|
PR OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR
|
Professional
|
Both
|
$1,740.00
|
|
|
Service Code
|
HCPCS 27556
|
| Min. Negotiated Rate |
$488.15 |
| Max. Negotiated Rate |
$1,341.99 |
| Rate for Payer: Aetna Commercial |
$1,159.38
|
| Rate for Payer: Aetna Medicare |
$865.21
|
| Rate for Payer: BCBS Complete |
$591.11
|
| Rate for Payer: BCBS MAPPO |
$865.21
|
| Rate for Payer: BCBS Trust/PPO |
$488.15
|
| Rate for Payer: BCN Commercial |
$1,284.24
|
| Rate for Payer: BCN Medicare Advantage |
$865.21
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cofinity Commercial |
$1,245.90
|
| Rate for Payer: Cofinity Commercial |
$1,159.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$865.21
|
| Rate for Payer: Healthscope Commercial |
$1,038.25
|
| Rate for Payer: Healthscope Whirlpool |
$1,038.25
|
| Rate for Payer: Meridian Medicaid |
$591.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$908.47
|
| Rate for Payer: PACE SWMI |
$865.21
|
| Rate for Payer: PHP Medicare Advantage |
$865.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,218.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,341.99
|
| Rate for Payer: Priority Health Medicare |
$865.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,341.99
|
| Rate for Payer: UHC Medicare Advantage |
$891.17
|
|
|
PR OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION
|
Professional
|
Both
|
$5,245.00
|
|
|
Service Code
|
HCPCS 27558
|
| Min. Negotiated Rate |
$760.62 |
| Max. Negotiated Rate |
$3,671.50 |
| Rate for Payer: Aetna Commercial |
$1,572.25
|
| Rate for Payer: Aetna Medicare |
$1,173.32
|
| Rate for Payer: BCBS Complete |
$798.65
|
| Rate for Payer: BCBS MAPPO |
$1,173.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,509.88
|
| Rate for Payer: BCN Commercial |
$1,736.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,173.32
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cofinity Commercial |
$1,689.58
|
| Rate for Payer: Cofinity Commercial |
$1,572.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,173.32
|
| Rate for Payer: Healthscope Commercial |
$1,407.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,407.98
|
| Rate for Payer: Meridian Medicaid |
$798.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,231.99
|
| Rate for Payer: PACE SWMI |
$1,173.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,173.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$760.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,671.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,814.85
|
| Rate for Payer: Priority Health Medicare |
$1,173.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,814.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,208.52
|
|
|
PR OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION
|
Professional
|
Both
|
$3,334.00
|
|
|
Service Code
|
HCPCS 21462
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,917.40 |
| Rate for Payer: Aetna Commercial |
$1,507.25
|
| Rate for Payer: Aetna Medicare |
$1,124.81
|
| Rate for Payer: BCBS Complete |
$778.30
|
| Rate for Payer: BCBS MAPPO |
$1,124.81
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,917.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,124.81
|
| Rate for Payer: Cash Price |
$2,667.20
|
| Rate for Payer: Cash Price |
$2,667.20
|
| Rate for Payer: Cofinity Commercial |
$1,507.25
|
| Rate for Payer: Cofinity Commercial |
$1,619.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,124.81
|
| Rate for Payer: Healthscope Commercial |
$1,349.77
|
| Rate for Payer: Healthscope Whirlpool |
$1,349.77
|
| Rate for Payer: Meridian Medicaid |
$778.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,181.05
|
| Rate for Payer: PACE SWMI |
$1,124.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,124.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,333.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,792.89
|
| Rate for Payer: Priority Health Medicare |
$1,124.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,792.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,158.55
|
|
|
PR OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION
|
Professional
|
Both
|
$4,108.00
|
|
|
Service Code
|
HCPCS 21461
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,875.60 |
| Rate for Payer: Aetna Commercial |
$1,362.18
|
| Rate for Payer: Aetna Medicare |
$1,016.55
|
| Rate for Payer: BCBS Complete |
$713.90
|
| Rate for Payer: BCBS MAPPO |
$1,016.55
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,696.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.55
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,463.83
|
| Rate for Payer: Cofinity Commercial |
$1,362.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.55
|
| Rate for Payer: Healthscope Commercial |
$1,219.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,219.86
|
| Rate for Payer: Meridian Medicaid |
$713.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,067.38
|
| Rate for Payer: PACE SWMI |
$1,016.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$679.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,875.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,623.86
|
| Rate for Payer: Priority Health Medicare |
$1,016.55
|
| Rate for Payer: Priority Health Narrow Network |
$1,623.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,047.05
|
|
|
PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE
|
Professional
|
Both
|
$1,887.00
|
|
|
Service Code
|
HCPCS 26615
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$1,320.90 |
| Rate for Payer: Aetna Commercial |
$759.50
|
| Rate for Payer: Aetna Medicare |
$566.79
|
| Rate for Payer: BCBS Complete |
$394.30
|
| Rate for Payer: BCBS MAPPO |
$566.79
|
| Rate for Payer: BCBS Trust/PPO |
$53.49
|
| Rate for Payer: BCN Commercial |
$851.77
|
| Rate for Payer: BCN Medicare Advantage |
$566.79
|
| Rate for Payer: Cash Price |
$1,509.60
|
| Rate for Payer: Cash Price |
$1,509.60
|
| Rate for Payer: Cofinity Commercial |
$816.18
|
| Rate for Payer: Cofinity Commercial |
$759.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.79
|
| Rate for Payer: Healthscope Commercial |
$680.15
|
| Rate for Payer: Healthscope Whirlpool |
$680.15
|
| Rate for Payer: Meridian Medicaid |
$394.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$595.13
|
| Rate for Payer: PACE SWMI |
$566.79
|
| Rate for Payer: PHP Medicare Advantage |
$566.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$375.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,320.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$890.06
|
| Rate for Payer: Priority Health Medicare |
$566.79
|
| Rate for Payer: Priority Health Narrow Network |
$890.06
|
| Rate for Payer: UHC Medicare Advantage |
$583.79
|
|
|
PR OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,017.00
|
|
|
Service Code
|
HCPCS 28645
|
| Min. Negotiated Rate |
$314.60 |
| Max. Negotiated Rate |
$945.59 |
| Rate for Payer: Aetna Commercial |
$634.88
|
| Rate for Payer: Aetna Medicare |
$473.79
|
| Rate for Payer: BCBS Complete |
$330.33
|
| Rate for Payer: BCBS MAPPO |
$473.79
|
| Rate for Payer: BCBS Trust/PPO |
$821.51
|
| Rate for Payer: BCN Commercial |
$945.59
|
| Rate for Payer: BCN Medicare Advantage |
$473.79
|
| Rate for Payer: Cash Price |
$813.60
|
| Rate for Payer: Cash Price |
$813.60
|
| Rate for Payer: Cofinity Commercial |
$682.26
|
| Rate for Payer: Cofinity Commercial |
$634.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$473.79
|
| Rate for Payer: Healthscope Commercial |
$568.55
|
| Rate for Payer: Healthscope Whirlpool |
$568.55
|
| Rate for Payer: Meridian Medicaid |
$330.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$497.48
|
| Rate for Payer: PACE SWMI |
$473.79
|
| Rate for Payer: PHP Medicare Advantage |
$473.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$314.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$711.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$738.91
|
| Rate for Payer: Priority Health Medicare |
$473.79
|
| Rate for Payer: Priority Health Narrow Network |
$738.91
|
| Rate for Payer: UHC Medicare Advantage |
$488.00
|
|
|
PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW
|
Professional
|
Both
|
$3,376.00
|
|
|
Service Code
|
HCPCS 24635
|
| Min. Negotiated Rate |
$438.99 |
| Max. Negotiated Rate |
$2,363.20 |
| Rate for Payer: Aetna Commercial |
$894.01
|
| Rate for Payer: Aetna Medicare |
$667.17
|
| Rate for Payer: BCBS Complete |
$460.94
|
| Rate for Payer: BCBS MAPPO |
$667.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,028.60
|
| Rate for Payer: BCN Commercial |
$998.86
|
| Rate for Payer: BCN Medicare Advantage |
$667.17
|
| Rate for Payer: Cash Price |
$2,700.80
|
| Rate for Payer: Cash Price |
$2,700.80
|
| Rate for Payer: Cofinity Commercial |
$894.01
|
| Rate for Payer: Cofinity Commercial |
$960.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.17
|
| Rate for Payer: Healthscope Commercial |
$800.60
|
| Rate for Payer: Healthscope Whirlpool |
$800.60
|
| Rate for Payer: Meridian Medicaid |
$460.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.53
|
| Rate for Payer: PACE SWMI |
$667.17
|
| Rate for Payer: PHP Medicare Advantage |
$667.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,363.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,043.76
|
| Rate for Payer: Priority Health Medicare |
$667.17
|
| Rate for Payer: Priority Health Narrow Network |
$1,043.76
|
| Rate for Payer: UHC Medicare Advantage |
$687.19
|
|
|
PR OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI
|
Professional
|
Both
|
$1,623.00
|
|
|
Service Code
|
HCPCS 21330
|
| Min. Negotiated Rate |
$344.21 |
| Max. Negotiated Rate |
$1,404.22 |
| Rate for Payer: Aetna Commercial |
$696.80
|
| Rate for Payer: Aetna Medicare |
$520.00
|
| Rate for Payer: BCBS Complete |
$361.42
|
| Rate for Payer: BCBS MAPPO |
$520.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.22
|
| Rate for Payer: BCN Commercial |
$788.24
|
| Rate for Payer: BCN Medicare Advantage |
$520.00
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cofinity Commercial |
$748.80
|
| Rate for Payer: Cofinity Commercial |
$696.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.00
|
| Rate for Payer: Healthscope Commercial |
$624.00
|
| Rate for Payer: Healthscope Whirlpool |
$624.00
|
| Rate for Payer: Meridian Medicaid |
$361.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$546.00
|
| Rate for Payer: PACE SWMI |
$520.00
|
| Rate for Payer: PHP Medicare Advantage |
$520.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$344.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,136.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$823.68
|
| Rate for Payer: Priority Health Medicare |
$520.00
|
| Rate for Payer: Priority Health Narrow Network |
$823.68
|
| Rate for Payer: UHC Medicare Advantage |
$535.60
|
|
|
PR OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION
|
Professional
|
Both
|
$1,447.00
|
|
|
Service Code
|
HCPCS 21336
|
| Min. Negotiated Rate |
$409.60 |
| Max. Negotiated Rate |
$10,615.31 |
| Rate for Payer: Aetna Commercial |
$827.16
|
| Rate for Payer: Aetna Medicare |
$617.28
|
| Rate for Payer: BCBS Complete |
$430.08
|
| Rate for Payer: BCBS MAPPO |
$617.28
|
| Rate for Payer: BCBS Trust/PPO |
$10,615.31
|
| Rate for Payer: BCN Commercial |
$936.30
|
| Rate for Payer: BCN Medicare Advantage |
$617.28
|
| Rate for Payer: Cash Price |
$1,157.60
|
| Rate for Payer: Cash Price |
$1,157.60
|
| Rate for Payer: Cofinity Commercial |
$888.88
|
| Rate for Payer: Cofinity Commercial |
$827.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$617.28
|
| Rate for Payer: Healthscope Commercial |
$740.74
|
| Rate for Payer: Healthscope Whirlpool |
$740.74
|
| Rate for Payer: Meridian Medicaid |
$430.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$648.14
|
| Rate for Payer: PACE SWMI |
$617.28
|
| Rate for Payer: PHP Medicare Advantage |
$617.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,012.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$978.41
|
| Rate for Payer: Priority Health Medicare |
$617.28
|
| Rate for Payer: Priority Health Narrow Network |
$978.41
|
| Rate for Payer: UHC Medicare Advantage |
$635.80
|
|
|
PR OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION
|
Professional
|
Both
|
$1,837.00
|
|
|
Service Code
|
HCPCS 21338
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,285.90 |
| Rate for Payer: Aetna Commercial |
$872.73
|
| Rate for Payer: Aetna Medicare |
$651.29
|
| Rate for Payer: BCBS Complete |
$452.67
|
| Rate for Payer: BCBS MAPPO |
$651.29
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$989.57
|
| Rate for Payer: BCN Medicare Advantage |
$651.29
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cofinity Commercial |
$937.86
|
| Rate for Payer: Cofinity Commercial |
$872.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.29
|
| Rate for Payer: Healthscope Commercial |
$781.55
|
| Rate for Payer: Healthscope Whirlpool |
$781.55
|
| Rate for Payer: Meridian Medicaid |
$452.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$683.85
|
| Rate for Payer: PACE SWMI |
$651.29
|
| Rate for Payer: PHP Medicare Advantage |
$651.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$431.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,285.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,034.07
|
| Rate for Payer: Priority Health Medicare |
$651.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,034.07
|
| Rate for Payer: UHC Medicare Advantage |
$670.83
|
|
|
PR OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL
|
Professional
|
Both
|
$1,173.00
|
|
|
Service Code
|
HCPCS 21386
|
| Min. Negotiated Rate |
$444.11 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$909.52
|
| Rate for Payer: Aetna Medicare |
$678.75
|
| Rate for Payer: BCBS Complete |
$466.32
|
| Rate for Payer: BCBS MAPPO |
$678.75
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$1,013.51
|
| Rate for Payer: BCN Medicare Advantage |
$678.75
|
| Rate for Payer: Cash Price |
$938.40
|
| Rate for Payer: Cash Price |
$938.40
|
| Rate for Payer: Cofinity Commercial |
$977.40
|
| Rate for Payer: Cofinity Commercial |
$909.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.75
|
| Rate for Payer: Healthscope Commercial |
$814.50
|
| Rate for Payer: Healthscope Whirlpool |
$814.50
|
| Rate for Payer: Meridian Medicaid |
$466.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$712.69
|
| Rate for Payer: PACE SWMI |
$678.75
|
| Rate for Payer: PHP Medicare Advantage |
$678.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$821.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,059.09
|
| Rate for Payer: Priority Health Medicare |
$678.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,059.09
|
| Rate for Payer: UHC Medicare Advantage |
$699.11
|
|
|
PR OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL
|
Professional
|
Both
|
$1,515.00
|
|
|
Service Code
|
HCPCS 21385
|
| Min. Negotiated Rate |
$469.88 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$961.65
|
| Rate for Payer: Aetna Medicare |
$717.65
|
| Rate for Payer: BCBS Complete |
$493.37
|
| Rate for Payer: BCBS MAPPO |
$717.65
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$1,075.09
|
| Rate for Payer: BCN Medicare Advantage |
$717.65
|
| Rate for Payer: Cash Price |
$1,212.00
|
| Rate for Payer: Cash Price |
$1,212.00
|
| Rate for Payer: Cofinity Commercial |
$1,033.42
|
| Rate for Payer: Cofinity Commercial |
$961.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$717.65
|
| Rate for Payer: Healthscope Commercial |
$861.18
|
| Rate for Payer: Healthscope Whirlpool |
$861.18
|
| Rate for Payer: Meridian Medicaid |
$493.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$753.53
|
| Rate for Payer: PACE SWMI |
$717.65
|
| Rate for Payer: PHP Medicare Advantage |
$717.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,123.43
|
| Rate for Payer: Priority Health Medicare |
$717.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,123.43
|
| Rate for Payer: UHC Medicare Advantage |
$739.18
|
|
|
PR OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 21423
|
| Min. Negotiated Rate |
$24.96 |
| Max. Negotiated Rate |
$1,221.98 |
| Rate for Payer: Aetna Commercial |
$1,048.46
|
| Rate for Payer: Aetna Medicare |
$782.43
|
| Rate for Payer: BCBS Complete |
$535.65
|
| Rate for Payer: BCBS MAPPO |
$782.43
|
| Rate for Payer: BCBS Trust/PPO |
$24.96
|
| Rate for Payer: BCN Commercial |
$1,169.40
|
| Rate for Payer: BCN Medicare Advantage |
$782.43
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,126.70
|
| Rate for Payer: Cofinity Commercial |
$1,048.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$782.43
|
| Rate for Payer: Healthscope Commercial |
$938.92
|
| Rate for Payer: Healthscope Whirlpool |
$938.92
|
| Rate for Payer: Meridian Medicaid |
$535.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$821.55
|
| Rate for Payer: PACE SWMI |
$782.43
|
| Rate for Payer: PHP Medicare Advantage |
$782.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,083.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,221.98
|
| Rate for Payer: Priority Health Medicare |
$782.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,221.98
|
| Rate for Payer: UHC Medicare Advantage |
$805.90
|
|
|
PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA
|
Professional
|
Both
|
$1,779.00
|
|
|
Service Code
|
HCPCS 26735
|
| Min. Negotiated Rate |
$388.09 |
| Max. Negotiated Rate |
$1,561.28 |
| Rate for Payer: Aetna Commercial |
$785.36
|
| Rate for Payer: Aetna Medicare |
$586.09
|
| Rate for Payer: BCBS Complete |
$407.49
|
| Rate for Payer: BCBS MAPPO |
$586.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,561.28
|
| Rate for Payer: BCN Commercial |
$880.11
|
| Rate for Payer: BCN Medicare Advantage |
$586.09
|
| Rate for Payer: Cash Price |
$1,423.20
|
| Rate for Payer: Cash Price |
$1,423.20
|
| Rate for Payer: Cofinity Commercial |
$843.97
|
| Rate for Payer: Cofinity Commercial |
$785.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$586.09
|
| Rate for Payer: Healthscope Commercial |
$703.31
|
| Rate for Payer: Healthscope Whirlpool |
$703.31
|
| Rate for Payer: Meridian Medicaid |
$407.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$615.39
|
| Rate for Payer: PACE SWMI |
$586.09
|
| Rate for Payer: PHP Medicare Advantage |
$586.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,245.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$919.68
|
| Rate for Payer: Priority Health Medicare |
$586.09
|
| Rate for Payer: Priority Health Narrow Network |
$919.68
|
| Rate for Payer: UHC Medicare Advantage |
$603.67
|
|
|
PR OPEN TX POST PELVIC FXCTURE
|
Professional
|
Both
|
$2,321.00
|
|
|
Service Code
|
HCPCS G0415
|
| Min. Negotiated Rate |
$446.41 |
| Max. Negotiated Rate |
$2,094.17 |
| Rate for Payer: Aetna Commercial |
$1,813.44
|
| Rate for Payer: Aetna Medicare |
$1,353.31
|
| Rate for Payer: BCBS Complete |
$920.99
|
| Rate for Payer: BCBS MAPPO |
$1,353.31
|
| Rate for Payer: BCBS Trust/PPO |
$446.41
|
| Rate for Payer: BCN Commercial |
$2,004.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,353.31
|
| Rate for Payer: Cash Price |
$1,856.80
|
| Rate for Payer: Cash Price |
$1,856.80
|
| Rate for Payer: Cofinity Commercial |
$1,813.44
|
| Rate for Payer: Cofinity Commercial |
$1,948.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,353.31
|
| Rate for Payer: Healthscope Commercial |
$1,623.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,623.97
|
| Rate for Payer: Meridian Medicaid |
$920.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,420.98
|
| Rate for Payer: PACE SWMI |
$1,353.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,353.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$877.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,624.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,094.17
|
| Rate for Payer: Priority Health Medicare |
$1,353.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,094.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,393.91
|
|
|
PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 27832
|
| Min. Negotiated Rate |
$491.60 |
| Max. Negotiated Rate |
$1,321.62 |
| Rate for Payer: Aetna Commercial |
$1,001.22
|
| Rate for Payer: Aetna Medicare |
$747.18
|
| Rate for Payer: BCBS Complete |
$516.18
|
| Rate for Payer: BCBS MAPPO |
$747.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,321.62
|
| Rate for Payer: BCN Commercial |
$1,116.14
|
| Rate for Payer: BCN Medicare Advantage |
$747.18
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,075.94
|
| Rate for Payer: Cofinity Commercial |
$1,001.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$747.18
|
| Rate for Payer: Healthscope Commercial |
$896.62
|
| Rate for Payer: Healthscope Whirlpool |
$896.62
|
| Rate for Payer: Meridian Medicaid |
$516.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$784.54
|
| Rate for Payer: PACE SWMI |
$747.18
|
| Rate for Payer: PHP Medicare Advantage |
$747.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$491.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,166.32
|
| Rate for Payer: Priority Health Medicare |
$747.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,166.32
|
| Rate for Payer: UHC Medicare Advantage |
$769.60
|
|
|
PR OPEN TX RADIAL HEAD/NECK FRACTURE
|
Professional
|
Both
|
$2,319.00
|
|
|
Service Code
|
HCPCS 24665
|
| Min. Negotiated Rate |
$427.70 |
| Max. Negotiated Rate |
$1,623.30 |
| Rate for Payer: Aetna Commercial |
$867.74
|
| Rate for Payer: Aetna Medicare |
$647.57
|
| Rate for Payer: BCBS Complete |
$449.08
|
| Rate for Payer: BCBS MAPPO |
$647.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,195.54
|
| Rate for Payer: BCN Commercial |
$971.00
|
| Rate for Payer: BCN Medicare Advantage |
$647.57
|
| Rate for Payer: Cash Price |
$1,855.20
|
| Rate for Payer: Cash Price |
$1,855.20
|
| Rate for Payer: Cofinity Commercial |
$932.50
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.57
|
| Rate for Payer: Healthscope Commercial |
$777.08
|
| Rate for Payer: Healthscope Whirlpool |
$777.08
|
| Rate for Payer: Meridian Medicaid |
$449.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$679.95
|
| Rate for Payer: PACE SWMI |
$647.57
|
| Rate for Payer: PHP Medicare Advantage |
$647.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,623.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,014.66
|
| Rate for Payer: Priority Health Medicare |
$647.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,014.66
|
| Rate for Payer: UHC Medicare Advantage |
$667.00
|
|
|
PR OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC
|
Professional
|
Both
|
$2,848.00
|
|
|
Service Code
|
HCPCS 24666
|
| Min. Negotiated Rate |
$474.78 |
| Max. Negotiated Rate |
$1,993.60 |
| Rate for Payer: Aetna Commercial |
$968.87
|
| Rate for Payer: Aetna Medicare |
$723.04
|
| Rate for Payer: BCBS Complete |
$498.52
|
| Rate for Payer: BCBS MAPPO |
$723.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.45
|
| Rate for Payer: BCN Commercial |
$1,080.46
|
| Rate for Payer: BCN Medicare Advantage |
$723.04
|
| Rate for Payer: Cash Price |
$2,278.40
|
| Rate for Payer: Cash Price |
$2,278.40
|
| Rate for Payer: Cofinity Commercial |
$1,041.18
|
| Rate for Payer: Cofinity Commercial |
$968.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$723.04
|
| Rate for Payer: Healthscope Commercial |
$867.65
|
| Rate for Payer: Healthscope Whirlpool |
$867.65
|
| Rate for Payer: Meridian Medicaid |
$498.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$759.19
|
| Rate for Payer: PACE SWMI |
$723.04
|
| Rate for Payer: PHP Medicare Advantage |
$723.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,993.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,129.05
|
| Rate for Payer: Priority Health Medicare |
$723.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,129.05
|
| Rate for Payer: UHC Medicare Advantage |
$744.73
|
|
|
PR OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA
|
Professional
|
Both
|
$2,490.00
|
|
|
Service Code
|
HCPCS 25575
|
| Min. Negotiated Rate |
$585.32 |
| Max. Negotiated Rate |
$1,743.00 |
| Rate for Payer: Aetna Commercial |
$1,194.65
|
| Rate for Payer: Aetna Medicare |
$891.53
|
| Rate for Payer: BCBS Complete |
$614.59
|
| Rate for Payer: BCBS MAPPO |
$891.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.82
|
| Rate for Payer: BCN Commercial |
$1,331.16
|
| Rate for Payer: BCN Medicare Advantage |
$891.53
|
| Rate for Payer: Cash Price |
$1,992.00
|
| Rate for Payer: Cash Price |
$1,992.00
|
| Rate for Payer: Cofinity Commercial |
$1,194.65
|
| Rate for Payer: Cofinity Commercial |
$1,283.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$891.53
|
| Rate for Payer: Healthscope Commercial |
$1,069.84
|
| Rate for Payer: Healthscope Whirlpool |
$1,069.84
|
| Rate for Payer: Meridian Medicaid |
$614.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$936.11
|
| Rate for Payer: PACE SWMI |
$891.53
|
| Rate for Payer: PHP Medicare Advantage |
$891.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$585.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,743.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,391.01
|
| Rate for Payer: Priority Health Medicare |
$891.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,391.01
|
| Rate for Payer: UHC Medicare Advantage |
$918.28
|
|
|
PR OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA
|
Professional
|
Both
|
$1,833.00
|
|
|
Service Code
|
HCPCS 25574
|
| Min. Negotiated Rate |
$439.21 |
| Max. Negotiated Rate |
$4,249.65 |
| Rate for Payer: Aetna Commercial |
$893.93
|
| Rate for Payer: Aetna Medicare |
$667.11
|
| Rate for Payer: BCBS Complete |
$461.17
|
| Rate for Payer: BCBS MAPPO |
$667.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,249.65
|
| Rate for Payer: BCN Commercial |
$998.86
|
| Rate for Payer: BCN Medicare Advantage |
$667.11
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cofinity Commercial |
$893.93
|
| Rate for Payer: Cofinity Commercial |
$960.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.11
|
| Rate for Payer: Healthscope Commercial |
$800.53
|
| Rate for Payer: Healthscope Whirlpool |
$800.53
|
| Rate for Payer: Meridian Medicaid |
$461.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.47
|
| Rate for Payer: PACE SWMI |
$667.11
|
| Rate for Payer: PHP Medicare Advantage |
$667.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$439.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,043.76
|
| Rate for Payer: Priority Health Medicare |
$667.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,043.76
|
| Rate for Payer: UHC Medicare Advantage |
$687.12
|
|
|
PR OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES
|
Professional
|
Both
|
$1,945.00
|
|
|
Service Code
|
HCPCS 25670
|
| Min. Negotiated Rate |
$395.33 |
| Max. Negotiated Rate |
$1,426.94 |
| Rate for Payer: Aetna Commercial |
$806.04
|
| Rate for Payer: Aetna Medicare |
$601.52
|
| Rate for Payer: BCBS Complete |
$415.10
|
| Rate for Payer: BCBS MAPPO |
$601.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.94
|
| Rate for Payer: BCN Commercial |
$899.66
|
| Rate for Payer: BCN Medicare Advantage |
$601.52
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cofinity Commercial |
$806.04
|
| Rate for Payer: Cofinity Commercial |
$866.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$601.52
|
| Rate for Payer: Healthscope Commercial |
$721.82
|
| Rate for Payer: Healthscope Whirlpool |
$721.82
|
| Rate for Payer: Meridian Medicaid |
$415.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$631.60
|
| Rate for Payer: PACE SWMI |
$601.52
|
| Rate for Payer: PHP Medicare Advantage |
$601.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,361.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$940.10
|
| Rate for Payer: Priority Health Medicare |
$601.52
|
| Rate for Payer: Priority Health Narrow Network |
$940.10
|
| Rate for Payer: UHC Medicare Advantage |
$619.57
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS
|
Professional
|
Both
|
$1,238.00
|
|
|
Service Code
|
HCPCS 21811
|
| Min. Negotiated Rate |
$376.16 |
| Max. Negotiated Rate |
$6,603.85 |
| Rate for Payer: Aetna Commercial |
$789.80
|
| Rate for Payer: Aetna Medicare |
$589.40
|
| Rate for Payer: BCBS Complete |
$394.97
|
| Rate for Payer: BCBS MAPPO |
$589.40
|
| Rate for Payer: BCBS Trust/PPO |
$6,603.85
|
| Rate for Payer: BCN Commercial |
$859.09
|
| Rate for Payer: BCN Medicare Advantage |
$589.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cofinity Commercial |
$848.74
|
| Rate for Payer: Cofinity Commercial |
$789.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.40
|
| Rate for Payer: Healthscope Commercial |
$707.28
|
| Rate for Payer: Healthscope Whirlpool |
$707.28
|
| Rate for Payer: Meridian Medicaid |
$394.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$618.87
|
| Rate for Payer: PACE SWMI |
$589.40
|
| Rate for Payer: PHP Medicare Advantage |
$589.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$866.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$897.73
|
| Rate for Payer: Priority Health Medicare |
$589.40
|
| Rate for Payer: Priority Health Narrow Network |
$897.73
|
| Rate for Payer: UHC Medicare Advantage |
$607.08
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS
|
Professional
|
Both
|
$1,728.00
|
|
|
Service Code
|
HCPCS 21812
|
| Min. Negotiated Rate |
$453.90 |
| Max. Negotiated Rate |
$3,247.68 |
| Rate for Payer: Aetna Commercial |
$956.85
|
| Rate for Payer: Aetna Medicare |
$714.07
|
| Rate for Payer: BCBS Complete |
$476.60
|
| Rate for Payer: BCBS MAPPO |
$714.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,247.68
|
| Rate for Payer: BCN Commercial |
$1,041.37
|
| Rate for Payer: BCN Medicare Advantage |
$714.07
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cofinity Commercial |
$1,028.26
|
| Rate for Payer: Cofinity Commercial |
$956.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.07
|
| Rate for Payer: Healthscope Commercial |
$856.88
|
| Rate for Payer: Healthscope Whirlpool |
$856.88
|
| Rate for Payer: Meridian Medicaid |
$476.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$749.77
|
| Rate for Payer: PACE SWMI |
$714.07
|
| Rate for Payer: PHP Medicare Advantage |
$714.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,209.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.20
|
| Rate for Payer: Priority Health Medicare |
$714.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.20
|
| Rate for Payer: UHC Medicare Advantage |
$735.49
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS
|
Professional
|
Both
|
$1,946.00
|
|
|
Service Code
|
HCPCS 21813
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,487.52 |
| Rate for Payer: Aetna Commercial |
$1,309.25
|
| Rate for Payer: Aetna Medicare |
$977.05
|
| Rate for Payer: BCBS Complete |
$653.06
|
| Rate for Payer: BCBS MAPPO |
$977.05
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,423.52
|
| Rate for Payer: BCN Medicare Advantage |
$977.05
|
| Rate for Payer: Cash Price |
$1,556.80
|
| Rate for Payer: Cash Price |
$1,556.80
|
| Rate for Payer: Cofinity Commercial |
$1,406.95
|
| Rate for Payer: Cofinity Commercial |
$1,309.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.05
|
| Rate for Payer: Healthscope Commercial |
$1,172.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,172.46
|
| Rate for Payer: Meridian Medicaid |
$653.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,025.90
|
| Rate for Payer: PACE SWMI |
$977.05
|
| Rate for Payer: PHP Medicare Advantage |
$977.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,362.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,487.52
|
| Rate for Payer: Priority Health Medicare |
$977.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,487.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.36
|
|
|
PR OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD
|
Professional
|
Both
|
$3,129.00
|
|
|
Service Code
|
HCPCS 23585
|
| Min. Negotiated Rate |
$187.20 |
| Max. Negotiated Rate |
$2,190.30 |
| Rate for Payer: Aetna Commercial |
$1,291.08
|
| Rate for Payer: Aetna Medicare |
$963.49
|
| Rate for Payer: BCBS Complete |
$659.77
|
| Rate for Payer: BCBS MAPPO |
$963.49
|
| Rate for Payer: BCBS Trust/PPO |
$187.20
|
| Rate for Payer: BCN Commercial |
$1,432.81
|
| Rate for Payer: BCN Medicare Advantage |
$963.49
|
| Rate for Payer: Cash Price |
$2,503.20
|
| Rate for Payer: Cash Price |
$2,503.20
|
| Rate for Payer: Cofinity Commercial |
$1,387.43
|
| Rate for Payer: Cofinity Commercial |
$1,291.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$963.49
|
| Rate for Payer: Healthscope Commercial |
$1,156.19
|
| Rate for Payer: Healthscope Whirlpool |
$1,156.19
|
| Rate for Payer: Meridian Medicaid |
$659.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,011.66
|
| Rate for Payer: PACE SWMI |
$963.49
|
| Rate for Payer: PHP Medicare Advantage |
$963.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,190.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,497.22
|
| Rate for Payer: Priority Health Medicare |
$963.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,497.22
|
| Rate for Payer: UHC Medicare Advantage |
$992.39
|
|
