|
PR REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON
|
Facility
|
OP
|
$2,551.00
|
|
|
Service Code
|
CPT 27650
|
| Hospital Charge Code |
27650
|
| Min. Negotiated Rate |
$1,785.70 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,295.90
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$2,474.47
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,977.79
|
| Rate for Payer: BCN Commercial |
$1,977.79
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cofinity Commercial |
$2,397.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,040.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$2,551.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,474.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,295.90
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,168.35
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,785.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,321.41
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,811.21
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,244.88
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON
|
Professional
|
Both
|
$2,551.00
|
|
|
Service Code
|
HCPCS 27650
|
| Min. Negotiated Rate |
$424.72 |
| Max. Negotiated Rate |
$1,785.70 |
| Rate for Payer: Aetna Commercial |
$865.47
|
| Rate for Payer: Aetna Medicare |
$645.87
|
| Rate for Payer: BCBS Complete |
$445.96
|
| Rate for Payer: BCBS MAPPO |
$645.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,513.05
|
| Rate for Payer: BCN Commercial |
$1,063.77
|
| Rate for Payer: BCN Medicare Advantage |
$645.87
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cofinity Commercial |
$930.05
|
| Rate for Payer: Cofinity Commercial |
$865.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$645.87
|
| Rate for Payer: Healthscope Commercial |
$775.04
|
| Rate for Payer: Healthscope Whirlpool |
$775.04
|
| Rate for Payer: Meridian Medicaid |
$445.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$678.16
|
| Rate for Payer: PACE SWMI |
$645.87
|
| Rate for Payer: PHP Medicare Advantage |
$645.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,785.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,009.56
|
| Rate for Payer: Priority Health Medicare |
$645.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,009.56
|
| Rate for Payer: UHC Medicare Advantage |
$665.25
|
|
|
PR REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT
|
Professional
|
Both
|
$1,778.00
|
|
|
Service Code
|
HCPCS 27407
|
| Min. Negotiated Rate |
$95.09 |
| Max. Negotiated Rate |
$1,244.60 |
| Rate for Payer: Aetna Commercial |
$1,053.27
|
| Rate for Payer: Aetna Medicare |
$786.02
|
| Rate for Payer: BCBS Complete |
$541.90
|
| Rate for Payer: BCBS MAPPO |
$786.02
|
| Rate for Payer: BCBS Trust/PPO |
$95.09
|
| Rate for Payer: BCN Commercial |
$1,173.32
|
| Rate for Payer: BCN Medicare Advantage |
$786.02
|
| Rate for Payer: Cash Price |
$1,422.40
|
| Rate for Payer: Cash Price |
$1,422.40
|
| Rate for Payer: Cofinity Commercial |
$1,053.27
|
| Rate for Payer: Cofinity Commercial |
$1,131.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$786.02
|
| Rate for Payer: Healthscope Commercial |
$943.22
|
| Rate for Payer: Healthscope Whirlpool |
$943.22
|
| Rate for Payer: Meridian Medicaid |
$541.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$825.32
|
| Rate for Payer: PACE SWMI |
$786.02
|
| Rate for Payer: PHP Medicare Advantage |
$786.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,244.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,226.07
|
| Rate for Payer: Priority Health Medicare |
$786.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,226.07
|
| Rate for Payer: UHC Medicare Advantage |
$809.60
|
|
|
PR REPAIR RECTOCELE SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,263.00
|
|
|
Service Code
|
HCPCS 45560
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$2,240.52 |
| Rate for Payer: Aetna Commercial |
$914.28
|
| Rate for Payer: Aetna Medicare |
$682.30
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$682.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,240.52
|
| Rate for Payer: BCN Commercial |
$1,009.12
|
| Rate for Payer: BCN Medicare Advantage |
$682.30
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$982.51
|
| Rate for Payer: Cofinity Commercial |
$914.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$682.30
|
| Rate for Payer: Healthscope Commercial |
$818.76
|
| Rate for Payer: Healthscope Whirlpool |
$818.76
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$716.42
|
| Rate for Payer: PACE SWMI |
$682.30
|
| Rate for Payer: PHP Medicare Advantage |
$682.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$884.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.16
|
| Rate for Payer: Priority Health Medicare |
$682.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,214.16
|
| Rate for Payer: UHC Medicare Advantage |
$702.77
|
|
|
PR REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT
|
Professional
|
Both
|
$2,721.00
|
|
|
Service Code
|
HCPCS 27654
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$1,904.70 |
| Rate for Payer: Aetna Commercial |
$941.02
|
| Rate for Payer: Aetna Medicare |
$702.25
|
| Rate for Payer: BCBS Complete |
$485.10
|
| Rate for Payer: BCBS MAPPO |
$702.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,383.09
|
| Rate for Payer: BCN Commercial |
$1,047.73
|
| Rate for Payer: BCN Medicare Advantage |
$702.25
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cofinity Commercial |
$941.02
|
| Rate for Payer: Cofinity Commercial |
$1,011.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$702.25
|
| Rate for Payer: Healthscope Commercial |
$842.70
|
| Rate for Payer: Healthscope Whirlpool |
$842.70
|
| Rate for Payer: Meridian Medicaid |
$485.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$737.36
|
| Rate for Payer: PACE SWMI |
$702.25
|
| Rate for Payer: PHP Medicare Advantage |
$702.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$462.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,904.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,094.83
|
| Rate for Payer: Priority Health Medicare |
$702.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,094.83
|
| Rate for Payer: UHC Medicare Advantage |
$723.32
|
|
|
PR REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL
|
Professional
|
Both
|
$2,934.00
|
|
|
Service Code
|
HCPCS 27698
|
| Min. Negotiated Rate |
$411.30 |
| Max. Negotiated Rate |
$2,053.80 |
| Rate for Payer: Aetna Commercial |
$844.67
|
| Rate for Payer: Aetna Medicare |
$630.35
|
| Rate for Payer: BCBS Complete |
$431.86
|
| Rate for Payer: BCBS MAPPO |
$630.35
|
| Rate for Payer: BCBS Trust/PPO |
$474.94
|
| Rate for Payer: BCN Commercial |
$938.75
|
| Rate for Payer: BCN Medicare Advantage |
$630.35
|
| Rate for Payer: Cash Price |
$2,347.20
|
| Rate for Payer: Cash Price |
$2,347.20
|
| Rate for Payer: Cofinity Commercial |
$844.67
|
| Rate for Payer: Cofinity Commercial |
$907.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.35
|
| Rate for Payer: Healthscope Commercial |
$756.42
|
| Rate for Payer: Healthscope Whirlpool |
$756.42
|
| Rate for Payer: Meridian Medicaid |
$431.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.87
|
| Rate for Payer: PACE SWMI |
$630.35
|
| Rate for Payer: PHP Medicare Advantage |
$630.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,053.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$980.95
|
| Rate for Payer: Priority Health Medicare |
$630.35
|
| Rate for Payer: Priority Health Narrow Network |
$980.95
|
| Rate for Payer: UHC Medicare Advantage |
$649.26
|
|
|
PR REPAIR SYNDACTYLY EACH SPACE COMPLEX
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 26562
|
| Min. Negotiated Rate |
$616.00 |
| Max. Negotiated Rate |
$2,122.77 |
| Rate for Payer: Aetna Commercial |
$1,812.23
|
| Rate for Payer: Aetna Medicare |
$1,352.41
|
| Rate for Payer: BCBS Complete |
$932.40
|
| Rate for Payer: BCBS MAPPO |
$1,352.41
|
| Rate for Payer: BCBS Trust/PPO |
$616.00
|
| Rate for Payer: BCN Commercial |
$2,031.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,352.41
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cofinity Commercial |
$1,947.47
|
| Rate for Payer: Cofinity Commercial |
$1,812.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,352.41
|
| Rate for Payer: Healthscope Commercial |
$1,622.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,622.89
|
| Rate for Payer: Meridian Medicaid |
$932.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,420.03
|
| Rate for Payer: PACE SWMI |
$1,352.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,352.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$888.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,551.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,122.77
|
| Rate for Payer: Priority Health Medicare |
$1,352.41
|
| Rate for Payer: Priority Health Narrow Network |
$2,122.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,392.98
|
|
|
PR REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26560
|
| Min. Negotiated Rate |
$218.72 |
| Max. Negotiated Rate |
$1,360.80 |
| Rate for Payer: Aetna Commercial |
$833.64
|
| Rate for Payer: Aetna Medicare |
$622.12
|
| Rate for Payer: BCBS Complete |
$433.43
|
| Rate for Payer: BCBS MAPPO |
$622.12
|
| Rate for Payer: BCBS Trust/PPO |
$218.72
|
| Rate for Payer: BCN Commercial |
$948.52
|
| Rate for Payer: BCN Medicare Advantage |
$622.12
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$833.64
|
| Rate for Payer: Cofinity Commercial |
$895.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$622.12
|
| Rate for Payer: Healthscope Commercial |
$746.54
|
| Rate for Payer: Healthscope Whirlpool |
$746.54
|
| Rate for Payer: Meridian Medicaid |
$433.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$653.23
|
| Rate for Payer: PACE SWMI |
$622.12
|
| Rate for Payer: PHP Medicare Advantage |
$622.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$991.17
|
| Rate for Payer: Priority Health Medicare |
$622.12
|
| Rate for Payer: Priority Health Narrow Network |
$991.17
|
| Rate for Payer: UHC Medicare Advantage |
$640.78
|
|
|
PR REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT
|
Professional
|
Both
|
$2,357.00
|
|
|
Service Code
|
HCPCS 26561
|
| Min. Negotiated Rate |
$540.45 |
| Max. Negotiated Rate |
$1,649.90 |
| Rate for Payer: Aetna Commercial |
$1,295.30
|
| Rate for Payer: Aetna Medicare |
$966.64
|
| Rate for Payer: BCBS Complete |
$666.70
|
| Rate for Payer: BCBS MAPPO |
$966.64
|
| Rate for Payer: BCBS Trust/PPO |
$540.45
|
| Rate for Payer: BCN Commercial |
$1,457.24
|
| Rate for Payer: BCN Medicare Advantage |
$966.64
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cofinity Commercial |
$1,391.96
|
| Rate for Payer: Cofinity Commercial |
$1,295.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$966.64
|
| Rate for Payer: Healthscope Commercial |
$1,159.97
|
| Rate for Payer: Healthscope Whirlpool |
$1,159.97
|
| Rate for Payer: Meridian Medicaid |
$666.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,014.97
|
| Rate for Payer: PACE SWMI |
$966.64
|
| Rate for Payer: PHP Medicare Advantage |
$966.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$634.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,649.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,522.76
|
| Rate for Payer: Priority Health Medicare |
$966.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,522.76
|
| Rate for Payer: UHC Medicare Advantage |
$995.64
|
|
|
PR REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON
|
Professional
|
Both
|
$746.00
|
|
|
Service Code
|
HCPCS 28208
|
| Min. Negotiated Rate |
$207.68 |
| Max. Negotiated Rate |
$902.86 |
| Rate for Payer: Aetna Commercial |
$421.14
|
| Rate for Payer: Aetna Medicare |
$314.28
|
| Rate for Payer: BCBS Complete |
$218.06
|
| Rate for Payer: BCBS MAPPO |
$314.28
|
| Rate for Payer: BCBS Trust/PPO |
$902.86
|
| Rate for Payer: BCN Commercial |
$709.56
|
| Rate for Payer: BCN Medicare Advantage |
$314.28
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Cofinity Commercial |
$452.56
|
| Rate for Payer: Cofinity Commercial |
$421.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.28
|
| Rate for Payer: Healthscope Commercial |
$377.14
|
| Rate for Payer: Healthscope Whirlpool |
$377.14
|
| Rate for Payer: Meridian Medicaid |
$218.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$329.99
|
| Rate for Payer: PACE SWMI |
$314.28
|
| Rate for Payer: PHP Medicare Advantage |
$314.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$492.26
|
| Rate for Payer: Priority Health Medicare |
$314.28
|
| Rate for Payer: Priority Health Narrow Network |
$492.26
|
| Rate for Payer: UHC Medicare Advantage |
$323.71
|
|
|
PR REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC
|
Professional
|
Both
|
$2,289.00
|
|
|
Service Code
|
HCPCS 24341
|
| Min. Negotiated Rate |
$91.92 |
| Max. Negotiated Rate |
$1,602.30 |
| Rate for Payer: Aetna Commercial |
$985.58
|
| Rate for Payer: Aetna Medicare |
$735.51
|
| Rate for Payer: BCBS Complete |
$511.71
|
| Rate for Payer: BCBS MAPPO |
$735.51
|
| Rate for Payer: BCBS Trust/PPO |
$91.92
|
| Rate for Payer: BCN Commercial |
$1,102.94
|
| Rate for Payer: BCN Medicare Advantage |
$735.51
|
| Rate for Payer: Cash Price |
$1,831.20
|
| Rate for Payer: Cash Price |
$1,831.20
|
| Rate for Payer: Cofinity Commercial |
$1,059.13
|
| Rate for Payer: Cofinity Commercial |
$985.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$735.51
|
| Rate for Payer: Healthscope Commercial |
$882.61
|
| Rate for Payer: Healthscope Whirlpool |
$882.61
|
| Rate for Payer: Meridian Medicaid |
$511.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$772.29
|
| Rate for Payer: PACE SWMI |
$735.51
|
| Rate for Payer: PHP Medicare Advantage |
$735.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,602.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,152.53
|
| Rate for Payer: Priority Health Medicare |
$735.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,152.53
|
| Rate for Payer: UHC Medicare Advantage |
$757.58
|
|
|
PR REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH
|
Professional
|
Both
|
$2,524.00
|
|
|
Service Code
|
HCPCS 33363
|
| Min. Negotiated Rate |
$639.24 |
| Max. Negotiated Rate |
$2,121.44 |
| Rate for Payer: Aetna Commercial |
$1,796.12
|
| Rate for Payer: Aetna Medicare |
$1,340.39
|
| Rate for Payer: BCBS Complete |
$895.94
|
| Rate for Payer: BCBS MAPPO |
$1,340.39
|
| Rate for Payer: BCBS Trust/PPO |
$639.24
|
| Rate for Payer: BCN Commercial |
$1,948.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,340.39
|
| Rate for Payer: Cash Price |
$2,019.20
|
| Rate for Payer: Cash Price |
$2,019.20
|
| Rate for Payer: Cofinity Commercial |
$1,796.12
|
| Rate for Payer: Cofinity Commercial |
$1,930.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,340.39
|
| Rate for Payer: Healthscope Commercial |
$1,608.47
|
| Rate for Payer: Healthscope Whirlpool |
$1,608.47
|
| Rate for Payer: Meridian Medicaid |
$895.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,407.41
|
| Rate for Payer: PACE SWMI |
$1,340.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,340.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$853.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,766.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,121.44
|
| Rate for Payer: Priority Health Medicare |
$1,340.39
|
| Rate for Payer: Priority Health Narrow Network |
$2,121.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,380.60
|
|
|
PR REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH
|
Professional
|
Both
|
$4,231.00
|
|
|
Service Code
|
HCPCS 33362
|
| Min. Negotiated Rate |
$618.64 |
| Max. Negotiated Rate |
$2,961.70 |
| Rate for Payer: Aetna Commercial |
$1,734.60
|
| Rate for Payer: Aetna Medicare |
$1,294.48
|
| Rate for Payer: BCBS Complete |
$863.29
|
| Rate for Payer: BCBS MAPPO |
$1,294.48
|
| Rate for Payer: BCBS Trust/PPO |
$618.64
|
| Rate for Payer: BCN Commercial |
$1,882.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,294.48
|
| Rate for Payer: Cash Price |
$3,384.80
|
| Rate for Payer: Cash Price |
$3,384.80
|
| Rate for Payer: Cofinity Commercial |
$1,734.60
|
| Rate for Payer: Cofinity Commercial |
$1,864.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,294.48
|
| Rate for Payer: Healthscope Commercial |
$1,553.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,553.38
|
| Rate for Payer: Meridian Medicaid |
$863.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,359.20
|
| Rate for Payer: PACE SWMI |
$1,294.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,294.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,961.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,049.09
|
| Rate for Payer: Priority Health Medicare |
$1,294.48
|
| Rate for Payer: Priority Health Narrow Network |
$2,049.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,333.31
|
|
|
PR REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH
|
Professional
|
Both
|
$5,113.00
|
|
|
Service Code
|
HCPCS 33365
|
| Min. Negotiated Rate |
$775.54 |
| Max. Negotiated Rate |
$3,579.10 |
| Rate for Payer: Aetna Commercial |
$1,875.04
|
| Rate for Payer: Aetna Medicare |
$1,399.28
|
| Rate for Payer: BCBS Complete |
$933.29
|
| Rate for Payer: BCBS MAPPO |
$1,399.28
|
| Rate for Payer: BCBS Trust/PPO |
$775.54
|
| Rate for Payer: BCN Commercial |
$2,034.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,399.28
|
| Rate for Payer: Cash Price |
$4,090.40
|
| Rate for Payer: Cash Price |
$4,090.40
|
| Rate for Payer: Cofinity Commercial |
$2,014.96
|
| Rate for Payer: Cofinity Commercial |
$1,875.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,399.28
|
| Rate for Payer: Healthscope Commercial |
$1,679.14
|
| Rate for Payer: Healthscope Whirlpool |
$1,679.14
|
| Rate for Payer: Meridian Medicaid |
$933.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,469.24
|
| Rate for Payer: PACE SWMI |
$1,399.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,399.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$888.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,579.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,215.07
|
| Rate for Payer: Priority Health Medicare |
$1,399.28
|
| Rate for Payer: Priority Health Narrow Network |
$2,215.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,441.26
|
|
|
PR REPLACE AORTIC VALVE OPEN TRANSTHORACIC APPROACH
|
Professional
|
Both
|
$3,109.00
|
|
|
Service Code
|
HCPCS 0318T
|
| Min. Negotiated Rate |
$1,243.60 |
| Max. Negotiated Rate |
$2,176.30 |
| Rate for Payer: BCBS Complete |
$1,243.60
|
| Rate for Payer: Cash Price |
$2,487.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,176.30
|
|
|
PR REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH
|
Professional
|
Both
|
$3,868.00
|
|
|
Service Code
|
HCPCS 33361
|
| Min. Negotiated Rate |
$754.45 |
| Max. Negotiated Rate |
$2,707.60 |
| Rate for Payer: Aetna Commercial |
$1,589.71
|
| Rate for Payer: Aetna Medicare |
$1,186.35
|
| Rate for Payer: BCBS Complete |
$792.17
|
| Rate for Payer: BCBS MAPPO |
$1,186.35
|
| Rate for Payer: BCBS Trust/PPO |
$920.83
|
| Rate for Payer: BCN Commercial |
$1,725.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,186.35
|
| Rate for Payer: Cash Price |
$3,094.40
|
| Rate for Payer: Cash Price |
$3,094.40
|
| Rate for Payer: Cofinity Commercial |
$1,708.34
|
| Rate for Payer: Cofinity Commercial |
$1,589.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,186.35
|
| Rate for Payer: Healthscope Commercial |
$1,423.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,423.62
|
| Rate for Payer: Meridian Medicaid |
$792.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,245.67
|
| Rate for Payer: PACE SWMI |
$1,186.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,186.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$754.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,707.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,878.35
|
| Rate for Payer: Priority Health Medicare |
$1,186.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,878.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,221.94
|
|
|
PR REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH
|
Professional
|
Both
|
$2,176.00
|
|
|
Service Code
|
HCPCS 33368
|
| Min. Negotiated Rate |
$459.23 |
| Max. Negotiated Rate |
$1,523.20 |
| Rate for Payer: Aetna Commercial |
$975.14
|
| Rate for Payer: Aetna Medicare |
$727.72
|
| Rate for Payer: BCBS Complete |
$482.19
|
| Rate for Payer: BCBS MAPPO |
$727.72
|
| Rate for Payer: BCBS Trust/PPO |
$506.11
|
| Rate for Payer: BCN Commercial |
$1,054.56
|
| Rate for Payer: BCN Medicare Advantage |
$727.72
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cofinity Commercial |
$975.14
|
| Rate for Payer: Cofinity Commercial |
$1,047.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.72
|
| Rate for Payer: Healthscope Commercial |
$873.26
|
| Rate for Payer: Healthscope Whirlpool |
$873.26
|
| Rate for Payer: Meridian Medicaid |
$482.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$764.11
|
| Rate for Payer: PACE SWMI |
$727.72
|
| Rate for Payer: PHP Medicare Advantage |
$727.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$459.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,523.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,147.97
|
| Rate for Payer: Priority Health Medicare |
$727.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,147.97
|
| Rate for Payer: UHC Medicare Advantage |
$749.55
|
|
|
PR REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ
|
Professional
|
Both
|
$1,338.00
|
|
|
Service Code
|
HCPCS 49451
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$2,113.73 |
| Rate for Payer: Aetna Commercial |
$116.00
|
| Rate for Payer: Aetna Medicare |
$86.57
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$86.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,113.73
|
| Rate for Payer: BCN Commercial |
$946.08
|
| Rate for Payer: BCN Medicare Advantage |
$86.57
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cofinity Commercial |
$124.66
|
| Rate for Payer: Cofinity Commercial |
$116.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.57
|
| Rate for Payer: Healthscope Commercial |
$103.88
|
| Rate for Payer: Healthscope Whirlpool |
$103.88
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.90
|
| Rate for Payer: PACE SWMI |
$86.57
|
| Rate for Payer: PHP Medicare Advantage |
$86.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$936.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.29
|
| Rate for Payer: Priority Health Medicare |
$86.57
|
| Rate for Payer: Priority Health Narrow Network |
$152.29
|
| Rate for Payer: UHC Medicare Advantage |
$89.17
|
|
|
PR REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS 49450
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$885.97 |
| Rate for Payer: Aetna Commercial |
$87.44
|
| Rate for Payer: Aetna Medicare |
$65.25
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$65.25
|
| Rate for Payer: BCBS Trust/PPO |
$631.32
|
| Rate for Payer: BCN Commercial |
$885.97
|
| Rate for Payer: BCN Medicare Advantage |
$65.25
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$87.44
|
| Rate for Payer: Cofinity Commercial |
$93.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.25
|
| Rate for Payer: Healthscope Commercial |
$78.30
|
| Rate for Payer: Healthscope Whirlpool |
$78.30
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$68.51
|
| Rate for Payer: PACE SWMI |
$65.25
|
| Rate for Payer: PHP Medicare Advantage |
$65.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$829.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$114.65
|
| Rate for Payer: Priority Health Medicare |
$65.25
|
| Rate for Payer: Priority Health Narrow Network |
$114.65
|
| Rate for Payer: UHC Medicare Advantage |
$67.21
|
|
|
PR REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS
|
Professional
|
Both
|
$1,464.00
|
|
|
Service Code
|
HCPCS 49452
|
| Min. Negotiated Rate |
$84.56 |
| Max. Negotiated Rate |
$2,855.46 |
| Rate for Payer: Aetna Commercial |
$179.20
|
| Rate for Payer: Aetna Medicare |
$133.73
|
| Rate for Payer: BCBS Complete |
$88.79
|
| Rate for Payer: BCBS MAPPO |
$133.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,855.46
|
| Rate for Payer: BCN Commercial |
$1,148.88
|
| Rate for Payer: BCN Medicare Advantage |
$133.73
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Cofinity Commercial |
$192.57
|
| Rate for Payer: Cofinity Commercial |
$179.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.73
|
| Rate for Payer: Healthscope Commercial |
$160.48
|
| Rate for Payer: Healthscope Whirlpool |
$160.48
|
| Rate for Payer: Meridian Medicaid |
$88.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.42
|
| Rate for Payer: PACE SWMI |
$133.73
|
| Rate for Payer: PHP Medicare Advantage |
$133.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.19
|
| Rate for Payer: Priority Health Medicare |
$133.73
|
| Rate for Payer: Priority Health Narrow Network |
$235.19
|
| Rate for Payer: UHC Medicare Advantage |
$137.74
|
|
|
PR REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP
|
Professional
|
Both
|
$5,749.32
|
|
|
Service Code
|
HCPCS 33430
|
| Min. Negotiated Rate |
$545.73 |
| Max. Negotiated Rate |
$4,366.31 |
| Rate for Payer: Aetna Commercial |
$3,689.90
|
| Rate for Payer: Aetna Medicare |
$2,753.66
|
| Rate for Payer: BCBS Complete |
$1,842.20
|
| Rate for Payer: BCBS MAPPO |
$2,753.66
|
| Rate for Payer: BCBS Trust/PPO |
$545.73
|
| Rate for Payer: BCN Commercial |
$4,011.07
|
| Rate for Payer: BCN Medicare Advantage |
$2,753.66
|
| Rate for Payer: Cash Price |
$4,599.46
|
| Rate for Payer: Cash Price |
$4,599.46
|
| Rate for Payer: Cofinity Commercial |
$3,965.27
|
| Rate for Payer: Cofinity Commercial |
$3,689.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,753.66
|
| Rate for Payer: Healthscope Commercial |
$3,304.39
|
| Rate for Payer: Healthscope Whirlpool |
$3,304.39
|
| Rate for Payer: Meridian Medicaid |
$1,842.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,891.34
|
| Rate for Payer: PACE SWMI |
$2,753.66
|
| Rate for Payer: PHP Medicare Advantage |
$2,753.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,754.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,024.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,366.31
|
| Rate for Payer: Priority Health Medicare |
$2,753.66
|
| Rate for Payer: Priority Health Narrow Network |
$4,366.31
|
| Rate for Payer: UHC Medicare Advantage |
$2,836.27
|
|
|
PR REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT
|
Professional
|
Both
|
$1,082.00
|
|
|
Service Code
|
HCPCS 11970
|
| Min. Negotiated Rate |
$361.04 |
| Max. Negotiated Rate |
$822.45 |
| Rate for Payer: Aetna Commercial |
$736.52
|
| Rate for Payer: Aetna Medicare |
$549.64
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCBS MAPPO |
$549.64
|
| Rate for Payer: BCBS Trust/PPO |
$381.90
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$549.64
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cofinity Commercial |
$791.48
|
| Rate for Payer: Cofinity Commercial |
$736.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.64
|
| Rate for Payer: Healthscope Commercial |
$659.57
|
| Rate for Payer: Healthscope Whirlpool |
$659.57
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$577.12
|
| Rate for Payer: PACE SWMI |
$549.64
|
| Rate for Payer: PHP Medicare Advantage |
$549.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$691.78
|
| Rate for Payer: Priority Health Medicare |
$549.64
|
| Rate for Payer: Priority Health Narrow Network |
$691.78
|
| Rate for Payer: UHC Medicare Advantage |
$566.13
|
|
|
PR REPLACEMENT TRICUSPID VALVE W/CARD BYPASS
|
Professional
|
Both
|
$8,637.00
|
|
|
Service Code
|
HCPCS 33465
|
| Min. Negotiated Rate |
$447.47 |
| Max. Negotiated Rate |
$6,045.90 |
| Rate for Payer: Aetna Commercial |
$3,627.84
|
| Rate for Payer: Aetna Medicare |
$2,707.34
|
| Rate for Payer: BCBS Complete |
$1,809.11
|
| Rate for Payer: BCBS MAPPO |
$2,707.34
|
| Rate for Payer: BCBS Trust/PPO |
$447.47
|
| Rate for Payer: BCN Commercial |
$3,939.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,707.34
|
| Rate for Payer: Cash Price |
$6,909.60
|
| Rate for Payer: Cash Price |
$6,909.60
|
| Rate for Payer: Cofinity Commercial |
$3,898.57
|
| Rate for Payer: Cofinity Commercial |
$3,627.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,707.34
|
| Rate for Payer: Healthscope Commercial |
$3,248.81
|
| Rate for Payer: Healthscope Whirlpool |
$3,248.81
|
| Rate for Payer: Meridian Medicaid |
$1,809.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,842.71
|
| Rate for Payer: PACE SWMI |
$2,707.34
|
| Rate for Payer: PHP Medicare Advantage |
$2,707.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,722.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,045.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,288.65
|
| Rate for Payer: Priority Health Medicare |
$2,707.34
|
| Rate for Payer: Priority Health Narrow Network |
$4,288.65
|
| Rate for Payer: UHC Medicare Advantage |
$2,788.56
|
|
|
PR REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ
|
Professional
|
Both
|
$484.00
|
|
|
Service Code
|
HCPCS 33993
|
| Min. Negotiated Rate |
$103.52 |
| Max. Negotiated Rate |
$1,384.15 |
| Rate for Payer: Aetna Commercial |
$218.03
|
| Rate for Payer: Aetna Medicare |
$162.71
|
| Rate for Payer: BCBS Complete |
$108.70
|
| Rate for Payer: BCBS MAPPO |
$162.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.15
|
| Rate for Payer: BCN Commercial |
$237.01
|
| Rate for Payer: BCN Medicare Advantage |
$162.71
|
| Rate for Payer: Cash Price |
$387.20
|
| Rate for Payer: Cash Price |
$387.20
|
| Rate for Payer: Cofinity Commercial |
$218.03
|
| Rate for Payer: Cofinity Commercial |
$234.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.71
|
| Rate for Payer: Healthscope Commercial |
$195.25
|
| Rate for Payer: Healthscope Whirlpool |
$195.25
|
| Rate for Payer: Meridian Medicaid |
$108.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$170.85
|
| Rate for Payer: PACE SWMI |
$162.71
|
| Rate for Payer: PHP Medicare Advantage |
$162.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.99
|
| Rate for Payer: Priority Health Medicare |
$162.71
|
| Rate for Payer: Priority Health Narrow Network |
$257.99
|
| Rate for Payer: UHC Medicare Advantage |
$167.59
|
|
|
PR REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO
|
Professional
|
Both
|
$369.00
|
|
|
Service Code
|
HCPCS 43761
|
| Min. Negotiated Rate |
$65.82 |
| Max. Negotiated Rate |
$258.30 |
| Rate for Payer: Aetna Commercial |
$138.57
|
| Rate for Payer: Aetna Medicare |
$103.41
|
| Rate for Payer: BCBS Complete |
$69.11
|
| Rate for Payer: BCBS MAPPO |
$103.41
|
| Rate for Payer: BCBS Trust/PPO |
$106.72
|
| Rate for Payer: BCN Commercial |
$181.30
|
| Rate for Payer: BCN Medicare Advantage |
$103.41
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$148.91
|
| Rate for Payer: Cofinity Commercial |
$138.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.41
|
| Rate for Payer: Healthscope Commercial |
$124.09
|
| Rate for Payer: Healthscope Whirlpool |
$124.09
|
| Rate for Payer: Meridian Medicaid |
$69.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.58
|
| Rate for Payer: PACE SWMI |
$103.41
|
| Rate for Payer: PHP Medicare Advantage |
$103.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.68
|
| Rate for Payer: Priority Health Medicare |
$103.41
|
| Rate for Payer: Priority Health Narrow Network |
$181.68
|
| Rate for Payer: UHC Medicare Advantage |
$106.51
|
|
