|
PR CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX
|
Professional
|
Both
|
$786.00
|
|
|
Service Code
|
HCPCS 28270
|
| Min. Negotiated Rate |
$215.77 |
| Max. Negotiated Rate |
$706.63 |
| Rate for Payer: Aetna Commercial |
$435.62
|
| Rate for Payer: Aetna Medicare |
$338.09
|
| Rate for Payer: BCBS Complete |
$226.56
|
| Rate for Payer: BCBS MAPPO |
$325.09
|
| Rate for Payer: BCBS Trust/PPO |
$265.73
|
| Rate for Payer: BCN Commercial |
$706.63
|
| Rate for Payer: BCN Medicare Advantage |
$325.09
|
| Rate for Payer: Cash Price |
$628.80
|
| Rate for Payer: Cash Price |
$628.80
|
| Rate for Payer: Cofinity Commercial |
$468.13
|
| Rate for Payer: Cofinity Commercial |
$435.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.09
|
| Rate for Payer: Mclaren Medicaid |
$215.77
|
| Rate for Payer: Meridian Medicaid |
$226.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.34
|
| Rate for Payer: PACE SWMI |
$325.09
|
| Rate for Payer: PHP Medicare Advantage |
$325.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.61
|
| Rate for Payer: Priority Health Medicare |
$325.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$508.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.09
|
| Rate for Payer: UHC Medicare Advantage |
$334.84
|
|
|
PR CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT
|
Professional
|
Both
|
$1,964.00
|
|
|
Service Code
|
HCPCS 26516
|
| Min. Negotiated Rate |
$481.59 |
| Max. Negotiated Rate |
$3,178.25 |
| Rate for Payer: Aetna Commercial |
$975.77
|
| Rate for Payer: Aetna Medicare |
$757.32
|
| Rate for Payer: BCBS Complete |
$505.67
|
| Rate for Payer: BCBS MAPPO |
$728.19
|
| Rate for Payer: BCBS Trust/PPO |
$3,178.25
|
| Rate for Payer: BCN Commercial |
$1,105.87
|
| Rate for Payer: BCN Medicare Advantage |
$728.19
|
| Rate for Payer: Cash Price |
$1,571.20
|
| Rate for Payer: Cash Price |
$1,571.20
|
| Rate for Payer: Cofinity Commercial |
$975.77
|
| Rate for Payer: Cofinity Commercial |
$1,048.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.19
|
| Rate for Payer: Mclaren Medicaid |
$481.59
|
| Rate for Payer: Meridian Medicaid |
$505.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$764.60
|
| Rate for Payer: PACE SWMI |
$728.19
|
| Rate for Payer: PHP Medicare Advantage |
$728.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$481.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,374.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,155.60
|
| Rate for Payer: Priority Health Medicare |
$728.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,155.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.19
|
| Rate for Payer: UHC Medicare Advantage |
$750.04
|
|
|
PR CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON
|
Professional
|
Both
|
$2,811.00
|
|
|
Service Code
|
HCPCS 23450
|
| Min. Negotiated Rate |
$146.45 |
| Max. Negotiated Rate |
$1,967.70 |
| Rate for Payer: Aetna Commercial |
$1,251.29
|
| Rate for Payer: Aetna Medicare |
$971.15
|
| Rate for Payer: BCBS Complete |
$639.86
|
| Rate for Payer: BCBS MAPPO |
$933.80
|
| Rate for Payer: BCBS Trust/PPO |
$146.45
|
| Rate for Payer: BCN Commercial |
$1,388.33
|
| Rate for Payer: BCN Medicare Advantage |
$933.80
|
| Rate for Payer: Cash Price |
$2,248.80
|
| Rate for Payer: Cash Price |
$2,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,344.67
|
| Rate for Payer: Cofinity Commercial |
$1,251.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$933.80
|
| Rate for Payer: Mclaren Medicaid |
$609.39
|
| Rate for Payer: Meridian Medicaid |
$639.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$980.49
|
| Rate for Payer: PACE SWMI |
$933.80
|
| Rate for Payer: PHP Medicare Advantage |
$933.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,967.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,450.76
|
| Rate for Payer: Priority Health Medicare |
$933.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,450.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$933.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$933.80
|
| Rate for Payer: UHC Medicare Advantage |
$961.81
|
|
|
PR CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR
|
Professional
|
Both
|
$3,347.00
|
|
|
Service Code
|
HCPCS 23462
|
| Min. Negotiated Rate |
$313.71 |
| Max. Negotiated Rate |
$2,342.90 |
| Rate for Payer: Aetna Commercial |
$1,411.94
|
| Rate for Payer: Aetna Medicare |
$1,095.84
|
| Rate for Payer: BCBS Complete |
$721.05
|
| Rate for Payer: BCBS MAPPO |
$1,053.69
|
| Rate for Payer: BCBS Trust/PPO |
$313.71
|
| Rate for Payer: BCN Commercial |
$1,564.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,053.69
|
| Rate for Payer: Cash Price |
$2,677.60
|
| Rate for Payer: Cash Price |
$2,677.60
|
| Rate for Payer: Cofinity Commercial |
$1,517.31
|
| Rate for Payer: Cofinity Commercial |
$1,411.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,053.69
|
| Rate for Payer: Mclaren Medicaid |
$686.71
|
| Rate for Payer: Meridian Medicaid |
$721.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,106.37
|
| Rate for Payer: PACE SWMI |
$1,053.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,053.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,342.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,635.10
|
| Rate for Payer: Priority Health Medicare |
$1,053.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,635.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,053.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,053.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,085.30
|
|
|
PR CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK
|
Professional
|
Both
|
$2,738.00
|
|
|
Service Code
|
HCPCS 23460
|
| Min. Negotiated Rate |
$208.43 |
| Max. Negotiated Rate |
$1,916.60 |
| Rate for Payer: Aetna Commercial |
$1,440.89
|
| Rate for Payer: Aetna Medicare |
$1,118.30
|
| Rate for Payer: BCBS Complete |
$736.93
|
| Rate for Payer: BCBS MAPPO |
$1,075.29
|
| Rate for Payer: BCBS Trust/PPO |
$208.43
|
| Rate for Payer: BCN Commercial |
$1,598.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,075.29
|
| Rate for Payer: Cash Price |
$2,190.40
|
| Rate for Payer: Cash Price |
$2,190.40
|
| Rate for Payer: Cofinity Commercial |
$1,440.89
|
| Rate for Payer: Cofinity Commercial |
$1,548.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,075.29
|
| Rate for Payer: Mclaren Medicaid |
$701.84
|
| Rate for Payer: Meridian Medicaid |
$736.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,129.05
|
| Rate for Payer: PACE SWMI |
$1,075.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,075.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$701.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,916.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,670.34
|
| Rate for Payer: Priority Health Medicare |
$1,075.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,670.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,075.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,075.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,107.55
|
|
|
PR CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR
|
Professional
|
Both
|
$3,140.00
|
|
|
Service Code
|
HCPCS 23455
|
| Min. Negotiated Rate |
$188.90 |
| Max. Negotiated Rate |
$2,198.00 |
| Rate for Payer: Aetna Commercial |
$1,307.16
|
| Rate for Payer: Aetna Medicare |
$1,014.51
|
| Rate for Payer: BCBS Complete |
$666.48
|
| Rate for Payer: BCBS MAPPO |
$975.49
|
| Rate for Payer: BCBS Trust/PPO |
$188.90
|
| Rate for Payer: BCN Commercial |
$1,449.42
|
| Rate for Payer: BCN Medicare Advantage |
$975.49
|
| Rate for Payer: Cash Price |
$2,512.00
|
| Rate for Payer: Cash Price |
$2,512.00
|
| Rate for Payer: Cofinity Commercial |
$1,307.16
|
| Rate for Payer: Cofinity Commercial |
$1,404.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$975.49
|
| Rate for Payer: Mclaren Medicaid |
$634.74
|
| Rate for Payer: Meridian Medicaid |
$666.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,024.26
|
| Rate for Payer: PACE SWMI |
$975.49
|
| Rate for Payer: PHP Medicare Advantage |
$975.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$634.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,198.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,514.58
|
| Rate for Payer: Priority Health Medicare |
$975.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,514.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$975.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$975.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,004.75
|
|
|
PR CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK
|
Professional
|
Both
|
$3,431.00
|
|
|
Service Code
|
HCPCS 23465
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$2,401.70 |
| Rate for Payer: Aetna Commercial |
$1,477.91
|
| Rate for Payer: Aetna Medicare |
$1,147.04
|
| Rate for Payer: BCBS Complete |
$755.49
|
| Rate for Payer: BCBS MAPPO |
$1,102.92
|
| Rate for Payer: BCBS Trust/PPO |
$104.00
|
| Rate for Payer: BCN Commercial |
$1,639.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,102.92
|
| Rate for Payer: Cash Price |
$2,744.80
|
| Rate for Payer: Cash Price |
$2,744.80
|
| Rate for Payer: Cofinity Commercial |
$1,588.20
|
| Rate for Payer: Cofinity Commercial |
$1,477.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,102.92
|
| Rate for Payer: Mclaren Medicaid |
$719.51
|
| Rate for Payer: Meridian Medicaid |
$755.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,158.07
|
| Rate for Payer: PACE SWMI |
$1,102.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,102.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,401.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,712.73
|
| Rate for Payer: Priority Health Medicare |
$1,102.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,712.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,102.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,102.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,136.01
|
|
|
PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS
|
Professional
|
Both
|
$1,969.00
|
|
|
Service Code
|
HCPCS 23466
|
| Min. Negotiated Rate |
$138.81 |
| Max. Negotiated Rate |
$1,718.33 |
| Rate for Payer: Aetna Commercial |
$1,479.17
|
| Rate for Payer: Aetna Medicare |
$1,148.01
|
| Rate for Payer: BCBS Complete |
$759.74
|
| Rate for Payer: BCBS MAPPO |
$1,103.86
|
| Rate for Payer: BCBS Trust/PPO |
$138.81
|
| Rate for Payer: BCN Commercial |
$1,644.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,103.86
|
| Rate for Payer: Cash Price |
$1,575.20
|
| Rate for Payer: Cash Price |
$1,575.20
|
| Rate for Payer: Cofinity Commercial |
$1,479.17
|
| Rate for Payer: Cofinity Commercial |
$1,589.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,103.86
|
| Rate for Payer: Mclaren Medicaid |
$723.56
|
| Rate for Payer: Meridian Medicaid |
$759.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,159.05
|
| Rate for Payer: PACE SWMI |
$1,103.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,103.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$723.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,378.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,718.33
|
| Rate for Payer: Priority Health Medicare |
$1,103.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,718.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,103.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,103.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,136.98
|
|
|
PR CAPSULOTOMY WRIST
|
Professional
|
Both
|
$1,608.00
|
|
|
Service Code
|
HCPCS 25085
|
| Min. Negotiated Rate |
$119.92 |
| Max. Negotiated Rate |
$1,125.60 |
| Rate for Payer: Aetna Commercial |
$593.11
|
| Rate for Payer: Aetna Medicare |
$460.32
|
| Rate for Payer: BCBS Complete |
$308.19
|
| Rate for Payer: BCBS MAPPO |
$442.62
|
| Rate for Payer: BCBS Trust/PPO |
$119.92
|
| Rate for Payer: BCN Commercial |
$664.60
|
| Rate for Payer: BCN Medicare Advantage |
$442.62
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cofinity Commercial |
$637.37
|
| Rate for Payer: Cofinity Commercial |
$593.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.62
|
| Rate for Payer: Mclaren Medicaid |
$293.51
|
| Rate for Payer: Meridian Medicaid |
$308.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.75
|
| Rate for Payer: PACE SWMI |
$442.62
|
| Rate for Payer: PHP Medicare Advantage |
$442.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,125.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$694.49
|
| Rate for Payer: Priority Health Medicare |
$442.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$694.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$442.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$442.62
|
| Rate for Payer: UHC Medicare Advantage |
$455.90
|
|
|
PR CARDIOPULMONARY EXERCISE TESTING
|
Professional
|
Both
|
$277.00
|
|
|
Service Code
|
HCPCS 94621
|
| Min. Negotiated Rate |
$110.80 |
| Max. Negotiated Rate |
$256.23 |
| Rate for Payer: Aetna Commercial |
$195.28
|
| Rate for Payer: Aetna Medicare |
$151.56
|
| Rate for Payer: BCBS Complete |
$110.80
|
| Rate for Payer: BCBS MAPPO |
$145.73
|
| Rate for Payer: BCBS Trust/PPO |
$256.23
|
| Rate for Payer: BCN Commercial |
$222.83
|
| Rate for Payer: BCN Medicare Advantage |
$145.73
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cofinity Commercial |
$209.85
|
| Rate for Payer: Cofinity Commercial |
$195.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$153.02
|
| Rate for Payer: PACE SWMI |
$145.73
|
| Rate for Payer: PHP Medicare Advantage |
$145.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$204.81
|
| Rate for Payer: Priority Health Medicare |
$145.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.73
|
| Rate for Payer: UHC Medicare Advantage |
$150.10
|
|
|
PR CARDIOPULMONARY RESUSCITATION
|
Professional
|
Both
|
$548.00
|
|
|
Service Code
|
HCPCS 92950
|
| Min. Negotiated Rate |
$115.23 |
| Max. Negotiated Rate |
$2,166.03 |
| Rate for Payer: Aetna Commercial |
$241.58
|
| Rate for Payer: Aetna Medicare |
$187.49
|
| Rate for Payer: BCBS Complete |
$120.99
|
| Rate for Payer: BCBS MAPPO |
$180.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,166.03
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$180.28
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cofinity Commercial |
$259.60
|
| Rate for Payer: Cofinity Commercial |
$241.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.28
|
| Rate for Payer: Mclaren Medicaid |
$115.23
|
| Rate for Payer: Meridian Medicaid |
$120.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$189.29
|
| Rate for Payer: PACE SWMI |
$180.28
|
| Rate for Payer: PHP Medicare Advantage |
$180.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$383.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.40
|
| Rate for Payer: Priority Health Medicare |
$180.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.28
|
| Rate for Payer: UHC Medicare Advantage |
$185.69
|
|
|
PR CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP
|
Professional
|
Both
|
$6,712.00
|
|
|
Service Code
|
HCPCS 33315
|
| Min. Negotiated Rate |
$1,201.32 |
| Max. Negotiated Rate |
$4,698.40 |
| Rate for Payer: Aetna Commercial |
$2,526.90
|
| Rate for Payer: Aetna Medicare |
$1,961.18
|
| Rate for Payer: BCBS Complete |
$1,261.39
|
| Rate for Payer: BCBS MAPPO |
$1,885.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.77
|
| Rate for Payer: BCN Commercial |
$2,745.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,885.75
|
| Rate for Payer: Cash Price |
$5,369.60
|
| Rate for Payer: Cash Price |
$5,369.60
|
| Rate for Payer: Cofinity Commercial |
$2,526.90
|
| Rate for Payer: Cofinity Commercial |
$2,715.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,885.75
|
| Rate for Payer: Mclaren Medicaid |
$1,201.32
|
| Rate for Payer: Meridian Medicaid |
$1,261.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,980.04
|
| Rate for Payer: PACE SWMI |
$1,885.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,885.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,201.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,698.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,988.53
|
| Rate for Payer: Priority Health Medicare |
$1,885.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,988.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,885.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,942.32
|
|
|
PR CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP
|
Professional
|
Both
|
$4,528.00
|
|
|
Service Code
|
HCPCS 33310
|
| Min. Negotiated Rate |
$733.15 |
| Max. Negotiated Rate |
$3,169.60 |
| Rate for Payer: Aetna Commercial |
$1,537.57
|
| Rate for Payer: Aetna Medicare |
$1,193.34
|
| Rate for Payer: BCBS Complete |
$769.81
|
| Rate for Payer: BCBS MAPPO |
$1,147.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,038.64
|
| Rate for Payer: BCN Commercial |
$1,678.61
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.44
|
| Rate for Payer: Cash Price |
$3,622.40
|
| Rate for Payer: Cash Price |
$3,622.40
|
| Rate for Payer: Cofinity Commercial |
$1,537.57
|
| Rate for Payer: Cofinity Commercial |
$1,652.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.44
|
| Rate for Payer: Mclaren Medicaid |
$733.15
|
| Rate for Payer: Meridian Medicaid |
$769.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,204.81
|
| Rate for Payer: PACE SWMI |
$1,147.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$733.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,169.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,827.28
|
| Rate for Payer: Priority Health Medicare |
$1,147.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,827.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,147.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,147.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,181.86
|
|
|
PR CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR
|
Professional
|
Both
|
$562.00
|
|
|
Service Code
|
HCPCS 93660
|
| Min. Negotiated Rate |
$153.82 |
| Max. Negotiated Rate |
$3,564.97 |
| Rate for Payer: Aetna Commercial |
$206.12
|
| Rate for Payer: Aetna Medicare |
$159.97
|
| Rate for Payer: BCBS Complete |
$224.80
|
| Rate for Payer: BCBS MAPPO |
$153.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,564.97
|
| Rate for Payer: BCN Commercial |
$233.59
|
| Rate for Payer: BCN Medicare Advantage |
$153.82
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cofinity Commercial |
$206.12
|
| Rate for Payer: Cofinity Commercial |
$221.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$161.51
|
| Rate for Payer: PACE SWMI |
$153.82
|
| Rate for Payer: PHP Medicare Advantage |
$153.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$393.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$226.03
|
| Rate for Payer: Priority Health Medicare |
$153.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$226.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.82
|
| Rate for Payer: UHC Medicare Advantage |
$158.43
|
|
|
PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL
|
Facility
|
OP
|
$491.00
|
|
|
Service Code
|
CPT 92960
|
| Hospital Charge Code |
92960
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$116.61 |
| Max. Negotiated Rate |
$448.28 |
| Rate for Payer: Aetna Commercial |
$417.35
|
| Rate for Payer: Aetna Medicare |
$127.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$153.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$153.44
|
| Rate for Payer: BCBS Complete |
$448.28
|
| Rate for Payer: BCBS MAPPO |
$122.75
|
| Rate for Payer: BCBS Trust/PPO |
$381.75
|
| Rate for Payer: BCN Commercial |
$381.75
|
| Rate for Payer: BCN Medicare Advantage |
$122.75
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cofinity Commercial |
$422.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$392.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.75
|
| Rate for Payer: Healthscope Commercial |
$441.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$368.25
|
| Rate for Payer: Mclaren Medicaid |
$426.93
|
| Rate for Payer: Meridian Medicaid |
$448.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$141.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$417.35
|
| Rate for Payer: PACE Senior Care Partners |
$116.61
|
| Rate for Payer: PACE SWMI |
$122.75
|
| Rate for Payer: PHP Commercial |
$417.35
|
| Rate for Payer: PHP Medicare Advantage |
$122.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$427.17
|
| Rate for Payer: Priority Health Medicare |
$122.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.46
|
| Rate for Payer: Railroad Medicare Medicare |
$122.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.08
|
| Rate for Payer: UHC Core |
$409.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$122.75
|
| Rate for Payer: UHC Medicare Advantage |
$126.43
|
| Rate for Payer: VA VA |
$122.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$368.25
|
|
|
PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL
|
Professional
|
Both
|
$491.00
|
|
|
Service Code
|
HCPCS 92960
|
| Hospital Charge Code |
92960
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$343.70 |
| Rate for Payer: Aetna Commercial |
$141.32
|
| Rate for Payer: Aetna Medicare |
$109.68
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$105.46
|
| Rate for Payer: BCBS Trust/PPO |
$237.21
|
| Rate for Payer: BCN Commercial |
$248.59
|
| Rate for Payer: BCN Medicare Advantage |
$105.46
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cofinity Commercial |
$151.86
|
| Rate for Payer: Cofinity Commercial |
$141.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.46
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$110.73
|
| Rate for Payer: PACE SWMI |
$105.46
|
| Rate for Payer: PHP Medicare Advantage |
$105.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.84
|
| Rate for Payer: Priority Health Medicare |
$105.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$150.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.46
|
| Rate for Payer: UHC Medicare Advantage |
$108.62
|
|
|
PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL
|
Professional
|
Both
|
$491.00
|
|
|
Service Code
|
HCPCS 92960
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$343.70 |
| Rate for Payer: Aetna Commercial |
$141.32
|
| Rate for Payer: Aetna Medicare |
$109.68
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$105.46
|
| Rate for Payer: BCBS Trust/PPO |
$237.21
|
| Rate for Payer: BCN Commercial |
$248.59
|
| Rate for Payer: BCN Medicare Advantage |
$105.46
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cofinity Commercial |
$151.86
|
| Rate for Payer: Cofinity Commercial |
$141.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.46
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$110.73
|
| Rate for Payer: PACE SWMI |
$105.46
|
| Rate for Payer: PHP Medicare Advantage |
$105.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.84
|
| Rate for Payer: Priority Health Medicare |
$105.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$150.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.46
|
| Rate for Payer: UHC Medicare Advantage |
$108.62
|
|
|
PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL
|
Facility
|
IP
|
$491.00
|
|
|
Service Code
|
CPT 92960
|
| Hospital Charge Code |
92960
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$299.46 |
| Max. Negotiated Rate |
$441.90 |
| Rate for Payer: Aetna Commercial |
$417.35
|
| Rate for Payer: BCBS Trust/PPO |
$379.44
|
| Rate for Payer: BCN Commercial |
$379.44
|
| Rate for Payer: Cash Price |
$392.80
|
| Rate for Payer: Cofinity Commercial |
$422.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$392.80
|
| Rate for Payer: Healthscope Commercial |
$441.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$368.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$417.35
|
| Rate for Payer: PHP Commercial |
$417.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$427.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$299.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.08
|
| Rate for Payer: UHC Core |
$409.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$368.25
|
|
|
PR CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX
|
Professional
|
Both
|
$492.00
|
|
|
Service Code
|
HCPCS 92961
|
| Min. Negotiated Rate |
$101.96 |
| Max. Negotiated Rate |
$349.89 |
| Rate for Payer: Aetna Commercial |
$320.55
|
| Rate for Payer: Aetna Medicare |
$248.79
|
| Rate for Payer: BCBS Complete |
$160.14
|
| Rate for Payer: BCBS MAPPO |
$239.22
|
| Rate for Payer: BCBS Trust/PPO |
$101.96
|
| Rate for Payer: BCN Commercial |
$349.89
|
| Rate for Payer: BCN Medicare Advantage |
$239.22
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cash Price |
$393.60
|
| Rate for Payer: Cofinity Commercial |
$344.48
|
| Rate for Payer: Cofinity Commercial |
$320.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.22
|
| Rate for Payer: Mclaren Medicaid |
$152.51
|
| Rate for Payer: Meridian Medicaid |
$160.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$251.18
|
| Rate for Payer: PACE SWMI |
$239.22
|
| Rate for Payer: PHP Medicare Advantage |
$239.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$344.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$338.57
|
| Rate for Payer: Priority Health Medicare |
$239.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$338.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$239.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.22
|
| Rate for Payer: UHC Medicare Advantage |
$246.40
|
|
|
PR CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS 96161
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$179.62 |
| Rate for Payer: Aetna Commercial |
$3.31
|
| Rate for Payer: Aetna Medicare |
$2.57
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCBS MAPPO |
$2.47
|
| Rate for Payer: BCBS Trust/PPO |
$179.62
|
| Rate for Payer: BCN Commercial |
$3.91
|
| Rate for Payer: BCN Medicare Advantage |
$2.47
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cofinity Commercial |
$3.31
|
| Rate for Payer: Cofinity Commercial |
$3.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.59
|
| Rate for Payer: PACE SWMI |
$2.47
|
| Rate for Payer: PHP Medicare Advantage |
$2.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.43
|
| Rate for Payer: Priority Health Medicare |
$2.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.47
|
| Rate for Payer: UHC Medicare Advantage |
$2.54
|
|
|
PR CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 99484
|
| Min. Negotiated Rate |
$27.90 |
| Max. Negotiated Rate |
$594.87 |
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Medicare |
$30.08
|
| Rate for Payer: BCBS Complete |
$29.30
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS Trust/PPO |
$594.87
|
| Rate for Payer: BCN Commercial |
$58.04
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Mclaren Medicaid |
$27.90
|
| Rate for Payer: Meridian Medicaid |
$29.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.37
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$37.26
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.79
|
|
|
PR CARPECTOMY 1 BONE
|
Facility
|
IP
|
$1,668.00
|
|
|
Service Code
|
CPT 25210
|
| Hospital Charge Code |
25210
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$1,017.31 |
| Max. Negotiated Rate |
$1,501.20 |
| Rate for Payer: Aetna Commercial |
$1,417.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,289.03
|
| Rate for Payer: BCN Commercial |
$1,289.03
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cofinity Commercial |
$1,434.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,334.40
|
| Rate for Payer: Healthscope Commercial |
$1,501.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,251.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,417.80
|
| Rate for Payer: PHP Commercial |
$1,417.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,451.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,017.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,467.84
|
| Rate for Payer: UHC Core |
$1,392.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,251.00
|
|
|
PR CARPECTOMY 1 BONE
|
Facility
|
OP
|
$1,668.00
|
|
|
Service Code
|
CPT 25210
|
| Hospital Charge Code |
25210
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$396.15 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,417.80
|
| Rate for Payer: Aetna Medicare |
$433.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$521.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$521.25
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$417.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,296.87
|
| Rate for Payer: BCN Commercial |
$1,296.87
|
| Rate for Payer: BCN Medicare Advantage |
$417.00
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cofinity Commercial |
$1,434.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,334.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.00
|
| Rate for Payer: Healthscope Commercial |
$1,501.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,251.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$437.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$479.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,417.80
|
| Rate for Payer: PACE Senior Care Partners |
$396.15
|
| Rate for Payer: PACE SWMI |
$417.00
|
| Rate for Payer: PHP Commercial |
$1,417.80
|
| Rate for Payer: PHP Medicare Advantage |
$417.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,451.16
|
| Rate for Payer: Priority Health Medicare |
$417.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,017.31
|
| Rate for Payer: Railroad Medicare Medicare |
$417.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,467.84
|
| Rate for Payer: UHC Core |
$1,392.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.00
|
| Rate for Payer: UHC Medicare Advantage |
$429.51
|
| Rate for Payer: VA VA |
$417.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,251.00
|
|
|
PR CARPECTOMY 1 BONE
|
Professional
|
Both
|
$1,668.00
|
|
|
Service Code
|
HCPCS 25210
|
| Min. Negotiated Rate |
$322.48 |
| Max. Negotiated Rate |
$1,167.60 |
| Rate for Payer: Aetna Commercial |
$652.47
|
| Rate for Payer: Aetna Medicare |
$506.40
|
| Rate for Payer: BCBS Complete |
$338.60
|
| Rate for Payer: BCBS MAPPO |
$486.92
|
| Rate for Payer: BCBS Trust/PPO |
$637.66
|
| Rate for Payer: BCN Commercial |
$731.55
|
| Rate for Payer: BCN Medicare Advantage |
$486.92
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cofinity Commercial |
$701.16
|
| Rate for Payer: Cofinity Commercial |
$652.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.92
|
| Rate for Payer: Mclaren Medicaid |
$322.48
|
| Rate for Payer: Meridian Medicaid |
$338.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$511.27
|
| Rate for Payer: PACE SWMI |
$486.92
|
| Rate for Payer: PHP Medicare Advantage |
$486.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.44
|
| Rate for Payer: Priority Health Medicare |
$486.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.92
|
| Rate for Payer: UHC Medicare Advantage |
$501.53
|
|
|
PR CARPECTOMY 1 BONE
|
Professional
|
Both
|
$1,668.00
|
|
|
Service Code
|
HCPCS 25210
|
| Hospital Charge Code |
25210
|
| Min. Negotiated Rate |
$322.48 |
| Max. Negotiated Rate |
$1,167.60 |
| Rate for Payer: Aetna Commercial |
$652.47
|
| Rate for Payer: Aetna Medicare |
$506.40
|
| Rate for Payer: BCBS Complete |
$338.60
|
| Rate for Payer: BCBS MAPPO |
$486.92
|
| Rate for Payer: BCBS Trust/PPO |
$637.66
|
| Rate for Payer: BCN Commercial |
$731.55
|
| Rate for Payer: BCN Medicare Advantage |
$486.92
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cofinity Commercial |
$701.16
|
| Rate for Payer: Cofinity Commercial |
$652.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.92
|
| Rate for Payer: Mclaren Medicaid |
$322.48
|
| Rate for Payer: Meridian Medicaid |
$338.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$511.27
|
| Rate for Payer: PACE SWMI |
$486.92
|
| Rate for Payer: PHP Medicare Advantage |
$486.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$764.44
|
| Rate for Payer: Priority Health Medicare |
$486.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$764.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.92
|
| Rate for Payer: UHC Medicare Advantage |
$501.53
|
|
