|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,343.00
|
|
|
Service Code
|
HCPCS 11771
|
| Hospital Charge Code |
11771
|
| Min. Negotiated Rate |
$433.19 |
| Max. Negotiated Rate |
$872.95 |
| Rate for Payer: Aetna Commercial |
$580.47
|
| Rate for Payer: Aetna Medicare |
$433.19
|
| Rate for Payer: BCBS Complete |
$537.20
|
| Rate for Payer: BCBS MAPPO |
$433.19
|
| Rate for Payer: BCN Medicare Advantage |
$433.19
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$623.79
|
| Rate for Payer: Cofinity Commercial |
$580.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.19
|
| Rate for Payer: Healthscope Commercial |
$519.83
|
| Rate for Payer: Healthscope Whirlpool |
$519.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.85
|
| Rate for Payer: Nomi Health Commercial |
$519.83
|
| Rate for Payer: PACE SWMI |
$433.19
|
| Rate for Payer: PHP Medicare Advantage |
$433.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.95
|
| Rate for Payer: Priority Health Medicare |
$433.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.19
|
| Rate for Payer: UHC Medicare Advantage |
$433.19
|
| Rate for Payer: UHCCP DNSP |
$433.19
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
IP
|
$1,343.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$872.95 |
| Max. Negotiated Rate |
$1,343.00 |
| Rate for Payer: Aetna Commercial |
$1,208.70
|
| Rate for Payer: ASR ASR |
$1,302.71
|
| Rate for Payer: ASR Commercial |
$1,302.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,094.41
|
| Rate for Payer: BCN Commercial |
$1,041.23
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$1,262.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.40
|
| Rate for Payer: Healthscope Commercial |
$1,343.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,302.71
|
| Rate for Payer: Mclaren Commercial |
$1,208.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,141.55
|
| Rate for Payer: Nomi Health Commercial |
$1,101.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,181.84
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
OP
|
$1,343.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$872.95 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$1,208.70
|
| 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 |
$1,302.71
|
| Rate for Payer: ASR Commercial |
$1,302.71
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,099.78
|
| Rate for Payer: BCN Commercial |
$1,041.23
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$1,262.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,074.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,343.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,302.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$1,208.70
|
| 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 |
$1,141.55
|
| Rate for Payer: Nomi Health Commercial |
$1,101.26
|
| 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 |
$872.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,176.74
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$941.44
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,181.84
|
| 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 PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,343.00
|
|
|
Service Code
|
HCPCS 11771
|
| Min. Negotiated Rate |
$433.19 |
| Max. Negotiated Rate |
$872.95 |
| Rate for Payer: Aetna Commercial |
$580.47
|
| Rate for Payer: Aetna Medicare |
$433.19
|
| Rate for Payer: BCBS Complete |
$537.20
|
| Rate for Payer: BCBS MAPPO |
$433.19
|
| Rate for Payer: BCN Medicare Advantage |
$433.19
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$623.79
|
| Rate for Payer: Cofinity Commercial |
$580.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.19
|
| Rate for Payer: Healthscope Commercial |
$519.83
|
| Rate for Payer: Healthscope Whirlpool |
$519.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.85
|
| Rate for Payer: Nomi Health Commercial |
$519.83
|
| Rate for Payer: PACE SWMI |
$433.19
|
| Rate for Payer: PHP Medicare Advantage |
$433.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.95
|
| Rate for Payer: Priority Health Medicare |
$433.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.19
|
| Rate for Payer: UHC Medicare Advantage |
$433.19
|
| Rate for Payer: UHCCP DNSP |
$433.19
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$520.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$520.00 |
| Rate for Payer: Aetna Commercial |
$468.00
|
| Rate for Payer: ASR ASR |
$504.40
|
| Rate for Payer: ASR Commercial |
$504.40
|
| Rate for Payer: BCBS Trust/PPO |
$423.75
|
| Rate for Payer: BCN Commercial |
$403.16
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$488.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Healthscope Commercial |
$520.00
|
| Rate for Payer: Healthscope Whirlpool |
$504.40
|
| Rate for Payer: Mclaren Commercial |
$468.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.00
|
| Rate for Payer: Nomi Health Commercial |
$426.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$457.60
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$177.76 |
| Max. Negotiated Rate |
$338.00 |
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna Medicare |
$177.76
|
| Rate for Payer: BCBS Complete |
$208.00
|
| Rate for Payer: BCBS MAPPO |
$177.76
|
| Rate for Payer: BCN Medicare Advantage |
$177.76
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$255.97
|
| Rate for Payer: Cofinity Commercial |
$238.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.76
|
| Rate for Payer: Healthscope Commercial |
$213.31
|
| Rate for Payer: Healthscope Whirlpool |
$213.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.65
|
| Rate for Payer: Nomi Health Commercial |
$213.31
|
| Rate for Payer: PACE SWMI |
$177.76
|
| Rate for Payer: PHP Medicare Advantage |
$177.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health Medicare |
$177.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.76
|
| Rate for Payer: UHC Medicare Advantage |
$177.76
|
| Rate for Payer: UHCCP DNSP |
$177.76
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 11770
|
| Hospital Charge Code |
11770
|
| Min. Negotiated Rate |
$177.76 |
| Max. Negotiated Rate |
$338.00 |
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna Medicare |
$177.76
|
| Rate for Payer: BCBS Complete |
$208.00
|
| Rate for Payer: BCBS MAPPO |
$177.76
|
| Rate for Payer: BCN Medicare Advantage |
$177.76
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$255.97
|
| Rate for Payer: Cofinity Commercial |
$238.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.76
|
| Rate for Payer: Healthscope Commercial |
$213.31
|
| Rate for Payer: Healthscope Whirlpool |
$213.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.65
|
| Rate for Payer: Nomi Health Commercial |
$213.31
|
| Rate for Payer: PACE SWMI |
$177.76
|
| Rate for Payer: PHP Medicare Advantage |
$177.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health Medicare |
$177.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.76
|
| Rate for Payer: UHC Medicare Advantage |
$177.76
|
| Rate for Payer: UHCCP DNSP |
$177.76
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$520.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$468.00
|
| 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 |
$504.40
|
| Rate for Payer: ASR Commercial |
$504.40
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$425.83
|
| Rate for Payer: BCN Commercial |
$403.16
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$488.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$520.00
|
| Rate for Payer: Healthscope Whirlpool |
$504.40
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$468.00
|
| 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 |
$442.00
|
| Rate for Payer: Nomi Health Commercial |
$426.40
|
| 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 |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$455.62
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$364.52
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$457.60
|
| 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 PREPATELLAR BURSA
|
Facility
|
OP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$845.65 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,170.90
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$1,261.97
|
| Rate for Payer: ASR Commercial |
$1,261.97
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.39
|
| Rate for Payer: BCN Commercial |
$1,008.67
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,222.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,301.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,261.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,170.90
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: Nomi Health Commercial |
$1,066.82
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,139.94
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$912.00
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,144.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$363.02 |
| Max. Negotiated Rate |
$845.65 |
| Rate for Payer: Aetna Commercial |
$486.45
|
| Rate for Payer: Aetna Medicare |
$363.02
|
| Rate for Payer: BCBS Complete |
$520.40
|
| Rate for Payer: BCBS MAPPO |
$363.02
|
| Rate for Payer: BCN Medicare Advantage |
$363.02
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$522.75
|
| Rate for Payer: Cofinity Commercial |
$486.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.02
|
| Rate for Payer: Healthscope Commercial |
$435.62
|
| Rate for Payer: Healthscope Whirlpool |
$435.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.17
|
| Rate for Payer: Nomi Health Commercial |
$435.62
|
| Rate for Payer: PACE SWMI |
$363.02
|
| Rate for Payer: PHP Medicare Advantage |
$363.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health Medicare |
$363.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.02
|
| Rate for Payer: UHC Medicare Advantage |
$363.02
|
| Rate for Payer: UHCCP DNSP |
$363.02
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
IP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$845.65 |
| Max. Negotiated Rate |
$1,301.00 |
| Rate for Payer: Aetna Commercial |
$1,170.90
|
| Rate for Payer: ASR ASR |
$1,261.97
|
| Rate for Payer: ASR Commercial |
$1,261.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,060.18
|
| Rate for Payer: BCN Commercial |
$1,008.67
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,222.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Healthscope Commercial |
$1,301.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,261.97
|
| Rate for Payer: Mclaren Commercial |
$1,170.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: Nomi Health Commercial |
$1,066.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,144.88
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$363.02 |
| Max. Negotiated Rate |
$845.65 |
| Rate for Payer: Aetna Commercial |
$486.45
|
| Rate for Payer: Aetna Medicare |
$363.02
|
| Rate for Payer: BCBS Complete |
$520.40
|
| Rate for Payer: BCBS MAPPO |
$363.02
|
| Rate for Payer: BCN Medicare Advantage |
$363.02
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$522.75
|
| Rate for Payer: Cofinity Commercial |
$486.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.02
|
| Rate for Payer: Healthscope Commercial |
$435.62
|
| Rate for Payer: Healthscope Whirlpool |
$435.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.17
|
| Rate for Payer: Nomi Health Commercial |
$435.62
|
| Rate for Payer: PACE SWMI |
$363.02
|
| Rate for Payer: PHP Medicare Advantage |
$363.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health Medicare |
$363.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.02
|
| Rate for Payer: UHC Medicare Advantage |
$363.02
|
| Rate for Payer: UHCCP DNSP |
$363.02
|
|
|
PR EXCISION RADIAL HEAD
|
Professional
|
Both
|
$1,256.00
|
|
|
Service Code
|
HCPCS 24130
|
| Min. Negotiated Rate |
$497.11 |
| Max. Negotiated Rate |
$816.40 |
| Rate for Payer: Aetna Commercial |
$666.13
|
| Rate for Payer: Aetna Medicare |
$497.11
|
| Rate for Payer: BCBS Complete |
$502.40
|
| Rate for Payer: BCBS MAPPO |
$497.11
|
| Rate for Payer: BCN Medicare Advantage |
$497.11
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cofinity Commercial |
$715.84
|
| Rate for Payer: Cofinity Commercial |
$666.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$497.11
|
| Rate for Payer: Healthscope Commercial |
$596.53
|
| Rate for Payer: Healthscope Whirlpool |
$596.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.97
|
| Rate for Payer: Nomi Health Commercial |
$596.53
|
| Rate for Payer: PACE SWMI |
$497.11
|
| Rate for Payer: PHP Medicare Advantage |
$497.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$816.40
|
| Rate for Payer: Priority Health Medicare |
$497.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$497.11
|
| Rate for Payer: UHC Medicare Advantage |
$497.11
|
| Rate for Payer: UHCCP DNSP |
$497.11
|
|
|
PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 67961
|
| Min. Negotiated Rate |
$420.10 |
| Max. Negotiated Rate |
$748.80 |
| Rate for Payer: Aetna Commercial |
$562.93
|
| Rate for Payer: Aetna Medicare |
$420.10
|
| Rate for Payer: BCBS Complete |
$460.80
|
| Rate for Payer: BCBS MAPPO |
$420.10
|
| Rate for Payer: BCN Medicare Advantage |
$420.10
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$604.94
|
| Rate for Payer: Cofinity Commercial |
$562.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.10
|
| Rate for Payer: Healthscope Commercial |
$504.12
|
| Rate for Payer: Healthscope Whirlpool |
$504.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.11
|
| Rate for Payer: Nomi Health Commercial |
$504.12
|
| Rate for Payer: PACE SWMI |
$420.10
|
| Rate for Payer: PHP Medicare Advantage |
$420.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health Medicare |
$420.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.10
|
| Rate for Payer: UHC Medicare Advantage |
$420.10
|
| Rate for Payer: UHCCP DNSP |
$420.10
|
|
|
PR EXCISION RIB PARTIAL
|
Professional
|
Both
|
$1,625.00
|
|
|
Service Code
|
HCPCS 21600
|
| Min. Negotiated Rate |
$550.70 |
| Max. Negotiated Rate |
$1,056.25 |
| Rate for Payer: Aetna Commercial |
$737.94
|
| Rate for Payer: Aetna Medicare |
$550.70
|
| Rate for Payer: BCBS Complete |
$650.00
|
| Rate for Payer: BCBS MAPPO |
$550.70
|
| Rate for Payer: BCN Medicare Advantage |
$550.70
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cofinity Commercial |
$793.01
|
| Rate for Payer: Cofinity Commercial |
$737.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.70
|
| Rate for Payer: Healthscope Commercial |
$660.84
|
| Rate for Payer: Healthscope Whirlpool |
$660.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$578.24
|
| Rate for Payer: Nomi Health Commercial |
$660.84
|
| Rate for Payer: PACE SWMI |
$550.70
|
| Rate for Payer: PHP Medicare Advantage |
$550.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,056.25
|
| Rate for Payer: Priority Health Medicare |
$550.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$550.70
|
| Rate for Payer: UHC Medicare Advantage |
$550.70
|
| Rate for Payer: UHCCP DNSP |
$550.70
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,174.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$469.60 |
| Max. Negotiated Rate |
$979.72 |
| Rate for Payer: Aetna Commercial |
$911.68
|
| Rate for Payer: Aetna Medicare |
$680.36
|
| Rate for Payer: BCBS Complete |
$469.60
|
| Rate for Payer: BCBS MAPPO |
$680.36
|
| Rate for Payer: BCN Medicare Advantage |
$680.36
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cofinity Commercial |
$979.72
|
| Rate for Payer: Cofinity Commercial |
$911.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.36
|
| Rate for Payer: Healthscope Commercial |
$816.43
|
| Rate for Payer: Healthscope Whirlpool |
$816.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$714.38
|
| Rate for Payer: Nomi Health Commercial |
$816.43
|
| Rate for Payer: PACE SWMI |
$680.36
|
| Rate for Payer: PHP Medicare Advantage |
$680.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.10
|
| Rate for Payer: Priority Health Medicare |
$680.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$680.36
|
| Rate for Payer: UHC Medicare Advantage |
$680.36
|
| Rate for Payer: UHCCP DNSP |
$680.36
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$116.12 |
| Max. Negotiated Rate |
$286.00 |
| Rate for Payer: Aetna Commercial |
$155.60
|
| Rate for Payer: Aetna Medicare |
$116.12
|
| Rate for Payer: BCBS Complete |
$176.00
|
| Rate for Payer: BCBS MAPPO |
$116.12
|
| Rate for Payer: BCN Medicare Advantage |
$116.12
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$167.21
|
| Rate for Payer: Cofinity Commercial |
$155.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.12
|
| Rate for Payer: Healthscope Commercial |
$139.34
|
| Rate for Payer: Healthscope Whirlpool |
$139.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.93
|
| Rate for Payer: Nomi Health Commercial |
$139.34
|
| Rate for Payer: PACE SWMI |
$116.12
|
| Rate for Payer: PHP Medicare Advantage |
$116.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health Medicare |
$116.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.12
|
| Rate for Payer: UHC Medicare Advantage |
$116.12
|
| Rate for Payer: UHCCP DNSP |
$116.12
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$1,782.39 |
| Rate for Payer: Aetna Commercial |
$396.00
|
| Rate for Payer: Aetna Medicare |
$1,149.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: ASR ASR |
$426.80
|
| Rate for Payer: ASR Commercial |
$426.80
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCBS Trust/PPO |
$360.32
|
| Rate for Payer: BCN Commercial |
$341.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$413.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$440.00
|
| Rate for Payer: Healthscope Whirlpool |
$426.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,149.93
|
| Rate for Payer: Mclaren Commercial |
$396.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$360.80
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,264.92
|
| Rate for Payer: PHP Medicaid |
$616.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.53
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health Narrow Network |
$308.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$1,782.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP DNSP |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$116.12 |
| Max. Negotiated Rate |
$286.00 |
| Rate for Payer: Aetna Commercial |
$155.60
|
| Rate for Payer: Aetna Medicare |
$116.12
|
| Rate for Payer: BCBS Complete |
$176.00
|
| Rate for Payer: BCBS MAPPO |
$116.12
|
| Rate for Payer: BCN Medicare Advantage |
$116.12
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$167.21
|
| Rate for Payer: Cofinity Commercial |
$155.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.12
|
| Rate for Payer: Healthscope Commercial |
$139.34
|
| Rate for Payer: Healthscope Whirlpool |
$139.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.93
|
| Rate for Payer: Nomi Health Commercial |
$139.34
|
| Rate for Payer: PACE SWMI |
$116.12
|
| Rate for Payer: PHP Medicare Advantage |
$116.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health Medicare |
$116.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.12
|
| Rate for Payer: UHC Medicare Advantage |
$116.12
|
| Rate for Payer: UHCCP DNSP |
$116.12
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
IP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$440.00 |
| Rate for Payer: Aetna Commercial |
$396.00
|
| Rate for Payer: ASR ASR |
$426.80
|
| Rate for Payer: ASR Commercial |
$426.80
|
| Rate for Payer: BCBS Trust/PPO |
$358.56
|
| Rate for Payer: BCN Commercial |
$341.13
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$413.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Healthscope Commercial |
$440.00
|
| Rate for Payer: Healthscope Whirlpool |
$426.80
|
| Rate for Payer: Mclaren Commercial |
$396.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$360.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.20
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$676.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$239.75 |
| Max. Negotiated Rate |
$439.40 |
| Rate for Payer: Aetna Commercial |
$321.26
|
| Rate for Payer: Aetna Medicare |
$239.75
|
| Rate for Payer: BCBS Complete |
$270.40
|
| Rate for Payer: BCBS MAPPO |
$239.75
|
| Rate for Payer: BCN Medicare Advantage |
$239.75
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cofinity Commercial |
$345.24
|
| Rate for Payer: Cofinity Commercial |
$321.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.75
|
| Rate for Payer: Healthscope Commercial |
$287.70
|
| Rate for Payer: Healthscope Whirlpool |
$287.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$251.74
|
| Rate for Payer: Nomi Health Commercial |
$287.70
|
| Rate for Payer: PACE SWMI |
$239.75
|
| Rate for Payer: PHP Medicare Advantage |
$239.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.40
|
| Rate for Payer: Priority Health Medicare |
$239.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.75
|
| Rate for Payer: UHC Medicare Advantage |
$239.75
|
| Rate for Payer: UHCCP DNSP |
$239.75
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$239.20 |
| Max. Negotiated Rate |
$443.68 |
| Rate for Payer: Aetna Commercial |
$412.87
|
| Rate for Payer: Aetna Medicare |
$308.11
|
| Rate for Payer: BCBS Complete |
$239.20
|
| Rate for Payer: BCBS MAPPO |
$308.11
|
| Rate for Payer: BCN Medicare Advantage |
$308.11
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cofinity Commercial |
$443.68
|
| Rate for Payer: Cofinity Commercial |
$412.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.11
|
| Rate for Payer: Healthscope Commercial |
$369.73
|
| Rate for Payer: Healthscope Whirlpool |
$369.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.52
|
| Rate for Payer: Nomi Health Commercial |
$369.73
|
| Rate for Payer: PACE SWMI |
$308.11
|
| Rate for Payer: PHP Medicare Advantage |
$308.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health Medicare |
$308.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.11
|
| Rate for Payer: UHC Medicare Advantage |
$308.11
|
| Rate for Payer: UHCCP DNSP |
$308.11
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$397.31 |
| Max. Negotiated Rate |
$1,476.80 |
| Rate for Payer: Aetna Commercial |
$532.40
|
| Rate for Payer: Aetna Medicare |
$397.31
|
| Rate for Payer: BCBS Complete |
$908.80
|
| Rate for Payer: BCBS MAPPO |
$397.31
|
| Rate for Payer: BCN Medicare Advantage |
$397.31
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$572.13
|
| Rate for Payer: Cofinity Commercial |
$532.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.31
|
| Rate for Payer: Healthscope Commercial |
$476.77
|
| Rate for Payer: Healthscope Whirlpool |
$476.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.18
|
| Rate for Payer: Nomi Health Commercial |
$476.77
|
| Rate for Payer: PACE SWMI |
$397.31
|
| Rate for Payer: PHP Medicare Advantage |
$397.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,476.80
|
| Rate for Payer: Priority Health Medicare |
$397.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.31
|
| Rate for Payer: UHC Medicare Advantage |
$397.31
|
| Rate for Payer: UHCCP DNSP |
$397.31
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,035.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$397.71 |
| Max. Negotiated Rate |
$672.75 |
| Rate for Payer: Aetna Commercial |
$532.93
|
| Rate for Payer: Aetna Medicare |
$397.71
|
| Rate for Payer: BCBS Complete |
$414.00
|
| Rate for Payer: BCBS MAPPO |
$397.71
|
| Rate for Payer: BCN Medicare Advantage |
$397.71
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cofinity Commercial |
$572.70
|
| Rate for Payer: Cofinity Commercial |
$532.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.71
|
| Rate for Payer: Healthscope Commercial |
$477.25
|
| Rate for Payer: Healthscope Whirlpool |
$477.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.60
|
| Rate for Payer: Nomi Health Commercial |
$477.25
|
| Rate for Payer: PACE SWMI |
$397.71
|
| Rate for Payer: PHP Medicare Advantage |
$397.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.75
|
| Rate for Payer: Priority Health Medicare |
$397.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.71
|
| Rate for Payer: UHC Medicare Advantage |
$397.71
|
| Rate for Payer: UHCCP DNSP |
$397.71
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$472.92 |
| Max. Negotiated Rate |
$1,066.00 |
| Rate for Payer: Aetna Commercial |
$633.71
|
| Rate for Payer: Aetna Medicare |
$472.92
|
| Rate for Payer: BCBS Complete |
$656.00
|
| Rate for Payer: BCBS MAPPO |
$472.92
|
| Rate for Payer: BCN Medicare Advantage |
$472.92
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$681.00
|
| Rate for Payer: Cofinity Commercial |
$633.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.92
|
| Rate for Payer: Healthscope Commercial |
$567.50
|
| Rate for Payer: Healthscope Whirlpool |
$567.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.57
|
| Rate for Payer: Nomi Health Commercial |
$567.50
|
| Rate for Payer: PACE SWMI |
$472.92
|
| Rate for Payer: PHP Medicare Advantage |
$472.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health Medicare |
$472.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.92
|
| Rate for Payer: UHC Medicare Advantage |
$472.92
|
| Rate for Payer: UHCCP DNSP |
$472.92
|
|
