|
PR CLTX ACETABULUM HIP/SOCKT FX W/O MANJ
|
Professional
|
Both
|
$1,679.00
|
|
|
Service Code
|
HCPCS 27220
|
| Min. Negotiated Rate |
$271.15 |
| Max. Negotiated Rate |
$73,562.00 |
| Rate for Payer: Aetna Commercial |
$536.60
|
| Rate for Payer: Aetna Medicare |
$416.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$576.65
|
| Rate for Payer: BCBS Complete |
$284.71
|
| Rate for Payer: BCBS MAPPO |
$400.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,011.24
|
| Rate for Payer: BCN Commercial |
$620.13
|
| Rate for Payer: BCN Medicare Advantage |
$400.45
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cofinity Commercial |
$576.65
|
| Rate for Payer: Cofinity Commercial |
$536.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.45
|
| Rate for Payer: Healthscope Commercial |
$740.83
|
| Rate for Payer: Healthscope Commercial |
$640.72
|
| Rate for Payer: Mclaren Medicaid |
$271.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$420.47
|
| Rate for Payer: Meridian Medicaid |
$284.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,562.00
|
| Rate for Payer: Nomi Health Commercial |
$480.54
|
| Rate for Payer: PACE SWMI |
$400.45
|
| Rate for Payer: PHP Medicare Advantage |
$400.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,091.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$642.69
|
| Rate for Payer: Priority Health Medicare |
$400.45
|
| Rate for Payer: Priority Health Narrow Network |
$642.69
|
| Rate for Payer: Priority Health SBD |
$642.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$575.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$400.45
|
| Rate for Payer: UHC Exchange |
$575.05
|
| Rate for Payer: UHC Medicare Advantage |
$400.45
|
| Rate for Payer: UHCCP Medicaid |
$271.15
|
|
|
PR CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ
|
Professional
|
Both
|
$1,414.00
|
|
|
Service Code
|
HCPCS 27842
|
| Min. Negotiated Rate |
$324.40 |
| Max. Negotiated Rate |
$87,457.00 |
| Rate for Payer: Aetna Commercial |
$640.49
|
| Rate for Payer: Aetna Medicare |
$497.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$688.29
|
| Rate for Payer: BCBS Complete |
$340.62
|
| Rate for Payer: BCBS MAPPO |
$477.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,704.38
|
| Rate for Payer: BCN Commercial |
$727.64
|
| Rate for Payer: BCN Medicare Advantage |
$477.98
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cofinity Commercial |
$688.29
|
| Rate for Payer: Cofinity Commercial |
$640.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.98
|
| Rate for Payer: Healthscope Commercial |
$884.26
|
| Rate for Payer: Healthscope Commercial |
$764.77
|
| Rate for Payer: Mclaren Medicaid |
$324.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.88
|
| Rate for Payer: Meridian Medicaid |
$340.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87,457.00
|
| Rate for Payer: Nomi Health Commercial |
$573.58
|
| Rate for Payer: PACE SWMI |
$477.98
|
| Rate for Payer: PHP Medicare Advantage |
$477.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$919.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.88
|
| Rate for Payer: Priority Health Medicare |
$477.98
|
| Rate for Payer: Priority Health Narrow Network |
$768.88
|
| Rate for Payer: Priority Health SBD |
$768.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$482.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$477.98
|
| Rate for Payer: UHC Exchange |
$482.85
|
| Rate for Payer: UHC Medicare Advantage |
$477.98
|
| Rate for Payer: UHCCP Medicaid |
$324.40
|
|
|
PR CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ
|
Professional
|
Both
|
$935.00
|
|
|
Service Code
|
HCPCS 26742
|
| Min. Negotiated Rate |
$183.81 |
| Max. Negotiated Rate |
$60,343.00 |
| Rate for Payer: Aetna Commercial |
$440.61
|
| Rate for Payer: Aetna Medicare |
$341.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.49
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$328.81
|
| Rate for Payer: BCBS Trust/PPO |
$183.81
|
| Rate for Payer: BCN Commercial |
$562.96
|
| Rate for Payer: BCN Medicare Advantage |
$328.81
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cofinity Commercial |
$473.49
|
| Rate for Payer: Cofinity Commercial |
$440.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.81
|
| Rate for Payer: Healthscope Commercial |
$608.30
|
| Rate for Payer: Healthscope Commercial |
$526.10
|
| Rate for Payer: Mclaren Medicaid |
$224.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.25
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,343.00
|
| Rate for Payer: Nomi Health Commercial |
$394.57
|
| Rate for Payer: PACE SWMI |
$328.81
|
| Rate for Payer: PHP Medicare Advantage |
$328.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$531.25
|
| Rate for Payer: Priority Health Medicare |
$328.81
|
| Rate for Payer: Priority Health Narrow Network |
$531.25
|
| Rate for Payer: Priority Health SBD |
$531.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.81
|
| Rate for Payer: UHC Exchange |
$450.71
|
| Rate for Payer: UHC Medicare Advantage |
$328.81
|
| Rate for Payer: UHCCP Medicaid |
$224.72
|
|
|
PR CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ
|
Professional
|
Both
|
$632.00
|
|
|
Service Code
|
HCPCS 26740
|
| Min. Negotiated Rate |
$150.17 |
| Max. Negotiated Rate |
$39,283.00 |
| Rate for Payer: Aetna Commercial |
$290.79
|
| Rate for Payer: Aetna Medicare |
$225.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.49
|
| Rate for Payer: BCBS Complete |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$217.01
|
| Rate for Payer: BCBS Trust/PPO |
$153.74
|
| Rate for Payer: BCN Commercial |
$350.87
|
| Rate for Payer: BCN Medicare Advantage |
$217.01
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cofinity Commercial |
$312.49
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.01
|
| Rate for Payer: Healthscope Commercial |
$401.47
|
| Rate for Payer: Healthscope Commercial |
$347.22
|
| Rate for Payer: Mclaren Medicaid |
$150.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.86
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39,283.00
|
| Rate for Payer: Nomi Health Commercial |
$260.41
|
| Rate for Payer: PACE SWMI |
$217.01
|
| Rate for Payer: PHP Medicare Advantage |
$217.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.16
|
| Rate for Payer: Priority Health Medicare |
$217.01
|
| Rate for Payer: Priority Health Narrow Network |
$353.16
|
| Rate for Payer: Priority Health SBD |
$353.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.01
|
| Rate for Payer: UHC Exchange |
$236.78
|
| Rate for Payer: UHC Medicare Advantage |
$217.01
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
|
|
PR CLTX CARPAL BONE FX W/MNPJ EACH BONE
|
Professional
|
Both
|
$1,123.00
|
|
|
Service Code
|
HCPCS 25635
|
| Min. Negotiated Rate |
$283.72 |
| Max. Negotiated Rate |
$75,379.00 |
| Rate for Payer: Aetna Commercial |
$554.42
|
| Rate for Payer: Aetna Medicare |
$430.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.80
|
| Rate for Payer: BCBS Complete |
$297.91
|
| Rate for Payer: BCBS MAPPO |
$413.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,016.45
|
| Rate for Payer: BCN Commercial |
$697.83
|
| Rate for Payer: BCN Medicare Advantage |
$413.75
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cofinity Commercial |
$595.80
|
| Rate for Payer: Cofinity Commercial |
$554.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.75
|
| Rate for Payer: Healthscope Commercial |
$765.44
|
| Rate for Payer: Healthscope Commercial |
$662.00
|
| Rate for Payer: Mclaren Medicaid |
$283.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.44
|
| Rate for Payer: Meridian Medicaid |
$297.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,379.00
|
| Rate for Payer: Nomi Health Commercial |
$496.50
|
| Rate for Payer: PACE SWMI |
$413.75
|
| Rate for Payer: PHP Medicare Advantage |
$413.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$729.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$670.68
|
| Rate for Payer: Priority Health Medicare |
$413.75
|
| Rate for Payer: Priority Health Narrow Network |
$670.68
|
| Rate for Payer: Priority Health SBD |
$670.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$475.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.75
|
| Rate for Payer: UHC Exchange |
$475.45
|
| Rate for Payer: UHC Medicare Advantage |
$413.75
|
| Rate for Payer: UHCCP Medicaid |
$283.72
|
|
|
PR CLTX CARPAL BONE FX W/O MNPJ EACH BONE
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 25630
|
| Min. Negotiated Rate |
$192.55 |
| Max. Negotiated Rate |
$50,962.00 |
| Rate for Payer: Aetna Commercial |
$375.35
|
| Rate for Payer: Aetna Medicare |
$291.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$375.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.36
|
| Rate for Payer: BCBS Complete |
$202.18
|
| Rate for Payer: BCBS MAPPO |
$280.11
|
| Rate for Payer: BCBS Trust/PPO |
$962.74
|
| Rate for Payer: BCN Commercial |
$461.32
|
| Rate for Payer: BCN Medicare Advantage |
$280.11
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$403.36
|
| Rate for Payer: Cofinity Commercial |
$375.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.11
|
| Rate for Payer: Healthscope Commercial |
$518.20
|
| Rate for Payer: Healthscope Commercial |
$448.18
|
| Rate for Payer: Mclaren Medicaid |
$192.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.12
|
| Rate for Payer: Meridian Medicaid |
$202.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50,962.00
|
| Rate for Payer: Nomi Health Commercial |
$336.13
|
| Rate for Payer: PACE SWMI |
$280.11
|
| Rate for Payer: PHP Medicare Advantage |
$280.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.39
|
| Rate for Payer: Priority Health Medicare |
$280.11
|
| Rate for Payer: Priority Health Narrow Network |
$453.39
|
| Rate for Payer: Priority Health SBD |
$453.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$312.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.11
|
| Rate for Payer: UHC Exchange |
$312.67
|
| Rate for Payer: UHC Medicare Advantage |
$280.11
|
| Rate for Payer: UHCCP Medicaid |
$192.55
|
|
|
PR CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 26641
|
| Min. Negotiated Rate |
$256.67 |
| Max. Negotiated Rate |
$68,137.00 |
| Rate for Payer: Aetna Commercial |
$501.28
|
| Rate for Payer: Aetna Medicare |
$389.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$501.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$538.69
|
| Rate for Payer: BCBS Complete |
$269.50
|
| Rate for Payer: BCBS MAPPO |
$374.09
|
| Rate for Payer: BCBS Trust/PPO |
$525.66
|
| Rate for Payer: BCN Commercial |
$628.93
|
| Rate for Payer: BCN Medicare Advantage |
$374.09
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$538.69
|
| Rate for Payer: Cofinity Commercial |
$501.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$374.09
|
| Rate for Payer: Healthscope Commercial |
$692.07
|
| Rate for Payer: Healthscope Commercial |
$598.54
|
| Rate for Payer: Mclaren Medicaid |
$256.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$392.79
|
| Rate for Payer: Meridian Medicaid |
$269.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,137.00
|
| Rate for Payer: Nomi Health Commercial |
$448.91
|
| Rate for Payer: PACE SWMI |
$374.09
|
| Rate for Payer: PHP Medicare Advantage |
$374.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.57
|
| Rate for Payer: Priority Health Medicare |
$374.09
|
| Rate for Payer: Priority Health Narrow Network |
$606.57
|
| Rate for Payer: Priority Health SBD |
$606.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$423.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$374.09
|
| Rate for Payer: UHC Exchange |
$423.96
|
| Rate for Payer: UHC Medicare Advantage |
$374.09
|
| Rate for Payer: UHCCP Medicaid |
$256.67
|
|
|
PR CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 26645
|
| Min. Negotiated Rate |
$23.25 |
| Max. Negotiated Rate |
$70,639.00 |
| Rate for Payer: Aetna Commercial |
$518.15
|
| Rate for Payer: Aetna Medicare |
$402.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$518.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$556.82
|
| Rate for Payer: BCBS Complete |
$277.55
|
| Rate for Payer: BCBS MAPPO |
$386.68
|
| Rate for Payer: BCBS Trust/PPO |
$23.25
|
| Rate for Payer: BCN Commercial |
$649.45
|
| Rate for Payer: BCN Medicare Advantage |
$386.68
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$556.82
|
| Rate for Payer: Cofinity Commercial |
$518.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.68
|
| Rate for Payer: Healthscope Commercial |
$715.36
|
| Rate for Payer: Healthscope Commercial |
$618.69
|
| Rate for Payer: Mclaren Medicaid |
$264.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.01
|
| Rate for Payer: Meridian Medicaid |
$277.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70,639.00
|
| Rate for Payer: Nomi Health Commercial |
$464.02
|
| Rate for Payer: PACE SWMI |
$386.68
|
| Rate for Payer: PHP Medicare Advantage |
$386.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$661.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$625.38
|
| Rate for Payer: Priority Health Medicare |
$386.68
|
| Rate for Payer: Priority Health Narrow Network |
$625.38
|
| Rate for Payer: Priority Health SBD |
$625.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$386.68
|
| Rate for Payer: UHC Exchange |
$479.20
|
| Rate for Payer: UHC Medicare Advantage |
$386.68
|
| Rate for Payer: UHCCP Medicaid |
$264.33
|
|
|
PR CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES
|
Professional
|
Both
|
$605.00
|
|
|
Service Code
|
HCPCS 26670
|
| Min. Negotiated Rate |
$57.73 |
| Max. Negotiated Rate |
$56,068.00 |
| Rate for Payer: Aetna Commercial |
$417.83
|
| Rate for Payer: Aetna Medicare |
$324.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.01
|
| Rate for Payer: BCBS Complete |
$223.20
|
| Rate for Payer: BCBS MAPPO |
$311.81
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$524.35
|
| Rate for Payer: BCN Medicare Advantage |
$311.81
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cofinity Commercial |
$449.01
|
| Rate for Payer: Cofinity Commercial |
$417.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.81
|
| Rate for Payer: Healthscope Commercial |
$576.85
|
| Rate for Payer: Healthscope Commercial |
$498.90
|
| Rate for Payer: Mclaren Medicaid |
$212.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.40
|
| Rate for Payer: Meridian Medicaid |
$223.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,068.00
|
| Rate for Payer: Nomi Health Commercial |
$374.17
|
| Rate for Payer: PACE SWMI |
$311.81
|
| Rate for Payer: PHP Medicare Advantage |
$311.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$393.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$311.81
|
| Rate for Payer: Priority Health Narrow Network |
$498.69
|
| Rate for Payer: Priority Health SBD |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.81
|
| Rate for Payer: UHC Exchange |
$404.34
|
| Rate for Payer: UHC Medicare Advantage |
$311.81
|
| Rate for Payer: UHCCP Medicaid |
$212.57
|
|
|
PR CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES
|
Professional
|
Both
|
$1,265.00
|
|
|
Service Code
|
HCPCS 26675
|
| Min. Negotiated Rate |
$46.70 |
| Max. Negotiated Rate |
$75,449.00 |
| Rate for Payer: Aetna Commercial |
$553.86
|
| Rate for Payer: Aetna Medicare |
$429.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$553.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.20
|
| Rate for Payer: BCBS Complete |
$296.78
|
| Rate for Payer: BCBS MAPPO |
$413.33
|
| Rate for Payer: BCBS Trust/PPO |
$46.70
|
| Rate for Payer: BCN Commercial |
$692.95
|
| Rate for Payer: BCN Medicare Advantage |
$413.33
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cofinity Commercial |
$595.20
|
| Rate for Payer: Cofinity Commercial |
$553.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.33
|
| Rate for Payer: Healthscope Commercial |
$764.66
|
| Rate for Payer: Healthscope Commercial |
$661.33
|
| Rate for Payer: Mclaren Medicaid |
$282.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.00
|
| Rate for Payer: Meridian Medicaid |
$296.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,449.00
|
| Rate for Payer: Nomi Health Commercial |
$496.00
|
| Rate for Payer: PACE SWMI |
$413.33
|
| Rate for Payer: PHP Medicare Advantage |
$413.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$668.13
|
| Rate for Payer: Priority Health Medicare |
$413.33
|
| Rate for Payer: Priority Health Narrow Network |
$668.13
|
| Rate for Payer: Priority Health SBD |
$668.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.33
|
| Rate for Payer: UHC Exchange |
$458.28
|
| Rate for Payer: UHC Medicare Advantage |
$413.33
|
| Rate for Payer: UHCCP Medicaid |
$282.65
|
|
|
PR CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ
|
Professional
|
Both
|
$1,306.00
|
|
|
Service Code
|
HCPCS 27516
|
| Min. Negotiated Rate |
$322.91 |
| Max. Negotiated Rate |
$86,357.00 |
| Rate for Payer: Aetna Commercial |
$633.24
|
| Rate for Payer: Aetna Medicare |
$491.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$633.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$680.50
|
| Rate for Payer: BCBS Complete |
$339.06
|
| Rate for Payer: BCBS MAPPO |
$472.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,829.50
|
| Rate for Payer: BCN Commercial |
$773.09
|
| Rate for Payer: BCN Medicare Advantage |
$472.57
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cofinity Commercial |
$680.50
|
| Rate for Payer: Cofinity Commercial |
$633.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.57
|
| Rate for Payer: Healthscope Commercial |
$874.25
|
| Rate for Payer: Healthscope Commercial |
$756.11
|
| Rate for Payer: Mclaren Medicaid |
$322.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.20
|
| Rate for Payer: Meridian Medicaid |
$339.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$86,357.00
|
| Rate for Payer: Nomi Health Commercial |
$567.08
|
| Rate for Payer: PACE SWMI |
$472.57
|
| Rate for Payer: PHP Medicare Advantage |
$472.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$763.81
|
| Rate for Payer: Priority Health Medicare |
$472.57
|
| Rate for Payer: Priority Health Narrow Network |
$763.81
|
| Rate for Payer: Priority Health SBD |
$763.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$554.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.57
|
| Rate for Payer: UHC Exchange |
$554.01
|
| Rate for Payer: UHC Medicare Advantage |
$472.57
|
| Rate for Payer: UHCCP Medicaid |
$322.91
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ
|
Professional
|
Both
|
$1,357.00
|
|
|
Service Code
|
HCPCS 27788
|
| Min. Negotiated Rate |
$256.45 |
| Max. Negotiated Rate |
$68,929.00 |
| Rate for Payer: Aetna Commercial |
$503.42
|
| Rate for Payer: Aetna Medicare |
$390.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$503.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$540.99
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS MAPPO |
$375.69
|
| Rate for Payer: BCBS Trust/PPO |
$677.10
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$375.69
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$540.99
|
| Rate for Payer: Cofinity Commercial |
$503.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$375.69
|
| Rate for Payer: Healthscope Commercial |
$695.03
|
| Rate for Payer: Healthscope Commercial |
$601.10
|
| Rate for Payer: Mclaren Medicaid |
$256.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$394.47
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,929.00
|
| Rate for Payer: Nomi Health Commercial |
$450.83
|
| Rate for Payer: PACE SWMI |
$375.69
|
| Rate for Payer: PHP Medicare Advantage |
$375.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$608.10
|
| Rate for Payer: Priority Health Medicare |
$375.69
|
| Rate for Payer: Priority Health Narrow Network |
$608.10
|
| Rate for Payer: Priority Health SBD |
$608.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$375.69
|
| Rate for Payer: UHC Exchange |
$502.81
|
| Rate for Payer: UHC Medicare Advantage |
$375.69
|
| Rate for Payer: UHCCP Medicaid |
$256.45
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ
|
Professional
|
Both
|
$775.00
|
|
|
Service Code
|
HCPCS 27786
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$51,250.00 |
| Rate for Payer: Aetna Commercial |
$374.24
|
| Rate for Payer: Aetna Medicare |
$290.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$374.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.16
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$279.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,764.24
|
| Rate for Payer: BCN Commercial |
$378.53
|
| Rate for Payer: BCN Medicare Advantage |
$279.28
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cofinity Commercial |
$402.16
|
| Rate for Payer: Cofinity Commercial |
$374.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.28
|
| Rate for Payer: Healthscope Commercial |
$516.67
|
| Rate for Payer: Healthscope Commercial |
$446.85
|
| Rate for Payer: Mclaren Medicaid |
$192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.24
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,250.00
|
| Rate for Payer: Nomi Health Commercial |
$335.14
|
| Rate for Payer: PACE SWMI |
$279.28
|
| Rate for Payer: PHP Medicare Advantage |
$279.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$503.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$456.45
|
| Rate for Payer: Priority Health Medicare |
$279.28
|
| Rate for Payer: Priority Health Narrow Network |
$456.45
|
| Rate for Payer: Priority Health SBD |
$456.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$368.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.28
|
| Rate for Payer: UHC Exchange |
$368.97
|
| Rate for Payer: UHC Medicare Advantage |
$279.28
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26755
|
| Min. Negotiated Rate |
$185.95 |
| Max. Negotiated Rate |
$49,464.00 |
| Rate for Payer: Aetna Commercial |
$364.45
|
| Rate for Payer: Aetna Medicare |
$282.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.65
|
| Rate for Payer: BCBS Complete |
$195.25
|
| Rate for Payer: BCBS MAPPO |
$271.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,776.67
|
| Rate for Payer: BCN Commercial |
$482.81
|
| Rate for Payer: BCN Medicare Advantage |
$271.98
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$391.65
|
| Rate for Payer: Cofinity Commercial |
$364.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.98
|
| Rate for Payer: Healthscope Commercial |
$503.16
|
| Rate for Payer: Healthscope Commercial |
$435.17
|
| Rate for Payer: Mclaren Medicaid |
$185.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.58
|
| Rate for Payer: Meridian Medicaid |
$195.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49,464.00
|
| Rate for Payer: Nomi Health Commercial |
$326.38
|
| Rate for Payer: PACE SWMI |
$271.98
|
| Rate for Payer: PHP Medicare Advantage |
$271.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$436.09
|
| Rate for Payer: Priority Health Medicare |
$271.98
|
| Rate for Payer: Priority Health Narrow Network |
$436.09
|
| Rate for Payer: Priority Health SBD |
$436.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$354.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.98
|
| Rate for Payer: UHC Exchange |
$354.18
|
| Rate for Payer: UHC Medicare Advantage |
$271.98
|
| Rate for Payer: UHCCP Medicaid |
$185.95
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26750
|
| Min. Negotiated Rate |
$129.93 |
| Max. Negotiated Rate |
$33,892.00 |
| Rate for Payer: Aetna Commercial |
$251.91
|
| Rate for Payer: Aetna Medicare |
$195.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.71
|
| Rate for Payer: BCBS Complete |
$136.43
|
| Rate for Payer: BCBS MAPPO |
$187.99
|
| Rate for Payer: BCBS Trust/PPO |
$945.13
|
| Rate for Payer: BCN Commercial |
$283.92
|
| Rate for Payer: BCN Medicare Advantage |
$187.99
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$270.71
|
| Rate for Payer: Cofinity Commercial |
$251.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.99
|
| Rate for Payer: Healthscope Commercial |
$347.78
|
| Rate for Payer: Healthscope Commercial |
$300.78
|
| Rate for Payer: Mclaren Medicaid |
$129.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.39
|
| Rate for Payer: Meridian Medicaid |
$136.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,892.00
|
| Rate for Payer: Nomi Health Commercial |
$225.59
|
| Rate for Payer: PACE SWMI |
$187.99
|
| Rate for Payer: PHP Medicare Advantage |
$187.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.32
|
| Rate for Payer: Priority Health Medicare |
$187.99
|
| Rate for Payer: Priority Health Narrow Network |
$305.32
|
| Rate for Payer: Priority Health SBD |
$305.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.99
|
| Rate for Payer: UHC Exchange |
$217.45
|
| Rate for Payer: UHC Medicare Advantage |
$187.99
|
| Rate for Payer: UHCCP Medicaid |
$129.93
|
|
|
PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ
|
Professional
|
Both
|
$754.00
|
|
|
Service Code
|
HCPCS 25600
|
| Min. Negotiated Rate |
$220.03 |
| Max. Negotiated Rate |
$57,566.00 |
| Rate for Payer: Aetna Commercial |
$424.75
|
| Rate for Payer: Aetna Medicare |
$329.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$424.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$456.45
|
| Rate for Payer: BCBS Complete |
$231.03
|
| Rate for Payer: BCBS MAPPO |
$316.98
|
| Rate for Payer: BCBS Trust/PPO |
$579.96
|
| Rate for Payer: BCN Commercial |
$410.33
|
| Rate for Payer: BCN Medicare Advantage |
$316.98
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cofinity Commercial |
$456.45
|
| Rate for Payer: Cofinity Commercial |
$424.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$316.98
|
| Rate for Payer: Healthscope Commercial |
$586.41
|
| Rate for Payer: Healthscope Commercial |
$507.17
|
| Rate for Payer: Mclaren Medicaid |
$220.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$332.83
|
| Rate for Payer: Meridian Medicaid |
$231.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,566.00
|
| Rate for Payer: Nomi Health Commercial |
$380.38
|
| Rate for Payer: PACE SWMI |
$316.98
|
| Rate for Payer: PHP Medicare Advantage |
$316.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$518.03
|
| Rate for Payer: Priority Health Medicare |
$316.98
|
| Rate for Payer: Priority Health Narrow Network |
$518.03
|
| Rate for Payer: Priority Health SBD |
$518.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$313.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$316.98
|
| Rate for Payer: UHC Exchange |
$313.60
|
| Rate for Payer: UHC Medicare Advantage |
$316.98
|
| Rate for Payer: UHCCP Medicaid |
$220.03
|
|
|
PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ
|
Professional
|
Both
|
$1,388.00
|
|
|
Service Code
|
HCPCS 25605
|
| Min. Negotiated Rate |
$101.96 |
| Max. Negotiated Rate |
$91,505.00 |
| Rate for Payer: Aetna Commercial |
$667.56
|
| Rate for Payer: Aetna Medicare |
$518.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.38
|
| Rate for Payer: BCBS Complete |
$356.28
|
| Rate for Payer: BCBS MAPPO |
$498.18
|
| Rate for Payer: BCBS Trust/PPO |
$101.96
|
| Rate for Payer: BCN Commercial |
$808.76
|
| Rate for Payer: BCN Medicare Advantage |
$498.18
|
| Rate for Payer: Cash Price |
$1,110.40
|
| Rate for Payer: Cash Price |
$1,110.40
|
| Rate for Payer: Cofinity Commercial |
$717.38
|
| Rate for Payer: Cofinity Commercial |
$667.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.18
|
| Rate for Payer: Healthscope Commercial |
$921.63
|
| Rate for Payer: Healthscope Commercial |
$797.09
|
| Rate for Payer: Mclaren Medicaid |
$339.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.09
|
| Rate for Payer: Meridian Medicaid |
$356.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91,505.00
|
| Rate for Payer: Nomi Health Commercial |
$597.82
|
| Rate for Payer: PACE SWMI |
$498.18
|
| Rate for Payer: PHP Medicare Advantage |
$498.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$902.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$805.02
|
| Rate for Payer: Priority Health Medicare |
$498.18
|
| Rate for Payer: Priority Health Narrow Network |
$805.02
|
| Rate for Payer: Priority Health SBD |
$805.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$619.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.18
|
| Rate for Payer: UHC Exchange |
$619.95
|
| Rate for Payer: UHC Medicare Advantage |
$498.18
|
| Rate for Payer: UHCCP Medicaid |
$339.31
|
|
|
PR CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING
|
Professional
|
Both
|
$1,047.00
|
|
|
Service Code
|
HCPCS 26432
|
| Min. Negotiated Rate |
$257.28 |
| Max. Negotiated Rate |
$95,443.00 |
| Rate for Payer: Aetna Commercial |
$677.45
|
| Rate for Payer: Aetna Medicare |
$525.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$728.01
|
| Rate for Payer: BCBS Complete |
$369.47
|
| Rate for Payer: BCBS MAPPO |
$505.56
|
| Rate for Payer: BCBS Trust/PPO |
$257.28
|
| Rate for Payer: BCN Commercial |
$812.67
|
| Rate for Payer: BCN Medicare Advantage |
$505.56
|
| Rate for Payer: Cash Price |
$837.60
|
| Rate for Payer: Cash Price |
$837.60
|
| Rate for Payer: Cofinity Commercial |
$728.01
|
| Rate for Payer: Cofinity Commercial |
$677.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$505.56
|
| Rate for Payer: Healthscope Commercial |
$935.29
|
| Rate for Payer: Healthscope Commercial |
$808.90
|
| Rate for Payer: Mclaren Medicaid |
$351.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$530.84
|
| Rate for Payer: Meridian Medicaid |
$369.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95,443.00
|
| Rate for Payer: Nomi Health Commercial |
$606.67
|
| Rate for Payer: PACE SWMI |
$505.56
|
| Rate for Payer: PHP Medicare Advantage |
$505.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$680.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$843.18
|
| Rate for Payer: Priority Health Medicare |
$505.56
|
| Rate for Payer: Priority Health Narrow Network |
$843.18
|
| Rate for Payer: Priority Health SBD |
$843.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$505.56
|
| Rate for Payer: UHC Exchange |
$674.33
|
| Rate for Payer: UHC Medicare Advantage |
$505.56
|
| Rate for Payer: UHCCP Medicaid |
$351.88
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ
|
Professional
|
Both
|
$1,417.00
|
|
|
Service Code
|
HCPCS 27510
|
| Min. Negotiated Rate |
$444.11 |
| Max. Negotiated Rate |
$121,662.00 |
| Rate for Payer: Aetna Commercial |
$884.04
|
| Rate for Payer: Aetna Medicare |
$686.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$884.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$950.01
|
| Rate for Payer: BCBS Complete |
$466.32
|
| Rate for Payer: BCBS MAPPO |
$659.73
|
| Rate for Payer: BCBS Trust/PPO |
$768.68
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: BCN Medicare Advantage |
$659.73
|
| Rate for Payer: Cash Price |
$1,133.60
|
| Rate for Payer: Cash Price |
$1,133.60
|
| Rate for Payer: Cofinity Commercial |
$950.01
|
| Rate for Payer: Cofinity Commercial |
$884.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$659.73
|
| Rate for Payer: Healthscope Commercial |
$1,220.50
|
| Rate for Payer: Healthscope Commercial |
$1,055.57
|
| Rate for Payer: Mclaren Medicaid |
$444.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$692.72
|
| Rate for Payer: Meridian Medicaid |
$466.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121,662.00
|
| Rate for Payer: Nomi Health Commercial |
$791.68
|
| Rate for Payer: PACE SWMI |
$659.73
|
| Rate for Payer: PHP Medicare Advantage |
$659.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,056.40
|
| Rate for Payer: Priority Health Medicare |
$659.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,056.40
|
| Rate for Payer: Priority Health SBD |
$1,056.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$775.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$659.73
|
| Rate for Payer: UHC Exchange |
$775.31
|
| Rate for Payer: UHC Medicare Advantage |
$659.73
|
| Rate for Payer: UHCCP Medicaid |
$444.11
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ
|
Professional
|
Both
|
$1,100.00
|
|
|
Service Code
|
HCPCS 27508
|
| Min. Negotiated Rate |
$329.51 |
| Max. Negotiated Rate |
$88,769.00 |
| Rate for Payer: Aetna Commercial |
$648.98
|
| Rate for Payer: Aetna Medicare |
$503.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$648.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$697.41
|
| Rate for Payer: BCBS Complete |
$345.99
|
| Rate for Payer: BCBS MAPPO |
$484.31
|
| Rate for Payer: BCBS Trust/PPO |
$738.04
|
| Rate for Payer: BCN Commercial |
$781.39
|
| Rate for Payer: BCN Medicare Advantage |
$484.31
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cofinity Commercial |
$697.41
|
| Rate for Payer: Cofinity Commercial |
$648.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.31
|
| Rate for Payer: Healthscope Commercial |
$895.97
|
| Rate for Payer: Healthscope Commercial |
$774.90
|
| Rate for Payer: Mclaren Medicaid |
$329.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.53
|
| Rate for Payer: Meridian Medicaid |
$345.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88,769.00
|
| Rate for Payer: Nomi Health Commercial |
$581.17
|
| Rate for Payer: PACE SWMI |
$484.31
|
| Rate for Payer: PHP Medicare Advantage |
$484.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$715.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$780.09
|
| Rate for Payer: Priority Health Medicare |
$484.31
|
| Rate for Payer: Priority Health Narrow Network |
$780.09
|
| Rate for Payer: Priority Health SBD |
$780.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$547.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.31
|
| Rate for Payer: UHC Exchange |
$547.04
|
| Rate for Payer: UHC Medicare Advantage |
$484.31
|
| Rate for Payer: UHCCP Medicaid |
$329.51
|
|
|
PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 27232
|
| Min. Negotiated Rate |
$473.50 |
| Max. Negotiated Rate |
$129,922.00 |
| Rate for Payer: Aetna Commercial |
$950.37
|
| Rate for Payer: Aetna Medicare |
$737.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,021.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$950.37
|
| Rate for Payer: BCBS Complete |
$497.18
|
| Rate for Payer: BCBS MAPPO |
$709.23
|
| Rate for Payer: BCBS Trust/PPO |
$835.77
|
| Rate for Payer: BCN Commercial |
$1,065.80
|
| Rate for Payer: BCN Medicare Advantage |
$709.23
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cofinity Commercial |
$950.37
|
| Rate for Payer: Cofinity Commercial |
$1,021.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.23
|
| Rate for Payer: Healthscope Commercial |
$1,312.08
|
| Rate for Payer: Healthscope Commercial |
$1,134.77
|
| Rate for Payer: Mclaren Medicaid |
$473.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.69
|
| Rate for Payer: Meridian Medicaid |
$497.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129,922.00
|
| Rate for Payer: Nomi Health Commercial |
$851.08
|
| Rate for Payer: PACE SWMI |
$709.23
|
| Rate for Payer: PHP Medicare Advantage |
$709.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,117.45
|
| Rate for Payer: Priority Health Medicare |
$709.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,117.45
|
| Rate for Payer: Priority Health SBD |
$1,117.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$922.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$709.23
|
| Rate for Payer: UHC Exchange |
$922.98
|
| Rate for Payer: UHC Medicare Advantage |
$709.23
|
| Rate for Payer: UHCCP Medicaid |
$473.50
|
|
|
PR CLTX FEM FX PROX END NCK W/O MANJ
|
Professional
|
Both
|
$999.00
|
|
|
Service Code
|
HCPCS 27230
|
| Min. Negotiated Rate |
$315.67 |
| Max. Negotiated Rate |
$84,996.00 |
| Rate for Payer: Aetna Commercial |
$620.89
|
| Rate for Payer: Aetna Medicare |
$481.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.22
|
| Rate for Payer: BCBS Complete |
$331.45
|
| Rate for Payer: BCBS MAPPO |
$463.35
|
| Rate for Payer: BCBS Trust/PPO |
$806.71
|
| Rate for Payer: BCN Commercial |
$723.73
|
| Rate for Payer: BCN Medicare Advantage |
$463.35
|
| Rate for Payer: Cash Price |
$799.20
|
| Rate for Payer: Cash Price |
$799.20
|
| Rate for Payer: Cofinity Commercial |
$667.22
|
| Rate for Payer: Cofinity Commercial |
$620.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$463.35
|
| Rate for Payer: Healthscope Commercial |
$857.20
|
| Rate for Payer: Healthscope Commercial |
$741.36
|
| Rate for Payer: Mclaren Medicaid |
$315.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.52
|
| Rate for Payer: Meridian Medicaid |
$331.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84,996.00
|
| Rate for Payer: Nomi Health Commercial |
$556.02
|
| Rate for Payer: PACE SWMI |
$463.35
|
| Rate for Payer: PHP Medicare Advantage |
$463.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$749.54
|
| Rate for Payer: Priority Health Medicare |
$463.35
|
| Rate for Payer: Priority Health Narrow Network |
$749.54
|
| Rate for Payer: Priority Health SBD |
$749.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$551.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$463.35
|
| Rate for Payer: UHC Exchange |
$551.50
|
| Rate for Payer: UHC Medicare Advantage |
$463.35
|
| Rate for Payer: UHCCP Medicaid |
$315.67
|
|
|
PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ
|
Professional
|
Both
|
$1,832.00
|
|
|
Service Code
|
HCPCS 27502
|
| Min. Negotiated Rate |
$490.54 |
| Max. Negotiated Rate |
$134,890.00 |
| Rate for Payer: Aetna Commercial |
$979.66
|
| Rate for Payer: Aetna Medicare |
$760.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$979.66
|
| Rate for Payer: BCBS Complete |
$515.07
|
| Rate for Payer: BCBS MAPPO |
$731.09
|
| Rate for Payer: BCBS Trust/PPO |
$878.56
|
| Rate for Payer: BCN Commercial |
$1,111.74
|
| Rate for Payer: BCN Medicare Advantage |
$731.09
|
| Rate for Payer: Cash Price |
$1,465.60
|
| Rate for Payer: Cash Price |
$1,465.60
|
| Rate for Payer: Cofinity Commercial |
$979.66
|
| Rate for Payer: Cofinity Commercial |
$1,052.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.09
|
| Rate for Payer: Healthscope Commercial |
$1,352.52
|
| Rate for Payer: Healthscope Commercial |
$1,169.74
|
| Rate for Payer: Mclaren Medicaid |
$490.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$767.64
|
| Rate for Payer: Meridian Medicaid |
$515.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134,890.00
|
| Rate for Payer: Nomi Health Commercial |
$877.31
|
| Rate for Payer: PACE SWMI |
$731.09
|
| Rate for Payer: PHP Medicare Advantage |
$731.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,162.75
|
| Rate for Payer: Priority Health Medicare |
$731.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,162.75
|
| Rate for Payer: Priority Health SBD |
$1,162.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$979.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.09
|
| Rate for Payer: UHC Exchange |
$979.32
|
| Rate for Payer: UHC Medicare Advantage |
$731.09
|
| Rate for Payer: UHCCP Medicaid |
$490.54
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/MANJ
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 28495
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$26,109.00 |
| Rate for Payer: Aetna Commercial |
$194.11
|
| Rate for Payer: Aetna Medicare |
$150.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.60
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$144.86
|
| Rate for Payer: BCBS Trust/PPO |
$413.04
|
| Rate for Payer: BCN Commercial |
$263.88
|
| Rate for Payer: BCN Medicare Advantage |
$144.86
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$208.60
|
| Rate for Payer: Cofinity Commercial |
$194.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.86
|
| Rate for Payer: Healthscope Commercial |
$267.99
|
| Rate for Payer: Healthscope Commercial |
$231.78
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.10
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26,109.00
|
| Rate for Payer: Nomi Health Commercial |
$173.83
|
| Rate for Payer: PACE SWMI |
$144.86
|
| Rate for Payer: PHP Medicare Advantage |
$144.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.10
|
| Rate for Payer: Priority Health Medicare |
$144.86
|
| Rate for Payer: Priority Health Narrow Network |
$235.10
|
| Rate for Payer: Priority Health SBD |
$235.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$183.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.86
|
| Rate for Payer: UHC Exchange |
$183.03
|
| Rate for Payer: UHC Medicare Advantage |
$144.86
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ
|
Professional
|
Both
|
$303.00
|
|
|
Service Code
|
HCPCS 28490
|
| Min. Negotiated Rate |
$83.71 |
| Max. Negotiated Rate |
$21,922.00 |
| Rate for Payer: Aetna Commercial |
$161.51
|
| Rate for Payer: Aetna Medicare |
$125.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.56
|
| Rate for Payer: BCBS Complete |
$87.90
|
| Rate for Payer: BCBS MAPPO |
$120.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,548.98
|
| Rate for Payer: BCN Commercial |
$210.62
|
| Rate for Payer: BCN Medicare Advantage |
$120.53
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Cofinity Commercial |
$173.56
|
| Rate for Payer: Cofinity Commercial |
$161.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.53
|
| Rate for Payer: Healthscope Commercial |
$222.98
|
| Rate for Payer: Healthscope Commercial |
$192.85
|
| Rate for Payer: Mclaren Medicaid |
$83.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$126.56
|
| Rate for Payer: Meridian Medicaid |
$87.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,922.00
|
| Rate for Payer: Nomi Health Commercial |
$144.64
|
| Rate for Payer: PACE SWMI |
$120.53
|
| Rate for Payer: PHP Medicare Advantage |
$120.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.93
|
| Rate for Payer: Priority Health Medicare |
$120.53
|
| Rate for Payer: Priority Health Narrow Network |
$196.93
|
| Rate for Payer: Priority Health SBD |
$196.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.53
|
| Rate for Payer: UHC Exchange |
$168.10
|
| Rate for Payer: UHC Medicare Advantage |
$120.53
|
| Rate for Payer: UHCCP Medicaid |
$83.71
|
|
