|
PR OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE
|
Professional
|
Both
|
$808.00
|
|
|
Service Code
|
HCPCS 21356
|
| Min. Negotiated Rate |
$259.86 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$527.34
|
| Rate for Payer: Aetna Medicare |
$393.54
|
| Rate for Payer: BCBS Complete |
$272.85
|
| Rate for Payer: BCBS MAPPO |
$393.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$801.92
|
| Rate for Payer: BCN Medicare Advantage |
$393.54
|
| Rate for Payer: Cash Price |
$646.40
|
| Rate for Payer: Cash Price |
$646.40
|
| Rate for Payer: Cofinity Commercial |
$566.70
|
| Rate for Payer: Cofinity Commercial |
$527.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.54
|
| Rate for Payer: Healthscope Commercial |
$472.25
|
| Rate for Payer: Healthscope Whirlpool |
$472.25
|
| Rate for Payer: Meridian Medicaid |
$272.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$413.22
|
| Rate for Payer: PACE SWMI |
$393.54
|
| Rate for Payer: PHP Medicare Advantage |
$393.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$565.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$618.90
|
| Rate for Payer: Priority Health Medicare |
$393.54
|
| Rate for Payer: Priority Health Narrow Network |
$618.90
|
| Rate for Payer: UHC Medicare Advantage |
$405.35
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,423.00
|
|
|
Service Code
|
HCPCS 27792
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$2,729.34 |
| Rate for Payer: Aetna Commercial |
$851.95
|
| Rate for Payer: Aetna Medicare |
$635.78
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$635.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,729.34
|
| Rate for Payer: BCN Commercial |
$1,046.55
|
| Rate for Payer: BCN Medicare Advantage |
$635.78
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$851.95
|
| Rate for Payer: Cofinity Commercial |
$915.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.78
|
| Rate for Payer: Healthscope Commercial |
$762.94
|
| Rate for Payer: Healthscope Whirlpool |
$762.94
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.57
|
| Rate for Payer: PACE SWMI |
$635.78
|
| Rate for Payer: PHP Medicare Advantage |
$635.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.22
|
| Rate for Payer: Priority Health Medicare |
$635.78
|
| Rate for Payer: Priority Health Narrow Network |
$993.22
|
| Rate for Payer: UHC Medicare Advantage |
$654.85
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,423.00
|
|
|
Service Code
|
HCPCS 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$2,729.34 |
| Rate for Payer: Aetna Commercial |
$851.95
|
| Rate for Payer: Aetna Medicare |
$635.78
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$635.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,729.34
|
| Rate for Payer: BCN Commercial |
$1,046.55
|
| Rate for Payer: BCN Medicare Advantage |
$635.78
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$915.52
|
| Rate for Payer: Cofinity Commercial |
$851.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.78
|
| Rate for Payer: Healthscope Commercial |
$762.94
|
| Rate for Payer: Healthscope Whirlpool |
$762.94
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.57
|
| Rate for Payer: PACE SWMI |
$635.78
|
| Rate for Payer: PHP Medicare Advantage |
$635.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.22
|
| Rate for Payer: Priority Health Medicare |
$635.78
|
| Rate for Payer: Priority Health Narrow Network |
$993.22
|
| Rate for Payer: UHC Medicare Advantage |
$654.85
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
IP
|
$2,423.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$1,696.10 |
| Max. Negotiated Rate |
$2,423.00 |
| Rate for Payer: Aetna Commercial |
$2,180.70
|
| Rate for Payer: ASR ASR |
$2,350.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,878.55
|
| Rate for Payer: BCN Commercial |
$1,878.55
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$2,277.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,938.40
|
| Rate for Payer: Healthscope Commercial |
$2,423.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,350.31
|
| Rate for Payer: Mclaren Commercial |
$2,180.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,059.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,132.24
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
OP
|
$2,423.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$1,696.10 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,180.70
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$2,350.31
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,878.55
|
| Rate for Payer: BCN Commercial |
$1,878.55
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$2,277.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,938.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$2,423.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,350.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,180.70
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,059.55
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,204.93
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,720.33
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,132.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 26765
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$780.28 |
| Rate for Payer: Aetna Commercial |
$664.02
|
| Rate for Payer: Aetna Medicare |
$495.54
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$495.54
|
| Rate for Payer: BCBS Trust/PPO |
$542.56
|
| Rate for Payer: BCN Commercial |
$746.70
|
| Rate for Payer: BCN Medicare Advantage |
$495.54
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cofinity Commercial |
$664.02
|
| Rate for Payer: Cofinity Commercial |
$713.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.54
|
| Rate for Payer: Healthscope Commercial |
$594.65
|
| Rate for Payer: Healthscope Whirlpool |
$594.65
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$520.32
|
| Rate for Payer: PACE SWMI |
$495.54
|
| Rate for Payer: PHP Medicare Advantage |
$495.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$602.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$780.28
|
| Rate for Payer: Priority Health Medicare |
$495.54
|
| Rate for Payer: Priority Health Narrow Network |
$780.28
|
| Rate for Payer: UHC Medicare Advantage |
$510.41
|
|
|
PR OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$1,750.00
|
|
|
Service Code
|
HCPCS 25676
|
| Min. Negotiated Rate |
$410.66 |
| Max. Negotiated Rate |
$1,483.99 |
| Rate for Payer: Aetna Commercial |
$834.48
|
| Rate for Payer: Aetna Medicare |
$622.75
|
| Rate for Payer: BCBS Complete |
$431.19
|
| Rate for Payer: BCBS MAPPO |
$622.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,483.99
|
| Rate for Payer: BCN Commercial |
$932.40
|
| Rate for Payer: BCN Medicare Advantage |
$622.75
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cofinity Commercial |
$834.48
|
| Rate for Payer: Cofinity Commercial |
$896.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$622.75
|
| Rate for Payer: Healthscope Commercial |
$747.30
|
| Rate for Payer: Healthscope Whirlpool |
$747.30
|
| Rate for Payer: Meridian Medicaid |
$431.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$653.89
|
| Rate for Payer: PACE SWMI |
$622.75
|
| Rate for Payer: PHP Medicare Advantage |
$622.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$974.32
|
| Rate for Payer: Priority Health Medicare |
$622.75
|
| Rate for Payer: Priority Health Narrow Network |
$974.32
|
| Rate for Payer: UHC Medicare Advantage |
$641.43
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,257.00
|
|
|
Service Code
|
HCPCS 27829
|
| Min. Negotiated Rate |
$457.52 |
| Max. Negotiated Rate |
$1,579.90 |
| Rate for Payer: Aetna Commercial |
$930.34
|
| Rate for Payer: Aetna Medicare |
$694.28
|
| Rate for Payer: BCBS Complete |
$480.40
|
| Rate for Payer: BCBS MAPPO |
$694.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.73
|
| Rate for Payer: BCN Commercial |
$1,042.84
|
| Rate for Payer: BCN Medicare Advantage |
$694.28
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$999.76
|
| Rate for Payer: Cofinity Commercial |
$930.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.28
|
| Rate for Payer: Healthscope Commercial |
$833.14
|
| Rate for Payer: Healthscope Whirlpool |
$833.14
|
| Rate for Payer: Meridian Medicaid |
$480.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.99
|
| Rate for Payer: PACE SWMI |
$694.28
|
| Rate for Payer: PHP Medicare Advantage |
$694.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,089.72
|
| Rate for Payer: Priority Health Medicare |
$694.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,089.72
|
| Rate for Payer: UHC Medicare Advantage |
$715.11
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
IP
|
$2,257.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$1,579.90 |
| Max. Negotiated Rate |
$2,257.00 |
| Rate for Payer: Aetna Commercial |
$2,031.30
|
| Rate for Payer: ASR ASR |
$2,189.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,749.85
|
| Rate for Payer: BCN Commercial |
$1,749.85
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$2,121.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,805.60
|
| Rate for Payer: Healthscope Commercial |
$2,257.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,189.29
|
| Rate for Payer: Mclaren Commercial |
$2,031.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,918.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,986.16
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
OP
|
$2,257.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$1,579.90 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,031.30
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$2,189.29
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,749.85
|
| Rate for Payer: BCN Commercial |
$1,749.85
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$2,121.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,805.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$2,257.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,189.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,031.30
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,918.45
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,053.87
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,602.47
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,986.16
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,257.00
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$457.52 |
| Max. Negotiated Rate |
$1,579.90 |
| Rate for Payer: Aetna Commercial |
$930.34
|
| Rate for Payer: Aetna Medicare |
$694.28
|
| Rate for Payer: BCBS Complete |
$480.40
|
| Rate for Payer: BCBS MAPPO |
$694.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.73
|
| Rate for Payer: BCN Commercial |
$1,042.84
|
| Rate for Payer: BCN Medicare Advantage |
$694.28
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$930.34
|
| Rate for Payer: Cofinity Commercial |
$999.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.28
|
| Rate for Payer: Healthscope Commercial |
$833.14
|
| Rate for Payer: Healthscope Whirlpool |
$833.14
|
| Rate for Payer: Meridian Medicaid |
$480.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.99
|
| Rate for Payer: PACE SWMI |
$694.28
|
| Rate for Payer: PHP Medicare Advantage |
$694.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,089.72
|
| Rate for Payer: Priority Health Medicare |
$694.28
|
| Rate for Payer: Priority Health Narrow Network |
$1,089.72
|
| Rate for Payer: UHC Medicare Advantage |
$715.11
|
|
|
PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE
|
Professional
|
Both
|
$3,844.00
|
|
|
Service Code
|
HCPCS 27514
|
| Min. Negotiated Rate |
$619.40 |
| Max. Negotiated Rate |
$2,690.80 |
| Rate for Payer: Aetna Commercial |
$1,295.18
|
| Rate for Payer: BCBS Complete |
$650.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.66
|
| Rate for Payer: BCN Commercial |
$1,412.77
|
| Rate for Payer: Cash Price |
$3,075.20
|
| Rate for Payer: Cash Price |
$3,075.20
|
| Rate for Payer: Meridian Medicaid |
$650.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,690.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,476.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,476.29
|
|
|
PR OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD
|
Professional
|
Both
|
$3,842.00
|
|
|
Service Code
|
HCPCS 27269
|
| Min. Negotiated Rate |
$794.49 |
| Max. Negotiated Rate |
$4,086.40 |
| Rate for Payer: Aetna Commercial |
$1,638.98
|
| Rate for Payer: Aetna Medicare |
$1,223.12
|
| Rate for Payer: BCBS Complete |
$834.21
|
| Rate for Payer: BCBS MAPPO |
$1,223.12
|
| Rate for Payer: BCBS Trust/PPO |
$4,086.40
|
| Rate for Payer: BCN Commercial |
$1,812.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,223.12
|
| Rate for Payer: Cash Price |
$3,073.60
|
| Rate for Payer: Cash Price |
$3,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,761.29
|
| Rate for Payer: Cofinity Commercial |
$1,638.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,223.12
|
| Rate for Payer: Healthscope Commercial |
$1,467.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,467.74
|
| Rate for Payer: Meridian Medicaid |
$834.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,284.28
|
| Rate for Payer: PACE SWMI |
$1,223.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,223.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$794.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,689.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,894.01
|
| Rate for Payer: Priority Health Medicare |
$1,223.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,894.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,259.81
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$3,773.00
|
|
|
Service Code
|
HCPCS 27511
|
| Min. Negotiated Rate |
$638.79 |
| Max. Negotiated Rate |
$2,641.10 |
| Rate for Payer: Aetna Commercial |
$1,317.27
|
| Rate for Payer: Aetna Medicare |
$983.04
|
| Rate for Payer: BCBS Complete |
$670.73
|
| Rate for Payer: BCBS MAPPO |
$983.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,679.99
|
| Rate for Payer: BCN Commercial |
$1,457.24
|
| Rate for Payer: BCN Medicare Advantage |
$983.04
|
| Rate for Payer: Cash Price |
$3,018.40
|
| Rate for Payer: Cash Price |
$3,018.40
|
| Rate for Payer: Cofinity Commercial |
$1,415.58
|
| Rate for Payer: Cofinity Commercial |
$1,317.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$983.04
|
| Rate for Payer: Healthscope Commercial |
$1,179.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,179.65
|
| Rate for Payer: Meridian Medicaid |
$670.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,032.19
|
| Rate for Payer: PACE SWMI |
$983.04
|
| Rate for Payer: PHP Medicare Advantage |
$983.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,641.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,522.76
|
| Rate for Payer: Priority Health Medicare |
$983.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,522.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,012.53
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN
|
Professional
|
Both
|
$4,311.00
|
|
|
Service Code
|
HCPCS 27513
|
| Min. Negotiated Rate |
$790.02 |
| Max. Negotiated Rate |
$3,017.70 |
| Rate for Payer: Aetna Commercial |
$1,634.91
|
| Rate for Payer: Aetna Medicare |
$1,220.08
|
| Rate for Payer: BCBS Complete |
$829.52
|
| Rate for Payer: BCBS MAPPO |
$1,220.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,854.86
|
| Rate for Payer: BCN Commercial |
$1,805.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,220.08
|
| Rate for Payer: Cash Price |
$3,448.80
|
| Rate for Payer: Cash Price |
$3,448.80
|
| Rate for Payer: Cofinity Commercial |
$1,756.92
|
| Rate for Payer: Cofinity Commercial |
$1,634.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,220.08
|
| Rate for Payer: Healthscope Commercial |
$1,464.10
|
| Rate for Payer: Healthscope Whirlpool |
$1,464.10
|
| Rate for Payer: Meridian Medicaid |
$829.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,281.08
|
| Rate for Payer: PACE SWMI |
$1,220.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,220.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$790.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,017.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,886.34
|
| Rate for Payer: Priority Health Medicare |
$1,220.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,886.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,256.68
|
|
|
PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES
|
Professional
|
Both
|
$1,408.00
|
|
|
Service Code
|
HCPCS 28505
|
| Min. Negotiated Rate |
$320.57 |
| Max. Negotiated Rate |
$1,403.69 |
| Rate for Payer: Aetna Commercial |
$649.46
|
| Rate for Payer: Aetna Medicare |
$484.67
|
| Rate for Payer: BCBS Complete |
$336.60
|
| Rate for Payer: BCBS MAPPO |
$484.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,403.69
|
| Rate for Payer: BCN Commercial |
$951.46
|
| Rate for Payer: BCN Medicare Advantage |
$484.67
|
| Rate for Payer: Cash Price |
$1,126.40
|
| Rate for Payer: Cash Price |
$1,126.40
|
| Rate for Payer: Cofinity Commercial |
$649.46
|
| Rate for Payer: Cofinity Commercial |
$697.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.67
|
| Rate for Payer: Healthscope Commercial |
$581.60
|
| Rate for Payer: Healthscope Whirlpool |
$581.60
|
| Rate for Payer: Meridian Medicaid |
$336.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$508.90
|
| Rate for Payer: PACE SWMI |
$484.67
|
| Rate for Payer: PHP Medicare Advantage |
$484.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$756.27
|
| Rate for Payer: Priority Health Medicare |
$484.67
|
| Rate for Payer: Priority Health Narrow Network |
$756.27
|
| Rate for Payer: UHC Medicare Advantage |
$499.21
|
|
|
PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE
|
Professional
|
Both
|
$604.00
|
|
|
Service Code
|
HCPCS 28525
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$828.31 |
| Rate for Payer: Aetna Commercial |
$529.93
|
| Rate for Payer: Aetna Medicare |
$395.47
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$395.47
|
| Rate for Payer: BCBS Trust/PPO |
$576.38
|
| Rate for Payer: BCN Commercial |
$828.31
|
| Rate for Payer: BCN Medicare Advantage |
$395.47
|
| Rate for Payer: Cash Price |
$483.20
|
| Rate for Payer: Cash Price |
$483.20
|
| Rate for Payer: Cofinity Commercial |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$569.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.47
|
| Rate for Payer: Healthscope Commercial |
$474.56
|
| Rate for Payer: Healthscope Whirlpool |
$474.56
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$415.24
|
| Rate for Payer: PACE SWMI |
$395.47
|
| Rate for Payer: PHP Medicare Advantage |
$395.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$422.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$619.93
|
| Rate for Payer: Priority Health Medicare |
$395.47
|
| Rate for Payer: Priority Health Narrow Network |
$619.93
|
| Rate for Payer: UHC Medicare Advantage |
$407.33
|
|
|
PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT
|
Professional
|
Both
|
$1,149.00
|
|
|
Service Code
|
HCPCS 21407
|
| Min. Negotiated Rate |
$411.52 |
| Max. Negotiated Rate |
$3,350.93 |
| Rate for Payer: Aetna Commercial |
$844.96
|
| Rate for Payer: Aetna Medicare |
$630.57
|
| Rate for Payer: BCBS Complete |
$432.10
|
| Rate for Payer: BCBS MAPPO |
$630.57
|
| Rate for Payer: BCBS Trust/PPO |
$3,350.93
|
| Rate for Payer: BCN Commercial |
$945.10
|
| Rate for Payer: BCN Medicare Advantage |
$630.57
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cofinity Commercial |
$908.02
|
| Rate for Payer: Cofinity Commercial |
$844.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.57
|
| Rate for Payer: Healthscope Commercial |
$756.68
|
| Rate for Payer: Healthscope Whirlpool |
$756.68
|
| Rate for Payer: Meridian Medicaid |
$432.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$662.10
|
| Rate for Payer: PACE SWMI |
$630.57
|
| Rate for Payer: PHP Medicare Advantage |
$630.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$804.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$987.60
|
| Rate for Payer: Priority Health Medicare |
$630.57
|
| Rate for Payer: Priority Health Narrow Network |
$987.60
|
| Rate for Payer: UHC Medicare Advantage |
$649.49
|
|
|
PR OPEN TX HUMERAL EPICONDYLAR FRACTURE
|
Professional
|
Both
|
$2,388.00
|
|
|
Service Code
|
HCPCS 24575
|
| Min. Negotiated Rate |
$402.56 |
| Max. Negotiated Rate |
$1,671.60 |
| Rate for Payer: Aetna Commercial |
$967.55
|
| Rate for Payer: Aetna Medicare |
$722.05
|
| Rate for Payer: BCBS Complete |
$499.63
|
| Rate for Payer: BCBS MAPPO |
$722.05
|
| Rate for Payer: BCBS Trust/PPO |
$402.56
|
| Rate for Payer: BCN Commercial |
$1,079.97
|
| Rate for Payer: BCN Medicare Advantage |
$722.05
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cofinity Commercial |
$967.55
|
| Rate for Payer: Cofinity Commercial |
$1,039.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.05
|
| Rate for Payer: Healthscope Commercial |
$866.46
|
| Rate for Payer: Healthscope Whirlpool |
$866.46
|
| Rate for Payer: Meridian Medicaid |
$499.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$758.15
|
| Rate for Payer: PACE SWMI |
$722.05
|
| Rate for Payer: PHP Medicare Advantage |
$722.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,671.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,128.54
|
| Rate for Payer: Priority Health Medicare |
$722.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,128.54
|
| Rate for Payer: UHC Medicare Advantage |
$743.71
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$2,985.00
|
|
|
Service Code
|
HCPCS 24545
|
| Min. Negotiated Rate |
$314.34 |
| Max. Negotiated Rate |
$2,089.50 |
| Rate for Payer: Aetna Commercial |
$1,224.83
|
| Rate for Payer: Aetna Medicare |
$914.05
|
| Rate for Payer: BCBS Complete |
$629.35
|
| Rate for Payer: BCBS MAPPO |
$914.05
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$1,361.45
|
| Rate for Payer: BCN Medicare Advantage |
$914.05
|
| Rate for Payer: Cash Price |
$2,388.00
|
| Rate for Payer: Cash Price |
$2,388.00
|
| Rate for Payer: Cofinity Commercial |
$1,224.83
|
| Rate for Payer: Cofinity Commercial |
$1,316.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.05
|
| Rate for Payer: Healthscope Commercial |
$1,096.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,096.86
|
| Rate for Payer: Meridian Medicaid |
$629.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.75
|
| Rate for Payer: PACE SWMI |
$914.05
|
| Rate for Payer: PHP Medicare Advantage |
$914.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,089.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,422.67
|
| Rate for Payer: Priority Health Medicare |
$914.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,422.67
|
| Rate for Payer: UHC Medicare Advantage |
$941.47
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN
|
Professional
|
Both
|
$3,904.00
|
|
|
Service Code
|
HCPCS 24546
|
| Min. Negotiated Rate |
$387.77 |
| Max. Negotiated Rate |
$2,732.80 |
| Rate for Payer: Aetna Commercial |
$1,369.49
|
| Rate for Payer: Aetna Medicare |
$1,022.01
|
| Rate for Payer: BCBS Complete |
$701.59
|
| Rate for Payer: BCBS MAPPO |
$1,022.01
|
| Rate for Payer: BCBS Trust/PPO |
$387.77
|
| Rate for Payer: BCN Commercial |
$1,520.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,022.01
|
| Rate for Payer: Cash Price |
$3,123.20
|
| Rate for Payer: Cash Price |
$3,123.20
|
| Rate for Payer: Cofinity Commercial |
$1,471.69
|
| Rate for Payer: Cofinity Commercial |
$1,369.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,022.01
|
| Rate for Payer: Healthscope Commercial |
$1,226.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,226.41
|
| Rate for Payer: Meridian Medicaid |
$701.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,073.11
|
| Rate for Payer: PACE SWMI |
$1,022.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,022.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$668.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,732.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,589.14
|
| Rate for Payer: Priority Health Medicare |
$1,022.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,589.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.67
|
|
|
PR OPEN TX ILIAC SPINE UNI/BIL
|
Professional
|
Both
|
$2,582.00
|
|
|
Service Code
|
HCPCS G0412
|
| Min. Negotiated Rate |
$467.11 |
| Max. Negotiated Rate |
$2,061.43 |
| Rate for Payer: Aetna Commercial |
$957.22
|
| Rate for Payer: Aetna Medicare |
$714.34
|
| Rate for Payer: BCBS Complete |
$490.47
|
| Rate for Payer: BCBS MAPPO |
$714.34
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.43
|
| Rate for Payer: BCN Commercial |
$1,062.38
|
| Rate for Payer: BCN Medicare Advantage |
$714.34
|
| Rate for Payer: Cash Price |
$2,065.60
|
| Rate for Payer: Cash Price |
$2,065.60
|
| Rate for Payer: Cofinity Commercial |
$957.22
|
| Rate for Payer: Cofinity Commercial |
$1,028.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.34
|
| Rate for Payer: Healthscope Commercial |
$857.21
|
| Rate for Payer: Healthscope Whirlpool |
$857.21
|
| Rate for Payer: Meridian Medicaid |
$490.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$750.06
|
| Rate for Payer: PACE SWMI |
$714.34
|
| Rate for Payer: PHP Medicare Advantage |
$714.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,807.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,110.16
|
| Rate for Payer: Priority Health Medicare |
$714.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,110.16
|
| Rate for Payer: UHC Medicare Advantage |
$735.77
|
|
|
PR OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE
|
Professional
|
Both
|
$2,695.00
|
|
|
Service Code
|
HCPCS 27540
|
| Min. Negotiated Rate |
$246.72 |
| Max. Negotiated Rate |
$1,886.50 |
| Rate for Payer: Aetna Commercial |
$1,077.83
|
| Rate for Payer: Aetna Medicare |
$804.35
|
| Rate for Payer: BCBS Complete |
$552.20
|
| Rate for Payer: BCBS MAPPO |
$804.35
|
| Rate for Payer: BCBS Trust/PPO |
$246.72
|
| Rate for Payer: BCN Commercial |
$1,199.22
|
| Rate for Payer: BCN Medicare Advantage |
$804.35
|
| Rate for Payer: Cash Price |
$2,156.00
|
| Rate for Payer: Cash Price |
$2,156.00
|
| Rate for Payer: Cofinity Commercial |
$1,077.83
|
| Rate for Payer: Cofinity Commercial |
$1,158.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$804.35
|
| Rate for Payer: Healthscope Commercial |
$965.22
|
| Rate for Payer: Healthscope Whirlpool |
$965.22
|
| Rate for Payer: Meridian Medicaid |
$552.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$844.57
|
| Rate for Payer: PACE SWMI |
$804.35
|
| Rate for Payer: PHP Medicare Advantage |
$804.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$525.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,886.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,253.13
|
| Rate for Payer: Priority Health Medicare |
$804.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,253.13
|
| Rate for Payer: UHC Medicare Advantage |
$828.48
|
|
|
PR OPEN TX INTERPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,510.00
|
|
|
Service Code
|
HCPCS 26785
|
| Min. Negotiated Rate |
$101.43 |
| Max. Negotiated Rate |
$1,057.00 |
| Rate for Payer: Aetna Commercial |
$723.91
|
| Rate for Payer: Aetna Medicare |
$540.23
|
| Rate for Payer: BCBS Complete |
$375.51
|
| Rate for Payer: BCBS MAPPO |
$540.23
|
| Rate for Payer: BCBS Trust/PPO |
$101.43
|
| Rate for Payer: BCN Commercial |
$812.67
|
| Rate for Payer: BCN Medicare Advantage |
$540.23
|
| Rate for Payer: Cash Price |
$1,208.00
|
| Rate for Payer: Cash Price |
$1,208.00
|
| Rate for Payer: Cofinity Commercial |
$777.93
|
| Rate for Payer: Cofinity Commercial |
$723.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.23
|
| Rate for Payer: Healthscope Commercial |
$648.28
|
| Rate for Payer: Healthscope Whirlpool |
$648.28
|
| Rate for Payer: Meridian Medicaid |
$375.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$567.24
|
| Rate for Payer: PACE SWMI |
$540.23
|
| Rate for Payer: PHP Medicare Advantage |
$540.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$357.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,057.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.20
|
| Rate for Payer: Priority Health Medicare |
$540.23
|
| Rate for Payer: Priority Health Narrow Network |
$849.20
|
| Rate for Payer: UHC Medicare Advantage |
$556.44
|
|
|
PR OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR
|
Professional
|
Both
|
$2,108.00
|
|
|
Service Code
|
HCPCS 27557
|
| Min. Negotiated Rate |
$669.46 |
| Max. Negotiated Rate |
$1,595.79 |
| Rate for Payer: Aetna Commercial |
$1,380.90
|
| Rate for Payer: Aetna Medicare |
$1,030.52
|
| Rate for Payer: BCBS Complete |
$702.93
|
| Rate for Payer: BCBS MAPPO |
$1,030.52
|
| Rate for Payer: BCBS Trust/PPO |
$843.70
|
| Rate for Payer: BCN Commercial |
$1,527.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,030.52
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cofinity Commercial |
$1,483.95
|
| Rate for Payer: Cofinity Commercial |
$1,380.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,030.52
|
| Rate for Payer: Healthscope Commercial |
$1,236.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,236.62
|
| Rate for Payer: Meridian Medicaid |
$702.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,082.05
|
| Rate for Payer: PACE SWMI |
$1,030.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,030.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$669.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,595.79
|
| Rate for Payer: Priority Health Medicare |
$1,030.52
|
| Rate for Payer: Priority Health Narrow Network |
$1,595.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,061.44
|
|
