|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE
|
Professional
|
Both
|
$2,697.00
|
|
|
Service Code
|
HCPCS 27146
|
| Min. Negotiated Rate |
$745.50 |
| Max. Negotiated Rate |
$2,251.89 |
| Rate for Payer: Aetna Commercial |
$1,540.05
|
| Rate for Payer: Aetna Medicare |
$1,195.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,540.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,654.98
|
| Rate for Payer: BCBS Complete |
$782.77
|
| Rate for Payer: BCBS MAPPO |
$1,149.29
|
| Rate for Payer: BCN Commercial |
$1,935.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.29
|
| Rate for Payer: Cash Price |
$2,157.60
|
| Rate for Payer: Cash Price |
$2,157.60
|
| Rate for Payer: Cofinity Commercial |
$1,654.98
|
| Rate for Payer: Cofinity Commercial |
$1,540.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.29
|
| Rate for Payer: Healthscope Commercial |
$2,126.19
|
| Rate for Payer: Healthscope Commercial |
$1,838.86
|
| Rate for Payer: Mclaren Medicaid |
$745.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,206.75
|
| Rate for Payer: Meridian Medicaid |
$782.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,264.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,251.89
|
| Rate for Payer: Nomi Health Commercial |
$1,379.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,022.75
|
| Rate for Payer: PACE SWMI |
$1,149.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$745.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,069.16
|
| Rate for Payer: Priority Health Medicare |
$1,149.29
|
| Rate for Payer: Priority Health SBD |
$2,069.16
|
| Rate for Payer: Priority Health Tiered Network |
$2,069.16
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,243.38
|
| Rate for Payer: UHC Core |
$2,243.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,149.29
|
| Rate for Payer: UHC Exchange |
$2,243.38
|
| Rate for Payer: UHC Medicaid |
$745.50
|
| Rate for Payer: UHCCP Medicaid |
$745.50
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT
|
Professional
|
Both
|
$3,384.00
|
|
|
Service Code
|
HCPCS 27151
|
| Min. Negotiated Rate |
$911.00 |
| Max. Negotiated Rate |
$2,804.35 |
| Rate for Payer: Aetna Commercial |
$1,887.74
|
| Rate for Payer: Aetna Medicare |
$1,465.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,887.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,028.61
|
| Rate for Payer: BCBS Complete |
$956.55
|
| Rate for Payer: BCBS MAPPO |
$1,408.76
|
| Rate for Payer: BCN Commercial |
$2,619.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,408.76
|
| Rate for Payer: Cash Price |
$2,707.20
|
| Rate for Payer: Cash Price |
$2,707.20
|
| Rate for Payer: Cofinity Commercial |
$2,028.61
|
| Rate for Payer: Cofinity Commercial |
$1,887.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,408.76
|
| Rate for Payer: Healthscope Commercial |
$2,606.21
|
| Rate for Payer: Healthscope Commercial |
$2,254.02
|
| Rate for Payer: Mclaren Medicaid |
$911.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,479.20
|
| Rate for Payer: Meridian Medicaid |
$956.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,549.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,804.35
|
| Rate for Payer: Nomi Health Commercial |
$1,690.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,538.00
|
| Rate for Payer: PACE SWMI |
$1,408.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,408.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$911.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,549.31
|
| Rate for Payer: Priority Health Medicare |
$1,408.76
|
| Rate for Payer: Priority Health SBD |
$2,549.31
|
| Rate for Payer: Priority Health Tiered Network |
$2,549.31
|
| Rate for Payer: Railroad Medicare Medicare |
$1,408.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,790.19
|
| Rate for Payer: UHC Core |
$2,790.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,408.76
|
| Rate for Payer: UHC Exchange |
$2,790.19
|
| Rate for Payer: UHC Medicaid |
$911.00
|
| Rate for Payer: UHCCP Medicaid |
$911.00
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ
|
Professional
|
Both
|
$2,306.00
|
|
|
Service Code
|
HCPCS 27147
|
| Min. Negotiated Rate |
$845.61 |
| Max. Negotiated Rate |
$2,592.18 |
| Rate for Payer: Aetna Commercial |
$1,750.35
|
| Rate for Payer: Aetna Medicare |
$1,358.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,750.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,880.97
|
| Rate for Payer: BCBS Complete |
$887.89
|
| Rate for Payer: BCBS MAPPO |
$1,306.23
|
| Rate for Payer: BCN Commercial |
$2,208.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,306.23
|
| Rate for Payer: Cash Price |
$1,844.80
|
| Rate for Payer: Cash Price |
$1,844.80
|
| Rate for Payer: Cofinity Commercial |
$1,880.97
|
| Rate for Payer: Cofinity Commercial |
$1,750.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,306.23
|
| Rate for Payer: Healthscope Commercial |
$2,416.53
|
| Rate for Payer: Healthscope Commercial |
$2,089.97
|
| Rate for Payer: Mclaren Medicaid |
$845.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,371.54
|
| Rate for Payer: Meridian Medicaid |
$887.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,436.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,592.18
|
| Rate for Payer: Nomi Health Commercial |
$1,567.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,729.50
|
| Rate for Payer: PACE SWMI |
$1,306.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,306.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$845.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,360.33
|
| Rate for Payer: Priority Health Medicare |
$1,306.23
|
| Rate for Payer: Priority Health SBD |
$2,360.33
|
| Rate for Payer: Priority Health Tiered Network |
$2,360.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,306.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,577.13
|
| Rate for Payer: UHC Core |
$2,577.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,306.23
|
| Rate for Payer: UHC Exchange |
$2,577.13
|
| Rate for Payer: UHC Medicaid |
$845.61
|
| Rate for Payer: UHCCP Medicaid |
$845.61
|
|
|
PR OSTEOTOMY METACARPAL EACH
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 26565
|
| Min. Negotiated Rate |
$440.27 |
| Max. Negotiated Rate |
$1,379.25 |
| Rate for Payer: Aetna Commercial |
$883.56
|
| Rate for Payer: Aetna Medicare |
$685.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$883.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$949.49
|
| Rate for Payer: BCBS Complete |
$462.28
|
| Rate for Payer: BCBS MAPPO |
$659.37
|
| Rate for Payer: BCN Commercial |
$1,077.63
|
| Rate for Payer: BCN Medicare Advantage |
$659.37
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cofinity Commercial |
$949.49
|
| Rate for Payer: Cofinity Commercial |
$883.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$659.37
|
| Rate for Payer: Healthscope Commercial |
$1,219.83
|
| Rate for Payer: Healthscope Commercial |
$1,054.99
|
| Rate for Payer: Mclaren Medicaid |
$440.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$692.34
|
| Rate for Payer: Meridian Medicaid |
$462.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$725.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,258.54
|
| Rate for Payer: Nomi Health Commercial |
$791.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
| Rate for Payer: PACE SWMI |
$659.37
|
| Rate for Payer: PHP Medicare Advantage |
$659.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,151.96
|
| Rate for Payer: Priority Health Medicare |
$659.37
|
| Rate for Payer: Priority Health SBD |
$1,151.96
|
| Rate for Payer: Priority Health Tiered Network |
$1,151.96
|
| Rate for Payer: Railroad Medicare Medicare |
$659.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,184.02
|
| Rate for Payer: UHC Core |
$1,184.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$659.37
|
| Rate for Payer: UHC Exchange |
$1,184.02
|
| Rate for Payer: UHC Medicaid |
$440.27
|
| Rate for Payer: UHCCP Medicaid |
$440.27
|
|
|
PR OSTEOTOMY PHALANX FINGER EACH
|
Professional
|
Both
|
$1,634.00
|
|
|
Service Code
|
HCPCS 26567
|
| Min. Negotiated Rate |
$446.45 |
| Max. Negotiated Rate |
$1,268.42 |
| Rate for Payer: Aetna Commercial |
$895.91
|
| Rate for Payer: Aetna Medicare |
$695.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$962.77
|
| Rate for Payer: BCBS Complete |
$468.77
|
| Rate for Payer: BCBS MAPPO |
$668.59
|
| Rate for Payer: BCN Commercial |
$1,087.10
|
| Rate for Payer: BCN Medicare Advantage |
$668.59
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cofinity Commercial |
$962.77
|
| Rate for Payer: Cofinity Commercial |
$895.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$668.59
|
| Rate for Payer: Healthscope Commercial |
$1,236.89
|
| Rate for Payer: Healthscope Commercial |
$1,069.74
|
| Rate for Payer: Mclaren Medicaid |
$446.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$702.02
|
| Rate for Payer: Meridian Medicaid |
$468.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$735.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,268.42
|
| Rate for Payer: Nomi Health Commercial |
$802.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,225.50
|
| Rate for Payer: PACE SWMI |
$668.59
|
| Rate for Payer: PHP Medicare Advantage |
$668.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,162.06
|
| Rate for Payer: Priority Health Medicare |
$668.59
|
| Rate for Payer: Priority Health SBD |
$1,162.06
|
| Rate for Payer: Priority Health Tiered Network |
$1,162.06
|
| Rate for Payer: Railroad Medicare Medicare |
$668.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,191.34
|
| Rate for Payer: UHC Core |
$1,191.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$668.59
|
| Rate for Payer: UHC Exchange |
$1,191.34
|
| Rate for Payer: UHC Medicaid |
$446.45
|
| Rate for Payer: UHCCP Medicaid |
$446.45
|
|
|
PR OSTEOTOMY RADIUS DISTAL THIRD
|
Professional
|
Both
|
$2,295.00
|
|
|
Service Code
|
HCPCS 25350
|
| Min. Negotiated Rate |
$399.80 |
| Max. Negotiated Rate |
$1,721.25 |
| Rate for Payer: Aetna Commercial |
$818.14
|
| Rate for Payer: Aetna Medicare |
$634.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$879.19
|
| Rate for Payer: BCBS Complete |
$419.79
|
| Rate for Payer: BCBS MAPPO |
$610.55
|
| Rate for Payer: BCN Commercial |
$1,033.32
|
| Rate for Payer: BCN Medicare Advantage |
$610.55
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Cofinity Commercial |
$879.19
|
| Rate for Payer: Cofinity Commercial |
$818.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.55
|
| Rate for Payer: Healthscope Commercial |
$976.88
|
| Rate for Payer: Healthscope Commercial |
$1,129.52
|
| Rate for Payer: Mclaren Medicaid |
$399.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$641.08
|
| Rate for Payer: Meridian Medicaid |
$419.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,199.95
|
| Rate for Payer: Nomi Health Commercial |
$732.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.25
|
| Rate for Payer: PACE SWMI |
$610.55
|
| Rate for Payer: PHP Medicare Advantage |
$610.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,104.58
|
| Rate for Payer: Priority Health Medicare |
$610.55
|
| Rate for Payer: Priority Health SBD |
$1,104.58
|
| Rate for Payer: Priority Health Tiered Network |
$1,104.58
|
| Rate for Payer: Railroad Medicare Medicare |
$610.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,175.93
|
| Rate for Payer: UHC Core |
$1,175.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.55
|
| Rate for Payer: UHC Exchange |
$1,175.93
|
| Rate for Payer: UHC Medicaid |
$399.80
|
| Rate for Payer: UHCCP Medicaid |
$399.80
|
|
|
PR OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD
|
Professional
|
Both
|
$1,747.00
|
|
|
Service Code
|
HCPCS 25355
|
| Min. Negotiated Rate |
$458.16 |
| Max. Negotiated Rate |
$1,359.70 |
| Rate for Payer: Aetna Commercial |
$940.13
|
| Rate for Payer: Aetna Medicare |
$729.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,010.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.13
|
| Rate for Payer: BCBS Complete |
$481.07
|
| Rate for Payer: BCBS MAPPO |
$701.59
|
| Rate for Payer: BCN Commercial |
$1,169.25
|
| Rate for Payer: BCN Medicare Advantage |
$701.59
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cofinity Commercial |
$940.13
|
| Rate for Payer: Cofinity Commercial |
$1,010.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$701.59
|
| Rate for Payer: Healthscope Commercial |
$1,297.94
|
| Rate for Payer: Healthscope Commercial |
$1,122.54
|
| Rate for Payer: Mclaren Medicaid |
$458.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$736.67
|
| Rate for Payer: Meridian Medicaid |
$481.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$771.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,359.70
|
| Rate for Payer: Nomi Health Commercial |
$841.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,310.25
|
| Rate for Payer: PACE SWMI |
$701.59
|
| Rate for Payer: PHP Medicare Advantage |
$701.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$458.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,249.91
|
| Rate for Payer: Priority Health Medicare |
$701.59
|
| Rate for Payer: Priority Health SBD |
$1,249.91
|
| Rate for Payer: Priority Health Tiered Network |
$1,249.91
|
| Rate for Payer: Railroad Medicare Medicare |
$701.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,335.80
|
| Rate for Payer: UHC Core |
$1,335.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$701.59
|
| Rate for Payer: UHC Exchange |
$1,335.80
|
| Rate for Payer: UHC Medicaid |
$458.16
|
| Rate for Payer: UHCCP Medicaid |
$458.16
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM
|
Professional
|
Both
|
$2,791.00
|
|
|
Service Code
|
HCPCS 22208
|
| Min. Negotiated Rate |
$336.75 |
| Max. Negotiated Rate |
$2,093.25 |
| Rate for Payer: Aetna Commercial |
$713.67
|
| Rate for Payer: Aetna Medicare |
$553.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.93
|
| Rate for Payer: BCBS Complete |
$353.59
|
| Rate for Payer: BCBS MAPPO |
$532.59
|
| Rate for Payer: BCN Commercial |
$883.92
|
| Rate for Payer: BCN Medicare Advantage |
$532.59
|
| Rate for Payer: Cash Price |
$2,232.80
|
| Rate for Payer: Cash Price |
$2,232.80
|
| Rate for Payer: Cofinity Commercial |
$766.93
|
| Rate for Payer: Cofinity Commercial |
$713.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.59
|
| Rate for Payer: Healthscope Commercial |
$985.29
|
| Rate for Payer: Healthscope Commercial |
$852.14
|
| Rate for Payer: Mclaren Medicaid |
$336.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.22
|
| Rate for Payer: Meridian Medicaid |
$353.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$585.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,055.03
|
| Rate for Payer: Nomi Health Commercial |
$639.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,093.25
|
| Rate for Payer: PACE SWMI |
$532.59
|
| Rate for Payer: PHP Medicare Advantage |
$532.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$944.88
|
| Rate for Payer: Priority Health Medicare |
$532.59
|
| Rate for Payer: Priority Health SBD |
$944.88
|
| Rate for Payer: Priority Health Tiered Network |
$944.88
|
| Rate for Payer: Railroad Medicare Medicare |
$532.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,050.86
|
| Rate for Payer: UHC Core |
$1,050.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.59
|
| Rate for Payer: UHC Exchange |
$1,050.86
|
| Rate for Payer: UHC Medicaid |
$336.75
|
| Rate for Payer: UHCCP Medicaid |
$336.75
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR
|
Professional
|
Both
|
$5,165.00
|
|
|
Service Code
|
HCPCS 22207
|
| Min. Negotiated Rate |
$1,412.19 |
| Max. Negotiated Rate |
$4,296.28 |
| Rate for Payer: Aetna Commercial |
$2,954.15
|
| Rate for Payer: Aetna Medicare |
$2,292.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,954.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,174.61
|
| Rate for Payer: BCBS Complete |
$1,482.80
|
| Rate for Payer: BCBS MAPPO |
$2,204.59
|
| Rate for Payer: BCN Commercial |
$3,617.34
|
| Rate for Payer: BCN Medicare Advantage |
$2,204.59
|
| Rate for Payer: Cash Price |
$4,132.00
|
| Rate for Payer: Cash Price |
$4,132.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.61
|
| Rate for Payer: Cofinity Commercial |
$2,954.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,204.59
|
| Rate for Payer: Healthscope Commercial |
$4,078.49
|
| Rate for Payer: Healthscope Commercial |
$3,527.34
|
| Rate for Payer: Mclaren Medicaid |
$1,412.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,314.82
|
| Rate for Payer: Meridian Medicaid |
$1,482.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,425.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,296.28
|
| Rate for Payer: Nomi Health Commercial |
$2,645.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,873.75
|
| Rate for Payer: PACE SWMI |
$2,204.59
|
| Rate for Payer: PHP Medicare Advantage |
$2,204.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,412.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,866.83
|
| Rate for Payer: Priority Health Medicare |
$2,204.59
|
| Rate for Payer: Priority Health SBD |
$3,866.83
|
| Rate for Payer: Priority Health Tiered Network |
$3,866.83
|
| Rate for Payer: Railroad Medicare Medicare |
$2,204.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,238.00
|
| Rate for Payer: UHC Core |
$4,238.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,204.59
|
| Rate for Payer: UHC Exchange |
$4,238.00
|
| Rate for Payer: UHC Medicaid |
$1,412.19
|
| Rate for Payer: UHCCP Medicaid |
$1,412.19
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC
|
Professional
|
Both
|
$5,275.00
|
|
|
Service Code
|
HCPCS 22206
|
| Min. Negotiated Rate |
$1,457.35 |
| Max. Negotiated Rate |
$4,387.41 |
| Rate for Payer: Aetna Commercial |
$3,053.32
|
| Rate for Payer: Aetna Medicare |
$2,369.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,053.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,281.18
|
| Rate for Payer: BCBS Complete |
$1,530.22
|
| Rate for Payer: BCBS MAPPO |
$2,278.60
|
| Rate for Payer: BCN Commercial |
$3,713.94
|
| Rate for Payer: BCN Medicare Advantage |
$2,278.60
|
| Rate for Payer: Cash Price |
$4,220.00
|
| Rate for Payer: Cash Price |
$4,220.00
|
| Rate for Payer: Cofinity Commercial |
$3,281.18
|
| Rate for Payer: Cofinity Commercial |
$3,053.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,278.60
|
| Rate for Payer: Healthscope Commercial |
$4,215.41
|
| Rate for Payer: Healthscope Commercial |
$3,645.76
|
| Rate for Payer: Mclaren Medicaid |
$1,457.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,392.53
|
| Rate for Payer: Meridian Medicaid |
$1,530.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,506.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,387.41
|
| Rate for Payer: Nomi Health Commercial |
$2,734.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,956.25
|
| Rate for Payer: PACE SWMI |
$2,278.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,278.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,457.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,970.10
|
| Rate for Payer: Priority Health Medicare |
$2,278.60
|
| Rate for Payer: Priority Health SBD |
$3,970.10
|
| Rate for Payer: Priority Health Tiered Network |
$3,970.10
|
| Rate for Payer: Railroad Medicare Medicare |
$2,278.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,333.38
|
| Rate for Payer: UHC Core |
$4,333.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,278.60
|
| Rate for Payer: UHC Exchange |
$4,333.38
|
| Rate for Payer: UHC Medicaid |
$1,457.35
|
| Rate for Payer: UHCCP Medicaid |
$1,457.35
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,838.00
|
|
|
Service Code
|
HCPCS 22210
|
| Min. Negotiated Rate |
$1,092.69 |
| Max. Negotiated Rate |
$3,194.80 |
| Rate for Payer: Aetna Commercial |
$2,271.07
|
| Rate for Payer: Aetna Medicare |
$1,762.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,271.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,440.56
|
| Rate for Payer: BCBS Complete |
$1,147.32
|
| Rate for Payer: BCBS MAPPO |
$1,694.83
|
| Rate for Payer: BCN Commercial |
$2,980.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,694.83
|
| Rate for Payer: Cash Price |
$3,070.40
|
| Rate for Payer: Cash Price |
$3,070.40
|
| Rate for Payer: Cofinity Commercial |
$2,440.56
|
| Rate for Payer: Cofinity Commercial |
$2,271.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,694.83
|
| Rate for Payer: Healthscope Commercial |
$3,135.44
|
| Rate for Payer: Healthscope Commercial |
$2,711.73
|
| Rate for Payer: Mclaren Medicaid |
$1,092.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,779.57
|
| Rate for Payer: Meridian Medicaid |
$1,147.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,864.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,194.80
|
| Rate for Payer: Nomi Health Commercial |
$2,033.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,878.50
|
| Rate for Payer: PACE SWMI |
$1,694.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,694.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,092.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,900.65
|
| Rate for Payer: Priority Health Medicare |
$1,694.83
|
| Rate for Payer: Priority Health SBD |
$2,900.65
|
| Rate for Payer: Priority Health Tiered Network |
$2,900.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,694.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,148.03
|
| Rate for Payer: UHC Core |
$3,148.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,694.83
|
| Rate for Payer: UHC Exchange |
$3,148.03
|
| Rate for Payer: UHC Medicaid |
$1,092.69
|
| Rate for Payer: UHCCP Medicaid |
$1,092.69
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR
|
Professional
|
Both
|
$3,193.00
|
|
|
Service Code
|
HCPCS 22214
|
| Min. Negotiated Rate |
$921.01 |
| Max. Negotiated Rate |
$2,702.56 |
| Rate for Payer: Aetna Commercial |
$1,906.36
|
| Rate for Payer: Aetna Medicare |
$1,479.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,906.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,048.63
|
| Rate for Payer: BCBS Complete |
$967.06
|
| Rate for Payer: BCBS MAPPO |
$1,422.66
|
| Rate for Payer: BCN Commercial |
$2,303.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,422.66
|
| Rate for Payer: Cash Price |
$2,554.40
|
| Rate for Payer: Cash Price |
$2,554.40
|
| Rate for Payer: Cofinity Commercial |
$2,048.63
|
| Rate for Payer: Cofinity Commercial |
$1,906.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,422.66
|
| Rate for Payer: Healthscope Commercial |
$2,631.92
|
| Rate for Payer: Healthscope Commercial |
$2,276.26
|
| Rate for Payer: Mclaren Medicaid |
$921.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,493.79
|
| Rate for Payer: Meridian Medicaid |
$967.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,564.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,702.56
|
| Rate for Payer: Nomi Health Commercial |
$1,707.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,394.75
|
| Rate for Payer: PACE SWMI |
$1,422.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,422.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$921.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,462.55
|
| Rate for Payer: Priority Health Medicare |
$1,422.66
|
| Rate for Payer: Priority Health SBD |
$2,462.55
|
| Rate for Payer: Priority Health Tiered Network |
$2,462.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,422.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,636.83
|
| Rate for Payer: UHC Core |
$2,636.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,422.66
|
| Rate for Payer: UHC Exchange |
$2,636.83
|
| Rate for Payer: UHC Medicaid |
$921.01
|
| Rate for Payer: UHCCP Medicaid |
$921.01
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC
|
Professional
|
Both
|
$3,180.00
|
|
|
Service Code
|
HCPCS 22212
|
| Min. Negotiated Rate |
$928.47 |
| Max. Negotiated Rate |
$2,701.62 |
| Rate for Payer: Aetna Commercial |
$1,922.23
|
| Rate for Payer: Aetna Medicare |
$1,491.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,922.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,065.68
|
| Rate for Payer: BCBS Complete |
$974.89
|
| Rate for Payer: BCBS MAPPO |
$1,434.50
|
| Rate for Payer: BCN Commercial |
$2,307.15
|
| Rate for Payer: BCN Medicare Advantage |
$1,434.50
|
| Rate for Payer: Cash Price |
$2,544.00
|
| Rate for Payer: Cash Price |
$2,544.00
|
| Rate for Payer: Cofinity Commercial |
$2,065.68
|
| Rate for Payer: Cofinity Commercial |
$1,922.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,434.50
|
| Rate for Payer: Healthscope Commercial |
$2,653.82
|
| Rate for Payer: Healthscope Commercial |
$2,295.20
|
| Rate for Payer: Mclaren Medicaid |
$928.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,506.22
|
| Rate for Payer: Meridian Medicaid |
$974.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,577.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,701.62
|
| Rate for Payer: Nomi Health Commercial |
$1,721.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,385.00
|
| Rate for Payer: PACE SWMI |
$1,434.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,434.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$928.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,466.27
|
| Rate for Payer: Priority Health Medicare |
$1,434.50
|
| Rate for Payer: Priority Health SBD |
$2,466.27
|
| Rate for Payer: Priority Health Tiered Network |
$2,466.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,434.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,626.32
|
| Rate for Payer: UHC Core |
$2,626.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,434.50
|
| Rate for Payer: UHC Exchange |
$2,626.32
|
| Rate for Payer: UHC Medicaid |
$928.47
|
| Rate for Payer: UHCCP Medicaid |
$928.47
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,389.00
|
|
|
Service Code
|
HCPCS 22220
|
| Min. Negotiated Rate |
$994.07 |
| Max. Negotiated Rate |
$2,894.65 |
| Rate for Payer: Aetna Commercial |
$2,062.45
|
| Rate for Payer: Aetna Medicare |
$1,600.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,062.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,216.36
|
| Rate for Payer: BCBS Complete |
$1,043.77
|
| Rate for Payer: BCBS MAPPO |
$1,539.14
|
| Rate for Payer: BCN Commercial |
$2,718.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,539.14
|
| Rate for Payer: Cash Price |
$2,711.20
|
| Rate for Payer: Cash Price |
$2,711.20
|
| Rate for Payer: Cofinity Commercial |
$2,216.36
|
| Rate for Payer: Cofinity Commercial |
$2,062.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,539.14
|
| Rate for Payer: Healthscope Commercial |
$2,847.41
|
| Rate for Payer: Healthscope Commercial |
$2,462.62
|
| Rate for Payer: Mclaren Medicaid |
$994.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,616.10
|
| Rate for Payer: Meridian Medicaid |
$1,043.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,693.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,894.65
|
| Rate for Payer: Nomi Health Commercial |
$1,846.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,541.75
|
| Rate for Payer: PACE SWMI |
$1,539.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,539.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$994.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,645.14
|
| Rate for Payer: Priority Health Medicare |
$1,539.14
|
| Rate for Payer: Priority Health SBD |
$2,645.14
|
| Rate for Payer: Priority Health Tiered Network |
$2,645.14
|
| Rate for Payer: Railroad Medicare Medicare |
$1,539.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,879.33
|
| Rate for Payer: UHC Core |
$2,879.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,539.14
|
| Rate for Payer: UHC Exchange |
$2,879.33
|
| Rate for Payer: UHC Medicaid |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$994.07
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL
|
Professional
|
Both
|
$689.00
|
|
|
Service Code
|
HCPCS 22226
|
| Min. Negotiated Rate |
$203.84 |
| Max. Negotiated Rate |
$647.54 |
| Rate for Payer: Aetna Commercial |
$430.97
|
| Rate for Payer: Aetna Medicare |
$334.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.13
|
| Rate for Payer: BCBS Complete |
$214.03
|
| Rate for Payer: BCBS MAPPO |
$321.62
|
| Rate for Payer: BCN Commercial |
$591.38
|
| Rate for Payer: BCN Medicare Advantage |
$321.62
|
| Rate for Payer: Cash Price |
$551.20
|
| Rate for Payer: Cash Price |
$551.20
|
| Rate for Payer: Cofinity Commercial |
$463.13
|
| Rate for Payer: Cofinity Commercial |
$430.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$321.62
|
| Rate for Payer: Healthscope Commercial |
$595.00
|
| Rate for Payer: Healthscope Commercial |
$514.59
|
| Rate for Payer: Mclaren Medicaid |
$203.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$337.70
|
| Rate for Payer: Meridian Medicaid |
$214.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$353.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$641.50
|
| Rate for Payer: Nomi Health Commercial |
$385.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$516.75
|
| Rate for Payer: PACE SWMI |
$321.62
|
| Rate for Payer: PHP Medicare Advantage |
$321.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$575.45
|
| Rate for Payer: Priority Health Medicare |
$321.62
|
| Rate for Payer: Priority Health SBD |
$575.45
|
| Rate for Payer: Priority Health Tiered Network |
$575.45
|
| Rate for Payer: Railroad Medicare Medicare |
$321.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.54
|
| Rate for Payer: UHC Core |
$647.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$321.62
|
| Rate for Payer: UHC Exchange |
$647.54
|
| Rate for Payer: UHC Medicaid |
$203.84
|
| Rate for Payer: UHCCP Medicaid |
$203.84
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR
|
Professional
|
Both
|
$3,378.00
|
|
|
Service Code
|
HCPCS 22224
|
| Min. Negotiated Rate |
$944.02 |
| Max. Negotiated Rate |
$2,818.58 |
| Rate for Payer: Aetna Commercial |
$1,954.20
|
| Rate for Payer: Aetna Medicare |
$1,516.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,954.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,100.04
|
| Rate for Payer: BCBS Complete |
$991.22
|
| Rate for Payer: BCBS MAPPO |
$1,458.36
|
| Rate for Payer: BCN Commercial |
$2,404.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,458.36
|
| Rate for Payer: Cash Price |
$2,702.40
|
| Rate for Payer: Cash Price |
$2,702.40
|
| Rate for Payer: Cofinity Commercial |
$2,100.04
|
| Rate for Payer: Cofinity Commercial |
$1,954.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,458.36
|
| Rate for Payer: Healthscope Commercial |
$2,697.97
|
| Rate for Payer: Healthscope Commercial |
$2,333.38
|
| Rate for Payer: Mclaren Medicaid |
$944.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,531.28
|
| Rate for Payer: Meridian Medicaid |
$991.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,604.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,818.58
|
| Rate for Payer: Nomi Health Commercial |
$1,750.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,533.50
|
| Rate for Payer: PACE SWMI |
$1,458.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,458.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$944.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,570.61
|
| Rate for Payer: Priority Health Medicare |
$1,458.36
|
| Rate for Payer: Priority Health SBD |
$2,570.61
|
| Rate for Payer: Priority Health Tiered Network |
$2,570.61
|
| Rate for Payer: Railroad Medicare Medicare |
$1,458.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,801.77
|
| Rate for Payer: UHC Core |
$2,801.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,458.36
|
| Rate for Payer: UHC Exchange |
$2,801.77
|
| Rate for Payer: UHC Medicaid |
$944.02
|
| Rate for Payer: UHCCP Medicaid |
$944.02
|
|
|
PR OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS
|
Professional
|
Both
|
$1,561.00
|
|
|
Service Code
|
HCPCS 28304
|
| Min. Negotiated Rate |
$370.83 |
| Max. Negotiated Rate |
$1,170.75 |
| Rate for Payer: Aetna Commercial |
$761.25
|
| Rate for Payer: Aetna Medicare |
$590.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$761.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.06
|
| Rate for Payer: BCBS Complete |
$389.37
|
| Rate for Payer: BCBS MAPPO |
$568.10
|
| Rate for Payer: BCN Commercial |
$934.71
|
| Rate for Payer: BCN Medicare Advantage |
$568.10
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$818.06
|
| Rate for Payer: Cofinity Commercial |
$761.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$568.10
|
| Rate for Payer: Healthscope Commercial |
$908.96
|
| Rate for Payer: Healthscope Commercial |
$1,050.98
|
| Rate for Payer: Mclaren Medicaid |
$370.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$596.50
|
| Rate for Payer: Meridian Medicaid |
$389.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$624.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,086.37
|
| Rate for Payer: Nomi Health Commercial |
$681.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,170.75
|
| Rate for Payer: PACE SWMI |
$568.10
|
| Rate for Payer: PHP Medicare Advantage |
$568.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$370.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$999.17
|
| Rate for Payer: Priority Health Medicare |
$568.10
|
| Rate for Payer: Priority Health SBD |
$999.17
|
| Rate for Payer: Priority Health Tiered Network |
$999.17
|
| Rate for Payer: Railroad Medicare Medicare |
$568.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,056.60
|
| Rate for Payer: UHC Core |
$1,056.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$568.10
|
| Rate for Payer: UHC Exchange |
$1,056.60
|
| Rate for Payer: UHC Medicaid |
$370.83
|
| Rate for Payer: UHCCP Medicaid |
$370.83
|
|
|
PR OSTEOTOMY TIBIA
|
Professional
|
Both
|
$3,127.00
|
|
|
Service Code
|
HCPCS 27705
|
| Min. Negotiated Rate |
$441.76 |
| Max. Negotiated Rate |
$2,345.25 |
| Rate for Payer: Aetna Commercial |
$907.69
|
| Rate for Payer: Aetna Medicare |
$704.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$907.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$975.43
|
| Rate for Payer: BCBS Complete |
$463.85
|
| Rate for Payer: BCBS MAPPO |
$677.38
|
| Rate for Payer: BCN Commercial |
$1,129.92
|
| Rate for Payer: BCN Medicare Advantage |
$677.38
|
| Rate for Payer: Cash Price |
$2,501.60
|
| Rate for Payer: Cash Price |
$2,501.60
|
| Rate for Payer: Cofinity Commercial |
$975.43
|
| Rate for Payer: Cofinity Commercial |
$907.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$677.38
|
| Rate for Payer: Healthscope Commercial |
$1,253.15
|
| Rate for Payer: Healthscope Commercial |
$1,083.81
|
| Rate for Payer: Mclaren Medicaid |
$441.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$711.25
|
| Rate for Payer: Meridian Medicaid |
$463.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$745.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,337.96
|
| Rate for Payer: Nomi Health Commercial |
$812.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,345.25
|
| Rate for Payer: PACE SWMI |
$677.38
|
| Rate for Payer: PHP Medicare Advantage |
$677.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,207.85
|
| Rate for Payer: Priority Health Medicare |
$677.38
|
| Rate for Payer: Priority Health SBD |
$1,207.85
|
| Rate for Payer: Priority Health Tiered Network |
$1,207.85
|
| Rate for Payer: Railroad Medicare Medicare |
$677.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,324.98
|
| Rate for Payer: UHC Core |
$1,324.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$677.38
|
| Rate for Payer: UHC Exchange |
$1,324.98
|
| Rate for Payer: UHC Medicaid |
$441.76
|
| Rate for Payer: UHCCP Medicaid |
$441.76
|
|
|
PR OSTEOTOMY TIBIA & FIBULA
|
Professional
|
Both
|
$3,573.00
|
|
|
Service Code
|
HCPCS 27709
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$2,679.75 |
| Rate for Payer: Aetna Commercial |
$1,384.90
|
| Rate for Payer: Aetna Medicare |
$1,074.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,488.25
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$1,033.51
|
| Rate for Payer: BCN Commercial |
$1,725.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,033.51
|
| Rate for Payer: Cash Price |
$2,858.40
|
| Rate for Payer: Cash Price |
$2,858.40
|
| Rate for Payer: Cofinity Commercial |
$1,488.25
|
| Rate for Payer: Cofinity Commercial |
$1,384.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,033.51
|
| Rate for Payer: Healthscope Commercial |
$1,911.99
|
| Rate for Payer: Healthscope Commercial |
$1,653.62
|
| Rate for Payer: Mclaren Medicaid |
$670.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,085.19
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,136.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,013.44
|
| Rate for Payer: Nomi Health Commercial |
$1,240.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,679.75
|
| Rate for Payer: PACE SWMI |
$1,033.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,033.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,843.98
|
| Rate for Payer: Priority Health Medicare |
$1,033.51
|
| Rate for Payer: Priority Health SBD |
$1,843.98
|
| Rate for Payer: Priority Health Tiered Network |
$1,843.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,033.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,047.74
|
| Rate for Payer: UHC Core |
$2,047.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,033.51
|
| Rate for Payer: UHC Exchange |
$2,047.74
|
| Rate for Payer: UHC Medicaid |
$670.31
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
|
|
PR OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX
|
Professional
|
Both
|
$3,259.00
|
|
|
Service Code
|
HCPCS 27140
|
| Min. Negotiated Rate |
$529.52 |
| Max. Negotiated Rate |
$2,444.25 |
| Rate for Payer: Aetna Commercial |
$1,090.00
|
| Rate for Payer: Aetna Medicare |
$845.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,090.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,171.34
|
| Rate for Payer: BCBS Complete |
$556.00
|
| Rate for Payer: BCBS MAPPO |
$813.43
|
| Rate for Payer: BCN Commercial |
$1,364.46
|
| Rate for Payer: BCN Medicare Advantage |
$813.43
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cofinity Commercial |
$1,171.34
|
| Rate for Payer: Cofinity Commercial |
$1,090.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$813.43
|
| Rate for Payer: Healthscope Commercial |
$1,504.85
|
| Rate for Payer: Healthscope Commercial |
$1,301.49
|
| Rate for Payer: Mclaren Medicaid |
$529.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$854.10
|
| Rate for Payer: Meridian Medicaid |
$556.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$894.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,591.60
|
| Rate for Payer: Nomi Health Commercial |
$976.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,444.25
|
| Rate for Payer: PACE SWMI |
$813.43
|
| Rate for Payer: PHP Medicare Advantage |
$813.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,458.57
|
| Rate for Payer: Priority Health Medicare |
$813.43
|
| Rate for Payer: Priority Health SBD |
$1,458.57
|
| Rate for Payer: Priority Health Tiered Network |
$1,458.57
|
| Rate for Payer: Railroad Medicare Medicare |
$813.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,566.80
|
| Rate for Payer: UHC Core |
$1,566.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$813.43
|
| Rate for Payer: UHC Exchange |
$1,566.80
|
| Rate for Payer: UHC Medicaid |
$529.52
|
| Rate for Payer: UHCCP Medicaid |
$529.52
|
|
|
PR OSTEOTOMY ULNA
|
Professional
|
Both
|
$2,295.00
|
|
|
Service Code
|
HCPCS 25360
|
| Min. Negotiated Rate |
$388.94 |
| Max. Negotiated Rate |
$1,721.25 |
| Rate for Payer: Aetna Commercial |
$795.49
|
| Rate for Payer: Aetna Medicare |
$617.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$795.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$854.86
|
| Rate for Payer: BCBS Complete |
$408.39
|
| Rate for Payer: BCBS MAPPO |
$593.65
|
| Rate for Payer: BCN Commercial |
$1,006.42
|
| Rate for Payer: BCN Medicare Advantage |
$593.65
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Cofinity Commercial |
$854.86
|
| Rate for Payer: Cofinity Commercial |
$795.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$593.65
|
| Rate for Payer: Healthscope Commercial |
$949.84
|
| Rate for Payer: Healthscope Commercial |
$1,098.25
|
| Rate for Payer: Mclaren Medicaid |
$388.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.33
|
| Rate for Payer: Meridian Medicaid |
$408.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$653.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,166.08
|
| Rate for Payer: Nomi Health Commercial |
$712.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.25
|
| Rate for Payer: PACE SWMI |
$593.65
|
| Rate for Payer: PHP Medicare Advantage |
$593.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,075.83
|
| Rate for Payer: Priority Health Medicare |
$593.65
|
| Rate for Payer: Priority Health SBD |
$1,075.83
|
| Rate for Payer: Priority Health Tiered Network |
$1,075.83
|
| Rate for Payer: Railroad Medicare Medicare |
$593.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,138.81
|
| Rate for Payer: UHC Core |
$1,138.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$593.65
|
| Rate for Payer: UHC Exchange |
$1,138.81
|
| Rate for Payer: UHC Medicaid |
$388.94
|
| Rate for Payer: UHCCP Medicaid |
$388.94
|
|
|
PR OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL
|
Professional
|
Both
|
$2,805.00
|
|
|
Service Code
|
HCPCS 27457
|
| Min. Negotiated Rate |
$561.26 |
| Max. Negotiated Rate |
$2,103.75 |
| Rate for Payer: Aetna Commercial |
$1,158.15
|
| Rate for Payer: Aetna Medicare |
$898.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,158.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.58
|
| Rate for Payer: BCBS Complete |
$589.32
|
| Rate for Payer: BCBS MAPPO |
$864.29
|
| Rate for Payer: BCN Commercial |
$1,449.13
|
| Rate for Payer: BCN Medicare Advantage |
$864.29
|
| Rate for Payer: Cash Price |
$2,244.00
|
| Rate for Payer: Cash Price |
$2,244.00
|
| Rate for Payer: Cofinity Commercial |
$1,244.58
|
| Rate for Payer: Cofinity Commercial |
$1,158.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$864.29
|
| Rate for Payer: Healthscope Commercial |
$1,598.94
|
| Rate for Payer: Healthscope Commercial |
$1,382.86
|
| Rate for Payer: Mclaren Medicaid |
$561.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$907.50
|
| Rate for Payer: Meridian Medicaid |
$589.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$950.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,706.69
|
| Rate for Payer: Nomi Health Commercial |
$1,037.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,103.75
|
| Rate for Payer: PACE SWMI |
$864.29
|
| Rate for Payer: PHP Medicare Advantage |
$864.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$561.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,549.07
|
| Rate for Payer: Priority Health Medicare |
$864.29
|
| Rate for Payer: Priority Health SBD |
$1,549.07
|
| Rate for Payer: Priority Health Tiered Network |
$1,549.07
|
| Rate for Payer: Railroad Medicare Medicare |
$864.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,686.90
|
| Rate for Payer: UHC Core |
$1,686.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$864.29
|
| Rate for Payer: UHC Exchange |
$1,686.90
|
| Rate for Payer: UHC Medicaid |
$561.26
|
| Rate for Payer: UHCCP Medicaid |
$561.26
|
|
|
PR OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL
|
Professional
|
Both
|
$2,094.00
|
|
|
Service Code
|
HCPCS 27455
|
| Min. Negotiated Rate |
$569.35 |
| Max. Negotiated Rate |
$1,705.52 |
| Rate for Payer: Aetna Commercial |
$1,169.79
|
| Rate for Payer: Aetna Medicare |
$907.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,169.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,257.09
|
| Rate for Payer: BCBS Complete |
$597.82
|
| Rate for Payer: BCBS MAPPO |
$872.98
|
| Rate for Payer: BCN Commercial |
$1,458.09
|
| Rate for Payer: BCN Medicare Advantage |
$872.98
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cofinity Commercial |
$1,257.09
|
| Rate for Payer: Cofinity Commercial |
$1,169.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$872.98
|
| Rate for Payer: Healthscope Commercial |
$1,615.01
|
| Rate for Payer: Healthscope Commercial |
$1,396.77
|
| Rate for Payer: Mclaren Medicaid |
$569.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$916.63
|
| Rate for Payer: Meridian Medicaid |
$597.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$960.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.52
|
| Rate for Payer: Nomi Health Commercial |
$1,047.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,570.50
|
| Rate for Payer: PACE SWMI |
$872.98
|
| Rate for Payer: PHP Medicare Advantage |
$872.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,558.66
|
| Rate for Payer: Priority Health Medicare |
$872.98
|
| Rate for Payer: Priority Health SBD |
$1,558.66
|
| Rate for Payer: Priority Health Tiered Network |
$1,558.66
|
| Rate for Payer: Railroad Medicare Medicare |
$872.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,665.39
|
| Rate for Payer: UHC Core |
$1,665.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$872.98
|
| Rate for Payer: UHC Exchange |
$1,665.39
|
| Rate for Payer: UHC Medicaid |
$569.35
|
| Rate for Payer: UHCCP Medicaid |
$569.35
|
|
|
PR OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE
|
Professional
|
Both
|
$835.00
|
|
|
Service Code
|
HCPCS 28312
|
| Min. Negotiated Rate |
$221.09 |
| Max. Negotiated Rate |
$626.25 |
| Rate for Payer: Aetna Commercial |
$448.91
|
| Rate for Payer: Aetna Medicare |
$348.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$482.41
|
| Rate for Payer: BCBS Complete |
$232.14
|
| Rate for Payer: BCBS MAPPO |
$335.01
|
| Rate for Payer: BCN Commercial |
$541.80
|
| Rate for Payer: BCN Medicare Advantage |
$335.01
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cofinity Commercial |
$482.41
|
| Rate for Payer: Cofinity Commercial |
$448.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.01
|
| Rate for Payer: Healthscope Commercial |
$619.77
|
| Rate for Payer: Healthscope Commercial |
$536.02
|
| Rate for Payer: Mclaren Medicaid |
$221.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$351.76
|
| Rate for Payer: Meridian Medicaid |
$232.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$368.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$593.10
|
| Rate for Payer: Nomi Health Commercial |
$402.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$626.25
|
| Rate for Payer: PACE SWMI |
$335.01
|
| Rate for Payer: PHP Medicare Advantage |
$335.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$579.17
|
| Rate for Payer: Priority Health Medicare |
$335.01
|
| Rate for Payer: Priority Health SBD |
$579.17
|
| Rate for Payer: Priority Health Tiered Network |
$579.17
|
| Rate for Payer: Railroad Medicare Medicare |
$335.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$551.63
|
| Rate for Payer: UHC Core |
$551.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$335.01
|
| Rate for Payer: UHC Exchange |
$551.63
|
| Rate for Payer: UHC Medicaid |
$221.09
|
| Rate for Payer: UHCCP Medicaid |
$221.09
|
|
|
PR OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE
|
Professional
|
Both
|
$985.00
|
|
|
Service Code
|
HCPCS 28310
|
| Min. Negotiated Rate |
$223.01 |
| Max. Negotiated Rate |
$738.75 |
| Rate for Payer: Aetna Commercial |
$455.47
|
| Rate for Payer: Aetna Medicare |
$353.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.46
|
| Rate for Payer: BCBS Complete |
$234.16
|
| Rate for Payer: BCBS MAPPO |
$339.90
|
| Rate for Payer: BCN Commercial |
$558.23
|
| Rate for Payer: BCN Medicare Advantage |
$339.90
|
| Rate for Payer: Cash Price |
$788.00
|
| Rate for Payer: Cash Price |
$788.00
|
| Rate for Payer: Cofinity Commercial |
$489.46
|
| Rate for Payer: Cofinity Commercial |
$455.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.90
|
| Rate for Payer: Healthscope Commercial |
$628.82
|
| Rate for Payer: Healthscope Commercial |
$543.84
|
| Rate for Payer: Mclaren Medicaid |
$223.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.89
|
| Rate for Payer: Meridian Medicaid |
$234.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$373.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$635.31
|
| Rate for Payer: Nomi Health Commercial |
$407.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$738.75
|
| Rate for Payer: PACE SWMI |
$339.90
|
| Rate for Payer: PHP Medicare Advantage |
$339.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$596.73
|
| Rate for Payer: Priority Health Medicare |
$339.90
|
| Rate for Payer: Priority Health SBD |
$596.73
|
| Rate for Payer: Priority Health Tiered Network |
$596.73
|
| Rate for Payer: Railroad Medicare Medicare |
$339.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$627.48
|
| Rate for Payer: UHC Core |
$627.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$339.90
|
| Rate for Payer: UHC Exchange |
$627.48
|
| Rate for Payer: UHC Medicaid |
$223.01
|
| Rate for Payer: UHCCP Medicaid |
$223.01
|
|
