|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MNPJ
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$1,828.45 |
| Rate for Payer: Aetna Commercial |
$586.88
|
| Rate for Payer: Aetna Medicare |
$455.49
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$437.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,828.45
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$437.97
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cofinity Commercial |
$630.68
|
| Rate for Payer: Cofinity Commercial |
$586.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$437.97
|
| Rate for Payer: Mclaren Medicaid |
$299.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.87
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Nomi Health Commercial |
$525.56
|
| Rate for Payer: PACE SWMI |
$437.97
|
| Rate for Payer: PHP Medicare Advantage |
$437.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.70
|
| Rate for Payer: Priority Health HMO/PPO |
$708.84
|
| Rate for Payer: Priority Health Medicare |
$442.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$708.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$437.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$437.97
|
| Rate for Payer: UHC Exchange |
$437.97
|
| Rate for Payer: UHC Medicare Advantage |
$437.97
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$50.91 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$100.10
|
| Rate for Payer: Aetna Medicare |
$77.69
|
| Rate for Payer: BCBS Complete |
$53.46
|
| Rate for Payer: BCBS MAPPO |
$74.70
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$74.70
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$107.57
|
| Rate for Payer: Cofinity Commercial |
$100.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.70
|
| Rate for Payer: Mclaren Medicaid |
$50.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.44
|
| Rate for Payer: Meridian Medicaid |
$53.46
|
| Rate for Payer: Nomi Health Commercial |
$89.64
|
| Rate for Payer: PACE SWMI |
$74.70
|
| Rate for Payer: PHP Medicare Advantage |
$74.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.60
|
| Rate for Payer: Priority Health HMO/PPO |
$123.15
|
| Rate for Payer: Priority Health Medicare |
$75.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.70
|
| Rate for Payer: UHC Exchange |
$74.70
|
| Rate for Payer: UHC Medicare Advantage |
$74.70
|
| Rate for Payer: UHCCP Medicaid |
$50.91
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$362.53 |
| Max. Negotiated Rate |
$1,412.15 |
| Rate for Payer: Aetna Commercial |
$712.36
|
| Rate for Payer: Aetna Medicare |
$552.87
|
| Rate for Payer: BCBS Complete |
$380.66
|
| Rate for Payer: BCBS MAPPO |
$531.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,412.15
|
| Rate for Payer: BCN Commercial |
$862.03
|
| Rate for Payer: BCN Medicare Advantage |
$531.61
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$765.52
|
| Rate for Payer: Cofinity Commercial |
$712.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.61
|
| Rate for Payer: Mclaren Medicaid |
$362.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.19
|
| Rate for Payer: Meridian Medicaid |
$380.66
|
| Rate for Payer: Nomi Health Commercial |
$637.93
|
| Rate for Payer: PACE SWMI |
$531.61
|
| Rate for Payer: PHP Medicare Advantage |
$531.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.95
|
| Rate for Payer: Priority Health HMO/PPO |
$856.92
|
| Rate for Payer: Priority Health Medicare |
$536.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$856.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$531.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.61
|
| Rate for Payer: UHC Exchange |
$531.61
|
| Rate for Payer: UHC Medicare Advantage |
$531.61
|
| Rate for Payer: UHCCP Medicaid |
$362.53
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$670.15 |
| Rate for Payer: Aetna Commercial |
$497.94
|
| Rate for Payer: Aetna Medicare |
$386.46
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$371.60
|
| Rate for Payer: BCBS Trust/PPO |
$192.30
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$371.60
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$535.10
|
| Rate for Payer: Cofinity Commercial |
$497.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.60
|
| Rate for Payer: Mclaren Medicaid |
$254.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.18
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Nomi Health Commercial |
$445.92
|
| Rate for Payer: PACE SWMI |
$371.60
|
| Rate for Payer: PHP Medicare Advantage |
$371.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO |
$601.48
|
| Rate for Payer: Priority Health Medicare |
$375.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$601.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$371.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.60
|
| Rate for Payer: UHC Exchange |
$371.60
|
| Rate for Payer: UHC Medicare Advantage |
$371.60
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$159.61 |
| Max. Negotiated Rate |
$892.45 |
| Rate for Payer: Aetna Commercial |
$524.72
|
| Rate for Payer: Aetna Medicare |
$407.24
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: BCBS MAPPO |
$391.58
|
| Rate for Payer: BCBS Trust/PPO |
$159.61
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$391.58
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cofinity Commercial |
$563.88
|
| Rate for Payer: Cofinity Commercial |
$524.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.58
|
| Rate for Payer: Mclaren Medicaid |
$267.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.16
|
| Rate for Payer: Meridian Medicaid |
$280.91
|
| Rate for Payer: Nomi Health Commercial |
$469.90
|
| Rate for Payer: PACE SWMI |
$391.58
|
| Rate for Payer: PHP Medicare Advantage |
$391.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.45
|
| Rate for Payer: Priority Health HMO/PPO |
$634.04
|
| Rate for Payer: Priority Health Medicare |
$395.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$634.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.58
|
| Rate for Payer: UHC Exchange |
$391.58
|
| Rate for Payer: UHC Medicare Advantage |
$391.58
|
| Rate for Payer: UHCCP Medicaid |
$267.53
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$1,066.00 |
| Rate for Payer: Aetna Commercial |
$748.06
|
| Rate for Payer: Aetna Medicare |
$580.58
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$558.25
|
| Rate for Payer: BCBS Trust/PPO |
$605.96
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: BCN Medicare Advantage |
$558.25
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$803.88
|
| Rate for Payer: Cofinity Commercial |
$748.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.25
|
| Rate for Payer: Mclaren Medicaid |
$379.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.16
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Nomi Health Commercial |
$669.90
|
| Rate for Payer: PACE SWMI |
$558.25
|
| Rate for Payer: PHP Medicare Advantage |
$558.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO |
$899.66
|
| Rate for Payer: Priority Health Medicare |
$563.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$899.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.25
|
| Rate for Payer: UHC Exchange |
$558.25
|
| Rate for Payer: UHC Medicare Advantage |
$558.25
|
| Rate for Payer: UHCCP Medicaid |
$379.78
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
|
Professional
|
Both
|
$844.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$236.00 |
| Max. Negotiated Rate |
$576.64 |
| Rate for Payer: Aetna Commercial |
$459.93
|
| Rate for Payer: Aetna Medicare |
$356.96
|
| Rate for Payer: BCBS Complete |
$247.80
|
| Rate for Payer: BCBS MAPPO |
$343.23
|
| Rate for Payer: BCBS Trust/PPO |
$472.30
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: BCN Medicare Advantage |
$343.23
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cofinity Commercial |
$494.25
|
| Rate for Payer: Cofinity Commercial |
$459.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.23
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$360.39
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Nomi Health Commercial |
$411.88
|
| Rate for Payer: PACE SWMI |
$343.23
|
| Rate for Payer: PHP Medicare Advantage |
$343.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.60
|
| Rate for Payer: Priority Health HMO/PPO |
$559.24
|
| Rate for Payer: Priority Health Medicare |
$346.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.23
|
| Rate for Payer: UHC Exchange |
$343.23
|
| Rate for Payer: UHC Medicare Advantage |
$343.23
|
| Rate for Payer: UHCCP Medicaid |
$236.00
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$521.85 |
| Max. Negotiated Rate |
$1,429.35 |
| Rate for Payer: Aetna Commercial |
$1,036.78
|
| Rate for Payer: Aetna Medicare |
$804.67
|
| Rate for Payer: BCBS Complete |
$547.94
|
| Rate for Payer: BCBS MAPPO |
$773.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$1,180.15
|
| Rate for Payer: BCN Medicare Advantage |
$773.72
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cofinity Commercial |
$1,114.16
|
| Rate for Payer: Cofinity Commercial |
$1,036.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.72
|
| Rate for Payer: Mclaren Medicaid |
$521.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$812.41
|
| Rate for Payer: Meridian Medicaid |
$547.94
|
| Rate for Payer: Nomi Health Commercial |
$928.46
|
| Rate for Payer: PACE SWMI |
$773.72
|
| Rate for Payer: PHP Medicare Advantage |
$773.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,429.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,235.01
|
| Rate for Payer: Priority Health Medicare |
$781.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,235.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$773.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.72
|
| Rate for Payer: UHC Exchange |
$773.72
|
| Rate for Payer: UHC Medicare Advantage |
$773.72
|
| Rate for Payer: UHCCP Medicaid |
$521.85
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$3,213.12 |
| Rate for Payer: Aetna Commercial |
$647.46
|
| Rate for Payer: Aetna Medicare |
$502.51
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$483.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,213.12
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$483.18
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cofinity Commercial |
$695.78
|
| Rate for Payer: Cofinity Commercial |
$647.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.18
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$507.34
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Nomi Health Commercial |
$579.82
|
| Rate for Payer: PACE SWMI |
$483.18
|
| Rate for Payer: PHP Medicare Advantage |
$483.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.40
|
| Rate for Payer: Priority Health HMO/PPO |
$776.01
|
| Rate for Payer: Priority Health Medicare |
$488.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$776.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$483.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.18
|
| Rate for Payer: UHC Exchange |
$483.18
|
| Rate for Payer: UHC Medicare Advantage |
$483.18
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
|
|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$182.12 |
| Max. Negotiated Rate |
$656.68 |
| Rate for Payer: Aetna Commercial |
$353.67
|
| Rate for Payer: Aetna Medicare |
$274.49
|
| Rate for Payer: BCBS Complete |
$191.23
|
| Rate for Payer: BCBS MAPPO |
$263.93
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$462.78
|
| Rate for Payer: BCN Medicare Advantage |
$263.93
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cofinity Commercial |
$380.06
|
| Rate for Payer: Cofinity Commercial |
$353.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.93
|
| Rate for Payer: Mclaren Medicaid |
$182.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$277.13
|
| Rate for Payer: Meridian Medicaid |
$191.23
|
| Rate for Payer: Nomi Health Commercial |
$316.72
|
| Rate for Payer: PACE SWMI |
$263.93
|
| Rate for Payer: PHP Medicare Advantage |
$263.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.50
|
| Rate for Payer: Priority Health HMO/PPO |
$429.48
|
| Rate for Payer: Priority Health Medicare |
$266.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$429.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.93
|
| Rate for Payer: UHC Exchange |
$263.93
|
| Rate for Payer: UHC Medicare Advantage |
$263.93
|
| Rate for Payer: UHCCP Medicaid |
$182.12
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$195.11 |
| Max. Negotiated Rate |
$1,234.64 |
| Rate for Payer: Aetna Commercial |
$377.83
|
| Rate for Payer: Aetna Medicare |
$293.24
|
| Rate for Payer: BCBS Complete |
$204.87
|
| Rate for Payer: BCBS MAPPO |
$281.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.64
|
| Rate for Payer: BCN Commercial |
$463.27
|
| Rate for Payer: BCN Medicare Advantage |
$281.96
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cofinity Commercial |
$406.02
|
| Rate for Payer: Cofinity Commercial |
$377.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.96
|
| Rate for Payer: Mclaren Medicaid |
$195.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.06
|
| Rate for Payer: Meridian Medicaid |
$204.87
|
| Rate for Payer: Nomi Health Commercial |
$338.35
|
| Rate for Payer: PACE SWMI |
$281.96
|
| Rate for Payer: PHP Medicare Advantage |
$281.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.95
|
| Rate for Payer: Priority Health HMO/PPO |
$461.02
|
| Rate for Payer: Priority Health Medicare |
$284.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$461.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.96
|
| Rate for Payer: UHC Exchange |
$281.96
|
| Rate for Payer: UHC Medicare Advantage |
$281.96
|
| Rate for Payer: UHCCP Medicaid |
$195.11
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$382.34 |
| Max. Negotiated Rate |
$936.15 |
| Rate for Payer: Aetna Commercial |
$755.40
|
| Rate for Payer: Aetna Medicare |
$586.28
|
| Rate for Payer: BCBS Complete |
$401.46
|
| Rate for Payer: BCBS MAPPO |
$563.73
|
| Rate for Payer: BCBS Trust/PPO |
$936.15
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$563.73
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cofinity Commercial |
$811.77
|
| Rate for Payer: Cofinity Commercial |
$755.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.73
|
| Rate for Payer: Mclaren Medicaid |
$382.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.92
|
| Rate for Payer: Meridian Medicaid |
$401.46
|
| Rate for Payer: Nomi Health Commercial |
$676.48
|
| Rate for Payer: PACE SWMI |
$563.73
|
| Rate for Payer: PHP Medicare Advantage |
$563.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$738.40
|
| Rate for Payer: Priority Health HMO/PPO |
$904.75
|
| Rate for Payer: Priority Health Medicare |
$569.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$904.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$563.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$563.73
|
| Rate for Payer: UHC Exchange |
$563.73
|
| Rate for Payer: UHC Medicare Advantage |
$563.73
|
| Rate for Payer: UHCCP Medicaid |
$382.34
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$323.76 |
| Max. Negotiated Rate |
$3,450.64 |
| Rate for Payer: Aetna Commercial |
$638.80
|
| Rate for Payer: Aetna Medicare |
$495.79
|
| Rate for Payer: BCBS Complete |
$339.95
|
| Rate for Payer: BCBS MAPPO |
$476.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.64
|
| Rate for Payer: BCN Commercial |
$799.48
|
| Rate for Payer: BCN Medicare Advantage |
$476.72
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cofinity Commercial |
$686.48
|
| Rate for Payer: Cofinity Commercial |
$638.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$476.72
|
| Rate for Payer: Mclaren Medicaid |
$323.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$500.56
|
| Rate for Payer: Meridian Medicaid |
$339.95
|
| Rate for Payer: Nomi Health Commercial |
$572.06
|
| Rate for Payer: PACE SWMI |
$476.72
|
| Rate for Payer: PHP Medicare Advantage |
$476.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO |
$768.38
|
| Rate for Payer: Priority Health Medicare |
$481.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$768.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$476.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$476.72
|
| Rate for Payer: UHC Exchange |
$476.72
|
| Rate for Payer: UHC Medicare Advantage |
$476.72
|
| Rate for Payer: UHCCP Medicaid |
$323.76
|
|
|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$598.65 |
| Rate for Payer: Aetna Commercial |
$422.35
|
| Rate for Payer: Aetna Medicare |
$327.80
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS MAPPO |
$315.19
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: BCN Medicare Advantage |
$315.19
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cofinity Commercial |
$453.87
|
| Rate for Payer: Cofinity Commercial |
$422.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.19
|
| Rate for Payer: Mclaren Medicaid |
$216.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.95
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Nomi Health Commercial |
$378.23
|
| Rate for Payer: PACE SWMI |
$315.19
|
| Rate for Payer: PHP Medicare Advantage |
$315.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.65
|
| Rate for Payer: Priority Health HMO/PPO |
$513.94
|
| Rate for Payer: Priority Health Medicare |
$318.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$513.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.19
|
| Rate for Payer: UHC Exchange |
$315.19
|
| Rate for Payer: UHC Medicare Advantage |
$315.19
|
| Rate for Payer: UHCCP Medicaid |
$216.83
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$352.52 |
| Max. Negotiated Rate |
$1,480.30 |
| Rate for Payer: Aetna Commercial |
$692.07
|
| Rate for Payer: Aetna Medicare |
$537.13
|
| Rate for Payer: BCBS Complete |
$370.15
|
| Rate for Payer: BCBS MAPPO |
$516.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.30
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: BCN Medicare Advantage |
$516.47
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cofinity Commercial |
$743.72
|
| Rate for Payer: Cofinity Commercial |
$692.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.47
|
| Rate for Payer: Mclaren Medicaid |
$352.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.29
|
| Rate for Payer: Meridian Medicaid |
$370.15
|
| Rate for Payer: Nomi Health Commercial |
$619.76
|
| Rate for Payer: PACE SWMI |
$516.47
|
| Rate for Payer: PHP Medicare Advantage |
$516.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.10
|
| Rate for Payer: Priority Health HMO/PPO |
$833.01
|
| Rate for Payer: Priority Health Medicare |
$521.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$833.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.47
|
| Rate for Payer: UHC Exchange |
$516.47
|
| Rate for Payer: UHC Medicare Advantage |
$516.47
|
| Rate for Payer: UHCCP Medicaid |
$352.52
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$3,352.06 |
| Rate for Payer: Aetna Commercial |
$577.55
|
| Rate for Payer: Aetna Medicare |
$448.25
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$431.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.06
|
| Rate for Payer: BCN Commercial |
$736.44
|
| Rate for Payer: BCN Medicare Advantage |
$431.01
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$620.65
|
| Rate for Payer: Cofinity Commercial |
$577.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.01
|
| Rate for Payer: Mclaren Medicaid |
$292.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.56
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Nomi Health Commercial |
$517.21
|
| Rate for Payer: PACE SWMI |
$431.01
|
| Rate for Payer: PHP Medicare Advantage |
$431.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO |
$693.58
|
| Rate for Payer: Priority Health Medicare |
$435.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$693.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$431.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.01
|
| Rate for Payer: UHC Exchange |
$431.01
|
| Rate for Payer: UHC Medicare Advantage |
$431.01
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$198.09 |
| Max. Negotiated Rate |
$2,170.78 |
| Rate for Payer: Aetna Commercial |
$385.88
|
| Rate for Payer: Aetna Medicare |
$299.49
|
| Rate for Payer: BCBS Complete |
$207.99
|
| Rate for Payer: BCBS MAPPO |
$287.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$496.49
|
| Rate for Payer: BCN Medicare Advantage |
$287.97
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$414.68
|
| Rate for Payer: Cofinity Commercial |
$385.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.97
|
| Rate for Payer: Mclaren Medicaid |
$198.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.37
|
| Rate for Payer: Meridian Medicaid |
$207.99
|
| Rate for Payer: Nomi Health Commercial |
$345.56
|
| Rate for Payer: PACE SWMI |
$287.97
|
| Rate for Payer: PHP Medicare Advantage |
$287.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.60
|
| Rate for Payer: Priority Health HMO/PPO |
$468.66
|
| Rate for Payer: Priority Health Medicare |
$290.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$468.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.97
|
| Rate for Payer: UHC Exchange |
$287.97
|
| Rate for Payer: UHC Medicare Advantage |
$287.97
|
| Rate for Payer: UHCCP Medicaid |
$198.09
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$195.53 |
| Max. Negotiated Rate |
$581.75 |
| Rate for Payer: Aetna Commercial |
$384.54
|
| Rate for Payer: Aetna Medicare |
$298.45
|
| Rate for Payer: BCBS Complete |
$205.31
|
| Rate for Payer: BCBS MAPPO |
$286.97
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$286.97
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cofinity Commercial |
$413.24
|
| Rate for Payer: Cofinity Commercial |
$384.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.97
|
| Rate for Payer: Mclaren Medicaid |
$195.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$301.32
|
| Rate for Payer: Meridian Medicaid |
$205.31
|
| Rate for Payer: Nomi Health Commercial |
$344.36
|
| Rate for Payer: PACE SWMI |
$286.97
|
| Rate for Payer: PHP Medicare Advantage |
$286.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.75
|
| Rate for Payer: Priority Health HMO/PPO |
$463.07
|
| Rate for Payer: Priority Health Medicare |
$289.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$463.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.97
|
| Rate for Payer: UHC Exchange |
$286.97
|
| Rate for Payer: UHC Medicare Advantage |
$286.97
|
| Rate for Payer: UHCCP Medicaid |
$195.53
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$368.43 |
| Max. Negotiated Rate |
$1,305.75 |
| Rate for Payer: Aetna Commercial |
$1,015.75
|
| Rate for Payer: Aetna Medicare |
$788.34
|
| Rate for Payer: BCBS Complete |
$537.21
|
| Rate for Payer: BCBS MAPPO |
$758.02
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$1,305.75
|
| Rate for Payer: BCN Medicare Advantage |
$758.02
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cofinity Commercial |
$1,091.55
|
| Rate for Payer: Cofinity Commercial |
$1,015.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.02
|
| Rate for Payer: Mclaren Medicaid |
$511.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.92
|
| Rate for Payer: Meridian Medicaid |
$537.21
|
| Rate for Payer: Nomi Health Commercial |
$909.62
|
| Rate for Payer: PACE SWMI |
$758.02
|
| Rate for Payer: PHP Medicare Advantage |
$758.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,205.99
|
| Rate for Payer: Priority Health Medicare |
$765.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,205.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$758.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$758.02
|
| Rate for Payer: UHC Exchange |
$758.02
|
| Rate for Payer: UHC Medicare Advantage |
$758.02
|
| Rate for Payer: UHCCP Medicaid |
$511.63
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$2,029.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$499.27 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$1,000.87
|
| Rate for Payer: Aetna Medicare |
$776.80
|
| Rate for Payer: BCBS Complete |
$524.23
|
| Rate for Payer: BCBS MAPPO |
$746.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,141.55
|
| Rate for Payer: BCN Medicare Advantage |
$746.92
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cofinity Commercial |
$1,075.56
|
| Rate for Payer: Cofinity Commercial |
$1,000.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$746.92
|
| Rate for Payer: Mclaren Medicaid |
$499.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$784.27
|
| Rate for Payer: Meridian Medicaid |
$524.23
|
| Rate for Payer: Nomi Health Commercial |
$896.30
|
| Rate for Payer: PACE SWMI |
$746.92
|
| Rate for Payer: PHP Medicare Advantage |
$746.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,318.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,164.23
|
| Rate for Payer: Priority Health Medicare |
$754.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,164.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$746.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$746.92
|
| Rate for Payer: UHC Exchange |
$746.92
|
| Rate for Payer: UHC Medicare Advantage |
$746.92
|
| Rate for Payer: UHCCP Medicaid |
$499.27
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,612.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.27 |
| Max. Negotiated Rate |
$1,697.80 |
| Rate for Payer: Aetna Commercial |
$1,120.29
|
| Rate for Payer: Aetna Medicare |
$869.48
|
| Rate for Payer: BCBS Complete |
$586.18
|
| Rate for Payer: BCBS MAPPO |
$836.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: BCN Medicare Advantage |
$836.04
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,203.90
|
| Rate for Payer: Cofinity Commercial |
$1,120.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$836.04
|
| Rate for Payer: Mclaren Medicaid |
$558.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.84
|
| Rate for Payer: Meridian Medicaid |
$586.18
|
| Rate for Payer: Nomi Health Commercial |
$1,003.25
|
| Rate for Payer: PACE SWMI |
$836.04
|
| Rate for Payer: PHP Medicare Advantage |
$836.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,301.62
|
| Rate for Payer: Priority Health Medicare |
$844.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,301.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$836.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$836.04
|
| Rate for Payer: UHC Exchange |
$836.04
|
| Rate for Payer: UHC Medicare Advantage |
$836.04
|
| Rate for Payer: UHCCP Medicaid |
$558.27
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$395.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$669.36 |
| Rate for Payer: Aetna Commercial |
$44.61
|
| Rate for Payer: Aetna Medicare |
$34.62
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$33.29
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$33.29
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Cofinity Commercial |
$44.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.29
|
| Rate for Payer: Mclaren Medicaid |
$22.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.95
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Nomi Health Commercial |
$39.95
|
| Rate for Payer: PACE SWMI |
$33.29
|
| Rate for Payer: PHP Medicare Advantage |
$33.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.75
|
| Rate for Payer: Priority Health HMO/PPO |
$55.31
|
| Rate for Payer: Priority Health Medicare |
$33.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.29
|
| Rate for Payer: UHC Exchange |
$33.29
|
| Rate for Payer: UHC Medicare Advantage |
$33.29
|
| Rate for Payer: UHCCP Medicaid |
$22.15
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,951.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$331.85 |
| Max. Negotiated Rate |
$1,268.15 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$512.47
|
| Rate for Payer: BCBS Complete |
$348.44
|
| Rate for Payer: BCBS MAPPO |
$492.76
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: BCN Medicare Advantage |
$492.76
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cofinity Commercial |
$709.57
|
| Rate for Payer: Cofinity Commercial |
$660.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.76
|
| Rate for Payer: Mclaren Medicaid |
$331.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.40
|
| Rate for Payer: Meridian Medicaid |
$348.44
|
| Rate for Payer: Nomi Health Commercial |
$591.31
|
| Rate for Payer: PACE SWMI |
$492.76
|
| Rate for Payer: PHP Medicare Advantage |
$492.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.15
|
| Rate for Payer: Priority Health HMO/PPO |
$787.72
|
| Rate for Payer: Priority Health Medicare |
$497.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$787.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$492.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.76
|
| Rate for Payer: UHC Exchange |
$492.76
|
| Rate for Payer: UHC Medicare Advantage |
$492.76
|
| Rate for Payer: UHCCP Medicaid |
$331.85
|
|
|
PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY
|
Professional
|
Both
|
$4,226.00
|
|
|
Service Code
|
HCPCS 69930
|
| Min. Negotiated Rate |
$774.89 |
| Max. Negotiated Rate |
$2,746.90 |
| Rate for Payer: Aetna Commercial |
$1,534.11
|
| Rate for Payer: Aetna Medicare |
$1,190.65
|
| Rate for Payer: BCBS Complete |
$813.63
|
| Rate for Payer: BCBS MAPPO |
$1,144.86
|
| Rate for Payer: BCN Commercial |
$1,788.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,144.86
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cofinity Commercial |
$1,648.60
|
| Rate for Payer: Cofinity Commercial |
$1,534.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,144.86
|
| Rate for Payer: Mclaren Medicaid |
$774.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,202.10
|
| Rate for Payer: Meridian Medicaid |
$813.63
|
| Rate for Payer: Nomi Health Commercial |
$1,373.83
|
| Rate for Payer: PACE SWMI |
$1,144.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,144.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,746.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,778.18
|
| Rate for Payer: Priority Health Medicare |
$1,156.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,778.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,144.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,144.86
|
| Rate for Payer: UHC Exchange |
$1,144.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.86
|
| Rate for Payer: UHCCP Medicaid |
$774.89
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
|
