|
HC DESTRUCT MALIGNANT LESION TRUNK, ARMS, LEGS 1.1 TO 2.0 CM
|
Facility
|
OP
|
$161.82
|
|
|
Service Code
|
CPT 17262
|
| Hospital Charge Code |
76100127
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$59.87 |
| Max. Negotiated Rate |
$545.50 |
| Rate for Payer: Aetna American Axle |
$105.18
|
| Rate for Payer: Aetna Commercial |
$137.55
|
| Rate for Payer: Aetna Medicare |
$201.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$129.46
|
| Rate for Payer: Cash Price |
$129.46
|
| Rate for Payer: Cofinity Commercial |
$139.17
|
| Rate for Payer: Cofinity Commercial |
$113.27
|
| Rate for Payer: Cofinity Medicare Advantage |
$113.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$129.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$145.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$113.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$121.36
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137.55
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$137.55
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.18
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health SBD |
$101.95
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$370.35
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: UMR Bronson Commercial |
$59.87
|
| Rate for Payer: VA VA |
$193.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$121.36
|
|
|
HC DESTRUCT MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
OP
|
$532.44
|
|
|
Service Code
|
CPT 17263
|
| Hospital Charge Code |
76100372
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$103.87 |
| Max. Negotiated Rate |
$545.50 |
| Rate for Payer: Aetna American Axle |
$346.09
|
| Rate for Payer: Aetna Commercial |
$452.57
|
| Rate for Payer: Aetna Medicare |
$201.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$425.95
|
| Rate for Payer: Cash Price |
$425.95
|
| Rate for Payer: Cofinity Commercial |
$457.90
|
| Rate for Payer: Cofinity Commercial |
$372.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$372.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$425.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$479.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$372.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$399.33
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$452.57
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$452.57
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$346.09
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health SBD |
$335.44
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$370.35
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: UMR Bronson Commercial |
$197.00
|
| Rate for Payer: VA VA |
$193.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$399.33
|
|
|
HC DESTRUCT MALIGNANT LESION TRUNK, ARMS, LEGS 2.1 TO 3.0 CM
|
Facility
|
IP
|
$532.44
|
|
|
Service Code
|
CPT 17263
|
| Hospital Charge Code |
76100372
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$234.27 |
| Max. Negotiated Rate |
$479.20 |
| Rate for Payer: Aetna American Axle |
$346.09
|
| Rate for Payer: Aetna Commercial |
$452.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.09
|
| Rate for Payer: Cash Price |
$425.95
|
| Rate for Payer: Cofinity Commercial |
$372.71
|
| Rate for Payer: Cofinity Commercial |
$457.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$372.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$425.95
|
| Rate for Payer: Healthscope Commercial |
$479.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$372.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$399.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$452.57
|
| Rate for Payer: PHP Commercial |
$452.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$346.09
|
| Rate for Payer: Priority Health SBD |
$335.44
|
| Rate for Payer: UMR Bronson Commercial |
$234.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$399.33
|
|
|
HC DESTRUCT NEURO AGENT PLANTAR DIGITAL NRV
|
Facility
|
OP
|
$408.88
|
|
|
Service Code
|
CPT 64632
|
| Hospital Charge Code |
36100608
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$151.29 |
| Max. Negotiated Rate |
$810.38 |
| Rate for Payer: Aetna American Axle |
$265.77
|
| Rate for Payer: Aetna Commercial |
$347.55
|
| Rate for Payer: Aetna Medicare |
$299.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$359.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$359.86
|
| Rate for Payer: BCBS Complete |
$162.02
|
| Rate for Payer: BCBS MAPPO |
$287.89
|
| Rate for Payer: BCN Medicare Advantage |
$287.89
|
| Rate for Payer: Cash Price |
$327.10
|
| Rate for Payer: Cash Price |
$327.10
|
| Rate for Payer: Cofinity Commercial |
$351.64
|
| Rate for Payer: Cofinity Commercial |
$286.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$286.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$327.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.89
|
| Rate for Payer: Healthscope Commercial |
$367.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$286.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$306.66
|
| Rate for Payer: Mclaren Medicaid |
$154.31
|
| Rate for Payer: Mclaren Medicare |
$287.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.28
|
| Rate for Payer: Meridian Medicaid |
$162.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$331.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$347.55
|
| Rate for Payer: PACE Medicare |
$273.50
|
| Rate for Payer: PACE SWMI |
$287.89
|
| Rate for Payer: PHP Commercial |
$347.55
|
| Rate for Payer: PHP Medicare Advantage |
$287.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$265.77
|
| Rate for Payer: Priority Health Medicare |
$287.89
|
| Rate for Payer: Priority Health SBD |
$257.59
|
| Rate for Payer: Railroad Medicare Medicare |
$287.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$810.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.89
|
| Rate for Payer: UHC Exchange |
$550.19
|
| Rate for Payer: UHC Medicare Advantage |
$287.89
|
| Rate for Payer: UHCCP Medicaid |
$154.31
|
| Rate for Payer: UMR Bronson Commercial |
$151.29
|
| Rate for Payer: VA VA |
$287.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$306.66
|
|
|
HC DESTRUCT NEURO AGENT PLANTAR DIGITAL NRV
|
Facility
|
IP
|
$408.88
|
|
|
Service Code
|
CPT 64632
|
| Hospital Charge Code |
36100608
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$179.91 |
| Max. Negotiated Rate |
$367.99 |
| Rate for Payer: Aetna American Axle |
$265.77
|
| Rate for Payer: Aetna Commercial |
$347.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.77
|
| Rate for Payer: Cash Price |
$327.10
|
| Rate for Payer: Cofinity Commercial |
$286.22
|
| Rate for Payer: Cofinity Commercial |
$351.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$286.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$327.10
|
| Rate for Payer: Healthscope Commercial |
$367.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$286.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$306.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$347.55
|
| Rate for Payer: PHP Commercial |
$347.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$265.77
|
| Rate for Payer: Priority Health SBD |
$257.59
|
| Rate for Payer: UMR Bronson Commercial |
$179.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$306.66
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS 15 OR MORE LESIONS
|
Facility
|
OP
|
$281.59
|
|
|
Service Code
|
CPT 17004
|
| Hospital Charge Code |
76100122
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.19 |
| Max. Negotiated Rate |
$1,096.83 |
| Rate for Payer: Aetna American Axle |
$183.03
|
| Rate for Payer: Aetna Commercial |
$239.35
|
| Rate for Payer: Aetna Medicare |
$405.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$487.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$487.06
|
| Rate for Payer: BCBS Complete |
$219.30
|
| Rate for Payer: BCBS MAPPO |
$389.65
|
| Rate for Payer: BCN Medicare Advantage |
$389.65
|
| Rate for Payer: Cash Price |
$225.27
|
| Rate for Payer: Cash Price |
$225.27
|
| Rate for Payer: Cofinity Commercial |
$242.17
|
| Rate for Payer: Cofinity Commercial |
$197.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$197.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.65
|
| Rate for Payer: Healthscope Commercial |
$253.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.19
|
| Rate for Payer: Mclaren Medicaid |
$208.85
|
| Rate for Payer: Mclaren Medicare |
$389.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.13
|
| Rate for Payer: Meridian Medicaid |
$219.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.35
|
| Rate for Payer: PACE Medicare |
$370.17
|
| Rate for Payer: PACE SWMI |
$389.65
|
| Rate for Payer: PHP Commercial |
$239.35
|
| Rate for Payer: PHP Medicare Advantage |
$389.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.03
|
| Rate for Payer: Priority Health Medicare |
$389.65
|
| Rate for Payer: Priority Health SBD |
$177.40
|
| Rate for Payer: Railroad Medicare Medicare |
$389.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,096.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.65
|
| Rate for Payer: UHC Exchange |
$744.66
|
| Rate for Payer: UHC Medicare Advantage |
$389.65
|
| Rate for Payer: UHCCP Medicaid |
$208.85
|
| Rate for Payer: UMR Bronson Commercial |
$104.19
|
| Rate for Payer: VA VA |
$389.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.19
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS 15 OR MORE LESIONS
|
Facility
|
IP
|
$281.59
|
|
|
Service Code
|
CPT 17004
|
| Hospital Charge Code |
76100122
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$123.90 |
| Max. Negotiated Rate |
$253.43 |
| Rate for Payer: Aetna American Axle |
$183.03
|
| Rate for Payer: Aetna Commercial |
$239.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.03
|
| Rate for Payer: Cash Price |
$225.27
|
| Rate for Payer: Cofinity Commercial |
$197.11
|
| Rate for Payer: Cofinity Commercial |
$242.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$197.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.27
|
| Rate for Payer: Healthscope Commercial |
$253.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$197.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.35
|
| Rate for Payer: PHP Commercial |
$239.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.03
|
| Rate for Payer: Priority Health SBD |
$177.40
|
| Rate for Payer: UMR Bronson Commercial |
$123.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.19
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS FIRST LESION
|
Facility
|
OP
|
$176.53
|
|
|
Service Code
|
CPT 17000
|
| Hospital Charge Code |
76100120
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$65.32 |
| Max. Negotiated Rate |
$545.50 |
| Rate for Payer: Aetna American Axle |
$114.74
|
| Rate for Payer: Aetna Commercial |
$150.05
|
| Rate for Payer: Aetna Medicare |
$201.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.24
|
| Rate for Payer: BCBS Complete |
$109.07
|
| Rate for Payer: BCBS MAPPO |
$193.79
|
| Rate for Payer: BCN Medicare Advantage |
$193.79
|
| Rate for Payer: Cash Price |
$141.22
|
| Rate for Payer: Cash Price |
$141.22
|
| Rate for Payer: Cofinity Commercial |
$151.82
|
| Rate for Payer: Cofinity Commercial |
$123.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$123.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.79
|
| Rate for Payer: Healthscope Commercial |
$158.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.40
|
| Rate for Payer: Mclaren Medicaid |
$103.87
|
| Rate for Payer: Mclaren Medicare |
$193.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.48
|
| Rate for Payer: Meridian Medicaid |
$109.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$222.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.05
|
| Rate for Payer: PACE Medicare |
$184.10
|
| Rate for Payer: PACE SWMI |
$193.79
|
| Rate for Payer: PHP Commercial |
$150.05
|
| Rate for Payer: PHP Medicare Advantage |
$193.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.74
|
| Rate for Payer: Priority Health Medicare |
$193.79
|
| Rate for Payer: Priority Health SBD |
$111.21
|
| Rate for Payer: Railroad Medicare Medicare |
$193.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.79
|
| Rate for Payer: UHC Exchange |
$370.35
|
| Rate for Payer: UHC Medicare Advantage |
$193.79
|
| Rate for Payer: UHCCP Medicaid |
$103.87
|
| Rate for Payer: UMR Bronson Commercial |
$65.32
|
| Rate for Payer: VA VA |
$193.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.40
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS FIRST LESION
|
Facility
|
IP
|
$176.53
|
|
|
Service Code
|
CPT 17000
|
| Hospital Charge Code |
76100120
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$77.67 |
| Max. Negotiated Rate |
$158.88 |
| Rate for Payer: Aetna American Axle |
$114.74
|
| Rate for Payer: Aetna Commercial |
$150.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.74
|
| Rate for Payer: Cash Price |
$141.22
|
| Rate for Payer: Cofinity Commercial |
$123.57
|
| Rate for Payer: Cofinity Commercial |
$151.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$123.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.22
|
| Rate for Payer: Healthscope Commercial |
$158.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$123.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$132.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.05
|
| Rate for Payer: PHP Commercial |
$150.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.74
|
| Rate for Payer: Priority Health SBD |
$111.21
|
| Rate for Payer: UMR Bronson Commercial |
$77.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$132.40
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS SECOND THRU 14 LESIONS EACH
|
Facility
|
IP
|
$35.48
|
|
|
Service Code
|
CPT 17003
|
| Hospital Charge Code |
76100121
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$15.61 |
| Max. Negotiated Rate |
$31.93 |
| Rate for Payer: Aetna American Axle |
$23.06
|
| Rate for Payer: Aetna Commercial |
$30.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.06
|
| Rate for Payer: Cash Price |
$28.38
|
| Rate for Payer: Cofinity Commercial |
$24.84
|
| Rate for Payer: Cofinity Commercial |
$30.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.38
|
| Rate for Payer: Healthscope Commercial |
$31.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.16
|
| Rate for Payer: PHP Commercial |
$30.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.06
|
| Rate for Payer: Priority Health SBD |
$22.35
|
| Rate for Payer: UMR Bronson Commercial |
$15.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.61
|
|
|
HC DESTRUCT PREMALIGNANT LESIONS SECOND THRU 14 LESIONS EACH
|
Facility
|
OP
|
$35.48
|
|
|
Service Code
|
CPT 17003
|
| Hospital Charge Code |
76100121
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$13.13 |
| Max. Negotiated Rate |
$31.93 |
| Rate for Payer: Aetna American Axle |
$23.06
|
| Rate for Payer: Aetna Commercial |
$30.16
|
| Rate for Payer: Aetna Medicare |
$17.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.06
|
| Rate for Payer: BCBS Complete |
$14.19
|
| Rate for Payer: Cash Price |
$28.38
|
| Rate for Payer: Cofinity Commercial |
$24.84
|
| Rate for Payer: Cofinity Commercial |
$30.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$24.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.38
|
| Rate for Payer: Healthscope Commercial |
$31.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.16
|
| Rate for Payer: PHP Commercial |
$30.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.06
|
| Rate for Payer: Priority Health SBD |
$22.35
|
| Rate for Payer: UMR Bronson Commercial |
$13.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.61
|
|
|
HC DESTRUCT VAGINAL LESION(S) SIMPLE
|
Facility
|
OP
|
$3,898.53
|
|
|
Service Code
|
CPT 57061
|
| Hospital Charge Code |
36100583
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,442.46 |
| Max. Negotiated Rate |
$8,728.81 |
| Rate for Payer: Aetna American Axle |
$2,534.04
|
| Rate for Payer: Aetna Commercial |
$3,313.75
|
| Rate for Payer: Aetna Medicare |
$3,224.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,534.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,876.16
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,876.16
|
| Rate for Payer: BCBS Complete |
$1,745.20
|
| Rate for Payer: BCBS MAPPO |
$3,100.93
|
| Rate for Payer: BCN Medicare Advantage |
$3,100.93
|
| Rate for Payer: Cash Price |
$3,118.82
|
| Rate for Payer: Cash Price |
$3,118.82
|
| Rate for Payer: Cofinity Commercial |
$3,352.74
|
| Rate for Payer: Cofinity Commercial |
$2,728.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,728.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,118.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,100.93
|
| Rate for Payer: Healthscope Commercial |
$3,508.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,728.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,923.90
|
| Rate for Payer: Mclaren Medicaid |
$1,662.10
|
| Rate for Payer: Mclaren Medicare |
$3,100.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,255.98
|
| Rate for Payer: Meridian Medicaid |
$1,745.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,566.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,313.75
|
| Rate for Payer: PACE Medicare |
$2,945.88
|
| Rate for Payer: PACE SWMI |
$3,100.93
|
| Rate for Payer: PHP Commercial |
$3,313.75
|
| Rate for Payer: PHP Medicare Advantage |
$3,100.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,662.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,534.04
|
| Rate for Payer: Priority Health Medicare |
$3,100.93
|
| Rate for Payer: Priority Health SBD |
$2,456.07
|
| Rate for Payer: Railroad Medicare Medicare |
$3,100.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,728.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,100.93
|
| Rate for Payer: UHC Exchange |
$5,926.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.93
|
| Rate for Payer: UHCCP Medicaid |
$1,662.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,442.46
|
| Rate for Payer: VA VA |
$3,100.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,923.90
|
|
|
HC DESTRUCT VAGINAL LESION(S) SIMPLE
|
Facility
|
IP
|
$3,898.53
|
|
|
Service Code
|
CPT 57061
|
| Hospital Charge Code |
36100583
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,715.35 |
| Max. Negotiated Rate |
$3,508.68 |
| Rate for Payer: Aetna American Axle |
$2,534.04
|
| Rate for Payer: Aetna Commercial |
$3,313.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,534.04
|
| Rate for Payer: Cash Price |
$3,118.82
|
| Rate for Payer: Cofinity Commercial |
$2,728.97
|
| Rate for Payer: Cofinity Commercial |
$3,352.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,728.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,118.82
|
| Rate for Payer: Healthscope Commercial |
$3,508.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,728.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,923.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,313.75
|
| Rate for Payer: PHP Commercial |
$3,313.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,534.04
|
| Rate for Payer: Priority Health SBD |
$2,456.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,715.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,923.90
|
|
|
HC DES VESSEL/BRANCH
|
Facility
|
IP
|
$24,667.58
|
|
|
Service Code
|
CPT C9600
|
| Hospital Charge Code |
48100075
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$10,853.74 |
| Max. Negotiated Rate |
$22,200.82 |
| Rate for Payer: Aetna American Axle |
$16,033.93
|
| Rate for Payer: Aetna Commercial |
$20,967.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16,033.93
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cofinity Commercial |
$17,267.31
|
| Rate for Payer: Cofinity Commercial |
$21,214.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$17,267.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,734.06
|
| Rate for Payer: Healthscope Commercial |
$22,200.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17,267.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,500.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,967.44
|
| Rate for Payer: PHP Commercial |
$20,967.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16,033.93
|
| Rate for Payer: Priority Health SBD |
$15,540.58
|
| Rate for Payer: UMR Bronson Commercial |
$10,853.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,500.69
|
|
|
HC DES VESSEL/BRANCH
|
Facility
|
OP
|
$24,667.58
|
|
|
Service Code
|
CPT C9600
|
| Hospital Charge Code |
48100075
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$5,928.28 |
| Max. Negotiated Rate |
$31,133.44 |
| Rate for Payer: Aetna American Axle |
$16,033.93
|
| Rate for Payer: Aetna Commercial |
$20,967.44
|
| Rate for Payer: Aetna Medicare |
$11,502.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16,033.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13,825.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13,825.29
|
| Rate for Payer: BCBS Complete |
$6,224.70
|
| Rate for Payer: BCBS MAPPO |
$11,060.23
|
| Rate for Payer: BCN Medicare Advantage |
$11,060.23
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cash Price |
$19,734.06
|
| Rate for Payer: Cofinity Commercial |
$21,214.12
|
| Rate for Payer: Cofinity Commercial |
$17,267.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$17,267.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,734.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,060.23
|
| Rate for Payer: Healthscope Commercial |
$22,200.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17,267.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18,500.69
|
| Rate for Payer: Mclaren Medicaid |
$5,928.28
|
| Rate for Payer: Mclaren Medicare |
$11,060.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11,613.24
|
| Rate for Payer: Meridian Medicaid |
$6,224.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12,719.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,967.44
|
| Rate for Payer: PACE Medicare |
$10,507.22
|
| Rate for Payer: PACE SWMI |
$11,060.23
|
| Rate for Payer: PHP Commercial |
$20,967.44
|
| Rate for Payer: PHP Medicare Advantage |
$11,060.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,928.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16,033.93
|
| Rate for Payer: Priority Health Medicare |
$11,060.23
|
| Rate for Payer: Priority Health SBD |
$15,540.58
|
| Rate for Payer: Railroad Medicare Medicare |
$11,060.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31,133.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$11,060.23
|
| Rate for Payer: UHC Exchange |
$21,137.21
|
| Rate for Payer: UHC Medicare Advantage |
$11,060.23
|
| Rate for Payer: UHCCP Medicaid |
$5,928.28
|
| Rate for Payer: UMR Bronson Commercial |
$9,127.00
|
| Rate for Payer: VA VA |
$11,060.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18,500.69
|
|
|
HC DEVELOPMENTAL TESTING
|
Facility
|
IP
|
$379.19
|
|
|
Service Code
|
CPT 96110
|
| Hospital Charge Code |
51000057
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$166.84 |
| Max. Negotiated Rate |
$341.27 |
| Rate for Payer: Aetna American Axle |
$246.47
|
| Rate for Payer: Aetna Commercial |
$322.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.47
|
| Rate for Payer: Cash Price |
$303.35
|
| Rate for Payer: Cofinity Commercial |
$265.43
|
| Rate for Payer: Cofinity Commercial |
$326.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$265.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.35
|
| Rate for Payer: Healthscope Commercial |
$341.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$265.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.31
|
| Rate for Payer: PHP Commercial |
$322.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.47
|
| Rate for Payer: Priority Health SBD |
$238.89
|
| Rate for Payer: UMR Bronson Commercial |
$166.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.39
|
|
|
HC DEVELOPMENTAL TESTING
|
Facility
|
OP
|
$379.19
|
|
|
Service Code
|
CPT 96110
|
| Hospital Charge Code |
51000057
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$140.30 |
| Max. Negotiated Rate |
$341.27 |
| Rate for Payer: Aetna American Axle |
$246.47
|
| Rate for Payer: Aetna Commercial |
$322.31
|
| Rate for Payer: Aetna Medicare |
$189.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.47
|
| Rate for Payer: BCBS Complete |
$151.68
|
| Rate for Payer: Cash Price |
$303.35
|
| Rate for Payer: Cofinity Commercial |
$265.43
|
| Rate for Payer: Cofinity Commercial |
$326.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$265.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$303.35
|
| Rate for Payer: Healthscope Commercial |
$341.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$265.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$284.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$322.31
|
| Rate for Payer: PHP Commercial |
$322.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.47
|
| Rate for Payer: Priority Health SBD |
$238.89
|
| Rate for Payer: UMR Bronson Commercial |
$140.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$284.39
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Professional
|
Both
|
$968.00
|
|
|
Service Code
|
HCPCS 00615
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$387.20 |
| Max. Negotiated Rate |
$629.20 |
| Rate for Payer: Aetna Medicare |
$484.00
|
| Rate for Payer: BCBS Complete |
$387.20
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.20
|
| Rate for Payer: UMR Bronson Commercial |
$445.28
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Professional
|
Both
|
$968.00
|
|
|
Service Code
|
HCPCS 00615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$387.20 |
| Max. Negotiated Rate |
$629.20 |
| Rate for Payer: Aetna Medicare |
$484.00
|
| Rate for Payer: BCBS Complete |
$387.20
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.20
|
| Rate for Payer: UMR Bronson Commercial |
$445.28
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Facility
|
OP
|
$949.00
|
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$351.13 |
| Max. Negotiated Rate |
$854.10 |
| Rate for Payer: Aetna American Axle |
$616.85
|
| Rate for Payer: Aetna Commercial |
$806.65
|
| Rate for Payer: Aetna Medicare |
$474.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.85
|
| Rate for Payer: BCBS Complete |
$379.60
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cofinity Commercial |
$664.30
|
| Rate for Payer: Cofinity Commercial |
$816.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$664.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.20
|
| Rate for Payer: Healthscope Commercial |
$854.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$664.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.65
|
| Rate for Payer: PHP Commercial |
$806.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.85
|
| Rate for Payer: Priority Health SBD |
$597.87
|
| Rate for Payer: UMR Bronson Commercial |
$351.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.75
|
|
|
HC DEVICE NOT RETURNED ACTIWATCH
|
Facility
|
IP
|
$949.00
|
|
| Hospital Charge Code |
27000615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$417.56 |
| Max. Negotiated Rate |
$854.10 |
| Rate for Payer: Aetna American Axle |
$616.85
|
| Rate for Payer: Aetna Commercial |
$806.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.85
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cofinity Commercial |
$664.30
|
| Rate for Payer: Cofinity Commercial |
$816.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$664.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$759.20
|
| Rate for Payer: Healthscope Commercial |
$854.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$664.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$711.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$806.65
|
| Rate for Payer: PHP Commercial |
$806.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.85
|
| Rate for Payer: Priority Health SBD |
$597.87
|
| Rate for Payer: UMR Bronson Commercial |
$417.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$711.75
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 00616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$126.40 |
| Max. Negotiated Rate |
$205.40 |
| Rate for Payer: Aetna Medicare |
$158.00
|
| Rate for Payer: BCBS Complete |
$126.40
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: UMR Bronson Commercial |
$145.36
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Facility
|
OP
|
$310.00
|
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$114.70 |
| Max. Negotiated Rate |
$279.00 |
| Rate for Payer: Aetna American Axle |
$201.50
|
| Rate for Payer: Aetna Commercial |
$263.50
|
| Rate for Payer: Aetna Medicare |
$155.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.50
|
| Rate for Payer: BCBS Complete |
$124.00
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$217.00
|
| Rate for Payer: Cofinity Commercial |
$266.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$217.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.00
|
| Rate for Payer: Healthscope Commercial |
$279.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$217.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.50
|
| Rate for Payer: PHP Commercial |
$263.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.50
|
| Rate for Payer: Priority Health SBD |
$195.30
|
| Rate for Payer: UMR Bronson Commercial |
$114.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.50
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 00616
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$126.40 |
| Max. Negotiated Rate |
$205.40 |
| Rate for Payer: Aetna Medicare |
$158.00
|
| Rate for Payer: BCBS Complete |
$126.40
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: UMR Bronson Commercial |
$145.36
|
|
|
HC DEVICE NOT RETURNED AIR 10 OXIMETRY
|
Facility
|
IP
|
$310.00
|
|
| Hospital Charge Code |
27000616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.40 |
| Max. Negotiated Rate |
$279.00 |
| Rate for Payer: Aetna American Axle |
$201.50
|
| Rate for Payer: Aetna Commercial |
$263.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.50
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$217.00
|
| Rate for Payer: Cofinity Commercial |
$266.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$217.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$248.00
|
| Rate for Payer: Healthscope Commercial |
$279.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$217.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$232.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$263.50
|
| Rate for Payer: PHP Commercial |
$263.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$201.50
|
| Rate for Payer: Priority Health SBD |
$195.30
|
| Rate for Payer: UMR Bronson Commercial |
$136.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$232.50
|
|
