|
PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 29863
|
| Min. Negotiated Rate |
$482.87 |
| Max. Negotiated Rate |
$1,437.03 |
| Rate for Payer: Aetna Commercial |
$989.27
|
| Rate for Payer: Aetna Medicare |
$767.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,063.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$989.27
|
| Rate for Payer: BCBS Complete |
$507.01
|
| Rate for Payer: BCBS MAPPO |
$738.26
|
| Rate for Payer: BCN Commercial |
$1,241.46
|
| Rate for Payer: BCN Medicare Advantage |
$738.26
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$989.27
|
| Rate for Payer: Cofinity Commercial |
$1,063.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.26
|
| Rate for Payer: Healthscope Commercial |
$1,365.78
|
| Rate for Payer: Healthscope Commercial |
$1,181.22
|
| Rate for Payer: Mclaren Medicaid |
$482.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$775.17
|
| Rate for Payer: Meridian Medicaid |
$507.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$812.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,437.03
|
| Rate for Payer: Nomi Health Commercial |
$885.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,272.00
|
| Rate for Payer: PACE SWMI |
$738.26
|
| Rate for Payer: PHP Medicare Advantage |
$738.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,327.10
|
| Rate for Payer: Priority Health Medicare |
$738.26
|
| Rate for Payer: Priority Health SBD |
$1,327.10
|
| Rate for Payer: Priority Health Tiered Network |
$1,327.10
|
| Rate for Payer: Railroad Medicare Medicare |
$738.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,422.43
|
| Rate for Payer: UHC Core |
$1,422.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$738.26
|
| Rate for Payer: UHC Exchange |
$1,422.43
|
| Rate for Payer: UHC Medicaid |
$482.87
|
| Rate for Payer: UHCCP Medicaid |
$482.87
|
|
|
PR ARTHROSCOPY HIP W/ACETABULOPLASTY
|
Professional
|
Both
|
$3,357.00
|
|
|
Service Code
|
HCPCS 29915
|
| Min. Negotiated Rate |
$594.48 |
| Max. Negotiated Rate |
$2,517.75 |
| Rate for Payer: Aetna Commercial |
$1,225.59
|
| Rate for Payer: Aetna Medicare |
$951.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,225.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,317.05
|
| Rate for Payer: BCBS Complete |
$624.20
|
| Rate for Payer: BCBS MAPPO |
$914.62
|
| Rate for Payer: BCN Commercial |
$1,537.27
|
| Rate for Payer: BCN Medicare Advantage |
$914.62
|
| Rate for Payer: Cash Price |
$2,685.60
|
| Rate for Payer: Cash Price |
$2,685.60
|
| Rate for Payer: Cofinity Commercial |
$1,317.05
|
| Rate for Payer: Cofinity Commercial |
$1,225.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.62
|
| Rate for Payer: Healthscope Commercial |
$1,692.05
|
| Rate for Payer: Healthscope Commercial |
$1,463.39
|
| Rate for Payer: Mclaren Medicaid |
$594.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$960.35
|
| Rate for Payer: Meridian Medicaid |
$624.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,006.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,804.59
|
| Rate for Payer: Nomi Health Commercial |
$1,097.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,517.75
|
| Rate for Payer: PACE SWMI |
$914.62
|
| Rate for Payer: PHP Medicare Advantage |
$914.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,643.30
|
| Rate for Payer: Priority Health Medicare |
$914.62
|
| Rate for Payer: Priority Health SBD |
$1,643.30
|
| Rate for Payer: Priority Health Tiered Network |
$1,643.30
|
| Rate for Payer: Railroad Medicare Medicare |
$914.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,794.31
|
| Rate for Payer: UHC Core |
$1,794.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$914.62
|
| Rate for Payer: UHC Exchange |
$1,794.31
|
| Rate for Payer: UHC Medicaid |
$594.48
|
| Rate for Payer: UHCCP Medicaid |
$594.48
|
|
|
PR ARTHROSCOPY HIP W/FEMOROPLASTY
|
Professional
|
Both
|
$3,155.00
|
|
|
Service Code
|
HCPCS 29914
|
| Min. Negotiated Rate |
$583.62 |
| Max. Negotiated Rate |
$2,366.25 |
| Rate for Payer: Aetna Commercial |
$1,202.69
|
| Rate for Payer: Aetna Medicare |
$933.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,202.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.44
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$897.53
|
| Rate for Payer: BCN Commercial |
$1,508.39
|
| Rate for Payer: BCN Medicare Advantage |
$897.53
|
| Rate for Payer: Cash Price |
$2,524.00
|
| Rate for Payer: Cash Price |
$2,524.00
|
| Rate for Payer: Cofinity Commercial |
$1,292.44
|
| Rate for Payer: Cofinity Commercial |
$1,202.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$897.53
|
| Rate for Payer: Healthscope Commercial |
$1,660.43
|
| Rate for Payer: Healthscope Commercial |
$1,436.05
|
| Rate for Payer: Mclaren Medicaid |
$583.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$942.41
|
| Rate for Payer: Meridian Medicaid |
$612.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$987.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,763.35
|
| Rate for Payer: Nomi Health Commercial |
$1,077.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,366.25
|
| Rate for Payer: PACE SWMI |
$897.53
|
| Rate for Payer: PHP Medicare Advantage |
$897.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$583.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,612.43
|
| Rate for Payer: Priority Health Medicare |
$897.53
|
| Rate for Payer: Priority Health SBD |
$1,612.43
|
| Rate for Payer: Priority Health Tiered Network |
$1,612.43
|
| Rate for Payer: Railroad Medicare Medicare |
$897.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,742.96
|
| Rate for Payer: UHC Core |
$1,742.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$897.53
|
| Rate for Payer: UHC Exchange |
$1,742.96
|
| Rate for Payer: UHC Medicaid |
$583.62
|
| Rate for Payer: UHCCP Medicaid |
$583.62
|
|
|
PR ARTHROSCOPY HIP W/LABRAL REPAIR
|
Professional
|
Both
|
$3,372.00
|
|
|
Service Code
|
HCPCS 29916
|
| Min. Negotiated Rate |
$593.42 |
| Max. Negotiated Rate |
$2,529.00 |
| Rate for Payer: Aetna Commercial |
$1,223.46
|
| Rate for Payer: Aetna Medicare |
$949.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,223.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,314.76
|
| Rate for Payer: BCBS Complete |
$623.09
|
| Rate for Payer: BCBS MAPPO |
$913.03
|
| Rate for Payer: BCN Commercial |
$1,539.26
|
| Rate for Payer: BCN Medicare Advantage |
$913.03
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cofinity Commercial |
$1,314.76
|
| Rate for Payer: Cofinity Commercial |
$1,223.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$913.03
|
| Rate for Payer: Healthscope Commercial |
$1,689.11
|
| Rate for Payer: Healthscope Commercial |
$1,460.85
|
| Rate for Payer: Mclaren Medicaid |
$593.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$958.68
|
| Rate for Payer: Meridian Medicaid |
$623.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,004.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,806.26
|
| Rate for Payer: Nomi Health Commercial |
$1,095.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,529.00
|
| Rate for Payer: PACE SWMI |
$913.03
|
| Rate for Payer: PHP Medicare Advantage |
$913.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$593.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,645.42
|
| Rate for Payer: Priority Health Medicare |
$913.03
|
| Rate for Payer: Priority Health SBD |
$1,645.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,645.42
|
| Rate for Payer: Railroad Medicare Medicare |
$913.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,794.76
|
| Rate for Payer: UHC Core |
$1,794.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$913.03
|
| Rate for Payer: UHC Exchange |
$1,794.76
|
| Rate for Payer: UHC Medicaid |
$593.42
|
| Rate for Payer: UHCCP Medicaid |
$593.42
|
|
|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,167.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$254.96 |
| Max. Negotiated Rate |
$875.25 |
| Rate for Payer: Priority Health SBD |
$679.25
|
| Rate for Payer: Aetna Commercial |
$518.79
|
| Rate for Payer: Aetna Medicare |
$402.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$518.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.51
|
| Rate for Payer: BCBS Complete |
$267.71
|
| Rate for Payer: BCBS MAPPO |
$387.16
|
| Rate for Payer: BCN Commercial |
$635.43
|
| Rate for Payer: BCN Medicare Advantage |
$387.16
|
| Rate for Payer: Cash Price |
$933.60
|
| Rate for Payer: Cash Price |
$933.60
|
| Rate for Payer: Cofinity Commercial |
$557.51
|
| Rate for Payer: Cofinity Commercial |
$518.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.16
|
| Rate for Payer: Healthscope Commercial |
$716.25
|
| Rate for Payer: Healthscope Commercial |
$619.46
|
| Rate for Payer: Mclaren Medicaid |
$254.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.52
|
| Rate for Payer: Meridian Medicaid |
$267.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$425.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$720.22
|
| Rate for Payer: Nomi Health Commercial |
$464.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$875.25
|
| Rate for Payer: PACE SWMI |
$387.16
|
| Rate for Payer: PHP Medicare Advantage |
$387.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$679.25
|
| Rate for Payer: Priority Health Medicare |
$387.16
|
| Rate for Payer: Priority Health Tiered Network |
$679.25
|
| Rate for Payer: Railroad Medicare Medicare |
$387.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$711.40
|
| Rate for Payer: UHC Core |
$711.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$387.16
|
| Rate for Payer: UHC Exchange |
$711.40
|
| Rate for Payer: UHC Medicaid |
$254.96
|
| Rate for Payer: UHCCP Medicaid |
$254.96
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,093.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$964.46 |
| Max. Negotiated Rate |
$2,959.04 |
| Rate for Payer: Aetna Commercial |
$1,995.76
|
| Rate for Payer: Aetna Medicare |
$1,548.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,995.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,144.69
|
| Rate for Payer: BCBS Complete |
$1,012.68
|
| Rate for Payer: BCBS MAPPO |
$1,489.37
|
| Rate for Payer: BCN Commercial |
$2,519.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,489.37
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cofinity Commercial |
$2,144.69
|
| Rate for Payer: Cofinity Commercial |
$1,995.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,489.37
|
| Rate for Payer: Healthscope Commercial |
$2,755.33
|
| Rate for Payer: Healthscope Commercial |
$2,382.99
|
| Rate for Payer: Mclaren Medicaid |
$964.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,563.84
|
| Rate for Payer: Meridian Medicaid |
$1,012.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,638.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,959.04
|
| Rate for Payer: Nomi Health Commercial |
$1,787.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,319.75
|
| Rate for Payer: PACE SWMI |
$1,489.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,489.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$964.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,693.05
|
| Rate for Payer: Priority Health Medicare |
$1,489.37
|
| Rate for Payer: Priority Health SBD |
$2,693.05
|
| Rate for Payer: Priority Health Tiered Network |
$2,693.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,489.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,937.78
|
| Rate for Payer: UHC Core |
$2,937.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,489.37
|
| Rate for Payer: UHC Exchange |
$2,937.78
|
| Rate for Payer: UHC Medicaid |
$964.46
|
| Rate for Payer: UHCCP Medicaid |
$964.46
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,190.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$624.52 |
| Max. Negotiated Rate |
$2,392.50 |
| Rate for Payer: Aetna Commercial |
$1,283.18
|
| Rate for Payer: Aetna Medicare |
$995.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,283.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,378.94
|
| Rate for Payer: BCBS Complete |
$655.75
|
| Rate for Payer: BCBS MAPPO |
$957.60
|
| Rate for Payer: BCN Commercial |
$1,601.51
|
| Rate for Payer: BCN Medicare Advantage |
$957.60
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,378.94
|
| Rate for Payer: Cofinity Commercial |
$1,283.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$957.60
|
| Rate for Payer: Healthscope Commercial |
$1,771.56
|
| Rate for Payer: Healthscope Commercial |
$1,532.16
|
| Rate for Payer: Mclaren Medicaid |
$624.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,005.48
|
| Rate for Payer: Meridian Medicaid |
$655.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,053.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,864.64
|
| Rate for Payer: Nomi Health Commercial |
$1,149.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,392.50
|
| Rate for Payer: PACE SWMI |
$957.60
|
| Rate for Payer: PHP Medicare Advantage |
$957.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,711.96
|
| Rate for Payer: Priority Health Medicare |
$957.60
|
| Rate for Payer: Priority Health SBD |
$1,711.96
|
| Rate for Payer: Priority Health Tiered Network |
$1,711.96
|
| Rate for Payer: Railroad Medicare Medicare |
$957.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,836.41
|
| Rate for Payer: UHC Core |
$1,836.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$957.60
|
| Rate for Payer: UHC Exchange |
$1,836.41
|
| Rate for Payer: UHC Medicaid |
$624.52
|
| Rate for Payer: UHCCP Medicaid |
$624.52
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$751.68 |
| Max. Negotiated Rate |
$2,265.89 |
| Rate for Payer: Aetna Commercial |
$1,548.91
|
| Rate for Payer: Aetna Medicare |
$1,202.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,548.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,664.50
|
| Rate for Payer: BCBS Complete |
$789.26
|
| Rate for Payer: BCBS MAPPO |
$1,155.90
|
| Rate for Payer: BCN Commercial |
$1,939.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.90
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$1,664.50
|
| Rate for Payer: Cofinity Commercial |
$1,548.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.90
|
| Rate for Payer: Healthscope Commercial |
$2,138.41
|
| Rate for Payer: Healthscope Commercial |
$1,849.44
|
| Rate for Payer: Mclaren Medicaid |
$751.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.69
|
| Rate for Payer: Meridian Medicaid |
$789.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,271.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,265.89
|
| Rate for Payer: Nomi Health Commercial |
$1,387.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$1,155.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$751.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,073.42
|
| Rate for Payer: Priority Health Medicare |
$1,155.90
|
| Rate for Payer: Priority Health SBD |
$2,073.42
|
| Rate for Payer: Priority Health Tiered Network |
$2,073.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,238.72
|
| Rate for Payer: UHC Core |
$2,238.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,155.90
|
| Rate for Payer: UHC Exchange |
$2,238.72
|
| Rate for Payer: UHC Medicaid |
$751.68
|
| Rate for Payer: UHCCP Medicaid |
$751.68
|
|
|
PR ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE
|
Professional
|
Both
|
$2,033.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$332.28 |
| Max. Negotiated Rate |
$1,524.75 |
| Rate for Payer: Aetna Commercial |
$673.32
|
| Rate for Payer: Aetna Medicare |
$522.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$673.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.57
|
| Rate for Payer: BCBS Complete |
$348.89
|
| Rate for Payer: BCBS MAPPO |
$502.48
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: BCN Medicare Advantage |
$502.48
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cofinity Commercial |
$723.57
|
| Rate for Payer: Cofinity Commercial |
$673.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.48
|
| Rate for Payer: Healthscope Commercial |
$929.59
|
| Rate for Payer: Healthscope Commercial |
$803.97
|
| Rate for Payer: Mclaren Medicaid |
$332.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.60
|
| Rate for Payer: Meridian Medicaid |
$348.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$552.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$946.82
|
| Rate for Payer: Nomi Health Commercial |
$602.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,524.75
|
| Rate for Payer: PACE SWMI |
$502.48
|
| Rate for Payer: PHP Medicare Advantage |
$502.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$882.06
|
| Rate for Payer: Priority Health Medicare |
$502.48
|
| Rate for Payer: Priority Health SBD |
$882.06
|
| Rate for Payer: Priority Health Tiered Network |
$882.06
|
| Rate for Payer: Railroad Medicare Medicare |
$502.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$915.41
|
| Rate for Payer: UHC Core |
$915.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$502.48
|
| Rate for Payer: UHC Exchange |
$915.41
|
| Rate for Payer: UHC Medicaid |
$332.28
|
| Rate for Payer: UHCCP Medicaid |
$332.28
|
|
|
PR ARTHROSCOPY KNEE SURG INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,667.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$1,250.25 |
| Rate for Payer: Aetna Commercial |
$639.54
|
| Rate for Payer: Aetna Medicare |
$496.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$687.27
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$477.27
|
| Rate for Payer: BCN Commercial |
$790.30
|
| Rate for Payer: BCN Medicare Advantage |
$477.27
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cofinity Commercial |
$687.27
|
| Rate for Payer: Cofinity Commercial |
$639.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.27
|
| Rate for Payer: Healthscope Commercial |
$882.95
|
| Rate for Payer: Healthscope Commercial |
$763.63
|
| Rate for Payer: Mclaren Medicaid |
$313.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.13
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$525.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$914.80
|
| Rate for Payer: Nomi Health Commercial |
$572.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,250.25
|
| Rate for Payer: PACE SWMI |
$477.27
|
| Rate for Payer: PHP Medicare Advantage |
$477.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$844.81
|
| Rate for Payer: Priority Health Medicare |
$477.27
|
| Rate for Payer: Priority Health SBD |
$844.81
|
| Rate for Payer: Priority Health Tiered Network |
$844.81
|
| Rate for Payer: Railroad Medicare Medicare |
$477.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$893.52
|
| Rate for Payer: UHC Core |
$893.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$477.27
|
| Rate for Payer: UHC Exchange |
$893.52
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$373.82 |
| Max. Negotiated Rate |
$1,749.75 |
| Rate for Payer: Aetna Commercial |
$764.62
|
| Rate for Payer: Aetna Medicare |
$593.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$764.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$821.68
|
| Rate for Payer: BCBS Complete |
$392.51
|
| Rate for Payer: BCBS MAPPO |
$570.61
|
| Rate for Payer: BCN Commercial |
$947.16
|
| Rate for Payer: BCN Medicare Advantage |
$570.61
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$821.68
|
| Rate for Payer: Cofinity Commercial |
$764.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.61
|
| Rate for Payer: Healthscope Commercial |
$912.98
|
| Rate for Payer: Healthscope Commercial |
$1,055.63
|
| Rate for Payer: Mclaren Medicaid |
$373.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.14
|
| Rate for Payer: Meridian Medicaid |
$392.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$627.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,098.72
|
| Rate for Payer: Nomi Health Commercial |
$684.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$570.61
|
| Rate for Payer: PHP Medicare Advantage |
$570.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$373.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,012.49
|
| Rate for Payer: Priority Health Medicare |
$570.61
|
| Rate for Payer: Priority Health SBD |
$1,012.49
|
| Rate for Payer: Priority Health Tiered Network |
$1,012.49
|
| Rate for Payer: Railroad Medicare Medicare |
$570.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,078.31
|
| Rate for Payer: UHC Core |
$1,078.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$570.61
|
| Rate for Payer: UHC Exchange |
$1,078.31
|
| Rate for Payer: UHC Medicaid |
$373.82
|
| Rate for Payer: UHCCP Medicaid |
$373.82
|
|
|
PR ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,575.00 |
| Rate for Payer: Priority Health SBD |
$876.21
|
| Rate for Payer: Aetna Commercial |
$660.10
|
| Rate for Payer: Aetna Medicare |
$512.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$660.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.36
|
| Rate for Payer: BCBS Complete |
$338.83
|
| Rate for Payer: BCBS MAPPO |
$492.61
|
| Rate for Payer: BCN Commercial |
$900.47
|
| Rate for Payer: BCN Medicare Advantage |
$492.61
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cofinity Commercial |
$709.36
|
| Rate for Payer: Cofinity Commercial |
$660.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.61
|
| Rate for Payer: Healthscope Commercial |
$911.33
|
| Rate for Payer: Healthscope Commercial |
$788.18
|
| Rate for Payer: Mclaren Medicaid |
$322.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.24
|
| Rate for Payer: Meridian Medicaid |
$338.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$541.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$950.80
|
| Rate for Payer: Nomi Health Commercial |
$591.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,575.00
|
| Rate for Payer: PACE SWMI |
$492.61
|
| Rate for Payer: PHP Medicare Advantage |
$492.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$876.21
|
| Rate for Payer: Priority Health Medicare |
$492.61
|
| Rate for Payer: Priority Health Tiered Network |
$876.21
|
| Rate for Payer: Railroad Medicare Medicare |
$492.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.89
|
| Rate for Payer: UHC Core |
$936.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$492.61
|
| Rate for Payer: UHC Exchange |
$936.89
|
| Rate for Payer: UHC Medicaid |
$322.70
|
| Rate for Payer: UHCCP Medicaid |
$322.70
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$302.46 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$617.42
|
| Rate for Payer: Aetna Medicare |
$479.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$663.49
|
| Rate for Payer: BCBS Complete |
$317.58
|
| Rate for Payer: BCBS MAPPO |
$460.76
|
| Rate for Payer: BCN Commercial |
$835.92
|
| Rate for Payer: BCN Medicare Advantage |
$460.76
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$663.49
|
| Rate for Payer: Cofinity Commercial |
$617.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.76
|
| Rate for Payer: Healthscope Commercial |
$852.41
|
| Rate for Payer: Healthscope Commercial |
$737.22
|
| Rate for Payer: Mclaren Medicaid |
$302.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.80
|
| Rate for Payer: Meridian Medicaid |
$317.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$880.67
|
| Rate for Payer: Nomi Health Commercial |
$552.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$460.76
|
| Rate for Payer: PHP Medicare Advantage |
$460.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$813.39
|
| Rate for Payer: Priority Health Medicare |
$460.76
|
| Rate for Payer: Priority Health SBD |
$813.39
|
| Rate for Payer: Priority Health Tiered Network |
$813.39
|
| Rate for Payer: Railroad Medicare Medicare |
$460.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$863.25
|
| Rate for Payer: UHC Core |
$863.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.76
|
| Rate for Payer: UHC Exchange |
$863.25
|
| Rate for Payer: UHC Medicaid |
$302.46
|
| Rate for Payer: UHCCP Medicaid |
$302.46
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2/>CMPRT
|
Professional
|
Both
|
$2,467.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$392.13 |
| Max. Negotiated Rate |
$1,850.25 |
| Rate for Payer: Aetna Commercial |
$803.09
|
| Rate for Payer: Aetna Medicare |
$623.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$863.02
|
| Rate for Payer: BCBS Complete |
$411.74
|
| Rate for Payer: BCBS MAPPO |
$599.32
|
| Rate for Payer: BCN Commercial |
$1,095.78
|
| Rate for Payer: BCN Medicare Advantage |
$599.32
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cofinity Commercial |
$863.02
|
| Rate for Payer: Cofinity Commercial |
$803.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.32
|
| Rate for Payer: Healthscope Commercial |
$958.91
|
| Rate for Payer: Healthscope Commercial |
$1,108.74
|
| Rate for Payer: Mclaren Medicaid |
$392.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.29
|
| Rate for Payer: Meridian Medicaid |
$411.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$659.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,157.47
|
| Rate for Payer: Nomi Health Commercial |
$719.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,850.25
|
| Rate for Payer: PACE SWMI |
$599.32
|
| Rate for Payer: PHP Medicare Advantage |
$599.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,066.25
|
| Rate for Payer: Priority Health Medicare |
$599.32
|
| Rate for Payer: Priority Health SBD |
$1,066.25
|
| Rate for Payer: Priority Health Tiered Network |
$1,066.25
|
| Rate for Payer: Railroad Medicare Medicare |
$599.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,139.40
|
| Rate for Payer: UHC Core |
$1,139.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$599.32
|
| Rate for Payer: UHC Exchange |
$1,139.40
|
| Rate for Payer: UHC Medicaid |
$392.13
|
| Rate for Payer: UHCCP Medicaid |
$392.13
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,841.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$2,130.75 |
| Rate for Payer: Aetna Commercial |
$1,029.51
|
| Rate for Payer: Aetna Medicare |
$799.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,106.34
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$768.29
|
| Rate for Payer: BCN Commercial |
$1,276.32
|
| Rate for Payer: BCN Medicare Advantage |
$768.29
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cofinity Commercial |
$1,106.34
|
| Rate for Payer: Cofinity Commercial |
$1,029.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.29
|
| Rate for Payer: Healthscope Commercial |
$1,421.34
|
| Rate for Payer: Healthscope Commercial |
$1,229.26
|
| Rate for Payer: Mclaren Medicaid |
$501.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.70
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$845.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,496.75
|
| Rate for Payer: Nomi Health Commercial |
$921.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,130.75
|
| Rate for Payer: PACE SWMI |
$768.29
|
| Rate for Payer: PHP Medicare Advantage |
$768.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,364.35
|
| Rate for Payer: Priority Health Medicare |
$768.29
|
| Rate for Payer: Priority Health SBD |
$1,364.35
|
| Rate for Payer: Priority Health Tiered Network |
$1,364.35
|
| Rate for Payer: Railroad Medicare Medicare |
$768.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,469.99
|
| Rate for Payer: UHC Core |
$1,469.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$768.29
|
| Rate for Payer: UHC Exchange |
$1,469.99
|
| Rate for Payer: UHC Medicaid |
$501.19
|
| Rate for Payer: UHCCP Medicaid |
$501.19
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$409.39 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$839.82
|
| Rate for Payer: Aetna Medicare |
$651.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$902.49
|
| Rate for Payer: BCBS Complete |
$429.86
|
| Rate for Payer: BCBS MAPPO |
$626.73
|
| Rate for Payer: BCN Commercial |
$1,153.22
|
| Rate for Payer: BCN Medicare Advantage |
$626.73
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$902.49
|
| Rate for Payer: Cofinity Commercial |
$839.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.73
|
| Rate for Payer: Healthscope Commercial |
$1,159.45
|
| Rate for Payer: Healthscope Commercial |
$1,002.77
|
| Rate for Payer: Mclaren Medicaid |
$409.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.07
|
| Rate for Payer: Meridian Medicaid |
$429.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$689.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,223.78
|
| Rate for Payer: Nomi Health Commercial |
$752.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$626.73
|
| Rate for Payer: PHP Medicare Advantage |
$626.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.14
|
| Rate for Payer: Priority Health Medicare |
$626.73
|
| Rate for Payer: Priority Health SBD |
$1,122.14
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.14
|
| Rate for Payer: Railroad Medicare Medicare |
$626.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,208.97
|
| Rate for Payer: UHC Core |
$1,208.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$626.73
|
| Rate for Payer: UHC Exchange |
$1,208.97
|
| Rate for Payer: UHC Medicaid |
$409.39
|
| Rate for Payer: UHCCP Medicaid |
$409.39
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$399.16 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$817.79
|
| Rate for Payer: Aetna Medicare |
$634.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$817.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$878.82
|
| Rate for Payer: BCBS Complete |
$419.12
|
| Rate for Payer: BCBS MAPPO |
$610.29
|
| Rate for Payer: BCN Commercial |
$1,013.39
|
| Rate for Payer: BCN Medicare Advantage |
$610.29
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$878.82
|
| Rate for Payer: Cofinity Commercial |
$817.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.29
|
| Rate for Payer: Healthscope Commercial |
$976.46
|
| Rate for Payer: Healthscope Commercial |
$1,129.04
|
| Rate for Payer: Mclaren Medicaid |
$399.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.80
|
| Rate for Payer: Meridian Medicaid |
$419.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,137.22
|
| Rate for Payer: Nomi Health Commercial |
$732.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$610.29
|
| Rate for Payer: PHP Medicare Advantage |
$610.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,083.28
|
| Rate for Payer: Priority Health Medicare |
$610.29
|
| Rate for Payer: Priority Health SBD |
$1,083.28
|
| Rate for Payer: Priority Health Tiered Network |
$1,083.28
|
| Rate for Payer: Railroad Medicare Medicare |
$610.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,159.17
|
| Rate for Payer: UHC Core |
$1,159.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.29
|
| Rate for Payer: UHC Exchange |
$1,159.17
|
| Rate for Payer: UHC Medicaid |
$399.16
|
| Rate for Payer: UHCCP Medicaid |
$399.16
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$945.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$281.37 |
| Max. Negotiated Rate |
$800.71 |
| Rate for Payer: Aetna Commercial |
$572.88
|
| Rate for Payer: Aetna Medicare |
$444.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.63
|
| Rate for Payer: BCBS Complete |
$295.44
|
| Rate for Payer: BCBS MAPPO |
$427.52
|
| Rate for Payer: BCN Commercial |
$701.16
|
| Rate for Payer: BCN Medicare Advantage |
$427.52
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cofinity Commercial |
$615.63
|
| Rate for Payer: Cofinity Commercial |
$572.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.52
|
| Rate for Payer: Healthscope Commercial |
$790.91
|
| Rate for Payer: Healthscope Commercial |
$684.03
|
| Rate for Payer: Mclaren Medicaid |
$281.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$448.90
|
| Rate for Payer: Meridian Medicaid |
$295.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$470.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$800.71
|
| Rate for Payer: Nomi Health Commercial |
$513.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$708.75
|
| Rate for Payer: PACE SWMI |
$427.52
|
| Rate for Payer: PHP Medicare Advantage |
$427.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$749.52
|
| Rate for Payer: Priority Health Medicare |
$427.52
|
| Rate for Payer: Priority Health SBD |
$749.52
|
| Rate for Payer: Priority Health Tiered Network |
$749.52
|
| Rate for Payer: Railroad Medicare Medicare |
$427.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$782.08
|
| Rate for Payer: UHC Core |
$782.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$427.52
|
| Rate for Payer: UHC Exchange |
$782.08
|
| Rate for Payer: UHC Medicaid |
$281.37
|
| Rate for Payer: UHCCP Medicaid |
$281.37
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,943.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$299.48 |
| Max. Negotiated Rate |
$1,457.25 |
| Rate for Payer: Priority Health SBD |
$800.62
|
| Rate for Payer: Aetna Commercial |
$610.28
|
| Rate for Payer: Aetna Medicare |
$473.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$610.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.82
|
| Rate for Payer: BCBS Complete |
$314.45
|
| Rate for Payer: BCBS MAPPO |
$455.43
|
| Rate for Payer: BCN Commercial |
$748.96
|
| Rate for Payer: BCN Medicare Advantage |
$455.43
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cofinity Commercial |
$655.82
|
| Rate for Payer: Cofinity Commercial |
$610.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.43
|
| Rate for Payer: Healthscope Commercial |
$842.55
|
| Rate for Payer: Healthscope Commercial |
$728.69
|
| Rate for Payer: Mclaren Medicaid |
$299.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.20
|
| Rate for Payer: Meridian Medicaid |
$314.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$500.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$863.84
|
| Rate for Payer: Nomi Health Commercial |
$546.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,457.25
|
| Rate for Payer: PACE SWMI |
$455.43
|
| Rate for Payer: PHP Medicare Advantage |
$455.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$800.62
|
| Rate for Payer: Priority Health Medicare |
$455.43
|
| Rate for Payer: Priority Health Tiered Network |
$800.62
|
| Rate for Payer: Railroad Medicare Medicare |
$455.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$843.78
|
| Rate for Payer: UHC Core |
$843.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.43
|
| Rate for Payer: UHC Exchange |
$843.78
|
| Rate for Payer: UHC Medicaid |
$299.48
|
| Rate for Payer: UHCCP Medicaid |
$299.48
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,091.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,568.25 |
| Rate for Payer: Aetna Commercial |
$712.16
|
| Rate for Payer: Aetna Medicare |
$552.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.30
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCBS MAPPO |
$531.46
|
| Rate for Payer: BCN Commercial |
$898.36
|
| Rate for Payer: BCN Medicare Advantage |
$531.46
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cofinity Commercial |
$765.30
|
| Rate for Payer: Cofinity Commercial |
$712.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.46
|
| Rate for Payer: Healthscope Commercial |
$983.20
|
| Rate for Payer: Healthscope Commercial |
$850.34
|
| Rate for Payer: Mclaren Medicaid |
$348.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.03
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$584.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,041.32
|
| Rate for Payer: Nomi Health Commercial |
$637.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,568.25
|
| Rate for Payer: PACE SWMI |
$531.46
|
| Rate for Payer: PHP Medicare Advantage |
$531.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$960.32
|
| Rate for Payer: Priority Health Medicare |
$531.46
|
| Rate for Payer: Priority Health SBD |
$960.32
|
| Rate for Payer: Priority Health Tiered Network |
$960.32
|
| Rate for Payer: Railroad Medicare Medicare |
$531.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.25
|
| Rate for Payer: UHC Core |
$1,014.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$531.46
|
| Rate for Payer: UHC Exchange |
$1,014.25
|
| Rate for Payer: UHC Medicaid |
$348.68
|
| Rate for Payer: UHCCP Medicaid |
$348.68
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$300.33 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$612.98
|
| Rate for Payer: Aetna Medicare |
$475.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.73
|
| Rate for Payer: BCBS Complete |
$315.35
|
| Rate for Payer: BCBS MAPPO |
$457.45
|
| Rate for Payer: BCN Commercial |
$769.88
|
| Rate for Payer: BCN Medicare Advantage |
$457.45
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$658.73
|
| Rate for Payer: Cofinity Commercial |
$612.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.45
|
| Rate for Payer: Healthscope Commercial |
$846.28
|
| Rate for Payer: Healthscope Commercial |
$731.92
|
| Rate for Payer: Mclaren Medicaid |
$300.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.32
|
| Rate for Payer: Meridian Medicaid |
$315.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$503.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$887.62
|
| Rate for Payer: Nomi Health Commercial |
$548.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$457.45
|
| Rate for Payer: PHP Medicare Advantage |
$457.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$822.98
|
| Rate for Payer: Priority Health Medicare |
$457.45
|
| Rate for Payer: Priority Health SBD |
$822.98
|
| Rate for Payer: Priority Health Tiered Network |
$822.98
|
| Rate for Payer: Railroad Medicare Medicare |
$457.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$868.26
|
| Rate for Payer: UHC Core |
$868.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$457.45
|
| Rate for Payer: UHC Exchange |
$868.26
|
| Rate for Payer: UHC Medicaid |
$300.33
|
| Rate for Payer: UHCCP Medicaid |
$300.33
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,254.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,690.50 |
| Rate for Payer: Aetna Commercial |
$674.38
|
| Rate for Payer: Aetna Medicare |
$523.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$674.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.71
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$503.27
|
| Rate for Payer: BCN Commercial |
$834.12
|
| Rate for Payer: BCN Medicare Advantage |
$503.27
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cofinity Commercial |
$724.71
|
| Rate for Payer: Cofinity Commercial |
$674.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$503.27
|
| Rate for Payer: Healthscope Commercial |
$931.05
|
| Rate for Payer: Healthscope Commercial |
$805.23
|
| Rate for Payer: Mclaren Medicaid |
$329.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.43
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$553.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$967.34
|
| Rate for Payer: Nomi Health Commercial |
$603.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,690.50
|
| Rate for Payer: PACE SWMI |
$503.27
|
| Rate for Payer: PHP Medicare Advantage |
$503.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$891.64
|
| Rate for Payer: Priority Health Medicare |
$503.27
|
| Rate for Payer: Priority Health SBD |
$891.64
|
| Rate for Payer: Priority Health Tiered Network |
$891.64
|
| Rate for Payer: Railroad Medicare Medicare |
$503.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.98
|
| Rate for Payer: UHC Core |
$946.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$503.27
|
| Rate for Payer: UHC Exchange |
$946.98
|
| Rate for Payer: UHC Medicaid |
$329.72
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,277.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$388.73 |
| Max. Negotiated Rate |
$1,707.75 |
| Rate for Payer: Aetna Commercial |
$796.27
|
| Rate for Payer: Aetna Medicare |
$618.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$796.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$855.69
|
| Rate for Payer: BCBS Complete |
$408.17
|
| Rate for Payer: BCBS MAPPO |
$594.23
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: BCN Medicare Advantage |
$594.23
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cofinity Commercial |
$855.69
|
| Rate for Payer: Cofinity Commercial |
$796.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.23
|
| Rate for Payer: Healthscope Commercial |
$950.77
|
| Rate for Payer: Healthscope Commercial |
$1,099.33
|
| Rate for Payer: Mclaren Medicaid |
$388.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.94
|
| Rate for Payer: Meridian Medicaid |
$408.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$653.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,142.73
|
| Rate for Payer: Nomi Health Commercial |
$713.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,707.75
|
| Rate for Payer: PACE SWMI |
$594.23
|
| Rate for Payer: PHP Medicare Advantage |
$594.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,050.82
|
| Rate for Payer: Priority Health Medicare |
$594.23
|
| 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 |
$594.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.11
|
| Rate for Payer: UHC Core |
$1,132.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$594.23
|
| Rate for Payer: UHC Exchange |
$1,132.11
|
| Rate for Payer: UHC Medicaid |
$388.73
|
| Rate for Payer: UHCCP Medicaid |
$388.73
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$602.69 |
| Rate for Payer: Aetna Commercial |
$436.40
|
| Rate for Payer: Aetna Medicare |
$338.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.96
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$325.67
|
| Rate for Payer: BCN Commercial |
$527.86
|
| Rate for Payer: BCN Medicare Advantage |
$325.67
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$468.96
|
| Rate for Payer: Cofinity Commercial |
$436.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.67
|
| Rate for Payer: Healthscope Commercial |
$602.49
|
| Rate for Payer: Healthscope Commercial |
$521.07
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.95
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$358.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$602.69
|
| Rate for Payer: Nomi Health Commercial |
$390.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$525.75
|
| Rate for Payer: PACE SWMI |
$325.67
|
| Rate for Payer: PHP Medicare Advantage |
$325.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$564.26
|
| Rate for Payer: Priority Health Medicare |
$325.67
|
| Rate for Payer: Priority Health SBD |
$564.26
|
| Rate for Payer: Priority Health Tiered Network |
$564.26
|
| Rate for Payer: Railroad Medicare Medicare |
$325.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.15
|
| Rate for Payer: UHC Core |
$582.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.67
|
| Rate for Payer: UHC Exchange |
$582.15
|
| Rate for Payer: UHC Medicaid |
$215.98
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$202.78 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$409.45
|
| Rate for Payer: Aetna Medicare |
$317.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.01
|
| Rate for Payer: BCBS Complete |
$212.92
|
| Rate for Payer: BCBS MAPPO |
$305.56
|
| Rate for Payer: BCN Commercial |
$504.96
|
| Rate for Payer: BCN Medicare Advantage |
$305.56
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$440.01
|
| Rate for Payer: Cofinity Commercial |
$409.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.56
|
| Rate for Payer: Healthscope Commercial |
$565.29
|
| Rate for Payer: Healthscope Commercial |
$488.90
|
| Rate for Payer: Mclaren Medicaid |
$202.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.84
|
| Rate for Payer: Meridian Medicaid |
$212.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$577.80
|
| Rate for Payer: Nomi Health Commercial |
$366.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: PACE SWMI |
$305.56
|
| Rate for Payer: PHP Medicare Advantage |
$305.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$539.77
|
| Rate for Payer: Priority Health Medicare |
$305.56
|
| Rate for Payer: Priority Health SBD |
$539.77
|
| Rate for Payer: Priority Health Tiered Network |
$539.77
|
| Rate for Payer: Railroad Medicare Medicare |
$305.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.07
|
| Rate for Payer: UHC Core |
$556.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.56
|
| Rate for Payer: UHC Exchange |
$556.07
|
| Rate for Payer: UHC Medicaid |
$202.78
|
| Rate for Payer: UHCCP Medicaid |
$202.78
|
|
