|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR
|
Professional
|
Both
|
$4,916.86
|
|
|
Service Code
|
HCPCS 22207
|
| Min. Negotiated Rate |
$950.50 |
| Max. Negotiated Rate |
$3,668.00 |
| Rate for Payer: Aetna Commercial |
$3,198.34
|
| Rate for Payer: Aetna Medicare |
$2,386.82
|
| Rate for Payer: BCBS Complete |
$1,620.35
|
| Rate for Payer: BCBS MAPPO |
$2,386.82
|
| Rate for Payer: BCBS Trust/PPO |
$950.50
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,386.82
|
| Rate for Payer: Cash Price |
$3,933.49
|
| Rate for Payer: Cash Price |
$3,933.49
|
| Rate for Payer: Cofinity Commercial |
$3,198.34
|
| Rate for Payer: Cofinity Commercial |
$3,437.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,386.82
|
| Rate for Payer: Healthscope Commercial |
$2,864.18
|
| Rate for Payer: Healthscope Whirlpool |
$2,864.18
|
| Rate for Payer: Meridian Medicaid |
$1,620.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,506.16
|
| Rate for Payer: PACE SWMI |
$2,386.82
|
| Rate for Payer: PHP Medicare Advantage |
$2,386.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,543.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,441.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,668.00
|
| Rate for Payer: Priority Health Medicare |
$2,386.82
|
| Rate for Payer: Priority Health Narrow Network |
$3,668.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,458.42
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC
|
Professional
|
Both
|
$5,020.60
|
|
|
Service Code
|
HCPCS 22206
|
| Min. Negotiated Rate |
$1,577.48 |
| Max. Negotiated Rate |
$17,177.60 |
| Rate for Payer: Aetna Commercial |
$3,266.18
|
| Rate for Payer: Aetna Medicare |
$2,437.45
|
| Rate for Payer: BCBS Complete |
$1,656.35
|
| Rate for Payer: BCBS MAPPO |
$2,437.45
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$3,582.01
|
| Rate for Payer: BCN Medicare Advantage |
$2,437.45
|
| Rate for Payer: Cash Price |
$4,016.48
|
| Rate for Payer: Cash Price |
$4,016.48
|
| Rate for Payer: Cofinity Commercial |
$3,266.18
|
| Rate for Payer: Cofinity Commercial |
$3,509.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,437.45
|
| Rate for Payer: Healthscope Commercial |
$2,924.94
|
| Rate for Payer: Healthscope Whirlpool |
$2,924.94
|
| Rate for Payer: Meridian Medicaid |
$1,656.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,559.32
|
| Rate for Payer: PACE SWMI |
$2,437.45
|
| Rate for Payer: PHP Medicare Advantage |
$2,437.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,577.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,514.42
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,743.06
|
| Rate for Payer: Priority Health Medicare |
$2,437.45
|
| Rate for Payer: Priority Health Narrow Network |
$3,743.06
|
| Rate for Payer: UHC Medicare Advantage |
$2,510.57
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,652.78
|
|
|
Service Code
|
HCPCS 22210
|
| Min. Negotiated Rate |
$1,155.53 |
| Max. Negotiated Rate |
$13,048.08 |
| Rate for Payer: Aetna Commercial |
$2,378.35
|
| Rate for Payer: Aetna Medicare |
$1,774.89
|
| Rate for Payer: BCBS Complete |
$1,213.31
|
| Rate for Payer: BCBS MAPPO |
$1,774.89
|
| Rate for Payer: BCBS Trust/PPO |
$13,048.08
|
| Rate for Payer: BCN Commercial |
$2,885.69
|
| Rate for Payer: BCN Medicare Advantage |
$1,774.89
|
| Rate for Payer: Cash Price |
$2,922.22
|
| Rate for Payer: Cash Price |
$2,922.22
|
| Rate for Payer: Cofinity Commercial |
$2,555.84
|
| Rate for Payer: Cofinity Commercial |
$2,378.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,774.89
|
| Rate for Payer: Healthscope Commercial |
$2,129.87
|
| Rate for Payer: Healthscope Whirlpool |
$2,129.87
|
| Rate for Payer: Meridian Medicaid |
$1,213.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,863.63
|
| Rate for Payer: PACE SWMI |
$1,774.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,774.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,155.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,556.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,738.62
|
| Rate for Payer: Priority Health Medicare |
$1,774.89
|
| Rate for Payer: Priority Health Narrow Network |
$2,738.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,828.14
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR
|
Professional
|
Both
|
$3,038.92
|
|
|
Service Code
|
HCPCS 22214
|
| Min. Negotiated Rate |
$978.10 |
| Max. Negotiated Rate |
$17,177.60 |
| Rate for Payer: Aetna Commercial |
$2,011.90
|
| Rate for Payer: Aetna Medicare |
$1,501.42
|
| Rate for Payer: BCBS Complete |
$1,027.00
|
| Rate for Payer: BCBS MAPPO |
$1,501.42
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$2,222.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,501.42
|
| Rate for Payer: Cash Price |
$2,431.14
|
| Rate for Payer: Cash Price |
$2,431.14
|
| Rate for Payer: Cofinity Commercial |
$2,011.90
|
| Rate for Payer: Cofinity Commercial |
$2,162.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,501.42
|
| Rate for Payer: Healthscope Commercial |
$1,801.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,801.70
|
| Rate for Payer: Meridian Medicaid |
$1,027.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,576.49
|
| Rate for Payer: PACE SWMI |
$1,501.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,501.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$978.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,127.24
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,322.44
|
| Rate for Payer: Priority Health Medicare |
$1,501.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,322.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,546.46
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC
|
Professional
|
Both
|
$3,026.04
|
|
|
Service Code
|
HCPCS 22212
|
| Min. Negotiated Rate |
$24.96 |
| Max. Negotiated Rate |
$2,321.92 |
| Rate for Payer: Aetna Commercial |
$2,011.21
|
| Rate for Payer: Aetna Medicare |
$1,500.90
|
| Rate for Payer: BCBS Complete |
$1,026.77
|
| Rate for Payer: BCBS MAPPO |
$1,500.90
|
| Rate for Payer: BCBS Trust/PPO |
$24.96
|
| Rate for Payer: BCN Commercial |
$2,222.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,500.90
|
| Rate for Payer: Cash Price |
$2,420.83
|
| Rate for Payer: Cash Price |
$2,420.83
|
| Rate for Payer: Cofinity Commercial |
$2,161.30
|
| Rate for Payer: Cofinity Commercial |
$2,011.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.90
|
| Rate for Payer: Healthscope Commercial |
$1,801.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,801.08
|
| Rate for Payer: Meridian Medicaid |
$1,026.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,575.94
|
| Rate for Payer: PACE SWMI |
$1,500.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,500.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$977.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,118.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,321.92
|
| Rate for Payer: Priority Health Medicare |
$1,500.90
|
| Rate for Payer: Priority Health Narrow Network |
$2,321.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,545.93
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,225.00
|
|
|
Service Code
|
HCPCS 22220
|
| Min. Negotiated Rate |
$180.34 |
| Max. Negotiated Rate |
$2,617.72 |
| Rate for Payer: Aetna Commercial |
$2,154.91
|
| Rate for Payer: Aetna Medicare |
$1,608.14
|
| Rate for Payer: BCBS Complete |
$1,097.45
|
| Rate for Payer: BCBS MAPPO |
$1,608.14
|
| Rate for Payer: BCBS Trust/PPO |
$180.34
|
| Rate for Payer: BCN Commercial |
$2,617.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,608.14
|
| Rate for Payer: Cash Price |
$2,580.00
|
| Rate for Payer: Cash Price |
$2,580.00
|
| Rate for Payer: Cofinity Commercial |
$2,315.72
|
| Rate for Payer: Cofinity Commercial |
$2,154.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,608.14
|
| Rate for Payer: Healthscope Commercial |
$1,929.77
|
| Rate for Payer: Healthscope Whirlpool |
$1,929.77
|
| Rate for Payer: Meridian Medicaid |
$1,097.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,688.55
|
| Rate for Payer: PACE SWMI |
$1,608.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,608.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,045.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,257.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,484.31
|
| Rate for Payer: Priority Health Medicare |
$1,608.14
|
| Rate for Payer: Priority Health Narrow Network |
$2,484.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,656.38
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL
|
Professional
|
Both
|
$656.00
|
|
|
Service Code
|
HCPCS 22226
|
| Min. Negotiated Rate |
$227.91 |
| Max. Negotiated Rate |
$573.58 |
| Rate for Payer: Aetna Commercial |
$477.56
|
| Rate for Payer: Aetna Medicare |
$356.39
|
| Rate for Payer: BCBS Complete |
$239.31
|
| Rate for Payer: BCBS MAPPO |
$356.39
|
| Rate for Payer: BCBS Trust/PPO |
$233.52
|
| Rate for Payer: BCN Commercial |
$573.58
|
| Rate for Payer: BCN Medicare Advantage |
$356.39
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cofinity Commercial |
$513.20
|
| Rate for Payer: Cofinity Commercial |
$477.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.39
|
| Rate for Payer: Healthscope Commercial |
$427.67
|
| Rate for Payer: Healthscope Whirlpool |
$427.67
|
| Rate for Payer: Meridian Medicaid |
$239.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$374.21
|
| Rate for Payer: PACE SWMI |
$356.39
|
| Rate for Payer: PHP Medicare Advantage |
$356.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$459.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$544.36
|
| Rate for Payer: Priority Health Medicare |
$356.39
|
| Rate for Payer: Priority Health Narrow Network |
$544.36
|
| Rate for Payer: UHC Medicare Advantage |
$367.08
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR
|
Professional
|
Both
|
$3,215.24
|
|
|
Service Code
|
HCPCS 22224
|
| Min. Negotiated Rate |
$180.34 |
| Max. Negotiated Rate |
$2,423.55 |
| Rate for Payer: Aetna Commercial |
$2,098.28
|
| Rate for Payer: Aetna Medicare |
$1,565.88
|
| Rate for Payer: BCBS Complete |
$1,069.94
|
| Rate for Payer: BCBS MAPPO |
$1,565.88
|
| Rate for Payer: BCBS Trust/PPO |
$180.34
|
| Rate for Payer: BCN Commercial |
$2,319.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,565.88
|
| Rate for Payer: Cash Price |
$2,572.19
|
| Rate for Payer: Cash Price |
$2,572.19
|
| Rate for Payer: Cofinity Commercial |
$2,098.28
|
| Rate for Payer: Cofinity Commercial |
$2,254.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,565.88
|
| Rate for Payer: Healthscope Commercial |
$1,879.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,879.06
|
| Rate for Payer: Meridian Medicaid |
$1,069.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,644.17
|
| Rate for Payer: PACE SWMI |
$1,565.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,565.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,018.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,250.67
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,423.55
|
| Rate for Payer: Priority Health Medicare |
$1,565.88
|
| Rate for Payer: Priority Health Narrow Network |
$2,423.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,612.86
|
|
|
PR OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS
|
Professional
|
Both
|
$1,486.00
|
|
|
Service Code
|
HCPCS 28304
|
| Min. Negotiated Rate |
$395.75 |
| Max. Negotiated Rate |
$1,211.44 |
| Rate for Payer: Aetna Commercial |
$808.74
|
| Rate for Payer: Aetna Medicare |
$603.54
|
| Rate for Payer: BCBS Complete |
$415.54
|
| Rate for Payer: BCBS MAPPO |
$603.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.98
|
| Rate for Payer: BCN Commercial |
$1,211.44
|
| Rate for Payer: BCN Medicare Advantage |
$603.54
|
| Rate for Payer: Cash Price |
$1,188.80
|
| Rate for Payer: Cash Price |
$1,188.80
|
| Rate for Payer: Cofinity Commercial |
$869.10
|
| Rate for Payer: Cofinity Commercial |
$808.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.54
|
| Rate for Payer: Healthscope Commercial |
$724.25
|
| Rate for Payer: Healthscope Whirlpool |
$724.25
|
| Rate for Payer: Meridian Medicaid |
$415.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$633.72
|
| Rate for Payer: PACE SWMI |
$603.54
|
| Rate for Payer: PHP Medicare Advantage |
$603.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,040.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.09
|
| Rate for Payer: Priority Health Medicare |
$603.54
|
| Rate for Payer: Priority Health Narrow Network |
$939.09
|
| Rate for Payer: UHC Medicare Advantage |
$621.65
|
|
|
PR OSTEOTOMY TIBIA
|
Professional
|
Both
|
$2,976.00
|
|
|
Service Code
|
HCPCS 27705
|
| Min. Negotiated Rate |
$483.51 |
| Max. Negotiated Rate |
$2,650.81 |
| Rate for Payer: Aetna Commercial |
$996.04
|
| Rate for Payer: Aetna Medicare |
$743.31
|
| Rate for Payer: BCBS Complete |
$507.69
|
| Rate for Payer: BCBS MAPPO |
$743.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,650.81
|
| Rate for Payer: BCN Commercial |
$1,107.35
|
| Rate for Payer: BCN Medicare Advantage |
$743.31
|
| Rate for Payer: Cash Price |
$2,380.80
|
| Rate for Payer: Cash Price |
$2,380.80
|
| Rate for Payer: Cofinity Commercial |
$1,070.37
|
| Rate for Payer: Cofinity Commercial |
$996.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$743.31
|
| Rate for Payer: Healthscope Commercial |
$891.97
|
| Rate for Payer: Healthscope Whirlpool |
$891.97
|
| Rate for Payer: Meridian Medicaid |
$507.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$780.48
|
| Rate for Payer: PACE SWMI |
$743.31
|
| Rate for Payer: PHP Medicare Advantage |
$743.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,083.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,157.13
|
| Rate for Payer: Priority Health Medicare |
$743.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,157.13
|
| Rate for Payer: UHC Medicare Advantage |
$765.61
|
|
|
PR OSTEOTOMY TIBIA & FIBULA
|
Professional
|
Both
|
$3,401.00
|
|
|
Service Code
|
HCPCS 27709
|
| Min. Negotiated Rate |
$490.37 |
| Max. Negotiated Rate |
$2,380.70 |
| Rate for Payer: Aetna Commercial |
$1,498.90
|
| Rate for Payer: Aetna Medicare |
$1,118.58
|
| Rate for Payer: BCBS Complete |
$772.26
|
| Rate for Payer: BCBS MAPPO |
$1,118.58
|
| Rate for Payer: BCBS Trust/PPO |
$490.37
|
| Rate for Payer: BCN Commercial |
$1,659.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,118.58
|
| Rate for Payer: Cash Price |
$2,720.80
|
| Rate for Payer: Cash Price |
$2,720.80
|
| Rate for Payer: Cofinity Commercial |
$1,498.90
|
| Rate for Payer: Cofinity Commercial |
$1,610.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,118.58
|
| Rate for Payer: Healthscope Commercial |
$1,342.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,342.30
|
| Rate for Payer: Meridian Medicaid |
$772.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,174.51
|
| Rate for Payer: PACE SWMI |
$1,118.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,118.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$735.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,380.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,733.66
|
| Rate for Payer: Priority Health Medicare |
$1,118.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,733.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,152.14
|
|
|
PR OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX
|
Professional
|
Both
|
$3,102.00
|
|
|
Service Code
|
HCPCS 27140
|
| Min. Negotiated Rate |
$578.51 |
| Max. Negotiated Rate |
$2,171.40 |
| Rate for Payer: Aetna Commercial |
$1,184.85
|
| Rate for Payer: Aetna Medicare |
$884.22
|
| Rate for Payer: BCBS Complete |
$607.44
|
| Rate for Payer: BCBS MAPPO |
$884.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,363.54
|
| Rate for Payer: BCN Commercial |
$1,316.01
|
| Rate for Payer: BCN Medicare Advantage |
$884.22
|
| Rate for Payer: Cash Price |
$2,481.60
|
| Rate for Payer: Cash Price |
$2,481.60
|
| Rate for Payer: Cofinity Commercial |
$1,273.28
|
| Rate for Payer: Cofinity Commercial |
$1,184.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$884.22
|
| Rate for Payer: Healthscope Commercial |
$1,061.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,061.06
|
| Rate for Payer: Meridian Medicaid |
$607.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$928.43
|
| Rate for Payer: PACE SWMI |
$884.22
|
| Rate for Payer: PHP Medicare Advantage |
$884.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,171.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,375.18
|
| Rate for Payer: Priority Health Medicare |
$884.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,375.18
|
| Rate for Payer: UHC Medicare Advantage |
$910.75
|
|
|
PR OSTEOTOMY ULNA
|
Professional
|
Both
|
$2,184.00
|
|
|
Service Code
|
HCPCS 25360
|
| Min. Negotiated Rate |
$426.64 |
| Max. Negotiated Rate |
$1,528.80 |
| Rate for Payer: Aetna Commercial |
$868.08
|
| Rate for Payer: Aetna Medicare |
$647.82
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$647.82
|
| Rate for Payer: BCBS Trust/PPO |
$677.28
|
| Rate for Payer: BCN Commercial |
$969.05
|
| Rate for Payer: BCN Medicare Advantage |
$647.82
|
| Rate for Payer: Cash Price |
$1,747.20
|
| Rate for Payer: Cash Price |
$1,747.20
|
| Rate for Payer: Cofinity Commercial |
$932.86
|
| Rate for Payer: Cofinity Commercial |
$868.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.82
|
| Rate for Payer: Healthscope Commercial |
$777.38
|
| Rate for Payer: Healthscope Whirlpool |
$777.38
|
| Rate for Payer: Meridian Medicaid |
$447.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$680.21
|
| Rate for Payer: PACE SWMI |
$647.82
|
| Rate for Payer: PHP Medicare Advantage |
$647.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,528.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,012.61
|
| Rate for Payer: Priority Health Medicare |
$647.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.61
|
| Rate for Payer: UHC Medicare Advantage |
$667.25
|
|
|
PR OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL
|
Professional
|
Both
|
$2,670.00
|
|
|
Service Code
|
HCPCS 27457
|
| Min. Negotiated Rate |
$607.69 |
| Max. Negotiated Rate |
$1,869.00 |
| Rate for Payer: Aetna Commercial |
$1,270.53
|
| Rate for Payer: Aetna Medicare |
$948.16
|
| Rate for Payer: BCBS Complete |
$638.07
|
| Rate for Payer: BCBS MAPPO |
$948.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,269.50
|
| Rate for Payer: BCN Commercial |
$1,408.86
|
| Rate for Payer: BCN Medicare Advantage |
$948.16
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,365.35
|
| Rate for Payer: Cofinity Commercial |
$1,270.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$948.16
|
| Rate for Payer: Healthscope Commercial |
$1,137.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,137.79
|
| Rate for Payer: Meridian Medicaid |
$638.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$995.57
|
| Rate for Payer: PACE SWMI |
$948.16
|
| Rate for Payer: PHP Medicare Advantage |
$948.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,869.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,472.21
|
| Rate for Payer: Priority Health Medicare |
$948.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,472.21
|
| Rate for Payer: UHC Medicare Advantage |
$976.60
|
|
|
PR OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL
|
Professional
|
Both
|
$1,993.00
|
|
|
Service Code
|
HCPCS 27455
|
| Min. Negotiated Rate |
$619.40 |
| Max. Negotiated Rate |
$1,475.78 |
| Rate for Payer: Aetna Commercial |
$1,269.66
|
| Rate for Payer: Aetna Medicare |
$947.51
|
| Rate for Payer: BCBS Complete |
$650.37
|
| Rate for Payer: BCBS MAPPO |
$947.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$1,412.28
|
| Rate for Payer: BCN Medicare Advantage |
$947.51
|
| Rate for Payer: Cash Price |
$1,594.40
|
| Rate for Payer: Cash Price |
$1,594.40
|
| Rate for Payer: Cofinity Commercial |
$1,364.41
|
| Rate for Payer: Cofinity Commercial |
$1,269.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$947.51
|
| Rate for Payer: Healthscope Commercial |
$1,137.01
|
| Rate for Payer: Healthscope Whirlpool |
$1,137.01
|
| Rate for Payer: Meridian Medicaid |
$650.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$994.89
|
| Rate for Payer: PACE SWMI |
$947.51
|
| Rate for Payer: PHP Medicare Advantage |
$947.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,395.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,475.78
|
| Rate for Payer: Priority Health Medicare |
$947.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,475.78
|
| Rate for Payer: UHC Medicare Advantage |
$975.94
|
|
|
PR OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE
|
Professional
|
Both
|
$795.00
|
|
|
Service Code
|
HCPCS 28312
|
| Min. Negotiated Rate |
$223.22 |
| Max. Negotiated Rate |
$1,771.92 |
| Rate for Payer: Aetna Commercial |
$441.53
|
| Rate for Payer: Aetna Medicare |
$329.50
|
| Rate for Payer: BCBS Complete |
$234.38
|
| Rate for Payer: BCBS MAPPO |
$329.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,771.92
|
| Rate for Payer: BCN Commercial |
$777.49
|
| Rate for Payer: BCN Medicare Advantage |
$329.50
|
| Rate for Payer: Cash Price |
$636.00
|
| Rate for Payer: Cash Price |
$636.00
|
| Rate for Payer: Cofinity Commercial |
$474.48
|
| Rate for Payer: Cofinity Commercial |
$441.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.50
|
| Rate for Payer: Healthscope Commercial |
$395.40
|
| Rate for Payer: Healthscope Whirlpool |
$395.40
|
| Rate for Payer: Meridian Medicaid |
$234.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$345.98
|
| Rate for Payer: PACE SWMI |
$329.50
|
| Rate for Payer: PHP Medicare Advantage |
$329.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.27
|
| Rate for Payer: Priority Health Medicare |
$329.50
|
| Rate for Payer: Priority Health Narrow Network |
$516.27
|
| Rate for Payer: UHC Medicare Advantage |
$339.38
|
|
|
PR OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE
|
Professional
|
Both
|
$937.00
|
|
|
Service Code
|
HCPCS 28310
|
| Min. Negotiated Rate |
$234.94 |
| Max. Negotiated Rate |
$1,691.62 |
| Rate for Payer: Aetna Commercial |
$472.95
|
| Rate for Payer: Aetna Medicare |
$352.95
|
| Rate for Payer: BCBS Complete |
$246.69
|
| Rate for Payer: BCBS MAPPO |
$352.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,691.62
|
| Rate for Payer: BCN Commercial |
$790.19
|
| Rate for Payer: BCN Medicare Advantage |
$352.95
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cofinity Commercial |
$508.25
|
| Rate for Payer: Cofinity Commercial |
$472.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$352.95
|
| Rate for Payer: Healthscope Commercial |
$423.54
|
| Rate for Payer: Healthscope Whirlpool |
$423.54
|
| Rate for Payer: Meridian Medicaid |
$246.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$370.60
|
| Rate for Payer: PACE SWMI |
$352.95
|
| Rate for Payer: PHP Medicare Advantage |
$352.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$550.47
|
| Rate for Payer: Priority Health Medicare |
$352.95
|
| Rate for Payer: Priority Health Narrow Network |
$550.47
|
| Rate for Payer: UHC Medicare Advantage |
$363.54
|
|
|
PR OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM
|
Professional
|
Both
|
$2,585.00
|
|
|
Service Code
|
HCPCS 22216
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$1,809.50 |
| Rate for Payer: Aetna Commercial |
$483.27
|
| Rate for Payer: Aetna Medicare |
$360.65
|
| Rate for Payer: BCBS Complete |
$241.76
|
| Rate for Payer: BCBS MAPPO |
$360.65
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$580.04
|
| Rate for Payer: BCN Medicare Advantage |
$360.65
|
| Rate for Payer: Cash Price |
$2,068.00
|
| Rate for Payer: Cash Price |
$2,068.00
|
| Rate for Payer: Cofinity Commercial |
$519.34
|
| Rate for Payer: Cofinity Commercial |
$483.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.65
|
| Rate for Payer: Healthscope Commercial |
$432.78
|
| Rate for Payer: Healthscope Whirlpool |
$432.78
|
| Rate for Payer: Meridian Medicaid |
$241.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$378.68
|
| Rate for Payer: PACE SWMI |
$360.65
|
| Rate for Payer: PHP Medicare Advantage |
$360.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$230.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,809.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$550.47
|
| Rate for Payer: Priority Health Medicare |
$360.65
|
| Rate for Payer: Priority Health Narrow Network |
$550.47
|
| Rate for Payer: UHC Medicare Advantage |
$371.47
|
|
|
PR OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT
|
Professional
|
Both
|
$1,688.00
|
|
|
Service Code
|
HCPCS 28305
|
| Min. Negotiated Rate |
$434.52 |
| Max. Negotiated Rate |
$1,202.94 |
| Rate for Payer: Aetna Commercial |
$882.94
|
| Rate for Payer: Aetna Medicare |
$658.91
|
| Rate for Payer: BCBS Complete |
$456.25
|
| Rate for Payer: BCBS MAPPO |
$658.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.94
|
| Rate for Payer: BCN Commercial |
$979.31
|
| Rate for Payer: BCN Medicare Advantage |
$658.91
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cash Price |
$1,350.40
|
| Rate for Payer: Cofinity Commercial |
$948.83
|
| Rate for Payer: Cofinity Commercial |
$882.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.91
|
| Rate for Payer: Healthscope Commercial |
$790.69
|
| Rate for Payer: Healthscope Whirlpool |
$790.69
|
| Rate for Payer: Meridian Medicaid |
$456.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$691.86
|
| Rate for Payer: PACE SWMI |
$658.91
|
| Rate for Payer: PHP Medicare Advantage |
$658.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,181.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,023.34
|
| Rate for Payer: Priority Health Medicare |
$658.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,023.34
|
| Rate for Payer: UHC Medicare Advantage |
$678.68
|
|
|
PR OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT
|
Professional
|
Both
|
$3,884.00
|
|
|
Service Code
|
HCPCS 28309
|
| Min. Negotiated Rate |
$582.34 |
| Max. Negotiated Rate |
$2,718.80 |
| Rate for Payer: Aetna Commercial |
$1,186.61
|
| Rate for Payer: Aetna Medicare |
$885.53
|
| Rate for Payer: BCBS Complete |
$611.46
|
| Rate for Payer: BCBS MAPPO |
$885.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$1,315.04
|
| Rate for Payer: BCN Medicare Advantage |
$885.53
|
| Rate for Payer: Cash Price |
$3,107.20
|
| Rate for Payer: Cash Price |
$3,107.20
|
| Rate for Payer: Cofinity Commercial |
$1,275.16
|
| Rate for Payer: Cofinity Commercial |
$1,186.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$885.53
|
| Rate for Payer: Healthscope Commercial |
$1,062.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,062.64
|
| Rate for Payer: Meridian Medicaid |
$611.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$929.81
|
| Rate for Payer: PACE SWMI |
$885.53
|
| Rate for Payer: PHP Medicare Advantage |
$885.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$582.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,718.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,374.15
|
| Rate for Payer: Priority Health Medicare |
$885.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,374.15
|
| Rate for Payer: UHC Medicare Advantage |
$912.10
|
|
|
PR OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR
|
Professional
|
Both
|
$1,389.00
|
|
|
Service Code
|
HCPCS 28306
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$1,500.90 |
| Rate for Payer: Aetna Commercial |
$531.47
|
| Rate for Payer: Aetna Medicare |
$396.62
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS MAPPO |
$396.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,500.90
|
| Rate for Payer: BCN Commercial |
$886.46
|
| Rate for Payer: BCN Medicare Advantage |
$396.62
|
| Rate for Payer: Cash Price |
$1,111.20
|
| Rate for Payer: Cash Price |
$1,111.20
|
| Rate for Payer: Cofinity Commercial |
$531.47
|
| Rate for Payer: Cofinity Commercial |
$571.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.62
|
| Rate for Payer: Healthscope Commercial |
$475.94
|
| Rate for Payer: Healthscope Whirlpool |
$475.94
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$416.45
|
| Rate for Payer: PACE SWMI |
$396.62
|
| Rate for Payer: PHP Medicare Advantage |
$396.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$972.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$618.90
|
| Rate for Payer: Priority Health Medicare |
$396.62
|
| Rate for Payer: Priority Health Narrow Network |
$618.90
|
| Rate for Payer: UHC Medicare Advantage |
$408.52
|
|
|
PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 28308
|
| Min. Negotiated Rate |
$250.91 |
| Max. Negotiated Rate |
$1,566.94 |
| Rate for Payer: Aetna Commercial |
$504.40
|
| Rate for Payer: Aetna Medicare |
$376.42
|
| Rate for Payer: BCBS Complete |
$263.46
|
| Rate for Payer: BCBS MAPPO |
$376.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,566.94
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$376.42
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$542.04
|
| Rate for Payer: Cofinity Commercial |
$504.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.42
|
| Rate for Payer: Healthscope Commercial |
$451.70
|
| Rate for Payer: Healthscope Whirlpool |
$451.70
|
| Rate for Payer: Meridian Medicaid |
$263.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$395.24
|
| Rate for Payer: PACE SWMI |
$376.42
|
| Rate for Payer: PHP Medicare Advantage |
$376.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$746.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$589.29
|
| Rate for Payer: Priority Health Medicare |
$376.42
|
| Rate for Payer: Priority Health Narrow Network |
$589.29
|
| Rate for Payer: UHC Medicare Advantage |
$387.71
|
|
|
PR OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX
|
Professional
|
Both
|
$1,245.00
|
|
|
Service Code
|
HCPCS 63295
|
| Min. Negotiated Rate |
$210.44 |
| Max. Negotiated Rate |
$871.50 |
| Rate for Payer: Aetna Commercial |
$446.07
|
| Rate for Payer: Aetna Medicare |
$332.89
|
| Rate for Payer: BCBS Complete |
$220.96
|
| Rate for Payer: BCBS MAPPO |
$332.89
|
| Rate for Payer: BCBS Trust/PPO |
$256.75
|
| Rate for Payer: BCN Commercial |
$483.30
|
| Rate for Payer: BCN Medicare Advantage |
$332.89
|
| Rate for Payer: Cash Price |
$996.00
|
| Rate for Payer: Cash Price |
$996.00
|
| Rate for Payer: Cofinity Commercial |
$479.36
|
| Rate for Payer: Cofinity Commercial |
$446.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$332.89
|
| Rate for Payer: Healthscope Commercial |
$399.47
|
| Rate for Payer: Healthscope Whirlpool |
$399.47
|
| Rate for Payer: Meridian Medicaid |
$220.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$349.53
|
| Rate for Payer: PACE SWMI |
$332.89
|
| Rate for Payer: PHP Medicare Advantage |
$332.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$871.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.99
|
| Rate for Payer: Priority Health Medicare |
$332.89
|
| Rate for Payer: Priority Health Narrow Network |
$559.99
|
| Rate for Payer: UHC Medicare Advantage |
$342.88
|
|
|
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$45.08
|
|
|
Service Code
|
HCPCS J2720
|
| Hospital Charge Code |
6677
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$31.56 |
| Max. Negotiated Rate |
$45.08 |
| Rate for Payer: Aetna Commercial |
$40.57
|
| Rate for Payer: Aetna Commercial |
$121.85
|
| Rate for Payer: ASR ASR |
$131.33
|
| Rate for Payer: ASR ASR |
$43.73
|
| Rate for Payer: BCBS Trust/PPO |
$104.97
|
| Rate for Payer: BCBS Trust/PPO |
$34.95
|
| Rate for Payer: BCN Commercial |
$104.97
|
| Rate for Payer: BCN Commercial |
$34.95
|
| Rate for Payer: Cash Price |
$36.06
|
| Rate for Payer: Cash Price |
$108.31
|
| Rate for Payer: Cofinity Commercial |
$127.27
|
| Rate for Payer: Cofinity Commercial |
$42.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.31
|
| Rate for Payer: Healthscope Commercial |
$135.39
|
| Rate for Payer: Healthscope Commercial |
$45.08
|
| Rate for Payer: Healthscope Whirlpool |
$131.33
|
| Rate for Payer: Healthscope Whirlpool |
$43.73
|
| Rate for Payer: Mclaren Commercial |
$40.57
|
| Rate for Payer: Mclaren Commercial |
$121.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$38.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$115.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$119.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$39.67
|
|
|
PR OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 61345
|
| Min. Negotiated Rate |
$660.90 |
| Max. Negotiated Rate |
$4,181.49 |
| Rate for Payer: Aetna Commercial |
$2,758.31
|
| Rate for Payer: Aetna Medicare |
$2,058.44
|
| Rate for Payer: BCBS Complete |
$1,391.55
|
| Rate for Payer: BCBS MAPPO |
$2,058.44
|
| Rate for Payer: BCBS Trust/PPO |
$660.90
|
| Rate for Payer: BCN Commercial |
$4,181.49
|
| Rate for Payer: BCN Medicare Advantage |
$2,058.44
|
| Rate for Payer: Cash Price |
$3,515.20
|
| Rate for Payer: Cash Price |
$3,515.20
|
| Rate for Payer: Cofinity Commercial |
$2,964.15
|
| Rate for Payer: Cofinity Commercial |
$2,758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,058.44
|
| Rate for Payer: Healthscope Commercial |
$2,470.13
|
| Rate for Payer: Healthscope Whirlpool |
$2,470.13
|
| Rate for Payer: Meridian Medicaid |
$1,391.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,161.36
|
| Rate for Payer: PACE SWMI |
$2,058.44
|
| Rate for Payer: PHP Medicare Advantage |
$2,058.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,325.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,075.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,492.46
|
| Rate for Payer: Priority Health Medicare |
$2,058.44
|
| Rate for Payer: Priority Health Narrow Network |
$3,492.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,120.19
|
|
