|
HC INFUSION CATH LVL 12
|
Facility
|
IP
|
$1,272.93
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200312
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$954.70 |
| Max. Negotiated Rate |
$1,272.93 |
| Rate for Payer: Aetna Commercial |
$1,145.64
|
| Rate for Payer: ASR ASR |
$1,234.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,045.33
|
| Rate for Payer: BCN Commercial |
$1,045.33
|
| Rate for Payer: Cash Price |
$1,018.34
|
| Rate for Payer: Cofinity Commercial |
$1,196.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,018.34
|
| Rate for Payer: Healthscope Commercial |
$1,234.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,272.93
|
| Rate for Payer: Mclaren Commercial |
$1,145.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,081.99
|
| Rate for Payer: Nomi Health Commercial |
$1,043.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$954.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,120.18
|
|
|
HC INFUSION CATH LVL 13
|
Facility
|
OP
|
$1,380.06
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200313
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$510.62 |
| Max. Negotiated Rate |
$1,380.06 |
| Rate for Payer: Aetna Commercial |
$1,242.05
|
| Rate for Payer: Aetna Medicare |
$510.62
|
| Rate for Payer: ASR ASR |
$1,338.66
|
| Rate for Payer: BCBS Complete |
$552.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,137.86
|
| Rate for Payer: BCN Commercial |
$1,137.86
|
| Rate for Payer: Cash Price |
$1,104.05
|
| Rate for Payer: Cofinity Commercial |
$1,297.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,104.05
|
| Rate for Payer: Healthscope Commercial |
$1,338.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.06
|
| Rate for Payer: Mclaren Commercial |
$1,242.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,104.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,173.05
|
| Rate for Payer: Nomi Health Commercial |
$1,131.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,035.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,209.21
|
| Rate for Payer: Priority Health Narrow Network |
$967.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,214.45
|
|
|
HC INFUSION CATH LVL 13
|
Facility
|
IP
|
$1,380.06
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200313
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,035.05 |
| Max. Negotiated Rate |
$1,380.06 |
| Rate for Payer: Aetna Commercial |
$1,242.05
|
| Rate for Payer: ASR ASR |
$1,338.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,133.31
|
| Rate for Payer: BCN Commercial |
$1,133.31
|
| Rate for Payer: Cash Price |
$1,104.05
|
| Rate for Payer: Cofinity Commercial |
$1,297.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,104.05
|
| Rate for Payer: Healthscope Commercial |
$1,338.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,380.06
|
| Rate for Payer: Mclaren Commercial |
$1,242.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,173.05
|
| Rate for Payer: Nomi Health Commercial |
$1,131.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,035.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,214.45
|
|
|
HC INFUSION CATH LVL 14
|
Facility
|
IP
|
$1,475.84
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200267
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,106.88 |
| Max. Negotiated Rate |
$1,475.84 |
| Rate for Payer: Aetna Commercial |
$1,328.26
|
| Rate for Payer: ASR ASR |
$1,431.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,211.96
|
| Rate for Payer: BCN Commercial |
$1,211.96
|
| Rate for Payer: Cash Price |
$1,180.67
|
| Rate for Payer: Cofinity Commercial |
$1,387.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,180.67
|
| Rate for Payer: Healthscope Commercial |
$1,431.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,475.84
|
| Rate for Payer: Mclaren Commercial |
$1,328.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,254.46
|
| Rate for Payer: Nomi Health Commercial |
$1,210.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,106.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,298.74
|
|
|
HC INFUSION CATH LVL 14
|
Facility
|
OP
|
$1,475.84
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200267
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$546.06 |
| Max. Negotiated Rate |
$1,475.84 |
| Rate for Payer: Aetna Commercial |
$1,328.26
|
| Rate for Payer: Aetna Medicare |
$546.06
|
| Rate for Payer: ASR ASR |
$1,431.56
|
| Rate for Payer: BCBS Complete |
$590.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,216.83
|
| Rate for Payer: BCN Commercial |
$1,216.83
|
| Rate for Payer: Cash Price |
$1,180.67
|
| Rate for Payer: Cofinity Commercial |
$1,387.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,180.67
|
| Rate for Payer: Healthscope Commercial |
$1,431.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,475.84
|
| Rate for Payer: Mclaren Commercial |
$1,328.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,180.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,254.46
|
| Rate for Payer: Nomi Health Commercial |
$1,210.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,106.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,293.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,034.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,298.74
|
|
|
HC INFUSION CATH LVL 4
|
Facility
|
OP
|
$459.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200093
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$169.83 |
| Max. Negotiated Rate |
$459.00 |
| Rate for Payer: Aetna Commercial |
$413.10
|
| Rate for Payer: Aetna Medicare |
$169.83
|
| Rate for Payer: ASR ASR |
$445.23
|
| Rate for Payer: BCBS Complete |
$183.60
|
| Rate for Payer: BCBS Trust/PPO |
$378.45
|
| Rate for Payer: BCN Commercial |
$378.45
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Cofinity Commercial |
$431.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$367.20
|
| Rate for Payer: Healthscope Commercial |
$445.23
|
| Rate for Payer: Healthscope Whirlpool |
$459.00
|
| Rate for Payer: Mclaren Commercial |
$413.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$367.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$390.15
|
| Rate for Payer: Nomi Health Commercial |
$376.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$344.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$402.18
|
| Rate for Payer: Priority Health Narrow Network |
$321.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$403.92
|
|
|
HC INFUSION CATH LVL 4
|
Facility
|
IP
|
$459.00
|
|
|
Service Code
|
HCPCS C1751
|
| Hospital Charge Code |
27200093
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$344.25 |
| Max. Negotiated Rate |
$459.00 |
| Rate for Payer: Aetna Commercial |
$413.10
|
| Rate for Payer: ASR ASR |
$445.23
|
| Rate for Payer: BCBS Trust/PPO |
$376.93
|
| Rate for Payer: BCN Commercial |
$376.93
|
| Rate for Payer: Cash Price |
$367.20
|
| Rate for Payer: Cofinity Commercial |
$431.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$367.20
|
| Rate for Payer: Healthscope Commercial |
$445.23
|
| Rate for Payer: Healthscope Whirlpool |
$459.00
|
| Rate for Payer: Mclaren Commercial |
$413.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$390.15
|
| Rate for Payer: Nomi Health Commercial |
$376.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$344.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$403.92
|
|
|
HC INFUSION CATH LVL 5
|
Facility
|
IP
|
$595.35
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
27200296
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$446.51 |
| Max. Negotiated Rate |
$595.35 |
| Rate for Payer: Aetna Commercial |
$535.82
|
| Rate for Payer: ASR ASR |
$577.49
|
| Rate for Payer: BCBS Trust/PPO |
$488.90
|
| Rate for Payer: BCN Commercial |
$488.90
|
| Rate for Payer: Cash Price |
$476.28
|
| Rate for Payer: Cofinity Commercial |
$559.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.28
|
| Rate for Payer: Healthscope Commercial |
$577.49
|
| Rate for Payer: Healthscope Whirlpool |
$595.35
|
| Rate for Payer: Mclaren Commercial |
$535.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.05
|
| Rate for Payer: Nomi Health Commercial |
$488.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$446.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$523.91
|
|
|
HC INFUSION CATH LVL 5
|
Facility
|
OP
|
$595.35
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
27200296
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$220.28 |
| Max. Negotiated Rate |
$595.35 |
| Rate for Payer: Aetna Commercial |
$535.82
|
| Rate for Payer: Aetna Medicare |
$220.28
|
| Rate for Payer: ASR ASR |
$577.49
|
| Rate for Payer: BCBS Complete |
$238.14
|
| Rate for Payer: BCBS Trust/PPO |
$490.87
|
| Rate for Payer: BCN Commercial |
$490.87
|
| Rate for Payer: Cash Price |
$476.28
|
| Rate for Payer: Cofinity Commercial |
$559.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.28
|
| Rate for Payer: Healthscope Commercial |
$577.49
|
| Rate for Payer: Healthscope Whirlpool |
$595.35
|
| Rate for Payer: Mclaren Commercial |
$535.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$476.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.05
|
| Rate for Payer: Nomi Health Commercial |
$488.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$446.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$521.65
|
| Rate for Payer: Priority Health Narrow Network |
$417.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$523.91
|
|
|
HC INFUSION CATH LVL 8
|
Facility
|
IP
|
$843.51
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
27200309
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$632.63 |
| Max. Negotiated Rate |
$843.51 |
| Rate for Payer: Aetna Commercial |
$759.16
|
| Rate for Payer: ASR ASR |
$818.20
|
| Rate for Payer: BCBS Trust/PPO |
$692.69
|
| Rate for Payer: BCN Commercial |
$692.69
|
| Rate for Payer: Cash Price |
$674.81
|
| Rate for Payer: Cofinity Commercial |
$792.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.81
|
| Rate for Payer: Healthscope Commercial |
$818.20
|
| Rate for Payer: Healthscope Whirlpool |
$843.51
|
| Rate for Payer: Mclaren Commercial |
$759.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.98
|
| Rate for Payer: Nomi Health Commercial |
$691.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$742.29
|
|
|
HC INFUSION CATH LVL 8
|
Facility
|
OP
|
$843.51
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
27200309
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$312.10 |
| Max. Negotiated Rate |
$843.51 |
| Rate for Payer: Aetna Commercial |
$759.16
|
| Rate for Payer: Aetna Medicare |
$312.10
|
| Rate for Payer: ASR ASR |
$818.20
|
| Rate for Payer: BCBS Complete |
$337.40
|
| Rate for Payer: BCBS Trust/PPO |
$695.47
|
| Rate for Payer: BCN Commercial |
$695.47
|
| Rate for Payer: Cash Price |
$674.81
|
| Rate for Payer: Cofinity Commercial |
$792.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.81
|
| Rate for Payer: Healthscope Commercial |
$818.20
|
| Rate for Payer: Healthscope Whirlpool |
$843.51
|
| Rate for Payer: Mclaren Commercial |
$759.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$674.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.98
|
| Rate for Payer: Nomi Health Commercial |
$691.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$739.08
|
| Rate for Payer: Priority Health Narrow Network |
$591.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$742.29
|
|
|
HC INGESTION CHALLENGE TEST EA ADDL 60 MIN
|
Facility
|
IP
|
$228.89
|
|
|
Service Code
|
CPT 95079
|
| Hospital Charge Code |
51000115
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$171.67 |
| Max. Negotiated Rate |
$228.89 |
| Rate for Payer: Aetna Commercial |
$206.00
|
| Rate for Payer: ASR ASR |
$222.02
|
| Rate for Payer: BCBS Trust/PPO |
$187.96
|
| Rate for Payer: BCN Commercial |
$187.96
|
| Rate for Payer: Cash Price |
$183.11
|
| Rate for Payer: Cofinity Commercial |
$215.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.11
|
| Rate for Payer: Healthscope Commercial |
$222.02
|
| Rate for Payer: Healthscope Whirlpool |
$228.89
|
| Rate for Payer: Mclaren Commercial |
$206.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.56
|
| Rate for Payer: Nomi Health Commercial |
$187.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.42
|
|
|
HC INGESTION CHALLENGE TEST EA ADDL 60 MIN
|
Facility
|
OP
|
$228.89
|
|
|
Service Code
|
CPT 95079
|
| Hospital Charge Code |
51000115
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$84.69 |
| Max. Negotiated Rate |
$228.89 |
| Rate for Payer: Aetna Commercial |
$206.00
|
| Rate for Payer: Aetna Medicare |
$84.69
|
| Rate for Payer: ASR ASR |
$222.02
|
| Rate for Payer: BCBS Complete |
$91.56
|
| Rate for Payer: BCBS Trust/PPO |
$188.72
|
| Rate for Payer: BCN Commercial |
$188.72
|
| Rate for Payer: Cash Price |
$183.11
|
| Rate for Payer: Cash Price |
$183.11
|
| Rate for Payer: Cofinity Commercial |
$215.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.11
|
| Rate for Payer: Healthscope Commercial |
$222.02
|
| Rate for Payer: Healthscope Whirlpool |
$228.89
|
| Rate for Payer: Mclaren Commercial |
$206.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.56
|
| Rate for Payer: Nomi Health Commercial |
$187.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$173.27
|
| Rate for Payer: Priority Health Narrow Network |
$138.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$201.42
|
|
|
HC INGESTION CHALLENGE TEST INIT 120 MIN
|
Facility
|
IP
|
$1,458.59
|
|
|
Service Code
|
CPT 95076
|
| Hospital Charge Code |
51000114
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,093.94 |
| Max. Negotiated Rate |
$1,458.59 |
| Rate for Payer: Aetna Commercial |
$1,312.73
|
| Rate for Payer: ASR ASR |
$1,414.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,197.79
|
| Rate for Payer: BCN Commercial |
$1,197.79
|
| Rate for Payer: Cash Price |
$1,166.87
|
| Rate for Payer: Cofinity Commercial |
$1,371.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,166.87
|
| Rate for Payer: Healthscope Commercial |
$1,414.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,458.59
|
| Rate for Payer: Mclaren Commercial |
$1,312.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,239.80
|
| Rate for Payer: Nomi Health Commercial |
$1,196.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,093.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,283.56
|
|
|
HC INGESTION CHALLENGE TEST INIT 120 MIN
|
Facility
|
OP
|
$1,458.59
|
|
|
Service Code
|
CPT 95076
|
| Hospital Charge Code |
51000114
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$194.46 |
| Max. Negotiated Rate |
$1,458.59 |
| Rate for Payer: Aetna Commercial |
$1,312.73
|
| Rate for Payer: Aetna Medicare |
$371.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$464.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$464.77
|
| Rate for Payer: ASR ASR |
$1,414.83
|
| Rate for Payer: BCBS Complete |
$204.20
|
| Rate for Payer: BCBS MAPPO |
$371.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.61
|
| Rate for Payer: BCN Commercial |
$1,202.61
|
| Rate for Payer: BCN Medicare Advantage |
$371.82
|
| Rate for Payer: Cash Price |
$1,166.87
|
| Rate for Payer: Cash Price |
$1,166.87
|
| Rate for Payer: Cofinity Commercial |
$1,371.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,166.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.82
|
| Rate for Payer: Healthscope Commercial |
$1,414.83
|
| Rate for Payer: Healthscope Whirlpool |
$1,458.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$371.82
|
| Rate for Payer: Mclaren Commercial |
$1,312.73
|
| Rate for Payer: Mclaren Medicaid |
$371.82
|
| Rate for Payer: Mclaren Medicare |
$371.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.41
|
| Rate for Payer: Meridian Medicaid |
$204.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$427.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$409.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,239.80
|
| Rate for Payer: Nomi Health Commercial |
$1,196.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,093.94
|
| Rate for Payer: PACE Medicare |
$353.23
|
| Rate for Payer: PACE SWMI |
$371.82
|
| Rate for Payer: PHP Commercial |
$409.00
|
| Rate for Payer: PHP Medicaid |
$199.30
|
| Rate for Payer: PHP Medicare Advantage |
$371.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$381.95
|
| Rate for Payer: Priority Health Medicare |
$371.82
|
| Rate for Payer: Priority Health Narrow Network |
$305.56
|
| Rate for Payer: Railroad Medicare Medicare |
$371.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,283.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$371.82
|
| Rate for Payer: UHC Exchange |
$576.32
|
| Rate for Payer: UHC Medicaid |
$194.46
|
| Rate for Payer: UHCCP DNSP |
$371.82
|
| Rate for Payer: UHCCP Medicaid |
$194.46
|
| Rate for Payer: VA VA |
$371.82
|
|
|
HC INHALATION BRONCHIAL CHALLENGE TESTING
|
Facility
|
OP
|
$504.95
|
|
|
Service Code
|
CPT 95070
|
| Hospital Charge Code |
46000028
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$194.46 |
| Max. Negotiated Rate |
$576.32 |
| Rate for Payer: Aetna Commercial |
$454.45
|
| Rate for Payer: Aetna Medicare |
$371.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$464.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$464.77
|
| Rate for Payer: ASR ASR |
$489.80
|
| Rate for Payer: BCBS Complete |
$204.20
|
| Rate for Payer: BCBS MAPPO |
$371.82
|
| Rate for Payer: BCBS Trust/PPO |
$416.33
|
| Rate for Payer: BCN Commercial |
$416.33
|
| Rate for Payer: BCN Medicare Advantage |
$371.82
|
| Rate for Payer: Cash Price |
$403.96
|
| Rate for Payer: Cash Price |
$403.96
|
| Rate for Payer: Cofinity Commercial |
$474.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$403.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.82
|
| Rate for Payer: Healthscope Commercial |
$489.80
|
| Rate for Payer: Healthscope Whirlpool |
$504.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$371.82
|
| Rate for Payer: Mclaren Commercial |
$454.45
|
| Rate for Payer: Mclaren Medicaid |
$371.82
|
| Rate for Payer: Mclaren Medicare |
$371.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.41
|
| Rate for Payer: Meridian Medicaid |
$204.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$427.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$409.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$429.21
|
| Rate for Payer: Nomi Health Commercial |
$414.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$378.71
|
| Rate for Payer: PACE Medicare |
$353.23
|
| Rate for Payer: PACE SWMI |
$371.82
|
| Rate for Payer: PHP Commercial |
$409.00
|
| Rate for Payer: PHP Medicaid |
$199.30
|
| Rate for Payer: PHP Medicare Advantage |
$371.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$442.44
|
| Rate for Payer: Priority Health Medicare |
$371.82
|
| Rate for Payer: Priority Health Narrow Network |
$353.97
|
| Rate for Payer: Railroad Medicare Medicare |
$371.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$444.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$371.82
|
| Rate for Payer: UHC Exchange |
$576.32
|
| Rate for Payer: UHC Medicaid |
$194.46
|
| Rate for Payer: UHCCP DNSP |
$371.82
|
| Rate for Payer: UHCCP Medicaid |
$194.46
|
| Rate for Payer: VA VA |
$371.82
|
|
|
HC INHALATION BRONCHIAL CHALLENGE TESTING
|
Facility
|
IP
|
$504.95
|
|
|
Service Code
|
CPT 95070
|
| Hospital Charge Code |
46000028
|
|
Hospital Revenue Code
|
460
|
| Min. Negotiated Rate |
$378.71 |
| Max. Negotiated Rate |
$504.95 |
| Rate for Payer: Aetna Commercial |
$454.45
|
| Rate for Payer: ASR ASR |
$489.80
|
| Rate for Payer: BCBS Trust/PPO |
$414.66
|
| Rate for Payer: BCN Commercial |
$414.66
|
| Rate for Payer: Cash Price |
$403.96
|
| Rate for Payer: Cofinity Commercial |
$474.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$403.96
|
| Rate for Payer: Healthscope Commercial |
$489.80
|
| Rate for Payer: Healthscope Whirlpool |
$504.95
|
| Rate for Payer: Mclaren Commercial |
$454.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$429.21
|
| Rate for Payer: Nomi Health Commercial |
$414.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$378.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$444.36
|
|
|
HC INHIBIN A, TUMOR MARKER, S
|
Facility
|
IP
|
$74.91
|
|
|
Service Code
|
CPT 86336
|
| Hospital Charge Code |
30200460
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$56.18 |
| Max. Negotiated Rate |
$74.91 |
| Rate for Payer: Aetna Commercial |
$67.42
|
| Rate for Payer: ASR ASR |
$72.66
|
| Rate for Payer: BCBS Trust/PPO |
$61.52
|
| Rate for Payer: BCN Commercial |
$61.52
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Commercial |
$70.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Healthscope Commercial |
$72.66
|
| Rate for Payer: Healthscope Whirlpool |
$74.91
|
| Rate for Payer: Mclaren Commercial |
$67.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Nomi Health Commercial |
$61.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.92
|
|
|
HC INHIBIN A, TUMOR MARKER, S
|
Facility
|
OP
|
$74.91
|
|
|
Service Code
|
CPT 86336
|
| Hospital Charge Code |
30200460
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$116.21 |
| Rate for Payer: Aetna Commercial |
$67.42
|
| Rate for Payer: Aetna Medicare |
$15.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.49
|
| Rate for Payer: ASR ASR |
$72.66
|
| Rate for Payer: BCBS Complete |
$8.56
|
| Rate for Payer: BCBS MAPPO |
$15.59
|
| Rate for Payer: BCBS Trust/PPO |
$61.76
|
| Rate for Payer: BCN Commercial |
$61.76
|
| Rate for Payer: BCN Medicare Advantage |
$15.59
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cash Price |
$59.93
|
| Rate for Payer: Cofinity Commercial |
$70.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.59
|
| Rate for Payer: Healthscope Commercial |
$72.66
|
| Rate for Payer: Healthscope Whirlpool |
$74.91
|
| Rate for Payer: Humana Choice PPO Medicare |
$15.59
|
| Rate for Payer: Mclaren Commercial |
$67.42
|
| Rate for Payer: Mclaren Medicaid |
$15.59
|
| Rate for Payer: Mclaren Medicare |
$15.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.37
|
| Rate for Payer: Meridian Medicaid |
$8.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.67
|
| Rate for Payer: Nomi Health Commercial |
$61.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.18
|
| Rate for Payer: PACE Medicare |
$14.81
|
| Rate for Payer: PACE SWMI |
$15.59
|
| Rate for Payer: PHP Commercial |
$17.15
|
| Rate for Payer: PHP Medicaid |
$8.36
|
| Rate for Payer: PHP Medicare Advantage |
$15.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$116.21
|
| Rate for Payer: Priority Health Medicare |
$15.59
|
| Rate for Payer: Priority Health Narrow Network |
$92.97
|
| Rate for Payer: Railroad Medicare Medicare |
$15.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$65.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.59
|
| Rate for Payer: UHC Exchange |
$24.16
|
| Rate for Payer: UHC Medicaid |
$8.15
|
| Rate for Payer: UHCCP DNSP |
$15.59
|
| Rate for Payer: UHCCP Medicaid |
$8.15
|
| Rate for Payer: VA VA |
$15.59
|
|
|
HC INHIBIN B, CMPT
|
Facility
|
OP
|
$50.94
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100693
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.03 |
| Max. Negotiated Rate |
$345.01 |
| Rate for Payer: Aetna Commercial |
$45.85
|
| Rate for Payer: Aetna Medicare |
$17.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$21.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$21.59
|
| Rate for Payer: ASR ASR |
$49.41
|
| Rate for Payer: BCBS Complete |
$9.48
|
| Rate for Payer: BCBS MAPPO |
$17.27
|
| Rate for Payer: BCBS Trust/PPO |
$42.00
|
| Rate for Payer: BCN Commercial |
$42.00
|
| Rate for Payer: BCN Medicare Advantage |
$17.27
|
| Rate for Payer: Cash Price |
$40.75
|
| Rate for Payer: Cash Price |
$40.75
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.27
|
| Rate for Payer: Healthscope Commercial |
$49.41
|
| Rate for Payer: Healthscope Whirlpool |
$50.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.27
|
| Rate for Payer: Mclaren Commercial |
$45.85
|
| Rate for Payer: Mclaren Medicaid |
$17.27
|
| Rate for Payer: Mclaren Medicare |
$17.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.13
|
| Rate for Payer: Meridian Medicaid |
$9.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.30
|
| Rate for Payer: Nomi Health Commercial |
$41.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.20
|
| Rate for Payer: PACE Medicare |
$16.41
|
| Rate for Payer: PACE SWMI |
$17.27
|
| Rate for Payer: PHP Commercial |
$19.00
|
| Rate for Payer: PHP Medicaid |
$9.26
|
| Rate for Payer: PHP Medicare Advantage |
$17.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$345.01
|
| Rate for Payer: Priority Health Medicare |
$17.27
|
| Rate for Payer: Priority Health Narrow Network |
$276.01
|
| Rate for Payer: Railroad Medicare Medicare |
$17.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.27
|
| Rate for Payer: UHC Exchange |
$26.77
|
| Rate for Payer: UHC Medicaid |
$9.03
|
| Rate for Payer: UHCCP DNSP |
$17.27
|
| Rate for Payer: UHCCP Medicaid |
$9.03
|
| Rate for Payer: VA VA |
$17.27
|
|
|
HC INHIBIN B, CMPT
|
Facility
|
IP
|
$50.94
|
|
|
Service Code
|
CPT 83520
|
| Hospital Charge Code |
30100693
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.20 |
| Max. Negotiated Rate |
$50.94 |
| Rate for Payer: Aetna Commercial |
$45.85
|
| Rate for Payer: ASR ASR |
$49.41
|
| Rate for Payer: BCBS Trust/PPO |
$41.83
|
| Rate for Payer: BCN Commercial |
$41.83
|
| Rate for Payer: Cash Price |
$40.75
|
| Rate for Payer: Cofinity Commercial |
$47.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$40.75
|
| Rate for Payer: Healthscope Commercial |
$49.41
|
| Rate for Payer: Healthscope Whirlpool |
$50.94
|
| Rate for Payer: Mclaren Commercial |
$45.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43.30
|
| Rate for Payer: Nomi Health Commercial |
$41.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$38.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.83
|
|
|
HC INITIAL PREV PHYS EXAM, FIRST 12MOS MEDICARE ENROLLMENT
|
Facility
|
OP
|
$184.55
|
|
|
Service Code
|
CPT G0402
|
| Hospital Charge Code |
51000096
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$69.38 |
| Max. Negotiated Rate |
$205.62 |
| Rate for Payer: Aetna Commercial |
$166.09
|
| Rate for Payer: Aetna Medicare |
$132.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$165.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$165.82
|
| Rate for Payer: ASR ASR |
$179.01
|
| Rate for Payer: BCBS Complete |
$72.86
|
| Rate for Payer: BCBS MAPPO |
$132.66
|
| Rate for Payer: BCBS Trust/PPO |
$152.16
|
| Rate for Payer: BCN Commercial |
$152.16
|
| Rate for Payer: BCN Medicare Advantage |
$132.66
|
| Rate for Payer: Cash Price |
$147.64
|
| Rate for Payer: Cash Price |
$147.64
|
| Rate for Payer: Cofinity Commercial |
$173.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.66
|
| Rate for Payer: Healthscope Commercial |
$179.01
|
| Rate for Payer: Healthscope Whirlpool |
$184.55
|
| Rate for Payer: Humana Choice PPO Medicare |
$132.66
|
| Rate for Payer: Mclaren Commercial |
$166.09
|
| Rate for Payer: Mclaren Medicaid |
$132.66
|
| Rate for Payer: Mclaren Medicare |
$132.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$139.29
|
| Rate for Payer: Meridian Medicaid |
$72.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$145.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.87
|
| Rate for Payer: Nomi Health Commercial |
$151.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.41
|
| Rate for Payer: PACE Medicare |
$126.03
|
| Rate for Payer: PACE SWMI |
$132.66
|
| Rate for Payer: PHP Commercial |
$145.93
|
| Rate for Payer: PHP Medicaid |
$71.11
|
| Rate for Payer: PHP Medicare Advantage |
$132.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$161.70
|
| Rate for Payer: Priority Health Medicare |
$132.66
|
| Rate for Payer: Priority Health Narrow Network |
$129.37
|
| Rate for Payer: Railroad Medicare Medicare |
$132.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$162.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$132.66
|
| Rate for Payer: UHC Exchange |
$205.62
|
| Rate for Payer: UHC Medicaid |
$69.38
|
| Rate for Payer: UHCCP DNSP |
$132.66
|
| Rate for Payer: UHCCP Medicaid |
$69.38
|
| Rate for Payer: VA VA |
$132.66
|
|
|
HC INITIAL PREV PHYS EXAM, FIRST 12MOS MEDICARE ENROLLMENT
|
Facility
|
IP
|
$184.55
|
|
|
Service Code
|
CPT G0402
|
| Hospital Charge Code |
51000096
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$138.41 |
| Max. Negotiated Rate |
$184.55 |
| Rate for Payer: Aetna Commercial |
$166.09
|
| Rate for Payer: ASR ASR |
$179.01
|
| Rate for Payer: BCBS Trust/PPO |
$151.55
|
| Rate for Payer: BCN Commercial |
$151.55
|
| Rate for Payer: Cash Price |
$147.64
|
| Rate for Payer: Cofinity Commercial |
$173.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.64
|
| Rate for Payer: Healthscope Commercial |
$179.01
|
| Rate for Payer: Healthscope Whirlpool |
$184.55
|
| Rate for Payer: Mclaren Commercial |
$166.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.87
|
| Rate for Payer: Nomi Health Commercial |
$151.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$138.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$162.40
|
|
|
HC INITIATION PROLONGED INFUSION REQUIRING PUMP
|
Facility
|
OP
|
$591.27
|
|
|
Service Code
|
HCPCS C8957
|
| Hospital Charge Code |
26000012
|
|
Hospital Revenue Code
|
260
|
| Min. Negotiated Rate |
$110.84 |
| Max. Negotiated Rate |
$591.27 |
| Rate for Payer: Aetna Commercial |
$532.14
|
| Rate for Payer: Aetna Medicare |
$211.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$264.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$264.93
|
| Rate for Payer: ASR ASR |
$573.53
|
| Rate for Payer: BCBS Complete |
$116.40
|
| Rate for Payer: BCBS MAPPO |
$211.94
|
| Rate for Payer: BCBS Trust/PPO |
$487.50
|
| Rate for Payer: BCN Commercial |
$487.50
|
| Rate for Payer: BCN Medicare Advantage |
$211.94
|
| Rate for Payer: Cash Price |
$473.02
|
| Rate for Payer: Cash Price |
$473.02
|
| Rate for Payer: Cofinity Commercial |
$555.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$473.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.94
|
| Rate for Payer: Healthscope Commercial |
$573.53
|
| Rate for Payer: Healthscope Whirlpool |
$591.27
|
| Rate for Payer: Humana Choice PPO Medicare |
$211.94
|
| Rate for Payer: Mclaren Commercial |
$532.14
|
| Rate for Payer: Mclaren Medicaid |
$211.94
|
| Rate for Payer: Mclaren Medicare |
$211.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.54
|
| Rate for Payer: Meridian Medicaid |
$116.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$243.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$233.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$502.58
|
| Rate for Payer: Nomi Health Commercial |
$484.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$443.45
|
| Rate for Payer: PACE Medicare |
$201.34
|
| Rate for Payer: PACE SWMI |
$211.94
|
| Rate for Payer: PHP Commercial |
$233.13
|
| Rate for Payer: PHP Medicaid |
$113.60
|
| Rate for Payer: PHP Medicare Advantage |
$211.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$518.07
|
| Rate for Payer: Priority Health Medicare |
$211.94
|
| Rate for Payer: Priority Health Narrow Network |
$414.48
|
| Rate for Payer: Railroad Medicare Medicare |
$211.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$520.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$211.94
|
| Rate for Payer: UHC Exchange |
$328.51
|
| Rate for Payer: UHC Medicaid |
$110.84
|
| Rate for Payer: UHCCP DNSP |
$211.94
|
| Rate for Payer: UHCCP Medicaid |
$110.84
|
| Rate for Payer: VA VA |
$211.94
|
|
|
HC INITIATION PROLONGED INFUSION REQUIRING PUMP
|
Facility
|
IP
|
$591.27
|
|
|
Service Code
|
HCPCS C8957
|
| Hospital Charge Code |
26000012
|
|
Hospital Revenue Code
|
260
|
| Min. Negotiated Rate |
$443.45 |
| Max. Negotiated Rate |
$591.27 |
| Rate for Payer: Aetna Commercial |
$532.14
|
| Rate for Payer: ASR ASR |
$573.53
|
| Rate for Payer: BCBS Trust/PPO |
$485.55
|
| Rate for Payer: BCN Commercial |
$485.55
|
| Rate for Payer: Cash Price |
$473.02
|
| Rate for Payer: Cofinity Commercial |
$555.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$473.02
|
| Rate for Payer: Healthscope Commercial |
$573.53
|
| Rate for Payer: Healthscope Whirlpool |
$591.27
|
| Rate for Payer: Mclaren Commercial |
$532.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$502.58
|
| Rate for Payer: Nomi Health Commercial |
$484.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$443.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$520.32
|
|
