|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$5,869.00
|
|
|
Service Code
|
HCPCS 62145
|
| Min. Negotiated Rate |
$923.57 |
| Max. Negotiated Rate |
$4,108.30 |
| Rate for Payer: Aetna Commercial |
$1,911.62
|
| Rate for Payer: Aetna Medicare |
$1,426.58
|
| Rate for Payer: BCBS Complete |
$969.75
|
| Rate for Payer: BCBS MAPPO |
$1,426.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,092.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,426.58
|
| Rate for Payer: Cash Price |
$4,695.20
|
| Rate for Payer: Cash Price |
$4,695.20
|
| Rate for Payer: Cofinity Commercial |
$2,054.28
|
| Rate for Payer: Cofinity Commercial |
$1,911.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,426.58
|
| Rate for Payer: Healthscope Commercial |
$1,711.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,711.90
|
| Rate for Payer: Meridian Medicaid |
$969.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,497.91
|
| Rate for Payer: PACE SWMI |
$1,426.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,426.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$923.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,108.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,424.00
|
| Rate for Payer: Priority Health Medicare |
$1,426.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,424.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,469.38
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT </ 5 CM DIAMETER
|
Professional
|
Both
|
$6,252.00
|
|
|
Service Code
|
HCPCS 62146
|
| Min. Negotiated Rate |
$814.51 |
| Max. Negotiated Rate |
$4,376.40 |
| Rate for Payer: Aetna Commercial |
$1,688.79
|
| Rate for Payer: Aetna Medicare |
$1,260.29
|
| Rate for Payer: BCBS Complete |
$855.24
|
| Rate for Payer: BCBS MAPPO |
$1,260.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.15
|
| Rate for Payer: BCN Commercial |
$2,567.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,260.29
|
| Rate for Payer: Cash Price |
$5,001.60
|
| Rate for Payer: Cash Price |
$5,001.60
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Cofinity Commercial |
$1,814.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,260.29
|
| Rate for Payer: Healthscope Commercial |
$1,512.35
|
| Rate for Payer: Healthscope Whirlpool |
$1,512.35
|
| Rate for Payer: Meridian Medicaid |
$855.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,323.30
|
| Rate for Payer: PACE SWMI |
$1,260.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,260.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$814.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,376.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,144.29
|
| Rate for Payer: Priority Health Medicare |
$1,260.29
|
| Rate for Payer: Priority Health Narrow Network |
$2,144.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,298.10
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$7,153.00
|
|
|
Service Code
|
HCPCS 62147
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$5,007.10 |
| Rate for Payer: Aetna Commercial |
$1,907.62
|
| Rate for Payer: Aetna Medicare |
$1,423.60
|
| Rate for Payer: BCBS Complete |
$964.82
|
| Rate for Payer: BCBS MAPPO |
$1,423.60
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$2,898.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.60
|
| Rate for Payer: Cash Price |
$5,722.40
|
| Rate for Payer: Cash Price |
$5,722.40
|
| Rate for Payer: Cofinity Commercial |
$1,907.62
|
| Rate for Payer: Cofinity Commercial |
$2,049.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.60
|
| Rate for Payer: Healthscope Commercial |
$1,708.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,708.32
|
| Rate for Payer: Meridian Medicaid |
$964.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.78
|
| Rate for Payer: PACE SWMI |
$1,423.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$918.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,007.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.18
|
| Rate for Payer: Priority Health Medicare |
$1,423.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,421.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.31
|
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$7,712.00
|
|
|
Service Code
|
HCPCS 61540
|
| Min. Negotiated Rate |
$611.24 |
| Max. Negotiated Rate |
$5,398.40 |
| Rate for Payer: Aetna Commercial |
$2,939.34
|
| Rate for Payer: Aetna Medicare |
$2,193.54
|
| Rate for Payer: BCBS Complete |
$1,481.69
|
| Rate for Payer: BCBS MAPPO |
$2,193.54
|
| Rate for Payer: BCBS Trust/PPO |
$611.24
|
| Rate for Payer: BCN Commercial |
$3,209.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,193.54
|
| Rate for Payer: Cash Price |
$6,169.60
|
| Rate for Payer: Cash Price |
$6,169.60
|
| Rate for Payer: Cofinity Commercial |
$3,158.70
|
| Rate for Payer: Cofinity Commercial |
$2,939.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,193.54
|
| Rate for Payer: Healthscope Commercial |
$2,632.25
|
| Rate for Payer: Healthscope Whirlpool |
$2,632.25
|
| Rate for Payer: Meridian Medicaid |
$1,481.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,303.22
|
| Rate for Payer: PACE SWMI |
$2,193.54
|
| Rate for Payer: PHP Medicare Advantage |
$2,193.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,411.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,398.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,718.95
|
| Rate for Payer: Priority Health Medicare |
$2,193.54
|
| Rate for Payer: Priority Health Narrow Network |
$3,718.95
|
| Rate for Payer: UHC Medicare Advantage |
$2,259.35
|
|
|
PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA
|
Professional
|
Both
|
$6,564.86
|
|
|
Service Code
|
HCPCS 61545
|
| Min. Negotiated Rate |
$2,062.05 |
| Max. Negotiated Rate |
$6,510.19 |
| Rate for Payer: Aetna Commercial |
$4,301.01
|
| Rate for Payer: Aetna Medicare |
$3,209.71
|
| Rate for Payer: BCBS Complete |
$2,165.15
|
| Rate for Payer: BCBS MAPPO |
$3,209.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.35
|
| Rate for Payer: BCN Commercial |
$6,510.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,209.71
|
| Rate for Payer: Cash Price |
$5,251.89
|
| Rate for Payer: Cash Price |
$5,251.89
|
| Rate for Payer: Cofinity Commercial |
$4,621.98
|
| Rate for Payer: Cofinity Commercial |
$4,301.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,209.71
|
| Rate for Payer: Healthscope Commercial |
$3,851.65
|
| Rate for Payer: Healthscope Whirlpool |
$3,851.65
|
| Rate for Payer: Meridian Medicaid |
$2,165.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,370.20
|
| Rate for Payer: PACE SWMI |
$3,209.71
|
| Rate for Payer: PHP Medicare Advantage |
$3,209.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,062.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,595.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,437.45
|
| Rate for Payer: Priority Health Medicare |
$3,209.71
|
| Rate for Payer: Priority Health Narrow Network |
$5,437.45
|
| Rate for Payer: UHC Medicare Advantage |
$3,306.00
|
|
|
PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE
|
Professional
|
Both
|
$5,502.00
|
|
|
Service Code
|
HCPCS 62121
|
| Min. Negotiated Rate |
$1,003.23 |
| Max. Negotiated Rate |
$3,851.40 |
| Rate for Payer: Aetna Commercial |
$2,078.73
|
| Rate for Payer: Aetna Medicare |
$1,551.29
|
| Rate for Payer: BCBS Complete |
$1,053.39
|
| Rate for Payer: BCBS MAPPO |
$1,551.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.18
|
| Rate for Payer: BCN Commercial |
$2,295.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,551.29
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cofinity Commercial |
$2,078.73
|
| Rate for Payer: Cofinity Commercial |
$2,233.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,551.29
|
| Rate for Payer: Healthscope Commercial |
$1,861.55
|
| Rate for Payer: Healthscope Whirlpool |
$1,861.55
|
| Rate for Payer: Meridian Medicaid |
$1,053.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,628.85
|
| Rate for Payer: PACE SWMI |
$1,551.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,551.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,003.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,851.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,659.55
|
| Rate for Payer: Priority Health Medicare |
$1,551.29
|
| Rate for Payer: Priority Health Narrow Network |
$2,659.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,597.83
|
|
|
PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY
|
Professional
|
Both
|
$6,928.00
|
|
|
Service Code
|
HCPCS 61537
|
| Min. Negotiated Rate |
$1,588.98 |
| Max. Negotiated Rate |
$4,849.60 |
| Rate for Payer: Aetna Commercial |
$3,321.23
|
| Rate for Payer: Aetna Medicare |
$2,478.53
|
| Rate for Payer: BCBS Complete |
$1,668.43
|
| Rate for Payer: BCBS MAPPO |
$2,478.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.20
|
| Rate for Payer: BCN Commercial |
$3,618.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,478.53
|
| Rate for Payer: Cash Price |
$5,542.40
|
| Rate for Payer: Cash Price |
$5,542.40
|
| Rate for Payer: Cofinity Commercial |
$3,321.23
|
| Rate for Payer: Cofinity Commercial |
$3,569.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,478.53
|
| Rate for Payer: Healthscope Commercial |
$2,974.24
|
| Rate for Payer: Healthscope Whirlpool |
$2,974.24
|
| Rate for Payer: Meridian Medicaid |
$1,668.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,602.46
|
| Rate for Payer: PACE SWMI |
$2,478.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,478.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,588.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,849.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,192.89
|
| Rate for Payer: Priority Health Medicare |
$2,478.53
|
| Rate for Payer: Priority Health Narrow Network |
$4,192.89
|
| Rate for Payer: UHC Medicare Advantage |
$2,552.89
|
|
|
PR CRICOPHARYNGEAL MYOTOMY
|
Professional
|
Both
|
$2,239.00
|
|
|
Service Code
|
HCPCS 43030
|
| Min. Negotiated Rate |
$226.11 |
| Max. Negotiated Rate |
$1,567.30 |
| Rate for Payer: Aetna Commercial |
$691.99
|
| Rate for Payer: Aetna Medicare |
$516.41
|
| Rate for Payer: BCBS Complete |
$354.49
|
| Rate for Payer: BCBS MAPPO |
$516.41
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$516.41
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cofinity Commercial |
$743.63
|
| Rate for Payer: Cofinity Commercial |
$691.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.41
|
| Rate for Payer: Healthscope Commercial |
$619.69
|
| Rate for Payer: Healthscope Whirlpool |
$619.69
|
| Rate for Payer: Meridian Medicaid |
$354.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$542.23
|
| Rate for Payer: PACE SWMI |
$516.41
|
| Rate for Payer: PHP Medicare Advantage |
$516.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,567.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$924.89
|
| Rate for Payer: Priority Health Medicare |
$516.41
|
| Rate for Payer: Priority Health Narrow Network |
$924.89
|
| Rate for Payer: UHC Medicare Advantage |
$531.90
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 99292
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$141.88
|
| Rate for Payer: Aetna Medicare |
$105.88
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$105.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$173.48
|
| Rate for Payer: BCN Medicare Advantage |
$105.88
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$141.88
|
| Rate for Payer: Cofinity Commercial |
$152.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.88
|
| Rate for Payer: Healthscope Commercial |
$116.47
|
| Rate for Payer: Healthscope Whirlpool |
$116.47
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.17
|
| Rate for Payer: PACE SWMI |
$105.88
|
| Rate for Payer: PHP Medicare Advantage |
$105.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$135.77
|
| Rate for Payer: Priority Health Medicare |
$105.88
|
| Rate for Payer: Priority Health Narrow Network |
$135.77
|
| Rate for Payer: UHC Medicare Advantage |
$109.06
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 99291
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,522.56 |
| Rate for Payer: Aetna Commercial |
$282.36
|
| Rate for Payer: Aetna Medicare |
$210.72
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$210.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.56
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$210.72
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$303.44
|
| Rate for Payer: Cofinity Commercial |
$282.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.72
|
| Rate for Payer: Healthscope Commercial |
$231.79
|
| Rate for Payer: Healthscope Whirlpool |
$231.79
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$221.26
|
| Rate for Payer: PACE SWMI |
$210.72
|
| Rate for Payer: PHP Medicare Advantage |
$210.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$395.09
|
| Rate for Payer: Priority Health Medicare |
$210.72
|
| Rate for Payer: Priority Health Narrow Network |
$395.09
|
| Rate for Payer: UHC Medicare Advantage |
$217.04
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
HCPCS 99466
|
| Min. Negotiated Rate |
$168.10 |
| Max. Negotiated Rate |
$399.70 |
| Rate for Payer: Aetna Commercial |
$304.64
|
| Rate for Payer: Aetna Medicare |
$227.34
|
| Rate for Payer: BCBS Complete |
$228.40
|
| Rate for Payer: BCBS MAPPO |
$227.34
|
| Rate for Payer: BCBS Trust/PPO |
$168.10
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$227.34
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cofinity Commercial |
$327.37
|
| Rate for Payer: Cofinity Commercial |
$304.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.34
|
| Rate for Payer: Healthscope Commercial |
$250.07
|
| Rate for Payer: Healthscope Whirlpool |
$250.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$238.71
|
| Rate for Payer: PACE SWMI |
$227.34
|
| Rate for Payer: PHP Medicare Advantage |
$227.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$399.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.97
|
| Rate for Payer: Priority Health Medicare |
$227.34
|
| Rate for Payer: Priority Health Narrow Network |
$292.97
|
| Rate for Payer: UHC Medicare Advantage |
$234.16
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
|
Professional
|
Both
|
$238.00
|
|
|
Service Code
|
HCPCS 99467
|
| Min. Negotiated Rate |
$95.20 |
| Max. Negotiated Rate |
$169.08 |
| Rate for Payer: Aetna Commercial |
$154.18
|
| Rate for Payer: Aetna Medicare |
$115.06
|
| Rate for Payer: BCBS Complete |
$95.20
|
| Rate for Payer: BCBS MAPPO |
$115.06
|
| Rate for Payer: BCBS Trust/PPO |
$137.11
|
| Rate for Payer: BCN Commercial |
$169.08
|
| Rate for Payer: BCN Medicare Advantage |
$115.06
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cofinity Commercial |
$154.18
|
| Rate for Payer: Cofinity Commercial |
$165.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.06
|
| Rate for Payer: Healthscope Commercial |
$126.57
|
| Rate for Payer: Healthscope Whirlpool |
$126.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$120.81
|
| Rate for Payer: PACE SWMI |
$115.06
|
| Rate for Payer: PHP Medicare Advantage |
$115.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$166.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.20
|
| Rate for Payer: Priority Health Medicare |
$115.06
|
| Rate for Payer: Priority Health Narrow Network |
$148.20
|
| Rate for Payer: UHC Medicare Advantage |
$118.51
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,254.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,142.71 |
| Max. Negotiated Rate |
$5,777.80 |
| Rate for Payer: Aetna Commercial |
$3,735.16
|
| Rate for Payer: Aetna Medicare |
$2,787.43
|
| Rate for Payer: BCBS Complete |
$1,884.70
|
| Rate for Payer: BCBS MAPPO |
$2,787.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,142.71
|
| Rate for Payer: BCN Commercial |
$5,660.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,787.43
|
| Rate for Payer: Cash Price |
$6,603.20
|
| Rate for Payer: Cash Price |
$6,603.20
|
| Rate for Payer: Cofinity Commercial |
$4,013.90
|
| Rate for Payer: Cofinity Commercial |
$3,735.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,787.43
|
| Rate for Payer: Healthscope Commercial |
$3,344.92
|
| Rate for Payer: Healthscope Whirlpool |
$3,344.92
|
| Rate for Payer: Meridian Medicaid |
$1,884.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,926.80
|
| Rate for Payer: PACE SWMI |
$2,787.43
|
| Rate for Payer: PHP Medicare Advantage |
$2,787.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,794.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,777.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,727.40
|
| Rate for Payer: Priority Health Medicare |
$2,787.43
|
| Rate for Payer: Priority Health Narrow Network |
$4,727.40
|
| Rate for Payer: UHC Medicare Advantage |
$2,871.05
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$7,704.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,728.07 |
| Max. Negotiated Rate |
$6,271.56 |
| Rate for Payer: Aetna Commercial |
$4,149.34
|
| Rate for Payer: Aetna Medicare |
$3,096.52
|
| Rate for Payer: BCBS Complete |
$2,084.42
|
| Rate for Payer: BCBS MAPPO |
$3,096.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$6,271.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,096.52
|
| Rate for Payer: Cash Price |
$6,163.20
|
| Rate for Payer: Cash Price |
$6,163.20
|
| Rate for Payer: Cofinity Commercial |
$4,149.34
|
| Rate for Payer: Cofinity Commercial |
$4,458.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,096.52
|
| Rate for Payer: Healthscope Commercial |
$3,715.82
|
| Rate for Payer: Healthscope Whirlpool |
$3,715.82
|
| Rate for Payer: Meridian Medicaid |
$2,084.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,251.35
|
| Rate for Payer: PACE SWMI |
$3,096.52
|
| Rate for Payer: PHP Medicare Advantage |
$3,096.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,985.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,392.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,238.13
|
| Rate for Payer: Priority Health Medicare |
$3,096.52
|
| Rate for Payer: Priority Health Narrow Network |
$5,238.13
|
| Rate for Payer: UHC Medicare Advantage |
$3,189.42
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,547.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,169.66 |
| Max. Negotiated Rate |
$6,020.71 |
| Rate for Payer: Aetna Commercial |
$3,980.18
|
| Rate for Payer: Aetna Medicare |
$2,970.28
|
| Rate for Payer: BCBS Complete |
$1,997.42
|
| Rate for Payer: BCBS MAPPO |
$2,970.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.66
|
| Rate for Payer: BCN Commercial |
$6,020.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,970.28
|
| Rate for Payer: Cash Price |
$6,837.60
|
| Rate for Payer: Cash Price |
$6,837.60
|
| Rate for Payer: Cofinity Commercial |
$4,277.20
|
| Rate for Payer: Cofinity Commercial |
$3,980.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,970.28
|
| Rate for Payer: Healthscope Commercial |
$3,564.34
|
| Rate for Payer: Healthscope Whirlpool |
$3,564.34
|
| Rate for Payer: Meridian Medicaid |
$1,997.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,118.79
|
| Rate for Payer: PACE SWMI |
$2,970.28
|
| Rate for Payer: PHP Medicare Advantage |
$2,970.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,902.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,982.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,028.63
|
| Rate for Payer: Priority Health Medicare |
$2,970.28
|
| Rate for Payer: Priority Health Narrow Network |
$5,028.63
|
| Rate for Payer: UHC Medicare Advantage |
$3,059.39
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,105.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$581.66 |
| Max. Negotiated Rate |
$4,475.71 |
| Rate for Payer: Aetna Commercial |
$2,954.07
|
| Rate for Payer: Aetna Medicare |
$2,204.53
|
| Rate for Payer: BCBS Complete |
$1,489.51
|
| Rate for Payer: BCBS MAPPO |
$2,204.53
|
| Rate for Payer: BCBS Trust/PPO |
$581.66
|
| Rate for Payer: BCN Commercial |
$4,475.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,204.53
|
| Rate for Payer: Cash Price |
$4,884.00
|
| Rate for Payer: Cash Price |
$4,884.00
|
| Rate for Payer: Cofinity Commercial |
$2,954.07
|
| Rate for Payer: Cofinity Commercial |
$3,174.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,204.53
|
| Rate for Payer: Healthscope Commercial |
$2,645.44
|
| Rate for Payer: Healthscope Whirlpool |
$2,645.44
|
| Rate for Payer: Meridian Medicaid |
$1,489.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,314.76
|
| Rate for Payer: PACE SWMI |
$2,204.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,204.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,418.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,273.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,738.20
|
| Rate for Payer: Priority Health Medicare |
$2,204.53
|
| Rate for Payer: Priority Health Narrow Network |
$3,738.20
|
| Rate for Payer: UHC Medicare Advantage |
$2,270.67
|
|
|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$6,970.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$322.26 |
| Max. Negotiated Rate |
$4,879.00 |
| Rate for Payer: Aetna Commercial |
$2,815.19
|
| Rate for Payer: Aetna Medicare |
$2,100.89
|
| Rate for Payer: BCBS Complete |
$1,419.73
|
| Rate for Payer: BCBS MAPPO |
$2,100.89
|
| Rate for Payer: BCBS Trust/PPO |
$322.26
|
| Rate for Payer: BCN Commercial |
$3,075.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,100.89
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cofinity Commercial |
$2,815.19
|
| Rate for Payer: Cofinity Commercial |
$3,025.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,100.89
|
| Rate for Payer: Healthscope Commercial |
$2,521.07
|
| Rate for Payer: Healthscope Whirlpool |
$2,521.07
|
| Rate for Payer: Meridian Medicaid |
$1,419.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,205.93
|
| Rate for Payer: PACE SWMI |
$2,100.89
|
| Rate for Payer: PHP Medicare Advantage |
$2,100.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,352.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,879.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,563.81
|
| Rate for Payer: Priority Health Medicare |
$2,100.89
|
| Rate for Payer: Priority Health Narrow Network |
$3,563.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,163.92
|
|
|
PR CRNEC SOPL EXPL/DCMPRN CRNL NRV
|
Professional
|
Both
|
$7,690.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$861.66 |
| Max. Negotiated Rate |
$5,383.00 |
| Rate for Payer: Aetna Commercial |
$2,722.71
|
| Rate for Payer: Aetna Medicare |
$2,031.87
|
| Rate for Payer: BCBS Complete |
$1,369.63
|
| Rate for Payer: BCBS MAPPO |
$2,031.87
|
| Rate for Payer: BCBS Trust/PPO |
$861.66
|
| Rate for Payer: BCN Commercial |
$4,127.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,031.87
|
| Rate for Payer: Cash Price |
$6,152.00
|
| Rate for Payer: Cash Price |
$6,152.00
|
| Rate for Payer: Cofinity Commercial |
$2,925.89
|
| Rate for Payer: Cofinity Commercial |
$2,722.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,031.87
|
| Rate for Payer: Healthscope Commercial |
$2,438.24
|
| Rate for Payer: Healthscope Whirlpool |
$2,438.24
|
| Rate for Payer: Meridian Medicaid |
$1,369.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,133.46
|
| Rate for Payer: PACE SWMI |
$2,031.87
|
| Rate for Payer: PHP Medicare Advantage |
$2,031.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,304.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,383.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,447.73
|
| Rate for Payer: Priority Health Medicare |
$2,031.87
|
| Rate for Payer: Priority Health Narrow Network |
$3,447.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,092.83
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,581.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$732.75 |
| Max. Negotiated Rate |
$4,606.70 |
| Rate for Payer: Aetna Commercial |
$2,592.73
|
| Rate for Payer: Aetna Medicare |
$1,934.87
|
| Rate for Payer: BCBS Complete |
$1,307.68
|
| Rate for Payer: BCBS MAPPO |
$1,934.87
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$2,831.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,934.87
|
| Rate for Payer: Cash Price |
$5,264.80
|
| Rate for Payer: Cash Price |
$5,264.80
|
| Rate for Payer: Cofinity Commercial |
$2,786.21
|
| Rate for Payer: Cofinity Commercial |
$2,592.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,934.87
|
| Rate for Payer: Healthscope Commercial |
$2,321.84
|
| Rate for Payer: Healthscope Whirlpool |
$2,321.84
|
| Rate for Payer: Meridian Medicaid |
$1,307.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,031.61
|
| Rate for Payer: PACE SWMI |
$1,934.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,934.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,245.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,606.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,280.69
|
| Rate for Payer: Priority Health Medicare |
$1,934.87
|
| Rate for Payer: Priority Health Narrow Network |
$3,280.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,992.92
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,519.40
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$230.87 |
| Max. Negotiated Rate |
$4,491.99 |
| Rate for Payer: Aetna Commercial |
$2,964.70
|
| Rate for Payer: Aetna Medicare |
$2,212.46
|
| Rate for Payer: BCBS Complete |
$1,491.52
|
| Rate for Payer: BCBS MAPPO |
$2,212.46
|
| Rate for Payer: BCBS Trust/PPO |
$230.87
|
| Rate for Payer: BCN Commercial |
$4,491.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,212.46
|
| Rate for Payer: Cash Price |
$3,615.52
|
| Rate for Payer: Cash Price |
$3,615.52
|
| Rate for Payer: Cofinity Commercial |
$3,185.94
|
| Rate for Payer: Cofinity Commercial |
$2,964.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,212.46
|
| Rate for Payer: Healthscope Commercial |
$2,654.95
|
| Rate for Payer: Healthscope Whirlpool |
$2,654.95
|
| Rate for Payer: Meridian Medicaid |
$1,491.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,323.08
|
| Rate for Payer: PACE SWMI |
$2,212.46
|
| Rate for Payer: PHP Medicare Advantage |
$2,212.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,420.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,163.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,751.80
|
| Rate for Payer: Priority Health Medicare |
$2,212.46
|
| Rate for Payer: Priority Health Narrow Network |
$3,751.80
|
| Rate for Payer: UHC Medicare Advantage |
$2,278.83
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$7,913.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$811.47 |
| Max. Negotiated Rate |
$5,687.72 |
| Rate for Payer: Aetna Commercial |
$4,487.87
|
| Rate for Payer: Aetna Medicare |
$3,349.16
|
| Rate for Payer: BCBS Complete |
$2,250.81
|
| Rate for Payer: BCBS MAPPO |
$3,349.16
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$4,908.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,349.16
|
| Rate for Payer: Cash Price |
$6,330.40
|
| Rate for Payer: Cash Price |
$6,330.40
|
| Rate for Payer: Cofinity Commercial |
$4,487.87
|
| Rate for Payer: Cofinity Commercial |
$4,822.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,349.16
|
| Rate for Payer: Healthscope Commercial |
$4,018.99
|
| Rate for Payer: Healthscope Whirlpool |
$4,018.99
|
| Rate for Payer: Meridian Medicaid |
$2,250.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,516.62
|
| Rate for Payer: PACE SWMI |
$3,349.16
|
| Rate for Payer: PHP Medicare Advantage |
$3,349.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,143.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,539.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,687.72
|
| Rate for Payer: Priority Health Medicare |
$3,349.16
|
| Rate for Payer: Priority Health Narrow Network |
$5,687.72
|
| Rate for Payer: UHC Medicare Advantage |
$3,449.63
|
|
|
PR CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR
|
Professional
|
Both
|
$3,944.12
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$3,926.59 |
| Rate for Payer: Aetna Commercial |
$2,588.61
|
| Rate for Payer: Aetna Medicare |
$1,931.80
|
| Rate for Payer: BCBS Complete |
$1,304.33
|
| Rate for Payer: BCBS MAPPO |
$1,931.80
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$3,926.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,931.80
|
| Rate for Payer: Cash Price |
$3,155.30
|
| Rate for Payer: Cash Price |
$3,155.30
|
| Rate for Payer: Cofinity Commercial |
$2,588.61
|
| Rate for Payer: Cofinity Commercial |
$2,781.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,931.80
|
| Rate for Payer: Healthscope Commercial |
$2,318.16
|
| Rate for Payer: Healthscope Whirlpool |
$2,318.16
|
| Rate for Payer: Meridian Medicaid |
$1,304.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,028.39
|
| Rate for Payer: PACE SWMI |
$1,931.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,931.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,242.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,760.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,279.57
|
| Rate for Payer: Priority Health Medicare |
$1,931.80
|
| Rate for Payer: Priority Health Narrow Network |
$3,279.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,989.75
|
|
|
PR CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR
|
Professional
|
Both
|
$6,977.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$108.83 |
| Max. Negotiated Rate |
$4,883.90 |
| Rate for Payer: Aetna Commercial |
$2,525.87
|
| Rate for Payer: Aetna Medicare |
$1,884.98
|
| Rate for Payer: BCBS Complete |
$1,277.93
|
| Rate for Payer: BCBS MAPPO |
$1,884.98
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$3,832.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,884.98
|
| Rate for Payer: Cash Price |
$5,581.60
|
| Rate for Payer: Cash Price |
$5,581.60
|
| Rate for Payer: Cofinity Commercial |
$2,525.87
|
| Rate for Payer: Cofinity Commercial |
$2,714.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,884.98
|
| Rate for Payer: Healthscope Commercial |
$2,261.98
|
| Rate for Payer: Healthscope Whirlpool |
$2,261.98
|
| Rate for Payer: Meridian Medicaid |
$1,277.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,979.23
|
| Rate for Payer: PACE SWMI |
$1,884.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,884.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,217.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,883.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,200.86
|
| Rate for Payer: Priority Health Medicare |
$1,884.98
|
| Rate for Payer: Priority Health Narrow Network |
$3,200.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,941.53
|
|
|
PR CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR
|
Professional
|
Both
|
$5,279.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$223.47 |
| Max. Negotiated Rate |
$5,220.76 |
| Rate for Payer: Aetna Commercial |
$3,447.89
|
| Rate for Payer: Aetna Medicare |
$2,573.05
|
| Rate for Payer: BCBS Complete |
$1,735.52
|
| Rate for Payer: BCBS MAPPO |
$2,573.05
|
| Rate for Payer: BCBS Trust/PPO |
$223.47
|
| Rate for Payer: BCN Commercial |
$5,220.76
|
| Rate for Payer: BCN Medicare Advantage |
$2,573.05
|
| Rate for Payer: Cash Price |
$4,223.20
|
| Rate for Payer: Cash Price |
$4,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,705.19
|
| Rate for Payer: Cofinity Commercial |
$3,447.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,573.05
|
| Rate for Payer: Healthscope Commercial |
$3,087.66
|
| Rate for Payer: Healthscope Whirlpool |
$3,087.66
|
| Rate for Payer: Meridian Medicaid |
$1,735.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,701.70
|
| Rate for Payer: PACE SWMI |
$2,573.05
|
| Rate for Payer: PHP Medicare Advantage |
$2,573.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,695.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,360.48
|
| Rate for Payer: Priority Health Medicare |
$2,573.05
|
| Rate for Payer: Priority Health Narrow Network |
$4,360.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,650.24
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,231.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,168.07 |
| Max. Negotiated Rate |
$7,161.70 |
| Rate for Payer: Aetna Commercial |
$4,279.02
|
| Rate for Payer: Aetna Medicare |
$3,193.30
|
| Rate for Payer: BCBS Complete |
$2,157.55
|
| Rate for Payer: BCBS MAPPO |
$3,193.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$6,470.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,193.30
|
| Rate for Payer: Cash Price |
$8,184.80
|
| Rate for Payer: Cash Price |
$8,184.80
|
| Rate for Payer: Cofinity Commercial |
$4,279.02
|
| Rate for Payer: Cofinity Commercial |
$4,598.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,193.30
|
| Rate for Payer: Healthscope Commercial |
$3,831.96
|
| Rate for Payer: Healthscope Whirlpool |
$3,831.96
|
| Rate for Payer: Meridian Medicaid |
$2,157.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,352.96
|
| Rate for Payer: PACE SWMI |
$3,193.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,193.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,054.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,161.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,404.03
|
| Rate for Payer: Priority Health Medicare |
$3,193.30
|
| Rate for Payer: Priority Health Narrow Network |
$5,404.03
|
| Rate for Payer: UHC Medicare Advantage |
$3,289.10
|
|
