|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$426.64 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$656.00
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Mclaren Medicaid |
$426.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Meridian Medicaid |
$447.97
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,010.09
|
| Rate for Payer: Priority Health Medicare |
$637.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,010.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Exchange |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP Medicaid |
$426.64
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,556.75 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,955.04
|
| Rate for Payer: BCN Commercial |
$1,850.86
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,083.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,604.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,107.60
|
| Rate for Payer: UHC Core |
$1,999.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$426.64 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$656.00
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Mclaren Medicaid |
$426.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Meridian Medicaid |
$447.97
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,010.09
|
| Rate for Payer: Priority Health Medicare |
$637.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,010.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Exchange |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP Medicaid |
$426.64
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$568.81 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$622.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$748.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$748.44
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$598.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,968.93
|
| Rate for Payer: BCN Commercial |
$1,862.11
|
| Rate for Payer: BCN Medicare Advantage |
$598.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.75
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.69
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$688.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: PACE Senior Care Partners |
$568.81
|
| Rate for Payer: PACE SWMI |
$598.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$598.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,083.65
|
| Rate for Payer: Priority Health Medicare |
$604.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,604.65
|
| Rate for Payer: Railroad Medicare Medicare |
$598.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,107.60
|
| Rate for Payer: UHC Core |
$1,999.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.75
|
| Rate for Payer: UHC Exchange |
$598.75
|
| Rate for Payer: UHC Medicare Advantage |
$598.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$598.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$445.79 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna Medicare |
$488.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$586.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$586.56
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$469.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,543.08
|
| Rate for Payer: BCN Commercial |
$1,459.37
|
| Rate for Payer: BCN Medicare Advantage |
$469.25
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$469.25
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,407.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$492.71
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$539.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: Nomi Health Commercial |
$1,539.14
|
| Rate for Payer: PACE Senior Care Partners |
$445.79
|
| Rate for Payer: PACE SWMI |
$469.25
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: PHP Medicare Advantage |
$469.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,632.99
|
| Rate for Payer: Priority Health Medicare |
$473.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,257.59
|
| Rate for Payer: Railroad Medicare Medicare |
$469.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,651.76
|
| Rate for Payer: UHC Core |
$1,567.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$469.25
|
| Rate for Payer: UHC Exchange |
$469.25
|
| Rate for Payer: UHC Medicare Advantage |
$469.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$469.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,407.75
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
IP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,220.05 |
| Max. Negotiated Rate |
$1,689.30 |
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,532.20
|
| Rate for Payer: BCN Commercial |
$1,450.55
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,407.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: Nomi Health Commercial |
$1,539.14
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,632.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,257.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,651.76
|
| Rate for Payer: UHC Core |
$1,567.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,407.75
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$325.46 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Mclaren Medicaid |
$325.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Meridian Medicaid |
$341.73
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO |
$770.93
|
| Rate for Payer: Priority Health Medicare |
$484.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Exchange |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$325.46 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Mclaren Medicaid |
$325.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Meridian Medicaid |
$341.73
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO |
$770.93
|
| Rate for Payer: Priority Health Medicare |
$484.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Exchange |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$537.94 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$588.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$707.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$707.81
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$566.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,862.06
|
| Rate for Payer: BCN Commercial |
$1,761.04
|
| Rate for Payer: BCN Medicare Advantage |
$566.25
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.25
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.56
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$651.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$1,857.30
|
| Rate for Payer: PACE Senior Care Partners |
$537.94
|
| Rate for Payer: PACE SWMI |
$566.25
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: PHP Medicare Advantage |
$566.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,970.55
|
| Rate for Payer: Priority Health Medicare |
$571.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,517.55
|
| Rate for Payer: Railroad Medicare Medicare |
$566.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,993.20
|
| Rate for Payer: UHC Core |
$1,891.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.25
|
| Rate for Payer: UHC Exchange |
$566.25
|
| Rate for Payer: UHC Medicare Advantage |
$566.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$566.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$405.13 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Mclaren Medicaid |
$405.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Meridian Medicaid |
$425.39
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$959.71
|
| Rate for Payer: Priority Health Medicare |
$604.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$959.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Exchange |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$405.13 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Mclaren Medicaid |
$405.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Meridian Medicaid |
$425.39
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$959.71
|
| Rate for Payer: Priority Health Medicare |
$604.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$959.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Exchange |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,472.25 |
| Max. Negotiated Rate |
$2,038.50 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,848.92
|
| Rate for Payer: BCN Commercial |
$1,750.39
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$1,857.30
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,970.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,517.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,993.20
|
| Rate for Payer: UHC Core |
$1,891.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$545.92 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: BCBS Complete |
$573.22
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Mclaren Medicaid |
$545.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Meridian Medicaid |
$573.22
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$545.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,300.65
|
| Rate for Payer: Priority Health Medicare |
$816.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Exchange |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP Medicaid |
$545.92
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
IP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,792.70 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: BCBS Trust/PPO |
$2,251.36
|
| Rate for Payer: BCN Commercial |
$2,131.38
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$2,371.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Healthscope Commercial |
$2,482.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,068.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: Nomi Health Commercial |
$2,261.56
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO |
$2,399.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,847.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,427.04
|
| Rate for Payer: UHC Core |
$2,302.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,068.50
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
OP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$655.02 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: Aetna Medicare |
$717.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$861.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$861.88
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$689.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,267.35
|
| Rate for Payer: BCN Commercial |
$2,144.34
|
| Rate for Payer: BCN Medicare Advantage |
$689.50
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$2,371.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.50
|
| Rate for Payer: Healthscope Commercial |
$2,482.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,068.50
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.98
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$792.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: Nomi Health Commercial |
$2,261.56
|
| Rate for Payer: PACE Senior Care Partners |
$655.02
|
| Rate for Payer: PACE SWMI |
$689.50
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| Rate for Payer: PHP Medicare Advantage |
$689.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO |
$2,399.46
|
| Rate for Payer: Priority Health Medicare |
$696.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,847.86
|
| Rate for Payer: Railroad Medicare Medicare |
$689.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,427.04
|
| Rate for Payer: UHC Core |
$2,302.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$689.50
|
| Rate for Payer: UHC Exchange |
$689.50
|
| Rate for Payer: UHC Medicare Advantage |
$689.50
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$689.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,068.50
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$545.92 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: BCBS Complete |
$573.22
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Mclaren Medicaid |
$545.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Meridian Medicaid |
$573.22
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$545.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,300.65
|
| Rate for Payer: Priority Health Medicare |
$816.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Exchange |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP Medicaid |
$545.92
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$321.77 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$691.25
|
| Rate for Payer: BCBS Complete |
$471.45
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Mclaren Medicaid |
$449.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Meridian Medicaid |
$471.45
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,063.52
|
| Rate for Payer: Priority Health Medicare |
$671.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,063.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Exchange |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP Medicaid |
$449.00
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
OP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$576.65 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,063.80
|
| Rate for Payer: Aetna Medicare |
$631.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$758.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$758.75
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$607.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,996.06
|
| Rate for Payer: BCN Commercial |
$1,887.77
|
| Rate for Payer: BCN Medicare Advantage |
$607.00
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$2,088.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,942.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.00
|
| Rate for Payer: Healthscope Commercial |
$2,185.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,821.00
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$637.35
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$698.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,063.80
|
| Rate for Payer: Nomi Health Commercial |
$1,990.96
|
| Rate for Payer: PACE Senior Care Partners |
$576.65
|
| Rate for Payer: PACE SWMI |
$607.00
|
| Rate for Payer: PHP Commercial |
$2,063.80
|
| Rate for Payer: PHP Medicare Advantage |
$607.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$2,112.36
|
| Rate for Payer: Priority Health Medicare |
$613.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,626.76
|
| Rate for Payer: Railroad Medicare Medicare |
$607.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,136.64
|
| Rate for Payer: UHC Core |
$2,027.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$607.00
|
| Rate for Payer: UHC Exchange |
$607.00
|
| Rate for Payer: UHC Medicare Advantage |
$607.00
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$607.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,821.00
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
IP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$1,578.20 |
| Max. Negotiated Rate |
$2,185.20 |
| Rate for Payer: Aetna Commercial |
$2,063.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,981.98
|
| Rate for Payer: BCN Commercial |
$1,876.36
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$2,088.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,942.40
|
| Rate for Payer: Healthscope Commercial |
$2,185.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,821.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,063.80
|
| Rate for Payer: Nomi Health Commercial |
$1,990.96
|
| Rate for Payer: PHP Commercial |
$2,063.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$2,112.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,626.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,136.64
|
| Rate for Payer: UHC Core |
$2,027.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,821.00
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$321.77 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$691.25
|
| Rate for Payer: BCBS Complete |
$471.45
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Mclaren Medicaid |
$449.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Meridian Medicaid |
$471.45
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,063.52
|
| Rate for Payer: Priority Health Medicare |
$671.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,063.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Exchange |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP Medicaid |
$449.00
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$433.46 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$858.50
|
| Rate for Payer: Aetna Medicare |
$666.30
|
| Rate for Payer: BCBS Complete |
$455.13
|
| Rate for Payer: BCBS MAPPO |
$640.67
|
| Rate for Payer: BCBS Trust/PPO |
$556.30
|
| Rate for Payer: BCN Commercial |
$942.17
|
| Rate for Payer: BCN Medicare Advantage |
$640.67
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$922.56
|
| Rate for Payer: Cofinity Commercial |
$858.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.67
|
| Rate for Payer: Mclaren Medicaid |
$433.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$672.70
|
| Rate for Payer: Meridian Medicaid |
$455.13
|
| Rate for Payer: Nomi Health Commercial |
$768.80
|
| Rate for Payer: PACE SWMI |
$640.67
|
| Rate for Payer: PHP Medicare Advantage |
$640.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$433.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,007.04
|
| Rate for Payer: Priority Health Medicare |
$647.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,007.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$640.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$640.67
|
| Rate for Payer: UHC Exchange |
$640.67
|
| Rate for Payer: UHC Medicare Advantage |
$640.67
|
| Rate for Payer: UHCCP Medicaid |
$433.46
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$1,377.81 |
| Rate for Payer: Aetna Commercial |
$591.06
|
| Rate for Payer: Aetna Medicare |
$458.73
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$441.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.81
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$441.09
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cofinity Commercial |
$635.17
|
| Rate for Payer: Cofinity Commercial |
$591.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.09
|
| Rate for Payer: Mclaren Medicaid |
$299.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$463.14
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Nomi Health Commercial |
$529.31
|
| Rate for Payer: PACE SWMI |
$441.09
|
| Rate for Payer: PHP Medicare Advantage |
$441.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.05
|
| Rate for Payer: Priority Health HMO/PPO |
$700.70
|
| Rate for Payer: Priority Health Medicare |
$445.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$700.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$441.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$441.09
|
| Rate for Payer: UHC Exchange |
$441.09
|
| Rate for Payer: UHC Medicare Advantage |
$441.09
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,886.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$320.35 |
| Max. Negotiated Rate |
$1,225.90 |
| Rate for Payer: Aetna Commercial |
$631.92
|
| Rate for Payer: Aetna Medicare |
$490.44
|
| Rate for Payer: BCBS Complete |
$336.37
|
| Rate for Payer: BCBS MAPPO |
$471.58
|
| Rate for Payer: BCBS Trust/PPO |
$543.09
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$471.58
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cofinity Commercial |
$631.92
|
| Rate for Payer: Cofinity Commercial |
$679.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$471.58
|
| Rate for Payer: Mclaren Medicaid |
$320.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$495.16
|
| Rate for Payer: Meridian Medicaid |
$336.37
|
| Rate for Payer: Nomi Health Commercial |
$565.90
|
| Rate for Payer: PACE SWMI |
$471.58
|
| Rate for Payer: PHP Medicare Advantage |
$471.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.90
|
| Rate for Payer: Priority Health HMO/PPO |
$757.69
|
| Rate for Payer: Priority Health Medicare |
$476.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$757.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$471.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$471.58
|
| Rate for Payer: UHC Exchange |
$471.58
|
| Rate for Payer: UHC Medicare Advantage |
$471.58
|
| Rate for Payer: UHCCP Medicaid |
$320.35
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$384.25 |
| Max. Negotiated Rate |
$1,319.50 |
| Rate for Payer: Aetna Commercial |
$758.69
|
| Rate for Payer: Aetna Medicare |
$588.84
|
| Rate for Payer: BCBS Complete |
$403.46
|
| Rate for Payer: BCBS MAPPO |
$566.19
|
| Rate for Payer: BCN Commercial |
$865.94
|
| Rate for Payer: BCN Medicare Advantage |
$566.19
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$815.31
|
| Rate for Payer: Cofinity Commercial |
$758.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.19
|
| Rate for Payer: Mclaren Medicaid |
$384.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.50
|
| Rate for Payer: Meridian Medicaid |
$403.46
|
| Rate for Payer: Nomi Health Commercial |
$679.43
|
| Rate for Payer: PACE SWMI |
$566.19
|
| Rate for Payer: PHP Medicare Advantage |
$566.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,319.50
|
| Rate for Payer: Priority Health HMO/PPO |
$909.84
|
| Rate for Payer: Priority Health Medicare |
$571.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.19
|
| Rate for Payer: UHC Exchange |
$566.19
|
| Rate for Payer: UHC Medicare Advantage |
$566.19
|
| Rate for Payer: UHCCP Medicaid |
$384.25
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$329.30 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$649.89
|
| Rate for Payer: Aetna Medicare |
$504.39
|
| Rate for Payer: BCBS Complete |
$345.76
|
| Rate for Payer: BCBS MAPPO |
$484.99
|
| Rate for Payer: BCBS Trust/PPO |
$730.64
|
| Rate for Payer: BCN Commercial |
$738.88
|
| Rate for Payer: BCN Medicare Advantage |
$484.99
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$698.39
|
| Rate for Payer: Cofinity Commercial |
$649.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.99
|
| Rate for Payer: Mclaren Medicaid |
$329.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.24
|
| Rate for Payer: Meridian Medicaid |
$345.76
|
| Rate for Payer: Nomi Health Commercial |
$581.99
|
| Rate for Payer: PACE SWMI |
$484.99
|
| Rate for Payer: PHP Medicare Advantage |
$484.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO |
$775.00
|
| Rate for Payer: Priority Health Medicare |
$489.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$775.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$484.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.99
|
| Rate for Payer: UHC Exchange |
$484.99
|
| Rate for Payer: UHC Medicare Advantage |
$484.99
|
| Rate for Payer: UHCCP Medicaid |
$329.30
|
|
