|
PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST
|
Professional
|
Both
|
$2,489.00
|
|
|
Service Code
|
HCPCS 50840
|
| Min. Negotiated Rate |
$780.22 |
| Max. Negotiated Rate |
$4,261.27 |
| Rate for Payer: Aetna Commercial |
$1,608.82
|
| Rate for Payer: Aetna Medicare |
$1,200.61
|
| Rate for Payer: BCBS Complete |
$819.23
|
| Rate for Payer: BCBS MAPPO |
$1,200.61
|
| Rate for Payer: BCBS Trust/PPO |
$4,261.27
|
| Rate for Payer: BCN Commercial |
$1,769.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,200.61
|
| Rate for Payer: Cash Price |
$1,991.20
|
| Rate for Payer: Cash Price |
$1,991.20
|
| Rate for Payer: Cofinity Commercial |
$1,728.88
|
| Rate for Payer: Cofinity Commercial |
$1,608.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,200.61
|
| Rate for Payer: Healthscope Commercial |
$1,440.73
|
| Rate for Payer: Healthscope Whirlpool |
$1,440.73
|
| Rate for Payer: Meridian Medicaid |
$819.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,260.64
|
| Rate for Payer: PACE SWMI |
$1,200.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,200.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$780.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,742.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,957.17
|
| Rate for Payer: Priority Health Medicare |
$1,200.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,957.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,236.63
|
|
|
PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS
|
Professional
|
Both
|
$9,500.00
|
|
|
Service Code
|
HCPCS 33411
|
| Min. Negotiated Rate |
$995.85 |
| Max. Negotiated Rate |
$6,650.00 |
| Rate for Payer: Aetna Commercial |
$4,416.77
|
| Rate for Payer: Aetna Medicare |
$3,296.10
|
| Rate for Payer: BCBS Complete |
$2,200.72
|
| Rate for Payer: BCBS MAPPO |
$3,296.10
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$4,794.41
|
| Rate for Payer: BCN Medicare Advantage |
$3,296.10
|
| Rate for Payer: Cash Price |
$7,600.00
|
| Rate for Payer: Cash Price |
$7,600.00
|
| Rate for Payer: Cofinity Commercial |
$4,746.38
|
| Rate for Payer: Cofinity Commercial |
$4,416.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,296.10
|
| Rate for Payer: Healthscope Commercial |
$3,955.32
|
| Rate for Payer: Healthscope Whirlpool |
$3,955.32
|
| Rate for Payer: Meridian Medicaid |
$2,200.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,460.90
|
| Rate for Payer: PACE SWMI |
$3,296.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,296.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,095.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,650.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,219.03
|
| Rate for Payer: Priority Health Medicare |
$3,296.10
|
| Rate for Payer: Priority Health Narrow Network |
$5,219.03
|
| Rate for Payer: UHC Medicare Advantage |
$3,394.98
|
|
|
PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
|
Professional
|
Both
|
$6,713.00
|
|
|
Service Code
|
HCPCS 33406
|
| Min. Negotiated Rate |
$820.45 |
| Max. Negotiated Rate |
$4,699.10 |
| Rate for Payer: Aetna Commercial |
$3,802.56
|
| Rate for Payer: Aetna Medicare |
$2,837.73
|
| Rate for Payer: BCBS Complete |
$1,896.77
|
| Rate for Payer: BCBS MAPPO |
$2,837.73
|
| Rate for Payer: BCBS Trust/PPO |
$820.45
|
| Rate for Payer: BCN Commercial |
$4,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$2,837.73
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cofinity Commercial |
$3,802.56
|
| Rate for Payer: Cofinity Commercial |
$4,086.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,837.73
|
| Rate for Payer: Healthscope Commercial |
$3,405.28
|
| Rate for Payer: Healthscope Whirlpool |
$3,405.28
|
| Rate for Payer: Meridian Medicaid |
$1,896.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,979.62
|
| Rate for Payer: PACE SWMI |
$2,837.73
|
| Rate for Payer: PHP Medicare Advantage |
$2,837.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,806.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,699.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,493.98
|
| Rate for Payer: Priority Health Medicare |
$2,837.73
|
| Rate for Payer: Priority Health Narrow Network |
$4,493.98
|
| Rate for Payer: UHC Medicare Advantage |
$2,922.86
|
|
|
PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE
|
Professional
|
Both
|
$7,968.00
|
|
|
Service Code
|
HCPCS 33410
|
| Min. Negotiated Rate |
$920.83 |
| Max. Negotiated Rate |
$5,577.60 |
| Rate for Payer: Aetna Commercial |
$3,349.49
|
| Rate for Payer: Aetna Medicare |
$2,499.62
|
| Rate for Payer: BCBS Complete |
$1,670.21
|
| Rate for Payer: BCBS MAPPO |
$2,499.62
|
| Rate for Payer: BCBS Trust/PPO |
$920.83
|
| Rate for Payer: BCN Commercial |
$3,639.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,499.62
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cofinity Commercial |
$3,599.45
|
| Rate for Payer: Cofinity Commercial |
$3,349.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,499.62
|
| Rate for Payer: Healthscope Commercial |
$2,999.54
|
| Rate for Payer: Healthscope Whirlpool |
$2,999.54
|
| Rate for Payer: Meridian Medicaid |
$1,670.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,624.60
|
| Rate for Payer: PACE SWMI |
$2,499.62
|
| Rate for Payer: PHP Medicare Advantage |
$2,499.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,590.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,577.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,961.49
|
| Rate for Payer: Priority Health Medicare |
$2,499.62
|
| Rate for Payer: Priority Health Narrow Network |
$3,961.49
|
| Rate for Payer: UHC Medicare Advantage |
$2,574.61
|
|
|
PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL
|
Professional
|
Both
|
$4,934.00
|
|
|
Service Code
|
HCPCS 62143
|
| Min. Negotiated Rate |
$679.90 |
| Max. Negotiated Rate |
$3,453.80 |
| Rate for Payer: Aetna Commercial |
$1,409.02
|
| Rate for Payer: Aetna Medicare |
$1,051.51
|
| Rate for Payer: BCBS Complete |
$713.90
|
| Rate for Payer: BCBS MAPPO |
$1,051.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.60
|
| Rate for Payer: BCN Commercial |
$2,147.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,051.51
|
| Rate for Payer: Cash Price |
$3,947.20
|
| Rate for Payer: Cash Price |
$3,947.20
|
| Rate for Payer: Cofinity Commercial |
$1,514.17
|
| Rate for Payer: Cofinity Commercial |
$1,409.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,051.51
|
| Rate for Payer: Healthscope Commercial |
$1,261.81
|
| Rate for Payer: Healthscope Whirlpool |
$1,261.81
|
| Rate for Payer: Meridian Medicaid |
$713.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,104.09
|
| Rate for Payer: PACE SWMI |
$1,051.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,051.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$679.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,453.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,793.23
|
| Rate for Payer: Priority Health Medicare |
$1,051.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,793.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.06
|
|
|
PR RPLCMT CATH CTR VAD SUBQ PORT/PMP
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 36578
|
| Min. Negotiated Rate |
$128.65 |
| Max. Negotiated Rate |
$1,318.11 |
| Rate for Payer: Aetna Commercial |
$267.20
|
| Rate for Payer: Aetna Medicare |
$199.40
|
| Rate for Payer: BCBS Complete |
$135.08
|
| Rate for Payer: BCBS MAPPO |
$199.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,318.11
|
| Rate for Payer: BCN Commercial |
$636.74
|
| Rate for Payer: BCN Medicare Advantage |
$199.40
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cofinity Commercial |
$287.14
|
| Rate for Payer: Cofinity Commercial |
$267.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.40
|
| Rate for Payer: Healthscope Commercial |
$239.28
|
| Rate for Payer: Healthscope Whirlpool |
$239.28
|
| Rate for Payer: Meridian Medicaid |
$135.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$209.37
|
| Rate for Payer: PACE SWMI |
$199.40
|
| Rate for Payer: PHP Medicare Advantage |
$199.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$702.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$320.24
|
| Rate for Payer: Priority Health Medicare |
$199.40
|
| Rate for Payer: Priority Health Narrow Network |
$320.24
|
| Rate for Payer: UHC Medicare Advantage |
$205.38
|
|
|
PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$756.00
|
|
|
Service Code
|
HCPCS 36580
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$1,034.41 |
| Rate for Payer: Aetna Commercial |
$86.48
|
| Rate for Payer: Aetna Medicare |
$64.54
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$64.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.41
|
| Rate for Payer: BCN Commercial |
$279.53
|
| Rate for Payer: BCN Medicare Advantage |
$64.54
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$92.94
|
| Rate for Payer: Cofinity Commercial |
$86.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.54
|
| Rate for Payer: Healthscope Commercial |
$77.45
|
| Rate for Payer: Healthscope Whirlpool |
$77.45
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$67.77
|
| Rate for Payer: PACE SWMI |
$64.54
|
| Rate for Payer: PHP Medicare Advantage |
$64.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$529.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102.66
|
| Rate for Payer: Priority Health Medicare |
$64.54
|
| Rate for Payer: Priority Health Narrow Network |
$102.66
|
| Rate for Payer: UHC Medicare Advantage |
$66.48
|
|
|
PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 36585
|
| Min. Negotiated Rate |
$175.73 |
| Max. Negotiated Rate |
$1,705.98 |
| Rate for Payer: Aetna Commercial |
$368.23
|
| Rate for Payer: Aetna Medicare |
$274.80
|
| Rate for Payer: BCBS Complete |
$184.52
|
| Rate for Payer: BCBS MAPPO |
$274.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,150.02
|
| Rate for Payer: BCN Commercial |
$1,705.98
|
| Rate for Payer: BCN Medicare Advantage |
$274.80
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cofinity Commercial |
$368.23
|
| Rate for Payer: Cofinity Commercial |
$395.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.80
|
| Rate for Payer: Healthscope Commercial |
$329.76
|
| Rate for Payer: Healthscope Whirlpool |
$329.76
|
| Rate for Payer: Meridian Medicaid |
$184.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.54
|
| Rate for Payer: PACE SWMI |
$274.80
|
| Rate for Payer: PHP Medicare Advantage |
$274.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,470.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.05
|
| Rate for Payer: Priority Health Medicare |
$274.80
|
| Rate for Payer: Priority Health Narrow Network |
$442.05
|
| Rate for Payer: UHC Medicare Advantage |
$283.04
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP
|
Professional
|
Both
|
$1,907.00
|
|
|
Service Code
|
HCPCS 36583
|
| Min. Negotiated Rate |
$209.59 |
| Max. Negotiated Rate |
$1,698.15 |
| Rate for Payer: Aetna Commercial |
$433.97
|
| Rate for Payer: Aetna Medicare |
$323.86
|
| Rate for Payer: BCBS Complete |
$220.07
|
| Rate for Payer: BCBS MAPPO |
$323.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,556.37
|
| Rate for Payer: BCN Commercial |
$1,698.15
|
| Rate for Payer: BCN Medicare Advantage |
$323.86
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cofinity Commercial |
$433.97
|
| Rate for Payer: Cofinity Commercial |
$466.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.86
|
| Rate for Payer: Healthscope Commercial |
$388.63
|
| Rate for Payer: Healthscope Whirlpool |
$388.63
|
| Rate for Payer: Meridian Medicaid |
$220.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$340.05
|
| Rate for Payer: PACE SWMI |
$323.86
|
| Rate for Payer: PHP Medicare Advantage |
$323.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,334.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$519.73
|
| Rate for Payer: Priority Health Medicare |
$323.86
|
| Rate for Payer: Priority Health Narrow Network |
$519.73
|
| Rate for Payer: UHC Medicare Advantage |
$333.58
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 36582
|
| Min. Negotiated Rate |
$180.62 |
| Max. Negotiated Rate |
$2,421.20 |
| Rate for Payer: Aetna Commercial |
$376.85
|
| Rate for Payer: Aetna Medicare |
$281.23
|
| Rate for Payer: BCBS Complete |
$189.65
|
| Rate for Payer: BCBS MAPPO |
$281.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,421.20
|
| Rate for Payer: BCN Commercial |
$1,296.46
|
| Rate for Payer: BCN Medicare Advantage |
$281.23
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$404.97
|
| Rate for Payer: Cofinity Commercial |
$376.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.23
|
| Rate for Payer: Healthscope Commercial |
$337.48
|
| Rate for Payer: Healthscope Whirlpool |
$337.48
|
| Rate for Payer: Meridian Medicaid |
$189.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$295.29
|
| Rate for Payer: PACE SWMI |
$281.23
|
| Rate for Payer: PHP Medicare Advantage |
$281.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.56
|
| Rate for Payer: Priority Health Medicare |
$281.23
|
| Rate for Payer: Priority Health Narrow Network |
$450.56
|
| Rate for Payer: UHC Medicare Advantage |
$289.67
|
|
|
PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$1,539.00
|
|
|
Service Code
|
HCPCS 36581
|
| Min. Negotiated Rate |
$114.59 |
| Max. Negotiated Rate |
$2,785.20 |
| Rate for Payer: Aetna Commercial |
$238.68
|
| Rate for Payer: Aetna Medicare |
$178.12
|
| Rate for Payer: BCBS Complete |
$120.32
|
| Rate for Payer: BCBS MAPPO |
$178.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,785.20
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$178.12
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cash Price |
$1,231.20
|
| Rate for Payer: Cofinity Commercial |
$256.49
|
| Rate for Payer: Cofinity Commercial |
$238.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.12
|
| Rate for Payer: Healthscope Commercial |
$213.74
|
| Rate for Payer: Healthscope Whirlpool |
$213.74
|
| Rate for Payer: Meridian Medicaid |
$120.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.03
|
| Rate for Payer: PACE SWMI |
$178.12
|
| Rate for Payer: PHP Medicare Advantage |
$178.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,077.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$286.19
|
| Rate for Payer: Priority Health Medicare |
$178.12
|
| Rate for Payer: Priority Health Narrow Network |
$286.19
|
| Rate for Payer: UHC Medicare Advantage |
$183.46
|
|
|
PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER
|
Professional
|
Both
|
$1,837.00
|
|
|
Service Code
|
HCPCS 62194
|
| Min. Negotiated Rate |
$323.97 |
| Max. Negotiated Rate |
$1,285.90 |
| Rate for Payer: Aetna Commercial |
$663.14
|
| Rate for Payer: Aetna Medicare |
$494.88
|
| Rate for Payer: BCBS Complete |
$340.17
|
| Rate for Payer: BCBS MAPPO |
$494.88
|
| Rate for Payer: BCBS Trust/PPO |
$624.98
|
| Rate for Payer: BCN Commercial |
$734.97
|
| Rate for Payer: BCN Medicare Advantage |
$494.88
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cash Price |
$1,469.60
|
| Rate for Payer: Cofinity Commercial |
$712.63
|
| Rate for Payer: Cofinity Commercial |
$663.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.88
|
| Rate for Payer: Healthscope Commercial |
$593.86
|
| Rate for Payer: Healthscope Whirlpool |
$593.86
|
| Rate for Payer: Meridian Medicaid |
$340.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$519.62
|
| Rate for Payer: PACE SWMI |
$494.88
|
| Rate for Payer: PHP Medicare Advantage |
$494.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,285.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$851.59
|
| Rate for Payer: Priority Health Medicare |
$494.88
|
| Rate for Payer: Priority Health Narrow Network |
$851.59
|
| Rate for Payer: UHC Medicare Advantage |
$509.73
|
|
|
PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT
|
Professional
|
Both
|
$2,222.00
|
|
|
Service Code
|
HCPCS 63744
|
| Min. Negotiated Rate |
$446.66 |
| Max. Negotiated Rate |
$1,555.40 |
| Rate for Payer: Aetna Commercial |
$914.75
|
| Rate for Payer: Aetna Medicare |
$682.65
|
| Rate for Payer: BCBS Complete |
$468.99
|
| Rate for Payer: BCBS MAPPO |
$682.65
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$1,110.58
|
| Rate for Payer: BCN Medicare Advantage |
$682.65
|
| Rate for Payer: Cash Price |
$1,777.60
|
| Rate for Payer: Cash Price |
$1,777.60
|
| Rate for Payer: Cofinity Commercial |
$983.02
|
| Rate for Payer: Cofinity Commercial |
$914.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$682.65
|
| Rate for Payer: Healthscope Commercial |
$819.18
|
| Rate for Payer: Healthscope Whirlpool |
$819.18
|
| Rate for Payer: Meridian Medicaid |
$468.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$716.78
|
| Rate for Payer: PACE SWMI |
$682.65
|
| Rate for Payer: PHP Medicare Advantage |
$682.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,555.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,168.68
|
| Rate for Payer: Priority Health Medicare |
$682.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,168.68
|
| Rate for Payer: UHC Medicare Advantage |
$703.13
|
|
|
PR RPLCMT/IRRIGATION VENTRICULAR CATHETER
|
Professional
|
Both
|
$2,672.00
|
|
|
Service Code
|
HCPCS 62225
|
| Min. Negotiated Rate |
$351.45 |
| Max. Negotiated Rate |
$1,870.40 |
| Rate for Payer: Aetna Commercial |
$716.50
|
| Rate for Payer: Aetna Medicare |
$534.70
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$534.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,401.05
|
| Rate for Payer: BCN Commercial |
$1,103.00
|
| Rate for Payer: BCN Medicare Advantage |
$534.70
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cofinity Commercial |
$769.97
|
| Rate for Payer: Cofinity Commercial |
$716.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.70
|
| Rate for Payer: Healthscope Commercial |
$641.64
|
| Rate for Payer: Healthscope Whirlpool |
$641.64
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$561.44
|
| Rate for Payer: PACE SWMI |
$534.70
|
| Rate for Payer: PHP Medicare Advantage |
$534.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,870.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.24
|
| Rate for Payer: Priority Health Medicare |
$534.70
|
| Rate for Payer: Priority Health Narrow Network |
$921.24
|
| Rate for Payer: UHC Medicare Advantage |
$550.74
|
|
|
PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 69717
|
| Min. Negotiated Rate |
$360.18 |
| Max. Negotiated Rate |
$1,881.80 |
| Rate for Payer: Aetna Commercial |
$736.65
|
| Rate for Payer: Aetna Medicare |
$549.74
|
| Rate for Payer: BCBS Complete |
$378.19
|
| Rate for Payer: BCBS MAPPO |
$549.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,881.80
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$549.74
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cofinity Commercial |
$736.65
|
| Rate for Payer: Cofinity Commercial |
$791.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.74
|
| Rate for Payer: Healthscope Commercial |
$659.69
|
| Rate for Payer: Healthscope Whirlpool |
$659.69
|
| Rate for Payer: Meridian Medicaid |
$378.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$577.23
|
| Rate for Payer: PACE SWMI |
$549.74
|
| Rate for Payer: PHP Medicare Advantage |
$549.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,551.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$793.46
|
| Rate for Payer: Priority Health Medicare |
$549.74
|
| Rate for Payer: Priority Health Narrow Network |
$793.46
|
| Rate for Payer: UHC Medicare Advantage |
$566.23
|
|
|
PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT
|
Professional
|
Both
|
$4,659.32
|
|
|
Service Code
|
HCPCS 33405
|
| Min. Negotiated Rate |
$683.09 |
| Max. Negotiated Rate |
$3,539.12 |
| Rate for Payer: Aetna Commercial |
$2,991.24
|
| Rate for Payer: Aetna Medicare |
$2,232.27
|
| Rate for Payer: BCBS Complete |
$1,493.09
|
| Rate for Payer: BCBS MAPPO |
$2,232.27
|
| Rate for Payer: BCBS Trust/PPO |
$683.09
|
| Rate for Payer: BCN Commercial |
$3,251.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,232.27
|
| Rate for Payer: Cash Price |
$3,727.46
|
| Rate for Payer: Cash Price |
$3,727.46
|
| Rate for Payer: Cofinity Commercial |
$2,991.24
|
| Rate for Payer: Cofinity Commercial |
$3,214.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,232.27
|
| Rate for Payer: Healthscope Commercial |
$2,678.72
|
| Rate for Payer: Healthscope Whirlpool |
$2,678.72
|
| Rate for Payer: Meridian Medicaid |
$1,493.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,343.88
|
| Rate for Payer: PACE SWMI |
$2,232.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,232.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,421.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,261.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,539.12
|
| Rate for Payer: Priority Health Medicare |
$2,232.27
|
| Rate for Payer: Priority Health Narrow Network |
$3,539.12
|
| Rate for Payer: UHC Medicare Advantage |
$2,299.24
|
|
|
PR RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS
|
Professional
|
Both
|
$3,485.00
|
|
|
Service Code
|
HCPCS 62230
|
| Min. Negotiated Rate |
$547.84 |
| Max. Negotiated Rate |
$2,439.50 |
| Rate for Payer: Aetna Commercial |
$1,132.42
|
| Rate for Payer: Aetna Medicare |
$845.09
|
| Rate for Payer: BCBS Complete |
$575.23
|
| Rate for Payer: BCBS MAPPO |
$845.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.05
|
| Rate for Payer: BCN Commercial |
$1,726.70
|
| Rate for Payer: BCN Medicare Advantage |
$845.09
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cofinity Commercial |
$1,216.93
|
| Rate for Payer: Cofinity Commercial |
$1,132.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$845.09
|
| Rate for Payer: Healthscope Commercial |
$1,014.11
|
| Rate for Payer: Healthscope Whirlpool |
$1,014.11
|
| Rate for Payer: Meridian Medicaid |
$575.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$887.34
|
| Rate for Payer: PACE SWMI |
$845.09
|
| Rate for Payer: PHP Medicare Advantage |
$845.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,439.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,442.18
|
| Rate for Payer: Priority Health Medicare |
$845.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,442.18
|
| Rate for Payer: UHC Medicare Advantage |
$870.44
|
|
|
PR RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP
|
Professional
|
Both
|
$3,847.00
|
|
|
Service Code
|
HCPCS 20822
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,700.82 |
| Rate for Payer: Aetna Commercial |
$2,335.75
|
| Rate for Payer: Aetna Medicare |
$1,743.10
|
| Rate for Payer: BCBS Complete |
$1,190.71
|
| Rate for Payer: BCBS MAPPO |
$1,743.10
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,584.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,743.10
|
| Rate for Payer: Cash Price |
$3,077.60
|
| Rate for Payer: Cash Price |
$3,077.60
|
| Rate for Payer: Cofinity Commercial |
$2,510.06
|
| Rate for Payer: Cofinity Commercial |
$2,335.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,743.10
|
| Rate for Payer: Healthscope Commercial |
$2,091.72
|
| Rate for Payer: Healthscope Whirlpool |
$2,091.72
|
| Rate for Payer: Meridian Medicaid |
$1,190.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,830.26
|
| Rate for Payer: PACE SWMI |
$1,743.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,743.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,134.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,692.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,700.82
|
| Rate for Payer: Priority Health Medicare |
$1,743.10
|
| Rate for Payer: Priority Health Narrow Network |
$2,700.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,795.39
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 49553
|
| Min. Negotiated Rate |
$406.83 |
| Max. Negotiated Rate |
$1,814.71 |
| Rate for Payer: Aetna Commercial |
$844.35
|
| Rate for Payer: Aetna Medicare |
$630.11
|
| Rate for Payer: BCBS Complete |
$427.17
|
| Rate for Payer: BCBS MAPPO |
$630.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
| Rate for Payer: BCN Commercial |
$928.49
|
| Rate for Payer: BCN Medicare Advantage |
$630.11
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$844.35
|
| Rate for Payer: Cofinity Commercial |
$907.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.11
|
| Rate for Payer: Healthscope Commercial |
$756.13
|
| Rate for Payer: Healthscope Whirlpool |
$756.13
|
| Rate for Payer: Meridian Medicaid |
$427.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.62
|
| Rate for Payer: PACE SWMI |
$630.11
|
| Rate for Payer: PHP Medicare Advantage |
$630.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
| Rate for Payer: Priority Health Medicare |
$630.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.15
|
| Rate for Payer: UHC Medicare Advantage |
$649.01
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
IP
|
$1,107.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$774.90 |
| Max. Negotiated Rate |
$1,107.00 |
| Rate for Payer: Aetna Commercial |
$996.30
|
| Rate for Payer: ASR ASR |
$1,073.79
|
| Rate for Payer: BCBS Trust/PPO |
$858.26
|
| Rate for Payer: BCN Commercial |
$858.26
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$1,040.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Healthscope Commercial |
$1,107.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,073.79
|
| Rate for Payer: Mclaren Commercial |
$996.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$974.16
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Facility
|
OP
|
$1,107.00
|
|
|
Service Code
|
CPT 49553
|
| Hospital Charge Code |
49553
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$774.90 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$996.30
|
| Rate for Payer: Aetna Medicare |
$3,075.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,844.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,844.02
|
| Rate for Payer: ASR ASR |
$1,073.79
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$858.26
|
| Rate for Payer: BCN Commercial |
$858.26
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$1,040.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$1,107.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,073.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$996.30
|
| Rate for Payer: Mclaren Medicaid |
$1,682.15
|
| Rate for Payer: Mclaren Medicare |
$3,075.22
|
| Rate for Payer: Meridian Medicaid |
$1,766.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,536.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: PACE Medicare |
$2,921.46
|
| Rate for Payer: PACE SWMI |
$3,075.22
|
| Rate for Payer: PHP Commercial |
$3,382.74
|
| Rate for Payer: PHP Medicaid |
$1,682.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,075.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,682.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,007.37
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$785.97
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$974.16
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
|
PR RPR 1ST FEM HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 49553
|
| Hospital Charge Code |
49553
|
| Min. Negotiated Rate |
$406.83 |
| Max. Negotiated Rate |
$1,814.71 |
| Rate for Payer: Aetna Commercial |
$844.35
|
| Rate for Payer: Aetna Medicare |
$630.11
|
| Rate for Payer: BCBS Complete |
$427.17
|
| Rate for Payer: BCBS MAPPO |
$630.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
| Rate for Payer: BCN Commercial |
$928.49
|
| Rate for Payer: BCN Medicare Advantage |
$630.11
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$907.36
|
| Rate for Payer: Cofinity Commercial |
$844.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.11
|
| Rate for Payer: Healthscope Commercial |
$756.13
|
| Rate for Payer: Healthscope Whirlpool |
$756.13
|
| Rate for Payer: Meridian Medicaid |
$427.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$661.62
|
| Rate for Payer: PACE SWMI |
$630.11
|
| Rate for Payer: PHP Medicare Advantage |
$630.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.15
|
| Rate for Payer: Priority Health Medicare |
$630.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.15
|
| Rate for Payer: UHC Medicare Advantage |
$649.01
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$847.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$592.90 |
| Max. Negotiated Rate |
$847.00 |
| Rate for Payer: Aetna Commercial |
$762.30
|
| Rate for Payer: ASR ASR |
$821.59
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$656.68
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$796.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.60
|
| Rate for Payer: Healthscope Commercial |
$847.00
|
| Rate for Payer: Healthscope Whirlpool |
$821.59
|
| Rate for Payer: Mclaren Commercial |
$762.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$745.36
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$847.00
|
|
|
Service Code
|
HCPCS 49550
|
| Hospital Charge Code |
49550
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$6,312.66 |
| Rate for Payer: Aetna Commercial |
$771.18
|
| Rate for Payer: Aetna Medicare |
$575.51
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCBS MAPPO |
$575.51
|
| Rate for Payer: BCBS Trust/PPO |
$6,312.66
|
| Rate for Payer: BCN Commercial |
$848.35
|
| Rate for Payer: BCN Medicare Advantage |
$575.51
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$771.18
|
| Rate for Payer: Cofinity Commercial |
$828.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$575.51
|
| Rate for Payer: Healthscope Commercial |
$690.61
|
| Rate for Payer: Healthscope Whirlpool |
$690.61
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$604.29
|
| Rate for Payer: PACE SWMI |
$575.51
|
| Rate for Payer: PHP Medicare Advantage |
$575.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.72
|
| Rate for Payer: Priority Health Medicare |
$575.51
|
| Rate for Payer: Priority Health Narrow Network |
$1,020.72
|
| Rate for Payer: UHC Medicare Advantage |
$592.78
|
|
|
PR RPR 1ST FEM HRNA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$847.00
|
|
|
Service Code
|
CPT 49550
|
| Hospital Charge Code |
49550
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$592.90 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$762.30
|
| Rate for Payer: Aetna Medicare |
$3,075.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,844.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,844.02
|
| Rate for Payer: ASR ASR |
$821.59
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$656.68
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$796.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$677.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$847.00
|
| Rate for Payer: Healthscope Whirlpool |
$821.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$762.30
|
| Rate for Payer: Mclaren Medicaid |
$1,682.15
|
| Rate for Payer: Mclaren Medicare |
$3,075.22
|
| Rate for Payer: Meridian Medicaid |
$1,766.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,228.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,536.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$719.95
|
| Rate for Payer: PACE Medicare |
$2,921.46
|
| Rate for Payer: PACE SWMI |
$3,075.22
|
| Rate for Payer: PHP Commercial |
$3,382.74
|
| Rate for Payer: PHP Medicaid |
$1,682.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,075.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,682.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$770.77
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$601.37
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$745.36
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
