|
PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ
|
Professional
|
Both
|
$1,293.00
|
|
|
Service Code
|
HCPCS 24675
|
| Min. Negotiated Rate |
$270.08 |
| Max. Negotiated Rate |
$969.75 |
| Rate for Payer: Aetna Commercial |
$553.15
|
| Rate for Payer: Aetna Medicare |
$646.50
|
| Rate for Payer: BCBS Complete |
$283.58
|
| Rate for Payer: BCN Commercial |
$649.86
|
| Rate for Payer: Cash Price |
$1,034.40
|
| Rate for Payer: Cash Price |
$1,034.40
|
| Rate for Payer: Mclaren Medicaid |
$270.08
|
| Rate for Payer: Meridian Medicaid |
$283.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$969.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$694.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$694.68
|
| Rate for Payer: UHC Medicaid |
$270.08
|
| Rate for Payer: UHCCP Medicaid |
$270.08
|
|
|
PR CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 24670
|
| Min. Negotiated Rate |
$179.56 |
| Max. Negotiated Rate |
$615.75 |
| Rate for Payer: Aetna Commercial |
$353.21
|
| Rate for Payer: Aetna Medicare |
$410.50
|
| Rate for Payer: BCBS Complete |
$188.54
|
| Rate for Payer: BCN Commercial |
$423.28
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Mclaren Medicaid |
$179.56
|
| Rate for Payer: Meridian Medicaid |
$188.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$615.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$452.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.49
|
| Rate for Payer: UHC Medicaid |
$179.56
|
| Rate for Payer: UHCCP Medicaid |
$179.56
|
|
|
PR CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION
|
Professional
|
Both
|
$1,226.00
|
|
|
Service Code
|
HCPCS 25535
|
| Min. Negotiated Rate |
$289.04 |
| Max. Negotiated Rate |
$919.50 |
| Rate for Payer: Aetna Commercial |
$608.96
|
| Rate for Payer: Aetna Medicare |
$613.00
|
| Rate for Payer: BCBS Complete |
$303.49
|
| Rate for Payer: BCN Commercial |
$711.62
|
| Rate for Payer: Cash Price |
$980.80
|
| Rate for Payer: Cash Price |
$980.80
|
| Rate for Payer: Mclaren Medicaid |
$289.04
|
| Rate for Payer: Meridian Medicaid |
$303.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$919.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$760.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$760.69
|
| Rate for Payer: UHC Medicaid |
$289.04
|
| Rate for Payer: UHCCP Medicaid |
$289.04
|
|
|
PR CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$675.00
|
|
|
Service Code
|
HCPCS 25530
|
| Min. Negotiated Rate |
$162.09 |
| Max. Negotiated Rate |
$506.25 |
| Rate for Payer: Aetna Commercial |
$319.74
|
| Rate for Payer: Aetna Medicare |
$337.50
|
| Rate for Payer: BCBS Complete |
$170.19
|
| Rate for Payer: BCN Commercial |
$387.43
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Cash Price |
$540.00
|
| Rate for Payer: Mclaren Medicaid |
$162.09
|
| Rate for Payer: Meridian Medicaid |
$170.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$506.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$414.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$414.16
|
| Rate for Payer: UHC Medicaid |
$162.09
|
| Rate for Payer: UHCCP Medicaid |
$162.09
|
|
|
PR CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX
|
Professional
|
Both
|
$2,157.00
|
|
|
Service Code
|
HCPCS 21750
|
| Min. Negotiated Rate |
$421.31 |
| Max. Negotiated Rate |
$1,617.75 |
| Rate for Payer: Aetna Commercial |
$910.89
|
| Rate for Payer: Aetna Medicare |
$1,078.50
|
| Rate for Payer: BCBS Complete |
$442.38
|
| Rate for Payer: BCN Commercial |
$1,010.90
|
| Rate for Payer: Cash Price |
$1,725.60
|
| Rate for Payer: Cash Price |
$1,725.60
|
| Rate for Payer: Mclaren Medicaid |
$421.31
|
| Rate for Payer: Meridian Medicaid |
$442.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,617.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,080.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,080.62
|
| Rate for Payer: UHC Medicaid |
$421.31
|
| Rate for Payer: UHCCP Medicaid |
$421.31
|
|
|
PR CLOSURE CYSTOSTOMY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,463.00
|
|
|
Service Code
|
HCPCS 51880
|
| Min. Negotiated Rate |
$273.92 |
| Max. Negotiated Rate |
$1,097.25 |
| Rate for Payer: Aetna Commercial |
$598.61
|
| Rate for Payer: Aetna Medicare |
$731.50
|
| Rate for Payer: BCBS Complete |
$287.62
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: Cash Price |
$1,170.40
|
| Rate for Payer: Cash Price |
$1,170.40
|
| Rate for Payer: Mclaren Medicaid |
$273.92
|
| Rate for Payer: Meridian Medicaid |
$287.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,097.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$761.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$761.07
|
| Rate for Payer: UHC Medicaid |
$273.92
|
| Rate for Payer: UHCCP Medicaid |
$273.92
|
|
|
PR CLOSURE ENTEROSTOMY LG/SMALL INTESTINE
|
Professional
|
Both
|
$2,329.00
|
|
|
Service Code
|
HCPCS 44620
|
| Min. Negotiated Rate |
$512.69 |
| Max. Negotiated Rate |
$1,746.75 |
| Rate for Payer: Aetna Commercial |
$1,162.18
|
| Rate for Payer: Aetna Medicare |
$1,164.50
|
| Rate for Payer: BCBS Complete |
$538.32
|
| Rate for Payer: BCN Commercial |
$1,293.75
|
| Rate for Payer: Cash Price |
$1,863.20
|
| Rate for Payer: Cash Price |
$1,863.20
|
| Rate for Payer: Mclaren Medicaid |
$512.69
|
| Rate for Payer: Meridian Medicaid |
$538.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,746.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,576.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,576.35
|
| Rate for Payer: UHC Medicaid |
$512.69
|
| Rate for Payer: UHCCP Medicaid |
$512.69
|
|
|
PR CLOSURE GASTROCOLIC FISTULA
|
Professional
|
Both
|
$4,010.00
|
|
|
Service Code
|
HCPCS 43880
|
| Min. Negotiated Rate |
$954.45 |
| Max. Negotiated Rate |
$3,007.50 |
| Rate for Payer: Aetna Commercial |
$2,144.57
|
| Rate for Payer: Aetna Medicare |
$2,005.00
|
| Rate for Payer: BCBS Complete |
$1,002.17
|
| Rate for Payer: BCN Commercial |
$2,411.72
|
| Rate for Payer: Cash Price |
$3,208.00
|
| Rate for Payer: Cash Price |
$3,208.00
|
| Rate for Payer: Mclaren Medicaid |
$954.45
|
| Rate for Payer: Meridian Medicaid |
$1,002.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,007.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$954.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,938.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,938.52
|
| Rate for Payer: UHC Medicaid |
$954.45
|
| Rate for Payer: UHCCP Medicaid |
$954.45
|
|
|
PR CLOSURE GASTROSTOMY SURGICAL
|
Professional
|
Both
|
$2,014.00
|
|
|
Service Code
|
HCPCS 43870
|
| Min. Negotiated Rate |
$429.62 |
| Max. Negotiated Rate |
$1,510.50 |
| Rate for Payer: Aetna Commercial |
$958.29
|
| Rate for Payer: Aetna Medicare |
$1,007.00
|
| Rate for Payer: BCBS Complete |
$451.10
|
| Rate for Payer: BCN Commercial |
$1,067.67
|
| Rate for Payer: Cash Price |
$1,611.20
|
| Rate for Payer: Cash Price |
$1,611.20
|
| Rate for Payer: Mclaren Medicaid |
$429.62
|
| Rate for Payer: Meridian Medicaid |
$451.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,510.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,300.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,300.89
|
| Rate for Payer: UHC Medicaid |
$429.62
|
| Rate for Payer: UHCCP Medicaid |
$429.62
|
|
|
PR CLOSURE INTESTINAL CUTANEOUS FISTULA
|
Professional
|
Both
|
$2,622.00
|
|
|
Service Code
|
HCPCS 44640
|
| Min. Negotiated Rate |
$818.77 |
| Max. Negotiated Rate |
$2,538.06 |
| Rate for Payer: Aetna Commercial |
$1,881.85
|
| Rate for Payer: Aetna Medicare |
$1,311.00
|
| Rate for Payer: BCBS Complete |
$859.71
|
| Rate for Payer: BCN Commercial |
$2,083.06
|
| Rate for Payer: Cash Price |
$2,097.60
|
| Rate for Payer: Cash Price |
$2,097.60
|
| Rate for Payer: Mclaren Medicaid |
$818.77
|
| Rate for Payer: Meridian Medicaid |
$859.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,966.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,538.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,538.06
|
| Rate for Payer: UHC Medicaid |
$818.77
|
| Rate for Payer: UHCCP Medicaid |
$818.77
|
|
|
PR CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 40830
|
| Min. Negotiated Rate |
$88.40 |
| Max. Negotiated Rate |
$414.75 |
| Rate for Payer: Aetna Commercial |
$217.18
|
| Rate for Payer: Aetna Medicare |
$276.50
|
| Rate for Payer: BCBS Complete |
$92.82
|
| Rate for Payer: BCN Commercial |
$221.60
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Mclaren Medicaid |
$88.40
|
| Rate for Payer: Meridian Medicaid |
$92.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$414.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$88.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$270.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$270.00
|
| Rate for Payer: UHC Medicaid |
$88.40
|
| Rate for Payer: UHCCP Medicaid |
$88.40
|
|
|
PR CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL
|
Professional
|
Both
|
$712.00
|
|
|
Service Code
|
HCPCS 40831
|
| Min. Negotiated Rate |
$123.33 |
| Max. Negotiated Rate |
$534.00 |
| Rate for Payer: Aetna Commercial |
$299.67
|
| Rate for Payer: Aetna Medicare |
$356.00
|
| Rate for Payer: BCBS Complete |
$129.50
|
| Rate for Payer: BCN Commercial |
$306.26
|
| Rate for Payer: Cash Price |
$569.60
|
| Rate for Payer: Cash Price |
$569.60
|
| Rate for Payer: Mclaren Medicaid |
$123.33
|
| Rate for Payer: Meridian Medicaid |
$129.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$534.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$373.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$373.15
|
| Rate for Payer: UHC Medicaid |
$123.33
|
| Rate for Payer: UHCCP Medicaid |
$123.33
|
|
|
PR CLOSURE RECTOURETHRAL FISTULA
|
Professional
|
Both
|
$3,381.00
|
|
|
Service Code
|
HCPCS 45820
|
| Min. Negotiated Rate |
$772.98 |
| Max. Negotiated Rate |
$2,535.75 |
| Rate for Payer: Aetna Commercial |
$1,722.58
|
| Rate for Payer: Aetna Medicare |
$1,690.50
|
| Rate for Payer: BCBS Complete |
$811.63
|
| Rate for Payer: BCN Commercial |
$1,917.72
|
| Rate for Payer: Cash Price |
$2,704.80
|
| Rate for Payer: Cash Price |
$2,704.80
|
| Rate for Payer: Mclaren Medicaid |
$772.98
|
| Rate for Payer: Meridian Medicaid |
$811.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,535.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$772.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,336.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,336.62
|
| Rate for Payer: UHC Medicaid |
$772.98
|
| Rate for Payer: UHCCP Medicaid |
$772.98
|
|
|
PR CLOSURE RECTOVESICAL FISTULA
|
Professional
|
Both
|
$2,945.00
|
|
|
Service Code
|
HCPCS 45800
|
| Min. Negotiated Rate |
$771.27 |
| Max. Negotiated Rate |
$2,331.16 |
| Rate for Payer: Aetna Commercial |
$1,718.44
|
| Rate for Payer: Aetna Medicare |
$1,472.50
|
| Rate for Payer: BCBS Complete |
$809.83
|
| Rate for Payer: BCN Commercial |
$1,913.24
|
| Rate for Payer: Cash Price |
$2,356.00
|
| Rate for Payer: Cash Price |
$2,356.00
|
| Rate for Payer: Mclaren Medicaid |
$771.27
|
| Rate for Payer: Meridian Medicaid |
$809.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,208.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$771.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,331.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,331.16
|
| Rate for Payer: UHC Medicaid |
$771.27
|
| Rate for Payer: UHCCP Medicaid |
$771.27
|
|
|
PR CLOSURE SALIVARY FISTULA
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 42600
|
| Min. Negotiated Rate |
$203.63 |
| Max. Negotiated Rate |
$658.33 |
| Rate for Payer: Aetna Commercial |
$464.04
|
| Rate for Payer: Aetna Medicare |
$421.50
|
| Rate for Payer: BCBS Complete |
$213.81
|
| Rate for Payer: BCN Commercial |
$540.31
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Mclaren Medicaid |
$203.63
|
| Rate for Payer: Meridian Medicaid |
$213.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$658.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$658.33
|
| Rate for Payer: UHC Medicaid |
$203.63
|
| Rate for Payer: UHCCP Medicaid |
$203.63
|
|
|
PR CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH
|
Professional
|
Both
|
$992.00
|
|
|
Service Code
|
HCPCS 57320
|
| Min. Negotiated Rate |
$319.93 |
| Max. Negotiated Rate |
$857.89 |
| Rate for Payer: Aetna Commercial |
$662.82
|
| Rate for Payer: Aetna Medicare |
$496.00
|
| Rate for Payer: BCBS Complete |
$335.93
|
| Rate for Payer: BCN Commercial |
$847.06
|
| Rate for Payer: Cash Price |
$793.60
|
| Rate for Payer: Cash Price |
$793.60
|
| Rate for Payer: Mclaren Medicaid |
$319.93
|
| Rate for Payer: Meridian Medicaid |
$335.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$744.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$857.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$857.89
|
| Rate for Payer: UHC Medicaid |
$319.93
|
| Rate for Payer: UHCCP Medicaid |
$319.93
|
|
|
PR CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION
|
Professional
|
Both
|
$616.00
|
|
|
Service Code
|
HCPCS 23540
|
| Min. Negotiated Rate |
$163.80 |
| Max. Negotiated Rate |
$462.00 |
| Rate for Payer: Aetna Commercial |
$308.76
|
| Rate for Payer: Aetna Medicare |
$308.00
|
| Rate for Payer: BCBS Complete |
$171.99
|
| Rate for Payer: BCN Commercial |
$372.99
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Cash Price |
$492.80
|
| Rate for Payer: Mclaren Medicaid |
$163.80
|
| Rate for Payer: Meridian Medicaid |
$171.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$462.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$398.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.72
|
| Rate for Payer: UHC Medicaid |
$163.80
|
| Rate for Payer: UHCCP Medicaid |
$163.80
|
|
|
PR CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
HCPCS 23500
|
| Min. Negotiated Rate |
$156.34 |
| Max. Negotiated Rate |
$398.25 |
| Rate for Payer: Aetna Commercial |
$299.45
|
| Rate for Payer: Aetna Medicare |
$265.50
|
| Rate for Payer: BCBS Complete |
$164.16
|
| Rate for Payer: BCN Commercial |
$363.53
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Mclaren Medicaid |
$156.34
|
| Rate for Payer: Meridian Medicaid |
$164.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$398.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$388.60
|
| Rate for Payer: UHC Medicaid |
$156.34
|
| Rate for Payer: UHCCP Medicaid |
$156.34
|
|
|
PR CLSD TX PELVIC RING FX W/MANIPULATION W/ANES
|
Professional
|
Both
|
$473.00
|
|
|
Service Code
|
HCPCS 27198
|
| Min. Negotiated Rate |
$181.26 |
| Max. Negotiated Rate |
$511.04 |
| Rate for Payer: Aetna Commercial |
$423.91
|
| Rate for Payer: Aetna Medicare |
$236.50
|
| Rate for Payer: BCBS Complete |
$190.32
|
| Rate for Payer: BCN Commercial |
$478.07
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Mclaren Medicaid |
$181.26
|
| Rate for Payer: Meridian Medicaid |
$190.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$354.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$511.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$511.04
|
| Rate for Payer: UHC Medicaid |
$181.26
|
| Rate for Payer: UHCCP Medicaid |
$181.26
|
|
|
PR CLSD TX PELVIC RING FX W/O MANIPULATION
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 27197
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$214.53 |
| Rate for Payer: Aetna Commercial |
$174.74
|
| Rate for Payer: Aetna Medicare |
$121.50
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCN Commercial |
$200.69
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Mclaren Medicaid |
$78.81
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$182.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$214.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.53
|
| Rate for Payer: UHC Medicaid |
$78.81
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
|
|
PR CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES
|
Professional
|
Both
|
$1,062.00
|
|
|
Service Code
|
HCPCS 23655
|
| Min. Negotiated Rate |
$267.10 |
| Max. Negotiated Rate |
$796.50 |
| Rate for Payer: Aetna Commercial |
$542.19
|
| Rate for Payer: Aetna Medicare |
$531.00
|
| Rate for Payer: BCBS Complete |
$280.45
|
| Rate for Payer: BCN Commercial |
$631.94
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Mclaren Medicaid |
$267.10
|
| Rate for Payer: Meridian Medicaid |
$280.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$675.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.53
|
| Rate for Payer: UHC Medicaid |
$267.10
|
| Rate for Payer: UHCCP Medicaid |
$267.10
|
|
|
PR CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 23650
|
| Min. Negotiated Rate |
$234.51 |
| Max. Negotiated Rate |
$536.25 |
| Rate for Payer: Aetna Commercial |
$390.39
|
| Rate for Payer: Aetna Medicare |
$357.50
|
| Rate for Payer: BCBS Complete |
$246.24
|
| Rate for Payer: BCN Commercial |
$473.58
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Mclaren Medicaid |
$234.51
|
| Rate for Payer: Meridian Medicaid |
$246.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$536.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$506.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.25
|
| Rate for Payer: UHC Medicaid |
$234.51
|
| Rate for Payer: UHCCP Medicaid |
$234.51
|
|
|
PR CLSR ANAL FSTL W/RCT ADVMNT FLAP
|
Professional
|
Both
|
$1,728.00
|
|
|
Service Code
|
HCPCS 46288
|
| Min. Negotiated Rate |
$352.30 |
| Max. Negotiated Rate |
$1,296.00 |
| Rate for Payer: Aetna Commercial |
$741.11
|
| Rate for Payer: Aetna Medicare |
$864.00
|
| Rate for Payer: BCBS Complete |
$369.92
|
| Rate for Payer: BCN Commercial |
$847.57
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Mclaren Medicaid |
$352.30
|
| Rate for Payer: Meridian Medicaid |
$369.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,296.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,032.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,032.71
|
| Rate for Payer: UHC Medicaid |
$352.30
|
| Rate for Payer: UHCCP Medicaid |
$352.30
|
|
|
PR CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA
|
Professional
|
Both
|
$1,928.00
|
|
|
Service Code
|
HCPCS 32810
|
| Min. Negotiated Rate |
$557.21 |
| Max. Negotiated Rate |
$1,446.00 |
| Rate for Payer: Aetna Commercial |
$1,159.79
|
| Rate for Payer: Aetna Medicare |
$964.00
|
| Rate for Payer: BCBS Complete |
$585.07
|
| Rate for Payer: BCN Commercial |
$1,340.07
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Mclaren Medicaid |
$557.21
|
| Rate for Payer: Meridian Medicaid |
$585.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,446.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$557.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,261.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.94
|
| Rate for Payer: UHC Medicaid |
$557.21
|
| Rate for Payer: UHCCP Medicaid |
$557.21
|
|
|
PR CLSR ENTEROENTERIC/ENTEROCOLIC FSTL
|
Professional
|
Both
|
$2,656.00
|
|
|
Service Code
|
HCPCS 44650
|
| Min. Negotiated Rate |
$843.91 |
| Max. Negotiated Rate |
$2,611.48 |
| Rate for Payer: Aetna Commercial |
$1,939.64
|
| Rate for Payer: Aetna Medicare |
$1,328.00
|
| Rate for Payer: BCBS Complete |
$886.11
|
| Rate for Payer: BCN Commercial |
$2,143.31
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Mclaren Medicaid |
$843.91
|
| Rate for Payer: Meridian Medicaid |
$886.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,992.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$843.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,611.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,611.48
|
| Rate for Payer: UHC Medicaid |
$843.91
|
| Rate for Payer: UHCCP Medicaid |
$843.91
|
|
