|
PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL
|
Professional
|
Both
|
$2,427.00
|
|
|
Service Code
|
HCPCS 23485
|
| Min. Negotiated Rate |
$168.53 |
| Max. Negotiated Rate |
$169,456.00 |
| Rate for Payer: Aetna Commercial |
$1,232.32
|
| Rate for Payer: Aetna Medicare |
$956.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,232.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,324.28
|
| Rate for Payer: BCBS Complete |
$649.71
|
| Rate for Payer: BCBS MAPPO |
$919.64
|
| Rate for Payer: BCBS Trust/PPO |
$168.53
|
| Rate for Payer: BCN Commercial |
$1,399.57
|
| Rate for Payer: BCN Medicare Advantage |
$919.64
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cash Price |
$1,941.60
|
| Rate for Payer: Cofinity Commercial |
$1,324.28
|
| Rate for Payer: Cofinity Commercial |
$1,232.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$919.64
|
| Rate for Payer: Healthscope Commercial |
$1,701.33
|
| Rate for Payer: Healthscope Commercial |
$1,471.42
|
| Rate for Payer: Mclaren Medicaid |
$618.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$965.62
|
| Rate for Payer: Meridian Medicaid |
$649.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169,456.00
|
| Rate for Payer: Nomi Health Commercial |
$1,103.57
|
| Rate for Payer: PACE SWMI |
$919.64
|
| Rate for Payer: PHP Medicare Advantage |
$919.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,577.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,468.06
|
| Rate for Payer: Priority Health Medicare |
$919.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,468.06
|
| Rate for Payer: Priority Health SBD |
$1,468.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,123.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$919.64
|
| Rate for Payer: UHC Exchange |
$1,123.09
|
| Rate for Payer: UHC Medicare Advantage |
$919.64
|
| Rate for Payer: UHCCP Medicaid |
$618.77
|
|
|
PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION
|
Professional
|
Both
|
$2,914.00
|
|
|
Service Code
|
HCPCS 27450
|
| Min. Negotiated Rate |
$653.27 |
| Max. Negotiated Rate |
$180,212.00 |
| Rate for Payer: Aetna Commercial |
$1,300.58
|
| Rate for Payer: Aetna Medicare |
$1,009.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,397.64
|
| Rate for Payer: BCBS Complete |
$685.93
|
| Rate for Payer: BCBS MAPPO |
$970.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,095.69
|
| Rate for Payer: BCN Commercial |
$1,489.49
|
| Rate for Payer: BCN Medicare Advantage |
$970.58
|
| Rate for Payer: Cash Price |
$2,331.20
|
| Rate for Payer: Cash Price |
$2,331.20
|
| Rate for Payer: Cofinity Commercial |
$1,397.64
|
| Rate for Payer: Cofinity Commercial |
$1,300.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$970.58
|
| Rate for Payer: Healthscope Commercial |
$1,795.57
|
| Rate for Payer: Healthscope Commercial |
$1,552.93
|
| Rate for Payer: Mclaren Medicaid |
$653.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,019.11
|
| Rate for Payer: Meridian Medicaid |
$685.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180,212.00
|
| Rate for Payer: Nomi Health Commercial |
$1,164.70
|
| Rate for Payer: PACE SWMI |
$970.58
|
| Rate for Payer: PHP Medicare Advantage |
$970.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,894.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,552.53
|
| Rate for Payer: Priority Health Medicare |
$970.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,552.53
|
| Rate for Payer: Priority Health SBD |
$1,552.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,460.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$970.58
|
| Rate for Payer: UHC Exchange |
$1,460.91
|
| Rate for Payer: UHC Medicare Advantage |
$970.58
|
| Rate for Payer: UHCCP Medicaid |
$653.27
|
|
|
PR OSTEOTOMY FIBULA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27707
|
| Min. Negotiated Rate |
$266.46 |
| Max. Negotiated Rate |
$71,521.00 |
| Rate for Payer: Aetna Commercial |
$522.29
|
| Rate for Payer: Aetna Medicare |
$405.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$561.27
|
| Rate for Payer: BCBS Complete |
$279.78
|
| Rate for Payer: BCBS MAPPO |
$389.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,447.61
|
| Rate for Payer: BCN Commercial |
$598.63
|
| Rate for Payer: BCN Medicare Advantage |
$389.77
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$561.27
|
| Rate for Payer: Cofinity Commercial |
$522.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.77
|
| Rate for Payer: Healthscope Commercial |
$721.07
|
| Rate for Payer: Healthscope Commercial |
$623.63
|
| Rate for Payer: Mclaren Medicaid |
$266.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.26
|
| Rate for Payer: Meridian Medicaid |
$279.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,521.00
|
| Rate for Payer: Nomi Health Commercial |
$467.72
|
| Rate for Payer: PACE SWMI |
$389.77
|
| Rate for Payer: PHP Medicare Advantage |
$389.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$630.99
|
| Rate for Payer: Priority Health Medicare |
$389.77
|
| Rate for Payer: Priority Health Narrow Network |
$630.99
|
| Rate for Payer: Priority Health SBD |
$630.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$389.77
|
| Rate for Payer: UHC Exchange |
$529.60
|
| Rate for Payer: UHC Medicare Advantage |
$389.77
|
| Rate for Payer: UHCCP Medicaid |
$266.46
|
|
|
PR OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,466.00
|
|
|
Service Code
|
HCPCS 24400
|
| Min. Negotiated Rate |
$227.70 |
| Max. Negotiated Rate |
$147,022.00 |
| Rate for Payer: Aetna Commercial |
$1,071.32
|
| Rate for Payer: Aetna Medicare |
$831.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,071.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,151.27
|
| Rate for Payer: BCBS Complete |
$567.18
|
| Rate for Payer: BCBS MAPPO |
$799.49
|
| Rate for Payer: BCBS Trust/PPO |
$227.70
|
| Rate for Payer: BCN Commercial |
$1,218.76
|
| Rate for Payer: BCN Medicare Advantage |
$799.49
|
| Rate for Payer: Cash Price |
$1,172.80
|
| Rate for Payer: Cash Price |
$1,172.80
|
| Rate for Payer: Cofinity Commercial |
$1,151.27
|
| Rate for Payer: Cofinity Commercial |
$1,071.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$799.49
|
| Rate for Payer: Healthscope Commercial |
$1,479.06
|
| Rate for Payer: Healthscope Commercial |
$1,279.18
|
| Rate for Payer: Mclaren Medicaid |
$540.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$839.46
|
| Rate for Payer: Meridian Medicaid |
$567.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,022.00
|
| Rate for Payer: Nomi Health Commercial |
$959.39
|
| Rate for Payer: PACE SWMI |
$799.49
|
| Rate for Payer: PHP Medicare Advantage |
$799.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$540.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$952.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,278.76
|
| Rate for Payer: Priority Health Medicare |
$799.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,278.76
|
| Rate for Payer: Priority Health SBD |
$1,278.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$998.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$799.49
|
| Rate for Payer: UHC Exchange |
$998.81
|
| Rate for Payer: UHC Medicare Advantage |
$799.49
|
| Rate for Payer: UHCCP Medicaid |
$540.17
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE
|
Professional
|
Both
|
$2,618.00
|
|
|
Service Code
|
HCPCS 27146
|
| Min. Negotiated Rate |
$827.93 |
| Max. Negotiated Rate |
$225,189.00 |
| Rate for Payer: Aetna Commercial |
$1,651.67
|
| Rate for Payer: Aetna Medicare |
$1,281.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,651.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.93
|
| Rate for Payer: BCBS Complete |
$869.33
|
| Rate for Payer: BCBS MAPPO |
$1,232.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,896.07
|
| Rate for Payer: BCN Commercial |
$1,855.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,232.59
|
| Rate for Payer: Cash Price |
$2,094.40
|
| Rate for Payer: Cash Price |
$2,094.40
|
| Rate for Payer: Cofinity Commercial |
$1,774.93
|
| Rate for Payer: Cofinity Commercial |
$1,651.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,232.59
|
| Rate for Payer: Healthscope Commercial |
$2,280.29
|
| Rate for Payer: Healthscope Commercial |
$1,972.14
|
| Rate for Payer: Mclaren Medicaid |
$827.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,294.22
|
| Rate for Payer: Meridian Medicaid |
$869.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225,189.00
|
| Rate for Payer: Nomi Health Commercial |
$1,479.11
|
| Rate for Payer: PACE SWMI |
$1,232.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,232.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$827.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,701.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,961.65
|
| Rate for Payer: Priority Health Medicare |
$1,232.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,961.65
|
| Rate for Payer: Priority Health SBD |
$1,961.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,420.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.59
|
| Rate for Payer: UHC Exchange |
$1,420.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.59
|
| Rate for Payer: UHCCP Medicaid |
$827.93
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT
|
Professional
|
Both
|
$3,285.00
|
|
|
Service Code
|
HCPCS 27151
|
| Min. Negotiated Rate |
$1,020.06 |
| Max. Negotiated Rate |
$280,435.00 |
| Rate for Payer: Aetna Commercial |
$2,040.04
|
| Rate for Payer: Aetna Medicare |
$1,583.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,040.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,192.28
|
| Rate for Payer: BCBS Complete |
$1,071.06
|
| Rate for Payer: BCBS MAPPO |
$1,522.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,915.09
|
| Rate for Payer: BCN Commercial |
$2,541.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,522.42
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cofinity Commercial |
$2,192.28
|
| Rate for Payer: Cofinity Commercial |
$2,040.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,522.42
|
| Rate for Payer: Healthscope Commercial |
$2,816.48
|
| Rate for Payer: Healthscope Commercial |
$2,435.87
|
| Rate for Payer: Mclaren Medicaid |
$1,020.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,598.54
|
| Rate for Payer: Meridian Medicaid |
$1,071.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280,435.00
|
| Rate for Payer: Nomi Health Commercial |
$1,826.90
|
| Rate for Payer: PACE SWMI |
$1,522.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,522.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,135.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,417.60
|
| Rate for Payer: Priority Health Medicare |
$1,522.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,417.60
|
| Rate for Payer: Priority Health SBD |
$2,417.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,820.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,522.42
|
| Rate for Payer: UHC Exchange |
$1,820.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,522.42
|
| Rate for Payer: UHCCP Medicaid |
$1,020.06
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ
|
Professional
|
Both
|
$2,239.00
|
|
|
Service Code
|
HCPCS 27147
|
| Min. Negotiated Rate |
$944.44 |
| Max. Negotiated Rate |
$259,218.00 |
| Rate for Payer: Aetna Commercial |
$1,887.19
|
| Rate for Payer: Aetna Medicare |
$1,464.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,887.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,028.02
|
| Rate for Payer: BCBS Complete |
$991.66
|
| Rate for Payer: BCBS MAPPO |
$1,408.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,559.54
|
| Rate for Payer: BCN Commercial |
$2,135.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,408.35
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cofinity Commercial |
$2,028.02
|
| Rate for Payer: Cofinity Commercial |
$1,887.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,408.35
|
| Rate for Payer: Healthscope Commercial |
$2,605.45
|
| Rate for Payer: Healthscope Commercial |
$2,253.36
|
| Rate for Payer: Mclaren Medicaid |
$944.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,478.77
|
| Rate for Payer: Meridian Medicaid |
$991.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259,218.00
|
| Rate for Payer: Nomi Health Commercial |
$1,690.02
|
| Rate for Payer: PACE SWMI |
$1,408.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,408.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$944.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,455.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,238.99
|
| Rate for Payer: Priority Health Medicare |
$1,408.35
|
| Rate for Payer: Priority Health Narrow Network |
$2,238.99
|
| Rate for Payer: Priority Health SBD |
$2,238.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,799.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,408.35
|
| Rate for Payer: UHC Exchange |
$1,799.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,408.35
|
| Rate for Payer: UHCCP Medicaid |
$944.44
|
|
|
PR OSTEOTOMY METACARPAL EACH
|
Professional
|
Both
|
$1,785.00
|
|
|
Service Code
|
HCPCS 26565
|
| Min. Negotiated Rate |
$460.93 |
| Max. Negotiated Rate |
$125,854.00 |
| Rate for Payer: Aetna Commercial |
$895.68
|
| Rate for Payer: Aetna Medicare |
$695.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$962.52
|
| Rate for Payer: BCBS Complete |
$483.98
|
| Rate for Payer: BCBS MAPPO |
$668.42
|
| Rate for Payer: BCBS Trust/PPO |
$668.83
|
| Rate for Payer: BCN Commercial |
$1,062.38
|
| Rate for Payer: BCN Medicare Advantage |
$668.42
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cofinity Commercial |
$962.52
|
| Rate for Payer: Cofinity Commercial |
$895.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$668.42
|
| Rate for Payer: Healthscope Commercial |
$1,236.58
|
| Rate for Payer: Healthscope Commercial |
$1,069.47
|
| Rate for Payer: Mclaren Medicaid |
$460.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$701.84
|
| Rate for Payer: Meridian Medicaid |
$483.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125,854.00
|
| Rate for Payer: Nomi Health Commercial |
$802.10
|
| Rate for Payer: PACE SWMI |
$668.42
|
| Rate for Payer: PHP Medicare Advantage |
$668.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,100.16
|
| Rate for Payer: Priority Health Medicare |
$668.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.16
|
| Rate for Payer: Priority Health SBD |
$1,100.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$860.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$668.42
|
| Rate for Payer: UHC Exchange |
$860.27
|
| Rate for Payer: UHC Medicare Advantage |
$668.42
|
| Rate for Payer: UHCCP Medicaid |
$460.93
|
|
|
PR OSTEOTOMY PHALANX FINGER EACH
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26567
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$126,842.00 |
| Rate for Payer: Aetna Commercial |
$903.83
|
| Rate for Payer: Aetna Medicare |
$701.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$903.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$971.28
|
| Rate for Payer: BCBS Complete |
$488.23
|
| Rate for Payer: BCBS MAPPO |
$674.50
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$1,070.70
|
| Rate for Payer: BCN Medicare Advantage |
$674.50
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$971.28
|
| Rate for Payer: Cofinity Commercial |
$903.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.50
|
| Rate for Payer: Healthscope Commercial |
$1,247.82
|
| Rate for Payer: Healthscope Commercial |
$1,079.20
|
| Rate for Payer: Mclaren Medicaid |
$464.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.22
|
| Rate for Payer: Meridian Medicaid |
$488.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126,842.00
|
| Rate for Payer: Nomi Health Commercial |
$809.40
|
| Rate for Payer: PACE SWMI |
$674.50
|
| Rate for Payer: PHP Medicare Advantage |
$674.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,113.39
|
| Rate for Payer: Priority Health Medicare |
$674.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,113.39
|
| Rate for Payer: Priority Health SBD |
$1,113.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$860.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$674.50
|
| Rate for Payer: UHC Exchange |
$860.83
|
| Rate for Payer: UHC Medicare Advantage |
$674.50
|
| Rate for Payer: UHCCP Medicaid |
$464.98
|
|
|
PR OSTEOTOMY RADIUS DISTAL THIRD
|
Professional
|
Both
|
$2,228.00
|
|
|
Service Code
|
HCPCS 25350
|
| Min. Negotiated Rate |
$441.98 |
| Max. Negotiated Rate |
$119,995.00 |
| Rate for Payer: Aetna Commercial |
$873.61
|
| Rate for Payer: Aetna Medicare |
$678.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$873.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$938.81
|
| Rate for Payer: BCBS Complete |
$464.08
|
| Rate for Payer: BCBS MAPPO |
$651.95
|
| Rate for Payer: BCBS Trust/PPO |
$604.38
|
| Rate for Payer: BCN Commercial |
$996.90
|
| Rate for Payer: BCN Medicare Advantage |
$651.95
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cofinity Commercial |
$938.81
|
| Rate for Payer: Cofinity Commercial |
$873.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.95
|
| Rate for Payer: Healthscope Commercial |
$1,206.11
|
| Rate for Payer: Healthscope Commercial |
$1,043.12
|
| Rate for Payer: Mclaren Medicaid |
$441.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$684.55
|
| Rate for Payer: Meridian Medicaid |
$464.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119,995.00
|
| Rate for Payer: Nomi Health Commercial |
$782.34
|
| Rate for Payer: PACE SWMI |
$651.95
|
| Rate for Payer: PHP Medicare Advantage |
$651.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,046.22
|
| Rate for Payer: Priority Health Medicare |
$651.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,046.22
|
| Rate for Payer: Priority Health SBD |
$1,046.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,034.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$651.95
|
| Rate for Payer: UHC Exchange |
$1,034.05
|
| Rate for Payer: UHC Medicare Advantage |
$651.95
|
| Rate for Payer: UHCCP Medicaid |
$441.98
|
|
|
PR OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 25355
|
| Min. Negotiated Rate |
$500.12 |
| Max. Negotiated Rate |
$135,970.00 |
| Rate for Payer: Aetna Commercial |
$992.07
|
| Rate for Payer: Aetna Medicare |
$769.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.07
|
| Rate for Payer: BCBS Complete |
$525.13
|
| Rate for Payer: BCBS MAPPO |
$740.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,041.28
|
| Rate for Payer: BCN Commercial |
$1,126.89
|
| Rate for Payer: BCN Medicare Advantage |
$740.35
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$992.07
|
| Rate for Payer: Cofinity Commercial |
$1,066.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.35
|
| Rate for Payer: Healthscope Commercial |
$1,369.65
|
| Rate for Payer: Healthscope Commercial |
$1,184.56
|
| Rate for Payer: Mclaren Medicaid |
$500.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.37
|
| Rate for Payer: Meridian Medicaid |
$525.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135,970.00
|
| Rate for Payer: Nomi Health Commercial |
$888.42
|
| Rate for Payer: PACE SWMI |
$740.35
|
| Rate for Payer: PHP Medicare Advantage |
$740.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$500.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,184.62
|
| Rate for Payer: Priority Health Medicare |
$740.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,184.62
|
| Rate for Payer: Priority Health SBD |
$1,184.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,127.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.35
|
| Rate for Payer: UHC Exchange |
$1,127.30
|
| Rate for Payer: UHC Medicare Advantage |
$740.35
|
| Rate for Payer: UHCCP Medicaid |
$500.12
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM
|
Professional
|
Both
|
$2,710.00
|
|
|
Service Code
|
HCPCS 22208
|
| Min. Negotiated Rate |
$378.08 |
| Max. Negotiated Rate |
$105,503.00 |
| Rate for Payer: Aetna Commercial |
$774.60
|
| Rate for Payer: Aetna Medicare |
$601.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$832.41
|
| Rate for Payer: BCBS Complete |
$396.98
|
| Rate for Payer: BCBS MAPPO |
$578.06
|
| Rate for Payer: BCBS Trust/PPO |
$13,048.08
|
| Rate for Payer: BCN Commercial |
$854.70
|
| Rate for Payer: BCN Medicare Advantage |
$578.06
|
| Rate for Payer: Cash Price |
$2,168.00
|
| Rate for Payer: Cash Price |
$2,168.00
|
| Rate for Payer: Cofinity Commercial |
$832.41
|
| Rate for Payer: Cofinity Commercial |
$774.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$578.06
|
| Rate for Payer: Healthscope Commercial |
$1,069.41
|
| Rate for Payer: Healthscope Commercial |
$924.90
|
| Rate for Payer: Mclaren Medicaid |
$378.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$606.96
|
| Rate for Payer: Meridian Medicaid |
$396.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105,503.00
|
| Rate for Payer: Nomi Health Commercial |
$693.67
|
| Rate for Payer: PACE SWMI |
$578.06
|
| Rate for Payer: PHP Medicare Advantage |
$578.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,761.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$897.12
|
| Rate for Payer: Priority Health Medicare |
$578.06
|
| Rate for Payer: Priority Health Narrow Network |
$897.12
|
| Rate for Payer: Priority Health SBD |
$897.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$578.06
|
| Rate for Payer: UHC Medicare Advantage |
$578.06
|
| Rate for Payer: UHCCP Medicaid |
$378.08
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR
|
Professional
|
Both
|
$5,015.00
|
|
|
Service Code
|
HCPCS 22207
|
| Min. Negotiated Rate |
$950.50 |
| Max. Negotiated Rate |
$429,628.00 |
| Rate for Payer: Aetna Commercial |
$3,129.85
|
| Rate for Payer: Aetna Medicare |
$2,429.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,129.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,363.42
|
| Rate for Payer: BCBS Complete |
$1,624.59
|
| Rate for Payer: BCBS MAPPO |
$2,335.71
|
| Rate for Payer: BCBS Trust/PPO |
$950.50
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,335.71
|
| Rate for Payer: Cash Price |
$4,012.00
|
| Rate for Payer: Cash Price |
$4,012.00
|
| Rate for Payer: Cofinity Commercial |
$3,363.42
|
| Rate for Payer: Cofinity Commercial |
$3,129.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,335.71
|
| Rate for Payer: Healthscope Commercial |
$3,737.14
|
| Rate for Payer: Healthscope Commercial |
$4,321.06
|
| Rate for Payer: Mclaren Medicaid |
$1,547.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,452.50
|
| Rate for Payer: Meridian Medicaid |
$1,624.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$429,628.00
|
| Rate for Payer: Nomi Health Commercial |
$2,802.85
|
| Rate for Payer: PACE SWMI |
$2,335.71
|
| Rate for Payer: PHP Medicare Advantage |
$2,335.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,547.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,259.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,686.70
|
| Rate for Payer: Priority Health Medicare |
$2,335.71
|
| Rate for Payer: Priority Health Narrow Network |
$3,686.70
|
| Rate for Payer: Priority Health SBD |
$3,686.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,335.71
|
| Rate for Payer: UHC Medicare Advantage |
$2,335.71
|
| Rate for Payer: UHCCP Medicaid |
$1,547.23
|
|
|
PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC
|
Professional
|
Both
|
$5,121.00
|
|
|
Service Code
|
HCPCS 22206
|
| Min. Negotiated Rate |
$1,588.55 |
| Max. Negotiated Rate |
$438,741.00 |
| Rate for Payer: Aetna Commercial |
$3,222.35
|
| Rate for Payer: Aetna Medicare |
$2,500.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,222.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,462.83
|
| Rate for Payer: BCBS Complete |
$1,667.98
|
| Rate for Payer: BCBS MAPPO |
$2,404.74
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$3,582.01
|
| Rate for Payer: BCN Medicare Advantage |
$2,404.74
|
| Rate for Payer: Cash Price |
$4,096.80
|
| Rate for Payer: Cash Price |
$4,096.80
|
| Rate for Payer: Cofinity Commercial |
$3,462.83
|
| Rate for Payer: Cofinity Commercial |
$3,222.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,404.74
|
| Rate for Payer: Healthscope Commercial |
$3,847.58
|
| Rate for Payer: Healthscope Commercial |
$4,448.77
|
| Rate for Payer: Mclaren Medicaid |
$1,588.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,524.98
|
| Rate for Payer: Meridian Medicaid |
$1,667.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$438,741.00
|
| Rate for Payer: Nomi Health Commercial |
$2,885.69
|
| Rate for Payer: PACE SWMI |
$2,404.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,404.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,588.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,328.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,768.62
|
| Rate for Payer: Priority Health Medicare |
$2,404.74
|
| Rate for Payer: Priority Health Narrow Network |
$3,768.62
|
| Rate for Payer: Priority Health SBD |
$3,768.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,404.74
|
| Rate for Payer: UHC Medicare Advantage |
$2,404.74
|
| Rate for Payer: UHCCP Medicaid |
$1,588.55
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,726.00
|
|
|
Service Code
|
HCPCS 22210
|
| Min. Negotiated Rate |
$1,160.64 |
| Max. Negotiated Rate |
$319,480.00 |
| Rate for Payer: Aetna Commercial |
$2,338.11
|
| Rate for Payer: Aetna Medicare |
$1,814.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,338.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,512.60
|
| Rate for Payer: BCBS Complete |
$1,218.67
|
| Rate for Payer: BCBS MAPPO |
$1,744.86
|
| Rate for Payer: BCBS Trust/PPO |
$13,048.08
|
| Rate for Payer: BCN Commercial |
$2,885.69
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.86
|
| Rate for Payer: Cash Price |
$2,980.80
|
| Rate for Payer: Cash Price |
$2,980.80
|
| Rate for Payer: Cofinity Commercial |
$2,512.60
|
| Rate for Payer: Cofinity Commercial |
$2,338.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.86
|
| Rate for Payer: Healthscope Commercial |
$3,227.99
|
| Rate for Payer: Healthscope Commercial |
$2,791.78
|
| Rate for Payer: Mclaren Medicaid |
$1,160.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,832.10
|
| Rate for Payer: Meridian Medicaid |
$1,218.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319,480.00
|
| Rate for Payer: Nomi Health Commercial |
$2,093.83
|
| Rate for Payer: PACE SWMI |
$1,744.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,160.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,421.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,760.57
|
| Rate for Payer: Priority Health Medicare |
$1,744.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,760.57
|
| Rate for Payer: Priority Health SBD |
$2,760.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,887.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,744.86
|
| Rate for Payer: UHC Exchange |
$1,887.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,744.86
|
| Rate for Payer: UHCCP Medicaid |
$1,160.64
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR
|
Professional
|
Both
|
$3,100.00
|
|
|
Service Code
|
HCPCS 22214
|
| Min. Negotiated Rate |
$985.34 |
| Max. Negotiated Rate |
$270,256.00 |
| Rate for Payer: Aetna Commercial |
$1,977.81
|
| Rate for Payer: Aetna Medicare |
$1,535.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,977.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,125.41
|
| Rate for Payer: BCBS Complete |
$1,034.61
|
| Rate for Payer: BCBS MAPPO |
$1,475.98
|
| Rate for Payer: BCBS Trust/PPO |
$17,177.60
|
| Rate for Payer: BCN Commercial |
$2,222.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,475.98
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cofinity Commercial |
$2,125.41
|
| Rate for Payer: Cofinity Commercial |
$1,977.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,475.98
|
| Rate for Payer: Healthscope Commercial |
$2,730.56
|
| Rate for Payer: Healthscope Commercial |
$2,361.57
|
| Rate for Payer: Mclaren Medicaid |
$985.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,549.78
|
| Rate for Payer: Meridian Medicaid |
$1,034.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270,256.00
|
| Rate for Payer: Nomi Health Commercial |
$1,771.18
|
| Rate for Payer: PACE SWMI |
$1,475.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,475.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$985.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,015.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,336.69
|
| Rate for Payer: Priority Health Medicare |
$1,475.98
|
| Rate for Payer: Priority Health Narrow Network |
$2,336.69
|
| Rate for Payer: Priority Health SBD |
$2,336.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,736.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,475.98
|
| Rate for Payer: UHC Exchange |
$1,736.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,475.98
|
| Rate for Payer: UHCCP Medicaid |
$985.34
|
|
|
PR OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC
|
Professional
|
Both
|
$3,087.00
|
|
|
Service Code
|
HCPCS 22212
|
| Min. Negotiated Rate |
$24.96 |
| Max. Negotiated Rate |
$270,162.00 |
| Rate for Payer: Aetna Commercial |
$1,981.14
|
| Rate for Payer: Aetna Medicare |
$1,537.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,981.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,128.98
|
| Rate for Payer: BCBS Complete |
$1,036.17
|
| Rate for Payer: BCBS MAPPO |
$1,478.46
|
| Rate for Payer: BCBS Trust/PPO |
$24.96
|
| Rate for Payer: BCN Commercial |
$2,222.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,478.46
|
| Rate for Payer: Cash Price |
$2,469.60
|
| Rate for Payer: Cash Price |
$2,469.60
|
| Rate for Payer: Cofinity Commercial |
$2,128.98
|
| Rate for Payer: Cofinity Commercial |
$1,981.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,478.46
|
| Rate for Payer: Healthscope Commercial |
$2,735.15
|
| Rate for Payer: Healthscope Commercial |
$2,365.54
|
| Rate for Payer: Mclaren Medicaid |
$986.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,552.38
|
| Rate for Payer: Meridian Medicaid |
$1,036.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$270,162.00
|
| Rate for Payer: Nomi Health Commercial |
$1,774.15
|
| Rate for Payer: PACE SWMI |
$1,478.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,478.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$986.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,006.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,336.18
|
| Rate for Payer: Priority Health Medicare |
$1,478.46
|
| Rate for Payer: Priority Health Narrow Network |
$2,336.18
|
| Rate for Payer: Priority Health SBD |
$2,336.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,583.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,478.46
|
| Rate for Payer: UHC Exchange |
$1,583.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,478.46
|
| Rate for Payer: UHCCP Medicaid |
$986.83
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV
|
Professional
|
Both
|
$3,290.00
|
|
|
Service Code
|
HCPCS 22220
|
| Min. Negotiated Rate |
$180.34 |
| Max. Negotiated Rate |
$289,465.00 |
| Rate for Payer: Aetna Commercial |
$2,130.08
|
| Rate for Payer: Aetna Medicare |
$1,653.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,130.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,289.04
|
| Rate for Payer: BCBS Complete |
$1,111.32
|
| Rate for Payer: BCBS MAPPO |
$1,589.61
|
| Rate for Payer: BCBS Trust/PPO |
$180.34
|
| Rate for Payer: BCN Commercial |
$2,617.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,589.61
|
| Rate for Payer: Cash Price |
$2,632.00
|
| Rate for Payer: Cash Price |
$2,632.00
|
| Rate for Payer: Cofinity Commercial |
$2,289.04
|
| Rate for Payer: Cofinity Commercial |
$2,130.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,589.61
|
| Rate for Payer: Healthscope Commercial |
$2,940.78
|
| Rate for Payer: Healthscope Commercial |
$2,543.38
|
| Rate for Payer: Mclaren Medicaid |
$1,058.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,669.09
|
| Rate for Payer: Meridian Medicaid |
$1,111.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289,465.00
|
| Rate for Payer: Nomi Health Commercial |
$1,907.53
|
| Rate for Payer: PACE SWMI |
$1,589.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,589.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,058.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,138.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,496.98
|
| Rate for Payer: Priority Health Medicare |
$1,589.61
|
| Rate for Payer: Priority Health Narrow Network |
$2,496.98
|
| Rate for Payer: Priority Health SBD |
$2,496.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,804.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,589.61
|
| Rate for Payer: UHC Exchange |
$1,804.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,589.61
|
| Rate for Payer: UHCCP Medicaid |
$1,058.40
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL
|
Professional
|
Both
|
$669.00
|
|
|
Service Code
|
HCPCS 22226
|
| Min. Negotiated Rate |
$230.25 |
| Max. Negotiated Rate |
$64,150.00 |
| Rate for Payer: Aetna Commercial |
$469.64
|
| Rate for Payer: Aetna Medicare |
$364.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$504.69
|
| Rate for Payer: BCBS Complete |
$241.76
|
| Rate for Payer: BCBS MAPPO |
$350.48
|
| Rate for Payer: BCBS Trust/PPO |
$233.52
|
| Rate for Payer: BCN Commercial |
$573.58
|
| Rate for Payer: BCN Medicare Advantage |
$350.48
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cofinity Commercial |
$504.69
|
| Rate for Payer: Cofinity Commercial |
$469.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$350.48
|
| Rate for Payer: Healthscope Commercial |
$648.39
|
| Rate for Payer: Healthscope Commercial |
$560.77
|
| Rate for Payer: Mclaren Medicaid |
$230.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.00
|
| Rate for Payer: Meridian Medicaid |
$241.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64,150.00
|
| Rate for Payer: Nomi Health Commercial |
$420.58
|
| Rate for Payer: PACE SWMI |
$350.48
|
| Rate for Payer: PHP Medicare Advantage |
$350.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$230.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$544.49
|
| Rate for Payer: Priority Health Medicare |
$350.48
|
| Rate for Payer: Priority Health Narrow Network |
$544.49
|
| Rate for Payer: Priority Health SBD |
$544.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$447.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$350.48
|
| Rate for Payer: UHC Exchange |
$447.66
|
| Rate for Payer: UHC Medicare Advantage |
$350.48
|
| Rate for Payer: UHCCP Medicaid |
$230.25
|
|
|
PR OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR
|
Professional
|
Both
|
$3,280.00
|
|
|
Service Code
|
HCPCS 22224
|
| Min. Negotiated Rate |
$180.34 |
| Max. Negotiated Rate |
$281,858.00 |
| Rate for Payer: Aetna Commercial |
$2,062.43
|
| Rate for Payer: Aetna Medicare |
$1,600.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,062.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,216.35
|
| Rate for Payer: BCBS Complete |
$1,080.01
|
| Rate for Payer: BCBS MAPPO |
$1,539.13
|
| Rate for Payer: BCBS Trust/PPO |
$180.34
|
| Rate for Payer: BCN Commercial |
$2,319.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,539.13
|
| Rate for Payer: Cash Price |
$2,624.00
|
| Rate for Payer: Cash Price |
$2,624.00
|
| Rate for Payer: Cofinity Commercial |
$2,216.35
|
| Rate for Payer: Cofinity Commercial |
$2,062.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,539.13
|
| Rate for Payer: Healthscope Commercial |
$2,847.39
|
| Rate for Payer: Healthscope Commercial |
$2,462.61
|
| Rate for Payer: Mclaren Medicaid |
$1,028.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,616.09
|
| Rate for Payer: Meridian Medicaid |
$1,080.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$281,858.00
|
| Rate for Payer: Nomi Health Commercial |
$1,846.96
|
| Rate for Payer: PACE SWMI |
$1,539.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,539.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,028.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,132.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,434.38
|
| Rate for Payer: Priority Health Medicare |
$1,539.13
|
| Rate for Payer: Priority Health Narrow Network |
$2,434.38
|
| Rate for Payer: Priority Health SBD |
$2,434.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,811.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,539.13
|
| Rate for Payer: UHC Exchange |
$1,811.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,539.13
|
| Rate for Payer: UHCCP Medicaid |
$1,028.58
|
|
|
PR OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS
|
Professional
|
Both
|
$1,516.00
|
|
|
Service Code
|
HCPCS 28304
|
| Min. Negotiated Rate |
$399.80 |
| Max. Negotiated Rate |
$108,637.00 |
| Rate for Payer: Aetna Commercial |
$792.90
|
| Rate for Payer: Aetna Medicare |
$615.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$792.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$852.08
|
| Rate for Payer: BCBS Complete |
$419.79
|
| Rate for Payer: BCBS MAPPO |
$591.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.98
|
| Rate for Payer: BCN Commercial |
$1,211.44
|
| Rate for Payer: BCN Medicare Advantage |
$591.72
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cofinity Commercial |
$852.08
|
| Rate for Payer: Cofinity Commercial |
$792.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.72
|
| Rate for Payer: Healthscope Commercial |
$946.75
|
| Rate for Payer: Healthscope Commercial |
$1,094.68
|
| Rate for Payer: Mclaren Medicaid |
$399.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$621.31
|
| Rate for Payer: Meridian Medicaid |
$419.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108,637.00
|
| Rate for Payer: Nomi Health Commercial |
$710.06
|
| Rate for Payer: PACE SWMI |
$591.72
|
| Rate for Payer: PHP Medicare Advantage |
$591.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$945.46
|
| Rate for Payer: Priority Health Medicare |
$591.72
|
| Rate for Payer: Priority Health Narrow Network |
$945.46
|
| Rate for Payer: Priority Health SBD |
$945.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$794.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$591.72
|
| Rate for Payer: UHC Exchange |
$794.45
|
| Rate for Payer: UHC Medicare Advantage |
$591.72
|
| Rate for Payer: UHCCP Medicaid |
$399.80
|
|
|
PR OSTEOTOMY TIBIA
|
Professional
|
Both
|
$3,036.00
|
|
|
Service Code
|
HCPCS 27705
|
| Min. Negotiated Rate |
$483.30 |
| Max. Negotiated Rate |
$133,796.00 |
| Rate for Payer: Aetna Commercial |
$959.65
|
| Rate for Payer: Aetna Medicare |
$744.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,031.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$959.65
|
| Rate for Payer: BCBS Complete |
$507.46
|
| Rate for Payer: BCBS MAPPO |
$716.16
|
| Rate for Payer: BCBS Trust/PPO |
$2,650.81
|
| Rate for Payer: BCN Commercial |
$1,107.35
|
| Rate for Payer: BCN Medicare Advantage |
$716.16
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cofinity Commercial |
$959.65
|
| Rate for Payer: Cofinity Commercial |
$1,031.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.16
|
| Rate for Payer: Healthscope Commercial |
$1,324.90
|
| Rate for Payer: Healthscope Commercial |
$1,145.86
|
| Rate for Payer: Mclaren Medicaid |
$483.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$751.97
|
| Rate for Payer: Meridian Medicaid |
$507.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133,796.00
|
| Rate for Payer: Nomi Health Commercial |
$859.39
|
| Rate for Payer: PACE SWMI |
$716.16
|
| Rate for Payer: PHP Medicare Advantage |
$716.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,973.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,155.12
|
| Rate for Payer: Priority Health Medicare |
$716.16
|
| Rate for Payer: Priority Health Narrow Network |
$1,155.12
|
| Rate for Payer: Priority Health SBD |
$1,155.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,068.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$716.16
|
| Rate for Payer: UHC Exchange |
$1,068.80
|
| Rate for Payer: UHC Medicare Advantage |
$716.16
|
| Rate for Payer: UHCCP Medicaid |
$483.30
|
|
|
PR OSTEOTOMY TIBIA & FIBULA
|
Professional
|
Both
|
$3,469.00
|
|
|
Service Code
|
HCPCS 27709
|
| Min. Negotiated Rate |
$490.37 |
| Max. Negotiated Rate |
$201,344.00 |
| Rate for Payer: Aetna Commercial |
$1,471.36
|
| Rate for Payer: Aetna Medicare |
$1,141.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,471.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,581.16
|
| Rate for Payer: BCBS Complete |
$774.72
|
| Rate for Payer: BCBS MAPPO |
$1,098.03
|
| Rate for Payer: BCBS Trust/PPO |
$490.37
|
| Rate for Payer: BCN Commercial |
$1,659.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,098.03
|
| Rate for Payer: Cash Price |
$2,775.20
|
| Rate for Payer: Cash Price |
$2,775.20
|
| Rate for Payer: Cofinity Commercial |
$1,581.16
|
| Rate for Payer: Cofinity Commercial |
$1,471.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,098.03
|
| Rate for Payer: Healthscope Commercial |
$2,031.36
|
| Rate for Payer: Healthscope Commercial |
$1,756.85
|
| Rate for Payer: Mclaren Medicaid |
$737.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,152.93
|
| Rate for Payer: Meridian Medicaid |
$774.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$201,344.00
|
| Rate for Payer: Nomi Health Commercial |
$1,317.64
|
| Rate for Payer: PACE SWMI |
$1,098.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,098.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$737.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,254.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,757.10
|
| Rate for Payer: Priority Health Medicare |
$1,098.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,757.10
|
| Rate for Payer: Priority Health SBD |
$1,757.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,028.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,098.03
|
| Rate for Payer: UHC Exchange |
$1,028.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,098.03
|
| Rate for Payer: UHCCP Medicaid |
$737.83
|
|
|
PR OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX
|
Professional
|
Both
|
$3,164.00
|
|
|
Service Code
|
HCPCS 27140
|
| Min. Negotiated Rate |
$583.62 |
| Max. Negotiated Rate |
$159,160.00 |
| Rate for Payer: Aetna Commercial |
$1,160.99
|
| Rate for Payer: Aetna Medicare |
$901.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,160.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,247.63
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$866.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,363.54
|
| Rate for Payer: BCN Commercial |
$1,316.01
|
| Rate for Payer: BCN Medicare Advantage |
$866.41
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cash Price |
$2,531.20
|
| Rate for Payer: Cofinity Commercial |
$1,247.63
|
| Rate for Payer: Cofinity Commercial |
$1,160.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.41
|
| Rate for Payer: Healthscope Commercial |
$1,602.86
|
| Rate for Payer: Healthscope Commercial |
$1,386.26
|
| Rate for Payer: Mclaren Medicaid |
$583.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$909.73
|
| Rate for Payer: Meridian Medicaid |
$612.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159,160.00
|
| Rate for Payer: Nomi Health Commercial |
$1,039.69
|
| Rate for Payer: PACE SWMI |
$866.41
|
| Rate for Payer: PHP Medicare Advantage |
$866.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$583.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,056.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,382.07
|
| Rate for Payer: Priority Health Medicare |
$866.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,382.07
|
| Rate for Payer: Priority Health SBD |
$1,382.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,085.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$866.41
|
| Rate for Payer: UHC Exchange |
$1,085.04
|
| Rate for Payer: UHC Medicare Advantage |
$866.41
|
| Rate for Payer: UHCCP Medicaid |
$583.62
|
|
|
PR OSTEOTOMY ULNA
|
Professional
|
Both
|
$2,228.00
|
|
|
Service Code
|
HCPCS 25360
|
| Min. Negotiated Rate |
$430.47 |
| Max. Negotiated Rate |
$116,608.00 |
| Rate for Payer: Aetna Commercial |
$851.05
|
| Rate for Payer: Aetna Medicare |
$660.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$851.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$914.56
|
| Rate for Payer: BCBS Complete |
$451.99
|
| Rate for Payer: BCBS MAPPO |
$635.11
|
| Rate for Payer: BCBS Trust/PPO |
$677.28
|
| Rate for Payer: BCN Commercial |
$969.05
|
| Rate for Payer: BCN Medicare Advantage |
$635.11
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cash Price |
$1,782.40
|
| Rate for Payer: Cofinity Commercial |
$914.56
|
| Rate for Payer: Cofinity Commercial |
$851.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.11
|
| Rate for Payer: Healthscope Commercial |
$1,174.95
|
| Rate for Payer: Healthscope Commercial |
$1,016.18
|
| Rate for Payer: Mclaren Medicaid |
$430.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$666.87
|
| Rate for Payer: Meridian Medicaid |
$451.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$116,608.00
|
| Rate for Payer: Nomi Health Commercial |
$762.13
|
| Rate for Payer: PACE SWMI |
$635.11
|
| Rate for Payer: PHP Medicare Advantage |
$635.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$430.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,448.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,019.25
|
| Rate for Payer: Priority Health Medicare |
$635.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,019.25
|
| Rate for Payer: Priority Health SBD |
$1,019.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$635.11
|
| Rate for Payer: UHC Exchange |
$1,017.14
|
| Rate for Payer: UHC Medicare Advantage |
$635.11
|
| Rate for Payer: UHCCP Medicaid |
$430.47
|
|
