|
PR OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG
|
Professional
|
Both
|
$1,978.00
|
|
|
Service Code
|
HCPCS 21365
|
| Min. Negotiated Rate |
$180.58 |
| Max. Negotiated Rate |
$1,654.00 |
| Rate for Payer: Aetna Commercial |
$1,425.80
|
| Rate for Payer: Aetna Medicare |
$1,106.59
|
| Rate for Payer: BCBS Complete |
$724.63
|
| Rate for Payer: BCBS MAPPO |
$1,064.03
|
| Rate for Payer: BCBS Trust/PPO |
$180.58
|
| Rate for Payer: BCN Commercial |
$1,582.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,064.03
|
| Rate for Payer: Cash Price |
$1,582.40
|
| Rate for Payer: Cash Price |
$1,582.40
|
| Rate for Payer: Cofinity Commercial |
$1,425.80
|
| Rate for Payer: Cofinity Commercial |
$1,532.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,064.03
|
| Rate for Payer: Mclaren Medicaid |
$690.12
|
| Rate for Payer: Meridian Medicaid |
$724.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,117.23
|
| Rate for Payer: PACE SWMI |
$1,064.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,064.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$690.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,384.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,654.00
|
| Rate for Payer: Priority Health Medicare |
$1,064.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,654.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,064.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,064.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,095.95
|
|
|
PR OPEN TX COMPLICATED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$3,407.00
|
|
|
Service Code
|
HCPCS 21344
|
| Min. Negotiated Rate |
$118.87 |
| Max. Negotiated Rate |
$2,384.90 |
| Rate for Payer: Aetna Commercial |
$1,840.92
|
| Rate for Payer: Aetna Medicare |
$1,428.77
|
| Rate for Payer: BCBS Complete |
$935.75
|
| Rate for Payer: BCBS MAPPO |
$1,373.82
|
| Rate for Payer: BCBS Trust/PPO |
$118.87
|
| Rate for Payer: BCN Commercial |
$2,044.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,373.82
|
| Rate for Payer: Cash Price |
$2,725.60
|
| Rate for Payer: Cash Price |
$2,725.60
|
| Rate for Payer: Cofinity Commercial |
$1,840.92
|
| Rate for Payer: Cofinity Commercial |
$1,978.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,373.82
|
| Rate for Payer: Mclaren Medicaid |
$891.19
|
| Rate for Payer: Meridian Medicaid |
$935.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,442.51
|
| Rate for Payer: PACE SWMI |
$1,373.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,373.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$891.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,384.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,136.56
|
| Rate for Payer: Priority Health Medicare |
$1,373.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,136.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,373.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,373.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,415.03
|
|
|
PR OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR
|
Professional
|
Both
|
$2,954.00
|
|
|
Service Code
|
HCPCS 21433
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,644.15 |
| Rate for Payer: Aetna Commercial |
$2,283.78
|
| Rate for Payer: Aetna Medicare |
$1,772.48
|
| Rate for Payer: BCBS Complete |
$1,159.85
|
| Rate for Payer: BCBS MAPPO |
$1,704.31
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,530.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,704.31
|
| Rate for Payer: Cash Price |
$2,363.20
|
| Rate for Payer: Cash Price |
$2,363.20
|
| Rate for Payer: Cofinity Commercial |
$2,454.21
|
| Rate for Payer: Cofinity Commercial |
$2,283.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,704.31
|
| Rate for Payer: Mclaren Medicaid |
$1,104.62
|
| Rate for Payer: Meridian Medicaid |
$1,159.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,789.53
|
| Rate for Payer: PACE SWMI |
$1,704.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,704.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,104.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,067.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,644.15
|
| Rate for Payer: Priority Health Medicare |
$1,704.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,644.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,704.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,704.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,755.44
|
|
|
PR OPEN TX DEPRESSED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$2,405.00
|
|
|
Service Code
|
HCPCS 21343
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$1,683.50 |
| Rate for Payer: Aetna Commercial |
$1,426.22
|
| Rate for Payer: Aetna Medicare |
$1,106.91
|
| Rate for Payer: BCBS Complete |
$732.68
|
| Rate for Payer: BCBS MAPPO |
$1,064.34
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$1,598.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,064.34
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Cash Price |
$1,924.00
|
| Rate for Payer: Cofinity Commercial |
$1,532.65
|
| Rate for Payer: Cofinity Commercial |
$1,426.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,064.34
|
| Rate for Payer: Mclaren Medicaid |
$697.79
|
| Rate for Payer: Meridian Medicaid |
$732.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,117.56
|
| Rate for Payer: PACE SWMI |
$1,064.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,064.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$697.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,683.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,670.34
|
| Rate for Payer: Priority Health Medicare |
$1,064.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,670.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,064.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,064.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,096.27
|
|
|
PR OPEN TX DEPRESSED MALAR FRACTURE
|
Professional
|
Both
|
$1,017.00
|
|
|
Service Code
|
HCPCS 21360
|
| Min. Negotiated Rate |
$339.31 |
| Max. Negotiated Rate |
$6,614.63 |
| Rate for Payer: Aetna Commercial |
$689.48
|
| Rate for Payer: Aetna Medicare |
$535.12
|
| Rate for Payer: BCBS Complete |
$356.28
|
| Rate for Payer: BCBS MAPPO |
$514.54
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$771.14
|
| Rate for Payer: BCN Medicare Advantage |
$514.54
|
| Rate for Payer: Cash Price |
$813.60
|
| Rate for Payer: Cash Price |
$813.60
|
| Rate for Payer: Cofinity Commercial |
$740.94
|
| Rate for Payer: Cofinity Commercial |
$689.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$514.54
|
| Rate for Payer: Mclaren Medicaid |
$339.31
|
| Rate for Payer: Meridian Medicaid |
$356.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$540.27
|
| Rate for Payer: PACE SWMI |
$514.54
|
| Rate for Payer: PHP Medicare Advantage |
$514.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$339.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$711.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$805.81
|
| Rate for Payer: Priority Health Medicare |
$514.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$805.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$514.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$514.54
|
| Rate for Payer: UHC Medicare Advantage |
$529.98
|
|
|
PR OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE
|
Professional
|
Both
|
$808.00
|
|
|
Service Code
|
HCPCS 21356
|
| Min. Negotiated Rate |
$259.86 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$527.34
|
| Rate for Payer: Aetna Medicare |
$409.28
|
| Rate for Payer: BCBS Complete |
$272.85
|
| Rate for Payer: BCBS MAPPO |
$393.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$801.92
|
| Rate for Payer: BCN Medicare Advantage |
$393.54
|
| Rate for Payer: Cash Price |
$646.40
|
| Rate for Payer: Cash Price |
$646.40
|
| Rate for Payer: Cofinity Commercial |
$566.70
|
| Rate for Payer: Cofinity Commercial |
$527.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.54
|
| Rate for Payer: Mclaren Medicaid |
$259.86
|
| Rate for Payer: Meridian Medicaid |
$272.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$413.22
|
| Rate for Payer: PACE SWMI |
$393.54
|
| Rate for Payer: PHP Medicare Advantage |
$393.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$565.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$618.90
|
| Rate for Payer: Priority Health Medicare |
$393.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$618.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$393.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.54
|
| Rate for Payer: UHC Medicare Advantage |
$405.35
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,423.00
|
|
|
Service Code
|
HCPCS 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$2,729.34 |
| Rate for Payer: Aetna Commercial |
$851.95
|
| Rate for Payer: Aetna Medicare |
$661.21
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$635.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,729.34
|
| Rate for Payer: BCN Commercial |
$1,046.55
|
| Rate for Payer: BCN Medicare Advantage |
$635.78
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$915.52
|
| Rate for Payer: Cofinity Commercial |
$851.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.78
|
| Rate for Payer: Mclaren Medicaid |
$417.91
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.57
|
| Rate for Payer: PACE SWMI |
$635.78
|
| Rate for Payer: PHP Medicare Advantage |
$635.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.22
|
| Rate for Payer: Priority Health Medicare |
$635.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$635.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$635.78
|
| Rate for Payer: UHC Medicare Advantage |
$654.85
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
OP
|
$2,423.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$575.46 |
| Max. Negotiated Rate |
$4,927.66 |
| Rate for Payer: Aetna Commercial |
$2,059.55
|
| Rate for Payer: Aetna Medicare |
$629.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$757.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$757.19
|
| Rate for Payer: BCBS Complete |
$4,927.66
|
| Rate for Payer: BCBS MAPPO |
$605.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,883.88
|
| Rate for Payer: BCN Commercial |
$1,883.88
|
| Rate for Payer: BCN Medicare Advantage |
$605.75
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$2,083.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,938.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$605.75
|
| Rate for Payer: Healthscope Commercial |
$2,180.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,817.25
|
| Rate for Payer: Mclaren Medicaid |
$4,693.01
|
| Rate for Payer: Meridian Medicaid |
$4,927.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$636.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$696.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,059.55
|
| Rate for Payer: PACE Senior Care Partners |
$575.46
|
| Rate for Payer: PACE SWMI |
$605.75
|
| Rate for Payer: PHP Commercial |
$2,059.55
|
| Rate for Payer: PHP Medicare Advantage |
$605.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,108.01
|
| Rate for Payer: Priority Health Medicare |
$605.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,477.79
|
| Rate for Payer: Railroad Medicare Medicare |
$605.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,132.24
|
| Rate for Payer: UHC Core |
$2,023.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$605.75
|
| Rate for Payer: UHC Medicare Advantage |
$623.92
|
| Rate for Payer: VA VA |
$605.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,817.25
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Facility
|
IP
|
$2,423.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
27792
|
| Min. Negotiated Rate |
$1,477.79 |
| Max. Negotiated Rate |
$2,180.70 |
| Rate for Payer: Aetna Commercial |
$2,059.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,872.49
|
| Rate for Payer: BCN Commercial |
$1,872.49
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$2,083.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,938.40
|
| Rate for Payer: Healthscope Commercial |
$2,180.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,817.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,059.55
|
| Rate for Payer: PHP Commercial |
$2,059.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,108.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,477.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,132.24
|
| Rate for Payer: UHC Core |
$2,023.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,817.25
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,423.00
|
|
|
Service Code
|
HCPCS 27792
|
| Min. Negotiated Rate |
$417.91 |
| Max. Negotiated Rate |
$2,729.34 |
| Rate for Payer: Aetna Commercial |
$851.95
|
| Rate for Payer: Aetna Medicare |
$661.21
|
| Rate for Payer: BCBS Complete |
$438.81
|
| Rate for Payer: BCBS MAPPO |
$635.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,729.34
|
| Rate for Payer: BCN Commercial |
$1,046.55
|
| Rate for Payer: BCN Medicare Advantage |
$635.78
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cash Price |
$1,938.40
|
| Rate for Payer: Cofinity Commercial |
$915.52
|
| Rate for Payer: Cofinity Commercial |
$851.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.78
|
| Rate for Payer: Mclaren Medicaid |
$417.91
|
| Rate for Payer: Meridian Medicaid |
$438.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$667.57
|
| Rate for Payer: PACE SWMI |
$635.78
|
| Rate for Payer: PHP Medicare Advantage |
$635.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,696.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.22
|
| Rate for Payer: Priority Health Medicare |
$635.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$635.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$635.78
|
| Rate for Payer: UHC Medicare Advantage |
$654.85
|
|
|
PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 26765
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$780.28 |
| Rate for Payer: Aetna Commercial |
$664.02
|
| Rate for Payer: Aetna Medicare |
$515.36
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$495.54
|
| Rate for Payer: BCBS Trust/PPO |
$542.56
|
| Rate for Payer: BCN Commercial |
$746.70
|
| Rate for Payer: BCN Medicare Advantage |
$495.54
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cofinity Commercial |
$664.02
|
| Rate for Payer: Cofinity Commercial |
$713.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.54
|
| Rate for Payer: Mclaren Medicaid |
$329.72
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$520.32
|
| Rate for Payer: PACE SWMI |
$495.54
|
| Rate for Payer: PHP Medicare Advantage |
$495.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$602.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$780.28
|
| Rate for Payer: Priority Health Medicare |
$495.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$495.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$495.54
|
| Rate for Payer: UHC Medicare Advantage |
$510.41
|
|
|
PR OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$1,750.00
|
|
|
Service Code
|
HCPCS 25676
|
| Min. Negotiated Rate |
$410.66 |
| Max. Negotiated Rate |
$1,483.99 |
| Rate for Payer: Aetna Commercial |
$834.48
|
| Rate for Payer: Aetna Medicare |
$647.66
|
| Rate for Payer: BCBS Complete |
$431.19
|
| Rate for Payer: BCBS MAPPO |
$622.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,483.99
|
| Rate for Payer: BCN Commercial |
$932.40
|
| Rate for Payer: BCN Medicare Advantage |
$622.75
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cash Price |
$1,400.00
|
| Rate for Payer: Cofinity Commercial |
$834.48
|
| Rate for Payer: Cofinity Commercial |
$896.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$622.75
|
| Rate for Payer: Mclaren Medicaid |
$410.66
|
| Rate for Payer: Meridian Medicaid |
$431.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$653.89
|
| Rate for Payer: PACE SWMI |
$622.75
|
| Rate for Payer: PHP Medicare Advantage |
$622.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$974.32
|
| Rate for Payer: Priority Health Medicare |
$622.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$974.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$622.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$622.75
|
| Rate for Payer: UHC Medicare Advantage |
$641.43
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
IP
|
$2,257.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$1,376.54 |
| Max. Negotiated Rate |
$2,031.30 |
| Rate for Payer: Aetna Commercial |
$1,918.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,744.21
|
| Rate for Payer: BCN Commercial |
$1,744.21
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$1,941.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,805.60
|
| Rate for Payer: Healthscope Commercial |
$2,031.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,692.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,918.45
|
| Rate for Payer: PHP Commercial |
$1,918.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,963.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,376.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,986.16
|
| Rate for Payer: UHC Core |
$1,884.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,692.75
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,257.00
|
|
|
Service Code
|
HCPCS 27829
|
| Min. Negotiated Rate |
$457.52 |
| Max. Negotiated Rate |
$1,579.90 |
| Rate for Payer: Aetna Commercial |
$930.34
|
| Rate for Payer: Aetna Medicare |
$722.05
|
| Rate for Payer: BCBS Complete |
$480.40
|
| Rate for Payer: BCBS MAPPO |
$694.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.73
|
| Rate for Payer: BCN Commercial |
$1,042.84
|
| Rate for Payer: BCN Medicare Advantage |
$694.28
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$930.34
|
| Rate for Payer: Cofinity Commercial |
$999.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.28
|
| Rate for Payer: Mclaren Medicaid |
$457.52
|
| Rate for Payer: Meridian Medicaid |
$480.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.99
|
| Rate for Payer: PACE SWMI |
$694.28
|
| Rate for Payer: PHP Medicare Advantage |
$694.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,089.72
|
| Rate for Payer: Priority Health Medicare |
$694.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,089.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$694.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$694.28
|
| Rate for Payer: UHC Medicare Advantage |
$715.11
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Facility
|
OP
|
$2,257.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$536.04 |
| Max. Negotiated Rate |
$4,927.66 |
| Rate for Payer: Aetna Commercial |
$1,918.45
|
| Rate for Payer: Aetna Medicare |
$586.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$705.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$705.31
|
| Rate for Payer: BCBS Complete |
$4,927.66
|
| Rate for Payer: BCBS MAPPO |
$564.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,754.82
|
| Rate for Payer: BCN Commercial |
$1,754.82
|
| Rate for Payer: BCN Medicare Advantage |
$564.25
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$1,941.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,805.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.25
|
| Rate for Payer: Healthscope Commercial |
$2,031.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,692.75
|
| Rate for Payer: Mclaren Medicaid |
$4,693.01
|
| Rate for Payer: Meridian Medicaid |
$4,927.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$592.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$648.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,918.45
|
| Rate for Payer: PACE Senior Care Partners |
$536.04
|
| Rate for Payer: PACE SWMI |
$564.25
|
| Rate for Payer: PHP Commercial |
$1,918.45
|
| Rate for Payer: PHP Medicare Advantage |
$564.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,693.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,963.59
|
| Rate for Payer: Priority Health Medicare |
$564.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,376.54
|
| Rate for Payer: Railroad Medicare Medicare |
$564.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,986.16
|
| Rate for Payer: UHC Core |
$1,884.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.25
|
| Rate for Payer: UHC Medicare Advantage |
$581.18
|
| Rate for Payer: VA VA |
$564.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,692.75
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$2,257.00
|
|
|
Service Code
|
HCPCS 27829
|
| Hospital Charge Code |
27829
|
| Min. Negotiated Rate |
$457.52 |
| Max. Negotiated Rate |
$1,579.90 |
| Rate for Payer: Aetna Commercial |
$930.34
|
| Rate for Payer: Aetna Medicare |
$722.05
|
| Rate for Payer: BCBS Complete |
$480.40
|
| Rate for Payer: BCBS MAPPO |
$694.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.73
|
| Rate for Payer: BCN Commercial |
$1,042.84
|
| Rate for Payer: BCN Medicare Advantage |
$694.28
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cash Price |
$1,805.60
|
| Rate for Payer: Cofinity Commercial |
$999.76
|
| Rate for Payer: Cofinity Commercial |
$930.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.28
|
| Rate for Payer: Mclaren Medicaid |
$457.52
|
| Rate for Payer: Meridian Medicaid |
$480.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.99
|
| Rate for Payer: PACE SWMI |
$694.28
|
| Rate for Payer: PHP Medicare Advantage |
$694.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,579.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,089.72
|
| Rate for Payer: Priority Health Medicare |
$694.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,089.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$694.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$694.28
|
| Rate for Payer: UHC Medicare Advantage |
$715.11
|
|
|
PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE
|
Professional
|
Both
|
$3,844.00
|
|
|
Service Code
|
HCPCS 27514
|
| Min. Negotiated Rate |
$619.40 |
| Max. Negotiated Rate |
$2,690.80 |
| Rate for Payer: Aetna Commercial |
$1,295.18
|
| Rate for Payer: BCBS Complete |
$650.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.66
|
| Rate for Payer: BCN Commercial |
$1,412.77
|
| Rate for Payer: Cash Price |
$3,075.20
|
| Rate for Payer: Cash Price |
$3,075.20
|
| Rate for Payer: Mclaren Medicaid |
$619.40
|
| Rate for Payer: Meridian Medicaid |
$650.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,690.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,476.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,476.29
|
|
|
PR OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD
|
Professional
|
Both
|
$3,842.00
|
|
|
Service Code
|
HCPCS 27269
|
| Min. Negotiated Rate |
$794.49 |
| Max. Negotiated Rate |
$4,086.40 |
| Rate for Payer: Aetna Commercial |
$1,638.98
|
| Rate for Payer: Aetna Medicare |
$1,272.04
|
| Rate for Payer: BCBS Complete |
$834.21
|
| Rate for Payer: BCBS MAPPO |
$1,223.12
|
| Rate for Payer: BCBS Trust/PPO |
$4,086.40
|
| Rate for Payer: BCN Commercial |
$1,812.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,223.12
|
| Rate for Payer: Cash Price |
$3,073.60
|
| Rate for Payer: Cash Price |
$3,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,638.98
|
| Rate for Payer: Cofinity Commercial |
$1,761.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,223.12
|
| Rate for Payer: Mclaren Medicaid |
$794.49
|
| Rate for Payer: Meridian Medicaid |
$834.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,284.28
|
| Rate for Payer: PACE SWMI |
$1,223.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,223.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$794.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,689.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,894.01
|
| Rate for Payer: Priority Health Medicare |
$1,223.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,894.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,223.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,223.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,259.81
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$3,773.00
|
|
|
Service Code
|
HCPCS 27511
|
| Min. Negotiated Rate |
$638.79 |
| Max. Negotiated Rate |
$2,641.10 |
| Rate for Payer: Aetna Commercial |
$1,317.27
|
| Rate for Payer: Aetna Medicare |
$1,022.36
|
| Rate for Payer: BCBS Complete |
$670.73
|
| Rate for Payer: BCBS MAPPO |
$983.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,679.99
|
| Rate for Payer: BCN Commercial |
$1,457.24
|
| Rate for Payer: BCN Medicare Advantage |
$983.04
|
| Rate for Payer: Cash Price |
$3,018.40
|
| Rate for Payer: Cash Price |
$3,018.40
|
| Rate for Payer: Cofinity Commercial |
$1,415.58
|
| Rate for Payer: Cofinity Commercial |
$1,317.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$983.04
|
| Rate for Payer: Mclaren Medicaid |
$638.79
|
| Rate for Payer: Meridian Medicaid |
$670.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,032.19
|
| Rate for Payer: PACE SWMI |
$983.04
|
| Rate for Payer: PHP Medicare Advantage |
$983.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,641.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,522.76
|
| Rate for Payer: Priority Health Medicare |
$983.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,522.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$983.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$983.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,012.53
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN
|
Professional
|
Both
|
$4,311.00
|
|
|
Service Code
|
HCPCS 27513
|
| Min. Negotiated Rate |
$790.02 |
| Max. Negotiated Rate |
$3,017.70 |
| Rate for Payer: Aetna Commercial |
$1,634.91
|
| Rate for Payer: Aetna Medicare |
$1,268.88
|
| Rate for Payer: BCBS Complete |
$829.52
|
| Rate for Payer: BCBS MAPPO |
$1,220.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,854.86
|
| Rate for Payer: BCN Commercial |
$1,805.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,220.08
|
| Rate for Payer: Cash Price |
$3,448.80
|
| Rate for Payer: Cash Price |
$3,448.80
|
| Rate for Payer: Cofinity Commercial |
$1,756.92
|
| Rate for Payer: Cofinity Commercial |
$1,634.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,220.08
|
| Rate for Payer: Mclaren Medicaid |
$790.02
|
| Rate for Payer: Meridian Medicaid |
$829.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,281.08
|
| Rate for Payer: PACE SWMI |
$1,220.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,220.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$790.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,017.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,886.34
|
| Rate for Payer: Priority Health Medicare |
$1,220.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,886.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,220.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,220.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,256.68
|
|
|
PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES
|
Professional
|
Both
|
$1,408.00
|
|
|
Service Code
|
HCPCS 28505
|
| Min. Negotiated Rate |
$320.57 |
| Max. Negotiated Rate |
$1,403.69 |
| Rate for Payer: Aetna Commercial |
$649.46
|
| Rate for Payer: Aetna Medicare |
$504.06
|
| Rate for Payer: BCBS Complete |
$336.60
|
| Rate for Payer: BCBS MAPPO |
$484.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,403.69
|
| Rate for Payer: BCN Commercial |
$951.46
|
| Rate for Payer: BCN Medicare Advantage |
$484.67
|
| Rate for Payer: Cash Price |
$1,126.40
|
| Rate for Payer: Cash Price |
$1,126.40
|
| Rate for Payer: Cofinity Commercial |
$697.92
|
| Rate for Payer: Cofinity Commercial |
$649.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.67
|
| Rate for Payer: Mclaren Medicaid |
$320.57
|
| Rate for Payer: Meridian Medicaid |
$336.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$508.90
|
| Rate for Payer: PACE SWMI |
$484.67
|
| Rate for Payer: PHP Medicare Advantage |
$484.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$756.27
|
| Rate for Payer: Priority Health Medicare |
$484.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$756.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$484.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.67
|
| Rate for Payer: UHC Medicare Advantage |
$499.21
|
|
|
PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE
|
Professional
|
Both
|
$604.00
|
|
|
Service Code
|
HCPCS 28525
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$828.31 |
| Rate for Payer: Aetna Commercial |
$529.93
|
| Rate for Payer: Aetna Medicare |
$411.29
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$395.47
|
| Rate for Payer: BCBS Trust/PPO |
$576.38
|
| Rate for Payer: BCN Commercial |
$828.31
|
| Rate for Payer: BCN Medicare Advantage |
$395.47
|
| Rate for Payer: Cash Price |
$483.20
|
| Rate for Payer: Cash Price |
$483.20
|
| Rate for Payer: Cofinity Commercial |
$529.93
|
| Rate for Payer: Cofinity Commercial |
$569.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.47
|
| Rate for Payer: Mclaren Medicaid |
$263.91
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$415.24
|
| Rate for Payer: PACE SWMI |
$395.47
|
| Rate for Payer: PHP Medicare Advantage |
$395.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$422.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$619.93
|
| Rate for Payer: Priority Health Medicare |
$395.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$619.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.47
|
| Rate for Payer: UHC Medicare Advantage |
$407.33
|
|
|
PR OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT
|
Professional
|
Both
|
$1,149.00
|
|
|
Service Code
|
HCPCS 21407
|
| Min. Negotiated Rate |
$411.52 |
| Max. Negotiated Rate |
$3,350.93 |
| Rate for Payer: Aetna Commercial |
$844.96
|
| Rate for Payer: Aetna Medicare |
$655.79
|
| Rate for Payer: BCBS Complete |
$432.10
|
| Rate for Payer: BCBS MAPPO |
$630.57
|
| Rate for Payer: BCBS Trust/PPO |
$3,350.93
|
| Rate for Payer: BCN Commercial |
$945.10
|
| Rate for Payer: BCN Medicare Advantage |
$630.57
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cash Price |
$919.20
|
| Rate for Payer: Cofinity Commercial |
$844.96
|
| Rate for Payer: Cofinity Commercial |
$908.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.57
|
| Rate for Payer: Mclaren Medicaid |
$411.52
|
| Rate for Payer: Meridian Medicaid |
$432.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$662.10
|
| Rate for Payer: PACE SWMI |
$630.57
|
| Rate for Payer: PHP Medicare Advantage |
$630.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$804.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$987.60
|
| Rate for Payer: Priority Health Medicare |
$630.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$987.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.57
|
| Rate for Payer: UHC Medicare Advantage |
$649.49
|
|
|
PR OPEN TX HUMERAL EPICONDYLAR FRACTURE
|
Professional
|
Both
|
$2,388.00
|
|
|
Service Code
|
HCPCS 24575
|
| Min. Negotiated Rate |
$402.56 |
| Max. Negotiated Rate |
$1,671.60 |
| Rate for Payer: Aetna Commercial |
$967.55
|
| Rate for Payer: Aetna Medicare |
$750.93
|
| Rate for Payer: BCBS Complete |
$499.63
|
| Rate for Payer: BCBS MAPPO |
$722.05
|
| Rate for Payer: BCBS Trust/PPO |
$402.56
|
| Rate for Payer: BCN Commercial |
$1,079.97
|
| Rate for Payer: BCN Medicare Advantage |
$722.05
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cash Price |
$1,910.40
|
| Rate for Payer: Cofinity Commercial |
$967.55
|
| Rate for Payer: Cofinity Commercial |
$1,039.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$722.05
|
| Rate for Payer: Mclaren Medicaid |
$475.84
|
| Rate for Payer: Meridian Medicaid |
$499.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$758.15
|
| Rate for Payer: PACE SWMI |
$722.05
|
| Rate for Payer: PHP Medicare Advantage |
$722.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,671.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,128.54
|
| Rate for Payer: Priority Health Medicare |
$722.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,128.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$722.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$722.05
|
| Rate for Payer: UHC Medicare Advantage |
$743.71
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$2,985.00
|
|
|
Service Code
|
HCPCS 24545
|
| Min. Negotiated Rate |
$314.34 |
| Max. Negotiated Rate |
$2,089.50 |
| Rate for Payer: Aetna Commercial |
$1,224.83
|
| Rate for Payer: Aetna Medicare |
$950.61
|
| Rate for Payer: BCBS Complete |
$629.35
|
| Rate for Payer: BCBS MAPPO |
$914.05
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$1,361.45
|
| Rate for Payer: BCN Medicare Advantage |
$914.05
|
| Rate for Payer: Cash Price |
$2,388.00
|
| Rate for Payer: Cash Price |
$2,388.00
|
| Rate for Payer: Cofinity Commercial |
$1,316.23
|
| Rate for Payer: Cofinity Commercial |
$1,224.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.05
|
| Rate for Payer: Mclaren Medicaid |
$599.38
|
| Rate for Payer: Meridian Medicaid |
$629.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.75
|
| Rate for Payer: PACE SWMI |
$914.05
|
| Rate for Payer: PHP Medicare Advantage |
$914.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,089.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,422.67
|
| Rate for Payer: Priority Health Medicare |
$914.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,422.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$914.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$914.05
|
| Rate for Payer: UHC Medicare Advantage |
$941.47
|
|
