OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$21,217.03
|
|
Service Code
|
MSDRG 717
|
Min. Negotiated Rate |
$14,397.27 |
Max. Negotiated Rate |
$21,217.03 |
Rate for Payer: Anthem Medicaid |
$14,397.27
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$15,155.02
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$21,217.03
|
Rate for Payer: CareSource Just4Me Medicare |
$20,459.28
|
Rate for Payer: Humana KY Medicaid |
$14,397.27
|
Rate for Payer: Humana Medicare Advantage |
$15,155.02
|
Rate for Payer: Kentucky WC Medicaid |
$14,541.24
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$18,186.02
|
Rate for Payer: Molina Healthcare Medicaid |
$14,685.21
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$13,754.75
|
|
Service Code
|
MSDRG 718
|
Min. Negotiated Rate |
$9,333.58 |
Max. Negotiated Rate |
$13,754.75 |
Rate for Payer: Anthem Medicaid |
$9,333.58
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$9,824.82
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$13,754.75
|
Rate for Payer: CareSource Just4Me Medicare |
$13,263.51
|
Rate for Payer: Humana KY Medicaid |
$9,333.58
|
Rate for Payer: Humana Medicare Advantage |
$9,824.82
|
Rate for Payer: Kentucky WC Medicaid |
$9,426.91
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$11,789.78
|
Rate for Payer: Molina Healthcare Medicaid |
$9,520.25
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
|
Facility
|
IP
|
$25,823.78
|
|
Service Code
|
MSDRG 715
|
Min. Negotiated Rate |
$17,523.28 |
Max. Negotiated Rate |
$25,823.78 |
Rate for Payer: Anthem Medicaid |
$17,523.28
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$18,445.56
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$25,823.78
|
Rate for Payer: CareSource Just4Me Medicare |
$24,901.51
|
Rate for Payer: Humana KY Medicaid |
$17,523.28
|
Rate for Payer: Humana Medicare Advantage |
$18,445.56
|
Rate for Payer: Kentucky WC Medicaid |
$17,698.51
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$22,134.67
|
Rate for Payer: Molina Healthcare Medicaid |
$17,873.75
|
|
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
|
Facility
|
IP
|
$16,637.19
|
|
Service Code
|
MSDRG 716
|
Min. Negotiated Rate |
$11,289.52 |
Max. Negotiated Rate |
$16,637.19 |
Rate for Payer: Anthem Medicaid |
$11,289.52
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$11,883.71
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$16,637.19
|
Rate for Payer: CareSource Just4Me Medicare |
$16,043.01
|
Rate for Payer: Humana KY Medicaid |
$11,289.52
|
Rate for Payer: Humana Medicare Advantage |
$11,883.71
|
Rate for Payer: Kentucky WC Medicaid |
$11,402.42
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$14,260.45
|
Rate for Payer: Molina Healthcare Medicaid |
$11,515.31
|
|
OTHER MENTAL DISORDER DIAGNOSES
|
Facility
|
IP
|
$15,156.19
|
|
Service Code
|
MSDRG 887
|
Min. Negotiated Rate |
$10,284.56 |
Max. Negotiated Rate |
$15,156.19 |
Rate for Payer: Anthem Medicaid |
$10,284.56
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$10,825.85
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$15,156.19
|
Rate for Payer: CareSource Just4Me Medicare |
$14,614.90
|
Rate for Payer: Humana KY Medicaid |
$10,284.56
|
Rate for Payer: Humana Medicare Advantage |
$10,825.85
|
Rate for Payer: Kentucky WC Medicaid |
$10,387.40
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$12,991.02
|
Rate for Payer: Molina Healthcare Medicaid |
$10,490.25
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$17,559.01
|
|
Service Code
|
MSDRG 964
|
Min. Negotiated Rate |
$11,915.04 |
Max. Negotiated Rate |
$17,559.01 |
Rate for Payer: Anthem Medicaid |
$11,915.04
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$12,542.15
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$17,559.01
|
Rate for Payer: CareSource Just4Me Medicare |
$16,931.90
|
Rate for Payer: Humana KY Medicaid |
$11,915.04
|
Rate for Payer: Humana Medicare Advantage |
$12,542.15
|
Rate for Payer: Kentucky WC Medicaid |
$12,034.19
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$15,050.58
|
Rate for Payer: Molina Healthcare Medicaid |
$12,153.34
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$31,986.42
|
|
Service Code
|
MSDRG 963
|
Min. Negotiated Rate |
$21,705.07 |
Max. Negotiated Rate |
$31,986.42 |
Rate for Payer: Anthem Medicaid |
$21,705.07
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$22,847.44
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$31,986.42
|
Rate for Payer: CareSource Just4Me Medicare |
$30,844.04
|
Rate for Payer: Humana KY Medicaid |
$21,705.07
|
Rate for Payer: Humana Medicare Advantage |
$22,847.44
|
Rate for Payer: Kentucky WC Medicaid |
$21,922.12
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$27,416.93
|
Rate for Payer: Molina Healthcare Medicaid |
$22,139.17
|
|
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$11,182.29
|
|
Service Code
|
MSDRG 965
|
Min. Negotiated Rate |
$7,587.98 |
Max. Negotiated Rate |
$11,182.29 |
Rate for Payer: Anthem Medicaid |
$7,587.98
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$7,987.35
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$11,182.29
|
Rate for Payer: CareSource Just4Me Medicare |
$10,782.92
|
Rate for Payer: Humana KY Medicaid |
$7,587.98
|
Rate for Payer: Humana Medicare Advantage |
$7,987.35
|
Rate for Payer: Kentucky WC Medicaid |
$7,663.86
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$9,584.82
|
Rate for Payer: Molina Healthcare Medicaid |
$7,739.74
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
|
Facility
|
IP
|
$11,691.19
|
|
Service Code
|
MSDRG 565
|
Min. Negotiated Rate |
$7,933.31 |
Max. Negotiated Rate |
$11,691.19 |
Rate for Payer: Anthem Medicaid |
$7,933.31
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$8,350.85
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$11,691.19
|
Rate for Payer: CareSource Just4Me Medicare |
$11,273.65
|
Rate for Payer: Humana KY Medicaid |
$7,933.31
|
Rate for Payer: Humana Medicare Advantage |
$8,350.85
|
Rate for Payer: Kentucky WC Medicaid |
$8,012.64
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$10,021.02
|
Rate for Payer: Molina Healthcare Medicaid |
$8,091.97
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
|
Facility
|
IP
|
$18,271.41
|
|
Service Code
|
MSDRG 564
|
Min. Negotiated Rate |
$12,398.46 |
Max. Negotiated Rate |
$18,271.41 |
Rate for Payer: Anthem Medicaid |
$12,398.46
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$13,051.01
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$18,271.41
|
Rate for Payer: CareSource Just4Me Medicare |
$17,618.86
|
Rate for Payer: Humana KY Medicaid |
$12,398.46
|
Rate for Payer: Humana Medicare Advantage |
$13,051.01
|
Rate for Payer: Kentucky WC Medicaid |
$12,522.44
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$15,661.21
|
Rate for Payer: Molina Healthcare Medicaid |
$12,646.43
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$8,779.50
|
|
Service Code
|
MSDRG 566
|
Min. Negotiated Rate |
$5,957.52 |
Max. Negotiated Rate |
$8,779.50 |
Rate for Payer: Anthem Medicaid |
$5,957.52
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$6,271.07
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$8,779.50
|
Rate for Payer: CareSource Just4Me Medicare |
$8,465.94
|
Rate for Payer: Humana KY Medicaid |
$5,957.52
|
Rate for Payer: Humana Medicare Advantage |
$6,271.07
|
Rate for Payer: Kentucky WC Medicaid |
$6,017.09
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$7,525.28
|
Rate for Payer: Molina Healthcare Medicaid |
$6,076.67
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
|
Facility
|
IP
|
$23,873.68
|
|
Service Code
|
MSDRG 516
|
Min. Negotiated Rate |
$16,200.00 |
Max. Negotiated Rate |
$23,873.68 |
Rate for Payer: Anthem Medicaid |
$16,200.00
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$17,052.63
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$23,873.68
|
Rate for Payer: CareSource Just4Me Medicare |
$23,021.05
|
Rate for Payer: Humana KY Medicaid |
$16,200.00
|
Rate for Payer: Humana Medicare Advantage |
$17,052.63
|
Rate for Payer: Kentucky WC Medicaid |
$16,362.00
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$20,463.16
|
Rate for Payer: Molina Healthcare Medicaid |
$16,524.00
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
|
Facility
|
IP
|
$36,983.88
|
|
Service Code
|
MSDRG 515
|
Min. Negotiated Rate |
$25,096.21 |
Max. Negotiated Rate |
$36,983.88 |
Rate for Payer: Anthem Medicaid |
$25,096.21
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$26,417.06
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$36,983.88
|
Rate for Payer: CareSource Just4Me Medicare |
$35,663.03
|
Rate for Payer: Humana KY Medicaid |
$25,096.21
|
Rate for Payer: Humana Medicare Advantage |
$26,417.06
|
Rate for Payer: Kentucky WC Medicaid |
$25,347.17
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$31,700.47
|
Rate for Payer: Molina Healthcare Medicaid |
$25,598.13
|
|
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
|
Facility
|
IP
|
$17,481.80
|
|
Service Code
|
MSDRG 517
|
Min. Negotiated Rate |
$11,862.65 |
Max. Negotiated Rate |
$17,481.80 |
Rate for Payer: Anthem Medicaid |
$11,862.65
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$12,487.00
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$17,481.80
|
Rate for Payer: CareSource Just4Me Medicare |
$16,857.45
|
Rate for Payer: Humana KY Medicaid |
$11,862.65
|
Rate for Payer: Humana Medicare Advantage |
$12,487.00
|
Rate for Payer: Kentucky WC Medicaid |
$11,981.28
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$14,984.40
|
Rate for Payer: Molina Healthcare Medicaid |
$12,099.90
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
|
Facility
|
IP
|
$13,537.15
|
|
Service Code
|
MSDRG 844
|
Min. Negotiated Rate |
$9,185.92 |
Max. Negotiated Rate |
$13,537.15 |
Rate for Payer: Anthem Medicaid |
$9,185.92
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$9,669.39
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$13,537.15
|
Rate for Payer: CareSource Just4Me Medicare |
$13,053.68
|
Rate for Payer: Humana KY Medicaid |
$9,185.92
|
Rate for Payer: Humana Medicare Advantage |
$9,669.39
|
Rate for Payer: Kentucky WC Medicaid |
$9,277.78
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$11,603.27
|
Rate for Payer: Molina Healthcare Medicaid |
$9,369.64
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
|
Facility
|
IP
|
$21,765.67
|
|
Service Code
|
MSDRG 843
|
Min. Negotiated Rate |
$14,769.56 |
Max. Negotiated Rate |
$21,765.67 |
Rate for Payer: Anthem Medicaid |
$14,769.56
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$15,546.91
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$21,765.67
|
Rate for Payer: CareSource Just4Me Medicare |
$20,988.33
|
Rate for Payer: Humana KY Medicaid |
$14,769.56
|
Rate for Payer: Humana Medicare Advantage |
$15,546.91
|
Rate for Payer: Kentucky WC Medicaid |
$14,917.26
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$18,656.29
|
Rate for Payer: Molina Healthcare Medicaid |
$15,064.96
|
|
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
|
Facility
|
IP
|
$10,117.79
|
|
Service Code
|
MSDRG 845
|
Min. Negotiated Rate |
$6,865.64 |
Max. Negotiated Rate |
$10,117.79 |
Rate for Payer: Anthem Medicaid |
$6,865.64
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$7,226.99
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$10,117.79
|
Rate for Payer: CareSource Just4Me Medicare |
$9,756.44
|
Rate for Payer: Humana KY Medicaid |
$6,865.64
|
Rate for Payer: Humana Medicare Advantage |
$7,226.99
|
Rate for Payer: Kentucky WC Medicaid |
$6,934.30
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$8,672.39
|
Rate for Payer: Molina Healthcare Medicaid |
$7,002.95
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH CC
|
Facility
|
IP
|
$23,444.37
|
|
Service Code
|
MSDRG 908
|
Min. Negotiated Rate |
$15,908.68 |
Max. Negotiated Rate |
$23,444.37 |
Rate for Payer: Anthem Medicaid |
$15,908.68
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$16,745.98
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$23,444.37
|
Rate for Payer: CareSource Just4Me Medicare |
$22,607.07
|
Rate for Payer: Humana KY Medicaid |
$15,908.68
|
Rate for Payer: Humana Medicare Advantage |
$16,745.98
|
Rate for Payer: Kentucky WC Medicaid |
$16,067.77
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$20,095.18
|
Rate for Payer: Molina Healthcare Medicaid |
$16,226.85
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
|
Facility
|
IP
|
$43,511.48
|
|
Service Code
|
MSDRG 907
|
Min. Negotiated Rate |
$29,525.65 |
Max. Negotiated Rate |
$43,511.48 |
Rate for Payer: Anthem Medicaid |
$29,525.65
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$31,079.63
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$43,511.48
|
Rate for Payer: CareSource Just4Me Medicare |
$41,957.50
|
Rate for Payer: Humana KY Medicaid |
$29,525.65
|
Rate for Payer: Humana Medicare Advantage |
$31,079.63
|
Rate for Payer: Kentucky WC Medicaid |
$29,820.90
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$37,295.56
|
Rate for Payer: Molina Healthcare Medicaid |
$30,116.16
|
|
OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
|
Facility
|
IP
|
$15,866.28
|
|
Service Code
|
MSDRG 909
|
Min. Negotiated Rate |
$10,766.41 |
Max. Negotiated Rate |
$15,866.28 |
Rate for Payer: Anthem Medicaid |
$10,766.41
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$11,333.06
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$15,866.28
|
Rate for Payer: CareSource Just4Me Medicare |
$15,299.63
|
Rate for Payer: Humana KY Medicaid |
$10,766.41
|
Rate for Payer: Humana Medicare Advantage |
$11,333.06
|
Rate for Payer: Kentucky WC Medicaid |
$10,874.07
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$13,599.67
|
Rate for Payer: Molina Healthcare Medicaid |
$10,981.74
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
|
Facility
|
IP
|
$47,316.91
|
|
Service Code
|
MSDRG 958
|
Min. Negotiated Rate |
$32,107.90 |
Max. Negotiated Rate |
$47,316.91 |
Rate for Payer: Anthem Medicaid |
$32,107.90
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$33,797.79
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$47,316.91
|
Rate for Payer: CareSource Just4Me Medicare |
$45,627.02
|
Rate for Payer: Humana KY Medicaid |
$32,107.90
|
Rate for Payer: Humana Medicare Advantage |
$33,797.79
|
Rate for Payer: Kentucky WC Medicaid |
$32,428.98
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$40,557.35
|
Rate for Payer: Molina Healthcare Medicaid |
$32,750.06
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
|
Facility
|
IP
|
$84,607.26
|
|
Service Code
|
MSDRG 957
|
Min. Negotiated Rate |
$57,412.07 |
Max. Negotiated Rate |
$84,607.26 |
Rate for Payer: Anthem Medicaid |
$57,412.07
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$60,433.76
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$84,607.26
|
Rate for Payer: CareSource Just4Me Medicare |
$81,585.58
|
Rate for Payer: Humana KY Medicaid |
$57,412.07
|
Rate for Payer: Humana Medicare Advantage |
$60,433.76
|
Rate for Payer: Kentucky WC Medicaid |
$57,986.19
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$72,520.51
|
Rate for Payer: Molina Healthcare Medicaid |
$58,560.31
|
|
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
|
Facility
|
IP
|
$29,624.52
|
|
Service Code
|
MSDRG 959
|
Min. Negotiated Rate |
$20,102.35 |
Max. Negotiated Rate |
$29,624.52 |
Rate for Payer: Anthem Medicaid |
$20,102.35
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$21,160.37
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$29,624.52
|
Rate for Payer: CareSource Just4Me Medicare |
$28,566.50
|
Rate for Payer: Humana KY Medicaid |
$20,102.35
|
Rate for Payer: Humana Medicare Advantage |
$21,160.37
|
Rate for Payer: Kentucky WC Medicaid |
$20,303.38
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$25,392.44
|
Rate for Payer: Molina Healthcare Medicaid |
$20,504.40
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
|
Facility
|
IP
|
$21,737.62
|
|
Service Code
|
MSDRG 803
|
Min. Negotiated Rate |
$14,750.53 |
Max. Negotiated Rate |
$21,737.62 |
Rate for Payer: Anthem Medicaid |
$14,750.53
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$15,526.87
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$21,737.62
|
Rate for Payer: CareSource Just4Me Medicare |
$20,961.27
|
Rate for Payer: Humana KY Medicaid |
$14,750.53
|
Rate for Payer: Humana Medicare Advantage |
$15,526.87
|
Rate for Payer: Kentucky WC Medicaid |
$14,898.03
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$18,632.24
|
Rate for Payer: Molina Healthcare Medicaid |
$15,045.54
|
|
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
|
Facility
|
IP
|
$40,134.21
|
|
Service Code
|
MSDRG 802
|
Min. Negotiated Rate |
$27,233.93 |
Max. Negotiated Rate |
$40,134.21 |
Rate for Payer: Anthem Medicaid |
$27,233.93
|
Rate for Payer: Anthem Medicare Advantage/PPO |
$28,667.29
|
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$40,134.21
|
Rate for Payer: CareSource Just4Me Medicare |
$38,700.84
|
Rate for Payer: Humana KY Medicaid |
$27,233.93
|
Rate for Payer: Humana Medicare Advantage |
$28,667.29
|
Rate for Payer: Kentucky WC Medicaid |
$27,506.26
|
Rate for Payer: Molina Healthcare Benefit Exchange |
$34,400.75
|
Rate for Payer: Molina Healthcare Medicaid |
$27,778.60
|
|