|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
OP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$596.36 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,134.35
|
| Rate for Payer: Aetna Medicare |
$652.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$784.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$784.69
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$627.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.29
|
| Rate for Payer: BCN Commercial |
$1,952.30
|
| Rate for Payer: BCN Medicare Advantage |
$627.75
|
| Rate for Payer: Cash Price |
$2,008.80
|
| 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: Health Alliance Plan Medicare Advantage |
$627.75
|
| Rate for Payer: Healthscope Commercial |
$2,259.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,883.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$659.14
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$721.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,134.35
|
| Rate for Payer: Nomi Health Commercial |
$2,059.02
|
| Rate for Payer: PACE Senior Care Partners |
$596.36
|
| Rate for Payer: PACE SWMI |
$627.75
|
| Rate for Payer: PHP Commercial |
$2,134.35
|
| Rate for Payer: PHP Medicare Advantage |
$627.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| 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 Medicare |
$634.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,682.37
|
| Rate for Payer: Railroad Medicare Medicare |
$627.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,209.68
|
| Rate for Payer: UHC Core |
$2,096.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.75
|
| Rate for Payer: UHC Exchange |
$627.75
|
| Rate for Payer: UHC Medicare Advantage |
$627.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$627.75
|
| 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
|
| Hospital Charge Code |
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
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$2,065.66 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,286.92
|
| Rate for Payer: BCBS Complete |
$870.67
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Mclaren Medicaid |
$829.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,965.73
|
| Rate for Payer: Priority Health Medicare |
$1,249.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,965.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Exchange |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,816.10 |
| Max. Negotiated Rate |
$2,514.60 |
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.74
|
| Rate for Payer: BCN Commercial |
$2,159.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,095.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: Nomi Health Commercial |
$2,291.08
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,430.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,871.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,458.72
|
| Rate for Payer: UHC Core |
$2,332.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,095.50
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$568.98 |
| Max. Negotiated Rate |
$2,065.66 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,286.92
|
| Rate for Payer: BCBS Complete |
$870.67
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCBS Trust/PPO |
$568.98
|
| Rate for Payer: BCN Commercial |
$2,065.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Mclaren Medicaid |
$829.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,965.73
|
| Rate for Payer: Priority Health Medicare |
$1,249.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,965.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Exchange |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$663.58 |
| Max. Negotiated Rate |
$9,570.97 |
| Rate for Payer: Aetna Commercial |
$2,374.90
|
| Rate for Payer: Aetna Medicare |
$726.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$873.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$873.12
|
| Rate for Payer: BCBS Complete |
$9,570.97
|
| Rate for Payer: BCBS MAPPO |
$698.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,296.95
|
| Rate for Payer: BCN Commercial |
$2,172.34
|
| Rate for Payer: BCN Medicare Advantage |
$698.50
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,402.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$698.50
|
| Rate for Payer: Healthscope Commercial |
$2,514.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,095.50
|
| Rate for Payer: Mclaren Medicaid |
$9,114.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$733.42
|
| Rate for Payer: Meridian Medicaid |
$9,570.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$803.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: Nomi Health Commercial |
$2,291.08
|
| Rate for Payer: PACE Senior Care Partners |
$663.58
|
| Rate for Payer: PACE SWMI |
$698.50
|
| Rate for Payer: PHP Commercial |
$2,374.90
|
| Rate for Payer: PHP Medicare Advantage |
$698.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,430.78
|
| Rate for Payer: Priority Health Medicare |
$705.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,871.98
|
| Rate for Payer: Railroad Medicare Medicare |
$698.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,458.72
|
| Rate for Payer: UHC Core |
$2,332.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$698.50
|
| Rate for Payer: UHC Exchange |
$698.50
|
| Rate for Payer: UHC Medicare Advantage |
$698.50
|
| Rate for Payer: UHCCP Medicaid |
$9,114.61
|
| Rate for Payer: VA VA |
$698.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,095.50
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,189.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$239.42 |
| Max. Negotiated Rate |
$3,372.85 |
| Rate for Payer: Aetna Commercial |
$1,869.14
|
| Rate for Payer: Aetna Medicare |
$1,450.68
|
| Rate for Payer: BCBS Complete |
$982.95
|
| Rate for Payer: BCBS MAPPO |
$1,394.88
|
| Rate for Payer: BCBS Trust/PPO |
$239.42
|
| Rate for Payer: BCN Commercial |
$2,116.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,394.88
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$2,008.63
|
| Rate for Payer: Cofinity Commercial |
$1,869.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,394.88
|
| Rate for Payer: Mclaren Medicaid |
$936.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,464.62
|
| Rate for Payer: Meridian Medicaid |
$982.95
|
| Rate for Payer: Nomi Health Commercial |
$1,673.86
|
| Rate for Payer: PACE SWMI |
$1,394.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,394.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$936.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,372.85
|
| Rate for Payer: Priority Health HMO/PPO |
$2,219.14
|
| Rate for Payer: Priority Health Medicare |
$1,408.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,219.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,394.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,394.88
|
| Rate for Payer: UHC Exchange |
$1,394.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,394.88
|
| Rate for Payer: UHCCP Medicaid |
$936.14
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,457.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$532.50 |
| Max. Negotiated Rate |
$1,261.47 |
| Rate for Payer: Aetna Commercial |
$1,057.65
|
| Rate for Payer: Aetna Medicare |
$820.86
|
| Rate for Payer: BCBS Complete |
$559.12
|
| Rate for Payer: BCBS MAPPO |
$789.29
|
| Rate for Payer: BCBS Trust/PPO |
$833.66
|
| Rate for Payer: BCN Commercial |
$1,200.68
|
| Rate for Payer: BCN Medicare Advantage |
$789.29
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cofinity Commercial |
$1,136.58
|
| Rate for Payer: Cofinity Commercial |
$1,057.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$789.29
|
| Rate for Payer: Mclaren Medicaid |
$532.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$828.75
|
| Rate for Payer: Meridian Medicaid |
$559.12
|
| Rate for Payer: Nomi Health Commercial |
$947.15
|
| Rate for Payer: PACE SWMI |
$789.29
|
| Rate for Payer: PHP Medicare Advantage |
$789.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,261.47
|
| Rate for Payer: Priority Health Medicare |
$797.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$789.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.29
|
| Rate for Payer: UHC Exchange |
$789.29
|
| Rate for Payer: UHC Medicare Advantage |
$789.29
|
| Rate for Payer: UHCCP Medicaid |
$532.50
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
OP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$721.76 |
| Max. Negotiated Rate |
$2,735.10 |
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: Aetna Medicare |
$790.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$949.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$949.69
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$759.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,498.36
|
| Rate for Payer: BCN Commercial |
$2,362.82
|
| Rate for Payer: BCN Medicare Advantage |
$759.75
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$759.75
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,279.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$797.74
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$873.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: Nomi Health Commercial |
$2,491.98
|
| Rate for Payer: PACE Senior Care Partners |
$721.76
|
| Rate for Payer: PACE SWMI |
$759.75
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: PHP Medicare Advantage |
$759.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,643.93
|
| Rate for Payer: Priority Health Medicare |
$767.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,036.13
|
| Rate for Payer: Railroad Medicare Medicare |
$759.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,674.32
|
| Rate for Payer: UHC Core |
$2,537.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$759.75
|
| Rate for Payer: UHC Exchange |
$759.75
|
| Rate for Payer: UHC Medicare Advantage |
$759.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$759.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,279.25
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: BCBS Complete |
$549.73
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Mclaren Medicaid |
$523.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Meridian Medicaid |
$549.73
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$523.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,288.44
|
| Rate for Payer: Priority Health Medicare |
$778.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,288.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Exchange |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP Medicaid |
$523.55
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
IP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,975.35 |
| Max. Negotiated Rate |
$2,735.10 |
| Rate for Payer: Aetna Commercial |
$2,583.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,480.74
|
| Rate for Payer: BCN Commercial |
$2,348.54
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,613.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Healthscope Commercial |
$2,735.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,279.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: Nomi Health Commercial |
$2,491.98
|
| Rate for Payer: PHP Commercial |
$2,583.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,643.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,036.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,674.32
|
| Rate for Payer: UHC Core |
$2,537.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,279.25
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$802.09
|
| Rate for Payer: BCBS Complete |
$549.73
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Mclaren Medicaid |
$523.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Meridian Medicaid |
$549.73
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$523.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,288.44
|
| Rate for Payer: Priority Health Medicare |
$778.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,288.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Exchange |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP Medicaid |
$523.55
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,560.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$578.08 |
| Max. Negotiated Rate |
$1,664.00 |
| Rate for Payer: Aetna Commercial |
$1,142.71
|
| Rate for Payer: Aetna Medicare |
$886.88
|
| Rate for Payer: BCBS Complete |
$606.98
|
| Rate for Payer: BCBS MAPPO |
$852.77
|
| Rate for Payer: BCN Medicare Advantage |
$852.77
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cofinity Commercial |
$1,142.71
|
| Rate for Payer: Cofinity Commercial |
$1,227.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$852.77
|
| Rate for Payer: Mclaren Medicaid |
$578.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.41
|
| Rate for Payer: Meridian Medicaid |
$606.98
|
| Rate for Payer: Nomi Health Commercial |
$1,023.32
|
| Rate for Payer: PACE SWMI |
$852.77
|
| Rate for Payer: PHP Medicare Advantage |
$852.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,664.00
|
| Rate for Payer: Priority Health Medicare |
$861.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$852.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$852.77
|
| Rate for Payer: UHC Exchange |
$852.77
|
| Rate for Payer: UHC Medicare Advantage |
$852.77
|
| Rate for Payer: UHCCP Medicaid |
$578.08
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,189.16 |
| Max. Negotiated Rate |
$9,570.97 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: Aetna Medicare |
$1,301.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,564.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,564.69
|
| Rate for Payer: BCBS Complete |
$9,570.97
|
| Rate for Payer: BCBS MAPPO |
$1,251.75
|
| Rate for Payer: BCBS Trust/PPO |
$4,116.25
|
| Rate for Payer: BCN Commercial |
$3,892.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,251.75
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,251.75
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,755.25
|
| Rate for Payer: Mclaren Medicaid |
$9,114.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,314.34
|
| Rate for Payer: Meridian Medicaid |
$9,570.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,439.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: Nomi Health Commercial |
$4,105.74
|
| Rate for Payer: PACE Senior Care Partners |
$1,189.16
|
| Rate for Payer: PACE SWMI |
$1,251.75
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,251.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,356.09
|
| Rate for Payer: Priority Health Medicare |
$1,264.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,354.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,251.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,406.16
|
| Rate for Payer: UHC Core |
$4,180.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,251.75
|
| Rate for Payer: UHC Exchange |
$1,251.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,251.75
|
| Rate for Payer: UHCCP Medicaid |
$9,114.61
|
| Rate for Payer: VA VA |
$1,251.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,755.25
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$828.14 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: BCBS Complete |
$869.55
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Mclaren Medicaid |
$828.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Meridian Medicaid |
$869.55
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$828.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,962.68
|
| Rate for Payer: Priority Health Medicare |
$1,248.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,962.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Exchange |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP Medicaid |
$828.14
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,254.55 |
| Max. Negotiated Rate |
$4,506.30 |
| Rate for Payer: Aetna Commercial |
$4,255.95
|
| Rate for Payer: BCBS Trust/PPO |
$4,087.21
|
| Rate for Payer: BCN Commercial |
$3,869.41
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$4,306.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Healthscope Commercial |
$4,506.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,755.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: Nomi Health Commercial |
$4,105.74
|
| Rate for Payer: PHP Commercial |
$4,255.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,356.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,354.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,406.16
|
| Rate for Payer: UHC Core |
$4,180.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,755.25
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$828.14 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,285.29
|
| Rate for Payer: BCBS Complete |
$869.55
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Mclaren Medicaid |
$828.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Meridian Medicaid |
$869.55
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$828.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,962.68
|
| Rate for Payer: Priority Health Medicare |
$1,248.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,962.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Exchange |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP Medicaid |
$828.14
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
IP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,093.65 |
| Max. Negotiated Rate |
$2,898.90 |
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,629.30
|
| Rate for Payer: BCN Commercial |
$2,489.19
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,415.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: Nomi Health Commercial |
$2,641.22
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO |
$2,802.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,158.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,834.48
|
| Rate for Payer: UHC Core |
$2,689.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,415.75
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$742.73 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: BCBS Complete |
$779.87
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$1,677.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Mclaren Medicaid |
$742.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Meridian Medicaid |
$779.87
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$742.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,760.14
|
| Rate for Payer: Priority Health Medicare |
$1,117.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,760.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Exchange |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
| Rate for Payer: UHCCP Medicaid |
$742.73
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,221.00
|
|
|
Service Code
|
HCPCS 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$742.73 |
| Max. Negotiated Rate |
$2,093.65 |
| Rate for Payer: Aetna Commercial |
$1,482.39
|
| Rate for Payer: Aetna Medicare |
$1,150.51
|
| Rate for Payer: BCBS Complete |
$779.87
|
| Rate for Payer: BCBS MAPPO |
$1,106.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$1,677.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,106.26
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,593.01
|
| Rate for Payer: Cofinity Commercial |
$1,482.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,106.26
|
| Rate for Payer: Mclaren Medicaid |
$742.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,161.57
|
| Rate for Payer: Meridian Medicaid |
$779.87
|
| Rate for Payer: Nomi Health Commercial |
$1,327.51
|
| Rate for Payer: PACE SWMI |
$1,106.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,106.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$742.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,760.14
|
| Rate for Payer: Priority Health Medicare |
$1,117.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,760.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,106.26
|
| Rate for Payer: UHC Exchange |
$1,106.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,106.26
|
| Rate for Payer: UHCCP Medicaid |
$742.73
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$764.99 |
| Max. Negotiated Rate |
$9,570.97 |
| Rate for Payer: Aetna Commercial |
$2,737.85
|
| Rate for Payer: Aetna Medicare |
$837.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,006.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,006.56
|
| Rate for Payer: BCBS Complete |
$9,570.97
|
| Rate for Payer: BCBS MAPPO |
$805.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,647.98
|
| Rate for Payer: BCN Commercial |
$2,504.33
|
| Rate for Payer: BCN Medicare Advantage |
$805.25
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$2,770.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$805.25
|
| Rate for Payer: Healthscope Commercial |
$2,898.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,415.75
|
| Rate for Payer: Mclaren Medicaid |
$9,114.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$845.51
|
| Rate for Payer: Meridian Medicaid |
$9,570.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$926.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: Nomi Health Commercial |
$2,641.22
|
| Rate for Payer: PACE Senior Care Partners |
$764.99
|
| Rate for Payer: PACE SWMI |
$805.25
|
| Rate for Payer: PHP Commercial |
$2,737.85
|
| Rate for Payer: PHP Medicare Advantage |
$805.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,114.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO |
$2,802.27
|
| Rate for Payer: Priority Health Medicare |
$813.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,158.07
|
| Rate for Payer: Railroad Medicare Medicare |
$805.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,834.48
|
| Rate for Payer: UHC Core |
$2,689.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$805.25
|
| Rate for Payer: UHC Exchange |
$805.25
|
| Rate for Payer: UHC Medicare Advantage |
$805.25
|
| Rate for Payer: UHCCP Medicaid |
$9,114.61
|
| Rate for Payer: VA VA |
$805.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,415.75
|
|
|
PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT
|
Professional
|
Both
|
$1,690.00
|
|
|
Service Code
|
HCPCS 27441
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$1,272.16 |
| Rate for Payer: Aetna Commercial |
$1,067.56
|
| Rate for Payer: Aetna Medicare |
$828.56
|
| Rate for Payer: BCBS Complete |
$564.27
|
| Rate for Payer: BCBS MAPPO |
$796.69
|
| Rate for Payer: BCBS Trust/PPO |
$523.55
|
| Rate for Payer: BCN Commercial |
$1,212.41
|
| Rate for Payer: BCN Medicare Advantage |
$796.69
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cash Price |
$1,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,147.23
|
| Rate for Payer: Cofinity Commercial |
$1,067.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$796.69
|
| Rate for Payer: Mclaren Medicaid |
$537.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$836.52
|
| Rate for Payer: Meridian Medicaid |
$564.27
|
| Rate for Payer: Nomi Health Commercial |
$956.03
|
| Rate for Payer: PACE SWMI |
$796.69
|
| Rate for Payer: PHP Medicare Advantage |
$796.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,098.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,272.16
|
| Rate for Payer: Priority Health Medicare |
$804.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,272.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$796.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$796.69
|
| Rate for Payer: UHC Exchange |
$796.69
|
| Rate for Payer: UHC Medicare Advantage |
$796.69
|
| Rate for Payer: UHCCP Medicaid |
$537.40
|
|
|
PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 26531
|
| Min. Negotiated Rate |
$224.00 |
| Max. Negotiated Rate |
$1,417.65 |
| Rate for Payer: Aetna Commercial |
$820.19
|
| Rate for Payer: Aetna Medicare |
$636.56
|
| Rate for Payer: BCBS Complete |
$437.01
|
| Rate for Payer: BCBS MAPPO |
$612.08
|
| Rate for Payer: BCBS Trust/PPO |
$224.00
|
| Rate for Payer: BCN Commercial |
$934.35
|
| Rate for Payer: BCN Medicare Advantage |
$612.08
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cofinity Commercial |
$881.40
|
| Rate for Payer: Cofinity Commercial |
$820.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.08
|
| Rate for Payer: Mclaren Medicaid |
$416.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$642.68
|
| Rate for Payer: Meridian Medicaid |
$437.01
|
| Rate for Payer: Nomi Health Commercial |
$734.50
|
| Rate for Payer: PACE SWMI |
$612.08
|
| Rate for Payer: PHP Medicare Advantage |
$612.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,417.65
|
| Rate for Payer: Priority Health HMO/PPO |
$982.10
|
| Rate for Payer: Priority Health Medicare |
$618.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$982.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$612.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$612.08
|
| Rate for Payer: UHC Exchange |
$612.08
|
| Rate for Payer: UHC Medicare Advantage |
$612.08
|
| Rate for Payer: UHCCP Medicaid |
$416.20
|
|
|
PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/ENTIR CARPS
|
Professional
|
Both
|
$2,094.00
|
|
|
Service Code
|
HCPCS 25446
|
| Min. Negotiated Rate |
$760.20 |
| Max. Negotiated Rate |
$1,800.85 |
| Rate for Payer: Aetna Commercial |
$1,513.26
|
| Rate for Payer: Aetna Medicare |
$1,174.47
|
| Rate for Payer: BCBS Complete |
$798.21
|
| Rate for Payer: BCBS MAPPO |
$1,129.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.86
|
| Rate for Payer: BCN Commercial |
$1,717.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,129.30
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cash Price |
$1,675.20
|
| Rate for Payer: Cofinity Commercial |
$1,626.19
|
| Rate for Payer: Cofinity Commercial |
$1,513.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,129.30
|
| Rate for Payer: Mclaren Medicaid |
$760.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,185.76
|
| Rate for Payer: Meridian Medicaid |
$798.21
|
| Rate for Payer: Nomi Health Commercial |
$1,355.16
|
| Rate for Payer: PACE SWMI |
$1,129.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,129.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$760.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,361.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,800.85
|
| Rate for Payer: Priority Health Medicare |
$1,140.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,800.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,129.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,129.30
|
| Rate for Payer: UHC Exchange |
$1,129.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,129.30
|
| Rate for Payer: UHCCP Medicaid |
$760.20
|
|
|
PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ
|
Professional
|
Both
|
$3,684.00
|
|
|
Service Code
|
HCPCS 25332
|
| Min. Negotiated Rate |
$547.85 |
| Max. Negotiated Rate |
$2,394.60 |
| Rate for Payer: Aetna Commercial |
$1,094.11
|
| Rate for Payer: Aetna Medicare |
$849.16
|
| Rate for Payer: BCBS Complete |
$579.70
|
| Rate for Payer: BCBS MAPPO |
$816.50
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$1,244.17
|
| Rate for Payer: BCN Medicare Advantage |
$816.50
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cash Price |
$2,947.20
|
| Rate for Payer: Cofinity Commercial |
$1,175.76
|
| Rate for Payer: Cofinity Commercial |
$1,094.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$816.50
|
| Rate for Payer: Mclaren Medicaid |
$552.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.32
|
| Rate for Payer: Meridian Medicaid |
$579.70
|
| Rate for Payer: Nomi Health Commercial |
$979.80
|
| Rate for Payer: PACE SWMI |
$816.50
|
| Rate for Payer: PHP Medicare Advantage |
$816.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,394.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,306.25
|
| Rate for Payer: Priority Health Medicare |
$824.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,306.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$816.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$816.50
|
| Rate for Payer: UHC Exchange |
$816.50
|
| Rate for Payer: UHC Medicare Advantage |
$816.50
|
| Rate for Payer: UHCCP Medicaid |
$552.10
|
|
