|
HC DRSG MEPILEX BORDER SACRUM 9X9 EA
|
Facility
|
OP
|
$27.90
|
|
|
Service Code
|
HCPCS A6214
|
| Hospital Charge Code |
62300222
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.32 |
| Max. Negotiated Rate |
$27.90 |
| Rate for Payer: Aetna Commercial |
$25.11
|
| Rate for Payer: Aetna Medicare |
$10.32
|
| Rate for Payer: ASR ASR |
$27.06
|
| Rate for Payer: BCBS Complete |
$11.16
|
| Rate for Payer: BCBS Trust/PPO |
$23.00
|
| Rate for Payer: BCN Commercial |
$23.00
|
| Rate for Payer: Cash Price |
$22.32
|
| Rate for Payer: Cofinity Commercial |
$26.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.32
|
| Rate for Payer: Healthscope Commercial |
$27.06
|
| Rate for Payer: Healthscope Whirlpool |
$27.90
|
| Rate for Payer: Mclaren Commercial |
$25.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.71
|
| Rate for Payer: Nomi Health Commercial |
$22.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24.45
|
| Rate for Payer: Priority Health Narrow Network |
$19.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.55
|
|
|
HC DRSG MEPILEX BORDER SACRUM 9X9 EA
|
Facility
|
IP
|
$27.90
|
|
|
Service Code
|
HCPCS A6214
|
| Hospital Charge Code |
62300222
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.93 |
| Max. Negotiated Rate |
$27.90 |
| Rate for Payer: Aetna Commercial |
$25.11
|
| Rate for Payer: ASR ASR |
$27.06
|
| Rate for Payer: BCBS Trust/PPO |
$22.91
|
| Rate for Payer: BCN Commercial |
$22.91
|
| Rate for Payer: Cash Price |
$22.32
|
| Rate for Payer: Cofinity Commercial |
$26.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.32
|
| Rate for Payer: Healthscope Commercial |
$27.06
|
| Rate for Payer: Healthscope Whirlpool |
$27.90
|
| Rate for Payer: Mclaren Commercial |
$25.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.71
|
| Rate for Payer: Nomi Health Commercial |
$22.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.55
|
|
|
HC DRUG SCREEN 10 URINE
|
Facility
|
IP
|
$106.12
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000134
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$79.59 |
| Max. Negotiated Rate |
$106.12 |
| Rate for Payer: Aetna Commercial |
$95.51
|
| Rate for Payer: ASR ASR |
$102.94
|
| Rate for Payer: BCBS Trust/PPO |
$87.15
|
| Rate for Payer: BCN Commercial |
$87.15
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Commercial |
$99.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Healthscope Commercial |
$102.94
|
| Rate for Payer: Healthscope Whirlpool |
$106.12
|
| Rate for Payer: Mclaren Commercial |
$95.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.20
|
| Rate for Payer: Nomi Health Commercial |
$87.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$93.39
|
|
|
HC DRUG SCREEN 10 URINE
|
Facility
|
OP
|
$106.12
|
|
|
Service Code
|
CPT 80307
|
| Hospital Charge Code |
30000134
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$106.12 |
| Rate for Payer: Aetna Commercial |
$95.51
|
| Rate for Payer: Aetna Medicare |
$62.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.67
|
| Rate for Payer: ASR ASR |
$102.94
|
| Rate for Payer: BCBS Complete |
$34.13
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCBS Trust/PPO |
$87.50
|
| Rate for Payer: BCN Commercial |
$87.50
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cash Price |
$84.90
|
| Rate for Payer: Cofinity Commercial |
$99.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$102.94
|
| Rate for Payer: Healthscope Whirlpool |
$106.12
|
| Rate for Payer: Humana Choice PPO Medicare |
$62.14
|
| Rate for Payer: Mclaren Commercial |
$95.51
|
| Rate for Payer: Mclaren Medicaid |
$62.14
|
| Rate for Payer: Mclaren Medicare |
$62.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Meridian Medicaid |
$34.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90.20
|
| Rate for Payer: Nomi Health Commercial |
$87.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.59
|
| Rate for Payer: PACE Medicare |
$59.03
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Commercial |
$68.35
|
| Rate for Payer: PHP Medicaid |
$33.31
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$92.98
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health Narrow Network |
$74.39
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$93.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$96.32
|
| Rate for Payer: UHC Medicaid |
$32.50
|
| Rate for Payer: UHCCP DNSP |
$62.14
|
| Rate for Payer: UHCCP Medicaid |
$32.50
|
| Rate for Payer: VA VA |
$62.14
|
|
|
HC DRUG SCREEN COLLECT-OUTSIDE SVC
|
Facility
|
IP
|
$24.97
|
|
|
Service Code
|
CPT 99000
|
| Hospital Charge Code |
98300005
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$18.73 |
| Max. Negotiated Rate |
$24.97 |
| Rate for Payer: Aetna Commercial |
$22.47
|
| Rate for Payer: ASR ASR |
$24.22
|
| Rate for Payer: BCBS Trust/PPO |
$20.51
|
| Rate for Payer: BCN Commercial |
$20.51
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$23.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$24.22
|
| Rate for Payer: Healthscope Whirlpool |
$24.97
|
| Rate for Payer: Mclaren Commercial |
$22.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.73
|
|
|
HC DRUG SCREEN COLLECT-OUTSIDE SVC
|
Facility
|
OP
|
$24.97
|
|
|
Service Code
|
CPT 99000
|
| Hospital Charge Code |
98300005
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$9.24 |
| Max. Negotiated Rate |
$24.97 |
| Rate for Payer: Aetna Commercial |
$22.47
|
| Rate for Payer: Aetna Medicare |
$9.24
|
| Rate for Payer: ASR ASR |
$24.22
|
| Rate for Payer: BCBS Complete |
$9.99
|
| Rate for Payer: BCBS Trust/PPO |
$20.59
|
| Rate for Payer: BCN Commercial |
$20.59
|
| Rate for Payer: Cash Price |
$19.98
|
| Rate for Payer: Cofinity Commercial |
$23.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$24.22
|
| Rate for Payer: Healthscope Whirlpool |
$24.97
|
| Rate for Payer: Mclaren Commercial |
$22.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.22
|
| Rate for Payer: Nomi Health Commercial |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.88
|
| Rate for Payer: Priority Health Narrow Network |
$17.50
|
|
|
HC DRUG SCREEN QUAL EA PROC
|
Facility
|
OP
|
$49.19
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30100652
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.59 |
| Max. Negotiated Rate |
$49.19 |
| Rate for Payer: Aetna Commercial |
$44.27
|
| Rate for Payer: Aetna Medicare |
$12.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.75
|
| Rate for Payer: ASR ASR |
$47.71
|
| Rate for Payer: BCBS Complete |
$6.92
|
| Rate for Payer: BCBS MAPPO |
$12.60
|
| Rate for Payer: BCBS Trust/PPO |
$40.56
|
| Rate for Payer: BCN Commercial |
$40.56
|
| Rate for Payer: BCN Medicare Advantage |
$12.60
|
| Rate for Payer: Cash Price |
$39.35
|
| Rate for Payer: Cash Price |
$39.35
|
| Rate for Payer: Cofinity Commercial |
$46.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.60
|
| Rate for Payer: Healthscope Commercial |
$47.71
|
| Rate for Payer: Healthscope Whirlpool |
$49.19
|
| Rate for Payer: Humana Choice PPO Medicare |
$12.60
|
| Rate for Payer: Mclaren Commercial |
$44.27
|
| Rate for Payer: Mclaren Medicaid |
$12.60
|
| Rate for Payer: Mclaren Medicare |
$12.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.23
|
| Rate for Payer: Meridian Medicaid |
$6.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.81
|
| Rate for Payer: Nomi Health Commercial |
$40.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.89
|
| Rate for Payer: PACE Medicare |
$11.97
|
| Rate for Payer: PACE SWMI |
$12.60
|
| Rate for Payer: PHP Commercial |
$13.86
|
| Rate for Payer: PHP Medicaid |
$6.75
|
| Rate for Payer: PHP Medicare Advantage |
$12.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$43.10
|
| Rate for Payer: Priority Health Medicare |
$12.60
|
| Rate for Payer: Priority Health Narrow Network |
$34.48
|
| Rate for Payer: Railroad Medicare Medicare |
$12.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.60
|
| Rate for Payer: UHC Exchange |
$19.53
|
| Rate for Payer: UHC Medicaid |
$6.59
|
| Rate for Payer: UHCCP DNSP |
$12.60
|
| Rate for Payer: UHCCP Medicaid |
$6.59
|
| Rate for Payer: VA VA |
$12.60
|
|
|
HC DRUG SCREEN QUAL EA PROC
|
Facility
|
IP
|
$49.19
|
|
|
Service Code
|
CPT 80305
|
| Hospital Charge Code |
30100652
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.89 |
| Max. Negotiated Rate |
$49.19 |
| Rate for Payer: Aetna Commercial |
$44.27
|
| Rate for Payer: ASR ASR |
$47.71
|
| Rate for Payer: BCBS Trust/PPO |
$40.39
|
| Rate for Payer: BCN Commercial |
$40.39
|
| Rate for Payer: Cash Price |
$39.35
|
| Rate for Payer: Cofinity Commercial |
$46.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.35
|
| Rate for Payer: Healthscope Commercial |
$47.71
|
| Rate for Payer: Healthscope Whirlpool |
$49.19
|
| Rate for Payer: Mclaren Commercial |
$44.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.81
|
| Rate for Payer: Nomi Health Commercial |
$40.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$43.29
|
|
|
HC DRUG SCREEN QUANTALCOHOLS
|
Facility
|
OP
|
$78.03
|
|
|
Service Code
|
CPT 80320
|
| Hospital Charge Code |
30100732
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.87 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: BCBS Complete |
$31.21
|
| Rate for Payer: BCBS Trust/PPO |
$64.34
|
| Rate for Payer: BCN Commercial |
$64.34
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$75.69
|
| Rate for Payer: Healthscope Whirlpool |
$78.03
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$68.37
|
| Rate for Payer: Priority Health Narrow Network |
$54.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
|
|
HC DRUG SCREEN QUANTALCOHOLS
|
Facility
|
IP
|
$78.03
|
|
|
Service Code
|
CPT 80320
|
| Hospital Charge Code |
30100732
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.52 |
| Max. Negotiated Rate |
$78.03 |
| Rate for Payer: Aetna Commercial |
$70.23
|
| Rate for Payer: ASR ASR |
$75.69
|
| Rate for Payer: BCBS Trust/PPO |
$64.08
|
| Rate for Payer: BCN Commercial |
$64.08
|
| Rate for Payer: Cash Price |
$62.42
|
| Rate for Payer: Cofinity Commercial |
$73.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.42
|
| Rate for Payer: Healthscope Commercial |
$75.69
|
| Rate for Payer: Healthscope Whirlpool |
$78.03
|
| Rate for Payer: Mclaren Commercial |
$70.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.33
|
| Rate for Payer: Nomi Health Commercial |
$63.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.67
|
|
|
HC DSDNA AB WITH REFLEX, IGG, S
|
Facility
|
IP
|
$40.30
|
|
|
Service Code
|
CPT 86225
|
| Hospital Charge Code |
30200505
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$30.23 |
| Max. Negotiated Rate |
$40.30 |
| Rate for Payer: Aetna Commercial |
$36.27
|
| Rate for Payer: ASR ASR |
$39.09
|
| Rate for Payer: BCBS Trust/PPO |
$33.09
|
| Rate for Payer: BCN Commercial |
$33.09
|
| Rate for Payer: Cash Price |
$32.24
|
| Rate for Payer: Cofinity Commercial |
$37.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.24
|
| Rate for Payer: Healthscope Commercial |
$39.09
|
| Rate for Payer: Healthscope Whirlpool |
$40.30
|
| Rate for Payer: Mclaren Commercial |
$36.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.26
|
| Rate for Payer: Nomi Health Commercial |
$33.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.46
|
|
|
HC DSDNA AB WITH REFLEX, IGG, S
|
Facility
|
OP
|
$40.30
|
|
|
Service Code
|
CPT 86225
|
| Hospital Charge Code |
30200505
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.19 |
| Max. Negotiated Rate |
$40.30 |
| Rate for Payer: Aetna Commercial |
$36.27
|
| Rate for Payer: Aetna Medicare |
$13.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.18
|
| Rate for Payer: ASR ASR |
$39.09
|
| Rate for Payer: BCBS Complete |
$7.55
|
| Rate for Payer: BCBS MAPPO |
$13.74
|
| Rate for Payer: BCBS Trust/PPO |
$33.23
|
| Rate for Payer: BCN Commercial |
$33.23
|
| Rate for Payer: BCN Medicare Advantage |
$13.74
|
| Rate for Payer: Cash Price |
$32.24
|
| Rate for Payer: Cash Price |
$32.24
|
| Rate for Payer: Cofinity Commercial |
$37.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.74
|
| Rate for Payer: Healthscope Commercial |
$39.09
|
| Rate for Payer: Healthscope Whirlpool |
$40.30
|
| Rate for Payer: Humana Choice PPO Medicare |
$13.74
|
| Rate for Payer: Mclaren Commercial |
$36.27
|
| Rate for Payer: Mclaren Medicaid |
$13.74
|
| Rate for Payer: Mclaren Medicare |
$13.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.43
|
| Rate for Payer: Meridian Medicaid |
$7.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.26
|
| Rate for Payer: Nomi Health Commercial |
$33.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.23
|
| Rate for Payer: PACE Medicare |
$13.05
|
| Rate for Payer: PACE SWMI |
$13.74
|
| Rate for Payer: PHP Commercial |
$15.11
|
| Rate for Payer: PHP Medicaid |
$7.36
|
| Rate for Payer: PHP Medicare Advantage |
$13.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Medicare |
$13.74
|
| Rate for Payer: Priority Health Narrow Network |
$31.96
|
| Rate for Payer: Railroad Medicare Medicare |
$13.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.74
|
| Rate for Payer: UHC Exchange |
$21.30
|
| Rate for Payer: UHC Medicaid |
$7.19
|
| Rate for Payer: UHCCP DNSP |
$13.74
|
| Rate for Payer: UHCCP Medicaid |
$7.19
|
| Rate for Payer: VA VA |
$13.74
|
|
|
HC DSMA TC 99M PER STUDY
|
Facility
|
IP
|
$396.48
|
|
|
Service Code
|
HCPCS A9551
|
| Hospital Charge Code |
34300004
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$297.36 |
| Max. Negotiated Rate |
$396.48 |
| Rate for Payer: Aetna Commercial |
$356.83
|
| Rate for Payer: ASR ASR |
$384.59
|
| Rate for Payer: BCBS Trust/PPO |
$325.59
|
| Rate for Payer: BCN Commercial |
$325.59
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$372.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Healthscope Commercial |
$384.59
|
| Rate for Payer: Healthscope Whirlpool |
$396.48
|
| Rate for Payer: Mclaren Commercial |
$356.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.90
|
|
|
HC DSMA TC 99M PER STUDY
|
Facility
|
OP
|
$396.48
|
|
|
Service Code
|
HCPCS A9551
|
| Hospital Charge Code |
34300004
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$297.36 |
| Max. Negotiated Rate |
$1,022.89 |
| Rate for Payer: Aetna Commercial |
$356.83
|
| Rate for Payer: Aetna Medicare |
$659.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$824.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$824.91
|
| Rate for Payer: ASR ASR |
$384.59
|
| Rate for Payer: BCBS Complete |
$362.43
|
| Rate for Payer: BCBS MAPPO |
$659.93
|
| Rate for Payer: BCBS Trust/PPO |
$326.90
|
| Rate for Payer: BCN Commercial |
$326.90
|
| Rate for Payer: BCN Medicare Advantage |
$659.93
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cash Price |
$317.18
|
| Rate for Payer: Cofinity Commercial |
$372.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$317.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$659.93
|
| Rate for Payer: Healthscope Commercial |
$384.59
|
| Rate for Payer: Healthscope Whirlpool |
$396.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$659.93
|
| Rate for Payer: Mclaren Commercial |
$356.83
|
| Rate for Payer: Mclaren Medicaid |
$659.93
|
| Rate for Payer: Mclaren Medicare |
$659.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$692.93
|
| Rate for Payer: Meridian Medicaid |
$362.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$758.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$725.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.01
|
| Rate for Payer: Nomi Health Commercial |
$325.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.36
|
| Rate for Payer: PACE Medicare |
$626.93
|
| Rate for Payer: PACE SWMI |
$659.93
|
| Rate for Payer: PHP Commercial |
$725.92
|
| Rate for Payer: PHP Medicaid |
$353.72
|
| Rate for Payer: PHP Medicare Advantage |
$659.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$345.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$611.41
|
| Rate for Payer: Priority Health Medicare |
$659.93
|
| Rate for Payer: Priority Health Narrow Network |
$489.13
|
| Rate for Payer: Railroad Medicare Medicare |
$659.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$659.93
|
| Rate for Payer: UHC Exchange |
$1,022.89
|
| Rate for Payer: UHC Medicaid |
$345.14
|
| Rate for Payer: UHCCP DNSP |
$659.93
|
| Rate for Payer: UHCCP Medicaid |
$345.14
|
| Rate for Payer: VA VA |
$659.93
|
|
|
HC DTAP HEPB IPV VACCINE INTRAMUSCULAR
|
Facility
|
IP
|
$179.71
|
|
|
Service Code
|
CPT 90723
|
| Hospital Charge Code |
63600137
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$134.78 |
| Max. Negotiated Rate |
$179.71 |
| Rate for Payer: Aetna Commercial |
$161.74
|
| Rate for Payer: ASR ASR |
$174.32
|
| Rate for Payer: BCBS Trust/PPO |
$147.58
|
| Rate for Payer: BCN Commercial |
$147.58
|
| Rate for Payer: Cash Price |
$143.77
|
| Rate for Payer: Cofinity Commercial |
$168.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.77
|
| Rate for Payer: Healthscope Commercial |
$174.32
|
| Rate for Payer: Healthscope Whirlpool |
$179.71
|
| Rate for Payer: Mclaren Commercial |
$161.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.75
|
| Rate for Payer: Nomi Health Commercial |
$147.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$158.14
|
|
|
HC DTAP HEPB IPV VACCINE INTRAMUSCULAR
|
Facility
|
OP
|
$179.71
|
|
|
Service Code
|
CPT 90723
|
| Hospital Charge Code |
63600137
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$66.49 |
| Max. Negotiated Rate |
$179.71 |
| Rate for Payer: Aetna Commercial |
$161.74
|
| Rate for Payer: Aetna Medicare |
$66.49
|
| Rate for Payer: ASR ASR |
$174.32
|
| Rate for Payer: BCBS Complete |
$71.88
|
| Rate for Payer: BCBS Trust/PPO |
$148.17
|
| Rate for Payer: BCN Commercial |
$148.17
|
| Rate for Payer: Cash Price |
$143.77
|
| Rate for Payer: Cash Price |
$143.77
|
| Rate for Payer: Cofinity Commercial |
$168.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.77
|
| Rate for Payer: Healthscope Commercial |
$174.32
|
| Rate for Payer: Healthscope Whirlpool |
$179.71
|
| Rate for Payer: Mclaren Commercial |
$161.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$143.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.75
|
| Rate for Payer: Nomi Health Commercial |
$147.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$117.41
|
| Rate for Payer: Priority Health Narrow Network |
$93.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$158.14
|
|
|
HC DTAP-IPV VACCINE 4-6 YEARS IM
|
Facility
|
OP
|
$78.20
|
|
|
Service Code
|
CPT 90696
|
| Hospital Charge Code |
63600120
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$28.93 |
| Max. Negotiated Rate |
$78.20 |
| Rate for Payer: Aetna Commercial |
$70.38
|
| Rate for Payer: Aetna Medicare |
$28.93
|
| Rate for Payer: ASR ASR |
$75.85
|
| Rate for Payer: BCBS Complete |
$31.28
|
| Rate for Payer: BCBS Trust/PPO |
$64.48
|
| Rate for Payer: BCN Commercial |
$64.48
|
| Rate for Payer: Cash Price |
$62.56
|
| Rate for Payer: Cash Price |
$62.56
|
| Rate for Payer: Cofinity Commercial |
$73.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.56
|
| Rate for Payer: Healthscope Commercial |
$75.85
|
| Rate for Payer: Healthscope Whirlpool |
$78.20
|
| Rate for Payer: Mclaren Commercial |
$70.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$62.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.47
|
| Rate for Payer: Nomi Health Commercial |
$64.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$71.05
|
| Rate for Payer: Priority Health Narrow Network |
$56.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.82
|
|
|
HC DTAP-IPV VACCINE 4-6 YEARS IM
|
Facility
|
IP
|
$78.20
|
|
|
Service Code
|
CPT 90696
|
| Hospital Charge Code |
63600120
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$58.65 |
| Max. Negotiated Rate |
$78.20 |
| Rate for Payer: Aetna Commercial |
$70.38
|
| Rate for Payer: ASR ASR |
$75.85
|
| Rate for Payer: BCBS Trust/PPO |
$64.22
|
| Rate for Payer: BCN Commercial |
$64.22
|
| Rate for Payer: Cash Price |
$62.56
|
| Rate for Payer: Cofinity Commercial |
$73.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$62.56
|
| Rate for Payer: Healthscope Commercial |
$75.85
|
| Rate for Payer: Healthscope Whirlpool |
$78.20
|
| Rate for Payer: Mclaren Commercial |
$70.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66.47
|
| Rate for Payer: Nomi Health Commercial |
$64.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$58.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.82
|
|
|
HC DTAP-IVP-HIB-HEPB INTRAMUSCULAR
|
Facility
|
IP
|
$169.79
|
|
|
Service Code
|
CPT 90697
|
| Hospital Charge Code |
63600207
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$127.34 |
| Max. Negotiated Rate |
$169.79 |
| Rate for Payer: Aetna Commercial |
$152.81
|
| Rate for Payer: ASR ASR |
$164.70
|
| Rate for Payer: BCBS Trust/PPO |
$139.43
|
| Rate for Payer: BCN Commercial |
$139.43
|
| Rate for Payer: Cash Price |
$135.83
|
| Rate for Payer: Cofinity Commercial |
$159.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.83
|
| Rate for Payer: Healthscope Commercial |
$164.70
|
| Rate for Payer: Healthscope Whirlpool |
$169.79
|
| Rate for Payer: Mclaren Commercial |
$152.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.32
|
| Rate for Payer: Nomi Health Commercial |
$139.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.42
|
|
|
HC DTAP-IVP-HIB-HEPB INTRAMUSCULAR
|
Facility
|
OP
|
$169.79
|
|
|
Service Code
|
CPT 90697
|
| Hospital Charge Code |
63600207
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$62.82 |
| Max. Negotiated Rate |
$189.93 |
| Rate for Payer: Aetna Commercial |
$152.81
|
| Rate for Payer: Aetna Medicare |
$62.82
|
| Rate for Payer: ASR ASR |
$164.70
|
| Rate for Payer: BCBS Complete |
$67.92
|
| Rate for Payer: BCBS Trust/PPO |
$139.99
|
| Rate for Payer: BCN Commercial |
$139.99
|
| Rate for Payer: Cash Price |
$135.83
|
| Rate for Payer: Cash Price |
$135.83
|
| Rate for Payer: Cofinity Commercial |
$159.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.83
|
| Rate for Payer: Healthscope Commercial |
$164.70
|
| Rate for Payer: Healthscope Whirlpool |
$169.79
|
| Rate for Payer: Mclaren Commercial |
$152.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$135.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.32
|
| Rate for Payer: Nomi Health Commercial |
$139.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$189.93
|
| Rate for Payer: Priority Health Narrow Network |
$151.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$149.42
|
|
|
HC DTPA PER STUDY
|
Facility
|
IP
|
$446.00
|
|
|
Service Code
|
HCPCS A9539
|
| Hospital Charge Code |
34300005
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$334.50 |
| Max. Negotiated Rate |
$446.00 |
| Rate for Payer: Aetna Commercial |
$401.40
|
| Rate for Payer: ASR ASR |
$432.62
|
| Rate for Payer: BCBS Trust/PPO |
$366.26
|
| Rate for Payer: BCN Commercial |
$366.26
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$419.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Healthscope Commercial |
$432.62
|
| Rate for Payer: Healthscope Whirlpool |
$446.00
|
| Rate for Payer: Mclaren Commercial |
$401.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: Nomi Health Commercial |
$365.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.48
|
|
|
HC DTPA PER STUDY
|
Facility
|
OP
|
$446.00
|
|
|
Service Code
|
HCPCS A9539
|
| Hospital Charge Code |
34300005
|
|
Hospital Revenue Code
|
343
|
| Min. Negotiated Rate |
$165.02 |
| Max. Negotiated Rate |
$446.00 |
| Rate for Payer: Aetna Commercial |
$401.40
|
| Rate for Payer: Aetna Medicare |
$165.02
|
| Rate for Payer: ASR ASR |
$432.62
|
| Rate for Payer: BCBS Complete |
$178.40
|
| Rate for Payer: BCBS Trust/PPO |
$367.73
|
| Rate for Payer: BCN Commercial |
$367.73
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$419.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Healthscope Commercial |
$432.62
|
| Rate for Payer: Healthscope Whirlpool |
$446.00
|
| Rate for Payer: Mclaren Commercial |
$401.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$356.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: Nomi Health Commercial |
$365.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$334.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$212.46
|
| Rate for Payer: Priority Health Narrow Network |
$169.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$392.48
|
|
|
HC DUAL LEAD INSERTION
|
Facility
|
IP
|
$12,964.56
|
|
|
Service Code
|
CPT 33217
|
| Hospital Charge Code |
36100066
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,723.42 |
| Max. Negotiated Rate |
$12,964.56 |
| Rate for Payer: Aetna Commercial |
$11,668.10
|
| Rate for Payer: ASR ASR |
$12,575.62
|
| Rate for Payer: BCBS Trust/PPO |
$10,646.50
|
| Rate for Payer: BCN Commercial |
$10,646.50
|
| Rate for Payer: Cash Price |
$10,371.65
|
| Rate for Payer: Cofinity Commercial |
$12,186.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,371.65
|
| Rate for Payer: Healthscope Commercial |
$12,575.62
|
| Rate for Payer: Healthscope Whirlpool |
$12,964.56
|
| Rate for Payer: Mclaren Commercial |
$11,668.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,019.88
|
| Rate for Payer: Nomi Health Commercial |
$10,630.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,723.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,408.81
|
|
|
HC DUAL LEAD INSERTION
|
Facility
|
OP
|
$12,964.56
|
|
|
Service Code
|
CPT 33217
|
| Hospital Charge Code |
36100066
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,312.46 |
| Max. Negotiated Rate |
$12,964.56 |
| Rate for Payer: Aetna Commercial |
$11,668.10
|
| Rate for Payer: Aetna Medicare |
$8,245.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,307.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,307.04
|
| Rate for Payer: ASR ASR |
$12,575.62
|
| Rate for Payer: BCBS Complete |
$4,528.50
|
| Rate for Payer: BCBS MAPPO |
$8,245.63
|
| Rate for Payer: BCBS Trust/PPO |
$10,689.28
|
| Rate for Payer: BCN Commercial |
$10,689.28
|
| Rate for Payer: BCN Medicare Advantage |
$8,245.63
|
| Rate for Payer: Cash Price |
$10,371.65
|
| Rate for Payer: Cash Price |
$10,371.65
|
| Rate for Payer: Cofinity Commercial |
$12,186.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10,371.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,245.63
|
| Rate for Payer: Healthscope Commercial |
$12,575.62
|
| Rate for Payer: Healthscope Whirlpool |
$12,964.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,245.63
|
| Rate for Payer: Mclaren Commercial |
$11,668.10
|
| Rate for Payer: Mclaren Medicaid |
$8,245.63
|
| Rate for Payer: Mclaren Medicare |
$8,245.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,657.91
|
| Rate for Payer: Meridian Medicaid |
$4,528.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,482.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,070.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,019.88
|
| Rate for Payer: Nomi Health Commercial |
$10,630.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9,723.42
|
| Rate for Payer: PACE Medicare |
$7,833.35
|
| Rate for Payer: PACE SWMI |
$8,245.63
|
| Rate for Payer: PHP Commercial |
$9,070.19
|
| Rate for Payer: PHP Medicaid |
$4,419.66
|
| Rate for Payer: PHP Medicare Advantage |
$8,245.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,312.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$11,359.55
|
| Rate for Payer: Priority Health Medicare |
$8,245.63
|
| Rate for Payer: Priority Health Narrow Network |
$9,088.16
|
| Rate for Payer: Railroad Medicare Medicare |
$8,245.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11,408.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,245.63
|
| Rate for Payer: UHC Exchange |
$12,780.73
|
| Rate for Payer: UHC Medicaid |
$4,312.46
|
| Rate for Payer: UHCCP DNSP |
$8,245.63
|
| Rate for Payer: UHCCP Medicaid |
$4,312.46
|
| Rate for Payer: VA VA |
$8,245.63
|
|
|
HC DUCK FEATHERS IGE
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
30200083
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$25.90 |
| Rate for Payer: Aetna Commercial |
$23.31
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.53
|
| Rate for Payer: ASR ASR |
$25.12
|
| Rate for Payer: BCBS Complete |
$2.87
|
| Rate for Payer: BCBS MAPPO |
$5.22
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$5.22
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$24.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.22
|
| Rate for Payer: Healthscope Commercial |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$25.90
|
| Rate for Payer: Humana Choice PPO Medicare |
$5.22
|
| Rate for Payer: Mclaren Commercial |
$23.31
|
| Rate for Payer: Mclaren Medicaid |
$5.22
|
| Rate for Payer: Mclaren Medicare |
$5.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.48
|
| Rate for Payer: Meridian Medicaid |
$2.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: PACE Medicare |
$4.96
|
| Rate for Payer: PACE SWMI |
$5.22
|
| Rate for Payer: PHP Commercial |
$5.74
|
| Rate for Payer: PHP Medicaid |
$2.80
|
| Rate for Payer: PHP Medicare Advantage |
$5.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.69
|
| Rate for Payer: Priority Health Medicare |
$5.22
|
| Rate for Payer: Priority Health Narrow Network |
$18.16
|
| Rate for Payer: Railroad Medicare Medicare |
$5.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.22
|
| Rate for Payer: UHC Exchange |
$8.09
|
| Rate for Payer: UHC Medicaid |
$2.73
|
| Rate for Payer: UHCCP DNSP |
$5.22
|
| Rate for Payer: UHCCP Medicaid |
$2.73
|
| Rate for Payer: VA VA |
$5.22
|
|
