|
PR ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT
|
Professional
|
Both
|
$2,219.00
|
|
|
Service Code
|
HCPCS 28740
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$1,664.25 |
| Rate for Payer: Aetna Commercial |
$820.54
|
| Rate for Payer: Aetna Medicare |
$1,109.50
|
| Rate for Payer: BCBS Complete |
$386.69
|
| Rate for Payer: BCN Commercial |
$933.21
|
| Rate for Payer: Cash Price |
$1,775.20
|
| Rate for Payer: Cash Price |
$1,775.20
|
| Rate for Payer: Mclaren Medicaid |
$368.28
|
| Rate for Payer: Meridian Medicaid |
$386.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,664.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$997.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$997.58
|
| Rate for Payer: UHC Medicaid |
$368.28
|
| Rate for Payer: UHCCP Medicaid |
$368.28
|
|
|
PR ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT
|
Professional
|
Both
|
$2,946.00
|
|
|
Service Code
|
HCPCS 26852
|
| Min. Negotiated Rate |
$507.15 |
| Max. Negotiated Rate |
$2,209.50 |
| Rate for Payer: Aetna Commercial |
$1,103.16
|
| Rate for Payer: Aetna Medicare |
$1,473.00
|
| Rate for Payer: BCBS Complete |
$532.51
|
| Rate for Payer: BCN Commercial |
$1,261.89
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Mclaren Medicaid |
$507.15
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,209.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,348.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,348.92
|
| Rate for Payer: UHC Medicaid |
$507.15
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
|
|
PR ARTHRODESIS PANTALAR
|
Professional
|
Both
|
$4,056.00
|
|
|
Service Code
|
HCPCS 28705
|
| Min. Negotiated Rate |
$705.67 |
| Max. Negotiated Rate |
$3,042.00 |
| Rate for Payer: Aetna Commercial |
$1,631.30
|
| Rate for Payer: Aetna Medicare |
$2,028.00
|
| Rate for Payer: BCBS Complete |
$740.95
|
| Rate for Payer: BCN Commercial |
$1,840.54
|
| Rate for Payer: Cash Price |
$3,244.80
|
| Rate for Payer: Cash Price |
$3,244.80
|
| Rate for Payer: Mclaren Medicaid |
$705.67
|
| Rate for Payer: Meridian Medicaid |
$740.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,042.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$705.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,967.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,967.49
|
| Rate for Payer: UHC Medicaid |
$705.67
|
| Rate for Payer: UHCCP Medicaid |
$705.67
|
|
|
PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2
|
Professional
|
Both
|
$5,330.00
|
|
|
Service Code
|
HCPCS 22595
|
| Min. Negotiated Rate |
$955.94 |
| Max. Negotiated Rate |
$3,997.50 |
| Rate for Payer: Aetna Commercial |
$2,020.20
|
| Rate for Payer: Aetna Medicare |
$2,665.00
|
| Rate for Payer: BCBS Complete |
$1,003.74
|
| Rate for Payer: BCN Commercial |
$2,549.34
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Mclaren Medicaid |
$955.94
|
| Rate for Payer: Meridian Medicaid |
$1,003.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,997.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$955.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,480.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,480.65
|
| Rate for Payer: UHC Medicaid |
$955.94
|
| Rate for Payer: UHCCP Medicaid |
$955.94
|
|
|
PR ARTHRODESIS POSTERIOR CRANIOCERVICAL
|
Professional
|
Both
|
$5,497.00
|
|
|
Service Code
|
HCPCS 22590
|
| Min. Negotiated Rate |
$994.28 |
| Max. Negotiated Rate |
$4,122.75 |
| Rate for Payer: Aetna Commercial |
$2,118.13
|
| Rate for Payer: Aetna Medicare |
$2,748.50
|
| Rate for Payer: BCBS Complete |
$1,043.99
|
| Rate for Payer: BCN Commercial |
$2,668.60
|
| Rate for Payer: Cash Price |
$4,397.60
|
| Rate for Payer: Cash Price |
$4,397.60
|
| Rate for Payer: Mclaren Medicaid |
$994.28
|
| Rate for Payer: Meridian Medicaid |
$1,043.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,122.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$994.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,596.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,596.69
|
| Rate for Payer: UHC Medicaid |
$994.28
|
| Rate for Payer: UHCCP Medicaid |
$994.28
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL
|
Professional
|
Both
|
$1,300.00
|
|
|
Service Code
|
HCPCS 22632
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$975.00 |
| Rate for Payer: Aetna Commercial |
$430.92
|
| Rate for Payer: Aetna Medicare |
$650.00
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCN Commercial |
$527.38
|
| Rate for Payer: Cash Price |
$1,040.00
|
| Rate for Payer: Cash Price |
$1,040.00
|
| Rate for Payer: Mclaren Medicaid |
$183.39
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$975.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$513.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$513.16
|
| Rate for Payer: UHC Medicaid |
$183.39
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
|
Professional
|
Both
|
$6,951.00
|
|
|
Service Code
|
HCPCS 22630
|
| Min. Negotiated Rate |
$963.40 |
| Max. Negotiated Rate |
$5,213.25 |
| Rate for Payer: Aetna Commercial |
$2,114.75
|
| Rate for Payer: Aetna Medicare |
$3,475.50
|
| Rate for Payer: BCBS Complete |
$1,011.57
|
| Rate for Payer: BCN Commercial |
$2,611.71
|
| Rate for Payer: Cash Price |
$5,560.80
|
| Rate for Payer: Cash Price |
$5,560.80
|
| Rate for Payer: Mclaren Medicaid |
$963.40
|
| Rate for Payer: Meridian Medicaid |
$1,011.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,213.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$963.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,541.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,541.33
|
| Rate for Payer: UHC Medicaid |
$963.40
|
| Rate for Payer: UHCCP Medicaid |
$963.40
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR
|
Professional
|
Both
|
$3,398.00
|
|
|
Service Code
|
HCPCS 22612
|
| Min. Negotiated Rate |
$935.92 |
| Max. Negotiated Rate |
$2,627.57 |
| Rate for Payer: Aetna Commercial |
$2,128.06
|
| Rate for Payer: Aetna Medicare |
$1,699.00
|
| Rate for Payer: BCBS Complete |
$982.72
|
| Rate for Payer: BCN Commercial |
$2,627.57
|
| Rate for Payer: Cash Price |
$2,718.40
|
| Rate for Payer: Cash Price |
$2,718.40
|
| Rate for Payer: Mclaren Medicaid |
$935.92
|
| Rate for Payer: Meridian Medicaid |
$982.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,548.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$935.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,556.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,556.77
|
| Rate for Payer: UHC Medicaid |
$935.92
|
| Rate for Payer: UHCCP Medicaid |
$935.92
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC
|
Professional
|
Both
|
$4,415.00
|
|
|
Service Code
|
HCPCS 22610
|
| Min. Negotiated Rate |
$800.67 |
| Max. Negotiated Rate |
$3,311.25 |
| Rate for Payer: Aetna Commercial |
$1,703.50
|
| Rate for Payer: Aetna Medicare |
$2,207.50
|
| Rate for Payer: BCBS Complete |
$840.70
|
| Rate for Payer: BCN Commercial |
$2,152.16
|
| Rate for Payer: Cash Price |
$3,532.00
|
| Rate for Payer: Cash Price |
$3,532.00
|
| Rate for Payer: Mclaren Medicaid |
$800.67
|
| Rate for Payer: Meridian Medicaid |
$840.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,311.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$800.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,094.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,094.18
|
| Rate for Payer: UHC Medicaid |
$800.67
|
| Rate for Payer: UHCCP Medicaid |
$800.67
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM
|
Professional
|
Both
|
$5,219.00
|
|
|
Service Code
|
HCPCS 22804
|
| Min. Negotiated Rate |
$1,417.30 |
| Max. Negotiated Rate |
$3,914.25 |
| Rate for Payer: Aetna Commercial |
$3,267.61
|
| Rate for Payer: Aetna Medicare |
$2,609.50
|
| Rate for Payer: BCBS Complete |
$1,488.16
|
| Rate for Payer: BCN Commercial |
$3,651.19
|
| Rate for Payer: Cash Price |
$4,175.20
|
| Rate for Payer: Cash Price |
$4,175.20
|
| Rate for Payer: Mclaren Medicaid |
$1,417.30
|
| Rate for Payer: Meridian Medicaid |
$1,488.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,914.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,417.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,903.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,903.03
|
| Rate for Payer: UHC Medicaid |
$1,417.30
|
| Rate for Payer: UHCCP Medicaid |
$1,417.30
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM
|
Professional
|
Both
|
$2,896.00
|
|
|
Service Code
|
HCPCS 22800
|
| Min. Negotiated Rate |
$837.30 |
| Max. Negotiated Rate |
$2,221.93 |
| Rate for Payer: Aetna Commercial |
$1,815.55
|
| Rate for Payer: Aetna Medicare |
$1,448.00
|
| Rate for Payer: BCBS Complete |
$879.16
|
| Rate for Payer: BCN Commercial |
$2,078.57
|
| Rate for Payer: Cash Price |
$2,316.80
|
| Rate for Payer: Cash Price |
$2,316.80
|
| Rate for Payer: Mclaren Medicaid |
$837.30
|
| Rate for Payer: Meridian Medicaid |
$879.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,172.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,221.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,221.93
|
| Rate for Payer: UHC Medicaid |
$837.30
|
| Rate for Payer: UHCCP Medicaid |
$837.30
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM
|
Professional
|
Both
|
$4,511.00
|
|
|
Service Code
|
HCPCS 22802
|
| Min. Negotiated Rate |
$1,234.76 |
| Max. Negotiated Rate |
$3,401.05 |
| Rate for Payer: Aetna Commercial |
$2,838.39
|
| Rate for Payer: Aetna Medicare |
$2,255.50
|
| Rate for Payer: BCBS Complete |
$1,296.50
|
| Rate for Payer: BCN Commercial |
$3,181.60
|
| Rate for Payer: Cash Price |
$3,608.80
|
| Rate for Payer: Cash Price |
$3,608.80
|
| Rate for Payer: Mclaren Medicaid |
$1,234.76
|
| Rate for Payer: Meridian Medicaid |
$1,296.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,383.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,234.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,401.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,401.05
|
| Rate for Payer: UHC Medicaid |
$1,234.76
|
| Rate for Payer: UHCCP Medicaid |
$1,234.76
|
|
|
PR ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC
|
Professional
|
Both
|
$1,931.00
|
|
|
Service Code
|
HCPCS 22614
|
| Min. Negotiated Rate |
$222.80 |
| Max. Negotiated Rate |
$1,448.25 |
| Rate for Payer: Aetna Commercial |
$526.48
|
| Rate for Payer: Aetna Medicare |
$965.50
|
| Rate for Payer: BCBS Complete |
$233.94
|
| Rate for Payer: BCN Commercial |
$643.35
|
| Rate for Payer: Cash Price |
$1,544.80
|
| Rate for Payer: Cash Price |
$1,544.80
|
| Rate for Payer: Mclaren Medicaid |
$222.80
|
| Rate for Payer: Meridian Medicaid |
$233.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,448.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$626.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$626.01
|
| Rate for Payer: UHC Medicaid |
$222.80
|
| Rate for Payer: UHCCP Medicaid |
$222.80
|
|
|
PR ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ
|
Professional
|
Both
|
$3,337.00
|
|
|
Service Code
|
HCPCS 27280
|
| Min. Negotiated Rate |
$818.56 |
| Max. Negotiated Rate |
$2,502.75 |
| Rate for Payer: Aetna Commercial |
$1,822.56
|
| Rate for Payer: Aetna Medicare |
$1,668.50
|
| Rate for Payer: BCBS Complete |
$859.49
|
| Rate for Payer: BCN Commercial |
$2,067.62
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Mclaren Medicaid |
$818.56
|
| Rate for Payer: Meridian Medicaid |
$859.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,502.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,210.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,210.23
|
| Rate for Payer: UHC Medicaid |
$818.56
|
| Rate for Payer: UHCCP Medicaid |
$818.56
|
|
|
PR ARTHRODESIS SUBTALAR
|
Professional
|
Both
|
$3,374.00
|
|
|
Service Code
|
HCPCS 28725
|
| Min. Negotiated Rate |
$464.98 |
| Max. Negotiated Rate |
$2,530.50 |
| Rate for Payer: Aetna Commercial |
$1,034.26
|
| Rate for Payer: Aetna Medicare |
$1,687.00
|
| Rate for Payer: BCBS Complete |
$488.23
|
| Rate for Payer: BCN Commercial |
$1,181.71
|
| Rate for Payer: Cash Price |
$2,699.20
|
| Rate for Payer: Cash Price |
$2,699.20
|
| Rate for Payer: Mclaren Medicaid |
$464.98
|
| Rate for Payer: Meridian Medicaid |
$488.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,530.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,263.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,263.21
|
| Rate for Payer: UHC Medicaid |
$464.98
|
| Rate for Payer: UHCCP Medicaid |
$464.98
|
|
|
PR ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 27282
|
| Min. Negotiated Rate |
$512.27 |
| Max. Negotiated Rate |
$1,400.02 |
| Rate for Payer: Aetna Commercial |
$1,146.38
|
| Rate for Payer: Aetna Medicare |
$774.00
|
| Rate for Payer: BCBS Complete |
$537.88
|
| Rate for Payer: BCN Commercial |
$1,309.69
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Mclaren Medicaid |
$512.27
|
| Rate for Payer: Meridian Medicaid |
$537.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,161.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,400.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,400.02
|
| Rate for Payer: UHC Medicaid |
$512.27
|
| Rate for Payer: UHCCP Medicaid |
$512.27
|
|
|
PR ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL
|
Professional
|
Both
|
$3,095.00
|
|
|
Service Code
|
HCPCS 27871
|
| Min. Negotiated Rate |
$412.58 |
| Max. Negotiated Rate |
$2,321.25 |
| Rate for Payer: Aetna Commercial |
$918.06
|
| Rate for Payer: Aetna Medicare |
$1,547.50
|
| Rate for Payer: BCBS Complete |
$433.21
|
| Rate for Payer: BCN Commercial |
$1,048.75
|
| Rate for Payer: Cash Price |
$2,476.00
|
| Rate for Payer: Cash Price |
$2,476.00
|
| Rate for Payer: Mclaren Medicaid |
$412.58
|
| Rate for Payer: Meridian Medicaid |
$433.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,321.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,121.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,121.09
|
| Rate for Payer: UHC Medicaid |
$412.58
|
| Rate for Payer: UHCCP Medicaid |
$412.58
|
|
|
PR ARTHRODESIS TRIPLE
|
Professional
|
Both
|
$4,207.00
|
|
|
Service Code
|
HCPCS 28715
|
| Min. Negotiated Rate |
$563.60 |
| Max. Negotiated Rate |
$3,155.25 |
| Rate for Payer: Aetna Commercial |
$1,252.63
|
| Rate for Payer: Aetna Medicare |
$2,103.50
|
| Rate for Payer: BCBS Complete |
$591.78
|
| Rate for Payer: BCN Commercial |
$1,428.71
|
| Rate for Payer: Cash Price |
$3,365.60
|
| Rate for Payer: Cash Price |
$3,365.60
|
| Rate for Payer: Mclaren Medicaid |
$563.60
|
| Rate for Payer: Meridian Medicaid |
$591.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,155.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,527.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,527.25
|
| Rate for Payer: UHC Medicaid |
$563.60
|
| Rate for Payer: UHCCP Medicaid |
$563.60
|
|
|
PR ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT
|
Professional
|
Both
|
$2,533.00
|
|
|
Service Code
|
HCPCS 25800
|
| Min. Negotiated Rate |
$429.41 |
| Max. Negotiated Rate |
$1,899.75 |
| Rate for Payer: Aetna Commercial |
$976.75
|
| Rate for Payer: Aetna Medicare |
$1,266.50
|
| Rate for Payer: BCBS Complete |
$450.88
|
| Rate for Payer: BCN Commercial |
$1,118.96
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Mclaren Medicaid |
$429.41
|
| Rate for Payer: Meridian Medicaid |
$450.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,899.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,196.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,196.15
|
| Rate for Payer: UHC Medicaid |
$429.41
|
| Rate for Payer: UHCCP Medicaid |
$429.41
|
|
|
PR ARTHRODESIS WRIST LIMITED W/O BONE GRAFT
|
Professional
|
Both
|
$2,922.00
|
|
|
Service Code
|
HCPCS 25820
|
| Min. Negotiated Rate |
$392.35 |
| Max. Negotiated Rate |
$2,191.50 |
| Rate for Payer: Aetna Commercial |
$857.48
|
| Rate for Payer: Aetna Medicare |
$1,461.00
|
| Rate for Payer: BCBS Complete |
$411.97
|
| Rate for Payer: BCN Commercial |
$992.47
|
| Rate for Payer: Cash Price |
$2,337.60
|
| Rate for Payer: Cash Price |
$2,337.60
|
| Rate for Payer: Mclaren Medicaid |
$392.35
|
| Rate for Payer: Meridian Medicaid |
$411.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,191.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,060.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,060.94
|
| Rate for Payer: UHC Medicaid |
$392.35
|
| Rate for Payer: UHCCP Medicaid |
$392.35
|
|
|
PR ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT
|
Professional
|
Both
|
$3,514.00
|
|
|
Service Code
|
HCPCS 25810
|
| Min. Negotiated Rate |
$506.30 |
| Max. Negotiated Rate |
$2,635.50 |
| Rate for Payer: Aetna Commercial |
$1,152.99
|
| Rate for Payer: Aetna Medicare |
$1,757.00
|
| Rate for Payer: BCBS Complete |
$531.62
|
| Rate for Payer: BCN Commercial |
$1,326.12
|
| Rate for Payer: Cash Price |
$2,811.20
|
| Rate for Payer: Cash Price |
$2,811.20
|
| Rate for Payer: Mclaren Medicaid |
$506.30
|
| Rate for Payer: Meridian Medicaid |
$531.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,635.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,417.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,417.59
|
| Rate for Payer: UHC Medicaid |
$506.30
|
| Rate for Payer: UHCCP Medicaid |
$506.30
|
|
|
PR ARTHRODESIS WRIST WITH AUTOGRAFT
|
Professional
|
Both
|
$14,511.00
|
|
|
Service Code
|
HCPCS 25825
|
| Min. Negotiated Rate |
$474.35 |
| Max. Negotiated Rate |
$10,883.25 |
| Rate for Payer: Aetna Commercial |
$1,048.19
|
| Rate for Payer: Aetna Medicare |
$7,255.50
|
| Rate for Payer: BCBS Complete |
$498.07
|
| Rate for Payer: BCN Commercial |
$1,210.59
|
| Rate for Payer: Cash Price |
$11,608.80
|
| Rate for Payer: Cash Price |
$11,608.80
|
| Rate for Payer: Mclaren Medicaid |
$474.35
|
| Rate for Payer: Meridian Medicaid |
$498.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,883.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,294.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,294.08
|
| Rate for Payer: UHC Medicaid |
$474.35
|
| Rate for Payer: UHCCP Medicaid |
$474.35
|
|
|
PR ARTHRODESIS WRIST W/SLIDING GRAFT
|
Professional
|
Both
|
$3,064.00
|
|
|
Service Code
|
HCPCS 25805
|
| Min. Negotiated Rate |
$505.24 |
| Max. Negotiated Rate |
$2,298.00 |
| Rate for Payer: Aetna Commercial |
$1,131.59
|
| Rate for Payer: Aetna Medicare |
$1,532.00
|
| Rate for Payer: BCBS Complete |
$530.50
|
| Rate for Payer: BCN Commercial |
$1,292.76
|
| Rate for Payer: Cash Price |
$2,451.20
|
| Rate for Payer: Cash Price |
$2,451.20
|
| Rate for Payer: Mclaren Medicaid |
$505.24
|
| Rate for Payer: Meridian Medicaid |
$530.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,298.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,381.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,381.93
|
| Rate for Payer: UHC Medicaid |
$505.24
|
| Rate for Payer: UHCCP Medicaid |
$505.24
|
|
|
PR ARTHRO, LOOSE BODY + CHONDRO
|
Professional
|
Both
|
$233.00
|
|
|
Service Code
|
HCPCS G0289
|
| Min. Negotiated Rate |
$85.90 |
| Max. Negotiated Rate |
$174.75 |
| Rate for Payer: Aetna Commercial |
$85.90
|
| Rate for Payer: Aetna Medicare |
$116.50
|
| Rate for Payer: BCBS Complete |
$93.20
|
| Rate for Payer: BCN Commercial |
$126.49
|
| Rate for Payer: Cash Price |
$186.40
|
| Rate for Payer: Cash Price |
$186.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$174.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.21
|
|
|
PR ARTHROPLASTY ANKLE
|
Professional
|
Both
|
$2,784.00
|
|
|
Service Code
|
HCPCS 27700
|
| Min. Negotiated Rate |
$426.85 |
| Max. Negotiated Rate |
$2,088.00 |
| Rate for Payer: Aetna Commercial |
$810.77
|
| Rate for Payer: Aetna Medicare |
$1,392.00
|
| Rate for Payer: BCBS Complete |
$448.19
|
| Rate for Payer: BCN Commercial |
$1,087.10
|
| Rate for Payer: Cash Price |
$2,227.20
|
| Rate for Payer: Cash Price |
$2,227.20
|
| Rate for Payer: Mclaren Medicaid |
$426.85
|
| Rate for Payer: Meridian Medicaid |
$448.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,088.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,162.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,162.06
|
| Rate for Payer: UHC Medicaid |
$426.85
|
| Rate for Payer: UHCCP Medicaid |
$426.85
|
|
