|
PR OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC
|
Professional
|
Both
|
$1,938.00
|
|
|
Service Code
|
HCPCS 28114
|
| Min. Negotiated Rate |
$545.28 |
| Max. Negotiated Rate |
$147,121.00 |
| Rate for Payer: Aetna Commercial |
$1,075.66
|
| Rate for Payer: Aetna Medicare |
$834.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,075.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,155.93
|
| Rate for Payer: BCBS Complete |
$572.54
|
| Rate for Payer: BCBS MAPPO |
$802.73
|
| Rate for Payer: BCBS Trust/PPO |
$864.83
|
| Rate for Payer: BCN Commercial |
$1,554.48
|
| Rate for Payer: BCN Medicare Advantage |
$802.73
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cofinity Commercial |
$1,155.93
|
| Rate for Payer: Cofinity Commercial |
$1,075.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$802.73
|
| Rate for Payer: Healthscope Commercial |
$1,485.05
|
| Rate for Payer: Healthscope Commercial |
$1,284.37
|
| Rate for Payer: Mclaren Medicaid |
$545.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$842.87
|
| Rate for Payer: Meridian Medicaid |
$572.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,121.00
|
| Rate for Payer: Nomi Health Commercial |
$963.28
|
| Rate for Payer: PACE SWMI |
$802.73
|
| Rate for Payer: PHP Medicare Advantage |
$802.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$545.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,287.93
|
| Rate for Payer: Priority Health Medicare |
$802.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,287.93
|
| Rate for Payer: Priority Health SBD |
$1,287.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,143.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$802.73
|
| Rate for Payer: UHC Exchange |
$1,143.03
|
| Rate for Payer: UHC Medicare Advantage |
$802.73
|
| Rate for Payer: UHCCP Medicaid |
$545.28
|
|
|
PR OSTC PRTL EXOSTC/CONDYLC METAR HEAD
|
Professional
|
Both
|
$988.00
|
|
|
Service Code
|
HCPCS 28288
|
| Min. Negotiated Rate |
$78.19 |
| Max. Negotiated Rate |
$75,938.00 |
| Rate for Payer: Aetna Commercial |
$555.27
|
| Rate for Payer: Aetna Medicare |
$430.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$555.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$596.71
|
| Rate for Payer: BCBS Complete |
$297.23
|
| Rate for Payer: BCBS MAPPO |
$414.38
|
| Rate for Payer: BCBS Trust/PPO |
$78.19
|
| Rate for Payer: BCN Commercial |
$877.67
|
| Rate for Payer: BCN Medicare Advantage |
$414.38
|
| Rate for Payer: Cash Price |
$790.40
|
| Rate for Payer: Cash Price |
$790.40
|
| Rate for Payer: Cofinity Commercial |
$596.71
|
| Rate for Payer: Cofinity Commercial |
$555.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.38
|
| Rate for Payer: Healthscope Commercial |
$766.60
|
| Rate for Payer: Healthscope Commercial |
$663.01
|
| Rate for Payer: Mclaren Medicaid |
$283.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$435.10
|
| Rate for Payer: Meridian Medicaid |
$297.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,938.00
|
| Rate for Payer: Nomi Health Commercial |
$497.26
|
| Rate for Payer: PACE SWMI |
$414.38
|
| Rate for Payer: PHP Medicare Advantage |
$414.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$642.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$672.21
|
| Rate for Payer: Priority Health Medicare |
$414.38
|
| Rate for Payer: Priority Health Narrow Network |
$672.21
|
| Rate for Payer: Priority Health SBD |
$672.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.38
|
| Rate for Payer: UHC Exchange |
$558.39
|
| Rate for Payer: UHC Medicare Advantage |
$414.38
|
| Rate for Payer: UHCCP Medicaid |
$283.08
|
|
|
PR OSTECTOMY CALCANEUS
|
Professional
|
Both
|
$1,029.00
|
|
|
Service Code
|
HCPCS 28118
|
| Min. Negotiated Rate |
$276.47 |
| Max. Negotiated Rate |
$73,973.00 |
| Rate for Payer: Aetna Commercial |
$545.50
|
| Rate for Payer: Aetna Medicare |
$423.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$545.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.21
|
| Rate for Payer: BCBS Complete |
$290.29
|
| Rate for Payer: BCBS MAPPO |
$407.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,262.71
|
| Rate for Payer: BCN Commercial |
$877.67
|
| Rate for Payer: BCN Medicare Advantage |
$407.09
|
| Rate for Payer: Cash Price |
$823.20
|
| Rate for Payer: Cash Price |
$823.20
|
| Rate for Payer: Cofinity Commercial |
$586.21
|
| Rate for Payer: Cofinity Commercial |
$545.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.09
|
| Rate for Payer: Healthscope Commercial |
$753.12
|
| Rate for Payer: Healthscope Commercial |
$651.34
|
| Rate for Payer: Mclaren Medicaid |
$276.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.44
|
| Rate for Payer: Meridian Medicaid |
$290.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,973.00
|
| Rate for Payer: Nomi Health Commercial |
$488.51
|
| Rate for Payer: PACE SWMI |
$407.09
|
| Rate for Payer: PHP Medicare Advantage |
$407.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$668.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$652.37
|
| Rate for Payer: Priority Health Medicare |
$407.09
|
| Rate for Payer: Priority Health Narrow Network |
$652.37
|
| Rate for Payer: Priority Health SBD |
$652.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$703.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.09
|
| Rate for Payer: UHC Exchange |
$703.10
|
| Rate for Payer: UHC Medicare Advantage |
$407.09
|
| Rate for Payer: UHCCP Medicaid |
$276.47
|
|
|
PR OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS
|
Professional
|
Both
|
$1,222.00
|
|
|
Service Code
|
HCPCS 28119
|
| Min. Negotiated Rate |
$237.07 |
| Max. Negotiated Rate |
$63,817.00 |
| Rate for Payer: Aetna Commercial |
$467.53
|
| Rate for Payer: Aetna Medicare |
$362.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$467.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$502.42
|
| Rate for Payer: BCBS Complete |
$248.92
|
| Rate for Payer: BCBS MAPPO |
$348.90
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$761.85
|
| Rate for Payer: BCN Medicare Advantage |
$348.90
|
| Rate for Payer: Cash Price |
$977.60
|
| Rate for Payer: Cash Price |
$977.60
|
| Rate for Payer: Cofinity Commercial |
$502.42
|
| Rate for Payer: Cofinity Commercial |
$467.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.90
|
| Rate for Payer: Healthscope Commercial |
$645.46
|
| Rate for Payer: Healthscope Commercial |
$558.24
|
| Rate for Payer: Mclaren Medicaid |
$237.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$366.34
|
| Rate for Payer: Meridian Medicaid |
$248.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63,817.00
|
| Rate for Payer: Nomi Health Commercial |
$418.68
|
| Rate for Payer: PACE SWMI |
$348.90
|
| Rate for Payer: PHP Medicare Advantage |
$348.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$794.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$562.30
|
| Rate for Payer: Priority Health Medicare |
$348.90
|
| Rate for Payer: Priority Health Narrow Network |
$562.30
|
| Rate for Payer: Priority Health SBD |
$562.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.90
|
| Rate for Payer: UHC Exchange |
$609.68
|
| Rate for Payer: UHC Medicare Advantage |
$348.90
|
| Rate for Payer: UHCCP Medicaid |
$237.07
|
|
|
PR OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Professional
|
Both
|
$831.00
|
|
|
Service Code
|
HCPCS 28111
|
| Min. Negotiated Rate |
$206.82 |
| Max. Negotiated Rate |
$56,286.00 |
| Rate for Payer: Aetna Commercial |
$409.18
|
| Rate for Payer: Aetna Medicare |
$317.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.72
|
| Rate for Payer: BCBS Complete |
$217.16
|
| Rate for Payer: BCBS MAPPO |
$305.36
|
| Rate for Payer: BCBS Trust/PPO |
$667.24
|
| Rate for Payer: BCN Commercial |
$693.44
|
| Rate for Payer: BCN Medicare Advantage |
$305.36
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cofinity Commercial |
$439.72
|
| Rate for Payer: Cofinity Commercial |
$409.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.36
|
| Rate for Payer: Healthscope Commercial |
$564.92
|
| Rate for Payer: Healthscope Commercial |
$488.58
|
| Rate for Payer: Mclaren Medicaid |
$206.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.63
|
| Rate for Payer: Meridian Medicaid |
$217.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,286.00
|
| Rate for Payer: Nomi Health Commercial |
$366.43
|
| Rate for Payer: PACE SWMI |
$305.36
|
| Rate for Payer: PHP Medicare Advantage |
$305.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$540.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$490.54
|
| Rate for Payer: Priority Health Medicare |
$305.36
|
| Rate for Payer: Priority Health Narrow Network |
$490.54
|
| Rate for Payer: Priority Health SBD |
$490.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$622.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.36
|
| Rate for Payer: UHC Exchange |
$622.89
|
| Rate for Payer: UHC Medicare Advantage |
$305.36
|
| Rate for Payer: UHCCP Medicaid |
$206.82
|
|
|
PR OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Professional
|
Both
|
$1,034.00
|
|
|
Service Code
|
HCPCS 28113
|
| Min. Negotiated Rate |
$278.82 |
| Max. Negotiated Rate |
$74,538.00 |
| Rate for Payer: Aetna Commercial |
$547.27
|
| Rate for Payer: Aetna Medicare |
$424.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$588.11
|
| Rate for Payer: BCBS Complete |
$292.76
|
| Rate for Payer: BCBS MAPPO |
$408.41
|
| Rate for Payer: BCBS Trust/PPO |
$522.49
|
| Rate for Payer: BCN Commercial |
$850.30
|
| Rate for Payer: BCN Medicare Advantage |
$408.41
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cofinity Commercial |
$588.11
|
| Rate for Payer: Cofinity Commercial |
$547.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.41
|
| Rate for Payer: Healthscope Commercial |
$755.56
|
| Rate for Payer: Healthscope Commercial |
$653.46
|
| Rate for Payer: Mclaren Medicaid |
$278.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.83
|
| Rate for Payer: Meridian Medicaid |
$292.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,538.00
|
| Rate for Payer: Nomi Health Commercial |
$490.09
|
| Rate for Payer: PACE SWMI |
$408.41
|
| Rate for Payer: PHP Medicare Advantage |
$408.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.96
|
| Rate for Payer: Priority Health Medicare |
$408.41
|
| Rate for Payer: Priority Health Narrow Network |
$657.96
|
| Rate for Payer: Priority Health SBD |
$657.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.41
|
| Rate for Payer: UHC Exchange |
$562.76
|
| Rate for Payer: UHC Medicare Advantage |
$408.41
|
| Rate for Payer: UHCCP Medicaid |
$278.82
|
|
|
PR OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4
|
Professional
|
Both
|
$971.00
|
|
|
Service Code
|
HCPCS 28112
|
| Min. Negotiated Rate |
$204.27 |
| Max. Negotiated Rate |
$55,039.00 |
| Rate for Payer: Aetna Commercial |
$402.21
|
| Rate for Payer: Aetna Medicare |
$312.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.23
|
| Rate for Payer: BCBS Complete |
$214.48
|
| Rate for Payer: BCBS MAPPO |
$300.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,106.26
|
| Rate for Payer: BCN Commercial |
$702.23
|
| Rate for Payer: BCN Medicare Advantage |
$300.16
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cofinity Commercial |
$432.23
|
| Rate for Payer: Cofinity Commercial |
$402.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.16
|
| Rate for Payer: Healthscope Commercial |
$555.30
|
| Rate for Payer: Healthscope Commercial |
$480.26
|
| Rate for Payer: Mclaren Medicaid |
$204.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.17
|
| Rate for Payer: Meridian Medicaid |
$214.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,039.00
|
| Rate for Payer: Nomi Health Commercial |
$360.19
|
| Rate for Payer: PACE SWMI |
$300.16
|
| Rate for Payer: PHP Medicare Advantage |
$300.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$631.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$482.91
|
| Rate for Payer: Priority Health Medicare |
$300.16
|
| Rate for Payer: Priority Health Narrow Network |
$482.91
|
| Rate for Payer: Priority Health SBD |
$482.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$564.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$300.16
|
| Rate for Payer: UHC Exchange |
$564.62
|
| Rate for Payer: UHC Medicare Advantage |
$300.16
|
| Rate for Payer: UHCCP Medicaid |
$204.27
|
|
|
PR OSTECTOMY PRTL 5TH METAR HEAD SPX
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28110
|
| Min. Negotiated Rate |
$192.55 |
| Max. Negotiated Rate |
$51,068.00 |
| Rate for Payer: Aetna Commercial |
$378.58
|
| Rate for Payer: Aetna Medicare |
$293.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$378.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.83
|
| Rate for Payer: BCBS Complete |
$202.18
|
| Rate for Payer: BCBS MAPPO |
$282.52
|
| Rate for Payer: BCBS Trust/PPO |
$583.24
|
| Rate for Payer: BCN Commercial |
$667.54
|
| Rate for Payer: BCN Medicare Advantage |
$282.52
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$406.83
|
| Rate for Payer: Cofinity Commercial |
$378.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.52
|
| Rate for Payer: Healthscope Commercial |
$522.66
|
| Rate for Payer: Healthscope Commercial |
$452.03
|
| Rate for Payer: Mclaren Medicaid |
$192.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.65
|
| Rate for Payer: Meridian Medicaid |
$202.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,068.00
|
| Rate for Payer: Nomi Health Commercial |
$339.02
|
| Rate for Payer: PACE SWMI |
$282.52
|
| Rate for Payer: PHP Medicare Advantage |
$282.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.39
|
| Rate for Payer: Priority Health Medicare |
$282.52
|
| Rate for Payer: Priority Health Narrow Network |
$453.39
|
| Rate for Payer: Priority Health SBD |
$453.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$515.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.52
|
| Rate for Payer: UHC Exchange |
$515.98
|
| Rate for Payer: UHC Medicare Advantage |
$282.52
|
| Rate for Payer: UHCCP Medicaid |
$192.55
|
|
|
PR OSTECTOMY STERNUM PARTIAL
|
Professional
|
Both
|
$3,953.00
|
|
|
Service Code
|
HCPCS 21620
|
| Min. Negotiated Rate |
$324.61 |
| Max. Negotiated Rate |
$89,541.00 |
| Rate for Payer: Aetna Commercial |
$649.16
|
| Rate for Payer: Aetna Medicare |
$503.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$697.61
|
| Rate for Payer: BCBS Complete |
$340.84
|
| Rate for Payer: BCBS MAPPO |
$484.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,350.93
|
| Rate for Payer: BCN Commercial |
$737.90
|
| Rate for Payer: BCN Medicare Advantage |
$484.45
|
| Rate for Payer: Cash Price |
$3,162.40
|
| Rate for Payer: Cash Price |
$3,162.40
|
| Rate for Payer: Cofinity Commercial |
$697.61
|
| Rate for Payer: Cofinity Commercial |
$649.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.45
|
| Rate for Payer: Healthscope Commercial |
$896.23
|
| Rate for Payer: Healthscope Commercial |
$775.12
|
| Rate for Payer: Mclaren Medicaid |
$324.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.67
|
| Rate for Payer: Meridian Medicaid |
$340.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89,541.00
|
| Rate for Payer: Nomi Health Commercial |
$581.34
|
| Rate for Payer: PACE SWMI |
$484.45
|
| Rate for Payer: PHP Medicare Advantage |
$484.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,569.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$771.44
|
| Rate for Payer: Priority Health Medicare |
$484.45
|
| Rate for Payer: Priority Health Narrow Network |
$771.44
|
| Rate for Payer: Priority Health SBD |
$771.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$684.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.45
|
| Rate for Payer: UHC Exchange |
$684.57
|
| Rate for Payer: UHC Medicare Advantage |
$484.45
|
| Rate for Payer: UHCCP Medicaid |
$324.61
|
|
|
PR OSTECTOMY TARSAL COALITION
|
Professional
|
Both
|
$1,439.00
|
|
|
Service Code
|
HCPCS 28116
|
| Min. Negotiated Rate |
$337.39 |
| Max. Negotiated Rate |
$104,065.00 |
| Rate for Payer: Aetna Commercial |
$668.79
|
| Rate for Payer: Aetna Medicare |
$519.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$668.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$718.70
|
| Rate for Payer: BCBS Complete |
$354.26
|
| Rate for Payer: BCBS MAPPO |
$499.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,784.07
|
| Rate for Payer: BCN Commercial |
$1,138.62
|
| Rate for Payer: BCN Medicare Advantage |
$499.10
|
| Rate for Payer: Cash Price |
$1,151.20
|
| Rate for Payer: Cash Price |
$1,151.20
|
| Rate for Payer: Cofinity Commercial |
$718.70
|
| Rate for Payer: Cofinity Commercial |
$668.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.10
|
| Rate for Payer: Healthscope Commercial |
$923.34
|
| Rate for Payer: Healthscope Commercial |
$798.56
|
| Rate for Payer: Mclaren Medicaid |
$337.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$524.06
|
| Rate for Payer: Meridian Medicaid |
$354.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,065.00
|
| Rate for Payer: Nomi Health Commercial |
$598.92
|
| Rate for Payer: PACE SWMI |
$499.10
|
| Rate for Payer: PHP Medicare Advantage |
$499.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$935.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$895.59
|
| Rate for Payer: Priority Health Medicare |
$499.10
|
| Rate for Payer: Priority Health Narrow Network |
$895.59
|
| Rate for Payer: Priority Health SBD |
$895.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$689.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.10
|
| Rate for Payer: UHC Exchange |
$689.17
|
| Rate for Payer: UHC Medicare Advantage |
$499.10
|
| Rate for Payer: UHCCP Medicaid |
$337.39
|
|
|
PR OSTEOCHONDRAL ALLOGRAFT KNEE OPEN
|
Professional
|
Both
|
$4,575.00
|
|
|
Service Code
|
HCPCS 27415
|
| Min. Negotiated Rate |
$709.51 |
| Max. Negotiated Rate |
$243,243.00 |
| Rate for Payer: Aetna Commercial |
$1,772.16
|
| Rate for Payer: Aetna Medicare |
$1,375.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,772.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,904.41
|
| Rate for Payer: BCBS Complete |
$933.74
|
| Rate for Payer: BCBS MAPPO |
$1,322.51
|
| Rate for Payer: BCBS Trust/PPO |
$709.51
|
| Rate for Payer: BCN Commercial |
$2,007.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,322.51
|
| Rate for Payer: Cash Price |
$3,660.00
|
| Rate for Payer: Cash Price |
$3,660.00
|
| Rate for Payer: Cofinity Commercial |
$1,904.41
|
| Rate for Payer: Cofinity Commercial |
$1,772.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,322.51
|
| Rate for Payer: Healthscope Commercial |
$2,446.64
|
| Rate for Payer: Healthscope Commercial |
$2,116.02
|
| Rate for Payer: Mclaren Medicaid |
$889.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,388.64
|
| Rate for Payer: Meridian Medicaid |
$933.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243,243.00
|
| Rate for Payer: Nomi Health Commercial |
$1,587.01
|
| Rate for Payer: PACE SWMI |
$1,322.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,322.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$889.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,973.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,106.68
|
| Rate for Payer: Priority Health Medicare |
$1,322.51
|
| Rate for Payer: Priority Health Narrow Network |
$2,106.68
|
| Rate for Payer: Priority Health SBD |
$2,106.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,739.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,322.51
|
| Rate for Payer: UHC Exchange |
$1,739.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,322.51
|
| Rate for Payer: UHCCP Medicaid |
$889.28
|
|
|
PR OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY
|
Professional
|
Both
|
$3,097.00
|
|
|
Service Code
|
HCPCS 27416
|
| Min. Negotiated Rate |
$637.30 |
| Max. Negotiated Rate |
$174,159.00 |
| Rate for Payer: Aetna Commercial |
$1,268.89
|
| Rate for Payer: Aetna Medicare |
$984.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,268.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.58
|
| Rate for Payer: BCBS Complete |
$669.16
|
| Rate for Payer: BCBS MAPPO |
$946.93
|
| Rate for Payer: BCBS Trust/PPO |
$852.15
|
| Rate for Payer: BCN Commercial |
$1,438.67
|
| Rate for Payer: BCN Medicare Advantage |
$946.93
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,363.58
|
| Rate for Payer: Cofinity Commercial |
$1,268.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.93
|
| Rate for Payer: Healthscope Commercial |
$1,515.09
|
| Rate for Payer: Healthscope Commercial |
$1,751.82
|
| Rate for Payer: Mclaren Medicaid |
$637.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$994.28
|
| Rate for Payer: Meridian Medicaid |
$669.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174,159.00
|
| Rate for Payer: Nomi Health Commercial |
$1,136.32
|
| Rate for Payer: PACE SWMI |
$946.93
|
| Rate for Payer: PHP Medicare Advantage |
$946.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,013.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,508.77
|
| Rate for Payer: Priority Health Medicare |
$946.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,508.77
|
| Rate for Payer: Priority Health SBD |
$1,508.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$946.93
|
| Rate for Payer: UHC Medicare Advantage |
$946.93
|
| Rate for Payer: UHCCP Medicaid |
$637.30
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 98925
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$3,437.00 |
| Rate for Payer: Aetna Commercial |
$28.97
|
| Rate for Payer: Aetna Medicare |
$22.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.13
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$21.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,227.77
|
| Rate for Payer: BCN Commercial |
$30.34
|
| Rate for Payer: BCN Medicare Advantage |
$21.62
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$31.13
|
| Rate for Payer: Cofinity Commercial |
$28.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.62
|
| Rate for Payer: Healthscope Commercial |
$40.00
|
| Rate for Payer: Healthscope Commercial |
$34.59
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.70
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,437.00
|
| Rate for Payer: Nomi Health Commercial |
$25.94
|
| Rate for Payer: PACE SWMI |
$21.62
|
| Rate for Payer: PHP Medicare Advantage |
$21.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30.76
|
| Rate for Payer: Priority Health Medicare |
$21.62
|
| Rate for Payer: Priority Health Narrow Network |
$30.76
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.62
|
| Rate for Payer: UHC Exchange |
$31.64
|
| Rate for Payer: UHC Medicare Advantage |
$21.62
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS
|
Professional
|
Both
|
$78.00
|
|
|
Service Code
|
HCPCS 98926
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$5,124.00 |
| Rate for Payer: Aetna Commercial |
$43.86
|
| Rate for Payer: Aetna Medicare |
$34.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.13
|
| Rate for Payer: BCBS Complete |
$23.04
|
| Rate for Payer: BCBS MAPPO |
$32.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,021.73
|
| Rate for Payer: BCN Commercial |
$43.39
|
| Rate for Payer: BCN Medicare Advantage |
$32.73
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$47.13
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.73
|
| Rate for Payer: Healthscope Commercial |
$60.55
|
| Rate for Payer: Healthscope Commercial |
$52.37
|
| Rate for Payer: Mclaren Medicaid |
$21.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.37
|
| Rate for Payer: Meridian Medicaid |
$23.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,124.00
|
| Rate for Payer: Nomi Health Commercial |
$39.28
|
| Rate for Payer: PACE SWMI |
$32.73
|
| Rate for Payer: PHP Medicare Advantage |
$32.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.59
|
| Rate for Payer: Priority Health Medicare |
$32.73
|
| Rate for Payer: Priority Health Narrow Network |
$46.59
|
| Rate for Payer: Priority Health SBD |
$46.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.73
|
| Rate for Payer: UHC Exchange |
$44.17
|
| Rate for Payer: UHC Medicare Advantage |
$32.73
|
| Rate for Payer: UHCCP Medicaid |
$21.94
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 98927
|
| Min. Negotiated Rate |
$29.18 |
| Max. Negotiated Rate |
$6,720.00 |
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Medicare |
$45.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.73
|
| Rate for Payer: BCBS Complete |
$30.64
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,177.05
|
| Rate for Payer: BCN Commercial |
$56.11
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Healthscope Commercial |
$80.59
|
| Rate for Payer: Healthscope Commercial |
$69.70
|
| Rate for Payer: Mclaren Medicaid |
$29.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Meridian Medicaid |
$30.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,720.00
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.96
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Narrow Network |
$61.96
|
| Rate for Payer: Priority Health SBD |
$61.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.56
|
| Rate for Payer: UHC Exchange |
$56.20
|
| Rate for Payer: UHC Medicare Advantage |
$43.56
|
| Rate for Payer: UHCCP Medicaid |
$29.18
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 98928
|
| Min. Negotiated Rate |
$36.85 |
| Max. Negotiated Rate |
$8,571.00 |
| Rate for Payer: Aetna Commercial |
$73.66
|
| Rate for Payer: Aetna Medicare |
$57.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.16
|
| Rate for Payer: BCBS Complete |
$38.69
|
| Rate for Payer: BCBS MAPPO |
$54.97
|
| Rate for Payer: BCBS Trust/PPO |
$332.83
|
| Rate for Payer: BCN Commercial |
$69.16
|
| Rate for Payer: BCN Medicare Advantage |
$54.97
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$79.16
|
| Rate for Payer: Cofinity Commercial |
$73.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.97
|
| Rate for Payer: Healthscope Commercial |
$87.95
|
| Rate for Payer: Healthscope Commercial |
$101.69
|
| Rate for Payer: Mclaren Medicaid |
$36.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.72
|
| Rate for Payer: Meridian Medicaid |
$38.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,571.00
|
| Rate for Payer: Nomi Health Commercial |
$65.96
|
| Rate for Payer: PACE SWMI |
$54.97
|
| Rate for Payer: PHP Medicare Advantage |
$54.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.25
|
| Rate for Payer: Priority Health Medicare |
$54.97
|
| Rate for Payer: Priority Health Narrow Network |
$78.25
|
| Rate for Payer: Priority Health SBD |
$78.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.97
|
| Rate for Payer: UHC Exchange |
$66.09
|
| Rate for Payer: UHC Medicare Advantage |
$54.97
|
| Rate for Payer: UHCCP Medicaid |
$36.85
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 98929
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$10,268.00 |
| Rate for Payer: Aetna Commercial |
$87.77
|
| Rate for Payer: Aetna Medicare |
$68.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.32
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCBS MAPPO |
$65.50
|
| Rate for Payer: BCBS Trust/PPO |
$193.36
|
| Rate for Payer: BCN Commercial |
$81.23
|
| Rate for Payer: BCN Medicare Advantage |
$65.50
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$94.32
|
| Rate for Payer: Cofinity Commercial |
$87.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.50
|
| Rate for Payer: Healthscope Commercial |
$121.18
|
| Rate for Payer: Healthscope Commercial |
$104.80
|
| Rate for Payer: Mclaren Medicaid |
$43.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.78
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,268.00
|
| Rate for Payer: Nomi Health Commercial |
$78.60
|
| Rate for Payer: PACE SWMI |
$65.50
|
| Rate for Payer: PHP Medicare Advantage |
$65.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.64
|
| Rate for Payer: Priority Health Medicare |
$65.50
|
| Rate for Payer: Priority Health Narrow Network |
$93.64
|
| Rate for Payer: Priority Health SBD |
$93.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.50
|
| Rate for Payer: UHC Exchange |
$75.99
|
| Rate for Payer: UHC Medicare Advantage |
$65.50
|
| Rate for Payer: UHCCP Medicaid |
$43.88
|
|
|
PR OSTEOPLASTY CARPAL BONE SHORTENING
|
Professional
|
Both
|
$1,938.00
|
|
|
Service Code
|
HCPCS 25394
|
| Min. Negotiated Rate |
$513.12 |
| Max. Negotiated Rate |
$139,372.00 |
| Rate for Payer: Aetna Commercial |
$1,018.41
|
| Rate for Payer: Aetna Medicare |
$790.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,018.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,094.41
|
| Rate for Payer: BCBS Complete |
$538.78
|
| Rate for Payer: BCBS MAPPO |
$760.01
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$1,154.74
|
| Rate for Payer: BCN Medicare Advantage |
$760.01
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cofinity Commercial |
$1,094.41
|
| Rate for Payer: Cofinity Commercial |
$1,018.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$760.01
|
| Rate for Payer: Healthscope Commercial |
$1,406.02
|
| Rate for Payer: Healthscope Commercial |
$1,216.02
|
| Rate for Payer: Mclaren Medicaid |
$513.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$798.01
|
| Rate for Payer: Meridian Medicaid |
$538.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139,372.00
|
| Rate for Payer: Nomi Health Commercial |
$912.01
|
| Rate for Payer: PACE SWMI |
$760.01
|
| Rate for Payer: PHP Medicare Advantage |
$760.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$513.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.14
|
| Rate for Payer: Priority Health Medicare |
$760.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,214.14
|
| Rate for Payer: Priority Health SBD |
$1,214.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$836.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$760.01
|
| Rate for Payer: UHC Exchange |
$836.03
|
| Rate for Payer: UHC Medicare Advantage |
$760.01
|
| Rate for Payer: UHCCP Medicaid |
$513.12
|
|
|
PR OSTEOPLASTY FEMUR LENGTHENING
|
Professional
|
Both
|
$3,981.00
|
|
|
Service Code
|
HCPCS 27466
|
| Min. Negotiated Rate |
$767.44 |
| Max. Negotiated Rate |
$210,150.00 |
| Rate for Payer: Aetna Commercial |
$1,529.34
|
| Rate for Payer: Aetna Medicare |
$1,186.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,529.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,643.47
|
| Rate for Payer: BCBS Complete |
$805.81
|
| Rate for Payer: BCBS MAPPO |
$1,141.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.94
|
| Rate for Payer: BCN Commercial |
$1,734.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,141.30
|
| Rate for Payer: Cash Price |
$3,184.80
|
| Rate for Payer: Cash Price |
$3,184.80
|
| Rate for Payer: Cofinity Commercial |
$1,643.47
|
| Rate for Payer: Cofinity Commercial |
$1,529.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,141.30
|
| Rate for Payer: Healthscope Commercial |
$2,111.40
|
| Rate for Payer: Healthscope Commercial |
$1,826.08
|
| Rate for Payer: Mclaren Medicaid |
$767.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,198.36
|
| Rate for Payer: Meridian Medicaid |
$805.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$210,150.00
|
| Rate for Payer: Nomi Health Commercial |
$1,369.56
|
| Rate for Payer: PACE SWMI |
$1,141.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,141.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,587.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,819.68
|
| Rate for Payer: Priority Health Medicare |
$1,141.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,819.68
|
| Rate for Payer: Priority Health SBD |
$1,819.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,485.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,141.30
|
| Rate for Payer: UHC Exchange |
$1,485.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,141.30
|
| Rate for Payer: UHCCP Medicaid |
$767.44
|
|
|
PR OSTEOPLASTY HUMERUS
|
Professional
|
Both
|
$3,335.00
|
|
|
Service Code
|
HCPCS 24420
|
| Min. Negotiated Rate |
$306.41 |
| Max. Negotiated Rate |
$188,494.00 |
| Rate for Payer: Aetna Commercial |
$1,362.15
|
| Rate for Payer: Aetna Medicare |
$1,057.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,362.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,463.80
|
| Rate for Payer: BCBS Complete |
$723.51
|
| Rate for Payer: BCBS MAPPO |
$1,016.53
|
| Rate for Payer: BCBS Trust/PPO |
$306.41
|
| Rate for Payer: BCN Commercial |
$1,567.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.53
|
| Rate for Payer: Cash Price |
$2,668.00
|
| Rate for Payer: Cash Price |
$2,668.00
|
| Rate for Payer: Cofinity Commercial |
$1,463.80
|
| Rate for Payer: Cofinity Commercial |
$1,362.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.53
|
| Rate for Payer: Healthscope Commercial |
$1,880.58
|
| Rate for Payer: Healthscope Commercial |
$1,626.45
|
| Rate for Payer: Mclaren Medicaid |
$689.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,067.36
|
| Rate for Payer: Meridian Medicaid |
$723.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$188,494.00
|
| Rate for Payer: Nomi Health Commercial |
$1,219.84
|
| Rate for Payer: PACE SWMI |
$1,016.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,167.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,639.04
|
| Rate for Payer: Priority Health Medicare |
$1,016.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,639.04
|
| Rate for Payer: Priority Health SBD |
$1,639.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,301.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,016.53
|
| Rate for Payer: UHC Exchange |
$1,301.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,016.53
|
| Rate for Payer: UHCCP Medicaid |
$689.06
|
|
|
PR OSTEOPLASTY RADIUS/ULNA SHORTENING
|
Professional
|
Both
|
$2,689.00
|
|
|
Service Code
|
HCPCS 25390
|
| Min. Negotiated Rate |
$502.47 |
| Max. Negotiated Rate |
$136,674.00 |
| Rate for Payer: Aetna Commercial |
$995.49
|
| Rate for Payer: Aetna Medicare |
$772.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,069.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$995.49
|
| Rate for Payer: BCBS Complete |
$527.59
|
| Rate for Payer: BCBS MAPPO |
$742.90
|
| Rate for Payer: BCBS Trust/PPO |
$580.07
|
| Rate for Payer: BCN Commercial |
$1,133.25
|
| Rate for Payer: BCN Medicare Advantage |
$742.90
|
| Rate for Payer: Cash Price |
$2,151.20
|
| Rate for Payer: Cash Price |
$2,151.20
|
| Rate for Payer: Cofinity Commercial |
$995.49
|
| Rate for Payer: Cofinity Commercial |
$1,069.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$742.90
|
| Rate for Payer: Healthscope Commercial |
$1,374.36
|
| Rate for Payer: Healthscope Commercial |
$1,188.64
|
| Rate for Payer: Mclaren Medicaid |
$502.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$780.04
|
| Rate for Payer: Meridian Medicaid |
$527.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136,674.00
|
| Rate for Payer: Nomi Health Commercial |
$891.48
|
| Rate for Payer: PACE SWMI |
$742.90
|
| Rate for Payer: PHP Medicare Advantage |
$742.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$502.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,188.70
|
| Rate for Payer: Priority Health Medicare |
$742.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,188.70
|
| Rate for Payer: Priority Health SBD |
$1,188.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,135.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$742.90
|
| Rate for Payer: UHC Exchange |
$1,135.85
|
| Rate for Payer: UHC Medicare Advantage |
$742.90
|
| Rate for Payer: UHCCP Medicaid |
$502.47
|
|
|
PR OSTEOPLASTY TIBIA&FIBULA LENGTHENING/SHORTENING
|
Professional
|
Both
|
$4,771.00
|
|
|
Service Code
|
HCPCS 27715
|
| Min. Negotiated Rate |
$226.28 |
| Max. Negotiated Rate |
$190,262.00 |
| Rate for Payer: Aetna Commercial |
$1,384.02
|
| Rate for Payer: Aetna Medicare |
$1,074.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,487.30
|
| Rate for Payer: BCBS Complete |
$729.77
|
| Rate for Payer: BCBS MAPPO |
$1,032.85
|
| Rate for Payer: BCBS Trust/PPO |
$226.28
|
| Rate for Payer: BCN Commercial |
$1,571.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,032.85
|
| Rate for Payer: Cash Price |
$3,816.80
|
| Rate for Payer: Cash Price |
$3,816.80
|
| Rate for Payer: Cofinity Commercial |
$1,487.30
|
| Rate for Payer: Cofinity Commercial |
$1,384.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,032.85
|
| Rate for Payer: Healthscope Commercial |
$1,910.77
|
| Rate for Payer: Healthscope Commercial |
$1,652.56
|
| Rate for Payer: Mclaren Medicaid |
$695.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,084.49
|
| Rate for Payer: Meridian Medicaid |
$729.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190,262.00
|
| Rate for Payer: Nomi Health Commercial |
$1,239.42
|
| Rate for Payer: PACE SWMI |
$1,032.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,032.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$695.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,101.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,648.72
|
| Rate for Payer: Priority Health Medicare |
$1,032.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,648.72
|
| Rate for Payer: Priority Health SBD |
$1,648.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,320.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,032.85
|
| Rate for Payer: UHC Exchange |
$1,320.53
|
| Rate for Payer: UHC Medicare Advantage |
$1,032.85
|
| Rate for Payer: UHCCP Medicaid |
$695.02
|
|
|
PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL
|
Professional
|
Both
|
$7,871.00
|
|
|
Service Code
|
HCPCS 27165
|
| Min. Negotiated Rate |
$885.23 |
| Max. Negotiated Rate |
$243,698.00 |
| Rate for Payer: Aetna Commercial |
$1,765.78
|
| Rate for Payer: Aetna Medicare |
$1,370.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,765.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,897.56
|
| Rate for Payer: BCBS Complete |
$929.49
|
| Rate for Payer: BCBS MAPPO |
$1,317.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,570.11
|
| Rate for Payer: BCN Commercial |
$2,010.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,317.75
|
| Rate for Payer: Cash Price |
$6,296.80
|
| Rate for Payer: Cash Price |
$6,296.80
|
| Rate for Payer: Cofinity Commercial |
$1,897.56
|
| Rate for Payer: Cofinity Commercial |
$1,765.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,317.75
|
| Rate for Payer: Healthscope Commercial |
$2,437.84
|
| Rate for Payer: Healthscope Commercial |
$2,108.40
|
| Rate for Payer: Mclaren Medicaid |
$885.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,383.64
|
| Rate for Payer: Meridian Medicaid |
$929.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243,698.00
|
| Rate for Payer: Nomi Health Commercial |
$1,581.30
|
| Rate for Payer: PACE SWMI |
$1,317.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,317.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$885.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,116.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,102.61
|
| Rate for Payer: Priority Health Medicare |
$1,317.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,102.61
|
| Rate for Payer: Priority Health SBD |
$2,102.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,505.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,317.75
|
| Rate for Payer: UHC Exchange |
$1,505.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,317.75
|
| Rate for Payer: UHCCP Medicaid |
$885.23
|
|
|
PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,746.00
|
|
|
Service Code
|
HCPCS 28300
|
| Min. Negotiated Rate |
$423.44 |
| Max. Negotiated Rate |
$115,245.00 |
| Rate for Payer: Aetna Commercial |
$840.25
|
| Rate for Payer: Aetna Medicare |
$652.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$840.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$902.95
|
| Rate for Payer: BCBS Complete |
$444.61
|
| Rate for Payer: BCBS MAPPO |
$627.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,703.80
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$627.05
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Cofinity Commercial |
$902.95
|
| Rate for Payer: Cofinity Commercial |
$840.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.05
|
| Rate for Payer: Healthscope Commercial |
$1,160.04
|
| Rate for Payer: Healthscope Commercial |
$1,003.28
|
| Rate for Payer: Mclaren Medicaid |
$423.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.40
|
| Rate for Payer: Meridian Medicaid |
$444.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115,245.00
|
| Rate for Payer: Nomi Health Commercial |
$752.46
|
| Rate for Payer: PACE SWMI |
$627.05
|
| Rate for Payer: PHP Medicare Advantage |
$627.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,134.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,002.45
|
| Rate for Payer: Priority Health Medicare |
$627.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,002.45
|
| Rate for Payer: Priority Health SBD |
$1,002.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,001.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.05
|
| Rate for Payer: UHC Exchange |
$1,001.21
|
| Rate for Payer: UHC Medicare Advantage |
$627.05
|
| Rate for Payer: UHCCP Medicaid |
$423.44
|
|
|
PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,729.00
|
|
|
Service Code
|
HCPCS 23480
|
| Min. Negotiated Rate |
$134.57 |
| Max. Negotiated Rate |
$145,863.00 |
| Rate for Payer: Aetna Commercial |
$1,062.83
|
| Rate for Payer: Aetna Medicare |
$824.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,062.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,142.15
|
| Rate for Payer: BCBS Complete |
$561.58
|
| Rate for Payer: BCBS MAPPO |
$793.16
|
| Rate for Payer: BCBS Trust/PPO |
$134.57
|
| Rate for Payer: BCN Commercial |
$1,207.03
|
| Rate for Payer: BCN Medicare Advantage |
$793.16
|
| Rate for Payer: Cash Price |
$1,383.20
|
| Rate for Payer: Cash Price |
$1,383.20
|
| Rate for Payer: Cofinity Commercial |
$1,142.15
|
| Rate for Payer: Cofinity Commercial |
$1,062.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$793.16
|
| Rate for Payer: Healthscope Commercial |
$1,467.35
|
| Rate for Payer: Healthscope Commercial |
$1,269.06
|
| Rate for Payer: Mclaren Medicaid |
$534.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$832.82
|
| Rate for Payer: Meridian Medicaid |
$561.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145,863.00
|
| Rate for Payer: Nomi Health Commercial |
$951.79
|
| Rate for Payer: PACE SWMI |
$793.16
|
| Rate for Payer: PHP Medicare Advantage |
$793.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$534.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,123.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.56
|
| Rate for Payer: Priority Health Medicare |
$793.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,266.56
|
| Rate for Payer: Priority Health SBD |
$1,266.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$793.16
|
| Rate for Payer: UHC Exchange |
$974.95
|
| Rate for Payer: UHC Medicare Advantage |
$793.16
|
| Rate for Payer: UHCCP Medicaid |
$534.84
|
|
