|
PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26607
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$90,223.00 |
| Rate for Payer: Aetna Commercial |
$649.56
|
| Rate for Payer: Aetna Medicare |
$504.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.04
|
| Rate for Payer: BCBS Complete |
$348.67
|
| Rate for Payer: BCBS MAPPO |
$484.75
|
| Rate for Payer: BCBS Trust/PPO |
$49.24
|
| Rate for Payer: BCN Commercial |
$757.45
|
| Rate for Payer: BCN Medicare Advantage |
$484.75
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$698.04
|
| Rate for Payer: Cofinity Commercial |
$649.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.75
|
| Rate for Payer: Healthscope Commercial |
$896.79
|
| Rate for Payer: Healthscope Commercial |
$775.60
|
| Rate for Payer: Mclaren Medicaid |
$332.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.99
|
| Rate for Payer: Meridian Medicaid |
$348.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90,223.00
|
| Rate for Payer: Nomi Health Commercial |
$581.70
|
| Rate for Payer: PACE SWMI |
$484.75
|
| Rate for Payer: PHP Medicare Advantage |
$484.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$792.81
|
| Rate for Payer: Priority Health Medicare |
$484.75
|
| Rate for Payer: Priority Health Narrow Network |
$792.81
|
| Rate for Payer: Priority Health SBD |
$792.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$560.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.75
|
| Rate for Payer: UHC Exchange |
$560.68
|
| Rate for Payer: UHC Medicare Advantage |
$484.75
|
| Rate for Payer: UHCCP Medicaid |
$332.07
|
|
|
PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26600
|
| Min. Negotiated Rate |
$103.55 |
| Max. Negotiated Rate |
$51,026.00 |
| Rate for Payer: Aetna Commercial |
$377.01
|
| Rate for Payer: Aetna Medicare |
$292.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$405.14
|
| Rate for Payer: BCBS Complete |
$204.64
|
| Rate for Payer: BCBS MAPPO |
$281.35
|
| Rate for Payer: BCBS Trust/PPO |
$103.55
|
| Rate for Payer: BCN Commercial |
$364.78
|
| Rate for Payer: BCN Medicare Advantage |
$281.35
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$405.14
|
| Rate for Payer: Cofinity Commercial |
$377.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.35
|
| Rate for Payer: Healthscope Commercial |
$520.50
|
| Rate for Payer: Healthscope Commercial |
$450.16
|
| Rate for Payer: Mclaren Medicaid |
$194.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$295.42
|
| Rate for Payer: Meridian Medicaid |
$204.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,026.00
|
| Rate for Payer: Nomi Health Commercial |
$337.62
|
| Rate for Payer: PACE SWMI |
$281.35
|
| Rate for Payer: PHP Medicare Advantage |
$281.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$458.99
|
| Rate for Payer: Priority Health Medicare |
$281.35
|
| Rate for Payer: Priority Health Narrow Network |
$458.99
|
| Rate for Payer: Priority Health SBD |
$458.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.35
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Medicare Advantage |
$281.35
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 26705
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$70,844.00 |
| Rate for Payer: Aetna Commercial |
$519.29
|
| Rate for Payer: Aetna Medicare |
$403.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.04
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$387.53
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$657.27
|
| Rate for Payer: BCN Medicare Advantage |
$387.53
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$558.04
|
| Rate for Payer: Cofinity Commercial |
$519.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.53
|
| Rate for Payer: Healthscope Commercial |
$716.93
|
| Rate for Payer: Healthscope Commercial |
$620.05
|
| Rate for Payer: Mclaren Medicaid |
$265.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.91
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70,844.00
|
| Rate for Payer: Nomi Health Commercial |
$465.04
|
| Rate for Payer: PACE SWMI |
$387.53
|
| Rate for Payer: PHP Medicare Advantage |
$387.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$628.44
|
| Rate for Payer: Priority Health Medicare |
$387.53
|
| Rate for Payer: Priority Health Narrow Network |
$628.44
|
| Rate for Payer: Priority Health SBD |
$628.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$430.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.53
|
| Rate for Payer: UHC Exchange |
$430.16
|
| Rate for Payer: UHC Medicare Advantage |
$387.53
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26700
|
| Min. Negotiated Rate |
$64.45 |
| Max. Negotiated Rate |
$56,401.00 |
| Rate for Payer: Aetna Commercial |
$415.12
|
| Rate for Payer: Aetna Medicare |
$322.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.10
|
| Rate for Payer: BCBS Complete |
$221.86
|
| Rate for Payer: BCBS MAPPO |
$309.79
|
| Rate for Payer: BCBS Trust/PPO |
$64.45
|
| Rate for Payer: BCN Commercial |
$512.14
|
| Rate for Payer: BCN Medicare Advantage |
$309.79
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$446.10
|
| Rate for Payer: Cofinity Commercial |
$415.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.79
|
| Rate for Payer: Healthscope Commercial |
$573.11
|
| Rate for Payer: Healthscope Commercial |
$495.66
|
| Rate for Payer: Mclaren Medicaid |
$211.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.28
|
| Rate for Payer: Meridian Medicaid |
$221.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,401.00
|
| Rate for Payer: Nomi Health Commercial |
$371.75
|
| Rate for Payer: PACE SWMI |
$309.79
|
| Rate for Payer: PHP Medicare Advantage |
$309.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$309.79
|
| 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) |
$352.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.79
|
| Rate for Payer: UHC Exchange |
$352.52
|
| Rate for Payer: UHC Medicare Advantage |
$309.79
|
| Rate for Payer: UHCCP Medicaid |
$211.30
|
|
|
PR CLTX METAR FX W/MANJ
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 28475
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$40,217.00 |
| Rate for Payer: Aetna Commercial |
$297.86
|
| Rate for Payer: Aetna Medicare |
$231.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.08
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$222.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.88
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: BCN Medicare Advantage |
$222.28
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cofinity Commercial |
$320.08
|
| Rate for Payer: Cofinity Commercial |
$297.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.28
|
| Rate for Payer: Healthscope Commercial |
$411.22
|
| Rate for Payer: Healthscope Commercial |
$355.65
|
| Rate for Payer: Mclaren Medicaid |
$152.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.39
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,217.00
|
| Rate for Payer: Nomi Health Commercial |
$266.74
|
| Rate for Payer: PACE SWMI |
$222.28
|
| Rate for Payer: PHP Medicare Advantage |
$222.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$360.28
|
| Rate for Payer: Priority Health Medicare |
$222.28
|
| Rate for Payer: Priority Health Narrow Network |
$360.28
|
| Rate for Payer: Priority Health SBD |
$360.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.28
|
| Rate for Payer: UHC Exchange |
$365.60
|
| Rate for Payer: UHC Medicare Advantage |
$222.28
|
| Rate for Payer: UHCCP Medicaid |
$152.08
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC REQ ANES
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 28635
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$23,634.00 |
| Rate for Payer: Aetna Commercial |
$167.89
|
| Rate for Payer: Aetna Medicare |
$130.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.42
|
| Rate for Payer: BCBS Complete |
$89.46
|
| Rate for Payer: BCBS MAPPO |
$125.29
|
| Rate for Payer: BCBS Trust/PPO |
$342.34
|
| Rate for Payer: BCN Commercial |
$258.51
|
| Rate for Payer: BCN Medicare Advantage |
$125.29
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$180.42
|
| Rate for Payer: Cofinity Commercial |
$167.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.29
|
| Rate for Payer: Healthscope Commercial |
$231.79
|
| Rate for Payer: Healthscope Commercial |
$200.46
|
| Rate for Payer: Mclaren Medicaid |
$85.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.55
|
| Rate for Payer: Meridian Medicaid |
$89.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,634.00
|
| Rate for Payer: Nomi Health Commercial |
$150.35
|
| Rate for Payer: PACE SWMI |
$125.29
|
| Rate for Payer: PHP Medicare Advantage |
$125.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$202.02
|
| Rate for Payer: Priority Health Medicare |
$125.29
|
| Rate for Payer: Priority Health Narrow Network |
$202.02
|
| Rate for Payer: Priority Health SBD |
$202.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.29
|
| Rate for Payer: UHC Exchange |
$184.05
|
| Rate for Payer: UHC Medicare Advantage |
$125.29
|
| Rate for Payer: UHCCP Medicaid |
$85.20
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$19,660.00 |
| Rate for Payer: Aetna Commercial |
$144.08
|
| Rate for Payer: Aetna Medicare |
$111.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.83
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$107.52
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: BCN Medicare Advantage |
$107.52
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$154.83
|
| Rate for Payer: Cofinity Commercial |
$144.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.52
|
| Rate for Payer: Healthscope Commercial |
$198.91
|
| Rate for Payer: Healthscope Commercial |
$172.03
|
| Rate for Payer: Mclaren Medicaid |
$72.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.90
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,660.00
|
| Rate for Payer: Nomi Health Commercial |
$129.02
|
| Rate for Payer: PACE SWMI |
$107.52
|
| Rate for Payer: PHP Medicare Advantage |
$107.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.49
|
| Rate for Payer: Priority Health Medicare |
$107.52
|
| Rate for Payer: Priority Health Narrow Network |
$171.49
|
| Rate for Payer: Priority Health SBD |
$171.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.52
|
| Rate for Payer: UHC Exchange |
$163.92
|
| Rate for Payer: UHC Medicare Advantage |
$107.52
|
| Rate for Payer: UHCCP Medicaid |
$72.42
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$54,632.00 |
| Rate for Payer: Aetna Commercial |
$401.29
|
| Rate for Payer: Aetna Medicare |
$311.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.24
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS MAPPO |
$299.47
|
| Rate for Payer: BCBS Trust/PPO |
$830.49
|
| Rate for Payer: BCN Commercial |
$515.07
|
| Rate for Payer: BCN Medicare Advantage |
$299.47
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$431.24
|
| Rate for Payer: Cofinity Commercial |
$401.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.47
|
| Rate for Payer: Healthscope Commercial |
$554.02
|
| Rate for Payer: Healthscope Commercial |
$479.15
|
| Rate for Payer: Mclaren Medicaid |
$205.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.44
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,632.00
|
| Rate for Payer: Nomi Health Commercial |
$359.36
|
| Rate for Payer: PACE SWMI |
$299.47
|
| Rate for Payer: PHP Medicare Advantage |
$299.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.94
|
| Rate for Payer: Priority Health Medicare |
$299.47
|
| Rate for Payer: Priority Health Narrow Network |
$484.94
|
| Rate for Payer: Priority Health SBD |
$484.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$299.47
|
| Rate for Payer: UHC Exchange |
$393.40
|
| Rate for Payer: UHC Medicare Advantage |
$299.47
|
| Rate for Payer: UHCCP Medicaid |
$205.12
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$128.87 |
| Max. Negotiated Rate |
$33,694.00 |
| Rate for Payer: Aetna Commercial |
$249.66
|
| Rate for Payer: Aetna Medicare |
$193.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.29
|
| Rate for Payer: BCBS Complete |
$135.31
|
| Rate for Payer: BCBS MAPPO |
$186.31
|
| Rate for Payer: BCBS Trust/PPO |
$909.78
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$186.31
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$268.29
|
| Rate for Payer: Cofinity Commercial |
$249.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.31
|
| Rate for Payer: Healthscope Commercial |
$344.67
|
| Rate for Payer: Healthscope Commercial |
$298.10
|
| Rate for Payer: Mclaren Medicaid |
$128.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.63
|
| Rate for Payer: Meridian Medicaid |
$135.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,694.00
|
| Rate for Payer: Nomi Health Commercial |
$223.57
|
| Rate for Payer: PACE SWMI |
$186.31
|
| Rate for Payer: PHP Medicare Advantage |
$186.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.80
|
| Rate for Payer: Priority Health Medicare |
$186.31
|
| Rate for Payer: Priority Health Narrow Network |
$303.80
|
| Rate for Payer: Priority Health SBD |
$303.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.31
|
| Rate for Payer: UHC Exchange |
$229.15
|
| Rate for Payer: UHC Medicare Advantage |
$186.31
|
| Rate for Payer: UHCCP Medicaid |
$128.87
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$103,973.00 |
| Rate for Payer: Aetna Commercial |
$753.47
|
| Rate for Payer: Aetna Medicare |
$584.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$809.70
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$562.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,076.82
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: BCN Medicare Advantage |
$562.29
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$809.70
|
| Rate for Payer: Cofinity Commercial |
$753.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.29
|
| Rate for Payer: Healthscope Commercial |
$899.66
|
| Rate for Payer: Healthscope Commercial |
$1,040.24
|
| Rate for Payer: Mclaren Medicaid |
$380.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$590.40
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103,973.00
|
| Rate for Payer: Nomi Health Commercial |
$674.75
|
| Rate for Payer: PACE SWMI |
$562.29
|
| Rate for Payer: PHP Medicare Advantage |
$562.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$905.26
|
| Rate for Payer: Priority Health Medicare |
$562.29
|
| Rate for Payer: Priority Health Narrow Network |
$905.26
|
| Rate for Payer: Priority Health SBD |
$905.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.29
|
| Rate for Payer: UHC Exchange |
$660.15
|
| Rate for Payer: UHC Medicare Advantage |
$562.29
|
| Rate for Payer: UHCCP Medicaid |
$380.63
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$277.11 |
| Max. Negotiated Rate |
$74,317.00 |
| Rate for Payer: Aetna Commercial |
$546.43
|
| Rate for Payer: Aetna Medicare |
$424.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.20
|
| Rate for Payer: BCBS Complete |
$290.97
|
| Rate for Payer: BCBS MAPPO |
$407.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,859.69
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$407.78
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cofinity Commercial |
$587.20
|
| Rate for Payer: Cofinity Commercial |
$546.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.78
|
| Rate for Payer: Healthscope Commercial |
$754.39
|
| Rate for Payer: Healthscope Commercial |
$652.45
|
| Rate for Payer: Mclaren Medicaid |
$277.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Medicaid |
$290.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,317.00
|
| Rate for Payer: Nomi Health Commercial |
$489.34
|
| Rate for Payer: PACE SWMI |
$407.78
|
| Rate for Payer: PHP Medicare Advantage |
$407.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.43
|
| Rate for Payer: Priority Health Medicare |
$407.78
|
| Rate for Payer: Priority Health Narrow Network |
$656.43
|
| Rate for Payer: Priority Health SBD |
$656.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$464.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.78
|
| Rate for Payer: UHC Exchange |
$464.74
|
| Rate for Payer: UHC Medicare Advantage |
$407.78
|
| Rate for Payer: UHCCP Medicaid |
$277.11
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,212.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$269.23 |
| Max. Negotiated Rate |
$72,034.00 |
| Rate for Payer: Aetna Commercial |
$526.93
|
| Rate for Payer: Aetna Medicare |
$408.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$526.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.25
|
| Rate for Payer: BCBS Complete |
$282.69
|
| Rate for Payer: BCBS MAPPO |
$393.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.34
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$393.23
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cofinity Commercial |
$566.25
|
| Rate for Payer: Cofinity Commercial |
$526.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.23
|
| Rate for Payer: Healthscope Commercial |
$727.48
|
| Rate for Payer: Healthscope Commercial |
$629.17
|
| Rate for Payer: Mclaren Medicaid |
$269.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$412.89
|
| Rate for Payer: Meridian Medicaid |
$282.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,034.00
|
| Rate for Payer: Nomi Health Commercial |
$471.88
|
| Rate for Payer: PACE SWMI |
$393.23
|
| Rate for Payer: PHP Medicare Advantage |
$393.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.12
|
| Rate for Payer: Priority Health Medicare |
$393.23
|
| Rate for Payer: Priority Health Narrow Network |
$638.12
|
| Rate for Payer: Priority Health SBD |
$638.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.23
|
| Rate for Payer: UHC Exchange |
$456.14
|
| Rate for Payer: UHC Medicare Advantage |
$393.23
|
| Rate for Payer: UHCCP Medicaid |
$269.23
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$50,814.00 |
| Rate for Payer: Aetna Commercial |
$373.73
|
| Rate for Payer: Aetna Medicare |
$290.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$373.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.62
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$278.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.11
|
| Rate for Payer: BCN Commercial |
$465.71
|
| Rate for Payer: BCN Medicare Advantage |
$278.90
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$401.62
|
| Rate for Payer: Cofinity Commercial |
$373.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.90
|
| Rate for Payer: Healthscope Commercial |
$515.96
|
| Rate for Payer: Healthscope Commercial |
$446.24
|
| Rate for Payer: Mclaren Medicaid |
$192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.84
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50,814.00
|
| Rate for Payer: Nomi Health Commercial |
$334.68
|
| Rate for Payer: PACE SWMI |
$278.90
|
| Rate for Payer: PHP Medicare Advantage |
$278.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.90
|
| Rate for Payer: Priority Health Medicare |
$278.90
|
| Rate for Payer: Priority Health Narrow Network |
$453.90
|
| Rate for Payer: Priority Health SBD |
$453.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.90
|
| Rate for Payer: UHC Exchange |
$328.42
|
| Rate for Payer: UHC Medicare Advantage |
$278.90
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
|
|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$76,392.00 |
| Rate for Payer: Aetna Commercial |
$558.36
|
| Rate for Payer: Aetna Medicare |
$433.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.03
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$416.69
|
| Rate for Payer: BCBS Trust/PPO |
$303.24
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$416.69
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$600.03
|
| Rate for Payer: Cofinity Commercial |
$558.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.69
|
| Rate for Payer: Healthscope Commercial |
$770.88
|
| Rate for Payer: Healthscope Commercial |
$666.70
|
| Rate for Payer: Mclaren Medicaid |
$284.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.52
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76,392.00
|
| Rate for Payer: Nomi Health Commercial |
$500.03
|
| Rate for Payer: PACE SWMI |
$416.69
|
| Rate for Payer: PHP Medicare Advantage |
$416.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.75
|
| Rate for Payer: Priority Health Medicare |
$416.69
|
| Rate for Payer: Priority Health Narrow Network |
$674.75
|
| Rate for Payer: Priority Health SBD |
$674.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$551.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.69
|
| Rate for Payer: UHC Exchange |
$551.87
|
| Rate for Payer: UHC Medicare Advantage |
$416.69
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$203.34 |
| Max. Negotiated Rate |
$56,281.00 |
| Rate for Payer: Aetna Commercial |
$414.84
|
| Rate for Payer: Aetna Medicare |
$321.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.80
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$309.58
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Commercial |
$403.26
|
| Rate for Payer: BCN Medicare Advantage |
$309.58
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$445.80
|
| Rate for Payer: Cofinity Commercial |
$414.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.58
|
| Rate for Payer: Healthscope Commercial |
$572.72
|
| Rate for Payer: Healthscope Commercial |
$495.33
|
| Rate for Payer: Mclaren Medicaid |
$213.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.06
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,281.00
|
| Rate for Payer: Nomi Health Commercial |
$371.50
|
| Rate for Payer: PACE SWMI |
$309.58
|
| Rate for Payer: PHP Medicare Advantage |
$309.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$510.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$504.28
|
| Rate for Payer: Priority Health Medicare |
$309.58
|
| Rate for Payer: Priority Health Narrow Network |
$504.28
|
| Rate for Payer: Priority Health SBD |
$504.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.58
|
| Rate for Payer: UHC Exchange |
$361.34
|
| Rate for Payer: UHC Medicare Advantage |
$309.58
|
| Rate for Payer: UHCCP Medicaid |
$213.85
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$133.15 |
| Max. Negotiated Rate |
$72,817.00 |
| Rate for Payer: Aetna Commercial |
$534.69
|
| Rate for Payer: Aetna Medicare |
$414.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.59
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS MAPPO |
$399.02
|
| Rate for Payer: BCBS Trust/PPO |
$133.15
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$399.02
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$574.59
|
| Rate for Payer: Cofinity Commercial |
$534.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.02
|
| Rate for Payer: Healthscope Commercial |
$738.19
|
| Rate for Payer: Healthscope Commercial |
$638.43
|
| Rate for Payer: Mclaren Medicaid |
$272.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.97
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,817.00
|
| Rate for Payer: Nomi Health Commercial |
$478.82
|
| Rate for Payer: PACE SWMI |
$399.02
|
| Rate for Payer: PHP Medicare Advantage |
$399.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.71
|
| Rate for Payer: Priority Health Medicare |
$399.02
|
| Rate for Payer: Priority Health Narrow Network |
$643.71
|
| Rate for Payer: Priority Health SBD |
$643.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.02
|
| Rate for Payer: UHC Exchange |
$416.90
|
| Rate for Payer: UHC Medicare Advantage |
$399.02
|
| Rate for Payer: UHCCP Medicaid |
$272.64
|
|
|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MNPJ
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$79,949.00 |
| Rate for Payer: Aetna Commercial |
$586.88
|
| Rate for Payer: Aetna Medicare |
$455.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$630.68
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$437.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,828.45
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$437.97
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cofinity Commercial |
$630.68
|
| Rate for Payer: Cofinity Commercial |
$586.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$437.97
|
| Rate for Payer: Healthscope Commercial |
$810.24
|
| Rate for Payer: Healthscope Commercial |
$700.75
|
| Rate for Payer: Mclaren Medicaid |
$299.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.87
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79,949.00
|
| Rate for Payer: Nomi Health Commercial |
$525.56
|
| Rate for Payer: PACE SWMI |
$437.97
|
| Rate for Payer: PHP Medicare Advantage |
$437.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$708.84
|
| Rate for Payer: Priority Health Medicare |
$437.97
|
| Rate for Payer: Priority Health Narrow Network |
$708.84
|
| Rate for Payer: Priority Health SBD |
$708.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$437.97
|
| Rate for Payer: UHC Exchange |
$421.99
|
| Rate for Payer: UHC Medicare Advantage |
$437.97
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$50.91 |
| Max. Negotiated Rate |
$14,060.00 |
| Rate for Payer: Aetna Commercial |
$100.10
|
| Rate for Payer: Aetna Medicare |
$77.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.57
|
| Rate for Payer: BCBS Complete |
$53.46
|
| Rate for Payer: BCBS MAPPO |
$74.70
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$74.70
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$107.57
|
| Rate for Payer: Cofinity Commercial |
$100.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.70
|
| Rate for Payer: Healthscope Commercial |
$138.20
|
| Rate for Payer: Healthscope Commercial |
$119.52
|
| Rate for Payer: Mclaren Medicaid |
$50.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.44
|
| Rate for Payer: Meridian Medicaid |
$53.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,060.00
|
| Rate for Payer: Nomi Health Commercial |
$89.64
|
| Rate for Payer: PACE SWMI |
$74.70
|
| Rate for Payer: PHP Medicare Advantage |
$74.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123.15
|
| Rate for Payer: Priority Health Medicare |
$74.70
|
| Rate for Payer: Priority Health Narrow Network |
$123.15
|
| Rate for Payer: Priority Health SBD |
$123.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.70
|
| Rate for Payer: UHC Exchange |
$182.86
|
| Rate for Payer: UHC Medicare Advantage |
$74.70
|
| Rate for Payer: UHCCP Medicaid |
$50.91
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$362.53 |
| Max. Negotiated Rate |
$97,135.00 |
| Rate for Payer: Aetna Commercial |
$712.36
|
| Rate for Payer: Aetna Medicare |
$552.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.52
|
| Rate for Payer: BCBS Complete |
$380.66
|
| Rate for Payer: BCBS MAPPO |
$531.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,412.15
|
| Rate for Payer: BCN Commercial |
$862.03
|
| Rate for Payer: BCN Medicare Advantage |
$531.61
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$765.52
|
| Rate for Payer: Cofinity Commercial |
$712.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.61
|
| Rate for Payer: Healthscope Commercial |
$983.48
|
| Rate for Payer: Healthscope Commercial |
$850.58
|
| Rate for Payer: Mclaren Medicaid |
$362.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.19
|
| Rate for Payer: Meridian Medicaid |
$380.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97,135.00
|
| Rate for Payer: Nomi Health Commercial |
$637.93
|
| Rate for Payer: PACE SWMI |
$531.61
|
| Rate for Payer: PHP Medicare Advantage |
$531.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$856.92
|
| Rate for Payer: Priority Health Medicare |
$531.61
|
| Rate for Payer: Priority Health Narrow Network |
$856.92
|
| Rate for Payer: Priority Health SBD |
$856.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$618.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.61
|
| Rate for Payer: UHC Exchange |
$618.33
|
| Rate for Payer: UHC Medicare Advantage |
$531.61
|
| Rate for Payer: UHCCP Medicaid |
$362.53
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$67,712.00 |
| Rate for Payer: Aetna Commercial |
$497.94
|
| Rate for Payer: Aetna Medicare |
$386.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.10
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$371.60
|
| Rate for Payer: BCBS Trust/PPO |
$192.30
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$371.60
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$535.10
|
| Rate for Payer: Cofinity Commercial |
$497.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.60
|
| Rate for Payer: Healthscope Commercial |
$687.46
|
| Rate for Payer: Healthscope Commercial |
$594.56
|
| Rate for Payer: Mclaren Medicaid |
$254.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.18
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67,712.00
|
| Rate for Payer: Nomi Health Commercial |
$445.92
|
| Rate for Payer: PACE SWMI |
$371.60
|
| Rate for Payer: PHP Medicare Advantage |
$371.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$601.48
|
| Rate for Payer: Priority Health Medicare |
$371.60
|
| Rate for Payer: Priority Health Narrow Network |
$601.48
|
| Rate for Payer: Priority Health SBD |
$601.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$424.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.60
|
| Rate for Payer: UHC Exchange |
$424.75
|
| Rate for Payer: UHC Medicare Advantage |
$371.60
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$159.61 |
| Max. Negotiated Rate |
$71,350.00 |
| Rate for Payer: Aetna Commercial |
$524.72
|
| Rate for Payer: Aetna Medicare |
$407.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.88
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: BCBS MAPPO |
$391.58
|
| Rate for Payer: BCBS Trust/PPO |
$159.61
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$391.58
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cofinity Commercial |
$563.88
|
| Rate for Payer: Cofinity Commercial |
$524.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.58
|
| Rate for Payer: Healthscope Commercial |
$724.42
|
| Rate for Payer: Healthscope Commercial |
$626.53
|
| Rate for Payer: Mclaren Medicaid |
$267.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.16
|
| Rate for Payer: Meridian Medicaid |
$280.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,350.00
|
| Rate for Payer: Nomi Health Commercial |
$469.90
|
| Rate for Payer: PACE SWMI |
$391.58
|
| Rate for Payer: PHP Medicare Advantage |
$391.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.04
|
| Rate for Payer: Priority Health Medicare |
$391.58
|
| Rate for Payer: Priority Health Narrow Network |
$634.04
|
| Rate for Payer: Priority Health SBD |
$634.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$495.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.58
|
| Rate for Payer: UHC Exchange |
$495.85
|
| Rate for Payer: UHC Medicare Advantage |
$391.58
|
| Rate for Payer: UHCCP Medicaid |
$267.53
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$101,781.00 |
| Rate for Payer: Aetna Commercial |
$748.06
|
| Rate for Payer: Aetna Medicare |
$580.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$748.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.88
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$558.25
|
| Rate for Payer: BCBS Trust/PPO |
$605.96
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: BCN Medicare Advantage |
$558.25
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$803.88
|
| Rate for Payer: Cofinity Commercial |
$748.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.25
|
| Rate for Payer: Healthscope Commercial |
$893.20
|
| Rate for Payer: Healthscope Commercial |
$1,032.76
|
| Rate for Payer: Mclaren Medicaid |
$379.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.16
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101,781.00
|
| Rate for Payer: Nomi Health Commercial |
$669.90
|
| Rate for Payer: PACE SWMI |
$558.25
|
| Rate for Payer: PHP Medicare Advantage |
$558.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.66
|
| Rate for Payer: Priority Health Medicare |
$558.25
|
| Rate for Payer: Priority Health Narrow Network |
$899.66
|
| Rate for Payer: Priority Health SBD |
$899.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.25
|
| Rate for Payer: UHC Exchange |
$660.18
|
| Rate for Payer: UHC Medicare Advantage |
$558.25
|
| Rate for Payer: UHCCP Medicaid |
$379.78
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
|
Professional
|
Both
|
$844.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$236.00 |
| Max. Negotiated Rate |
$62,797.00 |
| Rate for Payer: Aetna Commercial |
$459.93
|
| Rate for Payer: Aetna Medicare |
$356.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.25
|
| Rate for Payer: BCBS Complete |
$247.80
|
| Rate for Payer: BCBS MAPPO |
$343.23
|
| Rate for Payer: BCBS Trust/PPO |
$472.30
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: BCN Medicare Advantage |
$343.23
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cofinity Commercial |
$494.25
|
| Rate for Payer: Cofinity Commercial |
$459.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.23
|
| Rate for Payer: Healthscope Commercial |
$634.98
|
| Rate for Payer: Healthscope Commercial |
$549.17
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$360.39
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62,797.00
|
| Rate for Payer: Nomi Health Commercial |
$411.88
|
| Rate for Payer: PACE SWMI |
$343.23
|
| Rate for Payer: PHP Medicare Advantage |
$343.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.24
|
| Rate for Payer: Priority Health Medicare |
$343.23
|
| Rate for Payer: Priority Health Narrow Network |
$559.24
|
| Rate for Payer: Priority Health SBD |
$559.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.23
|
| Rate for Payer: UHC Exchange |
$403.33
|
| Rate for Payer: UHC Medicare Advantage |
$343.23
|
| Rate for Payer: UHCCP Medicaid |
$236.00
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$521.85 |
| Max. Negotiated Rate |
$142,610.00 |
| Rate for Payer: Aetna Commercial |
$1,036.78
|
| Rate for Payer: Aetna Medicare |
$804.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,036.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,114.16
|
| Rate for Payer: BCBS Complete |
$547.94
|
| Rate for Payer: BCBS MAPPO |
$773.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$1,180.15
|
| Rate for Payer: BCN Medicare Advantage |
$773.72
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cofinity Commercial |
$1,114.16
|
| Rate for Payer: Cofinity Commercial |
$1,036.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.72
|
| Rate for Payer: Healthscope Commercial |
$1,431.38
|
| Rate for Payer: Healthscope Commercial |
$1,237.95
|
| Rate for Payer: Mclaren Medicaid |
$521.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$812.41
|
| Rate for Payer: Meridian Medicaid |
$547.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$142,610.00
|
| Rate for Payer: Nomi Health Commercial |
$928.46
|
| Rate for Payer: PACE SWMI |
$773.72
|
| Rate for Payer: PHP Medicare Advantage |
$773.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,429.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.01
|
| Rate for Payer: Priority Health Medicare |
$773.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.01
|
| Rate for Payer: Priority Health SBD |
$1,235.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.72
|
| Rate for Payer: UHC Exchange |
$980.86
|
| Rate for Payer: UHC Medicare Advantage |
$773.72
|
| Rate for Payer: UHCCP Medicaid |
$521.85
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$88,699.00 |
| Rate for Payer: Aetna Commercial |
$647.46
|
| Rate for Payer: Aetna Medicare |
$502.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$695.78
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$483.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,213.12
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$483.18
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cofinity Commercial |
$695.78
|
| Rate for Payer: Cofinity Commercial |
$647.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.18
|
| Rate for Payer: Healthscope Commercial |
$893.88
|
| Rate for Payer: Healthscope Commercial |
$773.09
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$507.34
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88,699.00
|
| Rate for Payer: Nomi Health Commercial |
$579.82
|
| Rate for Payer: PACE SWMI |
$483.18
|
| Rate for Payer: PHP Medicare Advantage |
$483.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$776.01
|
| Rate for Payer: Priority Health Medicare |
$483.18
|
| Rate for Payer: Priority Health Narrow Network |
$776.01
|
| Rate for Payer: Priority Health SBD |
$776.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.18
|
| Rate for Payer: UHC Exchange |
$707.09
|
| Rate for Payer: UHC Medicare Advantage |
$483.18
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
|
