|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$321.77 |
| Max. Negotiated Rate |
$122,378.00 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$691.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.11
|
| Rate for Payer: BCBS Complete |
$471.45
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Healthscope Commercial |
$1,229.62
|
| Rate for Payer: Healthscope Commercial |
$1,063.46
|
| Rate for Payer: Mclaren Medicaid |
$449.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Meridian Medicaid |
$471.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122,378.00
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,063.52
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,063.52
|
| Rate for Payer: Priority Health SBD |
$1,063.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,330.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Exchange |
$1,330.35
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP Medicaid |
$449.00
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$433.46 |
| Max. Negotiated Rate |
$113,722.00 |
| Rate for Payer: Aetna Commercial |
$858.50
|
| Rate for Payer: Aetna Medicare |
$666.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$858.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$922.56
|
| Rate for Payer: BCBS Complete |
$455.13
|
| Rate for Payer: BCBS MAPPO |
$640.67
|
| Rate for Payer: BCBS Trust/PPO |
$556.30
|
| Rate for Payer: BCN Commercial |
$942.17
|
| Rate for Payer: BCN Medicare Advantage |
$640.67
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$922.56
|
| Rate for Payer: Cofinity Commercial |
$858.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.67
|
| Rate for Payer: Healthscope Commercial |
$1,025.07
|
| Rate for Payer: Healthscope Commercial |
$1,185.24
|
| Rate for Payer: Mclaren Medicaid |
$433.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$672.70
|
| Rate for Payer: Meridian Medicaid |
$455.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$113,722.00
|
| Rate for Payer: Nomi Health Commercial |
$768.80
|
| Rate for Payer: PACE SWMI |
$640.67
|
| Rate for Payer: PHP Medicare Advantage |
$640.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$433.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,007.04
|
| Rate for Payer: Priority Health Medicare |
$640.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,007.04
|
| Rate for Payer: Priority Health SBD |
$1,007.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$640.67
|
| Rate for Payer: UHC Medicare Advantage |
$640.67
|
| Rate for Payer: UHCCP Medicaid |
$433.46
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$80,071.00 |
| Rate for Payer: Aetna Commercial |
$591.06
|
| Rate for Payer: Aetna Medicare |
$458.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$591.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$635.17
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$441.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.81
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$441.09
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cofinity Commercial |
$635.17
|
| Rate for Payer: Cofinity Commercial |
$591.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.09
|
| Rate for Payer: Healthscope Commercial |
$816.02
|
| Rate for Payer: Healthscope Commercial |
$705.74
|
| Rate for Payer: Mclaren Medicaid |
$299.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$463.14
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80,071.00
|
| Rate for Payer: Nomi Health Commercial |
$529.31
|
| Rate for Payer: PACE SWMI |
$441.09
|
| Rate for Payer: PHP Medicare Advantage |
$441.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$700.70
|
| Rate for Payer: Priority Health Medicare |
$441.09
|
| Rate for Payer: Priority Health Narrow Network |
$700.70
|
| Rate for Payer: Priority Health SBD |
$700.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$588.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$441.09
|
| Rate for Payer: UHC Exchange |
$588.19
|
| Rate for Payer: UHC Medicare Advantage |
$441.09
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,886.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$320.35 |
| Max. Negotiated Rate |
$86,384.00 |
| Rate for Payer: Aetna Commercial |
$631.92
|
| Rate for Payer: Aetna Medicare |
$490.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$631.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$679.08
|
| Rate for Payer: BCBS Complete |
$336.37
|
| Rate for Payer: BCBS MAPPO |
$471.58
|
| Rate for Payer: BCBS Trust/PPO |
$543.09
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$471.58
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cofinity Commercial |
$679.08
|
| Rate for Payer: Cofinity Commercial |
$631.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$471.58
|
| Rate for Payer: Healthscope Commercial |
$872.42
|
| Rate for Payer: Healthscope Commercial |
$754.53
|
| Rate for Payer: Mclaren Medicaid |
$320.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$495.16
|
| Rate for Payer: Meridian Medicaid |
$336.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86,384.00
|
| Rate for Payer: Nomi Health Commercial |
$565.90
|
| Rate for Payer: PACE SWMI |
$471.58
|
| Rate for Payer: PHP Medicare Advantage |
$471.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$757.69
|
| Rate for Payer: Priority Health Medicare |
$471.58
|
| Rate for Payer: Priority Health Narrow Network |
$757.69
|
| Rate for Payer: Priority Health SBD |
$757.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$680.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$471.58
|
| Rate for Payer: UHC Exchange |
$680.16
|
| Rate for Payer: UHC Medicare Advantage |
$471.58
|
| Rate for Payer: UHCCP Medicaid |
$320.35
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$384.25 |
| Max. Negotiated Rate |
$104,132.00 |
| Rate for Payer: Aetna Commercial |
$758.69
|
| Rate for Payer: Aetna Medicare |
$588.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.31
|
| Rate for Payer: BCBS Complete |
$403.46
|
| Rate for Payer: BCBS MAPPO |
$566.19
|
| Rate for Payer: BCN Commercial |
$865.94
|
| Rate for Payer: BCN Medicare Advantage |
$566.19
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$815.31
|
| Rate for Payer: Cofinity Commercial |
$758.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.19
|
| Rate for Payer: Healthscope Commercial |
$905.90
|
| Rate for Payer: Healthscope Commercial |
$1,047.45
|
| Rate for Payer: Mclaren Medicaid |
$384.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.50
|
| Rate for Payer: Meridian Medicaid |
$403.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,132.00
|
| Rate for Payer: Nomi Health Commercial |
$679.43
|
| Rate for Payer: PACE SWMI |
$566.19
|
| Rate for Payer: PHP Medicare Advantage |
$566.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,319.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$909.84
|
| Rate for Payer: Priority Health Medicare |
$566.19
|
| Rate for Payer: Priority Health Narrow Network |
$909.84
|
| Rate for Payer: Priority Health SBD |
$909.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$878.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.19
|
| Rate for Payer: UHC Exchange |
$878.35
|
| Rate for Payer: UHC Medicare Advantage |
$566.19
|
| Rate for Payer: UHCCP Medicaid |
$384.25
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$329.30 |
| Max. Negotiated Rate |
$88,762.00 |
| Rate for Payer: Aetna Commercial |
$649.89
|
| Rate for Payer: Aetna Medicare |
$504.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.39
|
| Rate for Payer: BCBS Complete |
$345.76
|
| Rate for Payer: BCBS MAPPO |
$484.99
|
| Rate for Payer: BCBS Trust/PPO |
$730.64
|
| Rate for Payer: BCN Commercial |
$738.88
|
| Rate for Payer: BCN Medicare Advantage |
$484.99
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$698.39
|
| Rate for Payer: Cofinity Commercial |
$649.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.99
|
| Rate for Payer: Healthscope Commercial |
$897.23
|
| Rate for Payer: Healthscope Commercial |
$775.98
|
| Rate for Payer: Mclaren Medicaid |
$329.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.24
|
| Rate for Payer: Meridian Medicaid |
$345.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88,762.00
|
| Rate for Payer: Nomi Health Commercial |
$581.99
|
| Rate for Payer: PACE SWMI |
$484.99
|
| Rate for Payer: PHP Medicare Advantage |
$484.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$775.00
|
| Rate for Payer: Priority Health Medicare |
$484.99
|
| Rate for Payer: Priority Health Narrow Network |
$775.00
|
| Rate for Payer: Priority Health SBD |
$775.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$762.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.99
|
| Rate for Payer: UHC Exchange |
$762.79
|
| Rate for Payer: UHC Medicare Advantage |
$484.99
|
| Rate for Payer: UHCCP Medicaid |
$329.30
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$356.78 |
| Max. Negotiated Rate |
$96,734.00 |
| Rate for Payer: Aetna Commercial |
$705.95
|
| Rate for Payer: Aetna Medicare |
$547.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$705.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.64
|
| Rate for Payer: BCBS Complete |
$374.62
|
| Rate for Payer: BCBS MAPPO |
$526.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,365.66
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$526.83
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cofinity Commercial |
$758.64
|
| Rate for Payer: Cofinity Commercial |
$705.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.83
|
| Rate for Payer: Healthscope Commercial |
$974.64
|
| Rate for Payer: Healthscope Commercial |
$842.93
|
| Rate for Payer: Mclaren Medicaid |
$356.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$553.17
|
| Rate for Payer: Meridian Medicaid |
$374.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96,734.00
|
| Rate for Payer: Nomi Health Commercial |
$632.20
|
| Rate for Payer: PACE SWMI |
$526.83
|
| Rate for Payer: PHP Medicare Advantage |
$526.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$356.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,422.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$845.22
|
| Rate for Payer: Priority Health Medicare |
$526.83
|
| Rate for Payer: Priority Health Narrow Network |
$845.22
|
| Rate for Payer: Priority Health SBD |
$845.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$928.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.83
|
| Rate for Payer: UHC Exchange |
$928.67
|
| Rate for Payer: UHC Medicare Advantage |
$526.83
|
| Rate for Payer: UHCCP Medicaid |
$356.78
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$420.46 |
| Max. Negotiated Rate |
$114,273.00 |
| Rate for Payer: Aetna Commercial |
$833.31
|
| Rate for Payer: Aetna Medicare |
$646.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.49
|
| Rate for Payer: BCBS Complete |
$441.48
|
| Rate for Payer: BCBS MAPPO |
$621.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$947.54
|
| Rate for Payer: BCN Medicare Advantage |
$621.87
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cofinity Commercial |
$895.49
|
| Rate for Payer: Cofinity Commercial |
$833.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.87
|
| Rate for Payer: Healthscope Commercial |
$994.99
|
| Rate for Payer: Healthscope Commercial |
$1,150.46
|
| Rate for Payer: Mclaren Medicaid |
$420.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$652.96
|
| Rate for Payer: Meridian Medicaid |
$441.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114,273.00
|
| Rate for Payer: Nomi Health Commercial |
$746.24
|
| Rate for Payer: PACE SWMI |
$621.87
|
| Rate for Payer: PHP Medicare Advantage |
$621.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$420.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$996.35
|
| Rate for Payer: Priority Health Medicare |
$621.87
|
| Rate for Payer: Priority Health Narrow Network |
$996.35
|
| Rate for Payer: Priority Health SBD |
$996.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$793.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$621.87
|
| Rate for Payer: UHC Exchange |
$793.34
|
| Rate for Payer: UHC Medicare Advantage |
$621.87
|
| Rate for Payer: UHCCP Medicaid |
$420.46
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$60,269.00 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.14
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$329.96
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cofinity Commercial |
$475.14
|
| Rate for Payer: Cofinity Commercial |
$442.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.96
|
| Rate for Payer: Healthscope Commercial |
$610.43
|
| Rate for Payer: Healthscope Commercial |
$527.94
|
| Rate for Payer: Mclaren Medicaid |
$225.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,269.00
|
| Rate for Payer: Nomi Health Commercial |
$395.95
|
| Rate for Payer: PACE SWMI |
$329.96
|
| Rate for Payer: PHP Medicare Advantage |
$329.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.80
|
| Rate for Payer: Priority Health Medicare |
$329.96
|
| Rate for Payer: Priority Health Narrow Network |
$533.80
|
| Rate for Payer: Priority Health SBD |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.96
|
| Rate for Payer: UHC Exchange |
$335.51
|
| Rate for Payer: UHC Medicare Advantage |
$329.96
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
IP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$428.40 |
| Max. Negotiated Rate |
$612.00 |
| Rate for Payer: Aetna Commercial |
$578.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$476.00
|
| Rate for Payer: Cofinity Commercial |
$584.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$476.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Healthscope Commercial |
$612.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: PHP Commercial |
$578.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: Priority Health SBD |
$428.40
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$60,269.00 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.14
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$329.96
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cofinity Commercial |
$475.14
|
| Rate for Payer: Cofinity Commercial |
$442.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.96
|
| Rate for Payer: Healthscope Commercial |
$610.43
|
| Rate for Payer: Healthscope Commercial |
$527.94
|
| Rate for Payer: Mclaren Medicaid |
$225.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,269.00
|
| Rate for Payer: Nomi Health Commercial |
$395.95
|
| Rate for Payer: PACE SWMI |
$329.96
|
| Rate for Payer: PHP Medicare Advantage |
$329.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.80
|
| Rate for Payer: Priority Health Medicare |
$329.96
|
| Rate for Payer: Priority Health Narrow Network |
$533.80
|
| Rate for Payer: Priority Health SBD |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.96
|
| Rate for Payer: UHC Exchange |
$335.51
|
| Rate for Payer: UHC Medicare Advantage |
$329.96
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
OP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$363.72 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$578.00
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,089.51
|
| Rate for Payer: BCN Commercial |
$1,089.51
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$584.80
|
| Rate for Payer: Cofinity Commercial |
$476.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$476.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$612.00
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$578.00
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$428.40
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.72
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,789.78
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$172.35 |
| Max. Negotiated Rate |
$57,780.00 |
| Rate for Payer: Aetna Commercial |
$422.31
|
| Rate for Payer: Aetna Medicare |
$327.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.83
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$315.16
|
| Rate for Payer: BCBS Trust/PPO |
$172.35
|
| Rate for Payer: BCN Commercial |
$484.76
|
| Rate for Payer: BCN Medicare Advantage |
$315.16
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$453.83
|
| Rate for Payer: Cofinity Commercial |
$422.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.16
|
| Rate for Payer: Healthscope Commercial |
$583.05
|
| Rate for Payer: Healthscope Commercial |
$504.26
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.92
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,780.00
|
| Rate for Payer: Nomi Health Commercial |
$378.19
|
| Rate for Payer: PACE SWMI |
$315.16
|
| Rate for Payer: PHP Medicare Advantage |
$315.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$315.16
|
| Rate for Payer: Priority Health Narrow Network |
$510.90
|
| Rate for Payer: Priority Health SBD |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.16
|
| Rate for Payer: UHC Exchange |
$329.73
|
| Rate for Payer: UHC Medicare Advantage |
$315.16
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$152.40 |
| Max. Negotiated Rate |
$60,755.00 |
| Rate for Payer: Aetna Commercial |
$445.19
|
| Rate for Payer: Aetna Medicare |
$345.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.41
|
| Rate for Payer: BCBS Complete |
$238.63
|
| Rate for Payer: BCBS MAPPO |
$332.23
|
| Rate for Payer: BCBS Trust/PPO |
$152.40
|
| Rate for Payer: BCN Commercial |
$509.20
|
| Rate for Payer: BCN Medicare Advantage |
$332.23
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$478.41
|
| Rate for Payer: Cofinity Commercial |
$445.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$332.23
|
| Rate for Payer: Healthscope Commercial |
$614.63
|
| Rate for Payer: Healthscope Commercial |
$531.57
|
| Rate for Payer: Mclaren Medicaid |
$227.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$348.84
|
| Rate for Payer: Meridian Medicaid |
$238.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,755.00
|
| Rate for Payer: Nomi Health Commercial |
$398.68
|
| Rate for Payer: PACE SWMI |
$332.23
|
| Rate for Payer: PHP Medicare Advantage |
$332.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.84
|
| Rate for Payer: Priority Health Medicare |
$332.23
|
| Rate for Payer: Priority Health Narrow Network |
$536.84
|
| Rate for Payer: Priority Health SBD |
$536.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$332.23
|
| Rate for Payer: UHC Exchange |
$345.30
|
| Rate for Payer: UHC Medicare Advantage |
$332.23
|
| Rate for Payer: UHCCP Medicaid |
$227.27
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,094.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$164.83 |
| Max. Negotiated Rate |
$109,445.00 |
| Rate for Payer: Aetna Commercial |
$803.53
|
| Rate for Payer: Aetna Medicare |
$623.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$863.50
|
| Rate for Payer: BCBS Complete |
$428.96
|
| Rate for Payer: BCBS MAPPO |
$599.65
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$913.34
|
| Rate for Payer: BCN Medicare Advantage |
$599.65
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Cofinity Commercial |
$863.50
|
| Rate for Payer: Cofinity Commercial |
$803.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.65
|
| Rate for Payer: Healthscope Commercial |
$959.44
|
| Rate for Payer: Healthscope Commercial |
$1,109.35
|
| Rate for Payer: Mclaren Medicaid |
$408.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.63
|
| Rate for Payer: Meridian Medicaid |
$428.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109,445.00
|
| Rate for Payer: Nomi Health Commercial |
$719.58
|
| Rate for Payer: PACE SWMI |
$599.65
|
| Rate for Payer: PHP Medicare Advantage |
$599.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$711.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$962.77
|
| Rate for Payer: Priority Health Medicare |
$599.65
|
| Rate for Payer: Priority Health Narrow Network |
$962.77
|
| Rate for Payer: Priority Health SBD |
$962.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$725.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.65
|
| Rate for Payer: UHC Exchange |
$725.21
|
| Rate for Payer: UHC Medicare Advantage |
$599.65
|
| Rate for Payer: UHCCP Medicaid |
$408.53
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,866.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$171.17 |
| Max. Negotiated Rate |
$109,523.00 |
| Rate for Payer: Aetna Commercial |
$800.17
|
| Rate for Payer: Aetna Medicare |
$621.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$800.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$859.88
|
| Rate for Payer: BCBS Complete |
$424.94
|
| Rate for Payer: BCBS MAPPO |
$597.14
|
| Rate for Payer: BCBS Trust/PPO |
$171.17
|
| Rate for Payer: BCN Commercial |
$909.91
|
| Rate for Payer: BCN Medicare Advantage |
$597.14
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cofinity Commercial |
$859.88
|
| Rate for Payer: Cofinity Commercial |
$800.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$597.14
|
| Rate for Payer: Healthscope Commercial |
$955.42
|
| Rate for Payer: Healthscope Commercial |
$1,104.71
|
| Rate for Payer: Mclaren Medicaid |
$404.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$627.00
|
| Rate for Payer: Meridian Medicaid |
$424.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109,523.00
|
| Rate for Payer: Nomi Health Commercial |
$716.57
|
| Rate for Payer: PACE SWMI |
$597.14
|
| Rate for Payer: PHP Medicare Advantage |
$597.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,212.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.70
|
| Rate for Payer: Priority Health Medicare |
$597.14
|
| Rate for Payer: Priority Health Narrow Network |
$958.70
|
| Rate for Payer: Priority Health SBD |
$958.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$597.14
|
| Rate for Payer: UHC Exchange |
$726.58
|
| Rate for Payer: UHC Medicare Advantage |
$597.14
|
| Rate for Payer: UHCCP Medicaid |
$404.70
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,459.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$37.78 |
| Max. Negotiated Rate |
$74,628.00 |
| Rate for Payer: Aetna Commercial |
$546.16
|
| Rate for Payer: Aetna Medicare |
$423.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.92
|
| Rate for Payer: BCBS Complete |
$291.64
|
| Rate for Payer: BCBS MAPPO |
$407.58
|
| Rate for Payer: BCBS Trust/PPO |
$37.78
|
| Rate for Payer: BCN Commercial |
$623.06
|
| Rate for Payer: BCN Medicare Advantage |
$407.58
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Cofinity Commercial |
$586.92
|
| Rate for Payer: Cofinity Commercial |
$546.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.58
|
| Rate for Payer: Healthscope Commercial |
$754.02
|
| Rate for Payer: Healthscope Commercial |
$652.13
|
| Rate for Payer: Mclaren Medicaid |
$277.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.96
|
| Rate for Payer: Meridian Medicaid |
$291.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,628.00
|
| Rate for Payer: Nomi Health Commercial |
$489.10
|
| Rate for Payer: PACE SWMI |
$407.58
|
| Rate for Payer: PHP Medicare Advantage |
$407.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$948.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.96
|
| Rate for Payer: Priority Health Medicare |
$407.58
|
| Rate for Payer: Priority Health Narrow Network |
$657.96
|
| Rate for Payer: Priority Health SBD |
$657.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$467.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.58
|
| Rate for Payer: UHC Exchange |
$467.03
|
| Rate for Payer: UHC Medicare Advantage |
$407.58
|
| Rate for Payer: UHCCP Medicaid |
$277.75
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$333.98 |
| Max. Negotiated Rate |
$89,977.00 |
| Rate for Payer: Aetna Commercial |
$657.48
|
| Rate for Payer: Aetna Medicare |
$510.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$657.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$706.55
|
| Rate for Payer: BCBS Complete |
$350.68
|
| Rate for Payer: BCBS MAPPO |
$490.66
|
| Rate for Payer: BCBS Trust/PPO |
$352.38
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$490.66
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$706.55
|
| Rate for Payer: Cofinity Commercial |
$657.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$490.66
|
| Rate for Payer: Healthscope Commercial |
$907.72
|
| Rate for Payer: Healthscope Commercial |
$785.06
|
| Rate for Payer: Mclaren Medicaid |
$333.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$515.19
|
| Rate for Payer: Meridian Medicaid |
$350.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89,977.00
|
| Rate for Payer: Nomi Health Commercial |
$588.79
|
| Rate for Payer: PACE SWMI |
$490.66
|
| Rate for Payer: PHP Medicare Advantage |
$490.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$790.25
|
| Rate for Payer: Priority Health Medicare |
$490.66
|
| Rate for Payer: Priority Health Narrow Network |
$790.25
|
| Rate for Payer: Priority Health SBD |
$790.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$681.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$490.66
|
| Rate for Payer: UHC Exchange |
$681.60
|
| Rate for Payer: UHC Medicare Advantage |
$490.66
|
| Rate for Payer: UHCCP Medicaid |
$333.98
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,976.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$468.17 |
| Max. Negotiated Rate |
$127,530.00 |
| Rate for Payer: Aetna Commercial |
$927.33
|
| Rate for Payer: Aetna Medicare |
$719.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$927.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$996.54
|
| Rate for Payer: BCBS Complete |
$491.58
|
| Rate for Payer: BCBS MAPPO |
$692.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,209.28
|
| Rate for Payer: BCN Commercial |
$1,057.99
|
| Rate for Payer: BCN Medicare Advantage |
$692.04
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cofinity Commercial |
$996.54
|
| Rate for Payer: Cofinity Commercial |
$927.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$692.04
|
| Rate for Payer: Healthscope Commercial |
$1,280.27
|
| Rate for Payer: Healthscope Commercial |
$1,107.26
|
| Rate for Payer: Mclaren Medicaid |
$468.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$726.64
|
| Rate for Payer: Meridian Medicaid |
$491.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127,530.00
|
| Rate for Payer: Nomi Health Commercial |
$830.45
|
| Rate for Payer: PACE SWMI |
$692.04
|
| Rate for Payer: PHP Medicare Advantage |
$692.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$468.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,284.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,109.82
|
| Rate for Payer: Priority Health Medicare |
$692.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,109.82
|
| Rate for Payer: Priority Health SBD |
$1,109.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$931.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$692.04
|
| Rate for Payer: UHC Exchange |
$931.92
|
| Rate for Payer: UHC Medicare Advantage |
$692.04
|
| Rate for Payer: UHCCP Medicaid |
$468.17
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,744.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$631.55 |
| Max. Negotiated Rate |
$172,525.00 |
| Rate for Payer: Aetna Commercial |
$1,257.68
|
| Rate for Payer: Aetna Medicare |
$976.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,257.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,351.54
|
| Rate for Payer: BCBS Complete |
$663.13
|
| Rate for Payer: BCBS MAPPO |
$938.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$1,424.98
|
| Rate for Payer: BCN Medicare Advantage |
$938.57
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Cofinity Commercial |
$1,351.54
|
| Rate for Payer: Cofinity Commercial |
$1,257.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$938.57
|
| Rate for Payer: Healthscope Commercial |
$1,736.35
|
| Rate for Payer: Healthscope Commercial |
$1,501.71
|
| Rate for Payer: Mclaren Medicaid |
$631.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$985.50
|
| Rate for Payer: Meridian Medicaid |
$663.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$172,525.00
|
| Rate for Payer: Nomi Health Commercial |
$1,126.28
|
| Rate for Payer: PACE SWMI |
$938.57
|
| Rate for Payer: PHP Medicare Advantage |
$938.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$631.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,494.01
|
| Rate for Payer: Priority Health Medicare |
$938.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,494.01
|
| Rate for Payer: Priority Health SBD |
$1,494.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,200.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$938.57
|
| Rate for Payer: UHC Exchange |
$1,200.00
|
| Rate for Payer: UHC Medicare Advantage |
$938.57
|
| Rate for Payer: UHCCP Medicaid |
$631.55
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,674.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$607.48 |
| Max. Negotiated Rate |
$166,360.00 |
| Rate for Payer: Aetna Commercial |
$1,210.27
|
| Rate for Payer: Aetna Medicare |
$939.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.59
|
| Rate for Payer: BCBS Complete |
$637.85
|
| Rate for Payer: BCBS MAPPO |
$903.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.66
|
| Rate for Payer: BCN Commercial |
$1,373.67
|
| Rate for Payer: BCN Medicare Advantage |
$903.19
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.59
|
| Rate for Payer: Cofinity Commercial |
$1,210.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.19
|
| Rate for Payer: Healthscope Commercial |
$1,670.90
|
| Rate for Payer: Healthscope Commercial |
$1,445.10
|
| Rate for Payer: Mclaren Medicaid |
$607.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.35
|
| Rate for Payer: Meridian Medicaid |
$637.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$166,360.00
|
| Rate for Payer: Nomi Health Commercial |
$1,083.83
|
| Rate for Payer: PACE SWMI |
$903.19
|
| Rate for Payer: PHP Medicare Advantage |
$903.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,088.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,440.08
|
| Rate for Payer: Priority Health Medicare |
$903.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,440.08
|
| Rate for Payer: Priority Health SBD |
$1,440.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,172.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.19
|
| Rate for Payer: UHC Exchange |
$1,172.55
|
| Rate for Payer: UHC Medicare Advantage |
$903.19
|
| Rate for Payer: UHCCP Medicaid |
$607.48
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$725.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$279.24 |
| Max. Negotiated Rate |
$75,049.00 |
| Rate for Payer: Aetna Commercial |
$549.20
|
| Rate for Payer: Aetna Medicare |
$426.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.18
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS MAPPO |
$409.85
|
| Rate for Payer: BCBS Trust/PPO |
$982.11
|
| Rate for Payer: BCN Commercial |
$626.48
|
| 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 |
$758.22
|
| Rate for Payer: Healthscope Commercial |
$655.76
|
| Rate for Payer: Mclaren Medicaid |
$279.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.34
|
| Rate for Payer: Meridian Medicaid |
$293.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,049.00
|
| 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 Choice Medicaid |
$279.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$661.52
|
| Rate for Payer: Priority Health Medicare |
$409.85
|
| Rate for Payer: Priority Health Narrow Network |
$661.52
|
| Rate for Payer: Priority Health SBD |
$661.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$593.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.85
|
| Rate for Payer: UHC Exchange |
$593.22
|
| Rate for Payer: UHC Medicare Advantage |
$409.85
|
| Rate for Payer: UHCCP Medicaid |
$279.24
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,022.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$381.06 |
| Max. Negotiated Rate |
$102,782.00 |
| Rate for Payer: Aetna Commercial |
$752.30
|
| Rate for Payer: Aetna Medicare |
$583.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.44
|
| Rate for Payer: BCBS Complete |
$400.11
|
| Rate for Payer: BCBS MAPPO |
$561.42
|
| Rate for Payer: BCBS Trust/PPO |
$4,201.57
|
| Rate for Payer: BCN Commercial |
$855.19
|
| 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: Mclaren Medicaid |
$381.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.49
|
| Rate for Payer: Meridian Medicaid |
$400.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102,782.00
|
| 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 Choice Medicaid |
$381.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,314.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$901.19
|
| Rate for Payer: Priority Health Medicare |
$561.42
|
| Rate for Payer: Priority Health Narrow Network |
$901.19
|
| Rate for Payer: Priority Health SBD |
$901.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$664.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.42
|
| Rate for Payer: UHC Exchange |
$664.87
|
| Rate for Payer: UHC Medicare Advantage |
$561.42
|
| Rate for Payer: UHCCP Medicaid |
$381.06
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,137.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$312.75 |
| Max. Negotiated Rate |
$114,592.00 |
| Rate for Payer: Aetna Commercial |
$837.33
|
| Rate for Payer: Aetna Medicare |
$649.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$899.81
|
| Rate for Payer: BCBS Complete |
$444.17
|
| Rate for Payer: BCBS MAPPO |
$624.87
|
| Rate for Payer: BCBS Trust/PPO |
$312.75
|
| Rate for Payer: BCN Commercial |
$951.46
|
| 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 |
$999.79
|
| Rate for Payer: Healthscope Commercial |
$1,156.01
|
| Rate for Payer: Mclaren Medicaid |
$423.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.11
|
| Rate for Payer: Meridian Medicaid |
$444.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114,592.00
|
| 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 Choice Medicaid |
$423.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,001.44
|
| Rate for Payer: Priority Health Medicare |
$624.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,001.44
|
| Rate for Payer: Priority Health SBD |
$1,001.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$870.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.87
|
| Rate for Payer: UHC Exchange |
$870.84
|
| Rate for Payer: UHC Medicare Advantage |
$624.87
|
| Rate for Payer: UHCCP Medicaid |
$423.02
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$694.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$62,168.00 |
| Rate for Payer: Aetna Commercial |
$455.22
|
| Rate for Payer: Aetna Medicare |
$353.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.20
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCBS MAPPO |
$339.72
|
| Rate for Payer: BCBS Trust/PPO |
$958.34
|
| Rate for Payer: BCN Commercial |
$520.44
|
| 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: Mclaren Medicaid |
$232.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.71
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62,168.00
|
| 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 Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$549.06
|
| Rate for Payer: Priority Health Medicare |
$339.72
|
| Rate for Payer: Priority Health Narrow Network |
$549.06
|
| Rate for Payer: Priority Health SBD |
$549.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$462.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.72
|
| Rate for Payer: UHC Exchange |
$462.41
|
| Rate for Payer: UHC Medicare Advantage |
$339.72
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
|
