|
PR ARTHRODESIS ELBOW JOINT LOCAL
|
Professional
|
Both
|
$1,647.00
|
|
|
Service Code
|
HCPCS 24800
|
| Min. Negotiated Rate |
$539.74 |
| Max. Negotiated Rate |
$1,282.25 |
| Rate for Payer: Aetna Commercial |
$1,102.00
|
| Rate for Payer: Aetna Medicare |
$855.29
|
| Rate for Payer: BCBS Complete |
$566.73
|
| Rate for Payer: BCBS MAPPO |
$822.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.88
|
| Rate for Payer: BCN Commercial |
$1,227.07
|
| Rate for Payer: BCN Medicare Advantage |
$822.39
|
| Rate for Payer: Cash Price |
$1,317.60
|
| Rate for Payer: Cash Price |
$1,317.60
|
| Rate for Payer: Cofinity Commercial |
$1,184.24
|
| Rate for Payer: Cofinity Commercial |
$1,102.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.39
|
| Rate for Payer: Mclaren Medicaid |
$539.74
|
| Rate for Payer: Meridian Medicaid |
$566.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$863.51
|
| Rate for Payer: PACE SWMI |
$822.39
|
| Rate for Payer: PHP Medicare Advantage |
$822.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,152.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,282.25
|
| Rate for Payer: Priority Health Medicare |
$822.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,282.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$822.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$822.39
|
| Rate for Payer: UHC Medicare Advantage |
$847.06
|
|
|
PR ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT
|
Professional
|
Both
|
$4,681.00
|
|
|
Service Code
|
HCPCS 24802
|
| Min. Negotiated Rate |
$343.40 |
| Max. Negotiated Rate |
$3,276.70 |
| Rate for Payer: Aetna Commercial |
$1,324.95
|
| Rate for Payer: Aetna Medicare |
$1,028.32
|
| Rate for Payer: BCBS Complete |
$678.33
|
| Rate for Payer: BCBS MAPPO |
$988.77
|
| Rate for Payer: BCBS Trust/PPO |
$343.40
|
| Rate for Payer: BCN Commercial |
$1,471.41
|
| Rate for Payer: BCN Medicare Advantage |
$988.77
|
| Rate for Payer: Cash Price |
$3,744.80
|
| Rate for Payer: Cash Price |
$3,744.80
|
| Rate for Payer: Cofinity Commercial |
$1,423.83
|
| Rate for Payer: Cofinity Commercial |
$1,324.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$988.77
|
| Rate for Payer: Mclaren Medicaid |
$646.03
|
| Rate for Payer: Meridian Medicaid |
$678.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,038.21
|
| Rate for Payer: PACE SWMI |
$988.77
|
| Rate for Payer: PHP Medicare Advantage |
$988.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$646.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,276.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,537.56
|
| Rate for Payer: Priority Health Medicare |
$988.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,537.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$988.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$988.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.43
|
|
|
PR ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 28755
|
| Min. Negotiated Rate |
$216.20 |
| Max. Negotiated Rate |
$983.69 |
| Rate for Payer: Aetna Commercial |
$436.28
|
| Rate for Payer: Aetna Medicare |
$338.60
|
| Rate for Payer: BCBS Complete |
$227.01
|
| Rate for Payer: BCBS MAPPO |
$325.58
|
| Rate for Payer: BCBS Trust/PPO |
$983.69
|
| Rate for Payer: BCN Commercial |
$734.48
|
| Rate for Payer: BCN Medicare Advantage |
$325.58
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cofinity Commercial |
$468.84
|
| Rate for Payer: Cofinity Commercial |
$436.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.58
|
| Rate for Payer: Mclaren Medicaid |
$216.20
|
| Rate for Payer: Meridian Medicaid |
$227.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.86
|
| Rate for Payer: PACE SWMI |
$325.58
|
| Rate for Payer: PHP Medicare Advantage |
$325.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$961.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$509.12
|
| Rate for Payer: Priority Health Medicare |
$325.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$509.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.58
|
| Rate for Payer: UHC Medicare Advantage |
$335.35
|
|
|
PR ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT
|
Professional
|
Both
|
$1,936.00
|
|
|
Service Code
|
HCPCS 28750
|
| Min. Negotiated Rate |
$371.26 |
| Max. Negotiated Rate |
$1,355.20 |
| Rate for Payer: Aetna Commercial |
$757.10
|
| Rate for Payer: Aetna Medicare |
$587.60
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS MAPPO |
$565.00
|
| Rate for Payer: BCBS Trust/PPO |
$808.30
|
| Rate for Payer: BCN Commercial |
$1,141.06
|
| Rate for Payer: BCN Medicare Advantage |
$565.00
|
| Rate for Payer: Cash Price |
$1,548.80
|
| Rate for Payer: Cash Price |
$1,548.80
|
| Rate for Payer: Cofinity Commercial |
$757.10
|
| Rate for Payer: Cofinity Commercial |
$813.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.00
|
| Rate for Payer: Mclaren Medicaid |
$371.26
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$593.25
|
| Rate for Payer: PACE SWMI |
$565.00
|
| Rate for Payer: PHP Medicare Advantage |
$565.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,355.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$881.38
|
| Rate for Payer: Priority Health Medicare |
$565.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$881.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.00
|
| Rate for Payer: UHC Medicare Advantage |
$581.95
|
|
|
PR ARTHRODESIS HIP JOINT W/OBTAINING GRAFT
|
Professional
|
Both
|
$4,664.00
|
|
|
Service Code
|
HCPCS 27284
|
| Min. Negotiated Rate |
$1,024.74 |
| Max. Negotiated Rate |
$3,264.80 |
| Rate for Payer: Aetna Commercial |
$2,117.64
|
| Rate for Payer: Aetna Medicare |
$1,643.54
|
| Rate for Payer: BCBS Complete |
$1,075.98
|
| Rate for Payer: BCBS MAPPO |
$1,580.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,679.54
|
| Rate for Payer: BCN Commercial |
$2,337.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.33
|
| Rate for Payer: Cash Price |
$3,731.20
|
| Rate for Payer: Cash Price |
$3,731.20
|
| Rate for Payer: Cofinity Commercial |
$2,117.64
|
| Rate for Payer: Cofinity Commercial |
$2,275.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.33
|
| Rate for Payer: Mclaren Medicaid |
$1,024.74
|
| Rate for Payer: Meridian Medicaid |
$1,075.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,659.35
|
| Rate for Payer: PACE SWMI |
$1,580.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,024.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,264.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,442.43
|
| Rate for Payer: Priority Health Medicare |
$1,580.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,442.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,580.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,627.74
|
|
|
PR ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ
|
Professional
|
Both
|
$2,022.00
|
|
|
Service Code
|
HCPCS 26860
|
| Min. Negotiated Rate |
$397.67 |
| Max. Negotiated Rate |
$6,184.28 |
| Rate for Payer: Aetna Commercial |
$799.70
|
| Rate for Payer: Aetna Medicare |
$620.66
|
| Rate for Payer: BCBS Complete |
$417.55
|
| Rate for Payer: BCBS MAPPO |
$596.79
|
| Rate for Payer: BCBS Trust/PPO |
$6,184.28
|
| Rate for Payer: BCN Commercial |
$913.34
|
| Rate for Payer: BCN Medicare Advantage |
$596.79
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cofinity Commercial |
$799.70
|
| Rate for Payer: Cofinity Commercial |
$859.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$596.79
|
| Rate for Payer: Mclaren Medicaid |
$397.67
|
| Rate for Payer: Meridian Medicaid |
$417.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$626.63
|
| Rate for Payer: PACE SWMI |
$596.79
|
| Rate for Payer: PHP Medicare Advantage |
$596.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$397.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,415.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$954.40
|
| Rate for Payer: Priority Health Medicare |
$596.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$954.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$596.79
|
| Rate for Payer: UHC Medicare Advantage |
$614.69
|
|
|
PR ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT
|
Professional
|
Both
|
$1,011.00
|
|
|
Service Code
|
HCPCS 26861
|
| Min. Negotiated Rate |
$64.54 |
| Max. Negotiated Rate |
$3,233.72 |
| Rate for Payer: Aetna Commercial |
$133.45
|
| Rate for Payer: Aetna Medicare |
$103.57
|
| Rate for Payer: BCBS Complete |
$67.77
|
| Rate for Payer: BCBS MAPPO |
$99.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,233.72
|
| Rate for Payer: BCN Commercial |
$146.60
|
| Rate for Payer: BCN Medicare Advantage |
$99.59
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cofinity Commercial |
$143.41
|
| Rate for Payer: Cofinity Commercial |
$133.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.59
|
| Rate for Payer: Mclaren Medicaid |
$64.54
|
| Rate for Payer: Meridian Medicaid |
$67.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$104.57
|
| Rate for Payer: PACE SWMI |
$99.59
|
| Rate for Payer: PHP Medicare Advantage |
$99.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.19
|
| Rate for Payer: Priority Health Medicare |
$99.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$153.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.59
|
| Rate for Payer: UHC Medicare Advantage |
$102.58
|
|
|
PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT
|
Professional
|
Both
|
$413.00
|
|
|
Service Code
|
HCPCS 26863
|
| Min. Negotiated Rate |
$143.99 |
| Max. Negotiated Rate |
$3,239.54 |
| Rate for Payer: Aetna Commercial |
$300.68
|
| Rate for Payer: Aetna Medicare |
$233.37
|
| Rate for Payer: BCBS Complete |
$151.19
|
| Rate for Payer: BCBS MAPPO |
$224.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,239.54
|
| Rate for Payer: BCN Commercial |
$330.35
|
| Rate for Payer: BCN Medicare Advantage |
$224.39
|
| Rate for Payer: Cash Price |
$330.40
|
| Rate for Payer: Cash Price |
$330.40
|
| Rate for Payer: Cofinity Commercial |
$323.12
|
| Rate for Payer: Cofinity Commercial |
$300.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.39
|
| Rate for Payer: Mclaren Medicaid |
$143.99
|
| Rate for Payer: Meridian Medicaid |
$151.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$235.61
|
| Rate for Payer: PACE SWMI |
$224.39
|
| Rate for Payer: PHP Medicare Advantage |
$224.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.20
|
| Rate for Payer: Priority Health Medicare |
$224.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$345.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.39
|
| Rate for Payer: UHC Medicare Advantage |
$231.12
|
|
|
PR ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT
|
Professional
|
Both
|
$2,561.00
|
|
|
Service Code
|
HCPCS 26862
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$2,794.18 |
| Rate for Payer: Aetna Commercial |
$1,004.68
|
| Rate for Payer: Aetna Medicare |
$779.75
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCBS MAPPO |
$749.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,794.18
|
| Rate for Payer: BCN Commercial |
$1,138.62
|
| Rate for Payer: BCN Medicare Advantage |
$749.76
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cofinity Commercial |
$1,079.65
|
| Rate for Payer: Cofinity Commercial |
$1,004.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$749.76
|
| Rate for Payer: Mclaren Medicaid |
$496.93
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$787.25
|
| Rate for Payer: PACE SWMI |
$749.76
|
| Rate for Payer: PHP Medicare Advantage |
$749.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,189.81
|
| Rate for Payer: Priority Health Medicare |
$749.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,189.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$749.76
|
| Rate for Payer: UHC Medicare Advantage |
$772.25
|
|
|
PR ARTHRODESIS KNEE ANY TECHNIQUE
|
Professional
|
Both
|
$3,159.00
|
|
|
Service Code
|
HCPCS 27580
|
| Min. Negotiated Rate |
$947.85 |
| Max. Negotiated Rate |
$2,425.95 |
| Rate for Payer: Aetna Commercial |
$1,944.43
|
| Rate for Payer: Aetna Medicare |
$1,509.11
|
| Rate for Payer: BCBS Complete |
$995.24
|
| Rate for Payer: BCBS MAPPO |
$1,451.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,425.95
|
| Rate for Payer: BCN Commercial |
$2,158.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,451.07
|
| Rate for Payer: Cash Price |
$2,527.20
|
| Rate for Payer: Cash Price |
$2,527.20
|
| Rate for Payer: Cofinity Commercial |
$1,944.43
|
| Rate for Payer: Cofinity Commercial |
$2,089.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,451.07
|
| Rate for Payer: Mclaren Medicaid |
$947.85
|
| Rate for Payer: Meridian Medicaid |
$995.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,523.62
|
| Rate for Payer: PACE SWMI |
$1,451.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,451.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$947.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,211.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,256.06
|
| Rate for Payer: Priority Health Medicare |
$1,451.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,256.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,451.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,451.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,494.60
|
|
|
PR ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR
|
Professional
|
Both
|
$5,935.00
|
|
|
Service Code
|
HCPCS 22533
|
| Min. Negotiated Rate |
$1,068.62 |
| Max. Negotiated Rate |
$4,154.50 |
| Rate for Payer: Aetna Commercial |
$2,197.18
|
| Rate for Payer: Aetna Medicare |
$1,705.28
|
| Rate for Payer: BCBS Complete |
$1,122.05
|
| Rate for Payer: BCBS MAPPO |
$1,639.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.44
|
| Rate for Payer: BCN Commercial |
$2,422.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,639.69
|
| Rate for Payer: Cash Price |
$4,748.00
|
| Rate for Payer: Cash Price |
$4,748.00
|
| Rate for Payer: Cofinity Commercial |
$2,361.15
|
| Rate for Payer: Cofinity Commercial |
$2,197.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,639.69
|
| Rate for Payer: Mclaren Medicaid |
$1,068.62
|
| Rate for Payer: Meridian Medicaid |
$1,122.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,721.67
|
| Rate for Payer: PACE SWMI |
$1,639.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,639.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,068.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,154.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,531.81
|
| Rate for Payer: Priority Health Medicare |
$1,639.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,531.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,639.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,639.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,688.88
|
|
|
PR ARTHRODESIS LATERAL EXTRACAVITARY THORACIC
|
Professional
|
Both
|
$5,930.00
|
|
|
Service Code
|
HCPCS 22532
|
| Min. Negotiated Rate |
$1,157.23 |
| Max. Negotiated Rate |
$4,151.00 |
| Rate for Payer: Aetna Commercial |
$2,400.84
|
| Rate for Payer: Aetna Medicare |
$1,863.34
|
| Rate for Payer: BCBS Complete |
$1,215.09
|
| Rate for Payer: BCBS MAPPO |
$1,791.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,850.50
|
| Rate for Payer: BCN Commercial |
$2,638.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,791.67
|
| Rate for Payer: Cash Price |
$4,744.00
|
| Rate for Payer: Cash Price |
$4,744.00
|
| Rate for Payer: Cofinity Commercial |
$2,400.84
|
| Rate for Payer: Cofinity Commercial |
$2,580.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,791.67
|
| Rate for Payer: Mclaren Medicaid |
$1,157.23
|
| Rate for Payer: Meridian Medicaid |
$1,215.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,881.25
|
| Rate for Payer: PACE SWMI |
$1,791.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,791.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,157.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,151.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,757.51
|
| Rate for Payer: Priority Health Medicare |
$1,791.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,757.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,791.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,791.67
|
| Rate for Payer: UHC Medicare Advantage |
$1,845.42
|
|
|
PR ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR
|
Professional
|
Both
|
$2,951.00
|
|
|
Service Code
|
HCPCS 22534
|
| Min. Negotiated Rate |
$229.40 |
| Max. Negotiated Rate |
$2,065.70 |
| Rate for Payer: Aetna Commercial |
$480.30
|
| Rate for Payer: Aetna Medicare |
$372.77
|
| Rate for Payer: BCBS Complete |
$240.87
|
| Rate for Payer: BCBS MAPPO |
$358.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,499.55
|
| Rate for Payer: BCN Commercial |
$523.37
|
| Rate for Payer: BCN Medicare Advantage |
$358.43
|
| Rate for Payer: Cash Price |
$2,360.80
|
| Rate for Payer: Cash Price |
$2,360.80
|
| Rate for Payer: Cofinity Commercial |
$516.14
|
| Rate for Payer: Cofinity Commercial |
$480.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.43
|
| Rate for Payer: Mclaren Medicaid |
$229.40
|
| Rate for Payer: Meridian Medicaid |
$240.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$376.35
|
| Rate for Payer: PACE SWMI |
$358.43
|
| Rate for Payer: PHP Medicare Advantage |
$358.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,065.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$546.90
|
| Rate for Payer: Priority Health Medicare |
$358.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$546.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.43
|
| Rate for Payer: UHC Medicare Advantage |
$369.18
|
|
|
PR ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 26850
|
| Min. Negotiated Rate |
$475.84 |
| Max. Negotiated Rate |
$4,317.80 |
| Rate for Payer: Aetna Commercial |
$964.13
|
| Rate for Payer: Aetna Medicare |
$748.28
|
| Rate for Payer: BCBS Complete |
$499.63
|
| Rate for Payer: BCBS MAPPO |
$719.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,317.80
|
| Rate for Payer: BCN Commercial |
$1,093.17
|
| Rate for Payer: BCN Medicare Advantage |
$719.50
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$964.13
|
| Rate for Payer: Cofinity Commercial |
$1,036.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$719.50
|
| Rate for Payer: Mclaren Medicaid |
$475.84
|
| Rate for Payer: Meridian Medicaid |
$499.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$755.48
|
| Rate for Payer: PACE SWMI |
$719.50
|
| Rate for Payer: PHP Medicare Advantage |
$719.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,585.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,142.33
|
| Rate for Payer: Priority Health Medicare |
$719.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,142.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$719.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$719.50
|
| Rate for Payer: UHC Medicare Advantage |
$741.08
|
|
|
PR ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT
|
Professional
|
Both
|
$2,112.00
|
|
|
Service Code
|
HCPCS 28740
|
| Min. Negotiated Rate |
$397.25 |
| Max. Negotiated Rate |
$1,478.40 |
| Rate for Payer: Aetna Commercial |
$810.63
|
| Rate for Payer: Aetna Medicare |
$629.15
|
| Rate for Payer: BCBS Complete |
$417.11
|
| Rate for Payer: BCBS MAPPO |
$604.95
|
| Rate for Payer: BCBS Trust/PPO |
$673.58
|
| Rate for Payer: BCN Commercial |
$1,207.52
|
| Rate for Payer: BCN Medicare Advantage |
$604.95
|
| Rate for Payer: Cash Price |
$1,689.60
|
| Rate for Payer: Cash Price |
$1,689.60
|
| Rate for Payer: Cofinity Commercial |
$810.63
|
| Rate for Payer: Cofinity Commercial |
$871.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$604.95
|
| Rate for Payer: Mclaren Medicaid |
$397.25
|
| Rate for Payer: Meridian Medicaid |
$417.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$635.20
|
| Rate for Payer: PACE SWMI |
$604.95
|
| Rate for Payer: PHP Medicare Advantage |
$604.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$397.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$942.66
|
| Rate for Payer: Priority Health Medicare |
$604.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$942.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$604.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$604.95
|
| Rate for Payer: UHC Medicare Advantage |
$623.10
|
|
|
PR ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT
|
Professional
|
Both
|
$2,804.00
|
|
|
Service Code
|
HCPCS 26852
|
| Min. Negotiated Rate |
$539.96 |
| Max. Negotiated Rate |
$5,128.74 |
| Rate for Payer: Aetna Commercial |
$1,094.39
|
| Rate for Payer: Aetna Medicare |
$849.38
|
| Rate for Payer: BCBS Complete |
$566.96
|
| Rate for Payer: BCBS MAPPO |
$816.71
|
| Rate for Payer: BCBS Trust/PPO |
$5,128.74
|
| Rate for Payer: BCN Commercial |
$1,237.34
|
| Rate for Payer: BCN Medicare Advantage |
$816.71
|
| Rate for Payer: Cash Price |
$2,243.20
|
| Rate for Payer: Cash Price |
$2,243.20
|
| Rate for Payer: Cofinity Commercial |
$1,176.06
|
| Rate for Payer: Cofinity Commercial |
$1,094.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.71
|
| Rate for Payer: Mclaren Medicaid |
$539.96
|
| Rate for Payer: Meridian Medicaid |
$566.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$857.55
|
| Rate for Payer: PACE SWMI |
$816.71
|
| Rate for Payer: PHP Medicare Advantage |
$816.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,962.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,292.96
|
| Rate for Payer: Priority Health Medicare |
$816.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,292.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$816.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.71
|
| Rate for Payer: UHC Medicare Advantage |
$841.21
|
|
|
PR ARTHRODESIS PANTALAR
|
Professional
|
Both
|
$3,861.00
|
|
|
Service Code
|
HCPCS 28705
|
| Min. Negotiated Rate |
$644.53 |
| Max. Negotiated Rate |
$2,702.70 |
| Rate for Payer: Aetna Commercial |
$1,611.54
|
| Rate for Payer: Aetna Medicare |
$1,250.75
|
| Rate for Payer: BCBS Complete |
$821.25
|
| Rate for Payer: BCBS MAPPO |
$1,202.64
|
| Rate for Payer: BCBS Trust/PPO |
$644.53
|
| Rate for Payer: BCN Commercial |
$1,779.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,202.64
|
| Rate for Payer: Cash Price |
$3,088.80
|
| Rate for Payer: Cash Price |
$3,088.80
|
| Rate for Payer: Cofinity Commercial |
$1,611.54
|
| Rate for Payer: Cofinity Commercial |
$1,731.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,202.64
|
| Rate for Payer: Mclaren Medicaid |
$782.14
|
| Rate for Payer: Meridian Medicaid |
$821.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,262.77
|
| Rate for Payer: PACE SWMI |
$1,202.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,202.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,702.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,859.78
|
| Rate for Payer: Priority Health Medicare |
$1,202.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,859.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,202.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,202.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,238.72
|
|
|
PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2
|
Professional
|
Both
|
$5,074.00
|
|
|
Service Code
|
HCPCS 22595
|
| Min. Negotiated Rate |
$986.19 |
| Max. Negotiated Rate |
$3,551.80 |
| Rate for Payer: Aetna Commercial |
$2,030.60
|
| Rate for Payer: Aetna Medicare |
$1,575.98
|
| Rate for Payer: BCBS Complete |
$1,035.50
|
| Rate for Payer: BCBS MAPPO |
$1,515.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$2,460.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,515.37
|
| Rate for Payer: Cash Price |
$4,059.20
|
| Rate for Payer: Cash Price |
$4,059.20
|
| Rate for Payer: Cofinity Commercial |
$2,030.60
|
| Rate for Payer: Cofinity Commercial |
$2,182.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,515.37
|
| Rate for Payer: Mclaren Medicaid |
$986.19
|
| Rate for Payer: Meridian Medicaid |
$1,035.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,591.14
|
| Rate for Payer: PACE SWMI |
$1,515.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,515.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$986.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,551.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,335.20
|
| Rate for Payer: Priority Health Medicare |
$1,515.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,335.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,515.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,515.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,560.83
|
|
|
PR ARTHRODESIS POSTERIOR CRANIOCERVICAL
|
Professional
|
Both
|
$5,232.00
|
|
|
Service Code
|
HCPCS 22590
|
| Min. Negotiated Rate |
$1,031.56 |
| Max. Negotiated Rate |
$3,662.40 |
| Rate for Payer: Aetna Commercial |
$2,130.21
|
| Rate for Payer: Aetna Medicare |
$1,653.30
|
| Rate for Payer: BCBS Complete |
$1,083.14
|
| Rate for Payer: BCBS MAPPO |
$1,589.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.44
|
| Rate for Payer: BCN Commercial |
$2,579.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,589.71
|
| Rate for Payer: Cash Price |
$4,185.60
|
| Rate for Payer: Cash Price |
$4,185.60
|
| Rate for Payer: Cofinity Commercial |
$2,289.18
|
| Rate for Payer: Cofinity Commercial |
$2,130.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,589.71
|
| Rate for Payer: Mclaren Medicaid |
$1,031.56
|
| Rate for Payer: Meridian Medicaid |
$1,083.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,669.20
|
| Rate for Payer: PACE SWMI |
$1,589.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,589.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,031.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,662.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,448.05
|
| Rate for Payer: Priority Health Medicare |
$1,589.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,448.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,589.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,589.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,637.40
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL
|
Professional
|
Both
|
$1,237.00
|
|
|
Service Code
|
HCPCS 22632
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$865.90 |
| Rate for Payer: Aetna Commercial |
$429.83
|
| Rate for Payer: Aetna Medicare |
$333.60
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$320.77
|
| Rate for Payer: BCBS Trust/PPO |
$650.50
|
| Rate for Payer: BCN Commercial |
$514.40
|
| Rate for Payer: BCN Medicare Advantage |
$320.77
|
| Rate for Payer: Cash Price |
$989.60
|
| Rate for Payer: Cash Price |
$989.60
|
| Rate for Payer: Cofinity Commercial |
$429.83
|
| Rate for Payer: Cofinity Commercial |
$461.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.77
|
| Rate for Payer: Mclaren Medicaid |
$204.91
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$336.81
|
| Rate for Payer: PACE SWMI |
$320.77
|
| Rate for Payer: PHP Medicare Advantage |
$320.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$865.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$488.18
|
| Rate for Payer: Priority Health Medicare |
$320.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$488.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.77
|
| Rate for Payer: UHC Medicare Advantage |
$330.39
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
|
Professional
|
Both
|
$6,617.00
|
|
|
Service Code
|
HCPCS 22630
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$4,631.90 |
| Rate for Payer: Aetna Commercial |
$2,087.63
|
| Rate for Payer: Aetna Medicare |
$1,620.25
|
| Rate for Payer: BCBS Complete |
$1,059.88
|
| Rate for Payer: BCBS MAPPO |
$1,557.93
|
| Rate for Payer: BCBS Trust/PPO |
$650.50
|
| Rate for Payer: BCN Commercial |
$2,524.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,557.93
|
| Rate for Payer: Cash Price |
$5,293.60
|
| Rate for Payer: Cash Price |
$5,293.60
|
| Rate for Payer: Cofinity Commercial |
$2,243.42
|
| Rate for Payer: Cofinity Commercial |
$2,087.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,557.93
|
| Rate for Payer: Mclaren Medicaid |
$1,009.41
|
| Rate for Payer: Meridian Medicaid |
$1,059.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,635.83
|
| Rate for Payer: PACE SWMI |
$1,557.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,557.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,009.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,631.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,395.97
|
| Rate for Payer: Priority Health Medicare |
$1,557.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,395.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,557.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,557.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,604.67
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR
|
Professional
|
Both
|
$3,234.20
|
|
|
Service Code
|
HCPCS 22612
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$2,556.92 |
| Rate for Payer: Aetna Commercial |
$2,110.25
|
| Rate for Payer: Aetna Medicare |
$1,637.80
|
| Rate for Payer: BCBS Complete |
$1,068.83
|
| Rate for Payer: BCBS MAPPO |
$1,574.81
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$2,556.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,574.81
|
| Rate for Payer: Cash Price |
$2,587.36
|
| Rate for Payer: Cash Price |
$2,587.36
|
| Rate for Payer: Cofinity Commercial |
$2,267.73
|
| Rate for Payer: Cofinity Commercial |
$2,110.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,574.81
|
| Rate for Payer: Mclaren Medicaid |
$1,017.93
|
| Rate for Payer: Meridian Medicaid |
$1,068.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,653.55
|
| Rate for Payer: PACE SWMI |
$1,574.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,574.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,263.94
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,426.61
|
| Rate for Payer: Priority Health Medicare |
$1,574.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,426.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,574.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,574.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,622.05
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC
|
Professional
|
Both
|
$4,202.00
|
|
|
Service Code
|
HCPCS 22610
|
| Min. Negotiated Rate |
$830.70 |
| Max. Negotiated Rate |
$4,702.18 |
| Rate for Payer: Aetna Commercial |
$1,708.23
|
| Rate for Payer: Aetna Medicare |
$1,325.79
|
| Rate for Payer: BCBS Complete |
$872.24
|
| Rate for Payer: BCBS MAPPO |
$1,274.80
|
| Rate for Payer: BCBS Trust/PPO |
$4,702.18
|
| Rate for Payer: BCN Commercial |
$2,076.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,274.80
|
| Rate for Payer: Cash Price |
$3,361.60
|
| Rate for Payer: Cash Price |
$3,361.60
|
| Rate for Payer: Cofinity Commercial |
$1,835.71
|
| Rate for Payer: Cofinity Commercial |
$1,708.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,274.80
|
| Rate for Payer: Mclaren Medicaid |
$830.70
|
| Rate for Payer: Meridian Medicaid |
$872.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,338.54
|
| Rate for Payer: PACE SWMI |
$1,274.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,274.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$830.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,941.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,970.60
|
| Rate for Payer: Priority Health Medicare |
$1,274.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,970.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,274.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,274.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,313.04
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM
|
Professional
|
Both
|
$4,967.20
|
|
|
Service Code
|
HCPCS 22804
|
| Min. Negotiated Rate |
$145.43 |
| Max. Negotiated Rate |
$3,719.06 |
| Rate for Payer: Aetna Commercial |
$3,240.01
|
| Rate for Payer: Aetna Medicare |
$2,514.64
|
| Rate for Payer: BCBS Complete |
$1,639.58
|
| Rate for Payer: BCBS MAPPO |
$2,417.92
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$3,559.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,417.92
|
| Rate for Payer: Cash Price |
$3,973.76
|
| Rate for Payer: Cash Price |
$3,973.76
|
| Rate for Payer: Cofinity Commercial |
$3,481.80
|
| Rate for Payer: Cofinity Commercial |
$3,240.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,417.92
|
| Rate for Payer: Mclaren Medicaid |
$1,561.50
|
| Rate for Payer: Meridian Medicaid |
$1,639.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,538.82
|
| Rate for Payer: PACE SWMI |
$2,417.92
|
| Rate for Payer: PHP Medicare Advantage |
$2,417.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,561.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,477.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,719.06
|
| Rate for Payer: Priority Health Medicare |
$2,417.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,719.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,417.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,417.92
|
| Rate for Payer: UHC Medicare Advantage |
$2,490.46
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM
|
Professional
|
Both
|
$2,756.40
|
|
|
Service Code
|
HCPCS 22800
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$2,098.27 |
| Rate for Payer: Aetna Commercial |
$1,819.80
|
| Rate for Payer: Aetna Medicare |
$1,412.38
|
| Rate for Payer: BCBS Complete |
$925.91
|
| Rate for Payer: BCBS MAPPO |
$1,358.06
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$2,007.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,358.06
|
| Rate for Payer: Cash Price |
$2,205.12
|
| Rate for Payer: Cash Price |
$2,205.12
|
| Rate for Payer: Cofinity Commercial |
$1,955.61
|
| Rate for Payer: Cofinity Commercial |
$1,819.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,358.06
|
| Rate for Payer: Mclaren Medicaid |
$881.82
|
| Rate for Payer: Meridian Medicaid |
$925.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,425.96
|
| Rate for Payer: PACE SWMI |
$1,358.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,358.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$881.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,929.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,098.27
|
| Rate for Payer: Priority Health Medicare |
$1,358.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,098.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,358.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,358.06
|
| Rate for Payer: UHC Medicare Advantage |
$1,398.80
|
|
