|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,727.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$581.28 |
| Max. Negotiated Rate |
$2,280.67 |
| Rate for Payer: Aetna Commercial |
$1,200.99
|
| Rate for Payer: Aetna Medicare |
$896.26
|
| Rate for Payer: BCBS Complete |
$610.34
|
| Rate for Payer: BCBS MAPPO |
$896.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$1,319.92
|
| Rate for Payer: BCN Medicare Advantage |
$896.26
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,290.61
|
| Rate for Payer: Cofinity Commercial |
$1,200.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$896.26
|
| Rate for Payer: Healthscope Commercial |
$1,075.51
|
| Rate for Payer: Healthscope Whirlpool |
$1,075.51
|
| Rate for Payer: Meridian Medicaid |
$610.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$941.07
|
| Rate for Payer: PACE SWMI |
$896.26
|
| Rate for Payer: PHP Medicare Advantage |
$896.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$581.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,208.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,459.50
|
| Rate for Payer: Priority Health Medicare |
$896.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,459.50
|
| Rate for Payer: UHC Medicare Advantage |
$923.15
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$2,952.00
|
|
|
Service Code
|
HCPCS 47562
|
| Min. Negotiated Rate |
$424.30 |
| Max. Negotiated Rate |
$2,066.40 |
| Rate for Payer: Aetna Commercial |
$878.92
|
| Rate for Payer: Aetna Medicare |
$655.91
|
| Rate for Payer: BCBS Complete |
$445.52
|
| Rate for Payer: BCBS MAPPO |
$655.91
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$655.91
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.91
|
| Rate for Payer: Healthscope Commercial |
$787.09
|
| Rate for Payer: Healthscope Whirlpool |
$787.09
|
| Rate for Payer: Meridian Medicaid |
$445.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$688.71
|
| Rate for Payer: PACE SWMI |
$655.91
|
| Rate for Payer: PHP Medicare Advantage |
$655.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.83
|
| Rate for Payer: Priority Health Medicare |
$655.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,161.83
|
| Rate for Payer: UHC Medicare Advantage |
$675.59
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$2,952.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$424.30 |
| Max. Negotiated Rate |
$2,066.40 |
| Rate for Payer: Aetna Commercial |
$878.92
|
| Rate for Payer: Aetna Medicare |
$655.91
|
| Rate for Payer: BCBS Complete |
$445.52
|
| Rate for Payer: BCBS MAPPO |
$655.91
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$655.91
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$944.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.91
|
| Rate for Payer: Healthscope Commercial |
$787.09
|
| Rate for Payer: Healthscope Whirlpool |
$787.09
|
| Rate for Payer: Meridian Medicaid |
$445.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$688.71
|
| Rate for Payer: PACE SWMI |
$655.91
|
| Rate for Payer: PHP Medicare Advantage |
$655.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.83
|
| Rate for Payer: Priority Health Medicare |
$655.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,161.83
|
| Rate for Payer: UHC Medicare Advantage |
$675.59
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
OP
|
$2,952.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,066.40 |
| Max. Negotiated Rate |
$6,411.01 |
| Rate for Payer: Aetna Commercial |
$2,656.80
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$2,863.44
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.69
|
| Rate for Payer: BCN Commercial |
$2,288.69
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$2,774.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,361.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$2,952.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,863.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$2,656.80
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,509.20
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,686.32
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,095.92
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,597.76
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
IP
|
$2,952.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,066.40 |
| Max. Negotiated Rate |
$2,952.00 |
| Rate for Payer: Aetna Commercial |
$2,656.80
|
| Rate for Payer: ASR ASR |
$2,863.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.69
|
| Rate for Payer: BCN Commercial |
$2,288.69
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$2,774.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,361.60
|
| Rate for Payer: Healthscope Commercial |
$2,952.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,863.44
|
| Rate for Payer: Mclaren Commercial |
$2,656.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,509.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,066.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,597.76
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,708.00
|
|
|
Service Code
|
HCPCS 44188
|
| Min. Negotiated Rate |
$772.76 |
| Max. Negotiated Rate |
$2,127.29 |
| Rate for Payer: Aetna Commercial |
$1,605.82
|
| Rate for Payer: Aetna Medicare |
$1,198.37
|
| Rate for Payer: BCBS Complete |
$811.40
|
| Rate for Payer: BCBS MAPPO |
$1,198.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,198.37
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$1,725.65
|
| Rate for Payer: Cofinity Commercial |
$1,605.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,198.37
|
| Rate for Payer: Healthscope Commercial |
$1,438.04
|
| Rate for Payer: Healthscope Whirlpool |
$1,438.04
|
| Rate for Payer: Meridian Medicaid |
$811.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,258.29
|
| Rate for Payer: PACE SWMI |
$1,198.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,198.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,127.29
|
| Rate for Payer: Priority Health Medicare |
$1,198.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,127.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,234.32
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
IP
|
$2,708.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,895.60 |
| Max. Negotiated Rate |
$2,708.00 |
| Rate for Payer: Aetna Commercial |
$2,437.20
|
| Rate for Payer: ASR ASR |
$2,626.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,099.51
|
| Rate for Payer: BCN Commercial |
$2,099.51
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$2,545.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,166.40
|
| Rate for Payer: Healthscope Commercial |
$2,708.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,626.76
|
| Rate for Payer: Mclaren Commercial |
$2,437.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,301.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,383.04
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,708.00
|
|
|
Service Code
|
HCPCS 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$772.76 |
| Max. Negotiated Rate |
$2,127.29 |
| Rate for Payer: Aetna Commercial |
$1,605.82
|
| Rate for Payer: Aetna Medicare |
$1,198.37
|
| Rate for Payer: BCBS Complete |
$811.40
|
| Rate for Payer: BCBS MAPPO |
$1,198.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,198.37
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$1,725.65
|
| Rate for Payer: Cofinity Commercial |
$1,605.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,198.37
|
| Rate for Payer: Healthscope Commercial |
$1,438.04
|
| Rate for Payer: Healthscope Whirlpool |
$1,438.04
|
| Rate for Payer: Meridian Medicaid |
$811.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,258.29
|
| Rate for Payer: PACE SWMI |
$1,198.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,198.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,127.29
|
| Rate for Payer: Priority Health Medicare |
$1,198.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,127.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,234.32
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
OP
|
$2,708.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,083.20 |
| Max. Negotiated Rate |
$2,708.00 |
| Rate for Payer: Aetna Commercial |
$2,437.20
|
| Rate for Payer: ASR ASR |
$2,626.76
|
| Rate for Payer: BCBS Complete |
$1,083.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,099.51
|
| Rate for Payer: BCN Commercial |
$2,099.51
|
| Rate for Payer: Cash Price |
$2,166.40
|
| Rate for Payer: Cofinity Commercial |
$2,545.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,166.40
|
| Rate for Payer: Healthscope Commercial |
$2,708.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,626.76
|
| Rate for Payer: Mclaren Commercial |
$2,437.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,301.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,895.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,464.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,922.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,383.04
|
|
|
PR LAPAROSCOPY SURGICAL JEJUNOSTOMY
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 44186
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$1,371.30 |
| Rate for Payer: Aetna Commercial |
$866.67
|
| Rate for Payer: Aetna Medicare |
$646.77
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$646.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,287.47
|
| Rate for Payer: BCN Commercial |
$951.95
|
| Rate for Payer: BCN Medicare Advantage |
$646.77
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cofinity Commercial |
$931.35
|
| Rate for Payer: Cofinity Commercial |
$866.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$646.77
|
| Rate for Payer: Healthscope Commercial |
$776.12
|
| Rate for Payer: Healthscope Whirlpool |
$776.12
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$679.11
|
| Rate for Payer: PACE SWMI |
$646.77
|
| Rate for Payer: PHP Medicare Advantage |
$646.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,371.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.37
|
| Rate for Payer: Priority Health Medicare |
$646.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,145.37
|
| Rate for Payer: UHC Medicare Advantage |
$666.17
|
|
|
PR LAPAROSCOPY SURGICAL ORCHIECTOMY
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 54690
|
| Min. Negotiated Rate |
$417.48 |
| Max. Negotiated Rate |
$2,517.35 |
| Rate for Payer: Aetna Commercial |
$857.67
|
| Rate for Payer: Aetna Medicare |
$640.05
|
| Rate for Payer: BCBS Complete |
$438.35
|
| Rate for Payer: BCBS MAPPO |
$640.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,517.35
|
| Rate for Payer: BCN Commercial |
$945.10
|
| Rate for Payer: BCN Medicare Advantage |
$640.05
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$921.67
|
| Rate for Payer: Cofinity Commercial |
$857.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.05
|
| Rate for Payer: Healthscope Commercial |
$768.06
|
| Rate for Payer: Healthscope Whirlpool |
$768.06
|
| Rate for Payer: Meridian Medicaid |
$438.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$672.05
|
| Rate for Payer: PACE SWMI |
$640.05
|
| Rate for Payer: PHP Medicare Advantage |
$640.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$910.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,045.05
|
| Rate for Payer: Priority Health Medicare |
$640.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,045.05
|
| Rate for Payer: UHC Medicare Advantage |
$659.25
|
|
|
PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE
|
Professional
|
Both
|
$2,964.00
|
|
|
Service Code
|
HCPCS 44187
|
| Min. Negotiated Rate |
$693.95 |
| Max. Negotiated Rate |
$2,074.80 |
| Rate for Payer: Aetna Commercial |
$1,439.15
|
| Rate for Payer: Aetna Medicare |
$1,073.99
|
| Rate for Payer: BCBS Complete |
$728.65
|
| Rate for Payer: BCBS MAPPO |
$1,073.99
|
| Rate for Payer: BCBS Trust/PPO |
$828.90
|
| Rate for Payer: BCN Commercial |
$1,587.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,073.99
|
| Rate for Payer: Cash Price |
$2,371.20
|
| Rate for Payer: Cash Price |
$2,371.20
|
| Rate for Payer: Cofinity Commercial |
$1,546.55
|
| Rate for Payer: Cofinity Commercial |
$1,439.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,073.99
|
| Rate for Payer: Healthscope Commercial |
$1,288.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,288.79
|
| Rate for Payer: Meridian Medicaid |
$728.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,127.69
|
| Rate for Payer: PACE SWMI |
$1,073.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,073.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,074.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,910.33
|
| Rate for Payer: Priority Health Medicare |
$1,073.99
|
| Rate for Payer: Priority Health Narrow Network |
$1,910.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.21
|
|
|
PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY
|
Professional
|
Both
|
$2,796.00
|
|
|
Service Code
|
HCPCS 50543
|
| Min. Negotiated Rate |
$942.95 |
| Max. Negotiated Rate |
$3,176.67 |
| Rate for Payer: Aetna Commercial |
$1,946.50
|
| Rate for Payer: Aetna Medicare |
$1,452.61
|
| Rate for Payer: BCBS Complete |
$990.10
|
| Rate for Payer: BCBS MAPPO |
$1,452.61
|
| Rate for Payer: BCBS Trust/PPO |
$3,176.67
|
| Rate for Payer: BCN Commercial |
$2,139.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,452.61
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cash Price |
$2,236.80
|
| Rate for Payer: Cofinity Commercial |
$2,091.76
|
| Rate for Payer: Cofinity Commercial |
$1,946.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,452.61
|
| Rate for Payer: Healthscope Commercial |
$1,743.13
|
| Rate for Payer: Healthscope Whirlpool |
$1,743.13
|
| Rate for Payer: Meridian Medicaid |
$990.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,525.24
|
| Rate for Payer: PACE SWMI |
$1,452.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,452.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$942.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,365.68
|
| Rate for Payer: Priority Health Medicare |
$1,452.61
|
| Rate for Payer: Priority Health Narrow Network |
$2,365.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,496.19
|
|
|
PR LAPAROSCOPY SURG PYELOPLASTY
|
Professional
|
Both
|
$2,350.00
|
|
|
Service Code
|
HCPCS 50544
|
| Min. Negotiated Rate |
$784.05 |
| Max. Negotiated Rate |
$2,666.86 |
| Rate for Payer: Aetna Commercial |
$1,624.09
|
| Rate for Payer: Aetna Medicare |
$1,212.01
|
| Rate for Payer: BCBS Complete |
$823.25
|
| Rate for Payer: BCBS MAPPO |
$1,212.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,666.86
|
| Rate for Payer: BCN Commercial |
$1,782.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,212.01
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cofinity Commercial |
$1,745.29
|
| Rate for Payer: Cofinity Commercial |
$1,624.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,212.01
|
| Rate for Payer: Healthscope Commercial |
$1,454.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,454.41
|
| Rate for Payer: Meridian Medicaid |
$823.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,272.61
|
| Rate for Payer: PACE SWMI |
$1,212.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,212.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$784.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,645.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,970.69
|
| Rate for Payer: Priority Health Medicare |
$1,212.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,970.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,248.37
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
OP
|
$1,530.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,071.00 |
| Max. Negotiated Rate |
$6,411.01 |
| Rate for Payer: Aetna Commercial |
$1,377.00
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$1,484.10
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.21
|
| Rate for Payer: BCN Commercial |
$1,186.21
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$1,438.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$1,530.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.10
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$1,377.00
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,300.50
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,392.30
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,086.30
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,346.40
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
49650
|
| Min. Negotiated Rate |
$279.46 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$575.17
|
| Rate for Payer: Aetna Medicare |
$429.23
|
| Rate for Payer: BCBS Complete |
$293.43
|
| Rate for Payer: BCBS MAPPO |
$429.23
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$429.23
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$575.17
|
| Rate for Payer: Cofinity Commercial |
$618.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.23
|
| Rate for Payer: Healthscope Commercial |
$515.08
|
| Rate for Payer: Healthscope Whirlpool |
$515.08
|
| Rate for Payer: Meridian Medicaid |
$293.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$450.69
|
| Rate for Payer: PACE SWMI |
$429.23
|
| Rate for Payer: PHP Medicare Advantage |
$429.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.36
|
| Rate for Payer: Priority Health Medicare |
$429.23
|
| Rate for Payer: Priority Health Narrow Network |
$764.36
|
| Rate for Payer: UHC Medicare Advantage |
$442.11
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 49650
|
| Min. Negotiated Rate |
$279.46 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$575.17
|
| Rate for Payer: Aetna Medicare |
$429.23
|
| Rate for Payer: BCBS Complete |
$293.43
|
| Rate for Payer: BCBS MAPPO |
$429.23
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$429.23
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$575.17
|
| Rate for Payer: Cofinity Commercial |
$618.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.23
|
| Rate for Payer: Healthscope Commercial |
$515.08
|
| Rate for Payer: Healthscope Whirlpool |
$515.08
|
| Rate for Payer: Meridian Medicaid |
$293.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$450.69
|
| Rate for Payer: PACE SWMI |
$429.23
|
| Rate for Payer: PHP Medicare Advantage |
$429.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.36
|
| Rate for Payer: Priority Health Medicare |
$429.23
|
| Rate for Payer: Priority Health Narrow Network |
$764.36
|
| Rate for Payer: UHC Medicare Advantage |
$442.11
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
IP
|
$1,530.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,071.00 |
| Max. Negotiated Rate |
$1,530.00 |
| Rate for Payer: Aetna Commercial |
$1,377.00
|
| Rate for Payer: ASR ASR |
$1,484.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.21
|
| Rate for Payer: BCN Commercial |
$1,186.21
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$1,438.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,224.00
|
| Rate for Payer: Healthscope Commercial |
$1,530.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.10
|
| Rate for Payer: Mclaren Commercial |
$1,377.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,300.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,346.40
|
|
|
PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,539.00
|
|
|
Service Code
|
HCPCS 49321
|
| Min. Negotiated Rate |
$221.31 |
| Max. Negotiated Rate |
$1,478.18 |
| Rate for Payer: Aetna Commercial |
$457.48
|
| Rate for Payer: Aetna Medicare |
$341.40
|
| Rate for Payer: BCBS Complete |
$232.38
|
| Rate for Payer: BCBS MAPPO |
$341.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: BCN Medicare Advantage |
$341.40
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cofinity Commercial |
$457.48
|
| Rate for Payer: Cofinity Commercial |
$491.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.40
|
| Rate for Payer: Healthscope Commercial |
$409.68
|
| Rate for Payer: Healthscope Whirlpool |
$409.68
|
| Rate for Payer: Meridian Medicaid |
$232.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.47
|
| Rate for Payer: PACE SWMI |
$341.40
|
| Rate for Payer: PHP Medicare Advantage |
$341.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,077.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.21
|
| Rate for Payer: Priority Health Medicare |
$341.40
|
| Rate for Payer: Priority Health Narrow Network |
$606.21
|
| Rate for Payer: UHC Medicare Advantage |
$351.64
|
|
|
PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM
|
Professional
|
Both
|
$2,912.00
|
|
|
Service Code
|
HCPCS 58572
|
| Min. Negotiated Rate |
$61.81 |
| Max. Negotiated Rate |
$2,038.40 |
| Rate for Payer: Aetna Commercial |
$1,380.13
|
| Rate for Payer: Aetna Medicare |
$1,029.95
|
| Rate for Payer: BCBS Complete |
$683.48
|
| Rate for Payer: BCBS MAPPO |
$1,029.95
|
| Rate for Payer: BCBS Trust/PPO |
$61.81
|
| Rate for Payer: BCN Commercial |
$1,519.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,029.95
|
| Rate for Payer: Cash Price |
$2,329.60
|
| Rate for Payer: Cash Price |
$2,329.60
|
| Rate for Payer: Cofinity Commercial |
$1,483.13
|
| Rate for Payer: Cofinity Commercial |
$1,380.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,029.95
|
| Rate for Payer: Healthscope Commercial |
$1,235.94
|
| Rate for Payer: Healthscope Whirlpool |
$1,235.94
|
| Rate for Payer: Meridian Medicaid |
$683.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,081.45
|
| Rate for Payer: PACE SWMI |
$1,029.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,029.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,038.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,472.35
|
| Rate for Payer: Priority Health Medicare |
$1,029.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,472.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,060.85
|
|
|
PR LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR
|
Professional
|
Both
|
$3,397.00
|
|
|
Service Code
|
HCPCS 58573
|
| Min. Negotiated Rate |
$61.81 |
| Max. Negotiated Rate |
$2,377.90 |
| Rate for Payer: Aetna Commercial |
$1,615.76
|
| Rate for Payer: Aetna Medicare |
$1,205.79
|
| Rate for Payer: BCBS Complete |
$821.25
|
| Rate for Payer: BCBS MAPPO |
$1,205.79
|
| Rate for Payer: BCBS Trust/PPO |
$61.81
|
| Rate for Payer: BCN Commercial |
$1,779.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,205.79
|
| Rate for Payer: Cash Price |
$2,717.60
|
| Rate for Payer: Cash Price |
$2,717.60
|
| Rate for Payer: Cofinity Commercial |
$1,615.76
|
| Rate for Payer: Cofinity Commercial |
$1,736.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,205.79
|
| Rate for Payer: Healthscope Commercial |
$1,446.95
|
| Rate for Payer: Healthscope Whirlpool |
$1,446.95
|
| Rate for Payer: Meridian Medicaid |
$821.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,266.08
|
| Rate for Payer: PACE SWMI |
$1,205.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,205.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,377.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,723.73
|
| Rate for Payer: Priority Health Medicare |
$1,205.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,723.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,241.96
|
|
|
PR LAPAROSCOPY W/LYSIS OF ADHESIONS
|
Professional
|
Both
|
$2,634.00
|
|
|
Service Code
|
HCPCS 58660
|
| Min. Negotiated Rate |
$439.85 |
| Max. Negotiated Rate |
$1,843.80 |
| Rate for Payer: Aetna Commercial |
$908.99
|
| Rate for Payer: Aetna Medicare |
$678.35
|
| Rate for Payer: BCBS Complete |
$461.84
|
| Rate for Payer: BCBS MAPPO |
$678.35
|
| Rate for Payer: BCBS Trust/PPO |
$540.45
|
| Rate for Payer: BCN Commercial |
$999.34
|
| Rate for Payer: BCN Medicare Advantage |
$678.35
|
| Rate for Payer: Cash Price |
$2,107.20
|
| Rate for Payer: Cash Price |
$2,107.20
|
| Rate for Payer: Cofinity Commercial |
$976.82
|
| Rate for Payer: Cofinity Commercial |
$908.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.35
|
| Rate for Payer: Healthscope Commercial |
$814.02
|
| Rate for Payer: Healthscope Whirlpool |
$814.02
|
| Rate for Payer: Meridian Medicaid |
$461.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$712.27
|
| Rate for Payer: PACE SWMI |
$678.35
|
| Rate for Payer: PHP Medicare Advantage |
$678.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$439.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,843.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$968.15
|
| Rate for Payer: Priority Health Medicare |
$678.35
|
| Rate for Payer: Priority Health Narrow Network |
$968.15
|
| Rate for Payer: UHC Medicare Advantage |
$698.70
|
|
|
PR LAPAROSCOPY W/OMENTOPEXY
|
Professional
|
Both
|
$337.00
|
|
|
Service Code
|
HCPCS 49326
|
| Min. Negotiated Rate |
$119.07 |
| Max. Negotiated Rate |
$1,426.41 |
| Rate for Payer: Aetna Commercial |
$251.01
|
| Rate for Payer: Aetna Medicare |
$187.32
|
| Rate for Payer: BCBS Complete |
$125.02
|
| Rate for Payer: BCBS MAPPO |
$187.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.41
|
| Rate for Payer: BCN Commercial |
$272.19
|
| Rate for Payer: BCN Medicare Advantage |
$187.32
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$269.74
|
| Rate for Payer: Cofinity Commercial |
$251.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.32
|
| Rate for Payer: Healthscope Commercial |
$224.78
|
| Rate for Payer: Healthscope Whirlpool |
$224.78
|
| Rate for Payer: Meridian Medicaid |
$125.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$196.69
|
| Rate for Payer: PACE SWMI |
$187.32
|
| Rate for Payer: PHP Medicare Advantage |
$187.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$327.50
|
| Rate for Payer: Priority Health Medicare |
$187.32
|
| Rate for Payer: Priority Health Narrow Network |
$327.50
|
| Rate for Payer: UHC Medicare Advantage |
$192.94
|
|
|
PR LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS
|
Professional
|
Both
|
$1,496.00
|
|
|
Service Code
|
HCPCS 58671
|
| Min. Negotiated Rate |
$48.39 |
| Max. Negotiated Rate |
$1,047.20 |
| Rate for Payer: Aetna Commercial |
$493.64
|
| Rate for Payer: Aetna Medicare |
$368.39
|
| Rate for Payer: BCBS Complete |
$251.61
|
| Rate for Payer: BCBS MAPPO |
$368.39
|
| Rate for Payer: BCBS Trust/PPO |
$48.39
|
| Rate for Payer: BCN Commercial |
$546.34
|
| Rate for Payer: BCN Medicare Advantage |
$368.39
|
| Rate for Payer: Cash Price |
$1,196.80
|
| Rate for Payer: Cash Price |
$1,196.80
|
| Rate for Payer: Cofinity Commercial |
$530.48
|
| Rate for Payer: Cofinity Commercial |
$493.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.39
|
| Rate for Payer: Healthscope Commercial |
$442.07
|
| Rate for Payer: Healthscope Whirlpool |
$442.07
|
| Rate for Payer: Meridian Medicaid |
$251.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$386.81
|
| Rate for Payer: PACE SWMI |
$368.39
|
| Rate for Payer: PHP Medicare Advantage |
$368.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,047.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$529.29
|
| Rate for Payer: Priority Health Medicare |
$368.39
|
| Rate for Payer: Priority Health Narrow Network |
$529.29
|
| Rate for Payer: UHC Medicare Advantage |
$379.44
|
|
|
PR LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES
|
Professional
|
Both
|
$2,690.00
|
|
|
Service Code
|
HCPCS 58661
|
| Hospital Charge Code |
58661
|
| Min. Negotiated Rate |
$183.85 |
| Max. Negotiated Rate |
$1,883.00 |
| Rate for Payer: Aetna Commercial |
$869.26
|
| Rate for Payer: Aetna Medicare |
$648.70
|
| Rate for Payer: BCBS Complete |
$439.48
|
| Rate for Payer: BCBS MAPPO |
$648.70
|
| Rate for Payer: BCBS Trust/PPO |
$183.85
|
| Rate for Payer: BCN Commercial |
$955.85
|
| Rate for Payer: BCN Medicare Advantage |
$648.70
|
| Rate for Payer: Cash Price |
$2,152.00
|
| Rate for Payer: Cash Price |
$2,152.00
|
| Rate for Payer: Cofinity Commercial |
$934.13
|
| Rate for Payer: Cofinity Commercial |
$869.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.70
|
| Rate for Payer: Healthscope Commercial |
$778.44
|
| Rate for Payer: Healthscope Whirlpool |
$778.44
|
| Rate for Payer: Meridian Medicaid |
$439.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$681.14
|
| Rate for Payer: PACE SWMI |
$648.70
|
| Rate for Payer: PHP Medicare Advantage |
$648.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,883.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$926.01
|
| Rate for Payer: Priority Health Medicare |
$648.70
|
| Rate for Payer: Priority Health Narrow Network |
$926.01
|
| Rate for Payer: UHC Medicare Advantage |
$668.16
|
|
