|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,133.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$399.51 |
| Max. Negotiated Rate |
$739.09 |
| Rate for Payer: Aetna Commercial |
$535.34
|
| Rate for Payer: Aetna Medicare |
$415.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.34
|
| Rate for Payer: BCBS Complete |
$453.20
|
| Rate for Payer: BCBS MAPPO |
$399.51
|
| Rate for Payer: BCN Medicare Advantage |
$399.51
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cofinity Commercial |
$575.29
|
| Rate for Payer: Cofinity Commercial |
$535.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.51
|
| Rate for Payer: Healthscope Commercial |
$739.09
|
| Rate for Payer: Healthscope Commercial |
$639.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$736.45
|
| Rate for Payer: Nomi Health Commercial |
$479.41
|
| Rate for Payer: PACE SWMI |
$399.51
|
| Rate for Payer: PHP Medicare Advantage |
$399.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.45
|
| Rate for Payer: Priority Health Medicare |
$399.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.51
|
| Rate for Payer: UHC Medicare Advantage |
$399.51
|
|
|
PR ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE
|
Professional
|
Both
|
$1,618.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$498.35 |
| Max. Negotiated Rate |
$1,051.70 |
| Rate for Payer: Aetna Commercial |
$667.79
|
| Rate for Payer: Aetna Medicare |
$518.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.79
|
| Rate for Payer: BCBS Complete |
$647.20
|
| Rate for Payer: BCBS MAPPO |
$498.35
|
| Rate for Payer: BCN Medicare Advantage |
$498.35
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cofinity Commercial |
$717.62
|
| Rate for Payer: Cofinity Commercial |
$667.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.35
|
| Rate for Payer: Healthscope Commercial |
$797.36
|
| Rate for Payer: Healthscope Commercial |
$921.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,051.70
|
| Rate for Payer: Nomi Health Commercial |
$598.02
|
| Rate for Payer: PACE SWMI |
$498.35
|
| Rate for Payer: PHP Medicare Advantage |
$498.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.70
|
| Rate for Payer: Priority Health Medicare |
$498.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.35
|
| Rate for Payer: UHC Medicare Advantage |
$498.35
|
|
|
PR ARTHROSCOPY KNEE LATERAL RELEASE
|
Professional
|
Both
|
$1,974.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$516.84 |
| Max. Negotiated Rate |
$1,283.10 |
| Rate for Payer: Aetna Commercial |
$692.57
|
| Rate for Payer: Aetna Medicare |
$537.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.57
|
| Rate for Payer: BCBS Complete |
$789.60
|
| Rate for Payer: BCBS MAPPO |
$516.84
|
| Rate for Payer: BCN Medicare Advantage |
$516.84
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cofinity Commercial |
$744.25
|
| Rate for Payer: Cofinity Commercial |
$692.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.84
|
| Rate for Payer: Healthscope Commercial |
$956.15
|
| Rate for Payer: Healthscope Commercial |
$826.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,283.10
|
| Rate for Payer: Nomi Health Commercial |
$620.21
|
| Rate for Payer: PACE SWMI |
$516.84
|
| Rate for Payer: PHP Medicare Advantage |
$516.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.10
|
| Rate for Payer: Priority Health Medicare |
$516.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.84
|
| Rate for Payer: UHC Medicare Advantage |
$516.84
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,003.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$1,201.20 |
| Max. Negotiated Rate |
$2,972.03 |
| Rate for Payer: Aetna Commercial |
$2,152.71
|
| Rate for Payer: Aetna Medicare |
$1,670.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,313.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,152.71
|
| Rate for Payer: BCBS Complete |
$1,201.20
|
| Rate for Payer: BCBS MAPPO |
$1,606.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,606.50
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cofinity Commercial |
$2,313.36
|
| Rate for Payer: Cofinity Commercial |
$2,152.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,606.50
|
| Rate for Payer: Healthscope Commercial |
$2,570.40
|
| Rate for Payer: Healthscope Commercial |
$2,972.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,686.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,951.95
|
| Rate for Payer: Nomi Health Commercial |
$1,927.80
|
| Rate for Payer: PACE SWMI |
$1,606.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,606.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,951.95
|
| Rate for Payer: Priority Health Medicare |
$1,606.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,606.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,606.50
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,097.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$1,015.34 |
| Max. Negotiated Rate |
$2,013.05 |
| Rate for Payer: Aetna Commercial |
$1,360.56
|
| Rate for Payer: Aetna Medicare |
$1,055.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,360.56
|
| Rate for Payer: BCBS Complete |
$1,238.80
|
| Rate for Payer: BCBS MAPPO |
$1,015.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.34
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,462.09
|
| Rate for Payer: Cofinity Commercial |
$1,360.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.34
|
| Rate for Payer: Healthscope Commercial |
$1,878.38
|
| Rate for Payer: Healthscope Commercial |
$1,624.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,066.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,013.05
|
| Rate for Payer: Nomi Health Commercial |
$1,218.41
|
| Rate for Payer: PACE SWMI |
$1,015.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,013.05
|
| Rate for Payer: Priority Health Medicare |
$1,015.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.34
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$906.00 |
| Max. Negotiated Rate |
$2,280.25 |
| Rate for Payer: Aetna Commercial |
$1,651.64
|
| Rate for Payer: Aetna Medicare |
$1,281.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,651.64
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$1,232.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,232.57
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,774.90
|
| Rate for Payer: Cofinity Commercial |
$1,651.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,232.57
|
| Rate for Payer: Healthscope Commercial |
$1,972.11
|
| Rate for Payer: Healthscope Commercial |
$2,280.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,294.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,472.25
|
| Rate for Payer: Nomi Health Commercial |
$1,479.08
|
| Rate for Payer: PACE SWMI |
$1,232.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,232.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$1,232.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.57
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Healthscope Commercial |
$957.73
|
| Rate for Payer: Healthscope Commercial |
$828.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,325.35
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
OP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,284.57 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$1,733.15
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,325.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,427.30
|
| Rate for Payer: Cofinity Commercial |
$1,753.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,427.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,835.10
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,733.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,284.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
IP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,284.57 |
| Max. Negotiated Rate |
$1,835.10 |
| Rate for Payer: Aetna Commercial |
$1,733.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,325.35
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,427.30
|
| Rate for Payer: Cofinity Commercial |
$1,753.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,427.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Healthscope Commercial |
$1,835.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: PHP Commercial |
$1,733.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health SBD |
$1,284.57
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Healthscope Commercial |
$828.30
|
| Rate for Payer: Healthscope Commercial |
$957.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,325.35
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$630.77 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$656.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$908.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.23
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Healthscope Commercial |
$1,009.23
|
| Rate for Payer: Healthscope Commercial |
$1,166.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,556.75
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,508.85 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,508.85 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$630.77 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$656.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$908.31
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Healthscope Commercial |
$1,009.23
|
| Rate for Payer: Healthscope Commercial |
$1,166.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,556.75
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
IP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,182.51 |
| Max. Negotiated Rate |
$1,689.30 |
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.05
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,313.90
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,313.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health SBD |
$1,182.51
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,182.51 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,313.90
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,313.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,182.51
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.89
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Healthscope Commercial |
$887.57
|
| Rate for Payer: Healthscope Commercial |
$767.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,220.05
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Healthscope Commercial |
$767.63
|
| Rate for Payer: Healthscope Commercial |
$887.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,220.05
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,426.95 |
| Max. Negotiated Rate |
$2,038.50 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.60
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Healthscope Commercial |
$1,106.69
|
| Rate for Payer: Healthscope Commercial |
$957.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,472.25
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,426.95 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Healthscope Commercial |
$1,106.69
|
| Rate for Payer: Healthscope Commercial |
$957.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,472.25
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,083.91
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Healthscope Commercial |
$1,496.45
|
| Rate for Payer: Healthscope Commercial |
$1,294.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,792.70
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,083.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Healthscope Commercial |
$1,294.22
|
| Rate for Payer: Healthscope Commercial |
$1,496.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,792.70
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
IP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,737.54 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,792.70
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,930.60
|
| Rate for Payer: Cofinity Commercial |
$2,371.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,930.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Healthscope Commercial |
$2,482.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health SBD |
$1,737.54
|
|
