|
PR EXCISION INFECTED GRAFT ABDOMEN
|
Professional
|
Both
|
$3,964.00
|
|
|
Service Code
|
HCPCS 35907
|
| Min. Negotiated Rate |
$1,120.00 |
| Max. Negotiated Rate |
$2,949.71 |
| Rate for Payer: Aetna Commercial |
$2,512.18
|
| Rate for Payer: Aetna Medicare |
$1,874.76
|
| Rate for Payer: BCBS Complete |
$1,249.75
|
| Rate for Payer: BCBS MAPPO |
$1,874.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.00
|
| Rate for Payer: BCN Commercial |
$2,709.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,874.76
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cofinity Commercial |
$2,512.18
|
| Rate for Payer: Cofinity Commercial |
$2,699.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,874.76
|
| Rate for Payer: Healthscope Commercial |
$2,249.71
|
| Rate for Payer: Healthscope Whirlpool |
$2,249.71
|
| Rate for Payer: Meridian Medicaid |
$1,249.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,968.50
|
| Rate for Payer: PACE SWMI |
$1,874.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,874.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,190.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,949.71
|
| Rate for Payer: Priority Health Medicare |
$1,874.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,949.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,931.00
|
|
|
PR EXCISION INFECTED GRAFT EXTREMITY
|
Professional
|
Both
|
$1,966.00
|
|
|
Service Code
|
HCPCS 35903
|
| Min. Negotiated Rate |
$354.43 |
| Max. Negotiated Rate |
$1,376.20 |
| Rate for Payer: Aetna Commercial |
$742.04
|
| Rate for Payer: Aetna Medicare |
$553.76
|
| Rate for Payer: BCBS Complete |
$372.15
|
| Rate for Payer: BCBS MAPPO |
$553.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,048.68
|
| Rate for Payer: BCN Commercial |
$810.72
|
| Rate for Payer: BCN Medicare Advantage |
$553.76
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cofinity Commercial |
$797.41
|
| Rate for Payer: Cofinity Commercial |
$742.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.76
|
| Rate for Payer: Healthscope Commercial |
$664.51
|
| Rate for Payer: Healthscope Whirlpool |
$664.51
|
| Rate for Payer: Meridian Medicaid |
$372.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$581.45
|
| Rate for Payer: PACE SWMI |
$553.76
|
| Rate for Payer: PHP Medicare Advantage |
$553.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$882.52
|
| Rate for Payer: Priority Health Medicare |
$553.76
|
| Rate for Payer: Priority Health Narrow Network |
$882.52
|
| Rate for Payer: UHC Medicare Advantage |
$570.37
|
|
|
PR EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 30130
|
| Min. Negotiated Rate |
$268.38 |
| Max. Negotiated Rate |
$674.64 |
| Rate for Payer: Aetna Commercial |
$541.82
|
| Rate for Payer: Aetna Medicare |
$404.34
|
| Rate for Payer: BCBS Complete |
$281.80
|
| Rate for Payer: BCBS MAPPO |
$404.34
|
| Rate for Payer: BCBS Trust/PPO |
$674.64
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$404.34
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$582.25
|
| Rate for Payer: Cofinity Commercial |
$541.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.34
|
| Rate for Payer: Healthscope Commercial |
$485.21
|
| Rate for Payer: Healthscope Whirlpool |
$485.21
|
| Rate for Payer: Meridian Medicaid |
$281.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.56
|
| Rate for Payer: PACE SWMI |
$404.34
|
| Rate for Payer: PHP Medicare Advantage |
$404.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$586.68
|
| Rate for Payer: Priority Health Medicare |
$404.34
|
| Rate for Payer: Priority Health Narrow Network |
$586.68
|
| Rate for Payer: UHC Medicare Advantage |
$416.47
|
|
|
PR EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 28080
|
| Min. Negotiated Rate |
$244.74 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$490.09
|
| Rate for Payer: Aetna Medicare |
$365.74
|
| Rate for Payer: BCBS Complete |
$256.98
|
| Rate for Payer: BCBS MAPPO |
$365.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,100.45
|
| Rate for Payer: BCN Commercial |
$853.39
|
| Rate for Payer: BCN Medicare Advantage |
$365.74
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$526.67
|
| Rate for Payer: Cofinity Commercial |
$490.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$365.74
|
| Rate for Payer: Healthscope Commercial |
$438.89
|
| Rate for Payer: Healthscope Whirlpool |
$438.89
|
| Rate for Payer: Meridian Medicaid |
$256.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$384.03
|
| Rate for Payer: PACE SWMI |
$365.74
|
| Rate for Payer: PHP Medicare Advantage |
$365.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$608.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$576.02
|
| Rate for Payer: Priority Health Medicare |
$365.74
|
| Rate for Payer: Priority Health Narrow Network |
$576.02
|
| Rate for Payer: UHC Medicare Advantage |
$376.71
|
|
|
PR EXCISION LACTIFEROUS DUCT FISTULA
|
Professional
|
Both
|
$778.00
|
|
|
Service Code
|
HCPCS 19112
|
| Min. Negotiated Rate |
$12.95 |
| Max. Negotiated Rate |
$678.77 |
| Rate for Payer: Aetna Commercial |
$423.36
|
| Rate for Payer: Aetna Medicare |
$315.94
|
| Rate for Payer: BCBS Complete |
$219.63
|
| Rate for Payer: BCBS MAPPO |
$315.94
|
| Rate for Payer: BCBS Trust/PPO |
$12.95
|
| Rate for Payer: BCN Commercial |
$678.77
|
| Rate for Payer: BCN Medicare Advantage |
$315.94
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cofinity Commercial |
$454.95
|
| Rate for Payer: Cofinity Commercial |
$423.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.94
|
| Rate for Payer: Healthscope Commercial |
$379.13
|
| Rate for Payer: Healthscope Whirlpool |
$379.13
|
| Rate for Payer: Meridian Medicaid |
$219.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$331.74
|
| Rate for Payer: PACE SWMI |
$315.94
|
| Rate for Payer: PHP Medicare Advantage |
$315.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.30
|
| Rate for Payer: Priority Health Medicare |
$315.94
|
| Rate for Payer: Priority Health Narrow Network |
$398.30
|
| Rate for Payer: UHC Medicare Advantage |
$325.42
|
|
|
PR EXCISION LESION FLOOR MOUTH
|
Professional
|
Both
|
$576.00
|
|
|
Service Code
|
HCPCS 41116
|
| Min. Negotiated Rate |
$139.30 |
| Max. Negotiated Rate |
$916.07 |
| Rate for Payer: Aetna Commercial |
$280.80
|
| Rate for Payer: Aetna Medicare |
$209.55
|
| Rate for Payer: BCBS Complete |
$146.26
|
| Rate for Payer: BCBS MAPPO |
$209.55
|
| Rate for Payer: BCBS Trust/PPO |
$916.07
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$209.55
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cofinity Commercial |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.55
|
| Rate for Payer: Healthscope Commercial |
$251.46
|
| Rate for Payer: Healthscope Whirlpool |
$251.46
|
| Rate for Payer: Meridian Medicaid |
$146.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$220.03
|
| Rate for Payer: PACE SWMI |
$209.55
|
| Rate for Payer: PHP Medicare Advantage |
$209.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$403.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$381.01
|
| Rate for Payer: Priority Health Medicare |
$209.55
|
| Rate for Payer: Priority Health Narrow Network |
$381.01
|
| Rate for Payer: UHC Medicare Advantage |
$215.84
|
|
|
PR EXCISION LESION MENISCUS/CAPSULE KNEE
|
Professional
|
Both
|
$2,294.00
|
|
|
Service Code
|
HCPCS 27347
|
| Min. Negotiated Rate |
$343.78 |
| Max. Negotiated Rate |
$1,605.80 |
| Rate for Payer: Aetna Commercial |
$698.14
|
| Rate for Payer: Aetna Medicare |
$521.00
|
| Rate for Payer: BCBS Complete |
$360.97
|
| Rate for Payer: BCBS MAPPO |
$521.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,496.67
|
| Rate for Payer: BCN Commercial |
$780.90
|
| Rate for Payer: BCN Medicare Advantage |
$521.00
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cofinity Commercial |
$698.14
|
| Rate for Payer: Cofinity Commercial |
$750.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$521.00
|
| Rate for Payer: Healthscope Commercial |
$625.20
|
| Rate for Payer: Healthscope Whirlpool |
$625.20
|
| Rate for Payer: Meridian Medicaid |
$360.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$547.05
|
| Rate for Payer: PACE SWMI |
$521.00
|
| Rate for Payer: PHP Medicare Advantage |
$521.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$816.02
|
| Rate for Payer: Priority Health Medicare |
$521.00
|
| Rate for Payer: Priority Health Narrow Network |
$816.02
|
| Rate for Payer: UHC Medicare Advantage |
$536.63
|
|
|
PR EXCISION LESION MESENTERY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,478.00
|
|
|
Service Code
|
HCPCS 44820
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$1,498.16 |
| Rate for Payer: Aetna Commercial |
$1,135.30
|
| Rate for Payer: Aetna Medicare |
$847.24
|
| Rate for Payer: BCBS Complete |
$573.44
|
| Rate for Payer: BCBS MAPPO |
$847.24
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,245.15
|
| Rate for Payer: BCN Medicare Advantage |
$847.24
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cofinity Commercial |
$1,220.03
|
| Rate for Payer: Cofinity Commercial |
$1,135.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$847.24
|
| Rate for Payer: Healthscope Commercial |
$1,016.69
|
| Rate for Payer: Healthscope Whirlpool |
$1,016.69
|
| Rate for Payer: Meridian Medicaid |
$573.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$889.60
|
| Rate for Payer: PACE SWMI |
$847.24
|
| Rate for Payer: PHP Medicare Advantage |
$847.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,034.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.16
|
| Rate for Payer: Priority Health Medicare |
$847.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,498.16
|
| Rate for Payer: UHC Medicare Advantage |
$872.66
|
|
|
PR EXCISION LESION PANCREAS
|
Professional
|
Both
|
$2,230.00
|
|
|
Service Code
|
HCPCS 48120
|
| Min. Negotiated Rate |
$203.40 |
| Max. Negotiated Rate |
$1,959.12 |
| Rate for Payer: Aetna Commercial |
$1,487.31
|
| Rate for Payer: Aetna Medicare |
$1,109.93
|
| Rate for Payer: BCBS Complete |
$748.11
|
| Rate for Payer: BCBS MAPPO |
$1,109.93
|
| Rate for Payer: BCBS Trust/PPO |
$203.40
|
| Rate for Payer: BCN Commercial |
$1,628.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,109.93
|
| Rate for Payer: Cash Price |
$1,784.00
|
| Rate for Payer: Cash Price |
$1,784.00
|
| Rate for Payer: Cofinity Commercial |
$1,487.31
|
| Rate for Payer: Cofinity Commercial |
$1,598.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,109.93
|
| Rate for Payer: Healthscope Commercial |
$1,331.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,331.92
|
| Rate for Payer: Meridian Medicaid |
$748.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,165.43
|
| Rate for Payer: PACE SWMI |
$1,109.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,109.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$712.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.12
|
| Rate for Payer: Priority Health Medicare |
$1,109.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,959.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,143.23
|
|
|
PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK
|
Professional
|
Both
|
$1,318.00
|
|
|
Service Code
|
HCPCS 27630
|
| Min. Negotiated Rate |
$231.74 |
| Max. Negotiated Rate |
$922.60 |
| Rate for Payer: Aetna Commercial |
$466.37
|
| Rate for Payer: Aetna Medicare |
$348.04
|
| Rate for Payer: BCBS Complete |
$243.33
|
| Rate for Payer: BCBS MAPPO |
$348.04
|
| Rate for Payer: BCBS Trust/PPO |
$600.15
|
| Rate for Payer: BCN Commercial |
$785.31
|
| Rate for Payer: BCN Medicare Advantage |
$348.04
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cofinity Commercial |
$501.18
|
| Rate for Payer: Cofinity Commercial |
$466.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.04
|
| Rate for Payer: Healthscope Commercial |
$417.65
|
| Rate for Payer: Healthscope Whirlpool |
$417.65
|
| Rate for Payer: Meridian Medicaid |
$243.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$365.44
|
| Rate for Payer: PACE SWMI |
$348.04
|
| Rate for Payer: PHP Medicare Advantage |
$348.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$922.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$544.87
|
| Rate for Payer: Priority Health Medicare |
$348.04
|
| Rate for Payer: Priority Health Narrow Network |
$544.87
|
| Rate for Payer: UHC Medicare Advantage |
$358.48
|
|
|
PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST
|
Professional
|
Both
|
$1,132.00
|
|
|
Service Code
|
HCPCS 25110
|
| Min. Negotiated Rate |
$212.38 |
| Max. Negotiated Rate |
$792.40 |
| Rate for Payer: Aetna Commercial |
$458.79
|
| Rate for Payer: Aetna Medicare |
$342.38
|
| Rate for Payer: BCBS Complete |
$238.41
|
| Rate for Payer: BCBS MAPPO |
$342.38
|
| Rate for Payer: BCBS Trust/PPO |
$212.38
|
| Rate for Payer: BCN Commercial |
$516.04
|
| Rate for Payer: BCN Medicare Advantage |
$342.38
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cofinity Commercial |
$458.79
|
| Rate for Payer: Cofinity Commercial |
$493.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.38
|
| Rate for Payer: Healthscope Commercial |
$410.86
|
| Rate for Payer: Healthscope Whirlpool |
$410.86
|
| Rate for Payer: Meridian Medicaid |
$238.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$359.50
|
| Rate for Payer: PACE SWMI |
$342.38
|
| Rate for Payer: PHP Medicare Advantage |
$342.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$792.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$539.25
|
| Rate for Payer: Priority Health Medicare |
$342.38
|
| Rate for Payer: Priority Health Narrow Network |
$539.25
|
| Rate for Payer: UHC Medicare Advantage |
$352.65
|
|
|
PR EXCISION LESION TONGUE W/O CLOSURE
|
Professional
|
Both
|
$374.00
|
|
|
Service Code
|
HCPCS 41110
|
| Min. Negotiated Rate |
$83.71 |
| Max. Negotiated Rate |
$569.51 |
| Rate for Payer: Aetna Commercial |
$169.70
|
| Rate for Payer: Aetna Medicare |
$126.64
|
| Rate for Payer: BCBS Complete |
$87.90
|
| Rate for Payer: BCBS MAPPO |
$126.64
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$340.12
|
| Rate for Payer: BCN Medicare Advantage |
$126.64
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cofinity Commercial |
$169.70
|
| Rate for Payer: Cofinity Commercial |
$182.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.64
|
| Rate for Payer: Healthscope Commercial |
$151.97
|
| Rate for Payer: Healthscope Whirlpool |
$151.97
|
| Rate for Payer: Meridian Medicaid |
$87.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$132.97
|
| Rate for Payer: PACE SWMI |
$126.64
|
| Rate for Payer: PHP Medicare Advantage |
$126.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.90
|
| Rate for Payer: Priority Health Medicare |
$126.64
|
| Rate for Payer: Priority Health Narrow Network |
$229.90
|
| Rate for Payer: UHC Medicare Advantage |
$130.44
|
|
|
PR EXCISION LINGUAL FRENUM FRENECTOMY
|
Professional
|
Both
|
$438.00
|
|
|
Service Code
|
HCPCS 41115
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$191.12
|
| Rate for Payer: Aetna Medicare |
$142.63
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$142.63
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$387.03
|
| Rate for Payer: BCN Medicare Advantage |
$142.63
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cofinity Commercial |
$205.39
|
| Rate for Payer: Cofinity Commercial |
$191.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.63
|
| Rate for Payer: Healthscope Commercial |
$171.16
|
| Rate for Payer: Healthscope Whirlpool |
$171.16
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$149.76
|
| Rate for Payer: PACE SWMI |
$142.63
|
| Rate for Payer: PHP Medicare Advantage |
$142.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.70
|
| Rate for Payer: Priority Health Medicare |
$142.63
|
| Rate for Payer: Priority Health Narrow Network |
$258.70
|
| Rate for Payer: UHC Medicare Advantage |
$146.91
|
|
|
PR EXCISION LOCAL LESION EPIDIDYMIS
|
Professional
|
Both
|
$605.00
|
|
|
Service Code
|
HCPCS 54830
|
| Min. Negotiated Rate |
$239.20 |
| Max. Negotiated Rate |
$1,910.86 |
| Rate for Payer: Aetna Commercial |
$486.80
|
| Rate for Payer: Aetna Medicare |
$363.28
|
| Rate for Payer: BCBS Complete |
$251.16
|
| Rate for Payer: BCBS MAPPO |
$363.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,910.86
|
| Rate for Payer: BCN Commercial |
$539.99
|
| Rate for Payer: BCN Medicare Advantage |
$363.28
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cofinity Commercial |
$486.80
|
| Rate for Payer: Cofinity Commercial |
$523.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.28
|
| Rate for Payer: Healthscope Commercial |
$435.94
|
| Rate for Payer: Healthscope Whirlpool |
$435.94
|
| Rate for Payer: Meridian Medicaid |
$251.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$381.44
|
| Rate for Payer: PACE SWMI |
$363.28
|
| Rate for Payer: PHP Medicare Advantage |
$363.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$597.09
|
| Rate for Payer: Priority Health Medicare |
$363.28
|
| Rate for Payer: Priority Health Narrow Network |
$597.09
|
| Rate for Payer: UHC Medicare Advantage |
$374.18
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
IP
|
$326.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$228.20 |
| Max. Negotiated Rate |
$326.00 |
| Rate for Payer: Aetna Commercial |
$293.40
|
| Rate for Payer: ASR ASR |
$316.22
|
| Rate for Payer: BCBS Trust/PPO |
$252.75
|
| Rate for Payer: BCN Commercial |
$252.75
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$306.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.80
|
| Rate for Payer: Healthscope Commercial |
$326.00
|
| Rate for Payer: Healthscope Whirlpool |
$316.22
|
| Rate for Payer: Mclaren Commercial |
$293.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$277.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.88
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 11640
|
| Min. Negotiated Rate |
$81.15 |
| Max. Negotiated Rate |
$977.96 |
| Rate for Payer: Aetna Commercial |
$163.79
|
| Rate for Payer: Aetna Medicare |
$122.23
|
| Rate for Payer: BCBS Complete |
$85.21
|
| Rate for Payer: BCBS MAPPO |
$122.23
|
| Rate for Payer: BCBS Trust/PPO |
$977.96
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$122.23
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$176.01
|
| Rate for Payer: Cofinity Commercial |
$163.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.23
|
| Rate for Payer: Healthscope Commercial |
$146.68
|
| Rate for Payer: Healthscope Whirlpool |
$146.68
|
| Rate for Payer: Meridian Medicaid |
$85.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.34
|
| Rate for Payer: PACE SWMI |
$122.23
|
| Rate for Payer: PHP Medicare Advantage |
$122.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.56
|
| Rate for Payer: Priority Health Medicare |
$122.23
|
| Rate for Payer: Priority Health Narrow Network |
$154.56
|
| Rate for Payer: UHC Medicare Advantage |
$125.90
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 11640
|
| Hospital Charge Code |
11640
|
| Min. Negotiated Rate |
$81.15 |
| Max. Negotiated Rate |
$977.96 |
| Rate for Payer: Aetna Commercial |
$163.79
|
| Rate for Payer: Aetna Medicare |
$122.23
|
| Rate for Payer: BCBS Complete |
$85.21
|
| Rate for Payer: BCBS MAPPO |
$122.23
|
| Rate for Payer: BCBS Trust/PPO |
$977.96
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$122.23
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$176.01
|
| Rate for Payer: Cofinity Commercial |
$163.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.23
|
| Rate for Payer: Healthscope Commercial |
$146.68
|
| Rate for Payer: Healthscope Whirlpool |
$146.68
|
| Rate for Payer: Meridian Medicaid |
$85.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.34
|
| Rate for Payer: PACE SWMI |
$122.23
|
| Rate for Payer: PHP Medicare Advantage |
$122.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.56
|
| Rate for Payer: Priority Health Medicare |
$122.23
|
| Rate for Payer: Priority Health Narrow Network |
$154.56
|
| Rate for Payer: UHC Medicare Advantage |
$125.90
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
OP
|
$326.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$228.20 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$293.40
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$316.22
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$252.75
|
| Rate for Payer: BCN Commercial |
$252.75
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$306.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$326.00
|
| Rate for Payer: Healthscope Whirlpool |
$316.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$293.40
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$277.10
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$296.66
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$231.46
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.88
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
OP
|
$386.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$270.20 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$347.40
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$374.42
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$299.27
|
| Rate for Payer: BCN Commercial |
$299.27
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$386.00
|
| Rate for Payer: Healthscope Whirlpool |
$374.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$347.40
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$328.10
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.26
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$274.06
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.68
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 11641
|
| Hospital Charge Code |
11641
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$201.91
|
| Rate for Payer: Aetna Medicare |
$150.68
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$150.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$150.68
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$216.98
|
| Rate for Payer: Cofinity Commercial |
$201.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.68
|
| Rate for Payer: Healthscope Commercial |
$180.82
|
| Rate for Payer: Healthscope Whirlpool |
$180.82
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.21
|
| Rate for Payer: PACE SWMI |
$150.68
|
| Rate for Payer: PHP Medicare Advantage |
$150.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.90
|
| Rate for Payer: Priority Health Medicare |
$150.68
|
| Rate for Payer: Priority Health Narrow Network |
$189.90
|
| Rate for Payer: UHC Medicare Advantage |
$155.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
IP
|
$386.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$270.20 |
| Max. Negotiated Rate |
$386.00 |
| Rate for Payer: Aetna Commercial |
$347.40
|
| Rate for Payer: ASR ASR |
$374.42
|
| Rate for Payer: BCBS Trust/PPO |
$299.27
|
| Rate for Payer: BCN Commercial |
$299.27
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.80
|
| Rate for Payer: Healthscope Commercial |
$386.00
|
| Rate for Payer: Healthscope Whirlpool |
$374.42
|
| Rate for Payer: Mclaren Commercial |
$347.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$328.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.68
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 11641
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$201.91
|
| Rate for Payer: Aetna Medicare |
$150.68
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$150.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$150.68
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$201.91
|
| Rate for Payer: Cofinity Commercial |
$216.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.68
|
| Rate for Payer: Healthscope Commercial |
$180.82
|
| Rate for Payer: Healthscope Whirlpool |
$180.82
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.21
|
| Rate for Payer: PACE SWMI |
$150.68
|
| Rate for Payer: PHP Medicare Advantage |
$150.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.90
|
| Rate for Payer: Priority Health Medicare |
$150.68
|
| Rate for Payer: Priority Health Narrow Network |
$189.90
|
| Rate for Payer: UHC Medicare Advantage |
$155.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 11642
|
| Hospital Charge Code |
11642
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$235.88
|
| Rate for Payer: Aetna Medicare |
$176.03
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$176.03
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$176.03
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$235.88
|
| Rate for Payer: Cofinity Commercial |
$253.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.03
|
| Rate for Payer: Healthscope Commercial |
$211.24
|
| Rate for Payer: Healthscope Whirlpool |
$211.24
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.83
|
| Rate for Payer: PACE SWMI |
$176.03
|
| Rate for Payer: PHP Medicare Advantage |
$176.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.55
|
| Rate for Payer: Priority Health Medicare |
$176.03
|
| Rate for Payer: Priority Health Narrow Network |
$221.55
|
| Rate for Payer: UHC Medicare Advantage |
$181.31
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
IP
|
$584.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$408.80 |
| Max. Negotiated Rate |
$584.00 |
| Rate for Payer: Aetna Commercial |
$525.60
|
| Rate for Payer: ASR ASR |
$566.48
|
| Rate for Payer: BCBS Trust/PPO |
$452.78
|
| Rate for Payer: BCN Commercial |
$452.78
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$548.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.20
|
| Rate for Payer: Healthscope Commercial |
$584.00
|
| Rate for Payer: Healthscope Whirlpool |
$566.48
|
| Rate for Payer: Mclaren Commercial |
$525.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$496.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$513.92
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
OP
|
$584.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$342.09 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$525.60
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$566.48
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$452.78
|
| Rate for Payer: BCN Commercial |
$452.78
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$548.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$584.00
|
| Rate for Payer: Healthscope Whirlpool |
$566.48
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$525.60
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$496.40
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$531.44
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$513.92
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
