|
PR EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST
|
Professional
|
Both
|
$1,723.00
|
|
|
Service Code
|
HCPCS 55860
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$1,546.63 |
| Rate for Payer: Aetna Commercial |
$1,040.78
|
| Rate for Payer: Aetna Medicare |
$776.70
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$776.70
|
| Rate for Payer: BCN Commercial |
$1,306.70
|
| Rate for Payer: BCN Medicare Advantage |
$776.70
|
| Rate for Payer: Cash Price |
$1,378.40
|
| Rate for Payer: Cash Price |
$1,378.40
|
| Rate for Payer: Cofinity Commercial |
$1,118.45
|
| Rate for Payer: Cofinity Commercial |
$1,040.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$776.70
|
| Rate for Payer: Healthscope Commercial |
$932.04
|
| Rate for Payer: Healthscope Whirlpool |
$932.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$815.53
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$854.37
|
| Rate for Payer: Nomi Health Commercial |
$932.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,292.25
|
| Rate for Payer: PACE SWMI |
$776.70
|
| Rate for Payer: PHP Medicare Advantage |
$776.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,423.42
|
| Rate for Payer: Priority Health Medicare |
$776.70
|
| Rate for Payer: Priority Health Narrow Network |
$1,423.42
|
| Rate for Payer: Railroad Medicare Medicare |
$776.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,546.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$776.70
|
| Rate for Payer: UHC Exchange |
$1,546.63
|
| Rate for Payer: UHC Medicaid |
$501.19
|
| Rate for Payer: UHCCP DNSP |
$776.70
|
| Rate for Payer: UHCCP Medicaid |
$501.19
|
|
|
PR EXPRESS FACIAL REFINEMENT OR RELAXATION
|
Professional
|
Both
|
$158.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$63.20 |
| Max. Negotiated Rate |
$118.50 |
| Rate for Payer: BCBS Complete |
$63.20
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
|
|
PR EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD
|
Professional
|
Both
|
$195.00
|
|
|
Service Code
|
HCPCS 0296T
|
| Min. Negotiated Rate |
$78.00 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: BCBS Complete |
$78.00
|
| Rate for Payer: Cash Price |
$156.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$146.25
|
|
|
PR EXT ECG > 48HR TO 21 DAY REVIEW AND INTERPRETATN
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 0298T
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
|
|
PR EXTENDED ABDOMINOPLASTY
|
Professional
|
Both
|
$7,210.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,884.00 |
| Max. Negotiated Rate |
$5,407.50 |
| Rate for Payer: BCBS Complete |
$2,884.00
|
| Rate for Payer: Cash Price |
$5,768.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,407.50
|
|
|
PR EXTENDED VISUAL FIELD XM UNI/BI I&R
|
Professional
|
Both
|
$121.00
|
|
|
Service Code
|
HCPCS 92083
|
| Min. Negotiated Rate |
$59.81 |
| Max. Negotiated Rate |
$94.12 |
| Rate for Payer: Aetna Commercial |
$80.15
|
| Rate for Payer: Aetna Medicare |
$59.81
|
| Rate for Payer: BCBS MAPPO |
$59.81
|
| Rate for Payer: BCN Commercial |
$94.12
|
| Rate for Payer: BCN Medicare Advantage |
$59.81
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cofinity Commercial |
$86.13
|
| Rate for Payer: Cofinity Commercial |
$80.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.81
|
| Rate for Payer: Healthscope Commercial |
$71.77
|
| Rate for Payer: Healthscope Whirlpool |
$71.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.79
|
| Rate for Payer: Nomi Health Commercial |
$71.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: PACE SWMI |
$59.81
|
| Rate for Payer: PHP Medicare Advantage |
$59.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$91.34
|
| Rate for Payer: Priority Health Medicare |
$59.81
|
| Rate for Payer: Priority Health Narrow Network |
$91.34
|
| Rate for Payer: Railroad Medicare Medicare |
$59.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.81
|
| Rate for Payer: UHC Exchange |
$76.40
|
| Rate for Payer: UHCCP DNSP |
$59.81
|
|
|
PR EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 59412
|
| Min. Negotiated Rate |
$90.12 |
| Max. Negotiated Rate |
$224.25 |
| Rate for Payer: Aetna Commercial |
$127.11
|
| Rate for Payer: Aetna Medicare |
$94.86
|
| Rate for Payer: BCBS Complete |
$94.63
|
| Rate for Payer: BCBS MAPPO |
$94.86
|
| Rate for Payer: BCN Commercial |
$153.87
|
| Rate for Payer: BCN Medicare Advantage |
$94.86
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$136.60
|
| Rate for Payer: Cofinity Commercial |
$127.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.86
|
| Rate for Payer: Healthscope Commercial |
$113.83
|
| Rate for Payer: Healthscope Whirlpool |
$113.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.60
|
| Rate for Payer: Meridian Medicaid |
$94.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$104.35
|
| Rate for Payer: Nomi Health Commercial |
$113.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$224.25
|
| Rate for Payer: PACE SWMI |
$94.86
|
| Rate for Payer: PHP Medicare Advantage |
$94.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$145.26
|
| Rate for Payer: Priority Health Medicare |
$94.86
|
| Rate for Payer: Priority Health Narrow Network |
$145.26
|
| Rate for Payer: Railroad Medicare Medicare |
$94.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$184.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$94.86
|
| Rate for Payer: UHC Exchange |
$184.04
|
| Rate for Payer: UHC Medicaid |
$90.12
|
| Rate for Payer: UHCCP DNSP |
$94.86
|
| Rate for Payer: UHCCP Medicaid |
$90.12
|
|
|
PR EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN
|
Professional
|
Both
|
$3,173.00
|
|
|
Service Code
|
HCPCS 48510
|
| Min. Negotiated Rate |
$665.63 |
| Max. Negotiated Rate |
$2,379.75 |
| Rate for Payer: Aetna Commercial |
$1,385.55
|
| Rate for Payer: Aetna Medicare |
$1,033.99
|
| Rate for Payer: BCBS Complete |
$698.91
|
| Rate for Payer: BCBS MAPPO |
$1,033.99
|
| Rate for Payer: BCN Commercial |
$1,650.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,033.99
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$1,488.95
|
| Rate for Payer: Cofinity Commercial |
$1,385.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,033.99
|
| Rate for Payer: Healthscope Commercial |
$1,240.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,240.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,085.69
|
| Rate for Payer: Meridian Medicaid |
$698.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,137.39
|
| Rate for Payer: Nomi Health Commercial |
$1,240.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,379.75
|
| Rate for Payer: PACE SWMI |
$1,033.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,033.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$665.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,011.41
|
| Rate for Payer: Priority Health Medicare |
$1,033.99
|
| Rate for Payer: Priority Health Narrow Network |
$2,011.41
|
| Rate for Payer: Railroad Medicare Medicare |
$1,033.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,952.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,033.99
|
| Rate for Payer: UHC Exchange |
$1,952.99
|
| Rate for Payer: UHC Medicaid |
$665.63
|
| Rate for Payer: UHCCP DNSP |
$1,033.99
|
| Rate for Payer: UHCCP Medicaid |
$665.63
|
|
|
PR EXTERNAL ECG REC>48HR<7D RECORDING
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 93242
|
| Min. Negotiated Rate |
$10.75 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$14.40
|
| Rate for Payer: Aetna Medicare |
$10.75
|
| Rate for Payer: BCBS MAPPO |
$10.75
|
| Rate for Payer: BCN Commercial |
$13.74
|
| Rate for Payer: BCN Medicare Advantage |
$10.75
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$15.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.75
|
| Rate for Payer: Healthscope Commercial |
$12.90
|
| Rate for Payer: Healthscope Whirlpool |
$12.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.82
|
| Rate for Payer: Nomi Health Commercial |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: PACE SWMI |
$10.75
|
| Rate for Payer: PHP Medicare Advantage |
$10.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$16.56
|
| Rate for Payer: Priority Health Medicare |
$10.75
|
| Rate for Payer: Priority Health Narrow Network |
$16.56
|
| Rate for Payer: Railroad Medicare Medicare |
$10.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.75
|
| Rate for Payer: UHC Exchange |
$23.97
|
| Rate for Payer: UHCCP DNSP |
$10.75
|
|
|
PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 93244
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$40.85 |
| Rate for Payer: Aetna Commercial |
$29.88
|
| Rate for Payer: Aetna Medicare |
$22.30
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$22.30
|
| Rate for Payer: BCN Commercial |
$26.70
|
| Rate for Payer: BCN Medicare Advantage |
$22.30
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$32.11
|
| Rate for Payer: Cofinity Commercial |
$29.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.30
|
| Rate for Payer: Healthscope Commercial |
$26.76
|
| Rate for Payer: Healthscope Whirlpool |
$26.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.41
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.53
|
| Rate for Payer: Nomi Health Commercial |
$26.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.50
|
| Rate for Payer: PACE SWMI |
$22.30
|
| Rate for Payer: PHP Medicare Advantage |
$22.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32.19
|
| Rate for Payer: Priority Health Medicare |
$22.30
|
| Rate for Payer: Priority Health Narrow Network |
$32.19
|
| Rate for Payer: Railroad Medicare Medicare |
$22.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.30
|
| Rate for Payer: UHC Exchange |
$40.85
|
| Rate for Payer: UHC Medicaid |
$14.48
|
| Rate for Payer: UHCCP DNSP |
$22.30
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
|
|
PR EXTERNAL ECG REC>7D<15D RECORDING
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 93246
|
| Min. Negotiated Rate |
$10.75 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$14.40
|
| Rate for Payer: Aetna Medicare |
$10.75
|
| Rate for Payer: BCBS MAPPO |
$10.75
|
| Rate for Payer: BCN Commercial |
$13.74
|
| Rate for Payer: BCN Medicare Advantage |
$10.75
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$15.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.75
|
| Rate for Payer: Healthscope Commercial |
$12.90
|
| Rate for Payer: Healthscope Whirlpool |
$12.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.82
|
| Rate for Payer: Nomi Health Commercial |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: PACE SWMI |
$10.75
|
| Rate for Payer: PHP Medicare Advantage |
$10.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$16.56
|
| Rate for Payer: Priority Health Medicare |
$10.75
|
| Rate for Payer: Priority Health Narrow Network |
$16.56
|
| Rate for Payer: Railroad Medicare Medicare |
$10.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.75
|
| Rate for Payer: UHC Exchange |
$23.97
|
| Rate for Payer: UHCCP DNSP |
$10.75
|
|
|
PR EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 93248
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$44.82 |
| Rate for Payer: Aetna Commercial |
$32.54
|
| Rate for Payer: Aetna Medicare |
$24.28
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$24.28
|
| Rate for Payer: BCN Commercial |
$29.45
|
| Rate for Payer: BCN Medicare Advantage |
$24.28
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$34.96
|
| Rate for Payer: Cofinity Commercial |
$32.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.28
|
| Rate for Payer: Healthscope Commercial |
$29.14
|
| Rate for Payer: Healthscope Whirlpool |
$29.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.49
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.71
|
| Rate for Payer: Nomi Health Commercial |
$29.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: PACE SWMI |
$24.28
|
| Rate for Payer: PHP Medicare Advantage |
$24.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$35.50
|
| Rate for Payer: Priority Health Medicare |
$24.28
|
| Rate for Payer: Priority Health Narrow Network |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$24.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$44.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.28
|
| Rate for Payer: UHC Exchange |
$44.82
|
| Rate for Payer: UHC Medicaid |
$15.76
|
| Rate for Payer: UHCCP DNSP |
$24.28
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
|
|
PR EXTRACTION
|
Professional
|
Both
|
$186.00
|
|
|
Service Code
|
HCPCS 10040
|
| Min. Negotiated Rate |
$27.05 |
| Max. Negotiated Rate |
$139.50 |
| Rate for Payer: Aetna Commercial |
$56.13
|
| Rate for Payer: Aetna Medicare |
$41.89
|
| Rate for Payer: BCBS Complete |
$28.40
|
| Rate for Payer: BCBS MAPPO |
$41.89
|
| Rate for Payer: BCN Commercial |
$61.26
|
| Rate for Payer: BCN Medicare Advantage |
$41.89
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$56.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.89
|
| Rate for Payer: Healthscope Commercial |
$50.27
|
| Rate for Payer: Healthscope Whirlpool |
$50.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.98
|
| Rate for Payer: Meridian Medicaid |
$28.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$46.08
|
| Rate for Payer: Nomi Health Commercial |
$50.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE SWMI |
$41.89
|
| Rate for Payer: PHP Medicare Advantage |
$41.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$71.10
|
| Rate for Payer: Priority Health Medicare |
$41.89
|
| Rate for Payer: Priority Health Narrow Network |
$71.10
|
| Rate for Payer: Railroad Medicare Medicare |
$41.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$93.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.89
|
| Rate for Payer: UHC Exchange |
$93.25
|
| Rate for Payer: UHC Medicaid |
$27.05
|
| Rate for Payer: UHCCP DNSP |
$41.89
|
| Rate for Payer: UHCCP Medicaid |
$27.05
|
|
|
PR EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY
|
Professional
|
Both
|
$3,312.00
|
|
|
Service Code
|
HCPCS 32540
|
| Min. Negotiated Rate |
$1,041.78 |
| Max. Negotiated Rate |
$3,077.00 |
| Rate for Payer: Aetna Commercial |
$2,185.88
|
| Rate for Payer: Aetna Medicare |
$1,631.25
|
| Rate for Payer: BCBS Complete |
$1,093.87
|
| Rate for Payer: BCBS MAPPO |
$1,631.25
|
| Rate for Payer: BCN Commercial |
$2,550.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,631.25
|
| Rate for Payer: Cash Price |
$2,649.60
|
| Rate for Payer: Cash Price |
$2,649.60
|
| Rate for Payer: Cofinity Commercial |
$2,349.00
|
| Rate for Payer: Cofinity Commercial |
$2,185.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,631.25
|
| Rate for Payer: Healthscope Commercial |
$1,957.50
|
| Rate for Payer: Healthscope Whirlpool |
$1,957.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,712.81
|
| Rate for Payer: Meridian Medicaid |
$1,093.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,794.38
|
| Rate for Payer: Nomi Health Commercial |
$1,957.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,484.00
|
| Rate for Payer: PACE SWMI |
$1,631.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,631.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,041.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,401.49
|
| Rate for Payer: Priority Health Medicare |
$1,631.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,401.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,631.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,077.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,631.25
|
| Rate for Payer: UHC Exchange |
$3,077.00
|
| Rate for Payer: UHC Medicaid |
$1,041.78
|
| Rate for Payer: UHCCP DNSP |
$1,631.25
|
| Rate for Payer: UHCCP Medicaid |
$1,041.78
|
|
|
PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>
|
Professional
|
Both
|
$1,240.00
|
|
|
Service Code
|
HCPCS 26111
|
| Min. Negotiated Rate |
$250.70 |
| Max. Negotiated Rate |
$930.00 |
| Rate for Payer: Aetna Commercial |
$511.57
|
| Rate for Payer: Aetna Medicare |
$381.77
|
| Rate for Payer: BCBS Complete |
$263.24
|
| Rate for Payer: BCBS MAPPO |
$381.77
|
| Rate for Payer: BCN Commercial |
$639.90
|
| Rate for Payer: BCN Medicare Advantage |
$381.77
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cofinity Commercial |
$549.75
|
| Rate for Payer: Cofinity Commercial |
$511.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.77
|
| Rate for Payer: Healthscope Commercial |
$458.12
|
| Rate for Payer: Healthscope Whirlpool |
$458.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$400.86
|
| Rate for Payer: Meridian Medicaid |
$263.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$419.95
|
| Rate for Payer: Nomi Health Commercial |
$458.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$930.00
|
| Rate for Payer: PACE SWMI |
$381.77
|
| Rate for Payer: PHP Medicare Advantage |
$381.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$684.04
|
| Rate for Payer: Priority Health Medicare |
$381.77
|
| Rate for Payer: Priority Health Narrow Network |
$684.04
|
| Rate for Payer: Railroad Medicare Medicare |
$381.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$723.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$381.77
|
| Rate for Payer: UHC Exchange |
$723.13
|
| Rate for Payer: UHC Medicaid |
$250.70
|
| Rate for Payer: UHCCP DNSP |
$381.77
|
| Rate for Payer: UHCCP Medicaid |
$250.70
|
|
|
PR EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>
|
Professional
|
Both
|
$1,894.00
|
|
|
Service Code
|
HCPCS 26113
|
| Min. Negotiated Rate |
$326.53 |
| Max. Negotiated Rate |
$1,420.50 |
| Rate for Payer: Aetna Commercial |
$666.17
|
| Rate for Payer: Aetna Medicare |
$497.14
|
| Rate for Payer: BCBS Complete |
$342.86
|
| Rate for Payer: BCBS MAPPO |
$497.14
|
| Rate for Payer: BCN Commercial |
$842.09
|
| Rate for Payer: BCN Medicare Advantage |
$497.14
|
| Rate for Payer: Cash Price |
$1,515.20
|
| Rate for Payer: Cash Price |
$1,515.20
|
| Rate for Payer: Cofinity Commercial |
$715.88
|
| Rate for Payer: Cofinity Commercial |
$666.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$497.14
|
| Rate for Payer: Healthscope Commercial |
$596.57
|
| Rate for Payer: Healthscope Whirlpool |
$596.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$522.00
|
| Rate for Payer: Meridian Medicaid |
$342.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$546.85
|
| Rate for Payer: Nomi Health Commercial |
$596.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,420.50
|
| Rate for Payer: PACE SWMI |
$497.14
|
| Rate for Payer: PHP Medicare Advantage |
$497.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$900.17
|
| Rate for Payer: Priority Health Medicare |
$497.14
|
| Rate for Payer: Priority Health Narrow Network |
$900.17
|
| Rate for Payer: Railroad Medicare Medicare |
$497.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$950.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$497.14
|
| Rate for Payer: UHC Exchange |
$950.30
|
| Rate for Payer: UHC Medicaid |
$326.53
|
| Rate for Payer: UHCCP DNSP |
$497.14
|
| Rate for Payer: UHCCP Medicaid |
$326.53
|
|
|
PR FAA PHYSICAL
|
Professional
|
Both
|
$137.00
|
|
|
Hospital Revenue Code
|
983
|
| Min. Negotiated Rate |
$54.80 |
| Max. Negotiated Rate |
$102.75 |
| Rate for Payer: BCBS Complete |
$54.80
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.75
|
|
|
PR FACIAL NERVE FUNCTION STUDIES
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS 92516
|
| Min. Negotiated Rate |
$18.51 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Commercial |
$24.80
|
| Rate for Payer: Aetna Medicare |
$18.51
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: BCBS MAPPO |
$18.51
|
| Rate for Payer: BCN Commercial |
$33.36
|
| Rate for Payer: BCN Medicare Advantage |
$18.51
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cofinity Commercial |
$26.65
|
| Rate for Payer: Cofinity Commercial |
$24.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.51
|
| Rate for Payer: Healthscope Commercial |
$22.21
|
| Rate for Payer: Healthscope Whirlpool |
$22.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.36
|
| Rate for Payer: Nomi Health Commercial |
$22.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
| Rate for Payer: PACE SWMI |
$18.51
|
| Rate for Payer: PHP Medicare Advantage |
$18.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$30.77
|
| Rate for Payer: Priority Health Medicare |
$18.51
|
| Rate for Payer: Priority Health Narrow Network |
$30.77
|
| Rate for Payer: Railroad Medicare Medicare |
$18.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$36.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.51
|
| Rate for Payer: UHC Exchange |
$36.82
|
| Rate for Payer: UHCCP DNSP |
$18.51
|
|
|
PR FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 97156
|
| Min. Negotiated Rate |
$20.79 |
| Max. Negotiated Rate |
$57.07 |
| Rate for Payer: Aetna Commercial |
$20.79
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCN Commercial |
$37.50
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$45.01
|
| Rate for Payer: Priority Health Narrow Network |
$45.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$57.07
|
| Rate for Payer: UHC Exchange |
$57.07
|
|
|
PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 90846
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$163.82 |
| Rate for Payer: Aetna Commercial |
$132.32
|
| Rate for Payer: Aetna Medicare |
$98.75
|
| Rate for Payer: BCBS Complete |
$66.40
|
| Rate for Payer: BCBS MAPPO |
$98.75
|
| Rate for Payer: BCN Commercial |
$151.39
|
| Rate for Payer: BCN Medicare Advantage |
$98.75
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$142.20
|
| Rate for Payer: Cofinity Commercial |
$132.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.75
|
| Rate for Payer: Healthscope Commercial |
$118.50
|
| Rate for Payer: Healthscope Whirlpool |
$118.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.62
|
| Rate for Payer: Nomi Health Commercial |
$118.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: PACE SWMI |
$98.75
|
| Rate for Payer: PHP Medicare Advantage |
$98.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$129.77
|
| Rate for Payer: Priority Health Medicare |
$98.75
|
| Rate for Payer: Priority Health Narrow Network |
$129.77
|
| Rate for Payer: Railroad Medicare Medicare |
$98.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$163.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$98.75
|
| Rate for Payer: UHC Exchange |
$163.82
|
| Rate for Payer: UHCCP DNSP |
$98.75
|
|
|
PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 90847
|
| Min. Negotiated Rate |
$69.34 |
| Max. Negotiated Rate |
$170.16 |
| Rate for Payer: Aetna Commercial |
$137.19
|
| Rate for Payer: Aetna Medicare |
$102.38
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCBS MAPPO |
$102.38
|
| Rate for Payer: BCN Commercial |
$124.49
|
| Rate for Payer: BCN Medicare Advantage |
$102.38
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cofinity Commercial |
$147.43
|
| Rate for Payer: Cofinity Commercial |
$137.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.38
|
| Rate for Payer: Healthscope Commercial |
$122.86
|
| Rate for Payer: Healthscope Whirlpool |
$122.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.50
|
| Rate for Payer: Meridian Medicaid |
$72.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$112.62
|
| Rate for Payer: Nomi Health Commercial |
$122.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: PACE SWMI |
$102.38
|
| Rate for Payer: PHP Medicare Advantage |
$102.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$137.85
|
| Rate for Payer: Priority Health Medicare |
$102.38
|
| Rate for Payer: Priority Health Narrow Network |
$137.85
|
| Rate for Payer: Railroad Medicare Medicare |
$102.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$170.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$102.38
|
| Rate for Payer: UHC Exchange |
$170.16
|
| Rate for Payer: UHC Medicaid |
$69.34
|
| Rate for Payer: UHCCP DNSP |
$102.38
|
| Rate for Payer: UHCCP Medicaid |
$69.34
|
|
|
PR FASCIA LATA GRAFT INCISION & AREA EXPOSURE
|
Professional
|
Both
|
$1,109.00
|
|
|
Service Code
|
HCPCS 20922
|
| Min. Negotiated Rate |
$300.12 |
| Max. Negotiated Rate |
$847.54 |
| Rate for Payer: Aetna Commercial |
$616.68
|
| Rate for Payer: Aetna Medicare |
$460.21
|
| Rate for Payer: BCBS Complete |
$315.13
|
| Rate for Payer: BCBS MAPPO |
$460.21
|
| Rate for Payer: BCN Commercial |
$757.93
|
| Rate for Payer: BCN Medicare Advantage |
$460.21
|
| Rate for Payer: Cash Price |
$887.20
|
| Rate for Payer: Cash Price |
$887.20
|
| Rate for Payer: Cofinity Commercial |
$662.70
|
| Rate for Payer: Cofinity Commercial |
$616.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.21
|
| Rate for Payer: Healthscope Commercial |
$552.25
|
| Rate for Payer: Healthscope Whirlpool |
$552.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.22
|
| Rate for Payer: Meridian Medicaid |
$315.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.23
|
| Rate for Payer: Nomi Health Commercial |
$552.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$831.75
|
| Rate for Payer: PACE SWMI |
$460.21
|
| Rate for Payer: PHP Medicare Advantage |
$460.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$810.20
|
| Rate for Payer: Priority Health Medicare |
$460.21
|
| Rate for Payer: Priority Health Narrow Network |
$810.20
|
| Rate for Payer: Railroad Medicare Medicare |
$460.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$847.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.21
|
| Rate for Payer: UHC Exchange |
$847.54
|
| Rate for Payer: UHC Medicaid |
$300.12
|
| Rate for Payer: UHCCP DNSP |
$460.21
|
| Rate for Payer: UHCCP Medicaid |
$300.12
|
|
|
PR FASCIECTOMY PLANTAR FASCIA PARTIAL SPX
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 28060
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$753.00 |
| Rate for Payer: Aetna Commercial |
$446.90
|
| Rate for Payer: Aetna Medicare |
$333.51
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.51
|
| Rate for Payer: BCN Commercial |
$547.28
|
| Rate for Payer: BCN Medicare Advantage |
$333.51
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cofinity Commercial |
$480.25
|
| Rate for Payer: Cofinity Commercial |
$446.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.51
|
| Rate for Payer: Healthscope Commercial |
$400.21
|
| Rate for Payer: Healthscope Whirlpool |
$400.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.19
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$366.86
|
| Rate for Payer: Nomi Health Commercial |
$400.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$753.00
|
| Rate for Payer: PACE SWMI |
$333.51
|
| Rate for Payer: PHP Medicare Advantage |
$333.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$585.03
|
| Rate for Payer: Priority Health Medicare |
$333.51
|
| Rate for Payer: Priority Health Narrow Network |
$585.03
|
| Rate for Payer: Railroad Medicare Medicare |
$333.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$627.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$333.51
|
| Rate for Payer: UHC Exchange |
$627.10
|
| Rate for Payer: UHC Medicaid |
$219.18
|
| Rate for Payer: UHCCP DNSP |
$333.51
|
| Rate for Payer: UHCCP Medicaid |
$219.18
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 28008
|
| Min. Negotiated Rate |
$176.15 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna Commercial |
$359.54
|
| Rate for Payer: Aetna Medicare |
$268.31
|
| Rate for Payer: BCBS Complete |
$184.96
|
| Rate for Payer: BCBS MAPPO |
$268.31
|
| Rate for Payer: BCN Commercial |
$448.18
|
| Rate for Payer: BCN Medicare Advantage |
$268.31
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cofinity Commercial |
$386.37
|
| Rate for Payer: Cofinity Commercial |
$359.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$268.31
|
| Rate for Payer: Healthscope Commercial |
$321.97
|
| Rate for Payer: Healthscope Whirlpool |
$321.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$281.73
|
| Rate for Payer: Meridian Medicaid |
$184.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$295.14
|
| Rate for Payer: Nomi Health Commercial |
$321.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.75
|
| Rate for Payer: PACE SWMI |
$268.31
|
| Rate for Payer: PHP Medicare Advantage |
$268.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$479.10
|
| Rate for Payer: Priority Health Medicare |
$268.31
|
| Rate for Payer: Priority Health Narrow Network |
$479.10
|
| Rate for Payer: Railroad Medicare Medicare |
$268.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$514.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$268.31
|
| Rate for Payer: UHC Exchange |
$514.54
|
| Rate for Payer: UHC Medicaid |
$176.15
|
| Rate for Payer: UHCCP DNSP |
$268.31
|
| Rate for Payer: UHCCP Medicaid |
$176.15
|
|
|
PR FASCIOTOMY HIP/THIGH ANY TYPE
|
Professional
|
Both
|
$3,590.00
|
|
|
Service Code
|
HCPCS 27025
|
| Min. Negotiated Rate |
$560.62 |
| Max. Negotiated Rate |
$2,692.50 |
| Rate for Payer: Aetna Commercial |
$1,150.08
|
| Rate for Payer: Aetna Medicare |
$858.27
|
| Rate for Payer: BCBS Complete |
$588.65
|
| Rate for Payer: BCBS MAPPO |
$858.27
|
| Rate for Payer: BCN Commercial |
$1,425.22
|
| Rate for Payer: BCN Medicare Advantage |
$858.27
|
| Rate for Payer: Cash Price |
$2,872.00
|
| Rate for Payer: Cash Price |
$2,872.00
|
| Rate for Payer: Cofinity Commercial |
$1,235.91
|
| Rate for Payer: Cofinity Commercial |
$1,150.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$858.27
|
| Rate for Payer: Healthscope Commercial |
$1,029.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,029.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$901.18
|
| Rate for Payer: Meridian Medicaid |
$588.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$944.10
|
| Rate for Payer: Nomi Health Commercial |
$1,029.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,692.50
|
| Rate for Payer: PACE SWMI |
$858.27
|
| Rate for Payer: PHP Medicare Advantage |
$858.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$560.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,523.53
|
| Rate for Payer: Priority Health Medicare |
$858.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,523.53
|
| Rate for Payer: Railroad Medicare Medicare |
$858.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,606.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$858.27
|
| Rate for Payer: UHC Exchange |
$1,606.26
|
| Rate for Payer: UHC Medicaid |
$560.62
|
| Rate for Payer: UHCCP DNSP |
$858.27
|
| Rate for Payer: UHCCP Medicaid |
$560.62
|
|
