|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$217.05 |
| Max. Negotiated Rate |
$607.55 |
| Rate for Payer: Priority Health SBD |
$568.00
|
| Rate for Payer: Aetna Commercial |
$438.65
|
| Rate for Payer: Aetna Medicare |
$340.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.38
|
| Rate for Payer: BCBS Complete |
$227.90
|
| Rate for Payer: BCBS MAPPO |
$327.35
|
| Rate for Payer: BCN Commercial |
$531.34
|
| Rate for Payer: BCN Medicare Advantage |
$327.35
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$471.38
|
| Rate for Payer: Cofinity Commercial |
$438.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.35
|
| Rate for Payer: Healthscope Commercial |
$605.60
|
| Rate for Payer: Healthscope Commercial |
$523.76
|
| Rate for Payer: Mclaren Medicaid |
$217.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$343.72
|
| Rate for Payer: Meridian Medicaid |
$227.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$360.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$607.55
|
| Rate for Payer: Nomi Health Commercial |
$392.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: PACE SWMI |
$327.35
|
| Rate for Payer: PHP Medicare Advantage |
$327.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$568.00
|
| Rate for Payer: Priority Health Medicare |
$327.35
|
| Rate for Payer: Priority Health Tiered Network |
$568.00
|
| Rate for Payer: Railroad Medicare Medicare |
$327.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.45
|
| Rate for Payer: UHC Core |
$586.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$327.35
|
| Rate for Payer: UHC Exchange |
$586.45
|
| Rate for Payer: UHC Medicaid |
$217.05
|
| Rate for Payer: UHCCP Medicaid |
$217.05
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$374.88 |
| Max. Negotiated Rate |
$1,094.45 |
| Rate for Payer: Aetna Commercial |
$762.46
|
| Rate for Payer: Aetna Medicare |
$591.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$762.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$819.36
|
| Rate for Payer: BCBS Complete |
$393.62
|
| Rate for Payer: BCBS MAPPO |
$569.00
|
| Rate for Payer: BCN Commercial |
$955.13
|
| Rate for Payer: BCN Medicare Advantage |
$569.00
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$819.36
|
| Rate for Payer: Cofinity Commercial |
$762.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.00
|
| Rate for Payer: Healthscope Commercial |
$910.40
|
| Rate for Payer: Healthscope Commercial |
$1,052.65
|
| Rate for Payer: Mclaren Medicaid |
$374.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.45
|
| Rate for Payer: Meridian Medicaid |
$393.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$625.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,094.45
|
| Rate for Payer: Nomi Health Commercial |
$682.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$845.25
|
| Rate for Payer: PACE SWMI |
$569.00
|
| Rate for Payer: PHP Medicare Advantage |
$569.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,021.01
|
| Rate for Payer: Priority Health Medicare |
$569.00
|
| Rate for Payer: Priority Health SBD |
$1,021.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,021.01
|
| Rate for Payer: Railroad Medicare Medicare |
$569.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.59
|
| Rate for Payer: UHC Core |
$1,066.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$569.00
|
| Rate for Payer: UHC Exchange |
$1,066.59
|
| Rate for Payer: UHC Medicaid |
$374.88
|
| Rate for Payer: UHCCP Medicaid |
$374.88
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,922.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$369.13 |
| Max. Negotiated Rate |
$1,441.50 |
| Rate for Payer: Aetna Commercial |
$755.17
|
| Rate for Payer: Aetna Medicare |
$586.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$811.53
|
| Rate for Payer: BCBS Complete |
$387.59
|
| Rate for Payer: BCBS MAPPO |
$563.56
|
| Rate for Payer: BCN Commercial |
$946.16
|
| Rate for Payer: BCN Medicare Advantage |
$563.56
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cofinity Commercial |
$811.53
|
| Rate for Payer: Cofinity Commercial |
$755.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.56
|
| Rate for Payer: Healthscope Commercial |
$901.70
|
| Rate for Payer: Healthscope Commercial |
$1,042.59
|
| Rate for Payer: Mclaren Medicaid |
$369.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.74
|
| Rate for Payer: Meridian Medicaid |
$387.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$619.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,095.23
|
| Rate for Payer: Nomi Health Commercial |
$676.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,441.50
|
| Rate for Payer: PACE SWMI |
$563.56
|
| Rate for Payer: PHP Medicare Advantage |
$563.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,011.42
|
| Rate for Payer: Priority Health Medicare |
$563.56
|
| Rate for Payer: Priority Health SBD |
$1,011.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,011.42
|
| Rate for Payer: Railroad Medicare Medicare |
$563.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,073.77
|
| Rate for Payer: UHC Core |
$1,073.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$563.56
|
| Rate for Payer: UHC Exchange |
$1,073.77
|
| Rate for Payer: UHC Medicaid |
$369.13
|
| Rate for Payer: UHCCP Medicaid |
$369.13
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$262.20 |
| Max. Negotiated Rate |
$1,127.25 |
| Rate for Payer: Aetna Commercial |
$532.61
|
| Rate for Payer: Aetna Medicare |
$413.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.36
|
| Rate for Payer: BCBS Complete |
$275.31
|
| Rate for Payer: BCBS MAPPO |
$397.47
|
| Rate for Payer: BCN Commercial |
$649.37
|
| Rate for Payer: BCN Medicare Advantage |
$397.47
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$572.36
|
| Rate for Payer: Cofinity Commercial |
$532.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.47
|
| Rate for Payer: Healthscope Commercial |
$735.32
|
| Rate for Payer: Healthscope Commercial |
$635.95
|
| Rate for Payer: Mclaren Medicaid |
$262.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.34
|
| Rate for Payer: Meridian Medicaid |
$275.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$437.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$746.28
|
| Rate for Payer: Nomi Health Commercial |
$476.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.25
|
| Rate for Payer: PACE SWMI |
$397.47
|
| Rate for Payer: PHP Medicare Advantage |
$397.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$694.16
|
| Rate for Payer: Priority Health Medicare |
$397.47
|
| Rate for Payer: Priority Health SBD |
$694.16
|
| Rate for Payer: Priority Health Tiered Network |
$694.16
|
| Rate for Payer: Railroad Medicare Medicare |
$397.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$724.76
|
| Rate for Payer: UHC Core |
$724.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$397.47
|
| Rate for Payer: UHC Exchange |
$724.76
|
| Rate for Payer: UHC Medicaid |
$262.20
|
| Rate for Payer: UHCCP Medicaid |
$262.20
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$907.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$899.77 |
| Rate for Payer: Aetna Commercial |
$637.13
|
| Rate for Payer: Aetna Medicare |
$494.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$637.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.68
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$475.47
|
| Rate for Payer: BCN Commercial |
$780.84
|
| Rate for Payer: BCN Medicare Advantage |
$475.47
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cofinity Commercial |
$684.68
|
| Rate for Payer: Cofinity Commercial |
$637.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.47
|
| Rate for Payer: Healthscope Commercial |
$879.62
|
| Rate for Payer: Healthscope Commercial |
$760.75
|
| Rate for Payer: Mclaren Medicaid |
$313.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$499.24
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$523.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$899.77
|
| Rate for Payer: Nomi Health Commercial |
$570.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.25
|
| Rate for Payer: PACE SWMI |
$475.47
|
| Rate for Payer: PHP Medicare Advantage |
$475.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$834.68
|
| Rate for Payer: Priority Health Medicare |
$475.47
|
| Rate for Payer: Priority Health SBD |
$834.68
|
| Rate for Payer: Priority Health Tiered Network |
$834.68
|
| Rate for Payer: Railroad Medicare Medicare |
$475.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$872.78
|
| Rate for Payer: UHC Core |
$872.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$475.47
|
| Rate for Payer: UHC Exchange |
$872.78
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$2,035.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$429.20 |
| Max. Negotiated Rate |
$1,526.25 |
| Rate for Payer: Aetna Commercial |
$879.38
|
| Rate for Payer: Aetna Medicare |
$682.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$879.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$945.00
|
| Rate for Payer: BCBS Complete |
$450.66
|
| Rate for Payer: BCBS MAPPO |
$656.25
|
| Rate for Payer: BCN Commercial |
$1,094.56
|
| Rate for Payer: BCN Medicare Advantage |
$656.25
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Cofinity Commercial |
$879.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$656.25
|
| Rate for Payer: Healthscope Commercial |
$1,214.06
|
| Rate for Payer: Healthscope Commercial |
$1,050.00
|
| Rate for Payer: Mclaren Medicaid |
$429.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$689.06
|
| Rate for Payer: Meridian Medicaid |
$450.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$721.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,275.30
|
| Rate for Payer: Nomi Health Commercial |
$787.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.25
|
| Rate for Payer: PACE SWMI |
$656.25
|
| Rate for Payer: PHP Medicare Advantage |
$656.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,170.06
|
| Rate for Payer: Priority Health Medicare |
$656.25
|
| Rate for Payer: Priority Health SBD |
$1,170.06
|
| Rate for Payer: Priority Health Tiered Network |
$1,170.06
|
| Rate for Payer: Railroad Medicare Medicare |
$656.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.96
|
| Rate for Payer: UHC Core |
$1,251.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$656.25
|
| Rate for Payer: UHC Exchange |
$1,251.96
|
| Rate for Payer: UHC Medicaid |
$429.20
|
| Rate for Payer: UHCCP Medicaid |
$429.20
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,796.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$569.78 |
| Max. Negotiated Rate |
$1,725.25 |
| Rate for Payer: Aetna Commercial |
$1,174.80
|
| Rate for Payer: Aetna Medicare |
$911.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,174.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,262.48
|
| Rate for Payer: BCBS Complete |
$598.27
|
| Rate for Payer: BCBS MAPPO |
$876.72
|
| Rate for Payer: BCN Commercial |
$1,476.51
|
| Rate for Payer: BCN Medicare Advantage |
$876.72
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cofinity Commercial |
$1,262.48
|
| Rate for Payer: Cofinity Commercial |
$1,174.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$876.72
|
| Rate for Payer: Healthscope Commercial |
$1,621.93
|
| Rate for Payer: Healthscope Commercial |
$1,402.75
|
| Rate for Payer: Mclaren Medicaid |
$569.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$920.56
|
| Rate for Payer: Meridian Medicaid |
$598.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$964.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,725.25
|
| Rate for Payer: Nomi Health Commercial |
$1,052.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,347.00
|
| Rate for Payer: PACE SWMI |
$876.72
|
| Rate for Payer: PHP Medicare Advantage |
$876.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,578.35
|
| Rate for Payer: Priority Health Medicare |
$876.72
|
| Rate for Payer: Priority Health SBD |
$1,578.35
|
| Rate for Payer: Priority Health Tiered Network |
$1,578.35
|
| Rate for Payer: Railroad Medicare Medicare |
$876.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,705.70
|
| Rate for Payer: UHC Core |
$1,705.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$876.72
|
| Rate for Payer: UHC Exchange |
$1,705.70
|
| Rate for Payer: UHC Medicaid |
$569.78
|
| Rate for Payer: UHCCP Medicaid |
$569.78
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,724.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$1,663.60 |
| Rate for Payer: Priority Health SBD |
$1,518.20
|
| Rate for Payer: Aetna Commercial |
$1,132.14
|
| Rate for Payer: Aetna Medicare |
$878.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,132.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,216.63
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCBS MAPPO |
$844.88
|
| Rate for Payer: BCN Commercial |
$1,420.25
|
| Rate for Payer: BCN Medicare Advantage |
$844.88
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cofinity Commercial |
$1,216.63
|
| Rate for Payer: Cofinity Commercial |
$1,132.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$844.88
|
| Rate for Payer: Healthscope Commercial |
$1,563.03
|
| Rate for Payer: Healthscope Commercial |
$1,351.81
|
| Rate for Payer: Mclaren Medicaid |
$548.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$887.12
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$929.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,663.60
|
| Rate for Payer: Nomi Health Commercial |
$1,013.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,293.00
|
| Rate for Payer: PACE SWMI |
$844.88
|
| Rate for Payer: PHP Medicare Advantage |
$844.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,518.20
|
| Rate for Payer: Priority Health Medicare |
$844.88
|
| Rate for Payer: Priority Health Tiered Network |
$1,518.20
|
| Rate for Payer: Railroad Medicare Medicare |
$844.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,645.41
|
| Rate for Payer: UHC Core |
$1,645.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$844.88
|
| Rate for Payer: UHC Exchange |
$1,645.41
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$750.49 |
| Rate for Payer: Aetna Commercial |
$534.81
|
| Rate for Payer: Aetna Medicare |
$415.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.72
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS MAPPO |
$399.11
|
| Rate for Payer: BCN Commercial |
$652.85
|
| Rate for Payer: BCN Medicare Advantage |
$399.11
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cofinity Commercial |
$574.72
|
| Rate for Payer: Cofinity Commercial |
$534.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.11
|
| Rate for Payer: Healthscope Commercial |
$738.35
|
| Rate for Payer: Healthscope Commercial |
$638.58
|
| Rate for Payer: Mclaren Medicaid |
$263.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.07
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$750.49
|
| Rate for Payer: Nomi Health Commercial |
$478.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$560.25
|
| Rate for Payer: PACE SWMI |
$399.11
|
| Rate for Payer: PHP Medicare Advantage |
$399.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$697.88
|
| Rate for Payer: Priority Health Medicare |
$399.11
|
| Rate for Payer: Priority Health SBD |
$697.88
|
| Rate for Payer: Priority Health Tiered Network |
$697.88
|
| Rate for Payer: Railroad Medicare Medicare |
$399.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$713.80
|
| Rate for Payer: UHC Core |
$713.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$399.11
|
| Rate for Payer: UHC Exchange |
$713.80
|
| Rate for Payer: UHC Medicaid |
$263.27
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,083.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$1,562.25 |
| Rate for Payer: Aetna Commercial |
$723.72
|
| Rate for Payer: Aetna Medicare |
$561.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$777.73
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$540.09
|
| Rate for Payer: BCN Commercial |
$890.89
|
| Rate for Payer: BCN Medicare Advantage |
$540.09
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cofinity Commercial |
$777.73
|
| Rate for Payer: Cofinity Commercial |
$723.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.09
|
| Rate for Payer: Healthscope Commercial |
$999.17
|
| Rate for Payer: Healthscope Commercial |
$864.14
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$567.09
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$594.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,027.82
|
| Rate for Payer: Nomi Health Commercial |
$648.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,562.25
|
| Rate for Payer: PACE SWMI |
$540.09
|
| Rate for Payer: PHP Medicare Advantage |
$540.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$952.34
|
| Rate for Payer: Priority Health Medicare |
$540.09
|
| Rate for Payer: Priority Health SBD |
$952.34
|
| Rate for Payer: Priority Health Tiered Network |
$952.34
|
| Rate for Payer: Railroad Medicare Medicare |
$540.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,003.98
|
| Rate for Payer: UHC Core |
$1,003.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$540.09
|
| Rate for Payer: UHC Exchange |
$1,003.98
|
| Rate for Payer: UHC Medicaid |
$354.86
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$389.36 |
| Max. Negotiated Rate |
$1,650.75 |
| Rate for Payer: Aetna Commercial |
$796.71
|
| Rate for Payer: Aetna Medicare |
$618.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$796.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$856.17
|
| Rate for Payer: BCBS Complete |
$408.83
|
| Rate for Payer: BCBS MAPPO |
$594.56
|
| Rate for Payer: BCN Commercial |
$988.99
|
| Rate for Payer: BCN Medicare Advantage |
$594.56
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$856.17
|
| Rate for Payer: Cofinity Commercial |
$796.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.56
|
| Rate for Payer: Healthscope Commercial |
$951.30
|
| Rate for Payer: Healthscope Commercial |
$1,099.94
|
| Rate for Payer: Mclaren Medicaid |
$389.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.29
|
| Rate for Payer: Meridian Medicaid |
$408.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$654.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,145.92
|
| Rate for Payer: Nomi Health Commercial |
$713.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,650.75
|
| Rate for Payer: PACE SWMI |
$594.56
|
| Rate for Payer: PHP Medicare Advantage |
$594.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,057.20
|
| Rate for Payer: Priority Health Medicare |
$594.56
|
| Rate for Payer: Priority Health SBD |
$1,057.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,057.20
|
| Rate for Payer: Railroad Medicare Medicare |
$594.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,121.34
|
| Rate for Payer: UHC Core |
$1,121.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$594.56
|
| Rate for Payer: UHC Exchange |
$1,121.34
|
| Rate for Payer: UHC Medicaid |
$389.36
|
| Rate for Payer: UHCCP Medicaid |
$389.36
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$221.31 |
| Max. Negotiated Rate |
$621.68 |
| Rate for Payer: Aetna Commercial |
$447.95
|
| Rate for Payer: Aetna Medicare |
$347.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$481.38
|
| Rate for Payer: BCBS Complete |
$232.38
|
| Rate for Payer: BCBS MAPPO |
$334.29
|
| Rate for Payer: BCN Commercial |
$542.80
|
| Rate for Payer: BCN Medicare Advantage |
$334.29
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$481.38
|
| Rate for Payer: Cofinity Commercial |
$447.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.29
|
| Rate for Payer: Healthscope Commercial |
$618.44
|
| Rate for Payer: Healthscope Commercial |
$534.86
|
| Rate for Payer: Mclaren Medicaid |
$221.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$351.00
|
| Rate for Payer: Meridian Medicaid |
$232.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$367.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$621.68
|
| Rate for Payer: Nomi Health Commercial |
$401.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$536.25
|
| Rate for Payer: PACE SWMI |
$334.29
|
| Rate for Payer: PHP Medicare Advantage |
$334.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$580.24
|
| Rate for Payer: Priority Health Medicare |
$334.29
|
| Rate for Payer: Priority Health SBD |
$580.24
|
| Rate for Payer: Priority Health Tiered Network |
$580.24
|
| Rate for Payer: Railroad Medicare Medicare |
$334.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.21
|
| Rate for Payer: UHC Core |
$600.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$334.29
|
| Rate for Payer: UHC Exchange |
$600.21
|
| Rate for Payer: UHC Medicaid |
$221.31
|
| Rate for Payer: UHCCP Medicaid |
$221.31
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,731.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$296.07 |
| Max. Negotiated Rate |
$1,298.25 |
| Rate for Payer: Aetna Commercial |
$601.87
|
| Rate for Payer: Aetna Medicare |
$467.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$646.79
|
| Rate for Payer: BCBS Complete |
$310.87
|
| Rate for Payer: BCBS MAPPO |
$449.16
|
| Rate for Payer: BCN Commercial |
$752.95
|
| Rate for Payer: BCN Medicare Advantage |
$449.16
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Cofinity Commercial |
$646.79
|
| Rate for Payer: Cofinity Commercial |
$601.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.16
|
| Rate for Payer: Healthscope Commercial |
$830.95
|
| Rate for Payer: Healthscope Commercial |
$718.66
|
| Rate for Payer: Mclaren Medicaid |
$296.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$471.62
|
| Rate for Payer: Meridian Medicaid |
$310.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$494.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$867.02
|
| Rate for Payer: Nomi Health Commercial |
$538.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,298.25
|
| Rate for Payer: PACE SWMI |
$449.16
|
| Rate for Payer: PHP Medicare Advantage |
$449.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$804.88
|
| Rate for Payer: Priority Health Medicare |
$449.16
|
| Rate for Payer: Priority Health SBD |
$804.88
|
| Rate for Payer: Priority Health Tiered Network |
$804.88
|
| Rate for Payer: Railroad Medicare Medicare |
$449.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$840.52
|
| Rate for Payer: UHC Core |
$840.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$449.16
|
| Rate for Payer: UHC Exchange |
$840.52
|
| Rate for Payer: UHC Medicaid |
$296.07
|
| Rate for Payer: UHCCP Medicaid |
$296.07
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,478.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$349.53 |
| Max. Negotiated Rate |
$1,108.50 |
| Rate for Payer: Aetna Commercial |
$715.76
|
| Rate for Payer: Aetna Medicare |
$555.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$769.18
|
| Rate for Payer: BCBS Complete |
$367.01
|
| Rate for Payer: BCBS MAPPO |
$534.15
|
| Rate for Payer: BCN Commercial |
$867.98
|
| Rate for Payer: BCN Medicare Advantage |
$534.15
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cofinity Commercial |
$769.18
|
| Rate for Payer: Cofinity Commercial |
$715.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.15
|
| Rate for Payer: Healthscope Commercial |
$988.18
|
| Rate for Payer: Healthscope Commercial |
$854.64
|
| Rate for Payer: Mclaren Medicaid |
$349.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$560.86
|
| Rate for Payer: Meridian Medicaid |
$367.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$587.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,012.77
|
| Rate for Payer: Nomi Health Commercial |
$640.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,108.50
|
| Rate for Payer: PACE SWMI |
$534.15
|
| Rate for Payer: PHP Medicare Advantage |
$534.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$927.85
|
| Rate for Payer: Priority Health Medicare |
$534.15
|
| Rate for Payer: Priority Health SBD |
$927.85
|
| Rate for Payer: Priority Health Tiered Network |
$927.85
|
| Rate for Payer: Railroad Medicare Medicare |
$534.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,008.07
|
| Rate for Payer: UHC Core |
$1,008.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$534.15
|
| Rate for Payer: UHC Exchange |
$1,008.07
|
| Rate for Payer: UHC Medicaid |
$349.53
|
| Rate for Payer: UHCCP Medicaid |
$349.53
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,069.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$359.76 |
| Max. Negotiated Rate |
$1,080.34 |
| Rate for Payer: Priority Health SBD |
$995.98
|
| Rate for Payer: Aetna Commercial |
$737.58
|
| Rate for Payer: Aetna Medicare |
$572.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$737.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$792.62
|
| Rate for Payer: BCBS Complete |
$377.75
|
| Rate for Payer: BCBS MAPPO |
$550.43
|
| Rate for Payer: BCN Commercial |
$931.72
|
| Rate for Payer: BCN Medicare Advantage |
$550.43
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cofinity Commercial |
$792.62
|
| Rate for Payer: Cofinity Commercial |
$737.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.43
|
| Rate for Payer: Healthscope Commercial |
$880.69
|
| Rate for Payer: Healthscope Commercial |
$1,018.30
|
| Rate for Payer: Mclaren Medicaid |
$359.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.95
|
| Rate for Payer: Meridian Medicaid |
$377.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$605.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,080.34
|
| Rate for Payer: Nomi Health Commercial |
$660.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$801.75
|
| Rate for Payer: PACE SWMI |
$550.43
|
| Rate for Payer: PHP Medicare Advantage |
$550.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$995.98
|
| Rate for Payer: Priority Health Medicare |
$550.43
|
| Rate for Payer: Priority Health Tiered Network |
$995.98
|
| Rate for Payer: Railroad Medicare Medicare |
$550.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,057.55
|
| Rate for Payer: UHC Core |
$1,057.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$550.43
|
| Rate for Payer: UHC Exchange |
$1,057.55
|
| Rate for Payer: UHC Medicaid |
$359.76
|
| Rate for Payer: UHCCP Medicaid |
$359.76
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,438.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$415.35 |
| Max. Negotiated Rate |
$1,225.10 |
| Rate for Payer: Aetna Commercial |
$850.27
|
| Rate for Payer: Aetna Medicare |
$659.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$850.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$913.72
|
| Rate for Payer: BCBS Complete |
$436.12
|
| Rate for Payer: BCBS MAPPO |
$634.53
|
| Rate for Payer: BCN Commercial |
$1,053.23
|
| Rate for Payer: BCN Medicare Advantage |
$634.53
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Cofinity Commercial |
$913.72
|
| Rate for Payer: Cofinity Commercial |
$850.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$634.53
|
| Rate for Payer: Healthscope Commercial |
$1,173.88
|
| Rate for Payer: Healthscope Commercial |
$1,015.25
|
| Rate for Payer: Mclaren Medicaid |
$415.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$666.26
|
| Rate for Payer: Meridian Medicaid |
$436.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$697.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,225.10
|
| Rate for Payer: Nomi Health Commercial |
$761.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,078.50
|
| Rate for Payer: PACE SWMI |
$634.53
|
| Rate for Payer: PHP Medicare Advantage |
$634.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$415.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,125.88
|
| Rate for Payer: Priority Health Medicare |
$634.53
|
| Rate for Payer: Priority Health SBD |
$1,125.88
|
| Rate for Payer: Priority Health Tiered Network |
$1,125.88
|
| Rate for Payer: Railroad Medicare Medicare |
$634.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,196.96
|
| Rate for Payer: UHC Core |
$1,196.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$634.53
|
| Rate for Payer: UHC Exchange |
$1,196.96
|
| Rate for Payer: UHC Medicaid |
$415.35
|
| Rate for Payer: UHCCP Medicaid |
$415.35
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,586.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$414.50 |
| Max. Negotiated Rate |
$1,939.50 |
| Rate for Payer: Aetna Commercial |
$848.46
|
| Rate for Payer: Aetna Medicare |
$658.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$911.78
|
| Rate for Payer: BCBS Complete |
$435.23
|
| Rate for Payer: BCBS MAPPO |
$633.18
|
| Rate for Payer: BCN Commercial |
$1,052.23
|
| Rate for Payer: BCN Medicare Advantage |
$633.18
|
| Rate for Payer: Cash Price |
$2,068.80
|
| Rate for Payer: Cash Price |
$2,068.80
|
| Rate for Payer: Cofinity Commercial |
$911.78
|
| Rate for Payer: Cofinity Commercial |
$848.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$633.18
|
| Rate for Payer: Healthscope Commercial |
$1,171.38
|
| Rate for Payer: Healthscope Commercial |
$1,013.09
|
| Rate for Payer: Mclaren Medicaid |
$414.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$664.84
|
| Rate for Payer: Meridian Medicaid |
$435.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$696.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,221.55
|
| Rate for Payer: Nomi Health Commercial |
$759.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,939.50
|
| Rate for Payer: PACE SWMI |
$633.18
|
| Rate for Payer: PHP Medicare Advantage |
$633.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,124.81
|
| Rate for Payer: Priority Health Medicare |
$633.18
|
| Rate for Payer: Priority Health SBD |
$1,124.81
|
| Rate for Payer: Priority Health Tiered Network |
$1,124.81
|
| Rate for Payer: Railroad Medicare Medicare |
$633.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,193.92
|
| Rate for Payer: UHC Core |
$1,193.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$633.18
|
| Rate for Payer: UHC Exchange |
$1,193.92
|
| Rate for Payer: UHC Medicaid |
$414.50
|
| Rate for Payer: UHCCP Medicaid |
$414.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,878.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$741.03 |
| Max. Negotiated Rate |
$2,385.21 |
| Rate for Payer: Aetna Commercial |
$1,535.20
|
| Rate for Payer: Aetna Medicare |
$1,191.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,535.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,649.76
|
| Rate for Payer: BCBS Complete |
$778.08
|
| Rate for Payer: BCBS MAPPO |
$1,145.67
|
| Rate for Payer: BCN Commercial |
$2,129.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,145.67
|
| Rate for Payer: Cash Price |
$2,302.40
|
| Rate for Payer: Cash Price |
$2,302.40
|
| Rate for Payer: Cofinity Commercial |
$1,649.76
|
| Rate for Payer: Cofinity Commercial |
$1,535.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,145.67
|
| Rate for Payer: Healthscope Commercial |
$2,119.49
|
| Rate for Payer: Healthscope Commercial |
$1,833.07
|
| Rate for Payer: Mclaren Medicaid |
$741.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,202.95
|
| Rate for Payer: Meridian Medicaid |
$778.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,260.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,279.32
|
| Rate for Payer: Nomi Health Commercial |
$1,374.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,158.50
|
| Rate for Payer: PACE SWMI |
$1,145.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,145.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,072.35
|
| Rate for Payer: Priority Health Medicare |
$1,145.67
|
| Rate for Payer: Priority Health SBD |
$2,072.35
|
| Rate for Payer: Priority Health Tiered Network |
$2,072.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,145.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,385.21
|
| Rate for Payer: UHC Core |
$2,385.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,145.67
|
| Rate for Payer: UHC Exchange |
$2,385.21
|
| Rate for Payer: UHC Medicaid |
$741.03
|
| Rate for Payer: UHCCP Medicaid |
$741.03
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,345.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$829.42 |
| Max. Negotiated Rate |
$4,008.75 |
| Rate for Payer: Aetna Commercial |
$1,716.61
|
| Rate for Payer: Aetna Medicare |
$1,332.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,716.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,844.71
|
| Rate for Payer: BCBS Complete |
$870.89
|
| Rate for Payer: BCBS MAPPO |
$1,281.05
|
| Rate for Payer: BCN Commercial |
$2,188.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,281.05
|
| Rate for Payer: Cash Price |
$4,276.00
|
| Rate for Payer: Cash Price |
$4,276.00
|
| Rate for Payer: Cofinity Commercial |
$1,844.71
|
| Rate for Payer: Cofinity Commercial |
$1,716.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,281.05
|
| Rate for Payer: Healthscope Commercial |
$2,369.94
|
| Rate for Payer: Healthscope Commercial |
$2,049.68
|
| Rate for Payer: Mclaren Medicaid |
$829.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,345.10
|
| Rate for Payer: Meridian Medicaid |
$870.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,409.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.87
|
| Rate for Payer: Nomi Health Commercial |
$1,537.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,008.75
|
| Rate for Payer: PACE SWMI |
$1,281.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,281.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,339.58
|
| Rate for Payer: Priority Health Medicare |
$1,281.05
|
| Rate for Payer: Priority Health SBD |
$2,339.58
|
| Rate for Payer: Priority Health Tiered Network |
$2,339.58
|
| Rate for Payer: Railroad Medicare Medicare |
$1,281.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,551.88
|
| Rate for Payer: UHC Core |
$2,551.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,281.05
|
| Rate for Payer: UHC Exchange |
$2,551.88
|
| Rate for Payer: UHC Medicaid |
$829.42
|
| Rate for Payer: UHCCP Medicaid |
$829.42
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,501.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$485.85 |
| Max. Negotiated Rate |
$1,450.30 |
| Rate for Payer: Aetna Commercial |
$998.30
|
| Rate for Payer: Aetna Medicare |
$774.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,072.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$998.30
|
| Rate for Payer: BCBS Complete |
$510.14
|
| Rate for Payer: BCBS MAPPO |
$745.00
|
| Rate for Payer: BCN Commercial |
$1,244.95
|
| Rate for Payer: BCN Medicare Advantage |
$745.00
|
| Rate for Payer: Cash Price |
$1,200.80
|
| Rate for Payer: Cash Price |
$1,200.80
|
| Rate for Payer: Cofinity Commercial |
$998.30
|
| Rate for Payer: Cofinity Commercial |
$1,072.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.00
|
| Rate for Payer: Healthscope Commercial |
$1,378.25
|
| Rate for Payer: Healthscope Commercial |
$1,192.00
|
| Rate for Payer: Mclaren Medicaid |
$485.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$782.25
|
| Rate for Payer: Meridian Medicaid |
$510.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$819.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,450.30
|
| Rate for Payer: Nomi Health Commercial |
$894.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,125.75
|
| Rate for Payer: PACE SWMI |
$745.00
|
| Rate for Payer: PHP Medicare Advantage |
$745.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$485.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,330.82
|
| Rate for Payer: Priority Health Medicare |
$745.00
|
| Rate for Payer: Priority Health SBD |
$1,330.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,330.82
|
| Rate for Payer: Railroad Medicare Medicare |
$745.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,421.21
|
| Rate for Payer: UHC Core |
$1,421.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$745.00
|
| Rate for Payer: UHC Exchange |
$1,421.21
|
| Rate for Payer: UHC Medicaid |
$485.85
|
| Rate for Payer: UHCCP Medicaid |
$485.85
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,130.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$474.35 |
| Max. Negotiated Rate |
$2,347.50 |
| Rate for Payer: Aetna Commercial |
$968.85
|
| Rate for Payer: Aetna Medicare |
$751.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,041.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.85
|
| Rate for Payer: BCBS Complete |
$498.07
|
| Rate for Payer: BCBS MAPPO |
$723.02
|
| Rate for Payer: BCN Commercial |
$1,224.04
|
| Rate for Payer: BCN Medicare Advantage |
$723.02
|
| Rate for Payer: Cash Price |
$2,504.00
|
| Rate for Payer: Cash Price |
$2,504.00
|
| Rate for Payer: Cofinity Commercial |
$968.85
|
| Rate for Payer: Cofinity Commercial |
$1,041.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$723.02
|
| Rate for Payer: Healthscope Commercial |
$1,337.59
|
| Rate for Payer: Healthscope Commercial |
$1,156.83
|
| Rate for Payer: Mclaren Medicaid |
$474.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$759.17
|
| Rate for Payer: Meridian Medicaid |
$498.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$795.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,475.51
|
| Rate for Payer: Nomi Health Commercial |
$867.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,347.50
|
| Rate for Payer: PACE SWMI |
$723.02
|
| Rate for Payer: PHP Medicare Advantage |
$723.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,308.47
|
| Rate for Payer: Priority Health Medicare |
$723.02
|
| Rate for Payer: Priority Health SBD |
$1,308.47
|
| Rate for Payer: Priority Health Tiered Network |
$1,308.47
|
| Rate for Payer: Railroad Medicare Medicare |
$723.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,442.01
|
| Rate for Payer: UHC Core |
$1,442.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$723.02
|
| Rate for Payer: UHC Exchange |
$1,442.01
|
| Rate for Payer: UHC Medicaid |
$474.35
|
| Rate for Payer: UHCCP Medicaid |
$474.35
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Facility
|
IP
|
$2,637.00
|
|
|
Service Code
|
CPT 25448
|
| Hospital Charge Code |
25448
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$1,661.31 |
| Max. Negotiated Rate |
$2,373.30 |
| Rate for Payer: Aetna Commercial |
$2,241.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,714.05
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cofinity Advantage |
$1,845.90
|
| Rate for Payer: Cofinity Commercial |
$2,267.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,109.60
|
| Rate for Payer: Healthscope Commercial |
$2,373.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,241.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,977.75
|
| Rate for Payer: PHP Commercial |
$2,241.45
|
| Rate for Payer: Priority Health SBD |
$1,661.31
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,637.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$522.49 |
| Max. Negotiated Rate |
$1,977.75 |
| Rate for Payer: Priority Health SBD |
$1,444.73
|
| Rate for Payer: Aetna Commercial |
$1,068.62
|
| Rate for Payer: Aetna Medicare |
$829.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,068.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.37
|
| Rate for Payer: BCBS Complete |
$548.61
|
| Rate for Payer: BCBS MAPPO |
$797.48
|
| Rate for Payer: BCN Commercial |
$1,351.52
|
| Rate for Payer: BCN Medicare Advantage |
$797.48
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cofinity Commercial |
$1,148.37
|
| Rate for Payer: Cofinity Commercial |
$1,068.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$797.48
|
| Rate for Payer: Healthscope Commercial |
$1,475.34
|
| Rate for Payer: Healthscope Commercial |
$1,275.97
|
| Rate for Payer: Mclaren Medicaid |
$522.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$837.35
|
| Rate for Payer: Meridian Medicaid |
$548.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$877.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,714.05
|
| Rate for Payer: Nomi Health Commercial |
$956.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,977.75
|
| Rate for Payer: PACE SWMI |
$797.48
|
| Rate for Payer: PHP Medicare Advantage |
$797.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$522.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,444.73
|
| Rate for Payer: Priority Health Medicare |
$797.48
|
| Rate for Payer: Priority Health Tiered Network |
$1,444.73
|
| Rate for Payer: Railroad Medicare Medicare |
$797.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,634.43
|
| Rate for Payer: UHC Core |
$1,634.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$797.48
|
| Rate for Payer: UHC Exchange |
$1,634.43
|
| Rate for Payer: UHC Medicaid |
$522.49
|
| Rate for Payer: UHCCP Medicaid |
$522.49
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Facility
|
OP
|
$2,637.00
|
|
|
Service Code
|
CPT 25448
|
| Hospital Charge Code |
25448
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$1,661.31 |
| Max. Negotiated Rate |
$10,543.31 |
| Rate for Payer: Aetna Commercial |
$2,241.45
|
| Rate for Payer: Aetna Medicare |
$3,390.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,714.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,075.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,075.29
|
| Rate for Payer: BCBS Complete |
$1,790.52
|
| Rate for Payer: BCBS MAPPO |
$3,260.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,822.82
|
| Rate for Payer: BCN Commercial |
$1,822.82
|
| Rate for Payer: BCN Medicare Advantage |
$3,260.23
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cofinity Advantage |
$1,845.90
|
| Rate for Payer: Cofinity Commercial |
$2,267.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,109.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,260.23
|
| Rate for Payer: Healthscope Commercial |
$2,373.30
|
| Rate for Payer: Mclaren Medicaid |
$1,705.10
|
| Rate for Payer: Mclaren Medicare |
$3,260.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,423.24
|
| Rate for Payer: Meridian Medicaid |
$3,423.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,749.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,586.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,241.45
|
| Rate for Payer: Nomi Health Commercial |
$9,780.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,977.75
|
| Rate for Payer: PACE Medicare |
$3,097.22
|
| Rate for Payer: PACE SWMI |
$3,260.23
|
| Rate for Payer: PHP Commercial |
$2,241.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,260.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,705.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10,543.31
|
| Rate for Payer: Priority Health Medicare |
$3,260.23
|
| Rate for Payer: Priority Health SBD |
$1,661.31
|
| Rate for Payer: Priority Health Tiered Network |
$8,434.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3,260.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,260.23
|
| Rate for Payer: UHC Medicaid |
$1,705.10
|
| Rate for Payer: UHCCP Medicaid |
$1,705.10
|
| Rate for Payer: VA VA |
$3,260.23
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,637.00
|
|
|
Service Code
|
HCPCS 25448
|
| Hospital Charge Code |
25448
|
| Min. Negotiated Rate |
$522.49 |
| Max. Negotiated Rate |
$1,977.75 |
| Rate for Payer: Aetna Commercial |
$1,068.62
|
| Rate for Payer: Aetna Medicare |
$829.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,068.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.37
|
| Rate for Payer: BCBS Complete |
$548.61
|
| Rate for Payer: BCBS MAPPO |
$797.48
|
| Rate for Payer: BCN Commercial |
$1,351.52
|
| Rate for Payer: BCN Medicare Advantage |
$797.48
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cash Price |
$2,109.60
|
| Rate for Payer: Cofinity Commercial |
$1,148.37
|
| Rate for Payer: Cofinity Commercial |
$1,068.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$797.48
|
| Rate for Payer: Healthscope Commercial |
$1,475.34
|
| Rate for Payer: Healthscope Commercial |
$1,275.97
|
| Rate for Payer: Mclaren Medicaid |
$522.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$837.35
|
| Rate for Payer: Meridian Medicaid |
$548.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$877.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,714.05
|
| Rate for Payer: Nomi Health Commercial |
$956.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,977.75
|
| Rate for Payer: PACE SWMI |
$797.48
|
| Rate for Payer: PHP Medicare Advantage |
$797.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$522.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,444.73
|
| Rate for Payer: Priority Health Medicare |
$797.48
|
| Rate for Payer: Priority Health SBD |
$1,444.73
|
| Rate for Payer: Priority Health Tiered Network |
$1,444.73
|
| Rate for Payer: Railroad Medicare Medicare |
$797.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,634.43
|
| Rate for Payer: UHC Core |
$1,634.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$797.48
|
| Rate for Payer: UHC Exchange |
$1,634.43
|
| Rate for Payer: UHC Medicaid |
$522.49
|
| Rate for Payer: UHCCP Medicaid |
$522.49
|
|
