|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$725.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$290.00 |
| Max. Negotiated Rate |
$758.22 |
| Rate for Payer: Aetna Commercial |
$549.20
|
| Rate for Payer: Aetna Medicare |
$426.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.20
|
| Rate for Payer: BCBS Complete |
$290.00
|
| Rate for Payer: BCBS MAPPO |
$409.85
|
| Rate for Payer: BCN Medicare Advantage |
$409.85
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cofinity Commercial |
$590.18
|
| Rate for Payer: Cofinity Commercial |
$549.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.85
|
| Rate for Payer: Healthscope Commercial |
$655.76
|
| Rate for Payer: Healthscope Commercial |
$758.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$471.25
|
| Rate for Payer: Nomi Health Commercial |
$491.82
|
| Rate for Payer: PACE SWMI |
$409.85
|
| Rate for Payer: PHP Medicare Advantage |
$409.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.25
|
| Rate for Payer: Priority Health Medicare |
$409.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.85
|
| Rate for Payer: UHC Medicare Advantage |
$409.85
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,022.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$561.42 |
| Max. Negotiated Rate |
$1,314.30 |
| Rate for Payer: Aetna Commercial |
$752.30
|
| Rate for Payer: Aetna Medicare |
$583.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.30
|
| Rate for Payer: BCBS Complete |
$808.80
|
| Rate for Payer: BCBS MAPPO |
$561.42
|
| Rate for Payer: BCN Medicare Advantage |
$561.42
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cofinity Commercial |
$808.44
|
| Rate for Payer: Cofinity Commercial |
$752.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.42
|
| Rate for Payer: Healthscope Commercial |
$898.27
|
| Rate for Payer: Healthscope Commercial |
$1,038.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,314.30
|
| Rate for Payer: Nomi Health Commercial |
$673.70
|
| Rate for Payer: PACE SWMI |
$561.42
|
| Rate for Payer: PHP Medicare Advantage |
$561.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,314.30
|
| Rate for Payer: Priority Health Medicare |
$561.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.42
|
| Rate for Payer: UHC Medicare Advantage |
$561.42
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,137.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$624.87 |
| Max. Negotiated Rate |
$1,389.05 |
| Rate for Payer: Aetna Commercial |
$837.33
|
| Rate for Payer: Aetna Medicare |
$649.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$899.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.33
|
| Rate for Payer: BCBS Complete |
$854.80
|
| Rate for Payer: BCBS MAPPO |
$624.87
|
| Rate for Payer: BCN Medicare Advantage |
$624.87
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cofinity Commercial |
$899.81
|
| Rate for Payer: Cofinity Commercial |
$837.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.87
|
| Rate for Payer: Healthscope Commercial |
$1,156.01
|
| Rate for Payer: Healthscope Commercial |
$999.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,389.05
|
| Rate for Payer: Nomi Health Commercial |
$749.84
|
| Rate for Payer: PACE SWMI |
$624.87
|
| Rate for Payer: PHP Medicare Advantage |
$624.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.05
|
| Rate for Payer: Priority Health Medicare |
$624.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.87
|
| Rate for Payer: UHC Medicare Advantage |
$624.87
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$694.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$277.60 |
| Max. Negotiated Rate |
$628.48 |
| Rate for Payer: Aetna Commercial |
$455.22
|
| Rate for Payer: Aetna Medicare |
$353.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.22
|
| Rate for Payer: BCBS Complete |
$277.60
|
| Rate for Payer: BCBS MAPPO |
$339.72
|
| Rate for Payer: BCN Medicare Advantage |
$339.72
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cofinity Commercial |
$489.20
|
| Rate for Payer: Cofinity Commercial |
$455.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.72
|
| Rate for Payer: Healthscope Commercial |
$628.48
|
| Rate for Payer: Healthscope Commercial |
$543.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$451.10
|
| Rate for Payer: Nomi Health Commercial |
$407.66
|
| Rate for Payer: PACE SWMI |
$339.72
|
| Rate for Payer: PHP Medicare Advantage |
$339.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.10
|
| Rate for Payer: Priority Health Medicare |
$339.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.72
|
| Rate for Payer: UHC Medicare Advantage |
$339.72
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$472.63 |
| Max. Negotiated Rate |
$1,092.65 |
| Rate for Payer: Aetna Commercial |
$633.32
|
| Rate for Payer: Aetna Medicare |
$491.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$680.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$633.32
|
| Rate for Payer: BCBS Complete |
$672.40
|
| Rate for Payer: BCBS MAPPO |
$472.63
|
| Rate for Payer: BCN Medicare Advantage |
$472.63
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$680.59
|
| Rate for Payer: Cofinity Commercial |
$633.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.63
|
| Rate for Payer: Healthscope Commercial |
$756.21
|
| Rate for Payer: Healthscope Commercial |
$874.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,092.65
|
| Rate for Payer: Nomi Health Commercial |
$567.16
|
| Rate for Payer: PACE SWMI |
$472.63
|
| Rate for Payer: PHP Medicare Advantage |
$472.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health Medicare |
$472.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.63
|
| Rate for Payer: UHC Medicare Advantage |
$472.63
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,435.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$548.57 |
| Max. Negotiated Rate |
$1,014.85 |
| Rate for Payer: Aetna Commercial |
$735.08
|
| Rate for Payer: Aetna Medicare |
$570.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$789.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.08
|
| Rate for Payer: BCBS Complete |
$574.00
|
| Rate for Payer: BCBS MAPPO |
$548.57
|
| Rate for Payer: BCN Medicare Advantage |
$548.57
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$789.94
|
| Rate for Payer: Cofinity Commercial |
$735.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.57
|
| Rate for Payer: Healthscope Commercial |
$877.71
|
| Rate for Payer: Healthscope Commercial |
$1,014.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$932.75
|
| Rate for Payer: Nomi Health Commercial |
$658.28
|
| Rate for Payer: PACE SWMI |
$548.57
|
| Rate for Payer: PHP Medicare Advantage |
$548.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$932.75
|
| Rate for Payer: Priority Health Medicare |
$548.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.57
|
| Rate for Payer: UHC Medicare Advantage |
$548.57
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$415.20 |
| Max. Negotiated Rate |
$1,090.08 |
| Rate for Payer: Aetna Commercial |
$789.57
|
| Rate for Payer: Aetna Medicare |
$612.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$789.57
|
| Rate for Payer: BCBS Complete |
$415.20
|
| Rate for Payer: BCBS MAPPO |
$589.23
|
| Rate for Payer: BCN Medicare Advantage |
$589.23
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cofinity Commercial |
$848.49
|
| Rate for Payer: Cofinity Commercial |
$789.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.23
|
| Rate for Payer: Healthscope Commercial |
$1,090.08
|
| Rate for Payer: Healthscope Commercial |
$942.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$618.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$674.70
|
| Rate for Payer: Nomi Health Commercial |
$707.08
|
| Rate for Payer: PACE SWMI |
$589.23
|
| Rate for Payer: PHP Medicare Advantage |
$589.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health Medicare |
$589.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$589.23
|
| Rate for Payer: UHC Medicare Advantage |
$589.23
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$558.40 |
| Max. Negotiated Rate |
$1,231.67 |
| Rate for Payer: Aetna Commercial |
$892.13
|
| Rate for Payer: Aetna Medicare |
$692.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$958.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$892.13
|
| Rate for Payer: BCBS Complete |
$558.40
|
| Rate for Payer: BCBS MAPPO |
$665.77
|
| Rate for Payer: BCN Medicare Advantage |
$665.77
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$958.71
|
| Rate for Payer: Cofinity Commercial |
$892.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.77
|
| Rate for Payer: Healthscope Commercial |
$1,231.67
|
| Rate for Payer: Healthscope Commercial |
$1,065.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$907.40
|
| Rate for Payer: Nomi Health Commercial |
$798.92
|
| Rate for Payer: PACE SWMI |
$665.77
|
| Rate for Payer: PHP Medicare Advantage |
$665.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$907.40
|
| Rate for Payer: Priority Health Medicare |
$665.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.77
|
| Rate for Payer: UHC Medicare Advantage |
$665.77
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
OP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,581.93 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$2,134.35
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,632.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$2,159.46
|
| Rate for Payer: Cofinity Commercial |
$1,757.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,757.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,008.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,259.90
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,134.35
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,134.35
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,581.93
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
IP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,581.93 |
| Max. Negotiated Rate |
$2,259.90 |
| Rate for Payer: Aetna Commercial |
$2,134.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,632.15
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$1,757.70
|
| Rate for Payer: Cofinity Commercial |
$2,159.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,757.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,008.80
|
| Rate for Payer: Healthscope Commercial |
$2,259.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,134.35
|
| Rate for Payer: PHP Commercial |
$2,134.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health SBD |
$1,581.93
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$665.04 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$891.15
|
| Rate for Payer: Aetna Medicare |
$691.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: BCBS Complete |
$1,004.40
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCN Medicare Advantage |
$665.04
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$957.66
|
| Rate for Payer: Cofinity Commercial |
$891.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.04
|
| Rate for Payer: Healthscope Commercial |
$1,064.06
|
| Rate for Payer: Healthscope Commercial |
$1,230.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,632.15
|
| Rate for Payer: Nomi Health Commercial |
$798.05
|
| Rate for Payer: PACE SWMI |
$665.04
|
| Rate for Payer: PHP Medicare Advantage |
$665.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$665.04 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$891.15
|
| Rate for Payer: Aetna Medicare |
$691.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.66
|
| Rate for Payer: BCBS Complete |
$1,004.40
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCN Medicare Advantage |
$665.04
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$957.66
|
| Rate for Payer: Cofinity Commercial |
$891.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.04
|
| Rate for Payer: Healthscope Commercial |
$1,064.06
|
| Rate for Payer: Healthscope Commercial |
$1,230.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,632.15
|
| Rate for Payer: Nomi Health Commercial |
$798.05
|
| Rate for Payer: PACE SWMI |
$665.04
|
| Rate for Payer: PHP Medicare Advantage |
$665.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,117.60 |
| Max. Negotiated Rate |
$2,289.23 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,286.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,658.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,781.88
|
| Rate for Payer: BCBS Complete |
$1,117.60
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Healthscope Commercial |
$1,979.87
|
| Rate for Payer: Healthscope Commercial |
$2,289.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,816.10
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$1,117.60 |
| Max. Negotiated Rate |
$2,289.23 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,286.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,781.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,658.14
|
| Rate for Payer: BCBS Complete |
$1,117.60
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Healthscope Commercial |
$2,289.23
|
| Rate for Payer: Healthscope Commercial |
$1,979.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,816.10
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,760.22 |
| Max. Negotiated Rate |
$2,514.60 |
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.10
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,955.80
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,955.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health SBD |
$1,760.22
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,760.22 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Cofinity Commercial |
$1,955.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,955.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$1,760.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$7,064.95
|
| Rate for Payer: VA VA |
$12,548.75
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,189.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$1,394.88 |
| Max. Negotiated Rate |
$3,372.85 |
| Rate for Payer: Aetna Commercial |
$1,869.14
|
| Rate for Payer: Aetna Medicare |
$1,450.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,008.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,869.14
|
| Rate for Payer: BCBS Complete |
$2,075.60
|
| Rate for Payer: BCBS MAPPO |
$1,394.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,394.88
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$2,008.63
|
| Rate for Payer: Cofinity Commercial |
$1,869.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,394.88
|
| Rate for Payer: Healthscope Commercial |
$2,231.81
|
| Rate for Payer: Healthscope Commercial |
$2,580.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,464.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,372.85
|
| Rate for Payer: Nomi Health Commercial |
$1,673.86
|
| Rate for Payer: PACE SWMI |
$1,394.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,394.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,372.85
|
| Rate for Payer: Priority Health Medicare |
$1,394.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,394.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,394.88
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,457.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$582.80 |
| Max. Negotiated Rate |
$1,460.19 |
| Rate for Payer: Aetna Commercial |
$1,057.65
|
| Rate for Payer: Aetna Medicare |
$820.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,136.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,057.65
|
| Rate for Payer: BCBS Complete |
$582.80
|
| Rate for Payer: BCBS MAPPO |
$789.29
|
| Rate for Payer: BCN Medicare Advantage |
$789.29
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cofinity Commercial |
$1,136.58
|
| Rate for Payer: Cofinity Commercial |
$1,057.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$789.29
|
| Rate for Payer: Healthscope Commercial |
$1,460.19
|
| Rate for Payer: Healthscope Commercial |
$1,262.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$828.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$947.05
|
| Rate for Payer: Nomi Health Commercial |
$947.15
|
| Rate for Payer: PACE SWMI |
$789.29
|
| Rate for Payer: PHP Medicare Advantage |
$789.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.05
|
| Rate for Payer: Priority Health Medicare |
$789.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.29
|
| Rate for Payer: UHC Medicare Advantage |
$789.29
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.46
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Healthscope Commercial |
$1,233.98
|
| Rate for Payer: Healthscope Commercial |
$1,426.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,975.35
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,033.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,110.59
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Healthscope Commercial |
$1,233.98
|
| Rate for Payer: Healthscope Commercial |
$1,426.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,975.35
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
OP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,975.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Cofinity Commercial |
$2,127.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,127.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,914.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,781.56
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
IP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,914.57 |
| Max. Negotiated Rate |
$2,735.10 |
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,975.35
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,127.30
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,127.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health SBD |
$1,914.57
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,560.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$852.77 |
| Max. Negotiated Rate |
$1,664.00 |
| Rate for Payer: Aetna Commercial |
$1,142.71
|
| Rate for Payer: Aetna Medicare |
$886.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,227.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,142.71
|
| Rate for Payer: BCBS Complete |
$1,024.00
|
| Rate for Payer: BCBS MAPPO |
$852.77
|
| Rate for Payer: BCN Medicare Advantage |
$852.77
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cofinity Commercial |
$1,227.99
|
| Rate for Payer: Cofinity Commercial |
$1,142.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$852.77
|
| Rate for Payer: Healthscope Commercial |
$1,577.62
|
| Rate for Payer: Healthscope Commercial |
$1,364.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,664.00
|
| Rate for Payer: Nomi Health Commercial |
$1,023.32
|
| Rate for Payer: PACE SWMI |
$852.77
|
| Rate for Payer: PHP Medicare Advantage |
$852.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,664.00
|
| Rate for Payer: Priority Health Medicare |
$852.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$852.77
|
| Rate for Payer: UHC Medicare Advantage |
$852.77
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,154.41 |
| Max. Negotiated Rate |
$35,323.48 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna Medicare |
$13,050.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$3,504.90
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,504.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35,323.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$7,064.95
|
| Rate for Payer: VA VA |
$12,548.75
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.05
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Healthscope Commercial |
$1,977.38
|
| Rate for Payer: Healthscope Commercial |
$2,286.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,254.55
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
|
