|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
OP
|
$53.06
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$93.19 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Mclaren Medicaid |
$28.82
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Nomi Health Commercial |
$86.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.49
|
| Rate for Payer: UHC Core |
$27.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$20.85
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: UMR Bronson Commercial |
$19.63
|
| Rate for Payer: VA VA |
$28.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC NEEDLE INSERT W/O INJECT 1 OR 2 MUSCLES
|
Facility
|
IP
|
$53.06
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
76100364
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$23.35 |
| Max. Negotiated Rate |
$47.75 |
| Rate for Payer: Aetna American Axle |
$34.49
|
| Rate for Payer: Aetna Commercial |
$45.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.49
|
| Rate for Payer: Cash Price |
$42.45
|
| Rate for Payer: Cofinity Advantage |
$37.14
|
| Rate for Payer: Cofinity Commercial |
$45.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$47.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.80
|
| Rate for Payer: PHP Commercial |
$45.10
|
| Rate for Payer: Priority Health SBD |
$33.43
|
| Rate for Payer: UMR Bronson Commercial |
$23.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.80
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
OP
|
$31.21
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$11.55 |
| Max. Negotiated Rate |
$135.00 |
| Rate for Payer: Aetna American Axle |
$20.29
|
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Advantage |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Mclaren Medicaid |
$28.82
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$19.66
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.29
|
| Rate for Payer: UHC Core |
$16.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$12.27
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: UMR Bronson Commercial |
$11.55
|
| Rate for Payer: VA VA |
$28.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
|
HC NEEDLE INSERT W/O INJECTION, 1 OR 2 MUSCLES
|
Facility
|
IP
|
$31.21
|
|
|
Service Code
|
CPT 20560
|
| Hospital Charge Code |
42000060
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$13.73 |
| Max. Negotiated Rate |
$28.09 |
| Rate for Payer: Aetna American Axle |
$20.29
|
| Rate for Payer: Aetna Commercial |
$26.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.29
|
| Rate for Payer: Cash Price |
$24.97
|
| Rate for Payer: Cofinity Advantage |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.97
|
| Rate for Payer: Healthscope Commercial |
$28.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.41
|
| Rate for Payer: PHP Commercial |
$26.53
|
| Rate for Payer: Priority Health SBD |
$19.66
|
| Rate for Payer: UMR Bronson Commercial |
$13.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.41
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
IP
|
$52.02
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$22.89 |
| Max. Negotiated Rate |
$46.82 |
| Rate for Payer: Aetna American Axle |
$33.81
|
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.81
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Advantage |
$36.41
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.02
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: Priority Health SBD |
$32.77
|
| Rate for Payer: UMR Bronson Commercial |
$22.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEEDLE INSERT W/O INJECTION, 3 OR MORE MUSCLES
|
Facility
|
OP
|
$52.02
|
|
|
Service Code
|
CPT 20561
|
| Hospital Charge Code |
42000061
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$15.07 |
| Max. Negotiated Rate |
$135.00 |
| Rate for Payer: Aetna American Axle |
$33.81
|
| Rate for Payer: Aetna Commercial |
$44.22
|
| Rate for Payer: Aetna Medicare |
$29.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$36.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$36.02
|
| Rate for Payer: BCBS Complete |
$15.83
|
| Rate for Payer: BCBS MAPPO |
$28.82
|
| Rate for Payer: BCN Medicare Advantage |
$28.82
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cash Price |
$41.62
|
| Rate for Payer: Cofinity Advantage |
$36.41
|
| Rate for Payer: Cofinity Commercial |
$44.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$41.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.82
|
| Rate for Payer: Healthscope Commercial |
$46.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$36.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$39.02
|
| Rate for Payer: Mclaren Medicaid |
$28.82
|
| Rate for Payer: Mclaren Medicare |
$28.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.26
|
| Rate for Payer: Meridian Medicaid |
$30.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.22
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.02
|
| Rate for Payer: PACE Medicare |
$27.38
|
| Rate for Payer: PACE SWMI |
$28.82
|
| Rate for Payer: PHP Commercial |
$44.22
|
| Rate for Payer: PHP Medicare Advantage |
$28.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.19
|
| Rate for Payer: Priority Health Medicare |
$28.82
|
| Rate for Payer: Priority Health SBD |
$32.77
|
| Rate for Payer: Priority Health Tiered Network |
$74.55
|
| Rate for Payer: Railroad Medicare Medicare |
$28.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.81
|
| Rate for Payer: UHC Core |
$27.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.82
|
| Rate for Payer: UHC Exchange |
$20.44
|
| Rate for Payer: UHC Medicaid |
$15.07
|
| Rate for Payer: UHCCP Medicaid |
$15.07
|
| Rate for Payer: UMR Bronson Commercial |
$19.25
|
| Rate for Payer: VA VA |
$28.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$39.02
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
OP
|
$54.12
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.02 |
| Max. Negotiated Rate |
$48.71 |
| Rate for Payer: Aetna American Axle |
$35.18
|
| Rate for Payer: Aetna Commercial |
$46.00
|
| Rate for Payer: Aetna Medicare |
$27.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.18
|
| Rate for Payer: BCBS Complete |
$21.65
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cofinity Advantage |
$37.88
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.30
|
| Rate for Payer: Healthscope Commercial |
$48.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$43.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.59
|
| Rate for Payer: PHP Commercial |
$46.00
|
| Rate for Payer: Priority Health SBD |
$34.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.18
|
| Rate for Payer: UHC Core |
$28.20
|
| Rate for Payer: UHC Exchange |
$21.27
|
| Rate for Payer: UMR Bronson Commercial |
$20.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.59
|
|
|
HC NEEDLE LOC WIRE
|
Facility
|
IP
|
$54.12
|
|
|
Service Code
|
HCPCS C1819
|
| Hospital Charge Code |
27200323
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.81 |
| Max. Negotiated Rate |
$48.71 |
| Rate for Payer: Aetna American Axle |
$35.18
|
| Rate for Payer: Aetna Commercial |
$46.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.18
|
| Rate for Payer: Cash Price |
$43.30
|
| Rate for Payer: Cofinity Advantage |
$37.88
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.30
|
| Rate for Payer: Healthscope Commercial |
$48.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$37.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.59
|
| Rate for Payer: PHP Commercial |
$46.00
|
| Rate for Payer: Priority Health SBD |
$34.10
|
| Rate for Payer: UMR Bronson Commercial |
$23.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.59
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
OP
|
$237.85
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.00 |
| Max. Negotiated Rate |
$214.06 |
| Rate for Payer: Aetna American Axle |
$154.60
|
| Rate for Payer: Aetna Commercial |
$202.17
|
| Rate for Payer: Aetna Medicare |
$118.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.60
|
| Rate for Payer: BCBS Complete |
$95.14
|
| Rate for Payer: Cash Price |
$190.28
|
| Rate for Payer: Cofinity Advantage |
$166.50
|
| Rate for Payer: Cofinity Commercial |
$204.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.28
|
| Rate for Payer: Healthscope Commercial |
$214.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$190.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.39
|
| Rate for Payer: PHP Commercial |
$202.17
|
| Rate for Payer: Priority Health SBD |
$149.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.60
|
| Rate for Payer: UHC Core |
$123.92
|
| Rate for Payer: UHC Exchange |
$93.48
|
| Rate for Payer: UMR Bronson Commercial |
$88.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.39
|
|
|
HC NEG PRES CANIST 1000CC
|
Facility
|
IP
|
$237.85
|
|
| Hospital Charge Code |
27200232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$104.65 |
| Max. Negotiated Rate |
$214.06 |
| Rate for Payer: Aetna American Axle |
$154.60
|
| Rate for Payer: Aetna Commercial |
$202.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.60
|
| Rate for Payer: Cash Price |
$190.28
|
| Rate for Payer: Cofinity Advantage |
$166.50
|
| Rate for Payer: Cofinity Commercial |
$204.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$190.28
|
| Rate for Payer: Healthscope Commercial |
$214.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$166.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$178.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$178.39
|
| Rate for Payer: PHP Commercial |
$202.17
|
| Rate for Payer: Priority Health SBD |
$149.85
|
| Rate for Payer: UMR Bronson Commercial |
$104.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$178.39
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
OP
|
$154.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.16 |
| Max. Negotiated Rate |
$139.04 |
| Rate for Payer: Aetna American Axle |
$100.42
|
| Rate for Payer: Aetna Commercial |
$131.32
|
| Rate for Payer: Aetna Medicare |
$77.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.42
|
| Rate for Payer: BCBS Complete |
$61.80
|
| Rate for Payer: Cash Price |
$123.59
|
| Rate for Payer: Cofinity Advantage |
$108.14
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.59
|
| Rate for Payer: Healthscope Commercial |
$139.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.87
|
| Rate for Payer: PHP Commercial |
$131.32
|
| Rate for Payer: Priority Health SBD |
$97.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.42
|
| Rate for Payer: UHC Core |
$80.49
|
| Rate for Payer: UHC Exchange |
$60.71
|
| Rate for Payer: UMR Bronson Commercial |
$57.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.87
|
|
|
HC NEG PRES CANIST 500CC
|
Facility
|
IP
|
$154.49
|
|
| Hospital Charge Code |
27200136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.98 |
| Max. Negotiated Rate |
$139.04 |
| Rate for Payer: Aetna American Axle |
$100.42
|
| Rate for Payer: Aetna Commercial |
$131.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.42
|
| Rate for Payer: Cash Price |
$123.59
|
| Rate for Payer: Cofinity Advantage |
$108.14
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$123.59
|
| Rate for Payer: Healthscope Commercial |
$139.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$108.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$115.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$115.87
|
| Rate for Payer: PHP Commercial |
$131.32
|
| Rate for Payer: Priority Health SBD |
$97.33
|
| Rate for Payer: UMR Bronson Commercial |
$67.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$115.87
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
IP
|
$521.12
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$229.29 |
| Max. Negotiated Rate |
$469.01 |
| Rate for Payer: Aetna American Axle |
$338.73
|
| Rate for Payer: Aetna Commercial |
$442.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.73
|
| Rate for Payer: Cash Price |
$416.90
|
| Rate for Payer: Cofinity Advantage |
$364.78
|
| Rate for Payer: Cofinity Commercial |
$448.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.90
|
| Rate for Payer: Healthscope Commercial |
$469.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.84
|
| Rate for Payer: PHP Commercial |
$442.95
|
| Rate for Payer: Priority Health SBD |
$328.31
|
| Rate for Payer: UMR Bronson Commercial |
$229.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.84
|
|
|
HC NEG PRES CLEANSE DRSG MED
|
Facility
|
OP
|
$521.12
|
|
| Hospital Charge Code |
27200229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$192.81 |
| Max. Negotiated Rate |
$469.01 |
| Rate for Payer: Aetna American Axle |
$338.73
|
| Rate for Payer: Aetna Commercial |
$442.95
|
| Rate for Payer: Aetna Medicare |
$260.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.73
|
| Rate for Payer: BCBS Complete |
$208.45
|
| Rate for Payer: Cash Price |
$416.90
|
| Rate for Payer: Cofinity Advantage |
$364.78
|
| Rate for Payer: Cofinity Commercial |
$448.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.90
|
| Rate for Payer: Healthscope Commercial |
$469.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$416.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$390.84
|
| Rate for Payer: PHP Commercial |
$442.95
|
| Rate for Payer: Priority Health SBD |
$328.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$338.73
|
| Rate for Payer: UHC Core |
$271.50
|
| Rate for Payer: UHC Exchange |
$204.80
|
| Rate for Payer: UMR Bronson Commercial |
$192.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.84
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT LRG
|
Facility
|
IP
|
$405.03
|
|
| Hospital Charge Code |
27200404
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$178.21 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna American Axle |
$263.27
|
| Rate for Payer: Aetna Commercial |
$344.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.27
|
| Rate for Payer: Cash Price |
$324.02
|
| Rate for Payer: Cofinity Advantage |
$283.52
|
| Rate for Payer: Cofinity Commercial |
$348.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.02
|
| Rate for Payer: Healthscope Commercial |
$364.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$283.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.77
|
| Rate for Payer: PHP Commercial |
$344.28
|
| Rate for Payer: Priority Health SBD |
$255.17
|
| Rate for Payer: UMR Bronson Commercial |
$178.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.77
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT LRG
|
Facility
|
OP
|
$405.03
|
|
| Hospital Charge Code |
27200404
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$149.86 |
| Max. Negotiated Rate |
$364.53 |
| Rate for Payer: Aetna American Axle |
$263.27
|
| Rate for Payer: Aetna Commercial |
$344.28
|
| Rate for Payer: Aetna Medicare |
$202.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.27
|
| Rate for Payer: BCBS Complete |
$162.01
|
| Rate for Payer: Cash Price |
$324.02
|
| Rate for Payer: Cofinity Advantage |
$283.52
|
| Rate for Payer: Cofinity Commercial |
$348.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.02
|
| Rate for Payer: Healthscope Commercial |
$364.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$283.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$324.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$303.77
|
| Rate for Payer: PHP Commercial |
$344.28
|
| Rate for Payer: Priority Health SBD |
$255.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.27
|
| Rate for Payer: UHC Core |
$211.02
|
| Rate for Payer: UHC Exchange |
$159.18
|
| Rate for Payer: UMR Bronson Commercial |
$149.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.77
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT MED
|
Facility
|
OP
|
$328.89
|
|
| Hospital Charge Code |
27200403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.69 |
| Max. Negotiated Rate |
$296.00 |
| Rate for Payer: Aetna American Axle |
$213.78
|
| Rate for Payer: Aetna Commercial |
$279.56
|
| Rate for Payer: Aetna Medicare |
$164.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.78
|
| Rate for Payer: BCBS Complete |
$131.56
|
| Rate for Payer: Cash Price |
$263.11
|
| Rate for Payer: Cofinity Advantage |
$230.22
|
| Rate for Payer: Cofinity Commercial |
$282.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.11
|
| Rate for Payer: Healthscope Commercial |
$296.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$263.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.67
|
| Rate for Payer: PHP Commercial |
$279.56
|
| Rate for Payer: Priority Health SBD |
$207.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$213.78
|
| Rate for Payer: UHC Core |
$171.35
|
| Rate for Payer: UHC Exchange |
$129.25
|
| Rate for Payer: UMR Bronson Commercial |
$121.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.67
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT MED
|
Facility
|
IP
|
$328.89
|
|
| Hospital Charge Code |
27200403
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$144.71 |
| Max. Negotiated Rate |
$296.00 |
| Rate for Payer: Aetna American Axle |
$213.78
|
| Rate for Payer: Aetna Commercial |
$279.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.78
|
| Rate for Payer: Cash Price |
$263.11
|
| Rate for Payer: Cofinity Advantage |
$230.22
|
| Rate for Payer: Cofinity Commercial |
$282.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$263.11
|
| Rate for Payer: Healthscope Commercial |
$296.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$230.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$246.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.67
|
| Rate for Payer: PHP Commercial |
$279.56
|
| Rate for Payer: Priority Health SBD |
$207.20
|
| Rate for Payer: UMR Bronson Commercial |
$144.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$246.67
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT SML
|
Facility
|
OP
|
$266.16
|
|
| Hospital Charge Code |
27200402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$98.48 |
| Max. Negotiated Rate |
$239.54 |
| Rate for Payer: Aetna American Axle |
$173.00
|
| Rate for Payer: Aetna Commercial |
$226.24
|
| Rate for Payer: Aetna Medicare |
$133.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.00
|
| Rate for Payer: BCBS Complete |
$106.46
|
| Rate for Payer: Cash Price |
$212.93
|
| Rate for Payer: Cofinity Advantage |
$186.31
|
| Rate for Payer: Cofinity Commercial |
$228.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.93
|
| Rate for Payer: Healthscope Commercial |
$239.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.62
|
| Rate for Payer: PHP Commercial |
$226.24
|
| Rate for Payer: Priority Health SBD |
$167.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.00
|
| Rate for Payer: UHC Core |
$138.67
|
| Rate for Payer: UHC Exchange |
$104.60
|
| Rate for Payer: UMR Bronson Commercial |
$98.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.62
|
|
|
HC NEG PRES PEEL & PLACE DSG KIT SML
|
Facility
|
IP
|
$266.16
|
|
| Hospital Charge Code |
27200402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$117.11 |
| Max. Negotiated Rate |
$239.54 |
| Rate for Payer: Aetna American Axle |
$173.00
|
| Rate for Payer: Aetna Commercial |
$226.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.00
|
| Rate for Payer: Cash Price |
$212.93
|
| Rate for Payer: Cofinity Advantage |
$186.31
|
| Rate for Payer: Cofinity Commercial |
$228.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.93
|
| Rate for Payer: Healthscope Commercial |
$239.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.62
|
| Rate for Payer: PHP Commercial |
$226.24
|
| Rate for Payer: Priority Health SBD |
$167.68
|
| Rate for Payer: UMR Bronson Commercial |
$117.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.62
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
OP
|
$65.79
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.34 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna American Axle |
$42.76
|
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: Aetna Medicare |
$32.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.76
|
| Rate for Payer: BCBS Complete |
$26.32
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Advantage |
$46.05
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.76
|
| Rate for Payer: UHC Core |
$34.28
|
| Rate for Payer: UHC Exchange |
$25.86
|
| Rate for Payer: UMR Bronson Commercial |
$24.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC NEG PRESSURE DERMATAC DRAPE
|
Facility
|
IP
|
$65.79
|
|
| Hospital Charge Code |
27200374
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$59.21 |
| Rate for Payer: Aetna American Axle |
$42.76
|
| Rate for Payer: Aetna Commercial |
$55.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.76
|
| Rate for Payer: Cash Price |
$52.63
|
| Rate for Payer: Cofinity Advantage |
$46.05
|
| Rate for Payer: Cofinity Commercial |
$56.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.63
|
| Rate for Payer: Healthscope Commercial |
$59.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.34
|
| Rate for Payer: PHP Commercial |
$55.92
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UMR Bronson Commercial |
$28.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.34
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
OP
|
$551.65
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$111.86 |
| Max. Negotiated Rate |
$1,309.90 |
| Rate for Payer: Aetna American Axle |
$358.57
|
| Rate for Payer: Aetna Commercial |
$468.90
|
| Rate for Payer: Aetna Medicare |
$421.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$111.86
|
| Rate for Payer: BCN Commercial |
$111.86
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cofinity Advantage |
$386.15
|
| Rate for Payer: Cofinity Commercial |
$474.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$441.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$496.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$386.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$413.74
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$425.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$468.90
|
| Rate for Payer: Nomi Health Commercial |
$1,215.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$413.74
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$468.90
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,309.90
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health SBD |
$347.54
|
| Rate for Payer: Priority Health Tiered Network |
$1,047.92
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.57
|
| Rate for Payer: UHC Core |
$287.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$216.80
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: UMR Bronson Commercial |
$204.11
|
| Rate for Payer: VA VA |
$405.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$413.74
|
|
|
HC NEG PRESSURE WND TX DME GT 50 SQ CM
|
Facility
|
IP
|
$551.65
|
|
|
Service Code
|
CPT 97606
|
| Hospital Charge Code |
76100009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$242.73 |
| Max. Negotiated Rate |
$496.49 |
| Rate for Payer: Aetna American Axle |
$358.57
|
| Rate for Payer: Aetna Commercial |
$468.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.57
|
| Rate for Payer: Cash Price |
$441.32
|
| Rate for Payer: Cofinity Advantage |
$386.15
|
| Rate for Payer: Cofinity Commercial |
$474.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$441.32
|
| Rate for Payer: Healthscope Commercial |
$496.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$386.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$413.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$468.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$413.74
|
| Rate for Payer: PHP Commercial |
$468.90
|
| Rate for Payer: Priority Health SBD |
$347.54
|
| Rate for Payer: UMR Bronson Commercial |
$242.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$413.74
|
|
|
HC NEG PRESSURE WND TX DME UP TO 50 SQ CM
|
Facility
|
IP
|
$436.89
|
|
|
Service Code
|
CPT 97605
|
| Hospital Charge Code |
76100008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$192.23 |
| Max. Negotiated Rate |
$393.20 |
| Rate for Payer: Aetna American Axle |
$283.98
|
| Rate for Payer: Aetna Commercial |
$371.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$283.98
|
| Rate for Payer: Cash Price |
$349.51
|
| Rate for Payer: Cofinity Advantage |
$305.82
|
| Rate for Payer: Cofinity Commercial |
$375.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.51
|
| Rate for Payer: Healthscope Commercial |
$393.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.67
|
| Rate for Payer: PHP Commercial |
$371.36
|
| Rate for Payer: Priority Health SBD |
$275.24
|
| Rate for Payer: UMR Bronson Commercial |
$192.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.67
|
|
