|
HC B. PARAPERTUSSIS BY PCR CMPT
|
Facility
|
IP
|
$53.49
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600219
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$23.54 |
| Max. Negotiated Rate |
$48.14 |
| Rate for Payer: Aetna American Axle |
$34.77
|
| Rate for Payer: Aetna Commercial |
$45.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.77
|
| Rate for Payer: Cash Price |
$42.79
|
| Rate for Payer: Cofinity Advantage |
$37.44
|
| Rate for Payer: Cofinity Commercial |
$46.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.79
|
| Rate for Payer: Healthscope Commercial |
$48.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.12
|
| Rate for Payer: PHP Commercial |
$45.47
|
| Rate for Payer: Priority Health SBD |
$33.70
|
| Rate for Payer: UMR Bronson Commercial |
$23.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.12
|
|
|
HC B. PARAPERTUSSIS BY PCR CMPT
|
Facility
|
OP
|
$53.49
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600219
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$52.64 |
| Rate for Payer: Aetna American Axle |
$34.77
|
| Rate for Payer: Aetna Commercial |
$45.47
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$40.57
|
| Rate for Payer: BCN Commercial |
$40.57
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$42.79
|
| Rate for Payer: Cash Price |
$42.79
|
| Rate for Payer: Cofinity Advantage |
$37.44
|
| Rate for Payer: Cofinity Commercial |
$46.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$48.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.12
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.47
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.12
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$45.47
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$33.70
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.64
|
| Rate for Payer: UHC Core |
$52.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$52.64
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: UMR Bronson Commercial |
$19.79
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.12
|
|
|
HC B.PERTUSSIS BY PCR
|
Facility
|
OP
|
$62.82
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600218
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$56.54 |
| Rate for Payer: Aetna American Axle |
$40.83
|
| Rate for Payer: Aetna Commercial |
$53.40
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$40.57
|
| Rate for Payer: BCN Commercial |
$40.57
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$50.26
|
| Rate for Payer: Cash Price |
$50.26
|
| Rate for Payer: Cofinity Advantage |
$43.97
|
| Rate for Payer: Cofinity Commercial |
$54.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.12
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$36.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.40
|
| Rate for Payer: Nomi Health Commercial |
$52.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.12
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$53.40
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$39.58
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.64
|
| Rate for Payer: UHC Core |
$52.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$52.64
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: UMR Bronson Commercial |
$23.24
|
| Rate for Payer: VA VA |
$35.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.12
|
|
|
HC B.PERTUSSIS BY PCR
|
Facility
|
IP
|
$62.82
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600218
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$27.64 |
| Max. Negotiated Rate |
$56.54 |
| Rate for Payer: Aetna American Axle |
$40.83
|
| Rate for Payer: Aetna Commercial |
$53.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.83
|
| Rate for Payer: Cash Price |
$50.26
|
| Rate for Payer: Cofinity Advantage |
$43.97
|
| Rate for Payer: Cofinity Commercial |
$54.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.26
|
| Rate for Payer: Healthscope Commercial |
$56.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$43.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.12
|
| Rate for Payer: PHP Commercial |
$53.40
|
| Rate for Payer: Priority Health SBD |
$39.58
|
| Rate for Payer: UMR Bronson Commercial |
$27.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.12
|
|
|
HC BRACE ADD TO LE PELVIC CONTROL HIP JOINT
|
Facility
|
IP
|
$991.54
|
|
|
Service Code
|
HCPCS L2624
|
| Hospital Charge Code |
27400039
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$436.28 |
| Max. Negotiated Rate |
$892.39 |
| Rate for Payer: Aetna American Axle |
$644.50
|
| Rate for Payer: Aetna Commercial |
$842.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.50
|
| Rate for Payer: Cash Price |
$793.23
|
| Rate for Payer: Cofinity Advantage |
$694.08
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.23
|
| Rate for Payer: Healthscope Commercial |
$892.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$842.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$743.65
|
| Rate for Payer: PHP Commercial |
$842.81
|
| Rate for Payer: Priority Health SBD |
$624.67
|
| Rate for Payer: UMR Bronson Commercial |
$436.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC BRACE ADD TO LE PELVIC CONTROL HIP JOINT
|
Facility
|
OP
|
$991.54
|
|
|
Service Code
|
HCPCS L2624
|
| Hospital Charge Code |
27400039
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$366.87 |
| Max. Negotiated Rate |
$1,243.61 |
| Rate for Payer: Aetna American Axle |
$644.50
|
| Rate for Payer: Aetna Commercial |
$842.81
|
| Rate for Payer: Aetna Medicare |
$495.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$644.50
|
| Rate for Payer: BCBS Complete |
$396.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,243.61
|
| Rate for Payer: BCN Commercial |
$1,243.61
|
| Rate for Payer: Cash Price |
$793.23
|
| Rate for Payer: Cash Price |
$793.23
|
| Rate for Payer: Cofinity Advantage |
$694.08
|
| Rate for Payer: Cofinity Commercial |
$852.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$793.23
|
| Rate for Payer: Healthscope Commercial |
$892.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$694.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$743.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$793.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$842.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$743.65
|
| Rate for Payer: PHP Commercial |
$842.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$479.52
|
| Rate for Payer: Priority Health SBD |
$624.67
|
| Rate for Payer: Priority Health Tiered Network |
$383.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$644.50
|
| Rate for Payer: UHC Core |
$516.59
|
| Rate for Payer: UHC Exchange |
$389.68
|
| Rate for Payer: UMR Bronson Commercial |
$366.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$743.65
|
|
|
HC BRACE AFO
|
Facility
|
IP
|
$608.06
|
|
|
Service Code
|
HCPCS L1930
|
| Hospital Charge Code |
27000002
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$267.55 |
| Max. Negotiated Rate |
$547.25 |
| Rate for Payer: Aetna American Axle |
$395.24
|
| Rate for Payer: Aetna Commercial |
$516.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$395.24
|
| Rate for Payer: Cash Price |
$486.45
|
| Rate for Payer: Cofinity Advantage |
$425.64
|
| Rate for Payer: Cofinity Commercial |
$522.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$486.45
|
| Rate for Payer: Healthscope Commercial |
$547.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$425.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$516.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.05
|
| Rate for Payer: PHP Commercial |
$516.85
|
| Rate for Payer: Priority Health SBD |
$383.08
|
| Rate for Payer: UMR Bronson Commercial |
$267.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.05
|
|
|
HC BRACE AFO
|
Facility
|
OP
|
$608.06
|
|
|
Service Code
|
HCPCS L1930
|
| Hospital Charge Code |
27000002
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$224.98 |
| Max. Negotiated Rate |
$802.93 |
| Rate for Payer: Aetna American Axle |
$395.24
|
| Rate for Payer: Aetna Commercial |
$516.85
|
| Rate for Payer: Aetna Medicare |
$304.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$395.24
|
| Rate for Payer: BCBS Complete |
$243.22
|
| Rate for Payer: BCBS Trust/PPO |
$802.93
|
| Rate for Payer: BCN Commercial |
$802.93
|
| Rate for Payer: Cash Price |
$486.45
|
| Rate for Payer: Cash Price |
$486.45
|
| Rate for Payer: Cofinity Advantage |
$425.64
|
| Rate for Payer: Cofinity Commercial |
$522.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$486.45
|
| Rate for Payer: Healthscope Commercial |
$547.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$425.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$456.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$486.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$516.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$456.05
|
| Rate for Payer: PHP Commercial |
$516.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$309.60
|
| Rate for Payer: Priority Health SBD |
$383.08
|
| Rate for Payer: Priority Health Tiered Network |
$247.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.24
|
| Rate for Payer: UHC Core |
$316.80
|
| Rate for Payer: UHC Exchange |
$238.97
|
| Rate for Payer: UMR Bronson Commercial |
$224.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$456.05
|
|
|
HC BRACE AFO WITH INTERFACE
|
Facility
|
OP
|
$1,496.06
|
|
|
Service Code
|
HCPCS L1960
|
| Hospital Charge Code |
27000003
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$553.54 |
| Max. Negotiated Rate |
$1,975.67 |
| Rate for Payer: Aetna American Axle |
$972.44
|
| Rate for Payer: Aetna Commercial |
$1,271.65
|
| Rate for Payer: Aetna Medicare |
$748.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$972.44
|
| Rate for Payer: BCBS Complete |
$598.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,975.67
|
| Rate for Payer: BCN Commercial |
$1,975.67
|
| Rate for Payer: Cash Price |
$1,196.85
|
| Rate for Payer: Cash Price |
$1,196.85
|
| Rate for Payer: Cofinity Advantage |
$1,047.24
|
| Rate for Payer: Cofinity Commercial |
$1,286.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,196.85
|
| Rate for Payer: Healthscope Commercial |
$1,346.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,047.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,122.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,196.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,271.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,122.05
|
| Rate for Payer: PHP Commercial |
$1,271.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$761.80
|
| Rate for Payer: Priority Health SBD |
$942.52
|
| Rate for Payer: Priority Health Tiered Network |
$609.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$972.44
|
| Rate for Payer: UHC Core |
$779.45
|
| Rate for Payer: UHC Exchange |
$587.95
|
| Rate for Payer: UMR Bronson Commercial |
$553.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,122.05
|
|
|
HC BRACE AFO WITH INTERFACE
|
Facility
|
IP
|
$1,496.06
|
|
|
Service Code
|
HCPCS L1960
|
| Hospital Charge Code |
27000003
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$658.27 |
| Max. Negotiated Rate |
$1,346.45 |
| Rate for Payer: Aetna American Axle |
$972.44
|
| Rate for Payer: Aetna Commercial |
$1,271.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$972.44
|
| Rate for Payer: Cash Price |
$1,196.85
|
| Rate for Payer: Cofinity Advantage |
$1,047.24
|
| Rate for Payer: Cofinity Commercial |
$1,286.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,196.85
|
| Rate for Payer: Healthscope Commercial |
$1,346.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,047.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,122.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,271.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,122.05
|
| Rate for Payer: PHP Commercial |
$1,271.65
|
| Rate for Payer: Priority Health SBD |
$942.52
|
| Rate for Payer: UMR Bronson Commercial |
$658.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,122.05
|
|
|
HC BRACE AK PELVIC CONTROL BELT LIGHT
|
Facility
|
OP
|
$336.41
|
|
|
Service Code
|
HCPCS L5692
|
| Hospital Charge Code |
27400038
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$124.47 |
| Max. Negotiated Rate |
$421.87 |
| Rate for Payer: Aetna American Axle |
$218.67
|
| Rate for Payer: Aetna Commercial |
$285.95
|
| Rate for Payer: Aetna Medicare |
$168.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.67
|
| Rate for Payer: BCBS Complete |
$134.56
|
| Rate for Payer: BCBS Trust/PPO |
$421.87
|
| Rate for Payer: BCN Commercial |
$421.87
|
| Rate for Payer: Cash Price |
$269.13
|
| Rate for Payer: Cash Price |
$269.13
|
| Rate for Payer: Cofinity Advantage |
$235.49
|
| Rate for Payer: Cofinity Commercial |
$289.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.13
|
| Rate for Payer: Healthscope Commercial |
$302.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$269.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$252.31
|
| Rate for Payer: PHP Commercial |
$285.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.67
|
| Rate for Payer: Priority Health SBD |
$211.94
|
| Rate for Payer: Priority Health Tiered Network |
$130.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.67
|
| Rate for Payer: UHC Core |
$175.27
|
| Rate for Payer: UHC Exchange |
$132.21
|
| Rate for Payer: UMR Bronson Commercial |
$124.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.31
|
|
|
HC BRACE AK PELVIC CONTROL BELT LIGHT
|
Facility
|
IP
|
$336.41
|
|
|
Service Code
|
HCPCS L5692
|
| Hospital Charge Code |
27400038
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$148.02 |
| Max. Negotiated Rate |
$302.77 |
| Rate for Payer: Aetna American Axle |
$218.67
|
| Rate for Payer: Aetna Commercial |
$285.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.67
|
| Rate for Payer: Cash Price |
$269.13
|
| Rate for Payer: Cofinity Advantage |
$235.49
|
| Rate for Payer: Cofinity Commercial |
$289.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.13
|
| Rate for Payer: Healthscope Commercial |
$302.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$285.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$252.31
|
| Rate for Payer: PHP Commercial |
$285.95
|
| Rate for Payer: Priority Health SBD |
$211.94
|
| Rate for Payer: UMR Bronson Commercial |
$148.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.31
|
|
|
HC BRACE AK PROSTH SOCK SINGLE-PLY/6
|
Facility
|
OP
|
$135.15
|
|
|
Service Code
|
HCPCS L8480
|
| Hospital Charge Code |
27400034
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$9.02 |
| Max. Negotiated Rate |
$121.64 |
| Rate for Payer: Aetna American Axle |
$87.85
|
| Rate for Payer: Aetna Commercial |
$114.88
|
| Rate for Payer: Aetna Medicare |
$67.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.85
|
| Rate for Payer: BCBS Complete |
$54.06
|
| Rate for Payer: BCBS Trust/PPO |
$29.23
|
| Rate for Payer: BCN Commercial |
$29.23
|
| Rate for Payer: Cash Price |
$108.12
|
| Rate for Payer: Cash Price |
$108.12
|
| Rate for Payer: Cofinity Advantage |
$94.61
|
| Rate for Payer: Cofinity Commercial |
$116.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.12
|
| Rate for Payer: Healthscope Commercial |
$121.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.36
|
| Rate for Payer: PHP Commercial |
$114.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.27
|
| Rate for Payer: Priority Health SBD |
$85.14
|
| Rate for Payer: Priority Health Tiered Network |
$9.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.85
|
| Rate for Payer: UHC Core |
$70.41
|
| Rate for Payer: UHC Exchange |
$53.11
|
| Rate for Payer: UMR Bronson Commercial |
$50.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.36
|
|
|
HC BRACE AK PROSTH SOCK SINGLE-PLY/6
|
Facility
|
IP
|
$135.15
|
|
|
Service Code
|
HCPCS L8480
|
| Hospital Charge Code |
27400034
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$59.47 |
| Max. Negotiated Rate |
$121.64 |
| Rate for Payer: Aetna American Axle |
$87.85
|
| Rate for Payer: Aetna Commercial |
$114.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.85
|
| Rate for Payer: Cash Price |
$108.12
|
| Rate for Payer: Cofinity Advantage |
$94.61
|
| Rate for Payer: Cofinity Commercial |
$116.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.12
|
| Rate for Payer: Healthscope Commercial |
$121.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$94.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.36
|
| Rate for Payer: PHP Commercial |
$114.88
|
| Rate for Payer: Priority Health SBD |
$85.14
|
| Rate for Payer: UMR Bronson Commercial |
$59.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.36
|
|
|
HC BRACE AK RIGID DRESSING NWB
|
Facility
|
OP
|
$1,527.08
|
|
|
Service Code
|
HCPCS L5460
|
| Hospital Charge Code |
27400033
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$565.02 |
| Max. Negotiated Rate |
$1,980.91 |
| Rate for Payer: Aetna American Axle |
$992.60
|
| Rate for Payer: Aetna Commercial |
$1,298.02
|
| Rate for Payer: Aetna Medicare |
$763.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.60
|
| Rate for Payer: BCBS Complete |
$610.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,980.91
|
| Rate for Payer: BCN Commercial |
$1,980.91
|
| Rate for Payer: Cash Price |
$1,221.66
|
| Rate for Payer: Cash Price |
$1,221.66
|
| Rate for Payer: Cofinity Advantage |
$1,068.96
|
| Rate for Payer: Cofinity Commercial |
$1,313.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,221.66
|
| Rate for Payer: Healthscope Commercial |
$1,374.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,068.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,145.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,221.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,298.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,145.31
|
| Rate for Payer: PHP Commercial |
$1,298.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$763.82
|
| Rate for Payer: Priority Health SBD |
$962.06
|
| Rate for Payer: Priority Health Tiered Network |
$611.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$992.60
|
| Rate for Payer: UHC Core |
$795.61
|
| Rate for Payer: UHC Exchange |
$600.14
|
| Rate for Payer: UMR Bronson Commercial |
$565.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,145.31
|
|
|
HC BRACE AK RIGID DRESSING NWB
|
Facility
|
IP
|
$1,527.08
|
|
|
Service Code
|
HCPCS L5460
|
| Hospital Charge Code |
27400033
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$671.92 |
| Max. Negotiated Rate |
$1,374.37 |
| Rate for Payer: Aetna American Axle |
$992.60
|
| Rate for Payer: Aetna Commercial |
$1,298.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.60
|
| Rate for Payer: Cash Price |
$1,221.66
|
| Rate for Payer: Cofinity Advantage |
$1,068.96
|
| Rate for Payer: Cofinity Commercial |
$1,313.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,221.66
|
| Rate for Payer: Healthscope Commercial |
$1,374.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,068.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,145.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,298.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,145.31
|
| Rate for Payer: PHP Commercial |
$1,298.02
|
| Rate for Payer: Priority Health SBD |
$962.06
|
| Rate for Payer: UMR Bronson Commercial |
$671.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,145.31
|
|
|
HC BRACE ANKLE STIRRUP SPLINT
|
Facility
|
OP
|
$150.39
|
|
|
Service Code
|
HCPCS L4350
|
| Hospital Charge Code |
27400001
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$55.64 |
| Max. Negotiated Rate |
$308.36 |
| Rate for Payer: Aetna American Axle |
$97.75
|
| Rate for Payer: Aetna Commercial |
$127.83
|
| Rate for Payer: Aetna Medicare |
$75.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.75
|
| Rate for Payer: BCBS Complete |
$60.16
|
| Rate for Payer: BCBS Trust/PPO |
$308.36
|
| Rate for Payer: BCN Commercial |
$308.36
|
| Rate for Payer: Cash Price |
$120.31
|
| Rate for Payer: Cash Price |
$120.31
|
| Rate for Payer: Cofinity Advantage |
$105.27
|
| Rate for Payer: Cofinity Commercial |
$129.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.31
|
| Rate for Payer: Healthscope Commercial |
$135.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$105.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$120.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$112.79
|
| Rate for Payer: PHP Commercial |
$127.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$118.90
|
| Rate for Payer: Priority Health SBD |
$94.75
|
| Rate for Payer: Priority Health Tiered Network |
$95.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.75
|
| Rate for Payer: UHC Core |
$78.35
|
| Rate for Payer: UHC Exchange |
$59.10
|
| Rate for Payer: UMR Bronson Commercial |
$55.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.79
|
|
|
HC BRACE ANKLE STIRRUP SPLINT
|
Facility
|
IP
|
$150.39
|
|
|
Service Code
|
HCPCS L4350
|
| Hospital Charge Code |
27400001
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$66.17 |
| Max. Negotiated Rate |
$135.35 |
| Rate for Payer: Aetna American Axle |
$97.75
|
| Rate for Payer: Aetna Commercial |
$127.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.75
|
| Rate for Payer: Cash Price |
$120.31
|
| Rate for Payer: Cofinity Advantage |
$105.27
|
| Rate for Payer: Cofinity Commercial |
$129.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$120.31
|
| Rate for Payer: Healthscope Commercial |
$135.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$105.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$112.79
|
| Rate for Payer: PHP Commercial |
$127.83
|
| Rate for Payer: Priority Health SBD |
$94.75
|
| Rate for Payer: UMR Bronson Commercial |
$66.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.79
|
|
|
HC BRACE ASPEN COLLAR
|
Facility
|
OP
|
$348.64
|
|
|
Service Code
|
HCPCS L0172
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$129.00 |
| Max. Negotiated Rate |
$451.39 |
| Rate for Payer: Aetna American Axle |
$226.62
|
| Rate for Payer: Aetna Commercial |
$296.34
|
| Rate for Payer: Aetna Medicare |
$174.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.62
|
| Rate for Payer: BCBS Complete |
$139.46
|
| Rate for Payer: BCBS Trust/PPO |
$451.39
|
| Rate for Payer: BCN Commercial |
$451.39
|
| Rate for Payer: Cash Price |
$278.91
|
| Rate for Payer: Cash Price |
$278.91
|
| Rate for Payer: Cofinity Advantage |
$244.05
|
| Rate for Payer: Cofinity Commercial |
$299.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.91
|
| Rate for Payer: Healthscope Commercial |
$313.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.48
|
| Rate for Payer: PHP Commercial |
$296.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$174.05
|
| Rate for Payer: Priority Health SBD |
$219.64
|
| Rate for Payer: Priority Health Tiered Network |
$139.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.62
|
| Rate for Payer: UHC Core |
$181.64
|
| Rate for Payer: UHC Exchange |
$137.02
|
| Rate for Payer: UMR Bronson Commercial |
$129.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.48
|
|
|
HC BRACE ASPEN COLLAR
|
Facility
|
IP
|
$348.64
|
|
|
Service Code
|
HCPCS L0172
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$153.40 |
| Max. Negotiated Rate |
$313.78 |
| Rate for Payer: Aetna American Axle |
$226.62
|
| Rate for Payer: Aetna Commercial |
$296.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.62
|
| Rate for Payer: Cash Price |
$278.91
|
| Rate for Payer: Cofinity Advantage |
$244.05
|
| Rate for Payer: Cofinity Commercial |
$299.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.91
|
| Rate for Payer: Healthscope Commercial |
$313.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$244.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$261.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.48
|
| Rate for Payer: PHP Commercial |
$296.34
|
| Rate for Payer: Priority Health SBD |
$219.64
|
| Rate for Payer: UMR Bronson Commercial |
$153.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$261.48
|
|
|
HC BRACE BK PROSTH SOCK MULTI-PLY/6
|
Facility
|
IP
|
$308.06
|
|
|
Service Code
|
HCPCS L8420
|
| Hospital Charge Code |
27400024
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$135.55 |
| Max. Negotiated Rate |
$277.25 |
| Rate for Payer: Aetna American Axle |
$200.24
|
| Rate for Payer: Aetna Commercial |
$261.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.24
|
| Rate for Payer: Cash Price |
$246.45
|
| Rate for Payer: Cofinity Advantage |
$215.64
|
| Rate for Payer: Cofinity Commercial |
$264.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.45
|
| Rate for Payer: Healthscope Commercial |
$277.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$261.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.04
|
| Rate for Payer: PHP Commercial |
$261.85
|
| Rate for Payer: Priority Health SBD |
$194.08
|
| Rate for Payer: UMR Bronson Commercial |
$135.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.04
|
|
|
HC BRACE BK PROSTH SOCK MULTI-PLY/6
|
Facility
|
OP
|
$308.06
|
|
|
Service Code
|
HCPCS L8420
|
| Hospital Charge Code |
27400024
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$20.54 |
| Max. Negotiated Rate |
$277.25 |
| Rate for Payer: Aetna American Axle |
$200.24
|
| Rate for Payer: Aetna Commercial |
$261.85
|
| Rate for Payer: Aetna Medicare |
$154.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.24
|
| Rate for Payer: BCBS Complete |
$123.22
|
| Rate for Payer: BCBS Trust/PPO |
$66.61
|
| Rate for Payer: BCN Commercial |
$66.61
|
| Rate for Payer: Cash Price |
$246.45
|
| Rate for Payer: Cash Price |
$246.45
|
| Rate for Payer: Cofinity Advantage |
$215.64
|
| Rate for Payer: Cofinity Commercial |
$264.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$246.45
|
| Rate for Payer: Healthscope Commercial |
$277.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$215.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$246.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$261.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$231.04
|
| Rate for Payer: PHP Commercial |
$261.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$25.68
|
| Rate for Payer: Priority Health SBD |
$194.08
|
| Rate for Payer: Priority Health Tiered Network |
$20.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.24
|
| Rate for Payer: UHC Core |
$160.50
|
| Rate for Payer: UHC Exchange |
$121.07
|
| Rate for Payer: UMR Bronson Commercial |
$113.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.04
|
|
|
HC BRACE BK PROSTH SOCK SINGLE-PLY/6
|
Facility
|
IP
|
$97.97
|
|
|
Service Code
|
HCPCS L8470
|
| Hospital Charge Code |
27400032
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$43.11 |
| Max. Negotiated Rate |
$88.17 |
| Rate for Payer: Aetna American Axle |
$63.68
|
| Rate for Payer: Aetna Commercial |
$83.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.68
|
| Rate for Payer: Cash Price |
$78.38
|
| Rate for Payer: Cofinity Advantage |
$68.58
|
| Rate for Payer: Cofinity Commercial |
$84.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.38
|
| Rate for Payer: Healthscope Commercial |
$88.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.48
|
| Rate for Payer: PHP Commercial |
$83.27
|
| Rate for Payer: Priority Health SBD |
$61.72
|
| Rate for Payer: UMR Bronson Commercial |
$43.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.48
|
|
|
HC BRACE BK PROSTH SOCK SINGLE-PLY/6
|
Facility
|
OP
|
$97.97
|
|
|
Service Code
|
HCPCS L8470
|
| Hospital Charge Code |
27400032
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$88.17 |
| Rate for Payer: Aetna American Axle |
$63.68
|
| Rate for Payer: Aetna Commercial |
$83.27
|
| Rate for Payer: Aetna Medicare |
$48.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.68
|
| Rate for Payer: BCBS Complete |
$39.19
|
| Rate for Payer: BCBS Trust/PPO |
$21.19
|
| Rate for Payer: BCN Commercial |
$21.19
|
| Rate for Payer: Cash Price |
$78.38
|
| Rate for Payer: Cash Price |
$78.38
|
| Rate for Payer: Cofinity Advantage |
$68.58
|
| Rate for Payer: Cofinity Commercial |
$84.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.38
|
| Rate for Payer: Healthscope Commercial |
$88.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$78.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.48
|
| Rate for Payer: PHP Commercial |
$83.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$8.17
|
| Rate for Payer: Priority Health SBD |
$61.72
|
| Rate for Payer: Priority Health Tiered Network |
$6.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.68
|
| Rate for Payer: UHC Core |
$51.04
|
| Rate for Payer: UHC Exchange |
$38.50
|
| Rate for Payer: UMR Bronson Commercial |
$36.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.48
|
|
|
HC BRACE BK RIGID DRESSING NWB
|
Facility
|
OP
|
$1,143.70
|
|
|
Service Code
|
HCPCS L5450
|
| Hospital Charge Code |
27000013
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$423.17 |
| Max. Negotiated Rate |
$1,510.28 |
| Rate for Payer: Aetna American Axle |
$743.40
|
| Rate for Payer: Aetna Commercial |
$972.14
|
| Rate for Payer: Aetna Medicare |
$571.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.40
|
| Rate for Payer: BCBS Complete |
$457.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,510.28
|
| Rate for Payer: BCN Commercial |
$1,510.28
|
| Rate for Payer: Cash Price |
$914.96
|
| Rate for Payer: Cash Price |
$914.96
|
| Rate for Payer: Cofinity Advantage |
$800.59
|
| Rate for Payer: Cofinity Commercial |
$983.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$914.96
|
| Rate for Payer: Healthscope Commercial |
$1,029.33
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$800.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$857.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$914.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$972.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$857.77
|
| Rate for Payer: PHP Commercial |
$972.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$582.35
|
| Rate for Payer: Priority Health SBD |
$720.53
|
| Rate for Payer: Priority Health Tiered Network |
$465.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$743.40
|
| Rate for Payer: UHC Core |
$595.87
|
| Rate for Payer: UHC Exchange |
$449.47
|
| Rate for Payer: UMR Bronson Commercial |
$423.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$857.77
|
|
