|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
OP
|
$31.52
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.66 |
| Max. Negotiated Rate |
$69.44 |
| Rate for Payer: Aetna American Axle |
$20.49
|
| Rate for Payer: Aetna Commercial |
$26.79
|
| Rate for Payer: Aetna Medicare |
$25.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.84
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS MAPPO |
$24.67
|
| Rate for Payer: BCN Medicare Advantage |
$24.67
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cofinity Commercial |
$27.11
|
| Rate for Payer: Cofinity Commercial |
$22.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.67
|
| Rate for Payer: Healthscope Commercial |
$28.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.64
|
| Rate for Payer: Mclaren Medicaid |
$13.22
|
| Rate for Payer: Mclaren Medicare |
$24.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$13.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.79
|
| Rate for Payer: PACE Medicare |
$23.44
|
| Rate for Payer: PACE SWMI |
$24.67
|
| Rate for Payer: PHP Commercial |
$26.79
|
| Rate for Payer: PHP Medicare Advantage |
$24.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.49
|
| Rate for Payer: Priority Health Medicare |
$24.67
|
| Rate for Payer: Priority Health SBD |
$19.86
|
| Rate for Payer: Railroad Medicare Medicare |
$24.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.67
|
| Rate for Payer: UHC Exchange |
$47.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.67
|
| Rate for Payer: UHCCP Medicaid |
$13.22
|
| Rate for Payer: UMR Bronson Commercial |
$11.66
|
| Rate for Payer: VA VA |
$24.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.64
|
|
|
HC OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS
|
Facility
|
IP
|
$31.52
|
|
|
Service Code
|
CPT 98925
|
| Hospital Charge Code |
53000001
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$13.87 |
| Max. Negotiated Rate |
$28.37 |
| Rate for Payer: Aetna American Axle |
$20.49
|
| Rate for Payer: Aetna Commercial |
$26.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.49
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cofinity Commercial |
$22.06
|
| Rate for Payer: Cofinity Commercial |
$27.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.22
|
| Rate for Payer: Healthscope Commercial |
$28.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.79
|
| Rate for Payer: PHP Commercial |
$26.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.49
|
| Rate for Payer: Priority Health SBD |
$19.86
|
| Rate for Payer: UMR Bronson Commercial |
$13.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.64
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
IP
|
$31.52
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$13.87 |
| Max. Negotiated Rate |
$28.37 |
| Rate for Payer: Aetna American Axle |
$20.49
|
| Rate for Payer: Aetna Commercial |
$26.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.49
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cofinity Commercial |
$22.06
|
| Rate for Payer: Cofinity Commercial |
$27.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.22
|
| Rate for Payer: Healthscope Commercial |
$28.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.79
|
| Rate for Payer: PHP Commercial |
$26.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.49
|
| Rate for Payer: Priority Health SBD |
$19.86
|
| Rate for Payer: UMR Bronson Commercial |
$13.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.64
|
|
|
HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS
|
Facility
|
OP
|
$31.52
|
|
|
Service Code
|
CPT 98926
|
| Hospital Charge Code |
53000002
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$11.66 |
| Max. Negotiated Rate |
$69.44 |
| Rate for Payer: Aetna American Axle |
$20.49
|
| Rate for Payer: Aetna Commercial |
$26.79
|
| Rate for Payer: Aetna Medicare |
$25.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.84
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS MAPPO |
$24.67
|
| Rate for Payer: BCN Medicare Advantage |
$24.67
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cash Price |
$25.22
|
| Rate for Payer: Cofinity Commercial |
$27.11
|
| Rate for Payer: Cofinity Commercial |
$22.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$22.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.67
|
| Rate for Payer: Healthscope Commercial |
$28.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.64
|
| Rate for Payer: Mclaren Medicaid |
$13.22
|
| Rate for Payer: Mclaren Medicare |
$24.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$13.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.79
|
| Rate for Payer: PACE Medicare |
$23.44
|
| Rate for Payer: PACE SWMI |
$24.67
|
| Rate for Payer: PHP Commercial |
$26.79
|
| Rate for Payer: PHP Medicare Advantage |
$24.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.49
|
| Rate for Payer: Priority Health Medicare |
$24.67
|
| Rate for Payer: Priority Health SBD |
$19.86
|
| Rate for Payer: Railroad Medicare Medicare |
$24.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.67
|
| Rate for Payer: UHC Exchange |
$47.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.67
|
| Rate for Payer: UHCCP Medicaid |
$13.22
|
| Rate for Payer: UMR Bronson Commercial |
$11.66
|
| Rate for Payer: VA VA |
$24.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.64
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
OP
|
$59.42
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$13.22 |
| Max. Negotiated Rate |
$69.44 |
| Rate for Payer: Aetna American Axle |
$38.62
|
| Rate for Payer: Aetna Commercial |
$50.51
|
| Rate for Payer: Aetna Medicare |
$25.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.84
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS MAPPO |
$24.67
|
| Rate for Payer: BCN Medicare Advantage |
$24.67
|
| Rate for Payer: Cash Price |
$47.54
|
| Rate for Payer: Cash Price |
$47.54
|
| Rate for Payer: Cofinity Commercial |
$51.10
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$41.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.67
|
| Rate for Payer: Healthscope Commercial |
$53.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.56
|
| Rate for Payer: Mclaren Medicaid |
$13.22
|
| Rate for Payer: Mclaren Medicare |
$24.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$13.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.51
|
| Rate for Payer: PACE Medicare |
$23.44
|
| Rate for Payer: PACE SWMI |
$24.67
|
| Rate for Payer: PHP Commercial |
$50.51
|
| Rate for Payer: PHP Medicare Advantage |
$24.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.62
|
| Rate for Payer: Priority Health Medicare |
$24.67
|
| Rate for Payer: Priority Health SBD |
$37.43
|
| Rate for Payer: Railroad Medicare Medicare |
$24.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.67
|
| Rate for Payer: UHC Exchange |
$47.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.67
|
| Rate for Payer: UHCCP Medicaid |
$13.22
|
| Rate for Payer: UMR Bronson Commercial |
$21.99
|
| Rate for Payer: VA VA |
$24.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.56
|
|
|
HC OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS
|
Facility
|
IP
|
$59.42
|
|
|
Service Code
|
CPT 98927
|
| Hospital Charge Code |
53000003
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$26.14 |
| Max. Negotiated Rate |
$53.48 |
| Rate for Payer: Aetna American Axle |
$38.62
|
| Rate for Payer: Aetna Commercial |
$50.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.62
|
| Rate for Payer: Cash Price |
$47.54
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Cofinity Commercial |
$51.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$41.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.54
|
| Rate for Payer: Healthscope Commercial |
$53.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.51
|
| Rate for Payer: PHP Commercial |
$50.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.62
|
| Rate for Payer: Priority Health SBD |
$37.43
|
| Rate for Payer: UMR Bronson Commercial |
$26.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.56
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
OP
|
$60.73
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$13.22 |
| Max. Negotiated Rate |
$69.44 |
| Rate for Payer: Aetna American Axle |
$39.47
|
| Rate for Payer: Aetna Commercial |
$51.62
|
| Rate for Payer: Aetna Medicare |
$25.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.84
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS MAPPO |
$24.67
|
| Rate for Payer: BCN Medicare Advantage |
$24.67
|
| Rate for Payer: Cash Price |
$48.58
|
| Rate for Payer: Cash Price |
$48.58
|
| Rate for Payer: Cofinity Commercial |
$52.23
|
| Rate for Payer: Cofinity Commercial |
$42.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$42.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.67
|
| Rate for Payer: Healthscope Commercial |
$54.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.55
|
| Rate for Payer: Mclaren Medicaid |
$13.22
|
| Rate for Payer: Mclaren Medicare |
$24.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$13.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.62
|
| Rate for Payer: PACE Medicare |
$23.44
|
| Rate for Payer: PACE SWMI |
$24.67
|
| Rate for Payer: PHP Commercial |
$51.62
|
| Rate for Payer: PHP Medicare Advantage |
$24.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.47
|
| Rate for Payer: Priority Health Medicare |
$24.67
|
| Rate for Payer: Priority Health SBD |
$38.26
|
| Rate for Payer: Railroad Medicare Medicare |
$24.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.67
|
| Rate for Payer: UHC Exchange |
$47.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.67
|
| Rate for Payer: UHCCP Medicaid |
$13.22
|
| Rate for Payer: UMR Bronson Commercial |
$22.47
|
| Rate for Payer: VA VA |
$24.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.55
|
|
|
HC OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS
|
Facility
|
IP
|
$60.73
|
|
|
Service Code
|
CPT 98928
|
| Hospital Charge Code |
53000004
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$26.72 |
| Max. Negotiated Rate |
$54.66 |
| Rate for Payer: Aetna American Axle |
$39.47
|
| Rate for Payer: Aetna Commercial |
$51.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.47
|
| Rate for Payer: Cash Price |
$48.58
|
| Rate for Payer: Cofinity Commercial |
$42.51
|
| Rate for Payer: Cofinity Commercial |
$52.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$42.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.58
|
| Rate for Payer: Healthscope Commercial |
$54.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.62
|
| Rate for Payer: PHP Commercial |
$51.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.47
|
| Rate for Payer: Priority Health SBD |
$38.26
|
| Rate for Payer: UMR Bronson Commercial |
$26.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.55
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
OP
|
$65.61
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$13.22 |
| Max. Negotiated Rate |
$69.44 |
| Rate for Payer: Aetna American Axle |
$42.65
|
| Rate for Payer: Aetna Commercial |
$55.77
|
| Rate for Payer: Aetna Medicare |
$25.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.84
|
| Rate for Payer: BCBS Complete |
$13.88
|
| Rate for Payer: BCBS MAPPO |
$24.67
|
| Rate for Payer: BCN Medicare Advantage |
$24.67
|
| Rate for Payer: Cash Price |
$52.49
|
| Rate for Payer: Cash Price |
$52.49
|
| Rate for Payer: Cofinity Commercial |
$56.42
|
| Rate for Payer: Cofinity Commercial |
$45.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$45.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.67
|
| Rate for Payer: Healthscope Commercial |
$59.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.21
|
| Rate for Payer: Mclaren Medicaid |
$13.22
|
| Rate for Payer: Mclaren Medicare |
$24.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.90
|
| Rate for Payer: Meridian Medicaid |
$13.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.77
|
| Rate for Payer: PACE Medicare |
$23.44
|
| Rate for Payer: PACE SWMI |
$24.67
|
| Rate for Payer: PHP Commercial |
$55.77
|
| Rate for Payer: PHP Medicare Advantage |
$24.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.65
|
| Rate for Payer: Priority Health Medicare |
$24.67
|
| Rate for Payer: Priority Health SBD |
$41.33
|
| Rate for Payer: Railroad Medicare Medicare |
$24.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.67
|
| Rate for Payer: UHC Exchange |
$47.15
|
| Rate for Payer: UHC Medicare Advantage |
$24.67
|
| Rate for Payer: UHCCP Medicaid |
$13.22
|
| Rate for Payer: UMR Bronson Commercial |
$24.28
|
| Rate for Payer: VA VA |
$24.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.21
|
|
|
HC OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS
|
Facility
|
IP
|
$65.61
|
|
|
Service Code
|
CPT 98929
|
| Hospital Charge Code |
53000005
|
|
Hospital Revenue Code
|
530
|
| Min. Negotiated Rate |
$28.87 |
| Max. Negotiated Rate |
$59.05 |
| Rate for Payer: Aetna American Axle |
$42.65
|
| Rate for Payer: Aetna Commercial |
$55.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.65
|
| Rate for Payer: Cash Price |
$52.49
|
| Rate for Payer: Cofinity Commercial |
$45.93
|
| Rate for Payer: Cofinity Commercial |
$56.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$45.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.49
|
| Rate for Payer: Healthscope Commercial |
$59.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$45.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.77
|
| Rate for Payer: PHP Commercial |
$55.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.65
|
| Rate for Payer: Priority Health SBD |
$41.33
|
| Rate for Payer: UMR Bronson Commercial |
$28.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.21
|
|
|
HC OSTIAL PRO SYSTEM
|
Facility
|
IP
|
$1,988.64
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$1,789.78 |
| Rate for Payer: Aetna American Axle |
$1,292.62
|
| Rate for Payer: Aetna Commercial |
$1,690.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.62
|
| Rate for Payer: Cash Price |
$1,590.91
|
| Rate for Payer: Cofinity Commercial |
$1,392.05
|
| Rate for Payer: Cofinity Commercial |
$1,710.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,392.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,590.91
|
| Rate for Payer: Healthscope Commercial |
$1,789.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,392.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,491.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,690.34
|
| Rate for Payer: PHP Commercial |
$1,690.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,292.62
|
| Rate for Payer: Priority Health SBD |
$1,252.84
|
| Rate for Payer: UMR Bronson Commercial |
$875.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,491.48
|
|
|
HC OSTIAL PRO SYSTEM
|
Facility
|
OP
|
$1,988.64
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
27200059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$735.80 |
| Max. Negotiated Rate |
$1,789.78 |
| Rate for Payer: Aetna American Axle |
$1,292.62
|
| Rate for Payer: Aetna Commercial |
$1,690.34
|
| Rate for Payer: Aetna Medicare |
$994.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.62
|
| Rate for Payer: BCBS Complete |
$795.46
|
| Rate for Payer: Cash Price |
$1,590.91
|
| Rate for Payer: Cofinity Commercial |
$1,392.05
|
| Rate for Payer: Cofinity Commercial |
$1,710.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,392.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,590.91
|
| Rate for Payer: Healthscope Commercial |
$1,789.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,392.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,491.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,690.34
|
| Rate for Payer: PHP Commercial |
$1,690.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,292.62
|
| Rate for Payer: Priority Health SBD |
$1,252.84
|
| Rate for Payer: UMR Bronson Commercial |
$735.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,491.48
|
|
|
HC OSTO-ZYME
|
Facility
|
IP
|
$43.10
|
|
| Hospital Charge Code |
27000129
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$38.79 |
| Rate for Payer: Aetna American Axle |
$28.02
|
| Rate for Payer: Aetna Commercial |
$36.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.02
|
| Rate for Payer: Cash Price |
$34.48
|
| Rate for Payer: Cofinity Commercial |
$30.17
|
| Rate for Payer: Cofinity Commercial |
$37.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.48
|
| Rate for Payer: Healthscope Commercial |
$38.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.63
|
| Rate for Payer: PHP Commercial |
$36.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.02
|
| Rate for Payer: Priority Health SBD |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$18.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.33
|
|
|
HC OSTO-ZYME
|
Facility
|
OP
|
$43.10
|
|
| Hospital Charge Code |
27000129
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.95 |
| Max. Negotiated Rate |
$38.79 |
| Rate for Payer: Aetna American Axle |
$28.02
|
| Rate for Payer: Aetna Commercial |
$36.63
|
| Rate for Payer: Aetna Medicare |
$21.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.02
|
| Rate for Payer: BCBS Complete |
$17.24
|
| Rate for Payer: Cash Price |
$34.48
|
| Rate for Payer: Cofinity Commercial |
$30.17
|
| Rate for Payer: Cofinity Commercial |
$37.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.48
|
| Rate for Payer: Healthscope Commercial |
$38.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.63
|
| Rate for Payer: PHP Commercial |
$36.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.02
|
| Rate for Payer: Priority Health SBD |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$15.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.33
|
|
|
HC OSU OBSERVATION PER HOUR
|
Facility
|
OP
|
$145.08
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200009
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$53.68 |
| Max. Negotiated Rate |
$4,092.00 |
| Rate for Payer: Aetna American Axle |
$94.30
|
| Rate for Payer: Aetna Commercial |
$123.32
|
| Rate for Payer: Aetna Medicare |
$72.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.30
|
| Rate for Payer: BCBS Complete |
$58.03
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cofinity Commercial |
$124.77
|
| Rate for Payer: Cofinity Commercial |
$101.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$101.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.06
|
| Rate for Payer: Healthscope Commercial |
$130.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$101.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.81
|
| Rate for Payer: Meridian Medicaid |
$1,000.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.32
|
| Rate for Payer: PHP Commercial |
$123.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.30
|
| Rate for Payer: Priority Health SBD |
$91.40
|
| Rate for Payer: UHC Core |
$4,092.00
|
| Rate for Payer: UMR Bronson Commercial |
$53.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.81
|
|
|
HC OSU OBSERVATION PER HOUR
|
Facility
|
IP
|
$145.08
|
|
|
Service Code
|
HCPCS G0378
|
| Hospital Charge Code |
76200009
|
|
Hospital Revenue Code
|
762
|
| Min. Negotiated Rate |
$63.84 |
| Max. Negotiated Rate |
$130.57 |
| Rate for Payer: Aetna American Axle |
$94.30
|
| Rate for Payer: Aetna Commercial |
$123.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.30
|
| Rate for Payer: Cash Price |
$116.06
|
| Rate for Payer: Cofinity Commercial |
$101.56
|
| Rate for Payer: Cofinity Commercial |
$124.77
|
| Rate for Payer: Cofinity Medicare Advantage |
$101.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$116.06
|
| Rate for Payer: Healthscope Commercial |
$130.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$101.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.32
|
| Rate for Payer: PHP Commercial |
$123.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.30
|
| Rate for Payer: Priority Health SBD |
$91.40
|
| Rate for Payer: UMR Bronson Commercial |
$63.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.81
|
|
|
HC OT EVAL HIGH COMPLEXITY
|
Facility
|
OP
|
$279.25
|
|
|
Service Code
|
CPT 97167
|
| Hospital Charge Code |
43400009
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$103.32 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$181.51
|
| Rate for Payer: Aetna Commercial |
$237.36
|
| Rate for Payer: Aetna Medicare |
$139.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.51
|
| Rate for Payer: BCBS Complete |
$111.70
|
| Rate for Payer: Cash Price |
$223.40
|
| Rate for Payer: Cash Price |
$223.40
|
| Rate for Payer: Cofinity Commercial |
$240.16
|
| Rate for Payer: Cofinity Commercial |
$195.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$195.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.40
|
| Rate for Payer: Healthscope Commercial |
$251.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$195.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.36
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$237.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.51
|
| Rate for Payer: Priority Health SBD |
$175.93
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$103.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.44
|
|
|
HC OT EVAL HIGH COMPLEXITY
|
Facility
|
IP
|
$279.25
|
|
|
Service Code
|
CPT 97167
|
| Hospital Charge Code |
43400009
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$122.87 |
| Max. Negotiated Rate |
$251.32 |
| Rate for Payer: Aetna American Axle |
$181.51
|
| Rate for Payer: Aetna Commercial |
$237.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.51
|
| Rate for Payer: Cash Price |
$223.40
|
| Rate for Payer: Cofinity Commercial |
$195.47
|
| Rate for Payer: Cofinity Commercial |
$240.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$195.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.40
|
| Rate for Payer: Healthscope Commercial |
$251.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$195.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.36
|
| Rate for Payer: PHP Commercial |
$237.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.51
|
| Rate for Payer: Priority Health SBD |
$175.93
|
| Rate for Payer: UMR Bronson Commercial |
$122.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.44
|
|
|
HC OT EVAL LOW COMPLEXITY
|
Facility
|
IP
|
$228.47
|
|
|
Service Code
|
CPT 97165
|
| Hospital Charge Code |
43400007
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$100.53 |
| Max. Negotiated Rate |
$205.62 |
| Rate for Payer: Aetna American Axle |
$148.51
|
| Rate for Payer: Aetna Commercial |
$194.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.51
|
| Rate for Payer: Cash Price |
$182.78
|
| Rate for Payer: Cofinity Commercial |
$159.93
|
| Rate for Payer: Cofinity Commercial |
$196.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$159.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.78
|
| Rate for Payer: Healthscope Commercial |
$205.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.20
|
| Rate for Payer: PHP Commercial |
$194.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.51
|
| Rate for Payer: Priority Health SBD |
$143.94
|
| Rate for Payer: UMR Bronson Commercial |
$100.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.35
|
|
|
HC OT EVAL LOW COMPLEXITY
|
Facility
|
OP
|
$228.47
|
|
|
Service Code
|
CPT 97165
|
| Hospital Charge Code |
43400007
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$84.53 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$148.51
|
| Rate for Payer: Aetna Commercial |
$194.20
|
| Rate for Payer: Aetna Medicare |
$114.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.51
|
| Rate for Payer: BCBS Complete |
$91.39
|
| Rate for Payer: Cash Price |
$182.78
|
| Rate for Payer: Cash Price |
$182.78
|
| Rate for Payer: Cofinity Commercial |
$196.48
|
| Rate for Payer: Cofinity Commercial |
$159.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$159.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.78
|
| Rate for Payer: Healthscope Commercial |
$205.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.20
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$194.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.51
|
| Rate for Payer: Priority Health SBD |
$143.94
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$84.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.35
|
|
|
HC OT EVAL MODERATE COMPLEXITY
|
Facility
|
IP
|
$253.86
|
|
|
Service Code
|
CPT 97166
|
| Hospital Charge Code |
43400008
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$111.70 |
| Max. Negotiated Rate |
$228.47 |
| Rate for Payer: Aetna American Axle |
$165.01
|
| Rate for Payer: Aetna Commercial |
$215.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.01
|
| Rate for Payer: Cash Price |
$203.09
|
| Rate for Payer: Cofinity Commercial |
$177.70
|
| Rate for Payer: Cofinity Commercial |
$218.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$177.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.09
|
| Rate for Payer: Healthscope Commercial |
$228.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.78
|
| Rate for Payer: PHP Commercial |
$215.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.01
|
| Rate for Payer: Priority Health SBD |
$159.93
|
| Rate for Payer: UMR Bronson Commercial |
$111.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.40
|
|
|
HC OT EVAL MODERATE COMPLEXITY
|
Facility
|
OP
|
$253.86
|
|
|
Service Code
|
CPT 97166
|
| Hospital Charge Code |
43400008
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$93.93 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$165.01
|
| Rate for Payer: Aetna Commercial |
$215.78
|
| Rate for Payer: Aetna Medicare |
$126.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.01
|
| Rate for Payer: BCBS Complete |
$101.54
|
| Rate for Payer: Cash Price |
$203.09
|
| Rate for Payer: Cash Price |
$203.09
|
| Rate for Payer: Cofinity Commercial |
$218.32
|
| Rate for Payer: Cofinity Commercial |
$177.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$177.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.09
|
| Rate for Payer: Healthscope Commercial |
$228.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$177.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.78
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$215.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.01
|
| Rate for Payer: Priority Health SBD |
$159.93
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$93.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.40
|
|
|
HC OT RE-EVALUATION
|
Facility
|
OP
|
$120.36
|
|
|
Service Code
|
CPT 97168
|
| Hospital Charge Code |
43400010
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$44.53 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna American Axle |
$78.23
|
| Rate for Payer: Aetna Commercial |
$102.31
|
| Rate for Payer: Aetna Medicare |
$60.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.23
|
| Rate for Payer: BCBS Complete |
$48.14
|
| Rate for Payer: Cash Price |
$96.29
|
| Rate for Payer: Cash Price |
$96.29
|
| Rate for Payer: Cofinity Commercial |
$84.25
|
| Rate for Payer: Cofinity Commercial |
$103.51
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.29
|
| Rate for Payer: Healthscope Commercial |
$108.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.31
|
| Rate for Payer: Nomi Health Commercial |
$135.00
|
| Rate for Payer: PHP Commercial |
$102.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.23
|
| Rate for Payer: Priority Health SBD |
$75.83
|
| Rate for Payer: UHC Core |
$294.00
|
| Rate for Payer: UMR Bronson Commercial |
$44.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.27
|
|
|
HC OT RE-EVALUATION
|
Facility
|
IP
|
$120.36
|
|
|
Service Code
|
CPT 97168
|
| Hospital Charge Code |
43400010
|
|
Hospital Revenue Code
|
434
|
| Min. Negotiated Rate |
$52.96 |
| Max. Negotiated Rate |
$108.32 |
| Rate for Payer: Aetna American Axle |
$78.23
|
| Rate for Payer: Aetna Commercial |
$102.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.23
|
| Rate for Payer: Cash Price |
$96.29
|
| Rate for Payer: Cofinity Commercial |
$103.51
|
| Rate for Payer: Cofinity Commercial |
$84.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$84.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.29
|
| Rate for Payer: Healthscope Commercial |
$108.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$84.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$90.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.31
|
| Rate for Payer: PHP Commercial |
$102.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.23
|
| Rate for Payer: Priority Health SBD |
$75.83
|
| Rate for Payer: UMR Bronson Commercial |
$52.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$90.27
|
|
|
HC OT Z GAUNTLET EA $100
|
Facility
|
IP
|
$102.00
|
|
|
Service Code
|
HCPCS A6549
|
| Hospital Charge Code |
98300074
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$44.88 |
| Max. Negotiated Rate |
$91.80 |
| Rate for Payer: Aetna American Axle |
$66.30
|
| Rate for Payer: Aetna Commercial |
$86.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.30
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cofinity Commercial |
$71.40
|
| Rate for Payer: Cofinity Commercial |
$87.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$71.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$81.60
|
| Rate for Payer: Healthscope Commercial |
$91.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$71.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$76.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86.70
|
| Rate for Payer: PHP Commercial |
$86.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health SBD |
$64.26
|
| Rate for Payer: UMR Bronson Commercial |
$44.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$76.50
|
|
