|
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 |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.56
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| 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
|
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/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$598.21 |
| 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 |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| 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 Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$604.19
|
| 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
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$808.89 |
| 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 |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| 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 Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$816.98
|
| 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
|
|
|
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
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$808.89 |
| 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 |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| 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 Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$816.98
|
| 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
|
|
|
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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.98
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$696.39
|
| 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 |
$2,345.85
|
| 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
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$664.66 |
| 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 |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| 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 Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$671.31
|
| 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
|
|
|
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 |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$637.35
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| 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
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$664.66 |
| 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 |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| 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 Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$671.31
|
| 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
|
|
|
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 SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$640.67 |
| 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 |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$640.67
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$672.70
|
| 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 Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$647.08
|
| 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
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$366.80 |
| Max. Negotiated Rate |
$635.17 |
| Rate for Payer: Aetna Commercial |
$591.06
|
| Rate for Payer: Aetna Medicare |
$458.73
|
| Rate for Payer: BCBS Complete |
$366.80
|
| Rate for Payer: BCBS MAPPO |
$441.09
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$463.14
|
| 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 Cigna Priority Health |
$596.05
|
| Rate for Payer: Priority Health Medicare |
$445.50
|
| 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
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,886.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$471.58 |
| 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 |
$754.40
|
| Rate for Payer: BCBS MAPPO |
$471.58
|
| 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 |
$679.08
|
| Rate for Payer: Cofinity Commercial |
$631.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$471.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$495.16
|
| 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 Cigna Priority Health |
$1,225.90
|
| Rate for Payer: Priority Health Medicare |
$476.30
|
| 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
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$566.19 |
| 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 |
$812.00
|
| Rate for Payer: BCBS MAPPO |
$566.19
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.50
|
| 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 Cigna Priority Health |
$1,319.50
|
| Rate for Payer: Priority Health Medicare |
$571.85
|
| 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
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$484.99 |
| 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 |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$484.99
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.24
|
| 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 Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$489.84
|
| 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
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$526.83 |
| 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 |
$875.20
|
| Rate for Payer: BCBS MAPPO |
$526.83
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$553.17
|
| 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 Cigna Priority Health |
$1,422.20
|
| Rate for Payer: Priority Health Medicare |
$532.10
|
| 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
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$621.87 |
| Max. Negotiated Rate |
$1,437.15 |
| Rate for Payer: Aetna Commercial |
$833.31
|
| Rate for Payer: Aetna Medicare |
$646.74
|
| Rate for Payer: BCBS Complete |
$884.40
|
| Rate for Payer: BCBS MAPPO |
$621.87
|
| 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 |
$895.49
|
| Rate for Payer: Cofinity Commercial |
$833.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$652.96
|
| 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 Cigna Priority Health |
$1,437.15
|
| Rate for Payer: Priority Health Medicare |
$628.09
|
| 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
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$272.14 |
| Max. Negotiated Rate |
$475.14 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: BCBS Complete |
$272.14
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| 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 Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health Medicare |
$333.26
|
| 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
|
|
|
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 |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$178.50
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| 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
|
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
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$272.14 |
| Max. Negotiated Rate |
$475.14 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: BCBS Complete |
$272.14
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| 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 Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health Medicare |
$333.26
|
| 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
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$315.16 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$422.31
|
| Rate for Payer: Aetna Medicare |
$327.77
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$315.16
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.92
|
| 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 Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$318.31
|
| 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
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$236.80 |
| Max. Negotiated Rate |
$478.41 |
| Rate for Payer: Aetna Commercial |
$445.19
|
| Rate for Payer: Aetna Medicare |
$345.52
|
| Rate for Payer: BCBS Complete |
$236.80
|
| Rate for Payer: BCBS MAPPO |
$332.23
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$348.84
|
| 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 Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health Medicare |
$335.55
|
| 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
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,094.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$437.60 |
| Max. Negotiated Rate |
$863.50 |
| Rate for Payer: Aetna Commercial |
$803.53
|
| Rate for Payer: Aetna Medicare |
$623.64
|
| Rate for Payer: BCBS Complete |
$437.60
|
| Rate for Payer: BCBS MAPPO |
$599.65
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.63
|
| 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 Cigna Priority Health |
$711.10
|
| Rate for Payer: Priority Health Medicare |
$605.65
|
| 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
|
|
