|
PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ
|
Professional
|
Both
|
$1,398.00
|
|
|
Service Code
|
HCPCS 27788
|
| Min. Negotiated Rate |
$264.12 |
| Max. Negotiated Rate |
$1,048.50 |
| Rate for Payer: Aetna Commercial |
$512.28
|
| Rate for Payer: Aetna Medicare |
$699.00
|
| Rate for Payer: BCBS Complete |
$277.33
|
| Rate for Payer: BCN Commercial |
$599.57
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Mclaren Medicaid |
$264.12
|
| Rate for Payer: Meridian Medicaid |
$277.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,048.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$640.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.92
|
| Rate for Payer: UHC Medicaid |
$264.12
|
| Rate for Payer: UHCCP Medicaid |
$264.12
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ
|
Professional
|
Both
|
$798.00
|
|
|
Service Code
|
HCPCS 27786
|
| Min. Negotiated Rate |
$187.23 |
| Max. Negotiated Rate |
$598.50 |
| Rate for Payer: Aetna Commercial |
$381.27
|
| Rate for Payer: Aetna Medicare |
$399.00
|
| Rate for Payer: BCBS Complete |
$196.59
|
| Rate for Payer: BCN Commercial |
$354.61
|
| Rate for Payer: Cash Price |
$638.40
|
| Rate for Payer: Cash Price |
$638.40
|
| Rate for Payer: Mclaren Medicaid |
$187.23
|
| Rate for Payer: Meridian Medicaid |
$196.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$598.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$480.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$480.69
|
| Rate for Payer: UHC Medicaid |
$187.23
|
| Rate for Payer: UHCCP Medicaid |
$187.23
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA
|
Professional
|
Both
|
$567.00
|
|
|
Service Code
|
HCPCS 26755
|
| Min. Negotiated Rate |
$190.85 |
| Max. Negotiated Rate |
$464.71 |
| Rate for Payer: Aetna Commercial |
$366.59
|
| Rate for Payer: Aetna Medicare |
$283.50
|
| Rate for Payer: BCBS Complete |
$200.39
|
| Rate for Payer: BCN Commercial |
$434.74
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Mclaren Medicaid |
$190.85
|
| Rate for Payer: Meridian Medicaid |
$200.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$464.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$464.71
|
| Rate for Payer: UHC Medicaid |
$190.85
|
| Rate for Payer: UHCCP Medicaid |
$190.85
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 26750
|
| Min. Negotiated Rate |
$132.91 |
| Max. Negotiated Rate |
$324.71 |
| Rate for Payer: Aetna Commercial |
$247.66
|
| Rate for Payer: Aetna Medicare |
$212.00
|
| Rate for Payer: BCBS Complete |
$139.56
|
| Rate for Payer: BCN Commercial |
$303.77
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Mclaren Medicaid |
$132.91
|
| Rate for Payer: Meridian Medicaid |
$139.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$324.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$324.71
|
| Rate for Payer: UHC Medicaid |
$132.91
|
| Rate for Payer: UHCCP Medicaid |
$132.91
|
|
|
PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ
|
Professional
|
Both
|
$777.00
|
|
|
Service Code
|
HCPCS 25600
|
| Min. Negotiated Rate |
$218.11 |
| Max. Negotiated Rate |
$582.75 |
| Rate for Payer: Aetna Commercial |
$422.71
|
| Rate for Payer: Aetna Medicare |
$388.50
|
| Rate for Payer: BCBS Complete |
$229.02
|
| Rate for Payer: BCN Commercial |
$405.66
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Mclaren Medicaid |
$218.11
|
| Rate for Payer: Meridian Medicaid |
$229.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$582.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$549.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$549.90
|
| Rate for Payer: UHC Medicaid |
$218.11
|
| Rate for Payer: UHCCP Medicaid |
$218.11
|
|
|
PR CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ
|
Professional
|
Both
|
$1,430.00
|
|
|
Service Code
|
HCPCS 25605
|
| Min. Negotiated Rate |
$350.39 |
| Max. Negotiated Rate |
$1,072.50 |
| Rate for Payer: Aetna Commercial |
$681.17
|
| Rate for Payer: Aetna Medicare |
$715.00
|
| Rate for Payer: BCBS Complete |
$367.91
|
| Rate for Payer: BCN Commercial |
$793.28
|
| Rate for Payer: Cash Price |
$1,144.00
|
| Rate for Payer: Cash Price |
$1,144.00
|
| Rate for Payer: Mclaren Medicaid |
$350.39
|
| Rate for Payer: Meridian Medicaid |
$367.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,072.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$848.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$848.00
|
| Rate for Payer: UHC Medicaid |
$350.39
|
| Rate for Payer: UHCCP Medicaid |
$350.39
|
|
|
PR CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING
|
Professional
|
Both
|
$1,078.00
|
|
|
Service Code
|
HCPCS 26432
|
| Min. Negotiated Rate |
$346.13 |
| Max. Negotiated Rate |
$879.40 |
| Rate for Payer: Aetna Commercial |
$712.43
|
| Rate for Payer: Aetna Medicare |
$539.00
|
| Rate for Payer: BCBS Complete |
$363.44
|
| Rate for Payer: BCN Commercial |
$822.67
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Cash Price |
$862.40
|
| Rate for Payer: Mclaren Medicaid |
$346.13
|
| Rate for Payer: Meridian Medicaid |
$363.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$808.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$346.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$879.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$879.40
|
| Rate for Payer: UHC Medicaid |
$346.13
|
| Rate for Payer: UHCCP Medicaid |
$346.13
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ
|
Professional
|
Both
|
$1,460.00
|
|
|
Service Code
|
HCPCS 27510
|
| Min. Negotiated Rate |
$428.98 |
| Max. Negotiated Rate |
$1,109.90 |
| Rate for Payer: Aetna Commercial |
$911.08
|
| Rate for Payer: Aetna Medicare |
$730.00
|
| Rate for Payer: BCBS Complete |
$450.43
|
| Rate for Payer: BCN Commercial |
$1,038.29
|
| Rate for Payer: Cash Price |
$1,168.00
|
| Rate for Payer: Cash Price |
$1,168.00
|
| Rate for Payer: Mclaren Medicaid |
$428.98
|
| Rate for Payer: Meridian Medicaid |
$450.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,095.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,109.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,109.90
|
| Rate for Payer: UHC Medicaid |
$428.98
|
| Rate for Payer: UHCCP Medicaid |
$428.98
|
|
|
PR CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ
|
Professional
|
Both
|
$1,133.00
|
|
|
Service Code
|
HCPCS 27508
|
| Min. Negotiated Rate |
$311.62 |
| Max. Negotiated Rate |
$849.75 |
| Rate for Payer: Aetna Commercial |
$663.27
|
| Rate for Payer: Aetna Medicare |
$566.50
|
| Rate for Payer: BCBS Complete |
$327.20
|
| Rate for Payer: BCN Commercial |
$770.37
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Mclaren Medicaid |
$311.62
|
| Rate for Payer: Meridian Medicaid |
$327.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$849.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$311.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$823.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$823.51
|
| Rate for Payer: UHC Medicaid |
$311.62
|
| Rate for Payer: UHCCP Medicaid |
$311.62
|
|
|
PR CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,414.00
|
|
|
Service Code
|
HCPCS 27232
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$1,183.36 |
| Rate for Payer: Aetna Commercial |
$995.08
|
| Rate for Payer: Aetna Medicare |
$707.00
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCN Commercial |
$1,107.01
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Mclaren Medicaid |
$444.32
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,060.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,183.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,183.36
|
| Rate for Payer: UHC Medicaid |
$444.32
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
|
|
PR CLTX FEM FX PROX END NCK W/O MANJ
|
Professional
|
Both
|
$1,029.00
|
|
|
Service Code
|
HCPCS 27230
|
| Min. Negotiated Rate |
$301.61 |
| Max. Negotiated Rate |
$788.92 |
| Rate for Payer: Aetna Commercial |
$634.41
|
| Rate for Payer: Aetna Medicare |
$514.50
|
| Rate for Payer: BCBS Complete |
$316.69
|
| Rate for Payer: BCN Commercial |
$738.00
|
| Rate for Payer: Cash Price |
$823.20
|
| Rate for Payer: Cash Price |
$823.20
|
| Rate for Payer: Mclaren Medicaid |
$301.61
|
| Rate for Payer: Meridian Medicaid |
$316.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$771.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$788.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$788.92
|
| Rate for Payer: UHC Medicaid |
$301.61
|
| Rate for Payer: UHCCP Medicaid |
$301.61
|
|
|
PR CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ
|
Professional
|
Both
|
$1,887.00
|
|
|
Service Code
|
HCPCS 27502
|
| Min. Negotiated Rate |
$479.89 |
| Max. Negotiated Rate |
$1,415.25 |
| Rate for Payer: Aetna Commercial |
$1,013.42
|
| Rate for Payer: Aetna Medicare |
$943.50
|
| Rate for Payer: BCBS Complete |
$503.88
|
| Rate for Payer: BCN Commercial |
$1,146.85
|
| Rate for Payer: Cash Price |
$1,509.60
|
| Rate for Payer: Cash Price |
$1,509.60
|
| Rate for Payer: Mclaren Medicaid |
$479.89
|
| Rate for Payer: Meridian Medicaid |
$503.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,415.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,225.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,225.95
|
| Rate for Payer: UHC Medicaid |
$479.89
|
| Rate for Payer: UHCCP Medicaid |
$479.89
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/MANJ
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 28495
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$250.20 |
| Rate for Payer: Aetna Commercial |
$192.97
|
| Rate for Payer: Aetna Medicare |
$117.50
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCN Commercial |
$234.05
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Mclaren Medicaid |
$98.41
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$176.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$250.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$250.20
|
| Rate for Payer: UHC Medicaid |
$98.41
|
| Rate for Payer: UHCCP Medicaid |
$98.41
|
|
|
PR CLTX FX GRT TOE PHLX/PHLG W/O MANJ
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 28490
|
| Min. Negotiated Rate |
$84.35 |
| Max. Negotiated Rate |
$234.00 |
| Rate for Payer: Aetna Commercial |
$160.73
|
| Rate for Payer: Aetna Medicare |
$156.00
|
| Rate for Payer: BCBS Complete |
$88.57
|
| Rate for Payer: BCN Commercial |
$195.70
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Mclaren Medicaid |
$84.35
|
| Rate for Payer: Meridian Medicaid |
$88.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$209.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.20
|
| Rate for Payer: UHC Medicaid |
$84.35
|
| Rate for Payer: UHCCP Medicaid |
$84.35
|
|
|
PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 28515
|
| Min. Negotiated Rate |
$92.44 |
| Max. Negotiated Rate |
$285.75 |
| Rate for Payer: Aetna Commercial |
$184.71
|
| Rate for Payer: Aetna Medicare |
$190.50
|
| Rate for Payer: BCBS Complete |
$97.06
|
| Rate for Payer: BCN Commercial |
$223.09
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Mclaren Medicaid |
$92.44
|
| Rate for Payer: Meridian Medicaid |
$97.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$238.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.48
|
| Rate for Payer: UHC Medicaid |
$92.44
|
| Rate for Payer: UHCCP Medicaid |
$92.44
|
|
|
PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 28510
|
| Min. Negotiated Rate |
$79.66 |
| Max. Negotiated Rate |
$225.75 |
| Rate for Payer: Aetna Commercial |
$155.55
|
| Rate for Payer: Aetna Medicare |
$150.50
|
| Rate for Payer: BCBS Complete |
$83.64
|
| Rate for Payer: BCN Commercial |
$189.23
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Mclaren Medicaid |
$79.66
|
| Rate for Payer: Meridian Medicaid |
$83.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$202.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.29
|
| Rate for Payer: UHC Medicaid |
$79.66
|
| Rate for Payer: UHCCP Medicaid |
$79.66
|
|
|
PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ
|
Professional
|
Both
|
$898.00
|
|
|
Service Code
|
HCPCS 27824
|
| Min. Negotiated Rate |
$202.56 |
| Max. Negotiated Rate |
$673.50 |
| Rate for Payer: Aetna Commercial |
$405.52
|
| Rate for Payer: Aetna Medicare |
$449.00
|
| Rate for Payer: BCBS Complete |
$212.69
|
| Rate for Payer: BCN Commercial |
$480.06
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Mclaren Medicaid |
$202.56
|
| Rate for Payer: Meridian Medicaid |
$212.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$673.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$513.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$513.16
|
| Rate for Payer: UHC Medicaid |
$202.56
|
| Rate for Payer: UHCCP Medicaid |
$202.56
|
|
|
PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 27825
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$1,497.00 |
| Rate for Payer: Aetna Commercial |
$656.96
|
| Rate for Payer: Aetna Medicare |
$998.00
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCN Commercial |
$763.41
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$816.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$816.06
|
| Rate for Payer: UHC Medicaid |
$305.44
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ
|
Professional
|
Both
|
$708.00
|
|
|
Service Code
|
HCPCS 23620
|
| Min. Negotiated Rate |
$173.17 |
| Max. Negotiated Rate |
$531.00 |
| Rate for Payer: Aetna Commercial |
$342.23
|
| Rate for Payer: Aetna Medicare |
$354.00
|
| Rate for Payer: BCBS Complete |
$181.83
|
| Rate for Payer: BCN Commercial |
$410.84
|
| Rate for Payer: Cash Price |
$566.40
|
| Rate for Payer: Cash Price |
$566.40
|
| Rate for Payer: Mclaren Medicaid |
$173.17
|
| Rate for Payer: Meridian Medicaid |
$181.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$531.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$439.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$439.17
|
| Rate for Payer: UHC Medicaid |
$173.17
|
| Rate for Payer: UHCCP Medicaid |
$173.17
|
|
|
PR CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION
|
Professional
|
Both
|
$680.00
|
|
|
Service Code
|
HCPCS 23625
|
| Min. Negotiated Rate |
$240.69 |
| Max. Negotiated Rate |
$584.49 |
| Rate for Payer: Aetna Commercial |
$465.59
|
| Rate for Payer: Aetna Medicare |
$340.00
|
| Rate for Payer: BCBS Complete |
$252.72
|
| Rate for Payer: BCN Commercial |
$546.78
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Mclaren Medicaid |
$240.69
|
| Rate for Payer: Meridian Medicaid |
$252.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$510.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$584.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$584.49
|
| Rate for Payer: UHC Medicaid |
$240.69
|
| Rate for Payer: UHCCP Medicaid |
$240.69
|
|
|
PR CLTX GREATER TROCHANTERIC FX W/O MANJ
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 27246
|
| Min. Negotiated Rate |
$240.69 |
| Max. Negotiated Rate |
$692.25 |
| Rate for Payer: Aetna Commercial |
$514.65
|
| Rate for Payer: Aetna Medicare |
$461.50
|
| Rate for Payer: BCBS Complete |
$252.72
|
| Rate for Payer: BCN Commercial |
$599.57
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Mclaren Medicaid |
$240.69
|
| Rate for Payer: Meridian Medicaid |
$252.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$692.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$640.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.92
|
| Rate for Payer: UHC Medicaid |
$240.69
|
| Rate for Payer: UHCCP Medicaid |
$240.69
|
|
|
PR CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA
|
Professional
|
Both
|
$2,017.00
|
|
|
Service Code
|
HCPCS 27252
|
| Min. Negotiated Rate |
$458.16 |
| Max. Negotiated Rate |
$1,512.75 |
| Rate for Payer: Aetna Commercial |
$1,012.43
|
| Rate for Payer: Aetna Medicare |
$1,008.50
|
| Rate for Payer: BCBS Complete |
$481.07
|
| Rate for Payer: BCN Commercial |
$1,134.40
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Cash Price |
$1,613.60
|
| Rate for Payer: Mclaren Medicaid |
$458.16
|
| Rate for Payer: Meridian Medicaid |
$481.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,512.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$458.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,212.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,212.64
|
| Rate for Payer: UHC Medicaid |
$458.16
|
| Rate for Payer: UHCCP Medicaid |
$458.16
|
|
|
PR CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27250
|
| Min. Negotiated Rate |
$111.40 |
| Max. Negotiated Rate |
$570.00 |
| Rate for Payer: Aetna Commercial |
$245.86
|
| Rate for Payer: Aetna Medicare |
$380.00
|
| Rate for Payer: BCBS Complete |
$116.97
|
| Rate for Payer: BCN Commercial |
$268.41
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Mclaren Medicaid |
$111.40
|
| Rate for Payer: Meridian Medicaid |
$116.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$570.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.93
|
| Rate for Payer: UHC Medicaid |
$111.40
|
| Rate for Payer: UHCCP Medicaid |
$111.40
|
|
|
PR CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ
|
Professional
|
Both
|
$699.00
|
|
|
Service Code
|
HCPCS 24576
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$529.13 |
| Rate for Payer: Aetna Commercial |
$412.52
|
| Rate for Payer: Aetna Medicare |
$349.50
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCN Commercial |
$494.99
|
| Rate for Payer: Cash Price |
$559.20
|
| Rate for Payer: Cash Price |
$559.20
|
| Rate for Payer: Mclaren Medicaid |
$215.34
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$524.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$529.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$529.13
|
| Rate for Payer: UHC Medicaid |
$215.34
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ
|
Professional
|
Both
|
$845.00
|
|
|
Service Code
|
HCPCS 24560
|
| Min. Negotiated Rate |
$204.05 |
| Max. Negotiated Rate |
$633.75 |
| Rate for Payer: Aetna Commercial |
$391.16
|
| Rate for Payer: Aetna Medicare |
$422.50
|
| Rate for Payer: BCBS Complete |
$214.25
|
| Rate for Payer: BCN Commercial |
$465.12
|
| Rate for Payer: Cash Price |
$676.00
|
| Rate for Payer: Cash Price |
$676.00
|
| Rate for Payer: Mclaren Medicaid |
$204.05
|
| Rate for Payer: Meridian Medicaid |
$214.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$633.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$497.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$497.20
|
| Rate for Payer: UHC Medicaid |
$204.05
|
| Rate for Payer: UHCCP Medicaid |
$204.05
|
|
