|
PR CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 24500
|
| Min. Negotiated Rate |
$222.37 |
| Max. Negotiated Rate |
$651.75 |
| Rate for Payer: Aetna Commercial |
$439.50
|
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$233.49
|
| Rate for Payer: BCN Commercial |
$526.37
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Mclaren Medicaid |
$222.37
|
| Rate for Payer: Meridian Medicaid |
$233.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$651.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$562.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$562.67
|
| Rate for Payer: UHC Medicaid |
$222.37
|
| Rate for Payer: UHCCP Medicaid |
$222.37
|
|
|
PR CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 24505
|
| Min. Negotiated Rate |
$302.03 |
| Max. Negotiated Rate |
$995.25 |
| Rate for Payer: Aetna Commercial |
$601.92
|
| Rate for Payer: Aetna Medicare |
$663.50
|
| Rate for Payer: BCBS Complete |
$317.13
|
| Rate for Payer: BCN Commercial |
$703.15
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Mclaren Medicaid |
$302.03
|
| Rate for Payer: Meridian Medicaid |
$317.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$995.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$751.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$751.64
|
| Rate for Payer: UHC Medicaid |
$302.03
|
| Rate for Payer: UHCCP Medicaid |
$302.03
|
|
|
PR CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN
|
Professional
|
Both
|
$982.00
|
|
|
Service Code
|
HCPCS 27538
|
| Min. Negotiated Rate |
$287.34 |
| Max. Negotiated Rate |
$748.99 |
| Rate for Payer: Aetna Commercial |
$595.65
|
| Rate for Payer: Aetna Medicare |
$491.00
|
| Rate for Payer: BCBS Complete |
$301.71
|
| Rate for Payer: BCN Commercial |
$700.66
|
| Rate for Payer: Cash Price |
$785.60
|
| Rate for Payer: Cash Price |
$785.60
|
| Rate for Payer: Mclaren Medicaid |
$287.34
|
| Rate for Payer: Meridian Medicaid |
$301.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$736.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$748.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$748.99
|
| Rate for Payer: UHC Medicaid |
$287.34
|
| Rate for Payer: UHCCP Medicaid |
$287.34
|
|
|
PR CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ
|
Professional
|
Both
|
$981.00
|
|
|
Service Code
|
HCPCS 27238
|
| Min. Negotiated Rate |
$291.81 |
| Max. Negotiated Rate |
$772.41 |
| Rate for Payer: Aetna Commercial |
$620.82
|
| Rate for Payer: Aetna Medicare |
$490.50
|
| Rate for Payer: BCBS Complete |
$306.40
|
| Rate for Payer: BCN Commercial |
$722.57
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Mclaren Medicaid |
$291.81
|
| Rate for Payer: Meridian Medicaid |
$306.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$735.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$772.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$772.41
|
| Rate for Payer: UHC Medicaid |
$291.81
|
| Rate for Payer: UHCCP Medicaid |
$291.81
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES
|
Professional
|
Both
|
$280.00
|
|
|
Service Code
|
HCPCS 28665
|
| Min. Negotiated Rate |
$76.47 |
| Max. Negotiated Rate |
$210.00 |
| Rate for Payer: Aetna Commercial |
$166.79
|
| Rate for Payer: Aetna Medicare |
$140.00
|
| Rate for Payer: BCBS Complete |
$80.29
|
| Rate for Payer: BCN Commercial |
$191.23
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Mclaren Medicaid |
$76.47
|
| Rate for Payer: Meridian Medicaid |
$80.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$204.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.41
|
| Rate for Payer: UHC Medicaid |
$76.47
|
| Rate for Payer: UHCCP Medicaid |
$76.47
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES
|
Professional
|
Both
|
$241.00
|
|
|
Service Code
|
HCPCS 28660
|
| Min. Negotiated Rate |
$64.33 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$122.37
|
| Rate for Payer: Aetna Medicare |
$120.50
|
| Rate for Payer: BCBS Complete |
$67.55
|
| Rate for Payer: BCN Commercial |
$143.92
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Mclaren Medicaid |
$64.33
|
| Rate for Payer: Meridian Medicaid |
$67.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$153.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$153.84
|
| Rate for Payer: UHC Medicaid |
$64.33
|
| Rate for Payer: UHCCP Medicaid |
$64.33
|
|
|
PR CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ
|
Professional
|
Both
|
$2,045.00
|
|
|
Service Code
|
HCPCS 27240
|
| Min. Negotiated Rate |
$572.76 |
| Max. Negotiated Rate |
$1,551.73 |
| Rate for Payer: Aetna Commercial |
$1,282.41
|
| Rate for Payer: Aetna Medicare |
$1,022.50
|
| Rate for Payer: BCBS Complete |
$601.40
|
| Rate for Payer: BCN Commercial |
$1,451.62
|
| Rate for Payer: Cash Price |
$1,636.00
|
| Rate for Payer: Cash Price |
$1,636.00
|
| Rate for Payer: Mclaren Medicaid |
$572.76
|
| Rate for Payer: Meridian Medicaid |
$601.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,533.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$572.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,551.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,551.73
|
| Rate for Payer: UHC Medicaid |
$572.76
|
| Rate for Payer: UHCCP Medicaid |
$572.76
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ REQ ANES
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 26775
|
| Min. Negotiated Rate |
$227.91 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$466.21
|
| Rate for Payer: Aetna Medicare |
$425.00
|
| Rate for Payer: BCBS Complete |
$239.31
|
| Rate for Payer: BCN Commercial |
$556.75
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Mclaren Medicaid |
$227.91
|
| Rate for Payer: Meridian Medicaid |
$239.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$637.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$595.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$595.14
|
| Rate for Payer: UHC Medicaid |
$227.91
|
| Rate for Payer: UHCCP Medicaid |
$227.91
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 26770
|
| Min. Negotiated Rate |
$196.17 |
| Max. Negotiated Rate |
$445.03 |
| Rate for Payer: Aetna Commercial |
$345.16
|
| Rate for Payer: Aetna Medicare |
$287.50
|
| Rate for Payer: BCBS Complete |
$205.98
|
| Rate for Payer: BCN Commercial |
$416.31
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Mclaren Medicaid |
$196.17
|
| Rate for Payer: Meridian Medicaid |
$205.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$431.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$445.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.03
|
| Rate for Payer: UHC Medicaid |
$196.17
|
| Rate for Payer: UHCCP Medicaid |
$196.17
|
|
|
PR CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 21440
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$956.60 |
| Rate for Payer: Aetna Commercial |
$702.55
|
| Rate for Payer: Aetna Medicare |
$615.50
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCN Commercial |
$894.87
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$923.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$956.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$956.60
|
| Rate for Payer: UHC Medicaid |
$383.61
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION
|
Professional
|
Both
|
$898.00
|
|
|
Service Code
|
HCPCS 27760
|
| Min. Negotiated Rate |
$203.84 |
| Max. Negotiated Rate |
$673.50 |
| Rate for Payer: Aetna Commercial |
$406.19
|
| Rate for Payer: Aetna Medicare |
$449.00
|
| Rate for Payer: BCBS Complete |
$214.03
|
| Rate for Payer: BCN Commercial |
$382.49
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Mclaren Medicaid |
$203.84
|
| Rate for Payer: Meridian Medicaid |
$214.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$673.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$203.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$518.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$518.48
|
| Rate for Payer: UHC Medicaid |
$203.84
|
| Rate for Payer: UHCCP Medicaid |
$203.84
|
|
|
PR CLTX METACARPAL FX W/MANIPULATION EACH BONE
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 26605
|
| Min. Negotiated Rate |
$198.94 |
| Max. Negotiated Rate |
$552.00 |
| Rate for Payer: Aetna Commercial |
$392.63
|
| Rate for Payer: Aetna Medicare |
$368.00
|
| Rate for Payer: BCBS Complete |
$208.89
|
| Rate for Payer: BCN Commercial |
$468.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Mclaren Medicaid |
$198.94
|
| Rate for Payer: Meridian Medicaid |
$208.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$500.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$500.92
|
| Rate for Payer: UHC Medicaid |
$198.94
|
| Rate for Payer: UHCCP Medicaid |
$198.94
|
|
|
PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26607
|
| Min. Negotiated Rate |
$317.16 |
| Max. Negotiated Rate |
$1,189.50 |
| Rate for Payer: Aetna Commercial |
$668.91
|
| Rate for Payer: Aetna Medicare |
$793.00
|
| Rate for Payer: BCBS Complete |
$333.02
|
| Rate for Payer: BCN Commercial |
$776.35
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Mclaren Medicaid |
$317.16
|
| Rate for Payer: Meridian Medicaid |
$333.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,189.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$317.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$829.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$829.90
|
| Rate for Payer: UHC Medicaid |
$317.16
|
| Rate for Payer: UHCCP Medicaid |
$317.16
|
|
|
PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE
|
Professional
|
Both
|
$567.00
|
|
|
Service Code
|
HCPCS 26600
|
| Min. Negotiated Rate |
$191.70 |
| Max. Negotiated Rate |
$487.08 |
| Rate for Payer: Aetna Commercial |
$375.05
|
| Rate for Payer: Aetna Medicare |
$283.50
|
| Rate for Payer: BCBS Complete |
$201.28
|
| Rate for Payer: BCN Commercial |
$359.32
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Mclaren Medicaid |
$191.70
|
| Rate for Payer: Meridian Medicaid |
$201.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$487.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$487.08
|
| Rate for Payer: UHC Medicaid |
$191.70
|
| Rate for Payer: UHCCP Medicaid |
$191.70
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 26705
|
| Min. Negotiated Rate |
$252.83 |
| Max. Negotiated Rate |
$663.81 |
| Rate for Payer: Aetna Commercial |
$510.96
|
| Rate for Payer: Aetna Medicare |
$425.00
|
| Rate for Payer: BCBS Complete |
$265.47
|
| Rate for Payer: BCN Commercial |
$620.98
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Mclaren Medicaid |
$252.83
|
| Rate for Payer: Meridian Medicaid |
$265.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$637.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$663.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$663.81
|
| Rate for Payer: UHC Medicaid |
$252.83
|
| Rate for Payer: UHCCP Medicaid |
$252.83
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$567.00
|
|
|
Service Code
|
HCPCS 26700
|
| Min. Negotiated Rate |
$222.16 |
| Max. Negotiated Rate |
$528.07 |
| Rate for Payer: Aetna Commercial |
$412.37
|
| Rate for Payer: Aetna Medicare |
$283.50
|
| Rate for Payer: BCBS Complete |
$233.27
|
| Rate for Payer: BCN Commercial |
$494.00
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Cash Price |
$453.60
|
| Rate for Payer: Mclaren Medicaid |
$222.16
|
| Rate for Payer: Meridian Medicaid |
$233.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$528.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$528.07
|
| Rate for Payer: UHC Medicaid |
$222.16
|
| Rate for Payer: UHCCP Medicaid |
$222.16
|
|
|
PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH
|
Professional
|
Both
|
$555.00
|
|
|
Service Code
|
HCPCS 28470
|
| Min. Negotiated Rate |
$133.13 |
| Max. Negotiated Rate |
$416.25 |
| Rate for Payer: Aetna Commercial |
$268.17
|
| Rate for Payer: Aetna Medicare |
$277.50
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCN Commercial |
$252.51
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Mclaren Medicaid |
$133.13
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$416.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$342.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$342.29
|
| Rate for Payer: UHC Medicaid |
$133.13
|
| Rate for Payer: UHCCP Medicaid |
$133.13
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC REQ ANES
|
Professional
|
Both
|
$325.00
|
|
|
Service Code
|
HCPCS 28635
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Aetna Commercial |
$178.03
|
| Rate for Payer: Aetna Medicare |
$162.50
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCN Commercial |
$199.19
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Mclaren Medicaid |
$78.38
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$243.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$212.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.94
|
| Rate for Payer: UHC Medicaid |
$78.38
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$70.72 |
| Max. Negotiated Rate |
$246.00 |
| Rate for Payer: Aetna Commercial |
$146.75
|
| Rate for Payer: Aetna Medicare |
$164.00
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCN Commercial |
$169.31
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Mclaren Medicaid |
$70.72
|
| Rate for Payer: Meridian Medicaid |
$74.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$180.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.99
|
| Rate for Payer: UHC Medicaid |
$70.72
|
| Rate for Payer: UHCCP Medicaid |
$70.72
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$205.33 |
| Max. Negotiated Rate |
$552.00 |
| Rate for Payer: Aetna Commercial |
$403.72
|
| Rate for Payer: Aetna Medicare |
$368.00
|
| Rate for Payer: BCBS Complete |
$215.60
|
| Rate for Payer: BCN Commercial |
$479.55
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Mclaren Medicaid |
$205.33
|
| Rate for Payer: Meridian Medicaid |
$215.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$512.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$512.64
|
| Rate for Payer: UHC Medicaid |
$205.33
|
| Rate for Payer: UHCCP Medicaid |
$205.33
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$130.78 |
| Max. Negotiated Rate |
$322.06 |
| Rate for Payer: Aetna Commercial |
$246.60
|
| Rate for Payer: Aetna Medicare |
$212.00
|
| Rate for Payer: BCBS Complete |
$137.32
|
| Rate for Payer: BCN Commercial |
$301.28
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Mclaren Medicaid |
$130.78
|
| Rate for Payer: Meridian Medicaid |
$137.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$322.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.06
|
| Rate for Payer: UHC Medicaid |
$130.78
|
| Rate for Payer: UHCCP Medicaid |
$130.78
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$355.71 |
| Max. Negotiated Rate |
$1,182.00 |
| Rate for Payer: Aetna Commercial |
$779.49
|
| Rate for Payer: Aetna Medicare |
$788.00
|
| Rate for Payer: BCBS Complete |
$373.50
|
| Rate for Payer: BCN Commercial |
$889.90
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Mclaren Medicaid |
$355.71
|
| Rate for Payer: Meridian Medicaid |
$373.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,182.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$355.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$951.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$951.27
|
| Rate for Payer: UHC Medicaid |
$355.71
|
| Rate for Payer: UHCCP Medicaid |
$355.71
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$764.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$314.60 |
| Max. Negotiated Rate |
$692.56 |
| Rate for Payer: Aetna Commercial |
$541.09
|
| Rate for Payer: Aetna Medicare |
$382.00
|
| Rate for Payer: BCBS Complete |
$330.33
|
| Rate for Payer: BCN Commercial |
$647.87
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Mclaren Medicaid |
$314.60
|
| Rate for Payer: Meridian Medicaid |
$330.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$573.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$314.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$692.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$692.56
|
| Rate for Payer: UHC Medicaid |
$314.60
|
| Rate for Payer: UHCCP Medicaid |
$314.60
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,248.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$260.07 |
| Max. Negotiated Rate |
$936.00 |
| Rate for Payer: Aetna Commercial |
$530.55
|
| Rate for Payer: Aetna Medicare |
$624.00
|
| Rate for Payer: BCBS Complete |
$273.07
|
| Rate for Payer: BCN Commercial |
$629.45
|
| Rate for Payer: Cash Price |
$998.40
|
| Rate for Payer: Cash Price |
$998.40
|
| Rate for Payer: Mclaren Medicaid |
$260.07
|
| Rate for Payer: Meridian Medicaid |
$273.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$936.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$672.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$672.86
|
| Rate for Payer: UHC Medicaid |
$260.07
|
| Rate for Payer: UHCCP Medicaid |
$260.07
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$686.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$190.00 |
| Max. Negotiated Rate |
$514.50 |
| Rate for Payer: Aetna Commercial |
$375.75
|
| Rate for Payer: Aetna Medicare |
$343.00
|
| Rate for Payer: BCBS Complete |
$199.50
|
| Rate for Payer: BCN Commercial |
$449.68
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Mclaren Medicaid |
$190.00
|
| Rate for Payer: Meridian Medicaid |
$199.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$514.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.00
|
| 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 |
$190.00
|
| Rate for Payer: UHCCP Medicaid |
$190.00
|
|
