |
$127.19
|
| Rate for Payer: UHCCP Medicaid |
$76.91
|
| Rate for Payer: UMR Bronson Commercial |
$90.16
|
|
|
PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 93286
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$53.91
|
| Rate for Payer: Aetna Medicare |
$41.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.93
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS MAPPO |
$40.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$67.44
|
| Rate for Payer: BCN Medicare Advantage |
$40.23
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$53.91
|
| Rate for Payer: Cofinity Commercial |
$57.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.24
|
| Rate for Payer: Meridian Medicaid |
$9.62
|
| Rate for Payer: Nomi Health Commercial |
$48.28
|
| Rate for Payer: PACE SWMI |
$40.23
|
| Rate for Payer: PHP Commercial |
$56.32
|
| Rate for Payer: PHP Medicare Advantage |
$40.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.57
|
| Rate for Payer: Priority Health Medicare |
$40.23
|
| Rate for Payer: Priority Health Narrow Network |
$63.57
|
| Rate for Payer: Priority Health SBD |
$20.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.23
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
| Rate for Payer: UHCCP Medicaid |
$9.16
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 93287
|
| Min. Negotiated Rate |
$13.63 |
| Max. Negotiated Rate |
$1,774.03 |
| Rate for Payer: Aetna Commercial |
$62.78
|
| Rate for Payer: Aetna Medicare |
$48.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.46
|
| Rate for Payer: BCBS Complete |
$14.31
|
| Rate for Payer: BCBS MAPPO |
$46.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,774.03
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$46.85
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$62.78
|
| Rate for Payer: Cofinity Commercial |
$67.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.19
|
| Rate for Payer: Meridian Medicaid |
$14.31
|
| Rate for Payer: Nomi Health Commercial |
$56.22
|
| Rate for Payer: PACE SWMI |
$46.85
|
| Rate for Payer: PHP Commercial |
$65.59
|
| Rate for Payer: PHP Medicare Advantage |
$46.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.45
|
| Rate for Payer: Priority Health Medicare |
$46.85
|
| Rate for Payer: Priority Health Narrow Network |
$73.45
|
| Rate for Payer: Priority Health SBD |
$29.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.85
|
| Rate for Payer: UHC Medicare Advantage |
$46.85
|
| Rate for Payer: UHCCP Medicaid |
$13.63
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
PR PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE
|
Professional
|
Both
|
$290.00
|
|
|
Service Code
|
HCPCS 45520
|
| Min. Negotiated Rate |
$25.99 |
| Max. Negotiated Rate |
$2,174.48 |
| Rate for Payer: Aetna Commercial |
$50.97
|
| Rate for Payer: Aetna Medicare |
$39.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.78
|
| Rate for Payer: BCBS Complete |
$27.29
|
| Rate for Payer: BCBS MAPPO |
$38.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,174.48
|
| Rate for Payer: BCN Commercial |
$240.43
|
| Rate for Payer: BCN Medicare Advantage |
$38.04
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cofinity Commercial |
$50.97
|
| Rate for Payer: Cofinity Commercial |
$54.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.94
|
| Rate for Payer: Meridian Medicaid |
$27.29
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: PACE SWMI |
$38.04
|
| Rate for Payer: PHP Commercial |
$53.26
|
| Rate for Payer: PHP Medicare Advantage |
$38.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.78
|
| Rate for Payer: Priority Health Medicare |
$38.04
|
| Rate for Payer: Priority Health Narrow Network |
$72.78
|
| Rate for Payer: Priority Health SBD |
$72.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.04
|
| Rate for Payer: UHC Medicare Advantage |
$38.04
|
| Rate for Payer: UHCCP Medicaid |
$25.99
|
| Rate for Payer: UMR Bronson Commercial |
$133.40
|
|
|
PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 49084
|
| Min. Negotiated Rate |
$63.02 |
| Max. Negotiated Rate |
$530.41 |
| Rate for Payer: Aetna Commercial |
$140.31
|
| Rate for Payer: Aetna Medicare |
$108.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.78
|
| Rate for Payer: BCBS Complete |
$72.02
|
| Rate for Payer: BCBS MAPPO |
$104.71
|
| Rate for Payer: BCBS Trust/PPO |
$530.41
|
| Rate for Payer: BCN Commercial |
$155.40
|
| Rate for Payer: BCN Medicare Advantage |
$104.71
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cofinity Commercial |
$140.31
|
| Rate for Payer: Cofinity Commercial |
$150.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.95
|
| Rate for Payer: Meridian Medicaid |
$72.02
|
| Rate for Payer: Nomi Health Commercial |
$125.65
|
| Rate for Payer: PACE SWMI |
$104.71
|
| Rate for Payer: PHP Commercial |
$146.59
|
| Rate for Payer: PHP Medicare Advantage |
$104.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.12
|
| Rate for Payer: Priority Health Medicare |
$104.71
|
| Rate for Payer: Priority Health Narrow Network |
$189.12
|
| Rate for Payer: Priority Health SBD |
$189.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.71
|
| Rate for Payer: UHC Medicare Advantage |
$104.71
|
| Rate for Payer: UHCCP Medicaid |
$68.59
|
| Rate for Payer: UMR Bronson Commercial |
$63.02
|
|
|
PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 34713
|
| Min. Negotiated Rate |
$76.68 |
| Max. Negotiated Rate |
$1,464.98 |
| Rate for Payer: Aetna Commercial |
$158.62
|
| Rate for Payer: Aetna Medicare |
$123.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.45
|
| Rate for Payer: BCBS Complete |
$80.51
|
| Rate for Payer: BCBS MAPPO |
$118.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,464.98
|
| Rate for Payer: BCN Commercial |
$175.44
|
| Rate for Payer: BCN Medicare Advantage |
$118.37
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cofinity Commercial |
$158.62
|
| Rate for Payer: Cofinity Commercial |
$170.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.29
|
| Rate for Payer: Meridian Medicaid |
$80.51
|
| Rate for Payer: Nomi Health Commercial |
$142.04
|
| Rate for Payer: PACE SWMI |
$118.37
|
| Rate for Payer: PHP Commercial |
$165.72
|
| Rate for Payer: PHP Medicare Advantage |
$118.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$190.92
|
| Rate for Payer: Priority Health Medicare |
$118.37
|
| Rate for Payer: Priority Health Narrow Network |
$190.92
|
| Rate for Payer: Priority Health SBD |
$190.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.37
|
| Rate for Payer: UHC Medicare Advantage |
$118.37
|
| Rate for Payer: UHCCP Medicaid |
$76.68
|
| Rate for Payer: UMR Bronson Commercial |
$122.82
|
|
|
PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL
|
Professional
|
Both
|
$1,615.00
|
|
|
Service Code
|
HCPCS 61645
|
| Min. Negotiated Rate |
$117.81 |
| Max. Negotiated Rate |
$1,431.46 |
| Rate for Payer: Aetna Commercial |
$1,108.97
|
| Rate for Payer: Aetna Medicare |
$860.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,108.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,191.73
|
| Rate for Payer: BCBS Complete |
$568.07
|
| Rate for Payer: BCBS MAPPO |
$827.59
|
| Rate for Payer: BCBS Trust/PPO |
$117.81
|
| Rate for Payer: BCN Commercial |
$1,222.18
|
| Rate for Payer: BCN Medicare Advantage |
$827.59
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cofinity Commercial |
$1,108.97
|
| Rate for Payer: Cofinity Commercial |
$1,191.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$827.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$868.97
|
| Rate for Payer: Meridian Medicaid |
$568.07
|
| Rate for Payer: Nomi Health Commercial |
$993.11
|
| Rate for Payer: PACE SWMI |
$827.59
|
| Rate for Payer: PHP Commercial |
$1,158.63
|
| Rate for Payer: PHP Medicare Advantage |
$827.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,049.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,431.46
|
| Rate for Payer: Priority Health Medicare |
$827.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,431.46
|
| Rate for Payer: Priority Health SBD |
$1,431.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$827.59
|
| Rate for Payer: UHC Medicare Advantage |
$827.59
|
| Rate for Payer: UHCCP Medicaid |
$541.02
|
| Rate for Payer: UMR Bronson Commercial |
$742.90
|
|
|
PR PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER
|
Professional
|
Both
|
$693.00
|
|
|
Service Code
|
HCPCS 61642
|
| Min. Negotiated Rate |
$109.36 |
| Max. Negotiated Rate |
$559.62 |
| Rate for Payer: Aetna Commercial |
$445.23
|
| Rate for Payer: Aetna Medicare |
$346.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.23
|
| Rate for Payer: BCBS Complete |
$277.20
|
| Rate for Payer: BCBS Trust/PPO |
$109.36
|
| Rate for Payer: BCN Commercial |
$480.86
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$450.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.62
|
| Rate for Payer: Priority Health Narrow Network |
$559.62
|
| Rate for Payer: Priority Health SBD |
$559.62
|
| Rate for Payer: UMR Bronson Commercial |
$318.78
|
|
|
PR PERQ BALO DILA IC VSPSM EA VSL SM VASC TER
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS 61641
|
| Min. Negotiated Rate |
$105.66 |
| Max. Negotiated Rate |
$279.80 |
| Rate for Payer: Aetna Commercial |
$222.61
|
| Rate for Payer: Aetna Medicare |
$173.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.61
|
| Rate for Payer: BCBS Complete |
$138.80
|
| Rate for Payer: BCBS Trust/PPO |
$105.66
|
| Rate for Payer: BCN Commercial |
$240.43
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$279.80
|
| Rate for Payer: Priority Health Narrow Network |
$279.80
|
| Rate for Payer: Priority Health SBD |
$279.80
|
| Rate for Payer: UMR Bronson Commercial |
$159.62
|
|
|
PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 19285
|
| Min. Negotiated Rate |
$52.82 |
| Max. Negotiated Rate |
$2,904.75 |
| Rate for Payer: Aetna Commercial |
$106.30
|
| Rate for Payer: Aetna Medicare |
$82.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.24
|
| Rate for Payer: BCBS Complete |
$55.46
|
| Rate for Payer: BCBS MAPPO |
$79.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,904.75
|
| Rate for Payer: BCN Commercial |
$548.78
|
| Rate for Payer: BCN Medicare Advantage |
$79.33
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$106.30
|
| Rate for Payer: Cofinity Commercial |
$114.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.30
|
| Rate for Payer: Meridian Medicaid |
$55.46
|
| Rate for Payer: Nomi Health Commercial |
$95.20
|
| Rate for Payer: PACE SWMI |
$79.33
|
| Rate for Payer: PHP Commercial |
$111.06
|
| Rate for Payer: PHP Medicare Advantage |
$79.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$111.52
|
| Rate for Payer: Priority Health Medicare |
$79.33
|
| Rate for Payer: Priority Health Narrow Network |
$111.52
|
| Rate for Payer: Priority Health SBD |
$111.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.33
|
| Rate for Payer: UHC Medicare Advantage |
$79.33
|
| Rate for Payer: UHCCP Medicaid |
$52.82
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
|
|
PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 19286
|
| Min. Negotiated Rate |
$26.41 |
| Max. Negotiated Rate |
$570.00 |
| Rate for Payer: Aetna Commercial |
$53.14
|
| Rate for Payer: Aetna Medicare |
$41.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.11
|
| Rate for Payer: BCBS Complete |
$27.73
|
| Rate for Payer: BCBS MAPPO |
$39.66
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$450.56
|
| Rate for Payer: BCN Medicare Advantage |
$39.66
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$53.14
|
| Rate for Payer: Cofinity Commercial |
$57.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.64
|
| Rate for Payer: Meridian Medicaid |
$27.73
|
| Rate for Payer: Nomi Health Commercial |
$47.59
|
| Rate for Payer: PACE SWMI |
$39.66
|
| Rate for Payer: PHP Commercial |
$55.52
|
| Rate for Payer: PHP Medicare Advantage |
$39.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.99
|
| Rate for Payer: Priority Health Medicare |
$39.66
|
| Rate for Payer: Priority Health Narrow Network |
$55.99
|
| Rate for Payer: Priority Health SBD |
$55.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.66
|
| Rate for Payer: UHC Medicare Advantage |
$39.66
|
| Rate for Payer: UHCCP Medicaid |
$26.41
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
PR PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT
|
Professional
|
Both
|
$1,663.00
|
|
|
Service Code
|
HCPCS 33340
|
| Min. Negotiated Rate |
$487.13 |
| Max. Negotiated Rate |
$1,214.69 |
| Rate for Payer: Aetna Commercial |
$992.73
|
| Rate for Payer: Aetna Medicare |
$770.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.73
|
| Rate for Payer: BCBS Complete |
$511.49
|
| Rate for Payer: BCBS MAPPO |
$740.84
|
| Rate for Payer: BCBS Trust/PPO |
$775.02
|
| Rate for Payer: BCN Commercial |
$1,122.01
|
| Rate for Payer: BCN Medicare Advantage |
$740.84
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Cofinity Commercial |
$1,066.81
|
| Rate for Payer: Cofinity Commercial |
$992.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.88
|
| Rate for Payer: Meridian Medicaid |
$511.49
|
| Rate for Payer: Nomi Health Commercial |
$889.01
|
| Rate for Payer: PACE SWMI |
$740.84
|
| Rate for Payer: PHP Commercial |
$1,037.18
|
| Rate for Payer: PHP Medicare Advantage |
$740.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,080.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.69
|
| Rate for Payer: Priority Health Medicare |
$740.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,214.69
|
| Rate for Payer: Priority Health SBD |
$1,214.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.84
|
| Rate for Payer: UHC Medicare Advantage |
$740.84
|
| Rate for Payer: UHCCP Medicaid |
$487.13
|
| Rate for Payer: UMR Bronson Commercial |
$764.98
|
|
|
PR PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 19281
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$354.78 |
| Rate for Payer: Aetna Commercial |
$124.15
|
| Rate for Payer: Aetna Medicare |
$96.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.42
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: BCBS MAPPO |
$92.65
|
| Rate for Payer: BCBS Trust/PPO |
$100.60
|
| Rate for Payer: BCN Commercial |
$354.78
|
| Rate for Payer: BCN Medicare Advantage |
$92.65
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cofinity Commercial |
$124.15
|
| Rate for Payer: Cofinity Commercial |
$133.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.28
|
| Rate for Payer: Meridian Medicaid |
$64.86
|
| Rate for Payer: Nomi Health Commercial |
$111.18
|
| Rate for Payer: PACE SWMI |
$92.65
|
| Rate for Payer: PHP Commercial |
$129.71
|
| Rate for Payer: PHP Medicare Advantage |
$92.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.49
|
| Rate for Payer: Priority Health Medicare |
$92.65
|
| Rate for Payer: Priority Health Narrow Network |
$130.49
|
| Rate for Payer: Priority Health SBD |
$130.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.65
|
| Rate for Payer: UHC Medicare Advantage |
$92.65
|
| Rate for Payer: UHCCP Medicaid |
$61.77
|
| Rate for Payer: UMR Bronson Commercial |
$168.36
|
|
|
PR PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 19282
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$2,700.00 |
| Rate for Payer: Aetna Commercial |
$62.02
|
| Rate for Payer: Aetna Medicare |
$48.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.64
|
| Rate for Payer: BCBS Complete |
$32.43
|
| Rate for Payer: BCBS MAPPO |
$46.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,700.00
|
| Rate for Payer: BCN Commercial |
$252.16
|
| Rate for Payer: BCN Medicare Advantage |
$46.28
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$62.02
|
| Rate for Payer: Cofinity Commercial |
$66.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.59
|
| Rate for Payer: Meridian Medicaid |
$32.43
|
| Rate for Payer: Nomi Health Commercial |
$55.54
|
| Rate for Payer: PACE SWMI |
$46.28
|
| Rate for Payer: PHP Commercial |
$64.79
|
| Rate for Payer: PHP Medicare Advantage |
$46.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.47
|
| Rate for Payer: Priority Health Medicare |
$46.28
|
| Rate for Payer: Priority Health Narrow Network |
$65.47
|
| Rate for Payer: Priority Health SBD |
$65.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.28
|
| Rate for Payer: UHC Medicare Advantage |
$46.28
|
| Rate for Payer: UHCCP Medicaid |
$30.89
|
| Rate for Payer: UMR Bronson Commercial |
$117.30
|
|
|
PR PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 50436
|
| Min. Negotiated Rate |
$95.64 |
| Max. Negotiated Rate |
$1,729.65 |
| Rate for Payer: Aetna Commercial |
$191.31
|
| Rate for Payer: Aetna Medicare |
$148.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.59
|
| Rate for Payer: BCBS Complete |
$100.42
|
| Rate for Payer: BCBS MAPPO |
$142.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,729.65
|
| Rate for Payer: BCN Commercial |
$213.06
|
| Rate for Payer: BCN Medicare Advantage |
$142.77
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$205.59
|
| Rate for Payer: Cofinity Commercial |
$191.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.91
|
| Rate for Payer: Meridian Medicaid |
$100.42
|
| Rate for Payer: Nomi Health Commercial |
$171.32
|
| Rate for Payer: PACE SWMI |
$142.77
|
| Rate for Payer: PHP Commercial |
$199.88
|
| Rate for Payer: PHP Medicare Advantage |
$142.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$233.28
|
| Rate for Payer: Priority Health Medicare |
$142.77
|
| Rate for Payer: Priority Health Narrow Network |
$233.28
|
| Rate for Payer: Priority Health SBD |
$233.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.77
|
| Rate for Payer: UHC Medicare Advantage |
$142.77
|
| Rate for Payer: UHCCP Medicaid |
$95.64
|
| Rate for Payer: UMR Bronson Commercial |
$140.30
|
|
|
PR PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS
|
Professional
|
Both
|
$851.00
|
|
|
Service Code
|
HCPCS 50437
|
| Min. Negotiated Rate |
$158.90 |
| Max. Negotiated Rate |
$553.15 |
| Rate for Payer: Aetna Commercial |
$319.19
|
| Rate for Payer: Aetna Medicare |
$247.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$319.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$343.01
|
| Rate for Payer: BCBS Complete |
$166.84
|
| Rate for Payer: BCBS MAPPO |
$238.20
|
| Rate for Payer: BCN Commercial |
$355.26
|
| Rate for Payer: BCN Medicare Advantage |
$238.20
|
| Rate for Payer: Cash Price |
$680.80
|
| Rate for Payer: Cash Price |
$680.80
|
| Rate for Payer: Cofinity Commercial |
$319.19
|
| Rate for Payer: Cofinity Commercial |
$343.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$238.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$250.11
|
| Rate for Payer: Meridian Medicaid |
$166.84
|
| Rate for Payer: Nomi Health Commercial |
$285.84
|
| Rate for Payer: PACE SWMI |
$238.20
|
| Rate for Payer: PHP Commercial |
$333.48
|
| Rate for Payer: PHP Medicare Advantage |
$238.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$386.13
|
| Rate for Payer: Priority Health Medicare |
$238.20
|
| Rate for Payer: Priority Health Narrow Network |
$386.13
|
| Rate for Payer: Priority Health SBD |
$386.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$238.20
|
| Rate for Payer: UHC Medicare Advantage |
$238.20
|
| Rate for Payer: UHCCP Medicaid |
$158.90
|
| Rate for Payer: UMR Bronson Commercial |
$391.46
|
|
