|
PR OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES
|
Professional
|
Both
|
$1,945.00
|
|
|
Service Code
|
HCPCS 25670
|
| Min. Negotiated Rate |
$395.33 |
| Max. Negotiated Rate |
$1,426.94 |
| Rate for Payer: Aetna Commercial |
$806.04
|
| Rate for Payer: Aetna Medicare |
$625.58
|
| Rate for Payer: BCBS Complete |
$415.10
|
| Rate for Payer: BCBS MAPPO |
$601.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.94
|
| Rate for Payer: BCN Commercial |
$899.66
|
| Rate for Payer: BCN Medicare Advantage |
$601.52
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cofinity Commercial |
$806.04
|
| Rate for Payer: Cofinity Commercial |
$866.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$601.52
|
| Rate for Payer: Mclaren Medicaid |
$395.33
|
| Rate for Payer: Meridian Medicaid |
$415.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$631.60
|
| Rate for Payer: PACE SWMI |
$601.52
|
| Rate for Payer: PHP Medicare Advantage |
$601.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,361.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$940.10
|
| Rate for Payer: Priority Health Medicare |
$601.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$940.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$601.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$601.52
|
| Rate for Payer: UHC Medicare Advantage |
$619.57
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS
|
Professional
|
Both
|
$1,238.00
|
|
|
Service Code
|
HCPCS 21811
|
| Min. Negotiated Rate |
$376.16 |
| Max. Negotiated Rate |
$6,603.85 |
| Rate for Payer: Aetna Commercial |
$789.80
|
| Rate for Payer: Aetna Medicare |
$612.98
|
| Rate for Payer: BCBS Complete |
$394.97
|
| Rate for Payer: BCBS MAPPO |
$589.40
|
| Rate for Payer: BCBS Trust/PPO |
$6,603.85
|
| Rate for Payer: BCN Commercial |
$859.09
|
| Rate for Payer: BCN Medicare Advantage |
$589.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cash Price |
$990.40
|
| Rate for Payer: Cofinity Commercial |
$848.74
|
| Rate for Payer: Cofinity Commercial |
$789.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.40
|
| Rate for Payer: Mclaren Medicaid |
$376.16
|
| Rate for Payer: Meridian Medicaid |
$394.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$618.87
|
| Rate for Payer: PACE SWMI |
$589.40
|
| Rate for Payer: PHP Medicare Advantage |
$589.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$866.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$897.73
|
| Rate for Payer: Priority Health Medicare |
$589.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$897.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$589.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$589.40
|
| Rate for Payer: UHC Medicare Advantage |
$607.08
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS
|
Professional
|
Both
|
$1,728.00
|
|
|
Service Code
|
HCPCS 21812
|
| Min. Negotiated Rate |
$453.90 |
| Max. Negotiated Rate |
$3,247.68 |
| Rate for Payer: Aetna Commercial |
$956.85
|
| Rate for Payer: Aetna Medicare |
$742.63
|
| Rate for Payer: BCBS Complete |
$476.60
|
| Rate for Payer: BCBS MAPPO |
$714.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,247.68
|
| Rate for Payer: BCN Commercial |
$1,041.37
|
| Rate for Payer: BCN Medicare Advantage |
$714.07
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cofinity Commercial |
$956.85
|
| Rate for Payer: Cofinity Commercial |
$1,028.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.07
|
| Rate for Payer: Mclaren Medicaid |
$453.90
|
| Rate for Payer: Meridian Medicaid |
$476.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$749.77
|
| Rate for Payer: PACE SWMI |
$714.07
|
| Rate for Payer: PHP Medicare Advantage |
$714.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,209.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.20
|
| Rate for Payer: Priority Health Medicare |
$714.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,088.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$714.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$714.07
|
| Rate for Payer: UHC Medicare Advantage |
$735.49
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS
|
Professional
|
Both
|
$1,946.00
|
|
|
Service Code
|
HCPCS 21813
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,487.52 |
| Rate for Payer: Aetna Commercial |
$1,309.25
|
| Rate for Payer: Aetna Medicare |
$1,016.13
|
| Rate for Payer: BCBS Complete |
$653.06
|
| Rate for Payer: BCBS MAPPO |
$977.05
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,423.52
|
| Rate for Payer: BCN Medicare Advantage |
$977.05
|
| Rate for Payer: Cash Price |
$1,556.80
|
| Rate for Payer: Cash Price |
$1,556.80
|
| Rate for Payer: Cofinity Commercial |
$1,406.95
|
| Rate for Payer: Cofinity Commercial |
$1,309.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.05
|
| Rate for Payer: Mclaren Medicaid |
$621.96
|
| Rate for Payer: Meridian Medicaid |
$653.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,025.90
|
| Rate for Payer: PACE SWMI |
$977.05
|
| Rate for Payer: PHP Medicare Advantage |
$977.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,362.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,487.52
|
| Rate for Payer: Priority Health Medicare |
$977.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,487.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$977.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.36
|
|
|
PR OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD
|
Professional
|
Both
|
$3,129.00
|
|
|
Service Code
|
HCPCS 23585
|
| Min. Negotiated Rate |
$187.20 |
| Max. Negotiated Rate |
$2,190.30 |
| Rate for Payer: Aetna Commercial |
$1,291.08
|
| Rate for Payer: Aetna Medicare |
$1,002.03
|
| Rate for Payer: BCBS Complete |
$659.77
|
| Rate for Payer: BCBS MAPPO |
$963.49
|
| Rate for Payer: BCBS Trust/PPO |
$187.20
|
| Rate for Payer: BCN Commercial |
$1,432.81
|
| Rate for Payer: BCN Medicare Advantage |
$963.49
|
| Rate for Payer: Cash Price |
$2,503.20
|
| Rate for Payer: Cash Price |
$2,503.20
|
| Rate for Payer: Cofinity Commercial |
$1,291.08
|
| Rate for Payer: Cofinity Commercial |
$1,387.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$963.49
|
| Rate for Payer: Mclaren Medicaid |
$628.35
|
| Rate for Payer: Meridian Medicaid |
$659.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,011.66
|
| Rate for Payer: PACE SWMI |
$963.49
|
| Rate for Payer: PHP Medicare Advantage |
$963.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,190.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,497.22
|
| Rate for Payer: Priority Health Medicare |
$963.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,497.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$963.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$963.49
|
| Rate for Payer: UHC Medicare Advantage |
$992.39
|
|
|
PR OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$657.00
|
|
|
Service Code
|
HCPCS 28531
|
| Min. Negotiated Rate |
$117.58 |
| Max. Negotiated Rate |
$486.56 |
| Rate for Payer: Aetna Commercial |
$234.78
|
| Rate for Payer: Aetna Medicare |
$182.22
|
| Rate for Payer: BCBS Complete |
$123.46
|
| Rate for Payer: BCBS MAPPO |
$175.21
|
| Rate for Payer: BCBS Trust/PPO |
$486.56
|
| Rate for Payer: BCN Commercial |
$478.42
|
| Rate for Payer: BCN Medicare Advantage |
$175.21
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Cofinity Commercial |
$234.78
|
| Rate for Payer: Cofinity Commercial |
$252.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.21
|
| Rate for Payer: Mclaren Medicaid |
$117.58
|
| Rate for Payer: Meridian Medicaid |
$123.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$183.97
|
| Rate for Payer: PACE SWMI |
$175.21
|
| Rate for Payer: PHP Medicare Advantage |
$175.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$459.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.24
|
| Rate for Payer: Priority Health Medicare |
$175.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$175.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$175.21
|
| Rate for Payer: UHC Medicare Advantage |
$180.47
|
|
|
PR OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$2,403.00
|
|
|
Service Code
|
HCPCS 23530
|
| Min. Negotiated Rate |
$374.88 |
| Max. Negotiated Rate |
$1,682.10 |
| Rate for Payer: Aetna Commercial |
$763.48
|
| Rate for Payer: Aetna Medicare |
$592.55
|
| Rate for Payer: BCBS Complete |
$393.62
|
| Rate for Payer: BCBS MAPPO |
$569.76
|
| Rate for Payer: BCBS Trust/PPO |
$414.72
|
| Rate for Payer: BCN Commercial |
$852.74
|
| Rate for Payer: BCN Medicare Advantage |
$569.76
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cofinity Commercial |
$763.48
|
| Rate for Payer: Cofinity Commercial |
$820.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.76
|
| Rate for Payer: Mclaren Medicaid |
$374.88
|
| Rate for Payer: Meridian Medicaid |
$393.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$598.25
|
| Rate for Payer: PACE SWMI |
$569.76
|
| Rate for Payer: PHP Medicare Advantage |
$569.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$891.08
|
| Rate for Payer: Priority Health Medicare |
$569.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$891.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.76
|
| Rate for Payer: UHC Medicare Advantage |
$586.85
|
|
|
PR OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION
|
Professional
|
Both
|
$984.00
|
|
|
Service Code
|
HCPCS 21825
|
| Min. Negotiated Rate |
$355.28 |
| Max. Negotiated Rate |
$6,614.63 |
| Rate for Payer: Aetna Commercial |
$726.03
|
| Rate for Payer: Aetna Medicare |
$563.48
|
| Rate for Payer: BCBS Complete |
$373.04
|
| Rate for Payer: BCBS MAPPO |
$541.81
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$804.85
|
| Rate for Payer: BCN Medicare Advantage |
$541.81
|
| Rate for Payer: Cash Price |
$787.20
|
| Rate for Payer: Cash Price |
$787.20
|
| Rate for Payer: Cofinity Commercial |
$780.21
|
| Rate for Payer: Cofinity Commercial |
$726.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$541.81
|
| Rate for Payer: Mclaren Medicaid |
$355.28
|
| Rate for Payer: Meridian Medicaid |
$373.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$568.90
|
| Rate for Payer: PACE SWMI |
$541.81
|
| Rate for Payer: PHP Medicare Advantage |
$541.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$355.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.04
|
| Rate for Payer: Priority Health Medicare |
$541.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$841.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$541.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$541.81
|
| Rate for Payer: UHC Medicare Advantage |
$558.06
|
|
|
PR OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 28465
|
| Min. Negotiated Rate |
$414.92 |
| Max. Negotiated Rate |
$1,078.00 |
| Rate for Payer: Aetna Commercial |
$833.02
|
| Rate for Payer: Aetna Medicare |
$646.53
|
| Rate for Payer: BCBS Complete |
$435.67
|
| Rate for Payer: BCBS MAPPO |
$621.66
|
| Rate for Payer: BCBS Trust/PPO |
$524.60
|
| Rate for Payer: BCN Commercial |
$931.42
|
| Rate for Payer: BCN Medicare Advantage |
$621.66
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$895.19
|
| Rate for Payer: Cofinity Commercial |
$833.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.66
|
| Rate for Payer: Mclaren Medicaid |
$414.92
|
| Rate for Payer: Meridian Medicaid |
$435.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$652.74
|
| Rate for Payer: PACE SWMI |
$621.66
|
| Rate for Payer: PHP Medicare Advantage |
$621.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,078.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$973.30
|
| Rate for Payer: Priority Health Medicare |
$621.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$973.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$621.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$621.66
|
| Rate for Payer: UHC Medicare Advantage |
$640.31
|
|
|
PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,731.00
|
|
|
Service Code
|
HCPCS 27535
|
| Min. Negotiated Rate |
$533.05 |
| Max. Negotiated Rate |
$1,911.70 |
| Rate for Payer: Aetna Commercial |
$1,185.74
|
| Rate for Payer: Aetna Medicare |
$920.28
|
| Rate for Payer: BCBS Complete |
$604.75
|
| Rate for Payer: BCBS MAPPO |
$884.88
|
| Rate for Payer: BCBS Trust/PPO |
$533.05
|
| Rate for Payer: BCN Commercial |
$1,313.07
|
| Rate for Payer: BCN Medicare Advantage |
$884.88
|
| Rate for Payer: Cash Price |
$2,184.80
|
| Rate for Payer: Cash Price |
$2,184.80
|
| Rate for Payer: Cofinity Commercial |
$1,274.23
|
| Rate for Payer: Cofinity Commercial |
$1,185.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$884.88
|
| Rate for Payer: Mclaren Medicaid |
$575.95
|
| Rate for Payer: Meridian Medicaid |
$604.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$929.12
|
| Rate for Payer: PACE SWMI |
$884.88
|
| Rate for Payer: PHP Medicare Advantage |
$884.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$575.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,911.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,372.12
|
| Rate for Payer: Priority Health Medicare |
$884.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,372.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$884.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$884.88
|
| Rate for Payer: UHC Medicare Advantage |
$911.43
|
|
|
PR OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC
|
Professional
|
Both
|
$2,067.00
|
|
|
Service Code
|
HCPCS 25685
|
| Min. Negotiated Rate |
$476.91 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$973.93
|
| Rate for Payer: Aetna Medicare |
$755.88
|
| Rate for Payer: BCBS Complete |
$500.76
|
| Rate for Payer: BCBS MAPPO |
$726.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$1,084.38
|
| Rate for Payer: BCN Medicare Advantage |
$726.81
|
| Rate for Payer: Cash Price |
$1,653.60
|
| Rate for Payer: Cash Price |
$1,653.60
|
| Rate for Payer: Cofinity Commercial |
$973.93
|
| Rate for Payer: Cofinity Commercial |
$1,046.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$726.81
|
| Rate for Payer: Mclaren Medicaid |
$476.91
|
| Rate for Payer: Meridian Medicaid |
$500.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$763.15
|
| Rate for Payer: PACE SWMI |
$726.81
|
| Rate for Payer: PHP Medicare Advantage |
$726.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,446.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,133.14
|
| Rate for Payer: Priority Health Medicare |
$726.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,133.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$726.81
|
| Rate for Payer: UHC Medicare Advantage |
$748.61
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP
|
Professional
|
Both
|
$4,086.00
|
|
|
Service Code
|
HCPCS 27823
|
| Min. Negotiated Rate |
$634.95 |
| Max. Negotiated Rate |
$3,182.48 |
| Rate for Payer: Aetna Commercial |
$1,297.48
|
| Rate for Payer: Aetna Medicare |
$1,007.00
|
| Rate for Payer: BCBS Complete |
$666.70
|
| Rate for Payer: BCBS MAPPO |
$968.27
|
| Rate for Payer: BCBS Trust/PPO |
$3,182.48
|
| Rate for Payer: BCN Commercial |
$1,447.95
|
| Rate for Payer: BCN Medicare Advantage |
$968.27
|
| Rate for Payer: Cash Price |
$3,268.80
|
| Rate for Payer: Cash Price |
$3,268.80
|
| Rate for Payer: Cofinity Commercial |
$1,297.48
|
| Rate for Payer: Cofinity Commercial |
$1,394.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$968.27
|
| Rate for Payer: Mclaren Medicaid |
$634.95
|
| Rate for Payer: Meridian Medicaid |
$666.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,016.68
|
| Rate for Payer: PACE SWMI |
$968.27
|
| Rate for Payer: PHP Medicare Advantage |
$968.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$634.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,860.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,513.06
|
| Rate for Payer: Priority Health Medicare |
$968.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,513.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$968.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$968.27
|
| Rate for Payer: UHC Medicare Advantage |
$997.32
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP
|
Professional
|
Both
|
$3,468.00
|
|
|
Service Code
|
HCPCS 27822
|
| Min. Negotiated Rate |
$564.02 |
| Max. Negotiated Rate |
$3,847.61 |
| Rate for Payer: Aetna Commercial |
$1,150.51
|
| Rate for Payer: Aetna Medicare |
$892.93
|
| Rate for Payer: BCBS Complete |
$592.22
|
| Rate for Payer: BCBS MAPPO |
$858.59
|
| Rate for Payer: BCBS Trust/PPO |
$3,847.61
|
| Rate for Payer: BCN Commercial |
$1,287.17
|
| Rate for Payer: BCN Medicare Advantage |
$858.59
|
| Rate for Payer: Cash Price |
$2,774.40
|
| Rate for Payer: Cash Price |
$2,774.40
|
| Rate for Payer: Cofinity Commercial |
$1,236.37
|
| Rate for Payer: Cofinity Commercial |
$1,150.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$858.59
|
| Rate for Payer: Mclaren Medicaid |
$564.02
|
| Rate for Payer: Meridian Medicaid |
$592.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$901.52
|
| Rate for Payer: PACE SWMI |
$858.59
|
| Rate for Payer: PHP Medicare Advantage |
$858.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$564.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,427.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,345.05
|
| Rate for Payer: Priority Health Medicare |
$858.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,345.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$858.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$858.59
|
| Rate for Payer: UHC Medicare Advantage |
$884.35
|
|
|
PR OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
|
Professional
|
Both
|
$205.00
|
|
|
Service Code
|
HCPCS 92004
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$1,175.47 |
| Rate for Payer: Aetna Commercial |
$122.25
|
| Rate for Payer: Aetna Medicare |
$94.88
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$91.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,175.47
|
| Rate for Payer: BCN Commercial |
$159.06
|
| Rate for Payer: BCN Medicare Advantage |
$91.23
|
| Rate for Payer: Cash Price |
$164.00
|
| Rate for Payer: Cash Price |
$164.00
|
| Rate for Payer: Cofinity Commercial |
$122.25
|
| Rate for Payer: Cofinity Commercial |
$131.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.23
|
| Rate for Payer: Mclaren Medicaid |
$59.00
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$95.79
|
| Rate for Payer: PACE SWMI |
$91.23
|
| Rate for Payer: PHP Medicare Advantage |
$91.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$111.21
|
| Rate for Payer: Priority Health Medicare |
$91.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.23
|
| Rate for Payer: UHC Medicare Advantage |
$93.97
|
|
|
PR OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 92014
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$1,611.32 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare |
$76.61
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$73.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,611.32
|
| Rate for Payer: BCN Commercial |
$134.35
|
| Rate for Payer: BCN Medicare Advantage |
$73.66
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$98.70
|
| Rate for Payer: Cofinity Commercial |
$106.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.66
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.34
|
| Rate for Payer: PACE SWMI |
$73.66
|
| Rate for Payer: PHP Medicare Advantage |
$73.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$89.93
|
| Rate for Payer: Priority Health Medicare |
$73.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.66
|
| Rate for Payer: UHC Medicare Advantage |
$75.87
|
|
|
PR OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 92012
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$1,213.51 |
| Rate for Payer: Aetna Commercial |
$65.66
|
| Rate for Payer: Aetna Medicare |
$50.96
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$49.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.51
|
| Rate for Payer: BCN Commercial |
$95.65
|
| Rate for Payer: BCN Medicare Advantage |
$49.00
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$70.56
|
| Rate for Payer: Cofinity Commercial |
$65.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.00
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$51.45
|
| Rate for Payer: PACE SWMI |
$49.00
|
| Rate for Payer: PHP Medicare Advantage |
$49.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.82
|
| Rate for Payer: Priority Health Medicare |
$49.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.00
|
| Rate for Payer: UHC Medicare Advantage |
$50.47
|
|
|
PR OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT
|
Professional
|
Both
|
$109.00
|
|
|
Service Code
|
HCPCS 92002
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$902.86 |
| Rate for Payer: Aetna Commercial |
$59.55
|
| Rate for Payer: Aetna Medicare |
$46.22
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$44.44
|
| Rate for Payer: BCBS Trust/PPO |
$902.86
|
| Rate for Payer: BCN Commercial |
$90.99
|
| Rate for Payer: BCN Medicare Advantage |
$44.44
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cofinity Commercial |
$63.99
|
| Rate for Payer: Cofinity Commercial |
$59.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.44
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.66
|
| Rate for Payer: PACE SWMI |
$44.44
|
| Rate for Payer: PHP Medicare Advantage |
$44.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.20
|
| Rate for Payer: Priority Health Medicare |
$44.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.44
|
| Rate for Payer: UHC Medicare Advantage |
$45.77
|
|
|
PR OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 92018
|
| Min. Negotiated Rate |
$87.54 |
| Max. Negotiated Rate |
$7,723.22 |
| Rate for Payer: Aetna Commercial |
$179.63
|
| Rate for Payer: Aetna Medicare |
$139.41
|
| Rate for Payer: BCBS Complete |
$91.92
|
| Rate for Payer: BCBS MAPPO |
$134.05
|
| Rate for Payer: BCBS Trust/PPO |
$7,723.22
|
| Rate for Payer: BCN Commercial |
$146.17
|
| Rate for Payer: BCN Medicare Advantage |
$134.05
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cofinity Commercial |
$193.03
|
| Rate for Payer: Cofinity Commercial |
$179.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.05
|
| Rate for Payer: Mclaren Medicaid |
$87.54
|
| Rate for Payer: Meridian Medicaid |
$91.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.75
|
| Rate for Payer: PACE SWMI |
$134.05
|
| Rate for Payer: PHP Medicare Advantage |
$134.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$163.80
|
| Rate for Payer: Priority Health Medicare |
$134.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$163.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$134.05
|
| Rate for Payer: UHC Medicare Advantage |
$138.07
|
|
|
PR OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD
|
Professional
|
Both
|
$144.00
|
|
|
Service Code
|
HCPCS 92019
|
| Min. Negotiated Rate |
$45.80 |
| Max. Negotiated Rate |
$1,793.58 |
| Rate for Payer: Aetna Commercial |
$92.88
|
| Rate for Payer: Aetna Medicare |
$72.08
|
| Rate for Payer: BCBS Complete |
$48.09
|
| Rate for Payer: BCBS MAPPO |
$69.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,793.58
|
| Rate for Payer: BCN Commercial |
$75.59
|
| Rate for Payer: BCN Medicare Advantage |
$69.31
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Commercial |
$92.88
|
| Rate for Payer: Cofinity Commercial |
$99.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.31
|
| Rate for Payer: Mclaren Medicaid |
$45.80
|
| Rate for Payer: Meridian Medicaid |
$48.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$72.78
|
| Rate for Payer: PACE SWMI |
$69.31
|
| Rate for Payer: PHP Medicare Advantage |
$69.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.71
|
| Rate for Payer: Priority Health Medicare |
$69.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.31
|
| Rate for Payer: UHC Medicare Advantage |
$71.39
|
|
|
PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ
|
Professional
|
Both
|
$772.00
|
|
|
Service Code
|
HCPCS 34716
|
| Min. Negotiated Rate |
$231.53 |
| Max. Negotiated Rate |
$1,773.50 |
| Rate for Payer: Aetna Commercial |
$490.41
|
| Rate for Payer: Aetna Medicare |
$380.62
|
| Rate for Payer: BCBS Complete |
$243.11
|
| Rate for Payer: BCBS MAPPO |
$365.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,773.50
|
| Rate for Payer: BCN Commercial |
$530.22
|
| Rate for Payer: BCN Medicare Advantage |
$365.98
|
| Rate for Payer: Cash Price |
$617.60
|
| Rate for Payer: Cash Price |
$617.60
|
| Rate for Payer: Cofinity Commercial |
$527.01
|
| Rate for Payer: Cofinity Commercial |
$490.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$365.98
|
| Rate for Payer: Mclaren Medicaid |
$231.53
|
| Rate for Payer: Meridian Medicaid |
$243.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$384.28
|
| Rate for Payer: PACE SWMI |
$365.98
|
| Rate for Payer: PHP Medicare Advantage |
$365.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$540.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$577.18
|
| Rate for Payer: Priority Health Medicare |
$365.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$577.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$365.98
|
| Rate for Payer: UHC Medicare Advantage |
$376.96
|
|
|
PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$284.00
|
|
|
Service Code
|
HCPCS 34834
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$1,323.92 |
| Rate for Payer: Aetna Commercial |
$171.53
|
| Rate for Payer: Aetna Medicare |
$133.13
|
| Rate for Payer: BCBS Complete |
$84.32
|
| Rate for Payer: BCBS MAPPO |
$128.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,323.92
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$128.01
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cash Price |
$227.20
|
| Rate for Payer: Cofinity Commercial |
$184.33
|
| Rate for Payer: Cofinity Commercial |
$171.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.01
|
| Rate for Payer: Mclaren Medicaid |
$80.30
|
| Rate for Payer: Meridian Medicaid |
$84.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.41
|
| Rate for Payer: PACE SWMI |
$128.01
|
| Rate for Payer: PHP Medicare Advantage |
$128.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$200.54
|
| Rate for Payer: Priority Health Medicare |
$128.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$200.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$128.01
|
| Rate for Payer: UHC Medicare Advantage |
$131.85
|
|
|
PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$1,242.00
|
|
|
Service Code
|
HCPCS 34812
|
| Min. Negotiated Rate |
$128.01 |
| Max. Negotiated Rate |
$869.40 |
| Rate for Payer: Aetna Commercial |
$271.82
|
| Rate for Payer: Aetna Medicare |
$210.96
|
| Rate for Payer: BCBS Complete |
$134.41
|
| Rate for Payer: BCBS MAPPO |
$202.85
|
| Rate for Payer: BCBS Trust/PPO |
$498.72
|
| Rate for Payer: BCN Commercial |
$292.72
|
| Rate for Payer: BCN Medicare Advantage |
$202.85
|
| Rate for Payer: Cash Price |
$993.60
|
| Rate for Payer: Cash Price |
$993.60
|
| Rate for Payer: Cofinity Commercial |
$292.10
|
| Rate for Payer: Cofinity Commercial |
$271.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.85
|
| Rate for Payer: Mclaren Medicaid |
$128.01
|
| Rate for Payer: Meridian Medicaid |
$134.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$212.99
|
| Rate for Payer: PACE SWMI |
$202.85
|
| Rate for Payer: PHP Medicare Advantage |
$202.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$869.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.64
|
| Rate for Payer: Priority Health Medicare |
$202.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.85
|
| Rate for Payer: UHC Medicare Advantage |
$208.94
|
|
|
PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH
|
Professional
|
Both
|
$557.00
|
|
|
Service Code
|
HCPCS 34714
|
| Min. Negotiated Rate |
$167.63 |
| Max. Negotiated Rate |
$1,553.20 |
| Rate for Payer: Aetna Commercial |
$355.25
|
| Rate for Payer: Aetna Medicare |
$275.71
|
| Rate for Payer: BCBS Complete |
$176.01
|
| Rate for Payer: BCBS MAPPO |
$265.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,553.20
|
| Rate for Payer: BCN Commercial |
$383.62
|
| Rate for Payer: BCN Medicare Advantage |
$265.11
|
| Rate for Payer: Cash Price |
$445.60
|
| Rate for Payer: Cash Price |
$445.60
|
| Rate for Payer: Cofinity Commercial |
$381.76
|
| Rate for Payer: Cofinity Commercial |
$355.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$265.11
|
| Rate for Payer: Mclaren Medicaid |
$167.63
|
| Rate for Payer: Meridian Medicaid |
$176.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$278.37
|
| Rate for Payer: PACE SWMI |
$265.11
|
| Rate for Payer: PHP Medicare Advantage |
$265.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$417.58
|
| Rate for Payer: Priority Health Medicare |
$265.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$417.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$265.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$265.11
|
| Rate for Payer: UHC Medicare Advantage |
$273.06
|
|
|
PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 34833
|
| Min. Negotiated Rate |
$244.10 |
| Max. Negotiated Rate |
$1,531.60 |
| Rate for Payer: Aetna Commercial |
$519.75
|
| Rate for Payer: Aetna Medicare |
$403.38
|
| Rate for Payer: BCBS Complete |
$256.30
|
| Rate for Payer: BCBS MAPPO |
$387.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,407.92
|
| Rate for Payer: BCN Commercial |
$557.58
|
| Rate for Payer: BCN Medicare Advantage |
$387.87
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cofinity Commercial |
$558.53
|
| Rate for Payer: Cofinity Commercial |
$519.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.87
|
| Rate for Payer: Mclaren Medicaid |
$244.10
|
| Rate for Payer: Meridian Medicaid |
$256.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$407.26
|
| Rate for Payer: PACE SWMI |
$387.87
|
| Rate for Payer: PHP Medicare Advantage |
$387.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,531.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.96
|
| Rate for Payer: Priority Health Medicare |
$387.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$606.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.87
|
| Rate for Payer: UHC Medicare Advantage |
$399.51
|
|
|
PR OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH
|
Professional
|
Both
|
$4,718.00
|
|
|
Service Code
|
HCPCS 34830
|
| Min. Negotiated Rate |
$841.05 |
| Max. Negotiated Rate |
$3,302.60 |
| Rate for Payer: Aetna Commercial |
$2,331.89
|
| Rate for Payer: Aetna Medicare |
$1,809.83
|
| Rate for Payer: BCBS Complete |
$1,154.03
|
| Rate for Payer: BCBS MAPPO |
$1,740.22
|
| Rate for Payer: BCBS Trust/PPO |
$841.05
|
| Rate for Payer: BCN Commercial |
$2,510.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,740.22
|
| Rate for Payer: Cash Price |
$3,774.40
|
| Rate for Payer: Cash Price |
$3,774.40
|
| Rate for Payer: Cofinity Commercial |
$2,505.92
|
| Rate for Payer: Cofinity Commercial |
$2,331.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,740.22
|
| Rate for Payer: Mclaren Medicaid |
$1,099.08
|
| Rate for Payer: Meridian Medicaid |
$1,154.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,827.23
|
| Rate for Payer: PACE SWMI |
$1,740.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,740.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,099.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,302.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,733.19
|
| Rate for Payer: Priority Health Medicare |
$1,740.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,733.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,740.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,740.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,792.43
|
|
