|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,467.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$281.16 |
| Max. Negotiated Rate |
$1,100.25 |
| Rate for Payer: Aetna Commercial |
$569.03
|
| Rate for Payer: Aetna Medicare |
$441.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$569.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.50
|
| Rate for Payer: BCBS Complete |
$295.22
|
| Rate for Payer: BCBS MAPPO |
$424.65
|
| Rate for Payer: BCN Commercial |
$664.80
|
| Rate for Payer: BCN Medicare Advantage |
$424.65
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Cofinity Commercial |
$611.50
|
| Rate for Payer: Cofinity Commercial |
$569.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.65
|
| Rate for Payer: Healthscope Commercial |
$785.60
|
| Rate for Payer: Healthscope Commercial |
$679.44
|
| Rate for Payer: Mclaren Medicaid |
$281.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$445.88
|
| Rate for Payer: Meridian Medicaid |
$295.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$467.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$763.92
|
| Rate for Payer: Nomi Health Commercial |
$509.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,100.25
|
| Rate for Payer: PACE SWMI |
$424.65
|
| Rate for Payer: PHP Medicare Advantage |
$424.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$710.66
|
| Rate for Payer: Priority Health Medicare |
$424.65
|
| Rate for Payer: Priority Health SBD |
$710.66
|
| Rate for Payer: Priority Health Tiered Network |
$710.66
|
| Rate for Payer: Railroad Medicare Medicare |
$424.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.72
|
| Rate for Payer: UHC Core |
$736.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$424.65
|
| Rate for Payer: UHC Exchange |
$736.72
|
| Rate for Payer: UHC Medicaid |
$281.16
|
| Rate for Payer: UHCCP Medicaid |
$281.16
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$809.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$211.72 |
| Max. Negotiated Rate |
$606.75 |
| Rate for Payer: Aetna Commercial |
$423.49
|
| Rate for Payer: Aetna Medicare |
$328.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.10
|
| Rate for Payer: BCBS Complete |
$222.31
|
| Rate for Payer: BCBS MAPPO |
$316.04
|
| Rate for Payer: BCN Commercial |
$394.27
|
| Rate for Payer: BCN Medicare Advantage |
$316.04
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cofinity Commercial |
$455.10
|
| Rate for Payer: Cofinity Commercial |
$423.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$316.04
|
| Rate for Payer: Healthscope Commercial |
$584.67
|
| Rate for Payer: Healthscope Commercial |
$505.66
|
| Rate for Payer: Mclaren Medicaid |
$211.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$331.84
|
| Rate for Payer: Meridian Medicaid |
$222.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$347.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$562.81
|
| Rate for Payer: Nomi Health Commercial |
$379.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$606.75
|
| Rate for Payer: PACE SWMI |
$316.04
|
| Rate for Payer: PHP Medicare Advantage |
$316.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$534.46
|
| Rate for Payer: Priority Health Medicare |
$316.04
|
| Rate for Payer: Priority Health SBD |
$534.46
|
| Rate for Payer: Priority Health Tiered Network |
$534.46
|
| Rate for Payer: Railroad Medicare Medicare |
$316.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$531.55
|
| Rate for Payer: UHC Core |
$531.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$316.04
|
| Rate for Payer: UHC Exchange |
$531.55
|
| Rate for Payer: UHC Medicaid |
$211.72
|
| Rate for Payer: UHCCP Medicaid |
$211.72
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$783.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$256.88 |
| Max. Negotiated Rate |
$728.17 |
| Rate for Payer: Aetna Commercial |
$520.43
|
| Rate for Payer: Aetna Medicare |
$403.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.27
|
| Rate for Payer: BCBS Complete |
$269.72
|
| Rate for Payer: BCBS MAPPO |
$388.38
|
| Rate for Payer: BCN Commercial |
$637.42
|
| Rate for Payer: BCN Medicare Advantage |
$388.38
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cash Price |
$626.40
|
| Rate for Payer: Cofinity Commercial |
$559.27
|
| Rate for Payer: Cofinity Commercial |
$520.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$388.38
|
| Rate for Payer: Healthscope Commercial |
$718.50
|
| Rate for Payer: Healthscope Commercial |
$621.41
|
| Rate for Payer: Mclaren Medicaid |
$256.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.80
|
| Rate for Payer: Meridian Medicaid |
$269.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$427.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$728.17
|
| Rate for Payer: Nomi Health Commercial |
$466.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$587.25
|
| Rate for Payer: PACE SWMI |
$388.38
|
| Rate for Payer: PHP Medicare Advantage |
$388.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$681.39
|
| Rate for Payer: Priority Health Medicare |
$388.38
|
| Rate for Payer: Priority Health SBD |
$681.39
|
| Rate for Payer: Priority Health Tiered Network |
$681.39
|
| Rate for Payer: Railroad Medicare Medicare |
$388.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$698.38
|
| Rate for Payer: UHC Core |
$698.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$388.38
|
| Rate for Payer: UHC Exchange |
$698.38
|
| Rate for Payer: UHC Medicaid |
$256.88
|
| Rate for Payer: UHCCP Medicaid |
$256.88
|
|
|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MNPJ
|
Professional
|
Both
|
$740.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$799.49 |
| Rate for Payer: Aetna Commercial |
$574.61
|
| Rate for Payer: Aetna Medicare |
$445.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.49
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$428.81
|
| Rate for Payer: BCN Commercial |
$701.16
|
| Rate for Payer: BCN Medicare Advantage |
$428.81
|
| Rate for Payer: Cash Price |
$592.00
|
| Rate for Payer: Cash Price |
$592.00
|
| Rate for Payer: Cofinity Commercial |
$617.49
|
| Rate for Payer: Cofinity Commercial |
$574.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.81
|
| Rate for Payer: Healthscope Commercial |
$793.30
|
| Rate for Payer: Healthscope Commercial |
$686.10
|
| Rate for Payer: Mclaren Medicaid |
$284.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$450.25
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$471.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$799.49
|
| Rate for Payer: Nomi Health Commercial |
$514.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.00
|
| Rate for Payer: PACE SWMI |
$428.81
|
| Rate for Payer: PHP Medicare Advantage |
$428.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$749.52
|
| Rate for Payer: Priority Health Medicare |
$428.81
|
| Rate for Payer: Priority Health SBD |
$749.52
|
| Rate for Payer: Priority Health Tiered Network |
$749.52
|
| Rate for Payer: Railroad Medicare Medicare |
$428.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$717.65
|
| Rate for Payer: UHC Core |
$717.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$428.81
|
| Rate for Payer: UHC Exchange |
$717.65
|
| Rate for Payer: UHC Medicaid |
$284.36
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ
|
Professional
|
Both
|
$251.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$45.58 |
| Max. Negotiated Rate |
$188.25 |
| Rate for Payer: Aetna Commercial |
$92.88
|
| Rate for Payer: Aetna Medicare |
$72.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$99.81
|
| Rate for Payer: BCBS Complete |
$47.86
|
| Rate for Payer: BCBS MAPPO |
$69.31
|
| Rate for Payer: BCN Commercial |
$119.02
|
| Rate for Payer: BCN Medicare Advantage |
$69.31
|
| Rate for Payer: Cash Price |
$200.80
|
| Rate for Payer: Cash Price |
$200.80
|
| Rate for Payer: Cofinity Commercial |
$99.81
|
| Rate for Payer: Cofinity Commercial |
$92.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.31
|
| Rate for Payer: Healthscope Commercial |
$128.22
|
| Rate for Payer: Healthscope Commercial |
$110.90
|
| Rate for Payer: Mclaren Medicaid |
$45.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.78
|
| Rate for Payer: Meridian Medicaid |
$47.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140.60
|
| Rate for Payer: Nomi Health Commercial |
$83.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$188.25
|
| Rate for Payer: PACE SWMI |
$69.31
|
| Rate for Payer: PHP Medicare Advantage |
$69.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$127.23
|
| Rate for Payer: Priority Health Medicare |
$69.31
|
| Rate for Payer: Priority Health SBD |
$127.23
|
| Rate for Payer: Priority Health Tiered Network |
$127.23
|
| Rate for Payer: Railroad Medicare Medicare |
$69.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.01
|
| Rate for Payer: UHC Core |
$137.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$69.31
|
| Rate for Payer: UHC Exchange |
$137.01
|
| Rate for Payer: UHC Medicaid |
$45.58
|
| Rate for Payer: UHCCP Medicaid |
$45.58
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$339.31 |
| Max. Negotiated Rate |
$1,161.00 |
| Rate for Payer: Aetna Commercial |
$688.60
|
| Rate for Payer: Aetna Medicare |
$534.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$688.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$739.99
|
| Rate for Payer: BCBS Complete |
$356.28
|
| Rate for Payer: BCBS MAPPO |
$513.88
|
| Rate for Payer: BCN Commercial |
$847.57
|
| Rate for Payer: BCN Medicare Advantage |
$513.88
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$739.99
|
| Rate for Payer: Cofinity Commercial |
$688.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$513.88
|
| Rate for Payer: Healthscope Commercial |
$950.68
|
| Rate for Payer: Healthscope Commercial |
$822.21
|
| Rate for Payer: Mclaren Medicaid |
$339.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$539.57
|
| Rate for Payer: Meridian Medicaid |
$356.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$565.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$971.35
|
| Rate for Payer: Nomi Health Commercial |
$616.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,161.00
|
| Rate for Payer: PACE SWMI |
$513.88
|
| Rate for Payer: PHP Medicare Advantage |
$513.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$906.03
|
| Rate for Payer: Priority Health Medicare |
$513.88
|
| Rate for Payer: Priority Health SBD |
$906.03
|
| Rate for Payer: Priority Health Tiered Network |
$906.03
|
| Rate for Payer: Railroad Medicare Medicare |
$513.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.07
|
| Rate for Payer: UHC Core |
$936.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$513.88
|
| Rate for Payer: UHC Exchange |
$936.07
|
| Rate for Payer: UHC Medicaid |
$339.31
|
| Rate for Payer: UHCCP Medicaid |
$339.31
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,062.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$241.76 |
| Max. Negotiated Rate |
$796.50 |
| Rate for Payer: Aetna Commercial |
$488.35
|
| Rate for Payer: Aetna Medicare |
$379.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.79
|
| Rate for Payer: BCBS Complete |
$253.85
|
| Rate for Payer: BCBS MAPPO |
$364.44
|
| Rate for Payer: BCN Commercial |
$595.09
|
| Rate for Payer: BCN Medicare Advantage |
$364.44
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cofinity Commercial |
$524.79
|
| Rate for Payer: Cofinity Commercial |
$488.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.44
|
| Rate for Payer: Healthscope Commercial |
$674.21
|
| Rate for Payer: Healthscope Commercial |
$583.10
|
| Rate for Payer: Mclaren Medicaid |
$241.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.66
|
| Rate for Payer: Meridian Medicaid |
$253.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$400.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$677.12
|
| Rate for Payer: Nomi Health Commercial |
$437.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.50
|
| Rate for Payer: PACE SWMI |
$364.44
|
| Rate for Payer: PHP Medicare Advantage |
$364.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$636.13
|
| Rate for Payer: Priority Health Medicare |
$364.44
|
| Rate for Payer: Priority Health SBD |
$636.13
|
| Rate for Payer: Priority Health Tiered Network |
$636.13
|
| Rate for Payer: Railroad Medicare Medicare |
$364.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$649.86
|
| Rate for Payer: UHC Core |
$649.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$364.44
|
| Rate for Payer: UHC Exchange |
$649.86
|
| Rate for Payer: UHC Medicaid |
$241.76
|
| Rate for Payer: UHCCP Medicaid |
$241.76
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,414.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$265.61 |
| Max. Negotiated Rate |
$1,060.50 |
| Rate for Payer: Aetna Commercial |
$536.91
|
| Rate for Payer: Aetna Medicare |
$416.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$576.98
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$400.68
|
| Rate for Payer: BCN Commercial |
$625.47
|
| Rate for Payer: BCN Medicare Advantage |
$400.68
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cofinity Commercial |
$576.98
|
| Rate for Payer: Cofinity Commercial |
$536.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.68
|
| Rate for Payer: Healthscope Commercial |
$741.26
|
| Rate for Payer: Healthscope Commercial |
$641.09
|
| Rate for Payer: Mclaren Medicaid |
$265.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$420.71
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$440.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$713.50
|
| Rate for Payer: Nomi Health Commercial |
$480.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,060.50
|
| Rate for Payer: PACE SWMI |
$400.68
|
| Rate for Payer: PHP Medicare Advantage |
$400.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$668.60
|
| Rate for Payer: Priority Health Medicare |
$400.68
|
| Rate for Payer: Priority Health SBD |
$668.60
|
| Rate for Payer: Priority Health Tiered Network |
$668.60
|
| Rate for Payer: Railroad Medicare Medicare |
$400.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$685.21
|
| Rate for Payer: UHC Core |
$685.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$400.68
|
| Rate for Payer: UHC Exchange |
$685.21
|
| Rate for Payer: UHC Medicaid |
$265.61
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ
|
Professional
|
Both
|
$1,689.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$360.18 |
| Max. Negotiated Rate |
$1,266.75 |
| Rate for Payer: Aetna Commercial |
$732.19
|
| Rate for Payer: Aetna Medicare |
$568.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$732.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$786.83
|
| Rate for Payer: BCBS Complete |
$378.19
|
| Rate for Payer: BCBS MAPPO |
$546.41
|
| Rate for Payer: BCN Commercial |
$887.90
|
| Rate for Payer: BCN Medicare Advantage |
$546.41
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cofinity Commercial |
$786.83
|
| Rate for Payer: Cofinity Commercial |
$732.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.41
|
| Rate for Payer: Healthscope Commercial |
$874.26
|
| Rate for Payer: Healthscope Commercial |
$1,010.86
|
| Rate for Payer: Mclaren Medicaid |
$360.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.73
|
| Rate for Payer: Meridian Medicaid |
$378.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$601.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,017.81
|
| Rate for Payer: Nomi Health Commercial |
$655.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,266.75
|
| Rate for Payer: PACE SWMI |
$546.41
|
| Rate for Payer: PHP Medicare Advantage |
$546.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$949.14
|
| Rate for Payer: Priority Health Medicare |
$546.41
|
| Rate for Payer: Priority Health SBD |
$949.14
|
| Rate for Payer: Priority Health Tiered Network |
$949.14
|
| Rate for Payer: Railroad Medicare Medicare |
$546.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$984.09
|
| Rate for Payer: UHC Core |
$984.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$546.41
|
| Rate for Payer: UHC Exchange |
$984.09
|
| Rate for Payer: UHC Medicaid |
$360.18
|
| Rate for Payer: UHCCP Medicaid |
$360.18
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$229.19 |
| Max. Negotiated Rate |
$651.75 |
| Rate for Payer: Aetna Commercial |
$460.96
|
| Rate for Payer: Aetna Medicare |
$357.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$495.36
|
| Rate for Payer: BCBS Complete |
$240.65
|
| Rate for Payer: BCBS MAPPO |
$344.00
|
| Rate for Payer: BCN Commercial |
$551.76
|
| Rate for Payer: BCN Medicare Advantage |
$344.00
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$495.36
|
| Rate for Payer: Cofinity Commercial |
$460.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.00
|
| Rate for Payer: Healthscope Commercial |
$636.40
|
| Rate for Payer: Healthscope Commercial |
$550.40
|
| Rate for Payer: Mclaren Medicaid |
$229.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$361.20
|
| Rate for Payer: Meridian Medicaid |
$240.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$378.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$627.97
|
| Rate for Payer: Nomi Health Commercial |
$412.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$651.75
|
| Rate for Payer: PACE SWMI |
$344.00
|
| Rate for Payer: PHP Medicare Advantage |
$344.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$589.82
|
| Rate for Payer: Priority Health Medicare |
$344.00
|
| Rate for Payer: Priority Health SBD |
$589.82
|
| Rate for Payer: Priority Health Tiered Network |
$589.82
|
| Rate for Payer: Railroad Medicare Medicare |
$344.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.67
|
| Rate for Payer: UHC Core |
$595.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$344.00
|
| Rate for Payer: UHC Exchange |
$595.67
|
| Rate for Payer: UHC Medicaid |
$229.19
|
| Rate for Payer: UHCCP Medicaid |
$229.19
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$478.61 |
| Max. Negotiated Rate |
$1,698.75 |
| Rate for Payer: Aetna Commercial |
$983.81
|
| Rate for Payer: Aetna Medicare |
$763.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,057.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.81
|
| Rate for Payer: BCBS Complete |
$502.54
|
| Rate for Payer: BCBS MAPPO |
$734.19
|
| Rate for Payer: BCN Commercial |
$1,220.05
|
| Rate for Payer: BCN Medicare Advantage |
$734.19
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$983.81
|
| Rate for Payer: Cofinity Commercial |
$1,057.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$734.19
|
| Rate for Payer: Healthscope Commercial |
$1,358.25
|
| Rate for Payer: Healthscope Commercial |
$1,174.70
|
| Rate for Payer: Mclaren Medicaid |
$478.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$770.90
|
| Rate for Payer: Meridian Medicaid |
$502.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$807.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,426.10
|
| Rate for Payer: Nomi Health Commercial |
$881.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,698.75
|
| Rate for Payer: PACE SWMI |
$734.19
|
| Rate for Payer: PHP Medicare Advantage |
$734.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,304.20
|
| Rate for Payer: Priority Health Medicare |
$734.19
|
| Rate for Payer: Priority Health SBD |
$1,304.20
|
| Rate for Payer: Priority Health Tiered Network |
$1,304.20
|
| Rate for Payer: Railroad Medicare Medicare |
$734.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,400.25
|
| Rate for Payer: UHC Core |
$1,400.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$734.19
|
| Rate for Payer: UHC Exchange |
$1,400.25
|
| Rate for Payer: UHC Medicaid |
$478.61
|
| Rate for Payer: UHCCP Medicaid |
$478.61
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,623.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$305.87 |
| Max. Negotiated Rate |
$1,217.25 |
| Rate for Payer: Aetna Commercial |
$624.05
|
| Rate for Payer: Aetna Medicare |
$484.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.62
|
| Rate for Payer: BCBS Complete |
$321.16
|
| Rate for Payer: BCBS MAPPO |
$465.71
|
| Rate for Payer: BCN Commercial |
$766.39
|
| Rate for Payer: BCN Medicare Advantage |
$465.71
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cash Price |
$1,298.40
|
| Rate for Payer: Cofinity Commercial |
$670.62
|
| Rate for Payer: Cofinity Commercial |
$624.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.71
|
| Rate for Payer: Healthscope Commercial |
$861.56
|
| Rate for Payer: Healthscope Commercial |
$745.14
|
| Rate for Payer: Mclaren Medicaid |
$305.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.00
|
| Rate for Payer: Meridian Medicaid |
$321.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$512.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.99
|
| Rate for Payer: Nomi Health Commercial |
$558.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,217.25
|
| Rate for Payer: PACE SWMI |
$465.71
|
| Rate for Payer: PHP Medicare Advantage |
$465.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$819.25
|
| Rate for Payer: Priority Health Medicare |
$465.71
|
| Rate for Payer: Priority Health SBD |
$819.25
|
| Rate for Payer: Priority Health Tiered Network |
$819.25
|
| Rate for Payer: Railroad Medicare Medicare |
$465.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$864.97
|
| Rate for Payer: UHC Core |
$864.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$465.71
|
| Rate for Payer: UHC Exchange |
$864.97
|
| Rate for Payer: UHC Medicaid |
$305.87
|
| Rate for Payer: UHCCP Medicaid |
$305.87
|
|
|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$731.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$176.79 |
| Max. Negotiated Rate |
$548.25 |
| Rate for Payer: Aetna Commercial |
$354.18
|
| Rate for Payer: Aetna Medicare |
$274.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$354.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.61
|
| Rate for Payer: BCBS Complete |
$185.63
|
| Rate for Payer: BCBS MAPPO |
$264.31
|
| Rate for Payer: BCN Commercial |
$425.77
|
| Rate for Payer: BCN Medicare Advantage |
$264.31
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cofinity Commercial |
$380.61
|
| Rate for Payer: Cofinity Commercial |
$354.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$264.31
|
| Rate for Payer: Healthscope Commercial |
$488.97
|
| Rate for Payer: Healthscope Commercial |
$422.90
|
| Rate for Payer: Mclaren Medicaid |
$176.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$277.53
|
| Rate for Payer: Meridian Medicaid |
$185.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$290.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$480.11
|
| Rate for Payer: Nomi Health Commercial |
$317.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: PACE SWMI |
$264.31
|
| Rate for Payer: PHP Medicare Advantage |
$264.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$455.14
|
| Rate for Payer: Priority Health Medicare |
$264.31
|
| Rate for Payer: Priority Health SBD |
$455.14
|
| Rate for Payer: Priority Health Tiered Network |
$455.14
|
| Rate for Payer: Railroad Medicare Medicare |
$264.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$454.45
|
| Rate for Payer: UHC Core |
$454.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$264.31
|
| Rate for Payer: UHC Exchange |
$454.45
|
| Rate for Payer: UHC Medicaid |
$176.79
|
| Rate for Payer: UHCCP Medicaid |
$176.79
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$868.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$191.91 |
| Max. Negotiated Rate |
$651.00 |
| Rate for Payer: Aetna Commercial |
$383.35
|
| Rate for Payer: Aetna Medicare |
$297.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$383.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$411.96
|
| Rate for Payer: BCBS Complete |
$201.51
|
| Rate for Payer: BCBS MAPPO |
$286.08
|
| Rate for Payer: BCN Commercial |
$456.15
|
| Rate for Payer: BCN Medicare Advantage |
$286.08
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cofinity Commercial |
$411.96
|
| Rate for Payer: Cofinity Commercial |
$383.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.08
|
| Rate for Payer: Healthscope Commercial |
$529.25
|
| Rate for Payer: Healthscope Commercial |
$457.73
|
| Rate for Payer: Mclaren Medicaid |
$191.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$300.38
|
| Rate for Payer: Meridian Medicaid |
$201.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$314.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$514.08
|
| Rate for Payer: Nomi Health Commercial |
$343.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$651.00
|
| Rate for Payer: PACE SWMI |
$286.08
|
| Rate for Payer: PHP Medicare Advantage |
$286.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$487.61
|
| Rate for Payer: Priority Health Medicare |
$286.08
|
| Rate for Payer: Priority Health SBD |
$487.61
|
| Rate for Payer: Priority Health Tiered Network |
$487.61
|
| Rate for Payer: Railroad Medicare Medicare |
$286.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$485.11
|
| Rate for Payer: UHC Core |
$485.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$286.08
|
| Rate for Payer: UHC Exchange |
$485.11
|
| Rate for Payer: UHC Medicaid |
$191.91
|
| Rate for Payer: UHCCP Medicaid |
$191.91
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$354.43 |
| Max. Negotiated Rate |
$1,031.40 |
| Rate for Payer: Aetna Commercial |
$723.51
|
| Rate for Payer: Aetna Medicare |
$561.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$777.50
|
| Rate for Payer: BCBS Complete |
$372.15
|
| Rate for Payer: BCBS MAPPO |
$539.93
|
| Rate for Payer: BCN Commercial |
$893.88
|
| Rate for Payer: BCN Medicare Advantage |
$539.93
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$777.50
|
| Rate for Payer: Cofinity Commercial |
$723.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.93
|
| Rate for Payer: Healthscope Commercial |
$998.87
|
| Rate for Payer: Healthscope Commercial |
$863.89
|
| Rate for Payer: Mclaren Medicaid |
$354.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$566.93
|
| Rate for Payer: Meridian Medicaid |
$372.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$593.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,031.40
|
| Rate for Payer: Nomi Health Commercial |
$647.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$877.50
|
| Rate for Payer: PACE SWMI |
$539.93
|
| Rate for Payer: PHP Medicare Advantage |
$539.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$955.53
|
| Rate for Payer: Priority Health Medicare |
$539.93
|
| Rate for Payer: Priority Health SBD |
$955.53
|
| Rate for Payer: Priority Health Tiered Network |
$955.53
|
| Rate for Payer: Railroad Medicare Medicare |
$539.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,003.58
|
| Rate for Payer: UHC Core |
$1,003.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$539.93
|
| Rate for Payer: UHC Exchange |
$1,003.58
|
| Rate for Payer: UHC Medicaid |
$354.43
|
| Rate for Payer: UHCCP Medicaid |
$354.43
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,847.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$319.29 |
| Max. Negotiated Rate |
$1,385.25 |
| Rate for Payer: Aetna Commercial |
$649.28
|
| Rate for Payer: Aetna Medicare |
$503.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$697.74
|
| Rate for Payer: BCBS Complete |
$335.25
|
| Rate for Payer: BCBS MAPPO |
$484.54
|
| Rate for Payer: BCN Commercial |
$756.93
|
| Rate for Payer: BCN Medicare Advantage |
$484.54
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cofinity Commercial |
$697.74
|
| Rate for Payer: Cofinity Commercial |
$649.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.54
|
| Rate for Payer: Healthscope Commercial |
$896.40
|
| Rate for Payer: Healthscope Commercial |
$775.26
|
| Rate for Payer: Mclaren Medicaid |
$319.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.77
|
| Rate for Payer: Meridian Medicaid |
$335.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$532.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$877.46
|
| Rate for Payer: Nomi Health Commercial |
$581.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,385.25
|
| Rate for Payer: PACE SWMI |
$484.54
|
| Rate for Payer: PHP Medicare Advantage |
$484.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$809.14
|
| Rate for Payer: Priority Health Medicare |
$484.54
|
| Rate for Payer: Priority Health SBD |
$809.14
|
| Rate for Payer: Priority Health Tiered Network |
$809.14
|
| Rate for Payer: Railroad Medicare Medicare |
$484.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$855.33
|
| Rate for Payer: UHC Core |
$855.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$484.54
|
| Rate for Payer: UHC Exchange |
$855.33
|
| Rate for Payer: UHC Medicaid |
$319.29
|
| Rate for Payer: UHCCP Medicaid |
$319.29
|
|
|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$949.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$212.79 |
| Max. Negotiated Rate |
$711.75 |
| Rate for Payer: Aetna Commercial |
$427.61
|
| Rate for Payer: Aetna Medicare |
$331.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$427.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.52
|
| Rate for Payer: BCBS Complete |
$223.43
|
| Rate for Payer: BCBS MAPPO |
$319.11
|
| Rate for Payer: BCN Commercial |
$506.95
|
| Rate for Payer: BCN Medicare Advantage |
$319.11
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cash Price |
$759.20
|
| Rate for Payer: Cofinity Commercial |
$459.52
|
| Rate for Payer: Cofinity Commercial |
$427.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.11
|
| Rate for Payer: Healthscope Commercial |
$590.35
|
| Rate for Payer: Healthscope Commercial |
$510.58
|
| Rate for Payer: Mclaren Medicaid |
$212.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.07
|
| Rate for Payer: Meridian Medicaid |
$223.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$351.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$576.07
|
| Rate for Payer: Nomi Health Commercial |
$382.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$711.75
|
| Rate for Payer: PACE SWMI |
$319.11
|
| Rate for Payer: PHP Medicare Advantage |
$319.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$541.91
|
| Rate for Payer: Priority Health Medicare |
$319.11
|
| Rate for Payer: Priority Health SBD |
$541.91
|
| Rate for Payer: Priority Health Tiered Network |
$541.91
|
| Rate for Payer: Railroad Medicare Medicare |
$319.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.78
|
| Rate for Payer: UHC Core |
$548.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$319.11
|
| Rate for Payer: UHC Exchange |
$548.78
|
| Rate for Payer: UHC Medicaid |
$212.79
|
| Rate for Payer: UHCCP Medicaid |
$212.79
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$331.00 |
| Max. Negotiated Rate |
$944.48 |
| Rate for Payer: Aetna Commercial |
$671.22
|
| Rate for Payer: Aetna Medicare |
$520.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$671.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$721.31
|
| Rate for Payer: BCBS Complete |
$347.55
|
| Rate for Payer: BCBS MAPPO |
$500.91
|
| Rate for Payer: BCN Commercial |
$824.16
|
| Rate for Payer: BCN Medicare Advantage |
$500.91
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cofinity Commercial |
$721.31
|
| Rate for Payer: Cofinity Commercial |
$671.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$500.91
|
| Rate for Payer: Healthscope Commercial |
$926.68
|
| Rate for Payer: Healthscope Commercial |
$801.46
|
| Rate for Payer: Mclaren Medicaid |
$331.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$525.96
|
| Rate for Payer: Meridian Medicaid |
$347.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$551.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$944.48
|
| Rate for Payer: Nomi Health Commercial |
$601.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$690.75
|
| Rate for Payer: PACE SWMI |
$500.91
|
| Rate for Payer: PHP Medicare Advantage |
$500.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$880.99
|
| Rate for Payer: Priority Health Medicare |
$500.91
|
| Rate for Payer: Priority Health SBD |
$880.99
|
| Rate for Payer: Priority Health Tiered Network |
$880.99
|
| Rate for Payer: Railroad Medicare Medicare |
$500.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$908.04
|
| Rate for Payer: UHC Core |
$908.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$500.91
|
| Rate for Payer: UHC Exchange |
$908.04
|
| Rate for Payer: UHC Medicaid |
$331.00
|
| Rate for Payer: UHCCP Medicaid |
$331.00
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,747.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$303.74 |
| Max. Negotiated Rate |
$1,310.25 |
| Rate for Payer: Aetna Commercial |
$616.40
|
| Rate for Payer: Aetna Medicare |
$478.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.40
|
| Rate for Payer: BCBS Complete |
$318.93
|
| Rate for Payer: BCBS MAPPO |
$460.00
|
| Rate for Payer: BCN Commercial |
$684.22
|
| Rate for Payer: BCN Medicare Advantage |
$460.00
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cofinity Commercial |
$662.40
|
| Rate for Payer: Cofinity Commercial |
$616.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.00
|
| Rate for Payer: Healthscope Commercial |
$851.00
|
| Rate for Payer: Healthscope Commercial |
$736.00
|
| Rate for Payer: Mclaren Medicaid |
$303.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.00
|
| Rate for Payer: Meridian Medicaid |
$318.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$788.54
|
| Rate for Payer: Nomi Health Commercial |
$552.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,310.25
|
| Rate for Payer: PACE SWMI |
$460.00
|
| Rate for Payer: PHP Medicare Advantage |
$460.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$731.42
|
| Rate for Payer: Priority Health Medicare |
$460.00
|
| Rate for Payer: Priority Health SBD |
$731.42
|
| Rate for Payer: Priority Health Tiered Network |
$731.42
|
| Rate for Payer: Railroad Medicare Medicare |
$460.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$756.64
|
| Rate for Payer: UHC Core |
$756.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.00
|
| Rate for Payer: UHC Exchange |
$756.64
|
| Rate for Payer: UHC Medicaid |
$303.74
|
| Rate for Payer: UHCCP Medicaid |
$303.74
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$602.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$200.01 |
| Max. Negotiated Rate |
$554.09 |
| Rate for Payer: Aetna Commercial |
$401.34
|
| Rate for Payer: Aetna Medicare |
$311.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.29
|
| Rate for Payer: BCBS Complete |
$210.01
|
| Rate for Payer: BCBS MAPPO |
$299.51
|
| Rate for Payer: BCN Commercial |
$463.12
|
| Rate for Payer: BCN Medicare Advantage |
$299.51
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Cofinity Commercial |
$431.29
|
| Rate for Payer: Cofinity Commercial |
$401.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.51
|
| Rate for Payer: Healthscope Commercial |
$554.09
|
| Rate for Payer: Healthscope Commercial |
$479.22
|
| Rate for Payer: Mclaren Medicaid |
$200.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.49
|
| Rate for Payer: Meridian Medicaid |
$210.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$523.73
|
| Rate for Payer: Nomi Health Commercial |
$359.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$451.50
|
| Rate for Payer: PACE SWMI |
$299.51
|
| Rate for Payer: PHP Medicare Advantage |
$299.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$495.06
|
| Rate for Payer: Priority Health Medicare |
$299.51
|
| Rate for Payer: Priority Health SBD |
$495.06
|
| Rate for Payer: Priority Health Tiered Network |
$495.06
|
| Rate for Payer: Railroad Medicare Medicare |
$299.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$499.69
|
| Rate for Payer: UHC Core |
$499.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$299.51
|
| Rate for Payer: UHC Exchange |
$499.69
|
| Rate for Payer: UHC Medicaid |
$200.01
|
| Rate for Payer: UHCCP Medicaid |
$200.01
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$185.95 |
| Max. Negotiated Rate |
$691.50 |
| Rate for Payer: Aetna Commercial |
$377.45
|
| Rate for Payer: Aetna Medicare |
$292.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$405.62
|
| Rate for Payer: BCBS Complete |
$195.25
|
| Rate for Payer: BCBS MAPPO |
$281.68
|
| Rate for Payer: BCN Commercial |
$457.15
|
| Rate for Payer: BCN Medicare Advantage |
$281.68
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$405.62
|
| Rate for Payer: Cofinity Commercial |
$377.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.68
|
| Rate for Payer: Healthscope Commercial |
$521.11
|
| Rate for Payer: Healthscope Commercial |
$450.69
|
| Rate for Payer: Mclaren Medicaid |
$185.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$295.76
|
| Rate for Payer: Meridian Medicaid |
$195.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$309.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$525.83
|
| Rate for Payer: Nomi Health Commercial |
$338.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$691.50
|
| Rate for Payer: PACE SWMI |
$281.68
|
| Rate for Payer: PHP Medicare Advantage |
$281.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$488.68
|
| Rate for Payer: Priority Health Medicare |
$281.68
|
| Rate for Payer: Priority Health SBD |
$488.68
|
| Rate for Payer: Priority Health Tiered Network |
$488.68
|
| Rate for Payer: Railroad Medicare Medicare |
$281.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$503.76
|
| Rate for Payer: UHC Core |
$503.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$281.68
|
| Rate for Payer: UHC Exchange |
$503.76
|
| Rate for Payer: UHC Medicaid |
$185.95
|
| Rate for Payer: UHCCP Medicaid |
$185.95
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,341.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$482.02 |
| Max. Negotiated Rate |
$1,371.15 |
| Rate for Payer: Aetna Commercial |
$987.69
|
| Rate for Payer: Aetna Medicare |
$766.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,061.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$987.69
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCBS MAPPO |
$737.08
|
| Rate for Payer: BCN Commercial |
$1,196.15
|
| Rate for Payer: BCN Medicare Advantage |
$737.08
|
| Rate for Payer: Cash Price |
$1,072.80
|
| Rate for Payer: Cash Price |
$1,072.80
|
| Rate for Payer: Cofinity Commercial |
$987.69
|
| Rate for Payer: Cofinity Commercial |
$1,061.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$737.08
|
| Rate for Payer: Healthscope Commercial |
$1,363.60
|
| Rate for Payer: Healthscope Commercial |
$1,179.33
|
| Rate for Payer: Mclaren Medicaid |
$482.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$773.93
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$810.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,371.15
|
| Rate for Payer: Nomi Health Commercial |
$884.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.75
|
| Rate for Payer: PACE SWMI |
$737.08
|
| Rate for Payer: PHP Medicare Advantage |
$737.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,278.65
|
| Rate for Payer: Priority Health Medicare |
$737.08
|
| Rate for Payer: Priority Health SBD |
$1,278.65
|
| Rate for Payer: Priority Health Tiered Network |
$1,278.65
|
| Rate for Payer: Railroad Medicare Medicare |
$737.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,342.51
|
| Rate for Payer: UHC Core |
$1,342.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$737.08
|
| Rate for Payer: UHC Exchange |
$1,342.51
|
| Rate for Payer: UHC Medicaid |
$482.02
|
| Rate for Payer: UHCCP Medicaid |
$482.02
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$2,090.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$438.35 |
| Max. Negotiated Rate |
$1,567.50 |
| Rate for Payer: Aetna Commercial |
$912.26
|
| Rate for Payer: Aetna Medicare |
$708.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$912.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.34
|
| Rate for Payer: BCBS Complete |
$460.27
|
| Rate for Payer: BCBS MAPPO |
$680.79
|
| Rate for Payer: BCN Commercial |
$1,167.26
|
| Rate for Payer: BCN Medicare Advantage |
$680.79
|
| Rate for Payer: Cash Price |
$1,672.00
|
| Rate for Payer: Cash Price |
$1,672.00
|
| Rate for Payer: Cofinity Commercial |
$980.34
|
| Rate for Payer: Cofinity Commercial |
$912.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.79
|
| Rate for Payer: Healthscope Commercial |
$1,259.46
|
| Rate for Payer: Healthscope Commercial |
$1,089.26
|
| Rate for Payer: Mclaren Medicaid |
$438.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$714.83
|
| Rate for Payer: Meridian Medicaid |
$460.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$748.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,391.04
|
| Rate for Payer: Nomi Health Commercial |
$816.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,567.50
|
| Rate for Payer: PACE SWMI |
$680.79
|
| Rate for Payer: PHP Medicare Advantage |
$680.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,182.19
|
| Rate for Payer: Priority Health Medicare |
$680.79
|
| Rate for Payer: Priority Health SBD |
$1,182.19
|
| Rate for Payer: Priority Health Tiered Network |
$1,182.19
|
| Rate for Payer: Railroad Medicare Medicare |
$680.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,370.06
|
| Rate for Payer: UHC Core |
$1,370.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$680.79
|
| Rate for Payer: UHC Exchange |
$1,370.06
|
| Rate for Payer: UHC Medicaid |
$438.35
|
| Rate for Payer: UHCCP Medicaid |
$438.35
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,690.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$489.90 |
| Max. Negotiated Rate |
$2,017.50 |
| Rate for Payer: Aetna Commercial |
$1,020.80
|
| Rate for Payer: Aetna Medicare |
$792.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,096.98
|
| Rate for Payer: BCBS Complete |
$514.39
|
| Rate for Payer: BCBS MAPPO |
$761.79
|
| Rate for Payer: BCN Commercial |
$1,305.20
|
| Rate for Payer: BCN Medicare Advantage |
$761.79
|
| Rate for Payer: Cash Price |
$2,152.00
|
| Rate for Payer: Cash Price |
$2,152.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.98
|
| Rate for Payer: Cofinity Commercial |
$1,020.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.79
|
| Rate for Payer: Healthscope Commercial |
$1,409.31
|
| Rate for Payer: Healthscope Commercial |
$1,218.86
|
| Rate for Payer: Mclaren Medicaid |
$489.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.88
|
| Rate for Payer: Meridian Medicaid |
$514.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$837.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,558.89
|
| Rate for Payer: Nomi Health Commercial |
$914.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,017.50
|
| Rate for Payer: PACE SWMI |
$761.79
|
| Rate for Payer: PHP Medicare Advantage |
$761.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$489.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,321.89
|
| Rate for Payer: Priority Health Medicare |
$761.79
|
| Rate for Payer: Priority Health SBD |
$1,321.89
|
| Rate for Payer: Priority Health Tiered Network |
$1,321.89
|
| Rate for Payer: Railroad Medicare Medicare |
$761.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,539.10
|
| Rate for Payer: UHC Core |
$1,539.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$761.79
|
| Rate for Payer: UHC Exchange |
$1,539.10
|
| Rate for Payer: UHC Medicaid |
$489.90
|
| Rate for Payer: UHCCP Medicaid |
$489.90
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$407.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$19.38 |
| Max. Negotiated Rate |
$305.25 |
| Rate for Payer: Aetna Commercial |
$40.67
|
| Rate for Payer: Aetna Medicare |
$31.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.70
|
| Rate for Payer: BCBS Complete |
$20.35
|
| Rate for Payer: BCBS MAPPO |
$30.35
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Medicare Advantage |
$30.35
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$43.70
|
| Rate for Payer: Cofinity Commercial |
$40.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.35
|
| Rate for Payer: Healthscope Commercial |
$56.15
|
| Rate for Payer: Healthscope Commercial |
$48.56
|
| Rate for Payer: Mclaren Medicaid |
$19.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.87
|
| Rate for Payer: Meridian Medicaid |
$20.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.07
|
| Rate for Payer: Nomi Health Commercial |
$36.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$305.25
|
| Rate for Payer: PACE SWMI |
$30.35
|
| Rate for Payer: PHP Medicare Advantage |
$30.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$55.69
|
| Rate for Payer: Priority Health Medicare |
$30.35
|
| Rate for Payer: Priority Health SBD |
$55.69
|
| Rate for Payer: Priority Health Tiered Network |
$55.69
|
| Rate for Payer: Railroad Medicare Medicare |
$30.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.86
|
| Rate for Payer: UHC Core |
$65.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.35
|
| Rate for Payer: UHC Exchange |
$65.86
|
| Rate for Payer: UHC Medicaid |
$19.38
|
| Rate for Payer: UHCCP Medicaid |
$19.38
|
|
