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Service Code CPT 24359
Hospital Charge Code 24359
Min. Negotiated Rate $1,271.90
Max. Negotiated Rate $1,817.00
Rate for Payer: Aetna Commercial $1,635.30
Rate for Payer: ASR ASR $1,762.49
Rate for Payer: BCBS Trust/PPO $1,408.72
Rate for Payer: BCN Commercial $1,408.72
Rate for Payer: Cash Price $1,453.60
Rate for Payer: Cofinity Commercial $1,707.98
Rate for Payer: Encore Health Key Benefits Commercial $1,453.60
Rate for Payer: Healthscope Commercial $1,817.00
Rate for Payer: Healthscope Whirlpool $1,762.49
Rate for Payer: Mclaren Commercial $1,635.30
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $1,544.45
Rate for Payer: Priority Health Cigna Priority Health $1,271.90
Rate for Payer: UHC All Payor (Choice/PPO) + Core $1,598.96
Service Code HCPCS 24359
Hospital Charge Code 24359
Min. Negotiated Rate $191.45
Max. Negotiated Rate $1,271.90
Rate for Payer: Aetna Commercial $877.70
Rate for Payer: Aetna Medicare $655.00
Rate for Payer: BCBS Complete $452.67
Rate for Payer: BCBS MAPPO $655.00
Rate for Payer: BCBS Trust/PPO $191.45
Rate for Payer: BCN Commercial $978.82
Rate for Payer: BCN Medicare Advantage $655.00
Rate for Payer: Cash Price $1,453.60
Rate for Payer: Cash Price $1,453.60
Rate for Payer: Cofinity Commercial $877.70
Rate for Payer: Cofinity Commercial $943.20
Rate for Payer: Health Alliance Plan Medicare Advantage $655.00
Rate for Payer: Healthscope Commercial $786.00
Rate for Payer: Healthscope Whirlpool $786.00
Rate for Payer: Meridian Medicaid $452.67
Rate for Payer: Meridian Wellcare - Medicare Advantage $687.75
Rate for Payer: PACE SWMI $655.00
Rate for Payer: PHP Medicare Advantage $655.00
Rate for Payer: Priority Health Choice Medicaid $431.11
Rate for Payer: Priority Health Cigna Priority Health $1,271.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,022.83
Rate for Payer: Priority Health Medicare $655.00
Rate for Payer: Priority Health Narrow Network $1,022.83
Rate for Payer: UHC Medicare Advantage $674.65
Service Code HCPCS 25290
Min. Negotiated Rate $285.42
Max. Negotiated Rate $1,061.88
Rate for Payer: Aetna Commercial $576.58
Rate for Payer: Aetna Medicare $430.28
Rate for Payer: BCBS Complete $299.69
Rate for Payer: BCBS MAPPO $430.28
Rate for Payer: BCBS Trust/PPO $1,061.88
Rate for Payer: BCN Commercial $646.52
Rate for Payer: BCN Medicare Advantage $430.28
Rate for Payer: Cash Price $1,000.80
Rate for Payer: Cash Price $1,000.80
Rate for Payer: Cofinity Commercial $619.60
Rate for Payer: Cofinity Commercial $576.58
Rate for Payer: Health Alliance Plan Medicare Advantage $430.28
Rate for Payer: Healthscope Commercial $516.34
Rate for Payer: Healthscope Whirlpool $516.34
Rate for Payer: Meridian Medicaid $299.69
Rate for Payer: Meridian Wellcare - Medicare Advantage $451.79
Rate for Payer: PACE SWMI $430.28
Rate for Payer: PHP Medicare Advantage $430.28
Rate for Payer: Priority Health Choice Medicaid $285.42
Rate for Payer: Priority Health Cigna Priority Health $875.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $675.59
Rate for Payer: Priority Health Medicare $430.28
Rate for Payer: Priority Health Narrow Network $675.59
Rate for Payer: UHC Medicare Advantage $443.19
Service Code HCPCS 99407
Min. Negotiated Rate $15.76
Max. Negotiated Rate $1,526.79
Rate for Payer: Aetna Commercial $32.94
Rate for Payer: Aetna Medicare $24.58
Rate for Payer: BCBS Complete $16.55
Rate for Payer: BCBS MAPPO $24.58
Rate for Payer: BCBS Trust/PPO $1,526.79
Rate for Payer: BCN Commercial $29.38
Rate for Payer: BCN Medicare Advantage $24.58
Rate for Payer: Cash Price $32.80
Rate for Payer: Cash Price $32.80
Rate for Payer: Cofinity Commercial $35.40
Rate for Payer: Cofinity Commercial $32.94
Rate for Payer: Health Alliance Plan Medicare Advantage $24.58
Rate for Payer: Healthscope Commercial $27.04
Rate for Payer: Healthscope Whirlpool $27.04
Rate for Payer: Meridian Medicaid $16.55
Rate for Payer: Meridian Wellcare - Medicare Advantage $25.81
Rate for Payer: PACE SWMI $24.58
Rate for Payer: PHP Medicare Advantage $24.58
Rate for Payer: Priority Health Choice Medicaid $15.76
Rate for Payer: Priority Health Cigna Priority Health $28.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $31.70
Rate for Payer: Priority Health Medicare $24.58
Rate for Payer: Priority Health Narrow Network $31.70
Rate for Payer: UHC Medicare Advantage $25.32
Service Code HCPCS 99406
Min. Negotiated Rate $7.46
Max. Negotiated Rate $1,290.64
Rate for Payer: Aetna Commercial $15.60
Rate for Payer: Aetna Medicare $11.64
Rate for Payer: BCBS Complete $7.83
Rate for Payer: BCBS MAPPO $11.64
Rate for Payer: BCBS Trust/PPO $1,290.64
Rate for Payer: BCN Commercial $15.76
Rate for Payer: BCN Medicare Advantage $11.64
Rate for Payer: Cash Price $24.00
Rate for Payer: Cash Price $24.00
Rate for Payer: Cofinity Commercial $16.76
Rate for Payer: Cofinity Commercial $15.60
Rate for Payer: Health Alliance Plan Medicare Advantage $11.64
Rate for Payer: Healthscope Commercial $12.80
Rate for Payer: Healthscope Whirlpool $12.80
Rate for Payer: Meridian Medicaid $7.83
Rate for Payer: Meridian Wellcare - Medicare Advantage $12.22
Rate for Payer: PACE SWMI $11.64
Rate for Payer: PHP Medicare Advantage $11.64
Rate for Payer: Priority Health Choice Medicaid $7.46
Rate for Payer: Priority Health Cigna Priority Health $21.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $14.99
Rate for Payer: Priority Health Medicare $11.64
Rate for Payer: Priority Health Narrow Network $14.99
Rate for Payer: UHC Medicare Advantage $11.99
Service Code HCPCS G0437
Min. Negotiated Rate $18.80
Max. Negotiated Rate $32.90
Rate for Payer: BCBS Complete $18.80
Rate for Payer: Cash Price $37.60
Rate for Payer: Cash Price $37.60
Rate for Payer: Priority Health Cigna Priority Health $32.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $32.16
Rate for Payer: Priority Health Narrow Network $32.16
Service Code HCPCS G0436
Min. Negotiated Rate $9.60
Max. Negotiated Rate $16.80
Rate for Payer: BCBS Complete $9.60
Rate for Payer: Cash Price $19.20
Rate for Payer: Cash Price $19.20
Rate for Payer: Priority Health Cigna Priority Health $16.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $15.42
Rate for Payer: Priority Health Narrow Network $15.42
Service Code HCPCS 92563
Min. Negotiated Rate $22.40
Max. Negotiated Rate $1,190.79
Rate for Payer: Aetna Commercial $41.03
Rate for Payer: Aetna Medicare $30.62
Rate for Payer: BCBS Complete $22.40
Rate for Payer: BCBS MAPPO $30.62
Rate for Payer: BCBS Trust/PPO $1,190.79
Rate for Payer: BCN Commercial $48.38
Rate for Payer: BCN Medicare Advantage $30.62
Rate for Payer: Cash Price $44.80
Rate for Payer: Cash Price $44.80
Rate for Payer: Cofinity Commercial $41.03
Rate for Payer: Cofinity Commercial $44.09
Rate for Payer: Health Alliance Plan Medicare Advantage $30.62
Rate for Payer: Healthscope Commercial $36.74
Rate for Payer: Healthscope Whirlpool $36.74
Rate for Payer: Meridian Wellcare - Medicare Advantage $32.15
Rate for Payer: PACE SWMI $30.62
Rate for Payer: PHP Medicare Advantage $30.62
Rate for Payer: Priority Health Cigna Priority Health $39.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $44.47
Rate for Payer: Priority Health Medicare $30.62
Rate for Payer: Priority Health Narrow Network $44.47
Rate for Payer: UHC Medicare Advantage $31.54
Service Code HCPCS 42820
Min. Negotiated Rate $188.51
Max. Negotiated Rate $652.98
Rate for Payer: Aetna Commercial $383.86
Rate for Payer: Aetna Medicare $286.46
Rate for Payer: BCBS Complete $197.94
Rate for Payer: BCBS MAPPO $286.46
Rate for Payer: BCBS Trust/PPO $652.98
Rate for Payer: BCN Commercial $428.08
Rate for Payer: BCN Medicare Advantage $286.46
Rate for Payer: Cash Price $712.80
Rate for Payer: Cash Price $712.80
Rate for Payer: Cofinity Commercial $383.86
Rate for Payer: Cofinity Commercial $412.50
Rate for Payer: Health Alliance Plan Medicare Advantage $286.46
Rate for Payer: Healthscope Commercial $343.75
Rate for Payer: Healthscope Whirlpool $343.75
Rate for Payer: Meridian Medicaid $197.94
Rate for Payer: Meridian Wellcare - Medicare Advantage $300.78
Rate for Payer: PACE SWMI $286.46
Rate for Payer: PHP Medicare Advantage $286.46
Rate for Payer: Priority Health Choice Medicaid $188.51
Rate for Payer: Priority Health Cigna Priority Health $623.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $515.06
Rate for Payer: Priority Health Medicare $286.46
Rate for Payer: Priority Health Narrow Network $515.06
Rate for Payer: UHC Medicare Advantage $295.05
Service Code HCPCS 42821
Min. Negotiated Rate $196.81
Max. Negotiated Rate $1,924.07
Rate for Payer: Aetna Commercial $402.17
Rate for Payer: Aetna Medicare $300.13
Rate for Payer: BCBS Complete $206.65
Rate for Payer: BCBS MAPPO $300.13
Rate for Payer: BCBS Trust/PPO $1,924.07
Rate for Payer: BCN Commercial $448.61
Rate for Payer: BCN Medicare Advantage $300.13
Rate for Payer: Cash Price $454.40
Rate for Payer: Cash Price $454.40
Rate for Payer: Cofinity Commercial $402.17
Rate for Payer: Cofinity Commercial $432.19
Rate for Payer: Health Alliance Plan Medicare Advantage $300.13
Rate for Payer: Healthscope Commercial $360.16
Rate for Payer: Healthscope Whirlpool $360.16
Rate for Payer: Meridian Medicaid $206.65
Rate for Payer: Meridian Wellcare - Medicare Advantage $315.14
Rate for Payer: PACE SWMI $300.13
Rate for Payer: PHP Medicare Advantage $300.13
Rate for Payer: Priority Health Choice Medicaid $196.81
Rate for Payer: Priority Health Cigna Priority Health $397.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $539.75
Rate for Payer: Priority Health Medicare $300.13
Rate for Payer: Priority Health Narrow Network $539.75
Rate for Payer: UHC Medicare Advantage $309.13
Service Code HCPCS 42825
Min. Negotiated Rate $174.02
Max. Negotiated Rate $1,488.22
Rate for Payer: Aetna Commercial $353.01
Rate for Payer: Aetna Medicare $263.44
Rate for Payer: BCBS Complete $182.72
Rate for Payer: BCBS MAPPO $263.44
Rate for Payer: BCBS Trust/PPO $1,488.22
Rate for Payer: BCN Commercial $395.83
Rate for Payer: BCN Medicare Advantage $263.44
Rate for Payer: Cash Price $380.00
Rate for Payer: Cash Price $380.00
Rate for Payer: Cofinity Commercial $353.01
Rate for Payer: Cofinity Commercial $379.35
Rate for Payer: Health Alliance Plan Medicare Advantage $263.44
Rate for Payer: Healthscope Commercial $316.13
Rate for Payer: Healthscope Whirlpool $316.13
Rate for Payer: Meridian Medicaid $182.72
Rate for Payer: Meridian Wellcare - Medicare Advantage $276.61
Rate for Payer: PACE SWMI $263.44
Rate for Payer: PHP Medicare Advantage $263.44
Rate for Payer: Priority Health Choice Medicaid $174.02
Rate for Payer: Priority Health Cigna Priority Health $332.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $476.26
Rate for Payer: Priority Health Medicare $263.44
Rate for Payer: Priority Health Narrow Network $476.26
Rate for Payer: UHC Medicare Advantage $271.34
Service Code HCPCS 42826
Min. Negotiated Rate $165.71
Max. Negotiated Rate $1,230.94
Rate for Payer: Aetna Commercial $336.63
Rate for Payer: Aetna Medicare $251.22
Rate for Payer: BCBS Complete $174.00
Rate for Payer: BCBS MAPPO $251.22
Rate for Payer: BCBS Trust/PPO $1,230.94
Rate for Payer: BCN Commercial $376.77
Rate for Payer: BCN Medicare Advantage $251.22
Rate for Payer: Cash Price $371.20
Rate for Payer: Cash Price $371.20
Rate for Payer: Cofinity Commercial $361.76
Rate for Payer: Cofinity Commercial $336.63
Rate for Payer: Health Alliance Plan Medicare Advantage $251.22
Rate for Payer: Healthscope Commercial $301.46
Rate for Payer: Healthscope Whirlpool $301.46
Rate for Payer: Meridian Medicaid $174.00
Rate for Payer: Meridian Wellcare - Medicare Advantage $263.78
Rate for Payer: PACE SWMI $251.22
Rate for Payer: PHP Medicare Advantage $251.22
Rate for Payer: Priority Health Choice Medicaid $165.71
Rate for Payer: Priority Health Cigna Priority Health $324.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $453.33
Rate for Payer: Priority Health Medicare $251.22
Rate for Payer: Priority Health Narrow Network $453.33
Rate for Payer: UHC Medicare Advantage $258.76
Service Code HCPCS 58200
Min. Negotiated Rate $82.02
Max. Negotiated Rate $1,964.97
Rate for Payer: Aetna Commercial $1,785.13
Rate for Payer: Aetna Medicare $1,332.19
Rate for Payer: BCBS Complete $908.02
Rate for Payer: BCBS MAPPO $1,332.19
Rate for Payer: BCBS Trust/PPO $82.02
Rate for Payer: BCN Commercial $1,964.97
Rate for Payer: BCN Medicare Advantage $1,332.19
Rate for Payer: Cash Price $1,890.40
Rate for Payer: Cash Price $1,890.40
Rate for Payer: Cofinity Commercial $1,785.13
Rate for Payer: Cofinity Commercial $1,918.35
Rate for Payer: Health Alliance Plan Medicare Advantage $1,332.19
Rate for Payer: Healthscope Commercial $1,598.63
Rate for Payer: Healthscope Whirlpool $1,598.63
Rate for Payer: Meridian Medicaid $908.02
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,398.80
Rate for Payer: PACE SWMI $1,332.19
Rate for Payer: PHP Medicare Advantage $1,332.19
Rate for Payer: Priority Health Choice Medicaid $864.78
Rate for Payer: Priority Health Cigna Priority Health $1,654.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,903.63
Rate for Payer: Priority Health Medicare $1,332.19
Rate for Payer: Priority Health Narrow Network $1,903.63
Rate for Payer: UHC Medicare Advantage $1,372.16
Service Code HCPCS 58152
Min. Negotiated Rate $11.46
Max. Negotiated Rate $2,303.70
Rate for Payer: Aetna Commercial $1,650.05
Rate for Payer: Aetna Medicare $1,231.38
Rate for Payer: BCBS Complete $832.87
Rate for Payer: BCBS MAPPO $1,231.38
Rate for Payer: BCBS Trust/PPO $11.46
Rate for Payer: BCN Commercial $1,812.99
Rate for Payer: BCN Medicare Advantage $1,231.38
Rate for Payer: Cash Price $2,632.80
Rate for Payer: Cash Price $2,632.80
Rate for Payer: Cofinity Commercial $1,650.05
Rate for Payer: Cofinity Commercial $1,773.19
Rate for Payer: Health Alliance Plan Medicare Advantage $1,231.38
Rate for Payer: Healthscope Commercial $1,477.66
Rate for Payer: Healthscope Whirlpool $1,477.66
Rate for Payer: Meridian Medicaid $832.87
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,292.95
Rate for Payer: PACE SWMI $1,231.38
Rate for Payer: PHP Medicare Advantage $1,231.38
Rate for Payer: Priority Health Choice Medicaid $793.21
Rate for Payer: Priority Health Cigna Priority Health $2,303.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,756.41
Rate for Payer: Priority Health Medicare $1,231.38
Rate for Payer: Priority Health Narrow Network $1,756.41
Rate for Payer: UHC Medicare Advantage $1,268.32
Service Code HCPCS 58150
Min. Negotiated Rate $652.21
Max. Negotiated Rate $2,929.42
Rate for Payer: Aetna Commercial $1,347.30
Rate for Payer: Aetna Medicare $1,005.45
Rate for Payer: BCBS Complete $684.82
Rate for Payer: BCBS MAPPO $1,005.45
Rate for Payer: BCBS Trust/PPO $2,929.42
Rate for Payer: BCN Commercial $1,483.63
Rate for Payer: BCN Medicare Advantage $1,005.45
Rate for Payer: Cash Price $2,522.40
Rate for Payer: Cash Price $2,522.40
Rate for Payer: Cofinity Commercial $1,347.30
Rate for Payer: Cofinity Commercial $1,447.85
Rate for Payer: Health Alliance Plan Medicare Advantage $1,005.45
Rate for Payer: Healthscope Commercial $1,206.54
Rate for Payer: Healthscope Whirlpool $1,206.54
Rate for Payer: Meridian Medicaid $684.82
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,055.72
Rate for Payer: PACE SWMI $1,005.45
Rate for Payer: PHP Medicare Advantage $1,005.45
Rate for Payer: Priority Health Choice Medicaid $652.21
Rate for Payer: Priority Health Cigna Priority Health $2,207.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,437.32
Rate for Payer: Priority Health Medicare $1,005.45
Rate for Payer: Priority Health Narrow Network $1,437.32
Rate for Payer: UHC Medicare Advantage $1,035.61
Service Code HCPCS 22858
Min. Negotiated Rate $65.37
Max. Negotiated Rate $769.04
Rate for Payer: Aetna Commercial $675.37
Rate for Payer: Aetna Medicare $504.01
Rate for Payer: BCBS Complete $337.93
Rate for Payer: BCBS MAPPO $504.01
Rate for Payer: BCBS Trust/PPO $65.37
Rate for Payer: BCN Commercial $735.95
Rate for Payer: BCN Medicare Advantage $504.01
Rate for Payer: Cash Price $844.00
Rate for Payer: Cash Price $844.00
Rate for Payer: Cofinity Commercial $725.77
Rate for Payer: Cofinity Commercial $675.37
Rate for Payer: Health Alliance Plan Medicare Advantage $504.01
Rate for Payer: Healthscope Commercial $604.81
Rate for Payer: Healthscope Whirlpool $604.81
Rate for Payer: Meridian Medicaid $337.93
Rate for Payer: Meridian Wellcare - Medicare Advantage $529.21
Rate for Payer: PACE SWMI $504.01
Rate for Payer: PHP Medicare Advantage $504.01
Rate for Payer: Priority Health Choice Medicaid $321.84
Rate for Payer: Priority Health Cigna Priority Health $738.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $769.04
Rate for Payer: Priority Health Medicare $504.01
Rate for Payer: Priority Health Narrow Network $769.04
Rate for Payer: UHC Medicare Advantage $519.13
Service Code HCPCS 22856
Min. Negotiated Rate $132.08
Max. Negotiated Rate $2,490.44
Rate for Payer: Aetna Commercial $2,169.67
Rate for Payer: Aetna Medicare $1,619.16
Rate for Payer: BCBS Complete $1,098.57
Rate for Payer: BCBS MAPPO $1,619.16
Rate for Payer: BCBS Trust/PPO $132.08
Rate for Payer: BCN Commercial $2,383.28
Rate for Payer: BCN Medicare Advantage $1,619.16
Rate for Payer: Cash Price $2,681.02
Rate for Payer: Cash Price $2,681.02
Rate for Payer: Cofinity Commercial $2,331.59
Rate for Payer: Cofinity Commercial $2,169.67
Rate for Payer: Health Alliance Plan Medicare Advantage $1,619.16
Rate for Payer: Healthscope Commercial $1,942.99
Rate for Payer: Healthscope Whirlpool $1,942.99
Rate for Payer: Meridian Medicaid $1,098.57
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,700.12
Rate for Payer: PACE SWMI $1,619.16
Rate for Payer: PHP Medicare Advantage $1,619.16
Rate for Payer: Priority Health Choice Medicaid $1,046.26
Rate for Payer: Priority Health Cigna Priority Health $2,345.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,490.44
Rate for Payer: Priority Health Medicare $1,619.16
Rate for Payer: Priority Health Narrow Network $2,490.44
Rate for Payer: UHC Medicare Advantage $1,667.73
Service Code HCPCS 22857
Min. Negotiated Rate $66.57
Max. Negotiated Rate $4,834.90
Rate for Payer: Aetna Commercial $2,331.85
Rate for Payer: Aetna Medicare $1,740.19
Rate for Payer: BCBS Complete $1,172.38
Rate for Payer: BCBS MAPPO $1,740.19
Rate for Payer: BCBS Trust/PPO $66.57
Rate for Payer: BCN Commercial $2,576.80
Rate for Payer: BCN Medicare Advantage $1,740.19
Rate for Payer: Cash Price $5,525.60
Rate for Payer: Cash Price $5,525.60
Rate for Payer: Cofinity Commercial $2,505.87
Rate for Payer: Cofinity Commercial $2,331.85
Rate for Payer: Health Alliance Plan Medicare Advantage $1,740.19
Rate for Payer: Healthscope Commercial $2,088.23
Rate for Payer: Healthscope Whirlpool $2,088.23
Rate for Payer: Meridian Medicaid $1,172.38
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,827.20
Rate for Payer: PACE SWMI $1,740.19
Rate for Payer: PHP Medicare Advantage $1,740.19
Rate for Payer: Priority Health Choice Medicaid $1,116.55
Rate for Payer: Priority Health Cigna Priority Health $4,834.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,692.65
Rate for Payer: Priority Health Medicare $1,740.19
Rate for Payer: Priority Health Narrow Network $2,692.65
Rate for Payer: UHC Medicare Advantage $1,792.40
Service Code HCPCS 43112
Min. Negotiated Rate $109.36
Max. Negotiated Rate $6,012.03
Rate for Payer: Aetna Commercial $4,592.47
Rate for Payer: Aetna Medicare $3,427.22
Rate for Payer: BCBS Complete $2,284.81
Rate for Payer: BCBS MAPPO $3,427.22
Rate for Payer: BCBS Trust/PPO $109.36
Rate for Payer: BCN Commercial $4,996.73
Rate for Payer: BCN Medicare Advantage $3,427.22
Rate for Payer: Cash Price $4,616.00
Rate for Payer: Cash Price $4,616.00
Rate for Payer: Cofinity Commercial $4,935.20
Rate for Payer: Cofinity Commercial $4,592.47
Rate for Payer: Health Alliance Plan Medicare Advantage $3,427.22
Rate for Payer: Healthscope Commercial $4,112.66
Rate for Payer: Healthscope Whirlpool $4,112.66
Rate for Payer: Meridian Medicaid $2,284.81
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,598.58
Rate for Payer: PACE SWMI $3,427.22
Rate for Payer: PHP Medicare Advantage $3,427.22
Rate for Payer: Priority Health Choice Medicaid $2,176.01
Rate for Payer: Priority Health Cigna Priority Health $4,039.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $6,012.03
Rate for Payer: Priority Health Medicare $3,427.22
Rate for Payer: Priority Health Narrow Network $6,012.03
Rate for Payer: UHC Medicare Advantage $3,530.04
Service Code CPT 60220
Hospital Charge Code 60220
Hospital Revenue Code 960
Min. Negotiated Rate $1,746.50
Max. Negotiated Rate $6,411.01
Rate for Payer: Aetna Commercial $2,245.50
Rate for Payer: Aetna Medicare $5,128.81
Rate for Payer: Allen County Amish Medical Aid Commercial $6,411.01
Rate for Payer: Amish Plain Church Group Commercial $6,411.01
Rate for Payer: ASR ASR $2,420.15
Rate for Payer: BCBS Complete $2,945.99
Rate for Payer: BCBS MAPPO $5,128.81
Rate for Payer: BCBS Trust/PPO $1,934.37
Rate for Payer: BCN Commercial $1,934.37
Rate for Payer: BCN Medicare Advantage $5,128.81
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cofinity Commercial $2,345.30
Rate for Payer: Encore Health Key Benefits Commercial $1,996.00
Rate for Payer: Health Alliance Plan Medicare Advantage $5,128.81
Rate for Payer: Healthscope Commercial $2,495.00
Rate for Payer: Healthscope Whirlpool $2,420.15
Rate for Payer: Humana Choice PPO Medicare $5,128.81
Rate for Payer: Mclaren Commercial $2,245.50
Rate for Payer: Mclaren Medicaid $2,805.46
Rate for Payer: Mclaren Medicare $5,128.81
Rate for Payer: Meridian Medicaid $2,945.99
Rate for Payer: Meridian Wellcare - Medicare Advantage $5,385.25
Rate for Payer: MI Amish Medical Board Commercial $5,898.13
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,120.75
Rate for Payer: PACE Medicare $4,872.37
Rate for Payer: PACE SWMI $5,128.81
Rate for Payer: PHP Commercial $5,641.69
Rate for Payer: PHP Medicaid $2,805.46
Rate for Payer: PHP Medicare Advantage $5,128.81
Rate for Payer: Priority Health Choice Medicaid $2,805.46
Rate for Payer: Priority Health Cigna Priority Health $1,746.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,270.45
Rate for Payer: Priority Health Medicare $5,128.81
Rate for Payer: Priority Health Narrow Network $1,771.45
Rate for Payer: Railroad Medicare Medicare $5,128.81
Rate for Payer: UHC All Payor (Choice/PPO) + Core $2,195.60
Rate for Payer: UHC Medicare Advantage $5,282.67
Rate for Payer: VA VA $5,128.81
Service Code HCPCS 60220
Min. Negotiated Rate $453.90
Max. Negotiated Rate $1,746.50
Rate for Payer: Aetna Commercial $937.87
Rate for Payer: Aetna Medicare $699.90
Rate for Payer: BCBS Complete $476.60
Rate for Payer: BCBS MAPPO $699.90
Rate for Payer: BCBS Trust/PPO $484.45
Rate for Payer: BCN Commercial $1,036.00
Rate for Payer: BCN Medicare Advantage $699.90
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cofinity Commercial $937.87
Rate for Payer: Cofinity Commercial $1,007.86
Rate for Payer: Health Alliance Plan Medicare Advantage $699.90
Rate for Payer: Healthscope Commercial $839.88
Rate for Payer: Healthscope Whirlpool $839.88
Rate for Payer: Meridian Medicaid $476.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $734.90
Rate for Payer: PACE SWMI $699.90
Rate for Payer: PHP Medicare Advantage $699.90
Rate for Payer: Priority Health Choice Medicaid $453.90
Rate for Payer: Priority Health Cigna Priority Health $1,746.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,003.06
Rate for Payer: Priority Health Medicare $699.90
Rate for Payer: Priority Health Narrow Network $1,003.06
Rate for Payer: UHC Medicare Advantage $720.90
Service Code CPT 60220
Hospital Charge Code 60220
Hospital Revenue Code 960
Min. Negotiated Rate $1,746.50
Max. Negotiated Rate $2,495.00
Rate for Payer: Aetna Commercial $2,245.50
Rate for Payer: ASR ASR $2,420.15
Rate for Payer: BCBS Trust/PPO $1,934.37
Rate for Payer: BCN Commercial $1,934.37
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cofinity Commercial $2,345.30
Rate for Payer: Encore Health Key Benefits Commercial $1,996.00
Rate for Payer: Healthscope Commercial $2,495.00
Rate for Payer: Healthscope Whirlpool $2,420.15
Rate for Payer: Mclaren Commercial $2,245.50
Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS $2,120.75
Rate for Payer: Priority Health Cigna Priority Health $1,746.50
Rate for Payer: UHC All Payor (Choice/PPO) + Core $2,195.60
Service Code HCPCS 60220
Hospital Charge Code 60220
Min. Negotiated Rate $453.90
Max. Negotiated Rate $1,746.50
Rate for Payer: Aetna Commercial $937.87
Rate for Payer: Aetna Medicare $699.90
Rate for Payer: BCBS Complete $476.60
Rate for Payer: BCBS MAPPO $699.90
Rate for Payer: BCBS Trust/PPO $484.45
Rate for Payer: BCN Commercial $1,036.00
Rate for Payer: BCN Medicare Advantage $699.90
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cash Price $1,996.00
Rate for Payer: Cofinity Commercial $937.87
Rate for Payer: Cofinity Commercial $1,007.86
Rate for Payer: Health Alliance Plan Medicare Advantage $699.90
Rate for Payer: Healthscope Commercial $839.88
Rate for Payer: Healthscope Whirlpool $839.88
Rate for Payer: Meridian Medicaid $476.60
Rate for Payer: Meridian Wellcare - Medicare Advantage $734.90
Rate for Payer: PACE SWMI $699.90
Rate for Payer: PHP Medicare Advantage $699.90
Rate for Payer: Priority Health Choice Medicaid $453.90
Rate for Payer: Priority Health Cigna Priority Health $1,746.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,003.06
Rate for Payer: Priority Health Medicare $699.90
Rate for Payer: Priority Health Narrow Network $1,003.06
Rate for Payer: UHC Medicare Advantage $720.90
Service Code HCPCS 60225
Min. Negotiated Rate $566.87
Max. Negotiated Rate $1,368.79
Rate for Payer: Aetna Commercial $1,239.15
Rate for Payer: Aetna Medicare $924.74
Rate for Payer: BCBS Complete $632.04
Rate for Payer: BCBS MAPPO $924.74
Rate for Payer: BCBS Trust/PPO $566.87
Rate for Payer: BCN Commercial $1,368.79
Rate for Payer: BCN Medicare Advantage $924.74
Rate for Payer: Cash Price $1,127.20
Rate for Payer: Cash Price $1,127.20
Rate for Payer: Cofinity Commercial $1,239.15
Rate for Payer: Cofinity Commercial $1,331.63
Rate for Payer: Health Alliance Plan Medicare Advantage $924.74
Rate for Payer: Healthscope Commercial $1,109.69
Rate for Payer: Healthscope Whirlpool $1,109.69
Rate for Payer: Meridian Medicaid $632.04
Rate for Payer: Meridian Wellcare - Medicare Advantage $970.98
Rate for Payer: PACE SWMI $924.74
Rate for Payer: PHP Medicare Advantage $924.74
Rate for Payer: Priority Health Choice Medicaid $601.94
Rate for Payer: Priority Health Cigna Priority Health $986.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,325.27
Rate for Payer: Priority Health Medicare $924.74
Rate for Payer: Priority Health Narrow Network $1,325.27
Rate for Payer: UHC Medicare Advantage $952.48
Service Code HCPCS 43107
Min. Negotiated Rate $295.85
Max. Negotiated Rate $5,163.00
Rate for Payer: Aetna Commercial $3,935.66
Rate for Payer: Aetna Medicare $2,937.06
Rate for Payer: BCBS Complete $1,971.92
Rate for Payer: BCBS MAPPO $2,937.06
Rate for Payer: BCBS Trust/PPO $295.85
Rate for Payer: BCN Commercial $4,291.08
Rate for Payer: BCN Medicare Advantage $2,937.06
Rate for Payer: Cash Price $4,372.00
Rate for Payer: Cash Price $4,372.00
Rate for Payer: Cofinity Commercial $3,935.66
Rate for Payer: Cofinity Commercial $4,229.37
Rate for Payer: Health Alliance Plan Medicare Advantage $2,937.06
Rate for Payer: Healthscope Commercial $3,524.47
Rate for Payer: Healthscope Whirlpool $3,524.47
Rate for Payer: Meridian Medicaid $1,971.92
Rate for Payer: Meridian Wellcare - Medicare Advantage $3,083.91
Rate for Payer: PACE SWMI $2,937.06
Rate for Payer: PHP Medicare Advantage $2,937.06
Rate for Payer: Priority Health Choice Medicaid $1,878.02
Rate for Payer: Priority Health Cigna Priority Health $3,825.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $5,163.00
Rate for Payer: Priority Health Medicare $2,937.06
Rate for Payer: Priority Health Narrow Network $5,163.00
Rate for Payer: UHC Medicare Advantage $3,025.17