|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$887.99 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,189.91
|
| Rate for Payer: Aetna Medicare |
$887.99
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$887.99
|
| Rate for Payer: BCN Medicare Advantage |
$887.99
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,278.71
|
| Rate for Payer: Cofinity Commercial |
$1,189.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.99
|
| Rate for Payer: Healthscope Commercial |
$1,065.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,065.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.39
|
| Rate for Payer: Nomi Health Commercial |
$1,065.59
|
| Rate for Payer: PACE SWMI |
$887.99
|
| Rate for Payer: PHP Medicare Advantage |
$887.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$887.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.99
|
| Rate for Payer: UHC Medicare Advantage |
$887.99
|
| Rate for Payer: UHCCP DNSP |
$887.99
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$632.40 |
| Max. Negotiated Rate |
$1,196.27 |
| Rate for Payer: Aetna Commercial |
$1,113.19
|
| Rate for Payer: Aetna Medicare |
$830.74
|
| Rate for Payer: BCBS Complete |
$632.40
|
| Rate for Payer: BCBS MAPPO |
$830.74
|
| Rate for Payer: BCN Medicare Advantage |
$830.74
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cofinity Commercial |
$1,196.27
|
| Rate for Payer: Cofinity Commercial |
$1,113.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.74
|
| Rate for Payer: Healthscope Commercial |
$996.89
|
| Rate for Payer: Healthscope Whirlpool |
$996.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.28
|
| Rate for Payer: Nomi Health Commercial |
$996.89
|
| Rate for Payer: PACE SWMI |
$830.74
|
| Rate for Payer: PHP Medicare Advantage |
$830.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health Medicare |
$830.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.74
|
| Rate for Payer: UHC Medicare Advantage |
$830.74
|
| Rate for Payer: UHCCP DNSP |
$830.74
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$289.60 |
| Max. Negotiated Rate |
$519.26 |
| Rate for Payer: Aetna Commercial |
$483.20
|
| Rate for Payer: Aetna Medicare |
$360.60
|
| Rate for Payer: BCBS Complete |
$289.60
|
| Rate for Payer: BCBS MAPPO |
$360.60
|
| Rate for Payer: BCN Medicare Advantage |
$360.60
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$519.26
|
| Rate for Payer: Cofinity Commercial |
$483.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.60
|
| Rate for Payer: Healthscope Commercial |
$432.72
|
| Rate for Payer: Healthscope Whirlpool |
$432.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$378.63
|
| Rate for Payer: Nomi Health Commercial |
$432.72
|
| Rate for Payer: PACE SWMI |
$360.60
|
| Rate for Payer: PHP Medicare Advantage |
$360.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health Medicare |
$360.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$360.60
|
| Rate for Payer: UHC Medicare Advantage |
$360.60
|
| Rate for Payer: UHCCP DNSP |
$360.60
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$249.60 |
| Max. Negotiated Rate |
$440.77 |
| Rate for Payer: Aetna Commercial |
$410.16
|
| Rate for Payer: Aetna Medicare |
$306.09
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$306.09
|
| Rate for Payer: BCN Medicare Advantage |
$306.09
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cofinity Commercial |
$440.77
|
| Rate for Payer: Cofinity Commercial |
$410.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.09
|
| Rate for Payer: Healthscope Commercial |
$367.31
|
| Rate for Payer: Healthscope Whirlpool |
$367.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.39
|
| Rate for Payer: Nomi Health Commercial |
$367.31
|
| Rate for Payer: PACE SWMI |
$306.09
|
| Rate for Payer: PHP Medicare Advantage |
$306.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health Medicare |
$306.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.09
|
| Rate for Payer: UHC Medicare Advantage |
$306.09
|
| Rate for Payer: UHCCP DNSP |
$306.09
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$399.20 |
| Max. Negotiated Rate |
$648.70 |
| Rate for Payer: Aetna Commercial |
$554.48
|
| Rate for Payer: Aetna Medicare |
$413.79
|
| Rate for Payer: BCBS Complete |
$399.20
|
| Rate for Payer: BCBS MAPPO |
$413.79
|
| Rate for Payer: BCN Medicare Advantage |
$413.79
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$595.86
|
| Rate for Payer: Cofinity Commercial |
$554.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.79
|
| Rate for Payer: Healthscope Commercial |
$496.55
|
| Rate for Payer: Healthscope Whirlpool |
$496.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.48
|
| Rate for Payer: Nomi Health Commercial |
$496.55
|
| Rate for Payer: PACE SWMI |
$413.79
|
| Rate for Payer: PHP Medicare Advantage |
$413.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health Medicare |
$413.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.79
|
| Rate for Payer: UHC Medicare Advantage |
$413.79
|
| Rate for Payer: UHCCP DNSP |
$413.79
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$251.04 |
| Max. Negotiated Rate |
$561.60 |
| Rate for Payer: Aetna Commercial |
$336.39
|
| Rate for Payer: Aetna Medicare |
$251.04
|
| Rate for Payer: BCBS Complete |
$345.60
|
| Rate for Payer: BCBS MAPPO |
$251.04
|
| Rate for Payer: BCN Medicare Advantage |
$251.04
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$361.50
|
| Rate for Payer: Cofinity Commercial |
$336.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.04
|
| Rate for Payer: Healthscope Commercial |
$301.25
|
| Rate for Payer: Healthscope Whirlpool |
$301.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.59
|
| Rate for Payer: Nomi Health Commercial |
$301.25
|
| Rate for Payer: PACE SWMI |
$251.04
|
| Rate for Payer: PHP Medicare Advantage |
$251.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health Medicare |
$251.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.04
|
| Rate for Payer: UHC Medicare Advantage |
$251.04
|
| Rate for Payer: UHCCP DNSP |
$251.04
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,106.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$315.15 |
| Max. Negotiated Rate |
$718.90 |
| Rate for Payer: Aetna Commercial |
$422.30
|
| Rate for Payer: Aetna Medicare |
$315.15
|
| Rate for Payer: BCBS Complete |
$442.40
|
| Rate for Payer: BCBS MAPPO |
$315.15
|
| Rate for Payer: BCN Medicare Advantage |
$315.15
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cofinity Commercial |
$453.82
|
| Rate for Payer: Cofinity Commercial |
$422.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.15
|
| Rate for Payer: Healthscope Commercial |
$378.18
|
| Rate for Payer: Healthscope Whirlpool |
$378.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.91
|
| Rate for Payer: Nomi Health Commercial |
$378.18
|
| Rate for Payer: PACE SWMI |
$315.15
|
| Rate for Payer: PHP Medicare Advantage |
$315.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$718.90
|
| Rate for Payer: Priority Health Medicare |
$315.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.15
|
| Rate for Payer: UHC Medicare Advantage |
$315.15
|
| Rate for Payer: UHCCP DNSP |
$315.15
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,150.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$379.52 |
| Max. Negotiated Rate |
$747.50 |
| Rate for Payer: Aetna Commercial |
$508.56
|
| Rate for Payer: Aetna Medicare |
$379.52
|
| Rate for Payer: BCBS Complete |
$460.00
|
| Rate for Payer: BCBS MAPPO |
$379.52
|
| Rate for Payer: BCN Medicare Advantage |
$379.52
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cofinity Commercial |
$546.51
|
| Rate for Payer: Cofinity Commercial |
$508.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.52
|
| Rate for Payer: Healthscope Commercial |
$455.42
|
| Rate for Payer: Healthscope Whirlpool |
$455.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.50
|
| Rate for Payer: Nomi Health Commercial |
$455.42
|
| Rate for Payer: PACE SWMI |
$379.52
|
| Rate for Payer: PHP Medicare Advantage |
$379.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$747.50
|
| Rate for Payer: Priority Health Medicare |
$379.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.52
|
| Rate for Payer: UHC Medicare Advantage |
$379.52
|
| Rate for Payer: UHCCP DNSP |
$379.52
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$319.61 |
| Max. Negotiated Rate |
$544.05 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$319.61
|
| Rate for Payer: BCBS Complete |
$334.80
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Healthscope Commercial |
$383.53
|
| Rate for Payer: Healthscope Whirlpool |
$383.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health Medicare |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UHCCP DNSP |
$319.61
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
OP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$544.05 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$753.30
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$811.89
|
| Rate for Payer: ASR Commercial |
$811.89
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$685.42
|
| Rate for Payer: BCN Commercial |
$648.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$786.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$837.00
|
| Rate for Payer: Healthscope Whirlpool |
$811.89
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$753.30
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: Nomi Health Commercial |
$686.34
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$733.38
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$586.74
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$736.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$319.61 |
| Max. Negotiated Rate |
$544.05 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$319.61
|
| Rate for Payer: BCBS Complete |
$334.80
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Healthscope Commercial |
$383.53
|
| Rate for Payer: Healthscope Whirlpool |
$383.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health Medicare |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UHCCP DNSP |
$319.61
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
IP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$544.05 |
| Max. Negotiated Rate |
$837.00 |
| Rate for Payer: Aetna Commercial |
$753.30
|
| Rate for Payer: ASR ASR |
$811.89
|
| Rate for Payer: ASR Commercial |
$811.89
|
| Rate for Payer: BCBS Trust/PPO |
$682.07
|
| Rate for Payer: BCN Commercial |
$648.93
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$786.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Healthscope Commercial |
$837.00
|
| Rate for Payer: Healthscope Whirlpool |
$811.89
|
| Rate for Payer: Mclaren Commercial |
$753.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: Nomi Health Commercial |
$686.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$736.56
|
|
|
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
|
Professional
|
Both
|
$733.00
|
|
|
Service Code
|
HCPCS 11450
|
| Min. Negotiated Rate |
$251.79 |
| Max. Negotiated Rate |
$476.45 |
| Rate for Payer: Aetna Commercial |
$337.40
|
| Rate for Payer: Aetna Medicare |
$251.79
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS MAPPO |
$251.79
|
| Rate for Payer: BCN Medicare Advantage |
$251.79
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cofinity Commercial |
$362.58
|
| Rate for Payer: Cofinity Commercial |
$337.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.79
|
| Rate for Payer: Healthscope Commercial |
$302.15
|
| Rate for Payer: Healthscope Whirlpool |
$302.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.38
|
| Rate for Payer: Nomi Health Commercial |
$302.15
|
| Rate for Payer: PACE SWMI |
$251.79
|
| Rate for Payer: PHP Medicare Advantage |
$251.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$476.45
|
| Rate for Payer: Priority Health Medicare |
$251.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.79
|
| Rate for Payer: UHC Medicare Advantage |
$251.79
|
| Rate for Payer: UHCCP DNSP |
$251.79
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
IP
|
$635.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$412.75 |
| Max. Negotiated Rate |
$635.00 |
| Rate for Payer: Aetna Commercial |
$571.50
|
| Rate for Payer: ASR ASR |
$615.95
|
| Rate for Payer: ASR Commercial |
$615.95
|
| Rate for Payer: BCBS Trust/PPO |
$517.46
|
| Rate for Payer: BCN Commercial |
$492.32
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$596.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.00
|
| Rate for Payer: Healthscope Commercial |
$635.00
|
| Rate for Payer: Healthscope Whirlpool |
$615.95
|
| Rate for Payer: Mclaren Commercial |
$571.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.75
|
| Rate for Payer: Nomi Health Commercial |
$520.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.80
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
OP
|
$635.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$412.75 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$571.50
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$615.95
|
| Rate for Payer: ASR Commercial |
$615.95
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$520.00
|
| Rate for Payer: BCN Commercial |
$492.32
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$596.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$635.00
|
| Rate for Payer: Healthscope Whirlpool |
$615.95
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$571.50
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.75
|
| Rate for Payer: Nomi Health Commercial |
$520.70
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$556.39
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$445.13
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$558.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$635.00
|
|
|
Service Code
|
HCPCS 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$254.00 |
| Max. Negotiated Rate |
$456.84 |
| Rate for Payer: Aetna Commercial |
$425.12
|
| Rate for Payer: Aetna Medicare |
$317.25
|
| Rate for Payer: BCBS Complete |
$254.00
|
| Rate for Payer: BCBS MAPPO |
$317.25
|
| Rate for Payer: BCN Medicare Advantage |
$317.25
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$456.84
|
| Rate for Payer: Cofinity Commercial |
$425.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.25
|
| Rate for Payer: Healthscope Commercial |
$380.70
|
| Rate for Payer: Healthscope Whirlpool |
$380.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.11
|
| Rate for Payer: Nomi Health Commercial |
$380.70
|
| Rate for Payer: PACE SWMI |
$317.25
|
| Rate for Payer: PHP Medicare Advantage |
$317.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health Medicare |
$317.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.25
|
| Rate for Payer: UHC Medicare Advantage |
$317.25
|
| Rate for Payer: UHCCP DNSP |
$317.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$635.00
|
|
|
Service Code
|
HCPCS 11463
|
| Min. Negotiated Rate |
$254.00 |
| Max. Negotiated Rate |
$456.84 |
| Rate for Payer: Aetna Commercial |
$425.12
|
| Rate for Payer: Aetna Medicare |
$317.25
|
| Rate for Payer: BCBS Complete |
$254.00
|
| Rate for Payer: BCBS MAPPO |
$317.25
|
| Rate for Payer: BCN Medicare Advantage |
$317.25
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$456.84
|
| Rate for Payer: Cofinity Commercial |
$425.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.25
|
| Rate for Payer: Healthscope Commercial |
$380.70
|
| Rate for Payer: Healthscope Whirlpool |
$380.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.11
|
| Rate for Payer: Nomi Health Commercial |
$380.70
|
| Rate for Payer: PACE SWMI |
$317.25
|
| Rate for Payer: PHP Medicare Advantage |
$317.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health Medicare |
$317.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.25
|
| Rate for Payer: UHC Medicare Advantage |
$317.25
|
| Rate for Payer: UHCCP DNSP |
$317.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$473.00
|
|
|
Service Code
|
HCPCS 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$189.20 |
| Max. Negotiated Rate |
$346.81 |
| Rate for Payer: Aetna Commercial |
$322.73
|
| Rate for Payer: Aetna Medicare |
$240.84
|
| Rate for Payer: BCBS Complete |
$189.20
|
| Rate for Payer: BCBS MAPPO |
$240.84
|
| Rate for Payer: BCN Medicare Advantage |
$240.84
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$346.81
|
| Rate for Payer: Cofinity Commercial |
$322.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.84
|
| Rate for Payer: Healthscope Commercial |
$289.01
|
| Rate for Payer: Healthscope Whirlpool |
$289.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.88
|
| Rate for Payer: Nomi Health Commercial |
$289.01
|
| Rate for Payer: PACE SWMI |
$240.84
|
| Rate for Payer: PHP Medicare Advantage |
$240.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.45
|
| Rate for Payer: Priority Health Medicare |
$240.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.84
|
| Rate for Payer: UHC Medicare Advantage |
$240.84
|
| Rate for Payer: UHCCP DNSP |
$240.84
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
OP
|
$473.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$307.45 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$425.70
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$458.81
|
| Rate for Payer: ASR Commercial |
$458.81
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$387.34
|
| Rate for Payer: BCN Commercial |
$366.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$444.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$473.00
|
| Rate for Payer: Healthscope Whirlpool |
$458.81
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$425.70
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.05
|
| Rate for Payer: Nomi Health Commercial |
$387.86
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.44
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$331.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$416.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$473.00
|
|
|
Service Code
|
HCPCS 11462
|
| Min. Negotiated Rate |
$189.20 |
| Max. Negotiated Rate |
$346.81 |
| Rate for Payer: Aetna Commercial |
$322.73
|
| Rate for Payer: Aetna Medicare |
$240.84
|
| Rate for Payer: BCBS Complete |
$189.20
|
| Rate for Payer: BCBS MAPPO |
$240.84
|
| Rate for Payer: BCN Medicare Advantage |
$240.84
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$346.81
|
| Rate for Payer: Cofinity Commercial |
$322.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.84
|
| Rate for Payer: Healthscope Commercial |
$289.01
|
| Rate for Payer: Healthscope Whirlpool |
$289.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.88
|
| Rate for Payer: Nomi Health Commercial |
$289.01
|
| Rate for Payer: PACE SWMI |
$240.84
|
| Rate for Payer: PHP Medicare Advantage |
$240.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.45
|
| Rate for Payer: Priority Health Medicare |
$240.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.84
|
| Rate for Payer: UHC Medicare Advantage |
$240.84
|
| Rate for Payer: UHCCP DNSP |
$240.84
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
IP
|
$473.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$307.45 |
| Max. Negotiated Rate |
$473.00 |
| Rate for Payer: Aetna Commercial |
$425.70
|
| Rate for Payer: ASR ASR |
$458.81
|
| Rate for Payer: ASR Commercial |
$458.81
|
| Rate for Payer: BCBS Trust/PPO |
$385.45
|
| Rate for Payer: BCN Commercial |
$366.72
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$444.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$378.40
|
| Rate for Payer: Healthscope Commercial |
$473.00
|
| Rate for Payer: Healthscope Whirlpool |
$458.81
|
| Rate for Payer: Mclaren Commercial |
$425.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.05
|
| Rate for Payer: Nomi Health Commercial |
$387.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$416.24
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$336.88 |
| Max. Negotiated Rate |
$640.90 |
| Rate for Payer: Aetna Commercial |
$451.42
|
| Rate for Payer: Aetna Medicare |
$336.88
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$336.88
|
| Rate for Payer: BCN Medicare Advantage |
$336.88
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$485.11
|
| Rate for Payer: Cofinity Commercial |
$451.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.88
|
| Rate for Payer: Healthscope Commercial |
$404.26
|
| Rate for Payer: Healthscope Whirlpool |
$404.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$353.72
|
| Rate for Payer: Nomi Health Commercial |
$404.26
|
| Rate for Payer: PACE SWMI |
$336.88
|
| Rate for Payer: PHP Medicare Advantage |
$336.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$336.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$336.88
|
| Rate for Payer: UHC Medicare Advantage |
$336.88
|
| Rate for Payer: UHCCP DNSP |
$336.88
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$986.00 |
| Rate for Payer: Aetna Commercial |
$887.40
|
| Rate for Payer: ASR ASR |
$956.42
|
| Rate for Payer: ASR Commercial |
$956.42
|
| Rate for Payer: BCBS Trust/PPO |
$803.49
|
| Rate for Payer: BCN Commercial |
$764.45
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$926.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$986.00
|
| Rate for Payer: Healthscope Whirlpool |
$956.42
|
| Rate for Payer: Mclaren Commercial |
$887.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$867.68
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 11471
|
| Min. Negotiated Rate |
$336.88 |
| Max. Negotiated Rate |
$640.90 |
| Rate for Payer: Aetna Commercial |
$451.42
|
| Rate for Payer: Aetna Medicare |
$336.88
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$336.88
|
| Rate for Payer: BCN Medicare Advantage |
$336.88
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$485.11
|
| Rate for Payer: Cofinity Commercial |
$451.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.88
|
| Rate for Payer: Healthscope Commercial |
$404.26
|
| Rate for Payer: Healthscope Whirlpool |
$404.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$353.72
|
| Rate for Payer: Nomi Health Commercial |
$404.26
|
| Rate for Payer: PACE SWMI |
$336.88
|
| Rate for Payer: PHP Medicare Advantage |
$336.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$336.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$336.88
|
| Rate for Payer: UHC Medicare Advantage |
$336.88
|
| Rate for Payer: UHCCP DNSP |
$336.88
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$887.40
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$956.42
|
| Rate for Payer: ASR Commercial |
$956.42
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$807.44
|
| Rate for Payer: BCN Commercial |
$764.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$926.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$986.00
|
| Rate for Payer: Healthscope Whirlpool |
$956.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$887.40
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$863.93
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$691.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$867.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
