|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA
|
Professional
|
Both
|
$2,798.00
|
|
|
Service Code
|
HCPCS 26373
|
| Min. Negotiated Rate |
$250.94 |
| Max. Negotiated Rate |
$1,958.60 |
| Rate for Payer: Aetna Commercial |
$1,155.29
|
| Rate for Payer: Aetna Medicare |
$862.16
|
| Rate for Payer: BCBS Complete |
$597.82
|
| Rate for Payer: BCBS MAPPO |
$862.16
|
| Rate for Payer: BCBS Trust/PPO |
$250.94
|
| Rate for Payer: BCN Commercial |
$1,309.65
|
| Rate for Payer: BCN Medicare Advantage |
$862.16
|
| Rate for Payer: Cash Price |
$2,238.40
|
| Rate for Payer: Cash Price |
$2,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,155.29
|
| Rate for Payer: Cofinity Commercial |
$1,241.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.16
|
| Rate for Payer: Healthscope Commercial |
$1,034.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,034.59
|
| Rate for Payer: Meridian Medicaid |
$597.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$905.27
|
| Rate for Payer: PACE SWMI |
$862.16
|
| Rate for Payer: PHP Medicare Advantage |
$862.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,958.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,368.55
|
| Rate for Payer: Priority Health Medicare |
$862.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,368.55
|
| Rate for Payer: UHC Medicare Advantage |
$888.02
|
|
|
PR RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 33507
|
| Min. Negotiated Rate |
$724.30 |
| Max. Negotiated Rate |
$2,685.33 |
| Rate for Payer: Aetna Commercial |
$2,271.77
|
| Rate for Payer: Aetna Medicare |
$1,695.35
|
| Rate for Payer: BCBS Complete |
$1,133.01
|
| Rate for Payer: BCBS MAPPO |
$1,695.35
|
| Rate for Payer: BCBS Trust/PPO |
$724.30
|
| Rate for Payer: BCN Commercial |
$2,466.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,695.35
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$2,441.30
|
| Rate for Payer: Cofinity Commercial |
$2,271.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,695.35
|
| Rate for Payer: Healthscope Commercial |
$2,034.42
|
| Rate for Payer: Healthscope Whirlpool |
$2,034.42
|
| Rate for Payer: Meridian Medicaid |
$1,133.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,780.12
|
| Rate for Payer: PACE SWMI |
$1,695.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,695.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,079.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,471.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,685.33
|
| Rate for Payer: Priority Health Medicare |
$1,695.35
|
| Rate for Payer: Priority Health Narrow Network |
$2,685.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,746.21
|
|
|
PR RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP
|
Professional
|
Both
|
$4,942.00
|
|
|
Service Code
|
HCPCS 33504
|
| Min. Negotiated Rate |
$576.38 |
| Max. Negotiated Rate |
$3,459.40 |
| Rate for Payer: Aetna Commercial |
$1,934.58
|
| Rate for Payer: Aetna Medicare |
$1,443.72
|
| Rate for Payer: BCBS Complete |
$971.09
|
| Rate for Payer: BCBS MAPPO |
$1,443.72
|
| Rate for Payer: BCBS Trust/PPO |
$576.38
|
| Rate for Payer: BCN Commercial |
$2,109.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,443.72
|
| Rate for Payer: Cash Price |
$3,953.60
|
| Rate for Payer: Cash Price |
$3,953.60
|
| Rate for Payer: Cofinity Commercial |
$2,078.96
|
| Rate for Payer: Cofinity Commercial |
$1,934.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,443.72
|
| Rate for Payer: Healthscope Commercial |
$1,732.46
|
| Rate for Payer: Healthscope Whirlpool |
$1,732.46
|
| Rate for Payer: Meridian Medicaid |
$971.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,515.91
|
| Rate for Payer: PACE SWMI |
$1,443.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,443.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$924.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,459.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,296.46
|
| Rate for Payer: Priority Health Medicare |
$1,443.72
|
| Rate for Payer: Priority Health Narrow Network |
$2,296.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,487.03
|
|
|
PR RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH
|
Professional
|
Both
|
$4,972.00
|
|
|
Service Code
|
HCPCS 33641
|
| Min. Negotiated Rate |
$957.28 |
| Max. Negotiated Rate |
$3,480.40 |
| Rate for Payer: Aetna Commercial |
$2,161.35
|
| Rate for Payer: Aetna Medicare |
$1,612.95
|
| Rate for Payer: BCBS Complete |
$1,080.23
|
| Rate for Payer: BCBS MAPPO |
$1,612.95
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$2,349.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,612.95
|
| Rate for Payer: Cash Price |
$3,977.60
|
| Rate for Payer: Cash Price |
$3,977.60
|
| Rate for Payer: Cofinity Commercial |
$2,322.65
|
| Rate for Payer: Cofinity Commercial |
$2,161.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,612.95
|
| Rate for Payer: Healthscope Commercial |
$1,935.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,935.54
|
| Rate for Payer: Meridian Medicaid |
$1,080.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,693.60
|
| Rate for Payer: PACE SWMI |
$1,612.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,612.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,028.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,480.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.12
|
| Rate for Payer: Priority Health Medicare |
$1,612.95
|
| Rate for Payer: Priority Health Narrow Network |
$2,557.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,661.34
|
|
|
PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL
|
Professional
|
Both
|
$1,117.00
|
|
|
Service Code
|
HCPCS 67903
|
| Min. Negotiated Rate |
$303.74 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$613.83
|
| Rate for Payer: Aetna Medicare |
$458.08
|
| Rate for Payer: BCBS Complete |
$318.93
|
| Rate for Payer: BCBS MAPPO |
$458.08
|
| Rate for Payer: BCBS Trust/PPO |
$714.79
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$458.08
|
| Rate for Payer: Cash Price |
$893.60
|
| Rate for Payer: Cash Price |
$893.60
|
| Rate for Payer: Cofinity Commercial |
$613.83
|
| Rate for Payer: Cofinity Commercial |
$659.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$458.08
|
| Rate for Payer: Healthscope Commercial |
$549.70
|
| Rate for Payer: Healthscope Whirlpool |
$549.70
|
| Rate for Payer: Meridian Medicaid |
$318.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$480.98
|
| Rate for Payer: PACE SWMI |
$458.08
|
| Rate for Payer: PHP Medicare Advantage |
$458.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$781.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$826.03
|
| Rate for Payer: Priority Health Medicare |
$458.08
|
| Rate for Payer: Priority Health Narrow Network |
$826.03
|
| Rate for Payer: UHC Medicare Advantage |
$471.82
|
|
|
PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 67904
|
| Min. Negotiated Rate |
$376.80 |
| Max. Negotiated Rate |
$1,075.09 |
| Rate for Payer: Aetna Commercial |
$761.08
|
| Rate for Payer: Aetna Medicare |
$567.97
|
| Rate for Payer: BCBS Complete |
$395.64
|
| Rate for Payer: BCBS MAPPO |
$567.97
|
| Rate for Payer: BCBS Trust/PPO |
$581.13
|
| Rate for Payer: BCN Commercial |
$1,075.09
|
| Rate for Payer: BCN Medicare Advantage |
$567.97
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$817.88
|
| Rate for Payer: Cofinity Commercial |
$761.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.97
|
| Rate for Payer: Healthscope Commercial |
$681.56
|
| Rate for Payer: Healthscope Whirlpool |
$681.56
|
| Rate for Payer: Meridian Medicaid |
$395.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$596.37
|
| Rate for Payer: PACE SWMI |
$567.97
|
| Rate for Payer: PHP Medicare Advantage |
$567.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,024.49
|
| Rate for Payer: Priority Health Medicare |
$567.97
|
| Rate for Payer: Priority Health Narrow Network |
$1,024.49
|
| Rate for Payer: UHC Medicare Advantage |
$585.01
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL
|
Professional
|
Both
|
$4,953.00
|
|
|
Service Code
|
HCPCS 35221
|
| Min. Negotiated Rate |
$926.76 |
| Max. Negotiated Rate |
$3,467.10 |
| Rate for Payer: Aetna Commercial |
$1,950.05
|
| Rate for Payer: Aetna Medicare |
$1,455.26
|
| Rate for Payer: BCBS Complete |
$973.10
|
| Rate for Payer: BCBS MAPPO |
$1,455.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,119.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,455.26
|
| Rate for Payer: Cash Price |
$3,962.40
|
| Rate for Payer: Cash Price |
$3,962.40
|
| Rate for Payer: Cofinity Commercial |
$2,095.57
|
| Rate for Payer: Cofinity Commercial |
$1,950.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,455.26
|
| Rate for Payer: Healthscope Commercial |
$1,746.31
|
| Rate for Payer: Healthscope Whirlpool |
$1,746.31
|
| Rate for Payer: Meridian Medicaid |
$973.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,528.02
|
| Rate for Payer: PACE SWMI |
$1,455.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,455.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$926.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,467.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,307.64
|
| Rate for Payer: Priority Health Medicare |
$1,455.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,307.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,498.92
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS
|
Professional
|
Both
|
$2,836.00
|
|
|
Service Code
|
HCPCS 35211
|
| Min. Negotiated Rate |
$875.22 |
| Max. Negotiated Rate |
$2,168.79 |
| Rate for Payer: Aetna Commercial |
$1,828.82
|
| Rate for Payer: Aetna Medicare |
$1,364.79
|
| Rate for Payer: BCBS Complete |
$918.98
|
| Rate for Payer: BCBS MAPPO |
$1,364.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,289.05
|
| Rate for Payer: BCN Commercial |
$1,992.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,364.79
|
| Rate for Payer: Cash Price |
$2,268.80
|
| Rate for Payer: Cash Price |
$2,268.80
|
| Rate for Payer: Cofinity Commercial |
$1,828.82
|
| Rate for Payer: Cofinity Commercial |
$1,965.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,364.79
|
| Rate for Payer: Healthscope Commercial |
$1,637.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,637.75
|
| Rate for Payer: Meridian Medicaid |
$918.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,433.03
|
| Rate for Payer: PACE SWMI |
$1,364.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,364.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$875.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,985.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,168.79
|
| Rate for Payer: Priority Health Medicare |
$1,364.79
|
| Rate for Payer: Priority Health Narrow Network |
$2,168.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,405.73
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS
|
Professional
|
Both
|
$5,222.00
|
|
|
Service Code
|
HCPCS 35216
|
| Min. Negotiated Rate |
$1,323.80 |
| Max. Negotiated Rate |
$3,655.40 |
| Rate for Payer: Aetna Commercial |
$2,767.82
|
| Rate for Payer: Aetna Medicare |
$2,065.54
|
| Rate for Payer: BCBS Complete |
$1,389.99
|
| Rate for Payer: BCBS MAPPO |
$2,065.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.69
|
| Rate for Payer: BCN Commercial |
$3,021.49
|
| Rate for Payer: BCN Medicare Advantage |
$2,065.54
|
| Rate for Payer: Cash Price |
$4,177.60
|
| Rate for Payer: Cash Price |
$4,177.60
|
| Rate for Payer: Cofinity Commercial |
$2,974.38
|
| Rate for Payer: Cofinity Commercial |
$2,767.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,065.54
|
| Rate for Payer: Healthscope Commercial |
$2,478.65
|
| Rate for Payer: Healthscope Whirlpool |
$2,478.65
|
| Rate for Payer: Meridian Medicaid |
$1,389.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,168.82
|
| Rate for Payer: PACE SWMI |
$2,065.54
|
| Rate for Payer: PHP Medicare Advantage |
$2,065.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,323.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,655.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,289.10
|
| Rate for Payer: Priority Health Medicare |
$2,065.54
|
| Rate for Payer: Priority Health Narrow Network |
$3,289.10
|
| Rate for Payer: UHC Medicare Advantage |
$2,127.51
|
|
|
PR RPR BLOOD VESSEL DIRECT LOWER EXTREMITY
|
Professional
|
Both
|
$2,608.00
|
|
|
Service Code
|
HCPCS 35226
|
| Min. Negotiated Rate |
$518.66 |
| Max. Negotiated Rate |
$2,526.86 |
| Rate for Payer: Aetna Commercial |
$1,097.30
|
| Rate for Payer: Aetna Medicare |
$818.88
|
| Rate for Payer: BCBS Complete |
$544.59
|
| Rate for Payer: BCBS MAPPO |
$818.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,526.86
|
| Rate for Payer: BCN Commercial |
$1,190.91
|
| Rate for Payer: BCN Medicare Advantage |
$818.88
|
| Rate for Payer: Cash Price |
$2,086.40
|
| Rate for Payer: Cash Price |
$2,086.40
|
| Rate for Payer: Cofinity Commercial |
$1,097.30
|
| Rate for Payer: Cofinity Commercial |
$1,179.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$818.88
|
| Rate for Payer: Healthscope Commercial |
$982.66
|
| Rate for Payer: Healthscope Whirlpool |
$982.66
|
| Rate for Payer: Meridian Medicaid |
$544.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$859.82
|
| Rate for Payer: PACE SWMI |
$818.88
|
| Rate for Payer: PHP Medicare Advantage |
$818.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$518.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,825.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,296.38
|
| Rate for Payer: Priority Health Medicare |
$818.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,296.38
|
| Rate for Payer: UHC Medicare Advantage |
$843.45
|
|
|
PR RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP
|
Professional
|
Both
|
$6,391.00
|
|
|
Service Code
|
HCPCS 35241
|
| Min. Negotiated Rate |
$898.65 |
| Max. Negotiated Rate |
$4,473.70 |
| Rate for Payer: Aetna Commercial |
$1,888.52
|
| Rate for Payer: Aetna Medicare |
$1,409.34
|
| Rate for Payer: BCBS Complete |
$943.58
|
| Rate for Payer: BCBS MAPPO |
$1,409.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,986.94
|
| Rate for Payer: BCN Commercial |
$2,057.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,409.34
|
| Rate for Payer: Cash Price |
$5,112.80
|
| Rate for Payer: Cash Price |
$5,112.80
|
| Rate for Payer: Cofinity Commercial |
$2,029.45
|
| Rate for Payer: Cofinity Commercial |
$1,888.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,409.34
|
| Rate for Payer: Healthscope Commercial |
$1,691.21
|
| Rate for Payer: Healthscope Whirlpool |
$1,691.21
|
| Rate for Payer: Meridian Medicaid |
$943.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,479.81
|
| Rate for Payer: PACE SWMI |
$1,409.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,409.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$898.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,473.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,240.07
|
| Rate for Payer: Priority Health Medicare |
$1,409.34
|
| Rate for Payer: Priority Health Narrow Network |
$2,240.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.62
|
|
|
PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP
|
Professional
|
Both
|
$6,612.00
|
|
|
Service Code
|
HCPCS 35271
|
| Min. Negotiated Rate |
$650.87 |
| Max. Negotiated Rate |
$4,628.40 |
| Rate for Payer: Aetna Commercial |
$1,825.32
|
| Rate for Payer: Aetna Medicare |
$1,362.18
|
| Rate for Payer: BCBS Complete |
$914.06
|
| Rate for Payer: BCBS MAPPO |
$1,362.18
|
| Rate for Payer: BCBS Trust/PPO |
$650.87
|
| Rate for Payer: BCN Commercial |
$1,987.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,362.18
|
| Rate for Payer: Cash Price |
$5,289.60
|
| Rate for Payer: Cash Price |
$5,289.60
|
| Rate for Payer: Cofinity Commercial |
$1,961.54
|
| Rate for Payer: Cofinity Commercial |
$1,825.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,362.18
|
| Rate for Payer: Healthscope Commercial |
$1,634.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,634.62
|
| Rate for Payer: Meridian Medicaid |
$914.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,430.29
|
| Rate for Payer: PACE SWMI |
$1,362.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,362.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$870.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,628.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,164.00
|
| Rate for Payer: Priority Health Medicare |
$1,362.18
|
| Rate for Payer: Priority Health Narrow Network |
$2,164.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,403.05
|
|
|
PR RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY
|
Professional
|
Both
|
$1,758.00
|
|
|
Service Code
|
HCPCS 35266
|
| Min. Negotiated Rate |
$534.11 |
| Max. Negotiated Rate |
$1,341.60 |
| Rate for Payer: Aetna Commercial |
$1,135.58
|
| Rate for Payer: Aetna Medicare |
$847.45
|
| Rate for Payer: BCBS Complete |
$569.42
|
| Rate for Payer: BCBS MAPPO |
$847.45
|
| Rate for Payer: BCBS Trust/PPO |
$534.11
|
| Rate for Payer: BCN Commercial |
$1,232.44
|
| Rate for Payer: BCN Medicare Advantage |
$847.45
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cofinity Commercial |
$1,135.58
|
| Rate for Payer: Cofinity Commercial |
$1,220.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$847.45
|
| Rate for Payer: Healthscope Commercial |
$1,016.94
|
| Rate for Payer: Healthscope Whirlpool |
$1,016.94
|
| Rate for Payer: Meridian Medicaid |
$569.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$889.82
|
| Rate for Payer: PACE SWMI |
$847.45
|
| Rate for Payer: PHP Medicare Advantage |
$847.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$542.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,230.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,341.60
|
| Rate for Payer: Priority Health Medicare |
$847.45
|
| Rate for Payer: Priority Health Narrow Network |
$1,341.60
|
| Rate for Payer: UHC Medicare Advantage |
$872.87
|
|
|
PR RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY
|
Professional
|
Both
|
$3,718.00
|
|
|
Service Code
|
HCPCS 35286
|
| Min. Negotiated Rate |
$579.36 |
| Max. Negotiated Rate |
$2,602.60 |
| Rate for Payer: Aetna Commercial |
$1,225.60
|
| Rate for Payer: Aetna Medicare |
$914.63
|
| Rate for Payer: BCBS Complete |
$608.33
|
| Rate for Payer: BCBS MAPPO |
$914.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,329.21
|
| Rate for Payer: BCN Medicare Advantage |
$914.63
|
| Rate for Payer: Cash Price |
$2,974.40
|
| Rate for Payer: Cash Price |
$2,974.40
|
| Rate for Payer: Cofinity Commercial |
$1,317.07
|
| Rate for Payer: Cofinity Commercial |
$1,225.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.63
|
| Rate for Payer: Healthscope Commercial |
$1,097.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,097.56
|
| Rate for Payer: Meridian Medicaid |
$608.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$960.36
|
| Rate for Payer: PACE SWMI |
$914.63
|
| Rate for Payer: PHP Medicare Advantage |
$914.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$579.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,602.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,446.92
|
| Rate for Payer: Priority Health Medicare |
$914.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,446.92
|
| Rate for Payer: UHC Medicare Advantage |
$942.07
|
|
|
PR RPR CLOACAL ANOMALY SACROPERINEAL
|
Professional
|
Both
|
$6,454.00
|
|
|
Service Code
|
HCPCS 46744
|
| Min. Negotiated Rate |
$741.73 |
| Max. Negotiated Rate |
$6,197.23 |
| Rate for Payer: Aetna Commercial |
$4,709.15
|
| Rate for Payer: Aetna Medicare |
$3,514.29
|
| Rate for Payer: BCBS Complete |
$2,367.56
|
| Rate for Payer: BCBS MAPPO |
$3,514.29
|
| Rate for Payer: BCBS Trust/PPO |
$741.73
|
| Rate for Payer: BCN Commercial |
$5,150.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,514.29
|
| Rate for Payer: Cash Price |
$5,163.20
|
| Rate for Payer: Cash Price |
$5,163.20
|
| Rate for Payer: Cofinity Commercial |
$4,709.15
|
| Rate for Payer: Cofinity Commercial |
$5,060.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,514.29
|
| Rate for Payer: Healthscope Commercial |
$4,217.15
|
| Rate for Payer: Healthscope Whirlpool |
$4,217.15
|
| Rate for Payer: Meridian Medicaid |
$2,367.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,690.00
|
| Rate for Payer: PACE SWMI |
$3,514.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,514.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,254.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,517.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,197.23
|
| Rate for Payer: Priority Health Medicare |
$3,514.29
|
| Rate for Payer: Priority Health Narrow Network |
$6,197.23
|
| Rate for Payer: UHC Medicare Advantage |
$3,619.72
|
|
|
PR RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26540
|
| Min. Negotiated Rate |
$400.45 |
| Max. Negotiated Rate |
$1,360.80 |
| Rate for Payer: Aetna Commercial |
$917.70
|
| Rate for Payer: Aetna Medicare |
$684.85
|
| Rate for Payer: BCBS Complete |
$475.92
|
| Rate for Payer: BCBS MAPPO |
$684.85
|
| Rate for Payer: BCBS Trust/PPO |
$400.45
|
| Rate for Payer: BCN Commercial |
$1,041.86
|
| Rate for Payer: BCN Medicare Advantage |
$684.85
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$986.18
|
| Rate for Payer: Cofinity Commercial |
$917.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.85
|
| Rate for Payer: Healthscope Commercial |
$821.82
|
| Rate for Payer: Healthscope Whirlpool |
$821.82
|
| Rate for Payer: Meridian Medicaid |
$475.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$719.09
|
| Rate for Payer: PACE SWMI |
$684.85
|
| Rate for Payer: PHP Medicare Advantage |
$684.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.71
|
| Rate for Payer: Priority Health Medicare |
$684.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.71
|
| Rate for Payer: UHC Medicare Advantage |
$705.40
|
|
|
PR RPR COMPONENT INFLATABLE PENILE PROSTHESIS
|
Professional
|
Both
|
$1,475.00
|
|
|
Service Code
|
HCPCS 54408
|
| Min. Negotiated Rate |
$503.96 |
| Max. Negotiated Rate |
$2,176.77 |
| Rate for Payer: Aetna Commercial |
$1,034.51
|
| Rate for Payer: Aetna Medicare |
$772.02
|
| Rate for Payer: BCBS Complete |
$529.16
|
| Rate for Payer: BCBS MAPPO |
$772.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,176.77
|
| Rate for Payer: BCN Commercial |
$1,141.06
|
| Rate for Payer: BCN Medicare Advantage |
$772.02
|
| Rate for Payer: Cash Price |
$1,180.00
|
| Rate for Payer: Cash Price |
$1,180.00
|
| Rate for Payer: Cofinity Commercial |
$1,111.71
|
| Rate for Payer: Cofinity Commercial |
$1,034.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.02
|
| Rate for Payer: Healthscope Commercial |
$926.42
|
| Rate for Payer: Healthscope Whirlpool |
$926.42
|
| Rate for Payer: Meridian Medicaid |
$529.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$810.62
|
| Rate for Payer: PACE SWMI |
$772.02
|
| Rate for Payer: PHP Medicare Advantage |
$772.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$503.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,261.74
|
| Rate for Payer: Priority Health Medicare |
$772.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,261.74
|
| Rate for Payer: UHC Medicare Advantage |
$795.18
|
|
|
PR RPR CONGENITAL AV FISTULA EXTREMITIES
|
Professional
|
Both
|
$4,140.00
|
|
|
Service Code
|
HCPCS 35184
|
| Min. Negotiated Rate |
$602.79 |
| Max. Negotiated Rate |
$2,898.00 |
| Rate for Payer: Aetna Commercial |
$1,275.55
|
| Rate for Payer: Aetna Medicare |
$951.90
|
| Rate for Payer: BCBS Complete |
$632.93
|
| Rate for Payer: BCBS MAPPO |
$951.90
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$1,376.60
|
| Rate for Payer: BCN Medicare Advantage |
$951.90
|
| Rate for Payer: Cash Price |
$3,312.00
|
| Rate for Payer: Cash Price |
$3,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,275.55
|
| Rate for Payer: Cofinity Commercial |
$1,370.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$951.90
|
| Rate for Payer: Healthscope Commercial |
$1,142.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,142.28
|
| Rate for Payer: Meridian Medicaid |
$632.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$999.50
|
| Rate for Payer: PACE SWMI |
$951.90
|
| Rate for Payer: PHP Medicare Advantage |
$951.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,898.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.52
|
| Rate for Payer: Priority Health Medicare |
$951.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,498.52
|
| Rate for Payer: UHC Medicare Advantage |
$980.46
|
|
|
PR RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS
|
Professional
|
Both
|
$5,695.00
|
|
|
Service Code
|
HCPCS 33500
|
| Min. Negotiated Rate |
$426.34 |
| Max. Negotiated Rate |
$3,986.50 |
| Rate for Payer: Aetna Commercial |
$2,052.76
|
| Rate for Payer: Aetna Medicare |
$1,531.91
|
| Rate for Payer: BCBS Complete |
$1,024.99
|
| Rate for Payer: BCBS MAPPO |
$1,531.91
|
| Rate for Payer: BCBS Trust/PPO |
$426.34
|
| Rate for Payer: BCN Commercial |
$2,235.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,531.91
|
| Rate for Payer: Cash Price |
$4,556.00
|
| Rate for Payer: Cash Price |
$4,556.00
|
| Rate for Payer: Cofinity Commercial |
$2,052.76
|
| Rate for Payer: Cofinity Commercial |
$2,205.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,531.91
|
| Rate for Payer: Healthscope Commercial |
$1,838.29
|
| Rate for Payer: Healthscope Whirlpool |
$1,838.29
|
| Rate for Payer: Meridian Medicaid |
$1,024.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,608.51
|
| Rate for Payer: PACE SWMI |
$1,531.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,531.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$976.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,986.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,433.71
|
| Rate for Payer: Priority Health Medicare |
$1,531.91
|
| Rate for Payer: Priority Health Narrow Network |
$2,433.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,577.87
|
|
|
PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT
|
Professional
|
Both
|
$835.00
|
|
|
Service Code
|
HCPCS 36576
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$1,186.03 |
| Rate for Payer: Aetna Commercial |
$240.42
|
| Rate for Payer: Aetna Medicare |
$179.42
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS MAPPO |
$179.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.03
|
| Rate for Payer: BCN Commercial |
$507.25
|
| Rate for Payer: BCN Medicare Advantage |
$179.42
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cofinity Commercial |
$240.42
|
| Rate for Payer: Cofinity Commercial |
$258.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.42
|
| Rate for Payer: Healthscope Commercial |
$215.30
|
| Rate for Payer: Healthscope Whirlpool |
$215.30
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.39
|
| Rate for Payer: PACE SWMI |
$179.42
|
| Rate for Payer: PHP Medicare Advantage |
$179.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$584.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$288.32
|
| Rate for Payer: Priority Health Medicare |
$179.42
|
| Rate for Payer: Priority Health Narrow Network |
$288.32
|
| Rate for Payer: UHC Medicare Advantage |
$184.80
|
|
|
PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT
|
Professional
|
Both
|
$5,875.00
|
|
|
Service Code
|
HCPCS 39540
|
| Min. Negotiated Rate |
$552.74 |
| Max. Negotiated Rate |
$4,112.50 |
| Rate for Payer: Aetna Commercial |
$1,149.34
|
| Rate for Payer: Aetna Medicare |
$857.72
|
| Rate for Payer: BCBS Complete |
$580.38
|
| Rate for Payer: BCBS MAPPO |
$857.72
|
| Rate for Payer: BCBS Trust/PPO |
$676.75
|
| Rate for Payer: BCN Commercial |
$1,257.37
|
| Rate for Payer: BCN Medicare Advantage |
$857.72
|
| Rate for Payer: Cash Price |
$4,700.00
|
| Rate for Payer: Cash Price |
$4,700.00
|
| Rate for Payer: Cofinity Commercial |
$1,235.12
|
| Rate for Payer: Cofinity Commercial |
$1,149.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$857.72
|
| Rate for Payer: Healthscope Commercial |
$1,029.26
|
| Rate for Payer: Healthscope Whirlpool |
$1,029.26
|
| Rate for Payer: Meridian Medicaid |
$580.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$900.61
|
| Rate for Payer: PACE SWMI |
$857.72
|
| Rate for Payer: PHP Medicare Advantage |
$857.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,112.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,368.73
|
| Rate for Payer: Priority Health Medicare |
$857.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,368.73
|
| Rate for Payer: UHC Medicare Advantage |
$883.45
|
|
|
PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 39541
|
| Min. Negotiated Rate |
$509.28 |
| Max. Negotiated Rate |
$1,476.72 |
| Rate for Payer: Aetna Commercial |
$1,240.26
|
| Rate for Payer: Aetna Medicare |
$925.57
|
| Rate for Payer: BCBS Complete |
$623.53
|
| Rate for Payer: BCBS MAPPO |
$925.57
|
| Rate for Payer: BCBS Trust/PPO |
$509.28
|
| Rate for Payer: BCN Commercial |
$1,356.57
|
| Rate for Payer: BCN Medicare Advantage |
$925.57
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$1,240.26
|
| Rate for Payer: Cofinity Commercial |
$1,332.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$925.57
|
| Rate for Payer: Healthscope Commercial |
$1,110.68
|
| Rate for Payer: Healthscope Whirlpool |
$1,110.68
|
| Rate for Payer: Meridian Medicaid |
$623.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$971.85
|
| Rate for Payer: PACE SWMI |
$925.57
|
| Rate for Payer: PHP Medicare Advantage |
$925.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$593.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,174.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,476.72
|
| Rate for Payer: Priority Health Medicare |
$925.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,476.72
|
| Rate for Payer: UHC Medicare Advantage |
$953.34
|
|
|
PR RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27675
|
| Min. Negotiated Rate |
$221.89 |
| Max. Negotiated Rate |
$892.50 |
| Rate for Payer: Aetna Commercial |
$655.38
|
| Rate for Payer: Aetna Medicare |
$489.09
|
| Rate for Payer: BCBS Complete |
$336.60
|
| Rate for Payer: BCBS MAPPO |
$489.09
|
| Rate for Payer: BCBS Trust/PPO |
$221.89
|
| Rate for Payer: BCN Commercial |
$730.08
|
| Rate for Payer: BCN Medicare Advantage |
$489.09
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$655.38
|
| Rate for Payer: Cofinity Commercial |
$704.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.09
|
| Rate for Payer: Healthscope Commercial |
$586.91
|
| Rate for Payer: Healthscope Whirlpool |
$586.91
|
| Rate for Payer: Meridian Medicaid |
$336.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.54
|
| Rate for Payer: PACE SWMI |
$489.09
|
| Rate for Payer: PHP Medicare Advantage |
$489.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$762.90
|
| Rate for Payer: Priority Health Medicare |
$489.09
|
| Rate for Payer: Priority Health Narrow Network |
$762.90
|
| Rate for Payer: UHC Medicare Advantage |
$503.76
|
|
|
PR RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM
|
Professional
|
Both
|
$1,890.04
|
|
|
Service Code
|
HCPCS 63707
|
| Min. Negotiated Rate |
$608.97 |
| Max. Negotiated Rate |
$1,608.08 |
| Rate for Payer: Aetna Commercial |
$1,257.66
|
| Rate for Payer: Aetna Medicare |
$938.55
|
| Rate for Payer: BCBS Complete |
$639.42
|
| Rate for Payer: BCBS MAPPO |
$938.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.28
|
| Rate for Payer: BCN Commercial |
$1,528.13
|
| Rate for Payer: BCN Medicare Advantage |
$938.55
|
| Rate for Payer: Cash Price |
$1,512.03
|
| Rate for Payer: Cash Price |
$1,512.03
|
| Rate for Payer: Cofinity Commercial |
$1,257.66
|
| Rate for Payer: Cofinity Commercial |
$1,351.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$938.55
|
| Rate for Payer: Healthscope Commercial |
$1,126.26
|
| Rate for Payer: Healthscope Whirlpool |
$1,126.26
|
| Rate for Payer: Meridian Medicaid |
$639.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$985.48
|
| Rate for Payer: PACE SWMI |
$938.55
|
| Rate for Payer: PHP Medicare Advantage |
$938.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$608.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,323.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,608.08
|
| Rate for Payer: Priority Health Medicare |
$938.55
|
| Rate for Payer: Priority Health Narrow Network |
$1,608.08
|
| Rate for Payer: UHC Medicare Advantage |
$966.71
|
|
|
PR RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM
|
Professional
|
Both
|
$5,910.00
|
|
|
Service Code
|
HCPCS 63709
|
| Min. Negotiated Rate |
$722.07 |
| Max. Negotiated Rate |
$4,137.00 |
| Rate for Payer: Aetna Commercial |
$1,491.74
|
| Rate for Payer: Aetna Medicare |
$1,113.24
|
| Rate for Payer: BCBS Complete |
$758.17
|
| Rate for Payer: BCBS MAPPO |
$1,113.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$1,809.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,113.24
|
| Rate for Payer: Cash Price |
$4,728.00
|
| Rate for Payer: Cash Price |
$4,728.00
|
| Rate for Payer: Cofinity Commercial |
$1,603.07
|
| Rate for Payer: Cofinity Commercial |
$1,491.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,113.24
|
| Rate for Payer: Healthscope Commercial |
$1,335.89
|
| Rate for Payer: Healthscope Whirlpool |
$1,335.89
|
| Rate for Payer: Meridian Medicaid |
$758.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,168.90
|
| Rate for Payer: PACE SWMI |
$1,113.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,113.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$722.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,137.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,904.22
|
| Rate for Payer: Priority Health Medicare |
$1,113.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,904.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,146.64
|
|
