|
PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29862
|
| Min. Negotiated Rate |
$781.34 |
| 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 |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$781.34
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.41
|
| 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 Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$789.15
|
| 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
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$639.33 |
| 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 |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| 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 Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$645.72
|
| 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
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29879
|
| Min. Negotiated Rate |
$639.33 |
| 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 |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$639.33
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$671.30
|
| 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 Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$645.72
|
| 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
|
|
|
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 |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.81
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| Rate for Payer: VA VA |
$631.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
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 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 |
$2,463.31 |
| 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 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Hospital Charge Code |
29877
|
| Min. Negotiated Rate |
$599.45 |
| 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 |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| 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 Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$605.44
|
| 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
|
|
|
PR ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29877
|
| Min. Negotiated Rate |
$599.45 |
| 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 |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$599.45
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.42
|
| 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 Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$605.44
|
| 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
|
|
|
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 DRILLING OSTEOCHOND DISSECANS LESION
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29886
|
| Min. Negotiated Rate |
$616.75 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$826.45
|
| Rate for Payer: Aetna Medicare |
$641.42
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$616.75
|
| 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 |
$826.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.59
|
| 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 Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$622.92
|
| 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
|
|
|
PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29885
|
| Min. Negotiated Rate |
$731.43 |
| 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 |
$1,016.80
|
| Rate for Payer: BCBS MAPPO |
$731.43
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.00
|
| 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 Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health Medicare |
$738.74
|
| 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
|
|
|
PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29887
|
| Min. Negotiated Rate |
$728.55 |
| 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 |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$728.55
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.98
|
| 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 Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health Medicare |
$735.84
|
| 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
|
|
|
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
|
Facility
|
OP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$614.89 |
| Max. Negotiated Rate |
$2,463.31 |
| 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 |
$2,463.31
|
| 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 |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.61
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| 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 |
$2,345.85
|
| 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 |
$2,345.85
|
| 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
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$542.34 |
| 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 |
$1,035.60
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| 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 Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health Medicare |
$547.76
|
| 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
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Min. Negotiated Rate |
$542.34 |
| 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 |
$1,035.60
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| 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 Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health Medicare |
$547.76
|
| 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
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$1,556.75 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,955.04
|
| Rate for Payer: BCN Commercial |
$1,850.86
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,083.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,604.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,107.60
|
| Rate for Payer: UHC Core |
$1,999.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$568.81 |
| Max. Negotiated Rate |
$2,463.31 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$622.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$748.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$748.44
|
| Rate for Payer: BCBS Complete |
$2,463.31
|
| Rate for Payer: BCBS MAPPO |
$598.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,968.93
|
| Rate for Payer: BCN Commercial |
$1,862.11
|
| Rate for Payer: BCN Medicare Advantage |
$598.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.75
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Mclaren Medicaid |
$2,345.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.69
|
| Rate for Payer: Meridian Medicaid |
$2,463.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$688.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: PACE Senior Care Partners |
$568.81
|
| Rate for Payer: PACE SWMI |
$598.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$598.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,345.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,083.65
|
| Rate for Payer: Priority Health Medicare |
$604.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,604.65
|
| Rate for Payer: Railroad Medicare Medicare |
$598.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,107.60
|
| Rate for Payer: UHC Core |
$1,999.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.75
|
| Rate for Payer: UHC Exchange |
$598.75
|
| Rate for Payer: UHC Medicare Advantage |
$598.75
|
| Rate for Payer: UHCCP Medicaid |
$2,345.85
|
| Rate for Payer: VA VA |
$598.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$522.36 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$699.96
|
| Rate for Payer: Aetna Medicare |
$543.25
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$522.36
|
| Rate for Payer: BCN Medicare Advantage |
$522.36
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$752.20
|
| Rate for Payer: Cofinity Commercial |
$699.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.48
|
| Rate for Payer: Nomi Health Commercial |
$626.83
|
| Rate for Payer: PACE SWMI |
$522.36
|
| Rate for Payer: PHP Medicare Advantage |
$522.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$527.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.36
|
| Rate for Payer: UHC Exchange |
$522.36
|
| Rate for Payer: UHC Medicare Advantage |
$522.36
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29881
|
| Min. Negotiated Rate |
$522.36 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$699.96
|
| Rate for Payer: Aetna Medicare |
$543.25
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$522.36
|
| Rate for Payer: BCN Medicare Advantage |
$522.36
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$752.20
|
| Rate for Payer: Cofinity Commercial |
$699.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.48
|
| Rate for Payer: Nomi Health Commercial |
$626.83
|
| Rate for Payer: PACE SWMI |
$522.36
|
| Rate for Payer: PHP Medicare Advantage |
$522.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$527.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.36
|
| Rate for Payer: UHC Exchange |
$522.36
|
| Rate for Payer: UHC Medicare Advantage |
$522.36
|
|
|
PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29904
|
| Min. Negotiated Rate |
$620.50 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$831.47
|
| Rate for Payer: Aetna Medicare |
$645.32
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$620.50
|
| Rate for Payer: BCN Medicare Advantage |
$620.50
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$893.52
|
| Rate for Payer: Cofinity Commercial |
$831.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.52
|
| Rate for Payer: Nomi Health Commercial |
$744.60
|
| Rate for Payer: PACE SWMI |
$620.50
|
| Rate for Payer: PHP Medicare Advantage |
$620.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$626.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$620.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$620.50
|
| Rate for Payer: UHC Exchange |
$620.50
|
| Rate for Payer: UHC Medicare Advantage |
$620.50
|
|
|
PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29846
|
| Min. Negotiated Rate |
$505.49 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$677.36
|
| Rate for Payer: Aetna Medicare |
$525.71
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$505.49
|
| Rate for Payer: BCN Medicare Advantage |
$505.49
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$727.91
|
| Rate for Payer: Cofinity Commercial |
$677.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$505.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$530.76
|
| Rate for Payer: Nomi Health Commercial |
$606.59
|
| Rate for Payer: PACE SWMI |
$505.49
|
| Rate for Payer: PHP Medicare Advantage |
$505.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$510.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$505.49
|
| Rate for Payer: UHC Exchange |
$505.49
|
| Rate for Payer: UHC Medicare Advantage |
$505.49
|
|
|
PR ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,225.00
|
|
|
Service Code
|
HCPCS 23044
|
| Min. Negotiated Rate |
$490.00 |
| Max. Negotiated Rate |
$796.25 |
| Rate for Payer: Aetna Commercial |
$727.12
|
| Rate for Payer: Aetna Medicare |
$564.34
|
| Rate for Payer: BCBS Complete |
$490.00
|
| Rate for Payer: BCBS MAPPO |
$542.63
|
| Rate for Payer: BCN Medicare Advantage |
$542.63
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cofinity Commercial |
$781.39
|
| Rate for Payer: Cofinity Commercial |
$727.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.76
|
| Rate for Payer: Nomi Health Commercial |
$651.16
|
| Rate for Payer: PACE SWMI |
$542.63
|
| Rate for Payer: PHP Medicare Advantage |
$542.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$796.25
|
| Rate for Payer: Priority Health Medicare |
$548.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$542.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.63
|
| Rate for Payer: UHC Exchange |
$542.63
|
| Rate for Payer: UHC Medicare Advantage |
$542.63
|
|
|
PR ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG
|
Professional
|
Both
|
$805.00
|
|
|
Service Code
|
HCPCS 23101
|
| Min. Negotiated Rate |
$322.00 |
| Max. Negotiated Rate |
$638.31 |
| Rate for Payer: Aetna Commercial |
$593.98
|
| Rate for Payer: Aetna Medicare |
$461.00
|
| Rate for Payer: BCBS Complete |
$322.00
|
| Rate for Payer: BCBS MAPPO |
$443.27
|
| Rate for Payer: BCN Medicare Advantage |
$443.27
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cofinity Commercial |
$638.31
|
| Rate for Payer: Cofinity Commercial |
$593.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$465.43
|
| Rate for Payer: Nomi Health Commercial |
$531.92
|
| Rate for Payer: PACE SWMI |
$443.27
|
| Rate for Payer: PHP Medicare Advantage |
$443.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.25
|
| Rate for Payer: Priority Health Medicare |
$447.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.27
|
| Rate for Payer: UHC Exchange |
$443.27
|
| Rate for Payer: UHC Medicare Advantage |
$443.27
|
|
|
PR ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 27620
|
| Min. Negotiated Rate |
$432.11 |
| Max. Negotiated Rate |
$732.55 |
| Rate for Payer: Aetna Commercial |
$579.03
|
| Rate for Payer: Aetna Medicare |
$449.39
|
| Rate for Payer: BCBS Complete |
$450.80
|
| Rate for Payer: BCBS MAPPO |
$432.11
|
| Rate for Payer: BCN Medicare Advantage |
$432.11
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$622.24
|
| Rate for Payer: Cofinity Commercial |
$579.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.72
|
| Rate for Payer: Nomi Health Commercial |
$518.53
|
| Rate for Payer: PACE SWMI |
$432.11
|
| Rate for Payer: PHP Medicare Advantage |
$432.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.55
|
| Rate for Payer: Priority Health Medicare |
$436.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.11
|
| Rate for Payer: UHC Exchange |
$432.11
|
| Rate for Payer: UHC Medicare Advantage |
$432.11
|
|
