|
PR REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES
|
Professional
|
Both
|
$362.00
|
|
|
Service Code
|
HCPCS 30310
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$1,405.81 |
| Rate for Payer: Aetna Commercial |
$270.76
|
| Rate for Payer: Aetna Medicare |
$202.06
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$202.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.81
|
| Rate for Payer: BCN Commercial |
$307.87
|
| Rate for Payer: BCN Medicare Advantage |
$202.06
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cofinity Commercial |
$290.97
|
| Rate for Payer: Cofinity Commercial |
$270.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.06
|
| Rate for Payer: Healthscope Commercial |
$242.47
|
| Rate for Payer: Healthscope Whirlpool |
$242.47
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$212.16
|
| Rate for Payer: PACE SWMI |
$202.06
|
| Rate for Payer: PHP Medicare Advantage |
$202.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.72
|
| Rate for Payer: Priority Health Medicare |
$202.06
|
| Rate for Payer: Priority Health Narrow Network |
$291.72
|
| Rate for Payer: UHC Medicare Advantage |
$208.12
|
|
|
PR REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
|
Professional
|
Both
|
$384.00
|
|
|
Service Code
|
HCPCS 30300
|
| Min. Negotiated Rate |
$79.24 |
| Max. Negotiated Rate |
$829.43 |
| Rate for Payer: Aetna Commercial |
$160.81
|
| Rate for Payer: Aetna Medicare |
$120.01
|
| Rate for Payer: BCBS Complete |
$83.20
|
| Rate for Payer: BCBS MAPPO |
$120.01
|
| Rate for Payer: BCBS Trust/PPO |
$829.43
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$120.01
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cofinity Commercial |
$172.81
|
| Rate for Payer: Cofinity Commercial |
$160.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.01
|
| Rate for Payer: Healthscope Commercial |
$144.01
|
| Rate for Payer: Healthscope Whirlpool |
$144.01
|
| Rate for Payer: Meridian Medicaid |
$83.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.01
|
| Rate for Payer: PACE SWMI |
$120.01
|
| Rate for Payer: PHP Medicare Advantage |
$120.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$268.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$173.65
|
| Rate for Payer: Priority Health Medicare |
$120.01
|
| Rate for Payer: Priority Health Narrow Network |
$173.65
|
| Rate for Payer: UHC Medicare Advantage |
$123.61
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
OP
|
$331.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$231.70 |
| Max. Negotiated Rate |
$1,801.41 |
| Rate for Payer: Aetna Commercial |
$297.90
|
| Rate for Payer: Aetna Medicare |
$1,441.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: ASR ASR |
$321.07
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$256.62
|
| Rate for Payer: BCN Commercial |
$256.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$264.80
|
| Rate for Payer: Cash Price |
$264.80
|
| Rate for Payer: Cofinity Commercial |
$311.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$331.00
|
| Rate for Payer: Healthscope Whirlpool |
$321.07
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,441.13
|
| Rate for Payer: Mclaren Commercial |
$297.90
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$281.35
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$1,585.24
|
| Rate for Payer: PHP Medicaid |
$788.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$231.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$719.35
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$575.48
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: VA VA |
$1,441.13
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$397.00
|
|
|
Service Code
|
HCPCS 20520
|
| Hospital Charge Code |
20520
|
| Min. Negotiated Rate |
$95.21 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$191.71
|
| Rate for Payer: Aetna Medicare |
$143.07
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS MAPPO |
$143.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$143.07
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Cofinity Commercial |
$191.71
|
| Rate for Payer: Cofinity Commercial |
$206.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.07
|
| Rate for Payer: Healthscope Commercial |
$171.68
|
| Rate for Payer: Healthscope Whirlpool |
$171.68
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.22
|
| Rate for Payer: PACE SWMI |
$143.07
|
| Rate for Payer: PHP Medicare Advantage |
$143.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.68
|
| Rate for Payer: Priority Health Medicare |
$143.07
|
| Rate for Payer: Priority Health Narrow Network |
$224.68
|
| Rate for Payer: UHC Medicare Advantage |
$147.36
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$397.00
|
|
|
Service Code
|
HCPCS 20520
|
| Min. Negotiated Rate |
$95.21 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$191.71
|
| Rate for Payer: Aetna Medicare |
$143.07
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS MAPPO |
$143.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$143.07
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Cofinity Commercial |
$191.71
|
| Rate for Payer: Cofinity Commercial |
$206.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.07
|
| Rate for Payer: Healthscope Commercial |
$171.68
|
| Rate for Payer: Healthscope Whirlpool |
$171.68
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.22
|
| Rate for Payer: PACE SWMI |
$143.07
|
| Rate for Payer: PHP Medicare Advantage |
$143.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.68
|
| Rate for Payer: Priority Health Medicare |
$143.07
|
| Rate for Payer: Priority Health Narrow Network |
$224.68
|
| Rate for Payer: UHC Medicare Advantage |
$147.36
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
IP
|
$331.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$231.70 |
| Max. Negotiated Rate |
$331.00 |
| Rate for Payer: Aetna Commercial |
$297.90
|
| Rate for Payer: ASR ASR |
$321.07
|
| Rate for Payer: BCBS Trust/PPO |
$256.62
|
| Rate for Payer: BCN Commercial |
$256.62
|
| Rate for Payer: Cash Price |
$264.80
|
| Rate for Payer: Cofinity Commercial |
$311.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.80
|
| Rate for Payer: Healthscope Commercial |
$331.00
|
| Rate for Payer: Healthscope Whirlpool |
$321.07
|
| Rate for Payer: Mclaren Commercial |
$297.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$281.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$231.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$291.28
|
|
|
PR REMOVAL FOREIGN BODY PELVIS/HIP DEEP
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27087
|
| Min. Negotiated Rate |
$397.88 |
| Max. Negotiated Rate |
$1,172.30 |
| Rate for Payer: Aetna Commercial |
$817.92
|
| Rate for Payer: Aetna Medicare |
$610.39
|
| Rate for Payer: BCBS Complete |
$417.77
|
| Rate for Payer: BCBS MAPPO |
$610.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.30
|
| Rate for Payer: BCN Commercial |
$906.01
|
| Rate for Payer: BCN Medicare Advantage |
$610.39
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cofinity Commercial |
$878.96
|
| Rate for Payer: Cofinity Commercial |
$817.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.39
|
| Rate for Payer: Healthscope Commercial |
$732.47
|
| Rate for Payer: Healthscope Whirlpool |
$732.47
|
| Rate for Payer: Meridian Medicaid |
$417.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$640.91
|
| Rate for Payer: PACE SWMI |
$610.39
|
| Rate for Payer: PHP Medicare Advantage |
$610.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$397.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$938.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$946.75
|
| Rate for Payer: Priority Health Medicare |
$610.39
|
| Rate for Payer: Priority Health Narrow Network |
$946.75
|
| Rate for Payer: UHC Medicare Advantage |
$628.70
|
|
|
PR REMOVAL FOREIGN BODY PHARYNX
|
Professional
|
Both
|
$297.00
|
|
|
Service Code
|
HCPCS 42809
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$300.53 |
| Rate for Payer: Aetna Commercial |
$166.47
|
| Rate for Payer: Aetna Medicare |
$124.23
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$124.23
|
| Rate for Payer: BCBS Trust/PPO |
$147.92
|
| Rate for Payer: BCN Commercial |
$300.53
|
| Rate for Payer: BCN Medicare Advantage |
$124.23
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$178.89
|
| Rate for Payer: Cofinity Commercial |
$166.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.23
|
| Rate for Payer: Healthscope Commercial |
$149.08
|
| Rate for Payer: Healthscope Whirlpool |
$149.08
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$130.44
|
| Rate for Payer: PACE SWMI |
$124.23
|
| Rate for Payer: PHP Medicare Advantage |
$124.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.84
|
| Rate for Payer: Priority Health Medicare |
$124.23
|
| Rate for Payer: Priority Health Narrow Network |
$222.84
|
| Rate for Payer: UHC Medicare Advantage |
$127.96
|
|
|
PR REMOVAL FOREIGN BODY SCROTUM
|
Professional
|
Both
|
$656.00
|
|
|
Service Code
|
HCPCS 55120
|
| Min. Negotiated Rate |
$228.34 |
| Max. Negotiated Rate |
$3,266.48 |
| Rate for Payer: Aetna Commercial |
$463.73
|
| Rate for Payer: Aetna Medicare |
$346.07
|
| Rate for Payer: BCBS Complete |
$239.76
|
| Rate for Payer: BCBS MAPPO |
$346.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,266.48
|
| Rate for Payer: BCN Commercial |
$514.58
|
| Rate for Payer: BCN Medicare Advantage |
$346.07
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cash Price |
$524.80
|
| Rate for Payer: Cofinity Commercial |
$498.34
|
| Rate for Payer: Cofinity Commercial |
$463.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.07
|
| Rate for Payer: Healthscope Commercial |
$415.28
|
| Rate for Payer: Healthscope Whirlpool |
$415.28
|
| Rate for Payer: Meridian Medicaid |
$239.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$363.37
|
| Rate for Payer: PACE SWMI |
$346.07
|
| Rate for Payer: PHP Medicare Advantage |
$346.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$459.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$568.99
|
| Rate for Payer: Priority Health Medicare |
$346.07
|
| Rate for Payer: Priority Health Narrow Network |
$568.99
|
| Rate for Payer: UHC Medicare Advantage |
$356.45
|
|
|
PR REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 23330
|
| Min. Negotiated Rate |
$64.52 |
| Max. Negotiated Rate |
$444.20 |
| Rate for Payer: Aetna Commercial |
$218.53
|
| Rate for Payer: Aetna Medicare |
$163.08
|
| Rate for Payer: BCBS Complete |
$114.28
|
| Rate for Payer: BCBS MAPPO |
$163.08
|
| Rate for Payer: BCBS Trust/PPO |
$64.52
|
| Rate for Payer: BCN Commercial |
$444.20
|
| Rate for Payer: BCN Medicare Advantage |
$163.08
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cofinity Commercial |
$234.84
|
| Rate for Payer: Cofinity Commercial |
$218.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.08
|
| Rate for Payer: Healthscope Commercial |
$195.70
|
| Rate for Payer: Healthscope Whirlpool |
$195.70
|
| Rate for Payer: Meridian Medicaid |
$114.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.23
|
| Rate for Payer: PACE SWMI |
$163.08
|
| Rate for Payer: PHP Medicare Advantage |
$163.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$308.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$256.85
|
| Rate for Payer: Priority Health Medicare |
$163.08
|
| Rate for Payer: Priority Health Narrow Network |
$256.85
|
| Rate for Payer: UHC Medicare Advantage |
$167.97
|
|
|
PR REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP
|
Professional
|
Both
|
$889.00
|
|
|
Service Code
|
HCPCS 24201
|
| Min. Negotiated Rate |
$162.72 |
| Max. Negotiated Rate |
$810.72 |
| Rate for Payer: Aetna Commercial |
$485.03
|
| Rate for Payer: Aetna Medicare |
$361.96
|
| Rate for Payer: BCBS Complete |
$274.42
|
| Rate for Payer: BCBS MAPPO |
$361.96
|
| Rate for Payer: BCBS Trust/PPO |
$162.72
|
| Rate for Payer: BCN Commercial |
$810.72
|
| Rate for Payer: BCN Medicare Advantage |
$361.96
|
| Rate for Payer: Cash Price |
$711.20
|
| Rate for Payer: Cash Price |
$711.20
|
| Rate for Payer: Cofinity Commercial |
$521.22
|
| Rate for Payer: Cofinity Commercial |
$485.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.96
|
| Rate for Payer: Healthscope Commercial |
$434.35
|
| Rate for Payer: Healthscope Whirlpool |
$434.35
|
| Rate for Payer: Meridian Medicaid |
$274.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$380.06
|
| Rate for Payer: PACE SWMI |
$361.96
|
| Rate for Payer: PHP Medicare Advantage |
$361.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$622.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$566.31
|
| Rate for Payer: Priority Health Medicare |
$361.96
|
| Rate for Payer: Priority Health Narrow Network |
$566.31
|
| Rate for Payer: UHC Medicare Advantage |
$372.82
|
|
|
PR REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,064.00
|
|
|
Service Code
|
HCPCS 27090
|
| Min. Negotiated Rate |
$412.60 |
| Max. Negotiated Rate |
$1,444.80 |
| Rate for Payer: Aetna Commercial |
$1,099.79
|
| Rate for Payer: Aetna Medicare |
$820.74
|
| Rate for Payer: BCBS Complete |
$562.03
|
| Rate for Payer: BCBS MAPPO |
$820.74
|
| Rate for Payer: BCBS Trust/PPO |
$412.60
|
| Rate for Payer: BCN Commercial |
$1,222.67
|
| Rate for Payer: BCN Medicare Advantage |
$820.74
|
| Rate for Payer: Cash Price |
$1,651.20
|
| Rate for Payer: Cash Price |
$1,651.20
|
| Rate for Payer: Cofinity Commercial |
$1,181.87
|
| Rate for Payer: Cofinity Commercial |
$1,099.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$820.74
|
| Rate for Payer: Healthscope Commercial |
$984.89
|
| Rate for Payer: Healthscope Whirlpool |
$984.89
|
| Rate for Payer: Meridian Medicaid |
$562.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$861.78
|
| Rate for Payer: PACE SWMI |
$820.74
|
| Rate for Payer: PHP Medicare Advantage |
$820.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$535.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,444.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,277.65
|
| Rate for Payer: Priority Health Medicare |
$820.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,277.65
|
| Rate for Payer: UHC Medicare Advantage |
$845.36
|
|
|
PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 69210
|
| Min. Negotiated Rate |
$20.66 |
| Max. Negotiated Rate |
$2,090.48 |
| Rate for Payer: Aetna Commercial |
$43.19
|
| Rate for Payer: Aetna Medicare |
$32.23
|
| Rate for Payer: BCBS Complete |
$21.69
|
| Rate for Payer: BCBS MAPPO |
$32.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,090.48
|
| Rate for Payer: BCN Commercial |
$55.76
|
| Rate for Payer: BCN Medicare Advantage |
$32.23
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$43.19
|
| Rate for Payer: Cofinity Commercial |
$46.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.23
|
| Rate for Payer: Healthscope Commercial |
$38.68
|
| Rate for Payer: Healthscope Whirlpool |
$38.68
|
| Rate for Payer: Meridian Medicaid |
$21.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.84
|
| Rate for Payer: PACE SWMI |
$32.23
|
| Rate for Payer: PHP Medicare Advantage |
$32.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.73
|
| Rate for Payer: Priority Health Medicare |
$32.23
|
| Rate for Payer: Priority Health Narrow Network |
$45.73
|
| Rate for Payer: UHC Medicare Advantage |
$33.20
|
|
|
PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS 69209
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$2,108.45 |
| Rate for Payer: Aetna Commercial |
$19.11
|
| Rate for Payer: Aetna Medicare |
$14.26
|
| Rate for Payer: BCBS Complete |
$10.00
|
| Rate for Payer: BCBS MAPPO |
$14.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,108.45
|
| Rate for Payer: BCN Commercial |
$22.48
|
| Rate for Payer: BCN Medicare Advantage |
$14.26
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$20.53
|
| Rate for Payer: Cofinity Commercial |
$19.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.26
|
| Rate for Payer: Healthscope Commercial |
$17.11
|
| Rate for Payer: Healthscope Whirlpool |
$17.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$14.97
|
| Rate for Payer: PACE SWMI |
$14.26
|
| Rate for Payer: PHP Medicare Advantage |
$14.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.69
|
| Rate for Payer: Priority Health Medicare |
$14.26
|
| Rate for Payer: Priority Health Narrow Network |
$21.69
|
| Rate for Payer: UHC Medicare Advantage |
$14.69
|
|
|
PR REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL
|
Professional
|
Both
|
$325.00
|
|
|
Service Code
|
HCPCS 57415
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$1,989.05 |
| Rate for Payer: Aetna Commercial |
$230.92
|
| Rate for Payer: Aetna Medicare |
$172.33
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$172.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,989.05
|
| Rate for Payer: BCN Commercial |
$257.53
|
| Rate for Payer: BCN Medicare Advantage |
$172.33
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cofinity Commercial |
$248.16
|
| Rate for Payer: Cofinity Commercial |
$230.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.33
|
| Rate for Payer: Healthscope Commercial |
$206.80
|
| Rate for Payer: Healthscope Whirlpool |
$206.80
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$180.95
|
| Rate for Payer: PACE SWMI |
$172.33
|
| Rate for Payer: PHP Medicare Advantage |
$172.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$227.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.50
|
| Rate for Payer: Priority Health Medicare |
$172.33
|
| Rate for Payer: Priority Health Narrow Network |
$249.50
|
| Rate for Payer: UHC Medicare Advantage |
$177.50
|
|
|
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
|
Professional
|
Both
|
$236.00
|
|
|
Service Code
|
HCPCS 11976
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$268.22 |
| Rate for Payer: Aetna Commercial |
$123.53
|
| Rate for Payer: Aetna Medicare |
$92.19
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$92.19
|
| Rate for Payer: BCBS Trust/PPO |
$268.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: BCN Medicare Advantage |
$92.19
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$132.75
|
| Rate for Payer: Cofinity Commercial |
$123.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.19
|
| Rate for Payer: Healthscope Commercial |
$110.63
|
| Rate for Payer: Healthscope Whirlpool |
$110.63
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$96.80
|
| Rate for Payer: PACE SWMI |
$92.19
|
| Rate for Payer: PHP Medicare Advantage |
$92.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$113.45
|
| Rate for Payer: Priority Health Medicare |
$92.19
|
| Rate for Payer: Priority Health Narrow Network |
$113.45
|
| Rate for Payer: UHC Medicare Advantage |
$94.96
|
|
|
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
|
Professional
|
Both
|
$236.00
|
|
|
Service Code
|
HCPCS 11976
|
| Hospital Charge Code |
11976
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$268.22 |
| Rate for Payer: Aetna Commercial |
$123.53
|
| Rate for Payer: Aetna Medicare |
$92.19
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$92.19
|
| Rate for Payer: BCBS Trust/PPO |
$268.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: BCN Medicare Advantage |
$92.19
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$132.75
|
| Rate for Payer: Cofinity Commercial |
$123.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.19
|
| Rate for Payer: Healthscope Commercial |
$110.63
|
| Rate for Payer: Healthscope Whirlpool |
$110.63
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$96.80
|
| Rate for Payer: PACE SWMI |
$92.19
|
| Rate for Payer: PHP Medicare Advantage |
$92.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$113.45
|
| Rate for Payer: Priority Health Medicare |
$92.19
|
| Rate for Payer: Priority Health Narrow Network |
$113.45
|
| Rate for Payer: UHC Medicare Advantage |
$94.96
|
|
|
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
|
Facility
|
IP
|
$236.00
|
|
|
Service Code
|
CPT 11976
|
| Hospital Charge Code |
11976
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$165.20 |
| Max. Negotiated Rate |
$236.00 |
| Rate for Payer: Aetna Commercial |
$212.40
|
| Rate for Payer: ASR ASR |
$228.92
|
| Rate for Payer: BCBS Trust/PPO |
$182.97
|
| Rate for Payer: BCN Commercial |
$182.97
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$221.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.80
|
| Rate for Payer: Healthscope Commercial |
$236.00
|
| Rate for Payer: Healthscope Whirlpool |
$228.92
|
| Rate for Payer: Mclaren Commercial |
$212.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$200.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.68
|
|
|
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
|
Facility
|
OP
|
$236.00
|
|
|
Service Code
|
CPT 11976
|
| Hospital Charge Code |
11976
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$165.20 |
| Max. Negotiated Rate |
$781.74 |
| Rate for Payer: Aetna Commercial |
$212.40
|
| Rate for Payer: Aetna Medicare |
$625.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$781.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$781.74
|
| Rate for Payer: ASR ASR |
$228.92
|
| Rate for Payer: BCBS Complete |
$359.22
|
| Rate for Payer: BCBS MAPPO |
$625.39
|
| Rate for Payer: BCBS Trust/PPO |
$182.97
|
| Rate for Payer: BCN Commercial |
$182.97
|
| Rate for Payer: BCN Medicare Advantage |
$625.39
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$221.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.39
|
| Rate for Payer: Healthscope Commercial |
$236.00
|
| Rate for Payer: Healthscope Whirlpool |
$228.92
|
| Rate for Payer: Humana Choice PPO Medicare |
$625.39
|
| Rate for Payer: Mclaren Commercial |
$212.40
|
| Rate for Payer: Mclaren Medicaid |
$342.09
|
| Rate for Payer: Mclaren Medicare |
$625.39
|
| Rate for Payer: Meridian Medicaid |
$359.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$656.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$719.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$200.60
|
| Rate for Payer: PACE Medicare |
$594.12
|
| Rate for Payer: PACE SWMI |
$625.39
|
| Rate for Payer: PHP Commercial |
$687.93
|
| Rate for Payer: PHP Medicaid |
$342.09
|
| Rate for Payer: PHP Medicare Advantage |
$625.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$719.35
|
| Rate for Payer: Priority Health Medicare |
$625.39
|
| Rate for Payer: Priority Health Narrow Network |
$575.48
|
| Rate for Payer: Railroad Medicare Medicare |
$625.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$207.68
|
| Rate for Payer: UHC Medicare Advantage |
$644.15
|
| Rate for Payer: VA VA |
$625.39
|
|
|
PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY
|
Professional
|
Both
|
$429.00
|
|
|
Service Code
|
HCPCS 33241
|
| Min. Negotiated Rate |
$135.68 |
| Max. Negotiated Rate |
$1,338.18 |
| Rate for Payer: Aetna Commercial |
$280.81
|
| Rate for Payer: Aetna Medicare |
$209.56
|
| Rate for Payer: BCBS Complete |
$142.46
|
| Rate for Payer: BCBS MAPPO |
$209.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,338.18
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$209.56
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$280.81
|
| Rate for Payer: Cofinity Commercial |
$301.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.56
|
| Rate for Payer: Healthscope Commercial |
$251.47
|
| Rate for Payer: Healthscope Whirlpool |
$251.47
|
| Rate for Payer: Meridian Medicaid |
$142.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$220.04
|
| Rate for Payer: PACE SWMI |
$209.56
|
| Rate for Payer: PHP Medicare Advantage |
$209.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$338.85
|
| Rate for Payer: Priority Health Medicare |
$209.56
|
| Rate for Payer: Priority Health Narrow Network |
$338.85
|
| Rate for Payer: UHC Medicare Advantage |
$215.85
|
|
|
PR REMOVAL IMPLANT DEEP
|
Professional
|
Both
|
$1,064.00
|
|
|
Service Code
|
HCPCS 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$270.72 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$551.30
|
| Rate for Payer: Aetna Medicare |
$411.42
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS MAPPO |
$411.42
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$883.04
|
| Rate for Payer: BCN Medicare Advantage |
$411.42
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$592.44
|
| Rate for Payer: Cofinity Commercial |
$551.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.42
|
| Rate for Payer: Healthscope Commercial |
$493.70
|
| Rate for Payer: Healthscope Whirlpool |
$493.70
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.99
|
| Rate for Payer: PACE SWMI |
$411.42
|
| Rate for Payer: PHP Medicare Advantage |
$411.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.37
|
| Rate for Payer: Priority Health Medicare |
$411.42
|
| Rate for Payer: Priority Health Narrow Network |
$641.37
|
| Rate for Payer: UHC Medicare Advantage |
$423.76
|
|
|
PR REMOVAL IMPLANT DEEP
|
Professional
|
Both
|
$1,064.00
|
|
|
Service Code
|
HCPCS 20680
|
| Min. Negotiated Rate |
$270.72 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$551.30
|
| Rate for Payer: Aetna Medicare |
$411.42
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS MAPPO |
$411.42
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$883.04
|
| Rate for Payer: BCN Medicare Advantage |
$411.42
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$592.44
|
| Rate for Payer: Cofinity Commercial |
$551.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.42
|
| Rate for Payer: Healthscope Commercial |
$493.70
|
| Rate for Payer: Healthscope Whirlpool |
$493.70
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.99
|
| Rate for Payer: PACE SWMI |
$411.42
|
| Rate for Payer: PHP Medicare Advantage |
$411.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.37
|
| Rate for Payer: Priority Health Medicare |
$411.42
|
| Rate for Payer: Priority Health Narrow Network |
$641.37
|
| Rate for Payer: UHC Medicare Advantage |
$423.76
|
|
|
PR REMOVAL IMPLANT DEEP
|
Facility
|
IP
|
$1,064.00
|
|
|
Service Code
|
CPT 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$744.80 |
| Max. Negotiated Rate |
$1,064.00 |
| Rate for Payer: Aetna Commercial |
$957.60
|
| Rate for Payer: ASR ASR |
$1,032.08
|
| Rate for Payer: BCBS Trust/PPO |
$824.92
|
| Rate for Payer: BCN Commercial |
$824.92
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$1,000.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.20
|
| Rate for Payer: Healthscope Commercial |
$1,064.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,032.08
|
| Rate for Payer: Mclaren Commercial |
$957.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$904.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$936.32
|
|
|
PR REMOVAL IMPLANT DEEP
|
Facility
|
OP
|
$1,064.00
|
|
|
Service Code
|
CPT 20680
|
| Hospital Charge Code |
20680
|
| Min. Negotiated Rate |
$744.80 |
| Max. Negotiated Rate |
$3,157.18 |
| Rate for Payer: Aetna Commercial |
$957.60
|
| Rate for Payer: Aetna Medicare |
$2,525.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,157.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,157.18
|
| Rate for Payer: ASR ASR |
$1,032.08
|
| Rate for Payer: BCBS Complete |
$1,450.79
|
| Rate for Payer: BCBS MAPPO |
$2,525.74
|
| Rate for Payer: BCBS Trust/PPO |
$824.92
|
| Rate for Payer: BCN Commercial |
$824.92
|
| Rate for Payer: BCN Medicare Advantage |
$2,525.74
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cash Price |
$851.20
|
| Rate for Payer: Cofinity Commercial |
$1,000.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$851.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,525.74
|
| Rate for Payer: Healthscope Commercial |
$1,064.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,032.08
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,525.74
|
| Rate for Payer: Mclaren Commercial |
$957.60
|
| Rate for Payer: Mclaren Medicaid |
$1,381.58
|
| Rate for Payer: Mclaren Medicare |
$2,525.74
|
| Rate for Payer: Meridian Medicaid |
$1,450.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,652.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,904.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$904.40
|
| Rate for Payer: PACE Medicare |
$2,399.45
|
| Rate for Payer: PACE SWMI |
$2,525.74
|
| Rate for Payer: PHP Commercial |
$2,778.31
|
| Rate for Payer: PHP Medicaid |
$1,381.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,525.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,381.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$968.24
|
| Rate for Payer: Priority Health Medicare |
$2,525.74
|
| Rate for Payer: Priority Health Narrow Network |
$755.44
|
| Rate for Payer: Railroad Medicare Medicare |
$2,525.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$936.32
|
| Rate for Payer: UHC Medicare Advantage |
$2,601.51
|
| Rate for Payer: VA VA |
$2,525.74
|
|
|
PR REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP
|
Professional
|
Both
|
$817.00
|
|
|
Service Code
|
HCPCS 36262
|
| Min. Negotiated Rate |
$203.20 |
| Max. Negotiated Rate |
$571.90 |
| Rate for Payer: Aetna Commercial |
$414.42
|
| Rate for Payer: Aetna Medicare |
$309.27
|
| Rate for Payer: BCBS Complete |
$213.36
|
| Rate for Payer: BCBS MAPPO |
$309.27
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$460.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.27
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cofinity Commercial |
$445.35
|
| Rate for Payer: Cofinity Commercial |
$414.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.27
|
| Rate for Payer: Healthscope Commercial |
$371.12
|
| Rate for Payer: Healthscope Whirlpool |
$371.12
|
| Rate for Payer: Meridian Medicaid |
$213.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$324.73
|
| Rate for Payer: PACE SWMI |
$309.27
|
| Rate for Payer: PHP Medicare Advantage |
$309.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$571.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$501.64
|
| Rate for Payer: Priority Health Medicare |
$309.27
|
| Rate for Payer: Priority Health Narrow Network |
$501.64
|
| Rate for Payer: UHC Medicare Advantage |
$318.55
|
|
