|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
OP
|
$277.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$110.80 |
| Max. Negotiated Rate |
$277.00 |
| Rate for Payer: Aetna Commercial |
$249.30
|
| Rate for Payer: ASR ASR |
$268.69
|
| Rate for Payer: BCBS Complete |
$110.80
|
| Rate for Payer: BCBS Trust/PPO |
$214.76
|
| Rate for Payer: BCN Commercial |
$214.76
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cofinity Commercial |
$260.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.60
|
| Rate for Payer: Healthscope Commercial |
$277.00
|
| Rate for Payer: Healthscope Whirlpool |
$268.69
|
| Rate for Payer: Mclaren Commercial |
$249.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$235.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$252.07
|
| Rate for Payer: Priority Health Narrow Network |
$196.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$243.76
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
IP
|
$277.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$193.90 |
| Max. Negotiated Rate |
$277.00 |
| Rate for Payer: Aetna Commercial |
$249.30
|
| Rate for Payer: ASR ASR |
$268.69
|
| Rate for Payer: BCBS Trust/PPO |
$214.76
|
| Rate for Payer: BCN Commercial |
$214.76
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cofinity Commercial |
$260.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.60
|
| Rate for Payer: Healthscope Commercial |
$277.00
|
| Rate for Payer: Healthscope Whirlpool |
$268.69
|
| Rate for Payer: Mclaren Commercial |
$249.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$235.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$243.76
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Professional
|
Both
|
$277.00
|
|
|
Service Code
|
HCPCS 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$219.57 |
| Rate for Payer: Aetna Commercial |
$191.81
|
| Rate for Payer: Aetna Medicare |
$143.14
|
| Rate for Payer: BCBS Complete |
$96.17
|
| Rate for Payer: BCBS MAPPO |
$143.14
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$210.13
|
| Rate for Payer: BCN Medicare Advantage |
$143.14
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cofinity Commercial |
$206.12
|
| Rate for Payer: Cofinity Commercial |
$191.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.14
|
| Rate for Payer: Healthscope Commercial |
$171.77
|
| Rate for Payer: Healthscope Whirlpool |
$171.77
|
| Rate for Payer: Meridian Medicaid |
$96.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.30
|
| Rate for Payer: PACE SWMI |
$143.14
|
| Rate for Payer: PHP Medicare Advantage |
$143.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.57
|
| Rate for Payer: Priority Health Medicare |
$143.14
|
| Rate for Payer: Priority Health Narrow Network |
$219.57
|
| Rate for Payer: UHC Medicare Advantage |
$147.43
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT
|
Professional
|
Both
|
$7,151.00
|
|
|
Service Code
|
HCPCS 61582
|
| Min. Negotiated Rate |
$893.36 |
| Max. Negotiated Rate |
$6,455.95 |
| Rate for Payer: Aetna Commercial |
$4,188.05
|
| Rate for Payer: Aetna Medicare |
$3,125.41
|
| Rate for Payer: BCBS Complete |
$2,033.65
|
| Rate for Payer: BCBS MAPPO |
$3,125.41
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$6,455.95
|
| Rate for Payer: BCN Medicare Advantage |
$3,125.41
|
| Rate for Payer: Cash Price |
$5,720.80
|
| Rate for Payer: Cash Price |
$5,720.80
|
| Rate for Payer: Cofinity Commercial |
$4,188.05
|
| Rate for Payer: Cofinity Commercial |
$4,500.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,125.41
|
| Rate for Payer: Healthscope Commercial |
$3,750.49
|
| Rate for Payer: Healthscope Whirlpool |
$3,750.49
|
| Rate for Payer: Meridian Medicaid |
$2,033.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,281.68
|
| Rate for Payer: PACE SWMI |
$3,125.41
|
| Rate for Payer: PHP Medicare Advantage |
$3,125.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,936.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,005.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,392.15
|
| Rate for Payer: Priority Health Medicare |
$3,125.41
|
| Rate for Payer: Priority Health Narrow Network |
$5,392.15
|
| Rate for Payer: UHC Medicare Advantage |
$3,219.17
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE
|
Professional
|
Both
|
$7,812.00
|
|
|
Service Code
|
HCPCS 61583
|
| Min. Negotiated Rate |
$841.58 |
| Max. Negotiated Rate |
$6,001.73 |
| Rate for Payer: Aetna Commercial |
$3,928.00
|
| Rate for Payer: Aetna Medicare |
$2,931.34
|
| Rate for Payer: BCBS Complete |
$1,978.63
|
| Rate for Payer: BCBS MAPPO |
$2,931.34
|
| Rate for Payer: BCBS Trust/PPO |
$841.58
|
| Rate for Payer: BCN Commercial |
$6,001.73
|
| Rate for Payer: BCN Medicare Advantage |
$2,931.34
|
| Rate for Payer: Cash Price |
$6,249.60
|
| Rate for Payer: Cash Price |
$6,249.60
|
| Rate for Payer: Cofinity Commercial |
$4,221.13
|
| Rate for Payer: Cofinity Commercial |
$3,928.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,931.34
|
| Rate for Payer: Healthscope Commercial |
$3,517.61
|
| Rate for Payer: Healthscope Whirlpool |
$3,517.61
|
| Rate for Payer: Meridian Medicaid |
$1,978.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,077.91
|
| Rate for Payer: PACE SWMI |
$2,931.34
|
| Rate for Payer: PHP Medicare Advantage |
$2,931.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,884.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,468.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,012.77
|
| Rate for Payer: Priority Health Medicare |
$2,931.34
|
| Rate for Payer: Priority Health Narrow Network |
$5,012.77
|
| Rate for Payer: UHC Medicare Advantage |
$3,019.28
|
|
|
PR CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY
|
Professional
|
Both
|
$8,634.00
|
|
|
Service Code
|
HCPCS 61323
|
| Min. Negotiated Rate |
$679.39 |
| Max. Negotiated Rate |
$6,043.80 |
| Rate for Payer: Aetna Commercial |
$3,229.82
|
| Rate for Payer: Aetna Medicare |
$2,410.31
|
| Rate for Payer: BCBS Complete |
$1,625.94
|
| Rate for Payer: BCBS MAPPO |
$2,410.31
|
| Rate for Payer: BCBS Trust/PPO |
$679.39
|
| Rate for Payer: BCN Commercial |
$4,887.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,410.31
|
| Rate for Payer: Cash Price |
$6,907.20
|
| Rate for Payer: Cash Price |
$6,907.20
|
| Rate for Payer: Cofinity Commercial |
$3,470.85
|
| Rate for Payer: Cofinity Commercial |
$3,229.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,410.31
|
| Rate for Payer: Healthscope Commercial |
$2,892.37
|
| Rate for Payer: Healthscope Whirlpool |
$2,892.37
|
| Rate for Payer: Meridian Medicaid |
$1,625.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,530.83
|
| Rate for Payer: PACE SWMI |
$2,410.31
|
| Rate for Payer: PHP Medicare Advantage |
$2,410.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,548.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,043.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,081.91
|
| Rate for Payer: Priority Health Medicare |
$2,410.31
|
| Rate for Payer: Priority Health Narrow Network |
$4,081.91
|
| Rate for Payer: UHC Medicare Advantage |
$2,482.62
|
|
|
PR CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY
|
Professional
|
Both
|
$4,919.58
|
|
|
Service Code
|
HCPCS 61322
|
| Min. Negotiated Rate |
$569.51 |
| Max. Negotiated Rate |
$4,067.19 |
| Rate for Payer: Aetna Commercial |
$3,213.28
|
| Rate for Payer: Aetna Medicare |
$2,397.97
|
| Rate for Payer: BCBS Complete |
$1,622.13
|
| Rate for Payer: BCBS MAPPO |
$2,397.97
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,397.97
|
| Rate for Payer: Cash Price |
$3,935.66
|
| Rate for Payer: Cash Price |
$3,935.66
|
| Rate for Payer: Cofinity Commercial |
$3,453.08
|
| Rate for Payer: Cofinity Commercial |
$3,213.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,397.97
|
| Rate for Payer: Healthscope Commercial |
$2,877.56
|
| Rate for Payer: Healthscope Whirlpool |
$2,877.56
|
| Rate for Payer: Meridian Medicaid |
$1,622.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,517.87
|
| Rate for Payer: PACE SWMI |
$2,397.97
|
| Rate for Payer: PHP Medicare Advantage |
$2,397.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,544.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,443.71
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,067.19
|
| Rate for Payer: Priority Health Medicare |
$2,397.97
|
| Rate for Payer: Priority Health Narrow Network |
$4,067.19
|
| Rate for Payer: UHC Medicare Advantage |
$2,469.91
|
|
|
PR CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP
|
Professional
|
Both
|
$3,321.00
|
|
|
Service Code
|
HCPCS 61557
|
| Min. Negotiated Rate |
$1,097.80 |
| Max. Negotiated Rate |
$3,460.84 |
| Rate for Payer: Aetna Commercial |
$2,276.82
|
| Rate for Payer: Aetna Medicare |
$1,699.12
|
| Rate for Payer: BCBS Complete |
$1,152.69
|
| Rate for Payer: BCBS MAPPO |
$1,699.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,068.29
|
| Rate for Payer: BCN Commercial |
$3,460.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,699.12
|
| Rate for Payer: Cash Price |
$2,656.80
|
| Rate for Payer: Cash Price |
$2,656.80
|
| Rate for Payer: Cofinity Commercial |
$2,446.73
|
| Rate for Payer: Cofinity Commercial |
$2,276.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,699.12
|
| Rate for Payer: Healthscope Commercial |
$2,038.94
|
| Rate for Payer: Healthscope Whirlpool |
$2,038.94
|
| Rate for Payer: Meridian Medicaid |
$1,152.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,784.08
|
| Rate for Payer: PACE SWMI |
$1,699.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,699.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,097.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,324.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,890.57
|
| Rate for Payer: Priority Health Medicare |
$1,699.12
|
| Rate for Payer: Priority Health Narrow Network |
$2,890.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,750.09
|
|
|
PR CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL
|
Professional
|
Both
|
$4,272.00
|
|
|
Service Code
|
HCPCS 61321
|
| Min. Negotiated Rate |
$431.09 |
| Max. Negotiated Rate |
$3,631.20 |
| Rate for Payer: Aetna Commercial |
$2,868.89
|
| Rate for Payer: Aetna Medicare |
$2,140.96
|
| Rate for Payer: BCBS Complete |
$1,446.56
|
| Rate for Payer: BCBS MAPPO |
$2,140.96
|
| Rate for Payer: BCBS Trust/PPO |
$431.09
|
| Rate for Payer: BCN Commercial |
$3,133.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,140.96
|
| Rate for Payer: Cash Price |
$3,417.60
|
| Rate for Payer: Cash Price |
$3,417.60
|
| Rate for Payer: Cofinity Commercial |
$3,082.98
|
| Rate for Payer: Cofinity Commercial |
$2,868.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,140.96
|
| Rate for Payer: Healthscope Commercial |
$2,569.15
|
| Rate for Payer: Healthscope Whirlpool |
$2,569.15
|
| Rate for Payer: Meridian Medicaid |
$1,446.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,248.01
|
| Rate for Payer: PACE SWMI |
$2,140.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,140.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,377.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,990.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,631.20
|
| Rate for Payer: Priority Health Medicare |
$2,140.96
|
| Rate for Payer: Priority Health Narrow Network |
$3,631.20
|
| Rate for Payer: UHC Medicare Advantage |
$2,205.19
|
|
|
PR CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL
|
Professional
|
Both
|
$6,708.00
|
|
|
Service Code
|
HCPCS 61320
|
| Min. Negotiated Rate |
$495.02 |
| Max. Negotiated Rate |
$4,695.60 |
| Rate for Payer: Aetna Commercial |
$2,554.79
|
| Rate for Payer: Aetna Medicare |
$1,906.56
|
| Rate for Payer: BCBS Complete |
$1,289.12
|
| Rate for Payer: BCBS MAPPO |
$1,906.56
|
| Rate for Payer: BCBS Trust/PPO |
$495.02
|
| Rate for Payer: BCN Commercial |
$3,871.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,906.56
|
| Rate for Payer: Cash Price |
$5,366.40
|
| Rate for Payer: Cash Price |
$5,366.40
|
| Rate for Payer: Cofinity Commercial |
$2,745.45
|
| Rate for Payer: Cofinity Commercial |
$2,554.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,906.56
|
| Rate for Payer: Healthscope Commercial |
$2,287.87
|
| Rate for Payer: Healthscope Whirlpool |
$2,287.87
|
| Rate for Payer: Meridian Medicaid |
$1,289.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,001.89
|
| Rate for Payer: PACE SWMI |
$1,906.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,906.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,227.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,695.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,233.14
|
| Rate for Payer: Priority Health Medicare |
$1,906.56
|
| Rate for Payer: Priority Health Narrow Network |
$3,233.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,963.76
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN
|
Professional
|
Both
|
$9,210.00
|
|
|
Service Code
|
HCPCS 61570
|
| Min. Negotiated Rate |
$610.19 |
| Max. Negotiated Rate |
$6,447.00 |
| Rate for Payer: Aetna Commercial |
$2,527.84
|
| Rate for Payer: Aetna Medicare |
$1,886.45
|
| Rate for Payer: BCBS Complete |
$1,276.59
|
| Rate for Payer: BCBS MAPPO |
$1,886.45
|
| Rate for Payer: BCBS Trust/PPO |
$610.19
|
| Rate for Payer: BCN Commercial |
$3,835.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,886.45
|
| Rate for Payer: Cash Price |
$7,368.00
|
| Rate for Payer: Cash Price |
$7,368.00
|
| Rate for Payer: Cofinity Commercial |
$2,716.49
|
| Rate for Payer: Cofinity Commercial |
$2,527.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,886.45
|
| Rate for Payer: Healthscope Commercial |
$2,263.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,263.74
|
| Rate for Payer: Meridian Medicaid |
$1,276.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,980.77
|
| Rate for Payer: PACE SWMI |
$1,886.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,886.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,215.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,447.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,203.13
|
| Rate for Payer: Priority Health Medicare |
$1,886.45
|
| Rate for Payer: Priority Health Narrow Network |
$3,203.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,943.04
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL
|
Professional
|
Both
|
$4,106.00
|
|
|
Service Code
|
HCPCS 61305
|
| Min. Negotiated Rate |
$1,101.51 |
| Max. Negotiated Rate |
$3,429.05 |
| Rate for Payer: Aetna Commercial |
$2,707.87
|
| Rate for Payer: Aetna Medicare |
$2,020.80
|
| Rate for Payer: BCBS Complete |
$1,366.28
|
| Rate for Payer: BCBS MAPPO |
$2,020.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,101.51
|
| Rate for Payer: BCN Commercial |
$2,959.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,020.80
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cofinity Commercial |
$2,707.87
|
| Rate for Payer: Cofinity Commercial |
$2,909.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,020.80
|
| Rate for Payer: Healthscope Commercial |
$2,424.96
|
| Rate for Payer: Healthscope Whirlpool |
$2,424.96
|
| Rate for Payer: Meridian Medicaid |
$1,366.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,121.84
|
| Rate for Payer: PACE SWMI |
$2,020.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,020.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,301.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,874.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,429.05
|
| Rate for Payer: Priority Health Medicare |
$2,020.80
|
| Rate for Payer: Priority Health Narrow Network |
$3,429.05
|
| Rate for Payer: UHC Medicare Advantage |
$2,081.42
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL
|
Professional
|
Both
|
$5,356.00
|
|
|
Service Code
|
HCPCS 61304
|
| Min. Negotiated Rate |
$797.20 |
| Max. Negotiated Rate |
$3,749.20 |
| Rate for Payer: Aetna Commercial |
$2,208.07
|
| Rate for Payer: Aetna Medicare |
$1,647.81
|
| Rate for Payer: BCBS Complete |
$1,118.03
|
| Rate for Payer: BCBS MAPPO |
$1,647.81
|
| Rate for Payer: BCBS Trust/PPO |
$797.20
|
| Rate for Payer: BCN Commercial |
$3,350.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,647.81
|
| Rate for Payer: Cash Price |
$4,284.80
|
| Rate for Payer: Cash Price |
$4,284.80
|
| Rate for Payer: Cofinity Commercial |
$2,372.85
|
| Rate for Payer: Cofinity Commercial |
$2,208.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,647.81
|
| Rate for Payer: Healthscope Commercial |
$1,977.37
|
| Rate for Payer: Healthscope Whirlpool |
$1,977.37
|
| Rate for Payer: Meridian Medicaid |
$1,118.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,730.20
|
| Rate for Payer: PACE SWMI |
$1,647.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,647.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,064.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,749.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,798.28
|
| Rate for Payer: Priority Health Medicare |
$1,647.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,798.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,697.24
|
|
|
PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN
|
Professional
|
Both
|
$8,807.00
|
|
|
Service Code
|
HCPCS 61571
|
| Min. Negotiated Rate |
$723.24 |
| Max. Negotiated Rate |
$6,164.90 |
| Rate for Payer: Aetna Commercial |
$2,689.27
|
| Rate for Payer: Aetna Medicare |
$2,006.92
|
| Rate for Payer: BCBS Complete |
$1,357.34
|
| Rate for Payer: BCBS MAPPO |
$2,006.92
|
| Rate for Payer: BCBS Trust/PPO |
$723.24
|
| Rate for Payer: BCN Commercial |
$2,939.39
|
| Rate for Payer: BCN Medicare Advantage |
$2,006.92
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cofinity Commercial |
$2,889.96
|
| Rate for Payer: Cofinity Commercial |
$2,689.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,006.92
|
| Rate for Payer: Healthscope Commercial |
$2,408.30
|
| Rate for Payer: Healthscope Whirlpool |
$2,408.30
|
| Rate for Payer: Meridian Medicaid |
$1,357.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,107.27
|
| Rate for Payer: PACE SWMI |
$2,006.92
|
| Rate for Payer: PHP Medicare Advantage |
$2,006.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,292.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,164.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,405.84
|
| Rate for Payer: Priority Health Medicare |
$2,006.92
|
| Rate for Payer: Priority Health Narrow Network |
$3,405.84
|
| Rate for Payer: UHC Medicare Advantage |
$2,067.13
|
|
|
PR CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL
|
Professional
|
Both
|
$5,502.00
|
|
|
Service Code
|
HCPCS 61314
|
| Min. Negotiated Rate |
$1,064.00 |
| Max. Negotiated Rate |
$3,851.40 |
| Rate for Payer: Aetna Commercial |
$2,458.22
|
| Rate for Payer: Aetna Medicare |
$1,834.49
|
| Rate for Payer: BCBS Complete |
$1,244.17
|
| Rate for Payer: BCBS MAPPO |
$1,834.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$3,730.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,834.49
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cofinity Commercial |
$2,641.67
|
| Rate for Payer: Cofinity Commercial |
$2,458.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,834.49
|
| Rate for Payer: Healthscope Commercial |
$2,201.39
|
| Rate for Payer: Healthscope Whirlpool |
$2,201.39
|
| Rate for Payer: Meridian Medicaid |
$1,244.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,926.21
|
| Rate for Payer: PACE SWMI |
$1,834.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,834.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,184.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,851.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,115.92
|
| Rate for Payer: Priority Health Medicare |
$1,834.49
|
| Rate for Payer: Priority Health Narrow Network |
$3,115.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,889.52
|
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL
|
Professional
|
Both
|
$6,989.00
|
|
|
Service Code
|
HCPCS 61312
|
| Min. Negotiated Rate |
$831.54 |
| Max. Negotiated Rate |
$4,892.30 |
| Rate for Payer: Aetna Commercial |
$2,796.29
|
| Rate for Payer: Aetna Medicare |
$2,086.78
|
| Rate for Payer: BCBS Complete |
$1,408.77
|
| Rate for Payer: BCBS MAPPO |
$2,086.78
|
| Rate for Payer: BCBS Trust/PPO |
$831.54
|
| Rate for Payer: BCN Commercial |
$4,233.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,086.78
|
| Rate for Payer: Cash Price |
$5,591.20
|
| Rate for Payer: Cash Price |
$5,591.20
|
| Rate for Payer: Cofinity Commercial |
$2,796.29
|
| Rate for Payer: Cofinity Commercial |
$3,004.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,086.78
|
| Rate for Payer: Healthscope Commercial |
$2,504.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,504.14
|
| Rate for Payer: Meridian Medicaid |
$1,408.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,191.12
|
| Rate for Payer: PACE SWMI |
$2,086.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,086.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,341.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,892.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,536.07
|
| Rate for Payer: Priority Health Medicare |
$2,086.78
|
| Rate for Payer: Priority Health Narrow Network |
$3,536.07
|
| Rate for Payer: UHC Medicare Advantage |
$2,149.38
|
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$6,902.00
|
|
|
Service Code
|
HCPCS 61315
|
| Min. Negotiated Rate |
$1,127.39 |
| Max. Negotiated Rate |
$4,831.40 |
| Rate for Payer: Aetna Commercial |
$2,792.08
|
| Rate for Payer: Aetna Medicare |
$2,083.64
|
| Rate for Payer: BCBS Complete |
$1,409.67
|
| Rate for Payer: BCBS MAPPO |
$2,083.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$4,232.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,083.64
|
| Rate for Payer: Cash Price |
$5,521.60
|
| Rate for Payer: Cash Price |
$5,521.60
|
| Rate for Payer: Cofinity Commercial |
$3,000.44
|
| Rate for Payer: Cofinity Commercial |
$2,792.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,083.64
|
| Rate for Payer: Healthscope Commercial |
$2,500.37
|
| Rate for Payer: Healthscope Whirlpool |
$2,500.37
|
| Rate for Payer: Meridian Medicaid |
$1,409.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,187.82
|
| Rate for Payer: PACE SWMI |
$2,083.64
|
| Rate for Payer: PHP Medicare Advantage |
$2,083.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,342.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,831.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,534.94
|
| Rate for Payer: Priority Health Medicare |
$2,083.64
|
| Rate for Payer: Priority Health Narrow Network |
$3,534.94
|
| Rate for Payer: UHC Medicare Advantage |
$2,146.15
|
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$4,088.98
|
|
|
Service Code
|
HCPCS 61313
|
| Min. Negotiated Rate |
$1,065.58 |
| Max. Negotiated Rate |
$4,059.46 |
| Rate for Payer: Aetna Commercial |
$2,675.19
|
| Rate for Payer: Aetna Medicare |
$1,996.41
|
| Rate for Payer: BCBS Complete |
$1,353.53
|
| Rate for Payer: BCBS MAPPO |
$1,996.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.58
|
| Rate for Payer: BCN Commercial |
$4,059.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,996.41
|
| Rate for Payer: Cash Price |
$3,271.18
|
| Rate for Payer: Cash Price |
$3,271.18
|
| Rate for Payer: Cofinity Commercial |
$2,675.19
|
| Rate for Payer: Cofinity Commercial |
$2,874.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,996.41
|
| Rate for Payer: Healthscope Commercial |
$2,395.69
|
| Rate for Payer: Healthscope Whirlpool |
$2,395.69
|
| Rate for Payer: Meridian Medicaid |
$1,353.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,096.23
|
| Rate for Payer: PACE SWMI |
$1,996.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,996.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,289.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,862.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,390.55
|
| Rate for Payer: Priority Health Medicare |
$1,996.41
|
| Rate for Payer: Priority Health Narrow Network |
$3,390.55
|
| Rate for Payer: UHC Medicare Advantage |
$2,056.30
|
|
|
PR CRANIECTOMY OSTEOMYELITIS
|
Professional
|
Both
|
$5,255.00
|
|
|
Service Code
|
HCPCS 61501
|
| Min. Negotiated Rate |
$264.68 |
| Max. Negotiated Rate |
$3,678.50 |
| Rate for Payer: Aetna Commercial |
$1,515.11
|
| Rate for Payer: Aetna Medicare |
$1,130.68
|
| Rate for Payer: BCBS Complete |
$767.57
|
| Rate for Payer: BCBS MAPPO |
$1,130.68
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCN Commercial |
$2,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.68
|
| Rate for Payer: Cash Price |
$4,204.00
|
| Rate for Payer: Cash Price |
$4,204.00
|
| Rate for Payer: Cofinity Commercial |
$1,515.11
|
| Rate for Payer: Cofinity Commercial |
$1,628.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.68
|
| Rate for Payer: Healthscope Commercial |
$1,356.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,356.82
|
| Rate for Payer: Meridian Medicaid |
$767.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,187.21
|
| Rate for Payer: PACE SWMI |
$1,130.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$731.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,678.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,934.79
|
| Rate for Payer: Priority Health Medicare |
$1,130.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,934.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,164.60
|
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR
|
Professional
|
Both
|
$6,177.00
|
|
|
Service Code
|
HCPCS 61460
|
| Min. Negotiated Rate |
$1,018.03 |
| Max. Negotiated Rate |
$4,323.90 |
| Rate for Payer: Aetna Commercial |
$2,844.47
|
| Rate for Payer: Aetna Medicare |
$2,122.74
|
| Rate for Payer: BCBS Complete |
$1,434.49
|
| Rate for Payer: BCBS MAPPO |
$2,122.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.03
|
| Rate for Payer: BCN Commercial |
$4,310.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,122.74
|
| Rate for Payer: Cash Price |
$4,941.60
|
| Rate for Payer: Cash Price |
$4,941.60
|
| Rate for Payer: Cofinity Commercial |
$2,844.47
|
| Rate for Payer: Cofinity Commercial |
$3,056.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,122.74
|
| Rate for Payer: Healthscope Commercial |
$2,547.29
|
| Rate for Payer: Healthscope Whirlpool |
$2,547.29
|
| Rate for Payer: Meridian Medicaid |
$1,434.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,228.88
|
| Rate for Payer: PACE SWMI |
$2,122.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,122.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,366.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,323.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,600.62
|
| Rate for Payer: Priority Health Medicare |
$2,122.74
|
| Rate for Payer: Priority Health Narrow Network |
$3,600.62
|
| Rate for Payer: UHC Medicare Advantage |
$2,186.42
|
|
|
PR CRANIECTOMY W/EXCISION TUMOR/LESION SKULL
|
Professional
|
Both
|
$2,685.32
|
|
|
Service Code
|
HCPCS 61500
|
| Min. Negotiated Rate |
$534.64 |
| Max. Negotiated Rate |
$2,658.85 |
| Rate for Payer: Aetna Commercial |
$1,742.51
|
| Rate for Payer: Aetna Medicare |
$1,300.38
|
| Rate for Payer: BCBS Complete |
$882.07
|
| Rate for Payer: BCBS MAPPO |
$1,300.38
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$2,658.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,300.38
|
| Rate for Payer: Cash Price |
$2,148.26
|
| Rate for Payer: Cash Price |
$2,148.26
|
| Rate for Payer: Cofinity Commercial |
$1,872.55
|
| Rate for Payer: Cofinity Commercial |
$1,742.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,300.38
|
| Rate for Payer: Healthscope Commercial |
$1,560.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,560.46
|
| Rate for Payer: Meridian Medicaid |
$882.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,365.40
|
| Rate for Payer: PACE SWMI |
$1,300.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,300.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,879.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,220.74
|
| Rate for Payer: Priority Health Medicare |
$1,300.38
|
| Rate for Payer: Priority Health Narrow Network |
$2,220.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,339.39
|
|
|
PR CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR
|
Professional
|
Both
|
$4,513.72
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$455.92 |
| Max. Negotiated Rate |
$4,506.22 |
| Rate for Payer: Aetna Commercial |
$2,967.42
|
| Rate for Payer: Aetna Medicare |
$2,214.49
|
| Rate for Payer: BCBS Complete |
$1,500.91
|
| Rate for Payer: BCBS MAPPO |
$2,214.49
|
| Rate for Payer: BCBS Trust/PPO |
$455.92
|
| Rate for Payer: BCN Commercial |
$4,506.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,214.49
|
| Rate for Payer: Cash Price |
$3,610.98
|
| Rate for Payer: Cash Price |
$3,610.98
|
| Rate for Payer: Cofinity Commercial |
$3,188.87
|
| Rate for Payer: Cofinity Commercial |
$2,967.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,214.49
|
| Rate for Payer: Healthscope Commercial |
$2,657.39
|
| Rate for Payer: Healthscope Whirlpool |
$2,657.39
|
| Rate for Payer: Meridian Medicaid |
$1,500.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,325.21
|
| Rate for Payer: PACE SWMI |
$2,214.49
|
| Rate for Payer: PHP Medicare Advantage |
$2,214.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,429.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,159.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,763.68
|
| Rate for Payer: Priority Health Medicare |
$2,214.49
|
| Rate for Payer: Priority Health Narrow Network |
$3,763.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,280.92
|
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$5,208.00
|
|
|
Service Code
|
HCPCS 61580
|
| Min. Negotiated Rate |
$901.81 |
| Max. Negotiated Rate |
$4,233.66 |
| Rate for Payer: Aetna Commercial |
$3,286.31
|
| Rate for Payer: Aetna Medicare |
$2,452.47
|
| Rate for Payer: BCBS Complete |
$1,673.12
|
| Rate for Payer: BCBS MAPPO |
$2,452.47
|
| Rate for Payer: BCBS Trust/PPO |
$901.81
|
| Rate for Payer: BCN Commercial |
$3,653.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,452.47
|
| Rate for Payer: Cash Price |
$4,166.40
|
| Rate for Payer: Cash Price |
$4,166.40
|
| Rate for Payer: Cofinity Commercial |
$3,531.56
|
| Rate for Payer: Cofinity Commercial |
$3,286.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,452.47
|
| Rate for Payer: Healthscope Commercial |
$2,942.96
|
| Rate for Payer: Healthscope Whirlpool |
$2,942.96
|
| Rate for Payer: Meridian Medicaid |
$1,673.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,575.09
|
| Rate for Payer: PACE SWMI |
$2,452.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,452.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,593.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,645.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,233.66
|
| Rate for Payer: Priority Health Medicare |
$2,452.47
|
| Rate for Payer: Priority Health Narrow Network |
$4,233.66
|
| Rate for Payer: UHC Medicare Advantage |
$2,526.04
|
|
|
PR CRANIOPLASTY SKULL DEFECT </5 CM DIAMETER
|
Professional
|
Both
|
$5,237.00
|
|
|
Service Code
|
HCPCS 62140
|
| Min. Negotiated Rate |
$330.72 |
| Max. Negotiated Rate |
$3,665.90 |
| Rate for Payer: Aetna Commercial |
$1,372.19
|
| Rate for Payer: Aetna Medicare |
$1,024.02
|
| Rate for Payer: BCBS Complete |
$696.68
|
| Rate for Payer: BCBS MAPPO |
$1,024.02
|
| Rate for Payer: BCBS Trust/PPO |
$330.72
|
| Rate for Payer: BCN Commercial |
$2,092.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,024.02
|
| Rate for Payer: Cash Price |
$4,189.60
|
| Rate for Payer: Cash Price |
$4,189.60
|
| Rate for Payer: Cofinity Commercial |
$1,372.19
|
| Rate for Payer: Cofinity Commercial |
$1,474.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,024.02
|
| Rate for Payer: Healthscope Commercial |
$1,228.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,228.82
|
| Rate for Payer: Meridian Medicaid |
$696.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,075.22
|
| Rate for Payer: PACE SWMI |
$1,024.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,024.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,665.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,747.37
|
| Rate for Payer: Priority Health Medicare |
$1,024.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,747.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,054.74
|
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$6,237.00
|
|
|
Service Code
|
HCPCS 62141
|
| Min. Negotiated Rate |
$415.77 |
| Max. Negotiated Rate |
$4,365.90 |
| Rate for Payer: Aetna Commercial |
$1,536.22
|
| Rate for Payer: Aetna Medicare |
$1,146.43
|
| Rate for Payer: BCBS Complete |
$780.09
|
| Rate for Payer: BCBS MAPPO |
$1,146.43
|
| Rate for Payer: BCBS Trust/PPO |
$415.77
|
| Rate for Payer: BCN Commercial |
$2,339.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,146.43
|
| Rate for Payer: Cash Price |
$4,989.60
|
| Rate for Payer: Cash Price |
$4,989.60
|
| Rate for Payer: Cofinity Commercial |
$1,650.86
|
| Rate for Payer: Cofinity Commercial |
$1,536.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,146.43
|
| Rate for Payer: Healthscope Commercial |
$1,375.72
|
| Rate for Payer: Healthscope Whirlpool |
$1,375.72
|
| Rate for Payer: Meridian Medicaid |
$780.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,203.75
|
| Rate for Payer: PACE SWMI |
$1,146.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,146.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$742.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,365.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,954.04
|
| Rate for Payer: Priority Health Medicare |
$1,146.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,954.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,180.82
|
|
