|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,710.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$625.37 |
| Max. Negotiated Rate |
$1,489.05 |
| Rate for Payer: Aetna Commercial |
$1,284.35
|
| Rate for Payer: Aetna Medicare |
$996.81
|
| Rate for Payer: BCBS Complete |
$656.64
|
| Rate for Payer: BCBS MAPPO |
$958.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$1,424.98
|
| Rate for Payer: BCN Medicare Advantage |
$958.47
|
| Rate for Payer: Cash Price |
$1,368.00
|
| Rate for Payer: Cash Price |
$1,368.00
|
| Rate for Payer: Cofinity Commercial |
$1,380.20
|
| Rate for Payer: Cofinity Commercial |
$1,284.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.47
|
| Rate for Payer: Mclaren Medicaid |
$625.37
|
| Rate for Payer: Meridian Medicaid |
$656.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,006.39
|
| Rate for Payer: PACE SWMI |
$958.47
|
| Rate for Payer: PHP Medicare Advantage |
$958.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$625.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,197.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,489.05
|
| Rate for Payer: Priority Health Medicare |
$958.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,489.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.47
|
| Rate for Payer: UHC Medicare Advantage |
$987.22
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,641.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$602.79 |
| Max. Negotiated Rate |
$1,435.44 |
| Rate for Payer: Aetna Commercial |
$1,238.45
|
| Rate for Payer: Aetna Medicare |
$961.19
|
| Rate for Payer: BCBS Complete |
$632.93
|
| Rate for Payer: BCBS MAPPO |
$924.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.66
|
| Rate for Payer: BCN Commercial |
$1,373.67
|
| Rate for Payer: BCN Medicare Advantage |
$924.22
|
| Rate for Payer: Cash Price |
$1,312.80
|
| Rate for Payer: Cash Price |
$1,312.80
|
| Rate for Payer: Cofinity Commercial |
$1,330.88
|
| Rate for Payer: Cofinity Commercial |
$1,238.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$924.22
|
| Rate for Payer: Mclaren Medicaid |
$602.79
|
| Rate for Payer: Meridian Medicaid |
$632.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$970.43
|
| Rate for Payer: PACE SWMI |
$924.22
|
| Rate for Payer: PHP Medicare Advantage |
$924.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,148.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,435.44
|
| Rate for Payer: Priority Health Medicare |
$924.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$924.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$924.22
|
| Rate for Payer: UHC Medicare Advantage |
$951.95
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$711.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$276.90 |
| Max. Negotiated Rate |
$982.11 |
| Rate for Payer: Aetna Commercial |
$558.70
|
| Rate for Payer: Aetna Medicare |
$433.62
|
| Rate for Payer: BCBS Complete |
$290.74
|
| Rate for Payer: BCBS MAPPO |
$416.94
|
| Rate for Payer: BCBS Trust/PPO |
$982.11
|
| Rate for Payer: BCN Commercial |
$626.48
|
| Rate for Payer: BCN Medicare Advantage |
$416.94
|
| Rate for Payer: Cash Price |
$568.80
|
| Rate for Payer: Cash Price |
$568.80
|
| Rate for Payer: Cofinity Commercial |
$600.39
|
| Rate for Payer: Cofinity Commercial |
$558.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.94
|
| Rate for Payer: Mclaren Medicaid |
$276.90
|
| Rate for Payer: Meridian Medicaid |
$290.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$437.79
|
| Rate for Payer: PACE SWMI |
$416.94
|
| Rate for Payer: PHP Medicare Advantage |
$416.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$654.65
|
| Rate for Payer: Priority Health Medicare |
$416.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$654.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.94
|
| Rate for Payer: UHC Medicare Advantage |
$429.45
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$1,982.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$377.22 |
| Max. Negotiated Rate |
$4,201.57 |
| Rate for Payer: Aetna Commercial |
$765.15
|
| Rate for Payer: Aetna Medicare |
$593.85
|
| Rate for Payer: BCBS Complete |
$396.08
|
| Rate for Payer: BCBS MAPPO |
$571.01
|
| Rate for Payer: BCBS Trust/PPO |
$4,201.57
|
| Rate for Payer: BCN Commercial |
$855.19
|
| Rate for Payer: BCN Medicare Advantage |
$571.01
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cofinity Commercial |
$822.25
|
| Rate for Payer: Cofinity Commercial |
$765.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.01
|
| Rate for Payer: Mclaren Medicaid |
$377.22
|
| Rate for Payer: Meridian Medicaid |
$396.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$599.56
|
| Rate for Payer: PACE SWMI |
$571.01
|
| Rate for Payer: PHP Medicare Advantage |
$571.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,387.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$893.64
|
| Rate for Payer: Priority Health Medicare |
$571.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$893.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.01
|
| Rate for Payer: UHC Medicare Advantage |
$588.14
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,095.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$312.75 |
| Max. Negotiated Rate |
$1,466.50 |
| Rate for Payer: Aetna Commercial |
$853.07
|
| Rate for Payer: Aetna Medicare |
$662.08
|
| Rate for Payer: BCBS Complete |
$440.14
|
| Rate for Payer: BCBS MAPPO |
$636.62
|
| Rate for Payer: BCBS Trust/PPO |
$312.75
|
| Rate for Payer: BCN Commercial |
$951.46
|
| Rate for Payer: BCN Medicare Advantage |
$636.62
|
| Rate for Payer: Cash Price |
$1,676.00
|
| Rate for Payer: Cash Price |
$1,676.00
|
| Rate for Payer: Cofinity Commercial |
$916.73
|
| Rate for Payer: Cofinity Commercial |
$853.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.62
|
| Rate for Payer: Mclaren Medicaid |
$419.18
|
| Rate for Payer: Meridian Medicaid |
$440.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$668.45
|
| Rate for Payer: PACE SWMI |
$636.62
|
| Rate for Payer: PHP Medicare Advantage |
$636.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,466.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$994.23
|
| Rate for Payer: Priority Health Medicare |
$636.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$994.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.62
|
| Rate for Payer: UHC Medicare Advantage |
$655.72
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$680.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$229.83 |
| Max. Negotiated Rate |
$958.34 |
| Rate for Payer: Aetna Commercial |
$462.81
|
| Rate for Payer: Aetna Medicare |
$359.20
|
| Rate for Payer: BCBS Complete |
$241.32
|
| Rate for Payer: BCBS MAPPO |
$345.38
|
| Rate for Payer: BCBS Trust/PPO |
$958.34
|
| Rate for Payer: BCN Commercial |
$520.44
|
| Rate for Payer: BCN Medicare Advantage |
$345.38
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$462.81
|
| Rate for Payer: Cofinity Commercial |
$497.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.38
|
| Rate for Payer: Mclaren Medicaid |
$229.83
|
| Rate for Payer: Meridian Medicaid |
$241.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$362.65
|
| Rate for Payer: PACE SWMI |
$345.38
|
| Rate for Payer: PHP Medicare Advantage |
$345.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$476.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$543.84
|
| Rate for Payer: Priority Health Medicare |
$345.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$543.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.38
|
| Rate for Payer: UHC Medicare Advantage |
$355.74
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,648.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$318.44 |
| Max. Negotiated Rate |
$1,249.43 |
| Rate for Payer: Aetna Commercial |
$645.45
|
| Rate for Payer: Aetna Medicare |
$500.95
|
| Rate for Payer: BCBS Complete |
$334.36
|
| Rate for Payer: BCBS MAPPO |
$481.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,249.43
|
| Rate for Payer: BCN Commercial |
$723.73
|
| Rate for Payer: BCN Medicare Advantage |
$481.68
|
| Rate for Payer: Cash Price |
$1,318.40
|
| Rate for Payer: Cash Price |
$1,318.40
|
| Rate for Payer: Cofinity Commercial |
$693.62
|
| Rate for Payer: Cofinity Commercial |
$645.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$481.68
|
| Rate for Payer: Mclaren Medicaid |
$318.44
|
| Rate for Payer: Meridian Medicaid |
$334.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$505.76
|
| Rate for Payer: PACE SWMI |
$481.68
|
| Rate for Payer: PHP Medicare Advantage |
$481.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$318.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,153.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$756.27
|
| Rate for Payer: Priority Health Medicare |
$481.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$756.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$481.68
|
| Rate for Payer: UHC Medicare Advantage |
$496.13
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,407.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$370.19 |
| Max. Negotiated Rate |
$984.90 |
| Rate for Payer: Aetna Commercial |
$753.95
|
| Rate for Payer: Aetna Medicare |
$585.16
|
| Rate for Payer: BCBS Complete |
$388.70
|
| Rate for Payer: BCBS MAPPO |
$562.65
|
| Rate for Payer: BCBS Trust/PPO |
$870.11
|
| Rate for Payer: BCN Commercial |
$839.06
|
| Rate for Payer: BCN Medicare Advantage |
$562.65
|
| Rate for Payer: Cash Price |
$1,125.60
|
| Rate for Payer: Cash Price |
$1,125.60
|
| Rate for Payer: Cofinity Commercial |
$810.22
|
| Rate for Payer: Cofinity Commercial |
$753.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.65
|
| Rate for Payer: Mclaren Medicaid |
$370.19
|
| Rate for Payer: Meridian Medicaid |
$388.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$590.78
|
| Rate for Payer: PACE SWMI |
$562.65
|
| Rate for Payer: PHP Medicare Advantage |
$562.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$370.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$984.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$876.78
|
| Rate for Payer: Priority Health Medicare |
$562.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$876.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.65
|
| Rate for Payer: UHC Medicare Advantage |
$579.53
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$244.60 |
| Max. Negotiated Rate |
$934.99 |
| Rate for Payer: Aetna Commercial |
$804.25
|
| Rate for Payer: Aetna Medicare |
$624.20
|
| Rate for Payer: BCBS Complete |
$420.24
|
| Rate for Payer: BCBS MAPPO |
$600.19
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$894.77
|
| Rate for Payer: BCN Medicare Advantage |
$600.19
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$864.27
|
| Rate for Payer: Cofinity Commercial |
$804.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.19
|
| Rate for Payer: Mclaren Medicaid |
$400.23
|
| Rate for Payer: Meridian Medicaid |
$420.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$630.20
|
| Rate for Payer: PACE SWMI |
$600.19
|
| Rate for Payer: PHP Medicare Advantage |
$600.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$400.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$712.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$934.99
|
| Rate for Payer: Priority Health Medicare |
$600.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$934.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.19
|
| Rate for Payer: UHC Medicare Advantage |
$618.20
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,369.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$446.45 |
| Max. Negotiated Rate |
$4,275.53 |
| Rate for Payer: Aetna Commercial |
$912.02
|
| Rate for Payer: Aetna Medicare |
$707.83
|
| Rate for Payer: BCBS Complete |
$468.77
|
| Rate for Payer: BCBS MAPPO |
$680.61
|
| Rate for Payer: BCBS Trust/PPO |
$4,275.53
|
| Rate for Payer: BCN Commercial |
$1,016.94
|
| Rate for Payer: BCN Medicare Advantage |
$680.61
|
| Rate for Payer: Cash Price |
$1,095.20
|
| Rate for Payer: Cash Price |
$1,095.20
|
| Rate for Payer: Cofinity Commercial |
$980.08
|
| Rate for Payer: Cofinity Commercial |
$912.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.61
|
| Rate for Payer: Mclaren Medicaid |
$446.45
|
| Rate for Payer: Meridian Medicaid |
$468.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$714.64
|
| Rate for Payer: PACE SWMI |
$680.61
|
| Rate for Payer: PHP Medicare Advantage |
$680.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$958.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,062.66
|
| Rate for Payer: Priority Health Medicare |
$680.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,062.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$680.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$680.61
|
| Rate for Payer: UHC Medicare Advantage |
$701.03
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,462.00
|
|
|
Service Code
|
HCPCS 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$445.38 |
| Max. Negotiated Rate |
$1,723.40 |
| Rate for Payer: Aetna Commercial |
$909.38
|
| Rate for Payer: Aetna Medicare |
$705.79
|
| Rate for Payer: BCBS Complete |
$467.65
|
| Rate for Payer: BCBS MAPPO |
$678.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| Rate for Payer: BCN Medicare Advantage |
$678.64
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cofinity Commercial |
$977.24
|
| Rate for Payer: Cofinity Commercial |
$909.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.64
|
| Rate for Payer: Mclaren Medicaid |
$445.38
|
| Rate for Payer: Meridian Medicaid |
$467.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$712.57
|
| Rate for Payer: PACE SWMI |
$678.64
|
| Rate for Payer: PHP Medicare Advantage |
$678.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,059.60
|
| Rate for Payer: Priority Health Medicare |
$678.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,059.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$678.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$678.64
|
| Rate for Payer: UHC Medicare Advantage |
$699.00
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
OP
|
$2,462.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$584.72 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$2,092.70
|
| Rate for Payer: Aetna Medicare |
$640.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$769.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$769.38
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$615.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,914.20
|
| Rate for Payer: BCN Commercial |
$1,914.20
|
| Rate for Payer: BCN Medicare Advantage |
$615.50
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cofinity Commercial |
$2,117.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,969.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.50
|
| Rate for Payer: Healthscope Commercial |
$2,215.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,846.50
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$646.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$707.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,092.70
|
| Rate for Payer: PACE Senior Care Partners |
$584.72
|
| Rate for Payer: PACE SWMI |
$615.50
|
| Rate for Payer: PHP Commercial |
$2,092.70
|
| Rate for Payer: PHP Medicare Advantage |
$615.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,141.94
|
| Rate for Payer: Priority Health Medicare |
$615.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,501.57
|
| Rate for Payer: Railroad Medicare Medicare |
$615.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,166.56
|
| Rate for Payer: UHC Core |
$2,055.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$615.50
|
| Rate for Payer: UHC Medicare Advantage |
$633.96
|
| Rate for Payer: VA VA |
$615.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,846.50
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,462.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$445.38 |
| Max. Negotiated Rate |
$1,723.40 |
| Rate for Payer: Aetna Commercial |
$909.38
|
| Rate for Payer: Aetna Medicare |
$705.79
|
| Rate for Payer: BCBS Complete |
$467.65
|
| Rate for Payer: BCBS MAPPO |
$678.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| Rate for Payer: BCN Medicare Advantage |
$678.64
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cofinity Commercial |
$909.38
|
| Rate for Payer: Cofinity Commercial |
$977.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.64
|
| Rate for Payer: Mclaren Medicaid |
$445.38
|
| Rate for Payer: Meridian Medicaid |
$467.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$712.57
|
| Rate for Payer: PACE SWMI |
$678.64
|
| Rate for Payer: PHP Medicare Advantage |
$678.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,059.60
|
| Rate for Payer: Priority Health Medicare |
$678.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,059.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$678.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$678.64
|
| Rate for Payer: UHC Medicare Advantage |
$699.00
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
IP
|
$2,462.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,501.57 |
| Max. Negotiated Rate |
$2,215.80 |
| Rate for Payer: Aetna Commercial |
$2,092.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.63
|
| Rate for Payer: BCN Commercial |
$1,902.63
|
| Rate for Payer: Cash Price |
$1,969.60
|
| Rate for Payer: Cofinity Commercial |
$2,117.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,969.60
|
| Rate for Payer: Healthscope Commercial |
$2,215.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,846.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,092.70
|
| Rate for Payer: PHP Commercial |
$2,092.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,141.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,501.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,166.56
|
| Rate for Payer: UHC Core |
$2,055.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,846.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,739.04
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$650.52 |
| Max. Negotiated Rate |
$9,065.28 |
| Rate for Payer: Aetna Commercial |
$2,328.18
|
| Rate for Payer: Aetna Medicare |
$712.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$855.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$855.95
|
| Rate for Payer: BCBS Complete |
$9,065.28
|
| Rate for Payer: BCBS MAPPO |
$684.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,129.60
|
| Rate for Payer: BCN Commercial |
$2,129.60
|
| Rate for Payer: BCN Medicare Advantage |
$684.76
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cofinity Commercial |
$2,355.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,191.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.76
|
| Rate for Payer: Healthscope Commercial |
$2,465.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,054.28
|
| Rate for Payer: Mclaren Medicaid |
$8,633.60
|
| Rate for Payer: Meridian Medicaid |
$9,065.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$719.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$787.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,328.18
|
| Rate for Payer: PACE Senior Care Partners |
$650.52
|
| Rate for Payer: PACE SWMI |
$684.76
|
| Rate for Payer: PHP Commercial |
$2,328.18
|
| Rate for Payer: PHP Medicare Advantage |
$684.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,633.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,382.96
|
| Rate for Payer: Priority Health Medicare |
$684.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,670.54
|
| Rate for Payer: Railroad Medicare Medicare |
$684.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,410.36
|
| Rate for Payer: UHC Core |
$2,287.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$684.76
|
| Rate for Payer: UHC Medicare Advantage |
$705.30
|
| Rate for Payer: VA VA |
$684.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,054.28
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,739.04
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$2,065.66 |
| Rate for Payer: Aetna Commercial |
$1,696.83
|
| Rate for Payer: Aetna Medicare |
$1,316.94
|
| Rate for Payer: BCBS Complete |
$863.96
|
| Rate for Payer: BCBS MAPPO |
$1,266.29
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.29
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cofinity Commercial |
$1,823.46
|
| Rate for Payer: Cofinity Commercial |
$1,696.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.29
|
| Rate for Payer: Mclaren Medicaid |
$822.82
|
| Rate for Payer: Meridian Medicaid |
$863.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,329.60
|
| Rate for Payer: PACE SWMI |
$1,266.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,960.39
|
| Rate for Payer: Priority Health Medicare |
$1,266.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,960.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,266.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,304.28
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,739.04
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,670.54 |
| Max. Negotiated Rate |
$2,465.14 |
| Rate for Payer: Aetna Commercial |
$2,328.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,116.73
|
| Rate for Payer: BCN Commercial |
$2,116.73
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cofinity Commercial |
$2,355.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,191.23
|
| Rate for Payer: Healthscope Commercial |
$2,465.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,054.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,328.18
|
| Rate for Payer: PHP Commercial |
$2,328.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,382.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,670.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,410.36
|
| Rate for Payer: UHC Core |
$2,287.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,054.28
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,739.04
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$2,065.66 |
| Rate for Payer: Aetna Commercial |
$1,696.83
|
| Rate for Payer: Aetna Medicare |
$1,316.94
|
| Rate for Payer: BCBS Complete |
$863.96
|
| Rate for Payer: BCBS MAPPO |
$1,266.29
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.29
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cash Price |
$2,191.23
|
| Rate for Payer: Cofinity Commercial |
$1,823.46
|
| Rate for Payer: Cofinity Commercial |
$1,696.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.29
|
| Rate for Payer: Mclaren Medicaid |
$822.82
|
| Rate for Payer: Meridian Medicaid |
$863.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,329.60
|
| Rate for Payer: PACE SWMI |
$1,266.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,917.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,960.39
|
| Rate for Payer: Priority Health Medicare |
$1,266.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,960.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,266.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,304.28
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,087.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$239.42 |
| Max. Negotiated Rate |
$3,560.90 |
| Rate for Payer: Aetna Commercial |
$1,912.38
|
| Rate for Payer: Aetna Medicare |
$1,484.24
|
| Rate for Payer: BCBS Complete |
$975.33
|
| Rate for Payer: BCBS MAPPO |
$1,427.15
|
| Rate for Payer: BCBS Trust/PPO |
$239.42
|
| Rate for Payer: BCN Commercial |
$2,116.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,427.15
|
| Rate for Payer: Cash Price |
$4,069.60
|
| Rate for Payer: Cash Price |
$4,069.60
|
| Rate for Payer: Cofinity Commercial |
$1,912.38
|
| Rate for Payer: Cofinity Commercial |
$2,055.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,427.15
|
| Rate for Payer: Mclaren Medicaid |
$928.89
|
| Rate for Payer: Meridian Medicaid |
$975.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,498.51
|
| Rate for Payer: PACE SWMI |
$1,427.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,427.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$928.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,560.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,211.62
|
| Rate for Payer: Priority Health Medicare |
$1,427.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,211.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,427.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,427.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,469.96
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,428.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$528.03 |
| Max. Negotiated Rate |
$1,254.67 |
| Rate for Payer: Aetna Commercial |
$1,079.66
|
| Rate for Payer: Aetna Medicare |
$837.95
|
| Rate for Payer: BCBS Complete |
$554.43
|
| Rate for Payer: BCBS MAPPO |
$805.72
|
| Rate for Payer: BCBS Trust/PPO |
$833.66
|
| Rate for Payer: BCN Commercial |
$1,200.68
|
| Rate for Payer: BCN Medicare Advantage |
$805.72
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Cash Price |
$1,142.40
|
| Rate for Payer: Cofinity Commercial |
$1,160.24
|
| Rate for Payer: Cofinity Commercial |
$1,079.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$805.72
|
| Rate for Payer: Mclaren Medicaid |
$528.03
|
| Rate for Payer: Meridian Medicaid |
$554.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$846.01
|
| Rate for Payer: PACE SWMI |
$805.72
|
| Rate for Payer: PHP Medicare Advantage |
$805.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$999.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,254.67
|
| Rate for Payer: Priority Health Medicare |
$805.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,254.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$805.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$805.72
|
| Rate for Payer: UHC Medicare Advantage |
$829.89
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Facility
|
OP
|
$2,979.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$707.51 |
| Max. Negotiated Rate |
$2,681.10 |
| Rate for Payer: Aetna Commercial |
$2,532.15
|
| Rate for Payer: Aetna Medicare |
$774.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$930.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$930.94
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$744.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,316.17
|
| Rate for Payer: BCN Commercial |
$2,316.17
|
| Rate for Payer: BCN Medicare Advantage |
$744.75
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$2,561.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,383.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$744.75
|
| Rate for Payer: Healthscope Commercial |
$2,681.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,234.25
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$781.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$856.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,532.15
|
| Rate for Payer: PACE Senior Care Partners |
$707.51
|
| Rate for Payer: PACE SWMI |
$744.75
|
| Rate for Payer: PHP Commercial |
$2,532.15
|
| Rate for Payer: PHP Medicare Advantage |
$744.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,591.73
|
| Rate for Payer: Priority Health Medicare |
$744.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,816.89
|
| Rate for Payer: Railroad Medicare Medicare |
$744.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,621.52
|
| Rate for Payer: UHC Core |
$2,487.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$744.75
|
| Rate for Payer: UHC Medicare Advantage |
$767.09
|
| Rate for Payer: VA VA |
$744.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,234.25
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Facility
|
IP
|
$2,979.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,816.89 |
| Max. Negotiated Rate |
$2,681.10 |
| Rate for Payer: Aetna Commercial |
$2,532.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,302.17
|
| Rate for Payer: BCN Commercial |
$2,302.17
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$2,561.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,383.20
|
| Rate for Payer: Healthscope Commercial |
$2,681.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,234.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,532.15
|
| Rate for Payer: PHP Commercial |
$2,532.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,591.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,816.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,621.52
|
| Rate for Payer: UHC Core |
$2,487.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,234.25
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Professional
|
Both
|
$2,979.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,098.44
|
| Rate for Payer: Aetna Medicare |
$852.52
|
| Rate for Payer: BCBS Complete |
$566.29
|
| Rate for Payer: BCBS MAPPO |
$819.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| Rate for Payer: BCN Medicare Advantage |
$819.73
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$1,180.41
|
| Rate for Payer: Cofinity Commercial |
$1,098.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$819.73
|
| Rate for Payer: Mclaren Medicaid |
$539.32
|
| Rate for Payer: Meridian Medicaid |
$566.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$860.72
|
| Rate for Payer: PACE SWMI |
$819.73
|
| Rate for Payer: PHP Medicare Advantage |
$819.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,281.22
|
| Rate for Payer: Priority Health Medicare |
$819.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,281.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$819.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$819.73
|
| Rate for Payer: UHC Medicare Advantage |
$844.32
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Professional
|
Both
|
$2,979.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,098.44
|
| Rate for Payer: Aetna Medicare |
$852.52
|
| Rate for Payer: BCBS Complete |
$566.29
|
| Rate for Payer: BCBS MAPPO |
$819.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| Rate for Payer: BCN Medicare Advantage |
$819.73
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$1,098.44
|
| Rate for Payer: Cofinity Commercial |
$1,180.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$819.73
|
| Rate for Payer: Mclaren Medicaid |
$539.32
|
| Rate for Payer: Meridian Medicaid |
$566.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$860.72
|
| Rate for Payer: PACE SWMI |
$819.73
|
| Rate for Payer: PHP Medicare Advantage |
$819.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,281.22
|
| Rate for Payer: Priority Health Medicare |
$819.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,281.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$819.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$819.73
|
| Rate for Payer: UHC Medicare Advantage |
$844.32
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$4,909.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$2,994.00 |
| Max. Negotiated Rate |
$4,418.10 |
| Rate for Payer: Aetna Commercial |
$4,172.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,793.68
|
| Rate for Payer: BCN Commercial |
$3,793.68
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$4,221.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,927.20
|
| Rate for Payer: Healthscope Commercial |
$4,418.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,681.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,172.65
|
| Rate for Payer: PHP Commercial |
$4,172.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,270.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,994.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,319.92
|
| Rate for Payer: UHC Core |
$4,099.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,681.75
|
|
