|
BIOPRO GO-EZ SCREW 2.5X 14MM
|
Facility
OP
|
$210.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209084
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.50 |
| Max. Negotiated Rate |
$339.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$115.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$120.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$220.50
|
| Rate for Payer: Group Health Inc Commercial |
$105.00
|
| Rate for Payer: Group Health Inc Medicare |
$73.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$136.50
|
|
|
BIOPRO GO-EZ SCREW 2.5X 14MM
|
Facility
IP
|
$210.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209084
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
|
|
BIOPRO GO-EZ SCREW 3.0X14MM
|
Facility
OP
|
$262.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40209087
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$91.88 |
| Max. Negotiated Rate |
$275.62 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$144.38
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$131.25
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$150.94
|
| Rate for Payer: Fidelis Medicare Advantage |
$275.62
|
| Rate for Payer: Group Health Inc Commercial |
$131.25
|
| Rate for Payer: Group Health Inc Medicare |
$91.88
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$131.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$131.25
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$170.62
|
|
|
BIOPRO GO-EZ SCREW 3.0X14MM
|
Facility
IP
|
$262.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40209087
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.25 |
| Max. Negotiated Rate |
$131.25 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$131.25
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$131.25
|
|
|
BIOPRO GO-EZ SCREW 3.0X16MM
|
Facility
OP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208105
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$388.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$203.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$185.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$212.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$388.50
|
| Rate for Payer: Group Health Inc Commercial |
$185.00
|
| Rate for Payer: Group Health Inc Medicare |
$129.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$240.50
|
|
|
BIOPRO GO-EZ SCREW 3.0X16MM
|
Facility
IP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208105
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.00 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
|
|
BIOPRO GO-EZ SCREW 3.0X28MM
|
Facility
IP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209082
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.00 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
|
|
BIOPRO GO-EZ SCREW 3.0X28MM
|
Facility
OP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209082
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$388.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$203.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$185.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$212.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$388.50
|
| Rate for Payer: Group Health Inc Commercial |
$185.00
|
| Rate for Payer: Group Health Inc Medicare |
$129.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$240.50
|
|
|
BIOPRO GO-EZSCREW 3.0X32MM
|
Facility
OP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209083
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$388.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$203.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$185.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$212.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$388.50
|
| Rate for Payer: Group Health Inc Commercial |
$185.00
|
| Rate for Payer: Group Health Inc Medicare |
$129.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$240.50
|
|
|
BIOPRO GO-EZSCREW 3.0X32MM
|
Facility
IP
|
$370.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40209083
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.00 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$185.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$185.00
|
|
|
BIOPRO GO-EZ SCREW 4.0
|
Facility
IP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40206240
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
|
|
BIOPRO GO-EZ SCREW 4.0
|
Facility
OP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40206240
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.50 |
| Max. Negotiated Rate |
$220.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$115.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$120.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$220.50
|
| Rate for Payer: Group Health Inc Commercial |
$105.00
|
| Rate for Payer: Group Health Inc Medicare |
$73.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$136.50
|
|
|
BIOPRO GO EZ SCREW 4.5 X
|
Facility
IP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40205693
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
|
|
BIOPRO GO EZ SCREW 4.5 X
|
Facility
OP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40205693
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.50 |
| Max. Negotiated Rate |
$220.50 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$115.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$120.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$220.50
|
| Rate for Payer: Group Health Inc Commercial |
$105.00
|
| Rate for Payer: Group Health Inc Medicare |
$73.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$136.50
|
|
|
BIOPRO GO-EZ SCRW 3.0X18MM
|
Facility
OP
|
$210.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208160
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$73.50 |
| Max. Negotiated Rate |
$339.17 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$115.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$105.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$120.75
|
| Rate for Payer: Fidelis Medicare Advantage |
$220.50
|
| Rate for Payer: Group Health Inc Commercial |
$105.00
|
| Rate for Payer: Group Health Inc Medicare |
$73.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$136.50
|
|
|
BIOPRO GO-EZ SCRW 3.0X18MM
|
Facility
IP
|
$210.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208160
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$105.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$105.00
|
|
|
BIOPRO GREAT TOE M-P JOINT M 20MM
|
Facility
OP
|
$1,600.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40205204
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$339.17 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$880.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$800.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$920.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,680.00
|
| Rate for Payer: Group Health Inc Commercial |
$800.00
|
| Rate for Payer: Group Health Inc Medicare |
$560.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$800.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$800.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,040.00
|
|
|
BIOPRO GREAT TOE M-P JOINT M 20MM
|
Facility
IP
|
$1,600.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40205204
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$800.00 |
| Max. Negotiated Rate |
$800.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$800.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$800.00
|
|
|
BIOPRO GREAT TOE M-P JOINT/MED SM
|
Facility
IP
|
$1,600.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208159
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$800.00 |
| Max. Negotiated Rate |
$800.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$800.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$800.00
|
|
|
BIOPRO GREAT TOE M-P JOINT/MED SM
|
Facility
OP
|
$1,600.00
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
40208159
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$339.17 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$880.00
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
| Rate for Payer: Aetna Government |
$339.17
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$800.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$920.00
|
| Rate for Payer: Fidelis Medicare Advantage |
$1,680.00
|
| Rate for Payer: Group Health Inc Commercial |
$800.00
|
| Rate for Payer: Group Health Inc Medicare |
$560.00
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$800.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$800.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$1,040.00
|
|
|
BIO PRO GUIDE PIN
|
Facility
IP
|
$30.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40200695
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$15.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$15.00
|
|
|
BIO PRO GUIDE PIN
|
Facility
OP
|
$30.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
40200695
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.50 |
| Max. Negotiated Rate |
$134.20 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$16.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$134.20
|
| Rate for Payer: Aetna Government |
$134.20
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$15.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$17.25
|
| Rate for Payer: Fidelis Medicare Advantage |
$31.50
|
| Rate for Payer: Group Health Inc Commercial |
$15.00
|
| Rate for Payer: Group Health Inc Medicare |
$10.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$15.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$15.00
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$19.50
|
|
|
BIOPRO MEMORY STAPLE 15X12
|
Facility
OP
|
$550.00
|
|
| Hospital Charge Code |
40205534
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$192.50 |
| Max. Negotiated Rate |
$440.00 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$302.50
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$275.00
|
| Rate for Payer: Aetna Government |
$275.00
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$440.00
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$374.00
|
| Rate for Payer: Group Health Inc Commercial |
$275.00
|
| Rate for Payer: Group Health Inc Medicare |
$192.50
|
| Rate for Payer: Hamaspik Choice Inc Medicaid |
$275.00
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$275.00
|
|
|
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
|
Facility
IP
|
$41,191.19
|
|
|
Service Code
|
MS-DRG 478
|
| Min. Negotiated Rate |
$18,778.34 |
| Max. Negotiated Rate |
$41,191.19 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$35,147.66
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$40,383.52
|
| Rate for Payer: Aetna Government |
$40,383.52
|
| Rate for Payer: Brighton Health Commercial |
$34,563.65
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$41,191.19
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$41,164.12
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$33,970.39
|
| Rate for Payer: Elderplan Medicare Advantage |
$38,364.34
|
| Rate for Payer: EmblemHealth Commercial |
$20,440.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$40,383.52
|
| Rate for Payer: Group Health Inc Commercial |
$40,383.52
|
| Rate for Payer: Group Health Inc Medicare |
$40,383.52
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$40,383.52
|
| Rate for Payer: Healthfirst Medicare Advantage |
$18,778.34
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$40,383.52
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$40,383.52
|
| Rate for Payer: Wellcare Medicare |
$38,364.34
|
|
|
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
|
Facility
IP
|
$58,179.26
|
|
|
Service Code
|
MS-DRG 477
|
| Min. Negotiated Rate |
$25,131.89 |
| Max. Negotiated Rate |
$58,179.26 |
| Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$49,675.91
|
| Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$54,047.07
|
| Rate for Payer: Aetna Government |
$54,047.07
|
| Rate for Payer: Brighton Health Commercial |
$48,850.50
|
| Rate for Payer: Centers Plan For Healthy Living Dual Advantage/Medicare Advantage/Medicare Advantage Plus |
$55,128.01
|
| Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$58,179.26
|
| Rate for Payer: Cigna LocalPlus Benefit Plan |
$48,012.02
|
| Rate for Payer: Elderplan Medicare Advantage |
$51,344.72
|
| Rate for Payer: EmblemHealth Commercial |
$28,889.20
|
| Rate for Payer: Fidelis Medicare Advantage |
$54,047.07
|
| Rate for Payer: Group Health Inc Commercial |
$54,047.07
|
| Rate for Payer: Group Health Inc Medicare |
$54,047.07
|
| Rate for Payer: Hamaspik Choice Inc Medicare |
$54,047.07
|
| Rate for Payer: Healthfirst Medicare Advantage |
$25,131.89
|
| Rate for Payer: Senior Whole Health Medicare Advantage |
$54,047.07
|
| Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$54,047.07
|
| Rate for Payer: Wellcare Medicare |
$51,344.72
|
|
