|
PR SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO
|
Professional
|
Both
|
$723.00
|
|
|
Service Code
|
HCPCS 99472
|
| Min. Negotiated Rate |
$67.62 |
| Max. Negotiated Rate |
$57,788.00 |
| Rate for Payer: Aetna Commercial |
$508.22
|
| Rate for Payer: Aetna Medicare |
$394.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.15
|
| Rate for Payer: BCBS Complete |
$398.23
|
| Rate for Payer: BCBS MAPPO |
$379.27
|
| Rate for Payer: BCBS Trust/PPO |
$67.62
|
| Rate for Payer: BCN Commercial |
$566.38
|
| Rate for Payer: BCN Medicare Advantage |
$379.27
|
| Rate for Payer: Cash Price |
$578.40
|
| Rate for Payer: Cash Price |
$578.40
|
| Rate for Payer: Cofinity Commercial |
$546.15
|
| Rate for Payer: Cofinity Commercial |
$508.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.27
|
| Rate for Payer: Healthscope Commercial |
$606.83
|
| Rate for Payer: Healthscope Commercial |
$701.65
|
| Rate for Payer: Mclaren Medicaid |
$379.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.23
|
| Rate for Payer: Meridian Medicaid |
$398.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,788.00
|
| Rate for Payer: Nomi Health Commercial |
$455.12
|
| Rate for Payer: PACE SWMI |
$379.27
|
| Rate for Payer: PHP Medicare Advantage |
$379.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$469.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$619.98
|
| Rate for Payer: Priority Health Medicare |
$379.27
|
| Rate for Payer: Priority Health Narrow Network |
$619.98
|
| Rate for Payer: Priority Health SBD |
$619.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.27
|
| Rate for Payer: UHC Medicare Advantage |
$379.27
|
| Rate for Payer: UHCCP Medicaid |
$379.27
|
|
|
PR SUBTEMPORAL CRANIAL DECOMPRESSION
|
Professional
|
Both
|
$4,236.00
|
|
|
Service Code
|
HCPCS 61340
|
| Min. Negotiated Rate |
$470.19 |
| Max. Negotiated Rate |
$261,230.00 |
| Rate for Payer: Aetna Commercial |
$1,917.20
|
| Rate for Payer: Aetna Medicare |
$1,487.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,917.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,060.28
|
| Rate for Payer: BCBS Complete |
$988.75
|
| Rate for Payer: BCBS MAPPO |
$1,430.75
|
| Rate for Payer: BCBS Trust/PPO |
$470.19
|
| Rate for Payer: BCN Commercial |
$2,953.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,430.75
|
| Rate for Payer: Cash Price |
$3,388.80
|
| Rate for Payer: Cash Price |
$3,388.80
|
| Rate for Payer: Cofinity Commercial |
$2,060.28
|
| Rate for Payer: Cofinity Commercial |
$1,917.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,430.75
|
| Rate for Payer: Healthscope Commercial |
$2,646.89
|
| Rate for Payer: Healthscope Commercial |
$2,289.20
|
| Rate for Payer: Mclaren Medicaid |
$941.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,502.29
|
| Rate for Payer: Meridian Medicaid |
$988.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$261,230.00
|
| Rate for Payer: Nomi Health Commercial |
$1,716.90
|
| Rate for Payer: PACE SWMI |
$1,430.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,430.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$941.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,753.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,500.64
|
| Rate for Payer: Priority Health Medicare |
$1,430.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,500.64
|
| Rate for Payer: Priority Health SBD |
$2,500.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,483.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,430.75
|
| Rate for Payer: UHC Exchange |
$1,483.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,430.75
|
| Rate for Payer: UHCCP Medicaid |
$941.67
|
|
|
PR SUCTION ASSISTED LIPECTOMY HEAD & NECK
|
Professional
|
Both
|
$2,040.00
|
|
|
Service Code
|
HCPCS 15876
|
| Min. Negotiated Rate |
$217.36 |
| Max. Negotiated Rate |
$1,326.00 |
| Rate for Payer: Aetna Commercial |
$367.50
|
| Rate for Payer: Aetna Medicare |
$1,020.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$367.50
|
| Rate for Payer: BCBS Complete |
$542.13
|
| Rate for Payer: BCBS Trust/PPO |
$438.68
|
| Rate for Payer: BCN Commercial |
$873.51
|
| Rate for Payer: Cash Price |
$1,632.00
|
| Rate for Payer: Cash Price |
$1,632.00
|
| Rate for Payer: Mclaren Medicaid |
$516.31
|
| Rate for Payer: Meridian Medicaid |
$542.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,326.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,326.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$217.36
|
| Rate for Payer: Priority Health Narrow Network |
$217.36
|
| Rate for Payer: Priority Health SBD |
$217.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$750.00
|
| Rate for Payer: UHC Exchange |
$750.00
|
| Rate for Payer: UHCCP Medicaid |
$516.31
|
|
|
PR SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY
|
Professional
|
Both
|
$3,162.00
|
|
|
Service Code
|
HCPCS 15879
|
| Min. Negotiated Rate |
$106.97 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Commercial |
$656.25
|
| Rate for Payer: Aetna Medicare |
$1,581.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$656.25
|
| Rate for Payer: BCBS Complete |
$1,264.80
|
| Rate for Payer: BCBS Trust/PPO |
$106.97
|
| Rate for Payer: BCN Commercial |
$890.53
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,055.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,055.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$217.36
|
| Rate for Payer: Priority Health Narrow Network |
$217.36
|
| Rate for Payer: Priority Health SBD |
$217.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,200.00
|
| Rate for Payer: UHC Exchange |
$1,200.00
|
|
|
PR SUCTION ASSISTED LIPECTOMY TRUNK
|
Professional
|
Both
|
$2,754.00
|
|
|
Service Code
|
HCPCS 15877
|
| Min. Negotiated Rate |
$217.36 |
| Max. Negotiated Rate |
$1,790.10 |
| Rate for Payer: Aetna Commercial |
$656.25
|
| Rate for Payer: Aetna Medicare |
$1,377.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$656.25
|
| Rate for Payer: BCBS Complete |
$1,101.60
|
| Rate for Payer: BCBS Trust/PPO |
$438.68
|
| Rate for Payer: BCN Commercial |
$882.90
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,790.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,790.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$217.36
|
| Rate for Payer: Priority Health Narrow Network |
$217.36
|
| Rate for Payer: Priority Health SBD |
$217.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,200.00
|
| Rate for Payer: UHC Exchange |
$1,200.00
|
|
|
PR SUMATRIPTAN SUCCINATE / 6 MG
|
Professional
|
Both
|
$112.00
|
|
|
Service Code
|
HCPCS J3030
|
| Min. Negotiated Rate |
$2.09 |
| Max. Negotiated Rate |
$6,401.00 |
| Rate for Payer: Aetna Commercial |
$60.24
|
| Rate for Payer: Aetna Medicare |
$56.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.24
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.09
|
| Rate for Payer: BCN Commercial |
$2.10
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,401.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.94
|
| Rate for Payer: UHC Exchange |
$51.94
|
|
|
PR SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 99377
|
| Min. Negotiated Rate |
$54.40 |
| Max. Negotiated Rate |
$7,965.00 |
| Rate for Payer: Aetna Commercial |
$55.68
|
| Rate for Payer: Aetna Medicare |
$68.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.68
|
| Rate for Payer: BCBS Complete |
$54.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,432.75
|
| Rate for Payer: BCN Commercial |
$98.23
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,965.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.80
|
| Rate for Payer: Priority Health Narrow Network |
$71.80
|
| Rate for Payer: Priority Health SBD |
$71.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.90
|
| Rate for Payer: UHC Exchange |
$108.90
|
|
|
PR SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 99485
|
| Min. Negotiated Rate |
$61.20 |
| Max. Negotiated Rate |
$10,857.00 |
| Rate for Payer: Aetna Commercial |
$75.97
|
| Rate for Payer: Aetna Medicare |
$76.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.97
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCN Commercial |
$106.53
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,857.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.37
|
| Rate for Payer: Priority Health Narrow Network |
$97.37
|
| Rate for Payer: Priority Health SBD |
$97.37
|
|
|
PR SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 99379
|
| Min. Negotiated Rate |
$54.40 |
| Max. Negotiated Rate |
$7,965.00 |
| Rate for Payer: Aetna Commercial |
$55.68
|
| Rate for Payer: Aetna Medicare |
$68.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.68
|
| Rate for Payer: BCBS Complete |
$54.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,731.31
|
| Rate for Payer: BCN Commercial |
$98.23
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,965.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.80
|
| Rate for Payer: Priority Health Narrow Network |
$71.80
|
| Rate for Payer: Priority Health SBD |
$71.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.90
|
| Rate for Payer: UHC Exchange |
$108.90
|
|
|
PR SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 99380
|
| Min. Negotiated Rate |
$69.20 |
| Max. Negotiated Rate |
$12,443.00 |
| Rate for Payer: Aetna Commercial |
$87.31
|
| Rate for Payer: Aetna Medicare |
$86.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.31
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS Trust/PPO |
$843.17
|
| Rate for Payer: BCN Commercial |
$146.11
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,443.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.18
|
| Rate for Payer: Priority Health Narrow Network |
$112.18
|
| Rate for Payer: Priority Health SBD |
$112.18
|
|
|
PR SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 99375
|
| Min. Negotiated Rate |
$74.00 |
| Max. Negotiated Rate |
$12,443.00 |
| Rate for Payer: Aetna Commercial |
$87.31
|
| Rate for Payer: Aetna Medicare |
$92.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.31
|
| Rate for Payer: BCBS Complete |
$74.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,731.31
|
| Rate for Payer: BCN Commercial |
$146.11
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,443.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.18
|
| Rate for Payer: Priority Health Narrow Network |
$112.18
|
| Rate for Payer: Priority Health SBD |
$112.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.68
|
| Rate for Payer: UHC Exchange |
$141.68
|
|
|
PR SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY
|
Professional
|
Both
|
$3,240.00
|
|
|
Service Code
|
HCPCS 58180
|
| Min. Negotiated Rate |
$161.66 |
| Max. Negotiated Rate |
$171,427.00 |
| Rate for Payer: Aetna Commercial |
$1,239.65
|
| Rate for Payer: Aetna Medicare |
$962.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,239.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,332.16
|
| Rate for Payer: BCBS Complete |
$647.91
|
| Rate for Payer: BCBS MAPPO |
$925.11
|
| Rate for Payer: BCBS Trust/PPO |
$161.66
|
| Rate for Payer: BCN Commercial |
$1,403.97
|
| Rate for Payer: BCN Medicare Advantage |
$925.11
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cofinity Commercial |
$1,332.16
|
| Rate for Payer: Cofinity Commercial |
$1,239.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$925.11
|
| Rate for Payer: Healthscope Commercial |
$1,711.45
|
| Rate for Payer: Healthscope Commercial |
$1,480.18
|
| Rate for Payer: Mclaren Medicaid |
$617.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$971.37
|
| Rate for Payer: Meridian Medicaid |
$647.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171,427.00
|
| Rate for Payer: Nomi Health Commercial |
$1,110.13
|
| Rate for Payer: PACE SWMI |
$925.11
|
| Rate for Payer: PHP Medicare Advantage |
$925.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$617.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,106.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,436.56
|
| Rate for Payer: Priority Health Medicare |
$925.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,436.56
|
| Rate for Payer: Priority Health SBD |
$1,436.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,172.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$925.11
|
| Rate for Payer: UHC Exchange |
$1,172.00
|
| Rate for Payer: UHC Medicare Advantage |
$925.11
|
| Rate for Payer: UHCCP Medicaid |
$617.06
|
|
|
PR SUPRAHYOID LYMPHADENECTOMY
|
Professional
|
Both
|
$1,460.00
|
|
|
Service Code
|
HCPCS 38700
|
| Min. Negotiated Rate |
$494.49 |
| Max. Negotiated Rate |
$143,302.00 |
| Rate for Payer: Aetna Commercial |
$1,034.59
|
| Rate for Payer: Aetna Medicare |
$802.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,034.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,111.80
|
| Rate for Payer: BCBS Complete |
$545.71
|
| Rate for Payer: BCBS MAPPO |
$772.08
|
| Rate for Payer: BCBS Trust/PPO |
$494.49
|
| Rate for Payer: BCN Commercial |
$1,182.60
|
| Rate for Payer: BCN Medicare Advantage |
$772.08
|
| Rate for Payer: Cash Price |
$1,168.00
|
| Rate for Payer: Cash Price |
$1,168.00
|
| Rate for Payer: Cofinity Commercial |
$1,111.80
|
| Rate for Payer: Cofinity Commercial |
$1,034.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.08
|
| Rate for Payer: Healthscope Commercial |
$1,428.35
|
| Rate for Payer: Healthscope Commercial |
$1,235.33
|
| Rate for Payer: Mclaren Medicaid |
$519.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.68
|
| Rate for Payer: Meridian Medicaid |
$545.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143,302.00
|
| Rate for Payer: Nomi Health Commercial |
$926.50
|
| Rate for Payer: PACE SWMI |
$772.08
|
| Rate for Payer: PHP Medicare Advantage |
$772.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$519.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$949.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,615.78
|
| Rate for Payer: Priority Health Medicare |
$772.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,615.78
|
| Rate for Payer: Priority Health SBD |
$1,615.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$897.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.08
|
| Rate for Payer: UHC Exchange |
$897.30
|
| Rate for Payer: UHC Medicare Advantage |
$772.08
|
| Rate for Payer: UHCCP Medicaid |
$519.72
|
|
|
PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I
|
Professional
|
Both
|
$716.00
|
|
|
Service Code
|
HCPCS 36253
|
| Min. Negotiated Rate |
$220.46 |
| Max. Negotiated Rate |
$62,008.00 |
| Rate for Payer: Aetna Commercial |
$446.50
|
| Rate for Payer: Aetna Medicare |
$346.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.82
|
| Rate for Payer: BCBS Complete |
$231.48
|
| Rate for Payer: BCBS MAPPO |
$333.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,416.90
|
| Rate for Payer: BCN Commercial |
$2,962.36
|
| Rate for Payer: BCN Medicare Advantage |
$333.21
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$479.82
|
| Rate for Payer: Cofinity Commercial |
$446.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.21
|
| Rate for Payer: Healthscope Commercial |
$533.14
|
| Rate for Payer: Healthscope Commercial |
$616.44
|
| Rate for Payer: Mclaren Medicaid |
$220.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$349.87
|
| Rate for Payer: Meridian Medicaid |
$231.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62,008.00
|
| Rate for Payer: Nomi Health Commercial |
$399.85
|
| Rate for Payer: PACE SWMI |
$333.21
|
| Rate for Payer: PHP Medicare Advantage |
$333.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$547.25
|
| Rate for Payer: Priority Health Medicare |
$333.21
|
| Rate for Payer: Priority Health Narrow Network |
$547.25
|
| Rate for Payer: Priority Health SBD |
$547.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.21
|
| Rate for Payer: UHC Medicare Advantage |
$333.21
|
| Rate for Payer: UHCCP Medicaid |
$220.46
|
|
|
PR SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 99374
|
| Min. Negotiated Rate |
$54.40 |
| Max. Negotiated Rate |
$7,965.00 |
| Rate for Payer: Aetna Commercial |
$55.68
|
| Rate for Payer: Aetna Medicare |
$68.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.68
|
| Rate for Payer: BCBS Complete |
$54.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,302.33
|
| Rate for Payer: BCN Commercial |
$98.23
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,965.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.80
|
| Rate for Payer: Priority Health Narrow Network |
$71.80
|
| Rate for Payer: Priority Health SBD |
$71.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.00
|
| Rate for Payer: UHC Exchange |
$140.00
|
|
|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR
|
Professional
|
Both
|
$734.00
|
|
|
Service Code
|
HCPCS 31820
|
| Min. Negotiated Rate |
$213.64 |
| Max. Negotiated Rate |
$58,691.00 |
| Rate for Payer: Aetna Commercial |
$421.56
|
| Rate for Payer: Aetna Medicare |
$327.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$421.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.02
|
| Rate for Payer: BCBS Complete |
$224.32
|
| Rate for Payer: BCBS MAPPO |
$314.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,141.66
|
| Rate for Payer: BCN Commercial |
$656.30
|
| Rate for Payer: BCN Medicare Advantage |
$314.60
|
| Rate for Payer: Cash Price |
$587.20
|
| Rate for Payer: Cash Price |
$587.20
|
| Rate for Payer: Cofinity Commercial |
$453.02
|
| Rate for Payer: Cofinity Commercial |
$421.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.60
|
| Rate for Payer: Healthscope Commercial |
$582.01
|
| Rate for Payer: Healthscope Commercial |
$503.36
|
| Rate for Payer: Mclaren Medicaid |
$213.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.33
|
| Rate for Payer: Meridian Medicaid |
$224.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58,691.00
|
| Rate for Payer: Nomi Health Commercial |
$377.52
|
| Rate for Payer: PACE SWMI |
$314.60
|
| Rate for Payer: PHP Medicare Advantage |
$314.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$477.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$466.24
|
| Rate for Payer: Priority Health Medicare |
$314.60
|
| Rate for Payer: Priority Health Narrow Network |
$466.24
|
| Rate for Payer: Priority Health SBD |
$466.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$533.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.60
|
| Rate for Payer: UHC Exchange |
$533.26
|
| Rate for Payer: UHC Medicare Advantage |
$314.60
|
| Rate for Payer: UHCCP Medicaid |
$213.64
|
|
|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 31825
|
| Min. Negotiated Rate |
$313.11 |
| Max. Negotiated Rate |
$86,090.00 |
| Rate for Payer: Aetna Commercial |
$619.66
|
| Rate for Payer: Aetna Medicare |
$480.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$619.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$665.90
|
| Rate for Payer: BCBS Complete |
$328.77
|
| Rate for Payer: BCBS MAPPO |
$462.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,118.94
|
| Rate for Payer: BCN Commercial |
$906.01
|
| Rate for Payer: BCN Medicare Advantage |
$462.43
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$665.90
|
| Rate for Payer: Cofinity Commercial |
$619.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.43
|
| Rate for Payer: Healthscope Commercial |
$855.50
|
| Rate for Payer: Healthscope Commercial |
$739.89
|
| Rate for Payer: Mclaren Medicaid |
$313.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$485.55
|
| Rate for Payer: Meridian Medicaid |
$328.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86,090.00
|
| Rate for Payer: Nomi Health Commercial |
$554.92
|
| Rate for Payer: PACE SWMI |
$462.43
|
| Rate for Payer: PHP Medicare Advantage |
$462.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$681.30
|
| Rate for Payer: Priority Health Medicare |
$462.43
|
| Rate for Payer: Priority Health Narrow Network |
$681.30
|
| Rate for Payer: Priority Health SBD |
$681.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$763.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$462.43
|
| Rate for Payer: UHC Exchange |
$763.29
|
| Rate for Payer: UHC Medicare Advantage |
$462.43
|
| Rate for Payer: UHCCP Medicaid |
$313.11
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 29828
|
| Min. Negotiated Rate |
$594.27 |
| Max. Negotiated Rate |
$162,437.00 |
| Rate for Payer: Aetna Commercial |
$1,181.52
|
| Rate for Payer: Aetna Medicare |
$917.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,181.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,269.69
|
| Rate for Payer: BCBS Complete |
$623.98
|
| Rate for Payer: BCBS MAPPO |
$881.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$881.73
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,269.69
|
| Rate for Payer: Cofinity Commercial |
$1,181.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.73
|
| Rate for Payer: Healthscope Commercial |
$1,410.77
|
| Rate for Payer: Healthscope Commercial |
$1,631.20
|
| Rate for Payer: Mclaren Medicaid |
$594.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.82
|
| Rate for Payer: Meridian Medicaid |
$623.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162,437.00
|
| Rate for Payer: Nomi Health Commercial |
$1,058.08
|
| Rate for Payer: PACE SWMI |
$881.73
|
| Rate for Payer: PHP Medicare Advantage |
$881.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,410.06
|
| Rate for Payer: Priority Health Medicare |
$881.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,410.06
|
| Rate for Payer: Priority Health SBD |
$1,410.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$881.73
|
| Rate for Payer: UHC Medicare Advantage |
$881.73
|
| Rate for Payer: UHCCP Medicaid |
$594.27
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
OP
|
$2,977.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$975.88 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna Commercial |
$2,530.45
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,935.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,749.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,749.10
|
| Rate for Payer: BCBS Complete |
$3,939.19
|
| Rate for Payer: BCBS MAPPO |
$6,999.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,968.13
|
| Rate for Payer: BCN Commercial |
$2,968.13
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$2,560.22
|
| Rate for Payer: Cofinity Commercial |
$2,083.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,083.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,381.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$2,679.30
|
| Rate for Payer: Mclaren Medicaid |
$3,751.61
|
| Rate for Payer: Mclaren Medicare |
$6,999.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,349.24
|
| Rate for Payer: Meridian Medicaid |
$3,939.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,049.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,530.45
|
| Rate for Payer: Nomi Health Commercial |
$14,698.49
|
| Rate for Payer: PACE Medicare |
$6,649.32
|
| Rate for Payer: PACE SWMI |
$6,999.28
|
| Rate for Payer: PHP Commercial |
$2,530.45
|
| Rate for Payer: PHP Medicare Advantage |
$6,999.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,751.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,998.64
|
| Rate for Payer: Priority Health Medicare |
$6,999.28
|
| Rate for Payer: Priority Health Narrow Network |
$17,598.91
|
| Rate for Payer: Priority Health SBD |
$1,875.51
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$975.88
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,999.28
|
| Rate for Payer: UHC Medicare Advantage |
$6,999.28
|
| Rate for Payer: UHCCP Medicaid |
$3,940.59
|
| Rate for Payer: VA VA |
$6,999.28
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Facility
|
IP
|
$2,977.00
|
|
|
Service Code
|
CPT 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$1,875.51 |
| Max. Negotiated Rate |
$2,679.30 |
| Rate for Payer: Aetna Commercial |
$2,530.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,935.05
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$2,083.90
|
| Rate for Payer: Cofinity Commercial |
$2,560.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,083.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,381.60
|
| Rate for Payer: Healthscope Commercial |
$2,679.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,530.45
|
| Rate for Payer: PHP Commercial |
$2,530.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health SBD |
$1,875.51
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 29828
|
| Hospital Charge Code |
29828
|
| Min. Negotiated Rate |
$594.27 |
| Max. Negotiated Rate |
$162,437.00 |
| Rate for Payer: Aetna Commercial |
$1,181.52
|
| Rate for Payer: Aetna Medicare |
$917.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,181.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,269.69
|
| Rate for Payer: BCBS Complete |
$623.98
|
| Rate for Payer: BCBS MAPPO |
$881.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.88
|
| Rate for Payer: BCN Commercial |
$1,343.38
|
| Rate for Payer: BCN Medicare Advantage |
$881.73
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,269.69
|
| Rate for Payer: Cofinity Commercial |
$1,181.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$881.73
|
| Rate for Payer: Healthscope Commercial |
$1,410.77
|
| Rate for Payer: Healthscope Commercial |
$1,631.20
|
| Rate for Payer: Mclaren Medicaid |
$594.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$925.82
|
| Rate for Payer: Meridian Medicaid |
$623.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162,437.00
|
| Rate for Payer: Nomi Health Commercial |
$1,058.08
|
| Rate for Payer: PACE SWMI |
$881.73
|
| Rate for Payer: PHP Medicare Advantage |
$881.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,935.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,410.06
|
| Rate for Payer: Priority Health Medicare |
$881.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,410.06
|
| Rate for Payer: Priority Health SBD |
$1,410.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$881.73
|
| Rate for Payer: UHC Medicare Advantage |
$881.73
|
| Rate for Payer: UHCCP Medicaid |
$594.27
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
IP
|
$3,236.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$2,038.68 |
| Max. Negotiated Rate |
$2,912.40 |
| Rate for Payer: Aetna Commercial |
$2,750.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,103.40
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$2,265.20
|
| Rate for Payer: Cofinity Commercial |
$2,782.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,265.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,588.80
|
| Rate for Payer: Healthscope Commercial |
$2,912.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,750.60
|
| Rate for Payer: PHP Commercial |
$2,750.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health SBD |
$2,038.68
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,236.00
|
|
|
Service Code
|
HCPCS 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$686.29 |
| Max. Negotiated Rate |
$187,495.00 |
| Rate for Payer: Aetna Commercial |
$1,364.62
|
| Rate for Payer: Aetna Medicare |
$1,059.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,466.45
|
| Rate for Payer: BCBS Complete |
$720.60
|
| Rate for Payer: BCBS MAPPO |
$1,018.37
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.37
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$1,466.45
|
| Rate for Payer: Cofinity Commercial |
$1,364.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.37
|
| Rate for Payer: Healthscope Commercial |
$1,883.98
|
| Rate for Payer: Healthscope Commercial |
$1,629.39
|
| Rate for Payer: Mclaren Medicaid |
$686.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,069.29
|
| Rate for Payer: Meridian Medicaid |
$720.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187,495.00
|
| Rate for Payer: Nomi Health Commercial |
$1,222.04
|
| Rate for Payer: PACE SWMI |
$1,018.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,629.38
|
| Rate for Payer: Priority Health Medicare |
$1,018.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,629.38
|
| Rate for Payer: Priority Health SBD |
$1,629.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,223.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,018.37
|
| Rate for Payer: UHC Exchange |
$1,223.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.37
|
| Rate for Payer: UHCCP Medicaid |
$686.29
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Facility
|
OP
|
$3,236.00
|
|
|
Service Code
|
CPT 29806
|
| Hospital Charge Code |
29806
|
| Min. Negotiated Rate |
$1,127.71 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna Commercial |
$2,750.60
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,103.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,749.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,749.10
|
| Rate for Payer: BCBS Complete |
$3,939.19
|
| Rate for Payer: BCBS MAPPO |
$6,999.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,320.77
|
| Rate for Payer: BCN Commercial |
$3,320.77
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$2,782.96
|
| Rate for Payer: Cofinity Commercial |
$2,265.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,265.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,588.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$2,912.40
|
| Rate for Payer: Mclaren Medicaid |
$3,751.61
|
| Rate for Payer: Mclaren Medicare |
$6,999.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,349.24
|
| Rate for Payer: Meridian Medicaid |
$3,939.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,049.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,750.60
|
| Rate for Payer: Nomi Health Commercial |
$14,698.49
|
| Rate for Payer: PACE Medicare |
$6,649.32
|
| Rate for Payer: PACE SWMI |
$6,999.28
|
| Rate for Payer: PHP Commercial |
$2,750.60
|
| Rate for Payer: PHP Medicare Advantage |
$6,999.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,751.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21,998.64
|
| Rate for Payer: Priority Health Medicare |
$6,999.28
|
| Rate for Payer: Priority Health Narrow Network |
$17,598.91
|
| Rate for Payer: Priority Health SBD |
$2,038.68
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,127.71
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,999.28
|
| Rate for Payer: UHC Medicare Advantage |
$6,999.28
|
| Rate for Payer: UHCCP Medicaid |
$3,940.59
|
| Rate for Payer: VA VA |
$6,999.28
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,236.00
|
|
|
Service Code
|
HCPCS 29806
|
| Min. Negotiated Rate |
$686.29 |
| Max. Negotiated Rate |
$187,495.00 |
| Rate for Payer: Aetna Commercial |
$1,364.62
|
| Rate for Payer: Aetna Medicare |
$1,059.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,466.45
|
| Rate for Payer: BCBS Complete |
$720.60
|
| Rate for Payer: BCBS MAPPO |
$1,018.37
|
| Rate for Payer: BCBS Trust/PPO |
$846.86
|
| Rate for Payer: BCN Commercial |
$1,550.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,018.37
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cash Price |
$2,588.80
|
| Rate for Payer: Cofinity Commercial |
$1,466.45
|
| Rate for Payer: Cofinity Commercial |
$1,364.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,018.37
|
| Rate for Payer: Healthscope Commercial |
$1,883.98
|
| Rate for Payer: Healthscope Commercial |
$1,629.39
|
| Rate for Payer: Mclaren Medicaid |
$686.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,069.29
|
| Rate for Payer: Meridian Medicaid |
$720.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187,495.00
|
| Rate for Payer: Nomi Health Commercial |
$1,222.04
|
| Rate for Payer: PACE SWMI |
$1,018.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,018.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,103.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,629.38
|
| Rate for Payer: Priority Health Medicare |
$1,018.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,629.38
|
| Rate for Payer: Priority Health SBD |
$1,629.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,223.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,018.37
|
| Rate for Payer: UHC Exchange |
$1,223.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.37
|
| Rate for Payer: UHCCP Medicaid |
$686.29
|
|
