|
PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29821
|
| Min. Negotiated Rate |
$388.51 |
| Max. Negotiated Rate |
$105,356.00 |
| Rate for Payer: Aetna Commercial |
$768.38
|
| Rate for Payer: Aetna Medicare |
$596.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$768.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$825.72
|
| Rate for Payer: BCBS Complete |
$407.94
|
| Rate for Payer: BCBS MAPPO |
$573.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,682.64
|
| Rate for Payer: BCN Commercial |
$875.23
|
| Rate for Payer: BCN Medicare Advantage |
$573.42
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cofinity Commercial |
$825.72
|
| Rate for Payer: Cofinity Commercial |
$768.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$573.42
|
| Rate for Payer: Healthscope Commercial |
$917.47
|
| Rate for Payer: Healthscope Commercial |
$1,060.83
|
| Rate for Payer: Mclaren Medicaid |
$388.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.09
|
| Rate for Payer: Meridian Medicaid |
$407.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105,356.00
|
| Rate for Payer: Nomi Health Commercial |
$688.10
|
| Rate for Payer: PACE SWMI |
$573.42
|
| Rate for Payer: PHP Medicare Advantage |
$573.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,473.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$917.47
|
| Rate for Payer: Priority Health Medicare |
$573.42
|
| Rate for Payer: Priority Health Narrow Network |
$917.47
|
| Rate for Payer: Priority Health SBD |
$917.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,154.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$573.42
|
| Rate for Payer: UHC Exchange |
$1,154.89
|
| Rate for Payer: UHC Medicare Advantage |
$573.42
|
| Rate for Payer: UHCCP Medicaid |
$388.51
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
IP
|
$2,103.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$1,324.89 |
| Max. Negotiated Rate |
$1,892.70 |
| Rate for Payer: Aetna Commercial |
$1,787.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,366.95
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,472.10
|
| Rate for Payer: Cofinity Commercial |
$1,808.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,472.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,682.40
|
| Rate for Payer: Healthscope Commercial |
$1,892.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,787.55
|
| Rate for Payer: PHP Commercial |
$1,787.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health SBD |
$1,324.89
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$120,096.00 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$874.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.18
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Healthscope Commercial |
$1,207.86
|
| Rate for Payer: Healthscope Commercial |
$1,044.64
|
| Rate for Payer: Mclaren Medicaid |
$442.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120,096.00
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,047.74
|
| Rate for Payer: Priority Health Medicare |
$652.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,047.74
|
| Rate for Payer: Priority Health SBD |
$1,047.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$783.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.90
|
| Rate for Payer: UHC Exchange |
$783.05
|
| Rate for Payer: UHC Medicare Advantage |
$652.90
|
| Rate for Payer: UHCCP Medicaid |
$442.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 29824
|
| Min. Negotiated Rate |
$442.40 |
| Max. Negotiated Rate |
$120,096.00 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$874.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.18
|
| Rate for Payer: BCBS Complete |
$464.52
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,084.60
|
| Rate for Payer: BCN Commercial |
$1,098.74
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Healthscope Commercial |
$1,207.86
|
| Rate for Payer: Healthscope Commercial |
$1,044.64
|
| Rate for Payer: Mclaren Medicaid |
$442.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$464.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120,096.00
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,047.74
|
| Rate for Payer: Priority Health Medicare |
$652.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,047.74
|
| Rate for Payer: Priority Health SBD |
$1,047.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$783.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.90
|
| Rate for Payer: UHC Exchange |
$783.05
|
| Rate for Payer: UHC Medicare Advantage |
$652.90
|
| Rate for Payer: UHCCP Medicaid |
$442.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Facility
|
OP
|
$2,103.00
|
|
|
Service Code
|
CPT 29824
|
| Hospital Charge Code |
29824
|
| Min. Negotiated Rate |
$721.10 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$1,787.55
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,366.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,127.28
|
| Rate for Payer: BCN Commercial |
$2,127.28
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,808.58
|
| Rate for Payer: Cofinity Commercial |
$1,472.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,472.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,682.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,892.70
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,787.55
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,787.55
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,324.89
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$721.10
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,789.78
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$95,927.00 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.05
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Healthscope Commercial |
$967.46
|
| Rate for Payer: Healthscope Commercial |
$836.72
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95,927.00
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.95
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,007.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Exchange |
$1,007.84
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$95,927.00 |
| Rate for Payer: Aetna Commercial |
$700.75
|
| Rate for Payer: Aetna Medicare |
$543.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.05
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$522.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.95
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$753.05
|
| Rate for Payer: Cofinity Commercial |
$700.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.95
|
| Rate for Payer: Healthscope Commercial |
$967.46
|
| Rate for Payer: Healthscope Commercial |
$836.72
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.10
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95,927.00
|
| Rate for Payer: Nomi Health Commercial |
$627.54
|
| Rate for Payer: PACE SWMI |
$522.95
|
| Rate for Payer: PHP Medicare Advantage |
$522.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.95
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,007.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.95
|
| Rate for Payer: UHC Exchange |
$1,007.84
|
| Rate for Payer: UHC Medicare Advantage |
$522.95
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
OP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$577.16 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,341.88
|
| Rate for Payer: BCN Commercial |
$2,341.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Cofinity Commercial |
$1,540.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,386.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$577.16
|
| Rate for Payer: UHC Core |
$5,427.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,789.78
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Facility
|
IP
|
$2,201.00
|
|
|
Service Code
|
CPT 29822
|
| Hospital Charge Code |
29822
|
| Min. Negotiated Rate |
$1,386.63 |
| Max. Negotiated Rate |
$1,980.90 |
| Rate for Payer: Aetna Commercial |
$1,870.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,430.65
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$1,540.70
|
| Rate for Payer: Cofinity Commercial |
$1,892.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,540.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,760.80
|
| Rate for Payer: Healthscope Commercial |
$1,980.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,870.85
|
| Rate for Payer: PHP Commercial |
$1,870.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health SBD |
$1,386.63
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$94,693.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.92
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Healthscope Commercial |
$955.73
|
| Rate for Payer: Healthscope Commercial |
$826.58
|
| Rate for Payer: Mclaren Medicaid |
$349.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94,693.00
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: Priority Health Narrow Network |
$825.89
|
| Rate for Payer: Priority Health SBD |
$825.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Exchange |
$912.88
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
IP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$1,222.20 |
| Max. Negotiated Rate |
$1,746.00 |
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,358.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,358.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.00
|
| Rate for Payer: PHP Commercial |
$1,649.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health SBD |
$1,222.20
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$94,693.00 |
| Rate for Payer: Aetna Commercial |
$692.26
|
| Rate for Payer: Aetna Medicare |
$537.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.92
|
| Rate for Payer: BCBS Complete |
$367.46
|
| Rate for Payer: BCBS MAPPO |
$516.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,598.64
|
| Rate for Payer: BCN Commercial |
$786.28
|
| Rate for Payer: BCN Medicare Advantage |
$516.61
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$743.92
|
| Rate for Payer: Cofinity Commercial |
$692.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.61
|
| Rate for Payer: Healthscope Commercial |
$955.73
|
| Rate for Payer: Healthscope Commercial |
$826.58
|
| Rate for Payer: Mclaren Medicaid |
$349.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.44
|
| Rate for Payer: Meridian Medicaid |
$367.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94,693.00
|
| Rate for Payer: Nomi Health Commercial |
$619.93
|
| Rate for Payer: PACE SWMI |
$516.61
|
| Rate for Payer: PHP Medicare Advantage |
$516.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.89
|
| Rate for Payer: Priority Health Medicare |
$516.61
|
| Rate for Payer: Priority Health Narrow Network |
$825.89
|
| Rate for Payer: Priority Health SBD |
$825.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.61
|
| Rate for Payer: UHC Exchange |
$912.88
|
| Rate for Payer: UHC Medicare Advantage |
$516.61
|
| Rate for Payer: UHCCP Medicaid |
$349.96
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Facility
|
OP
|
$1,940.00
|
|
|
Service Code
|
CPT 29820
|
| Hospital Charge Code |
29820
|
| Min. Negotiated Rate |
$568.79 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna Commercial |
$1,649.00
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,261.00
|
| 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 |
$1,795.12
|
| Rate for Payer: BCN Commercial |
$1,795.12
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,668.40
|
| Rate for Payer: Cofinity Commercial |
$1,358.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,358.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,552.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$1,746.00
|
| 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 |
$1,649.00
|
| 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 |
$1,649.00
|
| 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 |
$1,261.00
|
| 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 |
$1,222.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.79
|
| 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 REMOVAL LOOSE/FB
|
Facility
|
OP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$625.88 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,303.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,615.61
|
| Rate for Payer: BCN Commercial |
$1,615.61
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Cofinity Commercial |
$1,404.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,404.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,263.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$625.88
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,789.78
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$104,105.00 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.90
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Healthscope Commercial |
$905.44
|
| Rate for Payer: Healthscope Commercial |
$1,046.92
|
| Rate for Payer: Mclaren Medicaid |
$383.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,105.00
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: Priority Health Narrow Network |
$909.34
|
| Rate for Payer: Priority Health SBD |
$909.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Exchange |
$1,017.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,006.00
|
|
|
Service Code
|
HCPCS 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$383.40 |
| Max. Negotiated Rate |
$104,105.00 |
| Rate for Payer: Aetna Commercial |
$758.31
|
| Rate for Payer: Aetna Medicare |
$588.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$814.90
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$565.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$565.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$814.90
|
| Rate for Payer: Cofinity Commercial |
$758.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.90
|
| Rate for Payer: Healthscope Commercial |
$905.44
|
| Rate for Payer: Healthscope Commercial |
$1,046.92
|
| Rate for Payer: Mclaren Medicaid |
$383.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.20
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,105.00
|
| Rate for Payer: Nomi Health Commercial |
$679.08
|
| Rate for Payer: PACE SWMI |
$565.90
|
| Rate for Payer: PHP Medicare Advantage |
$565.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.34
|
| Rate for Payer: Priority Health Medicare |
$565.90
|
| Rate for Payer: Priority Health Narrow Network |
$909.34
|
| Rate for Payer: Priority Health SBD |
$909.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.90
|
| Rate for Payer: UHC Exchange |
$1,017.90
|
| Rate for Payer: UHC Medicare Advantage |
$565.90
|
| Rate for Payer: UHCCP Medicaid |
$383.40
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Facility
|
IP
|
$2,006.00
|
|
|
Service Code
|
CPT 29819
|
| Hospital Charge Code |
29819
|
| Min. Negotiated Rate |
$1,263.78 |
| Max. Negotiated Rate |
$1,805.40 |
| Rate for Payer: Aetna Commercial |
$1,705.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,303.90
|
| Rate for Payer: Cash Price |
$1,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,404.20
|
| Rate for Payer: Cofinity Commercial |
$1,725.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,404.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,604.80
|
| Rate for Payer: Healthscope Commercial |
$1,805.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,705.10
|
| Rate for Payer: PHP Commercial |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,303.90
|
| Rate for Payer: Priority Health SBD |
$1,263.78
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,100.74 |
| Max. Negotiated Rate |
$21,998.64 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna Medicare |
$7,279.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,998.10
|
| 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 |
$3,318.79
|
| Rate for Payer: BCN Commercial |
$3,318.79
|
| Rate for Payer: BCN Medicare Advantage |
$6,999.28
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Cofinity Commercial |
$2,151.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,151.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,999.28
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| 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 |
$2,612.90
|
| 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 |
$2,612.90
|
| 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 |
$1,998.10
|
| 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 |
$1,936.62
|
| Rate for Payer: Railroad Medicare Medicare |
$6,999.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,100.74
|
| 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 REPAIR SLAP LESION
|
Facility
|
IP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,936.62 |
| Max. Negotiated Rate |
$2,766.60 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,998.10
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,151.80
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,151.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health SBD |
$1,936.62
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$183,382.00 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,332.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,431.46
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Healthscope Commercial |
$1,839.03
|
| Rate for Payer: Healthscope Commercial |
$1,590.51
|
| Rate for Payer: Mclaren Medicaid |
$670.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183,382.00
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,591.21
|
| Rate for Payer: Priority Health SBD |
$1,591.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$1,188.86
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$183,382.00 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,332.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,431.46
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Healthscope Commercial |
$1,839.03
|
| Rate for Payer: Healthscope Commercial |
$1,590.51
|
| Rate for Payer: Mclaren Medicaid |
$670.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$183,382.00
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$994.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,591.21
|
| Rate for Payer: Priority Health SBD |
$1,591.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$1,188.86
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$104,105.00 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.20
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Healthscope Commercial |
$905.78
|
| Rate for Payer: Healthscope Commercial |
$1,047.30
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,105.00
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: Priority Health Narrow Network |
$907.30
|
| Rate for Payer: Priority Health SBD |
$907.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,125.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$1,125.99
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$104,105.00 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.20
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Healthscope Commercial |
$905.78
|
| Rate for Payer: Healthscope Commercial |
$1,047.30
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,105.00
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$566.11
|
| Rate for Payer: Priority Health Narrow Network |
$907.30
|
| Rate for Payer: Priority Health SBD |
$907.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,125.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$1,125.99
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$624.37 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,615.61
|
| Rate for Payer: BCN Commercial |
$1,615.61
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Cofinity Commercial |
$1,518.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,518.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,366.47
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.37
|
| Rate for Payer: UHC Core |
$7,632.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,789.78
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,366.47 |
| Max. Negotiated Rate |
$1,952.10 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.85
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,518.30
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,518.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health SBD |
$1,366.47
|
|
