|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
IP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$2,650.70 |
| Max. Negotiated Rate |
$3,670.20 |
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,328.87
|
| Rate for Payer: BCN Commercial |
$3,151.48
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,058.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: Nomi Health Commercial |
$3,343.96
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health HMO/PPO |
$3,547.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,732.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,588.64
|
| Rate for Payer: UHC Core |
$3,405.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,058.50
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,078.00
|
|
|
Service Code
|
HCPCS 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$630.48 |
| Max. Negotiated Rate |
$2,650.70 |
| Rate for Payer: Aetna Commercial |
$1,254.98
|
| Rate for Payer: Aetna Medicare |
$974.01
|
| Rate for Payer: BCBS Complete |
$662.00
|
| Rate for Payer: BCBS MAPPO |
$936.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: BCN Commercial |
$1,573.32
|
| Rate for Payer: BCN Medicare Advantage |
$936.55
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$1,348.63
|
| Rate for Payer: Cofinity Commercial |
$1,254.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$936.55
|
| Rate for Payer: Mclaren Medicaid |
$630.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$983.38
|
| Rate for Payer: Meridian Medicaid |
$662.00
|
| Rate for Payer: Nomi Health Commercial |
$1,123.86
|
| Rate for Payer: PACE SWMI |
$936.55
|
| Rate for Payer: PHP Medicare Advantage |
$936.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$630.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,497.07
|
| Rate for Payer: Priority Health Medicare |
$945.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,497.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$936.55
|
| Rate for Payer: UHC Exchange |
$936.55
|
| Rate for Payer: UHC Medicare Advantage |
$936.55
|
| Rate for Payer: UHCCP Medicaid |
$630.48
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,078.00
|
|
|
Service Code
|
HCPCS 29888
|
| Min. Negotiated Rate |
$630.48 |
| Max. Negotiated Rate |
$2,650.70 |
| Rate for Payer: Aetna Commercial |
$1,254.98
|
| Rate for Payer: Aetna Medicare |
$974.01
|
| Rate for Payer: BCBS Complete |
$662.00
|
| Rate for Payer: BCBS MAPPO |
$936.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: BCN Commercial |
$1,573.32
|
| Rate for Payer: BCN Medicare Advantage |
$936.55
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$1,348.63
|
| Rate for Payer: Cofinity Commercial |
$1,254.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$936.55
|
| Rate for Payer: Mclaren Medicaid |
$630.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$983.38
|
| Rate for Payer: Meridian Medicaid |
$662.00
|
| Rate for Payer: Nomi Health Commercial |
$1,123.86
|
| Rate for Payer: PACE SWMI |
$936.55
|
| Rate for Payer: PHP Medicare Advantage |
$936.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$630.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,497.07
|
| Rate for Payer: Priority Health Medicare |
$945.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,497.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$936.55
|
| Rate for Payer: UHC Exchange |
$936.55
|
| Rate for Payer: UHC Medicare Advantage |
$936.55
|
| Rate for Payer: UHCCP Medicaid |
$630.48
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
OP
|
$4,078.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$968.52 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$3,466.30
|
| Rate for Payer: Aetna Medicare |
$1,060.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,274.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,274.38
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$1,019.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.52
|
| Rate for Payer: BCN Commercial |
$3,170.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,019.50
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cash Price |
$3,262.40
|
| Rate for Payer: Cofinity Commercial |
$3,507.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,262.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,019.50
|
| Rate for Payer: Healthscope Commercial |
$3,670.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,058.50
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,070.48
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,172.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,466.30
|
| Rate for Payer: Nomi Health Commercial |
$3,343.96
|
| Rate for Payer: PACE Senior Care Partners |
$968.52
|
| Rate for Payer: PACE SWMI |
$1,019.50
|
| Rate for Payer: PHP Commercial |
$3,466.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,019.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.70
|
| Rate for Payer: Priority Health HMO/PPO |
$3,547.86
|
| Rate for Payer: Priority Health Medicare |
$1,029.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,732.26
|
| Rate for Payer: Railroad Medicare Medicare |
$1,019.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,588.64
|
| Rate for Payer: UHC Core |
$3,405.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,019.50
|
| Rate for Payer: UHC Exchange |
$1,019.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,019.50
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$1,019.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,058.50
|
|
|
PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,237.00
|
|
|
Service Code
|
HCPCS 29889
|
| Min. Negotiated Rate |
$795.34 |
| Max. Negotiated Rate |
$2,754.05 |
| Rate for Payer: Aetna Commercial |
$1,581.79
|
| Rate for Payer: Aetna Medicare |
$1,227.66
|
| Rate for Payer: BCBS Complete |
$835.11
|
| Rate for Payer: BCBS MAPPO |
$1,180.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,326.56
|
| Rate for Payer: BCN Commercial |
$1,793.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,180.44
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cash Price |
$3,389.60
|
| Rate for Payer: Cofinity Commercial |
$1,699.83
|
| Rate for Payer: Cofinity Commercial |
$1,581.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,180.44
|
| Rate for Payer: Mclaren Medicaid |
$795.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,239.46
|
| Rate for Payer: Meridian Medicaid |
$835.11
|
| Rate for Payer: Nomi Health Commercial |
$1,416.53
|
| Rate for Payer: PACE SWMI |
$1,180.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,180.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$795.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,754.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,884.82
|
| Rate for Payer: Priority Health Medicare |
$1,192.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,884.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,180.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,180.44
|
| Rate for Payer: UHC Exchange |
$1,180.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,180.44
|
| Rate for Payer: UHCCP Medicaid |
$795.34
|
|
|
PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
HCPCS 29892
|
| Min. Negotiated Rate |
$416.84 |
| Max. Negotiated Rate |
$1,747.20 |
| Rate for Payer: Aetna Commercial |
$826.46
|
| Rate for Payer: Aetna Medicare |
$641.43
|
| Rate for Payer: BCBS Complete |
$437.68
|
| Rate for Payer: BCBS MAPPO |
$616.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.83
|
| Rate for Payer: BCN Commercial |
$939.24
|
| Rate for Payer: BCN Medicare Advantage |
$616.76
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cash Price |
$2,150.40
|
| Rate for Payer: Cofinity Commercial |
$888.13
|
| Rate for Payer: Cofinity Commercial |
$826.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.76
|
| Rate for Payer: Mclaren Medicaid |
$416.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.60
|
| Rate for Payer: Meridian Medicaid |
$437.68
|
| Rate for Payer: Nomi Health Commercial |
$740.11
|
| Rate for Payer: PACE SWMI |
$616.76
|
| Rate for Payer: PHP Medicare Advantage |
$616.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.20
|
| Rate for Payer: Priority Health HMO/PPO |
$987.70
|
| Rate for Payer: Priority Health Medicare |
$622.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$616.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.76
|
| Rate for Payer: UHC Exchange |
$616.76
|
| Rate for Payer: UHC Medicare Advantage |
$616.76
|
| Rate for Payer: UHCCP Medicaid |
$416.84
|
|
|
PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29855
|
| Min. Negotiated Rate |
$508.86 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$1,009.03
|
| Rate for Payer: Aetna Medicare |
$783.13
|
| Rate for Payer: BCBS Complete |
$534.30
|
| Rate for Payer: BCBS MAPPO |
$753.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,471.84
|
| Rate for Payer: BCN Commercial |
$1,147.91
|
| Rate for Payer: BCN Medicare Advantage |
$753.01
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$1,084.33
|
| Rate for Payer: Cofinity Commercial |
$1,009.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.01
|
| Rate for Payer: Mclaren Medicaid |
$508.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$790.66
|
| Rate for Payer: Meridian Medicaid |
$534.30
|
| Rate for Payer: Nomi Health Commercial |
$903.61
|
| Rate for Payer: PACE SWMI |
$753.01
|
| Rate for Payer: PHP Medicare Advantage |
$753.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,203.96
|
| Rate for Payer: Priority Health Medicare |
$760.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,203.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$753.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.01
|
| Rate for Payer: UHC Exchange |
$753.01
|
| Rate for Payer: UHC Medicare Advantage |
$753.01
|
| Rate for Payer: UHCCP Medicaid |
$508.86
|
|
|
PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR
|
Professional
|
Both
|
$1,786.00
|
|
|
Service Code
|
HCPCS 29856
|
| Min. Negotiated Rate |
$645.18 |
| Max. Negotiated Rate |
$1,644.07 |
| Rate for Payer: Aetna Commercial |
$1,284.30
|
| Rate for Payer: Aetna Medicare |
$996.77
|
| Rate for Payer: BCBS Complete |
$677.44
|
| Rate for Payer: BCBS MAPPO |
$958.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,644.07
|
| Rate for Payer: BCN Commercial |
$1,455.28
|
| Rate for Payer: BCN Medicare Advantage |
$958.43
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cofinity Commercial |
$1,380.14
|
| Rate for Payer: Cofinity Commercial |
$1,284.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.43
|
| Rate for Payer: Mclaren Medicaid |
$645.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,006.35
|
| Rate for Payer: Meridian Medicaid |
$677.44
|
| Rate for Payer: Nomi Health Commercial |
$1,150.12
|
| Rate for Payer: PACE SWMI |
$958.43
|
| Rate for Payer: PHP Medicare Advantage |
$958.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,527.09
|
| Rate for Payer: Priority Health Medicare |
$968.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,527.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$958.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.43
|
| Rate for Payer: UHC Exchange |
$958.43
|
| Rate for Payer: UHC Medicare Advantage |
$958.43
|
| Rate for Payer: UHCCP Medicaid |
$645.18
|
|
|
PR ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29891
|
| Min. Negotiated Rate |
$439.21 |
| Max. Negotiated Rate |
$1,590.71 |
| Rate for Payer: Aetna Commercial |
$869.23
|
| Rate for Payer: Aetna Medicare |
$674.63
|
| Rate for Payer: BCBS Complete |
$461.17
|
| Rate for Payer: BCBS MAPPO |
$648.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,590.71
|
| Rate for Payer: BCN Commercial |
$982.73
|
| Rate for Payer: BCN Medicare Advantage |
$648.68
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$934.10
|
| Rate for Payer: Cofinity Commercial |
$869.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.68
|
| Rate for Payer: Mclaren Medicaid |
$439.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.11
|
| Rate for Payer: Meridian Medicaid |
$461.17
|
| Rate for Payer: Nomi Health Commercial |
$778.42
|
| Rate for Payer: PACE SWMI |
$648.68
|
| Rate for Payer: PHP Medicare Advantage |
$648.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$439.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,040.12
|
| Rate for Payer: Priority Health Medicare |
$655.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,040.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$648.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$648.68
|
| Rate for Payer: UHC Exchange |
$648.68
|
| Rate for Payer: UHC Medicare Advantage |
$648.68
|
| Rate for Payer: UHCCP Medicaid |
$439.21
|
|
|
PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29862
|
| Min. Negotiated Rate |
$528.24 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,047.00
|
| Rate for Payer: Aetna Medicare |
$812.59
|
| Rate for Payer: BCBS Complete |
$554.65
|
| Rate for Payer: BCBS MAPPO |
$781.34
|
| Rate for Payer: BCBS Trust/PPO |
$798.79
|
| Rate for Payer: BCN Commercial |
$1,193.35
|
| Rate for Payer: BCN Medicare Advantage |
$781.34
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,125.13
|
| Rate for Payer: Cofinity Commercial |
$1,047.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.34
|
| Rate for Payer: Mclaren Medicaid |
$528.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.41
|
| Rate for Payer: Meridian Medicaid |
$554.65
|
| Rate for Payer: Nomi Health Commercial |
$937.61
|
| Rate for Payer: PACE SWMI |
$781.34
|
| Rate for Payer: PHP Medicare Advantage |
$781.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,258.41
|
| Rate for Payer: Priority Health Medicare |
$789.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,258.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.34
|
| Rate for Payer: UHC Exchange |
$781.34
|
| Rate for Payer: UHC Medicare Advantage |
$781.34
|
| Rate for Payer: UHCCP Medicaid |
$528.24
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,641.25 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.16
|
| Rate for Payer: BCN Commercial |
$1,951.32
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$432.39 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: BCBS Complete |
$454.01
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCBS Trust/PPO |
$943.02
|
| Rate for Payer: BCN Commercial |
$1,071.84
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Mclaren Medicaid |
$432.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Meridian Medicaid |
$454.01
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.82
|
| Rate for Payer: Priority Health Medicare |
$645.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,023.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Exchange |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
| Rate for Payer: UHCCP Medicaid |
$432.39
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Min. Negotiated Rate |
$432.39 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$856.70
|
| Rate for Payer: Aetna Medicare |
$664.90
|
| Rate for Payer: BCBS Complete |
$454.01
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| Rate for Payer: BCBS Trust/PPO |
$943.02
|
| Rate for Payer: BCN Commercial |
$1,071.84
|
| Rate for Payer: BCN Medicare Advantage |
$639.33
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$920.64
|
| Rate for Payer: Cofinity Commercial |
$856.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$639.33
|
| Rate for Payer: Mclaren Medicaid |
$432.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| Rate for Payer: Meridian Medicaid |
$454.01
|
| Rate for Payer: Nomi Health Commercial |
$767.20
|
| Rate for Payer: PACE SWMI |
$639.33
|
| Rate for Payer: PHP Medicare Advantage |
$639.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,023.82
|
| Rate for Payer: Priority Health Medicare |
$645.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,023.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$639.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$639.33
|
| Rate for Payer: UHC Exchange |
$639.33
|
| Rate for Payer: UHC Medicare Advantage |
$639.33
|
| Rate for Payer: UHCCP Medicaid |
$432.39
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$599.69 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna Medicare |
$656.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$789.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$789.06
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$631.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,075.80
|
| Rate for Payer: BCN Commercial |
$1,963.19
|
| Rate for Payer: BCN Medicare Advantage |
$631.25
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.25
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.81
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$725.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PACE Senior Care Partners |
$599.69
|
| Rate for Payer: PACE SWMI |
$631.25
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: PHP Medicare Advantage |
$631.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Medicare |
$637.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: Railroad Medicare Medicare |
$631.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.25
|
| Rate for Payer: UHC Exchange |
$631.25
|
| Rate for Payer: UHC Medicare Advantage |
$631.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$631.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$537.94 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$588.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$707.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$707.81
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$566.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,862.06
|
| Rate for Payer: BCN Commercial |
$1,761.04
|
| Rate for Payer: BCN Medicare Advantage |
$566.25
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.25
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.56
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$651.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$1,857.30
|
| Rate for Payer: PACE Senior Care Partners |
$537.94
|
| Rate for Payer: PACE SWMI |
$566.25
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: PHP Medicare Advantage |
$566.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,970.55
|
| Rate for Payer: Priority Health Medicare |
$571.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,517.55
|
| Rate for Payer: Railroad Medicare Medicare |
$566.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,993.20
|
| Rate for Payer: UHC Core |
$1,891.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.25
|
| Rate for Payer: UHC Exchange |
$566.25
|
| Rate for Payer: UHC Medicare Advantage |
$566.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$566.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$405.98 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$803.26
|
| Rate for Payer: Aetna Medicare |
$623.43
|
| Rate for Payer: BCBS Complete |
$426.28
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,138.49
|
| Rate for Payer: BCN Commercial |
$1,007.27
|
| Rate for Payer: BCN Medicare Advantage |
$599.45
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$863.21
|
| Rate for Payer: Cofinity Commercial |
$803.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.45
|
| Rate for Payer: Mclaren Medicaid |
$405.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| Rate for Payer: Meridian Medicaid |
$426.28
|
| Rate for Payer: Nomi Health Commercial |
$719.34
|
| Rate for Payer: PACE SWMI |
$599.45
|
| Rate for Payer: PHP Medicare Advantage |
$599.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$961.24
|
| Rate for Payer: Priority Health Medicare |
$605.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$961.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.45
|
| Rate for Payer: UHC Exchange |
$599.45
|
| Rate for Payer: UHC Medicare Advantage |
$599.45
|
| Rate for Payer: UHCCP Medicaid |
$405.98
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29877
|
| Hospital Charge Code |
29877
|
| 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 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Min. Negotiated Rate |
$405.98 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$803.26
|
| Rate for Payer: Aetna Medicare |
$623.43
|
| Rate for Payer: BCBS Complete |
$426.28
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,138.49
|
| Rate for Payer: BCN Commercial |
$1,007.27
|
| Rate for Payer: BCN Medicare Advantage |
$599.45
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$863.21
|
| Rate for Payer: Cofinity Commercial |
$803.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.45
|
| Rate for Payer: Mclaren Medicaid |
$405.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| Rate for Payer: Meridian Medicaid |
$426.28
|
| Rate for Payer: Nomi Health Commercial |
$719.34
|
| Rate for Payer: PACE SWMI |
$599.45
|
| Rate for Payer: PHP Medicare Advantage |
$599.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO |
$961.24
|
| Rate for Payer: Priority Health Medicare |
$605.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$961.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.45
|
| Rate for Payer: UHC Exchange |
$599.45
|
| Rate for Payer: UHC Medicare Advantage |
$599.45
|
| Rate for Payer: UHCCP Medicaid |
$405.98
|
|
|
PR ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29886
|
| Min. Negotiated Rate |
$417.48 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$826.44
|
| Rate for Payer: Aetna Medicare |
$641.42
|
| Rate for Payer: BCBS Complete |
$438.35
|
| Rate for Payer: BCBS MAPPO |
$616.75
|
| Rate for Payer: BCBS Trust/PPO |
$436.38
|
| Rate for Payer: BCN Commercial |
$938.26
|
| Rate for Payer: BCN Medicare Advantage |
$616.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$888.12
|
| Rate for Payer: Cofinity Commercial |
$826.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.75
|
| Rate for Payer: Mclaren Medicaid |
$417.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.59
|
| Rate for Payer: Meridian Medicaid |
$438.35
|
| Rate for Payer: Nomi Health Commercial |
$740.10
|
| Rate for Payer: PACE SWMI |
$616.75
|
| Rate for Payer: PHP Medicare Advantage |
$616.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$987.19
|
| Rate for Payer: Priority Health Medicare |
$622.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$616.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.75
|
| Rate for Payer: UHC Exchange |
$616.75
|
| Rate for Payer: UHC Medicare Advantage |
$616.75
|
| Rate for Payer: UHCCP Medicaid |
$417.48
|
|
|
PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29885
|
| Min. Negotiated Rate |
$494.59 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$980.12
|
| Rate for Payer: Aetna Medicare |
$760.69
|
| Rate for Payer: BCBS Complete |
$519.32
|
| Rate for Payer: BCBS MAPPO |
$731.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$1,112.72
|
| Rate for Payer: BCN Medicare Advantage |
$731.43
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$980.12
|
| Rate for Payer: Cofinity Commercial |
$1,053.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.43
|
| Rate for Payer: Mclaren Medicaid |
$494.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.00
|
| Rate for Payer: Meridian Medicaid |
$519.32
|
| Rate for Payer: Nomi Health Commercial |
$877.72
|
| Rate for Payer: PACE SWMI |
$731.43
|
| Rate for Payer: PHP Medicare Advantage |
$731.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,170.38
|
| Rate for Payer: Priority Health Medicare |
$738.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,170.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$731.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.43
|
| Rate for Payer: UHC Exchange |
$731.43
|
| Rate for Payer: UHC Medicare Advantage |
$731.43
|
| Rate for Payer: UHCCP Medicaid |
$494.59
|
|
|
PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29887
|
| Min. Negotiated Rate |
$492.67 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$976.26
|
| Rate for Payer: Aetna Medicare |
$757.69
|
| Rate for Payer: BCBS Complete |
$517.30
|
| Rate for Payer: BCBS MAPPO |
$728.55
|
| Rate for Payer: BCBS Trust/PPO |
$675.17
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$728.55
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$976.26
|
| Rate for Payer: Cofinity Commercial |
$1,049.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.55
|
| Rate for Payer: Mclaren Medicaid |
$492.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.98
|
| Rate for Payer: Meridian Medicaid |
$517.30
|
| Rate for Payer: Nomi Health Commercial |
$874.26
|
| Rate for Payer: PACE SWMI |
$728.55
|
| Rate for Payer: PHP Medicare Advantage |
$728.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,166.31
|
| Rate for Payer: Priority Health Medicare |
$735.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,166.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.55
|
| Rate for Payer: UHC Exchange |
$728.55
|
| Rate for Payer: UHC Medicare Advantage |
$728.55
|
| Rate for Payer: UHCCP Medicaid |
$492.67
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
OP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$614.89 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: Aetna Medicare |
$673.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$809.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$809.06
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$647.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,128.42
|
| Rate for Payer: BCN Commercial |
$2,012.95
|
| Rate for Payer: BCN Medicare Advantage |
$647.25
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.25
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.61
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$744.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,200.65
|
| Rate for Payer: Nomi Health Commercial |
$2,122.98
|
| Rate for Payer: PACE Senior Care Partners |
$614.89
|
| Rate for Payer: PACE SWMI |
$647.25
|
| Rate for Payer: PHP Commercial |
$2,200.65
|
| Rate for Payer: PHP Medicare Advantage |
$647.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO |
$2,252.43
|
| Rate for Payer: Priority Health Medicare |
$653.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,734.63
|
| Rate for Payer: Railroad Medicare Medicare |
$647.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,278.32
|
| Rate for Payer: UHC Core |
$2,161.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.25
|
| Rate for Payer: UHC Exchange |
$647.25
|
| Rate for Payer: UHC Medicare Advantage |
$647.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$647.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Min. Negotiated Rate |
$367.64 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: BCBS Complete |
$386.02
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Mclaren Medicaid |
$367.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Meridian Medicaid |
$386.02
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO |
$871.17
|
| Rate for Payer: Priority Health Medicare |
$547.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$871.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$542.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Exchange |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UHCCP Medicaid |
$367.64
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
IP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$1,682.85 |
| Max. Negotiated Rate |
$2,330.10 |
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,113.40
|
| Rate for Payer: BCN Commercial |
$2,000.78
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,200.65
|
| Rate for Payer: Nomi Health Commercial |
$2,122.98
|
| Rate for Payer: PHP Commercial |
$2,200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO |
$2,252.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,734.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,278.32
|
| Rate for Payer: UHC Core |
$2,161.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$367.64 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: BCBS Complete |
$386.02
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Mclaren Medicaid |
$367.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Meridian Medicaid |
$386.02
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO |
$871.17
|
| Rate for Payer: Priority Health Medicare |
$547.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$871.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$542.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Exchange |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UHCCP Medicaid |
$367.64
|
|
