|
PR RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT
|
Professional
|
Both
|
$4,673.00
|
|
|
Service Code
|
HCPCS 32480
|
| Min. Negotiated Rate |
$546.26 |
| Max. Negotiated Rate |
$3,271.10 |
| Rate for Payer: Aetna Commercial |
$1,951.19
|
| Rate for Payer: Aetna Medicare |
$1,456.11
|
| Rate for Payer: BCBS Complete |
$978.24
|
| Rate for Payer: BCBS MAPPO |
$1,456.11
|
| Rate for Payer: BCBS Trust/PPO |
$546.26
|
| Rate for Payer: BCN Commercial |
$2,127.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,456.11
|
| Rate for Payer: Cash Price |
$3,738.40
|
| Rate for Payer: Cash Price |
$3,738.40
|
| Rate for Payer: Cofinity Commercial |
$2,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,951.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,456.11
|
| Rate for Payer: Healthscope Commercial |
$1,747.33
|
| Rate for Payer: Healthscope Whirlpool |
$1,747.33
|
| Rate for Payer: Meridian Medicaid |
$978.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,528.92
|
| Rate for Payer: PACE SWMI |
$1,456.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,456.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,016.10
|
| Rate for Payer: Priority Health Medicare |
$1,456.11
|
| Rate for Payer: Priority Health Narrow Network |
$2,016.10
|
| Rate for Payer: UHC Medicare Advantage |
$1,499.79
|
|
|
PR RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC
|
Professional
|
Both
|
$4,395.00
|
|
|
Service Code
|
HCPCS 32488
|
| Min. Negotiated Rate |
$873.28 |
| Max. Negotiated Rate |
$3,431.00 |
| Rate for Payer: Aetna Commercial |
$3,155.70
|
| Rate for Payer: Aetna Medicare |
$2,355.00
|
| Rate for Payer: BCBS Complete |
$1,577.18
|
| Rate for Payer: BCBS MAPPO |
$2,355.00
|
| Rate for Payer: BCBS Trust/PPO |
$873.28
|
| Rate for Payer: BCN Commercial |
$3,431.00
|
| Rate for Payer: BCN Medicare Advantage |
$2,355.00
|
| Rate for Payer: Cash Price |
$3,516.00
|
| Rate for Payer: Cash Price |
$3,516.00
|
| Rate for Payer: Cofinity Commercial |
$3,391.20
|
| Rate for Payer: Cofinity Commercial |
$3,155.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,355.00
|
| Rate for Payer: Healthscope Commercial |
$2,826.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,826.00
|
| Rate for Payer: Meridian Medicaid |
$1,577.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,472.75
|
| Rate for Payer: PACE SWMI |
$2,355.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,355.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,502.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,076.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,251.04
|
| Rate for Payer: Priority Health Medicare |
$2,355.00
|
| Rate for Payer: Priority Health Narrow Network |
$3,251.04
|
| Rate for Payer: UHC Medicare Advantage |
$2,425.65
|
|
|
PR RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY
|
Professional
|
Both
|
$4,349.00
|
|
|
Service Code
|
HCPCS 32486
|
| Min. Negotiated Rate |
$663.54 |
| Max. Negotiated Rate |
$3,356.72 |
| Rate for Payer: Aetna Commercial |
$3,092.22
|
| Rate for Payer: Aetna Medicare |
$2,307.63
|
| Rate for Payer: BCBS Complete |
$1,541.84
|
| Rate for Payer: BCBS MAPPO |
$2,307.63
|
| Rate for Payer: BCBS Trust/PPO |
$663.54
|
| Rate for Payer: BCN Commercial |
$3,356.72
|
| Rate for Payer: BCN Medicare Advantage |
$2,307.63
|
| Rate for Payer: Cash Price |
$3,479.20
|
| Rate for Payer: Cash Price |
$3,479.20
|
| Rate for Payer: Cofinity Commercial |
$3,092.22
|
| Rate for Payer: Cofinity Commercial |
$3,322.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,307.63
|
| Rate for Payer: Healthscope Commercial |
$2,769.16
|
| Rate for Payer: Healthscope Whirlpool |
$2,769.16
|
| Rate for Payer: Meridian Medicaid |
$1,541.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,423.01
|
| Rate for Payer: PACE SWMI |
$2,307.63
|
| Rate for Payer: PHP Medicare Advantage |
$2,307.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,044.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,180.65
|
| Rate for Payer: Priority Health Medicare |
$2,307.63
|
| Rate for Payer: Priority Health Narrow Network |
$3,180.65
|
| Rate for Payer: UHC Medicare Advantage |
$2,376.86
|
|
|
PR RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF
|
Professional
|
Both
|
$339.00
|
|
|
Service Code
|
HCPCS 32552
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$887.54 |
| Rate for Payer: Aetna Commercial |
$204.87
|
| Rate for Payer: Aetna Medicare |
$152.89
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$152.89
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$265.85
|
| Rate for Payer: BCN Medicare Advantage |
$152.89
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cofinity Commercial |
$204.87
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.89
|
| Rate for Payer: Healthscope Commercial |
$183.47
|
| Rate for Payer: Healthscope Whirlpool |
$183.47
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.53
|
| Rate for Payer: PACE SWMI |
$152.89
|
| Rate for Payer: PHP Medicare Advantage |
$152.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.86
|
| Rate for Payer: Priority Health Medicare |
$152.89
|
| Rate for Payer: Priority Health Narrow Network |
$214.86
|
| Rate for Payer: UHC Medicare Advantage |
$157.48
|
|
|
PR RMVL NFROS TUBE REQ FLUORO GUIDANCE
|
Professional
|
Both
|
$296.00
|
|
|
Service Code
|
HCPCS 50389
|
| Min. Negotiated Rate |
$33.23 |
| Max. Negotiated Rate |
$3,593.50 |
| Rate for Payer: Aetna Commercial |
$69.80
|
| Rate for Payer: Aetna Medicare |
$52.09
|
| Rate for Payer: BCBS Complete |
$34.89
|
| Rate for Payer: BCBS MAPPO |
$52.09
|
| Rate for Payer: BCBS Trust/PPO |
$3,593.50
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$52.09
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cofinity Commercial |
$69.80
|
| Rate for Payer: Cofinity Commercial |
$75.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.09
|
| Rate for Payer: Healthscope Commercial |
$62.51
|
| Rate for Payer: Healthscope Whirlpool |
$62.51
|
| Rate for Payer: Meridian Medicaid |
$34.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$54.69
|
| Rate for Payer: PACE SWMI |
$52.09
|
| Rate for Payer: PHP Medicare Advantage |
$52.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$207.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.29
|
| Rate for Payer: Priority Health Medicare |
$52.09
|
| Rate for Payer: Priority Health Narrow Network |
$84.29
|
| Rate for Payer: UHC Medicare Advantage |
$53.65
|
|
|
PR RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 49623
|
| Min. Negotiated Rate |
$125.24 |
| Max. Negotiated Rate |
$3,514.78 |
| Rate for Payer: Aetna Commercial |
$264.32
|
| Rate for Payer: Aetna Medicare |
$197.25
|
| Rate for Payer: BCBS Complete |
$131.50
|
| Rate for Payer: BCBS MAPPO |
$197.25
|
| Rate for Payer: BCBS Trust/PPO |
$3,514.78
|
| Rate for Payer: BCN Commercial |
$287.34
|
| Rate for Payer: BCN Medicare Advantage |
$197.25
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$284.04
|
| Rate for Payer: Cofinity Commercial |
$264.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.25
|
| Rate for Payer: Healthscope Commercial |
$236.70
|
| Rate for Payer: Healthscope Whirlpool |
$236.70
|
| Rate for Payer: Meridian Medicaid |
$131.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$207.11
|
| Rate for Payer: PACE SWMI |
$197.25
|
| Rate for Payer: PHP Medicare Advantage |
$197.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.73
|
| Rate for Payer: Priority Health Medicare |
$197.25
|
| Rate for Payer: Priority Health Narrow Network |
$345.73
|
| Rate for Payer: UHC Medicare Advantage |
$203.17
|
|
|
PR RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT
|
Professional
|
Both
|
$1,063.00
|
|
|
Service Code
|
HCPCS 54415
|
| Min. Negotiated Rate |
$340.80 |
| Max. Negotiated Rate |
$1,959.10 |
| Rate for Payer: Aetna Commercial |
$694.54
|
| Rate for Payer: Aetna Medicare |
$518.31
|
| Rate for Payer: BCBS Complete |
$357.84
|
| Rate for Payer: BCBS MAPPO |
$518.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.10
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$518.31
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cash Price |
$850.40
|
| Rate for Payer: Cofinity Commercial |
$746.37
|
| Rate for Payer: Cofinity Commercial |
$694.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$518.31
|
| Rate for Payer: Healthscope Commercial |
$621.97
|
| Rate for Payer: Healthscope Whirlpool |
$621.97
|
| Rate for Payer: Meridian Medicaid |
$357.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$544.23
|
| Rate for Payer: PACE SWMI |
$518.31
|
| Rate for Payer: PHP Medicare Advantage |
$518.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$340.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$849.99
|
| Rate for Payer: Priority Health Medicare |
$518.31
|
| Rate for Payer: Priority Health Narrow Network |
$849.99
|
| Rate for Payer: UHC Medicare Advantage |
$533.86
|
|
|
PR RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE
|
Professional
|
Both
|
$706.00
|
|
|
Service Code
|
HCPCS 33272
|
| Min. Negotiated Rate |
$218.54 |
| Max. Negotiated Rate |
$2,196.14 |
| Rate for Payer: Aetna Commercial |
$455.40
|
| Rate for Payer: Aetna Medicare |
$339.85
|
| Rate for Payer: BCBS Complete |
$229.47
|
| Rate for Payer: BCBS MAPPO |
$339.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,196.14
|
| Rate for Payer: BCN Commercial |
$501.39
|
| Rate for Payer: BCN Medicare Advantage |
$339.85
|
| Rate for Payer: Cash Price |
$564.80
|
| Rate for Payer: Cash Price |
$564.80
|
| Rate for Payer: Cofinity Commercial |
$455.40
|
| Rate for Payer: Cofinity Commercial |
$489.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.85
|
| Rate for Payer: Healthscope Commercial |
$407.82
|
| Rate for Payer: Healthscope Whirlpool |
$407.82
|
| Rate for Payer: Meridian Medicaid |
$229.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$356.84
|
| Rate for Payer: PACE SWMI |
$339.85
|
| Rate for Payer: PHP Medicare Advantage |
$339.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$545.78
|
| Rate for Payer: Priority Health Medicare |
$339.85
|
| Rate for Payer: Priority Health Narrow Network |
$545.78
|
| Rate for Payer: UHC Medicare Advantage |
$350.05
|
|
|
PR RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH
|
Professional
|
Both
|
$2,251.00
|
|
|
Service Code
|
HCPCS 62355
|
| Min. Negotiated Rate |
$178.49 |
| Max. Negotiated Rate |
$1,575.70 |
| Rate for Payer: Aetna Commercial |
$362.19
|
| Rate for Payer: Aetna Medicare |
$270.29
|
| Rate for Payer: BCBS Complete |
$187.41
|
| Rate for Payer: BCBS MAPPO |
$270.29
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$403.65
|
| Rate for Payer: BCN Medicare Advantage |
$270.29
|
| Rate for Payer: Cash Price |
$1,800.80
|
| Rate for Payer: Cash Price |
$1,800.80
|
| Rate for Payer: Cofinity Commercial |
$389.22
|
| Rate for Payer: Cofinity Commercial |
$362.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$270.29
|
| Rate for Payer: Healthscope Commercial |
$324.35
|
| Rate for Payer: Healthscope Whirlpool |
$324.35
|
| Rate for Payer: Meridian Medicaid |
$187.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$283.80
|
| Rate for Payer: PACE SWMI |
$270.29
|
| Rate for Payer: PHP Medicare Advantage |
$270.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,575.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$467.70
|
| Rate for Payer: Priority Health Medicare |
$270.29
|
| Rate for Payer: Priority Health Narrow Network |
$467.70
|
| Rate for Payer: UHC Medicare Advantage |
$278.40
|
|
|
PR RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY
|
Professional
|
Both
|
$2,588.00
|
|
|
Service Code
|
HCPCS 33237
|
| Min. Negotiated Rate |
$530.16 |
| Max. Negotiated Rate |
$1,811.60 |
| Rate for Payer: Aetna Commercial |
$1,104.74
|
| Rate for Payer: Aetna Medicare |
$824.43
|
| Rate for Payer: BCBS Complete |
$556.67
|
| Rate for Payer: BCBS MAPPO |
$824.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,126.34
|
| Rate for Payer: BCN Commercial |
$1,211.44
|
| Rate for Payer: BCN Medicare Advantage |
$824.43
|
| Rate for Payer: Cash Price |
$2,070.40
|
| Rate for Payer: Cash Price |
$2,070.40
|
| Rate for Payer: Cofinity Commercial |
$1,187.18
|
| Rate for Payer: Cofinity Commercial |
$1,104.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$824.43
|
| Rate for Payer: Healthscope Commercial |
$989.32
|
| Rate for Payer: Healthscope Whirlpool |
$989.32
|
| Rate for Payer: Meridian Medicaid |
$556.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$865.65
|
| Rate for Payer: PACE SWMI |
$824.43
|
| Rate for Payer: PHP Medicare Advantage |
$824.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$530.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,811.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,318.72
|
| Rate for Payer: Priority Health Medicare |
$824.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,318.72
|
| Rate for Payer: UHC Medicare Advantage |
$849.16
|
|
|
PR RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER
|
Professional
|
Both
|
$3,301.00
|
|
|
Service Code
|
HCPCS 27488
|
| Min. Negotiated Rate |
$771.27 |
| Max. Negotiated Rate |
$2,310.70 |
| Rate for Payer: Aetna Commercial |
$1,584.24
|
| Rate for Payer: Aetna Medicare |
$1,182.27
|
| Rate for Payer: BCBS Complete |
$809.83
|
| Rate for Payer: BCBS MAPPO |
$1,182.27
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$1,756.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,182.27
|
| Rate for Payer: Cash Price |
$2,640.80
|
| Rate for Payer: Cash Price |
$2,640.80
|
| Rate for Payer: Cofinity Commercial |
$1,702.47
|
| Rate for Payer: Cofinity Commercial |
$1,584.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,182.27
|
| Rate for Payer: Healthscope Commercial |
$1,418.72
|
| Rate for Payer: Healthscope Whirlpool |
$1,418.72
|
| Rate for Payer: Meridian Medicaid |
$809.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,241.38
|
| Rate for Payer: PACE SWMI |
$1,182.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,182.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$771.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,310.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,835.28
|
| Rate for Payer: Priority Health Medicare |
$1,182.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,835.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,217.74
|
|
|
PR RMVL/REVJ SLING MALE URINARY INCONTINENCE
|
Professional
|
Both
|
$1,556.00
|
|
|
Service Code
|
HCPCS 53442
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$1,276.37 |
| Rate for Payer: Aetna Commercial |
$1,026.64
|
| Rate for Payer: Aetna Medicare |
$766.15
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$766.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,276.37
|
| Rate for Payer: BCN Commercial |
$1,134.22
|
| Rate for Payer: BCN Medicare Advantage |
$766.15
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cofinity Commercial |
$1,103.26
|
| Rate for Payer: Cofinity Commercial |
$1,026.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.15
|
| Rate for Payer: Healthscope Commercial |
$919.38
|
| Rate for Payer: Healthscope Whirlpool |
$919.38
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$804.46
|
| Rate for Payer: PACE SWMI |
$766.15
|
| Rate for Payer: PHP Medicare Advantage |
$766.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.17
|
| Rate for Payer: Priority Health Medicare |
$766.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,254.17
|
| Rate for Payer: UHC Medicare Advantage |
$789.13
|
|
|
PR RMVL/REVJ SLING STRESS INCONTINENCE
|
Professional
|
Both
|
$1,210.00
|
|
|
Service Code
|
HCPCS 57287
|
| Min. Negotiated Rate |
$477.33 |
| Max. Negotiated Rate |
$2,457.12 |
| Rate for Payer: Aetna Commercial |
$978.12
|
| Rate for Payer: Aetna Medicare |
$729.94
|
| Rate for Payer: BCBS Complete |
$501.20
|
| Rate for Payer: BCBS MAPPO |
$729.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,457.12
|
| Rate for Payer: BCN Commercial |
$1,509.08
|
| Rate for Payer: BCN Medicare Advantage |
$729.94
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cofinity Commercial |
$978.12
|
| Rate for Payer: Cofinity Commercial |
$1,051.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.94
|
| Rate for Payer: Healthscope Commercial |
$875.93
|
| Rate for Payer: Healthscope Whirlpool |
$875.93
|
| Rate for Payer: Meridian Medicaid |
$501.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$766.44
|
| Rate for Payer: PACE SWMI |
$729.94
|
| Rate for Payer: PHP Medicare Advantage |
$729.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$847.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,053.84
|
| Rate for Payer: Priority Health Medicare |
$729.94
|
| Rate for Payer: Priority Health Narrow Network |
$1,053.84
|
| Rate for Payer: UHC Medicare Advantage |
$751.84
|
|
|
PR RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 54410
|
| Min. Negotiated Rate |
$549.75 |
| Max. Negotiated Rate |
$2,612.13 |
| Rate for Payer: Aetna Commercial |
$1,128.47
|
| Rate for Payer: Aetna Medicare |
$842.14
|
| Rate for Payer: BCBS Complete |
$577.24
|
| Rate for Payer: BCBS MAPPO |
$842.14
|
| Rate for Payer: BCBS Trust/PPO |
$2,612.13
|
| Rate for Payer: BCN Commercial |
$1,244.66
|
| Rate for Payer: BCN Medicare Advantage |
$842.14
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,128.47
|
| Rate for Payer: Cofinity Commercial |
$1,212.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$842.14
|
| Rate for Payer: Healthscope Commercial |
$1,010.57
|
| Rate for Payer: Healthscope Whirlpool |
$1,010.57
|
| Rate for Payer: Meridian Medicaid |
$577.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$884.25
|
| Rate for Payer: PACE SWMI |
$842.14
|
| Rate for Payer: PHP Medicare Advantage |
$842.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,148.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.30
|
| Rate for Payer: Priority Health Medicare |
$842.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,376.30
|
| Rate for Payer: UHC Medicare Advantage |
$867.40
|
|
|
PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ
|
Professional
|
Both
|
$2,108.00
|
|
|
Service Code
|
HCPCS 50382
|
| Min. Negotiated Rate |
$155.92 |
| Max. Negotiated Rate |
$4,259.15 |
| Rate for Payer: Aetna Commercial |
$329.80
|
| Rate for Payer: Aetna Medicare |
$246.12
|
| Rate for Payer: BCBS Complete |
$163.72
|
| Rate for Payer: BCBS MAPPO |
$246.12
|
| Rate for Payer: BCBS Trust/PPO |
$4,259.15
|
| Rate for Payer: BCN Commercial |
$1,487.05
|
| Rate for Payer: BCN Medicare Advantage |
$246.12
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cofinity Commercial |
$354.41
|
| Rate for Payer: Cofinity Commercial |
$329.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.12
|
| Rate for Payer: Healthscope Commercial |
$295.34
|
| Rate for Payer: Healthscope Whirlpool |
$295.34
|
| Rate for Payer: Meridian Medicaid |
$163.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$258.43
|
| Rate for Payer: PACE SWMI |
$246.12
|
| Rate for Payer: PHP Medicare Advantage |
$246.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$155.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,475.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$397.70
|
| Rate for Payer: Priority Health Medicare |
$246.12
|
| Rate for Payer: Priority Health Narrow Network |
$397.70
|
| Rate for Payer: UHC Medicare Advantage |
$253.50
|
|
|
PR RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD
|
Professional
|
Both
|
$2,600.00
|
|
|
Service Code
|
HCPCS 53448
|
| Min. Negotiated Rate |
$807.77 |
| Max. Negotiated Rate |
$2,027.97 |
| Rate for Payer: Aetna Commercial |
$1,668.15
|
| Rate for Payer: Aetna Medicare |
$1,244.89
|
| Rate for Payer: BCBS Complete |
$848.31
|
| Rate for Payer: BCBS MAPPO |
$1,244.89
|
| Rate for Payer: BCBS Trust/PPO |
$807.77
|
| Rate for Payer: BCN Commercial |
$1,834.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,244.89
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,792.64
|
| Rate for Payer: Cofinity Commercial |
$1,668.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,244.89
|
| Rate for Payer: Healthscope Commercial |
$1,493.87
|
| Rate for Payer: Healthscope Whirlpool |
$1,493.87
|
| Rate for Payer: Meridian Medicaid |
$848.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,307.13
|
| Rate for Payer: PACE SWMI |
$1,244.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,244.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$807.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,027.97
|
| Rate for Payer: Priority Health Medicare |
$1,244.89
|
| Rate for Payer: Priority Health Narrow Network |
$2,027.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,282.24
|
|
|
PR RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL
|
Professional
|
Both
|
$2,089.00
|
|
|
Service Code
|
HCPCS 54411
|
| Min. Negotiated Rate |
$653.91 |
| Max. Negotiated Rate |
$3,265.16 |
| Rate for Payer: Aetna Commercial |
$1,347.61
|
| Rate for Payer: Aetna Medicare |
$1,005.68
|
| Rate for Payer: BCBS Complete |
$686.61
|
| Rate for Payer: BCBS MAPPO |
$1,005.68
|
| Rate for Payer: BCBS Trust/PPO |
$3,265.16
|
| Rate for Payer: BCN Commercial |
$1,484.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,005.68
|
| Rate for Payer: Cash Price |
$1,671.20
|
| Rate for Payer: Cash Price |
$1,671.20
|
| Rate for Payer: Cofinity Commercial |
$1,448.18
|
| Rate for Payer: Cofinity Commercial |
$1,347.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,005.68
|
| Rate for Payer: Healthscope Commercial |
$1,206.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,206.82
|
| Rate for Payer: Meridian Medicaid |
$686.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,055.96
|
| Rate for Payer: PACE SWMI |
$1,005.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,005.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,462.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,641.60
|
| Rate for Payer: Priority Health Medicare |
$1,005.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,641.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,035.85
|
|
|
PR RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC
|
Professional
|
Both
|
$2,466.00
|
|
|
Service Code
|
HCPCS 53447
|
| Min. Negotiated Rate |
$512.90 |
| Max. Negotiated Rate |
$1,726.20 |
| Rate for Payer: Aetna Commercial |
$1,054.50
|
| Rate for Payer: Aetna Medicare |
$786.94
|
| Rate for Payer: BCBS Complete |
$538.54
|
| Rate for Payer: BCBS MAPPO |
$786.94
|
| Rate for Payer: BCBS Trust/PPO |
$790.34
|
| Rate for Payer: BCN Commercial |
$1,162.57
|
| Rate for Payer: BCN Medicare Advantage |
$786.94
|
| Rate for Payer: Cash Price |
$1,972.80
|
| Rate for Payer: Cash Price |
$1,972.80
|
| Rate for Payer: Cofinity Commercial |
$1,133.19
|
| Rate for Payer: Cofinity Commercial |
$1,054.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$786.94
|
| Rate for Payer: Healthscope Commercial |
$944.33
|
| Rate for Payer: Healthscope Whirlpool |
$944.33
|
| Rate for Payer: Meridian Medicaid |
$538.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$826.29
|
| Rate for Payer: PACE SWMI |
$786.94
|
| Rate for Payer: PHP Medicare Advantage |
$786.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,726.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,285.52
|
| Rate for Payer: Priority Health Medicare |
$786.94
|
| Rate for Payer: Priority Health Narrow Network |
$1,285.52
|
| Rate for Payer: UHC Medicare Advantage |
$810.55
|
|
|
PR RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD
|
Professional
|
Both
|
$2,245.00
|
|
|
Service Code
|
HCPCS 54417
|
| Min. Negotiated Rate |
$571.69 |
| Max. Negotiated Rate |
$2,176.77 |
| Rate for Payer: Aetna Commercial |
$1,176.59
|
| Rate for Payer: Aetna Medicare |
$878.05
|
| Rate for Payer: BCBS Complete |
$600.27
|
| Rate for Payer: BCBS MAPPO |
$878.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,176.77
|
| Rate for Payer: BCN Commercial |
$1,295.97
|
| Rate for Payer: BCN Medicare Advantage |
$878.05
|
| Rate for Payer: Cash Price |
$1,796.00
|
| Rate for Payer: Cash Price |
$1,796.00
|
| Rate for Payer: Cofinity Commercial |
$1,176.59
|
| Rate for Payer: Cofinity Commercial |
$1,264.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$878.05
|
| Rate for Payer: Healthscope Commercial |
$1,053.66
|
| Rate for Payer: Healthscope Whirlpool |
$1,053.66
|
| Rate for Payer: Meridian Medicaid |
$600.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$921.95
|
| Rate for Payer: PACE SWMI |
$878.05
|
| Rate for Payer: PHP Medicare Advantage |
$878.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,571.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,433.03
|
| Rate for Payer: Priority Health Medicare |
$878.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,433.03
|
| Rate for Payer: UHC Medicare Advantage |
$904.39
|
|
|
PR RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 50387
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$3,379.54 |
| Rate for Payer: Aetna Commercial |
$108.94
|
| Rate for Payer: Aetna Medicare |
$81.30
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$81.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,379.54
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$81.30
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$117.07
|
| Rate for Payer: Cofinity Commercial |
$108.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.30
|
| Rate for Payer: Healthscope Commercial |
$97.56
|
| Rate for Payer: Healthscope Whirlpool |
$97.56
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$85.36
|
| Rate for Payer: PACE SWMI |
$81.30
|
| Rate for Payer: PHP Medicare Advantage |
$81.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$131.31
|
| Rate for Payer: Priority Health Medicare |
$81.30
|
| Rate for Payer: Priority Health Narrow Network |
$131.31
|
| Rate for Payer: UHC Medicare Advantage |
$83.74
|
|
|
PR RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 69711
|
| Min. Negotiated Rate |
$539.10 |
| Max. Negotiated Rate |
$3,026.10 |
| Rate for Payer: Aetna Commercial |
$1,102.97
|
| Rate for Payer: Aetna Medicare |
$823.11
|
| Rate for Payer: BCBS Complete |
$566.06
|
| Rate for Payer: BCBS MAPPO |
$823.11
|
| Rate for Payer: BCBS Trust/PPO |
$3,026.10
|
| Rate for Payer: BCN Commercial |
$1,238.80
|
| Rate for Payer: BCN Medicare Advantage |
$823.11
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$1,102.97
|
| Rate for Payer: Cofinity Commercial |
$1,185.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$823.11
|
| Rate for Payer: Healthscope Commercial |
$987.73
|
| Rate for Payer: Healthscope Whirlpool |
$987.73
|
| Rate for Payer: Meridian Medicaid |
$566.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$864.27
|
| Rate for Payer: PACE SWMI |
$823.11
|
| Rate for Payer: PHP Medicare Advantage |
$823.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,195.15
|
| Rate for Payer: Priority Health Medicare |
$823.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,195.15
|
| Rate for Payer: UHC Medicare Advantage |
$847.80
|
|
|
PR RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS
|
Professional
|
Both
|
$1,123.00
|
|
|
Service Code
|
HCPCS 19330
|
| Min. Negotiated Rate |
$414.50 |
| Max. Negotiated Rate |
$947.54 |
| Rate for Payer: Aetna Commercial |
$850.99
|
| Rate for Payer: Aetna Medicare |
$635.07
|
| Rate for Payer: BCBS Complete |
$435.22
|
| Rate for Payer: BCBS MAPPO |
$635.07
|
| Rate for Payer: BCBS Trust/PPO |
$476.13
|
| Rate for Payer: BCN Commercial |
$947.54
|
| Rate for Payer: BCN Medicare Advantage |
$635.07
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cofinity Commercial |
$850.99
|
| Rate for Payer: Cofinity Commercial |
$914.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.07
|
| Rate for Payer: Healthscope Commercial |
$762.08
|
| Rate for Payer: Healthscope Whirlpool |
$762.08
|
| Rate for Payer: Meridian Medicaid |
$435.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$666.82
|
| Rate for Payer: PACE SWMI |
$635.07
|
| Rate for Payer: PHP Medicare Advantage |
$635.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$786.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$797.00
|
| Rate for Payer: Priority Health Medicare |
$635.07
|
| Rate for Payer: Priority Health Narrow Network |
$797.00
|
| Rate for Payer: UHC Medicare Advantage |
$654.12
|
|
|
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15
|
Facility
|
IP
|
$172.00
|
|
|
Service Code
|
CPT 11200
|
| Hospital Charge Code |
11200
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$120.40 |
| Max. Negotiated Rate |
$172.00 |
| Rate for Payer: Aetna Commercial |
$154.80
|
| Rate for Payer: ASR ASR |
$166.84
|
| Rate for Payer: BCBS Trust/PPO |
$133.35
|
| Rate for Payer: BCN Commercial |
$133.35
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$137.60
|
| Rate for Payer: Healthscope Commercial |
$172.00
|
| Rate for Payer: Healthscope Whirlpool |
$166.84
|
| Rate for Payer: Mclaren Commercial |
$154.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$146.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$151.36
|
|
|
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15
|
Facility
|
OP
|
$172.00
|
|
|
Service Code
|
CPT 11200
|
| Hospital Charge Code |
11200
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$97.34 |
| Max. Negotiated Rate |
$222.44 |
| Rate for Payer: Aetna Commercial |
$154.80
|
| Rate for Payer: Aetna Medicare |
$177.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$222.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$222.44
|
| Rate for Payer: ASR ASR |
$166.84
|
| Rate for Payer: BCBS Complete |
$102.21
|
| Rate for Payer: BCBS MAPPO |
$177.95
|
| Rate for Payer: BCBS Trust/PPO |
$133.35
|
| Rate for Payer: BCN Commercial |
$133.35
|
| Rate for Payer: BCN Medicare Advantage |
$177.95
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$137.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.95
|
| Rate for Payer: Healthscope Commercial |
$172.00
|
| Rate for Payer: Healthscope Whirlpool |
$166.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$177.95
|
| Rate for Payer: Mclaren Commercial |
$154.80
|
| Rate for Payer: Mclaren Medicaid |
$97.34
|
| Rate for Payer: Mclaren Medicare |
$177.95
|
| Rate for Payer: Meridian Medicaid |
$102.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$204.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$146.20
|
| Rate for Payer: PACE Medicare |
$169.05
|
| Rate for Payer: PACE SWMI |
$177.95
|
| Rate for Payer: PHP Commercial |
$195.74
|
| Rate for Payer: PHP Medicaid |
$97.34
|
| Rate for Payer: PHP Medicare Advantage |
$177.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.27
|
| Rate for Payer: Priority Health Medicare |
$177.95
|
| Rate for Payer: Priority Health Narrow Network |
$132.22
|
| Rate for Payer: Railroad Medicare Medicare |
$177.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$151.36
|
| Rate for Payer: UHC Medicare Advantage |
$183.29
|
| Rate for Payer: VA VA |
$177.95
|
|
|
PR RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR
|
Professional
|
Both
|
$3,865.00
|
|
|
Service Code
|
HCPCS 63662
|
| Min. Negotiated Rate |
$553.59 |
| Max. Negotiated Rate |
$2,705.50 |
| Rate for Payer: Aetna Commercial |
$1,132.61
|
| Rate for Payer: Aetna Medicare |
$845.23
|
| Rate for Payer: BCBS Complete |
$581.27
|
| Rate for Payer: BCBS MAPPO |
$845.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,468.15
|
| Rate for Payer: BCN Commercial |
$1,251.99
|
| Rate for Payer: BCN Medicare Advantage |
$845.23
|
| Rate for Payer: Cash Price |
$3,092.00
|
| Rate for Payer: Cash Price |
$3,092.00
|
| Rate for Payer: Cofinity Commercial |
$1,132.61
|
| Rate for Payer: Cofinity Commercial |
$1,217.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$845.23
|
| Rate for Payer: Healthscope Commercial |
$1,014.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,014.28
|
| Rate for Payer: Meridian Medicaid |
$581.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$887.49
|
| Rate for Payer: PACE SWMI |
$845.23
|
| Rate for Payer: PHP Medicare Advantage |
$845.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$553.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,705.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,450.66
|
| Rate for Payer: Priority Health Medicare |
$845.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,450.66
|
| Rate for Payer: UHC Medicare Advantage |
$870.59
|
|
