|
PR OSTECTOMY STERNUM PARTIAL
|
Professional
|
Both
|
$4,072.00
|
|
|
Service Code
|
HCPCS 21620
|
| Min. Negotiated Rate |
$319.07 |
| Max. Negotiated Rate |
$3,054.00 |
| Rate for Payer: Aetna Commercial |
$678.09
|
| Rate for Payer: Aetna Medicare |
$2,036.00
|
| Rate for Payer: BCBS Complete |
$335.02
|
| Rate for Payer: BCN Commercial |
$758.92
|
| Rate for Payer: Cash Price |
$3,257.60
|
| Rate for Payer: Cash Price |
$3,257.60
|
| Rate for Payer: Mclaren Medicaid |
$319.07
|
| Rate for Payer: Meridian Medicaid |
$335.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,054.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$811.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$811.27
|
| Rate for Payer: UHC Medicaid |
$319.07
|
| Rate for Payer: UHCCP Medicaid |
$319.07
|
|
|
PR OSTECTOMY TARSAL COALITION
|
Professional
|
Both
|
$1,482.00
|
|
|
Service Code
|
HCPCS 28116
|
| Min. Negotiated Rate |
$309.70 |
| Max. Negotiated Rate |
$1,111.50 |
| Rate for Payer: Aetna Commercial |
$769.13
|
| Rate for Payer: Aetna Medicare |
$741.00
|
| Rate for Payer: BCBS Complete |
$325.19
|
| Rate for Payer: BCN Commercial |
$788.80
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Mclaren Medicaid |
$309.70
|
| Rate for Payer: Meridian Medicaid |
$325.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$843.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$843.21
|
| Rate for Payer: UHC Medicaid |
$309.70
|
| Rate for Payer: UHCCP Medicaid |
$309.70
|
|
|
PR OSTEOCHONDRAL ALLOGRAFT KNEE OPEN
|
Professional
|
Both
|
$4,712.00
|
|
|
Service Code
|
HCPCS 27415
|
| Min. Negotiated Rate |
$802.58 |
| Max. Negotiated Rate |
$3,534.00 |
| Rate for Payer: Aetna Commercial |
$1,833.39
|
| Rate for Payer: Aetna Medicare |
$2,356.00
|
| Rate for Payer: BCBS Complete |
$842.71
|
| Rate for Payer: BCN Commercial |
$2,079.08
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Mclaren Medicaid |
$802.58
|
| Rate for Payer: Meridian Medicaid |
$842.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,534.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$802.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,222.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,222.47
|
| Rate for Payer: UHC Medicaid |
$802.58
|
| Rate for Payer: UHCCP Medicaid |
$802.58
|
|
|
PR OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY
|
Professional
|
Both
|
$3,190.00
|
|
|
Service Code
|
HCPCS 27416
|
| Min. Negotiated Rate |
$575.53 |
| Max. Negotiated Rate |
$2,392.50 |
| Rate for Payer: Aetna Commercial |
$1,308.99
|
| Rate for Payer: Aetna Medicare |
$1,595.00
|
| Rate for Payer: BCBS Complete |
$604.31
|
| Rate for Payer: BCN Commercial |
$1,489.96
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Mclaren Medicaid |
$575.53
|
| Rate for Payer: Meridian Medicaid |
$604.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,392.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$575.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,592.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,592.73
|
| Rate for Payer: UHC Medicaid |
$575.53
|
| Rate for Payer: UHCCP Medicaid |
$575.53
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 98925
|
| Min. Negotiated Rate |
$12.57 |
| Max. Negotiated Rate |
$42.00 |
| Rate for Payer: Aetna Commercial |
$19.50
|
| Rate for Payer: Aetna Medicare |
$28.00
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCN Commercial |
$22.70
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Mclaren Medicaid |
$12.57
|
| Rate for Payer: Meridian Medicaid |
$13.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.23
|
| Rate for Payer: UHC Medicaid |
$12.57
|
| Rate for Payer: UHCCP Medicaid |
$12.57
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 98926
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$60.00 |
| Rate for Payer: Aetna Commercial |
$28.73
|
| Rate for Payer: Aetna Medicare |
$40.00
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCN Commercial |
$34.38
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.31
|
| Rate for Payer: UHC Medicaid |
$18.96
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 98927
|
| Min. Negotiated Rate |
$25.56 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Commercial |
$37.99
|
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCBS Complete |
$26.84
|
| Rate for Payer: BCN Commercial |
$45.73
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Mclaren Medicaid |
$25.56
|
| Rate for Payer: Meridian Medicaid |
$26.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.91
|
| Rate for Payer: UHC Medicaid |
$25.56
|
| Rate for Payer: UHCCP Medicaid |
$25.56
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 98928
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Aetna Commercial |
$47.49
|
| Rate for Payer: Aetna Medicare |
$64.50
|
| Rate for Payer: BCBS Complete |
$33.55
|
| Rate for Payer: BCN Commercial |
$57.75
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Mclaren Medicaid |
$31.95
|
| Rate for Payer: Meridian Medicaid |
$33.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$79.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$79.45
|
| Rate for Payer: UHC Medicaid |
$31.95
|
| Rate for Payer: UHCCP Medicaid |
$31.95
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS
|
Professional
|
Both
|
$155.00
|
|
|
Service Code
|
HCPCS 98929
|
| Min. Negotiated Rate |
$37.91 |
| Max. Negotiated Rate |
$116.25 |
| Rate for Payer: Aetna Commercial |
$58.11
|
| Rate for Payer: Aetna Medicare |
$77.50
|
| Rate for Payer: BCBS Complete |
$39.81
|
| Rate for Payer: BCN Commercial |
$68.76
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Mclaren Medicaid |
$37.91
|
| Rate for Payer: Meridian Medicaid |
$39.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$116.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$94.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$94.60
|
| Rate for Payer: UHC Medicaid |
$37.91
|
| Rate for Payer: UHCCP Medicaid |
$37.91
|
|
|
PR OSTEOPLASTY CARPAL BONE SHORTENING
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 25394
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$1,497.00 |
| Rate for Payer: Aetna Commercial |
$1,047.57
|
| Rate for Payer: Aetna Medicare |
$998.00
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCN Commercial |
$1,199.63
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Mclaren Medicaid |
$469.03
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,282.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,282.38
|
| Rate for Payer: UHC Medicaid |
$469.03
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
|
|
PR OSTEOPLASTY FEMUR LENGTHENING
|
Professional
|
Both
|
$4,100.00
|
|
|
Service Code
|
HCPCS 27466
|
| Min. Negotiated Rate |
$873.30 |
| Max. Negotiated Rate |
$3,075.00 |
| Rate for Payer: Aetna Commercial |
$1,582.85
|
| Rate for Payer: Aetna Medicare |
$2,050.00
|
| Rate for Payer: BCBS Complete |
$916.97
|
| Rate for Payer: BCN Commercial |
$1,794.23
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Cash Price |
$3,280.00
|
| Rate for Payer: Mclaren Medicaid |
$873.30
|
| Rate for Payer: Meridian Medicaid |
$916.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,075.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$873.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,917.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,917.97
|
| Rate for Payer: UHC Medicaid |
$873.30
|
| Rate for Payer: UHCCP Medicaid |
$873.30
|
|
|
PR OSTEOPLASTY HUMERUS
|
Professional
|
Both
|
$3,435.00
|
|
|
Service Code
|
HCPCS 24420
|
| Min. Negotiated Rate |
$638.79 |
| Max. Negotiated Rate |
$2,576.25 |
| Rate for Payer: Aetna Commercial |
$1,403.52
|
| Rate for Payer: Aetna Medicare |
$1,717.50
|
| Rate for Payer: BCBS Complete |
$670.73
|
| Rate for Payer: BCN Commercial |
$1,610.97
|
| Rate for Payer: Cash Price |
$2,748.00
|
| Rate for Payer: Cash Price |
$2,748.00
|
| Rate for Payer: Mclaren Medicaid |
$638.79
|
| Rate for Payer: Meridian Medicaid |
$670.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,576.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,722.08
|
| Rate for Payer: UHC Medicaid |
$638.79
|
| Rate for Payer: UHCCP Medicaid |
$638.79
|
|
|
PR OSTEOPLASTY RADIUS/ULNA SHORTENING
|
Professional
|
Both
|
$2,770.00
|
|
|
Service Code
|
HCPCS 25390
|
| Min. Negotiated Rate |
$449.43 |
| Max. Negotiated Rate |
$2,077.50 |
| Rate for Payer: Aetna Commercial |
$1,026.00
|
| Rate for Payer: Aetna Medicare |
$1,385.00
|
| Rate for Payer: BCBS Complete |
$471.90
|
| Rate for Payer: BCN Commercial |
$1,174.73
|
| Rate for Payer: Cash Price |
$2,216.00
|
| Rate for Payer: Cash Price |
$2,216.00
|
| Rate for Payer: Mclaren Medicaid |
$449.43
|
| Rate for Payer: Meridian Medicaid |
$471.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,077.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,255.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,255.75
|
| Rate for Payer: UHC Medicaid |
$449.43
|
| Rate for Payer: UHCCP Medicaid |
$449.43
|
|
|
PR OSTEOPLASTY TIBIA&FIBULA LENGTHENING/SHORTENING
|
Professional
|
Both
|
$4,914.00
|
|
|
Service Code
|
HCPCS 27715
|
| Min. Negotiated Rate |
$868.61 |
| Max. Negotiated Rate |
$3,685.50 |
| Rate for Payer: Aetna Commercial |
$1,433.12
|
| Rate for Payer: Aetna Medicare |
$2,457.00
|
| Rate for Payer: BCBS Complete |
$912.04
|
| Rate for Payer: BCN Commercial |
$1,624.91
|
| Rate for Payer: Cash Price |
$3,931.20
|
| Rate for Payer: Cash Price |
$3,931.20
|
| Rate for Payer: Mclaren Medicaid |
$868.61
|
| Rate for Payer: Meridian Medicaid |
$912.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,685.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$868.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,736.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,736.99
|
| Rate for Payer: UHC Medicaid |
$868.61
|
| Rate for Payer: UHCCP Medicaid |
$868.61
|
|
|
PR OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL
|
Professional
|
Both
|
$8,107.00
|
|
|
Service Code
|
HCPCS 27165
|
| Min. Negotiated Rate |
$803.22 |
| Max. Negotiated Rate |
$6,080.25 |
| Rate for Payer: Aetna Commercial |
$1,842.03
|
| Rate for Payer: Aetna Medicare |
$4,053.50
|
| Rate for Payer: BCBS Complete |
$843.38
|
| Rate for Payer: BCN Commercial |
$2,069.61
|
| Rate for Payer: Cash Price |
$6,485.60
|
| Rate for Payer: Cash Price |
$6,485.60
|
| Rate for Payer: Mclaren Medicaid |
$803.22
|
| Rate for Payer: Meridian Medicaid |
$843.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,080.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$803.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,212.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,212.35
|
| Rate for Payer: UHC Medicaid |
$803.22
|
| Rate for Payer: UHCCP Medicaid |
$803.22
|
|
|
PR OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,798.00
|
|
|
Service Code
|
HCPCS 28300
|
| Min. Negotiated Rate |
$389.79 |
| Max. Negotiated Rate |
$1,348.50 |
| Rate for Payer: Aetna Commercial |
$866.13
|
| Rate for Payer: Aetna Medicare |
$899.00
|
| Rate for Payer: BCBS Complete |
$409.28
|
| Rate for Payer: BCN Commercial |
$989.99
|
| Rate for Payer: Cash Price |
$1,438.40
|
| Rate for Payer: Cash Price |
$1,438.40
|
| Rate for Payer: Mclaren Medicaid |
$389.79
|
| Rate for Payer: Meridian Medicaid |
$409.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,348.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,058.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,058.27
|
| Rate for Payer: UHC Medicaid |
$389.79
|
| Rate for Payer: UHCCP Medicaid |
$389.79
|
|
|
PR OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,781.00
|
|
|
Service Code
|
HCPCS 23480
|
| Min. Negotiated Rate |
$487.13 |
| Max. Negotiated Rate |
$1,336.67 |
| Rate for Payer: Aetna Commercial |
$1,096.36
|
| Rate for Payer: Aetna Medicare |
$890.50
|
| Rate for Payer: BCBS Complete |
$511.49
|
| Rate for Payer: BCN Commercial |
$1,250.43
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Mclaren Medicaid |
$487.13
|
| Rate for Payer: Meridian Medicaid |
$511.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,335.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,336.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,336.67
|
| Rate for Payer: UHC Medicaid |
$487.13
|
| Rate for Payer: UHCCP Medicaid |
$487.13
|
|
|
PR OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL
|
Professional
|
Both
|
$2,500.00
|
|
|
Service Code
|
HCPCS 23485
|
| Min. Negotiated Rate |
$555.72 |
| Max. Negotiated Rate |
$1,875.00 |
| Rate for Payer: Aetna Commercial |
$1,269.43
|
| Rate for Payer: Aetna Medicare |
$1,250.00
|
| Rate for Payer: BCBS Complete |
$583.51
|
| Rate for Payer: BCN Commercial |
$1,446.63
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Mclaren Medicaid |
$555.72
|
| Rate for Payer: Meridian Medicaid |
$583.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$555.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,546.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,546.42
|
| Rate for Payer: UHC Medicaid |
$555.72
|
| Rate for Payer: UHCCP Medicaid |
$555.72
|
|
|
PR OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION
|
Professional
|
Both
|
$3,001.00
|
|
|
Service Code
|
HCPCS 27450
|
| Min. Negotiated Rate |
$592.14 |
| Max. Negotiated Rate |
$2,250.75 |
| Rate for Payer: Aetna Commercial |
$1,357.97
|
| Rate for Payer: Aetna Medicare |
$1,500.50
|
| Rate for Payer: BCBS Complete |
$621.75
|
| Rate for Payer: BCN Commercial |
$1,527.30
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Cash Price |
$2,400.80
|
| Rate for Payer: Mclaren Medicaid |
$592.14
|
| Rate for Payer: Meridian Medicaid |
$621.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,250.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$592.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,632.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,632.65
|
| Rate for Payer: UHC Medicaid |
$592.14
|
| Rate for Payer: UHCCP Medicaid |
$592.14
|
|
|
PR OSTEOTOMY FIBULA
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27707
|
| Min. Negotiated Rate |
$250.28 |
| Max. Negotiated Rate |
$1,005.00 |
| Rate for Payer: Aetna Commercial |
$528.68
|
| Rate for Payer: Aetna Medicare |
$670.00
|
| Rate for Payer: BCBS Complete |
$262.79
|
| Rate for Payer: BCN Commercial |
$622.97
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Mclaren Medicaid |
$250.28
|
| Rate for Payer: Meridian Medicaid |
$262.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$665.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$665.93
|
| Rate for Payer: UHC Medicaid |
$250.28
|
| Rate for Payer: UHCCP Medicaid |
$250.28
|
|
|
PR OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$1,510.00
|
|
|
Service Code
|
HCPCS 24400
|
| Min. Negotiated Rate |
$494.16 |
| Max. Negotiated Rate |
$1,349.99 |
| Rate for Payer: Aetna Commercial |
$1,101.27
|
| Rate for Payer: Aetna Medicare |
$755.00
|
| Rate for Payer: BCBS Complete |
$518.87
|
| Rate for Payer: BCN Commercial |
$1,262.88
|
| Rate for Payer: Cash Price |
$1,208.00
|
| Rate for Payer: Cash Price |
$1,208.00
|
| Rate for Payer: Mclaren Medicaid |
$494.16
|
| Rate for Payer: Meridian Medicaid |
$518.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,132.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,349.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,349.99
|
| Rate for Payer: UHC Medicaid |
$494.16
|
| Rate for Payer: UHCCP Medicaid |
$494.16
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE
|
Professional
|
Both
|
$2,697.00
|
|
|
Service Code
|
HCPCS 27146
|
| Min. Negotiated Rate |
$745.50 |
| Max. Negotiated Rate |
$2,069.16 |
| Rate for Payer: Aetna Commercial |
$1,710.09
|
| Rate for Payer: Aetna Medicare |
$1,348.50
|
| Rate for Payer: BCBS Complete |
$782.77
|
| Rate for Payer: BCN Commercial |
$1,935.66
|
| Rate for Payer: Cash Price |
$2,157.60
|
| Rate for Payer: Cash Price |
$2,157.60
|
| Rate for Payer: Mclaren Medicaid |
$745.50
|
| Rate for Payer: Meridian Medicaid |
$782.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,022.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$745.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,069.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,069.16
|
| Rate for Payer: UHC Medicaid |
$745.50
|
| Rate for Payer: UHCCP Medicaid |
$745.50
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT
|
Professional
|
Both
|
$3,384.00
|
|
|
Service Code
|
HCPCS 27151
|
| Min. Negotiated Rate |
$911.00 |
| Max. Negotiated Rate |
$2,619.91 |
| Rate for Payer: Aetna Commercial |
$2,117.11
|
| Rate for Payer: Aetna Medicare |
$1,692.00
|
| Rate for Payer: BCBS Complete |
$956.55
|
| Rate for Payer: BCN Commercial |
$2,619.91
|
| Rate for Payer: Cash Price |
$2,707.20
|
| Rate for Payer: Cash Price |
$2,707.20
|
| Rate for Payer: Mclaren Medicaid |
$911.00
|
| Rate for Payer: Meridian Medicaid |
$956.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,538.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$911.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,549.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,549.31
|
| Rate for Payer: UHC Medicaid |
$911.00
|
| Rate for Payer: UHCCP Medicaid |
$911.00
|
|
|
PR OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ
|
Professional
|
Both
|
$2,306.00
|
|
|
Service Code
|
HCPCS 27147
|
| Min. Negotiated Rate |
$845.61 |
| Max. Negotiated Rate |
$2,360.33 |
| Rate for Payer: Aetna Commercial |
$1,956.61
|
| Rate for Payer: Aetna Medicare |
$1,153.00
|
| Rate for Payer: BCBS Complete |
$887.89
|
| Rate for Payer: BCN Commercial |
$2,208.05
|
| Rate for Payer: Cash Price |
$1,844.80
|
| Rate for Payer: Cash Price |
$1,844.80
|
| Rate for Payer: Mclaren Medicaid |
$845.61
|
| Rate for Payer: Meridian Medicaid |
$887.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,729.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$845.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,360.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,360.33
|
| Rate for Payer: UHC Medicaid |
$845.61
|
| Rate for Payer: UHCCP Medicaid |
$845.61
|
|
|
PR OSTEOTOMY METACARPAL EACH
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 26565
|
| Min. Negotiated Rate |
$440.27 |
| Max. Negotiated Rate |
$1,379.25 |
| Rate for Payer: Aetna Commercial |
$969.85
|
| Rate for Payer: Aetna Medicare |
$919.50
|
| Rate for Payer: BCBS Complete |
$462.28
|
| Rate for Payer: BCN Commercial |
$1,077.63
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Mclaren Medicaid |
$440.27
|
| Rate for Payer: Meridian Medicaid |
$462.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,151.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,151.96
|
| Rate for Payer: UHC Medicaid |
$440.27
|
| Rate for Payer: UHCCP Medicaid |
$440.27
|
|
