|
PR CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 27238
|
| Min. Negotiated Rate |
$309.06 |
| Max. Negotiated Rate |
$1,049.20 |
| Rate for Payer: Aetna Commercial |
$608.31
|
| Rate for Payer: Aetna Medicare |
$472.12
|
| Rate for Payer: BCBS Complete |
$324.51
|
| Rate for Payer: BCBS MAPPO |
$453.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.20
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$453.96
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cofinity Commercial |
$653.70
|
| Rate for Payer: Cofinity Commercial |
$608.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.96
|
| Rate for Payer: Mclaren Medicaid |
$309.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.66
|
| Rate for Payer: Meridian Medicaid |
$324.51
|
| Rate for Payer: Nomi Health Commercial |
$544.75
|
| Rate for Payer: PACE SWMI |
$453.96
|
| Rate for Payer: PHP Medicare Advantage |
$453.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO |
$732.25
|
| Rate for Payer: Priority Health Medicare |
$458.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$732.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$453.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$453.96
|
| Rate for Payer: UHC Exchange |
$453.96
|
| Rate for Payer: UHC Medicare Advantage |
$453.96
|
| Rate for Payer: UHCCP Medicaid |
$309.06
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 28665
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$1,135.32 |
| Rate for Payer: Aetna Commercial |
$161.16
|
| Rate for Payer: Aetna Medicare |
$125.08
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS MAPPO |
$120.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,135.32
|
| Rate for Payer: BCN Commercial |
$217.95
|
| Rate for Payer: BCN Medicare Advantage |
$120.27
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$173.19
|
| Rate for Payer: Cofinity Commercial |
$161.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.27
|
| Rate for Payer: Mclaren Medicaid |
$81.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$126.28
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: Nomi Health Commercial |
$144.32
|
| Rate for Payer: PACE SWMI |
$120.27
|
| Rate for Payer: PHP Medicare Advantage |
$120.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health HMO/PPO |
$195.40
|
| Rate for Payer: Priority Health Medicare |
$121.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.27
|
| Rate for Payer: UHC Exchange |
$120.27
|
| Rate for Payer: UHC Medicare Advantage |
$120.27
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES
|
Professional
|
Both
|
$234.00
|
|
|
Service Code
|
HCPCS 28660
|
| Min. Negotiated Rate |
$61.56 |
| Max. Negotiated Rate |
$766.04 |
| Rate for Payer: Aetna Commercial |
$121.67
|
| Rate for Payer: Aetna Medicare |
$94.43
|
| Rate for Payer: BCBS Complete |
$64.64
|
| Rate for Payer: BCBS MAPPO |
$90.80
|
| Rate for Payer: BCBS Trust/PPO |
$766.04
|
| Rate for Payer: BCN Commercial |
$183.74
|
| Rate for Payer: BCN Medicare Advantage |
$90.80
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cofinity Commercial |
$130.75
|
| Rate for Payer: Cofinity Commercial |
$121.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.80
|
| Rate for Payer: Mclaren Medicaid |
$61.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.34
|
| Rate for Payer: Meridian Medicaid |
$64.64
|
| Rate for Payer: Nomi Health Commercial |
$108.96
|
| Rate for Payer: PACE SWMI |
$90.80
|
| Rate for Payer: PHP Medicare Advantage |
$90.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.10
|
| Rate for Payer: Priority Health HMO/PPO |
$146.55
|
| Rate for Payer: Priority Health Medicare |
$91.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.80
|
| Rate for Payer: UHC Exchange |
$90.80
|
| Rate for Payer: UHC Medicare Advantage |
$90.80
|
| Rate for Payer: UHCCP Medicaid |
$61.56
|
|
|
PR CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 27240
|
| Min. Negotiated Rate |
$620.90 |
| Max. Negotiated Rate |
$1,466.54 |
| Rate for Payer: Aetna Commercial |
$1,236.67
|
| Rate for Payer: Aetna Medicare |
$959.81
|
| Rate for Payer: BCBS Complete |
$651.94
|
| Rate for Payer: BCBS MAPPO |
$922.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,203.47
|
| Rate for Payer: BCN Commercial |
$1,403.97
|
| Rate for Payer: BCN Medicare Advantage |
$922.89
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$1,328.96
|
| Rate for Payer: Cofinity Commercial |
$1,236.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$922.89
|
| Rate for Payer: Mclaren Medicaid |
$620.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$969.03
|
| Rate for Payer: Meridian Medicaid |
$651.94
|
| Rate for Payer: Nomi Health Commercial |
$1,107.47
|
| Rate for Payer: PACE SWMI |
$922.89
|
| Rate for Payer: PHP Medicare Advantage |
$922.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$620.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,466.54
|
| Rate for Payer: Priority Health Medicare |
$932.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,466.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$922.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$922.89
|
| Rate for Payer: UHC Exchange |
$922.89
|
| Rate for Payer: UHC Medicare Advantage |
$922.89
|
| Rate for Payer: UHCCP Medicaid |
$620.90
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ REQ ANES
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 26775
|
| Min. Negotiated Rate |
$238.13 |
| Max. Negotiated Rate |
$2,900.37 |
| Rate for Payer: Aetna Commercial |
$464.79
|
| Rate for Payer: Aetna Medicare |
$360.73
|
| Rate for Payer: BCBS Complete |
$250.04
|
| Rate for Payer: BCBS MAPPO |
$346.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,900.37
|
| Rate for Payer: BCN Commercial |
$594.23
|
| Rate for Payer: BCN Medicare Advantage |
$346.86
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$499.48
|
| Rate for Payer: Cofinity Commercial |
$464.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.86
|
| Rate for Payer: Mclaren Medicaid |
$238.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$364.20
|
| Rate for Payer: Meridian Medicaid |
$250.04
|
| Rate for Payer: Nomi Health Commercial |
$416.23
|
| Rate for Payer: PACE SWMI |
$346.86
|
| Rate for Payer: PHP Medicare Advantage |
$346.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO |
$564.33
|
| Rate for Payer: Priority Health Medicare |
$350.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$564.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$346.86
|
| Rate for Payer: UHC Exchange |
$346.86
|
| Rate for Payer: UHC Medicare Advantage |
$346.86
|
| Rate for Payer: UHCCP Medicaid |
$238.13
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$558.00
|
|
|
Service Code
|
HCPCS 26770
|
| Min. Negotiated Rate |
$178.07 |
| Max. Negotiated Rate |
$1,851.16 |
| Rate for Payer: Aetna Commercial |
$349.42
|
| Rate for Payer: Aetna Medicare |
$271.19
|
| Rate for Payer: BCBS Complete |
$186.97
|
| Rate for Payer: BCBS MAPPO |
$260.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,851.16
|
| Rate for Payer: BCN Commercial |
$433.46
|
| Rate for Payer: BCN Medicare Advantage |
$260.76
|
| Rate for Payer: Cash Price |
$446.40
|
| Rate for Payer: Cash Price |
$446.40
|
| Rate for Payer: Cofinity Commercial |
$375.49
|
| Rate for Payer: Cofinity Commercial |
$349.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.76
|
| Rate for Payer: Mclaren Medicaid |
$178.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.80
|
| Rate for Payer: Meridian Medicaid |
$186.97
|
| Rate for Payer: Nomi Health Commercial |
$312.91
|
| Rate for Payer: PACE SWMI |
$260.76
|
| Rate for Payer: PHP Medicare Advantage |
$260.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$362.70
|
| Rate for Payer: Priority Health HMO/PPO |
$419.81
|
| Rate for Payer: Priority Health Medicare |
$263.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$419.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.76
|
| Rate for Payer: UHC Exchange |
$260.76
|
| Rate for Payer: UHC Medicare Advantage |
$260.76
|
| Rate for Payer: UHCCP Medicaid |
$178.07
|
|
|
PR CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX
|
Professional
|
Both
|
$1,195.00
|
|
|
Service Code
|
HCPCS 21440
|
| Min. Negotiated Rate |
$382.76 |
| Max. Negotiated Rate |
$2,978.97 |
| Rate for Payer: Aetna Commercial |
$726.94
|
| Rate for Payer: Aetna Medicare |
$564.19
|
| Rate for Payer: BCBS Complete |
$401.90
|
| Rate for Payer: BCBS MAPPO |
$542.49
|
| Rate for Payer: BCBS Trust/PPO |
$2,978.97
|
| Rate for Payer: BCN Commercial |
$1,012.05
|
| Rate for Payer: BCN Medicare Advantage |
$542.49
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cofinity Commercial |
$781.19
|
| Rate for Payer: Cofinity Commercial |
$726.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.49
|
| Rate for Payer: Mclaren Medicaid |
$382.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.61
|
| Rate for Payer: Meridian Medicaid |
$401.90
|
| Rate for Payer: Nomi Health Commercial |
$650.99
|
| Rate for Payer: PACE SWMI |
$542.49
|
| Rate for Payer: PHP Medicare Advantage |
$542.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$776.75
|
| Rate for Payer: Priority Health HMO/PPO |
$927.65
|
| Rate for Payer: Priority Health Medicare |
$547.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$927.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$542.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.49
|
| Rate for Payer: UHC Exchange |
$542.49
|
| Rate for Payer: UHC Medicare Advantage |
$542.49
|
| Rate for Payer: UHCCP Medicaid |
$382.76
|
|
|
PR CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION
|
Professional
|
Both
|
$872.00
|
|
|
Service Code
|
HCPCS 27760
|
| Min. Negotiated Rate |
$207.46 |
| Max. Negotiated Rate |
$2,919.55 |
| Rate for Payer: Aetna Commercial |
$403.57
|
| Rate for Payer: Aetna Medicare |
$313.22
|
| Rate for Payer: BCBS Complete |
$217.83
|
| Rate for Payer: BCBS MAPPO |
$301.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,919.55
|
| Rate for Payer: BCN Commercial |
$400.52
|
| Rate for Payer: BCN Medicare Advantage |
$301.17
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cofinity Commercial |
$433.68
|
| Rate for Payer: Cofinity Commercial |
$403.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.17
|
| Rate for Payer: Mclaren Medicaid |
$207.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.23
|
| Rate for Payer: Meridian Medicaid |
$217.83
|
| Rate for Payer: Nomi Health Commercial |
$361.40
|
| Rate for Payer: PACE SWMI |
$301.17
|
| Rate for Payer: PHP Medicare Advantage |
$301.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.80
|
| Rate for Payer: Priority Health HMO/PPO |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$304.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.17
|
| Rate for Payer: UHC Exchange |
$301.17
|
| Rate for Payer: UHC Medicare Advantage |
$301.17
|
| Rate for Payer: UHCCP Medicaid |
$207.46
|
|
|
PR CLTX METACARPAL FX W/MANIPULATION EACH BONE
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26605
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$497.47 |
| Rate for Payer: Aetna Commercial |
$390.07
|
| Rate for Payer: Aetna Medicare |
$302.74
|
| Rate for Payer: BCBS Complete |
$210.45
|
| Rate for Payer: BCBS MAPPO |
$291.10
|
| Rate for Payer: BCBS Trust/PPO |
$49.24
|
| Rate for Payer: BCN Commercial |
$497.47
|
| Rate for Payer: BCN Medicare Advantage |
$291.10
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$419.18
|
| Rate for Payer: Cofinity Commercial |
$390.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$291.10
|
| Rate for Payer: Mclaren Medicaid |
$200.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$305.66
|
| Rate for Payer: Meridian Medicaid |
$210.45
|
| Rate for Payer: Nomi Health Commercial |
$349.32
|
| Rate for Payer: PACE SWMI |
$291.10
|
| Rate for Payer: PHP Medicare Advantage |
$291.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO |
$473.75
|
| Rate for Payer: Priority Health Medicare |
$294.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$473.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$291.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$291.10
|
| Rate for Payer: UHC Exchange |
$291.10
|
| Rate for Payer: UHC Medicare Advantage |
$291.10
|
| Rate for Payer: UHCCP Medicaid |
$200.43
|
|
|
PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26607
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$1,001.00 |
| Rate for Payer: Aetna Commercial |
$649.56
|
| Rate for Payer: Aetna Medicare |
$504.14
|
| Rate for Payer: BCBS Complete |
$348.67
|
| Rate for Payer: BCBS MAPPO |
$484.75
|
| Rate for Payer: BCBS Trust/PPO |
$49.24
|
| Rate for Payer: BCN Commercial |
$757.45
|
| Rate for Payer: BCN Medicare Advantage |
$484.75
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$698.04
|
| Rate for Payer: Cofinity Commercial |
$649.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.75
|
| Rate for Payer: Mclaren Medicaid |
$332.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.99
|
| Rate for Payer: Meridian Medicaid |
$348.67
|
| Rate for Payer: Nomi Health Commercial |
$581.70
|
| Rate for Payer: PACE SWMI |
$484.75
|
| Rate for Payer: PHP Medicare Advantage |
$484.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO |
$792.81
|
| Rate for Payer: Priority Health Medicare |
$489.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$792.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$484.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.75
|
| Rate for Payer: UHC Exchange |
$484.75
|
| Rate for Payer: UHC Medicare Advantage |
$484.75
|
| Rate for Payer: UHCCP Medicaid |
$332.07
|
|
|
PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26600
|
| Min. Negotiated Rate |
$103.55 |
| Max. Negotiated Rate |
$458.99 |
| Rate for Payer: Aetna Commercial |
$377.01
|
| Rate for Payer: Aetna Medicare |
$292.60
|
| Rate for Payer: BCBS Complete |
$204.64
|
| Rate for Payer: BCBS MAPPO |
$281.35
|
| Rate for Payer: BCBS Trust/PPO |
$103.55
|
| Rate for Payer: BCN Commercial |
$364.78
|
| Rate for Payer: BCN Medicare Advantage |
$281.35
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$405.14
|
| Rate for Payer: Cofinity Commercial |
$377.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.35
|
| Rate for Payer: Mclaren Medicaid |
$194.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$295.42
|
| Rate for Payer: Meridian Medicaid |
$204.64
|
| Rate for Payer: Nomi Health Commercial |
$337.62
|
| Rate for Payer: PACE SWMI |
$281.35
|
| Rate for Payer: PHP Medicare Advantage |
$281.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO |
$458.99
|
| Rate for Payer: Priority Health Medicare |
$284.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$458.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.35
|
| Rate for Payer: UHC Exchange |
$281.35
|
| Rate for Payer: UHC Medicare Advantage |
$281.35
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 26705
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$657.27 |
| Rate for Payer: Aetna Commercial |
$519.29
|
| Rate for Payer: Aetna Medicare |
$403.03
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$387.53
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$657.27
|
| Rate for Payer: BCN Medicare Advantage |
$387.53
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$558.04
|
| Rate for Payer: Cofinity Commercial |
$519.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.53
|
| Rate for Payer: Mclaren Medicaid |
$265.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.91
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Nomi Health Commercial |
$465.04
|
| Rate for Payer: PACE SWMI |
$387.53
|
| Rate for Payer: PHP Medicare Advantage |
$387.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO |
$628.44
|
| Rate for Payer: Priority Health Medicare |
$391.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$628.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.53
|
| Rate for Payer: UHC Exchange |
$387.53
|
| Rate for Payer: UHC Medicare Advantage |
$387.53
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26700
|
| Min. Negotiated Rate |
$64.45 |
| Max. Negotiated Rate |
$512.14 |
| Rate for Payer: Aetna Commercial |
$415.12
|
| Rate for Payer: Aetna Medicare |
$322.18
|
| Rate for Payer: BCBS Complete |
$221.86
|
| Rate for Payer: BCBS MAPPO |
$309.79
|
| Rate for Payer: BCBS Trust/PPO |
$64.45
|
| Rate for Payer: BCN Commercial |
$512.14
|
| Rate for Payer: BCN Medicare Advantage |
$309.79
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cofinity Commercial |
$446.10
|
| Rate for Payer: Cofinity Commercial |
$415.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.79
|
| Rate for Payer: Mclaren Medicaid |
$211.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.28
|
| Rate for Payer: Meridian Medicaid |
$221.86
|
| Rate for Payer: Nomi Health Commercial |
$371.75
|
| Rate for Payer: PACE SWMI |
$309.79
|
| Rate for Payer: PHP Medicare Advantage |
$309.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$312.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.79
|
| Rate for Payer: UHC Exchange |
$309.79
|
| Rate for Payer: UHC Medicare Advantage |
$309.79
|
| Rate for Payer: UHCCP Medicaid |
$211.30
|
|
|
PR CLTX METAR FX W/MANJ
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 28475
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$1,033.88 |
| Rate for Payer: Aetna Commercial |
$297.86
|
| Rate for Payer: Aetna Medicare |
$231.17
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$222.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.88
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: BCN Medicare Advantage |
$222.28
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cofinity Commercial |
$320.08
|
| Rate for Payer: Cofinity Commercial |
$297.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.28
|
| Rate for Payer: Mclaren Medicaid |
$152.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.39
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Nomi Health Commercial |
$266.74
|
| Rate for Payer: PACE SWMI |
$222.28
|
| Rate for Payer: PHP Medicare Advantage |
$222.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.65
|
| Rate for Payer: Priority Health HMO/PPO |
$360.28
|
| Rate for Payer: Priority Health Medicare |
$224.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$360.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.28
|
| Rate for Payer: UHC Exchange |
$222.28
|
| Rate for Payer: UHC Medicare Advantage |
$222.28
|
| Rate for Payer: UHCCP Medicaid |
$152.08
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC REQ ANES
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 28635
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$342.34 |
| Rate for Payer: Aetna Commercial |
$167.89
|
| Rate for Payer: Aetna Medicare |
$130.30
|
| Rate for Payer: BCBS Complete |
$89.46
|
| Rate for Payer: BCBS MAPPO |
$125.29
|
| Rate for Payer: BCBS Trust/PPO |
$342.34
|
| Rate for Payer: BCN Commercial |
$258.51
|
| Rate for Payer: BCN Medicare Advantage |
$125.29
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$180.42
|
| Rate for Payer: Cofinity Commercial |
$167.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.29
|
| Rate for Payer: Mclaren Medicaid |
$85.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.55
|
| Rate for Payer: Meridian Medicaid |
$89.46
|
| Rate for Payer: Nomi Health Commercial |
$150.35
|
| Rate for Payer: PACE SWMI |
$125.29
|
| Rate for Payer: PHP Medicare Advantage |
$125.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO |
$202.02
|
| Rate for Payer: Priority Health Medicare |
$126.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.29
|
| Rate for Payer: UHC Exchange |
$125.29
|
| Rate for Payer: UHC Medicare Advantage |
$125.29
|
| Rate for Payer: UHCCP Medicaid |
$85.20
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$753.88 |
| Rate for Payer: Aetna Commercial |
$144.08
|
| Rate for Payer: Aetna Medicare |
$111.82
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$107.52
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: BCN Medicare Advantage |
$107.52
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$154.83
|
| Rate for Payer: Cofinity Commercial |
$144.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.52
|
| Rate for Payer: Mclaren Medicaid |
$72.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.90
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Nomi Health Commercial |
$129.02
|
| Rate for Payer: PACE SWMI |
$107.52
|
| Rate for Payer: PHP Medicare Advantage |
$107.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO |
$171.49
|
| Rate for Payer: Priority Health Medicare |
$108.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$171.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.52
|
| Rate for Payer: UHC Exchange |
$107.52
|
| Rate for Payer: UHC Medicare Advantage |
$107.52
|
| Rate for Payer: UHCCP Medicaid |
$72.42
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$830.49 |
| Rate for Payer: Aetna Commercial |
$401.29
|
| Rate for Payer: Aetna Medicare |
$311.45
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS MAPPO |
$299.47
|
| Rate for Payer: BCBS Trust/PPO |
$830.49
|
| Rate for Payer: BCN Commercial |
$515.07
|
| Rate for Payer: BCN Medicare Advantage |
$299.47
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$431.24
|
| Rate for Payer: Cofinity Commercial |
$401.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.47
|
| Rate for Payer: Mclaren Medicaid |
$205.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.44
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Nomi Health Commercial |
$359.36
|
| Rate for Payer: PACE SWMI |
$299.47
|
| Rate for Payer: PHP Medicare Advantage |
$299.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO |
$484.94
|
| Rate for Payer: Priority Health Medicare |
$302.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$299.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$299.47
|
| Rate for Payer: UHC Exchange |
$299.47
|
| Rate for Payer: UHC Medicare Advantage |
$299.47
|
| Rate for Payer: UHCCP Medicaid |
$205.12
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$128.87 |
| Max. Negotiated Rate |
$909.78 |
| Rate for Payer: Aetna Commercial |
$249.66
|
| Rate for Payer: Aetna Medicare |
$193.76
|
| Rate for Payer: BCBS Complete |
$135.31
|
| Rate for Payer: BCBS MAPPO |
$186.31
|
| Rate for Payer: BCBS Trust/PPO |
$909.78
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$186.31
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$268.29
|
| Rate for Payer: Cofinity Commercial |
$249.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.31
|
| Rate for Payer: Mclaren Medicaid |
$128.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.63
|
| Rate for Payer: Meridian Medicaid |
$135.31
|
| Rate for Payer: Nomi Health Commercial |
$223.57
|
| Rate for Payer: PACE SWMI |
$186.31
|
| Rate for Payer: PHP Medicare Advantage |
$186.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO |
$303.80
|
| Rate for Payer: Priority Health Medicare |
$188.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$186.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.31
|
| Rate for Payer: UHC Exchange |
$186.31
|
| Rate for Payer: UHC Medicare Advantage |
$186.31
|
| Rate for Payer: UHCCP Medicaid |
$128.87
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$3,076.82 |
| Rate for Payer: Aetna Commercial |
$753.47
|
| Rate for Payer: Aetna Medicare |
$584.78
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$562.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,076.82
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: BCN Medicare Advantage |
$562.29
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$809.70
|
| Rate for Payer: Cofinity Commercial |
$753.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.29
|
| Rate for Payer: Mclaren Medicaid |
$380.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$590.40
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Nomi Health Commercial |
$674.75
|
| Rate for Payer: PACE SWMI |
$562.29
|
| Rate for Payer: PHP Medicare Advantage |
$562.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.50
|
| Rate for Payer: Priority Health HMO/PPO |
$905.26
|
| Rate for Payer: Priority Health Medicare |
$567.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$905.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.29
|
| Rate for Payer: UHC Exchange |
$562.29
|
| Rate for Payer: UHC Medicare Advantage |
$562.29
|
| Rate for Payer: UHCCP Medicaid |
$380.63
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$277.11 |
| Max. Negotiated Rate |
$2,859.69 |
| Rate for Payer: Aetna Commercial |
$546.43
|
| Rate for Payer: Aetna Medicare |
$424.09
|
| Rate for Payer: BCBS Complete |
$290.97
|
| Rate for Payer: BCBS MAPPO |
$407.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,859.69
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$407.78
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cofinity Commercial |
$587.20
|
| Rate for Payer: Cofinity Commercial |
$546.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.78
|
| Rate for Payer: Mclaren Medicaid |
$277.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Medicaid |
$290.97
|
| Rate for Payer: Nomi Health Commercial |
$489.34
|
| Rate for Payer: PACE SWMI |
$407.78
|
| Rate for Payer: PHP Medicare Advantage |
$407.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.30
|
| Rate for Payer: Priority Health HMO/PPO |
$656.43
|
| Rate for Payer: Priority Health Medicare |
$411.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.78
|
| Rate for Payer: UHC Exchange |
$407.78
|
| Rate for Payer: UHC Medicare Advantage |
$407.78
|
| Rate for Payer: UHCCP Medicaid |
$277.11
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,212.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$269.23 |
| Max. Negotiated Rate |
$2,284.34 |
| Rate for Payer: Aetna Commercial |
$526.93
|
| Rate for Payer: Aetna Medicare |
$408.96
|
| Rate for Payer: BCBS Complete |
$282.69
|
| Rate for Payer: BCBS MAPPO |
$393.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.34
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$393.23
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cofinity Commercial |
$566.25
|
| Rate for Payer: Cofinity Commercial |
$526.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.23
|
| Rate for Payer: Mclaren Medicaid |
$269.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$412.89
|
| Rate for Payer: Meridian Medicaid |
$282.69
|
| Rate for Payer: Nomi Health Commercial |
$471.88
|
| Rate for Payer: PACE SWMI |
$393.23
|
| Rate for Payer: PHP Medicare Advantage |
$393.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.80
|
| Rate for Payer: Priority Health HMO/PPO |
$638.12
|
| Rate for Payer: Priority Health Medicare |
$397.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$638.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.23
|
| Rate for Payer: UHC Exchange |
$393.23
|
| Rate for Payer: UHC Medicare Advantage |
$393.23
|
| Rate for Payer: UHCCP Medicaid |
$269.23
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$2,660.11 |
| Rate for Payer: Aetna Commercial |
$373.73
|
| Rate for Payer: Aetna Medicare |
$290.06
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$278.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.11
|
| Rate for Payer: BCN Commercial |
$465.71
|
| Rate for Payer: BCN Medicare Advantage |
$278.90
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$401.62
|
| Rate for Payer: Cofinity Commercial |
$373.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.90
|
| Rate for Payer: Mclaren Medicaid |
$192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.84
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Nomi Health Commercial |
$334.68
|
| Rate for Payer: PACE SWMI |
$278.90
|
| Rate for Payer: PHP Medicare Advantage |
$278.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.90
|
| Rate for Payer: Priority Health HMO/PPO |
$453.90
|
| Rate for Payer: Priority Health Medicare |
$281.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$278.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.90
|
| Rate for Payer: UHC Exchange |
$278.90
|
| Rate for Payer: UHC Medicare Advantage |
$278.90
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
|
|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$558.36
|
| Rate for Payer: Aetna Medicare |
$433.36
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$416.69
|
| Rate for Payer: BCBS Trust/PPO |
$303.24
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$416.69
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$600.03
|
| Rate for Payer: Cofinity Commercial |
$558.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.69
|
| Rate for Payer: Mclaren Medicaid |
$284.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.52
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Nomi Health Commercial |
$500.03
|
| Rate for Payer: PACE SWMI |
$416.69
|
| Rate for Payer: PHP Medicare Advantage |
$416.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO |
$674.75
|
| Rate for Payer: Priority Health Medicare |
$420.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$674.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.69
|
| Rate for Payer: UHC Exchange |
$416.69
|
| Rate for Payer: UHC Medicare Advantage |
$416.69
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$203.34 |
| Max. Negotiated Rate |
$510.25 |
| Rate for Payer: Aetna Commercial |
$414.84
|
| Rate for Payer: Aetna Medicare |
$321.96
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$309.58
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Commercial |
$403.26
|
| Rate for Payer: BCN Medicare Advantage |
$309.58
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$445.80
|
| Rate for Payer: Cofinity Commercial |
$414.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.58
|
| Rate for Payer: Mclaren Medicaid |
$213.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.06
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Nomi Health Commercial |
$371.50
|
| Rate for Payer: PACE SWMI |
$309.58
|
| Rate for Payer: PHP Medicare Advantage |
$309.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$510.25
|
| Rate for Payer: Priority Health HMO/PPO |
$504.28
|
| Rate for Payer: Priority Health Medicare |
$312.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$504.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.58
|
| Rate for Payer: UHC Exchange |
$309.58
|
| Rate for Payer: UHC Medicare Advantage |
$309.58
|
| Rate for Payer: UHCCP Medicaid |
$213.85
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$133.15 |
| Max. Negotiated Rate |
$643.71 |
| Rate for Payer: Aetna Commercial |
$534.69
|
| Rate for Payer: Aetna Medicare |
$414.98
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS MAPPO |
$399.02
|
| Rate for Payer: BCBS Trust/PPO |
$133.15
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$399.02
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$574.59
|
| Rate for Payer: Cofinity Commercial |
$534.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.02
|
| Rate for Payer: Mclaren Medicaid |
$272.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.97
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Nomi Health Commercial |
$478.82
|
| Rate for Payer: PACE SWMI |
$399.02
|
| Rate for Payer: PHP Medicare Advantage |
$399.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO |
$643.71
|
| Rate for Payer: Priority Health Medicare |
$403.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.02
|
| Rate for Payer: UHC Exchange |
$399.02
|
| Rate for Payer: UHC Medicare Advantage |
$399.02
|
| Rate for Payer: UHCCP Medicaid |
$272.64
|
|
