|
HC IV/SQ INJ CASIRIVIMAB/IMDEVIMAB SUBSEQ
|
Facility
|
OP
|
$545.47
|
|
|
Service Code
|
CPT M0240
|
| Hospital Charge Code |
77100030
|
|
Hospital Revenue Code
|
771
|
| Min. Negotiated Rate |
$201.82 |
| Max. Negotiated Rate |
$545.47 |
| Rate for Payer: Aetna Commercial |
$490.92
|
| Rate for Payer: Aetna Medicare |
$201.82
|
| Rate for Payer: ASR ASR |
$529.11
|
| Rate for Payer: BCBS Complete |
$218.19
|
| Rate for Payer: BCBS Trust/PPO |
$449.74
|
| Rate for Payer: BCN Commercial |
$449.74
|
| Rate for Payer: Cash Price |
$436.38
|
| Rate for Payer: Cofinity Commercial |
$512.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$436.38
|
| Rate for Payer: Healthscope Commercial |
$529.11
|
| Rate for Payer: Healthscope Whirlpool |
$545.47
|
| Rate for Payer: Mclaren Commercial |
$490.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$436.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$463.65
|
| Rate for Payer: Nomi Health Commercial |
$447.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$409.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$477.94
|
| Rate for Payer: Priority Health Narrow Network |
$382.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$480.01
|
|
|
HC IVUS CATHETER
|
Facility
|
IP
|
$2,794.15
|
|
|
Service Code
|
HCPCS C1753
|
| Hospital Charge Code |
27200052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,095.61 |
| Max. Negotiated Rate |
$2,794.15 |
| Rate for Payer: Aetna Commercial |
$2,514.74
|
| Rate for Payer: ASR ASR |
$2,710.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.56
|
| Rate for Payer: BCN Commercial |
$2,294.56
|
| Rate for Payer: Cash Price |
$2,235.32
|
| Rate for Payer: Cofinity Commercial |
$2,626.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.32
|
| Rate for Payer: Healthscope Commercial |
$2,710.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,794.15
|
| Rate for Payer: Mclaren Commercial |
$2,514.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,375.03
|
| Rate for Payer: Nomi Health Commercial |
$2,291.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,095.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,458.85
|
|
|
HC IVUS CATHETER
|
Facility
|
OP
|
$2,794.15
|
|
|
Service Code
|
HCPCS C1753
|
| Hospital Charge Code |
27200052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,033.84 |
| Max. Negotiated Rate |
$2,794.15 |
| Rate for Payer: Aetna Commercial |
$2,514.74
|
| Rate for Payer: Aetna Medicare |
$1,033.84
|
| Rate for Payer: ASR ASR |
$2,710.33
|
| Rate for Payer: BCBS Complete |
$1,117.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,303.78
|
| Rate for Payer: BCN Commercial |
$2,303.78
|
| Rate for Payer: Cash Price |
$2,235.32
|
| Rate for Payer: Cofinity Commercial |
$2,626.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.32
|
| Rate for Payer: Healthscope Commercial |
$2,710.33
|
| Rate for Payer: Healthscope Whirlpool |
$2,794.15
|
| Rate for Payer: Mclaren Commercial |
$2,514.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,235.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,375.03
|
| Rate for Payer: Nomi Health Commercial |
$2,291.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,095.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,448.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,458.85
|
|
|
HC IVUS EA ADDL NON CORONARY VESSEL
|
Facility
|
OP
|
$1,351.34
|
|
|
Service Code
|
CPT 37253
|
| Hospital Charge Code |
36100484
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$500.00 |
| Max. Negotiated Rate |
$1,351.34 |
| Rate for Payer: Aetna Commercial |
$1,216.21
|
| Rate for Payer: Aetna Medicare |
$500.00
|
| Rate for Payer: ASR ASR |
$1,310.80
|
| Rate for Payer: BCBS Complete |
$540.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,114.18
|
| Rate for Payer: BCN Commercial |
$1,114.18
|
| Rate for Payer: Cash Price |
$1,081.07
|
| Rate for Payer: Cofinity Commercial |
$1,270.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,081.07
|
| Rate for Payer: Healthscope Commercial |
$1,310.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,351.34
|
| Rate for Payer: Mclaren Commercial |
$1,216.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,081.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,148.64
|
| Rate for Payer: Nomi Health Commercial |
$1,108.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,013.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,184.04
|
| Rate for Payer: Priority Health Narrow Network |
$947.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,189.18
|
|
|
HC IVUS EA ADDL NON CORONARY VESSEL
|
Facility
|
IP
|
$1,351.34
|
|
|
Service Code
|
CPT 37253
|
| Hospital Charge Code |
36100484
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,013.50 |
| Max. Negotiated Rate |
$1,351.34 |
| Rate for Payer: Aetna Commercial |
$1,216.21
|
| Rate for Payer: ASR ASR |
$1,310.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.72
|
| Rate for Payer: BCN Commercial |
$1,109.72
|
| Rate for Payer: Cash Price |
$1,081.07
|
| Rate for Payer: Cofinity Commercial |
$1,270.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,081.07
|
| Rate for Payer: Healthscope Commercial |
$1,310.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,351.34
|
| Rate for Payer: Mclaren Commercial |
$1,216.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,148.64
|
| Rate for Payer: Nomi Health Commercial |
$1,108.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,013.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,189.18
|
|
|
HC IVUS NON CORONARY INITIAL
|
Facility
|
OP
|
$8,224.18
|
|
|
Service Code
|
CPT 37252
|
| Hospital Charge Code |
36100483
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,042.95 |
| Max. Negotiated Rate |
$8,224.18 |
| Rate for Payer: Aetna Commercial |
$7,401.76
|
| Rate for Payer: Aetna Medicare |
$3,042.95
|
| Rate for Payer: ASR ASR |
$7,977.45
|
| Rate for Payer: BCBS Complete |
$3,289.67
|
| Rate for Payer: BCBS Trust/PPO |
$6,780.84
|
| Rate for Payer: BCN Commercial |
$6,780.84
|
| Rate for Payer: Cash Price |
$6,579.34
|
| Rate for Payer: Cofinity Commercial |
$7,730.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,579.34
|
| Rate for Payer: Healthscope Commercial |
$7,977.45
|
| Rate for Payer: Healthscope Whirlpool |
$8,224.18
|
| Rate for Payer: Mclaren Commercial |
$7,401.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,579.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,990.55
|
| Rate for Payer: Nomi Health Commercial |
$6,743.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,168.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7,206.03
|
| Rate for Payer: Priority Health Narrow Network |
$5,765.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,237.28
|
|
|
HC IVUS NON CORONARY INITIAL
|
Facility
|
IP
|
$8,224.18
|
|
|
Service Code
|
CPT 37252
|
| Hospital Charge Code |
36100483
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,168.14 |
| Max. Negotiated Rate |
$8,224.18 |
| Rate for Payer: Aetna Commercial |
$7,401.76
|
| Rate for Payer: ASR ASR |
$7,977.45
|
| Rate for Payer: BCBS Trust/PPO |
$6,753.70
|
| Rate for Payer: BCN Commercial |
$6,753.70
|
| Rate for Payer: Cash Price |
$6,579.34
|
| Rate for Payer: Cofinity Commercial |
$7,730.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6,579.34
|
| Rate for Payer: Healthscope Commercial |
$7,977.45
|
| Rate for Payer: Healthscope Whirlpool |
$8,224.18
|
| Rate for Payer: Mclaren Commercial |
$7,401.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,990.55
|
| Rate for Payer: Nomi Health Commercial |
$6,743.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,168.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7,237.28
|
|
|
HC IVUS OR OCT EACH ADDL VESSEL
|
Facility
|
OP
|
$1,562.84
|
|
|
Service Code
|
CPT 92979
|
| Hospital Charge Code |
48100107
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$578.25 |
| Max. Negotiated Rate |
$1,562.84 |
| Rate for Payer: Aetna Commercial |
$1,406.56
|
| Rate for Payer: Aetna Medicare |
$578.25
|
| Rate for Payer: ASR ASR |
$1,515.95
|
| Rate for Payer: BCBS Complete |
$625.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,288.56
|
| Rate for Payer: BCN Commercial |
$1,288.56
|
| Rate for Payer: Cash Price |
$1,250.27
|
| Rate for Payer: Cofinity Commercial |
$1,469.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,250.27
|
| Rate for Payer: Healthscope Commercial |
$1,515.95
|
| Rate for Payer: Healthscope Whirlpool |
$1,562.84
|
| Rate for Payer: Mclaren Commercial |
$1,406.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,250.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,328.41
|
| Rate for Payer: Nomi Health Commercial |
$1,281.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,172.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,369.36
|
| Rate for Payer: Priority Health Narrow Network |
$1,095.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,375.30
|
|
|
HC IVUS OR OCT EACH ADDL VESSEL
|
Facility
|
IP
|
$1,562.84
|
|
|
Service Code
|
CPT 92979
|
| Hospital Charge Code |
48100107
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,172.13 |
| Max. Negotiated Rate |
$1,562.84 |
| Rate for Payer: Aetna Commercial |
$1,406.56
|
| Rate for Payer: ASR ASR |
$1,515.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,283.40
|
| Rate for Payer: BCN Commercial |
$1,283.40
|
| Rate for Payer: Cash Price |
$1,250.27
|
| Rate for Payer: Cofinity Commercial |
$1,469.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,250.27
|
| Rate for Payer: Healthscope Commercial |
$1,515.95
|
| Rate for Payer: Healthscope Whirlpool |
$1,562.84
|
| Rate for Payer: Mclaren Commercial |
$1,406.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,328.41
|
| Rate for Payer: Nomi Health Commercial |
$1,281.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,172.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,375.30
|
|
|
HC IVUS OR OCT INITIAL VESSEL
|
Facility
|
OP
|
$3,767.76
|
|
|
Service Code
|
CPT 92978
|
| Hospital Charge Code |
48100106
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,394.07 |
| Max. Negotiated Rate |
$3,767.76 |
| Rate for Payer: Aetna Commercial |
$3,390.98
|
| Rate for Payer: Aetna Medicare |
$1,394.07
|
| Rate for Payer: ASR ASR |
$3,654.73
|
| Rate for Payer: BCBS Complete |
$1,507.10
|
| Rate for Payer: BCBS Trust/PPO |
$3,106.52
|
| Rate for Payer: BCN Commercial |
$3,106.52
|
| Rate for Payer: Cash Price |
$3,014.21
|
| Rate for Payer: Cofinity Commercial |
$3,541.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,014.21
|
| Rate for Payer: Healthscope Commercial |
$3,654.73
|
| Rate for Payer: Healthscope Whirlpool |
$3,767.76
|
| Rate for Payer: Mclaren Commercial |
$3,390.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,014.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,202.60
|
| Rate for Payer: Nomi Health Commercial |
$3,089.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,825.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,301.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,641.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,315.63
|
|
|
HC IVUS OR OCT INITIAL VESSEL
|
Facility
|
IP
|
$3,767.76
|
|
|
Service Code
|
CPT 92978
|
| Hospital Charge Code |
48100106
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,825.82 |
| Max. Negotiated Rate |
$3,767.76 |
| Rate for Payer: Aetna Commercial |
$3,390.98
|
| Rate for Payer: ASR ASR |
$3,654.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,094.08
|
| Rate for Payer: BCN Commercial |
$3,094.08
|
| Rate for Payer: Cash Price |
$3,014.21
|
| Rate for Payer: Cofinity Commercial |
$3,541.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,014.21
|
| Rate for Payer: Healthscope Commercial |
$3,654.73
|
| Rate for Payer: Healthscope Whirlpool |
$3,767.76
|
| Rate for Payer: Mclaren Commercial |
$3,390.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,202.60
|
| Rate for Payer: Nomi Health Commercial |
$3,089.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,825.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,315.63
|
|
|
HC JADA SYSTEM
|
Facility
|
OP
|
$3,697.50
|
|
| Hospital Charge Code |
27200395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,368.08 |
| Max. Negotiated Rate |
$3,697.50 |
| Rate for Payer: Aetna Commercial |
$3,327.75
|
| Rate for Payer: Aetna Medicare |
$1,368.08
|
| Rate for Payer: ASR ASR |
$3,586.57
|
| Rate for Payer: BCBS Complete |
$1,479.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,048.59
|
| Rate for Payer: BCN Commercial |
$3,048.59
|
| Rate for Payer: Cash Price |
$2,958.00
|
| Rate for Payer: Cofinity Commercial |
$3,475.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,958.00
|
| Rate for Payer: Healthscope Commercial |
$3,586.57
|
| Rate for Payer: Healthscope Whirlpool |
$3,697.50
|
| Rate for Payer: Mclaren Commercial |
$3,327.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,958.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,142.88
|
| Rate for Payer: Nomi Health Commercial |
$3,031.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,773.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,239.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,591.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,253.80
|
|
|
HC JADA SYSTEM
|
Facility
|
IP
|
$3,697.50
|
|
| Hospital Charge Code |
27200395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,773.12 |
| Max. Negotiated Rate |
$3,697.50 |
| Rate for Payer: Aetna Commercial |
$3,327.75
|
| Rate for Payer: ASR ASR |
$3,586.57
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.39
|
| Rate for Payer: BCN Commercial |
$3,036.39
|
| Rate for Payer: Cash Price |
$2,958.00
|
| Rate for Payer: Cofinity Commercial |
$3,475.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,958.00
|
| Rate for Payer: Healthscope Commercial |
$3,586.57
|
| Rate for Payer: Healthscope Whirlpool |
$3,697.50
|
| Rate for Payer: Mclaren Commercial |
$3,327.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,142.88
|
| Rate for Payer: Nomi Health Commercial |
$3,031.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,773.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,253.80
|
|
|
HC JAK2 EXON 12 MUTATION DETECTION
|
Facility
|
OP
|
$380.79
|
|
|
Service Code
|
CPT 0027U
|
| Hospital Charge Code |
31000148
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$63.76 |
| Max. Negotiated Rate |
$380.79 |
| Rate for Payer: Aetna Commercial |
$342.71
|
| Rate for Payer: Aetna Medicare |
$121.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$152.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$152.39
|
| Rate for Payer: ASR ASR |
$369.37
|
| Rate for Payer: BCBS Complete |
$66.95
|
| Rate for Payer: BCBS MAPPO |
$121.91
|
| Rate for Payer: BCBS Trust/PPO |
$313.96
|
| Rate for Payer: BCN Commercial |
$313.96
|
| Rate for Payer: BCN Medicare Advantage |
$121.91
|
| Rate for Payer: Cash Price |
$304.63
|
| Rate for Payer: Cash Price |
$304.63
|
| Rate for Payer: Cofinity Commercial |
$357.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.91
|
| Rate for Payer: Healthscope Commercial |
$369.37
|
| Rate for Payer: Healthscope Whirlpool |
$380.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$121.91
|
| Rate for Payer: Mclaren Commercial |
$342.71
|
| Rate for Payer: Mclaren Medicaid |
$121.91
|
| Rate for Payer: Mclaren Medicare |
$121.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.01
|
| Rate for Payer: Meridian Medicaid |
$66.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$140.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$134.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.67
|
| Rate for Payer: Nomi Health Commercial |
$312.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.59
|
| Rate for Payer: PACE Medicare |
$115.81
|
| Rate for Payer: PACE SWMI |
$121.91
|
| Rate for Payer: PHP Commercial |
$134.10
|
| Rate for Payer: PHP Medicaid |
$65.34
|
| Rate for Payer: PHP Medicare Advantage |
$121.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$190.00
|
| Rate for Payer: Priority Health Medicare |
$121.91
|
| Rate for Payer: Priority Health Narrow Network |
$152.00
|
| Rate for Payer: Railroad Medicare Medicare |
$121.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$121.91
|
| Rate for Payer: UHC Exchange |
$188.96
|
| Rate for Payer: UHC Medicaid |
$63.76
|
| Rate for Payer: UHCCP DNSP |
$121.91
|
| Rate for Payer: UHCCP Medicaid |
$63.76
|
| Rate for Payer: VA VA |
$121.91
|
|
|
HC JAK2 EXON 12 MUTATION DETECTION
|
Facility
|
IP
|
$380.79
|
|
|
Service Code
|
CPT 0027U
|
| Hospital Charge Code |
31000148
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$285.59 |
| Max. Negotiated Rate |
$380.79 |
| Rate for Payer: Aetna Commercial |
$342.71
|
| Rate for Payer: ASR ASR |
$369.37
|
| Rate for Payer: BCBS Trust/PPO |
$312.70
|
| Rate for Payer: BCN Commercial |
$312.70
|
| Rate for Payer: Cash Price |
$304.63
|
| Rate for Payer: Cofinity Commercial |
$357.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.63
|
| Rate for Payer: Healthscope Commercial |
$369.37
|
| Rate for Payer: Healthscope Whirlpool |
$380.79
|
| Rate for Payer: Mclaren Commercial |
$342.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.67
|
| Rate for Payer: Nomi Health Commercial |
$312.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.10
|
|
|
HC JAK2 V617F MUTATION
|
Facility
|
IP
|
$395.83
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
31000101
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$296.87 |
| Max. Negotiated Rate |
$395.83 |
| Rate for Payer: Aetna Commercial |
$356.25
|
| Rate for Payer: ASR ASR |
$383.96
|
| Rate for Payer: BCBS Trust/PPO |
$325.06
|
| Rate for Payer: BCN Commercial |
$325.06
|
| Rate for Payer: Cash Price |
$316.66
|
| Rate for Payer: Cofinity Commercial |
$372.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.66
|
| Rate for Payer: Healthscope Commercial |
$383.96
|
| Rate for Payer: Healthscope Whirlpool |
$395.83
|
| Rate for Payer: Mclaren Commercial |
$356.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.46
|
| Rate for Payer: Nomi Health Commercial |
$324.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$296.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.33
|
|
|
HC JAK2 V617F MUTATION
|
Facility
|
OP
|
$395.83
|
|
|
Service Code
|
CPT 81270
|
| Hospital Charge Code |
31000101
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$47.94 |
| Max. Negotiated Rate |
$395.83 |
| Rate for Payer: Aetna Commercial |
$356.25
|
| Rate for Payer: Aetna Medicare |
$91.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.58
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.58
|
| Rate for Payer: ASR ASR |
$383.96
|
| Rate for Payer: BCBS Complete |
$50.34
|
| Rate for Payer: BCBS MAPPO |
$91.66
|
| Rate for Payer: BCBS Trust/PPO |
$326.36
|
| Rate for Payer: BCN Commercial |
$326.36
|
| Rate for Payer: BCN Medicare Advantage |
$91.66
|
| Rate for Payer: Cash Price |
$316.66
|
| Rate for Payer: Cash Price |
$316.66
|
| Rate for Payer: Cofinity Commercial |
$372.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.66
|
| Rate for Payer: Healthscope Commercial |
$383.96
|
| Rate for Payer: Healthscope Whirlpool |
$395.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$91.66
|
| Rate for Payer: Mclaren Commercial |
$356.25
|
| Rate for Payer: Mclaren Medicaid |
$91.66
|
| Rate for Payer: Mclaren Medicare |
$91.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.24
|
| Rate for Payer: Meridian Medicaid |
$50.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.46
|
| Rate for Payer: Nomi Health Commercial |
$324.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$296.87
|
| Rate for Payer: PACE Medicare |
$87.08
|
| Rate for Payer: PACE SWMI |
$91.66
|
| Rate for Payer: PHP Commercial |
$100.83
|
| Rate for Payer: PHP Medicaid |
$49.13
|
| Rate for Payer: PHP Medicare Advantage |
$91.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$65.92
|
| Rate for Payer: Priority Health Medicare |
$91.66
|
| Rate for Payer: Priority Health Narrow Network |
$52.74
|
| Rate for Payer: Railroad Medicare Medicare |
$91.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$348.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.66
|
| Rate for Payer: UHC Exchange |
$142.07
|
| Rate for Payer: UHC Medicaid |
$47.94
|
| Rate for Payer: UHCCP DNSP |
$91.66
|
| Rate for Payer: UHCCP Medicaid |
$47.94
|
| Rate for Payer: VA VA |
$91.66
|
|
|
HC JC VIRUS, PCR, CSF
|
Facility
|
IP
|
$110.28
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600335
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$82.71 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: BCBS Trust/PPO |
$90.56
|
| Rate for Payer: BCN Commercial |
$90.56
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Healthscope Commercial |
$106.97
|
| Rate for Payer: Healthscope Whirlpool |
$110.28
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
|
|
HC JC VIRUS, PCR, CSF
|
Facility
|
OP
|
$110.28
|
|
|
Service Code
|
CPT 87798
|
| Hospital Charge Code |
30600335
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$18.35 |
| Max. Negotiated Rate |
$110.28 |
| Rate for Payer: Aetna Commercial |
$99.25
|
| Rate for Payer: Aetna Medicare |
$35.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$43.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$43.86
|
| Rate for Payer: ASR ASR |
$106.97
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$90.93
|
| Rate for Payer: BCN Commercial |
$90.93
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cash Price |
$88.22
|
| Rate for Payer: Cofinity Commercial |
$103.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$106.97
|
| Rate for Payer: Healthscope Whirlpool |
$110.28
|
| Rate for Payer: Humana Choice PPO Medicare |
$35.09
|
| Rate for Payer: Mclaren Commercial |
$99.25
|
| Rate for Payer: Mclaren Medicaid |
$35.09
|
| Rate for Payer: Mclaren Medicare |
$35.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Meridian Medicaid |
$19.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.74
|
| Rate for Payer: Nomi Health Commercial |
$90.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.71
|
| Rate for Payer: PACE Medicare |
$33.34
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Commercial |
$38.60
|
| Rate for Payer: PHP Medicaid |
$18.81
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$96.63
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$77.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$97.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$54.39
|
| Rate for Payer: UHC Medicaid |
$18.35
|
| Rate for Payer: UHCCP DNSP |
$35.09
|
| Rate for Payer: UHCCP Medicaid |
$18.35
|
| Rate for Payer: VA VA |
$35.09
|
|
|
HC JET VENT INITIAL DAY
|
Facility
|
IP
|
$2,627.73
|
|
|
Service Code
|
CPT 94002
|
| Hospital Charge Code |
41000057
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$1,970.80 |
| Max. Negotiated Rate |
$2,627.73 |
| Rate for Payer: Aetna Commercial |
$2,364.96
|
| Rate for Payer: ASR ASR |
$2,548.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,157.89
|
| Rate for Payer: BCN Commercial |
$2,157.89
|
| Rate for Payer: Cash Price |
$2,102.18
|
| Rate for Payer: Cofinity Commercial |
$2,470.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,102.18
|
| Rate for Payer: Healthscope Commercial |
$2,548.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,627.73
|
| Rate for Payer: Mclaren Commercial |
$2,364.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,233.57
|
| Rate for Payer: Nomi Health Commercial |
$2,154.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,970.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,312.40
|
|
|
HC JET VENT INITIAL DAY
|
Facility
|
OP
|
$2,627.73
|
|
|
Service Code
|
CPT 94002
|
| Hospital Charge Code |
41000057
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$321.94 |
| Max. Negotiated Rate |
$4,454.85 |
| Rate for Payer: Aetna Commercial |
$2,364.96
|
| Rate for Payer: Aetna Medicare |
$615.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$769.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$769.46
|
| Rate for Payer: ASR ASR |
$2,548.90
|
| Rate for Payer: BCBS Complete |
$338.07
|
| Rate for Payer: BCBS MAPPO |
$615.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,166.56
|
| Rate for Payer: BCN Commercial |
$2,166.56
|
| Rate for Payer: BCN Medicare Advantage |
$615.57
|
| Rate for Payer: Cash Price |
$2,102.18
|
| Rate for Payer: Cash Price |
$2,102.18
|
| Rate for Payer: Cofinity Commercial |
$2,470.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,102.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.57
|
| Rate for Payer: Healthscope Commercial |
$2,548.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,627.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$615.57
|
| Rate for Payer: Mclaren Commercial |
$2,364.96
|
| Rate for Payer: Mclaren Medicaid |
$615.57
|
| Rate for Payer: Mclaren Medicare |
$615.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$646.35
|
| Rate for Payer: Meridian Medicaid |
$338.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$707.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$677.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,233.57
|
| Rate for Payer: Nomi Health Commercial |
$2,154.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,970.80
|
| Rate for Payer: PACE Medicare |
$584.79
|
| Rate for Payer: PACE SWMI |
$615.57
|
| Rate for Payer: PHP Commercial |
$677.13
|
| Rate for Payer: PHP Medicaid |
$329.95
|
| Rate for Payer: PHP Medicare Advantage |
$615.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$4,454.85
|
| Rate for Payer: Priority Health Medicare |
$615.57
|
| Rate for Payer: Priority Health Narrow Network |
$3,563.88
|
| Rate for Payer: Railroad Medicare Medicare |
$615.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,312.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$615.57
|
| Rate for Payer: UHC Exchange |
$954.13
|
| Rate for Payer: UHC Medicaid |
$321.94
|
| Rate for Payer: UHCCP DNSP |
$615.57
|
| Rate for Payer: UHCCP Medicaid |
$321.94
|
| Rate for Payer: VA VA |
$615.57
|
|
|
HC JET VENT SUB DAY
|
Facility
|
OP
|
$1,935.76
|
|
|
Service Code
|
CPT 94003
|
| Hospital Charge Code |
41000058
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$321.94 |
| Max. Negotiated Rate |
$3,898.00 |
| Rate for Payer: Aetna Commercial |
$1,742.18
|
| Rate for Payer: Aetna Medicare |
$615.57
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$769.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$769.46
|
| Rate for Payer: ASR ASR |
$1,877.69
|
| Rate for Payer: BCBS Complete |
$338.07
|
| Rate for Payer: BCBS MAPPO |
$615.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,596.03
|
| Rate for Payer: BCN Commercial |
$1,596.03
|
| Rate for Payer: BCN Medicare Advantage |
$615.57
|
| Rate for Payer: Cash Price |
$1,548.61
|
| Rate for Payer: Cash Price |
$1,548.61
|
| Rate for Payer: Cofinity Commercial |
$1,819.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,548.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.57
|
| Rate for Payer: Healthscope Commercial |
$1,877.69
|
| Rate for Payer: Healthscope Whirlpool |
$1,935.76
|
| Rate for Payer: Humana Choice PPO Medicare |
$615.57
|
| Rate for Payer: Mclaren Commercial |
$1,742.18
|
| Rate for Payer: Mclaren Medicaid |
$615.57
|
| Rate for Payer: Mclaren Medicare |
$615.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$646.35
|
| Rate for Payer: Meridian Medicaid |
$338.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$707.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$677.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,645.40
|
| Rate for Payer: Nomi Health Commercial |
$1,587.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,451.82
|
| Rate for Payer: PACE Medicare |
$584.79
|
| Rate for Payer: PACE SWMI |
$615.57
|
| Rate for Payer: PHP Commercial |
$677.13
|
| Rate for Payer: PHP Medicaid |
$329.95
|
| Rate for Payer: PHP Medicare Advantage |
$615.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,898.00
|
| Rate for Payer: Priority Health Medicare |
$615.57
|
| Rate for Payer: Priority Health Narrow Network |
$3,118.40
|
| Rate for Payer: Railroad Medicare Medicare |
$615.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,703.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$615.57
|
| Rate for Payer: UHC Exchange |
$954.13
|
| Rate for Payer: UHC Medicaid |
$321.94
|
| Rate for Payer: UHCCP DNSP |
$615.57
|
| Rate for Payer: UHCCP Medicaid |
$321.94
|
| Rate for Payer: VA VA |
$615.57
|
|
|
HC JET VENT SUB DAY
|
Facility
|
IP
|
$1,935.76
|
|
|
Service Code
|
CPT 94003
|
| Hospital Charge Code |
41000058
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$1,451.82 |
| Max. Negotiated Rate |
$1,935.76 |
| Rate for Payer: Aetna Commercial |
$1,742.18
|
| Rate for Payer: ASR ASR |
$1,877.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,589.65
|
| Rate for Payer: BCN Commercial |
$1,589.65
|
| Rate for Payer: Cash Price |
$1,548.61
|
| Rate for Payer: Cofinity Commercial |
$1,819.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,548.61
|
| Rate for Payer: Healthscope Commercial |
$1,877.69
|
| Rate for Payer: Healthscope Whirlpool |
$1,935.76
|
| Rate for Payer: Mclaren Commercial |
$1,742.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,645.40
|
| Rate for Payer: Nomi Health Commercial |
$1,587.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,451.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,703.47
|
|
|
HC JO 1 ANTIBODY
|
Facility
|
IP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200163
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$26.90 |
| Max. Negotiated Rate |
$35.87 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Trust/PPO |
$29.46
|
| Rate for Payer: BCN Commercial |
$29.46
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
|
|
HC JO 1 ANTIBODY
|
Facility
|
OP
|
$35.87
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
30200163
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$9.38 |
| Max. Negotiated Rate |
$169.49 |
| Rate for Payer: Aetna Commercial |
$32.28
|
| Rate for Payer: Aetna Medicare |
$17.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$22.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$22.41
|
| Rate for Payer: ASR ASR |
$34.79
|
| Rate for Payer: BCBS Complete |
$9.85
|
| Rate for Payer: BCBS MAPPO |
$17.93
|
| Rate for Payer: BCBS Trust/PPO |
$29.57
|
| Rate for Payer: BCN Commercial |
$29.57
|
| Rate for Payer: BCN Medicare Advantage |
$17.93
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cash Price |
$28.70
|
| Rate for Payer: Cofinity Commercial |
$33.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.93
|
| Rate for Payer: Healthscope Commercial |
$34.79
|
| Rate for Payer: Healthscope Whirlpool |
$35.87
|
| Rate for Payer: Humana Choice PPO Medicare |
$17.93
|
| Rate for Payer: Mclaren Commercial |
$32.28
|
| Rate for Payer: Mclaren Medicaid |
$17.93
|
| Rate for Payer: Mclaren Medicare |
$17.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.83
|
| Rate for Payer: Meridian Medicaid |
$9.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.49
|
| Rate for Payer: Nomi Health Commercial |
$29.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.90
|
| Rate for Payer: PACE Medicare |
$17.03
|
| Rate for Payer: PACE SWMI |
$17.93
|
| Rate for Payer: PHP Commercial |
$19.72
|
| Rate for Payer: PHP Medicaid |
$9.61
|
| Rate for Payer: PHP Medicare Advantage |
$17.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$169.49
|
| Rate for Payer: Priority Health Medicare |
$17.93
|
| Rate for Payer: Priority Health Narrow Network |
$135.59
|
| Rate for Payer: Railroad Medicare Medicare |
$17.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.93
|
| Rate for Payer: UHC Exchange |
$27.79
|
| Rate for Payer: UHC Medicaid |
$9.38
|
| Rate for Payer: UHCCP DNSP |
$17.93
|
| Rate for Payer: UHCCP Medicaid |
$9.38
|
| Rate for Payer: VA VA |
$17.93
|
|
