|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES
|
Professional
|
Both
|
$809.00
|
|
|
Service Code
|
HCPCS 26705
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$657.27 |
| Rate for Payer: Aetna Commercial |
$527.40
|
| Rate for Payer: Aetna Medicare |
$409.32
|
| Rate for Payer: BCBS Complete |
$276.21
|
| Rate for Payer: BCBS MAPPO |
$393.58
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$657.27
|
| Rate for Payer: BCN Medicare Advantage |
$393.58
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cofinity Commercial |
$527.40
|
| Rate for Payer: Cofinity Commercial |
$566.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.58
|
| Rate for Payer: Mclaren Medicaid |
$263.06
|
| Rate for Payer: Meridian Medicaid |
$276.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$413.26
|
| Rate for Payer: PACE SWMI |
$393.58
|
| Rate for Payer: PHP Medicare Advantage |
$393.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$620.95
|
| Rate for Payer: Priority Health Medicare |
$393.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$620.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.58
|
| Rate for Payer: UHC Medicare Advantage |
$405.39
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$539.00
|
|
|
Service Code
|
HCPCS 26700
|
| Min. Negotiated Rate |
$64.45 |
| Max. Negotiated Rate |
$512.14 |
| Rate for Payer: Aetna Commercial |
$419.88
|
| Rate for Payer: Aetna Medicare |
$325.87
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$313.34
|
| Rate for Payer: BCBS Trust/PPO |
$64.45
|
| Rate for Payer: BCN Commercial |
$512.14
|
| Rate for Payer: BCN Medicare Advantage |
$313.34
|
| Rate for Payer: Cash Price |
$431.20
|
| Rate for Payer: Cash Price |
$431.20
|
| Rate for Payer: Cofinity Commercial |
$419.88
|
| Rate for Payer: Cofinity Commercial |
$451.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$313.34
|
| Rate for Payer: Mclaren Medicaid |
$208.74
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$329.01
|
| Rate for Payer: PACE SWMI |
$313.34
|
| Rate for Payer: PHP Medicare Advantage |
$313.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$377.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$492.26
|
| Rate for Payer: Priority Health Medicare |
$313.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$492.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$313.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$313.34
|
| Rate for Payer: UHC Medicare Advantage |
$322.74
|
|
|
PR CLTX METAR FX W/MANJ
|
Professional
|
Both
|
$726.00
|
|
|
Service Code
|
HCPCS 28475
|
| Min. Negotiated Rate |
$150.80 |
| Max. Negotiated Rate |
$1,033.88 |
| Rate for Payer: Aetna Commercial |
$299.40
|
| Rate for Payer: Aetna Medicare |
$232.37
|
| Rate for Payer: BCBS Complete |
$158.34
|
| Rate for Payer: BCBS MAPPO |
$223.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.88
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: BCN Medicare Advantage |
$223.43
|
| Rate for Payer: Cash Price |
$580.80
|
| Rate for Payer: Cash Price |
$580.80
|
| Rate for Payer: Cofinity Commercial |
$299.40
|
| Rate for Payer: Cofinity Commercial |
$321.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.43
|
| Rate for Payer: Mclaren Medicaid |
$150.80
|
| Rate for Payer: Meridian Medicaid |
$158.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$234.60
|
| Rate for Payer: PACE SWMI |
$223.43
|
| Rate for Payer: PHP Medicare Advantage |
$223.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$508.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$351.32
|
| Rate for Payer: Priority Health Medicare |
$223.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$351.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$223.43
|
| Rate for Payer: UHC Medicare Advantage |
$230.13
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC REQ ANES
|
Professional
|
Both
|
$310.00
|
|
|
Service Code
|
HCPCS 28635
|
| Min. Negotiated Rate |
$84.56 |
| Max. Negotiated Rate |
$342.34 |
| Rate for Payer: Aetna Commercial |
$175.94
|
| Rate for Payer: Aetna Medicare |
$136.55
|
| Rate for Payer: BCBS Complete |
$88.79
|
| Rate for Payer: BCBS MAPPO |
$131.30
|
| Rate for Payer: BCBS Trust/PPO |
$342.34
|
| Rate for Payer: BCN Commercial |
$258.51
|
| Rate for Payer: BCN Medicare Advantage |
$131.30
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cash Price |
$248.00
|
| Rate for Payer: Cofinity Commercial |
$189.07
|
| Rate for Payer: Cofinity Commercial |
$175.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.30
|
| Rate for Payer: Mclaren Medicaid |
$84.56
|
| Rate for Payer: Meridian Medicaid |
$88.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.86
|
| Rate for Payer: PACE SWMI |
$131.30
|
| Rate for Payer: PHP Medicare Advantage |
$131.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.29
|
| Rate for Payer: Priority Health Medicare |
$131.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.30
|
| Rate for Payer: UHC Medicare Advantage |
$135.24
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$71.78 |
| Max. Negotiated Rate |
$753.88 |
| Rate for Payer: Aetna Commercial |
$146.35
|
| Rate for Payer: Aetna Medicare |
$113.59
|
| Rate for Payer: BCBS Complete |
$75.37
|
| Rate for Payer: BCBS MAPPO |
$109.22
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: BCN Medicare Advantage |
$109.22
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$146.35
|
| Rate for Payer: Cofinity Commercial |
$157.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.22
|
| Rate for Payer: Mclaren Medicaid |
$71.78
|
| Rate for Payer: Meridian Medicaid |
$75.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$114.68
|
| Rate for Payer: PACE SWMI |
$109.22
|
| Rate for Payer: PHP Medicare Advantage |
$109.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169.54
|
| Rate for Payer: Priority Health Medicare |
$109.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$169.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.22
|
| Rate for Payer: UHC Medicare Advantage |
$112.50
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$202.99 |
| Max. Negotiated Rate |
$830.49 |
| Rate for Payer: Aetna Commercial |
$406.70
|
| Rate for Payer: Aetna Medicare |
$315.65
|
| Rate for Payer: BCBS Complete |
$213.14
|
| Rate for Payer: BCBS MAPPO |
$303.51
|
| Rate for Payer: BCBS Trust/PPO |
$830.49
|
| Rate for Payer: BCN Commercial |
$515.07
|
| Rate for Payer: BCN Medicare Advantage |
$303.51
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$406.70
|
| Rate for Payer: Cofinity Commercial |
$437.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.51
|
| Rate for Payer: Mclaren Medicaid |
$202.99
|
| Rate for Payer: Meridian Medicaid |
$213.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$318.69
|
| Rate for Payer: PACE SWMI |
$303.51
|
| Rate for Payer: PHP Medicare Advantage |
$303.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$478.47
|
| Rate for Payer: Priority Health Medicare |
$303.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$478.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.51
|
| Rate for Payer: UHC Medicare Advantage |
$312.62
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$404.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$127.16 |
| Max. Negotiated Rate |
$909.78 |
| Rate for Payer: Aetna Commercial |
$250.83
|
| Rate for Payer: Aetna Medicare |
$194.68
|
| Rate for Payer: BCBS Complete |
$133.52
|
| Rate for Payer: BCBS MAPPO |
$187.19
|
| Rate for Payer: BCBS Trust/PPO |
$909.78
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$187.19
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cofinity Commercial |
$269.55
|
| Rate for Payer: Cofinity Commercial |
$250.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.19
|
| Rate for Payer: Mclaren Medicaid |
$127.16
|
| Rate for Payer: Meridian Medicaid |
$133.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$196.55
|
| Rate for Payer: PACE SWMI |
$187.19
|
| Rate for Payer: PHP Medicare Advantage |
$187.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$297.71
|
| Rate for Payer: Priority Health Medicare |
$187.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$297.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.19
|
| Rate for Payer: UHC Medicare Advantage |
$192.81
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,500.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$378.93 |
| Max. Negotiated Rate |
$3,076.82 |
| Rate for Payer: Aetna Commercial |
$774.02
|
| Rate for Payer: Aetna Medicare |
$600.74
|
| Rate for Payer: BCBS Complete |
$397.88
|
| Rate for Payer: BCBS MAPPO |
$577.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,076.82
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: BCN Medicare Advantage |
$577.63
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cash Price |
$1,200.00
|
| Rate for Payer: Cofinity Commercial |
$831.79
|
| Rate for Payer: Cofinity Commercial |
$774.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.63
|
| Rate for Payer: Mclaren Medicaid |
$378.93
|
| Rate for Payer: Meridian Medicaid |
$397.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$606.51
|
| Rate for Payer: PACE SWMI |
$577.63
|
| Rate for Payer: PHP Medicare Advantage |
$577.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,050.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$902.32
|
| Rate for Payer: Priority Health Medicare |
$577.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$902.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$577.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$577.63
|
| Rate for Payer: UHC Medicare Advantage |
$594.96
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$727.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$274.77 |
| Max. Negotiated Rate |
$2,859.69 |
| Rate for Payer: Aetna Commercial |
$553.25
|
| Rate for Payer: Aetna Medicare |
$429.38
|
| Rate for Payer: BCBS Complete |
$288.51
|
| Rate for Payer: BCBS MAPPO |
$412.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,859.69
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$412.87
|
| Rate for Payer: Cash Price |
$581.60
|
| Rate for Payer: Cash Price |
$581.60
|
| Rate for Payer: Cofinity Commercial |
$594.53
|
| Rate for Payer: Cofinity Commercial |
$553.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$412.87
|
| Rate for Payer: Mclaren Medicaid |
$274.77
|
| Rate for Payer: Meridian Medicaid |
$288.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$433.51
|
| Rate for Payer: PACE SWMI |
$412.87
|
| Rate for Payer: PHP Medicare Advantage |
$412.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$508.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$646.99
|
| Rate for Payer: Priority Health Medicare |
$412.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$646.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$412.87
|
| Rate for Payer: UHC Medicare Advantage |
$425.26
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,188.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$267.10 |
| Max. Negotiated Rate |
$2,284.34 |
| Rate for Payer: Aetna Commercial |
$536.25
|
| Rate for Payer: Aetna Medicare |
$416.20
|
| Rate for Payer: BCBS Complete |
$280.46
|
| Rate for Payer: BCBS MAPPO |
$400.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.34
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$400.19
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cofinity Commercial |
$576.27
|
| Rate for Payer: Cofinity Commercial |
$536.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.19
|
| Rate for Payer: Mclaren Medicaid |
$267.10
|
| Rate for Payer: Meridian Medicaid |
$280.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$420.20
|
| Rate for Payer: PACE SWMI |
$400.19
|
| Rate for Payer: PHP Medicare Advantage |
$400.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$831.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$630.66
|
| Rate for Payer: Priority Health Medicare |
$400.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$630.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$400.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$400.19
|
| Rate for Payer: UHC Medicare Advantage |
$412.20
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$653.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$190.00 |
| Max. Negotiated Rate |
$2,660.11 |
| Rate for Payer: Aetna Commercial |
$378.28
|
| Rate for Payer: Aetna Medicare |
$293.59
|
| Rate for Payer: BCBS Complete |
$199.50
|
| Rate for Payer: BCBS MAPPO |
$282.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.11
|
| Rate for Payer: BCN Commercial |
$465.71
|
| Rate for Payer: BCN Medicare Advantage |
$282.30
|
| Rate for Payer: Cash Price |
$522.40
|
| Rate for Payer: Cash Price |
$522.40
|
| Rate for Payer: Cofinity Commercial |
$406.51
|
| Rate for Payer: Cofinity Commercial |
$378.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.30
|
| Rate for Payer: Mclaren Medicaid |
$190.00
|
| Rate for Payer: Meridian Medicaid |
$199.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$296.42
|
| Rate for Payer: PACE SWMI |
$282.30
|
| Rate for Payer: PHP Medicare Advantage |
$282.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$457.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$447.84
|
| Rate for Payer: Priority Health Medicare |
$282.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$447.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.30
|
| Rate for Payer: UHC Medicare Advantage |
$290.77
|
|
|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$282.44 |
| Max. Negotiated Rate |
$977.20 |
| Rate for Payer: Aetna Commercial |
$568.70
|
| Rate for Payer: Aetna Medicare |
$441.38
|
| Rate for Payer: BCBS Complete |
$296.56
|
| Rate for Payer: BCBS MAPPO |
$424.40
|
| Rate for Payer: BCBS Trust/PPO |
$303.24
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$424.40
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$568.70
|
| Rate for Payer: Cofinity Commercial |
$611.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.40
|
| Rate for Payer: Mclaren Medicaid |
$282.44
|
| Rate for Payer: Meridian Medicaid |
$296.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$445.62
|
| Rate for Payer: PACE SWMI |
$424.40
|
| Rate for Payer: PHP Medicare Advantage |
$424.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$667.43
|
| Rate for Payer: Priority Health Medicare |
$424.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$667.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$424.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$424.40
|
| Rate for Payer: UHC Medicare Advantage |
$437.13
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$770.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$203.34 |
| Max. Negotiated Rate |
$539.00 |
| Rate for Payer: Aetna Commercial |
$418.98
|
| Rate for Payer: Aetna Medicare |
$325.18
|
| Rate for Payer: BCBS Complete |
$221.63
|
| Rate for Payer: BCBS MAPPO |
$312.67
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Commercial |
$403.26
|
| Rate for Payer: BCN Medicare Advantage |
$312.67
|
| Rate for Payer: Cash Price |
$616.00
|
| Rate for Payer: Cash Price |
$616.00
|
| Rate for Payer: Cofinity Commercial |
$450.24
|
| Rate for Payer: Cofinity Commercial |
$418.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.67
|
| Rate for Payer: Mclaren Medicaid |
$211.08
|
| Rate for Payer: Meridian Medicaid |
$221.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$328.30
|
| Rate for Payer: PACE SWMI |
$312.67
|
| Rate for Payer: PHP Medicare Advantage |
$312.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$539.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$496.86
|
| Rate for Payer: Priority Health Medicare |
$312.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$496.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$312.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.67
|
| Rate for Payer: UHC Medicare Advantage |
$322.05
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$133.15 |
| Max. Negotiated Rate |
$636.78 |
| Rate for Payer: Aetna Commercial |
$542.08
|
| Rate for Payer: Aetna Medicare |
$420.72
|
| Rate for Payer: BCBS Complete |
$282.92
|
| Rate for Payer: BCBS MAPPO |
$404.54
|
| Rate for Payer: BCBS Trust/PPO |
$133.15
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$404.54
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$582.54
|
| Rate for Payer: Cofinity Commercial |
$542.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.54
|
| Rate for Payer: Mclaren Medicaid |
$269.45
|
| Rate for Payer: Meridian Medicaid |
$282.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.77
|
| Rate for Payer: PACE SWMI |
$404.54
|
| Rate for Payer: PHP Medicare Advantage |
$404.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$636.78
|
| Rate for Payer: Priority Health Medicare |
$404.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$636.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.54
|
| Rate for Payer: UHC Medicare Advantage |
$416.68
|
|
|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ
|
Professional
|
Both
|
$704.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$296.71 |
| Max. Negotiated Rate |
$1,828.45 |
| Rate for Payer: Aetna Commercial |
$595.17
|
| Rate for Payer: Aetna Medicare |
$461.93
|
| Rate for Payer: BCBS Complete |
$311.55
|
| Rate for Payer: BCBS MAPPO |
$444.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,828.45
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$444.16
|
| Rate for Payer: Cash Price |
$563.20
|
| Rate for Payer: Cash Price |
$563.20
|
| Rate for Payer: Cofinity Commercial |
$639.59
|
| Rate for Payer: Cofinity Commercial |
$595.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.16
|
| Rate for Payer: Mclaren Medicaid |
$296.71
|
| Rate for Payer: Meridian Medicaid |
$311.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$466.37
|
| Rate for Payer: PACE SWMI |
$444.16
|
| Rate for Payer: PHP Medicare Advantage |
$444.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$700.61
|
| Rate for Payer: Priority Health Medicare |
$444.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$700.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$444.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$444.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.48
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
|
Professional
|
Both
|
$239.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$104.67
|
| Rate for Payer: Aetna Medicare |
$81.23
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$78.11
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$78.11
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cofinity Commercial |
$112.48
|
| Rate for Payer: Cofinity Commercial |
$104.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.11
|
| Rate for Payer: Mclaren Medicaid |
$51.55
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$82.02
|
| Rate for Payer: PACE SWMI |
$78.11
|
| Rate for Payer: PHP Medicare Advantage |
$78.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.04
|
| Rate for Payer: Priority Health Medicare |
$78.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.11
|
| Rate for Payer: UHC Medicare Advantage |
$80.45
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,474.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$358.69 |
| Max. Negotiated Rate |
$1,412.15 |
| Rate for Payer: Aetna Commercial |
$723.12
|
| Rate for Payer: Aetna Medicare |
$561.23
|
| Rate for Payer: BCBS Complete |
$376.62
|
| Rate for Payer: BCBS MAPPO |
$539.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,412.15
|
| Rate for Payer: BCN Commercial |
$862.03
|
| Rate for Payer: BCN Medicare Advantage |
$539.64
|
| Rate for Payer: Cash Price |
$1,179.20
|
| Rate for Payer: Cash Price |
$1,179.20
|
| Rate for Payer: Cofinity Commercial |
$777.08
|
| Rate for Payer: Cofinity Commercial |
$723.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$539.64
|
| Rate for Payer: Mclaren Medicaid |
$358.69
|
| Rate for Payer: Meridian Medicaid |
$376.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$566.62
|
| Rate for Payer: PACE SWMI |
$539.64
|
| Rate for Payer: PHP Medicare Advantage |
$539.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,031.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$848.20
|
| Rate for Payer: Priority Health Medicare |
$539.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$848.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$539.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$539.64
|
| Rate for Payer: UHC Medicare Advantage |
$555.83
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,011.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$707.70 |
| Rate for Payer: Aetna Commercial |
$504.08
|
| Rate for Payer: Aetna Medicare |
$391.23
|
| Rate for Payer: BCBS Complete |
$264.36
|
| Rate for Payer: BCBS MAPPO |
$376.18
|
| Rate for Payer: BCBS Trust/PPO |
$192.30
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$376.18
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cofinity Commercial |
$541.70
|
| Rate for Payer: Cofinity Commercial |
$504.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.18
|
| Rate for Payer: Mclaren Medicaid |
$251.77
|
| Rate for Payer: Meridian Medicaid |
$264.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$394.99
|
| Rate for Payer: PACE SWMI |
$376.18
|
| Rate for Payer: PHP Medicare Advantage |
$376.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$593.38
|
| Rate for Payer: Priority Health Medicare |
$376.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$593.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$376.18
|
| Rate for Payer: UHC Medicare Advantage |
$387.47
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,346.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$159.61 |
| Max. Negotiated Rate |
$942.20 |
| Rate for Payer: Aetna Commercial |
$531.16
|
| Rate for Payer: Aetna Medicare |
$412.25
|
| Rate for Payer: BCBS Complete |
$278.67
|
| Rate for Payer: BCBS MAPPO |
$396.39
|
| Rate for Payer: BCBS Trust/PPO |
$159.61
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$396.39
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cofinity Commercial |
$570.80
|
| Rate for Payer: Cofinity Commercial |
$531.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.39
|
| Rate for Payer: Mclaren Medicaid |
$265.40
|
| Rate for Payer: Meridian Medicaid |
$278.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$416.21
|
| Rate for Payer: PACE SWMI |
$396.39
|
| Rate for Payer: PHP Medicare Advantage |
$396.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$942.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$624.01
|
| Rate for Payer: Priority Health Medicare |
$396.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$624.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.39
|
| Rate for Payer: UHC Medicare Advantage |
$408.28
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
|
Professional
|
Both
|
$1,608.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$376.58 |
| Max. Negotiated Rate |
$1,125.60 |
| Rate for Payer: Aetna Commercial |
$757.70
|
| Rate for Payer: Aetna Medicare |
$588.07
|
| Rate for Payer: BCBS Complete |
$395.41
|
| Rate for Payer: BCBS MAPPO |
$565.45
|
| Rate for Payer: BCBS Trust/PPO |
$605.96
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: BCN Medicare Advantage |
$565.45
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cofinity Commercial |
$814.25
|
| Rate for Payer: Cofinity Commercial |
$757.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.45
|
| Rate for Payer: Mclaren Medicaid |
$376.58
|
| Rate for Payer: Meridian Medicaid |
$395.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$593.72
|
| Rate for Payer: PACE SWMI |
$565.45
|
| Rate for Payer: PHP Medicare Advantage |
$565.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,125.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$887.00
|
| Rate for Payer: Priority Health Medicare |
$565.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$887.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.45
|
| Rate for Payer: UHC Medicare Advantage |
$582.41
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$234.09 |
| Max. Negotiated Rate |
$578.90 |
| Rate for Payer: Aetna Commercial |
$467.49
|
| Rate for Payer: Aetna Medicare |
$362.82
|
| Rate for Payer: BCBS Complete |
$245.79
|
| Rate for Payer: BCBS MAPPO |
$348.87
|
| Rate for Payer: BCBS Trust/PPO |
$472.30
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: BCN Medicare Advantage |
$348.87
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$502.37
|
| Rate for Payer: Cofinity Commercial |
$467.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.87
|
| Rate for Payer: Mclaren Medicaid |
$234.09
|
| Rate for Payer: Meridian Medicaid |
$245.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.31
|
| Rate for Payer: PACE SWMI |
$348.87
|
| Rate for Payer: PHP Medicare Advantage |
$348.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$578.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$552.01
|
| Rate for Payer: Priority Health Medicare |
$348.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$552.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.87
|
| Rate for Payer: UHC Medicare Advantage |
$359.34
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,156.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$516.95 |
| Max. Negotiated Rate |
$1,509.20 |
| Rate for Payer: Aetna Commercial |
$1,061.66
|
| Rate for Payer: Aetna Medicare |
$823.97
|
| Rate for Payer: BCBS Complete |
$542.80
|
| Rate for Payer: BCBS MAPPO |
$792.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$1,180.15
|
| Rate for Payer: BCN Medicare Advantage |
$792.28
|
| Rate for Payer: Cash Price |
$1,724.80
|
| Rate for Payer: Cash Price |
$1,724.80
|
| Rate for Payer: Cofinity Commercial |
$1,061.66
|
| Rate for Payer: Cofinity Commercial |
$1,140.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$792.28
|
| Rate for Payer: Mclaren Medicaid |
$516.95
|
| Rate for Payer: Meridian Medicaid |
$542.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$831.89
|
| Rate for Payer: PACE SWMI |
$792.28
|
| Rate for Payer: PHP Medicare Advantage |
$792.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,509.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,233.23
|
| Rate for Payer: Priority Health Medicare |
$792.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,233.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$792.28
|
| Rate for Payer: UHC Medicare Advantage |
$816.05
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,545.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$324.83 |
| Max. Negotiated Rate |
$3,213.12 |
| Rate for Payer: Aetna Commercial |
$660.31
|
| Rate for Payer: Aetna Medicare |
$512.48
|
| Rate for Payer: BCBS Complete |
$341.07
|
| Rate for Payer: BCBS MAPPO |
$492.77
|
| Rate for Payer: BCBS Trust/PPO |
$3,213.12
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$492.77
|
| Rate for Payer: Cash Price |
$1,236.00
|
| Rate for Payer: Cash Price |
$1,236.00
|
| Rate for Payer: Cofinity Commercial |
$660.31
|
| Rate for Payer: Cofinity Commercial |
$709.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.77
|
| Rate for Payer: Mclaren Medicaid |
$324.83
|
| Rate for Payer: Meridian Medicaid |
$341.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$517.41
|
| Rate for Payer: PACE SWMI |
$492.77
|
| Rate for Payer: PHP Medicare Advantage |
$492.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,081.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$771.09
|
| Rate for Payer: Priority Health Medicare |
$492.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$771.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$492.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.77
|
| Rate for Payer: UHC Medicare Advantage |
$507.55
|
|
|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$179.77 |
| Max. Negotiated Rate |
$656.68 |
| Rate for Payer: Aetna Commercial |
$357.42
|
| Rate for Payer: Aetna Medicare |
$277.40
|
| Rate for Payer: BCBS Complete |
$188.76
|
| Rate for Payer: BCBS MAPPO |
$266.73
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$462.78
|
| Rate for Payer: BCN Medicare Advantage |
$266.73
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cofinity Commercial |
$384.09
|
| Rate for Payer: Cofinity Commercial |
$357.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.73
|
| Rate for Payer: Mclaren Medicaid |
$179.77
|
| Rate for Payer: Meridian Medicaid |
$188.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$280.07
|
| Rate for Payer: PACE SWMI |
$266.73
|
| Rate for Payer: PHP Medicare Advantage |
$266.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$423.32
|
| Rate for Payer: Priority Health Medicare |
$266.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.73
|
| Rate for Payer: UHC Medicare Advantage |
$274.73
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$826.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$192.98 |
| Max. Negotiated Rate |
$1,234.64 |
| Rate for Payer: Aetna Commercial |
$382.70
|
| Rate for Payer: Aetna Medicare |
$297.02
|
| Rate for Payer: BCBS Complete |
$202.63
|
| Rate for Payer: BCBS MAPPO |
$285.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.64
|
| Rate for Payer: BCN Commercial |
$463.27
|
| Rate for Payer: BCN Medicare Advantage |
$285.60
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cash Price |
$660.80
|
| Rate for Payer: Cofinity Commercial |
$411.26
|
| Rate for Payer: Cofinity Commercial |
$382.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.60
|
| Rate for Payer: Mclaren Medicaid |
$192.98
|
| Rate for Payer: Meridian Medicaid |
$202.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.88
|
| Rate for Payer: PACE SWMI |
$285.60
|
| Rate for Payer: PHP Medicare Advantage |
$285.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$454.48
|
| Rate for Payer: Priority Health Medicare |
$285.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.60
|
| Rate for Payer: UHC Medicare Advantage |
$294.17
|
|
