|
PR TENDON GRAFT FROM A DISTANCE
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 20924
|
| Min. Negotiated Rate |
$326.32 |
| Max. Negotiated Rate |
$11,952.59 |
| Rate for Payer: Aetna Commercial |
$664.02
|
| Rate for Payer: Aetna Medicare |
$495.54
|
| Rate for Payer: BCBS Complete |
$342.64
|
| Rate for Payer: BCBS MAPPO |
$495.54
|
| Rate for Payer: BCBS Trust/PPO |
$11,952.59
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$495.54
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$664.02
|
| Rate for Payer: Cofinity Commercial |
$713.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.54
|
| Rate for Payer: Healthscope Commercial |
$594.65
|
| Rate for Payer: Healthscope Whirlpool |
$594.65
|
| Rate for Payer: Meridian Medicaid |
$342.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$520.32
|
| Rate for Payer: PACE SWMI |
$495.54
|
| Rate for Payer: PHP Medicare Advantage |
$495.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$775.17
|
| Rate for Payer: Priority Health Medicare |
$495.54
|
| Rate for Payer: Priority Health Narrow Network |
$775.17
|
| Rate for Payer: UHC Medicare Advantage |
$510.41
|
|
|
PR TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 24305
|
| Min. Negotiated Rate |
$148.45 |
| Max. Negotiated Rate |
$894.65 |
| Rate for Payer: Aetna Commercial |
$766.04
|
| Rate for Payer: Aetna Medicare |
$571.67
|
| Rate for Payer: BCBS Complete |
$396.31
|
| Rate for Payer: BCBS MAPPO |
$571.67
|
| Rate for Payer: BCBS Trust/PPO |
$148.45
|
| Rate for Payer: BCN Commercial |
$856.16
|
| Rate for Payer: BCN Medicare Advantage |
$571.67
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$823.20
|
| Rate for Payer: Cofinity Commercial |
$766.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.67
|
| Rate for Payer: Healthscope Commercial |
$686.00
|
| Rate for Payer: Healthscope Whirlpool |
$686.00
|
| Rate for Payer: Meridian Medicaid |
$396.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$600.25
|
| Rate for Payer: PACE SWMI |
$571.67
|
| Rate for Payer: PHP Medicare Advantage |
$571.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$706.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$894.65
|
| Rate for Payer: Priority Health Medicare |
$571.67
|
| Rate for Payer: Priority Health Narrow Network |
$894.65
|
| Rate for Payer: UHC Medicare Advantage |
$588.82
|
|
|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,157.00
|
|
|
Service Code
|
HCPCS 26055
|
| Hospital Charge Code |
26055
|
| Min. Negotiated Rate |
$163.86 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$383.43
|
| Rate for Payer: Aetna Medicare |
$286.14
|
| Rate for Payer: BCBS Complete |
$200.83
|
| Rate for Payer: BCBS MAPPO |
$286.14
|
| Rate for Payer: BCBS Trust/PPO |
$163.86
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$286.14
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$412.04
|
| Rate for Payer: Cofinity Commercial |
$383.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.14
|
| Rate for Payer: Healthscope Commercial |
$343.37
|
| Rate for Payer: Healthscope Whirlpool |
$343.37
|
| Rate for Payer: Meridian Medicaid |
$200.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$300.45
|
| Rate for Payer: PACE SWMI |
$286.14
|
| Rate for Payer: PHP Medicare Advantage |
$286.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$452.43
|
| Rate for Payer: Priority Health Medicare |
$286.14
|
| Rate for Payer: Priority Health Narrow Network |
$452.43
|
| Rate for Payer: UHC Medicare Advantage |
$294.72
|
|
|
PR TENDON SHEATH INCISION
|
Facility
|
IP
|
$1,157.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
26055
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$809.90 |
| Max. Negotiated Rate |
$1,157.00 |
| Rate for Payer: Aetna Commercial |
$1,041.30
|
| Rate for Payer: ASR ASR |
$1,122.29
|
| Rate for Payer: BCBS Trust/PPO |
$897.02
|
| Rate for Payer: BCN Commercial |
$897.02
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$1,087.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.60
|
| Rate for Payer: Healthscope Commercial |
$1,157.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,122.29
|
| Rate for Payer: Mclaren Commercial |
$1,041.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$983.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,018.16
|
|
|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,157.00
|
|
|
Service Code
|
HCPCS 26055
|
| Min. Negotiated Rate |
$163.86 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$383.43
|
| Rate for Payer: Aetna Medicare |
$286.14
|
| Rate for Payer: BCBS Complete |
$200.83
|
| Rate for Payer: BCBS MAPPO |
$286.14
|
| Rate for Payer: BCBS Trust/PPO |
$163.86
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$286.14
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$383.43
|
| Rate for Payer: Cofinity Commercial |
$412.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.14
|
| Rate for Payer: Healthscope Commercial |
$343.37
|
| Rate for Payer: Healthscope Whirlpool |
$343.37
|
| Rate for Payer: Meridian Medicaid |
$200.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$300.45
|
| Rate for Payer: PACE SWMI |
$286.14
|
| Rate for Payer: PHP Medicare Advantage |
$286.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$452.43
|
| Rate for Payer: Priority Health Medicare |
$286.14
|
| Rate for Payer: Priority Health Narrow Network |
$452.43
|
| Rate for Payer: UHC Medicare Advantage |
$294.72
|
|
|
PR TENDON SHEATH INCISION
|
Facility
|
OP
|
$1,157.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
26055
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$781.45 |
| Max. Negotiated Rate |
$1,785.76 |
| Rate for Payer: Aetna Commercial |
$1,041.30
|
| Rate for Payer: Aetna Medicare |
$1,428.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,785.76
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,785.76
|
| Rate for Payer: ASR ASR |
$1,122.29
|
| Rate for Payer: BCBS Complete |
$820.59
|
| Rate for Payer: BCBS MAPPO |
$1,428.61
|
| Rate for Payer: BCBS Trust/PPO |
$897.02
|
| Rate for Payer: BCN Commercial |
$897.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,428.61
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cash Price |
$925.60
|
| Rate for Payer: Cofinity Commercial |
$1,087.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$925.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,428.61
|
| Rate for Payer: Healthscope Commercial |
$1,157.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,122.29
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,428.61
|
| Rate for Payer: Mclaren Commercial |
$1,041.30
|
| Rate for Payer: Mclaren Medicaid |
$781.45
|
| Rate for Payer: Mclaren Medicare |
$1,428.61
|
| Rate for Payer: Meridian Medicaid |
$820.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,500.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,642.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$983.45
|
| Rate for Payer: PACE Medicare |
$1,357.18
|
| Rate for Payer: PACE SWMI |
$1,428.61
|
| Rate for Payer: PHP Commercial |
$1,571.47
|
| Rate for Payer: PHP Medicaid |
$781.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,428.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$809.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.87
|
| Rate for Payer: Priority Health Medicare |
$1,428.61
|
| Rate for Payer: Priority Health Narrow Network |
$821.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,428.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,018.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,471.47
|
| Rate for Payer: VA VA |
$1,428.61
|
|
|
PR TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT
|
Professional
|
Both
|
$1,391.00
|
|
|
Service Code
|
HCPCS 26483
|
| Min. Negotiated Rate |
$563.60 |
| Max. Negotiated Rate |
$1,351.68 |
| Rate for Payer: Aetna Commercial |
$1,140.96
|
| Rate for Payer: Aetna Medicare |
$851.46
|
| Rate for Payer: BCBS Complete |
$591.78
|
| Rate for Payer: BCBS MAPPO |
$851.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.41
|
| Rate for Payer: BCN Commercial |
$1,293.53
|
| Rate for Payer: BCN Medicare Advantage |
$851.46
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cofinity Commercial |
$1,226.10
|
| Rate for Payer: Cofinity Commercial |
$1,140.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$851.46
|
| Rate for Payer: Healthscope Commercial |
$1,021.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,021.75
|
| Rate for Payer: Meridian Medicaid |
$591.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$894.03
|
| Rate for Payer: PACE SWMI |
$851.46
|
| Rate for Payer: PHP Medicare Advantage |
$851.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,351.68
|
| Rate for Payer: Priority Health Medicare |
$851.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,351.68
|
| Rate for Payer: UHC Medicare Advantage |
$877.00
|
|
|
PR TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,071.00
|
|
|
Service Code
|
HCPCS 24340
|
| Min. Negotiated Rate |
$86.64 |
| Max. Negotiated Rate |
$926.31 |
| Rate for Payer: Aetna Commercial |
$793.92
|
| Rate for Payer: Aetna Medicare |
$592.48
|
| Rate for Payer: BCBS Complete |
$407.72
|
| Rate for Payer: BCBS MAPPO |
$592.48
|
| Rate for Payer: BCBS Trust/PPO |
$86.64
|
| Rate for Payer: BCN Commercial |
$886.46
|
| Rate for Payer: BCN Medicare Advantage |
$592.48
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$793.92
|
| Rate for Payer: Cofinity Commercial |
$853.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$592.48
|
| Rate for Payer: Healthscope Commercial |
$710.98
|
| Rate for Payer: Healthscope Whirlpool |
$710.98
|
| Rate for Payer: Meridian Medicaid |
$407.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$622.10
|
| Rate for Payer: PACE SWMI |
$592.48
|
| Rate for Payer: PHP Medicare Advantage |
$592.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$926.31
|
| Rate for Payer: Priority Health Medicare |
$592.48
|
| Rate for Payer: Priority Health Narrow Network |
$926.31
|
| Rate for Payer: UHC Medicare Advantage |
$610.25
|
|
|
PR TENODESIS DISTAL JOINT EACH
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 26474
|
| Min. Negotiated Rate |
$423.23 |
| Max. Negotiated Rate |
$1,253.66 |
| Rate for Payer: Aetna Commercial |
$853.79
|
| Rate for Payer: Aetna Medicare |
$637.16
|
| Rate for Payer: BCBS Complete |
$444.39
|
| Rate for Payer: BCBS MAPPO |
$637.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.66
|
| Rate for Payer: BCN Commercial |
$972.47
|
| Rate for Payer: BCN Medicare Advantage |
$637.16
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$917.51
|
| Rate for Payer: Cofinity Commercial |
$853.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$637.16
|
| Rate for Payer: Healthscope Commercial |
$764.59
|
| Rate for Payer: Healthscope Whirlpool |
$764.59
|
| Rate for Payer: Meridian Medicaid |
$444.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$669.02
|
| Rate for Payer: PACE SWMI |
$637.16
|
| Rate for Payer: PHP Medicare Advantage |
$637.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$696.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.20
|
| Rate for Payer: Priority Health Medicare |
$637.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,016.20
|
| Rate for Payer: UHC Medicare Advantage |
$656.27
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,311.00
|
|
|
Service Code
|
HCPCS 23430
|
| Min. Negotiated Rate |
$106.55 |
| Max. Negotiated Rate |
$1,617.70 |
| Rate for Payer: Aetna Commercial |
$983.65
|
| Rate for Payer: Aetna Medicare |
$734.07
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCBS MAPPO |
$734.07
|
| Rate for Payer: BCBS Trust/PPO |
$106.55
|
| Rate for Payer: BCN Commercial |
$1,096.11
|
| Rate for Payer: BCN Medicare Advantage |
$734.07
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$983.65
|
| Rate for Payer: Cofinity Commercial |
$1,057.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.07
|
| Rate for Payer: Healthscope Commercial |
$880.88
|
| Rate for Payer: Healthscope Whirlpool |
$880.88
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$770.77
|
| Rate for Payer: PACE SWMI |
$734.07
|
| Rate for Payer: PHP Medicare Advantage |
$734.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.39
|
| Rate for Payer: Priority Health Medicare |
$734.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,145.39
|
| Rate for Payer: UHC Medicare Advantage |
$756.09
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Facility
|
OP
|
$2,311.00
|
|
|
Service Code
|
CPT 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$1,617.70 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$2,079.90
|
| 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 |
$2,241.67
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,791.72
|
| Rate for Payer: BCN Commercial |
$1,791.72
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$2,172.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,848.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$2,311.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,241.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$2,079.90
|
| 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 |
$1,964.35
|
| 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 |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,103.01
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,640.81
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,033.68
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Facility
|
IP
|
$2,311.00
|
|
|
Service Code
|
CPT 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$1,617.70 |
| Max. Negotiated Rate |
$2,311.00 |
| Rate for Payer: Aetna Commercial |
$2,079.90
|
| Rate for Payer: ASR ASR |
$2,241.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,791.72
|
| Rate for Payer: BCN Commercial |
$1,791.72
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$2,172.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,848.80
|
| Rate for Payer: Healthscope Commercial |
$2,311.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,241.67
|
| Rate for Payer: Mclaren Commercial |
$2,079.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,964.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,033.68
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,311.00
|
|
|
Service Code
|
HCPCS 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$106.55 |
| Max. Negotiated Rate |
$1,617.70 |
| Rate for Payer: Aetna Commercial |
$983.65
|
| Rate for Payer: Aetna Medicare |
$734.07
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCBS MAPPO |
$734.07
|
| Rate for Payer: BCBS Trust/PPO |
$106.55
|
| Rate for Payer: BCN Commercial |
$1,096.11
|
| Rate for Payer: BCN Medicare Advantage |
$734.07
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cash Price |
$1,848.80
|
| Rate for Payer: Cofinity Commercial |
$983.65
|
| Rate for Payer: Cofinity Commercial |
$1,057.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.07
|
| Rate for Payer: Healthscope Commercial |
$880.88
|
| Rate for Payer: Healthscope Whirlpool |
$880.88
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$770.77
|
| Rate for Payer: PACE SWMI |
$734.07
|
| Rate for Payer: PHP Medicare Advantage |
$734.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,617.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.39
|
| Rate for Payer: Priority Health Medicare |
$734.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,145.39
|
| Rate for Payer: UHC Medicare Advantage |
$756.09
|
|
|
PR TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26471
|
| Min. Negotiated Rate |
$428.13 |
| Max. Negotiated Rate |
$1,867.54 |
| Rate for Payer: Aetna Commercial |
$864.10
|
| Rate for Payer: Aetna Medicare |
$644.85
|
| Rate for Payer: BCBS Complete |
$449.54
|
| Rate for Payer: BCBS MAPPO |
$644.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.54
|
| Rate for Payer: BCN Commercial |
$983.22
|
| Rate for Payer: BCN Medicare Advantage |
$644.85
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$928.58
|
| Rate for Payer: Cofinity Commercial |
$864.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$644.85
|
| Rate for Payer: Healthscope Commercial |
$773.82
|
| Rate for Payer: Healthscope Whirlpool |
$773.82
|
| Rate for Payer: Meridian Medicaid |
$449.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$677.09
|
| Rate for Payer: PACE SWMI |
$644.85
|
| Rate for Payer: PHP Medicare Advantage |
$644.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,027.43
|
| Rate for Payer: Priority Health Medicare |
$644.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,027.43
|
| Rate for Payer: UHC Medicare Advantage |
$664.20
|
|
|
PR TENODESIS WRIST EXTENSORS FINGERS
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 25301
|
| Min. Negotiated Rate |
$232.45 |
| Max. Negotiated Rate |
$993.72 |
| Rate for Payer: Aetna Commercial |
$851.72
|
| Rate for Payer: Aetna Medicare |
$635.61
|
| Rate for Payer: BCBS Complete |
$439.48
|
| Rate for Payer: BCBS MAPPO |
$635.61
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$950.96
|
| Rate for Payer: BCN Medicare Advantage |
$635.61
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$915.28
|
| Rate for Payer: Cofinity Commercial |
$851.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.61
|
| Rate for Payer: Healthscope Commercial |
$762.73
|
| Rate for Payer: Healthscope Whirlpool |
$762.73
|
| Rate for Payer: Meridian Medicaid |
$439.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.39
|
| Rate for Payer: PACE SWMI |
$635.61
|
| Rate for Payer: PHP Medicare Advantage |
$635.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$899.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.72
|
| Rate for Payer: Priority Health Medicare |
$635.61
|
| Rate for Payer: Priority Health Narrow Network |
$993.72
|
| Rate for Payer: UHC Medicare Advantage |
$654.68
|
|
|
PR TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA
|
Professional
|
Both
|
$1,808.00
|
|
|
Service Code
|
HCPCS 26449
|
| Min. Negotiated Rate |
$455.82 |
| Max. Negotiated Rate |
$1,435.39 |
| Rate for Payer: Aetna Commercial |
$920.98
|
| Rate for Payer: Aetna Medicare |
$687.30
|
| Rate for Payer: BCBS Complete |
$478.61
|
| Rate for Payer: BCBS MAPPO |
$687.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,435.39
|
| Rate for Payer: BCN Commercial |
$1,033.07
|
| Rate for Payer: BCN Medicare Advantage |
$687.30
|
| Rate for Payer: Cash Price |
$1,446.40
|
| Rate for Payer: Cash Price |
$1,446.40
|
| Rate for Payer: Cofinity Commercial |
$989.71
|
| Rate for Payer: Cofinity Commercial |
$920.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.30
|
| Rate for Payer: Healthscope Commercial |
$824.76
|
| Rate for Payer: Healthscope Whirlpool |
$824.76
|
| Rate for Payer: Meridian Medicaid |
$478.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$721.66
|
| Rate for Payer: PACE SWMI |
$687.30
|
| Rate for Payer: PHP Medicare Advantage |
$687.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,265.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,079.52
|
| Rate for Payer: Priority Health Medicare |
$687.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,079.52
|
| Rate for Payer: UHC Medicare Advantage |
$707.92
|
|
|
PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON
|
Professional
|
Both
|
$780.00
|
|
|
Service Code
|
HCPCS 28226
|
| Min. Negotiated Rate |
$260.29 |
| Max. Negotiated Rate |
$1,180.75 |
| Rate for Payer: Aetna Commercial |
$524.81
|
| Rate for Payer: Aetna Medicare |
$391.65
|
| Rate for Payer: BCBS Complete |
$273.30
|
| Rate for Payer: BCBS MAPPO |
$391.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.75
|
| Rate for Payer: BCN Commercial |
$906.98
|
| Rate for Payer: BCN Medicare Advantage |
$391.65
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cofinity Commercial |
$524.81
|
| Rate for Payer: Cofinity Commercial |
$563.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.65
|
| Rate for Payer: Healthscope Commercial |
$469.98
|
| Rate for Payer: Healthscope Whirlpool |
$469.98
|
| Rate for Payer: Meridian Medicaid |
$273.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$411.23
|
| Rate for Payer: PACE SWMI |
$391.65
|
| Rate for Payer: PHP Medicare Advantage |
$391.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$546.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$615.84
|
| Rate for Payer: Priority Health Medicare |
$391.65
|
| Rate for Payer: Priority Health Narrow Network |
$615.84
|
| Rate for Payer: UHC Medicare Advantage |
$403.40
|
|
|
PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$637.00
|
|
|
Service Code
|
HCPCS 28225
|
| Min. Negotiated Rate |
$171.25 |
| Max. Negotiated Rate |
$1,072.98 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: Aetna Medicare |
$256.90
|
| Rate for Payer: BCBS Complete |
$179.81
|
| Rate for Payer: BCBS MAPPO |
$256.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.98
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$256.90
|
| Rate for Payer: Cash Price |
$509.60
|
| Rate for Payer: Cash Price |
$509.60
|
| Rate for Payer: Cofinity Commercial |
$369.94
|
| Rate for Payer: Cofinity Commercial |
$344.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.90
|
| Rate for Payer: Healthscope Commercial |
$308.28
|
| Rate for Payer: Healthscope Whirlpool |
$308.28
|
| Rate for Payer: Meridian Medicaid |
$179.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.74
|
| Rate for Payer: PACE SWMI |
$256.90
|
| Rate for Payer: PHP Medicare Advantage |
$256.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$445.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.39
|
| Rate for Payer: Priority Health Medicare |
$256.90
|
| Rate for Payer: Priority Health Narrow Network |
$402.39
|
| Rate for Payer: UHC Medicare Advantage |
$264.61
|
|
|
PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH
|
Professional
|
Both
|
$1,205.00
|
|
|
Service Code
|
HCPCS 26445
|
| Min. Negotiated Rate |
$391.49 |
| Max. Negotiated Rate |
$1,045.51 |
| Rate for Payer: Aetna Commercial |
$790.67
|
| Rate for Payer: Aetna Medicare |
$590.05
|
| Rate for Payer: BCBS Complete |
$411.06
|
| Rate for Payer: BCBS MAPPO |
$590.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,045.51
|
| Rate for Payer: BCN Commercial |
$905.52
|
| Rate for Payer: BCN Medicare Advantage |
$590.05
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cofinity Commercial |
$849.67
|
| Rate for Payer: Cofinity Commercial |
$790.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$590.05
|
| Rate for Payer: Healthscope Commercial |
$708.06
|
| Rate for Payer: Healthscope Whirlpool |
$708.06
|
| Rate for Payer: Meridian Medicaid |
$411.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$619.55
|
| Rate for Payer: PACE SWMI |
$590.05
|
| Rate for Payer: PHP Medicare Advantage |
$590.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$843.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$946.23
|
| Rate for Payer: Priority Health Medicare |
$590.05
|
| Rate for Payer: Priority Health Narrow Network |
$946.23
|
| Rate for Payer: UHC Medicare Advantage |
$607.75
|
|
|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$238.99 |
| Max. Negotiated Rate |
$1,051.85 |
| Rate for Payer: Aetna Commercial |
$476.88
|
| Rate for Payer: Aetna Medicare |
$355.88
|
| Rate for Payer: BCBS Complete |
$250.94
|
| Rate for Payer: BCBS MAPPO |
$355.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.85
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$355.88
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cofinity Commercial |
$512.47
|
| Rate for Payer: Cofinity Commercial |
$476.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.88
|
| Rate for Payer: Healthscope Commercial |
$427.06
|
| Rate for Payer: Healthscope Whirlpool |
$427.06
|
| Rate for Payer: Meridian Medicaid |
$250.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$373.67
|
| Rate for Payer: PACE SWMI |
$355.88
|
| Rate for Payer: PHP Medicare Advantage |
$355.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$574.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.56
|
| Rate for Payer: Priority Health Medicare |
$355.88
|
| Rate for Payer: Priority Health Narrow Network |
$554.56
|
| Rate for Payer: UHC Medicare Advantage |
$366.56
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$969.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$197.24 |
| Max. Negotiated Rate |
$1,218.26 |
| Rate for Payer: Aetna Commercial |
$397.71
|
| Rate for Payer: Aetna Medicare |
$296.80
|
| Rate for Payer: BCBS Complete |
$207.10
|
| Rate for Payer: BCBS MAPPO |
$296.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,218.26
|
| Rate for Payer: BCN Commercial |
$653.85
|
| Rate for Payer: BCN Medicare Advantage |
$296.80
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$397.71
|
| Rate for Payer: Cofinity Commercial |
$427.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.80
|
| Rate for Payer: Healthscope Commercial |
$356.16
|
| Rate for Payer: Healthscope Whirlpool |
$356.16
|
| Rate for Payer: Meridian Medicaid |
$207.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$311.64
|
| Rate for Payer: PACE SWMI |
$296.80
|
| Rate for Payer: PHP Medicare Advantage |
$296.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$678.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.68
|
| Rate for Payer: Priority Health Medicare |
$296.80
|
| Rate for Payer: Priority Health Narrow Network |
$463.68
|
| Rate for Payer: UHC Medicare Advantage |
$305.70
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,750.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$640.49 |
| Max. Negotiated Rate |
$1,535.02 |
| Rate for Payer: Aetna Commercial |
$1,296.17
|
| Rate for Payer: Aetna Medicare |
$967.29
|
| Rate for Payer: BCBS Complete |
$672.51
|
| Rate for Payer: BCBS MAPPO |
$967.29
|
| Rate for Payer: BCBS Trust/PPO |
$688.90
|
| Rate for Payer: BCN Commercial |
$1,468.96
|
| Rate for Payer: BCN Medicare Advantage |
$967.29
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cofinity Commercial |
$1,392.90
|
| Rate for Payer: Cofinity Commercial |
$1,296.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.29
|
| Rate for Payer: Healthscope Commercial |
$1,160.75
|
| Rate for Payer: Healthscope Whirlpool |
$1,160.75
|
| Rate for Payer: Meridian Medicaid |
$672.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,015.65
|
| Rate for Payer: PACE SWMI |
$967.29
|
| Rate for Payer: PHP Medicare Advantage |
$967.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$640.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,535.02
|
| Rate for Payer: Priority Health Medicare |
$967.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,535.02
|
| Rate for Payer: UHC Medicare Advantage |
$996.31
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,166.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$421.31 |
| Max. Negotiated Rate |
$1,014.15 |
| Rate for Payer: Aetna Commercial |
$849.45
|
| Rate for Payer: Aetna Medicare |
$633.92
|
| Rate for Payer: BCBS Complete |
$442.38
|
| Rate for Payer: BCBS MAPPO |
$633.92
|
| Rate for Payer: BCBS Trust/PPO |
$497.66
|
| Rate for Payer: BCN Commercial |
$970.51
|
| Rate for Payer: BCN Medicare Advantage |
$633.92
|
| Rate for Payer: Cash Price |
$932.80
|
| Rate for Payer: Cash Price |
$932.80
|
| Rate for Payer: Cofinity Commercial |
$912.84
|
| Rate for Payer: Cofinity Commercial |
$849.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$633.92
|
| Rate for Payer: Healthscope Commercial |
$760.70
|
| Rate for Payer: Healthscope Whirlpool |
$760.70
|
| Rate for Payer: Meridian Medicaid |
$442.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$665.62
|
| Rate for Payer: PACE SWMI |
$633.92
|
| Rate for Payer: PHP Medicare Advantage |
$633.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$816.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,014.15
|
| Rate for Payer: Priority Health Medicare |
$633.92
|
| Rate for Payer: Priority Health Narrow Network |
$1,014.15
|
| Rate for Payer: UHC Medicare Advantage |
$652.94
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$272.64 |
| Max. Negotiated Rate |
$3,794.78 |
| Rate for Payer: Aetna Commercial |
$550.19
|
| Rate for Payer: Aetna Medicare |
$410.59
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS MAPPO |
$410.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,794.78
|
| Rate for Payer: BCN Commercial |
$614.26
|
| Rate for Payer: BCN Medicare Advantage |
$410.59
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$550.19
|
| Rate for Payer: Cofinity Commercial |
$591.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.59
|
| Rate for Payer: Healthscope Commercial |
$492.71
|
| Rate for Payer: Healthscope Whirlpool |
$492.71
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$431.12
|
| Rate for Payer: PACE SWMI |
$410.59
|
| Rate for Payer: PHP Medicare Advantage |
$410.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$641.88
|
| Rate for Payer: Priority Health Medicare |
$410.59
|
| Rate for Payer: Priority Health Narrow Network |
$641.88
|
| Rate for Payer: UHC Medicare Advantage |
$422.91
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,391.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$227.17 |
| Max. Negotiated Rate |
$973.70 |
| Rate for Payer: Aetna Commercial |
$814.63
|
| Rate for Payer: Aetna Medicare |
$607.93
|
| Rate for Payer: BCBS Complete |
$421.13
|
| Rate for Payer: BCBS MAPPO |
$607.93
|
| Rate for Payer: BCBS Trust/PPO |
$227.17
|
| Rate for Payer: BCN Commercial |
$910.40
|
| Rate for Payer: BCN Medicare Advantage |
$607.93
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cash Price |
$1,112.80
|
| Rate for Payer: Cofinity Commercial |
$875.42
|
| Rate for Payer: Cofinity Commercial |
$814.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.93
|
| Rate for Payer: Healthscope Commercial |
$729.52
|
| Rate for Payer: Healthscope Whirlpool |
$729.52
|
| Rate for Payer: Meridian Medicaid |
$421.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$638.33
|
| Rate for Payer: PACE SWMI |
$607.93
|
| Rate for Payer: PHP Medicare Advantage |
$607.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$951.34
|
| Rate for Payer: Priority Health Medicare |
$607.93
|
| Rate for Payer: Priority Health Narrow Network |
$951.34
|
| Rate for Payer: UHC Medicare Advantage |
$626.17
|
|
