|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T EA ADDL JOINT
|
Facility
|
IP
|
$1,114.27
|
|
|
Service Code
|
CPT 64634
|
| Hospital Charge Code |
36100591
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$835.70 |
| Max. Negotiated Rate |
$1,114.27 |
| Rate for Payer: Aetna Commercial |
$1,002.84
|
| Rate for Payer: ASR ASR |
$1,080.84
|
| Rate for Payer: BCBS Trust/PPO |
$915.04
|
| Rate for Payer: BCN Commercial |
$915.04
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$1,047.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Healthscope Commercial |
$1,080.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,114.27
|
| Rate for Payer: Mclaren Commercial |
$1,002.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$980.56
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T EA ADDL JOINT
|
Facility
|
OP
|
$1,114.27
|
|
|
Service Code
|
CPT 64634
|
| Hospital Charge Code |
36100591
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$412.28 |
| Max. Negotiated Rate |
$1,114.27 |
| Rate for Payer: Aetna Commercial |
$1,002.84
|
| Rate for Payer: Aetna Medicare |
$412.28
|
| Rate for Payer: ASR ASR |
$1,080.84
|
| Rate for Payer: BCBS Complete |
$445.71
|
| Rate for Payer: BCBS Trust/PPO |
$918.72
|
| Rate for Payer: BCN Commercial |
$918.72
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$1,047.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Healthscope Commercial |
$1,080.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,114.27
|
| Rate for Payer: Mclaren Commercial |
$1,002.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$891.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$976.32
|
| Rate for Payer: Priority Health Narrow Network |
$781.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$980.56
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T SNG LVL
|
Facility
|
IP
|
$2,736.88
|
|
|
Service Code
|
CPT 64633
|
| Hospital Charge Code |
36100590
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,052.66 |
| Max. Negotiated Rate |
$2,736.88 |
| Rate for Payer: Aetna Commercial |
$2,463.19
|
| Rate for Payer: ASR ASR |
$2,654.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,247.53
|
| Rate for Payer: BCN Commercial |
$2,247.53
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,572.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Healthscope Commercial |
$2,654.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.88
|
| Rate for Payer: Mclaren Commercial |
$2,463.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.45
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT C OR T SNG LVL
|
Facility
|
OP
|
$2,736.88
|
|
|
Service Code
|
CPT 64633
|
| Hospital Charge Code |
36100590
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$3,015.84 |
| Rate for Payer: Aetna Commercial |
$2,463.19
|
| Rate for Payer: Aetna Medicare |
$1,945.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: ASR ASR |
$2,654.77
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,256.56
|
| Rate for Payer: BCN Commercial |
$2,256.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,572.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$2,654.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,945.70
|
| Rate for Payer: Mclaren Commercial |
$2,463.19
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$1,068.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,140.27
|
| Rate for Payer: PHP Medicaid |
$1,042.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,398.05
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,918.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$3,015.84
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP DNSP |
$1,945.70
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S EA ADDL JOINT
|
Facility
|
OP
|
$1,114.27
|
|
|
Service Code
|
CPT 64636
|
| Hospital Charge Code |
36100593
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$412.28 |
| Max. Negotiated Rate |
$1,114.27 |
| Rate for Payer: Aetna Commercial |
$1,002.84
|
| Rate for Payer: Aetna Medicare |
$412.28
|
| Rate for Payer: ASR ASR |
$1,080.84
|
| Rate for Payer: BCBS Complete |
$445.71
|
| Rate for Payer: BCBS Trust/PPO |
$918.72
|
| Rate for Payer: BCN Commercial |
$918.72
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$1,047.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Healthscope Commercial |
$1,080.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,114.27
|
| Rate for Payer: Mclaren Commercial |
$1,002.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$891.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$976.32
|
| Rate for Payer: Priority Health Narrow Network |
$781.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$980.56
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S EA ADDL JOINT
|
Facility
|
IP
|
$1,114.27
|
|
|
Service Code
|
CPT 64636
|
| Hospital Charge Code |
36100593
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$835.70 |
| Max. Negotiated Rate |
$1,114.27 |
| Rate for Payer: Aetna Commercial |
$1,002.84
|
| Rate for Payer: ASR ASR |
$1,080.84
|
| Rate for Payer: BCBS Trust/PPO |
$915.04
|
| Rate for Payer: BCN Commercial |
$915.04
|
| Rate for Payer: Cash Price |
$891.42
|
| Rate for Payer: Cofinity Commercial |
$1,047.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.42
|
| Rate for Payer: Healthscope Commercial |
$1,080.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,114.27
|
| Rate for Payer: Mclaren Commercial |
$1,002.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.13
|
| Rate for Payer: Nomi Health Commercial |
$913.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$835.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$980.56
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
OP
|
$2,736.88
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,017.60 |
| Max. Negotiated Rate |
$3,015.84 |
| Rate for Payer: Aetna Commercial |
$2,463.19
|
| Rate for Payer: Aetna Medicare |
$1,945.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,432.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,432.12
|
| Rate for Payer: ASR ASR |
$2,654.77
|
| Rate for Payer: BCBS Complete |
$1,068.58
|
| Rate for Payer: BCBS MAPPO |
$1,945.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,256.56
|
| Rate for Payer: BCN Commercial |
$2,256.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,945.70
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,572.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,945.70
|
| Rate for Payer: Healthscope Commercial |
$2,654.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,945.70
|
| Rate for Payer: Mclaren Commercial |
$2,463.19
|
| Rate for Payer: Mclaren Medicaid |
$1,945.70
|
| Rate for Payer: Mclaren Medicare |
$1,945.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,042.98
|
| Rate for Payer: Meridian Medicaid |
$1,068.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,237.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,140.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: PACE Medicare |
$1,848.41
|
| Rate for Payer: PACE SWMI |
$1,945.70
|
| Rate for Payer: PHP Commercial |
$2,140.27
|
| Rate for Payer: PHP Medicaid |
$1,042.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,945.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,398.05
|
| Rate for Payer: Priority Health Medicare |
$1,945.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,918.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,945.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,945.70
|
| Rate for Payer: UHC Exchange |
$3,015.84
|
| Rate for Payer: UHC Medicaid |
$1,017.60
|
| Rate for Payer: UHCCP DNSP |
$1,945.70
|
| Rate for Payer: UHCCP Medicaid |
$1,017.60
|
| Rate for Payer: VA VA |
$1,945.70
|
|
|
HC ABLATION BY NEUROLYTIC AGENT FACET JT L OR S SNG LVL
|
Facility
|
IP
|
$2,736.88
|
|
|
Service Code
|
CPT 64635
|
| Hospital Charge Code |
36100592
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,052.66 |
| Max. Negotiated Rate |
$2,736.88 |
| Rate for Payer: Aetna Commercial |
$2,463.19
|
| Rate for Payer: ASR ASR |
$2,654.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,247.53
|
| Rate for Payer: BCN Commercial |
$2,247.53
|
| Rate for Payer: Cash Price |
$2,189.50
|
| Rate for Payer: Cofinity Commercial |
$2,572.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.50
|
| Rate for Payer: Healthscope Commercial |
$2,654.77
|
| Rate for Payer: Healthscope Whirlpool |
$2,736.88
|
| Rate for Payer: Mclaren Commercial |
$2,463.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,326.35
|
| Rate for Payer: Nomi Health Commercial |
$2,244.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,052.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,408.45
|
|
|
HC ABLATION CATHETER
|
Facility
|
OP
|
$4,433.70
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,640.47 |
| Max. Negotiated Rate |
$4,433.70 |
| Rate for Payer: Aetna Commercial |
$3,990.33
|
| Rate for Payer: Aetna Medicare |
$1,640.47
|
| Rate for Payer: ASR ASR |
$4,300.69
|
| Rate for Payer: BCBS Complete |
$1,773.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,655.59
|
| Rate for Payer: BCN Commercial |
$3,655.59
|
| Rate for Payer: Cash Price |
$3,546.96
|
| Rate for Payer: Cofinity Commercial |
$4,167.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,546.96
|
| Rate for Payer: Healthscope Commercial |
$4,300.69
|
| Rate for Payer: Healthscope Whirlpool |
$4,433.70
|
| Rate for Payer: Mclaren Commercial |
$3,990.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,546.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,768.64
|
| Rate for Payer: Nomi Health Commercial |
$3,635.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,325.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,884.81
|
| Rate for Payer: Priority Health Narrow Network |
$3,108.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,901.66
|
|
|
HC ABLATION CATHETER
|
Facility
|
IP
|
$4,433.70
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200008
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,325.28 |
| Max. Negotiated Rate |
$4,433.70 |
| Rate for Payer: Aetna Commercial |
$3,990.33
|
| Rate for Payer: ASR ASR |
$4,300.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,640.95
|
| Rate for Payer: BCN Commercial |
$3,640.95
|
| Rate for Payer: Cash Price |
$3,546.96
|
| Rate for Payer: Cofinity Commercial |
$4,167.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,546.96
|
| Rate for Payer: Healthscope Commercial |
$4,300.69
|
| Rate for Payer: Healthscope Whirlpool |
$4,433.70
|
| Rate for Payer: Mclaren Commercial |
$3,990.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,768.64
|
| Rate for Payer: Nomi Health Commercial |
$3,635.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,325.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,901.66
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
IP
|
$6,030.46
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4,522.85 |
| Max. Negotiated Rate |
$6,030.46 |
| Rate for Payer: Aetna Commercial |
$5,427.41
|
| Rate for Payer: ASR ASR |
$5,849.55
|
| Rate for Payer: BCBS Trust/PPO |
$4,952.21
|
| Rate for Payer: BCN Commercial |
$4,952.21
|
| Rate for Payer: Cash Price |
$4,824.37
|
| Rate for Payer: Cofinity Commercial |
$5,668.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,824.37
|
| Rate for Payer: Healthscope Commercial |
$5,849.55
|
| Rate for Payer: Healthscope Whirlpool |
$6,030.46
|
| Rate for Payer: Mclaren Commercial |
$5,427.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,125.89
|
| Rate for Payer: Nomi Health Commercial |
$4,944.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,522.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,306.80
|
|
|
HC ABLATION CATHETER (8/10 MM TIP
|
Facility
|
OP
|
$6,030.46
|
|
|
Service Code
|
HCPCS C1733
|
| Hospital Charge Code |
27200009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,231.27 |
| Max. Negotiated Rate |
$6,030.46 |
| Rate for Payer: Aetna Commercial |
$5,427.41
|
| Rate for Payer: Aetna Medicare |
$2,231.27
|
| Rate for Payer: ASR ASR |
$5,849.55
|
| Rate for Payer: BCBS Complete |
$2,412.18
|
| Rate for Payer: BCBS Trust/PPO |
$4,972.11
|
| Rate for Payer: BCN Commercial |
$4,972.11
|
| Rate for Payer: Cash Price |
$4,824.37
|
| Rate for Payer: Cofinity Commercial |
$5,668.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,824.37
|
| Rate for Payer: Healthscope Commercial |
$5,849.55
|
| Rate for Payer: Healthscope Whirlpool |
$6,030.46
|
| Rate for Payer: Mclaren Commercial |
$5,427.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,824.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,125.89
|
| Rate for Payer: Nomi Health Commercial |
$4,944.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,522.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,283.89
|
| Rate for Payer: Priority Health Narrow Network |
$4,227.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,306.80
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
IP
|
$7,366.91
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5,525.18 |
| Max. Negotiated Rate |
$7,366.91 |
| Rate for Payer: Aetna Commercial |
$6,630.22
|
| Rate for Payer: ASR ASR |
$7,145.90
|
| Rate for Payer: BCBS Trust/PPO |
$6,049.71
|
| Rate for Payer: BCN Commercial |
$6,049.71
|
| Rate for Payer: Cash Price |
$5,893.53
|
| Rate for Payer: Cofinity Commercial |
$6,924.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,893.53
|
| Rate for Payer: Healthscope Commercial |
$7,145.90
|
| Rate for Payer: Healthscope Whirlpool |
$7,366.91
|
| Rate for Payer: Mclaren Commercial |
$6,630.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,261.87
|
| Rate for Payer: Nomi Health Commercial |
$6,040.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,525.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,482.88
|
|
|
HC ABLATION CATH EXTRAVASC TISSUE
|
Facility
|
OP
|
$7,366.91
|
|
|
Service Code
|
HCPCS C1886
|
| Hospital Charge Code |
27000645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,725.76 |
| Max. Negotiated Rate |
$7,366.91 |
| Rate for Payer: Aetna Commercial |
$6,630.22
|
| Rate for Payer: Aetna Medicare |
$2,725.76
|
| Rate for Payer: ASR ASR |
$7,145.90
|
| Rate for Payer: BCBS Complete |
$2,946.76
|
| Rate for Payer: BCBS Trust/PPO |
$6,074.02
|
| Rate for Payer: BCN Commercial |
$6,074.02
|
| Rate for Payer: Cash Price |
$5,893.53
|
| Rate for Payer: Cofinity Commercial |
$6,924.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5,893.53
|
| Rate for Payer: Healthscope Commercial |
$7,145.90
|
| Rate for Payer: Healthscope Whirlpool |
$7,366.91
|
| Rate for Payer: Mclaren Commercial |
$6,630.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,893.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,261.87
|
| Rate for Payer: Nomi Health Commercial |
$6,040.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,525.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$6,454.89
|
| Rate for Payer: Priority Health Narrow Network |
$5,164.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6,482.88
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
IP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$956.25 |
| Max. Negotiated Rate |
$1,275.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: ASR ASR |
$1,236.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,047.03
|
| Rate for Payer: BCN Commercial |
$1,047.03
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,198.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,236.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,275.00
|
| Rate for Payer: Mclaren Commercial |
$1,147.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: Nomi Health Commercial |
$1,045.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$956.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
|
|
HC ABLATION CATH NON-CARD ENDOVASC IMPLANT LVL 12
|
Facility
|
OP
|
$1,275.00
|
|
|
Service Code
|
HCPCS C1888
|
| Hospital Charge Code |
27200324
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$471.75 |
| Max. Negotiated Rate |
$1,275.00 |
| Rate for Payer: Aetna Commercial |
$1,147.50
|
| Rate for Payer: Aetna Medicare |
$471.75
|
| Rate for Payer: ASR ASR |
$1,236.75
|
| Rate for Payer: BCBS Complete |
$510.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.24
|
| Rate for Payer: BCN Commercial |
$1,051.24
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,198.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,236.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,275.00
|
| Rate for Payer: Mclaren Commercial |
$1,147.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,020.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.75
|
| Rate for Payer: Nomi Health Commercial |
$1,045.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$956.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,117.15
|
| Rate for Payer: Priority Health Narrow Network |
$893.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,122.00
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
IP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,195.31 |
| Max. Negotiated Rate |
$1,593.75 |
| Rate for Payer: Aetna Commercial |
$1,434.38
|
| Rate for Payer: ASR ASR |
$1,545.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,308.79
|
| Rate for Payer: BCN Commercial |
$1,308.79
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,498.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,545.94
|
| Rate for Payer: Healthscope Whirlpool |
$1,593.75
|
| Rate for Payer: Mclaren Commercial |
$1,434.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: Nomi Health Commercial |
$1,306.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,195.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,402.50
|
|
|
HC ABLATION CATH NON CARD ENDOVASC IMPLANT LVL 15
|
Facility
|
OP
|
$1,593.75
|
|
|
Service Code
|
CPT C1888
|
| Hospital Charge Code |
27200358
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$589.69 |
| Max. Negotiated Rate |
$1,593.75 |
| Rate for Payer: Aetna Commercial |
$1,434.38
|
| Rate for Payer: Aetna Medicare |
$589.69
|
| Rate for Payer: ASR ASR |
$1,545.94
|
| Rate for Payer: BCBS Complete |
$637.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,314.05
|
| Rate for Payer: BCN Commercial |
$1,314.05
|
| Rate for Payer: Cash Price |
$1,275.00
|
| Rate for Payer: Cofinity Commercial |
$1,498.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,275.00
|
| Rate for Payer: Healthscope Commercial |
$1,545.94
|
| Rate for Payer: Healthscope Whirlpool |
$1,593.75
|
| Rate for Payer: Mclaren Commercial |
$1,434.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,275.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,354.69
|
| Rate for Payer: Nomi Health Commercial |
$1,306.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,195.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,396.44
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,402.50
|
|
|
HC ABLATION RF LUNG
|
Facility
|
IP
|
$6,137.71
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,603.28 |
| Max. Negotiated Rate |
$6,137.71 |
| Rate for Payer: Aetna Commercial |
$5,523.94
|
| Rate for Payer: ASR ASR |
$5,953.58
|
| Rate for Payer: BCBS Trust/PPO |
$5,040.29
|
| Rate for Payer: BCN Commercial |
$5,040.29
|
| Rate for Payer: Cash Price |
$4,910.17
|
| Rate for Payer: Cofinity Commercial |
$5,769.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,910.17
|
| Rate for Payer: Healthscope Commercial |
$5,953.58
|
| Rate for Payer: Healthscope Whirlpool |
$6,137.71
|
| Rate for Payer: Mclaren Commercial |
$5,523.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,217.05
|
| Rate for Payer: Nomi Health Commercial |
$5,032.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,603.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,401.18
|
|
|
HC ABLATION RF LUNG
|
Facility
|
OP
|
$6,137.71
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
36100055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,150.44 |
| Max. Negotiated Rate |
$9,336.87 |
| Rate for Payer: Aetna Commercial |
$5,523.94
|
| Rate for Payer: Aetna Medicare |
$6,023.79
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: ASR ASR |
$5,953.58
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$5,060.54
|
| Rate for Payer: BCN Commercial |
$5,060.54
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$4,910.17
|
| Rate for Payer: Cash Price |
$4,910.17
|
| Rate for Payer: Cofinity Commercial |
$5,769.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,910.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$5,953.58
|
| Rate for Payer: Healthscope Whirlpool |
$6,137.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,023.79
|
| Rate for Payer: Mclaren Commercial |
$5,523.94
|
| Rate for Payer: Mclaren Medicaid |
$6,023.79
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$3,308.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,217.05
|
| Rate for Payer: Nomi Health Commercial |
$5,032.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,603.28
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$6,626.17
|
| Rate for Payer: PHP Medicaid |
$3,228.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$5,377.86
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health Narrow Network |
$4,302.53
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5,401.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6,023.79
|
| Rate for Payer: UHC Exchange |
$9,336.87
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP DNSP |
$6,023.79
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
OP
|
$9,077.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$67.05 |
| Max. Negotiated Rate |
$9,077.96 |
| Rate for Payer: Aetna Commercial |
$8,170.16
|
| Rate for Payer: Aetna Medicare |
$128.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$160.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$160.26
|
| Rate for Payer: ASR ASR |
$8,805.62
|
| Rate for Payer: BCBS Complete |
$70.41
|
| Rate for Payer: BCBS MAPPO |
$128.21
|
| Rate for Payer: BCBS Trust/PPO |
$7,484.78
|
| Rate for Payer: BCN Commercial |
$7,484.78
|
| Rate for Payer: BCN Medicare Advantage |
$128.21
|
| Rate for Payer: Cash Price |
$7,262.37
|
| Rate for Payer: Cash Price |
$7,262.37
|
| Rate for Payer: Cofinity Commercial |
$8,533.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.21
|
| Rate for Payer: Healthscope Commercial |
$8,805.62
|
| Rate for Payer: Healthscope Whirlpool |
$9,077.96
|
| Rate for Payer: Humana Choice PPO Medicare |
$128.21
|
| Rate for Payer: Mclaren Commercial |
$8,170.16
|
| Rate for Payer: Mclaren Medicaid |
$128.21
|
| Rate for Payer: Mclaren Medicare |
$128.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$70.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$147.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.27
|
| Rate for Payer: Nomi Health Commercial |
$7,443.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,808.47
|
| Rate for Payer: PACE Medicare |
$121.80
|
| Rate for Payer: PACE SWMI |
$128.21
|
| Rate for Payer: PHP Commercial |
$141.03
|
| Rate for Payer: PHP Medicaid |
$68.72
|
| Rate for Payer: PHP Medicare Advantage |
$128.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$185.21
|
| Rate for Payer: Priority Health Medicare |
$128.21
|
| Rate for Payer: Priority Health Narrow Network |
$148.17
|
| Rate for Payer: Railroad Medicare Medicare |
$128.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,988.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.21
|
| Rate for Payer: UHC Exchange |
$198.73
|
| Rate for Payer: UHC Medicaid |
$67.05
|
| Rate for Payer: UHCCP DNSP |
$128.21
|
| Rate for Payer: UHCCP Medicaid |
$67.05
|
| Rate for Payer: VA VA |
$128.21
|
|
|
HC ABLATION VEIN OF MARSHALL
|
Facility
|
IP
|
$9,077.96
|
|
|
Service Code
|
CPT 93799
|
| Hospital Charge Code |
48100122
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,808.47 |
| Max. Negotiated Rate |
$9,077.96 |
| Rate for Payer: Aetna Commercial |
$8,170.16
|
| Rate for Payer: ASR ASR |
$8,805.62
|
| Rate for Payer: BCBS Trust/PPO |
$7,454.82
|
| Rate for Payer: BCN Commercial |
$7,454.82
|
| Rate for Payer: Cash Price |
$7,262.37
|
| Rate for Payer: Cofinity Commercial |
$8,533.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7,262.37
|
| Rate for Payer: Healthscope Commercial |
$8,805.62
|
| Rate for Payer: Healthscope Whirlpool |
$9,077.96
|
| Rate for Payer: Mclaren Commercial |
$8,170.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,716.27
|
| Rate for Payer: Nomi Health Commercial |
$7,443.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,808.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,988.60
|
|
|
HC ABLAVAR
|
Facility
|
IP
|
$27.05
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.29 |
| Max. Negotiated Rate |
$27.05 |
| Rate for Payer: Aetna Commercial |
$24.34
|
| Rate for Payer: ASR ASR |
$26.24
|
| Rate for Payer: BCBS Trust/PPO |
$22.21
|
| Rate for Payer: BCN Commercial |
$22.21
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cofinity Commercial |
$25.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.64
|
| Rate for Payer: Healthscope Commercial |
$26.24
|
| Rate for Payer: Healthscope Whirlpool |
$27.05
|
| Rate for Payer: Mclaren Commercial |
$24.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.99
|
| Rate for Payer: Nomi Health Commercial |
$22.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.80
|
|
|
HC ABLAVAR
|
Facility
|
OP
|
$27.05
|
|
|
Service Code
|
HCPCS A9583
|
| Hospital Charge Code |
63600007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.01 |
| Max. Negotiated Rate |
$27.05 |
| Rate for Payer: Aetna Commercial |
$24.34
|
| Rate for Payer: Aetna Medicare |
$10.01
|
| Rate for Payer: ASR ASR |
$26.24
|
| Rate for Payer: BCBS Complete |
$10.82
|
| Rate for Payer: BCBS Trust/PPO |
$22.30
|
| Rate for Payer: BCN Commercial |
$22.30
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cash Price |
$21.64
|
| Rate for Payer: Cofinity Commercial |
$25.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.64
|
| Rate for Payer: Healthscope Commercial |
$26.24
|
| Rate for Payer: Healthscope Whirlpool |
$27.05
|
| Rate for Payer: Mclaren Commercial |
$24.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.99
|
| Rate for Payer: Nomi Health Commercial |
$22.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$17.86
|
| Rate for Payer: Priority Health Narrow Network |
$14.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.80
|
|
|
HC ABSCESS DRAINAGE COMPLICATED
|
Facility
|
OP
|
$508.61
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
76100037
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$205.61 |
| Max. Negotiated Rate |
$627.83 |
| Rate for Payer: Aetna Commercial |
$457.75
|
| Rate for Payer: Aetna Medicare |
$405.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: ASR ASR |
$493.35
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$419.35
|
| Rate for Payer: BCN Commercial |
$419.35
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$406.89
|
| Rate for Payer: Cash Price |
$406.89
|
| Rate for Payer: Cofinity Commercial |
$478.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$406.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$493.35
|
| Rate for Payer: Healthscope Whirlpool |
$508.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$405.05
|
| Rate for Payer: Mclaren Commercial |
$457.75
|
| 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 |
$222.45
|
| 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 |
$432.32
|
| Rate for Payer: Nomi Health Commercial |
$417.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$381.46
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$445.56
|
| Rate for Payer: PHP Medicaid |
$217.11
|
| 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/Tiered Network |
$257.01
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health Narrow Network |
$205.61
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$447.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$405.05
|
| Rate for Payer: UHC Exchange |
$627.83
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP DNSP |
$405.05
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: VA VA |
$405.05
|
|
