|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,395.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$365.30 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$767.02
|
| Rate for Payer: Aetna Medicare |
$572.40
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$572.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$572.40
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$767.02
|
| Rate for Payer: Cofinity Commercial |
$824.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.40
|
| Rate for Payer: Healthscope Commercial |
$686.88
|
| Rate for Payer: Healthscope Whirlpool |
$686.88
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.02
|
| Rate for Payer: PACE SWMI |
$572.40
|
| Rate for Payer: PHP Medicare Advantage |
$572.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,004.84
|
| Rate for Payer: Priority Health Medicare |
$572.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,004.84
|
| Rate for Payer: UHC Medicare Advantage |
$589.57
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,395.00
|
|
|
Service Code
|
CPT 49593
|
| Hospital Charge Code |
49593
|
| Min. Negotiated Rate |
$976.50 |
| Max. Negotiated Rate |
$1,395.00 |
| Rate for Payer: Aetna Commercial |
$1,255.50
|
| Rate for Payer: ASR ASR |
$1,353.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,081.54
|
| Rate for Payer: BCN Commercial |
$1,081.54
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$1,311.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.00
|
| Rate for Payer: Healthscope Commercial |
$1,395.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,353.15
|
| Rate for Payer: Mclaren Commercial |
$1,255.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,185.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,227.60
|
|
|
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,395.00
|
|
|
Service Code
|
HCPCS 49593
|
| Min. Negotiated Rate |
$365.30 |
| Max. Negotiated Rate |
$2,206.18 |
| Rate for Payer: Aetna Commercial |
$767.02
|
| Rate for Payer: Aetna Medicare |
$572.40
|
| Rate for Payer: BCBS Complete |
$383.56
|
| Rate for Payer: BCBS MAPPO |
$572.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,206.18
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$572.40
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cash Price |
$1,116.00
|
| Rate for Payer: Cofinity Commercial |
$824.26
|
| Rate for Payer: Cofinity Commercial |
$767.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.40
|
| Rate for Payer: Healthscope Commercial |
$686.88
|
| Rate for Payer: Healthscope Whirlpool |
$686.88
|
| Rate for Payer: Meridian Medicaid |
$383.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.02
|
| Rate for Payer: PACE SWMI |
$572.40
|
| Rate for Payer: PHP Medicare Advantage |
$572.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,004.84
|
| Rate for Payer: Priority Health Medicare |
$572.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,004.84
|
| Rate for Payer: UHC Medicare Advantage |
$589.57
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
OP
|
$1,159.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$811.30 |
| Max. Negotiated Rate |
$6,411.01 |
| Rate for Payer: Aetna Commercial |
$1,043.10
|
| Rate for Payer: Aetna Medicare |
$5,128.81
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6,411.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6,411.01
|
| Rate for Payer: ASR ASR |
$1,124.23
|
| Rate for Payer: BCBS Complete |
$2,945.99
|
| Rate for Payer: BCBS MAPPO |
$5,128.81
|
| Rate for Payer: BCBS Trust/PPO |
$898.57
|
| Rate for Payer: BCN Commercial |
$898.57
|
| Rate for Payer: BCN Medicare Advantage |
$5,128.81
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$1,089.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,128.81
|
| Rate for Payer: Healthscope Commercial |
$1,159.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,124.23
|
| Rate for Payer: Humana Choice PPO Medicare |
$5,128.81
|
| Rate for Payer: Mclaren Commercial |
$1,043.10
|
| Rate for Payer: Mclaren Medicaid |
$2,805.46
|
| Rate for Payer: Mclaren Medicare |
$5,128.81
|
| Rate for Payer: Meridian Medicaid |
$2,945.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5,385.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5,898.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.15
|
| Rate for Payer: PACE Medicare |
$4,872.37
|
| Rate for Payer: PACE SWMI |
$5,128.81
|
| Rate for Payer: PHP Commercial |
$5,641.69
|
| Rate for Payer: PHP Medicaid |
$2,805.46
|
| Rate for Payer: PHP Medicare Advantage |
$5,128.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,805.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,054.69
|
| Rate for Payer: Priority Health Medicare |
$5,128.81
|
| Rate for Payer: Priority Health Narrow Network |
$822.89
|
| Rate for Payer: Railroad Medicare Medicare |
$5,128.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,019.92
|
| Rate for Payer: UHC Medicare Advantage |
$5,282.67
|
| Rate for Payer: VA VA |
$5,128.81
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$2,151.77 |
| Rate for Payer: Aetna Commercial |
$636.78
|
| Rate for Payer: Aetna Medicare |
$475.21
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$475.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$475.21
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$684.30
|
| Rate for Payer: Cofinity Commercial |
$636.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.21
|
| Rate for Payer: Healthscope Commercial |
$570.25
|
| Rate for Payer: Healthscope Whirlpool |
$570.25
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.97
|
| Rate for Payer: PACE SWMI |
$475.21
|
| Rate for Payer: PHP Medicare Advantage |
$475.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.33
|
| Rate for Payer: Priority Health Medicare |
$475.21
|
| Rate for Payer: Priority Health Narrow Network |
$834.33
|
| Rate for Payer: UHC Medicare Advantage |
$489.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 49592
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$2,151.77 |
| Rate for Payer: Aetna Commercial |
$636.78
|
| Rate for Payer: Aetna Medicare |
$475.21
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$475.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,151.77
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$475.21
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$684.30
|
| Rate for Payer: Cofinity Commercial |
$636.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.21
|
| Rate for Payer: Healthscope Commercial |
$570.25
|
| Rate for Payer: Healthscope Whirlpool |
$570.25
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.97
|
| Rate for Payer: PACE SWMI |
$475.21
|
| Rate for Payer: PHP Medicare Advantage |
$475.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.33
|
| Rate for Payer: Priority Health Medicare |
$475.21
|
| Rate for Payer: Priority Health Narrow Network |
$834.33
|
| Rate for Payer: UHC Medicare Advantage |
$489.47
|
|
|
PR RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED
|
Facility
|
IP
|
$1,159.00
|
|
|
Service Code
|
CPT 49592
|
| Hospital Charge Code |
49592
|
| Min. Negotiated Rate |
$811.30 |
| Max. Negotiated Rate |
$1,159.00 |
| Rate for Payer: Aetna Commercial |
$1,043.10
|
| Rate for Payer: ASR ASR |
$1,124.23
|
| Rate for Payer: BCBS Trust/PPO |
$898.57
|
| Rate for Payer: BCN Commercial |
$898.57
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$1,089.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Healthscope Commercial |
$1,159.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,124.23
|
| Rate for Payer: Mclaren Commercial |
$1,043.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$985.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$811.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,019.92
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$218.33 |
| Max. Negotiated Rate |
$1,842.18 |
| Rate for Payer: Aetna Commercial |
$456.90
|
| Rate for Payer: Aetna Medicare |
$340.97
|
| Rate for Payer: BCBS Complete |
$229.25
|
| Rate for Payer: BCBS MAPPO |
$340.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$340.97
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$491.00
|
| Rate for Payer: Cofinity Commercial |
$456.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.97
|
| Rate for Payer: Healthscope Commercial |
$409.16
|
| Rate for Payer: Healthscope Whirlpool |
$409.16
|
| Rate for Payer: Meridian Medicaid |
$229.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.02
|
| Rate for Payer: PACE SWMI |
$340.97
|
| Rate for Payer: PHP Medicare Advantage |
$340.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.73
|
| Rate for Payer: Priority Health Medicare |
$340.97
|
| Rate for Payer: Priority Health Narrow Network |
$599.73
|
| Rate for Payer: UHC Medicare Advantage |
$351.20
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 49591
|
| Min. Negotiated Rate |
$218.33 |
| Max. Negotiated Rate |
$1,842.18 |
| Rate for Payer: Aetna Commercial |
$456.90
|
| Rate for Payer: Aetna Medicare |
$340.97
|
| Rate for Payer: BCBS Complete |
$229.25
|
| Rate for Payer: BCBS MAPPO |
$340.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,842.18
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$340.97
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$491.00
|
| Rate for Payer: Cofinity Commercial |
$456.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.97
|
| Rate for Payer: Healthscope Commercial |
$409.16
|
| Rate for Payer: Healthscope Whirlpool |
$409.16
|
| Rate for Payer: Meridian Medicaid |
$229.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$358.02
|
| Rate for Payer: PACE SWMI |
$340.97
|
| Rate for Payer: PHP Medicare Advantage |
$340.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.73
|
| Rate for Payer: Priority Health Medicare |
$340.97
|
| Rate for Payer: Priority Health Narrow Network |
$599.73
|
| Rate for Payer: UHC Medicare Advantage |
$351.20
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
OP
|
$852.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$596.40 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$766.80
|
| 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 |
$826.44
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$660.56
|
| Rate for Payer: BCN Commercial |
$660.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$800.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$681.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$852.00
|
| Rate for Payer: Healthscope Whirlpool |
$826.44
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$766.80
|
| 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 |
$724.20
|
| 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 |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$775.32
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$604.92
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$749.76
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
|
PR RPR AA HERNIA 1ST < 3 CM REDUCIBLE
|
Facility
|
IP
|
$852.00
|
|
|
Service Code
|
CPT 49591
|
| Hospital Charge Code |
49591
|
| Min. Negotiated Rate |
$596.40 |
| Max. Negotiated Rate |
$852.00 |
| Rate for Payer: Aetna Commercial |
$766.80
|
| Rate for Payer: ASR ASR |
$826.44
|
| Rate for Payer: BCBS Trust/PPO |
$660.56
|
| Rate for Payer: BCN Commercial |
$660.56
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$800.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$681.60
|
| Rate for Payer: Healthscope Commercial |
$852.00
|
| Rate for Payer: Healthscope Whirlpool |
$826.44
|
| Rate for Payer: Mclaren Commercial |
$766.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$724.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$749.76
|
|
|
PR RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,099.00
|
|
|
Service Code
|
HCPCS 49618
|
| Min. Negotiated Rate |
$789.80 |
| Max. Negotiated Rate |
$2,982.78 |
| Rate for Payer: Aetna Commercial |
$1,660.94
|
| Rate for Payer: Aetna Medicare |
$1,239.51
|
| Rate for Payer: BCBS Complete |
$829.29
|
| Rate for Payer: BCBS MAPPO |
$1,239.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,982.78
|
| Rate for Payer: BCN Commercial |
$1,806.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,239.51
|
| Rate for Payer: Cash Price |
$2,479.20
|
| Rate for Payer: Cash Price |
$2,479.20
|
| Rate for Payer: Cofinity Commercial |
$1,784.89
|
| Rate for Payer: Cofinity Commercial |
$1,660.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,239.51
|
| Rate for Payer: Healthscope Commercial |
$1,487.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,487.41
|
| Rate for Payer: Meridian Medicaid |
$829.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,301.49
|
| Rate for Payer: PACE SWMI |
$1,239.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,239.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$789.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,169.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,173.15
|
| Rate for Payer: Priority Health Medicare |
$1,239.51
|
| Rate for Payer: Priority Health Narrow Network |
$2,173.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,276.70
|
|
|
PR RPR AA HERNIA RECR > 10 CM REDUCIBLE
|
Professional
|
Both
|
$1,812.00
|
|
|
Service Code
|
HCPCS 49617
|
| Min. Negotiated Rate |
$563.81 |
| Max. Negotiated Rate |
$1,551.06 |
| Rate for Payer: Aetna Commercial |
$1,184.37
|
| Rate for Payer: Aetna Medicare |
$883.86
|
| Rate for Payer: BCBS Complete |
$592.00
|
| Rate for Payer: BCBS MAPPO |
$883.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.13
|
| Rate for Payer: BCN Commercial |
$1,289.14
|
| Rate for Payer: BCN Medicare Advantage |
$883.86
|
| Rate for Payer: Cash Price |
$1,449.60
|
| Rate for Payer: Cash Price |
$1,449.60
|
| Rate for Payer: Cofinity Commercial |
$1,272.76
|
| Rate for Payer: Cofinity Commercial |
$1,184.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$883.86
|
| Rate for Payer: Healthscope Commercial |
$1,060.63
|
| Rate for Payer: Healthscope Whirlpool |
$1,060.63
|
| Rate for Payer: Meridian Medicaid |
$592.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$928.05
|
| Rate for Payer: PACE SWMI |
$883.86
|
| Rate for Payer: PHP Medicare Advantage |
$883.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,551.06
|
| Rate for Payer: Priority Health Medicare |
$883.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,551.06
|
| Rate for Payer: UHC Medicare Advantage |
$910.38
|
|
|
PR RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,717.00
|
|
|
Service Code
|
HCPCS 49616
|
| Min. Negotiated Rate |
$547.20 |
| Max. Negotiated Rate |
$1,505.80 |
| Rate for Payer: Aetna Commercial |
$1,150.59
|
| Rate for Payer: Aetna Medicare |
$858.65
|
| Rate for Payer: BCBS Complete |
$574.56
|
| Rate for Payer: BCBS MAPPO |
$858.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.07
|
| Rate for Payer: BCN Commercial |
$1,251.51
|
| Rate for Payer: BCN Medicare Advantage |
$858.65
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cofinity Commercial |
$1,236.46
|
| Rate for Payer: Cofinity Commercial |
$1,150.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$858.65
|
| Rate for Payer: Healthscope Commercial |
$1,030.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,030.38
|
| Rate for Payer: Meridian Medicaid |
$574.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$901.58
|
| Rate for Payer: PACE SWMI |
$858.65
|
| Rate for Payer: PHP Medicare Advantage |
$858.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,201.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,505.80
|
| Rate for Payer: Priority Health Medicare |
$858.65
|
| Rate for Payer: Priority Health Narrow Network |
$1,505.80
|
| Rate for Payer: UHC Medicare Advantage |
$884.41
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
IP
|
$1,558.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,090.60 |
| Max. Negotiated Rate |
$1,558.00 |
| Rate for Payer: Aetna Commercial |
$1,402.20
|
| Rate for Payer: ASR ASR |
$1,511.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.92
|
| Rate for Payer: BCN Commercial |
$1,207.92
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,464.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Healthscope Commercial |
$1,558.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,511.26
|
| Rate for Payer: Mclaren Commercial |
$1,402.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,324.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,371.04
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$407.26 |
| Max. Negotiated Rate |
$1,121.27 |
| Rate for Payer: Aetna Commercial |
$855.95
|
| Rate for Payer: Aetna Medicare |
$638.77
|
| Rate for Payer: BCBS Complete |
$427.62
|
| Rate for Payer: BCBS MAPPO |
$638.77
|
| Rate for Payer: BCBS Trust/PPO |
$941.43
|
| Rate for Payer: BCN Commercial |
$931.91
|
| Rate for Payer: BCN Medicare Advantage |
$638.77
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$919.83
|
| Rate for Payer: Cofinity Commercial |
$855.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.77
|
| Rate for Payer: Healthscope Commercial |
$766.52
|
| Rate for Payer: Healthscope Whirlpool |
$766.52
|
| Rate for Payer: Meridian Medicaid |
$427.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$670.71
|
| Rate for Payer: PACE SWMI |
$638.77
|
| Rate for Payer: PHP Medicare Advantage |
$638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,121.27
|
| Rate for Payer: Priority Health Medicare |
$638.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,121.27
|
| Rate for Payer: UHC Medicare Advantage |
$657.93
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Facility
|
OP
|
$1,558.00
|
|
|
Service Code
|
CPT 49615
|
| Hospital Charge Code |
49615
|
| Min. Negotiated Rate |
$1,090.60 |
| Max. Negotiated Rate |
$3,844.02 |
| Rate for Payer: Aetna Commercial |
$1,402.20
|
| 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 |
$1,511.26
|
| Rate for Payer: BCBS Complete |
$1,766.41
|
| Rate for Payer: BCBS MAPPO |
$3,075.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,207.92
|
| Rate for Payer: BCN Commercial |
$1,207.92
|
| Rate for Payer: BCN Medicare Advantage |
$3,075.22
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,464.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,075.22
|
| Rate for Payer: Healthscope Commercial |
$1,558.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,511.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,075.22
|
| Rate for Payer: Mclaren Commercial |
$1,402.20
|
| 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 |
$1,324.30
|
| 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 |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,417.78
|
| Rate for Payer: Priority Health Medicare |
$3,075.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,106.18
|
| Rate for Payer: Railroad Medicare Medicare |
$3,075.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,371.04
|
| Rate for Payer: UHC Medicare Advantage |
$3,167.48
|
| Rate for Payer: VA VA |
$3,075.22
|
|
|
PR RPR AA HERNIA RECR 3-10 CM REDUCIBLE
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 49615
|
| Min. Negotiated Rate |
$407.26 |
| Max. Negotiated Rate |
$1,121.27 |
| Rate for Payer: Aetna Commercial |
$855.95
|
| Rate for Payer: Aetna Medicare |
$638.77
|
| Rate for Payer: BCBS Complete |
$427.62
|
| Rate for Payer: BCBS MAPPO |
$638.77
|
| Rate for Payer: BCBS Trust/PPO |
$941.43
|
| Rate for Payer: BCN Commercial |
$931.91
|
| Rate for Payer: BCN Medicare Advantage |
$638.77
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$855.95
|
| Rate for Payer: Cofinity Commercial |
$919.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.77
|
| Rate for Payer: Healthscope Commercial |
$766.52
|
| Rate for Payer: Healthscope Whirlpool |
$766.52
|
| Rate for Payer: Meridian Medicaid |
$427.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$670.71
|
| Rate for Payer: PACE SWMI |
$638.77
|
| Rate for Payer: PHP Medicare Advantage |
$638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,121.27
|
| Rate for Payer: Priority Health Medicare |
$638.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,121.27
|
| Rate for Payer: UHC Medicare Advantage |
$657.93
|
|
|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,142.00
|
|
|
Service Code
|
HCPCS 49614
|
| Min. Negotiated Rate |
$364.23 |
| Max. Negotiated Rate |
$2,425.95 |
| Rate for Payer: Aetna Commercial |
$765.31
|
| Rate for Payer: Aetna Medicare |
$571.13
|
| Rate for Payer: BCBS Complete |
$382.44
|
| Rate for Payer: BCBS MAPPO |
$571.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,425.95
|
| Rate for Payer: BCN Commercial |
$833.19
|
| Rate for Payer: BCN Medicare Advantage |
$571.13
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cofinity Commercial |
$822.43
|
| Rate for Payer: Cofinity Commercial |
$765.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.13
|
| Rate for Payer: Healthscope Commercial |
$685.36
|
| Rate for Payer: Healthscope Whirlpool |
$685.36
|
| Rate for Payer: Meridian Medicaid |
$382.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$599.69
|
| Rate for Payer: PACE SWMI |
$571.13
|
| Rate for Payer: PHP Medicare Advantage |
$571.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$799.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,002.50
|
| Rate for Payer: Priority Health Medicare |
$571.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,002.50
|
| Rate for Payer: UHC Medicare Advantage |
$588.26
|
|
|
PR RPR AA HERNIA RECR < 3 CM REDUCIBLE
|
Professional
|
Both
|
$840.00
|
|
|
Service Code
|
HCPCS 49613
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$2,199.84 |
| Rate for Payer: Aetna Commercial |
$563.24
|
| Rate for Payer: Aetna Medicare |
$420.33
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS MAPPO |
$420.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,199.84
|
| Rate for Payer: BCN Commercial |
$614.26
|
| Rate for Payer: BCN Medicare Advantage |
$420.33
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$605.28
|
| Rate for Payer: Cofinity Commercial |
$563.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.33
|
| Rate for Payer: Healthscope Commercial |
$504.40
|
| Rate for Payer: Healthscope Whirlpool |
$504.40
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$441.35
|
| Rate for Payer: PACE SWMI |
$420.33
|
| Rate for Payer: PHP Medicare Advantage |
$420.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$739.08
|
| Rate for Payer: Priority Health Medicare |
$420.33
|
| Rate for Payer: Priority Health Narrow Network |
$739.08
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
|
|
PR RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26350
|
| Min. Negotiated Rate |
$329.13 |
| Max. Negotiated Rate |
$1,360.80 |
| Rate for Payer: Aetna Commercial |
$974.41
|
| Rate for Payer: Aetna Medicare |
$727.17
|
| Rate for Payer: BCBS Complete |
$508.14
|
| Rate for Payer: BCBS MAPPO |
$727.17
|
| Rate for Payer: BCBS Trust/PPO |
$329.13
|
| Rate for Payer: BCN Commercial |
$1,111.25
|
| Rate for Payer: BCN Medicare Advantage |
$727.17
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$974.41
|
| Rate for Payer: Cofinity Commercial |
$1,047.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.17
|
| Rate for Payer: Healthscope Commercial |
$872.60
|
| Rate for Payer: Healthscope Whirlpool |
$872.60
|
| Rate for Payer: Meridian Medicaid |
$508.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$763.53
|
| Rate for Payer: PACE SWMI |
$727.17
|
| Rate for Payer: PHP Medicare Advantage |
$727.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.21
|
| Rate for Payer: Priority Health Medicare |
$727.17
|
| Rate for Payer: Priority Health Narrow Network |
$1,161.21
|
| Rate for Payer: UHC Medicare Advantage |
$748.99
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON
|
Professional
|
Both
|
$2,656.00
|
|
|
Service Code
|
HCPCS 26358
|
| Min. Negotiated Rate |
$637.08 |
| Max. Negotiated Rate |
$1,859.20 |
| Rate for Payer: Aetna Commercial |
$1,296.84
|
| Rate for Payer: Aetna Medicare |
$967.79
|
| Rate for Payer: BCBS Complete |
$668.93
|
| Rate for Payer: BCBS MAPPO |
$967.79
|
| Rate for Payer: BCBS Trust/PPO |
$662.49
|
| Rate for Payer: BCN Commercial |
$1,449.42
|
| Rate for Payer: BCN Medicare Advantage |
$967.79
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Cofinity Commercial |
$1,296.84
|
| Rate for Payer: Cofinity Commercial |
$1,393.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.79
|
| Rate for Payer: Healthscope Commercial |
$1,161.35
|
| Rate for Payer: Healthscope Whirlpool |
$1,161.35
|
| Rate for Payer: Meridian Medicaid |
$668.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,016.18
|
| Rate for Payer: PACE SWMI |
$967.79
|
| Rate for Payer: PHP Medicare Advantage |
$967.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,859.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,514.58
|
| Rate for Payer: Priority Health Medicare |
$967.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,514.58
|
| Rate for Payer: UHC Medicare Advantage |
$996.82
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,605.00
|
|
|
Service Code
|
HCPCS 26356
|
| Min. Negotiated Rate |
$516.53 |
| Max. Negotiated Rate |
$1,823.50 |
| Rate for Payer: Aetna Commercial |
$1,047.46
|
| Rate for Payer: Aetna Medicare |
$781.69
|
| Rate for Payer: BCBS Complete |
$542.36
|
| Rate for Payer: BCBS MAPPO |
$781.69
|
| Rate for Payer: BCBS Trust/PPO |
$559.47
|
| Rate for Payer: BCN Commercial |
$1,176.25
|
| Rate for Payer: BCN Medicare Advantage |
$781.69
|
| Rate for Payer: Cash Price |
$2,084.00
|
| Rate for Payer: Cash Price |
$2,084.00
|
| Rate for Payer: Cofinity Commercial |
$1,047.46
|
| Rate for Payer: Cofinity Commercial |
$1,125.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.69
|
| Rate for Payer: Healthscope Commercial |
$938.03
|
| Rate for Payer: Healthscope Whirlpool |
$938.03
|
| Rate for Payer: Meridian Medicaid |
$542.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$820.77
|
| Rate for Payer: PACE SWMI |
$781.69
|
| Rate for Payer: PHP Medicare Advantage |
$781.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,823.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,229.13
|
| Rate for Payer: Priority Health Medicare |
$781.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,229.13
|
| Rate for Payer: UHC Medicare Advantage |
$805.14
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,721.00
|
|
|
Service Code
|
HCPCS 26357
|
| Min. Negotiated Rate |
$511.92 |
| Max. Negotiated Rate |
$1,904.70 |
| Rate for Payer: Aetna Commercial |
$1,175.61
|
| Rate for Payer: Aetna Medicare |
$877.32
|
| Rate for Payer: BCBS Complete |
$607.22
|
| Rate for Payer: BCBS MAPPO |
$877.32
|
| Rate for Payer: BCBS Trust/PPO |
$511.92
|
| Rate for Payer: BCN Commercial |
$1,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$877.32
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cofinity Commercial |
$1,263.34
|
| Rate for Payer: Cofinity Commercial |
$1,175.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$877.32
|
| Rate for Payer: Healthscope Commercial |
$1,052.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,052.78
|
| Rate for Payer: Meridian Medicaid |
$607.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$921.19
|
| Rate for Payer: PACE SWMI |
$877.32
|
| Rate for Payer: PHP Medicare Advantage |
$877.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,904.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,375.69
|
| Rate for Payer: Priority Health Medicare |
$877.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,375.69
|
| Rate for Payer: UHC Medicare Advantage |
$903.64
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN
|
Professional
|
Both
|
$2,294.00
|
|
|
Service Code
|
HCPCS 26370
|
| Min. Negotiated Rate |
$506.73 |
| Max. Negotiated Rate |
$1,605.80 |
| Rate for Payer: Aetna Commercial |
$1,027.24
|
| Rate for Payer: Aetna Medicare |
$766.60
|
| Rate for Payer: BCBS Complete |
$532.07
|
| Rate for Payer: BCBS MAPPO |
$766.60
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$1,166.96
|
| Rate for Payer: BCN Medicare Advantage |
$766.60
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cofinity Commercial |
$1,027.24
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.60
|
| Rate for Payer: Healthscope Commercial |
$919.92
|
| Rate for Payer: Healthscope Whirlpool |
$919.92
|
| Rate for Payer: Meridian Medicaid |
$532.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$804.93
|
| Rate for Payer: PACE SWMI |
$766.60
|
| Rate for Payer: PHP Medicare Advantage |
$766.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,219.44
|
| Rate for Payer: Priority Health Medicare |
$766.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,219.44
|
| Rate for Payer: UHC Medicare Advantage |
$789.60
|
|
