|
PR RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ
|
Professional
|
Both
|
$10,076.00
|
|
|
Service Code
|
HCPCS 39503
|
| Min. Negotiated Rate |
$516.15 |
| Max. Negotiated Rate |
$9,074.67 |
| Rate for Payer: Aetna Commercial |
$7,693.40
|
| Rate for Payer: Aetna Medicare |
$5,741.34
|
| Rate for Payer: BCBS Complete |
$3,824.42
|
| Rate for Payer: BCBS MAPPO |
$5,741.34
|
| Rate for Payer: BCBS Trust/PPO |
$516.15
|
| Rate for Payer: BCN Commercial |
$8,336.35
|
| Rate for Payer: BCN Medicare Advantage |
$5,741.34
|
| Rate for Payer: Cash Price |
$8,060.80
|
| Rate for Payer: Cash Price |
$8,060.80
|
| Rate for Payer: Cofinity Commercial |
$7,693.40
|
| Rate for Payer: Cofinity Commercial |
$8,267.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,741.34
|
| Rate for Payer: Healthscope Commercial |
$6,889.61
|
| Rate for Payer: Healthscope Whirlpool |
$6,889.61
|
| Rate for Payer: Meridian Medicaid |
$3,824.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,028.41
|
| Rate for Payer: PACE SWMI |
$5,741.34
|
| Rate for Payer: PHP Medicare Advantage |
$5,741.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,642.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,053.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,074.67
|
| Rate for Payer: Priority Health Medicare |
$5,741.34
|
| Rate for Payer: Priority Health Narrow Network |
$9,074.67
|
| Rate for Payer: UHC Medicare Advantage |
$5,913.58
|
|
|
PR RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER
|
Professional
|
Both
|
$1,142.00
|
|
|
Service Code
|
HCPCS 53449
|
| Min. Negotiated Rate |
$319.62 |
| Max. Negotiated Rate |
$981.29 |
| Rate for Payer: Aetna Commercial |
$803.50
|
| Rate for Payer: Aetna Medicare |
$599.63
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCBS MAPPO |
$599.63
|
| Rate for Payer: BCBS Trust/PPO |
$319.62
|
| Rate for Payer: BCN Commercial |
$887.44
|
| Rate for Payer: BCN Medicare Advantage |
$599.63
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cofinity Commercial |
$863.47
|
| Rate for Payer: Cofinity Commercial |
$803.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.63
|
| Rate for Payer: Healthscope Commercial |
$719.56
|
| Rate for Payer: Healthscope Whirlpool |
$719.56
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$629.61
|
| Rate for Payer: PACE SWMI |
$599.63
|
| Rate for Payer: PHP Medicare Advantage |
$599.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$799.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$981.29
|
| Rate for Payer: Priority Health Medicare |
$599.63
|
| Rate for Payer: Priority Health Narrow Network |
$981.29
|
| Rate for Payer: UHC Medicare Advantage |
$617.62
|
|
|
PR RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE
|
Professional
|
Both
|
$3,789.00
|
|
|
Service Code
|
HCPCS 27472
|
| Min. Negotiated Rate |
$522.49 |
| Max. Negotiated Rate |
$2,652.30 |
| Rate for Payer: Aetna Commercial |
$1,670.34
|
| Rate for Payer: Aetna Medicare |
$1,246.52
|
| Rate for Payer: BCBS Complete |
$852.78
|
| Rate for Payer: BCBS MAPPO |
$1,246.52
|
| Rate for Payer: BCBS Trust/PPO |
$522.49
|
| Rate for Payer: BCN Commercial |
$1,850.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,246.52
|
| Rate for Payer: Cash Price |
$3,031.20
|
| Rate for Payer: Cash Price |
$3,031.20
|
| Rate for Payer: Cofinity Commercial |
$1,670.34
|
| Rate for Payer: Cofinity Commercial |
$1,794.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,246.52
|
| Rate for Payer: Healthscope Commercial |
$1,495.82
|
| Rate for Payer: Healthscope Whirlpool |
$1,495.82
|
| Rate for Payer: Meridian Medicaid |
$852.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,308.85
|
| Rate for Payer: PACE SWMI |
$1,246.52
|
| Rate for Payer: PHP Medicare Advantage |
$1,246.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$812.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,652.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,933.83
|
| Rate for Payer: Priority Health Medicare |
$1,246.52
|
| Rate for Payer: Priority Health Narrow Network |
$1,933.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,283.92
|
|
|
PR RPR NON/MAL FEMUR DSTL H/N W/O GRF
|
Professional
|
Both
|
$2,870.00
|
|
|
Service Code
|
HCPCS 27470
|
| Min. Negotiated Rate |
$266.79 |
| Max. Negotiated Rate |
$2,009.00 |
| Rate for Payer: Aetna Commercial |
$1,558.62
|
| Rate for Payer: Aetna Medicare |
$1,163.15
|
| Rate for Payer: BCBS Complete |
$797.54
|
| Rate for Payer: BCBS MAPPO |
$1,163.15
|
| Rate for Payer: BCBS Trust/PPO |
$266.79
|
| Rate for Payer: BCN Commercial |
$1,728.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,163.15
|
| Rate for Payer: Cash Price |
$2,296.00
|
| Rate for Payer: Cash Price |
$2,296.00
|
| Rate for Payer: Cofinity Commercial |
$1,674.94
|
| Rate for Payer: Cofinity Commercial |
$1,558.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,163.15
|
| Rate for Payer: Healthscope Commercial |
$1,395.78
|
| Rate for Payer: Healthscope Whirlpool |
$1,395.78
|
| Rate for Payer: Meridian Medicaid |
$797.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,221.31
|
| Rate for Payer: PACE SWMI |
$1,163.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,163.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$759.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,009.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,806.68
|
| Rate for Payer: Priority Health Medicare |
$1,163.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,806.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,198.04
|
|
|
PR RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH
|
Professional
|
Both
|
$5,315.00
|
|
|
Service Code
|
HCPCS 27725
|
| Min. Negotiated Rate |
$782.78 |
| Max. Negotiated Rate |
$3,720.50 |
| Rate for Payer: Aetna Commercial |
$1,603.11
|
| Rate for Payer: Aetna Medicare |
$1,196.35
|
| Rate for Payer: BCBS Complete |
$821.92
|
| Rate for Payer: BCBS MAPPO |
$1,196.35
|
| Rate for Payer: BCBS Trust/PPO |
$800.37
|
| Rate for Payer: BCN Commercial |
$1,779.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,196.35
|
| Rate for Payer: Cash Price |
$4,252.00
|
| Rate for Payer: Cash Price |
$4,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,603.11
|
| Rate for Payer: Cofinity Commercial |
$1,722.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,196.35
|
| Rate for Payer: Healthscope Commercial |
$1,435.62
|
| Rate for Payer: Healthscope Whirlpool |
$1,435.62
|
| Rate for Payer: Meridian Medicaid |
$821.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,256.17
|
| Rate for Payer: PACE SWMI |
$1,196.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,196.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,720.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,859.78
|
| Rate for Payer: Priority Health Medicare |
$1,196.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,859.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.24
|
|
|
PR RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT
|
Professional
|
Both
|
$4,677.00
|
|
|
Service Code
|
HCPCS 27724
|
| Min. Negotiated Rate |
$322.79 |
| Max. Negotiated Rate |
$3,273.90 |
| Rate for Payer: Aetna Commercial |
$1,659.97
|
| Rate for Payer: Aetna Medicare |
$1,238.78
|
| Rate for Payer: BCBS Complete |
$844.05
|
| Rate for Payer: BCBS MAPPO |
$1,238.78
|
| Rate for Payer: BCBS Trust/PPO |
$322.79
|
| Rate for Payer: BCN Commercial |
$1,834.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,238.78
|
| Rate for Payer: Cash Price |
$3,741.60
|
| Rate for Payer: Cash Price |
$3,741.60
|
| Rate for Payer: Cofinity Commercial |
$1,659.97
|
| Rate for Payer: Cofinity Commercial |
$1,783.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,238.78
|
| Rate for Payer: Healthscope Commercial |
$1,486.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,486.54
|
| Rate for Payer: Meridian Medicaid |
$844.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,300.72
|
| Rate for Payer: PACE SWMI |
$1,238.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,238.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$803.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,273.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,916.99
|
| Rate for Payer: Priority Health Medicare |
$1,238.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,916.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,275.94
|
|
|
PR RPR NON/MALUNION METARSAL W/WO BONE GRAFT
|
Professional
|
Both
|
$1,290.00
|
|
|
Service Code
|
HCPCS 28322
|
| Min. Negotiated Rate |
$373.39 |
| Max. Negotiated Rate |
$2,539.54 |
| Rate for Payer: Aetna Commercial |
$761.37
|
| Rate for Payer: Aetna Medicare |
$568.19
|
| Rate for Payer: BCBS Complete |
$392.06
|
| Rate for Payer: BCBS MAPPO |
$568.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,539.54
|
| Rate for Payer: BCN Commercial |
$1,150.84
|
| Rate for Payer: BCN Medicare Advantage |
$568.19
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cofinity Commercial |
$818.19
|
| Rate for Payer: Cofinity Commercial |
$761.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$568.19
|
| Rate for Payer: Healthscope Commercial |
$681.83
|
| Rate for Payer: Healthscope Whirlpool |
$681.83
|
| Rate for Payer: Meridian Medicaid |
$392.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$596.60
|
| Rate for Payer: PACE SWMI |
$568.19
|
| Rate for Payer: PHP Medicare Advantage |
$568.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$373.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$903.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$885.46
|
| Rate for Payer: Priority Health Medicare |
$568.19
|
| Rate for Payer: Priority Health Narrow Network |
$885.46
|
| Rate for Payer: UHC Medicare Advantage |
$585.24
|
|
|
PR RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS
|
Professional
|
Both
|
$6,887.00
|
|
|
Service Code
|
HCPCS 33496
|
| Min. Negotiated Rate |
$807.24 |
| Max. Negotiated Rate |
$4,820.90 |
| Rate for Payer: Aetna Commercial |
$2,188.77
|
| Rate for Payer: Aetna Medicare |
$1,633.41
|
| Rate for Payer: BCBS Complete |
$1,092.98
|
| Rate for Payer: BCBS MAPPO |
$1,633.41
|
| Rate for Payer: BCBS Trust/PPO |
$807.24
|
| Rate for Payer: BCN Commercial |
$2,383.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,633.41
|
| Rate for Payer: Cash Price |
$5,509.60
|
| Rate for Payer: Cash Price |
$5,509.60
|
| Rate for Payer: Cofinity Commercial |
$2,188.77
|
| Rate for Payer: Cofinity Commercial |
$2,352.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,633.41
|
| Rate for Payer: Healthscope Commercial |
$1,960.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,960.09
|
| Rate for Payer: Meridian Medicaid |
$1,092.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,715.08
|
| Rate for Payer: PACE SWMI |
$1,633.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,633.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,040.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,820.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,594.89
|
| Rate for Payer: Priority Health Medicare |
$1,633.41
|
| Rate for Payer: Priority Health Narrow Network |
$2,594.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,682.41
|
|
|
PR RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT
|
Professional
|
Both
|
$3,177.00
|
|
|
Service Code
|
HCPCS 25405
|
| Min. Negotiated Rate |
$25.89 |
| Max. Negotiated Rate |
$2,223.90 |
| Rate for Payer: Aetna Commercial |
$1,369.23
|
| Rate for Payer: Aetna Medicare |
$1,021.81
|
| Rate for Payer: BCBS Complete |
$700.92
|
| Rate for Payer: BCBS MAPPO |
$1,021.81
|
| Rate for Payer: BCBS Trust/PPO |
$25.89
|
| Rate for Payer: BCN Commercial |
$1,520.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,021.81
|
| Rate for Payer: Cash Price |
$2,541.60
|
| Rate for Payer: Cash Price |
$2,541.60
|
| Rate for Payer: Cofinity Commercial |
$1,471.41
|
| Rate for Payer: Cofinity Commercial |
$1,369.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,021.81
|
| Rate for Payer: Healthscope Commercial |
$1,226.17
|
| Rate for Payer: Healthscope Whirlpool |
$1,226.17
|
| Rate for Payer: Meridian Medicaid |
$700.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,072.90
|
| Rate for Payer: PACE SWMI |
$1,021.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,021.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$667.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,223.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,589.14
|
| Rate for Payer: Priority Health Medicare |
$1,021.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,589.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,052.46
|
|
|
PR RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF
|
Professional
|
Both
|
$3,211.00
|
|
|
Service Code
|
HCPCS 25415
|
| Min. Negotiated Rate |
$272.95 |
| Max. Negotiated Rate |
$2,247.70 |
| Rate for Payer: Aetna Commercial |
$1,280.32
|
| Rate for Payer: Aetna Medicare |
$955.46
|
| Rate for Payer: BCBS Complete |
$655.52
|
| Rate for Payer: BCBS MAPPO |
$955.46
|
| Rate for Payer: BCBS Trust/PPO |
$272.95
|
| Rate for Payer: BCN Commercial |
$1,422.05
|
| Rate for Payer: BCN Medicare Advantage |
$955.46
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cofinity Commercial |
$1,280.32
|
| Rate for Payer: Cofinity Commercial |
$1,375.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$955.46
|
| Rate for Payer: Healthscope Commercial |
$1,146.55
|
| Rate for Payer: Healthscope Whirlpool |
$1,146.55
|
| Rate for Payer: Meridian Medicaid |
$655.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,003.23
|
| Rate for Payer: PACE SWMI |
$955.46
|
| Rate for Payer: PHP Medicare Advantage |
$955.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,486.00
|
| Rate for Payer: Priority Health Medicare |
$955.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,486.00
|
| Rate for Payer: UHC Medicare Advantage |
$984.12
|
|
|
PR RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT
|
Professional
|
Both
|
$2,581.00
|
|
|
Service Code
|
HCPCS 25400
|
| Min. Negotiated Rate |
$211.32 |
| Max. Negotiated Rate |
$1,806.70 |
| Rate for Payer: Aetna Commercial |
$1,062.79
|
| Rate for Payer: Aetna Medicare |
$793.13
|
| Rate for Payer: BCBS Complete |
$544.59
|
| Rate for Payer: BCBS MAPPO |
$793.13
|
| Rate for Payer: BCBS Trust/PPO |
$211.32
|
| Rate for Payer: BCN Commercial |
$1,182.60
|
| Rate for Payer: BCN Medicare Advantage |
$793.13
|
| Rate for Payer: Cash Price |
$2,064.80
|
| Rate for Payer: Cash Price |
$2,064.80
|
| Rate for Payer: Cofinity Commercial |
$1,142.11
|
| Rate for Payer: Cofinity Commercial |
$1,062.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.13
|
| Rate for Payer: Healthscope Commercial |
$951.76
|
| Rate for Payer: Healthscope Whirlpool |
$951.76
|
| Rate for Payer: Meridian Medicaid |
$544.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$832.79
|
| Rate for Payer: PACE SWMI |
$793.13
|
| Rate for Payer: PHP Medicare Advantage |
$793.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$518.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,806.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.77
|
| Rate for Payer: Priority Health Medicare |
$793.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.77
|
| Rate for Payer: UHC Medicare Advantage |
$816.92
|
|
|
PR RPR NON-UNION MTCRPL/PHALANX
|
Professional
|
Both
|
$2,068.00
|
|
|
Service Code
|
HCPCS 26546
|
| Min. Negotiated Rate |
$243.55 |
| Max. Negotiated Rate |
$1,608.04 |
| Rate for Payer: Aetna Commercial |
$1,361.49
|
| Rate for Payer: Aetna Medicare |
$1,016.04
|
| Rate for Payer: BCBS Complete |
$704.95
|
| Rate for Payer: BCBS MAPPO |
$1,016.04
|
| Rate for Payer: BCBS Trust/PPO |
$243.55
|
| Rate for Payer: BCN Commercial |
$1,538.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.04
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cofinity Commercial |
$1,361.49
|
| Rate for Payer: Cofinity Commercial |
$1,463.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.04
|
| Rate for Payer: Healthscope Commercial |
$1,219.25
|
| Rate for Payer: Healthscope Whirlpool |
$1,219.25
|
| Rate for Payer: Meridian Medicaid |
$704.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,066.84
|
| Rate for Payer: PACE SWMI |
$1,016.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$671.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,447.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,608.04
|
| Rate for Payer: Priority Health Medicare |
$1,016.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,608.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,046.52
|
|
|
PR RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC
|
Professional
|
Both
|
$1,349.00
|
|
|
Service Code
|
HCPCS 25440
|
| Min. Negotiated Rate |
$497.78 |
| Max. Negotiated Rate |
$1,264.75 |
| Rate for Payer: Aetna Commercial |
$1,015.92
|
| Rate for Payer: Aetna Medicare |
$758.15
|
| Rate for Payer: BCBS Complete |
$522.67
|
| Rate for Payer: BCBS MAPPO |
$758.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,264.75
|
| Rate for Payer: BCN Commercial |
$1,131.77
|
| Rate for Payer: BCN Medicare Advantage |
$758.15
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cofinity Commercial |
$1,015.92
|
| Rate for Payer: Cofinity Commercial |
$1,091.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.15
|
| Rate for Payer: Healthscope Commercial |
$909.78
|
| Rate for Payer: Healthscope Whirlpool |
$909.78
|
| Rate for Payer: Meridian Medicaid |
$522.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$796.06
|
| Rate for Payer: PACE SWMI |
$758.15
|
| Rate for Payer: PHP Medicare Advantage |
$758.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$497.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$944.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,182.67
|
| Rate for Payer: Priority Health Medicare |
$758.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,182.67
|
| Rate for Payer: UHC Medicare Advantage |
$780.89
|
|
|
PR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT
|
Professional
|
Both
|
$411.23
|
|
|
Service Code
|
HCPCS 30468
|
| Min. Negotiated Rate |
$107.78 |
| Max. Negotiated Rate |
$3,788.72 |
| Rate for Payer: Aetna Commercial |
$223.22
|
| Rate for Payer: Aetna Medicare |
$166.58
|
| Rate for Payer: BCBS Complete |
$113.17
|
| Rate for Payer: BCBS MAPPO |
$166.58
|
| Rate for Payer: BCBS Trust/PPO |
$627.09
|
| Rate for Payer: BCN Commercial |
$3,788.72
|
| Rate for Payer: BCN Medicare Advantage |
$166.58
|
| Rate for Payer: Cash Price |
$328.98
|
| Rate for Payer: Cash Price |
$328.98
|
| Rate for Payer: Cofinity Commercial |
$239.88
|
| Rate for Payer: Cofinity Commercial |
$223.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.58
|
| Rate for Payer: Healthscope Commercial |
$199.90
|
| Rate for Payer: Healthscope Whirlpool |
$199.90
|
| Rate for Payer: Meridian Medicaid |
$113.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$174.91
|
| Rate for Payer: PACE SWMI |
$166.58
|
| Rate for Payer: PHP Medicare Advantage |
$166.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$233.84
|
| Rate for Payer: Priority Health Medicare |
$166.58
|
| Rate for Payer: Priority Health Narrow Network |
$233.84
|
| Rate for Payer: UHC Medicare Advantage |
$171.58
|
|
|
PR RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH
|
Professional
|
Both
|
$2,672.00
|
|
|
Service Code
|
HCPCS 43336
|
| Min. Negotiated Rate |
$912.49 |
| Max. Negotiated Rate |
$2,508.89 |
| Rate for Payer: Aetna Commercial |
$1,915.91
|
| Rate for Payer: Aetna Medicare |
$1,429.78
|
| Rate for Payer: BCBS Complete |
$958.11
|
| Rate for Payer: BCBS MAPPO |
$1,429.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,143.04
|
| Rate for Payer: BCN Commercial |
$2,085.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,429.78
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cofinity Commercial |
$2,058.88
|
| Rate for Payer: Cofinity Commercial |
$1,915.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,429.78
|
| Rate for Payer: Healthscope Commercial |
$1,715.74
|
| Rate for Payer: Healthscope Whirlpool |
$1,715.74
|
| Rate for Payer: Meridian Medicaid |
$958.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,501.27
|
| Rate for Payer: PACE SWMI |
$1,429.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,429.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$912.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,870.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,508.89
|
| Rate for Payer: Priority Health Medicare |
$1,429.78
|
| Rate for Payer: Priority Health Narrow Network |
$2,508.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,472.67
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH
|
Professional
|
Both
|
$2,076.00
|
|
|
Service Code
|
HCPCS 43332
|
| Min. Negotiated Rate |
$732.08 |
| Max. Negotiated Rate |
$2,006.75 |
| Rate for Payer: Aetna Commercial |
$1,526.68
|
| Rate for Payer: Aetna Medicare |
$1,139.31
|
| Rate for Payer: BCBS Complete |
$768.68
|
| Rate for Payer: BCBS MAPPO |
$1,139.31
|
| Rate for Payer: BCBS Trust/PPO |
$822.56
|
| Rate for Payer: BCN Commercial |
$1,667.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,139.31
|
| Rate for Payer: Cash Price |
$1,660.80
|
| Rate for Payer: Cash Price |
$1,660.80
|
| Rate for Payer: Cofinity Commercial |
$1,640.61
|
| Rate for Payer: Cofinity Commercial |
$1,526.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,139.31
|
| Rate for Payer: Healthscope Commercial |
$1,367.17
|
| Rate for Payer: Healthscope Whirlpool |
$1,367.17
|
| Rate for Payer: Meridian Medicaid |
$768.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,196.28
|
| Rate for Payer: PACE SWMI |
$1,139.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,139.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$732.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,453.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,006.75
|
| Rate for Payer: Priority Health Medicare |
$1,139.31
|
| Rate for Payer: Priority Health Narrow Network |
$2,006.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,173.49
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH
|
Professional
|
Both
|
$2,746.00
|
|
|
Service Code
|
HCPCS 43335
|
| Min. Negotiated Rate |
$840.07 |
| Max. Negotiated Rate |
$2,308.97 |
| Rate for Payer: Aetna Commercial |
$1,764.53
|
| Rate for Payer: Aetna Medicare |
$1,316.81
|
| Rate for Payer: BCBS Complete |
$882.07
|
| Rate for Payer: BCBS MAPPO |
$1,316.81
|
| Rate for Payer: BCBS Trust/PPO |
$871.97
|
| Rate for Payer: BCN Commercial |
$1,919.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,316.81
|
| Rate for Payer: Cash Price |
$2,196.80
|
| Rate for Payer: Cash Price |
$2,196.80
|
| Rate for Payer: Cofinity Commercial |
$1,764.53
|
| Rate for Payer: Cofinity Commercial |
$1,896.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,316.81
|
| Rate for Payer: Healthscope Commercial |
$1,580.17
|
| Rate for Payer: Healthscope Whirlpool |
$1,580.17
|
| Rate for Payer: Meridian Medicaid |
$882.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,382.65
|
| Rate for Payer: PACE SWMI |
$1,316.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,316.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,922.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,308.97
|
| Rate for Payer: Priority Health Medicare |
$1,316.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,308.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,356.31
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH
|
Professional
|
Both
|
$3,372.00
|
|
|
Service Code
|
HCPCS 43334
|
| Min. Negotiated Rate |
$782.14 |
| Max. Negotiated Rate |
$2,360.40 |
| Rate for Payer: Aetna Commercial |
$1,643.83
|
| Rate for Payer: Aetna Medicare |
$1,226.74
|
| Rate for Payer: BCBS Complete |
$821.25
|
| Rate for Payer: BCBS MAPPO |
$1,226.74
|
| Rate for Payer: BCBS Trust/PPO |
$940.03
|
| Rate for Payer: BCN Commercial |
$1,789.53
|
| Rate for Payer: BCN Medicare Advantage |
$1,226.74
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cofinity Commercial |
$1,643.83
|
| Rate for Payer: Cofinity Commercial |
$1,766.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,226.74
|
| Rate for Payer: Healthscope Commercial |
$1,472.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,472.09
|
| Rate for Payer: Meridian Medicaid |
$821.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,288.08
|
| Rate for Payer: PACE SWMI |
$1,226.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,226.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,360.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,153.16
|
| Rate for Payer: Priority Health Medicare |
$1,226.74
|
| Rate for Payer: Priority Health Narrow Network |
$2,153.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,263.54
|
|
|
PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE
|
Professional
|
Both
|
$1,520.00
|
|
|
Service Code
|
HCPCS 49621
|
| Min. Negotiated Rate |
$472.65 |
| Max. Negotiated Rate |
$3,534.33 |
| Rate for Payer: Aetna Commercial |
$991.95
|
| Rate for Payer: Aetna Medicare |
$740.26
|
| Rate for Payer: BCBS Complete |
$496.28
|
| Rate for Payer: BCBS MAPPO |
$740.26
|
| Rate for Payer: BCBS Trust/PPO |
$3,534.33
|
| Rate for Payer: BCN Commercial |
$1,080.46
|
| Rate for Payer: BCN Medicare Advantage |
$740.26
|
| Rate for Payer: Cash Price |
$1,216.00
|
| Rate for Payer: Cash Price |
$1,216.00
|
| Rate for Payer: Cofinity Commercial |
$1,065.97
|
| Rate for Payer: Cofinity Commercial |
$991.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.26
|
| Rate for Payer: Healthscope Commercial |
$888.31
|
| Rate for Payer: Healthscope Whirlpool |
$888.31
|
| Rate for Payer: Meridian Medicaid |
$496.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$777.27
|
| Rate for Payer: PACE SWMI |
$740.26
|
| Rate for Payer: PHP Medicare Advantage |
$740.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,064.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.01
|
| Rate for Payer: Priority Health Medicare |
$740.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.01
|
| Rate for Payer: UHC Medicare Advantage |
$762.47
|
|
|
PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,874.00
|
|
|
Service Code
|
HCPCS 49622
|
| Min. Negotiated Rate |
$582.77 |
| Max. Negotiated Rate |
$2,705.42 |
| Rate for Payer: Aetna Commercial |
$1,224.49
|
| Rate for Payer: Aetna Medicare |
$913.80
|
| Rate for Payer: BCBS Complete |
$611.91
|
| Rate for Payer: BCBS MAPPO |
$913.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,705.42
|
| Rate for Payer: BCN Commercial |
$1,333.11
|
| Rate for Payer: BCN Medicare Advantage |
$913.80
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cofinity Commercial |
$1,315.87
|
| Rate for Payer: Cofinity Commercial |
$1,224.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$913.80
|
| Rate for Payer: Healthscope Commercial |
$1,096.56
|
| Rate for Payer: Healthscope Whirlpool |
$1,096.56
|
| Rate for Payer: Meridian Medicaid |
$611.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.49
|
| Rate for Payer: PACE SWMI |
$913.80
|
| Rate for Payer: PHP Medicare Advantage |
$913.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$582.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,311.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,603.99
|
| Rate for Payer: Priority Health Medicare |
$913.80
|
| Rate for Payer: Priority Health Narrow Network |
$1,603.99
|
| Rate for Payer: UHC Medicare Advantage |
$941.21
|
|
|
PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS
|
Professional
|
Both
|
$7,416.00
|
|
|
Service Code
|
HCPCS 33925
|
| Min. Negotiated Rate |
$843.70 |
| Max. Negotiated Rate |
$5,191.20 |
| Rate for Payer: Aetna Commercial |
$2,265.43
|
| Rate for Payer: Aetna Medicare |
$1,690.62
|
| Rate for Payer: BCBS Complete |
$1,129.65
|
| Rate for Payer: BCBS MAPPO |
$1,690.62
|
| Rate for Payer: BCBS Trust/PPO |
$843.70
|
| Rate for Payer: BCN Commercial |
$2,460.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,690.62
|
| Rate for Payer: Cash Price |
$5,932.80
|
| Rate for Payer: Cash Price |
$5,932.80
|
| Rate for Payer: Cofinity Commercial |
$2,265.43
|
| Rate for Payer: Cofinity Commercial |
$2,434.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,690.62
|
| Rate for Payer: Healthscope Commercial |
$2,028.74
|
| Rate for Payer: Healthscope Whirlpool |
$2,028.74
|
| Rate for Payer: Meridian Medicaid |
$1,129.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,775.15
|
| Rate for Payer: PACE SWMI |
$1,690.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,690.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,075.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,191.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,677.87
|
| Rate for Payer: Priority Health Medicare |
$1,690.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,677.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,741.34
|
|
|
PR RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT
|
Professional
|
Both
|
$5,761.00
|
|
|
Service Code
|
HCPCS 33545
|
| Min. Negotiated Rate |
$1,600.75 |
| Max. Negotiated Rate |
$4,766.87 |
| Rate for Payer: Aetna Commercial |
$4,033.82
|
| Rate for Payer: Aetna Medicare |
$3,010.31
|
| Rate for Payer: BCBS Complete |
$2,005.69
|
| Rate for Payer: BCBS MAPPO |
$3,010.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,600.75
|
| Rate for Payer: BCN Commercial |
$4,379.04
|
| Rate for Payer: BCN Medicare Advantage |
$3,010.31
|
| Rate for Payer: Cash Price |
$4,608.80
|
| Rate for Payer: Cash Price |
$4,608.80
|
| Rate for Payer: Cofinity Commercial |
$4,334.85
|
| Rate for Payer: Cofinity Commercial |
$4,033.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,010.31
|
| Rate for Payer: Healthscope Commercial |
$3,612.37
|
| Rate for Payer: Healthscope Whirlpool |
$3,612.37
|
| Rate for Payer: Meridian Medicaid |
$2,005.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,160.83
|
| Rate for Payer: PACE SWMI |
$3,010.31
|
| Rate for Payer: PHP Medicare Advantage |
$3,010.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,910.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,032.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,766.87
|
| Rate for Payer: Priority Health Medicare |
$3,010.31
|
| Rate for Payer: Priority Health Narrow Network |
$4,766.87
|
| Rate for Payer: UHC Medicare Advantage |
$3,100.62
|
|
|
PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL
|
Professional
|
Both
|
$1,913.00
|
|
|
Service Code
|
HCPCS 27695
|
| Min. Negotiated Rate |
$315.03 |
| Max. Negotiated Rate |
$2,507.31 |
| Rate for Payer: Aetna Commercial |
$637.44
|
| Rate for Payer: Aetna Medicare |
$475.70
|
| Rate for Payer: BCBS Complete |
$330.78
|
| Rate for Payer: BCBS MAPPO |
$475.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,507.31
|
| Rate for Payer: BCN Commercial |
$712.00
|
| Rate for Payer: BCN Medicare Advantage |
$475.70
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cofinity Commercial |
$685.01
|
| Rate for Payer: Cofinity Commercial |
$637.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.70
|
| Rate for Payer: Healthscope Commercial |
$570.84
|
| Rate for Payer: Healthscope Whirlpool |
$570.84
|
| Rate for Payer: Meridian Medicaid |
$330.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$499.48
|
| Rate for Payer: PACE SWMI |
$475.70
|
| Rate for Payer: PHP Medicare Advantage |
$475.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,339.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$744.02
|
| Rate for Payer: Priority Health Medicare |
$475.70
|
| Rate for Payer: Priority Health Narrow Network |
$744.02
|
| Rate for Payer: UHC Medicare Advantage |
$489.97
|
|
|
PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT
|
Professional
|
Both
|
$1,025.00
|
|
|
Service Code
|
HCPCS 27652
|
| Min. Negotiated Rate |
$432.82 |
| Max. Negotiated Rate |
$1,373.05 |
| Rate for Payer: Aetna Commercial |
$874.11
|
| Rate for Payer: Aetna Medicare |
$652.32
|
| Rate for Payer: BCBS Complete |
$454.46
|
| Rate for Payer: BCBS MAPPO |
$652.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,373.05
|
| Rate for Payer: BCN Commercial |
$969.54
|
| Rate for Payer: BCN Medicare Advantage |
$652.32
|
| Rate for Payer: Cash Price |
$820.00
|
| Rate for Payer: Cash Price |
$820.00
|
| Rate for Payer: Cofinity Commercial |
$874.11
|
| Rate for Payer: Cofinity Commercial |
$939.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.32
|
| Rate for Payer: Healthscope Commercial |
$782.78
|
| Rate for Payer: Healthscope Whirlpool |
$782.78
|
| Rate for Payer: Meridian Medicaid |
$454.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$684.94
|
| Rate for Payer: PACE SWMI |
$652.32
|
| Rate for Payer: PHP Medicare Advantage |
$652.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,013.13
|
| Rate for Payer: Priority Health Medicare |
$652.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,013.13
|
| Rate for Payer: UHC Medicare Advantage |
$671.89
|
|
|
PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL
|
Professional
|
Both
|
$1,866.00
|
|
|
Service Code
|
HCPCS 27405
|
| Min. Negotiated Rate |
$438.99 |
| Max. Negotiated Rate |
$1,306.20 |
| Rate for Payer: Aetna Commercial |
$893.93
|
| Rate for Payer: Aetna Medicare |
$667.11
|
| Rate for Payer: BCBS Complete |
$460.94
|
| Rate for Payer: BCBS MAPPO |
$667.11
|
| Rate for Payer: BCBS Trust/PPO |
$648.75
|
| Rate for Payer: BCN Commercial |
$996.90
|
| Rate for Payer: BCN Medicare Advantage |
$667.11
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cofinity Commercial |
$960.64
|
| Rate for Payer: Cofinity Commercial |
$893.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.11
|
| Rate for Payer: Healthscope Commercial |
$800.53
|
| Rate for Payer: Healthscope Whirlpool |
$800.53
|
| Rate for Payer: Meridian Medicaid |
$460.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$700.47
|
| Rate for Payer: PACE SWMI |
$667.11
|
| Rate for Payer: PHP Medicare Advantage |
$667.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,306.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.73
|
| Rate for Payer: Priority Health Medicare |
$667.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.73
|
| Rate for Payer: UHC Medicare Advantage |
$687.12
|
|
