|
PR ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA
|
Professional
|
Both
|
$2,555.00
|
|
|
Service Code
|
HCPCS 26536
|
| Min. Negotiated Rate |
$466.26 |
| Max. Negotiated Rate |
$1,916.25 |
| Rate for Payer: Aetna Commercial |
$931.22
|
| Rate for Payer: Aetna Medicare |
$722.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,000.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$931.22
|
| Rate for Payer: BCBS Complete |
$489.57
|
| Rate for Payer: BCBS MAPPO |
$694.94
|
| Rate for Payer: BCN Commercial |
$1,130.42
|
| Rate for Payer: BCN Medicare Advantage |
$694.94
|
| Rate for Payer: Cash Price |
$2,044.00
|
| Rate for Payer: Cash Price |
$2,044.00
|
| Rate for Payer: Cofinity Commercial |
$931.22
|
| Rate for Payer: Cofinity Commercial |
$1,000.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.94
|
| Rate for Payer: Healthscope Commercial |
$1,285.64
|
| Rate for Payer: Healthscope Commercial |
$1,111.90
|
| Rate for Payer: Mclaren Medicaid |
$466.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$729.69
|
| Rate for Payer: Meridian Medicaid |
$489.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$764.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,316.30
|
| Rate for Payer: Nomi Health Commercial |
$833.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,916.25
|
| Rate for Payer: PACE SWMI |
$694.94
|
| Rate for Payer: PHP Medicare Advantage |
$694.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$466.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,208.39
|
| Rate for Payer: Priority Health Medicare |
$694.94
|
| Rate for Payer: Priority Health SBD |
$1,208.39
|
| Rate for Payer: Priority Health Tiered Network |
$1,208.39
|
| Rate for Payer: Railroad Medicare Medicare |
$694.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,238.04
|
| Rate for Payer: UHC Core |
$1,238.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$694.94
|
| Rate for Payer: UHC Exchange |
$1,238.04
|
| Rate for Payer: UHC Medicaid |
$466.26
|
| Rate for Payer: UHCCP Medicaid |
$466.26
|
|
|
PR ARTHROPLASTY KNEE HINGE PROSTHESIS
|
Professional
|
Both
|
$2,716.00
|
|
|
Service Code
|
HCPCS 27445
|
| Min. Negotiated Rate |
$1,086.40 |
| Max. Negotiated Rate |
$2,224.51 |
| Rate for Payer: Aetna Commercial |
$1,677.91
|
| Rate for Payer: Aetna Medicare |
$1,358.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,677.91
|
| Rate for Payer: BCBS Complete |
$1,086.40
|
| Rate for Payer: BCN Commercial |
$1,896.81
|
| Rate for Payer: Cash Price |
$2,172.80
|
| Rate for Payer: Cash Price |
$2,172.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,224.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,037.00
|
|
|
PR ARTHROPLASTY KNEE TIBIAL PLATEAU
|
Professional
|
Both
|
$1,830.00
|
|
|
Service Code
|
HCPCS 27440
|
| Min. Negotiated Rate |
$475.63 |
| Max. Negotiated Rate |
$1,418.06 |
| Rate for Payer: Aetna Commercial |
$976.90
|
| Rate for Payer: Aetna Medicare |
$758.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$976.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.80
|
| Rate for Payer: BCBS Complete |
$499.41
|
| Rate for Payer: BCBS MAPPO |
$729.03
|
| Rate for Payer: BCN Commercial |
$1,217.57
|
| Rate for Payer: BCN Medicare Advantage |
$729.03
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Cofinity Commercial |
$976.90
|
| Rate for Payer: Cofinity Commercial |
$1,049.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.03
|
| Rate for Payer: Healthscope Commercial |
$1,348.71
|
| Rate for Payer: Healthscope Commercial |
$1,166.45
|
| Rate for Payer: Mclaren Medicaid |
$475.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$765.48
|
| Rate for Payer: Meridian Medicaid |
$499.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$801.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,418.06
|
| Rate for Payer: Nomi Health Commercial |
$874.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,372.50
|
| Rate for Payer: PACE SWMI |
$729.03
|
| Rate for Payer: PHP Medicare Advantage |
$729.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,301.54
|
| Rate for Payer: Priority Health Medicare |
$729.03
|
| Rate for Payer: Priority Health SBD |
$1,301.54
|
| Rate for Payer: Priority Health Tiered Network |
$1,301.54
|
| Rate for Payer: Railroad Medicare Medicare |
$729.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,394.64
|
| Rate for Payer: UHC Core |
$1,394.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$729.03
|
| Rate for Payer: UHC Exchange |
$1,394.64
|
| Rate for Payer: UHC Medicaid |
$475.63
|
| Rate for Payer: UHCCP Medicaid |
$475.63
|
|
|
PR ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,860.00
|
|
|
Service Code
|
HCPCS 26530
|
| Min. Negotiated Rate |
$325.04 |
| Max. Negotiated Rate |
$1,395.00 |
| Rate for Payer: Aetna Commercial |
$662.08
|
| Rate for Payer: Aetna Medicare |
$513.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$711.49
|
| Rate for Payer: BCBS Complete |
$341.29
|
| Rate for Payer: BCBS MAPPO |
$494.09
|
| Rate for Payer: BCN Commercial |
$836.61
|
| Rate for Payer: BCN Medicare Advantage |
$494.09
|
| Rate for Payer: Cash Price |
$1,488.00
|
| Rate for Payer: Cash Price |
$1,488.00
|
| Rate for Payer: Cofinity Commercial |
$711.49
|
| Rate for Payer: Cofinity Commercial |
$662.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.09
|
| Rate for Payer: Healthscope Commercial |
$914.07
|
| Rate for Payer: Healthscope Commercial |
$790.54
|
| Rate for Payer: Mclaren Medicaid |
$325.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$518.79
|
| Rate for Payer: Meridian Medicaid |
$341.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$543.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.13
|
| Rate for Payer: Nomi Health Commercial |
$592.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,395.00
|
| Rate for Payer: PACE SWMI |
$494.09
|
| Rate for Payer: PHP Medicare Advantage |
$494.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$894.31
|
| Rate for Payer: Priority Health Medicare |
$494.09
|
| Rate for Payer: Priority Health SBD |
$894.31
|
| Rate for Payer: Priority Health Tiered Network |
$894.31
|
| Rate for Payer: Railroad Medicare Medicare |
$494.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$935.08
|
| Rate for Payer: UHC Core |
$935.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$494.09
|
| Rate for Payer: UHC Exchange |
$935.08
|
| Rate for Payer: UHC Medicaid |
$325.04
|
| Rate for Payer: UHCCP Medicaid |
$325.04
|
|
|
PR ARTHROPLASTY PATELLA W/O PROSTHESIS
|
Professional
|
Both
|
$1,211.00
|
|
|
Service Code
|
HCPCS 27437
|
| Min. Negotiated Rate |
$398.52 |
| Max. Negotiated Rate |
$1,175.44 |
| Rate for Payer: Aetna Commercial |
$816.26
|
| Rate for Payer: Aetna Medicare |
$633.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$816.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.18
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCBS MAPPO |
$609.15
|
| Rate for Payer: BCN Commercial |
$1,011.89
|
| Rate for Payer: BCN Medicare Advantage |
$609.15
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cofinity Commercial |
$877.18
|
| Rate for Payer: Cofinity Commercial |
$816.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$609.15
|
| Rate for Payer: Healthscope Commercial |
$974.64
|
| Rate for Payer: Healthscope Commercial |
$1,126.93
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$639.61
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$670.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,175.44
|
| Rate for Payer: Nomi Health Commercial |
$730.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$908.25
|
| Rate for Payer: PACE SWMI |
$609.15
|
| Rate for Payer: PHP Medicare Advantage |
$609.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,081.69
|
| Rate for Payer: Priority Health Medicare |
$609.15
|
| Rate for Payer: Priority Health SBD |
$1,081.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,081.69
|
| Rate for Payer: Railroad Medicare Medicare |
$609.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,149.71
|
| Rate for Payer: UHC Core |
$1,149.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$609.15
|
| Rate for Payer: UHC Exchange |
$1,149.71
|
| Rate for Payer: UHC Medicaid |
$398.52
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR ARTHROPLASTY PATELLA W/PROSTHESIS
|
Professional
|
Both
|
$2,405.00
|
|
|
Service Code
|
HCPCS 27438
|
| Min. Negotiated Rate |
$498.63 |
| Max. Negotiated Rate |
$1,803.75 |
| Rate for Payer: Aetna Commercial |
$1,025.23
|
| Rate for Payer: Aetna Medicare |
$795.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,025.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,101.74
|
| Rate for Payer: BCBS Complete |
$523.56
|
| Rate for Payer: BCBS MAPPO |
$765.10
|
| Rate for Payer: BCN Commercial |
$1,281.31
|
| Rate for Payer: BCN Medicare Advantage |
$765.10
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Cofinity Commercial |
$1,101.74
|
| Rate for Payer: Cofinity Commercial |
$1,025.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$765.10
|
| Rate for Payer: Healthscope Commercial |
$1,415.43
|
| Rate for Payer: Healthscope Commercial |
$1,224.16
|
| Rate for Payer: Mclaren Medicaid |
$498.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$803.36
|
| Rate for Payer: Meridian Medicaid |
$523.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$841.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,492.96
|
| Rate for Payer: Nomi Health Commercial |
$918.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,803.75
|
| Rate for Payer: PACE SWMI |
$765.10
|
| Rate for Payer: PHP Medicare Advantage |
$765.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,369.69
|
| Rate for Payer: Priority Health Medicare |
$765.10
|
| Rate for Payer: Priority Health SBD |
$1,369.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,369.69
|
| Rate for Payer: Railroad Medicare Medicare |
$765.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,472.61
|
| Rate for Payer: UHC Core |
$1,472.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$765.10
|
| Rate for Payer: UHC Exchange |
$1,472.61
|
| Rate for Payer: UHC Medicaid |
$498.63
|
| Rate for Payer: UHCCP Medicaid |
$498.63
|
|
|
PR ARTHROPLASTY RADIAL HEAD
|
Professional
|
Both
|
$1,718.00
|
|
|
Service Code
|
HCPCS 24365
|
| Min. Negotiated Rate |
$386.17 |
| Max. Negotiated Rate |
$1,288.50 |
| Rate for Payer: Aetna Commercial |
$790.77
|
| Rate for Payer: Aetna Medicare |
$613.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$790.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$849.79
|
| Rate for Payer: BCBS Complete |
$405.48
|
| Rate for Payer: BCBS MAPPO |
$590.13
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: BCN Medicare Advantage |
$590.13
|
| Rate for Payer: Cash Price |
$1,374.40
|
| Rate for Payer: Cash Price |
$1,374.40
|
| Rate for Payer: Cofinity Commercial |
$849.79
|
| Rate for Payer: Cofinity Commercial |
$790.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$590.13
|
| Rate for Payer: Healthscope Commercial |
$944.21
|
| Rate for Payer: Healthscope Commercial |
$1,091.74
|
| Rate for Payer: Mclaren Medicaid |
$386.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$619.64
|
| Rate for Payer: Meridian Medicaid |
$405.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$649.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,140.57
|
| Rate for Payer: Nomi Health Commercial |
$708.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,288.50
|
| Rate for Payer: PACE SWMI |
$590.13
|
| Rate for Payer: PHP Medicare Advantage |
$590.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,050.82
|
| Rate for Payer: Priority Health Medicare |
$590.13
|
| Rate for Payer: Priority Health SBD |
$1,050.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,050.82
|
| Rate for Payer: Railroad Medicare Medicare |
$590.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,115.60
|
| Rate for Payer: UHC Core |
$1,115.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$590.13
|
| Rate for Payer: UHC Exchange |
$1,115.60
|
| Rate for Payer: UHC Medicaid |
$386.17
|
| Rate for Payer: UHCCP Medicaid |
$386.17
|
|
|
PR ARTHROPLASTY RADIAL HEAD W/IMPLANT
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 24366
|
| Min. Negotiated Rate |
$405.13 |
| Max. Negotiated Rate |
$1,941.75 |
| Rate for Payer: Aetna Commercial |
$830.65
|
| Rate for Payer: Aetna Medicare |
$644.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$830.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$892.64
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCBS MAPPO |
$619.89
|
| Rate for Payer: BCN Commercial |
$1,042.77
|
| Rate for Payer: BCN Medicare Advantage |
$619.89
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$892.64
|
| Rate for Payer: Cofinity Commercial |
$830.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$619.89
|
| Rate for Payer: Healthscope Commercial |
$991.82
|
| Rate for Payer: Healthscope Commercial |
$1,146.80
|
| Rate for Payer: Mclaren Medicaid |
$405.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$650.88
|
| Rate for Payer: Meridian Medicaid |
$425.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$681.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,209.44
|
| Rate for Payer: Nomi Health Commercial |
$743.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,941.75
|
| Rate for Payer: PACE SWMI |
$619.89
|
| Rate for Payer: PHP Medicare Advantage |
$619.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,114.70
|
| Rate for Payer: Priority Health Medicare |
$619.89
|
| Rate for Payer: Priority Health SBD |
$1,114.70
|
| Rate for Payer: Priority Health Tiered Network |
$1,114.70
|
| Rate for Payer: Railroad Medicare Medicare |
$619.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,191.95
|
| Rate for Payer: UHC Core |
$1,191.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$619.89
|
| Rate for Payer: UHC Exchange |
$1,191.95
|
| Rate for Payer: UHC Medicaid |
$405.13
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
|
|
PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM
|
Professional
|
Both
|
$1,323.00
|
|
|
Service Code
|
HCPCS 25445
|
| Min. Negotiated Rate |
$423.44 |
| Max. Negotiated Rate |
$1,282.07 |
| Rate for Payer: Aetna Commercial |
$867.84
|
| Rate for Payer: Aetna Medicare |
$673.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.60
|
| Rate for Payer: BCBS Complete |
$444.61
|
| Rate for Payer: BCBS MAPPO |
$647.64
|
| Rate for Payer: BCN Commercial |
$1,103.52
|
| Rate for Payer: BCN Medicare Advantage |
$647.64
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Cofinity Commercial |
$932.60
|
| Rate for Payer: Cofinity Commercial |
$867.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.64
|
| Rate for Payer: Healthscope Commercial |
$1,198.13
|
| Rate for Payer: Healthscope Commercial |
$1,036.22
|
| Rate for Payer: Mclaren Medicaid |
$423.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$680.02
|
| Rate for Payer: Meridian Medicaid |
$444.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$712.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,282.07
|
| Rate for Payer: Nomi Health Commercial |
$777.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$992.25
|
| Rate for Payer: PACE SWMI |
$647.64
|
| Rate for Payer: PHP Medicare Advantage |
$647.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,179.64
|
| Rate for Payer: Priority Health Medicare |
$647.64
|
| Rate for Payer: Priority Health SBD |
$1,179.64
|
| Rate for Payer: Priority Health Tiered Network |
$1,179.64
|
| Rate for Payer: Railroad Medicare Medicare |
$647.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,258.61
|
| Rate for Payer: UHC Core |
$1,258.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$647.64
|
| Rate for Payer: UHC Exchange |
$1,258.61
|
| Rate for Payer: UHC Medicaid |
$423.44
|
| Rate for Payer: UHCCP Medicaid |
$423.44
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS
|
Professional
|
Both
|
$1,950.00
|
|
|
Service Code
|
HCPCS 25441
|
| Min. Negotiated Rate |
$554.23 |
| Max. Negotiated Rate |
$1,667.81 |
| Rate for Payer: Aetna Commercial |
$1,140.31
|
| Rate for Payer: Aetna Medicare |
$885.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,140.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,225.41
|
| Rate for Payer: BCBS Complete |
$581.94
|
| Rate for Payer: BCBS MAPPO |
$850.98
|
| Rate for Payer: BCN Commercial |
$1,428.21
|
| Rate for Payer: BCN Medicare Advantage |
$850.98
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Cofinity Commercial |
$1,225.41
|
| Rate for Payer: Cofinity Commercial |
$1,140.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$850.98
|
| Rate for Payer: Healthscope Commercial |
$1,574.31
|
| Rate for Payer: Healthscope Commercial |
$1,361.57
|
| Rate for Payer: Mclaren Medicaid |
$554.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$893.53
|
| Rate for Payer: Meridian Medicaid |
$581.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$936.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,667.81
|
| Rate for Payer: Nomi Health Commercial |
$1,021.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,462.50
|
| Rate for Payer: PACE SWMI |
$850.98
|
| Rate for Payer: PHP Medicare Advantage |
$850.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$554.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,526.72
|
| Rate for Payer: Priority Health Medicare |
$850.98
|
| Rate for Payer: Priority Health SBD |
$1,526.72
|
| Rate for Payer: Priority Health Tiered Network |
$1,526.72
|
| Rate for Payer: Railroad Medicare Medicare |
$850.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,640.16
|
| Rate for Payer: UHC Core |
$1,640.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$850.98
|
| Rate for Payer: UHC Exchange |
$1,640.16
|
| Rate for Payer: UHC Medicaid |
$554.23
|
| Rate for Payer: UHCCP Medicaid |
$554.23
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA
|
Professional
|
Both
|
$1,677.00
|
|
|
Service Code
|
HCPCS 25442
|
| Min. Negotiated Rate |
$472.22 |
| Max. Negotiated Rate |
$1,437.17 |
| Rate for Payer: Aetna Commercial |
$967.96
|
| Rate for Payer: Aetna Medicare |
$751.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$967.96
|
| Rate for Payer: BCBS Complete |
$495.83
|
| Rate for Payer: BCBS MAPPO |
$722.36
|
| Rate for Payer: BCN Commercial |
$1,237.98
|
| Rate for Payer: BCN Medicare Advantage |
$722.36
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Cofinity Commercial |
$967.96
|
| Rate for Payer: Cofinity Commercial |
$1,040.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.36
|
| Rate for Payer: Healthscope Commercial |
$1,336.37
|
| Rate for Payer: Healthscope Commercial |
$1,155.78
|
| Rate for Payer: Mclaren Medicaid |
$472.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$758.48
|
| Rate for Payer: Meridian Medicaid |
$495.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$794.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,437.17
|
| Rate for Payer: Nomi Health Commercial |
$866.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,257.75
|
| Rate for Payer: PACE SWMI |
$722.36
|
| Rate for Payer: PHP Medicare Advantage |
$722.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,323.36
|
| Rate for Payer: Priority Health Medicare |
$722.36
|
| Rate for Payer: Priority Health SBD |
$1,323.36
|
| Rate for Payer: Priority Health Tiered Network |
$1,323.36
|
| Rate for Payer: Railroad Medicare Medicare |
$722.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,407.38
|
| Rate for Payer: UHC Core |
$1,407.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$722.36
|
| Rate for Payer: UHC Exchange |
$1,407.38
|
| Rate for Payer: UHC Medicaid |
$472.22
|
| Rate for Payer: UHCCP Medicaid |
$472.22
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL
|
Professional
|
Both
|
$1,645.00
|
|
|
Service Code
|
HCPCS 25443
|
| Min. Negotiated Rate |
$470.30 |
| Max. Negotiated Rate |
$1,395.83 |
| Rate for Payer: Aetna Commercial |
$963.98
|
| Rate for Payer: Aetna Medicare |
$748.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.98
|
| Rate for Payer: BCBS Complete |
$493.81
|
| Rate for Payer: BCBS MAPPO |
$719.39
|
| Rate for Payer: BCN Commercial |
$1,200.14
|
| Rate for Payer: BCN Medicare Advantage |
$719.39
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Cofinity Commercial |
$963.98
|
| Rate for Payer: Cofinity Commercial |
$1,035.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$719.39
|
| Rate for Payer: Healthscope Commercial |
$1,330.87
|
| Rate for Payer: Healthscope Commercial |
$1,151.02
|
| Rate for Payer: Mclaren Medicaid |
$470.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$755.36
|
| Rate for Payer: Meridian Medicaid |
$493.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$791.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,395.83
|
| Rate for Payer: Nomi Health Commercial |
$863.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,233.75
|
| Rate for Payer: PACE SWMI |
$719.39
|
| Rate for Payer: PHP Medicare Advantage |
$719.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,282.91
|
| Rate for Payer: Priority Health Medicare |
$719.39
|
| Rate for Payer: Priority Health SBD |
$1,282.91
|
| Rate for Payer: Priority Health Tiered Network |
$1,282.91
|
| Rate for Payer: Railroad Medicare Medicare |
$719.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,367.21
|
| Rate for Payer: UHC Core |
$1,367.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$719.39
|
| Rate for Payer: UHC Exchange |
$1,367.21
|
| Rate for Payer: UHC Medicaid |
$470.30
|
| Rate for Payer: UHCCP Medicaid |
$470.30
|
|
|
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ
|
Professional
|
Both
|
$3,209.00
|
|
|
Service Code
|
HCPCS 29851
|
| Min. Negotiated Rate |
$549.54 |
| Max. Negotiated Rate |
$2,406.75 |
| Rate for Payer: Aetna Commercial |
$1,131.20
|
| Rate for Payer: Aetna Medicare |
$877.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,131.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,215.62
|
| Rate for Payer: BCBS Complete |
$577.02
|
| Rate for Payer: BCBS MAPPO |
$844.18
|
| Rate for Payer: BCN Commercial |
$1,414.77
|
| Rate for Payer: BCN Medicare Advantage |
$844.18
|
| Rate for Payer: Cash Price |
$2,567.20
|
| Rate for Payer: Cash Price |
$2,567.20
|
| Rate for Payer: Cofinity Commercial |
$1,215.62
|
| Rate for Payer: Cofinity Commercial |
$1,131.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$844.18
|
| Rate for Payer: Healthscope Commercial |
$1,561.73
|
| Rate for Payer: Healthscope Commercial |
$1,350.69
|
| Rate for Payer: Mclaren Medicaid |
$549.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$886.39
|
| Rate for Payer: Meridian Medicaid |
$577.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$928.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,649.77
|
| Rate for Payer: Nomi Health Commercial |
$1,013.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,406.75
|
| Rate for Payer: PACE SWMI |
$844.18
|
| Rate for Payer: PHP Medicare Advantage |
$844.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,512.34
|
| Rate for Payer: Priority Health Medicare |
$844.18
|
| Rate for Payer: Priority Health SBD |
$1,512.34
|
| Rate for Payer: Priority Health Tiered Network |
$1,512.34
|
| Rate for Payer: Railroad Medicare Medicare |
$844.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,628.50
|
| Rate for Payer: UHC Core |
$1,628.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$844.18
|
| Rate for Payer: UHC Exchange |
$1,628.50
|
| Rate for Payer: UHC Medicaid |
$549.54
|
| Rate for Payer: UHCCP Medicaid |
$549.54
|
|
|
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ
|
Professional
|
Both
|
$1,268.00
|
|
|
Service Code
|
HCPCS 29850
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,108.06 |
| Rate for Payer: Aetna Commercial |
$774.05
|
| Rate for Payer: Aetna Medicare |
$600.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.82
|
| Rate for Payer: BCBS Complete |
$397.43
|
| Rate for Payer: BCBS MAPPO |
$577.65
|
| Rate for Payer: BCN Commercial |
$957.12
|
| Rate for Payer: BCN Medicare Advantage |
$577.65
|
| Rate for Payer: Cash Price |
$1,014.40
|
| Rate for Payer: Cash Price |
$1,014.40
|
| Rate for Payer: Cofinity Commercial |
$831.82
|
| Rate for Payer: Cofinity Commercial |
$774.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.65
|
| Rate for Payer: Healthscope Commercial |
$924.24
|
| Rate for Payer: Healthscope Commercial |
$1,068.65
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$606.53
|
| Rate for Payer: Meridian Medicaid |
$397.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$635.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,108.06
|
| Rate for Payer: Nomi Health Commercial |
$693.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$951.00
|
| Rate for Payer: PACE SWMI |
$577.65
|
| Rate for Payer: PHP Medicare Advantage |
$577.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,023.13
|
| Rate for Payer: Priority Health Medicare |
$577.65
|
| Rate for Payer: Priority Health SBD |
$1,023.13
|
| Rate for Payer: Priority Health Tiered Network |
$1,023.13
|
| Rate for Payer: Railroad Medicare Medicare |
$577.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,085.90
|
| Rate for Payer: UHC Core |
$1,085.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$577.65
|
| Rate for Payer: UHC Exchange |
$1,085.90
|
| Rate for Payer: UHC Medicaid |
$378.50
|
| Rate for Payer: UHCCP Medicaid |
$378.50
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29898
|
| Min. Negotiated Rate |
$333.98 |
| Max. Negotiated Rate |
$1,700.25 |
| Rate for Payer: Aetna Commercial |
$685.16
|
| Rate for Payer: Aetna Medicare |
$531.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$685.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$736.29
|
| Rate for Payer: BCBS Complete |
$350.68
|
| Rate for Payer: BCBS MAPPO |
$511.31
|
| Rate for Payer: BCN Commercial |
$934.94
|
| Rate for Payer: BCN Medicare Advantage |
$511.31
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cofinity Commercial |
$736.29
|
| Rate for Payer: Cofinity Commercial |
$685.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$511.31
|
| Rate for Payer: Healthscope Commercial |
$945.92
|
| Rate for Payer: Healthscope Commercial |
$818.10
|
| Rate for Payer: Mclaren Medicaid |
$333.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.88
|
| Rate for Payer: Meridian Medicaid |
$350.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$562.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$993.78
|
| Rate for Payer: Nomi Health Commercial |
$613.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.25
|
| Rate for Payer: PACE SWMI |
$511.31
|
| Rate for Payer: PHP Medicare Advantage |
$511.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$909.75
|
| Rate for Payer: Priority Health Medicare |
$511.31
|
| Rate for Payer: Priority Health SBD |
$909.75
|
| Rate for Payer: Priority Health Tiered Network |
$909.75
|
| Rate for Payer: Railroad Medicare Medicare |
$511.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$984.98
|
| Rate for Payer: UHC Core |
$984.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$511.31
|
| Rate for Payer: UHC Exchange |
$984.98
|
| Rate for Payer: UHC Medicaid |
$333.98
|
| Rate for Payer: UHCCP Medicaid |
$333.98
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 29897
|
| Min. Negotiated Rate |
$296.50 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Priority Health SBD |
$801.15
|
| Rate for Payer: Aetna Commercial |
$607.84
|
| Rate for Payer: Aetna Medicare |
$471.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$653.20
|
| Rate for Payer: BCBS Complete |
$311.32
|
| Rate for Payer: BCBS MAPPO |
$453.61
|
| Rate for Payer: BCN Commercial |
$749.46
|
| Rate for Payer: BCN Medicare Advantage |
$453.61
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cofinity Commercial |
$653.20
|
| Rate for Payer: Cofinity Commercial |
$607.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.61
|
| Rate for Payer: Healthscope Commercial |
$839.18
|
| Rate for Payer: Healthscope Commercial |
$725.78
|
| Rate for Payer: Mclaren Medicaid |
$296.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.29
|
| Rate for Payer: Meridian Medicaid |
$311.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$498.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$882.41
|
| Rate for Payer: Nomi Health Commercial |
$544.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,500.00
|
| Rate for Payer: PACE SWMI |
$453.61
|
| Rate for Payer: PHP Medicare Advantage |
$453.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$801.15
|
| Rate for Payer: Priority Health Medicare |
$453.61
|
| Rate for Payer: Priority Health Tiered Network |
$801.15
|
| Rate for Payer: Railroad Medicare Medicare |
$453.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$873.01
|
| Rate for Payer: UHC Core |
$873.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$453.61
|
| Rate for Payer: UHC Exchange |
$873.01
|
| Rate for Payer: UHC Medicaid |
$296.50
|
| Rate for Payer: UHCCP Medicaid |
$296.50
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29895
|
| Min. Negotiated Rate |
$276.47 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$567.03
|
| Rate for Payer: Aetna Medicare |
$440.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$567.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.35
|
| Rate for Payer: BCBS Complete |
$290.29
|
| Rate for Payer: BCBS MAPPO |
$423.16
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: BCN Medicare Advantage |
$423.16
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$609.35
|
| Rate for Payer: Cofinity Commercial |
$567.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$423.16
|
| Rate for Payer: Healthscope Commercial |
$782.85
|
| Rate for Payer: Healthscope Commercial |
$677.06
|
| Rate for Payer: Mclaren Medicaid |
$276.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$444.32
|
| Rate for Payer: Meridian Medicaid |
$290.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$465.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$821.52
|
| Rate for Payer: Nomi Health Commercial |
$507.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$423.16
|
| Rate for Payer: PHP Medicare Advantage |
$423.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$746.85
|
| Rate for Payer: Priority Health Medicare |
$423.16
|
| Rate for Payer: Priority Health SBD |
$746.85
|
| Rate for Payer: Priority Health Tiered Network |
$746.85
|
| Rate for Payer: Railroad Medicare Medicare |
$423.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$812.91
|
| Rate for Payer: UHC Core |
$812.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$423.16
|
| Rate for Payer: UHC Exchange |
$812.91
|
| Rate for Payer: UHC Medicaid |
$276.47
|
| Rate for Payer: UHCCP Medicaid |
$276.47
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS
|
Professional
|
Both
|
$3,182.00
|
|
|
Service Code
|
HCPCS 29899
|
| Min. Negotiated Rate |
$587.45 |
| Max. Negotiated Rate |
$2,386.50 |
| Rate for Payer: Aetna Commercial |
$1,211.60
|
| Rate for Payer: Aetna Medicare |
$940.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,211.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,302.02
|
| Rate for Payer: BCBS Complete |
$616.82
|
| Rate for Payer: BCBS MAPPO |
$904.18
|
| Rate for Payer: BCN Commercial |
$1,509.88
|
| Rate for Payer: BCN Medicare Advantage |
$904.18
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Cofinity Commercial |
$1,302.02
|
| Rate for Payer: Cofinity Commercial |
$1,211.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.18
|
| Rate for Payer: Healthscope Commercial |
$1,672.73
|
| Rate for Payer: Healthscope Commercial |
$1,446.69
|
| Rate for Payer: Mclaren Medicaid |
$587.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.39
|
| Rate for Payer: Meridian Medicaid |
$616.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,784.34
|
| Rate for Payer: Nomi Health Commercial |
$1,085.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,386.50
|
| Rate for Payer: PACE SWMI |
$904.18
|
| Rate for Payer: PHP Medicare Advantage |
$904.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,614.02
|
| Rate for Payer: Priority Health Medicare |
$904.18
|
| Rate for Payer: Priority Health SBD |
$1,614.02
|
| Rate for Payer: Priority Health Tiered Network |
$1,614.02
|
| Rate for Payer: Railroad Medicare Medicare |
$904.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,807.29
|
| Rate for Payer: UHC Core |
$1,807.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$904.18
|
| Rate for Payer: UHC Exchange |
$1,807.29
|
| Rate for Payer: UHC Medicaid |
$587.45
|
| Rate for Payer: UHCCP Medicaid |
$587.45
|
|
|
PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 29894
|
| Min. Negotiated Rate |
$302.89 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$620.59
|
| Rate for Payer: Aetna Medicare |
$481.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.91
|
| Rate for Payer: BCBS Complete |
$318.03
|
| Rate for Payer: BCBS MAPPO |
$463.13
|
| Rate for Payer: BCN Commercial |
$770.37
|
| Rate for Payer: BCN Medicare Advantage |
$463.13
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cofinity Commercial |
$666.91
|
| Rate for Payer: Cofinity Commercial |
$620.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$463.13
|
| Rate for Payer: Healthscope Commercial |
$856.79
|
| Rate for Payer: Healthscope Commercial |
$741.01
|
| Rate for Payer: Mclaren Medicaid |
$302.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.29
|
| Rate for Payer: Meridian Medicaid |
$318.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$509.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$879.25
|
| Rate for Payer: Nomi Health Commercial |
$555.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,500.00
|
| Rate for Payer: PACE SWMI |
$463.13
|
| Rate for Payer: PHP Medicare Advantage |
$463.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$823.51
|
| Rate for Payer: Priority Health Medicare |
$463.13
|
| Rate for Payer: Priority Health SBD |
$823.51
|
| Rate for Payer: Priority Health Tiered Network |
$823.51
|
| Rate for Payer: Railroad Medicare Medicare |
$463.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$871.97
|
| Rate for Payer: UHC Core |
$871.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$463.13
|
| Rate for Payer: UHC Exchange |
$871.97
|
| Rate for Payer: UHC Medicaid |
$302.89
|
| Rate for Payer: UHCCP Medicaid |
$302.89
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29838
|
| Min. Negotiated Rate |
$356.14 |
| Max. Negotiated Rate |
$1,700.25 |
| Rate for Payer: Aetna Commercial |
$728.02
|
| Rate for Payer: Aetna Medicare |
$565.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$728.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$782.35
|
| Rate for Payer: BCBS Complete |
$373.95
|
| Rate for Payer: BCBS MAPPO |
$543.30
|
| Rate for Payer: BCN Commercial |
$910.31
|
| Rate for Payer: BCN Medicare Advantage |
$543.30
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cofinity Commercial |
$782.35
|
| Rate for Payer: Cofinity Commercial |
$728.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.30
|
| Rate for Payer: Healthscope Commercial |
$869.28
|
| Rate for Payer: Healthscope Commercial |
$1,005.11
|
| Rate for Payer: Mclaren Medicaid |
$356.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$570.47
|
| Rate for Payer: Meridian Medicaid |
$373.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$597.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,054.96
|
| Rate for Payer: Nomi Health Commercial |
$651.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.25
|
| Rate for Payer: PACE SWMI |
$543.30
|
| Rate for Payer: PHP Medicare Advantage |
$543.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$356.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$973.09
|
| Rate for Payer: Priority Health Medicare |
$543.30
|
| Rate for Payer: Priority Health SBD |
$973.09
|
| Rate for Payer: Priority Health Tiered Network |
$973.09
|
| Rate for Payer: Railroad Medicare Medicare |
$543.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,030.57
|
| Rate for Payer: UHC Core |
$1,030.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$543.30
|
| Rate for Payer: UHC Exchange |
$1,030.57
|
| Rate for Payer: UHC Medicaid |
$356.14
|
| Rate for Payer: UHCCP Medicaid |
$356.14
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 29837
|
| Min. Negotiated Rate |
$323.12 |
| Max. Negotiated Rate |
$1,498.50 |
| Rate for Payer: Aetna Commercial |
$660.51
|
| Rate for Payer: Aetna Medicare |
$512.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$660.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.80
|
| Rate for Payer: BCBS Complete |
$339.28
|
| Rate for Payer: BCBS MAPPO |
$492.92
|
| Rate for Payer: BCN Commercial |
$797.27
|
| Rate for Payer: BCN Medicare Advantage |
$492.92
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$709.80
|
| Rate for Payer: Cofinity Commercial |
$660.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.92
|
| Rate for Payer: Healthscope Commercial |
$911.90
|
| Rate for Payer: Healthscope Commercial |
$788.67
|
| Rate for Payer: Mclaren Medicaid |
$323.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.57
|
| Rate for Payer: Meridian Medicaid |
$339.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$542.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$936.54
|
| Rate for Payer: Nomi Health Commercial |
$591.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,498.50
|
| Rate for Payer: PACE SWMI |
$492.92
|
| Rate for Payer: PHP Medicare Advantage |
$492.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$852.26
|
| Rate for Payer: Priority Health Medicare |
$492.92
|
| Rate for Payer: Priority Health SBD |
$852.26
|
| Rate for Payer: Priority Health Tiered Network |
$852.26
|
| Rate for Payer: Railroad Medicare Medicare |
$492.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$917.69
|
| Rate for Payer: UHC Core |
$917.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$492.92
|
| Rate for Payer: UHC Exchange |
$917.69
|
| Rate for Payer: UHC Medicaid |
$323.12
|
| Rate for Payer: UHCCP Medicaid |
$323.12
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$1,071.00
|
|
|
Service Code
|
HCPCS 29836
|
| Min. Negotiated Rate |
$349.53 |
| Max. Negotiated Rate |
$1,038.69 |
| Rate for Payer: Aetna Commercial |
$713.91
|
| Rate for Payer: Aetna Medicare |
$554.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.19
|
| Rate for Payer: BCBS Complete |
$367.01
|
| Rate for Payer: BCBS MAPPO |
$532.77
|
| Rate for Payer: BCN Commercial |
$897.86
|
| Rate for Payer: BCN Medicare Advantage |
$532.77
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$767.19
|
| Rate for Payer: Cofinity Commercial |
$713.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.77
|
| Rate for Payer: Healthscope Commercial |
$985.62
|
| Rate for Payer: Healthscope Commercial |
$852.43
|
| Rate for Payer: Mclaren Medicaid |
$349.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.41
|
| Rate for Payer: Meridian Medicaid |
$367.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$586.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,038.69
|
| Rate for Payer: Nomi Health Commercial |
$639.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$803.25
|
| Rate for Payer: PACE SWMI |
$532.77
|
| Rate for Payer: PHP Medicare Advantage |
$532.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$959.79
|
| Rate for Payer: Priority Health Medicare |
$532.77
|
| Rate for Payer: Priority Health SBD |
$959.79
|
| Rate for Payer: Priority Health Tiered Network |
$959.79
|
| Rate for Payer: Railroad Medicare Medicare |
$532.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,016.51
|
| Rate for Payer: UHC Core |
$1,016.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.77
|
| Rate for Payer: UHC Exchange |
$1,016.51
|
| Rate for Payer: UHC Medicaid |
$349.53
|
| Rate for Payer: UHCCP Medicaid |
$349.53
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$2,028.00
|
|
|
Service Code
|
HCPCS 29835
|
| Min. Negotiated Rate |
$310.55 |
| Max. Negotiated Rate |
$1,521.00 |
| Rate for Payer: Priority Health SBD |
$837.35
|
| Rate for Payer: Aetna Commercial |
$634.05
|
| Rate for Payer: Aetna Medicare |
$492.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$634.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$681.36
|
| Rate for Payer: BCBS Complete |
$326.08
|
| Rate for Payer: BCBS MAPPO |
$473.17
|
| Rate for Payer: BCN Commercial |
$783.32
|
| Rate for Payer: BCN Medicare Advantage |
$473.17
|
| Rate for Payer: Cash Price |
$1,622.40
|
| Rate for Payer: Cash Price |
$1,622.40
|
| Rate for Payer: Cofinity Commercial |
$681.36
|
| Rate for Payer: Cofinity Commercial |
$634.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$473.17
|
| Rate for Payer: Healthscope Commercial |
$875.36
|
| Rate for Payer: Healthscope Commercial |
$757.07
|
| Rate for Payer: Mclaren Medicaid |
$310.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.83
|
| Rate for Payer: Meridian Medicaid |
$326.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$520.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$904.41
|
| Rate for Payer: Nomi Health Commercial |
$567.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,521.00
|
| Rate for Payer: PACE SWMI |
$473.17
|
| Rate for Payer: PHP Medicare Advantage |
$473.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$310.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$837.35
|
| Rate for Payer: Priority Health Medicare |
$473.17
|
| Rate for Payer: Priority Health Tiered Network |
$837.35
|
| Rate for Payer: Railroad Medicare Medicare |
$473.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$885.16
|
| Rate for Payer: UHC Core |
$885.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$473.17
|
| Rate for Payer: UHC Exchange |
$885.16
|
| Rate for Payer: UHC Medicaid |
$310.55
|
| Rate for Payer: UHCCP Medicaid |
$310.55
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,900.00
|
|
|
Service Code
|
HCPCS 29834
|
| Min. Negotiated Rate |
$298.84 |
| Max. Negotiated Rate |
$1,425.00 |
| Rate for Payer: Aetna Commercial |
$609.87
|
| Rate for Payer: Aetna Medicare |
$473.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.39
|
| Rate for Payer: BCBS Complete |
$313.78
|
| Rate for Payer: BCBS MAPPO |
$455.13
|
| Rate for Payer: BCN Commercial |
$758.92
|
| Rate for Payer: BCN Medicare Advantage |
$455.13
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cofinity Commercial |
$655.39
|
| Rate for Payer: Cofinity Commercial |
$609.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.13
|
| Rate for Payer: Healthscope Commercial |
$841.99
|
| Rate for Payer: Healthscope Commercial |
$728.21
|
| Rate for Payer: Mclaren Medicaid |
$298.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$477.89
|
| Rate for Payer: Meridian Medicaid |
$313.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$500.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$873.88
|
| Rate for Payer: Nomi Health Commercial |
$546.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,425.00
|
| Rate for Payer: PACE SWMI |
$455.13
|
| Rate for Payer: PHP Medicare Advantage |
$455.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$811.27
|
| Rate for Payer: Priority Health Medicare |
$455.13
|
| Rate for Payer: Priority Health SBD |
$811.27
|
| Rate for Payer: Priority Health Tiered Network |
$811.27
|
| Rate for Payer: Railroad Medicare Medicare |
$455.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$856.03
|
| Rate for Payer: UHC Core |
$856.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.13
|
| Rate for Payer: UHC Exchange |
$856.03
|
| Rate for Payer: UHC Medicaid |
$298.84
|
| Rate for Payer: UHCCP Medicaid |
$298.84
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,517.00
|
|
|
Service Code
|
HCPCS 29861
|
| Min. Negotiated Rate |
$419.18 |
| Max. Negotiated Rate |
$1,887.75 |
| Rate for Payer: Aetna Commercial |
$860.15
|
| Rate for Payer: Aetna Medicare |
$667.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$860.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$924.34
|
| Rate for Payer: BCBS Complete |
$440.14
|
| Rate for Payer: BCBS MAPPO |
$641.90
|
| Rate for Payer: BCN Commercial |
$1,058.21
|
| Rate for Payer: BCN Medicare Advantage |
$641.90
|
| Rate for Payer: Cash Price |
$2,013.60
|
| Rate for Payer: Cash Price |
$2,013.60
|
| Rate for Payer: Cofinity Commercial |
$924.34
|
| Rate for Payer: Cofinity Commercial |
$860.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.90
|
| Rate for Payer: Healthscope Commercial |
$1,187.52
|
| Rate for Payer: Healthscope Commercial |
$1,027.04
|
| Rate for Payer: Mclaren Medicaid |
$419.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$674.00
|
| Rate for Payer: Meridian Medicaid |
$440.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$706.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,262.75
|
| Rate for Payer: Nomi Health Commercial |
$770.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,887.75
|
| Rate for Payer: PACE SWMI |
$641.90
|
| Rate for Payer: PHP Medicare Advantage |
$641.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,131.19
|
| Rate for Payer: Priority Health Medicare |
$641.90
|
| Rate for Payer: Priority Health SBD |
$1,131.19
|
| Rate for Payer: Priority Health Tiered Network |
$1,131.19
|
| Rate for Payer: Railroad Medicare Medicare |
$641.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,260.37
|
| Rate for Payer: UHC Core |
$1,260.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$641.90
|
| Rate for Payer: UHC Exchange |
$1,260.37
|
| Rate for Payer: UHC Medicaid |
$419.18
|
| Rate for Payer: UHCCP Medicaid |
$419.18
|
|
