|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
IP
|
$2,475.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,732.50 |
| Max. Negotiated Rate |
$2,475.00 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| Rate for Payer: ASR ASR |
$2,400.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29879
|
| Min. Negotiated Rate |
$428.56 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Aetna Commercial |
$873.64
|
| Rate for Payer: Aetna Medicare |
$651.97
|
| Rate for Payer: BCBS Complete |
$449.99
|
| Rate for Payer: BCBS MAPPO |
$651.97
|
| Rate for Payer: BCBS Trust/PPO |
$943.02
|
| Rate for Payer: BCN Commercial |
$1,071.84
|
| Rate for Payer: BCN Medicare Advantage |
$651.97
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$873.64
|
| Rate for Payer: Cofinity Commercial |
$938.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.97
|
| Rate for Payer: Healthscope Commercial |
$782.36
|
| Rate for Payer: Healthscope Whirlpool |
$782.36
|
| Rate for Payer: Meridian Medicaid |
$449.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$684.57
|
| Rate for Payer: PACE SWMI |
$651.97
|
| Rate for Payer: PHP Medicare Advantage |
$651.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,017.21
|
| Rate for Payer: Priority Health Medicare |
$651.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,017.21
|
| Rate for Payer: UHC Medicare Advantage |
$671.53
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$428.56 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Aetna Commercial |
$873.64
|
| Rate for Payer: Aetna Medicare |
$651.97
|
| Rate for Payer: BCBS Complete |
$449.99
|
| Rate for Payer: BCBS MAPPO |
$651.97
|
| Rate for Payer: BCBS Trust/PPO |
$943.02
|
| Rate for Payer: BCN Commercial |
$1,071.84
|
| Rate for Payer: BCN Medicare Advantage |
$651.97
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$938.84
|
| Rate for Payer: Cofinity Commercial |
$873.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.97
|
| Rate for Payer: Healthscope Commercial |
$782.36
|
| Rate for Payer: Healthscope Whirlpool |
$782.36
|
| Rate for Payer: Meridian Medicaid |
$449.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$684.57
|
| Rate for Payer: PACE SWMI |
$651.97
|
| Rate for Payer: PHP Medicare Advantage |
$651.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,017.21
|
| Rate for Payer: Priority Health Medicare |
$651.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,017.21
|
| Rate for Payer: UHC Medicare Advantage |
$671.53
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
IP
|
$2,221.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$1,554.70 |
| Max. Negotiated Rate |
$2,221.00 |
| Rate for Payer: Aetna Commercial |
$1,998.90
|
| Rate for Payer: ASR ASR |
$2,154.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,721.94
|
| Rate for Payer: BCN Commercial |
$1,721.94
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$2,087.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,776.80
|
| Rate for Payer: Healthscope Commercial |
$2,221.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,154.37
|
| Rate for Payer: Mclaren Commercial |
$1,998.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,887.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,954.48
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
OP
|
$2,221.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$1,554.70 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,998.90
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,154.37
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,721.94
|
| Rate for Payer: BCN Commercial |
$1,721.94
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$2,087.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,776.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,221.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,154.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,998.90
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,887.85
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,021.11
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,576.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,954.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$402.36 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$820.16
|
| Rate for Payer: Aetna Medicare |
$612.06
|
| Rate for Payer: BCBS Complete |
$422.48
|
| Rate for Payer: BCBS MAPPO |
$612.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,138.49
|
| Rate for Payer: BCN Commercial |
$1,007.27
|
| Rate for Payer: BCN Medicare Advantage |
$612.06
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$881.37
|
| Rate for Payer: Cofinity Commercial |
$820.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.06
|
| Rate for Payer: Healthscope Commercial |
$734.47
|
| Rate for Payer: Healthscope Whirlpool |
$734.47
|
| Rate for Payer: Meridian Medicaid |
$422.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$642.66
|
| Rate for Payer: PACE SWMI |
$612.06
|
| Rate for Payer: PHP Medicare Advantage |
$612.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$402.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$955.94
|
| Rate for Payer: Priority Health Medicare |
$612.06
|
| Rate for Payer: Priority Health Narrow Network |
$955.94
|
| Rate for Payer: UHC Medicare Advantage |
$630.42
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29877
|
| Min. Negotiated Rate |
$402.36 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$820.16
|
| Rate for Payer: Aetna Medicare |
$612.06
|
| Rate for Payer: BCBS Complete |
$422.48
|
| Rate for Payer: BCBS MAPPO |
$612.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,138.49
|
| Rate for Payer: BCN Commercial |
$1,007.27
|
| Rate for Payer: BCN Medicare Advantage |
$612.06
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$881.37
|
| Rate for Payer: Cofinity Commercial |
$820.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.06
|
| Rate for Payer: Healthscope Commercial |
$734.47
|
| Rate for Payer: Healthscope Whirlpool |
$734.47
|
| Rate for Payer: Meridian Medicaid |
$422.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$642.66
|
| Rate for Payer: PACE SWMI |
$612.06
|
| Rate for Payer: PHP Medicare Advantage |
$612.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$402.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$955.94
|
| Rate for Payer: Priority Health Medicare |
$612.06
|
| Rate for Payer: Priority Health Narrow Network |
$955.94
|
| Rate for Payer: UHC Medicare Advantage |
$630.42
|
|
|
PR ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29886
|
| Min. Negotiated Rate |
$413.22 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$841.37
|
| Rate for Payer: Aetna Medicare |
$627.89
|
| Rate for Payer: BCBS Complete |
$433.88
|
| Rate for Payer: BCBS MAPPO |
$627.89
|
| Rate for Payer: BCBS Trust/PPO |
$436.38
|
| Rate for Payer: BCN Commercial |
$938.26
|
| Rate for Payer: BCN Medicare Advantage |
$627.89
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$841.37
|
| Rate for Payer: Cofinity Commercial |
$904.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.89
|
| Rate for Payer: Healthscope Commercial |
$753.47
|
| Rate for Payer: Healthscope Whirlpool |
$753.47
|
| Rate for Payer: Meridian Medicaid |
$433.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$659.28
|
| Rate for Payer: PACE SWMI |
$627.89
|
| Rate for Payer: PHP Medicare Advantage |
$627.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$980.44
|
| Rate for Payer: Priority Health Medicare |
$627.89
|
| Rate for Payer: Priority Health Narrow Network |
$980.44
|
| Rate for Payer: UHC Medicare Advantage |
$646.73
|
|
|
PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG
|
Professional
|
Both
|
$2,492.00
|
|
|
Service Code
|
HCPCS 29885
|
| Min. Negotiated Rate |
$489.90 |
| Max. Negotiated Rate |
$1,744.40 |
| Rate for Payer: Aetna Commercial |
$998.55
|
| Rate for Payer: Aetna Medicare |
$745.19
|
| Rate for Payer: BCBS Complete |
$514.40
|
| Rate for Payer: BCBS MAPPO |
$745.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$1,112.72
|
| Rate for Payer: BCN Medicare Advantage |
$745.19
|
| Rate for Payer: Cash Price |
$1,993.60
|
| Rate for Payer: Cash Price |
$1,993.60
|
| Rate for Payer: Cofinity Commercial |
$998.55
|
| Rate for Payer: Cofinity Commercial |
$1,073.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.19
|
| Rate for Payer: Healthscope Commercial |
$894.23
|
| Rate for Payer: Healthscope Whirlpool |
$894.23
|
| Rate for Payer: Meridian Medicaid |
$514.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$782.45
|
| Rate for Payer: PACE SWMI |
$745.19
|
| Rate for Payer: PHP Medicare Advantage |
$745.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$489.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,162.75
|
| Rate for Payer: Priority Health Medicare |
$745.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,162.75
|
| Rate for Payer: UHC Medicare Advantage |
$767.55
|
|
|
PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29887
|
| Min. Negotiated Rate |
$488.20 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Aetna Commercial |
$994.56
|
| Rate for Payer: Aetna Medicare |
$742.21
|
| Rate for Payer: BCBS Complete |
$512.61
|
| Rate for Payer: BCBS MAPPO |
$742.21
|
| Rate for Payer: BCBS Trust/PPO |
$675.17
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$742.21
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$1,068.78
|
| Rate for Payer: Cofinity Commercial |
$994.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$742.21
|
| Rate for Payer: Healthscope Commercial |
$890.65
|
| Rate for Payer: Healthscope Whirlpool |
$890.65
|
| Rate for Payer: Meridian Medicaid |
$512.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$779.32
|
| Rate for Payer: PACE SWMI |
$742.21
|
| Rate for Payer: PHP Medicare Advantage |
$742.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,158.15
|
| Rate for Payer: Priority Health Medicare |
$742.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,158.15
|
| Rate for Payer: UHC Medicare Advantage |
$764.48
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,538.00
|
|
|
Service Code
|
HCPCS 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$364.66 |
| Max. Negotiated Rate |
$1,776.60 |
| Rate for Payer: Aetna Commercial |
$742.32
|
| Rate for Payer: Aetna Medicare |
$553.97
|
| Rate for Payer: BCBS Complete |
$382.89
|
| Rate for Payer: BCBS MAPPO |
$553.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$553.97
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cofinity Commercial |
$797.72
|
| Rate for Payer: Cofinity Commercial |
$742.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.97
|
| Rate for Payer: Healthscope Commercial |
$664.76
|
| Rate for Payer: Healthscope Whirlpool |
$664.76
|
| Rate for Payer: Meridian Medicaid |
$382.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$581.67
|
| Rate for Payer: PACE SWMI |
$553.97
|
| Rate for Payer: PHP Medicare Advantage |
$553.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,776.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$866.07
|
| Rate for Payer: Priority Health Medicare |
$553.97
|
| Rate for Payer: Priority Health Narrow Network |
$866.07
|
| Rate for Payer: UHC Medicare Advantage |
$570.59
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
OP
|
$2,538.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,284.20
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,461.86
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,967.71
|
| Rate for Payer: BCN Commercial |
$1,967.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cofinity Commercial |
$2,385.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,030.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,538.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,461.86
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,284.20
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,157.30
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,776.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,309.58
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,801.98
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,233.44
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
IP
|
$2,538.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$1,776.60 |
| Max. Negotiated Rate |
$2,538.00 |
| Rate for Payer: Aetna Commercial |
$2,284.20
|
| Rate for Payer: ASR ASR |
$2,461.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,967.71
|
| Rate for Payer: BCN Commercial |
$1,967.71
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cofinity Commercial |
$2,385.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,030.40
|
| Rate for Payer: Healthscope Commercial |
$2,538.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,461.86
|
| Rate for Payer: Mclaren Commercial |
$2,284.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,157.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,776.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,233.44
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,538.00
|
|
|
Service Code
|
HCPCS 29880
|
| Min. Negotiated Rate |
$364.66 |
| Max. Negotiated Rate |
$1,776.60 |
| Rate for Payer: Aetna Commercial |
$742.32
|
| Rate for Payer: Aetna Medicare |
$553.97
|
| Rate for Payer: BCBS Complete |
$382.89
|
| Rate for Payer: BCBS MAPPO |
$553.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$553.97
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cash Price |
$2,030.40
|
| Rate for Payer: Cofinity Commercial |
$797.72
|
| Rate for Payer: Cofinity Commercial |
$742.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.97
|
| Rate for Payer: Healthscope Commercial |
$664.76
|
| Rate for Payer: Healthscope Whirlpool |
$664.76
|
| Rate for Payer: Meridian Medicaid |
$382.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$581.67
|
| Rate for Payer: PACE SWMI |
$553.97
|
| Rate for Payer: PHP Medicare Advantage |
$553.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,776.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$866.07
|
| Rate for Payer: Priority Health Medicare |
$553.97
|
| Rate for Payer: Priority Health Narrow Network |
$866.07
|
| Rate for Payer: UHC Medicare Advantage |
$570.59
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
IP
|
$2,348.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$1,643.60 |
| Max. Negotiated Rate |
$2,348.00 |
| Rate for Payer: Aetna Commercial |
$2,113.20
|
| Rate for Payer: ASR ASR |
$2,277.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,820.40
|
| Rate for Payer: BCN Commercial |
$1,820.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,207.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Healthscope Commercial |
$2,348.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,277.56
|
| Rate for Payer: Mclaren Commercial |
$2,113.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,066.24
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29881
|
| Min. Negotiated Rate |
$126.26 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$714.13
|
| Rate for Payer: Aetna Medicare |
$532.93
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$532.93
|
| Rate for Payer: BCBS Trust/PPO |
$126.26
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$532.93
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$714.13
|
| Rate for Payer: Cofinity Commercial |
$767.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.93
|
| Rate for Payer: Healthscope Commercial |
$639.52
|
| Rate for Payer: Healthscope Whirlpool |
$639.52
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$559.58
|
| Rate for Payer: PACE SWMI |
$532.93
|
| Rate for Payer: PHP Medicare Advantage |
$532.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.89
|
| Rate for Payer: Priority Health Medicare |
$532.93
|
| Rate for Payer: Priority Health Narrow Network |
$833.89
|
| Rate for Payer: UHC Medicare Advantage |
$548.92
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
OP
|
$2,348.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,113.20
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,277.56
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,820.40
|
| Rate for Payer: BCN Commercial |
$1,820.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,207.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,348.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,277.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,113.20
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,136.68
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,667.08
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,066.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$126.26 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$714.13
|
| Rate for Payer: Aetna Medicare |
$532.93
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$532.93
|
| Rate for Payer: BCBS Trust/PPO |
$126.26
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$532.93
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$767.42
|
| Rate for Payer: Cofinity Commercial |
$714.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.93
|
| Rate for Payer: Healthscope Commercial |
$639.52
|
| Rate for Payer: Healthscope Whirlpool |
$639.52
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$559.58
|
| Rate for Payer: PACE SWMI |
$532.93
|
| Rate for Payer: PHP Medicare Advantage |
$532.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.89
|
| Rate for Payer: Priority Health Medicare |
$532.93
|
| Rate for Payer: Priority Health Narrow Network |
$833.89
|
| Rate for Payer: UHC Medicare Advantage |
$548.92
|
|
|
PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29904
|
| Min. Negotiated Rate |
$414.71 |
| Max. Negotiated Rate |
$12,622.63 |
| Rate for Payer: Aetna Commercial |
$845.15
|
| Rate for Payer: Aetna Medicare |
$630.71
|
| Rate for Payer: BCBS Complete |
$435.45
|
| Rate for Payer: BCBS MAPPO |
$630.71
|
| Rate for Payer: BCBS Trust/PPO |
$12,622.63
|
| Rate for Payer: BCN Commercial |
$941.68
|
| Rate for Payer: BCN Medicare Advantage |
$630.71
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$845.15
|
| Rate for Payer: Cofinity Commercial |
$908.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.71
|
| Rate for Payer: Healthscope Commercial |
$756.85
|
| Rate for Payer: Healthscope Whirlpool |
$756.85
|
| Rate for Payer: Meridian Medicaid |
$435.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$662.25
|
| Rate for Payer: PACE SWMI |
$630.71
|
| Rate for Payer: PHP Medicare Advantage |
$630.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.03
|
| Rate for Payer: Priority Health Medicare |
$630.71
|
| Rate for Payer: Priority Health Narrow Network |
$984.03
|
| Rate for Payer: UHC Medicare Advantage |
$649.63
|
|
|
PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT
|
Professional
|
Both
|
$1,999.00
|
|
|
Service Code
|
HCPCS 29846
|
| Min. Negotiated Rate |
$339.52 |
| Max. Negotiated Rate |
$1,401.05 |
| Rate for Payer: Aetna Commercial |
$691.45
|
| Rate for Payer: Aetna Medicare |
$516.01
|
| Rate for Payer: BCBS Complete |
$356.50
|
| Rate for Payer: BCBS MAPPO |
$516.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,401.05
|
| Rate for Payer: BCN Commercial |
$772.60
|
| Rate for Payer: BCN Medicare Advantage |
$516.01
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$743.05
|
| Rate for Payer: Cofinity Commercial |
$691.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.01
|
| Rate for Payer: Healthscope Commercial |
$619.21
|
| Rate for Payer: Healthscope Whirlpool |
$619.21
|
| Rate for Payer: Meridian Medicaid |
$356.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$541.81
|
| Rate for Payer: PACE SWMI |
$516.01
|
| Rate for Payer: PHP Medicare Advantage |
$516.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$807.34
|
| Rate for Payer: Priority Health Medicare |
$516.01
|
| Rate for Payer: Priority Health Narrow Network |
$807.34
|
| Rate for Payer: UHC Medicare Advantage |
$531.49
|
|
|
PR ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,201.00
|
|
|
Service Code
|
HCPCS 23044
|
| Min. Negotiated Rate |
$367.00 |
| Max. Negotiated Rate |
$1,094.11 |
| Rate for Payer: Aetna Commercial |
$753.13
|
| Rate for Payer: Aetna Medicare |
$562.04
|
| Rate for Payer: BCBS Complete |
$385.35
|
| Rate for Payer: BCBS MAPPO |
$562.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,094.11
|
| Rate for Payer: BCN Commercial |
$839.55
|
| Rate for Payer: BCN Medicare Advantage |
$562.04
|
| Rate for Payer: Cash Price |
$960.80
|
| Rate for Payer: Cash Price |
$960.80
|
| Rate for Payer: Cofinity Commercial |
$809.34
|
| Rate for Payer: Cofinity Commercial |
$753.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.04
|
| Rate for Payer: Healthscope Commercial |
$674.45
|
| Rate for Payer: Healthscope Whirlpool |
$674.45
|
| Rate for Payer: Meridian Medicaid |
$385.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$590.14
|
| Rate for Payer: PACE SWMI |
$562.04
|
| Rate for Payer: PHP Medicare Advantage |
$562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$840.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$877.29
|
| Rate for Payer: Priority Health Medicare |
$562.04
|
| Rate for Payer: Priority Health Narrow Network |
$877.29
|
| Rate for Payer: UHC Medicare Advantage |
$578.90
|
|
|
PR ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 23101
|
| Min. Negotiated Rate |
$39.62 |
| Max. Negotiated Rate |
$707.77 |
| Rate for Payer: Aetna Commercial |
$605.01
|
| Rate for Payer: Aetna Medicare |
$451.50
|
| Rate for Payer: BCBS Complete |
$314.23
|
| Rate for Payer: BCBS MAPPO |
$451.50
|
| Rate for Payer: BCBS Trust/PPO |
$39.62
|
| Rate for Payer: BCN Commercial |
$677.30
|
| Rate for Payer: BCN Medicare Advantage |
$451.50
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$605.01
|
| Rate for Payer: Cofinity Commercial |
$650.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.50
|
| Rate for Payer: Healthscope Commercial |
$541.80
|
| Rate for Payer: Healthscope Whirlpool |
$541.80
|
| Rate for Payer: Meridian Medicaid |
$314.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$474.08
|
| Rate for Payer: PACE SWMI |
$451.50
|
| Rate for Payer: PHP Medicare Advantage |
$451.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$707.77
|
| Rate for Payer: Priority Health Medicare |
$451.50
|
| Rate for Payer: Priority Health Narrow Network |
$707.77
|
| Rate for Payer: UHC Medicare Advantage |
$465.04
|
|
|
PR ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB
|
Professional
|
Both
|
$1,105.00
|
|
|
Service Code
|
HCPCS 27620
|
| Min. Negotiated Rate |
$238.79 |
| Max. Negotiated Rate |
$773.50 |
| Rate for Payer: Aetna Commercial |
$584.35
|
| Rate for Payer: Aetna Medicare |
$436.08
|
| Rate for Payer: BCBS Complete |
$305.06
|
| Rate for Payer: BCBS MAPPO |
$436.08
|
| Rate for Payer: BCBS Trust/PPO |
$238.79
|
| Rate for Payer: BCN Commercial |
$652.87
|
| Rate for Payer: BCN Medicare Advantage |
$436.08
|
| Rate for Payer: Cash Price |
$884.00
|
| Rate for Payer: Cash Price |
$884.00
|
| Rate for Payer: Cofinity Commercial |
$627.96
|
| Rate for Payer: Cofinity Commercial |
$584.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.08
|
| Rate for Payer: Healthscope Commercial |
$523.30
|
| Rate for Payer: Healthscope Whirlpool |
$523.30
|
| Rate for Payer: Meridian Medicaid |
$305.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$457.88
|
| Rate for Payer: PACE SWMI |
$436.08
|
| Rate for Payer: PHP Medicare Advantage |
$436.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$773.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$682.22
|
| Rate for Payer: Priority Health Medicare |
$436.08
|
| Rate for Payer: Priority Health Narrow Network |
$682.22
|
| Rate for Payer: UHC Medicare Advantage |
$449.16
|
|
|
PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX
|
Professional
|
Both
|
$2,023.00
|
|
|
Service Code
|
HCPCS 24006
|
| Min. Negotiated Rate |
$40.33 |
| Max. Negotiated Rate |
$1,416.10 |
| Rate for Payer: Aetna Commercial |
$942.36
|
| Rate for Payer: Aetna Medicare |
$703.25
|
| Rate for Payer: BCBS Complete |
$486.21
|
| Rate for Payer: BCBS MAPPO |
$703.25
|
| Rate for Payer: BCBS Trust/PPO |
$40.33
|
| Rate for Payer: BCN Commercial |
$1,050.17
|
| Rate for Payer: BCN Medicare Advantage |
$703.25
|
| Rate for Payer: Cash Price |
$1,618.40
|
| Rate for Payer: Cash Price |
$1,618.40
|
| Rate for Payer: Cofinity Commercial |
$942.36
|
| Rate for Payer: Cofinity Commercial |
$1,012.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$703.25
|
| Rate for Payer: Healthscope Commercial |
$843.90
|
| Rate for Payer: Healthscope Whirlpool |
$843.90
|
| Rate for Payer: Meridian Medicaid |
$486.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$738.41
|
| Rate for Payer: PACE SWMI |
$703.25
|
| Rate for Payer: PHP Medicare Advantage |
$703.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,416.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,097.39
|
| Rate for Payer: Priority Health Medicare |
$703.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,097.39
|
| Rate for Payer: UHC Medicare Advantage |
$724.35
|
|
|
PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 24000
|
| Min. Negotiated Rate |
$21.65 |
| Max. Negotiated Rate |
$1,398.60 |
| Rate for Payer: Aetna Commercial |
$633.31
|
| Rate for Payer: Aetna Medicare |
$472.62
|
| Rate for Payer: BCBS Complete |
$328.09
|
| Rate for Payer: BCBS MAPPO |
$472.62
|
| Rate for Payer: BCBS Trust/PPO |
$21.65
|
| Rate for Payer: BCN Commercial |
$708.59
|
| Rate for Payer: BCN Medicare Advantage |
$472.62
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$633.31
|
| Rate for Payer: Cofinity Commercial |
$680.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.62
|
| Rate for Payer: Healthscope Commercial |
$567.14
|
| Rate for Payer: Healthscope Whirlpool |
$567.14
|
| Rate for Payer: Meridian Medicaid |
$328.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$496.25
|
| Rate for Payer: PACE SWMI |
$472.62
|
| Rate for Payer: PHP Medicare Advantage |
$472.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$312.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,398.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$740.44
|
| Rate for Payer: Priority Health Medicare |
$472.62
|
| Rate for Payer: Priority Health Narrow Network |
$740.44
|
| Rate for Payer: UHC Medicare Advantage |
$486.80
|
|
