|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$18.09 |
| Max. Negotiated Rate |
$30.55 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare |
$18.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.24
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: Nomi Health Commercial |
$21.71
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Commercial |
$25.33
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.09
|
| Rate for Payer: UHC Medicare Advantage |
$18.09
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$36.82 |
| Rate for Payer: Aetna Commercial |
$34.26
|
| Rate for Payer: Aetna Medicare |
$26.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.26
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS MAPPO |
$25.57
|
| Rate for Payer: BCN Medicare Advantage |
$25.57
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$34.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.85
|
| Rate for Payer: Nomi Health Commercial |
$30.68
|
| Rate for Payer: PACE SWMI |
$25.57
|
| Rate for Payer: PHP Commercial |
$35.80
|
| Rate for Payer: PHP Medicare Advantage |
$25.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Medicare |
$25.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.57
|
| Rate for Payer: UHC Medicare Advantage |
$25.57
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$58.80 |
| Max. Negotiated Rate |
$137.95 |
| Rate for Payer: Aetna Commercial |
$128.37
|
| Rate for Payer: Aetna Medicare |
$99.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.37
|
| Rate for Payer: BCBS Complete |
$58.80
|
| Rate for Payer: BCBS MAPPO |
$95.80
|
| Rate for Payer: BCN Medicare Advantage |
$95.80
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$137.95
|
| Rate for Payer: Cofinity Commercial |
$128.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.59
|
| Rate for Payer: Nomi Health Commercial |
$114.96
|
| Rate for Payer: PACE SWMI |
$95.80
|
| Rate for Payer: PHP Commercial |
$134.12
|
| Rate for Payer: PHP Medicare Advantage |
$95.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health Medicare |
$95.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.80
|
| Rate for Payer: UHC Medicare Advantage |
$95.80
|
| Rate for Payer: UMR Bronson Commercial |
$67.62
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$940.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$376.00 |
| Max. Negotiated Rate |
$611.00 |
| Rate for Payer: Aetna Medicare |
$470.00
|
| Rate for Payer: BCBS Complete |
$376.00
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.00
|
| Rate for Payer: UMR Bronson Commercial |
$432.40
|
|
|
CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX
|
Professional
|
Both
|
$532.00
|
|
|
Service Code
|
HCPCS 77778
|
| Min. Negotiated Rate |
$212.80 |
| Max. Negotiated Rate |
$1,233.68 |
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: BCBS Complete |
$683.60
|
| Rate for Payer: BCBS Complete |
$212.80
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PHP Commercial |
$1,199.41
|
| Rate for Payer: PHP Commercial |
$1,199.41
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.85
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UMR Bronson Commercial |
$786.14
|
| Rate for Payer: UMR Bronson Commercial |
$244.72
|
|
|
CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE
|
Professional
|
Both
|
$465.00
|
|
|
Service Code
|
HCPCS 77761
|
| Min. Negotiated Rate |
$186.00 |
| Max. Negotiated Rate |
$562.33 |
| Rate for Payer: Aetna Commercial |
$523.28
|
| Rate for Payer: Aetna Medicare |
$406.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.33
|
| Rate for Payer: BCBS Complete |
$186.00
|
| Rate for Payer: BCBS MAPPO |
$390.51
|
| Rate for Payer: BCN Medicare Advantage |
$390.51
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cofinity Commercial |
$562.33
|
| Rate for Payer: Cofinity Commercial |
$523.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.04
|
| Rate for Payer: Nomi Health Commercial |
$468.61
|
| Rate for Payer: PACE SWMI |
$390.51
|
| Rate for Payer: PHP Commercial |
$546.71
|
| Rate for Payer: PHP Medicare Advantage |
$390.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.25
|
| Rate for Payer: Priority Health Medicare |
$390.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$390.51
|
| Rate for Payer: UHC Medicare Advantage |
$390.51
|
| Rate for Payer: UMR Bronson Commercial |
$213.90
|
|
|
CHG INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 74360
|
| Min. Negotiated Rate |
$36.40 |
| Max. Negotiated Rate |
$59.15 |
| Rate for Payer: Aetna Medicare |
$45.50
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: UMR Bronson Commercial |
$41.86
|
|
|
CHG INTRAVASC ULTRASOUND,1ST VESSEL
|
Professional
|
Both
|
$85.00
|
|
|
Service Code
|
HCPCS 75945
|
| Min. Negotiated Rate |
$34.00 |
| Max. Negotiated Rate |
$55.25 |
| Rate for Payer: Aetna Medicare |
$42.50
|
| Rate for Payer: Aetna Medicare |
$112.00
|
| Rate for Payer: BCBS Complete |
$89.60
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.25
|
| Rate for Payer: UMR Bronson Commercial |
$39.10
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
|
|
CHG INTRAVASC US, RAD SUPERISE/ INTERP, EA ADDN VESSEL
|
Professional
|
Both
|
$156.00
|
|
|
Service Code
|
HCPCS 75946
|
| Min. Negotiated Rate |
$62.40 |
| Max. Negotiated Rate |
$101.40 |
| Rate for Payer: Aetna Medicare |
$78.00
|
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
| Rate for Payer: UMR Bronson Commercial |
$71.76
|
| Rate for Payer: UMR Bronson Commercial |
$21.16
|
|
|
CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 74340
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$136.50 |
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$84.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.50
|
| Rate for Payer: UMR Bronson Commercial |
$96.60
|
|
|
CHG JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS
|
Professional
|
Both
|
$138.00
|
|
|
Service Code
|
HCPCS 77077
|
| Min. Negotiated Rate |
$42.16 |
| Max. Negotiated Rate |
$89.70 |
| Rate for Payer: Aetna Commercial |
$56.49
|
| Rate for Payer: Aetna Commercial |
$56.49
|
| Rate for Payer: Aetna Medicare |
$43.85
|
| Rate for Payer: Aetna Medicare |
$43.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.49
|
| Rate for Payer: BCBS Complete |
$55.20
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: BCBS MAPPO |
$42.16
|
| Rate for Payer: BCBS MAPPO |
$42.16
|
| Rate for Payer: BCN Medicare Advantage |
$42.16
|
| Rate for Payer: BCN Medicare Advantage |
$42.16
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cofinity Commercial |
$60.71
|
| Rate for Payer: Cofinity Commercial |
$56.49
|
| Rate for Payer: Cofinity Commercial |
$56.49
|
| Rate for Payer: Cofinity Commercial |
$60.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.27
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: PACE SWMI |
$42.16
|
| Rate for Payer: PACE SWMI |
$42.16
|
| Rate for Payer: PHP Commercial |
$59.02
|
| Rate for Payer: PHP Commercial |
$59.02
|
| Rate for Payer: PHP Medicare Advantage |
$42.16
|
| Rate for Payer: PHP Medicare Advantage |
$42.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.70
|
| Rate for Payer: Priority Health Medicare |
$42.16
|
| Rate for Payer: Priority Health Medicare |
$42.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.16
|
| Rate for Payer: UHC Medicare Advantage |
$42.16
|
| Rate for Payer: UHC Medicare Advantage |
$42.16
|
| Rate for Payer: UMR Bronson Commercial |
$28.06
|
| Rate for Payer: UMR Bronson Commercial |
$63.48
|
|
|
CHG LIPID PANEL
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 80061
|
| Min. Negotiated Rate |
$13.39 |
| Max. Negotiated Rate |
$29.25 |
| Rate for Payer: Aetna Commercial |
$17.94
|
| Rate for Payer: Aetna Medicare |
$13.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.94
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$13.39
|
| Rate for Payer: BCN Medicare Advantage |
$13.39
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$17.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.06
|
| Rate for Payer: Nomi Health Commercial |
$16.07
|
| Rate for Payer: PACE SWMI |
$13.39
|
| Rate for Payer: PHP Commercial |
$18.75
|
| Rate for Payer: PHP Medicare Advantage |
$13.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health Medicare |
$13.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.39
|
| Rate for Payer: UHC Medicare Advantage |
$13.39
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
|
|
CHG MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 77071
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$71.60 |
| Rate for Payer: Aetna Commercial |
$66.62
|
| Rate for Payer: Aetna Commercial |
$66.62
|
| Rate for Payer: Aetna Medicare |
$51.71
|
| Rate for Payer: Aetna Medicare |
$51.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.62
|
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS MAPPO |
$49.72
|
| Rate for Payer: BCBS MAPPO |
$49.72
|
| Rate for Payer: BCN Medicare Advantage |
$49.72
|
| Rate for Payer: BCN Medicare Advantage |
$49.72
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$71.60
|
| Rate for Payer: Cofinity Commercial |
$66.62
|
| Rate for Payer: Cofinity Commercial |
$71.60
|
| Rate for Payer: Cofinity Commercial |
$66.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.21
|
| Rate for Payer: Nomi Health Commercial |
$59.66
|
| Rate for Payer: Nomi Health Commercial |
$59.66
|
| Rate for Payer: PACE SWMI |
$49.72
|
| Rate for Payer: PACE SWMI |
$49.72
|
| Rate for Payer: PHP Commercial |
$69.61
|
| Rate for Payer: PHP Commercial |
$69.61
|
| Rate for Payer: PHP Medicare Advantage |
$49.72
|
| Rate for Payer: PHP Medicare Advantage |
$49.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health Medicare |
$49.72
|
| Rate for Payer: Priority Health Medicare |
$49.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.72
|
| Rate for Payer: UHC Medicare Advantage |
$49.72
|
| Rate for Payer: UHC Medicare Advantage |
$49.72
|
| Rate for Payer: UMR Bronson Commercial |
$40.94
|
| Rate for Payer: UMR Bronson Commercial |
$43.24
|
|
|
CHG MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 75902
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$110.74 |
| Rate for Payer: Aetna Commercial |
$103.05
|
| Rate for Payer: Aetna Medicare |
$79.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.05
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$76.90
|
| Rate for Payer: BCN Medicare Advantage |
$76.90
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$110.74
|
| Rate for Payer: Cofinity Commercial |
$103.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.75
|
| Rate for Payer: Nomi Health Commercial |
$92.28
|
| Rate for Payer: PACE SWMI |
$76.90
|
| Rate for Payer: PHP Commercial |
$107.66
|
| Rate for Payer: PHP Medicare Advantage |
$76.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Medicare |
$76.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.90
|
| Rate for Payer: UHC Medicare Advantage |
$76.90
|
| Rate for Payer: UMR Bronson Commercial |
$17.48
|
|
|
CHG MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I
|
Professional
|
Both
|
$339.00
|
|
|
Service Code
|
HCPCS 75901
|
| Min. Negotiated Rate |
$135.60 |
| Max. Negotiated Rate |
$285.25 |
| Rate for Payer: Aetna Commercial |
$265.44
|
| Rate for Payer: Aetna Medicare |
$206.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.44
|
| Rate for Payer: BCBS Complete |
$135.60
|
| Rate for Payer: BCBS MAPPO |
$198.09
|
| Rate for Payer: BCN Medicare Advantage |
$198.09
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cofinity Commercial |
$285.25
|
| Rate for Payer: Cofinity Commercial |
$265.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.99
|
| Rate for Payer: Nomi Health Commercial |
$237.71
|
| Rate for Payer: PACE SWMI |
$198.09
|
| Rate for Payer: PHP Commercial |
$277.33
|
| Rate for Payer: PHP Medicare Advantage |
$198.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$220.35
|
| Rate for Payer: Priority Health Medicare |
$198.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.09
|
| Rate for Payer: UHC Medicare Advantage |
$198.09
|
| Rate for Payer: UMR Bronson Commercial |
$155.94
|
|
|
CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN
|
Professional
|
Both
|
$525.00
|
|
|
Service Code
|
HCPCS 77338
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$626.36 |
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: BCBS Complete |
$210.00
|
| Rate for Payer: BCBS Complete |
$388.40
|
| Rate for Payer: BCBS Complete |
$381.20
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PHP Commercial |
$608.96
|
| Rate for Payer: PHP Commercial |
$608.96
|
| Rate for Payer: PHP Commercial |
$608.96
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$619.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$631.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$341.25
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UMR Bronson Commercial |
$241.50
|
| Rate for Payer: UMR Bronson Commercial |
$438.38
|
| Rate for Payer: UMR Bronson Commercial |
$446.66
|
|
|
CHG MRA ABDOMEN W/WO CONTRAST MATERIAL
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 74185
|
| Min. Negotiated Rate |
$73.60 |
| Max. Negotiated Rate |
$444.11 |
| Rate for Payer: Aetna Commercial |
$413.27
|
| Rate for Payer: Aetna Medicare |
$320.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$444.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.27
|
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: BCBS MAPPO |
$308.41
|
| Rate for Payer: BCN Medicare Advantage |
$308.41
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$444.11
|
| Rate for Payer: Cofinity Commercial |
$413.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.83
|
| Rate for Payer: Nomi Health Commercial |
$370.09
|
| Rate for Payer: PACE SWMI |
$308.41
|
| Rate for Payer: PHP Commercial |
$431.77
|
| Rate for Payer: PHP Medicare Advantage |
$308.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health Medicare |
$308.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.41
|
| Rate for Payer: UHC Medicare Advantage |
$308.41
|
| Rate for Payer: UMR Bronson Commercial |
$84.64
|
|
|
CHG MRA HEAD W/O CONTRST MATERIAL
|
Professional
|
Both
|
$686.00
|
|
|
Service Code
|
HCPCS 70544
|
| Min. Negotiated Rate |
$197.44 |
| Max. Negotiated Rate |
$445.90 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: BCBS Complete |
$95.60
|
| Rate for Payer: BCBS Complete |
$274.40
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Commercial |
$276.42
|
| Rate for Payer: PHP Commercial |
$276.42
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$445.90
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.44
|
| Rate for Payer: UHC Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Medicare Advantage |
$197.44
|
| Rate for Payer: UMR Bronson Commercial |
$109.94
|
| Rate for Payer: UMR Bronson Commercial |
$315.56
|
|
|
CHG MRA HEAD W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 70546
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$433.51 |
| Rate for Payer: Aetna Commercial |
$403.41
|
| Rate for Payer: Aetna Medicare |
$313.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.41
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$301.05
|
| Rate for Payer: BCN Medicare Advantage |
$301.05
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cofinity Commercial |
$433.51
|
| Rate for Payer: Cofinity Commercial |
$403.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.10
|
| Rate for Payer: Nomi Health Commercial |
$361.26
|
| Rate for Payer: PACE SWMI |
$301.05
|
| Rate for Payer: PHP Commercial |
$421.47
|
| Rate for Payer: PHP Medicare Advantage |
$301.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health Medicare |
$301.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.05
|
| Rate for Payer: UHC Medicare Advantage |
$301.05
|
| Rate for Payer: UMR Bronson Commercial |
$65.78
|
|
|
CHG MRA NECK W/O CONTRST MATERIAL
|
Professional
|
Both
|
$236.00
|
|
|
Service Code
|
HCPCS 70547
|
| Min. Negotiated Rate |
$94.40 |
| Max. Negotiated Rate |
$285.16 |
| Rate for Payer: Aetna Commercial |
$265.36
|
| Rate for Payer: Aetna Medicare |
$205.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.36
|
| Rate for Payer: BCBS Complete |
$94.40
|
| Rate for Payer: BCBS MAPPO |
$198.03
|
| Rate for Payer: BCN Medicare Advantage |
$198.03
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$285.16
|
| Rate for Payer: Cofinity Commercial |
$265.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.93
|
| Rate for Payer: Nomi Health Commercial |
$237.64
|
| Rate for Payer: PACE SWMI |
$198.03
|
| Rate for Payer: PHP Commercial |
$277.24
|
| Rate for Payer: PHP Medicare Advantage |
$198.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.40
|
| Rate for Payer: Priority Health Medicare |
$198.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.03
|
| Rate for Payer: UHC Medicare Advantage |
$198.03
|
| Rate for Payer: UMR Bronson Commercial |
$108.56
|
|
|
CHG MRA NECK W/O &W/CONTRAST MATERIAL
|
Professional
|
Both
|
$281.00
|
|
|
Service Code
|
HCPCS 70549
|
| Min. Negotiated Rate |
$112.40 |
| Max. Negotiated Rate |
$455.33 |
| Rate for Payer: Aetna Commercial |
$423.71
|
| Rate for Payer: Aetna Medicare |
$328.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.71
|
| Rate for Payer: BCBS Complete |
$112.40
|
| Rate for Payer: BCBS MAPPO |
$316.20
|
| Rate for Payer: BCN Medicare Advantage |
$316.20
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cofinity Commercial |
$455.33
|
| Rate for Payer: Cofinity Commercial |
$423.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$316.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$332.01
|
| Rate for Payer: Nomi Health Commercial |
$379.44
|
| Rate for Payer: PACE SWMI |
$316.20
|
| Rate for Payer: PHP Commercial |
$442.68
|
| Rate for Payer: PHP Medicare Advantage |
$316.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.65
|
| Rate for Payer: Priority Health Medicare |
$316.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$316.20
|
| Rate for Payer: UHC Medicare Advantage |
$316.20
|
| Rate for Payer: UMR Bronson Commercial |
$129.26
|
|
|
CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST
|
Professional
|
Both
|
$226.00
|
|
|
Service Code
|
HCPCS 74183
|
| Min. Negotiated Rate |
$90.40 |
| Max. Negotiated Rate |
$447.16 |
| Rate for Payer: Aetna Commercial |
$416.11
|
| Rate for Payer: Aetna Medicare |
$322.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.11
|
| Rate for Payer: BCBS Complete |
$90.40
|
| Rate for Payer: BCBS MAPPO |
$310.53
|
| Rate for Payer: BCN Medicare Advantage |
$310.53
|
| Rate for Payer: Cash Price |
$180.80
|
| Rate for Payer: Cash Price |
$180.80
|
| Rate for Payer: Cofinity Commercial |
$447.16
|
| Rate for Payer: Cofinity Commercial |
$416.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$326.06
|
| Rate for Payer: Nomi Health Commercial |
$372.64
|
| Rate for Payer: PACE SWMI |
$310.53
|
| Rate for Payer: PHP Commercial |
$434.74
|
| Rate for Payer: PHP Medicare Advantage |
$310.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.90
|
| Rate for Payer: Priority Health Medicare |
$310.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$310.53
|
| Rate for Payer: UHC Medicare Advantage |
$310.53
|
| Rate for Payer: UMR Bronson Commercial |
$103.96
|
|
|
CHG MRI ABDOMEN W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 74181
|
| Min. Negotiated Rate |
$60.40 |
| Max. Negotiated Rate |
$259.63 |
| Rate for Payer: Aetna Commercial |
$241.60
|
| Rate for Payer: Aetna Medicare |
$187.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.60
|
| Rate for Payer: BCBS Complete |
$60.40
|
| Rate for Payer: BCBS MAPPO |
$180.30
|
| Rate for Payer: BCN Medicare Advantage |
$180.30
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cofinity Commercial |
$259.63
|
| Rate for Payer: Cofinity Commercial |
$241.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.31
|
| Rate for Payer: Nomi Health Commercial |
$216.36
|
| Rate for Payer: PACE SWMI |
$180.30
|
| Rate for Payer: PHP Commercial |
$252.42
|
| Rate for Payer: PHP Medicare Advantage |
$180.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.15
|
| Rate for Payer: Priority Health Medicare |
$180.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.30
|
| Rate for Payer: UHC Medicare Advantage |
$180.30
|
| Rate for Payer: UMR Bronson Commercial |
$69.46
|
|
|
CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 73721
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$269.35 |
| Rate for Payer: Aetna Commercial |
$250.65
|
| Rate for Payer: Aetna Medicare |
$194.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$269.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.65
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS MAPPO |
$187.05
|
| Rate for Payer: BCN Medicare Advantage |
$187.05
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cofinity Commercial |
$269.35
|
| Rate for Payer: Cofinity Commercial |
$250.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$196.40
|
| Rate for Payer: Nomi Health Commercial |
$224.46
|
| Rate for Payer: PACE SWMI |
$187.05
|
| Rate for Payer: PHP Commercial |
$261.87
|
| Rate for Payer: PHP Medicare Advantage |
$187.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health Medicare |
$187.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.05
|
| Rate for Payer: UHC Medicare Advantage |
$187.05
|
| Rate for Payer: UMR Bronson Commercial |
$60.26
|
|
|
CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 73723
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$505.94 |
| Rate for Payer: Aetna Commercial |
$470.81
|
| Rate for Payer: Aetna Medicare |
$365.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$505.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$470.81
|
| Rate for Payer: BCBS Complete |
$84.00
|
| Rate for Payer: BCBS MAPPO |
$351.35
|
| Rate for Payer: BCN Medicare Advantage |
$351.35
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cofinity Commercial |
$505.94
|
| Rate for Payer: Cofinity Commercial |
$470.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.92
|
| Rate for Payer: Nomi Health Commercial |
$421.62
|
| Rate for Payer: PACE SWMI |
$351.35
|
| Rate for Payer: PHP Commercial |
$491.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.50
|
| Rate for Payer: Priority Health Medicare |
$351.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.35
|
| Rate for Payer: UHC Medicare Advantage |
$351.35
|
| Rate for Payer: UMR Bronson Commercial |
$96.60
|
|
