|
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
|
Facility
|
IP
|
$70,703.28
|
|
|
Service Code
|
MSDRG 229
|
| Min. Negotiated Rate |
$23,910.57 |
| Max. Negotiated Rate |
$70,703.28 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$46,883.20
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$51,420.57
|
| Rate for Payer: Aetna Government |
$51,420.57
|
| Rate for Payer: Brighton Health Commercial |
$46,104.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$52,448.98
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$54,908.51
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$45,312.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$48,849.54
|
| Rate for Payer: EmblemHealth Commercial |
$27,265.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$51,420.57
|
| Rate for Payer: Group Health Inc Commercial |
$51,420.57
|
| Rate for Payer: Group Health Inc Medicare |
$51,420.57
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$51,420.57
|
| Rate for Payer: Healthfirst Medicare Advantage |
$23,910.57
|
| Rate for Payer: Humana Medicare |
$70,703.28
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$51,420.57
|
| Rate for Payer: United Healthcare Commercial |
$63,232.71
|
| Rate for Payer: United Healthcare Medicare Advantage |
$51,420.57
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$51,420.57
|
| Rate for Payer: Wellcare Medicare |
$48,849.54
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$28,519.92
|
|
|
Service Code
|
MSDRG 315
|
| Min. Negotiated Rate |
$8,294.60 |
| Max. Negotiated Rate |
$28,519.92 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$14,262.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,741.76
|
| Rate for Payer: Aetna Government |
$20,741.76
|
| Rate for Payer: Brighton Health Commercial |
$14,025.85
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,156.60
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,704.30
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,785.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,704.67
|
| Rate for Payer: EmblemHealth Commercial |
$8,294.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,741.76
|
| Rate for Payer: Group Health Inc Commercial |
$20,741.76
|
| Rate for Payer: Group Health Inc Medicare |
$20,741.76
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,741.76
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,644.92
|
| Rate for Payer: Humana Medicare |
$28,519.92
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,741.76
|
| Rate for Payer: United Healthcare Commercial |
$19,236.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,741.76
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,741.76
|
| Rate for Payer: Wellcare Medicare |
$19,704.67
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$49,993.91
|
|
|
Service Code
|
MSDRG 314
|
| Min. Negotiated Rate |
$16,907.03 |
| Max. Negotiated Rate |
$49,993.91 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$30,868.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36,359.21
|
| Rate for Payer: Aetna Government |
$36,359.21
|
| Rate for Payer: Brighton Health Commercial |
$30,355.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$37,086.39
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$36,152.65
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$29,834.72
|
| Rate for Payer: Elderplan Medicare Advantage |
$34,541.25
|
| Rate for Payer: EmblemHealth Commercial |
$17,951.80
|
| Rate for Payer: Fidelis Medicare Advantage |
$36,359.21
|
| Rate for Payer: Group Health Inc Commercial |
$36,359.21
|
| Rate for Payer: Group Health Inc Medicare |
$36,359.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$36,359.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$16,907.03
|
| Rate for Payer: Humana Medicare |
$49,993.91
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$36,359.21
|
| Rate for Payer: United Healthcare Commercial |
$41,633.43
|
| Rate for Payer: United Healthcare Medicare Advantage |
$36,359.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$36,359.21
|
| Rate for Payer: Wellcare Medicare |
$34,541.25
|
|
|
OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$23,283.95
|
|
|
Service Code
|
MSDRG 316
|
| Min. Negotiated Rate |
$5,939.90 |
| Max. Negotiated Rate |
$23,283.95 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$10,213.86
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16,933.78
|
| Rate for Payer: Aetna Government |
$16,933.78
|
| Rate for Payer: Brighton Health Commercial |
$10,044.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$17,272.46
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,962.24
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,871.75
|
| Rate for Payer: Elderplan Medicare Advantage |
$16,087.09
|
| Rate for Payer: EmblemHealth Commercial |
$5,939.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$16,933.78
|
| Rate for Payer: Group Health Inc Commercial |
$16,933.78
|
| Rate for Payer: Group Health Inc Medicare |
$16,933.78
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16,933.78
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,874.21
|
| Rate for Payer: Humana Medicare |
$23,283.95
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$16,933.78
|
| Rate for Payer: United Healthcare Commercial |
$13,775.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,933.78
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16,933.78
|
| Rate for Payer: Wellcare Medicare |
$16,087.09
|
|
|
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
|
Facility
|
IP
|
$72,350.74
|
|
|
Service Code
|
MSDRG 264
|
| Min. Negotiated Rate |
$24,467.70 |
| Max. Negotiated Rate |
$72,350.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$48,157.17
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$52,618.72
|
| Rate for Payer: Aetna Government |
$52,618.72
|
| Rate for Payer: Brighton Health Commercial |
$47,357.00
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$53,671.09
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$56,400.55
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$46,544.16
|
| Rate for Payer: Elderplan Medicare Advantage |
$49,987.78
|
| Rate for Payer: EmblemHealth Commercial |
$28,006.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$52,618.72
|
| Rate for Payer: Group Health Inc Commercial |
$52,618.72
|
| Rate for Payer: Group Health Inc Medicare |
$52,618.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$52,618.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,467.70
|
| Rate for Payer: Humana Medicare |
$72,350.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$52,618.72
|
| Rate for Payer: United Healthcare Commercial |
$64,950.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52,618.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$52,618.72
|
| Rate for Payer: Wellcare Medicare |
$49,987.78
|
|
|
OTHER CYTOSMEARS W/INTERP&REP
|
Facility
|
OP
|
$14.98
|
|
|
Service Code
|
HCPCS 87207
|
| Hospital Charge Code |
40635480
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.19 |
| Max. Negotiated Rate |
$11.24 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$8.24
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.99
|
| Rate for Payer: Aetna Government |
$5.99
|
| Rate for Payer: Affinity Essential Plan 1&2 |
$4.19
|
| Rate for Payer: Affinity Essential Plan 3&4 |
$4.19
|
| Rate for Payer: Affinity Medicaid/CHP/HARP |
$4.19
|
| Rate for Payer: Brighton Health Commercial |
$11.24
|
| Rate for Payer: Cash Price |
$5.99
|
| Rate for Payer: Cash Price |
$5.99
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$5.99
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$5.99
|
| Rate for Payer: EmblemHealth Commercial |
$5.99
|
| Rate for Payer: Fidelis Essential Plan Aliesa |
$5.09
|
| Rate for Payer: Fidelis Essential Plan QHP |
$5.33
|
| Rate for Payer: Fidelis Medicare Advantage |
$5.99
|
| Rate for Payer: Fidelis Qualified Health Plan |
$5.33
|
| Rate for Payer: Group Health Inc Commercial |
$5.99
|
| Rate for Payer: Group Health Inc Medicare |
$5.99
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$7.49
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$5.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$5.99
|
| Rate for Payer: Healthfirst QHP |
$5.99
|
| Rate for Payer: Humana Medicare |
$6.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$5.99
|
| Rate for Payer: United Healthcare Commercial |
$7.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$5.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$5.99
|
| Rate for Payer: Wellcare CHP/FHP/Medicaid |
$4.79
|
| Rate for Payer: Wellcare Medicare |
$5.39
|
|
|
OTHER CYTOSMEARS W/INTERP&REP
|
Facility
|
IP
|
$14.98
|
|
|
Service Code
|
HCPCS 87207
|
| Hospital Charge Code |
40635480
|
|
Hospital Revenue Code
|
300
|
| Rate for Payer: Cash Price |
$5.99
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
|
Facility
|
IP
|
$27,940.26
|
|
|
Service Code
|
MSDRG 394
|
| Min. Negotiated Rate |
$8,033.92 |
| Max. Negotiated Rate |
$27,940.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,814.59
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,320.19
|
| Rate for Payer: Aetna Government |
$20,320.19
|
| Rate for Payer: Brighton Health Commercial |
$13,585.05
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,726.59
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,179.33
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,351.87
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,304.18
|
| Rate for Payer: EmblemHealth Commercial |
$8,033.92
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,320.19
|
| Rate for Payer: Group Health Inc Commercial |
$20,320.19
|
| Rate for Payer: Group Health Inc Medicare |
$20,320.19
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,320.19
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,448.89
|
| Rate for Payer: Humana Medicare |
$27,940.26
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,320.19
|
| Rate for Payer: United Healthcare Commercial |
$18,632.13
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,320.19
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,320.19
|
| Rate for Payer: Wellcare Medicare |
$19,304.18
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
|
Facility
|
IP
|
$40,957.74
|
|
|
Service Code
|
MSDRG 393
|
| Min. Negotiated Rate |
$13,851.16 |
| Max. Negotiated Rate |
$40,957.74 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23,881.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$29,787.45
|
| Rate for Payer: Aetna Government |
$29,787.45
|
| Rate for Payer: Brighton Health Commercial |
$23,484.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$30,383.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$27,968.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$23,081.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$28,298.08
|
| Rate for Payer: EmblemHealth Commercial |
$13,888.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$29,787.45
|
| Rate for Payer: Group Health Inc Commercial |
$29,787.45
|
| Rate for Payer: Group Health Inc Medicare |
$29,787.45
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$29,787.45
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,851.16
|
| Rate for Payer: Humana Medicare |
$40,957.74
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$29,787.45
|
| Rate for Payer: United Healthcare Commercial |
$32,208.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$29,787.45
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$29,787.45
|
| Rate for Payer: Wellcare Medicare |
$28,298.08
|
|
|
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,422.11
|
|
|
Service Code
|
MSDRG 395
|
| Min. Negotiated Rate |
$5,552.31 |
| Max. Negotiated Rate |
$22,422.11 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,547.39
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16,306.99
|
| Rate for Payer: Aetna Government |
$16,306.99
|
| Rate for Payer: Brighton Health Commercial |
$9,388.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$16,633.13
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,181.68
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,227.60
|
| Rate for Payer: Elderplan Medicare Advantage |
$15,491.64
|
| Rate for Payer: EmblemHealth Commercial |
$5,552.31
|
| Rate for Payer: Fidelis Medicare Advantage |
$16,306.99
|
| Rate for Payer: Group Health Inc Commercial |
$16,306.99
|
| Rate for Payer: Group Health Inc Medicare |
$16,306.99
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16,306.99
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,582.75
|
| Rate for Payer: Humana Medicare |
$22,422.11
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$16,306.99
|
| Rate for Payer: United Healthcare Commercial |
$12,876.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,306.99
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16,306.99
|
| Rate for Payer: Wellcare Medicare |
$15,491.64
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$51,963.62
|
|
|
Service Code
|
MSDRG 357
|
| Min. Negotiated Rate |
$17,573.15 |
| Max. Negotiated Rate |
$51,963.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$32,391.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$37,791.72
|
| Rate for Payer: Aetna Government |
$37,791.72
|
| Rate for Payer: Brighton Health Commercial |
$31,853.60
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$38,547.55
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$37,936.54
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$31,306.86
|
| Rate for Payer: Elderplan Medicare Advantage |
$35,902.13
|
| Rate for Payer: EmblemHealth Commercial |
$18,837.60
|
| Rate for Payer: Fidelis Medicare Advantage |
$37,791.72
|
| Rate for Payer: Group Health Inc Commercial |
$37,791.72
|
| Rate for Payer: Group Health Inc Medicare |
$37,791.72
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$37,791.72
|
| Rate for Payer: Healthfirst Medicare Advantage |
$17,573.15
|
| Rate for Payer: Humana Medicare |
$51,963.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$37,791.72
|
| Rate for Payer: United Healthcare Commercial |
$43,687.76
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37,791.72
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$37,791.72
|
| Rate for Payer: Wellcare Medicare |
$35,902.13
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$91,660.52
|
|
|
Service Code
|
MSDRG 356
|
| Min. Negotiated Rate |
$30,997.92 |
| Max. Negotiated Rate |
$91,660.52 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$63,089.43
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$66,662.20
|
| Rate for Payer: Aetna Government |
$66,662.20
|
| Rate for Payer: Brighton Health Commercial |
$62,041.15
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$67,995.44
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$73,888.87
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$60,976.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$63,329.09
|
| Rate for Payer: EmblemHealth Commercial |
$36,689.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$66,662.20
|
| Rate for Payer: Group Health Inc Commercial |
$66,662.20
|
| Rate for Payer: Group Health Inc Medicare |
$66,662.20
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$66,662.20
|
| Rate for Payer: Healthfirst Medicare Advantage |
$30,997.92
|
| Rate for Payer: Humana Medicare |
$91,660.52
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$66,662.20
|
| Rate for Payer: United Healthcare Commercial |
$85,090.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$66,662.20
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$66,662.20
|
| Rate for Payer: Wellcare Medicare |
$63,329.09
|
|
|
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$34,503.36
|
|
|
Service Code
|
MSDRG 358
|
| Min. Negotiated Rate |
$10,985.40 |
| Max. Negotiated Rate |
$34,503.36 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,889.82
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,093.35
|
| Rate for Payer: Aetna Government |
$25,093.35
|
| Rate for Payer: Brighton Health Commercial |
$18,575.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$25,595.22
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,123.32
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,257.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,838.68
|
| Rate for Payer: EmblemHealth Commercial |
$10,985.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,093.35
|
| Rate for Payer: Group Health Inc Commercial |
$25,093.35
|
| Rate for Payer: Group Health Inc Medicare |
$25,093.35
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,093.35
|
| Rate for Payer: Healthfirst Medicare Advantage |
$11,668.41
|
| Rate for Payer: Humana Medicare |
$34,503.36
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,093.35
|
| Rate for Payer: United Healthcare Commercial |
$25,477.24
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,093.35
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,093.35
|
| Rate for Payer: Wellcare Medicare |
$23,838.68
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
|
Facility
|
IP
|
$29,641.08
|
|
|
Service Code
|
MSDRG 092
|
| Min. Negotiated Rate |
$8,798.81 |
| Max. Negotiated Rate |
$29,641.08 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$15,129.84
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$21,557.15
|
| Rate for Payer: Aetna Government |
$21,557.15
|
| Rate for Payer: Brighton Health Commercial |
$14,878.45
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$21,988.29
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17,719.72
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$14,623.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$20,479.29
|
| Rate for Payer: EmblemHealth Commercial |
$8,798.81
|
| Rate for Payer: Fidelis Medicare Advantage |
$21,557.15
|
| Rate for Payer: Group Health Inc Commercial |
$21,557.15
|
| Rate for Payer: Group Health Inc Medicare |
$21,557.15
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$21,557.15
|
| Rate for Payer: Healthfirst Medicare Advantage |
$10,024.07
|
| Rate for Payer: Humana Medicare |
$29,641.08
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$21,557.15
|
| Rate for Payer: United Healthcare Commercial |
$20,406.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$21,557.15
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$21,557.15
|
| Rate for Payer: Wellcare Medicare |
$20,479.29
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
|
Facility
|
IP
|
$44,191.62
|
|
|
Service Code
|
MSDRG 091
|
| Min. Negotiated Rate |
$14,944.80 |
| Max. Negotiated Rate |
$44,191.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$26,381.75
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$32,139.36
|
| Rate for Payer: Aetna Government |
$32,139.36
|
| Rate for Payer: Brighton Health Commercial |
$25,943.40
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$32,782.15
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$30,897.69
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$25,498.10
|
| Rate for Payer: Elderplan Medicare Advantage |
$30,532.39
|
| Rate for Payer: EmblemHealth Commercial |
$15,342.40
|
| Rate for Payer: Fidelis Medicare Advantage |
$32,139.36
|
| Rate for Payer: Group Health Inc Commercial |
$32,139.36
|
| Rate for Payer: Group Health Inc Medicare |
$32,139.36
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$32,139.36
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,944.80
|
| Rate for Payer: Humana Medicare |
$44,191.62
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$32,139.36
|
| Rate for Payer: United Healthcare Commercial |
$35,581.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$32,139.36
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$32,139.36
|
| Rate for Payer: Wellcare Medicare |
$30,532.39
|
|
|
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
|
Facility
|
IP
|
$24,841.77
|
|
|
Service Code
|
MSDRG 093
|
| Min. Negotiated Rate |
$6,640.48 |
| Max. Negotiated Rate |
$24,841.77 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,418.53
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$18,066.74
|
| Rate for Payer: Aetna Government |
$18,066.74
|
| Rate for Payer: Brighton Health Commercial |
$11,228.80
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$18,428.07
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,373.11
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,036.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$17,163.40
|
| Rate for Payer: EmblemHealth Commercial |
$6,640.48
|
| Rate for Payer: Fidelis Medicare Advantage |
$18,066.74
|
| Rate for Payer: Group Health Inc Commercial |
$18,066.74
|
| Rate for Payer: Group Health Inc Medicare |
$18,066.74
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$18,066.74
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,401.03
|
| Rate for Payer: Humana Medicare |
$24,841.77
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$18,066.74
|
| Rate for Payer: United Healthcare Commercial |
$15,400.49
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,066.74
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18,066.74
|
| Rate for Payer: Wellcare Medicare |
$17,163.40
|
|
|
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
|
Facility
|
IP
|
$35,281.32
|
|
|
Service Code
|
MSDRG 124
|
| Min. Negotiated Rate |
$11,335.30 |
| Max. Negotiated Rate |
$35,281.32 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19,491.42
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$25,659.14
|
| Rate for Payer: Aetna Government |
$25,659.14
|
| Rate for Payer: Brighton Health Commercial |
$19,167.55
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$26,172.32
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$22,827.89
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$18,838.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$24,376.18
|
| Rate for Payer: EmblemHealth Commercial |
$11,335.30
|
| Rate for Payer: Fidelis Medicare Advantage |
$25,659.14
|
| Rate for Payer: Group Health Inc Commercial |
$25,659.14
|
| Rate for Payer: Group Health Inc Medicare |
$25,659.14
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$25,659.14
|
| Rate for Payer: Healthfirst Medicare Advantage |
$11,931.50
|
| Rate for Payer: Humana Medicare |
$35,281.32
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$25,659.14
|
| Rate for Payer: United Healthcare Commercial |
$26,288.63
|
| Rate for Payer: United Healthcare Medicare Advantage |
$25,659.14
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$25,659.14
|
| Rate for Payer: Wellcare Medicare |
$24,376.18
|
|
|
OTHER DISORDERS OF THE EYE WITHOUT MCC
|
Facility
|
IP
|
$25,282.21
|
|
|
Service Code
|
MSDRG 125
|
| Min. Negotiated Rate |
$6,838.56 |
| Max. Negotiated Rate |
$25,282.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$11,759.14
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$18,387.06
|
| Rate for Payer: Aetna Government |
$18,387.06
|
| Rate for Payer: Brighton Health Commercial |
$11,563.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$18,754.80
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$13,772.03
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$11,365.27
|
| Rate for Payer: Elderplan Medicare Advantage |
$17,467.71
|
| Rate for Payer: EmblemHealth Commercial |
$6,838.56
|
| Rate for Payer: Fidelis Medicare Advantage |
$18,387.06
|
| Rate for Payer: Group Health Inc Commercial |
$18,387.06
|
| Rate for Payer: Group Health Inc Medicare |
$18,387.06
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$18,387.06
|
| Rate for Payer: Healthfirst Medicare Advantage |
$8,549.98
|
| Rate for Payer: Humana Medicare |
$25,282.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$18,387.06
|
| Rate for Payer: United Healthcare Commercial |
$15,859.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$18,387.06
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$18,387.06
|
| Rate for Payer: Wellcare Medicare |
$17,467.71
|
|
|
OTHER DRUGS AND/OR MEDICAMENTS, B
|
Facility
|
OP
|
$359.00
|
|
|
Service Code
|
HCPCS D9630
|
| Hospital Charge Code |
42302360
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16.75 |
| Max. Negotiated Rate |
$2,915.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$197.45
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16.75
|
| Rate for Payer: Aetna Government |
$16.75
|
| Rate for Payer: Brighton Health Commercial |
$269.25
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,915.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,477.75
|
| Rate for Payer: Group Health Inc Commercial |
$179.50
|
| Rate for Payer: Group Health Inc Medicare |
$125.65
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$179.50
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$179.50
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
|
Facility
|
IP
|
$28,125.21
|
|
|
Service Code
|
MSDRG 155
|
| Min. Negotiated Rate |
$8,117.10 |
| Max. Negotiated Rate |
$28,125.21 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13,957.62
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$20,454.70
|
| Rate for Payer: Aetna Government |
$20,454.70
|
| Rate for Payer: Brighton Health Commercial |
$13,725.70
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$20,863.79
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$16,346.84
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$13,490.11
|
| Rate for Payer: Elderplan Medicare Advantage |
$19,431.96
|
| Rate for Payer: EmblemHealth Commercial |
$8,117.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$20,454.70
|
| Rate for Payer: Group Health Inc Commercial |
$20,454.70
|
| Rate for Payer: Group Health Inc Medicare |
$20,454.70
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$20,454.70
|
| Rate for Payer: Healthfirst Medicare Advantage |
$9,511.44
|
| Rate for Payer: Humana Medicare |
$28,125.21
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$20,454.70
|
| Rate for Payer: United Healthcare Commercial |
$18,825.03
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20,454.70
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$20,454.70
|
| Rate for Payer: Wellcare Medicare |
$19,431.96
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
|
Facility
|
IP
|
$39,405.66
|
|
|
Service Code
|
MSDRG 154
|
| Min. Negotiated Rate |
$13,190.10 |
| Max. Negotiated Rate |
$39,405.66 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22,680.76
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$28,658.66
|
| Rate for Payer: Aetna Government |
$28,658.66
|
| Rate for Payer: Brighton Health Commercial |
$22,303.90
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$29,231.83
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$26,563.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$21,921.07
|
| Rate for Payer: Elderplan Medicare Advantage |
$27,225.73
|
| Rate for Payer: EmblemHealth Commercial |
$13,190.10
|
| Rate for Payer: Fidelis Medicare Advantage |
$28,658.66
|
| Rate for Payer: Group Health Inc Commercial |
$28,658.66
|
| Rate for Payer: Group Health Inc Medicare |
$28,658.66
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$28,658.66
|
| Rate for Payer: Healthfirst Medicare Advantage |
$13,326.28
|
| Rate for Payer: Humana Medicare |
$39,405.66
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$28,658.66
|
| Rate for Payer: United Healthcare Commercial |
$30,590.18
|
| Rate for Payer: United Healthcare Medicare Advantage |
$28,658.66
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28,658.66
|
| Rate for Payer: Wellcare Medicare |
$27,225.73
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$22,574.63
|
|
|
Service Code
|
MSDRG 156
|
| Min. Negotiated Rate |
$5,620.91 |
| Max. Negotiated Rate |
$22,574.63 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$9,665.35
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$16,417.91
|
| Rate for Payer: Aetna Government |
$16,417.91
|
| Rate for Payer: Brighton Health Commercial |
$9,504.75
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$16,746.27
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$11,319.83
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$9,341.61
|
| Rate for Payer: Elderplan Medicare Advantage |
$15,597.01
|
| Rate for Payer: EmblemHealth Commercial |
$5,620.91
|
| Rate for Payer: Fidelis Medicare Advantage |
$16,417.91
|
| Rate for Payer: Group Health Inc Commercial |
$16,417.91
|
| Rate for Payer: Group Health Inc Medicare |
$16,417.91
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$16,417.91
|
| Rate for Payer: Healthfirst Medicare Advantage |
$7,634.33
|
| Rate for Payer: Humana Medicare |
$22,574.63
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$16,417.91
|
| Rate for Payer: United Healthcare Commercial |
$13,035.93
|
| Rate for Payer: United Healthcare Medicare Advantage |
$16,417.91
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$16,417.91
|
| Rate for Payer: Wellcare Medicare |
$15,597.01
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$43,072.38
|
|
|
Service Code
|
MSDRG 144
|
| Min. Negotiated Rate |
$14,566.30 |
| Max. Negotiated Rate |
$43,072.38 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$25,516.22
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$31,325.37
|
| Rate for Payer: Aetna Government |
$31,325.37
|
| Rate for Payer: Brighton Health Commercial |
$25,092.25
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$31,951.88
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$29,884.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$24,661.56
|
| Rate for Payer: Elderplan Medicare Advantage |
$29,759.10
|
| Rate for Payer: EmblemHealth Commercial |
$14,839.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$31,325.37
|
| Rate for Payer: Group Health Inc Commercial |
$31,325.37
|
| Rate for Payer: Group Health Inc Medicare |
$31,325.37
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$31,325.37
|
| Rate for Payer: Healthfirst Medicare Advantage |
$14,566.30
|
| Rate for Payer: Humana Medicare |
$43,072.38
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$31,325.37
|
| Rate for Payer: United Healthcare Commercial |
$34,414.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$31,325.37
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$31,325.37
|
| Rate for Payer: Wellcare Medicare |
$29,759.10
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$73,487.16
|
|
|
Service Code
|
MSDRG 143
|
| Min. Negotiated Rate |
$24,852.02 |
| Max. Negotiated Rate |
$73,487.16 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,035.97
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$53,445.21
|
| Rate for Payer: Aetna Government |
$53,445.21
|
| Rate for Payer: Brighton Health Commercial |
$48,221.20
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$54,514.11
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$57,429.79
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$47,393.52
|
| Rate for Payer: Elderplan Medicare Advantage |
$50,772.95
|
| Rate for Payer: EmblemHealth Commercial |
$28,517.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$53,445.21
|
| Rate for Payer: Group Health Inc Commercial |
$53,445.21
|
| Rate for Payer: Group Health Inc Medicare |
$53,445.21
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$53,445.21
|
| Rate for Payer: Healthfirst Medicare Advantage |
$24,852.02
|
| Rate for Payer: Humana Medicare |
$73,487.16
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$53,445.21
|
| Rate for Payer: United Healthcare Commercial |
$66,136.21
|
| Rate for Payer: United Healthcare Medicare Advantage |
$53,445.21
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$53,445.21
|
| Rate for Payer: Wellcare Medicare |
$50,772.95
|
|
|
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$33,359.30
|
|
|
Service Code
|
MSDRG 145
|
| Min. Negotiated Rate |
$10,470.90 |
| Max. Negotiated Rate |
$33,359.30 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$18,005.12
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$24,261.31
|
| Rate for Payer: Aetna Government |
$24,261.31
|
| Rate for Payer: Brighton Health Commercial |
$17,705.95
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$24,746.54
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21,087.18
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17,402.04
|
| Rate for Payer: Elderplan Medicare Advantage |
$23,048.24
|
| Rate for Payer: EmblemHealth Commercial |
$10,470.90
|
| Rate for Payer: Fidelis Medicare Advantage |
$24,261.31
|
| Rate for Payer: Group Health Inc Commercial |
$24,261.31
|
| Rate for Payer: Group Health Inc Medicare |
$24,261.31
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$24,261.31
|
| Rate for Payer: Healthfirst Medicare Advantage |
$11,281.51
|
| Rate for Payer: Humana Medicare |
$33,359.30
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$24,261.31
|
| Rate for Payer: United Healthcare Commercial |
$24,284.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$24,261.31
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24,261.31
|
| Rate for Payer: Wellcare Medicare |
$23,048.24
|
|
