|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$356.78 |
| Max. Negotiated Rate |
$1,422.20 |
| Rate for Payer: Aetna Commercial |
$705.95
|
| Rate for Payer: Aetna Medicare |
$547.90
|
| Rate for Payer: BCBS Complete |
$374.62
|
| Rate for Payer: BCBS MAPPO |
$526.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,365.66
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$526.83
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cofinity Commercial |
$758.64
|
| Rate for Payer: Cofinity Commercial |
$705.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.83
|
| Rate for Payer: Mclaren Medicaid |
$356.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$553.17
|
| Rate for Payer: Meridian Medicaid |
$374.62
|
| Rate for Payer: Nomi Health Commercial |
$632.20
|
| Rate for Payer: PACE SWMI |
$526.83
|
| Rate for Payer: PHP Medicare Advantage |
$526.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$356.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,422.20
|
| Rate for Payer: Priority Health HMO/PPO |
$845.22
|
| Rate for Payer: Priority Health Medicare |
$532.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$845.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$526.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.83
|
| Rate for Payer: UHC Exchange |
$526.83
|
| Rate for Payer: UHC Medicare Advantage |
$526.83
|
| Rate for Payer: UHCCP Medicaid |
$356.78
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$420.46 |
| Max. Negotiated Rate |
$1,605.50 |
| Rate for Payer: Aetna Commercial |
$833.31
|
| Rate for Payer: Aetna Medicare |
$646.74
|
| Rate for Payer: BCBS Complete |
$441.48
|
| Rate for Payer: BCBS MAPPO |
$621.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$947.54
|
| Rate for Payer: BCN Medicare Advantage |
$621.87
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cofinity Commercial |
$833.31
|
| Rate for Payer: Cofinity Commercial |
$895.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.87
|
| Rate for Payer: Mclaren Medicaid |
$420.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$652.96
|
| Rate for Payer: Meridian Medicaid |
$441.48
|
| Rate for Payer: Nomi Health Commercial |
$746.24
|
| Rate for Payer: PACE SWMI |
$621.87
|
| Rate for Payer: PHP Medicare Advantage |
$621.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$420.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.15
|
| Rate for Payer: Priority Health HMO/PPO |
$996.35
|
| Rate for Payer: Priority Health Medicare |
$628.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$996.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$621.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$621.87
|
| Rate for Payer: UHC Exchange |
$621.87
|
| Rate for Payer: UHC Medicare Advantage |
$621.87
|
| Rate for Payer: UHCCP Medicaid |
$420.46
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
IP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$442.00 |
| Max. Negotiated Rate |
$612.00 |
| Rate for Payer: Aetna Commercial |
$578.00
|
| Rate for Payer: BCBS Trust/PPO |
$555.08
|
| Rate for Payer: BCN Commercial |
$525.50
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$584.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Healthscope Commercial |
$612.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$510.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: Nomi Health Commercial |
$557.60
|
| Rate for Payer: PHP Commercial |
$578.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: Priority Health HMO/PPO |
$591.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$455.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.40
|
| Rate for Payer: UHC Core |
$567.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$510.00
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
OP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$161.50 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$578.00
|
| Rate for Payer: Aetna Medicare |
$176.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$212.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$212.50
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$170.00
|
| Rate for Payer: BCBS Trust/PPO |
$559.03
|
| Rate for Payer: BCN Commercial |
$528.70
|
| Rate for Payer: BCN Medicare Advantage |
$170.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$584.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.00
|
| Rate for Payer: Healthscope Commercial |
$612.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$510.00
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$178.50
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$195.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: Nomi Health Commercial |
$557.60
|
| Rate for Payer: PACE Senior Care Partners |
$161.50
|
| Rate for Payer: PACE SWMI |
$170.00
|
| Rate for Payer: PHP Commercial |
$578.00
|
| Rate for Payer: PHP Medicare Advantage |
$170.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: Priority Health HMO/PPO |
$591.60
|
| Rate for Payer: Priority Health Medicare |
$171.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$455.60
|
| Rate for Payer: Railroad Medicare Medicare |
$170.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.40
|
| Rate for Payer: UHC Core |
$567.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.00
|
| Rate for Payer: UHC Exchange |
$170.00
|
| Rate for Payer: UHC Medicare Advantage |
$170.00
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$170.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$510.00
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$533.80 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$329.96
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cofinity Commercial |
$475.14
|
| Rate for Payer: Cofinity Commercial |
$442.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.96
|
| Rate for Payer: Mclaren Medicaid |
$225.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Nomi Health Commercial |
$395.95
|
| Rate for Payer: PACE SWMI |
$329.96
|
| Rate for Payer: PHP Medicare Advantage |
$329.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO |
$533.80
|
| Rate for Payer: Priority Health Medicare |
$333.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.96
|
| Rate for Payer: UHC Exchange |
$329.96
|
| Rate for Payer: UHC Medicare Advantage |
$329.96
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$533.80 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: BCN Medicare Advantage |
$329.96
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cofinity Commercial |
$475.14
|
| Rate for Payer: Cofinity Commercial |
$442.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.96
|
| Rate for Payer: Mclaren Medicaid |
$225.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Nomi Health Commercial |
$395.95
|
| Rate for Payer: PACE SWMI |
$329.96
|
| Rate for Payer: PHP Medicare Advantage |
$329.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO |
$533.80
|
| Rate for Payer: Priority Health Medicare |
$333.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.96
|
| Rate for Payer: UHC Exchange |
$329.96
|
| Rate for Payer: UHC Medicare Advantage |
$329.96
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$172.35 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$422.31
|
| Rate for Payer: Aetna Medicare |
$327.77
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$315.16
|
| Rate for Payer: BCBS Trust/PPO |
$172.35
|
| Rate for Payer: BCN Commercial |
$484.76
|
| Rate for Payer: BCN Medicare Advantage |
$315.16
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$453.83
|
| Rate for Payer: Cofinity Commercial |
$422.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.16
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.92
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Nomi Health Commercial |
$378.19
|
| Rate for Payer: PACE SWMI |
$315.16
|
| Rate for Payer: PHP Medicare Advantage |
$315.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$318.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.16
|
| Rate for Payer: UHC Exchange |
$315.16
|
| Rate for Payer: UHC Medicare Advantage |
$315.16
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$152.40 |
| Max. Negotiated Rate |
$536.84 |
| Rate for Payer: Aetna Commercial |
$445.19
|
| Rate for Payer: Aetna Medicare |
$345.52
|
| Rate for Payer: BCBS Complete |
$238.63
|
| Rate for Payer: BCBS MAPPO |
$332.23
|
| Rate for Payer: BCBS Trust/PPO |
$152.40
|
| Rate for Payer: BCN Commercial |
$509.20
|
| Rate for Payer: BCN Medicare Advantage |
$332.23
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$478.41
|
| Rate for Payer: Cofinity Commercial |
$445.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$332.23
|
| Rate for Payer: Mclaren Medicaid |
$227.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$348.84
|
| Rate for Payer: Meridian Medicaid |
$238.63
|
| Rate for Payer: Nomi Health Commercial |
$398.68
|
| Rate for Payer: PACE SWMI |
$332.23
|
| Rate for Payer: PHP Medicare Advantage |
$332.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO |
$536.84
|
| Rate for Payer: Priority Health Medicare |
$335.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$536.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$332.23
|
| Rate for Payer: UHC Exchange |
$332.23
|
| Rate for Payer: UHC Medicare Advantage |
$332.23
|
| Rate for Payer: UHCCP Medicaid |
$227.27
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,094.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$164.83 |
| Max. Negotiated Rate |
$962.77 |
| Rate for Payer: Aetna Commercial |
$803.53
|
| Rate for Payer: Aetna Medicare |
$623.64
|
| Rate for Payer: BCBS Complete |
$428.96
|
| Rate for Payer: BCBS MAPPO |
$599.65
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$913.34
|
| Rate for Payer: BCN Medicare Advantage |
$599.65
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Cofinity Commercial |
$863.50
|
| Rate for Payer: Cofinity Commercial |
$803.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.65
|
| Rate for Payer: Mclaren Medicaid |
$408.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.63
|
| Rate for Payer: Meridian Medicaid |
$428.96
|
| Rate for Payer: Nomi Health Commercial |
$719.58
|
| Rate for Payer: PACE SWMI |
$599.65
|
| Rate for Payer: PHP Medicare Advantage |
$599.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$711.10
|
| Rate for Payer: Priority Health HMO/PPO |
$962.77
|
| Rate for Payer: Priority Health Medicare |
$605.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$962.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.65
|
| Rate for Payer: UHC Exchange |
$599.65
|
| Rate for Payer: UHC Medicare Advantage |
$599.65
|
| Rate for Payer: UHCCP Medicaid |
$408.53
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,866.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$171.17 |
| Max. Negotiated Rate |
$1,212.90 |
| Rate for Payer: Aetna Commercial |
$800.17
|
| Rate for Payer: Aetna Medicare |
$621.03
|
| Rate for Payer: BCBS Complete |
$424.94
|
| Rate for Payer: BCBS MAPPO |
$597.14
|
| Rate for Payer: BCBS Trust/PPO |
$171.17
|
| Rate for Payer: BCN Commercial |
$909.91
|
| Rate for Payer: BCN Medicare Advantage |
$597.14
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cofinity Commercial |
$859.88
|
| Rate for Payer: Cofinity Commercial |
$800.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$597.14
|
| Rate for Payer: Mclaren Medicaid |
$404.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$627.00
|
| Rate for Payer: Meridian Medicaid |
$424.94
|
| Rate for Payer: Nomi Health Commercial |
$716.57
|
| Rate for Payer: PACE SWMI |
$597.14
|
| Rate for Payer: PHP Medicare Advantage |
$597.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,212.90
|
| Rate for Payer: Priority Health HMO/PPO |
$958.70
|
| Rate for Payer: Priority Health Medicare |
$603.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$958.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$597.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$597.14
|
| Rate for Payer: UHC Exchange |
$597.14
|
| Rate for Payer: UHC Medicare Advantage |
$597.14
|
| Rate for Payer: UHCCP Medicaid |
$404.70
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,459.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$37.78 |
| Max. Negotiated Rate |
$948.35 |
| Rate for Payer: Aetna Commercial |
$546.16
|
| Rate for Payer: Aetna Medicare |
$423.88
|
| Rate for Payer: BCBS Complete |
$291.64
|
| Rate for Payer: BCBS MAPPO |
$407.58
|
| Rate for Payer: BCBS Trust/PPO |
$37.78
|
| Rate for Payer: BCN Commercial |
$623.06
|
| Rate for Payer: BCN Medicare Advantage |
$407.58
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Cofinity Commercial |
$586.92
|
| Rate for Payer: Cofinity Commercial |
$546.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.58
|
| Rate for Payer: Mclaren Medicaid |
$277.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.96
|
| Rate for Payer: Meridian Medicaid |
$291.64
|
| Rate for Payer: Nomi Health Commercial |
$489.10
|
| Rate for Payer: PACE SWMI |
$407.58
|
| Rate for Payer: PHP Medicare Advantage |
$407.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$948.35
|
| Rate for Payer: Priority Health HMO/PPO |
$657.96
|
| Rate for Payer: Priority Health Medicare |
$411.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$657.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.58
|
| Rate for Payer: UHC Exchange |
$407.58
|
| Rate for Payer: UHC Medicare Advantage |
$407.58
|
| Rate for Payer: UHCCP Medicaid |
$277.75
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$333.98 |
| Max. Negotiated Rate |
$790.25 |
| Rate for Payer: Aetna Commercial |
$657.48
|
| Rate for Payer: Aetna Medicare |
$510.29
|
| Rate for Payer: BCBS Complete |
$350.68
|
| Rate for Payer: BCBS MAPPO |
$490.66
|
| Rate for Payer: BCBS Trust/PPO |
$352.38
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$490.66
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$706.55
|
| Rate for Payer: Cofinity Commercial |
$657.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$490.66
|
| Rate for Payer: Mclaren Medicaid |
$333.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$515.19
|
| Rate for Payer: Meridian Medicaid |
$350.68
|
| Rate for Payer: Nomi Health Commercial |
$588.79
|
| Rate for Payer: PACE SWMI |
$490.66
|
| Rate for Payer: PHP Medicare Advantage |
$490.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health HMO/PPO |
$790.25
|
| Rate for Payer: Priority Health Medicare |
$495.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$790.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$490.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$490.66
|
| Rate for Payer: UHC Exchange |
$490.66
|
| Rate for Payer: UHC Medicare Advantage |
$490.66
|
| Rate for Payer: UHCCP Medicaid |
$333.98
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,976.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$468.17 |
| Max. Negotiated Rate |
$1,284.40 |
| Rate for Payer: Aetna Commercial |
$927.33
|
| Rate for Payer: Aetna Medicare |
$719.72
|
| Rate for Payer: BCBS Complete |
$491.58
|
| Rate for Payer: BCBS MAPPO |
$692.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,209.28
|
| Rate for Payer: BCN Commercial |
$1,057.99
|
| Rate for Payer: BCN Medicare Advantage |
$692.04
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cofinity Commercial |
$996.54
|
| Rate for Payer: Cofinity Commercial |
$927.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$692.04
|
| Rate for Payer: Mclaren Medicaid |
$468.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$726.64
|
| Rate for Payer: Meridian Medicaid |
$491.58
|
| Rate for Payer: Nomi Health Commercial |
$830.45
|
| Rate for Payer: PACE SWMI |
$692.04
|
| Rate for Payer: PHP Medicare Advantage |
$692.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$468.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,284.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,109.82
|
| Rate for Payer: Priority Health Medicare |
$698.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,109.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$692.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$692.04
|
| Rate for Payer: UHC Exchange |
$692.04
|
| Rate for Payer: UHC Medicare Advantage |
$692.04
|
| Rate for Payer: UHCCP Medicaid |
$468.17
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,744.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$631.55 |
| Max. Negotiated Rate |
$1,494.01 |
| Rate for Payer: Aetna Commercial |
$1,257.68
|
| Rate for Payer: Aetna Medicare |
$976.11
|
| Rate for Payer: BCBS Complete |
$663.13
|
| Rate for Payer: BCBS MAPPO |
$938.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$1,424.98
|
| Rate for Payer: BCN Medicare Advantage |
$938.57
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Cofinity Commercial |
$1,351.54
|
| Rate for Payer: Cofinity Commercial |
$1,257.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$938.57
|
| Rate for Payer: Mclaren Medicaid |
$631.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$985.50
|
| Rate for Payer: Meridian Medicaid |
$663.13
|
| Rate for Payer: Nomi Health Commercial |
$1,126.28
|
| Rate for Payer: PACE SWMI |
$938.57
|
| Rate for Payer: PHP Medicare Advantage |
$938.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$631.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,494.01
|
| Rate for Payer: Priority Health Medicare |
$947.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,494.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$938.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$938.57
|
| Rate for Payer: UHC Exchange |
$938.57
|
| Rate for Payer: UHC Medicare Advantage |
$938.57
|
| Rate for Payer: UHCCP Medicaid |
$631.55
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,674.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$607.48 |
| Max. Negotiated Rate |
$1,440.08 |
| Rate for Payer: Aetna Commercial |
$1,210.27
|
| Rate for Payer: Aetna Medicare |
$939.32
|
| Rate for Payer: BCBS Complete |
$637.85
|
| Rate for Payer: BCBS MAPPO |
$903.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.66
|
| Rate for Payer: BCN Commercial |
$1,373.67
|
| Rate for Payer: BCN Medicare Advantage |
$903.19
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.59
|
| Rate for Payer: Cofinity Commercial |
$1,210.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.19
|
| Rate for Payer: Mclaren Medicaid |
$607.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.35
|
| Rate for Payer: Meridian Medicaid |
$637.85
|
| Rate for Payer: Nomi Health Commercial |
$1,083.83
|
| Rate for Payer: PACE SWMI |
$903.19
|
| Rate for Payer: PHP Medicare Advantage |
$903.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,088.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,440.08
|
| Rate for Payer: Priority Health Medicare |
$912.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,440.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$903.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.19
|
| Rate for Payer: UHC Exchange |
$903.19
|
| Rate for Payer: UHC Medicare Advantage |
$903.19
|
| Rate for Payer: UHCCP Medicaid |
$607.48
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$725.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$279.24 |
| Max. Negotiated Rate |
$982.11 |
| Rate for Payer: Aetna Commercial |
$549.20
|
| Rate for Payer: Aetna Medicare |
$426.24
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS MAPPO |
$409.85
|
| Rate for Payer: BCBS Trust/PPO |
$982.11
|
| Rate for Payer: BCN Commercial |
$626.48
|
| Rate for Payer: BCN Medicare Advantage |
$409.85
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cofinity Commercial |
$590.18
|
| Rate for Payer: Cofinity Commercial |
$549.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.85
|
| Rate for Payer: Mclaren Medicaid |
$279.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.34
|
| Rate for Payer: Meridian Medicaid |
$293.20
|
| Rate for Payer: Nomi Health Commercial |
$491.82
|
| Rate for Payer: PACE SWMI |
$409.85
|
| Rate for Payer: PHP Medicare Advantage |
$409.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.25
|
| Rate for Payer: Priority Health HMO/PPO |
$661.52
|
| Rate for Payer: Priority Health Medicare |
$413.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$661.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$409.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.85
|
| Rate for Payer: UHC Exchange |
$409.85
|
| Rate for Payer: UHC Medicare Advantage |
$409.85
|
| Rate for Payer: UHCCP Medicaid |
$279.24
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,022.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$381.06 |
| Max. Negotiated Rate |
$4,201.57 |
| Rate for Payer: Aetna Commercial |
$752.30
|
| Rate for Payer: Aetna Medicare |
$583.88
|
| Rate for Payer: BCBS Complete |
$400.11
|
| Rate for Payer: BCBS MAPPO |
$561.42
|
| Rate for Payer: BCBS Trust/PPO |
$4,201.57
|
| Rate for Payer: BCN Commercial |
$855.19
|
| Rate for Payer: BCN Medicare Advantage |
$561.42
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cofinity Commercial |
$808.44
|
| Rate for Payer: Cofinity Commercial |
$752.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.42
|
| Rate for Payer: Mclaren Medicaid |
$381.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.49
|
| Rate for Payer: Meridian Medicaid |
$400.11
|
| Rate for Payer: Nomi Health Commercial |
$673.70
|
| Rate for Payer: PACE SWMI |
$561.42
|
| Rate for Payer: PHP Medicare Advantage |
$561.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,314.30
|
| Rate for Payer: Priority Health HMO/PPO |
$901.19
|
| Rate for Payer: Priority Health Medicare |
$567.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$901.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.42
|
| Rate for Payer: UHC Exchange |
$561.42
|
| Rate for Payer: UHC Medicare Advantage |
$561.42
|
| Rate for Payer: UHCCP Medicaid |
$381.06
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,137.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$312.75 |
| Max. Negotiated Rate |
$1,389.05 |
| Rate for Payer: Aetna Commercial |
$837.33
|
| Rate for Payer: Aetna Medicare |
$649.86
|
| Rate for Payer: BCBS Complete |
$444.17
|
| Rate for Payer: BCBS MAPPO |
$624.87
|
| Rate for Payer: BCBS Trust/PPO |
$312.75
|
| Rate for Payer: BCN Commercial |
$951.46
|
| Rate for Payer: BCN Medicare Advantage |
$624.87
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cofinity Commercial |
$899.81
|
| Rate for Payer: Cofinity Commercial |
$837.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.87
|
| Rate for Payer: Mclaren Medicaid |
$423.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.11
|
| Rate for Payer: Meridian Medicaid |
$444.17
|
| Rate for Payer: Nomi Health Commercial |
$749.84
|
| Rate for Payer: PACE SWMI |
$624.87
|
| Rate for Payer: PHP Medicare Advantage |
$624.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,001.44
|
| Rate for Payer: Priority Health Medicare |
$631.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,001.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.87
|
| Rate for Payer: UHC Exchange |
$624.87
|
| Rate for Payer: UHC Medicare Advantage |
$624.87
|
| Rate for Payer: UHCCP Medicaid |
$423.02
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$694.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$958.34 |
| Rate for Payer: Aetna Commercial |
$455.22
|
| Rate for Payer: Aetna Medicare |
$353.31
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCBS MAPPO |
$339.72
|
| Rate for Payer: BCBS Trust/PPO |
$958.34
|
| Rate for Payer: BCN Commercial |
$520.44
|
| Rate for Payer: BCN Medicare Advantage |
$339.72
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cofinity Commercial |
$489.20
|
| Rate for Payer: Cofinity Commercial |
$455.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.72
|
| Rate for Payer: Mclaren Medicaid |
$232.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.71
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Nomi Health Commercial |
$407.66
|
| Rate for Payer: PACE SWMI |
$339.72
|
| Rate for Payer: PHP Medicare Advantage |
$339.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.10
|
| Rate for Payer: Priority Health HMO/PPO |
$549.06
|
| Rate for Payer: Priority Health Medicare |
$343.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.72
|
| Rate for Payer: UHC Exchange |
$339.72
|
| Rate for Payer: UHC Medicare Advantage |
$339.72
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$1,249.43 |
| Rate for Payer: Aetna Commercial |
$633.32
|
| Rate for Payer: Aetna Medicare |
$491.54
|
| Rate for Payer: BCBS Complete |
$338.16
|
| Rate for Payer: BCBS MAPPO |
$472.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,249.43
|
| Rate for Payer: BCN Commercial |
$723.73
|
| Rate for Payer: BCN Medicare Advantage |
$472.63
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$680.59
|
| Rate for Payer: Cofinity Commercial |
$633.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.63
|
| Rate for Payer: Mclaren Medicaid |
$322.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.26
|
| Rate for Payer: Meridian Medicaid |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$567.16
|
| Rate for Payer: PACE SWMI |
$472.63
|
| Rate for Payer: PHP Medicare Advantage |
$472.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health HMO/PPO |
$760.75
|
| Rate for Payer: Priority Health Medicare |
$477.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$760.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.63
|
| Rate for Payer: UHC Exchange |
$472.63
|
| Rate for Payer: UHC Medicare Advantage |
$472.63
|
| Rate for Payer: UHCCP Medicaid |
$322.06
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,435.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$371.26 |
| Max. Negotiated Rate |
$932.75 |
| Rate for Payer: Aetna Commercial |
$735.08
|
| Rate for Payer: Aetna Medicare |
$570.51
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS MAPPO |
$548.57
|
| Rate for Payer: BCBS Trust/PPO |
$870.11
|
| Rate for Payer: BCN Commercial |
$839.06
|
| Rate for Payer: BCN Medicare Advantage |
$548.57
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$789.94
|
| Rate for Payer: Cofinity Commercial |
$735.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.57
|
| Rate for Payer: Mclaren Medicaid |
$371.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.00
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Nomi Health Commercial |
$658.28
|
| Rate for Payer: PACE SWMI |
$548.57
|
| Rate for Payer: PHP Medicare Advantage |
$548.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$932.75
|
| Rate for Payer: Priority Health HMO/PPO |
$884.40
|
| Rate for Payer: Priority Health Medicare |
$554.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$884.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.57
|
| Rate for Payer: UHC Exchange |
$548.57
|
| Rate for Payer: UHC Medicare Advantage |
$548.57
|
| Rate for Payer: UHCCP Medicaid |
$371.26
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$244.60 |
| Max. Negotiated Rate |
$956.15 |
| Rate for Payer: Aetna Commercial |
$789.57
|
| Rate for Payer: Aetna Medicare |
$612.80
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCBS MAPPO |
$589.23
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$894.77
|
| Rate for Payer: BCN Medicare Advantage |
$589.23
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cofinity Commercial |
$848.49
|
| Rate for Payer: Cofinity Commercial |
$789.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.23
|
| Rate for Payer: Mclaren Medicaid |
$398.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$618.69
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Nomi Health Commercial |
$707.08
|
| Rate for Payer: PACE SWMI |
$589.23
|
| Rate for Payer: PHP Medicare Advantage |
$589.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health HMO/PPO |
$956.15
|
| Rate for Payer: Priority Health Medicare |
$595.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$956.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$589.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$589.23
|
| Rate for Payer: UHC Exchange |
$589.23
|
| Rate for Payer: UHC Medicare Advantage |
$589.23
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$450.50 |
| Max. Negotiated Rate |
$4,275.53 |
| Rate for Payer: Aetna Commercial |
$892.13
|
| Rate for Payer: Aetna Medicare |
$692.40
|
| Rate for Payer: BCBS Complete |
$473.02
|
| Rate for Payer: BCBS MAPPO |
$665.77
|
| Rate for Payer: BCBS Trust/PPO |
$4,275.53
|
| Rate for Payer: BCN Commercial |
$1,016.94
|
| Rate for Payer: BCN Medicare Advantage |
$665.77
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$958.71
|
| Rate for Payer: Cofinity Commercial |
$892.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.77
|
| Rate for Payer: Mclaren Medicaid |
$450.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.06
|
| Rate for Payer: Meridian Medicaid |
$473.02
|
| Rate for Payer: Nomi Health Commercial |
$798.92
|
| Rate for Payer: PACE SWMI |
$665.77
|
| Rate for Payer: PHP Medicare Advantage |
$665.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$907.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,066.58
|
| Rate for Payer: Priority Health Medicare |
$672.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,066.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.77
|
| Rate for Payer: UHC Exchange |
$665.77
|
| Rate for Payer: UHC Medicare Advantage |
$665.77
|
| Rate for Payer: UHCCP Medicaid |
$450.50
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
IP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,632.15 |
| Max. Negotiated Rate |
$2,259.90 |
| Rate for Payer: Aetna Commercial |
$2,134.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,049.73
|
| Rate for Payer: BCN Commercial |
$1,940.50
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$2,159.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,008.80
|
| Rate for Payer: Healthscope Commercial |
$2,259.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,883.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,134.35
|
| Rate for Payer: Nomi Health Commercial |
$2,059.02
|
| Rate for Payer: PHP Commercial |
$2,134.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO |
$2,184.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,682.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,209.68
|
| Rate for Payer: UHC Core |
$2,096.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,883.25
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$891.15
|
| Rate for Payer: Aetna Medicare |
$691.64
|
| Rate for Payer: BCBS Complete |
$472.57
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| Rate for Payer: BCN Medicare Advantage |
$665.04
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$957.66
|
| Rate for Payer: Cofinity Commercial |
$891.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.04
|
| Rate for Payer: Mclaren Medicaid |
$450.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Meridian Medicaid |
$472.57
|
| Rate for Payer: Nomi Health Commercial |
$798.05
|
| Rate for Payer: PACE SWMI |
$665.04
|
| Rate for Payer: PHP Medicare Advantage |
$665.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,064.03
|
| Rate for Payer: Priority Health Medicare |
$671.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$665.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Exchange |
$665.04
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
| Rate for Payer: UHCCP Medicaid |
$450.07
|
|
