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Charge Type Setting Price  
Service Code HCPCS 45338
Min. Negotiated Rate $75.83
Max. Negotiated Rate $515.20
Rate for Payer: Aetna Commercial $156.26
Rate for Payer: Aetna Medicare $116.61
Rate for Payer: BCBS Complete $79.62
Rate for Payer: BCBS MAPPO $116.61
Rate for Payer: BCBS Trust/PPO $76.08
Rate for Payer: BCN Commercial $439.81
Rate for Payer: BCN Medicare Advantage $116.61
Rate for Payer: Cash Price $588.80
Rate for Payer: Cash Price $588.80
Rate for Payer: Cofinity Commercial $167.92
Rate for Payer: Cofinity Commercial $156.26
Rate for Payer: Health Alliance Plan Medicare Advantage $116.61
Rate for Payer: Healthscope Commercial $139.93
Rate for Payer: Healthscope Whirlpool $139.93
Rate for Payer: Meridian Medicaid $79.62
Rate for Payer: Meridian Wellcare - Medicare Advantage $122.44
Rate for Payer: PACE SWMI $116.61
Rate for Payer: PHP Medicare Advantage $116.61
Rate for Payer: Priority Health Choice Medicaid $75.83
Rate for Payer: Priority Health Cigna Priority Health $515.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $207.55
Rate for Payer: Priority Health Medicare $116.61
Rate for Payer: Priority Health Narrow Network $207.55
Rate for Payer: UHC Medicare Advantage $120.11
Service Code CPT 45338
Hospital Charge Code 45338
Min. Negotiated Rate $515.20
Max. Negotiated Rate $736.00
Rate for Payer: Aetna Commercial $662.40
Rate for Payer: ASR ASR $713.92
Rate for Payer: BCBS Trust/PPO $570.62
Rate for Payer: BCN Commercial $570.62
Rate for Payer: Cash Price $588.80
Rate for Payer: Cofinity Commercial $691.84
Rate for Payer: Encore Health Key Benefits Commercial $588.80
Rate for Payer: Healthscope Commercial $736.00
Rate for Payer: Healthscope Whirlpool $713.92
Rate for Payer: Mclaren Commercial $662.40
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $625.60
Rate for Payer: Priority Health Cigna Priority Health $515.20
Rate for Payer: UHC All Payor (Choice/PPO) + Core $647.68
Service Code CPT 45338
Hospital Charge Code 45338
Min. Negotiated Rate $515.20
Max. Negotiated Rate $1,311.18
Rate for Payer: Aetna Commercial $662.40
Rate for Payer: Aetna Medicare $1,048.94
Rate for Payer: Allen County Amish Medical Aid Commercial $1,311.18
Rate for Payer: Amish Plain Church Group Commercial $1,311.18
Rate for Payer: ASR ASR $713.92
Rate for Payer: BCBS Complete $602.51
Rate for Payer: BCBS MAPPO $1,048.94
Rate for Payer: BCBS Trust/PPO $570.62
Rate for Payer: BCN Commercial $570.62
Rate for Payer: BCN Medicare Advantage $1,048.94
Rate for Payer: Cash Price $588.80
Rate for Payer: Cash Price $588.80
Rate for Payer: Cofinity Commercial $691.84
Rate for Payer: Encore Health Key Benefits Commercial $588.80
Rate for Payer: Health Alliance Plan Medicare Advantage $1,048.94
Rate for Payer: Healthscope Commercial $736.00
Rate for Payer: Healthscope Whirlpool $713.92
Rate for Payer: Humana Choice PPO Medicare $1,048.94
Rate for Payer: Mclaren Commercial $662.40
Rate for Payer: Mclaren Medicaid $573.77
Rate for Payer: Mclaren Medicare $1,048.94
Rate for Payer: Meridian Medicaid $602.51
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,101.39
Rate for Payer: MI Amish Medical Board Commercial $1,206.28
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $625.60
Rate for Payer: PACE Medicare $996.49
Rate for Payer: PACE SWMI $1,048.94
Rate for Payer: PHP Commercial $1,153.83
Rate for Payer: PHP Medicaid $573.77
Rate for Payer: PHP Medicare Advantage $1,048.94
Rate for Payer: Priority Health Choice Medicaid $573.77
Rate for Payer: Priority Health Cigna Priority Health $515.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $669.76
Rate for Payer: Priority Health Medicare $1,048.94
Rate for Payer: Priority Health Narrow Network $522.56
Rate for Payer: Railroad Medicare Medicare $1,048.94
Rate for Payer: UHC All Payor (Choice/PPO) + Core $647.68
Rate for Payer: UHC Medicare Advantage $1,080.41
Rate for Payer: VA VA $1,048.94
Service Code HCPCS 45338
Hospital Charge Code 45338
Min. Negotiated Rate $75.83
Max. Negotiated Rate $515.20
Rate for Payer: Aetna Commercial $156.26
Rate for Payer: Aetna Medicare $116.61
Rate for Payer: BCBS Complete $79.62
Rate for Payer: BCBS MAPPO $116.61
Rate for Payer: BCBS Trust/PPO $76.08
Rate for Payer: BCN Commercial $439.81
Rate for Payer: BCN Medicare Advantage $116.61
Rate for Payer: Cash Price $588.80
Rate for Payer: Cash Price $588.80
Rate for Payer: Cofinity Commercial $156.26
Rate for Payer: Cofinity Commercial $167.92
Rate for Payer: Health Alliance Plan Medicare Advantage $116.61
Rate for Payer: Healthscope Commercial $139.93
Rate for Payer: Healthscope Whirlpool $139.93
Rate for Payer: Meridian Medicaid $79.62
Rate for Payer: Meridian Wellcare - Medicare Advantage $122.44
Rate for Payer: PACE SWMI $116.61
Rate for Payer: PHP Medicare Advantage $116.61
Rate for Payer: Priority Health Choice Medicaid $75.83
Rate for Payer: Priority Health Cigna Priority Health $515.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $207.55
Rate for Payer: Priority Health Medicare $116.61
Rate for Payer: Priority Health Narrow Network $207.55
Rate for Payer: UHC Medicare Advantage $120.11
Service Code HCPCS 45337
Min. Negotiated Rate $71.99
Max. Negotiated Rate $415.80
Rate for Payer: Aetna Commercial $149.50
Rate for Payer: Aetna Medicare $111.57
Rate for Payer: BCBS Complete $75.59
Rate for Payer: BCBS MAPPO $111.57
Rate for Payer: BCBS Trust/PPO $349.73
Rate for Payer: BCN Commercial $164.20
Rate for Payer: BCN Medicare Advantage $111.57
Rate for Payer: Cash Price $475.20
Rate for Payer: Cash Price $475.20
Rate for Payer: Cofinity Commercial $149.50
Rate for Payer: Cofinity Commercial $160.66
Rate for Payer: Health Alliance Plan Medicare Advantage $111.57
Rate for Payer: Healthscope Commercial $133.88
Rate for Payer: Healthscope Whirlpool $133.88
Rate for Payer: Meridian Medicaid $75.59
Rate for Payer: Meridian Wellcare - Medicare Advantage $117.15
Rate for Payer: PACE SWMI $111.57
Rate for Payer: PHP Medicare Advantage $111.57
Rate for Payer: Priority Health Choice Medicaid $71.99
Rate for Payer: Priority Health Cigna Priority Health $415.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $197.56
Rate for Payer: Priority Health Medicare $111.57
Rate for Payer: Priority Health Narrow Network $197.56
Rate for Payer: UHC Medicare Advantage $114.92
Service Code HCPCS 45349
Min. Negotiated Rate $124.39
Max. Negotiated Rate $380.90
Rate for Payer: Aetna Commercial $258.14
Rate for Payer: Aetna Medicare $192.64
Rate for Payer: BCBS Complete $130.61
Rate for Payer: BCBS MAPPO $192.64
Rate for Payer: BCBS Trust/PPO $380.90
Rate for Payer: BCN Commercial $284.41
Rate for Payer: BCN Medicare Advantage $192.64
Rate for Payer: Cash Price $286.40
Rate for Payer: Cash Price $286.40
Rate for Payer: Cofinity Commercial $258.14
Rate for Payer: Cofinity Commercial $277.40
Rate for Payer: Health Alliance Plan Medicare Advantage $192.64
Rate for Payer: Healthscope Commercial $231.17
Rate for Payer: Healthscope Whirlpool $231.17
Rate for Payer: Meridian Medicaid $130.61
Rate for Payer: Meridian Wellcare - Medicare Advantage $202.27
Rate for Payer: PACE SWMI $192.64
Rate for Payer: PHP Medicare Advantage $192.64
Rate for Payer: Priority Health Choice Medicaid $124.39
Rate for Payer: Priority Health Cigna Priority Health $250.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $342.19
Rate for Payer: Priority Health Medicare $192.64
Rate for Payer: Priority Health Narrow Network $342.19
Rate for Payer: UHC Medicare Advantage $198.42
Service Code HCPCS 11310
Min. Negotiated Rate $28.76
Max. Negotiated Rate $137.83
Rate for Payer: Aetna Commercial $60.25
Rate for Payer: Aetna Medicare $44.96
Rate for Payer: BCBS Complete $30.20
Rate for Payer: BCBS MAPPO $44.96
Rate for Payer: BCBS Trust/PPO $28.95
Rate for Payer: BCN Commercial $137.83
Rate for Payer: BCN Medicare Advantage $44.96
Rate for Payer: Cash Price $147.20
Rate for Payer: Cash Price $147.20
Rate for Payer: Cofinity Commercial $64.74
Rate for Payer: Cofinity Commercial $60.25
Rate for Payer: Health Alliance Plan Medicare Advantage $44.96
Rate for Payer: Healthscope Commercial $53.95
Rate for Payer: Healthscope Whirlpool $53.95
Rate for Payer: Meridian Medicaid $30.20
Rate for Payer: Meridian Wellcare - Medicare Advantage $47.21
Rate for Payer: PACE SWMI $44.96
Rate for Payer: PHP Medicare Advantage $44.96
Rate for Payer: Priority Health Choice Medicaid $28.76
Rate for Payer: Priority Health Cigna Priority Health $128.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $55.91
Rate for Payer: Priority Health Medicare $44.96
Rate for Payer: Priority Health Narrow Network $55.91
Rate for Payer: UHC Medicare Advantage $46.31
Service Code HCPCS 11313
Min. Negotiated Rate $60.71
Max. Negotiated Rate $338.18
Rate for Payer: Aetna Commercial $125.28
Rate for Payer: Aetna Medicare $93.49
Rate for Payer: BCBS Complete $63.75
Rate for Payer: BCBS MAPPO $93.49
Rate for Payer: BCBS Trust/PPO $338.18
Rate for Payer: BCN Commercial $214.00
Rate for Payer: BCN Medicare Advantage $93.49
Rate for Payer: Cash Price $240.80
Rate for Payer: Cash Price $240.80
Rate for Payer: Cofinity Commercial $134.63
Rate for Payer: Cofinity Commercial $125.28
Rate for Payer: Health Alliance Plan Medicare Advantage $93.49
Rate for Payer: Healthscope Commercial $112.19
Rate for Payer: Healthscope Whirlpool $112.19
Rate for Payer: Meridian Medicaid $63.75
Rate for Payer: Meridian Wellcare - Medicare Advantage $98.16
Rate for Payer: PACE SWMI $93.49
Rate for Payer: PHP Medicare Advantage $93.49
Rate for Payer: Priority Health Choice Medicaid $60.71
Rate for Payer: Priority Health Cigna Priority Health $210.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $116.32
Rate for Payer: Priority Health Medicare $93.49
Rate for Payer: Priority Health Narrow Network $116.32
Rate for Payer: UHC Medicare Advantage $96.29
Service Code HCPCS 11305
Min. Negotiated Rate $23.64
Max. Negotiated Rate $450.00
Rate for Payer: Aetna Commercial $49.67
Rate for Payer: Aetna Medicare $37.07
Rate for Payer: BCBS Complete $24.82
Rate for Payer: BCBS MAPPO $37.07
Rate for Payer: BCBS Trust/PPO $450.00
Rate for Payer: BCN Commercial $124.87
Rate for Payer: BCN Medicare Advantage $37.07
Rate for Payer: Cash Price $126.40
Rate for Payer: Cash Price $126.40
Rate for Payer: Cofinity Commercial $53.38
Rate for Payer: Cofinity Commercial $49.67
Rate for Payer: Health Alliance Plan Medicare Advantage $37.07
Rate for Payer: Healthscope Commercial $44.48
Rate for Payer: Healthscope Whirlpool $44.48
Rate for Payer: Meridian Medicaid $24.82
Rate for Payer: Meridian Wellcare - Medicare Advantage $38.92
Rate for Payer: PACE SWMI $37.07
Rate for Payer: PHP Medicare Advantage $37.07
Rate for Payer: Priority Health Choice Medicaid $23.64
Rate for Payer: Priority Health Cigna Priority Health $110.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $45.62
Rate for Payer: Priority Health Medicare $37.07
Rate for Payer: Priority Health Narrow Network $45.62
Rate for Payer: UHC Medicare Advantage $38.18
Service Code HCPCS 11306
Min. Negotiated Rate $28.95
Max. Negotiated Rate $145.29
Rate for Payer: Aetna Commercial $65.03
Rate for Payer: Aetna Medicare $48.53
Rate for Payer: BCBS Complete $32.43
Rate for Payer: BCBS MAPPO $48.53
Rate for Payer: BCBS Trust/PPO $28.95
Rate for Payer: BCN Commercial $145.29
Rate for Payer: BCN Medicare Advantage $48.53
Rate for Payer: Cash Price $156.80
Rate for Payer: Cash Price $156.80
Rate for Payer: Cofinity Commercial $69.88
Rate for Payer: Cofinity Commercial $65.03
Rate for Payer: Health Alliance Plan Medicare Advantage $48.53
Rate for Payer: Healthscope Commercial $58.24
Rate for Payer: Healthscope Whirlpool $58.24
Rate for Payer: Meridian Medicaid $32.43
Rate for Payer: Meridian Wellcare - Medicare Advantage $50.96
Rate for Payer: PACE SWMI $48.53
Rate for Payer: PHP Medicare Advantage $48.53
Rate for Payer: Priority Health Choice Medicaid $30.89
Rate for Payer: Priority Health Cigna Priority Health $137.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $60.02
Rate for Payer: Priority Health Medicare $48.53
Rate for Payer: Priority Health Narrow Network $60.02
Rate for Payer: UHC Medicare Advantage $49.99
Service Code HCPCS 11307
Min. Negotiated Rate $39.41
Max. Negotiated Rate $2,827.44
Rate for Payer: Aetna Commercial $82.69
Rate for Payer: Aetna Medicare $61.71
Rate for Payer: BCBS Complete $41.38
Rate for Payer: BCBS MAPPO $61.71
Rate for Payer: BCBS Trust/PPO $2,827.44
Rate for Payer: BCN Commercial $164.53
Rate for Payer: BCN Medicare Advantage $61.71
Rate for Payer: Cash Price $185.60
Rate for Payer: Cash Price $185.60
Rate for Payer: Cofinity Commercial $82.69
Rate for Payer: Cofinity Commercial $88.86
Rate for Payer: Health Alliance Plan Medicare Advantage $61.71
Rate for Payer: Healthscope Commercial $74.05
Rate for Payer: Healthscope Whirlpool $74.05
Rate for Payer: Meridian Medicaid $41.38
Rate for Payer: Meridian Wellcare - Medicare Advantage $64.80
Rate for Payer: PACE SWMI $61.71
Rate for Payer: PHP Medicare Advantage $61.71
Rate for Payer: Priority Health Choice Medicaid $39.41
Rate for Payer: Priority Health Cigna Priority Health $162.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $76.45
Rate for Payer: Priority Health Medicare $61.71
Rate for Payer: Priority Health Narrow Network $76.45
Rate for Payer: UHC Medicare Advantage $63.56
Service Code HCPCS 11308
Min. Negotiated Rate $44.09
Max. Negotiated Rate $338.18
Rate for Payer: Aetna Commercial $92.43
Rate for Payer: Aetna Medicare $68.98
Rate for Payer: BCBS Complete $46.29
Rate for Payer: BCBS MAPPO $68.98
Rate for Payer: BCBS Trust/PPO $338.18
Rate for Payer: BCN Commercial $173.16
Rate for Payer: BCN Medicare Advantage $68.98
Rate for Payer: Cash Price $196.80
Rate for Payer: Cash Price $196.80
Rate for Payer: Cofinity Commercial $92.43
Rate for Payer: Cofinity Commercial $99.33
Rate for Payer: Health Alliance Plan Medicare Advantage $68.98
Rate for Payer: Healthscope Commercial $82.78
Rate for Payer: Healthscope Whirlpool $82.78
Rate for Payer: Meridian Medicaid $46.29
Rate for Payer: Meridian Wellcare - Medicare Advantage $72.43
Rate for Payer: PACE SWMI $68.98
Rate for Payer: PHP Medicare Advantage $68.98
Rate for Payer: Priority Health Choice Medicaid $44.09
Rate for Payer: Priority Health Cigna Priority Health $172.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $85.09
Rate for Payer: Priority Health Medicare $68.98
Rate for Payer: Priority Health Narrow Network $85.09
Rate for Payer: UHC Medicare Advantage $71.05
Service Code HCPCS 11300
Min. Negotiated Rate $21.51
Max. Negotiated Rate $285.00
Rate for Payer: Aetna Commercial $44.73
Rate for Payer: Aetna Medicare $33.38
Rate for Payer: BCBS Complete $22.59
Rate for Payer: BCBS MAPPO $33.38
Rate for Payer: BCBS Trust/PPO $285.00
Rate for Payer: BCN Commercial $119.76
Rate for Payer: BCN Medicare Advantage $33.38
Rate for Payer: Cash Price $126.40
Rate for Payer: Cash Price $126.40
Rate for Payer: Cofinity Commercial $44.73
Rate for Payer: Cofinity Commercial $48.07
Rate for Payer: Health Alliance Plan Medicare Advantage $33.38
Rate for Payer: Healthscope Commercial $40.06
Rate for Payer: Healthscope Whirlpool $40.06
Rate for Payer: Meridian Medicaid $22.59
Rate for Payer: Meridian Wellcare - Medicare Advantage $35.05
Rate for Payer: PACE SWMI $33.38
Rate for Payer: PHP Medicare Advantage $33.38
Rate for Payer: Priority Health Choice Medicaid $21.51
Rate for Payer: Priority Health Cigna Priority Health $110.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $41.52
Rate for Payer: Priority Health Medicare $33.38
Rate for Payer: Priority Health Narrow Network $41.52
Rate for Payer: UHC Medicare Advantage $34.38
Service Code HCPCS L3334
Min. Negotiated Rate $22.97
Max. Negotiated Rate $44.80
Rate for Payer: Aetna Commercial $22.97
Rate for Payer: BCBS Complete $25.60
Rate for Payer: BCN Commercial $36.21
Rate for Payer: Cash Price $51.20
Rate for Payer: Cash Price $51.20
Rate for Payer: Priority Health Cigna Priority Health $44.80
Service Code HCPCS 26477
Min. Negotiated Rate $408.32
Max. Negotiated Rate $974.84
Rate for Payer: Aetna Commercial $818.47
Rate for Payer: Aetna Medicare $610.80
Rate for Payer: BCBS Complete $428.74
Rate for Payer: BCBS MAPPO $610.80
Rate for Payer: BCBS Trust/PPO $974.19
Rate for Payer: BCN Commercial $932.88
Rate for Payer: BCN Medicare Advantage $610.80
Rate for Payer: Cash Price $947.20
Rate for Payer: Cash Price $947.20
Rate for Payer: Cofinity Commercial $818.47
Rate for Payer: Cofinity Commercial $879.55
Rate for Payer: Health Alliance Plan Medicare Advantage $610.80
Rate for Payer: Healthscope Commercial $732.96
Rate for Payer: Healthscope Whirlpool $732.96
Rate for Payer: Meridian Medicaid $428.74
Rate for Payer: Meridian Wellcare - Medicare Advantage $641.34
Rate for Payer: PACE SWMI $610.80
Rate for Payer: PHP Medicare Advantage $610.80
Rate for Payer: Priority Health Choice Medicaid $408.32
Rate for Payer: Priority Health Cigna Priority Health $828.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $974.84
Rate for Payer: Priority Health Medicare $610.80
Rate for Payer: Priority Health Narrow Network $974.84
Rate for Payer: UHC Medicare Advantage $629.12
Service Code HCPCS 95926
Min. Negotiated Rate $124.40
Max. Negotiated Rate $873.81
Rate for Payer: Aetna Commercial $194.58
Rate for Payer: Aetna Medicare $145.21
Rate for Payer: BCBS Complete $124.40
Rate for Payer: BCBS MAPPO $145.21
Rate for Payer: BCBS Trust/PPO $873.81
Rate for Payer: BCN Commercial $226.75
Rate for Payer: BCN Medicare Advantage $145.21
Rate for Payer: Cash Price $248.80
Rate for Payer: Cash Price $248.80
Rate for Payer: Cofinity Commercial $209.10
Rate for Payer: Cofinity Commercial $194.58
Rate for Payer: Health Alliance Plan Medicare Advantage $145.21
Rate for Payer: Healthscope Commercial $174.25
Rate for Payer: Healthscope Whirlpool $174.25
Rate for Payer: Meridian Wellcare - Medicare Advantage $152.47
Rate for Payer: PACE SWMI $145.21
Rate for Payer: PHP Medicare Advantage $145.21
Rate for Payer: Priority Health Cigna Priority Health $217.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $208.41
Rate for Payer: Priority Health Medicare $145.21
Rate for Payer: Priority Health Narrow Network $208.41
Rate for Payer: UHC Medicare Advantage $149.57
Service Code HCPCS 95927
Min. Negotiated Rate $99.85
Max. Negotiated Rate $242.39
Rate for Payer: Aetna Commercial $207.82
Rate for Payer: Aetna Commercial $207.82
Rate for Payer: Aetna Medicare $155.09
Rate for Payer: Aetna Medicare $155.09
Rate for Payer: BCBS Complete $112.80
Rate for Payer: BCBS Complete $78.80
Rate for Payer: BCBS MAPPO $155.09
Rate for Payer: BCBS MAPPO $155.09
Rate for Payer: BCBS Trust/PPO $99.85
Rate for Payer: BCBS Trust/PPO $99.85
Rate for Payer: BCN Commercial $242.39
Rate for Payer: BCN Commercial $242.39
Rate for Payer: BCN Medicare Advantage $155.09
Rate for Payer: BCN Medicare Advantage $155.09
Rate for Payer: Cash Price $225.60
Rate for Payer: Cash Price $225.60
Rate for Payer: Cash Price $157.60
Rate for Payer: Cash Price $157.60
Rate for Payer: Cofinity Commercial $207.82
Rate for Payer: Cofinity Commercial $223.33
Rate for Payer: Cofinity Commercial $207.82
Rate for Payer: Cofinity Commercial $223.33
Rate for Payer: Health Alliance Plan Medicare Advantage $155.09
Rate for Payer: Health Alliance Plan Medicare Advantage $155.09
Rate for Payer: Healthscope Commercial $186.11
Rate for Payer: Healthscope Commercial $186.11
Rate for Payer: Healthscope Whirlpool $186.11
Rate for Payer: Healthscope Whirlpool $186.11
Rate for Payer: Meridian Wellcare - Medicare Advantage $162.84
Rate for Payer: Meridian Wellcare - Medicare Advantage $162.84
Rate for Payer: PACE SWMI $155.09
Rate for Payer: PACE SWMI $155.09
Rate for Payer: PHP Medicare Advantage $155.09
Rate for Payer: PHP Medicare Advantage $155.09
Rate for Payer: Priority Health Cigna Priority Health $197.40
Rate for Payer: Priority Health Cigna Priority Health $137.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $222.77
Rate for Payer: Priority Health HMO/PPO/Tiered Network $222.77
Rate for Payer: Priority Health Medicare $155.09
Rate for Payer: Priority Health Medicare $155.09
Rate for Payer: Priority Health Narrow Network $222.77
Rate for Payer: Priority Health Narrow Network $222.77
Rate for Payer: UHC Medicare Advantage $159.74
Rate for Payer: UHC Medicare Advantage $159.74
Service Code HCPCS 95925
Min. Negotiated Rate $128.40
Max. Negotiated Rate $1,239.39
Rate for Payer: Aetna Commercial $222.86
Rate for Payer: Aetna Medicare $166.31
Rate for Payer: BCBS Complete $128.40
Rate for Payer: BCBS MAPPO $166.31
Rate for Payer: BCBS Trust/PPO $1,239.39
Rate for Payer: BCN Commercial $259.98
Rate for Payer: BCN Medicare Advantage $166.31
Rate for Payer: Cash Price $256.80
Rate for Payer: Cash Price $256.80
Rate for Payer: Cofinity Commercial $239.49
Rate for Payer: Cofinity Commercial $222.86
Rate for Payer: Health Alliance Plan Medicare Advantage $166.31
Rate for Payer: Healthscope Commercial $199.57
Rate for Payer: Healthscope Whirlpool $199.57
Rate for Payer: Meridian Wellcare - Medicare Advantage $174.63
Rate for Payer: PACE SWMI $166.31
Rate for Payer: PHP Medicare Advantage $166.31
Rate for Payer: Priority Health Cigna Priority Health $224.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $238.94
Rate for Payer: Priority Health Medicare $166.31
Rate for Payer: Priority Health Narrow Network $238.94
Rate for Payer: UHC Medicare Advantage $171.30
Service Code HCPCS 95938
Min. Negotiated Rate $48.00
Max. Negotiated Rate $556.30
Rate for Payer: Aetna Commercial $454.15
Rate for Payer: Aetna Medicare $338.92
Rate for Payer: BCBS Complete $48.00
Rate for Payer: BCBS MAPPO $338.92
Rate for Payer: BCBS Trust/PPO $556.30
Rate for Payer: BCN Commercial $531.68
Rate for Payer: BCN Medicare Advantage $338.92
Rate for Payer: Cash Price $96.00
Rate for Payer: Cash Price $96.00
Rate for Payer: Cofinity Commercial $454.15
Rate for Payer: Cofinity Commercial $488.04
Rate for Payer: Health Alliance Plan Medicare Advantage $338.92
Rate for Payer: Healthscope Commercial $406.70
Rate for Payer: Healthscope Whirlpool $406.70
Rate for Payer: Meridian Wellcare - Medicare Advantage $355.87
Rate for Payer: PACE SWMI $338.92
Rate for Payer: PHP Medicare Advantage $338.92
Rate for Payer: Priority Health Cigna Priority Health $84.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $488.66
Rate for Payer: Priority Health Medicare $338.92
Rate for Payer: Priority Health Narrow Network $488.66
Rate for Payer: UHC Medicare Advantage $349.09
Service Code HCPCS 11311
Min. Negotiated Rate $39.62
Max. Negotiated Rate $338.18
Rate for Payer: Aetna Commercial $82.29
Rate for Payer: Aetna Medicare $61.41
Rate for Payer: BCBS Complete $41.60
Rate for Payer: BCBS MAPPO $61.41
Rate for Payer: BCBS Trust/PPO $338.18
Rate for Payer: BCN Commercial $161.77
Rate for Payer: BCN Medicare Advantage $61.41
Rate for Payer: Cash Price $144.80
Rate for Payer: Cash Price $144.80
Rate for Payer: Cofinity Commercial $88.43
Rate for Payer: Cofinity Commercial $82.29
Rate for Payer: Health Alliance Plan Medicare Advantage $61.41
Rate for Payer: Healthscope Commercial $73.69
Rate for Payer: Healthscope Whirlpool $73.69
Rate for Payer: Meridian Medicaid $41.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $64.48
Rate for Payer: PACE SWMI $61.41
Rate for Payer: PHP Medicare Advantage $61.41
Rate for Payer: Priority Health Choice Medicaid $39.62
Rate for Payer: Priority Health Cigna Priority Health $126.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $76.45
Rate for Payer: Priority Health Medicare $61.41
Rate for Payer: Priority Health Narrow Network $76.45
Rate for Payer: UHC Medicare Advantage $63.25
Service Code HCPCS 11312
Min. Negotiated Rate $28.95
Max. Negotiated Rate $184.94
Rate for Payer: Aetna Commercial $98.77
Rate for Payer: Aetna Medicare $73.71
Rate for Payer: BCBS Complete $49.20
Rate for Payer: BCBS MAPPO $73.71
Rate for Payer: BCBS Trust/PPO $28.95
Rate for Payer: BCN Commercial $184.94
Rate for Payer: BCN Medicare Advantage $73.71
Rate for Payer: Cash Price $208.80
Rate for Payer: Cash Price $208.80
Rate for Payer: Cofinity Commercial $98.77
Rate for Payer: Cofinity Commercial $106.14
Rate for Payer: Health Alliance Plan Medicare Advantage $73.71
Rate for Payer: Healthscope Commercial $88.45
Rate for Payer: Healthscope Whirlpool $88.45
Rate for Payer: Meridian Medicaid $49.20
Rate for Payer: Meridian Wellcare - Medicare Advantage $77.40
Rate for Payer: PACE SWMI $73.71
Rate for Payer: PHP Medicare Advantage $73.71
Rate for Payer: Priority Health Choice Medicaid $46.86
Rate for Payer: Priority Health Cigna Priority Health $182.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $91.66
Rate for Payer: Priority Health Medicare $73.71
Rate for Payer: Priority Health Narrow Network $91.66
Rate for Payer: UHC Medicare Advantage $75.92
Service Code CPT 11301
Hospital Charge Code 11301
Hospital Revenue Code 521
Min. Negotiated Rate $97.34
Max. Negotiated Rate $222.44
Rate for Payer: Aetna Commercial $174.60
Rate for Payer: Aetna Medicare $177.95
Rate for Payer: Allen County Amish Medical Aid Commercial $222.44
Rate for Payer: Amish Plain Church Group Commercial $222.44
Rate for Payer: ASR ASR $188.18
Rate for Payer: BCBS Complete $102.21
Rate for Payer: BCBS MAPPO $177.95
Rate for Payer: BCBS Trust/PPO $150.41
Rate for Payer: BCN Commercial $150.41
Rate for Payer: BCN Medicare Advantage $177.95
Rate for Payer: Cash Price $155.20
Rate for Payer: Cash Price $155.20
Rate for Payer: Cofinity Commercial $182.36
Rate for Payer: Encore Health Key Benefits Commercial $155.20
Rate for Payer: Health Alliance Plan Medicare Advantage $177.95
Rate for Payer: Healthscope Commercial $194.00
Rate for Payer: Healthscope Whirlpool $188.18
Rate for Payer: Humana Choice PPO Medicare $177.95
Rate for Payer: Mclaren Commercial $174.60
Rate for Payer: Mclaren Medicaid $97.34
Rate for Payer: Mclaren Medicare $177.95
Rate for Payer: Meridian Medicaid $102.21
Rate for Payer: Meridian Wellcare - Medicare Advantage $186.85
Rate for Payer: MI Amish Medical Board Commercial $204.64
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $164.90
Rate for Payer: PACE Medicare $169.05
Rate for Payer: PACE SWMI $177.95
Rate for Payer: PHP Commercial $195.74
Rate for Payer: PHP Medicaid $97.34
Rate for Payer: PHP Medicare Advantage $177.95
Rate for Payer: Priority Health Choice Medicaid $97.34
Rate for Payer: Priority Health Cigna Priority Health $135.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $176.54
Rate for Payer: Priority Health Medicare $177.95
Rate for Payer: Priority Health Narrow Network $137.74
Rate for Payer: Railroad Medicare Medicare $177.95
Rate for Payer: UHC All Payor (Choice/PPO) + Core $170.72
Rate for Payer: UHC Medicare Advantage $183.29
Rate for Payer: VA VA $177.95
Service Code HCPCS 11301
Min. Negotiated Rate $32.38
Max. Negotiated Rate $507.28
Rate for Payer: Aetna Commercial $67.27
Rate for Payer: Aetna Medicare $50.20
Rate for Payer: BCBS Complete $34.00
Rate for Payer: BCBS MAPPO $50.20
Rate for Payer: BCBS Trust/PPO $507.28
Rate for Payer: BCN Commercial $144.11
Rate for Payer: BCN Medicare Advantage $50.20
Rate for Payer: Cash Price $155.20
Rate for Payer: Cash Price $155.20
Rate for Payer: Cofinity Commercial $72.29
Rate for Payer: Cofinity Commercial $67.27
Rate for Payer: Health Alliance Plan Medicare Advantage $50.20
Rate for Payer: Healthscope Commercial $60.24
Rate for Payer: Healthscope Whirlpool $60.24
Rate for Payer: Meridian Medicaid $34.00
Rate for Payer: Meridian Wellcare - Medicare Advantage $52.71
Rate for Payer: PACE SWMI $50.20
Rate for Payer: PHP Medicare Advantage $50.20
Rate for Payer: Priority Health Choice Medicaid $32.38
Rate for Payer: Priority Health Cigna Priority Health $135.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $62.48
Rate for Payer: Priority Health Medicare $50.20
Rate for Payer: Priority Health Narrow Network $62.48
Rate for Payer: UHC Medicare Advantage $51.71
Service Code CPT 11301
Hospital Charge Code 11301
Hospital Revenue Code 521
Min. Negotiated Rate $135.80
Max. Negotiated Rate $194.00
Rate for Payer: Aetna Commercial $174.60
Rate for Payer: ASR ASR $188.18
Rate for Payer: BCBS Trust/PPO $150.41
Rate for Payer: BCN Commercial $150.41
Rate for Payer: Cash Price $155.20
Rate for Payer: Cofinity Commercial $182.36
Rate for Payer: Encore Health Key Benefits Commercial $155.20
Rate for Payer: Healthscope Commercial $194.00
Rate for Payer: Healthscope Whirlpool $188.18
Rate for Payer: Mclaren Commercial $174.60
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $164.90
Rate for Payer: Priority Health Cigna Priority Health $135.80
Rate for Payer: UHC All Payor (Choice/PPO) + Core $170.72
Service Code HCPCS 11301
Hospital Charge Code 11301
Min. Negotiated Rate $32.38
Max. Negotiated Rate $507.28
Rate for Payer: Aetna Commercial $67.27
Rate for Payer: Aetna Medicare $50.20
Rate for Payer: BCBS Complete $34.00
Rate for Payer: BCBS MAPPO $50.20
Rate for Payer: BCBS Trust/PPO $507.28
Rate for Payer: BCN Commercial $144.11
Rate for Payer: BCN Medicare Advantage $50.20
Rate for Payer: Cash Price $155.20
Rate for Payer: Cash Price $155.20
Rate for Payer: Cofinity Commercial $67.27
Rate for Payer: Cofinity Commercial $72.29
Rate for Payer: Health Alliance Plan Medicare Advantage $50.20
Rate for Payer: Healthscope Commercial $60.24
Rate for Payer: Healthscope Whirlpool $60.24
Rate for Payer: Meridian Medicaid $34.00
Rate for Payer: Meridian Wellcare - Medicare Advantage $52.71
Rate for Payer: PACE SWMI $50.20
Rate for Payer: PHP Medicare Advantage $50.20
Rate for Payer: Priority Health Choice Medicaid $32.38
Rate for Payer: Priority Health Cigna Priority Health $135.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $62.48
Rate for Payer: Priority Health Medicare $50.20
Rate for Payer: Priority Health Narrow Network $62.48
Rate for Payer: UHC Medicare Advantage $51.71