|
PR ARTHROPLASTY ANKLE REVISION TOTAL ANKLE
|
Professional
|
Both
|
$2,105.00
|
|
|
Service Code
|
HCPCS 27703
|
| Min. Negotiated Rate |
$649.01 |
| Max. Negotiated Rate |
$1,800.33 |
| Rate for Payer: Aetna Commercial |
$1,490.55
|
| Rate for Payer: Aetna Medicare |
$1,052.50
|
| Rate for Payer: BCBS Complete |
$681.46
|
| Rate for Payer: BCN Commercial |
$1,684.17
|
| Rate for Payer: Cash Price |
$1,684.00
|
| Rate for Payer: Cash Price |
$1,684.00
|
| Rate for Payer: Mclaren Medicaid |
$649.01
|
| Rate for Payer: Meridian Medicaid |
$681.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,578.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$649.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,800.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,800.33
|
| Rate for Payer: UHC Medicaid |
$649.01
|
| Rate for Payer: UHCCP Medicaid |
$649.01
|
|
|
PR ARTHROPLASTY ANKLE W/IMPLANT
|
Professional
|
Both
|
$2,035.00
|
|
|
Service Code
|
HCPCS 27702
|
| Min. Negotiated Rate |
$564.45 |
| Max. Negotiated Rate |
$1,556.52 |
| Rate for Payer: Aetna Commercial |
$1,287.42
|
| Rate for Payer: Aetna Medicare |
$1,017.50
|
| Rate for Payer: BCBS Complete |
$592.67
|
| Rate for Payer: BCN Commercial |
$1,456.09
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Mclaren Medicaid |
$564.45
|
| Rate for Payer: Meridian Medicaid |
$592.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$564.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,556.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,556.52
|
| Rate for Payer: UHC Medicaid |
$564.45
|
| Rate for Payer: UHCCP Medicaid |
$564.45
|
|
|
PR ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE
|
Professional
|
Both
|
$1,601.00
|
|
|
Service Code
|
HCPCS 27442
|
| Min. Negotiated Rate |
$513.33 |
| Max. Negotiated Rate |
$1,418.65 |
| Rate for Payer: Aetna Commercial |
$1,163.41
|
| Rate for Payer: Aetna Medicare |
$800.50
|
| Rate for Payer: BCBS Complete |
$539.00
|
| Rate for Payer: BCN Commercial |
$1,327.12
|
| Rate for Payer: Cash Price |
$1,280.80
|
| Rate for Payer: Cash Price |
$1,280.80
|
| Rate for Payer: Mclaren Medicaid |
$513.33
|
| Rate for Payer: Meridian Medicaid |
$539.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,200.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$513.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,418.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,418.65
|
| Rate for Payer: UHC Medicaid |
$513.33
|
| Rate for Payer: UHCCP Medicaid |
$513.33
|
|
|
PR ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER
|
Professional
|
Both
|
$4,712.00
|
|
|
Service Code
|
HCPCS 23472
|
| Min. Negotiated Rate |
$829.21 |
| Max. Negotiated Rate |
$3,534.00 |
| Rate for Payer: Aetna Commercial |
$1,937.50
|
| Rate for Payer: Aetna Medicare |
$2,356.00
|
| Rate for Payer: BCBS Complete |
$870.67
|
| Rate for Payer: BCN Commercial |
$2,178.17
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Mclaren Medicaid |
$829.21
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,534.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,328.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,328.41
|
| Rate for Payer: UHC Medicaid |
$829.21
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
|
|
PR ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY
|
Professional
|
Both
|
$3,570.00
|
|
|
Service Code
|
HCPCS 23470
|
| Min. Negotiated Rate |
$693.74 |
| Max. Negotiated Rate |
$2,677.50 |
| Rate for Payer: Aetna Commercial |
$1,604.69
|
| Rate for Payer: Aetna Medicare |
$1,785.00
|
| Rate for Payer: BCBS Complete |
$728.43
|
| Rate for Payer: BCN Commercial |
$1,810.16
|
| Rate for Payer: Cash Price |
$2,856.00
|
| Rate for Payer: Cash Price |
$2,856.00
|
| Rate for Payer: Mclaren Medicaid |
$693.74
|
| Rate for Payer: Meridian Medicaid |
$728.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,677.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$693.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,935.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,935.02
|
| Rate for Payer: UHC Medicaid |
$693.74
|
| Rate for Payer: UHCCP Medicaid |
$693.74
|
|
|
PR ARTHROPLASTY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,741.00
|
|
|
Service Code
|
HCPCS 26535
|
| Min. Negotiated Rate |
$267.74 |
| Max. Negotiated Rate |
$1,305.75 |
| Rate for Payer: Aetna Commercial |
$580.99
|
| Rate for Payer: Aetna Medicare |
$870.50
|
| Rate for Payer: BCBS Complete |
$281.13
|
| Rate for Payer: BCN Commercial |
$681.74
|
| Rate for Payer: Cash Price |
$1,392.80
|
| Rate for Payer: Cash Price |
$1,392.80
|
| Rate for Payer: Mclaren Medicaid |
$267.74
|
| Rate for Payer: Meridian Medicaid |
$281.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,305.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$728.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$728.75
|
| Rate for Payer: UHC Medicaid |
$267.74
|
| Rate for Payer: UHCCP Medicaid |
$267.74
|
|
|
PR ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA
|
Professional
|
Both
|
$2,555.00
|
|
|
Service Code
|
HCPCS 26536
|
| Min. Negotiated Rate |
$466.26 |
| Max. Negotiated Rate |
$1,916.25 |
| Rate for Payer: Aetna Commercial |
$992.54
|
| Rate for Payer: Aetna Medicare |
$1,277.50
|
| Rate for Payer: BCBS Complete |
$489.57
|
| Rate for Payer: BCN Commercial |
$1,130.42
|
| Rate for Payer: Cash Price |
$2,044.00
|
| Rate for Payer: Cash Price |
$2,044.00
|
| Rate for Payer: Mclaren Medicaid |
$466.26
|
| Rate for Payer: Meridian Medicaid |
$489.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,916.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$466.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,208.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,208.39
|
| Rate for Payer: UHC Medicaid |
$466.26
|
| Rate for Payer: UHCCP Medicaid |
$466.26
|
|
|
PR ARTHROPLASTY KNEE HINGE PROSTHESIS
|
Professional
|
Both
|
$2,716.00
|
|
|
Service Code
|
HCPCS 27445
|
| Min. Negotiated Rate |
$1,086.40 |
| Max. Negotiated Rate |
$2,037.00 |
| Rate for Payer: Aetna Commercial |
$1,677.91
|
| Rate for Payer: Aetna Medicare |
$1,358.00
|
| Rate for Payer: BCBS Complete |
$1,086.40
|
| Rate for Payer: BCN Commercial |
$1,896.81
|
| Rate for Payer: Cash Price |
$2,172.80
|
| Rate for Payer: Cash Price |
$2,172.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,037.00
|
|
|
PR ARTHROPLASTY KNEE TIBIAL PLATEAU
|
Professional
|
Both
|
$1,830.00
|
|
|
Service Code
|
HCPCS 27440
|
| Min. Negotiated Rate |
$475.63 |
| Max. Negotiated Rate |
$1,372.50 |
| Rate for Payer: Aetna Commercial |
$1,065.93
|
| Rate for Payer: Aetna Medicare |
$915.00
|
| Rate for Payer: BCBS Complete |
$499.41
|
| Rate for Payer: BCN Commercial |
$1,217.57
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Cash Price |
$1,464.00
|
| Rate for Payer: Mclaren Medicaid |
$475.63
|
| Rate for Payer: Meridian Medicaid |
$499.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,372.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,301.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,301.54
|
| Rate for Payer: UHC Medicaid |
$475.63
|
| Rate for Payer: UHCCP Medicaid |
$475.63
|
|
|
PR ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,860.00
|
|
|
Service Code
|
HCPCS 26530
|
| Min. Negotiated Rate |
$325.04 |
| Max. Negotiated Rate |
$1,395.00 |
| Rate for Payer: Aetna Commercial |
$718.60
|
| Rate for Payer: Aetna Medicare |
$930.00
|
| Rate for Payer: BCBS Complete |
$341.29
|
| Rate for Payer: BCN Commercial |
$836.61
|
| Rate for Payer: Cash Price |
$1,488.00
|
| Rate for Payer: Cash Price |
$1,488.00
|
| Rate for Payer: Mclaren Medicaid |
$325.04
|
| Rate for Payer: Meridian Medicaid |
$341.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,395.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$894.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$894.31
|
| Rate for Payer: UHC Medicaid |
$325.04
|
| Rate for Payer: UHCCP Medicaid |
$325.04
|
|
|
PR ARTHROPLASTY PATELLA W/O PROSTHESIS
|
Professional
|
Both
|
$1,211.00
|
|
|
Service Code
|
HCPCS 27437
|
| Min. Negotiated Rate |
$398.52 |
| Max. Negotiated Rate |
$1,081.69 |
| Rate for Payer: Aetna Commercial |
$882.46
|
| Rate for Payer: Aetna Medicare |
$605.50
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCN Commercial |
$1,011.89
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$908.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,081.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,081.69
|
| Rate for Payer: UHC Medicaid |
$398.52
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR ARTHROPLASTY PATELLA W/PROSTHESIS
|
Professional
|
Both
|
$2,405.00
|
|
|
Service Code
|
HCPCS 27438
|
| Min. Negotiated Rate |
$498.63 |
| Max. Negotiated Rate |
$1,803.75 |
| Rate for Payer: Aetna Commercial |
$1,122.35
|
| Rate for Payer: Aetna Medicare |
$1,202.50
|
| Rate for Payer: BCBS Complete |
$523.56
|
| Rate for Payer: BCN Commercial |
$1,281.31
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Mclaren Medicaid |
$498.63
|
| Rate for Payer: Meridian Medicaid |
$523.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,803.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,369.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,369.69
|
| Rate for Payer: UHC Medicaid |
$498.63
|
| Rate for Payer: UHCCP Medicaid |
$498.63
|
|
|
PR ARTHROPLASTY RADIAL HEAD
|
Professional
|
Both
|
$1,718.00
|
|
|
Service Code
|
HCPCS 24365
|
| Min. Negotiated Rate |
$386.17 |
| Max. Negotiated Rate |
$1,288.50 |
| Rate for Payer: Aetna Commercial |
$857.03
|
| Rate for Payer: Aetna Medicare |
$859.00
|
| Rate for Payer: BCBS Complete |
$405.48
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: Cash Price |
$1,374.40
|
| Rate for Payer: Cash Price |
$1,374.40
|
| Rate for Payer: Mclaren Medicaid |
$386.17
|
| Rate for Payer: Meridian Medicaid |
$405.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,288.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,050.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,050.82
|
| Rate for Payer: UHC Medicaid |
$386.17
|
| Rate for Payer: UHCCP Medicaid |
$386.17
|
|
|
PR ARTHROPLASTY RADIAL HEAD W/IMPLANT
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 24366
|
| Min. Negotiated Rate |
$405.13 |
| Max. Negotiated Rate |
$1,941.75 |
| Rate for Payer: Aetna Commercial |
$909.61
|
| Rate for Payer: Aetna Medicare |
$1,294.50
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCN Commercial |
$1,042.77
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Mclaren Medicaid |
$405.13
|
| Rate for Payer: Meridian Medicaid |
$425.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,941.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,114.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,114.70
|
| Rate for Payer: UHC Medicaid |
$405.13
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
|
|
PR ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM
|
Professional
|
Both
|
$1,323.00
|
|
|
Service Code
|
HCPCS 25445
|
| Min. Negotiated Rate |
$423.44 |
| Max. Negotiated Rate |
$1,179.64 |
| Rate for Payer: Aetna Commercial |
$960.91
|
| Rate for Payer: Aetna Medicare |
$661.50
|
| Rate for Payer: BCBS Complete |
$444.61
|
| Rate for Payer: BCN Commercial |
$1,103.52
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Mclaren Medicaid |
$423.44
|
| Rate for Payer: Meridian Medicaid |
$444.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$992.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,179.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,179.64
|
| Rate for Payer: UHC Medicaid |
$423.44
|
| Rate for Payer: UHCCP Medicaid |
$423.44
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS
|
Professional
|
Both
|
$1,950.00
|
|
|
Service Code
|
HCPCS 25441
|
| Min. Negotiated Rate |
$554.23 |
| Max. Negotiated Rate |
$1,526.72 |
| Rate for Payer: Aetna Commercial |
$1,253.73
|
| Rate for Payer: Aetna Medicare |
$975.00
|
| Rate for Payer: BCBS Complete |
$581.94
|
| Rate for Payer: BCN Commercial |
$1,428.21
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Mclaren Medicaid |
$554.23
|
| Rate for Payer: Meridian Medicaid |
$581.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,462.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$554.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,526.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,526.72
|
| Rate for Payer: UHC Medicaid |
$554.23
|
| Rate for Payer: UHCCP Medicaid |
$554.23
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA
|
Professional
|
Both
|
$1,677.00
|
|
|
Service Code
|
HCPCS 25442
|
| Min. Negotiated Rate |
$472.22 |
| Max. Negotiated Rate |
$1,323.36 |
| Rate for Payer: Aetna Commercial |
$1,076.84
|
| Rate for Payer: Aetna Medicare |
$838.50
|
| Rate for Payer: BCBS Complete |
$495.83
|
| Rate for Payer: BCN Commercial |
$1,237.98
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Mclaren Medicaid |
$472.22
|
| Rate for Payer: Meridian Medicaid |
$495.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,257.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,323.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,323.36
|
| Rate for Payer: UHC Medicaid |
$472.22
|
| Rate for Payer: UHCCP Medicaid |
$472.22
|
|
|
PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL
|
Professional
|
Both
|
$1,645.00
|
|
|
Service Code
|
HCPCS 25443
|
| Min. Negotiated Rate |
$470.30 |
| Max. Negotiated Rate |
$1,282.91 |
| Rate for Payer: Aetna Commercial |
$1,047.50
|
| Rate for Payer: Aetna Medicare |
$822.50
|
| Rate for Payer: BCBS Complete |
$493.81
|
| Rate for Payer: BCN Commercial |
$1,200.14
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Mclaren Medicaid |
$470.30
|
| Rate for Payer: Meridian Medicaid |
$493.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,233.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,282.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,282.91
|
| Rate for Payer: UHC Medicaid |
$470.30
|
| Rate for Payer: UHCCP Medicaid |
$470.30
|
|
|
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ
|
Professional
|
Both
|
$3,209.00
|
|
|
Service Code
|
HCPCS 29851
|
| Min. Negotiated Rate |
$549.54 |
| Max. Negotiated Rate |
$2,406.75 |
| Rate for Payer: Aetna Commercial |
$1,241.59
|
| Rate for Payer: Aetna Medicare |
$1,604.50
|
| Rate for Payer: BCBS Complete |
$577.02
|
| Rate for Payer: BCN Commercial |
$1,414.77
|
| Rate for Payer: Cash Price |
$2,567.20
|
| Rate for Payer: Cash Price |
$2,567.20
|
| Rate for Payer: Mclaren Medicaid |
$549.54
|
| Rate for Payer: Meridian Medicaid |
$577.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,406.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,512.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,512.34
|
| Rate for Payer: UHC Medicaid |
$549.54
|
| Rate for Payer: UHCCP Medicaid |
$549.54
|
|
|
PR ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ
|
Professional
|
Both
|
$1,268.00
|
|
|
Service Code
|
HCPCS 29850
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,023.13 |
| Rate for Payer: Aetna Commercial |
$830.82
|
| Rate for Payer: Aetna Medicare |
$634.00
|
| Rate for Payer: BCBS Complete |
$397.43
|
| Rate for Payer: BCN Commercial |
$957.12
|
| Rate for Payer: Cash Price |
$1,014.40
|
| Rate for Payer: Cash Price |
$1,014.40
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Medicaid |
$397.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$951.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,023.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,023.13
|
| Rate for Payer: UHC Medicaid |
$378.50
|
| Rate for Payer: UHCCP Medicaid |
$378.50
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29898
|
| Min. Negotiated Rate |
$333.98 |
| Max. Negotiated Rate |
$1,700.25 |
| Rate for Payer: Aetna Commercial |
$747.21
|
| Rate for Payer: Aetna Medicare |
$1,133.50
|
| Rate for Payer: BCBS Complete |
$350.68
|
| Rate for Payer: BCN Commercial |
$934.94
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Mclaren Medicaid |
$333.98
|
| Rate for Payer: Meridian Medicaid |
$350.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$909.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.75
|
| Rate for Payer: UHC Medicaid |
$333.98
|
| Rate for Payer: UHCCP Medicaid |
$333.98
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 29897
|
| Min. Negotiated Rate |
$296.50 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$661.76
|
| Rate for Payer: Aetna Medicare |
$1,000.00
|
| Rate for Payer: BCBS Complete |
$311.32
|
| Rate for Payer: BCN Commercial |
$749.46
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Mclaren Medicaid |
$296.50
|
| Rate for Payer: Meridian Medicaid |
$311.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,500.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$801.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$801.15
|
| Rate for Payer: UHC Medicaid |
$296.50
|
| Rate for Payer: UHCCP Medicaid |
$296.50
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29895
|
| Min. Negotiated Rate |
$276.47 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$623.06
|
| Rate for Payer: Aetna Medicare |
$966.50
|
| Rate for Payer: BCBS Complete |
$290.29
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Mclaren Medicaid |
$276.47
|
| Rate for Payer: Meridian Medicaid |
$290.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$746.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$746.85
|
| Rate for Payer: UHC Medicaid |
$276.47
|
| Rate for Payer: UHCCP Medicaid |
$276.47
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS
|
Professional
|
Both
|
$3,182.00
|
|
|
Service Code
|
HCPCS 29899
|
| Min. Negotiated Rate |
$587.45 |
| Max. Negotiated Rate |
$2,386.50 |
| Rate for Payer: Aetna Commercial |
$1,366.39
|
| Rate for Payer: Aetna Medicare |
$1,591.00
|
| Rate for Payer: BCBS Complete |
$616.82
|
| Rate for Payer: BCN Commercial |
$1,509.88
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Mclaren Medicaid |
$587.45
|
| Rate for Payer: Meridian Medicaid |
$616.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,386.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,614.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,614.02
|
| Rate for Payer: UHC Medicaid |
$587.45
|
| Rate for Payer: UHCCP Medicaid |
$587.45
|
|
|
PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 29894
|
| Min. Negotiated Rate |
$302.89 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$663.97
|
| Rate for Payer: Aetna Medicare |
$1,000.00
|
| Rate for Payer: BCBS Complete |
$318.03
|
| Rate for Payer: BCN Commercial |
$770.37
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Mclaren Medicaid |
$302.89
|
| Rate for Payer: Meridian Medicaid |
$318.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,500.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$823.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.51
|
| Rate for Payer: UHC Medicaid |
$302.89
|
| Rate for Payer: UHCCP Medicaid |
$302.89
|
|
