|
PR CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT
|
Professional
|
Both
|
$2,913.00
|
|
|
Service Code
|
HCPCS 44625
|
| Min. Negotiated Rate |
$203.40 |
| Max. Negotiated Rate |
$1,893.45 |
| Rate for Payer: Aetna Commercial |
$1,301.43
|
| Rate for Payer: Aetna Medicare |
$1,010.07
|
| Rate for Payer: BCBS Complete |
$677.44
|
| Rate for Payer: BCBS MAPPO |
$971.22
|
| Rate for Payer: BCBS Trust/PPO |
$203.40
|
| Rate for Payer: BCN Commercial |
$1,467.49
|
| Rate for Payer: BCN Medicare Advantage |
$971.22
|
| Rate for Payer: Cash Price |
$2,330.40
|
| Rate for Payer: Cash Price |
$2,330.40
|
| Rate for Payer: Cofinity Commercial |
$1,398.56
|
| Rate for Payer: Cofinity Commercial |
$1,301.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$971.22
|
| Rate for Payer: Mclaren Medicaid |
$645.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,019.78
|
| Rate for Payer: Meridian Medicaid |
$677.44
|
| Rate for Payer: Nomi Health Commercial |
$1,165.46
|
| Rate for Payer: PACE SWMI |
$971.22
|
| Rate for Payer: PHP Medicare Advantage |
$971.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,893.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,800.53
|
| Rate for Payer: Priority Health Medicare |
$980.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,800.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$971.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$971.22
|
| Rate for Payer: UHC Exchange |
$971.22
|
| Rate for Payer: UHC Medicare Advantage |
$971.22
|
| Rate for Payer: UHCCP Medicaid |
$645.18
|
|
|
PR CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS
|
Professional
|
Both
|
$2,972.00
|
|
|
Service Code
|
HCPCS 44626
|
| Min. Negotiated Rate |
$205.51 |
| Max. Negotiated Rate |
$2,827.86 |
| Rate for Payer: Aetna Commercial |
$2,055.79
|
| Rate for Payer: Aetna Medicare |
$1,595.54
|
| Rate for Payer: BCBS Complete |
$1,064.12
|
| Rate for Payer: BCBS MAPPO |
$1,534.17
|
| Rate for Payer: BCBS Trust/PPO |
$205.51
|
| Rate for Payer: BCN Commercial |
$2,311.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,534.17
|
| Rate for Payer: Cash Price |
$2,377.60
|
| Rate for Payer: Cash Price |
$2,377.60
|
| Rate for Payer: Cofinity Commercial |
$2,209.20
|
| Rate for Payer: Cofinity Commercial |
$2,055.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,534.17
|
| Rate for Payer: Mclaren Medicaid |
$1,013.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,610.88
|
| Rate for Payer: Meridian Medicaid |
$1,064.12
|
| Rate for Payer: Nomi Health Commercial |
$1,841.00
|
| Rate for Payer: PACE SWMI |
$1,534.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,534.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,013.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,931.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,827.86
|
| Rate for Payer: Priority Health Medicare |
$1,549.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,827.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,534.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,534.17
|
| Rate for Payer: UHC Exchange |
$1,534.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,534.17
|
| Rate for Payer: UHCCP Medicaid |
$1,013.45
|
|
|
PR CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ
|
Professional
|
Both
|
$1,471.00
|
|
|
Service Code
|
HCPCS 57308
|
| Min. Negotiated Rate |
$427.49 |
| Max. Negotiated Rate |
$1,574.86 |
| Rate for Payer: Aetna Commercial |
$849.59
|
| Rate for Payer: Aetna Medicare |
$659.38
|
| Rate for Payer: BCBS Complete |
$448.86
|
| Rate for Payer: BCBS MAPPO |
$634.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,574.86
|
| Rate for Payer: BCN Commercial |
$970.51
|
| Rate for Payer: BCN Medicare Advantage |
$634.02
|
| Rate for Payer: Cash Price |
$1,176.80
|
| Rate for Payer: Cash Price |
$1,176.80
|
| Rate for Payer: Cofinity Commercial |
$912.99
|
| Rate for Payer: Cofinity Commercial |
$849.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$634.02
|
| Rate for Payer: Mclaren Medicaid |
$427.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$665.72
|
| Rate for Payer: Meridian Medicaid |
$448.86
|
| Rate for Payer: Nomi Health Commercial |
$760.82
|
| Rate for Payer: PACE SWMI |
$634.02
|
| Rate for Payer: PHP Medicare Advantage |
$634.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$956.15
|
| Rate for Payer: Priority Health HMO/PPO |
$992.59
|
| Rate for Payer: Priority Health Medicare |
$640.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$992.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$634.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$634.02
|
| Rate for Payer: UHC Exchange |
$634.02
|
| Rate for Payer: UHC Medicare Advantage |
$634.02
|
| Rate for Payer: UHCCP Medicaid |
$427.49
|
|
|
PR CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH
|
Professional
|
Both
|
$1,976.00
|
|
|
Service Code
|
HCPCS 57305
|
| Min. Negotiated Rate |
$623.88 |
| Max. Negotiated Rate |
$2,391.09 |
| Rate for Payer: Aetna Commercial |
$1,247.81
|
| Rate for Payer: Aetna Medicare |
$968.45
|
| Rate for Payer: BCBS Complete |
$655.07
|
| Rate for Payer: BCBS MAPPO |
$931.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,391.09
|
| Rate for Payer: BCN Commercial |
$1,444.05
|
| Rate for Payer: BCN Medicare Advantage |
$931.20
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cofinity Commercial |
$1,340.93
|
| Rate for Payer: Cofinity Commercial |
$1,247.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$931.20
|
| Rate for Payer: Mclaren Medicaid |
$623.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$977.76
|
| Rate for Payer: Meridian Medicaid |
$655.07
|
| Rate for Payer: Nomi Health Commercial |
$1,117.44
|
| Rate for Payer: PACE SWMI |
$931.20
|
| Rate for Payer: PHP Medicare Advantage |
$931.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,284.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,461.35
|
| Rate for Payer: Priority Health Medicare |
$940.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,461.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$931.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$931.20
|
| Rate for Payer: UHC Exchange |
$931.20
|
| Rate for Payer: UHC Medicare Advantage |
$931.20
|
| Rate for Payer: UHCCP Medicaid |
$623.88
|
|
|
PR CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR
|
Professional
|
Both
|
$1,321.00
|
|
|
Service Code
|
HCPCS 57300
|
| Min. Negotiated Rate |
$393.20 |
| Max. Negotiated Rate |
$2,627.76 |
| Rate for Payer: Aetna Commercial |
$779.89
|
| Rate for Payer: Aetna Medicare |
$605.29
|
| Rate for Payer: BCBS Complete |
$412.86
|
| Rate for Payer: BCBS MAPPO |
$582.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,627.76
|
| Rate for Payer: BCN Commercial |
$898.67
|
| Rate for Payer: BCN Medicare Advantage |
$582.01
|
| Rate for Payer: Cash Price |
$1,056.80
|
| Rate for Payer: Cash Price |
$1,056.80
|
| Rate for Payer: Cofinity Commercial |
$838.09
|
| Rate for Payer: Cofinity Commercial |
$779.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$582.01
|
| Rate for Payer: Mclaren Medicaid |
$393.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$611.11
|
| Rate for Payer: Meridian Medicaid |
$412.86
|
| Rate for Payer: Nomi Health Commercial |
$698.41
|
| Rate for Payer: PACE SWMI |
$582.01
|
| Rate for Payer: PHP Medicare Advantage |
$582.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.65
|
| Rate for Payer: Priority Health HMO/PPO |
$920.16
|
| Rate for Payer: Priority Health Medicare |
$587.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$920.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$582.01
|
| Rate for Payer: UHC Exchange |
$582.01
|
| Rate for Payer: UHC Medicare Advantage |
$582.01
|
| Rate for Payer: UHCCP Medicaid |
$393.20
|
|
|
PR CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX
|
Professional
|
Both
|
$1,153.00
|
|
|
Service Code
|
HCPCS 53520
|
| Min. Negotiated Rate |
$256.23 |
| Max. Negotiated Rate |
$894.24 |
| Rate for Payer: Aetna Commercial |
$716.56
|
| Rate for Payer: Aetna Medicare |
$556.14
|
| Rate for Payer: BCBS Complete |
$377.75
|
| Rate for Payer: BCBS MAPPO |
$534.75
|
| Rate for Payer: BCBS Trust/PPO |
$256.23
|
| Rate for Payer: BCN Commercial |
$808.27
|
| Rate for Payer: BCN Medicare Advantage |
$534.75
|
| Rate for Payer: Cash Price |
$922.40
|
| Rate for Payer: Cash Price |
$922.40
|
| Rate for Payer: Cofinity Commercial |
$770.04
|
| Rate for Payer: Cofinity Commercial |
$716.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.75
|
| Rate for Payer: Mclaren Medicaid |
$359.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$561.49
|
| Rate for Payer: Meridian Medicaid |
$377.75
|
| Rate for Payer: Nomi Health Commercial |
$641.70
|
| Rate for Payer: PACE SWMI |
$534.75
|
| Rate for Payer: PHP Medicare Advantage |
$534.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.45
|
| Rate for Payer: Priority Health HMO/PPO |
$894.24
|
| Rate for Payer: Priority Health Medicare |
$540.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$894.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$534.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$534.75
|
| Rate for Payer: UHC Exchange |
$534.75
|
| Rate for Payer: UHC Medicare Advantage |
$534.75
|
| Rate for Payer: UHCCP Medicaid |
$359.76
|
|
|
PR CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 57311
|
| Min. Negotiated Rate |
$357.41 |
| Max. Negotiated Rate |
$2,101.05 |
| Rate for Payer: Aetna Commercial |
$709.11
|
| Rate for Payer: Aetna Medicare |
$550.36
|
| Rate for Payer: BCBS Complete |
$375.28
|
| Rate for Payer: BCBS MAPPO |
$529.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,101.05
|
| Rate for Payer: BCN Commercial |
$808.27
|
| Rate for Payer: BCN Medicare Advantage |
$529.19
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$762.03
|
| Rate for Payer: Cofinity Commercial |
$709.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$529.19
|
| Rate for Payer: Mclaren Medicaid |
$357.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.65
|
| Rate for Payer: Meridian Medicaid |
$375.28
|
| Rate for Payer: Nomi Health Commercial |
$635.03
|
| Rate for Payer: PACE SWMI |
$529.19
|
| Rate for Payer: PHP Medicare Advantage |
$529.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$357.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.95
|
| Rate for Payer: Priority Health HMO/PPO |
$830.88
|
| Rate for Payer: Priority Health Medicare |
$534.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$830.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$529.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$529.19
|
| Rate for Payer: UHC Exchange |
$529.19
|
| Rate for Payer: UHC Medicare Advantage |
$529.19
|
| Rate for Payer: UHCCP Medicaid |
$357.41
|
|
|
PR CLSR VESICOVAGINAL FISTUL AABDL APPROACH
|
Professional
|
Both
|
$3,916.00
|
|
|
Service Code
|
HCPCS 51900
|
| Min. Negotiated Rate |
$528.24 |
| Max. Negotiated Rate |
$2,545.40 |
| Rate for Payer: Aetna Commercial |
$1,055.92
|
| Rate for Payer: Aetna Medicare |
$819.52
|
| Rate for Payer: BCBS Complete |
$554.65
|
| Rate for Payer: BCBS MAPPO |
$788.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,789.35
|
| Rate for Payer: BCN Commercial |
$1,187.98
|
| Rate for Payer: BCN Medicare Advantage |
$788.00
|
| Rate for Payer: Cash Price |
$3,132.80
|
| Rate for Payer: Cash Price |
$3,132.80
|
| Rate for Payer: Cofinity Commercial |
$1,134.72
|
| Rate for Payer: Cofinity Commercial |
$1,055.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$788.00
|
| Rate for Payer: Mclaren Medicaid |
$528.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$827.40
|
| Rate for Payer: Meridian Medicaid |
$554.65
|
| Rate for Payer: Nomi Health Commercial |
$945.60
|
| Rate for Payer: PACE SWMI |
$788.00
|
| Rate for Payer: PHP Medicare Advantage |
$788.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,545.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,310.74
|
| Rate for Payer: Priority Health Medicare |
$795.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,310.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$788.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$788.00
|
| Rate for Payer: UHC Exchange |
$788.00
|
| Rate for Payer: UHC Medicare Advantage |
$788.00
|
| Rate for Payer: UHCCP Medicaid |
$528.24
|
|
|
PR CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$2,274.00
|
|
|
Service Code
|
HCPCS 27222
|
| Min. Negotiated Rate |
$637.08 |
| Max. Negotiated Rate |
$2,011.24 |
| Rate for Payer: Aetna Commercial |
$1,267.84
|
| Rate for Payer: Aetna Medicare |
$984.00
|
| Rate for Payer: BCBS Complete |
$668.93
|
| Rate for Payer: BCBS MAPPO |
$946.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,011.24
|
| Rate for Payer: BCN Commercial |
$1,446.98
|
| Rate for Payer: BCN Medicare Advantage |
$946.15
|
| Rate for Payer: Cash Price |
$1,819.20
|
| Rate for Payer: Cash Price |
$1,819.20
|
| Rate for Payer: Cofinity Commercial |
$1,362.46
|
| Rate for Payer: Cofinity Commercial |
$1,267.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$946.15
|
| Rate for Payer: Mclaren Medicaid |
$637.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$993.46
|
| Rate for Payer: Meridian Medicaid |
$668.93
|
| Rate for Payer: Nomi Health Commercial |
$1,135.38
|
| Rate for Payer: PACE SWMI |
$946.15
|
| Rate for Payer: PHP Medicare Advantage |
$946.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,478.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,508.26
|
| Rate for Payer: Priority Health Medicare |
$955.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,508.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$946.15
|
| Rate for Payer: UHC Exchange |
$946.15
|
| Rate for Payer: UHC Medicare Advantage |
$946.15
|
| Rate for Payer: UHCCP Medicaid |
$637.08
|
|
|
PR CLTX ACETABULUM HIP/SOCKT FX W/O MANJ
|
Professional
|
Both
|
$1,679.00
|
|
|
Service Code
|
HCPCS 27220
|
| Min. Negotiated Rate |
$271.15 |
| Max. Negotiated Rate |
$2,011.24 |
| Rate for Payer: Aetna Commercial |
$536.60
|
| Rate for Payer: Aetna Medicare |
$416.47
|
| Rate for Payer: BCBS Complete |
$284.71
|
| Rate for Payer: BCBS MAPPO |
$400.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,011.24
|
| Rate for Payer: BCN Commercial |
$620.13
|
| Rate for Payer: BCN Medicare Advantage |
$400.45
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cofinity Commercial |
$576.65
|
| Rate for Payer: Cofinity Commercial |
$536.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.45
|
| Rate for Payer: Mclaren Medicaid |
$271.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$420.47
|
| Rate for Payer: Meridian Medicaid |
$284.71
|
| Rate for Payer: Nomi Health Commercial |
$480.54
|
| Rate for Payer: PACE SWMI |
$400.45
|
| Rate for Payer: PHP Medicare Advantage |
$400.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,091.35
|
| Rate for Payer: Priority Health HMO/PPO |
$642.69
|
| Rate for Payer: Priority Health Medicare |
$404.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$642.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$400.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$400.45
|
| Rate for Payer: UHC Exchange |
$400.45
|
| Rate for Payer: UHC Medicare Advantage |
$400.45
|
| Rate for Payer: UHCCP Medicaid |
$271.15
|
|
|
PR CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ
|
Professional
|
Both
|
$1,414.00
|
|
|
Service Code
|
HCPCS 27842
|
| Min. Negotiated Rate |
$324.40 |
| Max. Negotiated Rate |
$1,704.38 |
| Rate for Payer: Aetna Commercial |
$640.49
|
| Rate for Payer: Aetna Medicare |
$497.10
|
| Rate for Payer: BCBS Complete |
$340.62
|
| Rate for Payer: BCBS MAPPO |
$477.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,704.38
|
| Rate for Payer: BCN Commercial |
$727.64
|
| Rate for Payer: BCN Medicare Advantage |
$477.98
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cash Price |
$1,131.20
|
| Rate for Payer: Cofinity Commercial |
$688.29
|
| Rate for Payer: Cofinity Commercial |
$640.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.98
|
| Rate for Payer: Mclaren Medicaid |
$324.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.88
|
| Rate for Payer: Meridian Medicaid |
$340.62
|
| Rate for Payer: Nomi Health Commercial |
$573.58
|
| Rate for Payer: PACE SWMI |
$477.98
|
| Rate for Payer: PHP Medicare Advantage |
$477.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$919.10
|
| Rate for Payer: Priority Health HMO/PPO |
$768.88
|
| Rate for Payer: Priority Health Medicare |
$482.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$768.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$477.98
|
| Rate for Payer: UHC Exchange |
$477.98
|
| Rate for Payer: UHC Medicare Advantage |
$477.98
|
| Rate for Payer: UHCCP Medicaid |
$324.40
|
|
|
PR CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ
|
Professional
|
Both
|
$935.00
|
|
|
Service Code
|
HCPCS 26742
|
| Min. Negotiated Rate |
$183.81 |
| Max. Negotiated Rate |
$607.75 |
| Rate for Payer: Aetna Commercial |
$440.61
|
| Rate for Payer: Aetna Medicare |
$341.96
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$328.81
|
| Rate for Payer: BCBS Trust/PPO |
$183.81
|
| Rate for Payer: BCN Commercial |
$562.96
|
| Rate for Payer: BCN Medicare Advantage |
$328.81
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cofinity Commercial |
$473.49
|
| Rate for Payer: Cofinity Commercial |
$440.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.81
|
| Rate for Payer: Mclaren Medicaid |
$224.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.25
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Nomi Health Commercial |
$394.57
|
| Rate for Payer: PACE SWMI |
$328.81
|
| Rate for Payer: PHP Medicare Advantage |
$328.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.75
|
| Rate for Payer: Priority Health HMO/PPO |
$531.25
|
| Rate for Payer: Priority Health Medicare |
$332.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$531.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.81
|
| Rate for Payer: UHC Exchange |
$328.81
|
| Rate for Payer: UHC Medicare Advantage |
$328.81
|
| Rate for Payer: UHCCP Medicaid |
$224.72
|
|
|
PR CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ
|
Professional
|
Both
|
$632.00
|
|
|
Service Code
|
HCPCS 26740
|
| Min. Negotiated Rate |
$150.17 |
| Max. Negotiated Rate |
$410.80 |
| Rate for Payer: Aetna Commercial |
$290.79
|
| Rate for Payer: Aetna Medicare |
$225.69
|
| Rate for Payer: BCBS Complete |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$217.01
|
| Rate for Payer: BCBS Trust/PPO |
$153.74
|
| Rate for Payer: BCN Commercial |
$350.87
|
| Rate for Payer: BCN Medicare Advantage |
$217.01
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cofinity Commercial |
$312.49
|
| Rate for Payer: Cofinity Commercial |
$290.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.01
|
| Rate for Payer: Mclaren Medicaid |
$150.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.86
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Nomi Health Commercial |
$260.41
|
| Rate for Payer: PACE SWMI |
$217.01
|
| Rate for Payer: PHP Medicare Advantage |
$217.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.80
|
| Rate for Payer: Priority Health HMO/PPO |
$353.16
|
| Rate for Payer: Priority Health Medicare |
$219.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$217.01
|
| Rate for Payer: UHC Exchange |
$217.01
|
| Rate for Payer: UHC Medicare Advantage |
$217.01
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
|
|
PR CLTX CARPAL BONE FX W/MNPJ EACH BONE
|
Professional
|
Both
|
$1,123.00
|
|
|
Service Code
|
HCPCS 25635
|
| Min. Negotiated Rate |
$283.72 |
| Max. Negotiated Rate |
$1,016.45 |
| Rate for Payer: Aetna Commercial |
$554.42
|
| Rate for Payer: Aetna Medicare |
$430.30
|
| Rate for Payer: BCBS Complete |
$297.91
|
| Rate for Payer: BCBS MAPPO |
$413.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,016.45
|
| Rate for Payer: BCN Commercial |
$697.83
|
| Rate for Payer: BCN Medicare Advantage |
$413.75
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cash Price |
$898.40
|
| Rate for Payer: Cofinity Commercial |
$595.80
|
| Rate for Payer: Cofinity Commercial |
$554.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.75
|
| Rate for Payer: Mclaren Medicaid |
$283.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.44
|
| Rate for Payer: Meridian Medicaid |
$297.91
|
| Rate for Payer: Nomi Health Commercial |
$496.50
|
| Rate for Payer: PACE SWMI |
$413.75
|
| Rate for Payer: PHP Medicare Advantage |
$413.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$729.95
|
| Rate for Payer: Priority Health HMO/PPO |
$670.68
|
| Rate for Payer: Priority Health Medicare |
$417.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$670.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$413.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.75
|
| Rate for Payer: UHC Exchange |
$413.75
|
| Rate for Payer: UHC Medicare Advantage |
$413.75
|
| Rate for Payer: UHCCP Medicaid |
$283.72
|
|
|
PR CLTX CARPAL BONE FX W/O MNPJ EACH BONE
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 25630
|
| Min. Negotiated Rate |
$192.55 |
| Max. Negotiated Rate |
$962.74 |
| Rate for Payer: Aetna Commercial |
$375.35
|
| Rate for Payer: Aetna Medicare |
$291.31
|
| Rate for Payer: BCBS Complete |
$202.18
|
| Rate for Payer: BCBS MAPPO |
$280.11
|
| Rate for Payer: BCBS Trust/PPO |
$962.74
|
| Rate for Payer: BCN Commercial |
$461.32
|
| Rate for Payer: BCN Medicare Advantage |
$280.11
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$403.36
|
| Rate for Payer: Cofinity Commercial |
$375.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.11
|
| Rate for Payer: Mclaren Medicaid |
$192.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.12
|
| Rate for Payer: Meridian Medicaid |
$202.18
|
| Rate for Payer: Nomi Health Commercial |
$336.13
|
| Rate for Payer: PACE SWMI |
$280.11
|
| Rate for Payer: PHP Medicare Advantage |
$280.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO |
$453.39
|
| Rate for Payer: Priority Health Medicare |
$282.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.11
|
| Rate for Payer: UHC Exchange |
$280.11
|
| Rate for Payer: UHC Medicare Advantage |
$280.11
|
| Rate for Payer: UHCCP Medicaid |
$192.55
|
|
|
PR CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 26641
|
| Min. Negotiated Rate |
$256.67 |
| Max. Negotiated Rate |
$628.93 |
| Rate for Payer: Aetna Commercial |
$501.28
|
| Rate for Payer: Aetna Medicare |
$389.05
|
| Rate for Payer: BCBS Complete |
$269.50
|
| Rate for Payer: BCBS MAPPO |
$374.09
|
| Rate for Payer: BCBS Trust/PPO |
$525.66
|
| Rate for Payer: BCN Commercial |
$628.93
|
| Rate for Payer: BCN Medicare Advantage |
$374.09
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$538.69
|
| Rate for Payer: Cofinity Commercial |
$501.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$374.09
|
| Rate for Payer: Mclaren Medicaid |
$256.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$392.79
|
| Rate for Payer: Meridian Medicaid |
$269.50
|
| Rate for Payer: Nomi Health Commercial |
$448.91
|
| Rate for Payer: PACE SWMI |
$374.09
|
| Rate for Payer: PHP Medicare Advantage |
$374.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO |
$606.57
|
| Rate for Payer: Priority Health Medicare |
$377.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$606.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$374.09
|
| Rate for Payer: UHC Exchange |
$374.09
|
| Rate for Payer: UHC Medicare Advantage |
$374.09
|
| Rate for Payer: UHCCP Medicaid |
$256.67
|
|
|
PR CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 26645
|
| Min. Negotiated Rate |
$23.25 |
| Max. Negotiated Rate |
$661.70 |
| Rate for Payer: Aetna Commercial |
$518.15
|
| Rate for Payer: Aetna Medicare |
$402.15
|
| Rate for Payer: BCBS Complete |
$277.55
|
| Rate for Payer: BCBS MAPPO |
$386.68
|
| Rate for Payer: BCBS Trust/PPO |
$23.25
|
| Rate for Payer: BCN Commercial |
$649.45
|
| Rate for Payer: BCN Medicare Advantage |
$386.68
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$556.82
|
| Rate for Payer: Cofinity Commercial |
$518.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.68
|
| Rate for Payer: Mclaren Medicaid |
$264.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.01
|
| Rate for Payer: Meridian Medicaid |
$277.55
|
| Rate for Payer: Nomi Health Commercial |
$464.02
|
| Rate for Payer: PACE SWMI |
$386.68
|
| Rate for Payer: PHP Medicare Advantage |
$386.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$661.70
|
| Rate for Payer: Priority Health HMO/PPO |
$625.38
|
| Rate for Payer: Priority Health Medicare |
$390.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$625.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$386.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$386.68
|
| Rate for Payer: UHC Exchange |
$386.68
|
| Rate for Payer: UHC Medicare Advantage |
$386.68
|
| Rate for Payer: UHCCP Medicaid |
$264.33
|
|
|
PR CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES
|
Professional
|
Both
|
$605.00
|
|
|
Service Code
|
HCPCS 26670
|
| Min. Negotiated Rate |
$57.73 |
| Max. Negotiated Rate |
$524.35 |
| Rate for Payer: Aetna Commercial |
$417.83
|
| Rate for Payer: Aetna Medicare |
$324.28
|
| Rate for Payer: BCBS Complete |
$223.20
|
| Rate for Payer: BCBS MAPPO |
$311.81
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$524.35
|
| Rate for Payer: BCN Medicare Advantage |
$311.81
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cofinity Commercial |
$449.01
|
| Rate for Payer: Cofinity Commercial |
$417.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.81
|
| Rate for Payer: Mclaren Medicaid |
$212.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.40
|
| Rate for Payer: Meridian Medicaid |
$223.20
|
| Rate for Payer: Nomi Health Commercial |
$374.17
|
| Rate for Payer: PACE SWMI |
$311.81
|
| Rate for Payer: PHP Medicare Advantage |
$311.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$393.25
|
| Rate for Payer: Priority Health HMO/PPO |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$314.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$311.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.81
|
| Rate for Payer: UHC Exchange |
$311.81
|
| Rate for Payer: UHC Medicare Advantage |
$311.81
|
| Rate for Payer: UHCCP Medicaid |
$212.57
|
|
|
PR CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES
|
Professional
|
Both
|
$1,265.00
|
|
|
Service Code
|
HCPCS 26675
|
| Min. Negotiated Rate |
$46.70 |
| Max. Negotiated Rate |
$822.25 |
| Rate for Payer: Aetna Commercial |
$553.86
|
| Rate for Payer: Aetna Medicare |
$429.86
|
| Rate for Payer: BCBS Complete |
$296.78
|
| Rate for Payer: BCBS MAPPO |
$413.33
|
| Rate for Payer: BCBS Trust/PPO |
$46.70
|
| Rate for Payer: BCN Commercial |
$692.95
|
| Rate for Payer: BCN Medicare Advantage |
$413.33
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cash Price |
$1,012.00
|
| Rate for Payer: Cofinity Commercial |
$595.20
|
| Rate for Payer: Cofinity Commercial |
$553.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.33
|
| Rate for Payer: Mclaren Medicaid |
$282.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.00
|
| Rate for Payer: Meridian Medicaid |
$296.78
|
| Rate for Payer: Nomi Health Commercial |
$496.00
|
| Rate for Payer: PACE SWMI |
$413.33
|
| Rate for Payer: PHP Medicare Advantage |
$413.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$822.25
|
| Rate for Payer: Priority Health HMO/PPO |
$668.13
|
| Rate for Payer: Priority Health Medicare |
$417.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$668.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$413.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.33
|
| Rate for Payer: UHC Exchange |
$413.33
|
| Rate for Payer: UHC Medicare Advantage |
$413.33
|
| Rate for Payer: UHCCP Medicaid |
$282.65
|
|
|
PR CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ
|
Professional
|
Both
|
$1,306.00
|
|
|
Service Code
|
HCPCS 27516
|
| Min. Negotiated Rate |
$322.91 |
| Max. Negotiated Rate |
$1,829.50 |
| Rate for Payer: Aetna Commercial |
$633.24
|
| Rate for Payer: Aetna Medicare |
$491.47
|
| Rate for Payer: BCBS Complete |
$339.06
|
| Rate for Payer: BCBS MAPPO |
$472.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,829.50
|
| Rate for Payer: BCN Commercial |
$773.09
|
| Rate for Payer: BCN Medicare Advantage |
$472.57
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cash Price |
$1,044.80
|
| Rate for Payer: Cofinity Commercial |
$680.50
|
| Rate for Payer: Cofinity Commercial |
$633.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.57
|
| Rate for Payer: Mclaren Medicaid |
$322.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.20
|
| Rate for Payer: Meridian Medicaid |
$339.06
|
| Rate for Payer: Nomi Health Commercial |
$567.08
|
| Rate for Payer: PACE SWMI |
$472.57
|
| Rate for Payer: PHP Medicare Advantage |
$472.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.90
|
| Rate for Payer: Priority Health HMO/PPO |
$763.81
|
| Rate for Payer: Priority Health Medicare |
$477.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$763.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.57
|
| Rate for Payer: UHC Exchange |
$472.57
|
| Rate for Payer: UHC Medicare Advantage |
$472.57
|
| Rate for Payer: UHCCP Medicaid |
$322.91
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/MANJ
|
Professional
|
Both
|
$1,357.00
|
|
|
Service Code
|
HCPCS 27788
|
| Min. Negotiated Rate |
$256.45 |
| Max. Negotiated Rate |
$882.05 |
| Rate for Payer: Aetna Commercial |
$503.42
|
| Rate for Payer: Aetna Medicare |
$390.72
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS MAPPO |
$375.69
|
| Rate for Payer: BCBS Trust/PPO |
$677.10
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$375.69
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$540.99
|
| Rate for Payer: Cofinity Commercial |
$503.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$375.69
|
| Rate for Payer: Mclaren Medicaid |
$256.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$394.47
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Nomi Health Commercial |
$450.83
|
| Rate for Payer: PACE SWMI |
$375.69
|
| Rate for Payer: PHP Medicare Advantage |
$375.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.05
|
| Rate for Payer: Priority Health HMO/PPO |
$608.10
|
| Rate for Payer: Priority Health Medicare |
$379.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$608.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$375.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$375.69
|
| Rate for Payer: UHC Exchange |
$375.69
|
| Rate for Payer: UHC Medicare Advantage |
$375.69
|
| Rate for Payer: UHCCP Medicaid |
$256.45
|
|
|
PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ
|
Professional
|
Both
|
$775.00
|
|
|
Service Code
|
HCPCS 27786
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$2,764.24 |
| Rate for Payer: Aetna Commercial |
$374.24
|
| Rate for Payer: Aetna Medicare |
$290.45
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$279.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,764.24
|
| Rate for Payer: BCN Commercial |
$378.53
|
| Rate for Payer: BCN Medicare Advantage |
$279.28
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cash Price |
$620.00
|
| Rate for Payer: Cofinity Commercial |
$402.16
|
| Rate for Payer: Cofinity Commercial |
$374.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.28
|
| Rate for Payer: Mclaren Medicaid |
$192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.24
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Nomi Health Commercial |
$335.14
|
| Rate for Payer: PACE SWMI |
$279.28
|
| Rate for Payer: PHP Medicare Advantage |
$279.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$503.75
|
| Rate for Payer: Priority Health HMO/PPO |
$456.45
|
| Rate for Payer: Priority Health Medicare |
$282.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$456.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.28
|
| Rate for Payer: UHC Exchange |
$279.28
|
| Rate for Payer: UHC Medicare Advantage |
$279.28
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26755
|
| Min. Negotiated Rate |
$185.95 |
| Max. Negotiated Rate |
$1,776.67 |
| Rate for Payer: Aetna Commercial |
$364.45
|
| Rate for Payer: Aetna Medicare |
$282.86
|
| Rate for Payer: BCBS Complete |
$195.25
|
| Rate for Payer: BCBS MAPPO |
$271.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,776.67
|
| Rate for Payer: BCN Commercial |
$482.81
|
| Rate for Payer: BCN Medicare Advantage |
$271.98
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$391.65
|
| Rate for Payer: Cofinity Commercial |
$364.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.98
|
| Rate for Payer: Mclaren Medicaid |
$185.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.58
|
| Rate for Payer: Meridian Medicaid |
$195.25
|
| Rate for Payer: Nomi Health Commercial |
$326.38
|
| Rate for Payer: PACE SWMI |
$271.98
|
| Rate for Payer: PHP Medicare Advantage |
$271.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO |
$436.09
|
| Rate for Payer: Priority Health Medicare |
$274.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.98
|
| Rate for Payer: UHC Exchange |
$271.98
|
| Rate for Payer: UHC Medicare Advantage |
$271.98
|
| Rate for Payer: UHCCP Medicaid |
$185.95
|
|
|
PR CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26750
|
| Min. Negotiated Rate |
$129.93 |
| Max. Negotiated Rate |
$945.13 |
| Rate for Payer: Aetna Commercial |
$251.91
|
| Rate for Payer: Aetna Medicare |
$195.51
|
| Rate for Payer: BCBS Complete |
$136.43
|
| Rate for Payer: BCBS MAPPO |
$187.99
|
| Rate for Payer: BCBS Trust/PPO |
$945.13
|
| Rate for Payer: BCN Commercial |
$283.92
|
| Rate for Payer: BCN Medicare Advantage |
$187.99
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$270.71
|
| Rate for Payer: Cofinity Commercial |
$251.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.99
|
| Rate for Payer: Mclaren Medicaid |
$129.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.39
|
| Rate for Payer: Meridian Medicaid |
$136.43
|
| Rate for Payer: Nomi Health Commercial |
$225.59
|
| Rate for Payer: PACE SWMI |
$187.99
|
| Rate for Payer: PHP Medicare Advantage |
$187.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO |
$305.32
|
| Rate for Payer: Priority Health Medicare |
$189.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.99
|
| Rate for Payer: UHC Exchange |
$187.99
|
| Rate for Payer: UHC Medicare Advantage |
$187.99
|
| Rate for Payer: UHCCP Medicaid |
$129.93
|
|
|
PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ
|
Professional
|
Both
|
$754.00
|
|
|
Service Code
|
HCPCS 25600
|
| Min. Negotiated Rate |
$220.03 |
| Max. Negotiated Rate |
$579.96 |
| Rate for Payer: Aetna Commercial |
$424.75
|
| Rate for Payer: Aetna Medicare |
$329.66
|
| Rate for Payer: BCBS Complete |
$231.03
|
| Rate for Payer: BCBS MAPPO |
$316.98
|
| Rate for Payer: BCBS Trust/PPO |
$579.96
|
| Rate for Payer: BCN Commercial |
$410.33
|
| Rate for Payer: BCN Medicare Advantage |
$316.98
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cofinity Commercial |
$456.45
|
| Rate for Payer: Cofinity Commercial |
$424.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$316.98
|
| Rate for Payer: Mclaren Medicaid |
$220.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$332.83
|
| Rate for Payer: Meridian Medicaid |
$231.03
|
| Rate for Payer: Nomi Health Commercial |
$380.38
|
| Rate for Payer: PACE SWMI |
$316.98
|
| Rate for Payer: PHP Medicare Advantage |
$316.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.10
|
| Rate for Payer: Priority Health HMO/PPO |
$518.03
|
| Rate for Payer: Priority Health Medicare |
$320.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$518.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$316.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$316.98
|
| Rate for Payer: UHC Exchange |
$316.98
|
| Rate for Payer: UHC Medicare Advantage |
$316.98
|
| Rate for Payer: UHCCP Medicaid |
$220.03
|
|
