|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$182.12 |
| Max. Negotiated Rate |
$48,011.00 |
| Rate for Payer: Aetna Commercial |
$353.67
|
| Rate for Payer: Aetna Medicare |
$274.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.06
|
| Rate for Payer: BCBS Complete |
$191.23
|
| Rate for Payer: BCBS MAPPO |
$263.93
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$462.78
|
| Rate for Payer: BCN Medicare Advantage |
$263.93
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cofinity Commercial |
$380.06
|
| Rate for Payer: Cofinity Commercial |
$353.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.93
|
| Rate for Payer: Healthscope Commercial |
$488.27
|
| Rate for Payer: Healthscope Commercial |
$422.29
|
| Rate for Payer: Mclaren Medicaid |
$182.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$277.13
|
| Rate for Payer: Meridian Medicaid |
$191.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48,011.00
|
| Rate for Payer: Nomi Health Commercial |
$316.72
|
| Rate for Payer: PACE SWMI |
$263.93
|
| Rate for Payer: PHP Medicare Advantage |
$263.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$429.48
|
| Rate for Payer: Priority Health Medicare |
$263.93
|
| Rate for Payer: Priority Health Narrow Network |
$429.48
|
| Rate for Payer: Priority Health SBD |
$429.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$265.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.93
|
| Rate for Payer: UHC Exchange |
$265.78
|
| Rate for Payer: UHC Medicare Advantage |
$263.93
|
| Rate for Payer: UHCCP Medicaid |
$182.12
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$195.11 |
| Max. Negotiated Rate |
$51,408.00 |
| Rate for Payer: Aetna Commercial |
$377.83
|
| Rate for Payer: Aetna Medicare |
$293.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.02
|
| Rate for Payer: BCBS Complete |
$204.87
|
| Rate for Payer: BCBS MAPPO |
$281.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.64
|
| Rate for Payer: BCN Commercial |
$463.27
|
| Rate for Payer: BCN Medicare Advantage |
$281.96
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cofinity Commercial |
$406.02
|
| Rate for Payer: Cofinity Commercial |
$377.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.96
|
| Rate for Payer: Healthscope Commercial |
$521.63
|
| Rate for Payer: Healthscope Commercial |
$451.14
|
| Rate for Payer: Mclaren Medicaid |
$195.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.06
|
| Rate for Payer: Meridian Medicaid |
$204.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,408.00
|
| Rate for Payer: Nomi Health Commercial |
$338.35
|
| Rate for Payer: PACE SWMI |
$281.96
|
| Rate for Payer: PHP Medicare Advantage |
$281.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.02
|
| Rate for Payer: Priority Health Medicare |
$281.96
|
| Rate for Payer: Priority Health Narrow Network |
$461.02
|
| Rate for Payer: Priority Health SBD |
$461.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$430.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.96
|
| Rate for Payer: UHC Exchange |
$430.05
|
| Rate for Payer: UHC Medicare Advantage |
$281.96
|
| Rate for Payer: UHCCP Medicaid |
$195.11
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$382.34 |
| Max. Negotiated Rate |
$103,140.00 |
| Rate for Payer: Aetna Commercial |
$755.40
|
| Rate for Payer: Aetna Medicare |
$586.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$811.77
|
| Rate for Payer: BCBS Complete |
$401.46
|
| Rate for Payer: BCBS MAPPO |
$563.73
|
| Rate for Payer: BCBS Trust/PPO |
$936.15
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$563.73
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cofinity Commercial |
$811.77
|
| Rate for Payer: Cofinity Commercial |
$755.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.73
|
| Rate for Payer: Healthscope Commercial |
$901.97
|
| Rate for Payer: Healthscope Commercial |
$1,042.90
|
| Rate for Payer: Mclaren Medicaid |
$382.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.92
|
| Rate for Payer: Meridian Medicaid |
$401.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103,140.00
|
| Rate for Payer: Nomi Health Commercial |
$676.48
|
| Rate for Payer: PACE SWMI |
$563.73
|
| Rate for Payer: PHP Medicare Advantage |
$563.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$738.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$904.75
|
| Rate for Payer: Priority Health Medicare |
$563.73
|
| Rate for Payer: Priority Health Narrow Network |
$904.75
|
| Rate for Payer: Priority Health SBD |
$904.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$651.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$563.73
|
| Rate for Payer: UHC Exchange |
$651.81
|
| Rate for Payer: UHC Medicare Advantage |
$563.73
|
| Rate for Payer: UHCCP Medicaid |
$382.34
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$323.76 |
| Max. Negotiated Rate |
$87,746.00 |
| Rate for Payer: Aetna Commercial |
$638.80
|
| Rate for Payer: Aetna Medicare |
$495.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$638.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$686.48
|
| Rate for Payer: BCBS Complete |
$339.95
|
| Rate for Payer: BCBS MAPPO |
$476.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.64
|
| Rate for Payer: BCN Commercial |
$799.48
|
| Rate for Payer: BCN Medicare Advantage |
$476.72
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cofinity Commercial |
$686.48
|
| Rate for Payer: Cofinity Commercial |
$638.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$476.72
|
| Rate for Payer: Healthscope Commercial |
$881.93
|
| Rate for Payer: Healthscope Commercial |
$762.75
|
| Rate for Payer: Mclaren Medicaid |
$323.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$500.56
|
| Rate for Payer: Meridian Medicaid |
$339.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87,746.00
|
| Rate for Payer: Nomi Health Commercial |
$572.06
|
| Rate for Payer: PACE SWMI |
$476.72
|
| Rate for Payer: PHP Medicare Advantage |
$476.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.38
|
| Rate for Payer: Priority Health Medicare |
$476.72
|
| Rate for Payer: Priority Health Narrow Network |
$768.38
|
| Rate for Payer: Priority Health SBD |
$768.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$589.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$476.72
|
| Rate for Payer: UHC Exchange |
$589.25
|
| Rate for Payer: UHC Medicare Advantage |
$476.72
|
| Rate for Payer: UHCCP Medicaid |
$323.76
|
|
|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$57,607.00 |
| Rate for Payer: Aetna Commercial |
$422.35
|
| Rate for Payer: Aetna Medicare |
$327.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.87
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS MAPPO |
$315.19
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: BCN Medicare Advantage |
$315.19
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cofinity Commercial |
$453.87
|
| Rate for Payer: Cofinity Commercial |
$422.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.19
|
| Rate for Payer: Healthscope Commercial |
$583.10
|
| Rate for Payer: Healthscope Commercial |
$504.30
|
| Rate for Payer: Mclaren Medicaid |
$216.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.95
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,607.00
|
| Rate for Payer: Nomi Health Commercial |
$378.23
|
| Rate for Payer: PACE SWMI |
$315.19
|
| Rate for Payer: PHP Medicare Advantage |
$315.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.94
|
| Rate for Payer: Priority Health Medicare |
$315.19
|
| Rate for Payer: Priority Health Narrow Network |
$513.94
|
| Rate for Payer: Priority Health SBD |
$513.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.19
|
| Rate for Payer: UHC Exchange |
$367.25
|
| Rate for Payer: UHC Medicare Advantage |
$315.19
|
| Rate for Payer: UHCCP Medicaid |
$216.83
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$352.52 |
| Max. Negotiated Rate |
$94,448.00 |
| Rate for Payer: Aetna Commercial |
$692.07
|
| Rate for Payer: Aetna Medicare |
$537.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.72
|
| Rate for Payer: BCBS Complete |
$370.15
|
| Rate for Payer: BCBS MAPPO |
$516.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.30
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: BCN Medicare Advantage |
$516.47
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cofinity Commercial |
$743.72
|
| Rate for Payer: Cofinity Commercial |
$692.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.47
|
| Rate for Payer: Healthscope Commercial |
$955.47
|
| Rate for Payer: Healthscope Commercial |
$826.35
|
| Rate for Payer: Mclaren Medicaid |
$352.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.29
|
| Rate for Payer: Meridian Medicaid |
$370.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$94,448.00
|
| Rate for Payer: Nomi Health Commercial |
$619.76
|
| Rate for Payer: PACE SWMI |
$516.47
|
| Rate for Payer: PHP Medicare Advantage |
$516.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.01
|
| Rate for Payer: Priority Health Medicare |
$516.47
|
| Rate for Payer: Priority Health Narrow Network |
$833.01
|
| Rate for Payer: Priority Health SBD |
$833.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.47
|
| Rate for Payer: UHC Exchange |
$507.24
|
| Rate for Payer: UHC Medicare Advantage |
$516.47
|
| Rate for Payer: UHCCP Medicaid |
$352.52
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$78,854.00 |
| Rate for Payer: Aetna Commercial |
$577.55
|
| Rate for Payer: Aetna Medicare |
$448.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.65
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$431.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.06
|
| Rate for Payer: BCN Commercial |
$736.44
|
| Rate for Payer: BCN Medicare Advantage |
$431.01
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$620.65
|
| Rate for Payer: Cofinity Commercial |
$577.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.01
|
| Rate for Payer: Healthscope Commercial |
$797.37
|
| Rate for Payer: Healthscope Commercial |
$689.62
|
| Rate for Payer: Mclaren Medicaid |
$292.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.56
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78,854.00
|
| Rate for Payer: Nomi Health Commercial |
$517.21
|
| Rate for Payer: PACE SWMI |
$431.01
|
| Rate for Payer: PHP Medicare Advantage |
$431.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.58
|
| Rate for Payer: Priority Health Medicare |
$431.01
|
| Rate for Payer: Priority Health Narrow Network |
$693.58
|
| Rate for Payer: Priority Health SBD |
$693.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.01
|
| Rate for Payer: UHC Exchange |
$600.00
|
| Rate for Payer: UHC Medicare Advantage |
$431.01
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$198.09 |
| Max. Negotiated Rate |
$52,373.00 |
| Rate for Payer: Aetna Commercial |
$385.88
|
| Rate for Payer: Aetna Medicare |
$299.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$385.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.68
|
| Rate for Payer: BCBS Complete |
$207.99
|
| Rate for Payer: BCBS MAPPO |
$287.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$496.49
|
| Rate for Payer: BCN Medicare Advantage |
$287.97
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$414.68
|
| Rate for Payer: Cofinity Commercial |
$385.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.97
|
| Rate for Payer: Healthscope Commercial |
$532.74
|
| Rate for Payer: Healthscope Commercial |
$460.75
|
| Rate for Payer: Mclaren Medicaid |
$198.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.37
|
| Rate for Payer: Meridian Medicaid |
$207.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,373.00
|
| Rate for Payer: Nomi Health Commercial |
$345.56
|
| Rate for Payer: PACE SWMI |
$287.97
|
| Rate for Payer: PHP Medicare Advantage |
$287.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$468.66
|
| Rate for Payer: Priority Health Medicare |
$287.97
|
| Rate for Payer: Priority Health Narrow Network |
$468.66
|
| Rate for Payer: Priority Health SBD |
$468.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.97
|
| Rate for Payer: UHC Exchange |
$395.28
|
| Rate for Payer: UHC Medicare Advantage |
$287.97
|
| Rate for Payer: UHCCP Medicaid |
$198.09
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$195.53 |
| Max. Negotiated Rate |
$52,583.00 |
| Rate for Payer: Aetna Commercial |
$384.54
|
| Rate for Payer: Aetna Medicare |
$298.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.24
|
| Rate for Payer: BCBS Complete |
$205.31
|
| Rate for Payer: BCBS MAPPO |
$286.97
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$286.97
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cofinity Commercial |
$413.24
|
| Rate for Payer: Cofinity Commercial |
$384.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.97
|
| Rate for Payer: Healthscope Commercial |
$530.89
|
| Rate for Payer: Healthscope Commercial |
$459.15
|
| Rate for Payer: Mclaren Medicaid |
$195.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$301.32
|
| Rate for Payer: Meridian Medicaid |
$205.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,583.00
|
| Rate for Payer: Nomi Health Commercial |
$344.36
|
| Rate for Payer: PACE SWMI |
$286.97
|
| Rate for Payer: PHP Medicare Advantage |
$286.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.07
|
| Rate for Payer: Priority Health Medicare |
$286.97
|
| Rate for Payer: Priority Health Narrow Network |
$463.07
|
| Rate for Payer: Priority Health SBD |
$463.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.97
|
| Rate for Payer: UHC Exchange |
$334.66
|
| Rate for Payer: UHC Medicare Advantage |
$286.97
|
| Rate for Payer: UHCCP Medicaid |
$195.53
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$368.43 |
| Max. Negotiated Rate |
$137,115.00 |
| Rate for Payer: Aetna Commercial |
$1,015.75
|
| Rate for Payer: Aetna Medicare |
$788.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,091.55
|
| Rate for Payer: BCBS Complete |
$537.21
|
| Rate for Payer: BCBS MAPPO |
$758.02
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$1,305.75
|
| Rate for Payer: BCN Medicare Advantage |
$758.02
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cofinity Commercial |
$1,091.55
|
| Rate for Payer: Cofinity Commercial |
$1,015.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.02
|
| Rate for Payer: Healthscope Commercial |
$1,402.34
|
| Rate for Payer: Healthscope Commercial |
$1,212.83
|
| Rate for Payer: Mclaren Medicaid |
$511.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.92
|
| Rate for Payer: Meridian Medicaid |
$537.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137,115.00
|
| Rate for Payer: Nomi Health Commercial |
$909.62
|
| Rate for Payer: PACE SWMI |
$758.02
|
| Rate for Payer: PHP Medicare Advantage |
$758.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,205.99
|
| Rate for Payer: Priority Health Medicare |
$758.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,205.99
|
| Rate for Payer: Priority Health SBD |
$1,205.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$945.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$758.02
|
| Rate for Payer: UHC Exchange |
$945.90
|
| Rate for Payer: UHC Medicare Advantage |
$758.02
|
| Rate for Payer: UHCCP Medicaid |
$511.63
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$2,029.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$499.27 |
| Max. Negotiated Rate |
$139,104.00 |
| Rate for Payer: Aetna Commercial |
$1,000.87
|
| Rate for Payer: Aetna Medicare |
$776.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,000.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,075.56
|
| Rate for Payer: BCBS Complete |
$524.23
|
| Rate for Payer: BCBS MAPPO |
$746.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,141.55
|
| Rate for Payer: BCN Medicare Advantage |
$746.92
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cofinity Commercial |
$1,075.56
|
| Rate for Payer: Cofinity Commercial |
$1,000.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$746.92
|
| Rate for Payer: Healthscope Commercial |
$1,381.80
|
| Rate for Payer: Healthscope Commercial |
$1,195.07
|
| Rate for Payer: Mclaren Medicaid |
$499.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$784.27
|
| Rate for Payer: Meridian Medicaid |
$524.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139,104.00
|
| Rate for Payer: Nomi Health Commercial |
$896.30
|
| Rate for Payer: PACE SWMI |
$746.92
|
| Rate for Payer: PHP Medicare Advantage |
$746.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,318.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,164.23
|
| Rate for Payer: Priority Health Medicare |
$746.92
|
| Rate for Payer: Priority Health Narrow Network |
$1,164.23
|
| Rate for Payer: Priority Health SBD |
$1,164.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$746.92
|
| Rate for Payer: UHC Exchange |
$792.95
|
| Rate for Payer: UHC Medicare Advantage |
$746.92
|
| Rate for Payer: UHCCP Medicaid |
$499.27
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,612.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.27 |
| Max. Negotiated Rate |
$155,889.00 |
| Rate for Payer: Aetna Commercial |
$1,120.29
|
| Rate for Payer: Aetna Medicare |
$869.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,120.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.90
|
| Rate for Payer: BCBS Complete |
$586.18
|
| Rate for Payer: BCBS MAPPO |
$836.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: BCN Medicare Advantage |
$836.04
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,203.90
|
| Rate for Payer: Cofinity Commercial |
$1,120.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$836.04
|
| Rate for Payer: Healthscope Commercial |
$1,546.67
|
| Rate for Payer: Healthscope Commercial |
$1,337.66
|
| Rate for Payer: Mclaren Medicaid |
$558.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.84
|
| Rate for Payer: Meridian Medicaid |
$586.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155,889.00
|
| Rate for Payer: Nomi Health Commercial |
$1,003.25
|
| Rate for Payer: PACE SWMI |
$836.04
|
| Rate for Payer: PHP Medicare Advantage |
$836.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,301.62
|
| Rate for Payer: Priority Health Medicare |
$836.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,301.62
|
| Rate for Payer: Priority Health SBD |
$1,301.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,052.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$836.04
|
| Rate for Payer: UHC Exchange |
$1,052.88
|
| Rate for Payer: UHC Medicare Advantage |
$836.04
|
| Rate for Payer: UHCCP Medicaid |
$558.27
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$395.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$6,307.00 |
| Rate for Payer: Aetna Commercial |
$44.61
|
| Rate for Payer: Aetna Medicare |
$34.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.94
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$33.29
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$33.29
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Cofinity Commercial |
$44.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.29
|
| Rate for Payer: Healthscope Commercial |
$61.59
|
| Rate for Payer: Healthscope Commercial |
$53.26
|
| Rate for Payer: Mclaren Medicaid |
$22.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.95
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,307.00
|
| Rate for Payer: Nomi Health Commercial |
$39.95
|
| Rate for Payer: PACE SWMI |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$33.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.31
|
| Rate for Payer: Priority Health Medicare |
$33.29
|
| Rate for Payer: Priority Health Narrow Network |
$55.31
|
| Rate for Payer: Priority Health SBD |
$55.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.29
|
| Rate for Payer: UHC Exchange |
$130.83
|
| Rate for Payer: UHC Medicare Advantage |
$33.29
|
| Rate for Payer: UHCCP Medicaid |
$22.15
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,951.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$331.85 |
| Max. Negotiated Rate |
$91,123.00 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$512.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$660.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.57
|
| Rate for Payer: BCBS Complete |
$348.44
|
| Rate for Payer: BCBS MAPPO |
$492.76
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: BCN Medicare Advantage |
$492.76
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cofinity Commercial |
$709.57
|
| Rate for Payer: Cofinity Commercial |
$660.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.76
|
| Rate for Payer: Healthscope Commercial |
$911.61
|
| Rate for Payer: Healthscope Commercial |
$788.42
|
| Rate for Payer: Mclaren Medicaid |
$331.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.40
|
| Rate for Payer: Meridian Medicaid |
$348.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91,123.00
|
| Rate for Payer: Nomi Health Commercial |
$591.31
|
| Rate for Payer: PACE SWMI |
$492.76
|
| Rate for Payer: PHP Medicare Advantage |
$492.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.72
|
| Rate for Payer: Priority Health Medicare |
$492.76
|
| Rate for Payer: Priority Health Narrow Network |
$787.72
|
| Rate for Payer: Priority Health SBD |
$787.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$577.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.76
|
| Rate for Payer: UHC Exchange |
$577.58
|
| Rate for Payer: UHC Medicare Advantage |
$492.76
|
| Rate for Payer: UHCCP Medicaid |
$331.85
|
|
|
PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY
|
Professional
|
Both
|
$4,226.00
|
|
|
Service Code
|
HCPCS 69930
|
| Min. Negotiated Rate |
$774.89 |
| Max. Negotiated Rate |
$215,541.00 |
| Rate for Payer: Aetna Commercial |
$1,534.11
|
| Rate for Payer: Aetna Medicare |
$1,190.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,534.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,648.60
|
| Rate for Payer: BCBS Complete |
$813.63
|
| Rate for Payer: BCBS MAPPO |
$1,144.86
|
| Rate for Payer: BCN Commercial |
$1,788.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,144.86
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cofinity Commercial |
$1,648.60
|
| Rate for Payer: Cofinity Commercial |
$1,534.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,144.86
|
| Rate for Payer: Healthscope Commercial |
$2,117.99
|
| Rate for Payer: Healthscope Commercial |
$1,831.78
|
| Rate for Payer: Mclaren Medicaid |
$774.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,202.10
|
| Rate for Payer: Meridian Medicaid |
$813.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215,541.00
|
| Rate for Payer: Nomi Health Commercial |
$1,373.83
|
| Rate for Payer: PACE SWMI |
$1,144.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,144.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,746.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,778.18
|
| Rate for Payer: Priority Health Medicare |
$1,144.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,778.18
|
| Rate for Payer: Priority Health SBD |
$1,778.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,568.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,144.86
|
| Rate for Payer: UHC Exchange |
$1,568.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.86
|
| Rate for Payer: UHCCP Medicaid |
$774.89
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$141.60 |
| Max. Negotiated Rate |
$21,042.00 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: Aetna Medicare |
$177.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.37
|
| Rate for Payer: BCBS Complete |
$141.60
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,042.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.50
|
| Rate for Payer: Priority Health Narrow Network |
$283.50
|
| Rate for Payer: Priority Health SBD |
$283.50
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$156.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$7,929.00 |
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.32
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Healthscope Commercial |
$80.35
|
| Rate for Payer: Healthscope Commercial |
$92.91
|
| Rate for Payer: Healthscope Commercial |
$92.91
|
| Rate for Payer: Healthscope Commercial |
$80.35
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,929.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,929.00
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.89
|
| Rate for Payer: Priority Health Medicare |
$50.22
|
| Rate for Payer: Priority Health Medicare |
$50.22
|
| Rate for Payer: Priority Health Narrow Network |
$76.89
|
| Rate for Payer: Priority Health Narrow Network |
$76.89
|
| Rate for Payer: Priority Health SBD |
$11.75
|
| Rate for Payer: Priority Health SBD |
$11.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,840.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,373.64 |
| Max. Negotiated Rate |
$383,845.00 |
| Rate for Payer: Aetna Commercial |
$2,782.16
|
| Rate for Payer: Aetna Medicare |
$2,159.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,782.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,989.79
|
| Rate for Payer: BCBS Complete |
$1,442.32
|
| Rate for Payer: BCBS MAPPO |
$2,076.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,076.24
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cofinity Commercial |
$2,989.79
|
| Rate for Payer: Cofinity Commercial |
$2,782.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,076.24
|
| Rate for Payer: Healthscope Commercial |
$3,841.04
|
| Rate for Payer: Healthscope Commercial |
$3,321.98
|
| Rate for Payer: Mclaren Medicaid |
$1,373.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,180.05
|
| Rate for Payer: Meridian Medicaid |
$1,442.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$383,845.00
|
| Rate for Payer: Nomi Health Commercial |
$2,491.49
|
| Rate for Payer: PACE SWMI |
$2,076.24
|
| Rate for Payer: PHP Medicare Advantage |
$2,076.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,373.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,496.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,835.50
|
| Rate for Payer: Priority Health Medicare |
$2,076.24
|
| Rate for Payer: Priority Health Narrow Network |
$3,835.50
|
| Rate for Payer: Priority Health SBD |
$3,835.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,802.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,076.24
|
| Rate for Payer: UHC Exchange |
$1,802.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,076.24
|
| Rate for Payer: UHCCP Medicaid |
$1,373.64
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,611.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$329,243.00 |
| Rate for Payer: Aetna Commercial |
$2,385.32
|
| Rate for Payer: Aetna Medicare |
$1,851.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,385.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,563.33
|
| Rate for Payer: BCBS Complete |
$1,241.93
|
| Rate for Payer: BCBS MAPPO |
$1,780.09
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,780.09
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cofinity Commercial |
$2,563.33
|
| Rate for Payer: Cofinity Commercial |
$2,385.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,780.09
|
| Rate for Payer: Healthscope Commercial |
$3,293.17
|
| Rate for Payer: Healthscope Commercial |
$2,848.14
|
| Rate for Payer: Mclaren Medicaid |
$1,182.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,869.09
|
| Rate for Payer: Meridian Medicaid |
$1,241.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329,243.00
|
| Rate for Payer: Nomi Health Commercial |
$2,136.11
|
| Rate for Payer: PACE SWMI |
$1,780.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,780.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,182.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,997.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,297.97
|
| Rate for Payer: Priority Health Medicare |
$1,780.09
|
| Rate for Payer: Priority Health Narrow Network |
$3,297.97
|
| Rate for Payer: Priority Health SBD |
$3,297.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,701.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,780.09
|
| Rate for Payer: UHC Exchange |
$1,701.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,780.09
|
| Rate for Payer: UHCCP Medicaid |
$1,182.79
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,699.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$400,055.00 |
| Rate for Payer: Aetna Commercial |
$2,901.54
|
| Rate for Payer: Aetna Medicare |
$2,251.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,901.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,118.08
|
| Rate for Payer: BCBS Complete |
$1,503.15
|
| Rate for Payer: BCBS MAPPO |
$2,165.33
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,165.33
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cofinity Commercial |
$3,118.08
|
| Rate for Payer: Cofinity Commercial |
$2,901.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,165.33
|
| Rate for Payer: Healthscope Commercial |
$4,005.86
|
| Rate for Payer: Healthscope Commercial |
$3,464.53
|
| Rate for Payer: Mclaren Medicaid |
$1,431.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,273.60
|
| Rate for Payer: Meridian Medicaid |
$1,503.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$400,055.00
|
| Rate for Payer: Nomi Health Commercial |
$2,598.40
|
| Rate for Payer: PACE SWMI |
$2,165.33
|
| Rate for Payer: PHP Medicare Advantage |
$2,165.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,431.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,054.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,995.99
|
| Rate for Payer: Priority Health Medicare |
$2,165.33
|
| Rate for Payer: Priority Health Narrow Network |
$3,995.99
|
| Rate for Payer: Priority Health SBD |
$3,995.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,478.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,165.33
|
| Rate for Payer: UHC Exchange |
$2,478.65
|
| Rate for Payer: UHC Medicare Advantage |
$2,165.33
|
| Rate for Payer: UHCCP Medicaid |
$1,431.57
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$239,567.00 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,741.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,871.42
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Healthscope Commercial |
$2,404.26
|
| Rate for Payer: Healthscope Commercial |
$2,079.36
|
| Rate for Payer: Mclaren Medicaid |
$860.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239,567.00
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,299.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: Priority Health SBD |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,619.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Exchange |
$1,619.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$239,567.00 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,741.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,871.42
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Healthscope Commercial |
$2,404.26
|
| Rate for Payer: Healthscope Commercial |
$2,079.36
|
| Rate for Payer: Mclaren Medicaid |
$860.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239,567.00
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,299.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: Priority Health SBD |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,619.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Exchange |
$1,619.41
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,440.62 |
| Max. Negotiated Rate |
$3,486.60 |
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,518.10
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$2,711.80
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,711.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health SBD |
$2,440.62
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,441.33 |
| Max. Negotiated Rate |
$3,486.60 |
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: Aetna Medicare |
$1,937.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,518.10
|
| Rate for Payer: BCBS Complete |
$1,549.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,819.28
|
| Rate for Payer: BCN Commercial |
$2,819.28
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$2,711.80
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,711.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health SBD |
$2,440.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,441.33
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Exchange |
$3,362.00
|
|
