|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,091.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,568.25 |
| Rate for Payer: Aetna Commercial |
$779.09
|
| Rate for Payer: Aetna Medicare |
$1,045.50
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCN Commercial |
$898.36
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Mclaren Medicaid |
$348.68
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,568.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$960.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$960.32
|
| Rate for Payer: UHC Medicaid |
$348.68
|
| Rate for Payer: UHCCP Medicaid |
$348.68
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$300.33 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$665.30
|
| Rate for Payer: Aetna Medicare |
$966.50
|
| Rate for Payer: BCBS Complete |
$315.35
|
| Rate for Payer: BCN Commercial |
$769.88
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Mclaren Medicaid |
$300.33
|
| Rate for Payer: Meridian Medicaid |
$315.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$822.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$822.98
|
| Rate for Payer: UHC Medicaid |
$300.33
|
| Rate for Payer: UHCCP Medicaid |
$300.33
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,254.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,690.50 |
| Rate for Payer: Aetna Commercial |
$726.25
|
| Rate for Payer: Aetna Medicare |
$1,127.00
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCN Commercial |
$834.12
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Mclaren Medicaid |
$329.72
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,690.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$891.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$891.64
|
| Rate for Payer: UHC Medicaid |
$329.72
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,277.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$388.73 |
| Max. Negotiated Rate |
$1,707.75 |
| Rate for Payer: Aetna Commercial |
$865.59
|
| Rate for Payer: Aetna Medicare |
$1,138.50
|
| Rate for Payer: BCBS Complete |
$408.17
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Mclaren Medicaid |
$388.73
|
| Rate for Payer: Meridian Medicaid |
$408.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,707.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.73
|
| 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 |
$388.73
|
| Rate for Payer: UHCCP Medicaid |
$388.73
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$564.26 |
| Rate for Payer: Aetna Commercial |
$449.11
|
| Rate for Payer: Aetna Medicare |
$350.50
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCN Commercial |
$527.86
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$525.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$564.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$564.26
|
| Rate for Payer: UHC Medicaid |
$215.98
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$202.78 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$429.75
|
| Rate for Payer: Aetna Medicare |
$470.50
|
| Rate for Payer: BCBS Complete |
$212.92
|
| Rate for Payer: BCN Commercial |
$504.96
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Mclaren Medicaid |
$202.78
|
| Rate for Payer: Meridian Medicaid |
$212.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$539.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$539.77
|
| Rate for Payer: UHC Medicaid |
$202.78
|
| Rate for Payer: UHCCP Medicaid |
$202.78
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$217.05 |
| Max. Negotiated Rate |
$568.00 |
| Rate for Payer: Aetna Commercial |
$452.31
|
| Rate for Payer: Aetna Medicare |
$305.00
|
| Rate for Payer: BCBS Complete |
$227.90
|
| Rate for Payer: BCN Commercial |
$531.34
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Mclaren Medicaid |
$217.05
|
| Rate for Payer: Meridian Medicaid |
$227.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$568.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$568.00
|
| Rate for Payer: UHC Medicaid |
$217.05
|
| Rate for Payer: UHCCP Medicaid |
$217.05
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$374.88 |
| Max. Negotiated Rate |
$1,021.01 |
| Rate for Payer: Aetna Commercial |
$820.03
|
| Rate for Payer: Aetna Medicare |
$563.50
|
| Rate for Payer: BCBS Complete |
$393.62
|
| Rate for Payer: BCN Commercial |
$955.13
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Mclaren Medicaid |
$374.88
|
| Rate for Payer: Meridian Medicaid |
$393.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$845.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,021.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,021.01
|
| Rate for Payer: UHC Medicaid |
$374.88
|
| Rate for Payer: UHCCP Medicaid |
$374.88
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,922.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$369.13 |
| Max. Negotiated Rate |
$1,441.50 |
| Rate for Payer: Aetna Commercial |
$824.91
|
| Rate for Payer: Aetna Medicare |
$961.00
|
| Rate for Payer: BCBS Complete |
$387.59
|
| Rate for Payer: BCN Commercial |
$946.16
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Mclaren Medicaid |
$369.13
|
| Rate for Payer: Meridian Medicaid |
$387.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,441.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,011.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,011.42
|
| Rate for Payer: UHC Medicaid |
$369.13
|
| Rate for Payer: UHCCP Medicaid |
$369.13
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$262.20 |
| Max. Negotiated Rate |
$1,127.25 |
| Rate for Payer: Aetna Commercial |
$558.36
|
| Rate for Payer: Aetna Medicare |
$751.50
|
| Rate for Payer: BCBS Complete |
$275.31
|
| Rate for Payer: BCN Commercial |
$649.37
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Mclaren Medicaid |
$262.20
|
| Rate for Payer: Meridian Medicaid |
$275.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$694.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$694.16
|
| Rate for Payer: UHC Medicaid |
$262.20
|
| Rate for Payer: UHCCP Medicaid |
$262.20
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$907.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$834.68 |
| Rate for Payer: Aetna Commercial |
$672.84
|
| Rate for Payer: Aetna Medicare |
$453.50
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCN Commercial |
$780.84
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Mclaren Medicaid |
$313.32
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$834.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$834.68
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$2,035.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$429.20 |
| Max. Negotiated Rate |
$1,526.25 |
| Rate for Payer: Aetna Commercial |
$957.15
|
| Rate for Payer: Aetna Medicare |
$1,017.50
|
| Rate for Payer: BCBS Complete |
$450.66
|
| Rate for Payer: BCN Commercial |
$1,094.56
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Mclaren Medicaid |
$429.20
|
| Rate for Payer: Meridian Medicaid |
$450.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,170.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,170.06
|
| Rate for Payer: UHC Medicaid |
$429.20
|
| Rate for Payer: UHCCP Medicaid |
$429.20
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,796.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$569.78 |
| Max. Negotiated Rate |
$1,578.35 |
| Rate for Payer: Aetna Commercial |
$1,301.05
|
| Rate for Payer: Aetna Medicare |
$898.00
|
| Rate for Payer: BCBS Complete |
$598.27
|
| Rate for Payer: BCN Commercial |
$1,476.51
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Mclaren Medicaid |
$569.78
|
| Rate for Payer: Meridian Medicaid |
$598.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,347.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,578.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,578.35
|
| Rate for Payer: UHC Medicaid |
$569.78
|
| Rate for Payer: UHCCP Medicaid |
$569.78
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,724.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$1,518.20 |
| Rate for Payer: Aetna Commercial |
$1,253.75
|
| Rate for Payer: Aetna Medicare |
$862.00
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCN Commercial |
$1,420.25
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Mclaren Medicaid |
$548.90
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,293.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,518.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,518.20
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$697.88 |
| Rate for Payer: Aetna Commercial |
$557.61
|
| Rate for Payer: Aetna Medicare |
$373.50
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCN Commercial |
$652.85
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Mclaren Medicaid |
$263.27
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$560.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$697.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$697.88
|
| Rate for Payer: UHC Medicaid |
$263.27
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,083.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$1,562.25 |
| Rate for Payer: Aetna Commercial |
$769.63
|
| Rate for Payer: Aetna Medicare |
$1,041.50
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCN Commercial |
$890.89
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Mclaren Medicaid |
$354.86
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,562.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$952.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$952.34
|
| Rate for Payer: UHC Medicaid |
$354.86
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$389.36 |
| Max. Negotiated Rate |
$1,650.75 |
| Rate for Payer: Aetna Commercial |
$860.40
|
| Rate for Payer: Aetna Medicare |
$1,100.50
|
| Rate for Payer: BCBS Complete |
$408.83
|
| Rate for Payer: BCN Commercial |
$988.99
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Mclaren Medicaid |
$389.36
|
| Rate for Payer: Meridian Medicaid |
$408.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,650.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,057.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,057.20
|
| Rate for Payer: UHC Medicaid |
$389.36
|
| Rate for Payer: UHCCP Medicaid |
$389.36
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$221.31 |
| Max. Negotiated Rate |
$580.24 |
| Rate for Payer: Aetna Commercial |
$463.54
|
| Rate for Payer: Aetna Medicare |
$357.50
|
| Rate for Payer: BCBS Complete |
$232.38
|
| Rate for Payer: BCN Commercial |
$542.80
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Mclaren Medicaid |
$221.31
|
| Rate for Payer: Meridian Medicaid |
$232.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$536.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$580.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$580.24
|
| Rate for Payer: UHC Medicaid |
$221.31
|
| Rate for Payer: UHCCP Medicaid |
$221.31
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,731.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$296.07 |
| Max. Negotiated Rate |
$1,298.25 |
| Rate for Payer: Aetna Commercial |
$647.14
|
| Rate for Payer: Aetna Medicare |
$865.50
|
| Rate for Payer: BCBS Complete |
$310.87
|
| Rate for Payer: BCN Commercial |
$752.95
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Mclaren Medicaid |
$296.07
|
| Rate for Payer: Meridian Medicaid |
$310.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,298.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$804.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$804.88
|
| Rate for Payer: UHC Medicaid |
$296.07
|
| Rate for Payer: UHCCP Medicaid |
$296.07
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,478.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$349.53 |
| Max. Negotiated Rate |
$1,108.50 |
| Rate for Payer: Aetna Commercial |
$762.69
|
| Rate for Payer: Aetna Medicare |
$739.00
|
| Rate for Payer: BCBS Complete |
$367.01
|
| Rate for Payer: BCN Commercial |
$867.98
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Mclaren Medicaid |
$349.53
|
| Rate for Payer: Meridian Medicaid |
$367.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,108.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$927.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$927.85
|
| Rate for Payer: UHC Medicaid |
$349.53
|
| Rate for Payer: UHCCP Medicaid |
$349.53
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,069.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$359.76 |
| Max. Negotiated Rate |
$995.98 |
| Rate for Payer: Aetna Commercial |
$802.28
|
| Rate for Payer: Aetna Medicare |
$534.50
|
| Rate for Payer: BCBS Complete |
$377.75
|
| Rate for Payer: BCN Commercial |
$931.72
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Mclaren Medicaid |
$359.76
|
| Rate for Payer: Meridian Medicaid |
$377.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$801.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$995.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$995.98
|
| Rate for Payer: UHC Medicaid |
$359.76
|
| Rate for Payer: UHCCP Medicaid |
$359.76
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,438.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$415.35 |
| Max. Negotiated Rate |
$1,125.88 |
| Rate for Payer: Aetna Commercial |
$917.33
|
| Rate for Payer: Aetna Medicare |
$719.00
|
| Rate for Payer: BCBS Complete |
$436.12
|
| Rate for Payer: BCN Commercial |
$1,053.23
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Mclaren Medicaid |
$415.35
|
| Rate for Payer: Meridian Medicaid |
$436.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,078.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$415.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,125.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,125.88
|
| Rate for Payer: UHC Medicaid |
$415.35
|
| Rate for Payer: UHCCP Medicaid |
$415.35
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,586.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$414.50 |
| Max. Negotiated Rate |
$1,939.50 |
| Rate for Payer: Aetna Commercial |
$914.61
|
| Rate for Payer: Aetna Medicare |
$1,293.00
|
| Rate for Payer: BCBS Complete |
$435.23
|
| Rate for Payer: BCN Commercial |
$1,052.23
|
| Rate for Payer: Cash Price |
$2,068.80
|
| Rate for Payer: Cash Price |
$2,068.80
|
| Rate for Payer: Mclaren Medicaid |
$414.50
|
| Rate for Payer: Meridian Medicaid |
$435.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,939.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,124.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,124.81
|
| Rate for Payer: UHC Medicaid |
$414.50
|
| Rate for Payer: UHCCP Medicaid |
$414.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,878.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$741.03 |
| Max. Negotiated Rate |
$2,158.50 |
| Rate for Payer: Aetna Commercial |
$1,721.08
|
| Rate for Payer: Aetna Medicare |
$1,439.00
|
| Rate for Payer: BCBS Complete |
$778.08
|
| Rate for Payer: BCN Commercial |
$2,129.73
|
| Rate for Payer: Cash Price |
$2,302.40
|
| Rate for Payer: Cash Price |
$2,302.40
|
| Rate for Payer: Mclaren Medicaid |
$741.03
|
| Rate for Payer: Meridian Medicaid |
$778.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,158.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,072.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,072.35
|
| Rate for Payer: UHC Medicaid |
$741.03
|
| Rate for Payer: UHCCP Medicaid |
$741.03
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,345.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$829.42 |
| Max. Negotiated Rate |
$4,008.75 |
| Rate for Payer: Aetna Commercial |
$1,937.56
|
| Rate for Payer: Aetna Medicare |
$2,672.50
|
| Rate for Payer: BCBS Complete |
$870.89
|
| Rate for Payer: BCN Commercial |
$2,188.63
|
| Rate for Payer: Cash Price |
$4,276.00
|
| Rate for Payer: Cash Price |
$4,276.00
|
| Rate for Payer: Mclaren Medicaid |
$829.42
|
| Rate for Payer: Meridian Medicaid |
$870.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,008.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,339.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,339.58
|
| Rate for Payer: UHC Medicaid |
$829.42
|
| Rate for Payer: UHCCP Medicaid |
$829.42
|
|
