|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,967.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$775.00
|
| Rate for Payer: Aetna Medicare |
$578.36
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$578.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$578.36
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cofinity Commercial |
$832.84
|
| Rate for Payer: Cofinity Commercial |
$775.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
| Rate for Payer: Healthscope Commercial |
$694.03
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
| Rate for Payer: PACE SWMI |
$578.36
|
| Rate for Payer: PHP Medicare Advantage |
$578.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
| Rate for Payer: Priority Health Medicare |
$578.36
|
| Rate for Payer: Priority Health Narrow Network |
$903.85
|
| Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,967.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$1,434.86 |
| Rate for Payer: Aetna Commercial |
$775.00
|
| Rate for Payer: Aetna Medicare |
$578.36
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$578.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$578.36
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cofinity Commercial |
$775.00
|
| Rate for Payer: Cofinity Commercial |
$832.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
| Rate for Payer: Healthscope Commercial |
$694.03
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
| Rate for Payer: PACE SWMI |
$578.36
|
| Rate for Payer: PHP Medicare Advantage |
$578.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
| Rate for Payer: Priority Health Medicare |
$578.36
|
| Rate for Payer: Priority Health Narrow Network |
$903.85
|
| Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,014.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$2,109.80 |
| Max. Negotiated Rate |
$3,014.00 |
| Rate for Payer: Aetna Commercial |
$2,712.60
|
| Rate for Payer: ASR ASR |
$2,923.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,336.75
|
| Rate for Payer: BCN Commercial |
$2,336.75
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cofinity Commercial |
$2,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.20
|
| Rate for Payer: Healthscope Commercial |
$3,014.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,923.58
|
| Rate for Payer: Mclaren Commercial |
$2,712.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,561.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,652.32
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,014.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$2,109.80 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,712.60
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$2,923.58
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,336.75
|
| Rate for Payer: BCN Commercial |
$2,336.75
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cofinity Commercial |
$2,833.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,411.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$3,014.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,923.58
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,712.60
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,561.90
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,742.74
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,139.94
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,652.32
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,014.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$666.05 |
| Max. Negotiated Rate |
$2,109.80 |
| Rate for Payer: Aetna Commercial |
$1,365.18
|
| Rate for Payer: Aetna Medicare |
$1,018.79
|
| Rate for Payer: BCBS Complete |
$699.35
|
| Rate for Payer: BCBS MAPPO |
$1,018.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.79
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cofinity Commercial |
$1,467.06
|
| Rate for Payer: Cofinity Commercial |
$1,365.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.79
|
| Rate for Payer: Healthscope Commercial |
$1,222.55
|
| Rate for Payer: Healthscope Whirlpool |
$1,222.55
|
| Rate for Payer: Meridian Medicaid |
$699.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,069.73
|
| Rate for Payer: PACE SWMI |
$1,018.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,585.57
|
| Rate for Payer: Priority Health Medicare |
$1,018.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,585.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,049.35
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,014.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$666.05 |
| Max. Negotiated Rate |
$2,109.80 |
| Rate for Payer: Aetna Commercial |
$1,365.18
|
| Rate for Payer: Aetna Medicare |
$1,018.79
|
| Rate for Payer: BCBS Complete |
$699.35
|
| Rate for Payer: BCBS MAPPO |
$1,018.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.79
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cash Price |
$2,411.20
|
| Rate for Payer: Cofinity Commercial |
$1,467.06
|
| Rate for Payer: Cofinity Commercial |
$1,365.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.79
|
| Rate for Payer: Healthscope Commercial |
$1,222.55
|
| Rate for Payer: Healthscope Whirlpool |
$1,222.55
|
| Rate for Payer: Meridian Medicaid |
$699.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,069.73
|
| Rate for Payer: PACE SWMI |
$1,018.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,109.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,585.57
|
| Rate for Payer: Priority Health Medicare |
$1,018.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,585.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,049.35
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,126.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$775.00
|
| Rate for Payer: Aetna Medicare |
$578.36
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$578.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$578.36
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cofinity Commercial |
$832.84
|
| Rate for Payer: Cofinity Commercial |
$775.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
| Rate for Payer: Healthscope Commercial |
$694.03
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
| Rate for Payer: PACE SWMI |
$578.36
|
| Rate for Payer: PHP Medicare Advantage |
$578.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
| Rate for Payer: Priority Health Medicare |
$578.36
|
| Rate for Payer: Priority Health Narrow Network |
$903.85
|
| Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,126.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,488.20 |
| Max. Negotiated Rate |
$2,126.00 |
| Rate for Payer: Aetna Commercial |
$1,913.40
|
| Rate for Payer: ASR ASR |
$2,062.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,648.29
|
| Rate for Payer: BCN Commercial |
$1,648.29
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cofinity Commercial |
$1,998.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,700.80
|
| Rate for Payer: Healthscope Commercial |
$2,126.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,062.22
|
| Rate for Payer: Mclaren Commercial |
$1,913.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,807.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,870.88
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,126.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$775.00
|
| Rate for Payer: Aetna Medicare |
$578.36
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$578.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$578.36
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cofinity Commercial |
$775.00
|
| Rate for Payer: Cofinity Commercial |
$832.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.36
|
| Rate for Payer: Healthscope Commercial |
$694.03
|
| Rate for Payer: Healthscope Whirlpool |
$694.03
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$607.28
|
| Rate for Payer: PACE SWMI |
$578.36
|
| Rate for Payer: PHP Medicare Advantage |
$578.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$903.85
|
| Rate for Payer: Priority Health Medicare |
$578.36
|
| Rate for Payer: Priority Health Narrow Network |
$903.85
|
| Rate for Payer: UHC Medicare Advantage |
$595.71
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,126.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,488.20 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,913.40
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,062.22
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,648.29
|
| Rate for Payer: BCN Commercial |
$1,648.29
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cofinity Commercial |
$1,998.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,700.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,126.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,062.22
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,913.40
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,807.10
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,488.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,934.66
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,509.46
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,870.88
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
IP
|
$3,332.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$2,332.40 |
| Max. Negotiated Rate |
$3,332.00 |
| Rate for Payer: Aetna Commercial |
$2,998.80
|
| Rate for Payer: ASR ASR |
$3,232.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,583.30
|
| Rate for Payer: BCN Commercial |
$2,583.30
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cofinity Commercial |
$3,132.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.60
|
| Rate for Payer: Healthscope Commercial |
$3,332.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,232.04
|
| Rate for Payer: Mclaren Commercial |
$2,998.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,832.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,932.16
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,332.00
|
|
|
Service Code
|
HCPCS 29827
|
| Min. Negotiated Rate |
$687.14 |
| Max. Negotiated Rate |
$2,332.40 |
| Rate for Payer: Aetna Commercial |
$1,411.38
|
| Rate for Payer: Aetna Medicare |
$1,053.27
|
| Rate for Payer: BCBS Complete |
$721.50
|
| Rate for Payer: BCBS MAPPO |
$1,053.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
| Rate for Payer: BCN Commercial |
$1,566.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,053.27
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cofinity Commercial |
$1,411.38
|
| Rate for Payer: Cofinity Commercial |
$1,516.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,053.27
|
| Rate for Payer: Healthscope Commercial |
$1,263.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,263.92
|
| Rate for Payer: Meridian Medicaid |
$721.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,105.93
|
| Rate for Payer: PACE SWMI |
$1,053.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,053.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,636.63
|
| Rate for Payer: Priority Health Medicare |
$1,053.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,636.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,084.87
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,332.00
|
|
|
Service Code
|
HCPCS 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$687.14 |
| Max. Negotiated Rate |
$2,332.40 |
| Rate for Payer: Aetna Commercial |
$1,411.38
|
| Rate for Payer: Aetna Medicare |
$1,053.27
|
| Rate for Payer: BCBS Complete |
$721.50
|
| Rate for Payer: BCBS MAPPO |
$1,053.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
| Rate for Payer: BCN Commercial |
$1,566.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,053.27
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cofinity Commercial |
$1,411.38
|
| Rate for Payer: Cofinity Commercial |
$1,516.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,053.27
|
| Rate for Payer: Healthscope Commercial |
$1,263.92
|
| Rate for Payer: Healthscope Whirlpool |
$1,263.92
|
| Rate for Payer: Meridian Medicaid |
$721.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,105.93
|
| Rate for Payer: PACE SWMI |
$1,053.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,053.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,636.63
|
| Rate for Payer: Priority Health Medicare |
$1,053.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,636.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,084.87
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,332.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$2,332.40 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,998.80
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$3,232.04
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,583.30
|
| Rate for Payer: BCN Commercial |
$2,583.30
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cash Price |
$2,665.60
|
| Rate for Payer: Cofinity Commercial |
$3,132.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,665.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$3,332.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,232.04
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,998.80
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,832.20
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,332.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,032.12
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,365.72
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,932.16
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
IP
|
$2,475.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$1,732.50 |
| Max. Negotiated Rate |
$2,475.00 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| Rate for Payer: ASR ASR |
$2,400.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$384.25 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Aetna Commercial |
$783.44
|
| Rate for Payer: Aetna Medicare |
$584.66
|
| Rate for Payer: BCBS Complete |
$403.46
|
| Rate for Payer: BCBS MAPPO |
$584.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
| Rate for Payer: BCN Commercial |
$962.07
|
| Rate for Payer: BCN Medicare Advantage |
$584.66
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$783.44
|
| Rate for Payer: Cofinity Commercial |
$841.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.66
|
| Rate for Payer: Healthscope Commercial |
$701.59
|
| Rate for Payer: Healthscope Whirlpool |
$701.59
|
| Rate for Payer: Meridian Medicaid |
$403.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$613.89
|
| Rate for Payer: PACE SWMI |
$584.66
|
| Rate for Payer: PHP Medicare Advantage |
$584.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.04
|
| Rate for Payer: Priority Health Medicare |
$584.66
|
| Rate for Payer: Priority Health Narrow Network |
$913.04
|
| Rate for Payer: UHC Medicare Advantage |
$602.20
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29823
|
| Min. Negotiated Rate |
$384.25 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Aetna Commercial |
$783.44
|
| Rate for Payer: Aetna Medicare |
$584.66
|
| Rate for Payer: BCBS Complete |
$403.46
|
| Rate for Payer: BCBS MAPPO |
$584.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
| Rate for Payer: BCN Commercial |
$962.07
|
| Rate for Payer: BCN Medicare Advantage |
$584.66
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$841.91
|
| Rate for Payer: Cofinity Commercial |
$783.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$584.66
|
| Rate for Payer: Healthscope Commercial |
$701.59
|
| Rate for Payer: Healthscope Whirlpool |
$701.59
|
| Rate for Payer: Meridian Medicaid |
$403.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$613.89
|
| Rate for Payer: PACE SWMI |
$584.66
|
| Rate for Payer: PHP Medicare Advantage |
$584.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.04
|
| Rate for Payer: Priority Health Medicare |
$584.66
|
| Rate for Payer: Priority Health Narrow Network |
$913.04
|
| Rate for Payer: UHC Medicare Advantage |
$602.20
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
OP
|
$2,475.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,400.75
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,252.25
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,757.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$2,787.84 |
| Rate for Payer: Aetna Commercial |
$227.85
|
| Rate for Payer: Aetna Medicare |
$170.04
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$170.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.84
|
| Rate for Payer: BCN Commercial |
$200.65
|
| Rate for Payer: BCN Medicare Advantage |
$170.04
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$244.86
|
| Rate for Payer: Cofinity Commercial |
$227.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.04
|
| Rate for Payer: Healthscope Commercial |
$204.05
|
| Rate for Payer: Healthscope Whirlpool |
$204.05
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.54
|
| Rate for Payer: PACE SWMI |
$170.04
|
| Rate for Payer: PHP Medicare Advantage |
$170.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$260.94
|
| Rate for Payer: Priority Health Medicare |
$170.04
|
| Rate for Payer: Priority Health Narrow Network |
$260.94
|
| Rate for Payer: UHC Medicare Advantage |
$175.14
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Facility
|
OP
|
$2,475.00
|
|
|
Service Code
|
CPT 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$990.00 |
| Max. Negotiated Rate |
$2,475.00 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| Rate for Payer: ASR ASR |
$2,400.75
|
| Rate for Payer: BCBS Complete |
$990.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,252.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,757.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Facility
|
IP
|
$2,475.00
|
|
|
Service Code
|
CPT 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$1,732.50 |
| Max. Negotiated Rate |
$2,475.00 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| Rate for Payer: ASR ASR |
$2,400.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,103.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 29826
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$2,787.84 |
| Rate for Payer: Aetna Commercial |
$227.85
|
| Rate for Payer: Aetna Medicare |
$170.04
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$170.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.84
|
| Rate for Payer: BCN Commercial |
$200.65
|
| Rate for Payer: BCN Medicare Advantage |
$170.04
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$244.86
|
| Rate for Payer: Cofinity Commercial |
$227.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.04
|
| Rate for Payer: Healthscope Commercial |
$204.05
|
| Rate for Payer: Healthscope Whirlpool |
$204.05
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.54
|
| Rate for Payer: PACE SWMI |
$170.04
|
| Rate for Payer: PHP Medicare Advantage |
$170.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$260.94
|
| Rate for Payer: Priority Health Medicare |
$170.04
|
| Rate for Payer: Priority Health Narrow Network |
$260.94
|
| Rate for Payer: UHC Medicare Advantage |
$175.14
|
|
|
PR SURGICAL TRAYS
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS A4550
|
| Min. Negotiated Rate |
$13.20 |
| Max. Negotiated Rate |
$23.10 |
| Rate for Payer: Aetna Commercial |
$15.00
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.10
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Professional
|
Both
|
$5,562.00
|
|
|
Service Code
|
HCPCS 69706
|
| Min. Negotiated Rate |
$154.43 |
| Max. Negotiated Rate |
$4,200.67 |
| Rate for Payer: Aetna Commercial |
$320.84
|
| Rate for Payer: Aetna Medicare |
$239.43
|
| Rate for Payer: BCBS Complete |
$162.15
|
| Rate for Payer: BCBS MAPPO |
$239.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$4,200.67
|
| Rate for Payer: BCN Medicare Advantage |
$239.43
|
| Rate for Payer: Cash Price |
$4,449.60
|
| Rate for Payer: Cash Price |
$4,449.60
|
| Rate for Payer: Cofinity Commercial |
$344.78
|
| Rate for Payer: Cofinity Commercial |
$320.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.43
|
| Rate for Payer: Healthscope Commercial |
$287.32
|
| Rate for Payer: Healthscope Whirlpool |
$287.32
|
| Rate for Payer: Meridian Medicaid |
$162.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$251.40
|
| Rate for Payer: PACE SWMI |
$239.43
|
| Rate for Payer: PHP Medicare Advantage |
$239.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,893.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$340.86
|
| Rate for Payer: Priority Health Medicare |
$239.43
|
| Rate for Payer: Priority Health Narrow Network |
$340.86
|
| Rate for Payer: UHC Medicare Advantage |
$246.61
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Professional
|
Both
|
$5,380.54
|
|
|
Service Code
|
HCPCS 69705
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$4,063.84 |
| Rate for Payer: Aetna Commercial |
$230.04
|
| Rate for Payer: Aetna Medicare |
$171.67
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCBS MAPPO |
$171.67
|
| Rate for Payer: BCBS Trust/PPO |
$3,634.18
|
| Rate for Payer: BCN Commercial |
$4,063.84
|
| Rate for Payer: BCN Medicare Advantage |
$171.67
|
| Rate for Payer: Cash Price |
$4,304.43
|
| Rate for Payer: Cash Price |
$4,304.43
|
| Rate for Payer: Cofinity Commercial |
$247.20
|
| Rate for Payer: Cofinity Commercial |
$230.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.67
|
| Rate for Payer: Healthscope Commercial |
$206.00
|
| Rate for Payer: Healthscope Whirlpool |
$206.00
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$180.25
|
| Rate for Payer: PACE SWMI |
$171.67
|
| Rate for Payer: PHP Medicare Advantage |
$171.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,766.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$244.68
|
| Rate for Payer: Priority Health Medicare |
$171.67
|
| Rate for Payer: Priority Health Narrow Network |
$244.68
|
| Rate for Payer: UHC Medicare Advantage |
$176.82
|
|
