|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$81.23
|
|
|
Service Code
|
NDC 51991062033
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.74 |
| Max. Negotiated Rate |
$73.11 |
| Rate for Payer: Aetna American Axle |
$52.80
|
| Rate for Payer: Aetna Commercial |
$69.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.80
|
| Rate for Payer: Cash Price |
$64.98
|
| Rate for Payer: Cofinity Commercial |
$56.86
|
| Rate for Payer: Cofinity Commercial |
$69.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.98
|
| Rate for Payer: Healthscope Commercial |
$73.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.05
|
| Rate for Payer: PHP Commercial |
$69.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.80
|
| Rate for Payer: Priority Health SBD |
$51.17
|
| Rate for Payer: UMR Bronson Commercial |
$35.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.92
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$132.53
|
|
|
Service Code
|
NDC 68382020906
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$58.31 |
| Max. Negotiated Rate |
$119.28 |
| Rate for Payer: Aetna American Axle |
$86.14
|
| Rate for Payer: Aetna Commercial |
$112.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.14
|
| Rate for Payer: Cash Price |
$106.02
|
| Rate for Payer: Cofinity Commercial |
$113.98
|
| Rate for Payer: Cofinity Commercial |
$92.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$92.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$106.02
|
| Rate for Payer: Healthscope Commercial |
$119.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$92.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$99.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$112.65
|
| Rate for Payer: PHP Commercial |
$112.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.14
|
| Rate for Payer: Priority Health SBD |
$83.49
|
| Rate for Payer: UMR Bronson Commercial |
$58.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$99.40
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$81.78
|
|
|
Service Code
|
NDC 16729003510
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.26 |
| Max. Negotiated Rate |
$73.60 |
| Rate for Payer: Aetna American Axle |
$53.16
|
| Rate for Payer: Aetna Commercial |
$69.51
|
| Rate for Payer: Aetna Medicare |
$40.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.16
|
| Rate for Payer: BCBS Complete |
$32.71
|
| Rate for Payer: Cash Price |
$65.42
|
| Rate for Payer: Cofinity Commercial |
$57.25
|
| Rate for Payer: Cofinity Commercial |
$70.33
|
| Rate for Payer: Cofinity Medicare Advantage |
$57.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.42
|
| Rate for Payer: Healthscope Commercial |
$73.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.51
|
| Rate for Payer: PHP Commercial |
$69.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.16
|
| Rate for Payer: Priority Health SBD |
$51.52
|
| Rate for Payer: UMR Bronson Commercial |
$30.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.34
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$1,280.75
|
|
|
Service Code
|
NDC 16729003516
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$473.88 |
| Max. Negotiated Rate |
$1,152.67 |
| Rate for Payer: Aetna American Axle |
$832.49
|
| Rate for Payer: Aetna Commercial |
$1,088.64
|
| Rate for Payer: Aetna Medicare |
$640.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$832.49
|
| Rate for Payer: BCBS Complete |
$512.30
|
| Rate for Payer: Cash Price |
$1,024.60
|
| Rate for Payer: Cofinity Commercial |
$1,101.44
|
| Rate for Payer: Cofinity Commercial |
$896.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$896.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,024.60
|
| Rate for Payer: Healthscope Commercial |
$1,152.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$896.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$960.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,088.64
|
| Rate for Payer: PHP Commercial |
$1,088.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$832.49
|
| Rate for Payer: Priority Health SBD |
$806.87
|
| Rate for Payer: UMR Bronson Commercial |
$473.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$960.56
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
IP
|
$104.34
|
|
|
Service Code
|
NDC 00904619546
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.91 |
| Max. Negotiated Rate |
$93.91 |
| Rate for Payer: Aetna American Axle |
$67.82
|
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.82
|
| Rate for Payer: Cash Price |
$83.47
|
| Rate for Payer: Cofinity Commercial |
$73.04
|
| Rate for Payer: Cofinity Commercial |
$89.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$73.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.47
|
| Rate for Payer: Healthscope Commercial |
$93.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.69
|
| Rate for Payer: PHP Commercial |
$88.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.82
|
| Rate for Payer: Priority Health SBD |
$65.73
|
| Rate for Payer: UMR Bronson Commercial |
$45.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.25
|
|
|
ANASTROZOLE 1 MG TABLET
|
Facility
|
OP
|
$104.34
|
|
|
Service Code
|
NDC 00904619546
|
| Hospital Charge Code |
16205
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$38.61 |
| Max. Negotiated Rate |
$93.91 |
| Rate for Payer: Aetna American Axle |
$67.82
|
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna Medicare |
$52.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.82
|
| Rate for Payer: BCBS Complete |
$41.74
|
| Rate for Payer: Cash Price |
$83.47
|
| Rate for Payer: Cofinity Commercial |
$73.04
|
| Rate for Payer: Cofinity Commercial |
$89.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$73.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$83.47
|
| Rate for Payer: Healthscope Commercial |
$93.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.69
|
| Rate for Payer: PHP Commercial |
$88.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.82
|
| Rate for Payer: Priority Health SBD |
$65.73
|
| Rate for Payer: UMR Bronson Commercial |
$38.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.25
|
|
|
ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$140.31
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
88093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$51.91 |
| Max. Negotiated Rate |
$126.28 |
| Rate for Payer: Aetna American Axle |
$91.20
|
| Rate for Payer: Aetna Commercial |
$119.26
|
| Rate for Payer: Aetna Medicare |
$70.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.20
|
| Rate for Payer: BCBS Complete |
$56.12
|
| Rate for Payer: Cash Price |
$112.25
|
| Rate for Payer: Cofinity Commercial |
$120.67
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$98.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.25
|
| Rate for Payer: Healthscope Commercial |
$126.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.26
|
| Rate for Payer: PHP Commercial |
$119.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.20
|
| Rate for Payer: Priority Health SBD |
$88.40
|
| Rate for Payer: UMR Bronson Commercial |
$51.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.23
|
|
|
ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$140.31
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
88093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$61.74 |
| Max. Negotiated Rate |
$126.28 |
| Rate for Payer: Aetna American Axle |
$91.20
|
| Rate for Payer: Aetna Commercial |
$119.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.20
|
| Rate for Payer: Cash Price |
$112.25
|
| Rate for Payer: Cofinity Commercial |
$120.67
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$98.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$112.25
|
| Rate for Payer: Healthscope Commercial |
$126.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$105.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.26
|
| Rate for Payer: PHP Commercial |
$119.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.20
|
| Rate for Payer: Priority Health SBD |
$88.40
|
| Rate for Payer: UMR Bronson Commercial |
$61.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$105.23
|
|
|
ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$55.06
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
76344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.23 |
| Max. Negotiated Rate |
$49.55 |
| Rate for Payer: Aetna American Axle |
$35.79
|
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.79
|
| Rate for Payer: Cash Price |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$47.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$49.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.80
|
| Rate for Payer: PHP Commercial |
$46.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.79
|
| Rate for Payer: Priority Health SBD |
$34.69
|
| Rate for Payer: UMR Bronson Commercial |
$24.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.30
|
|
|
ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$55.06
|
|
|
Service Code
|
HCPCS J0348
|
| Hospital Charge Code |
76344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.37 |
| Max. Negotiated Rate |
$49.55 |
| Rate for Payer: Aetna American Axle |
$35.79
|
| Rate for Payer: Aetna Commercial |
$46.80
|
| Rate for Payer: Aetna Medicare |
$27.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.79
|
| Rate for Payer: BCBS Complete |
$22.02
|
| Rate for Payer: Cash Price |
$44.05
|
| Rate for Payer: Cofinity Commercial |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$47.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$49.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$38.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.80
|
| Rate for Payer: PHP Commercial |
$46.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.79
|
| Rate for Payer: Priority Health SBD |
$34.69
|
| Rate for Payer: UMR Bronson Commercial |
$20.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.30
|
|
|
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$13,868.30
|
|
|
Service Code
|
HCPCS J0491
|
| Hospital Charge Code |
197996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6,102.05 |
| Max. Negotiated Rate |
$12,481.47 |
| Rate for Payer: Aetna American Axle |
$9,014.40
|
| Rate for Payer: Aetna Commercial |
$11,788.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,014.40
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cofinity Commercial |
$11,926.74
|
| Rate for Payer: Cofinity Commercial |
$9,707.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,707.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,094.64
|
| Rate for Payer: Healthscope Commercial |
$12,481.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,707.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,401.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,788.06
|
| Rate for Payer: PHP Commercial |
$11,788.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,014.40
|
| Rate for Payer: Priority Health SBD |
$8,737.03
|
| Rate for Payer: UMR Bronson Commercial |
$6,102.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,401.23
|
|
|
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$13,868.30
|
|
|
Service Code
|
HCPCS J0491
|
| Hospital Charge Code |
197996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.69 |
| Max. Negotiated Rate |
$12,481.47 |
| Rate for Payer: Aetna American Axle |
$9,014.40
|
| Rate for Payer: Aetna Commercial |
$11,788.06
|
| Rate for Payer: Aetna Medicare |
$18.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9,014.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.60
|
| Rate for Payer: BCBS Complete |
$10.18
|
| Rate for Payer: BCBS MAPPO |
$18.08
|
| Rate for Payer: BCN Medicare Advantage |
$18.08
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cash Price |
$11,094.64
|
| Rate for Payer: Cofinity Commercial |
$9,707.81
|
| Rate for Payer: Cofinity Commercial |
$11,926.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$9,707.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11,094.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.08
|
| Rate for Payer: Healthscope Commercial |
$12,481.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9,707.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10,401.23
|
| Rate for Payer: Mclaren Medicaid |
$9.69
|
| Rate for Payer: Mclaren Medicare |
$18.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.98
|
| Rate for Payer: Meridian Medicaid |
$10.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,788.06
|
| Rate for Payer: PACE Medicare |
$17.18
|
| Rate for Payer: PACE SWMI |
$18.08
|
| Rate for Payer: PHP Commercial |
$11,788.06
|
| Rate for Payer: PHP Medicare Advantage |
$18.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9,014.40
|
| Rate for Payer: Priority Health Medicare |
$18.08
|
| Rate for Payer: Priority Health SBD |
$8,737.03
|
| Rate for Payer: Railroad Medicare Medicare |
$18.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.08
|
| Rate for Payer: UHC Exchange |
$34.55
|
| Rate for Payer: UHC Medicare Advantage |
$18.08
|
| Rate for Payer: UHCCP Medicaid |
$9.69
|
| Rate for Payer: UMR Bronson Commercial |
$5,131.27
|
| Rate for Payer: VA VA |
$18.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10,401.23
|
|
|
ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT
|
Facility
|
OP
|
$7,528.73
|
|
|
Service Code
|
CPT 46700
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,433.59 |
| Max. Negotiated Rate |
$7,528.73 |
| Rate for Payer: Aetna Medicare |
$2,781.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,343.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,343.25
|
| Rate for Payer: BCBS Complete |
$1,505.26
|
| Rate for Payer: BCBS MAPPO |
$2,674.60
|
| Rate for Payer: BCN Medicare Advantage |
$2,674.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,674.60
|
| Rate for Payer: Mclaren Medicaid |
$1,433.59
|
| Rate for Payer: Mclaren Medicare |
$2,674.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,808.33
|
| Rate for Payer: Meridian Medicaid |
$1,505.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,075.79
|
| Rate for Payer: PACE Medicare |
$2,540.87
|
| Rate for Payer: PACE SWMI |
$2,674.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,674.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,433.59
|
| Rate for Payer: Priority Health Medicare |
$2,674.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,674.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,528.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,674.60
|
| Rate for Payer: UHC Exchange |
$5,111.43
|
| Rate for Payer: UHC Medicare Advantage |
$2,674.60
|
| Rate for Payer: UHCCP Medicaid |
$1,433.59
|
| Rate for Payer: VA VA |
$2,674.60
|
|
|
ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC
|
Facility
|
OP
|
$7,528.73
|
|
|
Service Code
|
CPT 45990
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,433.59 |
| Max. Negotiated Rate |
$7,528.73 |
| Rate for Payer: Aetna Medicare |
$2,781.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,343.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,343.25
|
| Rate for Payer: BCBS Complete |
$1,505.26
|
| Rate for Payer: BCBS MAPPO |
$2,674.60
|
| Rate for Payer: BCN Medicare Advantage |
$2,674.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,674.60
|
| Rate for Payer: Mclaren Medicaid |
$1,433.59
|
| Rate for Payer: Mclaren Medicare |
$2,674.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,808.33
|
| Rate for Payer: Meridian Medicaid |
$1,505.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,075.79
|
| Rate for Payer: PACE Medicare |
$2,540.87
|
| Rate for Payer: PACE SWMI |
$2,674.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,674.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,433.59
|
| Rate for Payer: Priority Health Medicare |
$2,674.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,674.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,528.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,674.60
|
| Rate for Payer: UHC Exchange |
$5,111.43
|
| Rate for Payer: UHC Medicare Advantage |
$2,674.60
|
| Rate for Payer: UHCCP Medicaid |
$1,433.59
|
| Rate for Payer: VA VA |
$2,674.60
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$854.89
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$162.78 |
| Max. Negotiated Rate |
$854.89 |
| Rate for Payer: Aetna Medicare |
$315.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.62
|
| Rate for Payer: BCBS Complete |
$170.92
|
| Rate for Payer: BCBS MAPPO |
$303.70
|
| Rate for Payer: BCN Medicare Advantage |
$303.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.70
|
| Rate for Payer: Mclaren Medicaid |
$162.78
|
| Rate for Payer: Mclaren Medicare |
$303.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.88
|
| Rate for Payer: Meridian Medicaid |
$170.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.25
|
| Rate for Payer: PACE Medicare |
$288.51
|
| Rate for Payer: PACE SWMI |
$303.70
|
| Rate for Payer: PHP Medicare Advantage |
$303.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.78
|
| Rate for Payer: Priority Health Medicare |
$303.70
|
| Rate for Payer: Railroad Medicare Medicare |
$303.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$854.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.70
|
| Rate for Payer: UHC Exchange |
$580.40
|
| Rate for Payer: UHC Medicare Advantage |
$303.70
|
| Rate for Payer: UHCCP Medicaid |
$162.78
|
| Rate for Payer: VA VA |
$303.70
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$854.89
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$162.78 |
| Max. Negotiated Rate |
$854.89 |
| Rate for Payer: Aetna Medicare |
$315.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.62
|
| Rate for Payer: BCBS Complete |
$170.92
|
| Rate for Payer: BCBS MAPPO |
$303.70
|
| Rate for Payer: BCN Medicare Advantage |
$303.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.70
|
| Rate for Payer: Mclaren Medicaid |
$162.78
|
| Rate for Payer: Mclaren Medicare |
$303.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.88
|
| Rate for Payer: Meridian Medicaid |
$170.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.25
|
| Rate for Payer: PACE Medicare |
$288.51
|
| Rate for Payer: PACE SWMI |
$303.70
|
| Rate for Payer: PHP Medicare Advantage |
$303.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.78
|
| Rate for Payer: Priority Health Medicare |
$303.70
|
| Rate for Payer: Railroad Medicare Medicare |
$303.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$854.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.70
|
| Rate for Payer: UHC Exchange |
$580.40
|
| Rate for Payer: UHC Medicare Advantage |
$303.70
|
| Rate for Payer: UHCCP Medicaid |
$162.78
|
| Rate for Payer: VA VA |
$303.70
|
|
|
ANORECTAL MANOMETRY
|
Facility
|
OP
|
$854.89
|
|
|
Service Code
|
CPT 91122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$162.78 |
| Max. Negotiated Rate |
$854.89 |
| Rate for Payer: Aetna Medicare |
$315.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$379.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$379.62
|
| Rate for Payer: BCBS Complete |
$170.92
|
| Rate for Payer: BCBS MAPPO |
$303.70
|
| Rate for Payer: BCN Medicare Advantage |
$303.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.70
|
| Rate for Payer: Mclaren Medicaid |
$162.78
|
| Rate for Payer: Mclaren Medicare |
$303.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.88
|
| Rate for Payer: Meridian Medicaid |
$170.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$349.25
|
| Rate for Payer: PACE Medicare |
$288.51
|
| Rate for Payer: PACE SWMI |
$303.70
|
| Rate for Payer: PHP Medicare Advantage |
$303.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.78
|
| Rate for Payer: Priority Health Medicare |
$303.70
|
| Rate for Payer: Railroad Medicare Medicare |
$303.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$854.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.70
|
| Rate for Payer: UHC Exchange |
$580.40
|
| Rate for Payer: UHC Medicare Advantage |
$303.70
|
| Rate for Payer: UHCCP Medicaid |
$162.78
|
| Rate for Payer: VA VA |
$303.70
|
|
|
ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)
|
Facility
|
OP
|
$353.86
|
|
|
Service Code
|
CPT 46600
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$67.38 |
| Max. Negotiated Rate |
$353.86 |
| Rate for Payer: Aetna Medicare |
$130.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.14
|
| Rate for Payer: BCBS Complete |
$70.75
|
| Rate for Payer: BCBS MAPPO |
$125.71
|
| Rate for Payer: BCN Medicare Advantage |
$125.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.71
|
| Rate for Payer: Mclaren Medicaid |
$67.38
|
| Rate for Payer: Mclaren Medicare |
$125.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.00
|
| Rate for Payer: Meridian Medicaid |
$70.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.57
|
| Rate for Payer: PACE Medicare |
$119.42
|
| Rate for Payer: PACE SWMI |
$125.71
|
| Rate for Payer: PHP Medicare Advantage |
$125.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.38
|
| Rate for Payer: Priority Health Medicare |
$125.71
|
| Rate for Payer: Railroad Medicare Medicare |
$125.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.71
|
| Rate for Payer: UHC Exchange |
$240.24
|
| Rate for Payer: UHC Medicare Advantage |
$125.71
|
| Rate for Payer: UHCCP Medicaid |
$67.38
|
| Rate for Payer: VA VA |
$125.71
|
|
|
ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE
|
Facility
|
OP
|
$7,528.73
|
|
|
Service Code
|
CPT 46615
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,433.59 |
| Max. Negotiated Rate |
$7,528.73 |
| Rate for Payer: Aetna Medicare |
$2,781.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,343.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,343.25
|
| Rate for Payer: BCBS Complete |
$1,505.26
|
| Rate for Payer: BCBS MAPPO |
$2,674.60
|
| Rate for Payer: BCN Medicare Advantage |
$2,674.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,674.60
|
| Rate for Payer: Mclaren Medicaid |
$1,433.59
|
| Rate for Payer: Mclaren Medicare |
$2,674.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,808.33
|
| Rate for Payer: Meridian Medicaid |
$1,505.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,075.79
|
| Rate for Payer: PACE Medicare |
$2,540.87
|
| Rate for Payer: PACE SWMI |
$2,674.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,674.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,433.59
|
| Rate for Payer: Priority Health Medicare |
$2,674.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,674.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,528.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,674.60
|
| Rate for Payer: UHC Exchange |
$5,111.43
|
| Rate for Payer: UHC Medicare Advantage |
$2,674.60
|
| Rate for Payer: UHCCP Medicaid |
$1,433.59
|
| Rate for Payer: VA VA |
$2,674.60
|
|
|
ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE
|
Facility
|
OP
|
$3,236.94
|
|
|
Service Code
|
CPT 46606
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
ANOSCOPY; WITH REMOVAL OF FOREIGN BODY
|
Facility
|
OP
|
$2,502.92
|
|
|
Service Code
|
CPT 46608
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$476.60 |
| Max. Negotiated Rate |
$2,502.92 |
| Rate for Payer: Aetna Medicare |
$924.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,111.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,111.46
|
| Rate for Payer: BCBS Complete |
$500.42
|
| Rate for Payer: BCBS MAPPO |
$889.17
|
| Rate for Payer: BCN Medicare Advantage |
$889.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$889.17
|
| Rate for Payer: Mclaren Medicaid |
$476.60
|
| Rate for Payer: Mclaren Medicare |
$889.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.63
|
| Rate for Payer: Meridian Medicaid |
$500.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,022.55
|
| Rate for Payer: PACE Medicare |
$844.71
|
| Rate for Payer: PACE SWMI |
$889.17
|
| Rate for Payer: PHP Medicare Advantage |
$889.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.60
|
| Rate for Payer: Priority Health Medicare |
$889.17
|
| Rate for Payer: Railroad Medicare Medicare |
$889.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,502.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$889.17
|
| Rate for Payer: UHC Exchange |
$1,699.29
|
| Rate for Payer: UHC Medicare Advantage |
$889.17
|
| Rate for Payer: UHCCP Medicaid |
$476.60
|
| Rate for Payer: VA VA |
$889.17
|
|
|
ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED
|
Facility
|
OP
|
$13,552.11
|
|
|
Service Code
|
CPT 57240
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,580.53 |
| Max. Negotiated Rate |
$13,552.11 |
| Rate for Payer: Aetna Medicare |
$5,007.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,018.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,018.02
|
| Rate for Payer: BCBS Complete |
$2,709.56
|
| Rate for Payer: BCBS MAPPO |
$4,814.42
|
| Rate for Payer: BCN Medicare Advantage |
$4,814.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,814.42
|
| Rate for Payer: Mclaren Medicaid |
$2,580.53
|
| Rate for Payer: Mclaren Medicare |
$4,814.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,055.14
|
| Rate for Payer: Meridian Medicaid |
$2,709.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,536.58
|
| Rate for Payer: PACE Medicare |
$4,573.70
|
| Rate for Payer: PACE SWMI |
$4,814.42
|
| Rate for Payer: PHP Medicare Advantage |
$4,814.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,580.53
|
| Rate for Payer: Priority Health Medicare |
$4,814.42
|
| Rate for Payer: Railroad Medicare Medicare |
$4,814.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13,552.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,814.42
|
| Rate for Payer: UHC Exchange |
$9,200.84
|
| Rate for Payer: UHC Medicare Advantage |
$4,814.42
|
| Rate for Payer: UHCCP Medicaid |
$2,580.53
|
| Rate for Payer: VA VA |
$4,814.42
|
|
|
ANTERIOR TIBIAL TUBERCLEPLASTY (EG, MAQUET TYPE PROCEDURE)
|
Facility
|
OP
|
$19,611.80
|
|
|
Service Code
|
CPT 27418
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,734.39 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$13,314.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: VA VA |
$6,967.14
|
|
|
ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$3.46
|
|
|
Service Code
|
HCPCS J7192
|
| Hospital Charge Code |
24926
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.52 |
| Max. Negotiated Rate |
$3.11 |
| Rate for Payer: Aetna American Axle |
$2.25
|
| Rate for Payer: Aetna Commercial |
$2.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.25
|
| Rate for Payer: Cash Price |
$2.77
|
| Rate for Payer: Cofinity Commercial |
$2.42
|
| Rate for Payer: Cofinity Commercial |
$2.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.77
|
| Rate for Payer: Healthscope Commercial |
$3.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.94
|
| Rate for Payer: PHP Commercial |
$2.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.25
|
| Rate for Payer: Priority Health SBD |
$2.18
|
| Rate for Payer: UMR Bronson Commercial |
$1.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.60
|
|
|
ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$3.46
|
|
|
Service Code
|
HCPCS J7192
|
| Hospital Charge Code |
24926
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.86 |
| Max. Negotiated Rate |
$4.53 |
| Rate for Payer: Aetna American Axle |
$2.25
|
| Rate for Payer: Aetna Commercial |
$2.94
|
| Rate for Payer: Aetna Medicare |
$1.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.01
|
| Rate for Payer: BCBS Complete |
$0.91
|
| Rate for Payer: BCBS MAPPO |
$1.61
|
| Rate for Payer: BCN Medicare Advantage |
$1.61
|
| Rate for Payer: Cash Price |
$2.77
|
| Rate for Payer: Cash Price |
$2.77
|
| Rate for Payer: Cofinity Commercial |
$2.98
|
| Rate for Payer: Cofinity Commercial |
$2.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.61
|
| Rate for Payer: Healthscope Commercial |
$3.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.60
|
| Rate for Payer: Mclaren Medicaid |
$0.86
|
| Rate for Payer: Mclaren Medicare |
$1.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.69
|
| Rate for Payer: Meridian Medicaid |
$0.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.94
|
| Rate for Payer: PACE Medicare |
$1.53
|
| Rate for Payer: PACE SWMI |
$1.61
|
| Rate for Payer: PHP Commercial |
$2.94
|
| Rate for Payer: PHP Medicare Advantage |
$1.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.25
|
| Rate for Payer: Priority Health Medicare |
$1.61
|
| Rate for Payer: Priority Health SBD |
$2.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$1.61
|
| Rate for Payer: UHC Exchange |
$3.08
|
| Rate for Payer: UHC Medicare Advantage |
$1.61
|
| Rate for Payer: UHCCP Medicaid |
$0.86
|
| Rate for Payer: UMR Bronson Commercial |
$1.28
|
| Rate for Payer: VA VA |
$1.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.60
|
|
