|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$86,702.00 |
| Rate for Payer: Aetna Commercial |
$633.32
|
| Rate for Payer: Aetna Medicare |
$491.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$633.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$680.59
|
| Rate for Payer: BCBS Complete |
$338.16
|
| Rate for Payer: BCBS MAPPO |
$472.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,249.43
|
| Rate for Payer: BCN Commercial |
$723.73
|
| 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 |
$874.37
|
| Rate for Payer: Healthscope Commercial |
$756.21
|
| Rate for Payer: Mclaren Medicaid |
$322.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.26
|
| Rate for Payer: Meridian Medicaid |
$338.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86,702.00
|
| 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 Choice Medicaid |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$760.75
|
| Rate for Payer: Priority Health Medicare |
$472.63
|
| Rate for Payer: Priority Health Narrow Network |
$760.75
|
| Rate for Payer: Priority Health SBD |
$760.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$820.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.63
|
| Rate for Payer: UHC Exchange |
$820.80
|
| Rate for Payer: UHC Medicare Advantage |
$472.63
|
| Rate for Payer: UHCCP Medicaid |
$322.06
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,435.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$371.26 |
| Max. Negotiated Rate |
$101,277.00 |
| Rate for Payer: Aetna Commercial |
$735.08
|
| Rate for Payer: Aetna Medicare |
$570.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$789.94
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS MAPPO |
$548.57
|
| Rate for Payer: BCBS Trust/PPO |
$870.11
|
| Rate for Payer: BCN Commercial |
$839.06
|
| 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: Mclaren Medicaid |
$371.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.00
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101,277.00
|
| 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 Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$932.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$884.40
|
| Rate for Payer: Priority Health Medicare |
$548.57
|
| Rate for Payer: Priority Health Narrow Network |
$884.40
|
| Rate for Payer: Priority Health SBD |
$884.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$858.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.57
|
| Rate for Payer: UHC Exchange |
$858.81
|
| Rate for Payer: UHC Medicare Advantage |
$548.57
|
| Rate for Payer: UHCCP Medicaid |
$371.26
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$244.60 |
| Max. Negotiated Rate |
$108,034.00 |
| Rate for Payer: Aetna Commercial |
$789.57
|
| Rate for Payer: Aetna Medicare |
$612.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$789.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.49
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCBS MAPPO |
$589.23
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$894.77
|
| 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 |
$942.77
|
| Rate for Payer: Healthscope Commercial |
$1,090.08
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$618.69
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108,034.00
|
| 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 Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$956.15
|
| Rate for Payer: Priority Health Medicare |
$589.23
|
| Rate for Payer: Priority Health Narrow Network |
$956.15
|
| Rate for Payer: Priority Health SBD |
$956.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$924.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$589.23
|
| Rate for Payer: UHC Exchange |
$924.20
|
| Rate for Payer: UHC Medicare Advantage |
$589.23
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$450.50 |
| Max. Negotiated Rate |
$122,510.00 |
| Rate for Payer: Aetna Commercial |
$892.13
|
| Rate for Payer: Aetna Medicare |
$692.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$892.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$958.71
|
| Rate for Payer: BCBS Complete |
$473.02
|
| Rate for Payer: BCBS MAPPO |
$665.77
|
| Rate for Payer: BCBS Trust/PPO |
$4,275.53
|
| Rate for Payer: BCN Commercial |
$1,016.94
|
| 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: Mclaren Medicaid |
$450.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.06
|
| Rate for Payer: Meridian Medicaid |
$473.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122,510.00
|
| 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 Choice Medicaid |
$450.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$907.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,066.58
|
| Rate for Payer: Priority Health Medicare |
$665.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,066.58
|
| Rate for Payer: Priority Health SBD |
$1,066.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$876.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.77
|
| Rate for Payer: UHC Exchange |
$876.42
|
| Rate for Payer: UHC Medicare Advantage |
$665.77
|
| Rate for Payer: UHCCP Medicaid |
$450.50
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
OP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$733.23 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$2,134.35
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,632.15
|
| 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 |
$1,361.89
|
| Rate for Payer: BCN Commercial |
$1,361.89
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$2,008.80
|
| 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 |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$2,259.90
|
| 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 |
$2,134.35
|
| 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 |
$2,134.35
|
| 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 |
$1,632.15
|
| 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 |
$1,581.93
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$733.23
|
| Rate for Payer: UHC Core |
$5,427.00
|
| 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 W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$122,155.00 |
| 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 |
$472.57
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| 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 |
$1,230.32
|
| Rate for Payer: Healthscope Commercial |
$1,064.06
|
| Rate for Payer: Mclaren Medicaid |
$450.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Meridian Medicaid |
$472.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122,155.00
|
| 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 Choice Medicaid |
$450.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,064.03
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,064.03
|
| Rate for Payer: Priority Health SBD |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Exchange |
$964.43
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
| Rate for Payer: UHCCP Medicaid |
$450.07
|
|
|
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
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$122,155.00 |
| 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 |
$472.57
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| 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 |
$1,230.32
|
| Rate for Payer: Healthscope Commercial |
$1,064.06
|
| Rate for Payer: Mclaren Medicaid |
$450.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Meridian Medicaid |
$472.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122,155.00
|
| 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 Choice Medicaid |
$450.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,064.03
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,064.03
|
| Rate for Payer: Priority Health SBD |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Exchange |
$964.43
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
| Rate for Payer: UHCCP Medicaid |
$450.07
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$227,932.00 |
| 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 |
$870.67
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| 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: Mclaren Medicaid |
$829.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227,932.00
|
| 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 Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,965.73
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,965.73
|
| Rate for Payer: Priority Health SBD |
$1,965.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,259.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Exchange |
$2,259.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$227,932.00 |
| 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 |
$870.67
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| 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: Mclaren Medicaid |
$829.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227,932.00
|
| 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 Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,965.73
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: Priority Health Narrow Network |
$1,965.73
|
| Rate for Payer: Priority Health SBD |
$1,965.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,259.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Exchange |
$2,259.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,368.42 |
| Max. Negotiated Rate |
$39,622.51 |
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna Medicare |
$13,110.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,816.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,758.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,758.31
|
| Rate for Payer: BCBS Complete |
$7,095.02
|
| Rate for Payer: BCBS MAPPO |
$12,606.65
|
| Rate for Payer: BCBS Trust/PPO |
$10,363.57
|
| Rate for Payer: BCN Commercial |
$10,363.57
|
| Rate for Payer: BCN Medicare Advantage |
$12,606.65
|
| Rate for Payer: Cash Price |
$2,235.20
|
| 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 |
$12,606.65
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Mclaren Medicaid |
$6,757.16
|
| Rate for Payer: Mclaren Medicare |
$12,606.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,236.98
|
| Rate for Payer: Meridian Medicaid |
$7,095.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,497.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: Nomi Health Commercial |
$26,473.96
|
| Rate for Payer: PACE Medicare |
$11,976.32
|
| Rate for Payer: PACE SWMI |
$12,606.65
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: PHP Medicare Advantage |
$12,606.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,757.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,622.51
|
| Rate for Payer: Priority Health Medicare |
$12,606.65
|
| Rate for Payer: Priority Health Narrow Network |
$31,698.01
|
| Rate for Payer: Priority Health SBD |
$1,760.22
|
| Rate for Payer: Railroad Medicare Medicare |
$12,606.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,368.42
|
| Rate for Payer: UHC Core |
$8,819.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,606.65
|
| Rate for Payer: UHC Medicare Advantage |
$12,606.65
|
| Rate for Payer: UHCCP Medicaid |
$7,097.54
|
| Rate for Payer: VA VA |
$12,606.65
|
|
|
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 ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,189.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$239.42 |
| Max. Negotiated Rate |
$256,887.00 |
| Rate for Payer: Aetna Commercial |
$1,869.14
|
| Rate for Payer: Aetna Medicare |
$1,450.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,869.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,008.63
|
| Rate for Payer: BCBS Complete |
$982.95
|
| Rate for Payer: BCBS MAPPO |
$1,394.88
|
| Rate for Payer: BCBS Trust/PPO |
$239.42
|
| Rate for Payer: BCN Commercial |
$2,116.46
|
| 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 |
$2,580.53
|
| Rate for Payer: Healthscope Commercial |
$2,231.81
|
| Rate for Payer: Mclaren Medicaid |
$936.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,464.62
|
| Rate for Payer: Meridian Medicaid |
$982.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256,887.00
|
| 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 Choice Medicaid |
$936.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,372.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,219.14
|
| Rate for Payer: Priority Health Medicare |
$1,394.88
|
| Rate for Payer: Priority Health Narrow Network |
$2,219.14
|
| Rate for Payer: Priority Health SBD |
$2,219.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,502.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,394.88
|
| Rate for Payer: UHC Exchange |
$1,502.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,394.88
|
| Rate for Payer: UHCCP Medicaid |
$936.14
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,457.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$532.50 |
| Max. Negotiated Rate |
$145,030.00 |
| Rate for Payer: Aetna Commercial |
$1,057.65
|
| Rate for Payer: Aetna Medicare |
$820.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,057.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,136.58
|
| Rate for Payer: BCBS Complete |
$559.12
|
| Rate for Payer: BCBS MAPPO |
$789.29
|
| Rate for Payer: BCBS Trust/PPO |
$833.66
|
| Rate for Payer: BCN Commercial |
$1,200.68
|
| 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: Mclaren Medicaid |
$532.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$828.75
|
| Rate for Payer: Meridian Medicaid |
$559.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145,030.00
|
| 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 Choice Medicaid |
$532.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,261.47
|
| Rate for Payer: Priority Health Medicare |
$789.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,261.47
|
| Rate for Payer: Priority Health SBD |
$1,261.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$913.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.29
|
| Rate for Payer: UHC Exchange |
$913.18
|
| Rate for Payer: UHC Medicare Advantage |
$789.29
|
| Rate for Payer: UHCCP Medicaid |
$532.50
|
|
|
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 INTERPOSITION
|
Facility
|
OP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$886.45 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,975.35
|
| 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 |
$2,265.19
|
| Rate for Payer: BCN Commercial |
$2,265.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$2,431.20
|
| 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 |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| 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 |
$2,583.15
|
| 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 |
$2,583.15
|
| 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 |
$1,975.35
|
| 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 |
$1,914.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$886.45
|
| Rate for Payer: UHC Core |
$6,837.00
|
| 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 ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$147,551.00 |
| 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 |
$549.73
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| 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 |
$1,426.79
|
| Rate for Payer: Healthscope Commercial |
$1,233.98
|
| Rate for Payer: Mclaren Medicaid |
$523.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Meridian Medicaid |
$549.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,551.00
|
| 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 Choice Medicaid |
$523.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,288.44
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,288.44
|
| Rate for Payer: Priority Health SBD |
$1,288.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$988.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Exchange |
$988.03
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP Medicaid |
$523.55
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$147,551.00 |
| 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 |
$549.73
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| 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 |
$1,426.79
|
| Rate for Payer: Healthscope Commercial |
$1,233.98
|
| Rate for Payer: Mclaren Medicaid |
$523.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Meridian Medicaid |
$549.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,551.00
|
| 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 Choice Medicaid |
$523.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,288.44
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: Priority Health Narrow Network |
$1,288.44
|
| Rate for Payer: Priority Health SBD |
$1,288.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$988.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Exchange |
$988.03
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP Medicaid |
$523.55
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,560.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$578.08 |
| 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) |
$1,142.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,227.99
|
| Rate for Payer: BCBS Complete |
$606.98
|
| 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 |
$1,364.43
|
| Rate for Payer: Healthscope Commercial |
$1,577.62
|
| Rate for Payer: Mclaren Medicaid |
$578.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.41
|
| Rate for Payer: Meridian Medicaid |
$606.98
|
| 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 Choice Medicaid |
$578.08
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$578.08
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,154.41 |
| Max. Negotiated Rate |
$4,506.30 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| 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: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$828.14 |
| Max. Negotiated Rate |
$227,700.00 |
| 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 |
$869.55
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| 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 |
$2,286.34
|
| Rate for Payer: Healthscope Commercial |
$1,977.38
|
| Rate for Payer: Mclaren Medicaid |
$828.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Meridian Medicaid |
$869.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227,700.00
|
| 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 Choice Medicaid |
$828.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,962.68
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,962.68
|
| Rate for Payer: Priority Health SBD |
$1,962.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Exchange |
$2,576.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP Medicaid |
$828.14
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,366.27 |
| Max. Negotiated Rate |
$39,622.51 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna Medicare |
$13,110.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,254.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,758.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,758.31
|
| Rate for Payer: BCBS Complete |
$7,095.02
|
| Rate for Payer: BCBS MAPPO |
$12,606.65
|
| Rate for Payer: BCBS Trust/PPO |
$10,106.09
|
| Rate for Payer: BCN Commercial |
$10,106.09
|
| Rate for Payer: BCN Medicare Advantage |
$12,606.65
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Cofinity Commercial |
$3,504.90
|
| 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 |
$12,606.65
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Mclaren Medicaid |
$6,757.16
|
| Rate for Payer: Mclaren Medicare |
$12,606.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,236.98
|
| Rate for Payer: Meridian Medicaid |
$7,095.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,497.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: Nomi Health Commercial |
$26,473.96
|
| Rate for Payer: PACE Medicare |
$11,976.32
|
| Rate for Payer: PACE SWMI |
$12,606.65
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: PHP Medicare Advantage |
$12,606.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,757.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,622.51
|
| Rate for Payer: Priority Health Medicare |
$12,606.65
|
| Rate for Payer: Priority Health Narrow Network |
$31,698.01
|
| Rate for Payer: Priority Health SBD |
$3,154.41
|
| Rate for Payer: Railroad Medicare Medicare |
$12,606.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,366.27
|
| Rate for Payer: UHC Core |
$8,819.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,606.65
|
| Rate for Payer: UHC Medicare Advantage |
$12,606.65
|
| Rate for Payer: UHCCP Medicaid |
$7,097.54
|
| Rate for Payer: VA VA |
$12,606.65
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$828.14 |
| Max. Negotiated Rate |
$227,700.00 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,656.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.64
|
| Rate for Payer: BCBS Complete |
$869.55
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| 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 |
$2,286.34
|
| Rate for Payer: Healthscope Commercial |
$1,977.38
|
| Rate for Payer: Mclaren Medicaid |
$828.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Meridian Medicaid |
$869.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$227,700.00
|
| 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 Choice Medicaid |
$828.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,962.68
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,962.68
|
| Rate for Payer: Priority Health SBD |
$1,962.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,576.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Exchange |
$2,576.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP Medicaid |
$828.14
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$1,223.04 |
| Max. Negotiated Rate |
$39,622.51 |
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna Medicare |
$13,110.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,093.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,758.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,758.31
|
| Rate for Payer: BCBS Complete |
$7,095.02
|
| Rate for Payer: BCBS MAPPO |
$12,606.65
|
| Rate for Payer: BCBS Trust/PPO |
$10,106.09
|
| Rate for Payer: BCN Commercial |
$10,106.09
|
| Rate for Payer: BCN Medicare Advantage |
$12,606.65
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Cofinity Commercial |
$2,254.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,254.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,606.65
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Mclaren Medicaid |
$6,757.16
|
| Rate for Payer: Mclaren Medicare |
$12,606.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,236.98
|
| Rate for Payer: Meridian Medicaid |
$7,095.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,497.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: Nomi Health Commercial |
$26,473.96
|
| Rate for Payer: PACE Medicare |
$11,976.32
|
| Rate for Payer: PACE SWMI |
$12,606.65
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: PHP Medicare Advantage |
$12,606.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,757.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39,622.51
|
| Rate for Payer: Priority Health Medicare |
$12,606.65
|
| Rate for Payer: Priority Health Narrow Network |
$31,698.01
|
| Rate for Payer: Priority Health SBD |
$2,029.23
|
| Rate for Payer: Railroad Medicare Medicare |
$12,606.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,223.04
|
| Rate for Payer: UHC Core |
$8,819.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,606.65
|
| Rate for Payer: UHC Medicare Advantage |
$12,606.65
|
| Rate for Payer: UHCCP Medicaid |
$7,097.54
|
| Rate for Payer: VA VA |
$12,606.65
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$742.73 |
| Max. Negotiated Rate |
$203,497.00 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,482.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,593.01
|
| Rate for Payer: BCBS Complete |
$779.87
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$1,677.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Healthscope Commercial |
$2,046.58
|
| Rate for Payer: Healthscope Commercial |
$1,770.02
|
| Rate for Payer: Mclaren Medicaid |
$742.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Meridian Medicaid |
$779.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$203,497.00
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$742.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,760.14
|
| Rate for Payer: Priority Health Medicare |
$1,106.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,760.14
|
| Rate for Payer: Priority Health SBD |
$1,760.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,935.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Exchange |
$1,935.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
| Rate for Payer: UHCCP Medicaid |
$742.73
|
|
