|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$351.89
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Healthscope Commercial |
$422.27
|
| Rate for Payer: Healthscope Whirlpool |
$422.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP DNSP |
$351.89
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$818.35 |
| Max. Negotiated Rate |
$1,259.00 |
| Rate for Payer: Aetna Commercial |
$1,133.10
|
| Rate for Payer: ASR ASR |
$1,221.23
|
| Rate for Payer: ASR Commercial |
$1,221.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,025.96
|
| Rate for Payer: BCN Commercial |
$976.10
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,183.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Healthscope Commercial |
$1,259.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,221.23
|
| Rate for Payer: Mclaren Commercial |
$1,133.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,107.92
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$248.97 |
| Max. Negotiated Rate |
$436.15 |
| Rate for Payer: Aetna Commercial |
$333.62
|
| Rate for Payer: Aetna Medicare |
$248.97
|
| Rate for Payer: BCBS Complete |
$268.40
|
| Rate for Payer: BCBS MAPPO |
$248.97
|
| Rate for Payer: BCN Medicare Advantage |
$248.97
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$358.52
|
| Rate for Payer: Cofinity Commercial |
$333.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.97
|
| Rate for Payer: Healthscope Commercial |
$298.76
|
| Rate for Payer: Healthscope Whirlpool |
$298.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.42
|
| Rate for Payer: Nomi Health Commercial |
$298.76
|
| Rate for Payer: PACE SWMI |
$248.97
|
| Rate for Payer: PHP Medicare Advantage |
$248.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health Medicare |
$248.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.97
|
| Rate for Payer: UHC Medicare Advantage |
$248.97
|
| Rate for Payer: UHCCP DNSP |
$248.97
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$677.95 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$938.70
|
| 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 |
$1,011.71
|
| Rate for Payer: ASR Commercial |
$1,011.71
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$854.11
|
| Rate for Payer: BCN Commercial |
$808.64
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$980.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$1,043.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,011.71
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$938.70
|
| 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 |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| 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 |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.88
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$731.14
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$917.84
|
| 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 TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$396.37
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Healthscope Commercial |
$475.64
|
| Rate for Payer: Healthscope Whirlpool |
$475.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP DNSP |
$396.37
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$396.37
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Healthscope Commercial |
$475.64
|
| Rate for Payer: Healthscope Whirlpool |
$475.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP DNSP |
$396.37
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$677.95 |
| Max. Negotiated Rate |
$1,043.00 |
| Rate for Payer: Aetna Commercial |
$938.70
|
| Rate for Payer: ASR ASR |
$1,011.71
|
| Rate for Payer: ASR Commercial |
$1,011.71
|
| Rate for Payer: BCBS Trust/PPO |
$849.94
|
| Rate for Payer: BCN Commercial |
$808.64
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$980.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Healthscope Commercial |
$1,043.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,011.71
|
| Rate for Payer: Mclaren Commercial |
$938.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$917.84
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$456.27
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Healthscope Commercial |
$547.52
|
| Rate for Payer: Healthscope Whirlpool |
$547.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP DNSP |
$456.27
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$986.00 |
| Rate for Payer: Aetna Commercial |
$887.40
|
| Rate for Payer: ASR ASR |
$956.42
|
| Rate for Payer: ASR Commercial |
$956.42
|
| Rate for Payer: BCBS Trust/PPO |
$803.49
|
| Rate for Payer: BCN Commercial |
$764.45
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$926.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$986.00
|
| Rate for Payer: Healthscope Whirlpool |
$956.42
|
| Rate for Payer: Mclaren Commercial |
$887.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$867.68
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$4,326.52 |
| Rate for Payer: Aetna Commercial |
$887.40
|
| Rate for Payer: Aetna Medicare |
$2,791.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: ASR ASR |
$956.42
|
| Rate for Payer: ASR Commercial |
$956.42
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCBS Trust/PPO |
$807.44
|
| Rate for Payer: BCN Commercial |
$764.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$926.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$986.00
|
| Rate for Payer: Healthscope Whirlpool |
$956.42
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,791.30
|
| Rate for Payer: Mclaren Commercial |
$887.40
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$3,070.43
|
| Rate for Payer: PHP Medicaid |
$1,496.14
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$863.93
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health Narrow Network |
$691.19
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$867.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$4,326.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP DNSP |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: VA VA |
$2,791.30
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$456.27
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Healthscope Commercial |
$547.52
|
| Rate for Payer: Healthscope Whirlpool |
$547.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP DNSP |
$456.27
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$587.76 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$408.17
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Healthscope Commercial |
$489.80
|
| Rate for Payer: Healthscope Whirlpool |
$489.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP DNSP |
$408.17
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$727.50
|
| Rate for Payer: ASR Commercial |
$727.50
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$614.17
|
| Rate for Payer: BCN Commercial |
$581.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$705.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$750.00
|
| Rate for Payer: Healthscope Whirlpool |
$727.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$675.00
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.15
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$525.75
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$660.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$750.00 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: ASR ASR |
$727.50
|
| Rate for Payer: ASR Commercial |
$727.50
|
| Rate for Payer: BCBS Trust/PPO |
$611.17
|
| Rate for Payer: BCN Commercial |
$581.48
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$705.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$750.00
|
| Rate for Payer: Healthscope Whirlpool |
$727.50
|
| Rate for Payer: Mclaren Commercial |
$675.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$660.00
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$587.76 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$408.17
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Healthscope Commercial |
$489.80
|
| Rate for Payer: Healthscope Whirlpool |
$489.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP DNSP |
$408.17
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$317.58 |
| Max. Negotiated Rate |
$563.55 |
| Rate for Payer: Aetna Commercial |
$425.56
|
| Rate for Payer: Aetna Medicare |
$317.58
|
| Rate for Payer: BCBS Complete |
$346.80
|
| Rate for Payer: BCBS MAPPO |
$317.58
|
| Rate for Payer: BCN Medicare Advantage |
$317.58
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$457.32
|
| Rate for Payer: Cofinity Commercial |
$425.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.58
|
| Rate for Payer: Healthscope Commercial |
$381.10
|
| Rate for Payer: Healthscope Whirlpool |
$381.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.46
|
| Rate for Payer: Nomi Health Commercial |
$381.10
|
| Rate for Payer: PACE SWMI |
$317.58
|
| Rate for Payer: PHP Medicare Advantage |
$317.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health Medicare |
$317.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.58
|
| Rate for Payer: UHC Medicare Advantage |
$317.58
|
| Rate for Payer: UHCCP DNSP |
$317.58
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$303.56 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$303.56
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Healthscope Commercial |
$364.27
|
| Rate for Payer: Healthscope Whirlpool |
$364.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP DNSP |
$303.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$848.25 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$1,174.50
|
| Rate for Payer: ASR ASR |
$1,265.85
|
| Rate for Payer: ASR Commercial |
$1,265.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,063.44
|
| Rate for Payer: BCN Commercial |
$1,011.77
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,226.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Healthscope Commercial |
$1,305.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,265.85
|
| Rate for Payer: Mclaren Commercial |
$1,174.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,148.40
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$303.56 |
| Max. Negotiated Rate |
$848.25 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$303.56
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Healthscope Commercial |
$364.27
|
| Rate for Payer: Healthscope Whirlpool |
$364.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP DNSP |
$303.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$846.98 |
| Max. Negotiated Rate |
$2,449.29 |
| Rate for Payer: Aetna Commercial |
$1,174.50
|
| Rate for Payer: Aetna Medicare |
$1,580.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: ASR ASR |
$1,265.85
|
| Rate for Payer: ASR Commercial |
$1,265.85
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,068.66
|
| Rate for Payer: BCN Commercial |
$1,011.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,226.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,305.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,265.85
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,580.19
|
| Rate for Payer: Mclaren Commercial |
$1,174.50
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,738.21
|
| Rate for Payer: PHP Medicaid |
$846.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,143.44
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health Narrow Network |
$914.80
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,148.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$2,449.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP DNSP |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: VA VA |
$1,580.19
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$903.03 |
| Max. Negotiated Rate |
$1,900.60 |
| Rate for Payer: Aetna Commercial |
$1,210.06
|
| Rate for Payer: Aetna Medicare |
$903.03
|
| Rate for Payer: BCBS Complete |
$1,169.60
|
| Rate for Payer: BCBS MAPPO |
$903.03
|
| Rate for Payer: BCN Medicare Advantage |
$903.03
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.36
|
| Rate for Payer: Cofinity Commercial |
$1,210.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.03
|
| Rate for Payer: Healthscope Commercial |
$1,083.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,083.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.18
|
| Rate for Payer: Nomi Health Commercial |
$1,083.64
|
| Rate for Payer: PACE SWMI |
$903.03
|
| Rate for Payer: PHP Medicare Advantage |
$903.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,900.60
|
| Rate for Payer: Priority Health Medicare |
$903.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.03
|
| Rate for Payer: UHC Medicare Advantage |
$903.03
|
| Rate for Payer: UHCCP DNSP |
$903.03
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$179.43 |
| Max. Negotiated Rate |
$436.15 |
| Rate for Payer: Aetna Commercial |
$240.44
|
| Rate for Payer: Aetna Medicare |
$179.43
|
| Rate for Payer: BCBS Complete |
$268.40
|
| Rate for Payer: BCBS MAPPO |
$179.43
|
| Rate for Payer: BCN Medicare Advantage |
$179.43
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$258.38
|
| Rate for Payer: Cofinity Commercial |
$240.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.43
|
| Rate for Payer: Healthscope Commercial |
$215.32
|
| Rate for Payer: Healthscope Whirlpool |
$215.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.40
|
| Rate for Payer: Nomi Health Commercial |
$215.32
|
| Rate for Payer: PACE SWMI |
$179.43
|
| Rate for Payer: PHP Medicare Advantage |
$179.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health Medicare |
$179.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.43
|
| Rate for Payer: UHC Medicare Advantage |
$179.43
|
| Rate for Payer: UHCCP DNSP |
$179.43
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$164.76 |
| Max. Negotiated Rate |
$750.75 |
| Rate for Payer: Aetna Commercial |
$220.78
|
| Rate for Payer: Aetna Medicare |
$164.76
|
| Rate for Payer: BCBS Complete |
$462.00
|
| Rate for Payer: BCBS MAPPO |
$164.76
|
| Rate for Payer: BCN Medicare Advantage |
$164.76
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$237.25
|
| Rate for Payer: Cofinity Commercial |
$220.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.76
|
| Rate for Payer: Healthscope Commercial |
$197.71
|
| Rate for Payer: Healthscope Whirlpool |
$197.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.00
|
| Rate for Payer: Nomi Health Commercial |
$197.71
|
| Rate for Payer: PACE SWMI |
$164.76
|
| Rate for Payer: PHP Medicare Advantage |
$164.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health Medicare |
$164.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.76
|
| Rate for Payer: UHC Medicare Advantage |
$164.76
|
| Rate for Payer: UHCCP DNSP |
$164.76
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$407.87 |
| Max. Negotiated Rate |
$963.95 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$407.87
|
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Healthscope Commercial |
$489.44
|
| Rate for Payer: Healthscope Whirlpool |
$489.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health Medicare |
$407.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
| Rate for Payer: UHCCP DNSP |
$407.87
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$963.95 |
| Max. Negotiated Rate |
$1,483.00 |
| Rate for Payer: Aetna Commercial |
$1,334.70
|
| Rate for Payer: ASR ASR |
$1,438.51
|
| Rate for Payer: ASR Commercial |
$1,438.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,208.50
|
| Rate for Payer: BCN Commercial |
$1,149.77
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,394.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,483.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,438.51
|
| Rate for Payer: Mclaren Commercial |
$1,334.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$1,216.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,305.04
|
|
