|
PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,396.00
|
|
|
Service Code
|
HCPCS 29861
|
| Min. Negotiated Rate |
$461.36 |
| Max. Negotiated Rate |
$1,677.20 |
| Rate for Payer: Aetna Commercial |
$940.05
|
| Rate for Payer: Aetna Medicare |
$729.59
|
| Rate for Payer: BCBS Complete |
$484.43
|
| Rate for Payer: BCBS MAPPO |
$701.53
|
| Rate for Payer: BCBS Trust/PPO |
$480.75
|
| Rate for Payer: BCN Commercial |
$1,045.28
|
| Rate for Payer: BCN Medicare Advantage |
$701.53
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cofinity Commercial |
$1,010.20
|
| Rate for Payer: Cofinity Commercial |
$940.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$701.53
|
| Rate for Payer: Mclaren Medicaid |
$461.36
|
| Rate for Payer: Meridian Medicaid |
$484.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$736.61
|
| Rate for Payer: PACE SWMI |
$701.53
|
| Rate for Payer: PHP Medicare Advantage |
$701.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,677.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,092.28
|
| Rate for Payer: Priority Health Medicare |
$701.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,092.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$701.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$701.53
|
| Rate for Payer: UHC Medicare Advantage |
$722.58
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY
|
Professional
|
Both
|
$1,615.00
|
|
|
Service Code
|
HCPCS 29863
|
| Min. Negotiated Rate |
$526.32 |
| Max. Negotiated Rate |
$1,244.96 |
| Rate for Payer: Aetna Commercial |
$1,069.79
|
| Rate for Payer: Aetna Medicare |
$830.28
|
| Rate for Payer: BCBS Complete |
$552.64
|
| Rate for Payer: BCBS MAPPO |
$798.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.17
|
| Rate for Payer: BCN Commercial |
$1,191.40
|
| Rate for Payer: BCN Medicare Advantage |
$798.35
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cofinity Commercial |
$1,149.62
|
| Rate for Payer: Cofinity Commercial |
$1,069.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$798.35
|
| Rate for Payer: Mclaren Medicaid |
$526.32
|
| Rate for Payer: Meridian Medicaid |
$552.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$838.27
|
| Rate for Payer: PACE SWMI |
$798.35
|
| Rate for Payer: PHP Medicare Advantage |
$798.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$526.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,130.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,244.96
|
| Rate for Payer: Priority Health Medicare |
$798.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,244.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$798.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$798.35
|
| Rate for Payer: UHC Medicare Advantage |
$822.30
|
|
|
PR ARTHROSCOPY HIP W/ACETABULOPLASTY
|
Professional
|
Both
|
$3,195.00
|
|
|
Service Code
|
HCPCS 29915
|
| Min. Negotiated Rate |
$654.55 |
| Max. Negotiated Rate |
$2,236.50 |
| Rate for Payer: Aetna Commercial |
$1,343.42
|
| Rate for Payer: Aetna Medicare |
$1,042.65
|
| Rate for Payer: BCBS Complete |
$687.28
|
| Rate for Payer: BCBS MAPPO |
$1,002.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,190.26
|
| Rate for Payer: BCN Commercial |
$1,489.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,002.55
|
| Rate for Payer: Cash Price |
$2,556.00
|
| Rate for Payer: Cash Price |
$2,556.00
|
| Rate for Payer: Cofinity Commercial |
$1,343.42
|
| Rate for Payer: Cofinity Commercial |
$1,443.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,002.55
|
| Rate for Payer: Mclaren Medicaid |
$654.55
|
| Rate for Payer: Meridian Medicaid |
$687.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,052.68
|
| Rate for Payer: PACE SWMI |
$1,002.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,002.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$654.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,236.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,556.97
|
| Rate for Payer: Priority Health Medicare |
$1,002.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,556.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,002.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,002.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,032.63
|
|
|
PR ARTHROSCOPY HIP W/FEMOROPLASTY
|
Professional
|
Both
|
$3,003.00
|
|
|
Service Code
|
HCPCS 29914
|
| Min. Negotiated Rate |
$556.83 |
| Max. Negotiated Rate |
$2,102.10 |
| Rate for Payer: Aetna Commercial |
$1,312.72
|
| Rate for Payer: Aetna Medicare |
$1,018.83
|
| Rate for Payer: BCBS Complete |
$670.50
|
| Rate for Payer: BCBS MAPPO |
$979.64
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$1,456.26
|
| Rate for Payer: BCN Medicare Advantage |
$979.64
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cofinity Commercial |
$1,410.68
|
| Rate for Payer: Cofinity Commercial |
$1,312.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$979.64
|
| Rate for Payer: Mclaren Medicaid |
$638.57
|
| Rate for Payer: Meridian Medicaid |
$670.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,028.62
|
| Rate for Payer: PACE SWMI |
$979.64
|
| Rate for Payer: PHP Medicare Advantage |
$979.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,102.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,521.74
|
| Rate for Payer: Priority Health Medicare |
$979.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,521.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$979.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$979.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,009.03
|
|
|
PR ARTHROSCOPY HIP W/LABRAL REPAIR
|
Professional
|
Both
|
$3,210.00
|
|
|
Service Code
|
HCPCS 29916
|
| Min. Negotiated Rate |
$651.78 |
| Max. Negotiated Rate |
$2,247.00 |
| Rate for Payer: Aetna Commercial |
$1,344.66
|
| Rate for Payer: Aetna Medicare |
$1,043.62
|
| Rate for Payer: BCBS Complete |
$684.37
|
| Rate for Payer: BCBS MAPPO |
$1,003.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,084.67
|
| Rate for Payer: BCN Commercial |
$1,491.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,003.48
|
| Rate for Payer: Cash Price |
$2,568.00
|
| Rate for Payer: Cash Price |
$2,568.00
|
| Rate for Payer: Cofinity Commercial |
$1,445.01
|
| Rate for Payer: Cofinity Commercial |
$1,344.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,003.48
|
| Rate for Payer: Mclaren Medicaid |
$651.78
|
| Rate for Payer: Meridian Medicaid |
$684.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,053.65
|
| Rate for Payer: PACE SWMI |
$1,003.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,003.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$651.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,558.51
|
| Rate for Payer: Priority Health Medicare |
$1,003.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,558.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,003.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,003.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,033.58
|
|
|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,111.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$267.10 |
| Max. Negotiated Rate |
$1,328.67 |
| Rate for Payer: Aetna Commercial |
$536.16
|
| Rate for Payer: Aetna Medicare |
$416.12
|
| Rate for Payer: BCBS Complete |
$280.46
|
| Rate for Payer: BCBS MAPPO |
$400.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,328.67
|
| Rate for Payer: BCN Commercial |
$810.23
|
| Rate for Payer: BCN Medicare Advantage |
$400.12
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Cofinity Commercial |
$576.17
|
| Rate for Payer: Cofinity Commercial |
$536.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.12
|
| Rate for Payer: Mclaren Medicaid |
$267.10
|
| Rate for Payer: Meridian Medicaid |
$280.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$420.13
|
| Rate for Payer: PACE SWMI |
$400.12
|
| Rate for Payer: PHP Medicare Advantage |
$400.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$777.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.07
|
| Rate for Payer: Priority Health Medicare |
$400.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$400.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$400.12
|
| Rate for Payer: UHC Medicare Advantage |
$412.12
|
|
|
PR ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$334.84 |
| Max. Negotiated Rate |
$1,303.32 |
| Rate for Payer: Aetna Commercial |
$681.01
|
| Rate for Payer: Aetna Medicare |
$528.55
|
| Rate for Payer: BCBS Complete |
$351.58
|
| Rate for Payer: BCBS MAPPO |
$508.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,303.32
|
| Rate for Payer: BCN Commercial |
$760.87
|
| Rate for Payer: BCN Medicare Advantage |
$508.22
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$681.01
|
| Rate for Payer: Cofinity Commercial |
$731.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.22
|
| Rate for Payer: Mclaren Medicaid |
$334.84
|
| Rate for Payer: Meridian Medicaid |
$351.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$533.63
|
| Rate for Payer: PACE SWMI |
$508.22
|
| Rate for Payer: PHP Medicare Advantage |
$508.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$334.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$795.08
|
| Rate for Payer: Priority Health Medicare |
$508.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$795.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$508.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$508.22
|
| Rate for Payer: UHC Medicare Advantage |
$523.47
|
|
|
PR ARTHROSCOPY KNEE LATERAL RELEASE
|
Professional
|
Both
|
$1,935.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$350.17 |
| Max. Negotiated Rate |
$1,722.26 |
| Rate for Payer: Aetna Commercial |
$704.85
|
| Rate for Payer: Aetna Medicare |
$547.05
|
| Rate for Payer: BCBS Complete |
$367.68
|
| Rate for Payer: BCBS MAPPO |
$526.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,722.26
|
| Rate for Payer: BCN Commercial |
$792.14
|
| Rate for Payer: BCN Medicare Advantage |
$526.01
|
| Rate for Payer: Cash Price |
$1,548.00
|
| Rate for Payer: Cash Price |
$1,548.00
|
| Rate for Payer: Cofinity Commercial |
$704.85
|
| Rate for Payer: Cofinity Commercial |
$757.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.01
|
| Rate for Payer: Mclaren Medicaid |
$350.17
|
| Rate for Payer: Meridian Medicaid |
$367.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.31
|
| Rate for Payer: PACE SWMI |
$526.01
|
| Rate for Payer: PHP Medicare Advantage |
$526.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,354.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$827.76
|
| Rate for Payer: Priority Health Medicare |
$526.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$827.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$526.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.01
|
| Rate for Payer: UHC Medicare Advantage |
$541.79
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$2,944.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$818.87 |
| Max. Negotiated Rate |
$2,547.12 |
| Rate for Payer: Aetna Commercial |
$2,202.84
|
| Rate for Payer: Aetna Medicare |
$1,709.67
|
| Rate for Payer: BCBS Complete |
$1,122.72
|
| Rate for Payer: BCBS MAPPO |
$1,643.91
|
| Rate for Payer: BCBS Trust/PPO |
$818.87
|
| Rate for Payer: BCN Commercial |
$2,437.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,643.91
|
| Rate for Payer: Cash Price |
$2,355.20
|
| Rate for Payer: Cash Price |
$2,355.20
|
| Rate for Payer: Cofinity Commercial |
$2,202.84
|
| Rate for Payer: Cofinity Commercial |
$2,367.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,643.91
|
| Rate for Payer: Mclaren Medicaid |
$1,069.26
|
| Rate for Payer: Meridian Medicaid |
$1,122.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,726.11
|
| Rate for Payer: PACE SWMI |
$1,643.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,643.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,060.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,547.12
|
| Rate for Payer: Priority Health Medicare |
$1,643.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,547.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,643.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,643.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,693.23
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,036.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$678.83 |
| Max. Negotiated Rate |
$2,125.20 |
| Rate for Payer: Aetna Commercial |
$1,388.12
|
| Rate for Payer: Aetna Medicare |
$1,077.35
|
| Rate for Payer: BCBS Complete |
$712.77
|
| Rate for Payer: BCBS MAPPO |
$1,035.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$1,543.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.91
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cofinity Commercial |
$1,388.12
|
| Rate for Payer: Cofinity Commercial |
$1,491.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.91
|
| Rate for Payer: Mclaren Medicaid |
$678.83
|
| Rate for Payer: Meridian Medicaid |
$712.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,087.71
|
| Rate for Payer: PACE SWMI |
$1,035.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,125.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,613.15
|
| Rate for Payer: Priority Health Medicare |
$1,035.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,613.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,035.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,035.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,066.99
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$509.81 |
| Max. Negotiated Rate |
$1,956.30 |
| Rate for Payer: Aetna Commercial |
$1,686.83
|
| Rate for Payer: Aetna Medicare |
$1,309.18
|
| Rate for Payer: BCBS Complete |
$863.74
|
| Rate for Payer: BCBS MAPPO |
$1,258.83
|
| Rate for Payer: BCBS Trust/PPO |
$509.81
|
| Rate for Payer: BCN Commercial |
$1,872.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,258.83
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$1,812.72
|
| Rate for Payer: Cofinity Commercial |
$1,686.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,258.83
|
| Rate for Payer: Mclaren Medicaid |
$822.61
|
| Rate for Payer: Meridian Medicaid |
$863.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,321.77
|
| Rate for Payer: PACE SWMI |
$1,258.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,258.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,956.30
|
| Rate for Payer: Priority Health Medicare |
$1,258.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,956.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,258.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,258.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,296.59
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$1,999.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$349.32 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$707.81
|
| Rate for Payer: Aetna Medicare |
$549.35
|
| Rate for Payer: BCBS Complete |
$366.79
|
| Rate for Payer: BCBS MAPPO |
$528.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| Rate for Payer: BCN Medicare Advantage |
$528.22
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$707.81
|
| Rate for Payer: Cofinity Commercial |
$760.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.22
|
| Rate for Payer: Mclaren Medicaid |
$349.32
|
| Rate for Payer: Meridian Medicaid |
$366.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$554.63
|
| Rate for Payer: PACE SWMI |
$528.22
|
| Rate for Payer: PHP Medicare Advantage |
$528.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.21
|
| Rate for Payer: Priority Health Medicare |
$528.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$825.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$528.22
|
| Rate for Payer: UHC Medicare Advantage |
$544.07
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
OP
|
$1,999.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$474.76 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,699.15
|
| Rate for Payer: Aetna Medicare |
$519.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$624.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$624.69
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$499.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,554.22
|
| Rate for Payer: BCN Commercial |
$1,554.22
|
| Rate for Payer: BCN Medicare Advantage |
$499.75
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$1,719.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,599.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.75
|
| Rate for Payer: Healthscope Commercial |
$1,799.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,499.25
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$574.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,699.15
|
| Rate for Payer: PACE Senior Care Partners |
$474.76
|
| Rate for Payer: PACE SWMI |
$499.75
|
| Rate for Payer: PHP Commercial |
$1,699.15
|
| Rate for Payer: PHP Medicare Advantage |
$499.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,739.13
|
| Rate for Payer: Priority Health Medicare |
$499.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,219.19
|
| Rate for Payer: Railroad Medicare Medicare |
$499.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,759.12
|
| Rate for Payer: UHC Core |
$1,669.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.75
|
| Rate for Payer: UHC Medicare Advantage |
$514.74
|
| Rate for Payer: VA VA |
$499.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,499.25
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
IP
|
$1,999.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,219.19 |
| Max. Negotiated Rate |
$1,799.10 |
| Rate for Payer: Aetna Commercial |
$1,699.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,544.83
|
| Rate for Payer: BCN Commercial |
$1,544.83
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$1,719.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,599.20
|
| Rate for Payer: Healthscope Commercial |
$1,799.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,499.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,699.15
|
| Rate for Payer: PHP Commercial |
$1,699.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,739.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,219.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,759.12
|
| Rate for Payer: UHC Core |
$1,669.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,499.25
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$1,999.00
|
|
|
Service Code
|
HCPCS 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$349.32 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$707.81
|
| Rate for Payer: Aetna Medicare |
$549.35
|
| Rate for Payer: BCBS Complete |
$366.79
|
| Rate for Payer: BCBS MAPPO |
$528.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| Rate for Payer: BCN Medicare Advantage |
$528.22
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$760.64
|
| Rate for Payer: Cofinity Commercial |
$707.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.22
|
| Rate for Payer: Mclaren Medicaid |
$349.32
|
| Rate for Payer: Meridian Medicaid |
$366.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$554.63
|
| Rate for Payer: PACE SWMI |
$528.22
|
| Rate for Payer: PHP Medicare Advantage |
$528.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.21
|
| Rate for Payer: Priority Health Medicare |
$528.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$825.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$528.22
|
| Rate for Payer: UHC Medicare Advantage |
$544.07
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$422.81 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$861.67
|
| Rate for Payer: Aetna Medicare |
$668.76
|
| Rate for Payer: BCBS Complete |
$443.95
|
| Rate for Payer: BCBS MAPPO |
$643.04
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$643.04
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$925.98
|
| Rate for Payer: Cofinity Commercial |
$861.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.04
|
| Rate for Payer: Mclaren Medicaid |
$422.81
|
| Rate for Payer: Meridian Medicaid |
$443.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$675.19
|
| Rate for Payer: PACE SWMI |
$643.04
|
| Rate for Payer: PHP Medicare Advantage |
$643.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,003.42
|
| Rate for Payer: Priority Health Medicare |
$643.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,003.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$643.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.04
|
| Rate for Payer: UHC Medicare Advantage |
$662.33
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,348.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$557.65 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,995.80
|
| Rate for Payer: Aetna Medicare |
$610.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$733.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$733.75
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$587.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,825.57
|
| Rate for Payer: BCN Commercial |
$1,825.57
|
| Rate for Payer: BCN Medicare Advantage |
$587.00
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,019.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.00
|
| Rate for Payer: Healthscope Commercial |
$2,113.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,761.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$616.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$675.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: PACE Senior Care Partners |
$557.65
|
| Rate for Payer: PACE SWMI |
$587.00
|
| Rate for Payer: PHP Commercial |
$1,995.80
|
| Rate for Payer: PHP Medicare Advantage |
$587.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,042.76
|
| Rate for Payer: Priority Health Medicare |
$587.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,432.05
|
| Rate for Payer: Railroad Medicare Medicare |
$587.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,066.24
|
| Rate for Payer: UHC Core |
$1,960.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$587.00
|
| Rate for Payer: UHC Medicare Advantage |
$604.61
|
| Rate for Payer: VA VA |
$587.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,761.00
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$422.81 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$861.67
|
| Rate for Payer: Aetna Medicare |
$668.76
|
| Rate for Payer: BCBS Complete |
$443.95
|
| Rate for Payer: BCBS MAPPO |
$643.04
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$643.04
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$861.67
|
| Rate for Payer: Cofinity Commercial |
$925.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.04
|
| Rate for Payer: Mclaren Medicaid |
$422.81
|
| Rate for Payer: Meridian Medicaid |
$443.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$675.19
|
| Rate for Payer: PACE SWMI |
$643.04
|
| Rate for Payer: PHP Medicare Advantage |
$643.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,003.42
|
| Rate for Payer: Priority Health Medicare |
$643.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,003.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$643.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.04
|
| Rate for Payer: UHC Medicare Advantage |
$662.33
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,348.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,432.05 |
| Max. Negotiated Rate |
$2,113.20 |
| Rate for Payer: Aetna Commercial |
$1,995.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,814.53
|
| Rate for Payer: BCN Commercial |
$1,814.53
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,019.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Healthscope Commercial |
$2,113.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,761.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: PHP Commercial |
$1,995.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,042.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,432.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,066.24
|
| Rate for Payer: UHC Core |
$1,960.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,761.00
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,288.00 |
| Rate for Payer: Aetna Commercial |
$655.61
|
| Rate for Payer: Aetna Medicare |
$508.83
|
| Rate for Payer: BCBS Complete |
$338.84
|
| Rate for Payer: BCBS MAPPO |
$489.26
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| Rate for Payer: BCN Medicare Advantage |
$489.26
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$655.61
|
| Rate for Payer: Cofinity Commercial |
$704.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.26
|
| Rate for Payer: Mclaren Medicaid |
$322.70
|
| Rate for Payer: Meridian Medicaid |
$338.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.72
|
| Rate for Payer: PACE SWMI |
$489.26
|
| Rate for Payer: PHP Medicare Advantage |
$489.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$765.47
|
| Rate for Payer: Priority Health Medicare |
$489.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$765.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$489.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$489.26
|
| Rate for Payer: UHC Medicare Advantage |
$503.94
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,288.00 |
| Rate for Payer: Aetna Commercial |
$655.61
|
| Rate for Payer: Aetna Medicare |
$508.83
|
| Rate for Payer: BCBS Complete |
$338.84
|
| Rate for Payer: BCBS MAPPO |
$489.26
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| Rate for Payer: BCN Medicare Advantage |
$489.26
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$704.53
|
| Rate for Payer: Cofinity Commercial |
$655.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.26
|
| Rate for Payer: Mclaren Medicaid |
$322.70
|
| Rate for Payer: Meridian Medicaid |
$338.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.72
|
| Rate for Payer: PACE SWMI |
$489.26
|
| Rate for Payer: PHP Medicare Advantage |
$489.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$765.47
|
| Rate for Payer: Priority Health Medicare |
$489.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$765.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$489.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$489.26
|
| Rate for Payer: UHC Medicare Advantage |
$503.94
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
IP
|
$1,840.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,122.22 |
| Max. Negotiated Rate |
$1,656.00 |
| Rate for Payer: Aetna Commercial |
$1,564.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,421.95
|
| Rate for Payer: BCN Commercial |
$1,421.95
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$1,582.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,472.00
|
| Rate for Payer: Healthscope Commercial |
$1,656.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,380.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,564.00
|
| Rate for Payer: PHP Commercial |
$1,564.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,600.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,122.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,619.20
|
| Rate for Payer: UHC Core |
$1,536.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,380.00
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,840.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$437.00 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,564.00
|
| Rate for Payer: Aetna Medicare |
$478.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$575.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$575.00
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$460.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,430.60
|
| Rate for Payer: BCN Commercial |
$1,430.60
|
| Rate for Payer: BCN Medicare Advantage |
$460.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$1,582.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,472.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.00
|
| Rate for Payer: Healthscope Commercial |
$1,656.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,380.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$483.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$529.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,564.00
|
| Rate for Payer: PACE Senior Care Partners |
$437.00
|
| Rate for Payer: PACE SWMI |
$460.00
|
| Rate for Payer: PHP Commercial |
$1,564.00
|
| Rate for Payer: PHP Medicare Advantage |
$460.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,600.80
|
| Rate for Payer: Priority Health Medicare |
$460.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,122.22
|
| Rate for Payer: Railroad Medicare Medicare |
$460.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,619.20
|
| Rate for Payer: UHC Core |
$1,536.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$460.00
|
| Rate for Payer: UHC Medicare Advantage |
$473.80
|
| Rate for Payer: VA VA |
$460.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,380.00
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$401.72 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$817.94
|
| Rate for Payer: Aetna Medicare |
$634.82
|
| Rate for Payer: BCBS Complete |
$421.81
|
| Rate for Payer: BCBS MAPPO |
$610.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$610.40
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$817.94
|
| Rate for Payer: Cofinity Commercial |
$878.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.40
|
| Rate for Payer: Mclaren Medicaid |
$401.72
|
| Rate for Payer: Meridian Medicaid |
$421.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$640.92
|
| Rate for Payer: PACE SWMI |
$610.40
|
| Rate for Payer: PHP Medicare Advantage |
$610.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$953.38
|
| Rate for Payer: Priority Health Medicare |
$610.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$953.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$610.40
|
| Rate for Payer: UHC Medicare Advantage |
$628.71
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$401.72 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$817.94
|
| Rate for Payer: Aetna Medicare |
$634.82
|
| Rate for Payer: BCBS Complete |
$421.81
|
| Rate for Payer: BCBS MAPPO |
$610.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$610.40
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$817.94
|
| Rate for Payer: Cofinity Commercial |
$878.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.40
|
| Rate for Payer: Mclaren Medicaid |
$401.72
|
| Rate for Payer: Meridian Medicaid |
$421.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$640.92
|
| Rate for Payer: PACE SWMI |
$610.40
|
| Rate for Payer: PHP Medicare Advantage |
$610.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$953.38
|
| Rate for Payer: Priority Health Medicare |
$610.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$953.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$610.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$610.40
|
| Rate for Payer: UHC Medicare Advantage |
$628.71
|
|
