|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Professional
|
Both
|
$1,811.00
|
|
|
Service Code
|
HCPCS 38520
|
| Hospital Charge Code |
38520
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$1,267.70 |
| Rate for Payer: Aetna Commercial |
$619.66
|
| Rate for Payer: Aetna Medicare |
$462.43
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$462.43
|
| Rate for Payer: BCBS Trust/PPO |
$460.15
|
| Rate for Payer: BCN Commercial |
$685.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.43
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$619.66
|
| Rate for Payer: Cofinity Commercial |
$665.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.43
|
| Rate for Payer: Healthscope Commercial |
$554.92
|
| Rate for Payer: Healthscope Whirlpool |
$554.92
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$485.55
|
| Rate for Payer: PACE SWMI |
$462.43
|
| Rate for Payer: PHP Medicare Advantage |
$462.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.26
|
| Rate for Payer: Priority Health Medicare |
$462.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,016.26
|
| Rate for Payer: UHC Medicare Advantage |
$476.30
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Professional
|
Both
|
$1,811.00
|
|
|
Service Code
|
HCPCS 38520
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$1,267.70 |
| Rate for Payer: Aetna Commercial |
$619.66
|
| Rate for Payer: Aetna Medicare |
$462.43
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$462.43
|
| Rate for Payer: BCBS Trust/PPO |
$460.15
|
| Rate for Payer: BCN Commercial |
$685.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.43
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$665.90
|
| Rate for Payer: Cofinity Commercial |
$619.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.43
|
| Rate for Payer: Healthscope Commercial |
$554.92
|
| Rate for Payer: Healthscope Whirlpool |
$554.92
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$485.55
|
| Rate for Payer: PACE SWMI |
$462.43
|
| Rate for Payer: PHP Medicare Advantage |
$462.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.26
|
| Rate for Payer: Priority Health Medicare |
$462.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,016.26
|
| Rate for Payer: UHC Medicare Advantage |
$476.30
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Facility
|
OP
|
$1,811.00
|
|
|
Service Code
|
CPT 38520
|
| Hospital Charge Code |
38520
|
| Min. Negotiated Rate |
$1,267.70 |
| Max. Negotiated Rate |
$4,235.21 |
| Rate for Payer: Aetna Commercial |
$1,629.90
|
| Rate for Payer: Aetna Medicare |
$3,388.17
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,235.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,235.21
|
| Rate for Payer: ASR ASR |
$1,756.67
|
| Rate for Payer: BCBS Complete |
$1,946.16
|
| Rate for Payer: BCBS MAPPO |
$3,388.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.07
|
| Rate for Payer: BCN Commercial |
$1,404.07
|
| Rate for Payer: BCN Medicare Advantage |
$3,388.17
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$1,702.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,448.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,388.17
|
| Rate for Payer: Healthscope Commercial |
$1,811.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,756.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,388.17
|
| Rate for Payer: Mclaren Commercial |
$1,629.90
|
| Rate for Payer: Mclaren Medicaid |
$1,853.33
|
| Rate for Payer: Mclaren Medicare |
$3,388.17
|
| Rate for Payer: Meridian Medicaid |
$1,946.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,557.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,896.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,539.35
|
| Rate for Payer: PACE Medicare |
$3,218.76
|
| Rate for Payer: PACE SWMI |
$3,388.17
|
| Rate for Payer: PHP Commercial |
$3,726.99
|
| Rate for Payer: PHP Medicaid |
$1,853.33
|
| Rate for Payer: PHP Medicare Advantage |
$3,388.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,853.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,648.01
|
| Rate for Payer: Priority Health Medicare |
$3,388.17
|
| Rate for Payer: Priority Health Narrow Network |
$1,285.81
|
| Rate for Payer: Railroad Medicare Medicare |
$3,388.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,593.68
|
| Rate for Payer: UHC Medicare Advantage |
$3,489.82
|
| Rate for Payer: VA VA |
$3,388.17
|
|
|
PR BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS
|
Professional
|
Both
|
$358.00
|
|
|
Service Code
|
HCPCS 44100
|
| Min. Negotiated Rate |
$67.10 |
| Max. Negotiated Rate |
$2,539.54 |
| Rate for Payer: Aetna Commercial |
$139.33
|
| Rate for Payer: Aetna Medicare |
$103.98
|
| Rate for Payer: BCBS Complete |
$70.46
|
| Rate for Payer: BCBS MAPPO |
$103.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,539.54
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$103.98
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cofinity Commercial |
$139.33
|
| Rate for Payer: Cofinity Commercial |
$149.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.98
|
| Rate for Payer: Healthscope Commercial |
$124.78
|
| Rate for Payer: Healthscope Whirlpool |
$124.78
|
| Rate for Payer: Meridian Medicaid |
$70.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.18
|
| Rate for Payer: PACE SWMI |
$103.98
|
| Rate for Payer: PHP Medicare Advantage |
$103.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.04
|
| Rate for Payer: Priority Health Medicare |
$103.98
|
| Rate for Payer: Priority Health Narrow Network |
$184.04
|
| Rate for Payer: UHC Medicare Advantage |
$107.10
|
|
|
PR BX LVR NDL DONE PURPOSE TM OTH MAJOR PX
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 47001
|
| Min. Negotiated Rate |
$65.39 |
| Max. Negotiated Rate |
$1,355.62 |
| Rate for Payer: Aetna Commercial |
$138.13
|
| Rate for Payer: Aetna Medicare |
$103.08
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCBS MAPPO |
$103.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,355.62
|
| Rate for Payer: BCN Commercial |
$150.03
|
| Rate for Payer: BCN Medicare Advantage |
$103.08
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$148.44
|
| Rate for Payer: Cofinity Commercial |
$138.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.08
|
| Rate for Payer: Healthscope Commercial |
$123.70
|
| Rate for Payer: Healthscope Whirlpool |
$123.70
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.23
|
| Rate for Payer: PACE SWMI |
$103.08
|
| Rate for Payer: PHP Medicare Advantage |
$103.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$180.50
|
| Rate for Payer: Priority Health Medicare |
$103.08
|
| Rate for Payer: Priority Health Narrow Network |
$180.50
|
| Rate for Payer: UHC Medicare Advantage |
$106.17
|
|
|
PR BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 42806
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$355.76 |
| Rate for Payer: Aetna Commercial |
$184.12
|
| Rate for Payer: Aetna Medicare |
$137.40
|
| Rate for Payer: BCBS Complete |
$96.17
|
| Rate for Payer: BCBS MAPPO |
$137.40
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$355.76
|
| Rate for Payer: BCN Medicare Advantage |
$137.40
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$184.12
|
| Rate for Payer: Cofinity Commercial |
$197.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.40
|
| Rate for Payer: Healthscope Commercial |
$164.88
|
| Rate for Payer: Healthscope Whirlpool |
$164.88
|
| Rate for Payer: Meridian Medicaid |
$96.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.27
|
| Rate for Payer: PACE SWMI |
$137.40
|
| Rate for Payer: PHP Medicare Advantage |
$137.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.89
|
| Rate for Payer: Priority Health Medicare |
$137.40
|
| Rate for Payer: Priority Health Narrow Network |
$249.89
|
| Rate for Payer: UHC Medicare Advantage |
$141.52
|
|
|
PR BX OF BREAST, NEEDLE CORE, IMAGE GUIDE
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 19102
|
| Min. Negotiated Rate |
$162.40 |
| Max. Negotiated Rate |
$284.20 |
| Rate for Payer: BCBS Complete |
$162.40
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.20
|
|
|
PR BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 55706
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$1,743.92 |
| Rate for Payer: Aetna Commercial |
$490.86
|
| Rate for Payer: Aetna Medicare |
$366.31
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$366.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,743.92
|
| Rate for Payer: BCN Commercial |
$543.41
|
| Rate for Payer: BCN Medicare Advantage |
$366.31
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$527.49
|
| Rate for Payer: Cofinity Commercial |
$490.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$366.31
|
| Rate for Payer: Healthscope Commercial |
$439.57
|
| Rate for Payer: Healthscope Whirlpool |
$439.57
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$384.63
|
| Rate for Payer: PACE SWMI |
$366.31
|
| Rate for Payer: PHP Medicare Advantage |
$366.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$600.88
|
| Rate for Payer: Priority Health Medicare |
$366.31
|
| Rate for Payer: Priority Health Narrow Network |
$600.88
|
| Rate for Payer: UHC Medicare Advantage |
$377.30
|
|
|
PR BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN
|
Professional
|
Both
|
$311.00
|
|
|
Service Code
|
HCPCS 35681
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$1,298.03 |
| Rate for Payer: Aetna Commercial |
$105.28
|
| Rate for Payer: Aetna Medicare |
$78.57
|
| Rate for Payer: BCBS Complete |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$78.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,298.03
|
| Rate for Payer: BCN Commercial |
$113.38
|
| Rate for Payer: BCN Medicare Advantage |
$78.57
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cofinity Commercial |
$113.14
|
| Rate for Payer: Cofinity Commercial |
$105.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.57
|
| Rate for Payer: Healthscope Commercial |
$94.28
|
| Rate for Payer: Healthscope Whirlpool |
$94.28
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$82.50
|
| Rate for Payer: PACE SWMI |
$78.57
|
| Rate for Payer: PHP Medicare Advantage |
$78.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123.42
|
| Rate for Payer: Priority Health Medicare |
$78.57
|
| Rate for Payer: Priority Health Narrow Network |
$123.42
|
| Rate for Payer: UHC Medicare Advantage |
$80.93
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC
|
Professional
|
Both
|
$3,240.00
|
|
|
Service Code
|
HCPCS 35632
|
| Min. Negotiated Rate |
$1,126.34 |
| Max. Negotiated Rate |
$2,799.69 |
| Rate for Payer: Aetna Commercial |
$2,388.74
|
| Rate for Payer: Aetna Medicare |
$1,782.64
|
| Rate for Payer: BCBS Complete |
$1,182.66
|
| Rate for Payer: BCBS MAPPO |
$1,782.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,188.68
|
| Rate for Payer: BCN Commercial |
$2,571.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,782.64
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cofinity Commercial |
$2,388.74
|
| Rate for Payer: Cofinity Commercial |
$2,567.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,782.64
|
| Rate for Payer: Healthscope Commercial |
$2,139.17
|
| Rate for Payer: Healthscope Whirlpool |
$2,139.17
|
| Rate for Payer: Meridian Medicaid |
$1,182.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,871.77
|
| Rate for Payer: PACE SWMI |
$1,782.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,782.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,126.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,268.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,799.69
|
| Rate for Payer: Priority Health Medicare |
$1,782.64
|
| Rate for Payer: Priority Health Narrow Network |
$2,799.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,836.12
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC
|
Professional
|
Both
|
$3,629.00
|
|
|
Service Code
|
HCPCS 35633
|
| Min. Negotiated Rate |
$1,181.81 |
| Max. Negotiated Rate |
$3,074.18 |
| Rate for Payer: Aetna Commercial |
$2,620.01
|
| Rate for Payer: Aetna Medicare |
$1,955.23
|
| Rate for Payer: BCBS Complete |
$1,297.17
|
| Rate for Payer: BCBS MAPPO |
$1,955.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$2,824.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,955.23
|
| Rate for Payer: Cash Price |
$2,903.20
|
| Rate for Payer: Cash Price |
$2,903.20
|
| Rate for Payer: Cofinity Commercial |
$2,815.53
|
| Rate for Payer: Cofinity Commercial |
$2,620.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,955.23
|
| Rate for Payer: Healthscope Commercial |
$2,346.28
|
| Rate for Payer: Healthscope Whirlpool |
$2,346.28
|
| Rate for Payer: Meridian Medicaid |
$1,297.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,052.99
|
| Rate for Payer: PACE SWMI |
$1,955.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,955.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,540.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,074.18
|
| Rate for Payer: Priority Health Medicare |
$1,955.23
|
| Rate for Payer: Priority Health Narrow Network |
$3,074.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,013.89
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL
|
Professional
|
Both
|
$3,169.00
|
|
|
Service Code
|
HCPCS 35634
|
| Min. Negotiated Rate |
$1,102.28 |
| Max. Negotiated Rate |
$2,740.65 |
| Rate for Payer: Aetna Commercial |
$2,338.17
|
| Rate for Payer: Aetna Medicare |
$1,744.90
|
| Rate for Payer: BCBS Complete |
$1,157.39
|
| Rate for Payer: BCBS MAPPO |
$1,744.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,193.43
|
| Rate for Payer: BCN Commercial |
$2,517.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.90
|
| Rate for Payer: Cash Price |
$2,535.20
|
| Rate for Payer: Cash Price |
$2,535.20
|
| Rate for Payer: Cofinity Commercial |
$2,338.17
|
| Rate for Payer: Cofinity Commercial |
$2,512.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.90
|
| Rate for Payer: Healthscope Commercial |
$2,093.88
|
| Rate for Payer: Healthscope Whirlpool |
$2,093.88
|
| Rate for Payer: Meridian Medicaid |
$1,157.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,832.14
|
| Rate for Payer: PACE SWMI |
$1,744.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,102.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,218.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,740.65
|
| Rate for Payer: Priority Health Medicare |
$1,744.90
|
| Rate for Payer: Priority Health Narrow Network |
$2,740.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,797.25
|
|
|
PR BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE
|
Professional
|
Both
|
$4,667.00
|
|
|
Service Code
|
HCPCS 35626
|
| Min. Negotiated Rate |
$991.09 |
| Max. Negotiated Rate |
$3,266.90 |
| Rate for Payer: Aetna Commercial |
$2,094.89
|
| Rate for Payer: Aetna Medicare |
$1,563.35
|
| Rate for Payer: BCBS Complete |
$1,040.64
|
| Rate for Payer: BCBS MAPPO |
$1,563.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,555.32
|
| Rate for Payer: BCN Commercial |
$2,274.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,563.35
|
| Rate for Payer: Cash Price |
$3,733.60
|
| Rate for Payer: Cash Price |
$3,733.60
|
| Rate for Payer: Cofinity Commercial |
$2,251.22
|
| Rate for Payer: Cofinity Commercial |
$2,094.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,563.35
|
| Rate for Payer: Healthscope Commercial |
$1,876.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,876.02
|
| Rate for Payer: Meridian Medicaid |
$1,040.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,641.52
|
| Rate for Payer: PACE SWMI |
$1,563.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,563.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$991.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,266.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,476.26
|
| Rate for Payer: Priority Health Medicare |
$1,563.35
|
| Rate for Payer: Priority Health Narrow Network |
$2,476.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,610.25
|
|
|
PR BYPASS W/VEIN AORTOBI-ILIAC
|
Professional
|
Both
|
$6,277.00
|
|
|
Service Code
|
HCPCS 35538
|
| Min. Negotiated Rate |
$971.54 |
| Max. Negotiated Rate |
$4,393.90 |
| Rate for Payer: Aetna Commercial |
$3,089.70
|
| Rate for Payer: Aetna Medicare |
$2,305.75
|
| Rate for Payer: BCBS Complete |
$1,527.75
|
| Rate for Payer: BCBS MAPPO |
$2,305.75
|
| Rate for Payer: BCBS Trust/PPO |
$971.54
|
| Rate for Payer: BCN Commercial |
$3,324.47
|
| Rate for Payer: BCN Medicare Advantage |
$2,305.75
|
| Rate for Payer: Cash Price |
$5,021.60
|
| Rate for Payer: Cash Price |
$5,021.60
|
| Rate for Payer: Cofinity Commercial |
$3,089.70
|
| Rate for Payer: Cofinity Commercial |
$3,320.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,305.75
|
| Rate for Payer: Healthscope Commercial |
$2,766.90
|
| Rate for Payer: Healthscope Whirlpool |
$2,766.90
|
| Rate for Payer: Meridian Medicaid |
$1,527.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,421.04
|
| Rate for Payer: PACE SWMI |
$2,305.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,305.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,455.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,393.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,618.91
|
| Rate for Payer: Priority Health Medicare |
$2,305.75
|
| Rate for Payer: Priority Health Narrow Network |
$3,618.91
|
| Rate for Payer: UHC Medicare Advantage |
$2,374.92
|
|
|
PR BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC
|
Professional
|
Both
|
$4,193.00
|
|
|
Service Code
|
HCPCS 35531
|
| Min. Negotiated Rate |
$63.40 |
| Max. Negotiated Rate |
$3,022.58 |
| Rate for Payer: Aetna Commercial |
$2,579.74
|
| Rate for Payer: Aetna Medicare |
$1,925.18
|
| Rate for Payer: BCBS Complete |
$1,276.37
|
| Rate for Payer: BCBS MAPPO |
$1,925.18
|
| Rate for Payer: BCBS Trust/PPO |
$63.40
|
| Rate for Payer: BCN Commercial |
$2,776.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,925.18
|
| Rate for Payer: Cash Price |
$3,354.40
|
| Rate for Payer: Cash Price |
$3,354.40
|
| Rate for Payer: Cofinity Commercial |
$2,579.74
|
| Rate for Payer: Cofinity Commercial |
$2,772.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,925.18
|
| Rate for Payer: Healthscope Commercial |
$2,310.22
|
| Rate for Payer: Healthscope Whirlpool |
$2,310.22
|
| Rate for Payer: Meridian Medicaid |
$1,276.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,021.44
|
| Rate for Payer: PACE SWMI |
$1,925.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,925.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,215.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,935.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,022.58
|
| Rate for Payer: Priority Health Medicare |
$1,925.18
|
| Rate for Payer: Priority Health Narrow Network |
$3,022.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,982.94
|
|
|
PR BYPASS W/VEIN AORTOILIAC
|
Professional
|
Both
|
$4,317.00
|
|
|
Service Code
|
HCPCS 35537
|
| Min. Negotiated Rate |
$1,299.30 |
| Max. Negotiated Rate |
$3,228.98 |
| Rate for Payer: Aetna Commercial |
$2,756.31
|
| Rate for Payer: Aetna Medicare |
$2,056.95
|
| Rate for Payer: BCBS Complete |
$1,364.26
|
| Rate for Payer: BCBS MAPPO |
$2,056.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,308.07
|
| Rate for Payer: BCN Commercial |
$2,966.27
|
| Rate for Payer: BCN Medicare Advantage |
$2,056.95
|
| Rate for Payer: Cash Price |
$3,453.60
|
| Rate for Payer: Cash Price |
$3,453.60
|
| Rate for Payer: Cofinity Commercial |
$2,756.31
|
| Rate for Payer: Cofinity Commercial |
$2,962.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,056.95
|
| Rate for Payer: Healthscope Commercial |
$2,468.34
|
| Rate for Payer: Healthscope Whirlpool |
$2,468.34
|
| Rate for Payer: Meridian Medicaid |
$1,364.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,159.80
|
| Rate for Payer: PACE SWMI |
$2,056.95
|
| Rate for Payer: PHP Medicare Advantage |
$2,056.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,299.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,021.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,228.98
|
| Rate for Payer: Priority Health Medicare |
$2,056.95
|
| Rate for Payer: Priority Health Narrow Network |
$3,228.98
|
| Rate for Payer: UHC Medicare Advantage |
$2,118.66
|
|
|
PR BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE
|
Professional
|
Both
|
$3,605.00
|
|
|
Service Code
|
HCPCS 35526
|
| Min. Negotiated Rate |
$1,080.34 |
| Max. Negotiated Rate |
$3,230.55 |
| Rate for Payer: Aetna Commercial |
$2,275.55
|
| Rate for Payer: Aetna Medicare |
$1,698.17
|
| Rate for Payer: BCBS Complete |
$1,134.36
|
| Rate for Payer: BCBS MAPPO |
$1,698.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,230.55
|
| Rate for Payer: BCN Commercial |
$2,474.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,698.17
|
| Rate for Payer: Cash Price |
$2,884.00
|
| Rate for Payer: Cash Price |
$2,884.00
|
| Rate for Payer: Cofinity Commercial |
$2,275.55
|
| Rate for Payer: Cofinity Commercial |
$2,445.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,698.17
|
| Rate for Payer: Healthscope Commercial |
$2,037.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,037.80
|
| Rate for Payer: Meridian Medicaid |
$1,134.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,783.08
|
| Rate for Payer: PACE SWMI |
$1,698.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,698.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,080.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,523.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,693.84
|
| Rate for Payer: Priority Health Medicare |
$1,698.17
|
| Rate for Payer: Priority Health Narrow Network |
$2,693.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,749.12
|
|
|
PR BYPASS W/VEIN AXILLARY-BRACHIAL
|
Professional
|
Both
|
$2,363.00
|
|
|
Service Code
|
HCPCS 35522
|
| Min. Negotiated Rate |
$430.04 |
| Max. Negotiated Rate |
$1,813.97 |
| Rate for Payer: Aetna Commercial |
$1,546.23
|
| Rate for Payer: Aetna Medicare |
$1,153.90
|
| Rate for Payer: BCBS Complete |
$766.23
|
| Rate for Payer: BCBS MAPPO |
$1,153.90
|
| Rate for Payer: BCBS Trust/PPO |
$430.04
|
| Rate for Payer: BCN Commercial |
$1,666.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,153.90
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cofinity Commercial |
$1,661.62
|
| Rate for Payer: Cofinity Commercial |
$1,546.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,153.90
|
| Rate for Payer: Healthscope Commercial |
$1,384.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,384.68
|
| Rate for Payer: Meridian Medicaid |
$766.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,211.60
|
| Rate for Payer: PACE SWMI |
$1,153.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,153.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$729.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,813.97
|
| Rate for Payer: Priority Health Medicare |
$1,153.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,813.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,188.52
|
|
|
PR BYPASS W/VEIN BRACHIAL-BRACHIAL
|
Professional
|
Both
|
$4,108.00
|
|
|
Service Code
|
HCPCS 35525
|
| Min. Negotiated Rate |
$706.73 |
| Max. Negotiated Rate |
$2,875.60 |
| Rate for Payer: Aetna Commercial |
$1,495.24
|
| Rate for Payer: Aetna Medicare |
$1,115.85
|
| Rate for Payer: BCBS Complete |
$742.07
|
| Rate for Payer: BCBS MAPPO |
$1,115.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,468.75
|
| Rate for Payer: BCN Commercial |
$1,616.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,115.85
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,606.82
|
| Rate for Payer: Cofinity Commercial |
$1,495.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,115.85
|
| Rate for Payer: Healthscope Commercial |
$1,339.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,339.02
|
| Rate for Payer: Meridian Medicaid |
$742.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,171.64
|
| Rate for Payer: PACE SWMI |
$1,115.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,115.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,875.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,759.18
|
| Rate for Payer: Priority Health Medicare |
$1,115.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,759.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.33
|
|
|
PR BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL
|
Professional
|
Both
|
$2,485.00
|
|
|
Service Code
|
HCPCS 35523
|
| Min. Negotiated Rate |
$767.87 |
| Max. Negotiated Rate |
$1,967.18 |
| Rate for Payer: Aetna Commercial |
$1,670.52
|
| Rate for Payer: Aetna Medicare |
$1,246.66
|
| Rate for Payer: BCBS Complete |
$806.26
|
| Rate for Payer: BCBS MAPPO |
$1,246.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,439.62
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,246.66
|
| Rate for Payer: Cash Price |
$1,988.00
|
| Rate for Payer: Cash Price |
$1,988.00
|
| Rate for Payer: Cofinity Commercial |
$1,670.52
|
| Rate for Payer: Cofinity Commercial |
$1,795.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,246.66
|
| Rate for Payer: Healthscope Commercial |
$1,495.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,495.99
|
| Rate for Payer: Meridian Medicaid |
$806.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,308.99
|
| Rate for Payer: PACE SWMI |
$1,246.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,246.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,739.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,967.18
|
| Rate for Payer: Priority Health Medicare |
$1,246.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,967.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,284.06
|
|
|
PR BYPASS W/VEIN CAROTID-BRACHIAL
|
Professional
|
Both
|
$2,546.00
|
|
|
Service Code
|
HCPCS 35510
|
| Min. Negotiated Rate |
$767.23 |
| Max. Negotiated Rate |
$1,907.07 |
| Rate for Payer: Aetna Commercial |
$1,625.94
|
| Rate for Payer: Aetna Medicare |
$1,213.39
|
| Rate for Payer: BCBS Complete |
$805.59
|
| Rate for Payer: BCBS MAPPO |
$1,213.39
|
| Rate for Payer: BCBS Trust/PPO |
$971.54
|
| Rate for Payer: BCN Commercial |
$1,751.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,213.39
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Cofinity Commercial |
$1,747.28
|
| Rate for Payer: Cofinity Commercial |
$1,625.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,213.39
|
| Rate for Payer: Healthscope Commercial |
$1,456.07
|
| Rate for Payer: Healthscope Whirlpool |
$1,456.07
|
| Rate for Payer: Meridian Medicaid |
$805.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,274.06
|
| Rate for Payer: PACE SWMI |
$1,213.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,213.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,782.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,907.07
|
| Rate for Payer: Priority Health Medicare |
$1,213.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,907.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,249.79
|
|
|
PR BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID
|
Professional
|
Both
|
$2,616.00
|
|
|
Service Code
|
HCPCS 35506
|
| Min. Negotiated Rate |
$794.49 |
| Max. Negotiated Rate |
$1,975.69 |
| Rate for Payer: Aetna Commercial |
$1,684.76
|
| Rate for Payer: Aetna Medicare |
$1,257.28
|
| Rate for Payer: BCBS Complete |
$834.21
|
| Rate for Payer: BCBS MAPPO |
$1,257.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.98
|
| Rate for Payer: BCN Commercial |
$1,814.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,257.28
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cofinity Commercial |
$1,810.48
|
| Rate for Payer: Cofinity Commercial |
$1,684.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,257.28
|
| Rate for Payer: Healthscope Commercial |
$1,508.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,508.74
|
| Rate for Payer: Meridian Medicaid |
$834.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,320.14
|
| Rate for Payer: PACE SWMI |
$1,257.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,257.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$794.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,831.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,975.69
|
| Rate for Payer: Priority Health Medicare |
$1,257.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,975.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,295.00
|
|
|
PR BYPASS W/VEIN COMMON-IPSILATERAL CAROTID
|
Professional
|
Both
|
$3,023.00
|
|
|
Service Code
|
HCPCS 35501
|
| Min. Negotiated Rate |
$844.22 |
| Max. Negotiated Rate |
$2,262.41 |
| Rate for Payer: Aetna Commercial |
$1,929.81
|
| Rate for Payer: Aetna Medicare |
$1,440.16
|
| Rate for Payer: BCBS Complete |
$955.44
|
| Rate for Payer: BCBS MAPPO |
$1,440.16
|
| Rate for Payer: BCBS Trust/PPO |
$844.22
|
| Rate for Payer: BCN Commercial |
$2,078.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,440.16
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cofinity Commercial |
$1,929.81
|
| Rate for Payer: Cofinity Commercial |
$2,073.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,440.16
|
| Rate for Payer: Healthscope Commercial |
$1,728.19
|
| Rate for Payer: Healthscope Whirlpool |
$1,728.19
|
| Rate for Payer: Meridian Medicaid |
$955.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,512.17
|
| Rate for Payer: PACE SWMI |
$1,440.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,440.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$909.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,116.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,262.41
|
| Rate for Payer: Priority Health Medicare |
$1,440.16
|
| Rate for Payer: Priority Health Narrow Network |
$2,262.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,483.36
|
|
|
PR BYPASS W/VEIN FEMORAL-FEMORAL
|
Professional
|
Both
|
$2,366.00
|
|
|
Service Code
|
HCPCS 35558
|
| Min. Negotiated Rate |
$721.66 |
| Max. Negotiated Rate |
$1,915.05 |
| Rate for Payer: Aetna Commercial |
$1,624.88
|
| Rate for Payer: Aetna Medicare |
$1,212.60
|
| Rate for Payer: BCBS Complete |
$811.85
|
| Rate for Payer: BCBS MAPPO |
$1,212.60
|
| Rate for Payer: BCBS Trust/PPO |
$721.66
|
| Rate for Payer: BCN Commercial |
$1,759.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,212.60
|
| Rate for Payer: Cash Price |
$1,892.80
|
| Rate for Payer: Cash Price |
$1,892.80
|
| Rate for Payer: Cofinity Commercial |
$1,746.14
|
| Rate for Payer: Cofinity Commercial |
$1,624.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,212.60
|
| Rate for Payer: Healthscope Commercial |
$1,455.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,455.12
|
| Rate for Payer: Meridian Medicaid |
$811.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,273.23
|
| Rate for Payer: PACE SWMI |
$1,212.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,212.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$773.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,656.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,915.05
|
| Rate for Payer: Priority Health Medicare |
$1,212.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,915.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,248.98
|
|
|
PR BYPASS W/VEIN FEMORAL-POPLITEAL
|
Professional
|
Both
|
$2,696.00
|
|
|
Service Code
|
HCPCS 35556
|
| Min. Negotiated Rate |
$868.19 |
| Max. Negotiated Rate |
$2,162.93 |
| Rate for Payer: Aetna Commercial |
$1,838.44
|
| Rate for Payer: Aetna Medicare |
$1,371.97
|
| Rate for Payer: BCBS Complete |
$911.60
|
| Rate for Payer: BCBS MAPPO |
$1,371.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,363.54
|
| Rate for Payer: BCN Commercial |
$1,986.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,371.97
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cofinity Commercial |
$1,838.44
|
| Rate for Payer: Cofinity Commercial |
$1,975.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,371.97
|
| Rate for Payer: Healthscope Commercial |
$1,646.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,646.36
|
| Rate for Payer: Meridian Medicaid |
$911.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,440.57
|
| Rate for Payer: PACE SWMI |
$1,371.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,371.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$868.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,887.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,162.93
|
| Rate for Payer: Priority Health Medicare |
$1,371.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,162.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,413.13
|
|
