|
PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS
|
Professional
|
Both
|
$9,690.00
|
|
|
Service Code
|
HCPCS 33411
|
| Min. Negotiated Rate |
$3,212.15 |
| Max. Negotiated Rate |
$6,298.50 |
| Rate for Payer: Aetna Commercial |
$4,304.28
|
| Rate for Payer: Aetna Medicare |
$3,340.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,625.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,304.28
|
| Rate for Payer: BCBS Complete |
$3,876.00
|
| Rate for Payer: BCBS MAPPO |
$3,212.15
|
| Rate for Payer: BCN Medicare Advantage |
$3,212.15
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cofinity Commercial |
$4,625.50
|
| Rate for Payer: Cofinity Commercial |
$4,304.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,212.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,372.76
|
| Rate for Payer: Nomi Health Commercial |
$3,854.58
|
| Rate for Payer: PACE SWMI |
$3,212.15
|
| Rate for Payer: PHP Commercial |
$4,497.01
|
| Rate for Payer: PHP Medicare Advantage |
$3,212.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,298.50
|
| Rate for Payer: Priority Health Medicare |
$3,212.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,212.15
|
| Rate for Payer: UHC Medicare Advantage |
$3,212.15
|
| Rate for Payer: UMR Bronson Commercial |
$4,457.40
|
|
|
PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
|
Professional
|
Both
|
$6,847.00
|
|
|
Service Code
|
HCPCS 33406
|
| Min. Negotiated Rate |
$2,738.80 |
| Max. Negotiated Rate |
$4,450.55 |
| Rate for Payer: Aetna Commercial |
$3,707.27
|
| Rate for Payer: Aetna Medicare |
$2,877.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,983.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,707.27
|
| Rate for Payer: BCBS Complete |
$2,738.80
|
| Rate for Payer: BCBS MAPPO |
$2,766.62
|
| Rate for Payer: BCN Medicare Advantage |
$2,766.62
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cofinity Commercial |
$3,983.93
|
| Rate for Payer: Cofinity Commercial |
$3,707.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,766.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,904.95
|
| Rate for Payer: Nomi Health Commercial |
$3,319.94
|
| Rate for Payer: PACE SWMI |
$2,766.62
|
| Rate for Payer: PHP Commercial |
$3,873.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,766.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,450.55
|
| Rate for Payer: Priority Health Medicare |
$2,766.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,766.62
|
| Rate for Payer: UHC Medicare Advantage |
$2,766.62
|
| Rate for Payer: UMR Bronson Commercial |
$3,149.62
|
|
|
PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE
|
Professional
|
Both
|
$8,127.00
|
|
|
Service Code
|
HCPCS 33410
|
| Min. Negotiated Rate |
$2,440.87 |
| Max. Negotiated Rate |
$5,282.55 |
| Rate for Payer: Aetna Commercial |
$3,270.77
|
| Rate for Payer: Aetna Medicare |
$2,538.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,514.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,270.77
|
| Rate for Payer: BCBS Complete |
$3,250.80
|
| Rate for Payer: BCBS MAPPO |
$2,440.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,440.87
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cofinity Commercial |
$3,514.85
|
| Rate for Payer: Cofinity Commercial |
$3,270.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,440.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,562.91
|
| Rate for Payer: Nomi Health Commercial |
$2,929.04
|
| Rate for Payer: PACE SWMI |
$2,440.87
|
| Rate for Payer: PHP Commercial |
$3,417.22
|
| Rate for Payer: PHP Medicare Advantage |
$2,440.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,282.55
|
| Rate for Payer: Priority Health Medicare |
$2,440.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,440.87
|
| Rate for Payer: UHC Medicare Advantage |
$2,440.87
|
| Rate for Payer: UMR Bronson Commercial |
$3,738.42
|
|
|
PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL
|
Professional
|
Both
|
$5,033.00
|
|
|
Service Code
|
HCPCS 62143
|
| Min. Negotiated Rate |
$1,036.68 |
| Max. Negotiated Rate |
$3,271.45 |
| Rate for Payer: Aetna Commercial |
$1,389.15
|
| Rate for Payer: Aetna Medicare |
$1,078.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,389.15
|
| Rate for Payer: BCBS Complete |
$2,013.20
|
| Rate for Payer: BCBS MAPPO |
$1,036.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.68
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,492.82
|
| Rate for Payer: Cofinity Commercial |
$1,389.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.51
|
| Rate for Payer: Nomi Health Commercial |
$1,244.02
|
| Rate for Payer: PACE SWMI |
$1,036.68
|
| Rate for Payer: PHP Commercial |
$1,451.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.45
|
| Rate for Payer: Priority Health Medicare |
$1,036.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,036.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.68
|
| Rate for Payer: UMR Bronson Commercial |
$2,315.18
|
|
|
PR RPLCMT CATH CTR VAD SUBQ PORT/PMP
|
Professional
|
Both
|
$1,024.00
|
|
|
Service Code
|
HCPCS 36578
|
| Min. Negotiated Rate |
$191.32 |
| Max. Negotiated Rate |
$665.60 |
| Rate for Payer: Aetna Commercial |
$256.37
|
| Rate for Payer: Aetna Medicare |
$198.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.37
|
| Rate for Payer: BCBS Complete |
$409.60
|
| Rate for Payer: BCBS MAPPO |
$191.32
|
| Rate for Payer: BCN Medicare Advantage |
$191.32
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cofinity Commercial |
$275.50
|
| Rate for Payer: Cofinity Commercial |
$256.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.89
|
| Rate for Payer: Nomi Health Commercial |
$229.58
|
| Rate for Payer: PACE SWMI |
$191.32
|
| Rate for Payer: PHP Commercial |
$267.85
|
| Rate for Payer: PHP Medicare Advantage |
$191.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.60
|
| Rate for Payer: Priority Health Medicare |
$191.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.32
|
| Rate for Payer: UHC Medicare Advantage |
$191.32
|
| Rate for Payer: UMR Bronson Commercial |
$471.04
|
|
|
PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$771.00
|
|
|
Service Code
|
HCPCS 36580
|
| Min. Negotiated Rate |
$61.41 |
| Max. Negotiated Rate |
$501.15 |
| Rate for Payer: Aetna Commercial |
$82.29
|
| Rate for Payer: Aetna Medicare |
$63.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.29
|
| Rate for Payer: BCBS Complete |
$308.40
|
| Rate for Payer: BCBS MAPPO |
$61.41
|
| Rate for Payer: BCN Medicare Advantage |
$61.41
|
| Rate for Payer: Cash Price |
$616.80
|
| Rate for Payer: Cash Price |
$616.80
|
| Rate for Payer: Cofinity Commercial |
$88.43
|
| Rate for Payer: Cofinity Commercial |
$82.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.48
|
| Rate for Payer: Nomi Health Commercial |
$73.69
|
| Rate for Payer: PACE SWMI |
$61.41
|
| Rate for Payer: PHP Commercial |
$85.97
|
| Rate for Payer: PHP Medicare Advantage |
$61.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$501.15
|
| Rate for Payer: Priority Health Medicare |
$61.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.41
|
| Rate for Payer: UHC Medicare Advantage |
$61.41
|
| Rate for Payer: UMR Bronson Commercial |
$354.66
|
|
|
PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$2,142.00
|
|
|
Service Code
|
HCPCS 36585
|
| Min. Negotiated Rate |
$293.26 |
| Max. Negotiated Rate |
$1,392.30 |
| Rate for Payer: Aetna Commercial |
$392.97
|
| Rate for Payer: Aetna Medicare |
$304.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$392.97
|
| Rate for Payer: BCBS Complete |
$856.80
|
| Rate for Payer: BCBS MAPPO |
$293.26
|
| Rate for Payer: BCN Medicare Advantage |
$293.26
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cofinity Commercial |
$422.29
|
| Rate for Payer: Cofinity Commercial |
$392.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$307.92
|
| Rate for Payer: Nomi Health Commercial |
$351.91
|
| Rate for Payer: PACE SWMI |
$293.26
|
| Rate for Payer: PHP Commercial |
$410.56
|
| Rate for Payer: PHP Medicare Advantage |
$293.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.30
|
| Rate for Payer: Priority Health Medicare |
$293.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$293.26
|
| Rate for Payer: UHC Medicare Advantage |
$293.26
|
| Rate for Payer: UMR Bronson Commercial |
$985.32
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP
|
Professional
|
Both
|
$1,945.00
|
|
|
Service Code
|
HCPCS 36583
|
| Min. Negotiated Rate |
$317.76 |
| Max. Negotiated Rate |
$1,264.25 |
| Rate for Payer: Aetna Commercial |
$425.80
|
| Rate for Payer: Aetna Medicare |
$330.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.80
|
| Rate for Payer: BCBS Complete |
$778.00
|
| Rate for Payer: BCBS MAPPO |
$317.76
|
| Rate for Payer: BCN Medicare Advantage |
$317.76
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cofinity Commercial |
$457.57
|
| Rate for Payer: Cofinity Commercial |
$425.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.65
|
| Rate for Payer: Nomi Health Commercial |
$381.31
|
| Rate for Payer: PACE SWMI |
$317.76
|
| Rate for Payer: PHP Commercial |
$444.86
|
| Rate for Payer: PHP Medicare Advantage |
$317.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.25
|
| Rate for Payer: Priority Health Medicare |
$317.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.76
|
| Rate for Payer: UHC Medicare Advantage |
$317.76
|
| Rate for Payer: UMR Bronson Commercial |
$894.70
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$564.00
|
|
|
Service Code
|
HCPCS 36582
|
| Min. Negotiated Rate |
$225.60 |
| Max. Negotiated Rate |
$392.23 |
| Rate for Payer: Aetna Commercial |
$364.99
|
| Rate for Payer: Aetna Medicare |
$283.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$392.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.99
|
| Rate for Payer: BCBS Complete |
$225.60
|
| Rate for Payer: BCBS MAPPO |
$272.38
|
| Rate for Payer: BCN Medicare Advantage |
$272.38
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cofinity Commercial |
$392.23
|
| Rate for Payer: Cofinity Commercial |
$364.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$286.00
|
| Rate for Payer: Nomi Health Commercial |
$326.86
|
| Rate for Payer: PACE SWMI |
$272.38
|
| Rate for Payer: PHP Commercial |
$381.33
|
| Rate for Payer: PHP Medicare Advantage |
$272.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$366.60
|
| Rate for Payer: Priority Health Medicare |
$272.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.38
|
| Rate for Payer: UHC Medicare Advantage |
$272.38
|
| Rate for Payer: UMR Bronson Commercial |
$259.44
|
|
|
PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 36581
|
| Min. Negotiated Rate |
$172.66 |
| Max. Negotiated Rate |
$1,020.50 |
| Rate for Payer: Aetna Commercial |
$231.36
|
| Rate for Payer: Aetna Medicare |
$179.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.36
|
| Rate for Payer: BCBS Complete |
$628.00
|
| Rate for Payer: BCBS MAPPO |
$172.66
|
| Rate for Payer: BCN Medicare Advantage |
$172.66
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$248.63
|
| Rate for Payer: Cofinity Commercial |
$231.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.29
|
| Rate for Payer: Nomi Health Commercial |
$207.19
|
| Rate for Payer: PACE SWMI |
$172.66
|
| Rate for Payer: PHP Commercial |
$241.72
|
| Rate for Payer: PHP Medicare Advantage |
$172.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health Medicare |
$172.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.66
|
| Rate for Payer: UHC Medicare Advantage |
$172.66
|
| Rate for Payer: UMR Bronson Commercial |
$722.20
|
|
|
PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER
|
Professional
|
Both
|
$1,874.00
|
|
|
Service Code
|
HCPCS 62194
|
| Min. Negotiated Rate |
$488.25 |
| Max. Negotiated Rate |
$1,218.10 |
| Rate for Payer: Aetna Commercial |
$654.25
|
| Rate for Payer: Aetna Medicare |
$507.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$703.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$654.25
|
| Rate for Payer: BCBS Complete |
$749.60
|
| Rate for Payer: BCBS MAPPO |
$488.25
|
| Rate for Payer: BCN Medicare Advantage |
$488.25
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cofinity Commercial |
$703.08
|
| Rate for Payer: Cofinity Commercial |
$654.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$488.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$512.66
|
| Rate for Payer: Nomi Health Commercial |
$585.90
|
| Rate for Payer: PACE SWMI |
$488.25
|
| Rate for Payer: PHP Commercial |
$683.55
|
| Rate for Payer: PHP Medicare Advantage |
$488.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,218.10
|
| Rate for Payer: Priority Health Medicare |
$488.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$488.25
|
| Rate for Payer: UHC Medicare Advantage |
$488.25
|
| Rate for Payer: UMR Bronson Commercial |
$862.04
|
|
|
PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT
|
Professional
|
Both
|
$2,266.00
|
|
|
Service Code
|
HCPCS 63744
|
| Min. Negotiated Rate |
$705.13 |
| Max. Negotiated Rate |
$1,472.90 |
| Rate for Payer: Aetna Commercial |
$944.87
|
| Rate for Payer: Aetna Medicare |
$733.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$944.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.39
|
| Rate for Payer: BCBS Complete |
$906.40
|
| Rate for Payer: BCBS MAPPO |
$705.13
|
| Rate for Payer: BCN Medicare Advantage |
$705.13
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cofinity Commercial |
$944.87
|
| Rate for Payer: Cofinity Commercial |
$1,015.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.39
|
| Rate for Payer: Nomi Health Commercial |
$846.16
|
| Rate for Payer: PACE SWMI |
$705.13
|
| Rate for Payer: PHP Commercial |
$987.18
|
| Rate for Payer: PHP Medicare Advantage |
$705.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.90
|
| Rate for Payer: Priority Health Medicare |
$705.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$705.13
|
| Rate for Payer: UHC Medicare Advantage |
$705.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,042.36
|
|
|
PR RPLCMT/IRRIGATION VENTRICULAR CATHETER
|
Professional
|
Both
|
$2,725.00
|
|
|
Service Code
|
HCPCS 62225
|
| Min. Negotiated Rate |
$530.02 |
| Max. Negotiated Rate |
$1,771.25 |
| Rate for Payer: Aetna Commercial |
$710.23
|
| Rate for Payer: Aetna Medicare |
$551.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$710.23
|
| Rate for Payer: BCBS Complete |
$1,090.00
|
| Rate for Payer: BCBS MAPPO |
$530.02
|
| Rate for Payer: BCN Medicare Advantage |
$530.02
|
| Rate for Payer: Cash Price |
$2,180.00
|
| Rate for Payer: Cash Price |
$2,180.00
|
| Rate for Payer: Cofinity Commercial |
$763.23
|
| Rate for Payer: Cofinity Commercial |
$710.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$556.52
|
| Rate for Payer: Nomi Health Commercial |
$636.02
|
| Rate for Payer: PACE SWMI |
$530.02
|
| Rate for Payer: PHP Commercial |
$742.03
|
| Rate for Payer: PHP Medicare Advantage |
$530.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,771.25
|
| Rate for Payer: Priority Health Medicare |
$530.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$530.02
|
| Rate for Payer: UHC Medicare Advantage |
$530.02
|
| Rate for Payer: UMR Bronson Commercial |
$1,253.50
|
|
|
PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$2,261.00
|
|
|
Service Code
|
HCPCS 69717
|
| Min. Negotiated Rate |
$530.52 |
| Max. Negotiated Rate |
$1,469.65 |
| Rate for Payer: Aetna Commercial |
$710.90
|
| Rate for Payer: Aetna Medicare |
$551.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$710.90
|
| Rate for Payer: BCBS Complete |
$904.40
|
| Rate for Payer: BCBS MAPPO |
$530.52
|
| Rate for Payer: BCN Medicare Advantage |
$530.52
|
| Rate for Payer: Cash Price |
$1,808.80
|
| Rate for Payer: Cash Price |
$1,808.80
|
| Rate for Payer: Cofinity Commercial |
$763.95
|
| Rate for Payer: Cofinity Commercial |
$710.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$557.05
|
| Rate for Payer: Nomi Health Commercial |
$636.62
|
| Rate for Payer: PACE SWMI |
$530.52
|
| Rate for Payer: PHP Commercial |
$742.73
|
| Rate for Payer: PHP Medicare Advantage |
$530.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,469.65
|
| Rate for Payer: Priority Health Medicare |
$530.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$530.52
|
| Rate for Payer: UHC Medicare Advantage |
$530.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,040.06
|
|
|
PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT
|
Professional
|
Both
|
$4,753.00
|
|
|
Service Code
|
HCPCS 33405
|
| Min. Negotiated Rate |
$1,901.20 |
| Max. Negotiated Rate |
$3,132.84 |
| Rate for Payer: Aetna Commercial |
$2,915.28
|
| Rate for Payer: Aetna Medicare |
$2,262.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,132.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,915.28
|
| Rate for Payer: BCBS Complete |
$1,901.20
|
| Rate for Payer: BCBS MAPPO |
$2,175.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,175.58
|
| Rate for Payer: Cash Price |
$3,802.40
|
| Rate for Payer: Cash Price |
$3,802.40
|
| Rate for Payer: Cofinity Commercial |
$3,132.84
|
| Rate for Payer: Cofinity Commercial |
$2,915.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,175.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,284.36
|
| Rate for Payer: Nomi Health Commercial |
$2,610.70
|
| Rate for Payer: PACE SWMI |
$2,175.58
|
| Rate for Payer: PHP Commercial |
$3,045.81
|
| Rate for Payer: PHP Medicare Advantage |
$2,175.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,089.45
|
| Rate for Payer: Priority Health Medicare |
$2,175.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,175.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,175.58
|
| Rate for Payer: UMR Bronson Commercial |
$2,186.38
|
|
|
PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS
|
Professional
|
Both
|
$3,555.00
|
|
|
Service Code
|
HCPCS 62230
|
| Min. Negotiated Rate |
$830.75 |
| Max. Negotiated Rate |
$2,310.75 |
| Rate for Payer: Aetna Commercial |
$1,113.20
|
| Rate for Payer: Aetna Medicare |
$863.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,196.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.20
|
| Rate for Payer: BCBS Complete |
$1,422.00
|
| Rate for Payer: BCBS MAPPO |
$830.75
|
| Rate for Payer: BCN Medicare Advantage |
$830.75
|
| Rate for Payer: Cash Price |
$2,844.00
|
| Rate for Payer: Cash Price |
$2,844.00
|
| Rate for Payer: Cofinity Commercial |
$1,196.28
|
| Rate for Payer: Cofinity Commercial |
$1,113.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.29
|
| Rate for Payer: Nomi Health Commercial |
$996.90
|
| Rate for Payer: PACE SWMI |
$830.75
|
| Rate for Payer: PHP Commercial |
$1,163.05
|
| Rate for Payer: PHP Medicare Advantage |
$830.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,310.75
|
| Rate for Payer: Priority Health Medicare |
$830.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.75
|
| Rate for Payer: UHC Medicare Advantage |
$830.75
|
| Rate for Payer: UMR Bronson Commercial |
$1,635.30
|
|
|
PR RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP
|
Professional
|
Both
|
$3,924.00
|
|
|
Service Code
|
HCPCS 20822
|
| Min. Negotiated Rate |
$1,569.60 |
| Max. Negotiated Rate |
$2,550.60 |
| Rate for Payer: Aetna Commercial |
$2,281.78
|
| Rate for Payer: Aetna Medicare |
$1,770.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,452.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,281.78
|
| Rate for Payer: BCBS Complete |
$1,569.60
|
| Rate for Payer: BCBS MAPPO |
$1,702.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.82
|
| Rate for Payer: Cash Price |
$3,139.20
|
| Rate for Payer: Cash Price |
$3,139.20
|
| Rate for Payer: Cofinity Commercial |
$2,452.06
|
| Rate for Payer: Cofinity Commercial |
$2,281.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.96
|
| Rate for Payer: Nomi Health Commercial |
$2,043.38
|
| Rate for Payer: PACE SWMI |
$1,702.82
|
| Rate for Payer: PHP Commercial |
$2,383.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,550.60
|
| Rate for Payer: Priority Health Medicare |
$1,702.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,805.04
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,129.00
|
|
|
Service Code
|
HCPCS 49553
|
| Min. Negotiated Rate |
$451.60 |
| Max. Negotiated Rate |
$887.44 |
| Rate for Payer: Aetna Commercial |
$825.82
|
| Rate for Payer: Aetna Medicare |
$640.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$825.82
|
| Rate for Payer: BCBS Complete |
$451.60
|
| Rate for Payer: BCBS MAPPO |
$616.28
|
| Rate for Payer: BCN Medicare Advantage |
$616.28
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$887.44
|
| Rate for Payer: Cofinity Commercial |
$825.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.09
|
| Rate for Payer: Nomi Health Commercial |
$739.54
|
| Rate for Payer: PACE SWMI |
$616.28
|
| Rate for Payer: PHP Commercial |
$862.79
|
| Rate for Payer: PHP Medicare Advantage |
$616.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health Medicare |
$616.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.28
|
| Rate for Payer: UHC Medicare Advantage |
$616.28
|
| Rate for Payer: UMR Bronson Commercial |
$519.34
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
OP
|
$1,129.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$417.73 |
| Max. Negotiated Rate |
$9,688.38 |
| Rate for Payer: Aetna American Axle |
$733.85
|
| Rate for Payer: Aetna Commercial |
$959.65
|
| Rate for Payer: Aetna Medicare |
$3,579.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,302.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,302.27
|
| Rate for Payer: BCBS Complete |
$1,937.06
|
| Rate for Payer: BCBS MAPPO |
$3,441.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,441.82
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$790.30
|
| Rate for Payer: Cofinity Commercial |
$970.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$903.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,441.82
|
| Rate for Payer: Healthscope Commercial |
$1,016.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$790.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.75
|
| Rate for Payer: Mclaren Medicaid |
$1,844.82
|
| Rate for Payer: Mclaren Medicare |
$3,441.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,613.91
|
| Rate for Payer: Meridian Medicaid |
$1,937.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.65
|
| Rate for Payer: PACE Medicare |
$3,269.73
|
| Rate for Payer: PACE SWMI |
$3,441.82
|
| Rate for Payer: PHP Commercial |
$959.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,441.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,844.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health Medicare |
$3,441.82
|
| Rate for Payer: Priority Health SBD |
$711.27
|
| Rate for Payer: Railroad Medicare Medicare |
$3,441.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,688.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,441.82
|
| Rate for Payer: UHC Exchange |
$6,577.66
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.82
|
| Rate for Payer: UHCCP Medicaid |
$1,844.82
|
| Rate for Payer: UMR Bronson Commercial |
$417.73
|
| Rate for Payer: VA VA |
$3,441.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.75
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,129.00
|
|
|
Service Code
|
HCPCS 49553
|
| Hospital Charge Code |
49553
|
| Min. Negotiated Rate |
$451.60 |
| Max. Negotiated Rate |
$887.44 |
| Rate for Payer: Aetna Commercial |
$825.82
|
| Rate for Payer: Aetna Medicare |
$640.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$887.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$825.82
|
| Rate for Payer: BCBS Complete |
$451.60
|
| Rate for Payer: BCBS MAPPO |
$616.28
|
| Rate for Payer: BCN Medicare Advantage |
$616.28
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$825.82
|
| Rate for Payer: Cofinity Commercial |
$887.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.09
|
| Rate for Payer: Nomi Health Commercial |
$739.54
|
| Rate for Payer: PACE SWMI |
$616.28
|
| Rate for Payer: PHP Commercial |
$862.79
|
| Rate for Payer: PHP Medicare Advantage |
$616.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health Medicare |
$616.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.28
|
| Rate for Payer: UHC Medicare Advantage |
$616.28
|
| Rate for Payer: UMR Bronson Commercial |
$519.34
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
IP
|
$1,129.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$496.76 |
| Max. Negotiated Rate |
$1,016.10 |
| Rate for Payer: Aetna American Axle |
$733.85
|
| Rate for Payer: Aetna Commercial |
$959.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$733.85
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$790.30
|
| Rate for Payer: Cofinity Commercial |
$970.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$790.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$903.20
|
| Rate for Payer: Healthscope Commercial |
$1,016.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$790.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$846.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.65
|
| Rate for Payer: PHP Commercial |
$959.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$733.85
|
| Rate for Payer: Priority Health SBD |
$711.27
|
| Rate for Payer: UMR Bronson Commercial |
$496.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$846.75
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$864.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$380.16 |
| Max. Negotiated Rate |
$777.60 |
| Rate for Payer: Aetna American Axle |
$561.60
|
| Rate for Payer: Aetna Commercial |
$734.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$561.60
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$743.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$604.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$691.20
|
| Rate for Payer: Healthscope Commercial |
$777.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$604.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$648.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$734.40
|
| Rate for Payer: PHP Commercial |
$734.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health SBD |
$544.32
|
| Rate for Payer: UMR Bronson Commercial |
$380.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$648.00
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 49550
|
| Hospital Charge Code |
49550
|
| Min. Negotiated Rate |
$345.60 |
| Max. Negotiated Rate |
$812.40 |
| Rate for Payer: Aetna Commercial |
$755.99
|
| Rate for Payer: Aetna Medicare |
$586.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$812.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.99
|
| Rate for Payer: BCBS Complete |
$345.60
|
| Rate for Payer: BCBS MAPPO |
$564.17
|
| Rate for Payer: BCN Medicare Advantage |
$564.17
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$755.99
|
| Rate for Payer: Cofinity Commercial |
$812.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.38
|
| Rate for Payer: Nomi Health Commercial |
$677.00
|
| Rate for Payer: PACE SWMI |
$564.17
|
| Rate for Payer: PHP Commercial |
$789.84
|
| Rate for Payer: PHP Medicare Advantage |
$564.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health Medicare |
$564.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.17
|
| Rate for Payer: UHC Medicare Advantage |
$564.17
|
| Rate for Payer: UMR Bronson Commercial |
$397.44
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$864.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$319.68 |
| Max. Negotiated Rate |
$9,688.38 |
| Rate for Payer: Aetna American Axle |
$561.60
|
| Rate for Payer: Aetna Commercial |
$734.40
|
| Rate for Payer: Aetna Medicare |
$3,579.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$561.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,302.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,302.27
|
| Rate for Payer: BCBS Complete |
$1,937.06
|
| Rate for Payer: BCBS MAPPO |
$3,441.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,441.82
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$743.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$604.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$691.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,441.82
|
| Rate for Payer: Healthscope Commercial |
$777.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$604.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$648.00
|
| Rate for Payer: Mclaren Medicaid |
$1,844.82
|
| Rate for Payer: Mclaren Medicare |
$3,441.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,613.91
|
| Rate for Payer: Meridian Medicaid |
$1,937.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,958.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$734.40
|
| Rate for Payer: PACE Medicare |
$3,269.73
|
| Rate for Payer: PACE SWMI |
$3,441.82
|
| Rate for Payer: PHP Commercial |
$734.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,441.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,844.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health Medicare |
$3,441.82
|
| Rate for Payer: Priority Health SBD |
$544.32
|
| Rate for Payer: Railroad Medicare Medicare |
$3,441.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9,688.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,441.82
|
| Rate for Payer: UHC Exchange |
$6,577.66
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.82
|
| Rate for Payer: UHCCP Medicaid |
$1,844.82
|
| Rate for Payer: UMR Bronson Commercial |
$319.68
|
| Rate for Payer: VA VA |
$3,441.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$648.00
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 49550
|
| Min. Negotiated Rate |
$345.60 |
| Max. Negotiated Rate |
$812.40 |
| Rate for Payer: Aetna Commercial |
$755.99
|
| Rate for Payer: Aetna Medicare |
$586.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$812.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.99
|
| Rate for Payer: BCBS Complete |
$345.60
|
| Rate for Payer: BCBS MAPPO |
$564.17
|
| Rate for Payer: BCN Medicare Advantage |
$564.17
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$812.40
|
| Rate for Payer: Cofinity Commercial |
$755.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.38
|
| Rate for Payer: Nomi Health Commercial |
$677.00
|
| Rate for Payer: PACE SWMI |
$564.17
|
| Rate for Payer: PHP Commercial |
$789.84
|
| Rate for Payer: PHP Medicare Advantage |
$564.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health Medicare |
$564.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.17
|
| Rate for Payer: UHC Medicare Advantage |
$564.17
|
| Rate for Payer: UMR Bronson Commercial |
$397.44
|
|
