|
PR OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR
|
Professional
|
Both
|
$1,751.00
|
|
|
Service Code
|
HCPCS 64582
|
| Min. Negotiated Rate |
$368.23 |
| Max. Negotiated Rate |
$1,429.17 |
| Rate for Payer: Aetna Commercial |
$1,072.80
|
| Rate for Payer: Aetna Medicare |
$832.62
|
| Rate for Payer: BCBS Complete |
$564.05
|
| Rate for Payer: BCBS MAPPO |
$800.60
|
| Rate for Payer: BCBS Trust/PPO |
$368.23
|
| Rate for Payer: BCN Commercial |
$1,258.34
|
| Rate for Payer: BCN Medicare Advantage |
$800.60
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,152.86
|
| Rate for Payer: Cofinity Commercial |
$1,072.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$800.60
|
| Rate for Payer: Mclaren Medicaid |
$537.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$840.63
|
| Rate for Payer: Meridian Medicaid |
$564.05
|
| Rate for Payer: Nomi Health Commercial |
$960.72
|
| Rate for Payer: PACE SWMI |
$800.60
|
| Rate for Payer: PHP Medicare Advantage |
$800.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,138.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,429.17
|
| Rate for Payer: Priority Health Medicare |
$808.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,429.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$800.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$800.60
|
| Rate for Payer: UHC Exchange |
$800.60
|
| Rate for Payer: UHC Medicare Advantage |
$800.60
|
| Rate for Payer: UHCCP Medicaid |
$537.19
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL
|
Professional
|
Both
|
$640.00
|
|
|
Service Code
|
HCPCS 37239
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$2,525.00 |
| Rate for Payer: Aetna Commercial |
$192.80
|
| Rate for Payer: Aetna Medicare |
$149.64
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$143.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$2,525.00
|
| Rate for Payer: BCN Medicare Advantage |
$143.88
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cofinity Commercial |
$207.19
|
| Rate for Payer: Cofinity Commercial |
$192.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.88
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.07
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Nomi Health Commercial |
$172.66
|
| Rate for Payer: PACE SWMI |
$143.88
|
| Rate for Payer: PHP Medicare Advantage |
$143.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$416.00
|
| Rate for Payer: Priority Health HMO/PPO |
$232.94
|
| Rate for Payer: Priority Health Medicare |
$145.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$232.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.88
|
| Rate for Payer: UHC Exchange |
$143.88
|
| Rate for Payer: UHC Medicare Advantage |
$143.88
|
| Rate for Payer: UHCCP Medicaid |
$94.15
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 37237
|
| Min. Negotiated Rate |
$131.42 |
| Max. Negotiated Rate |
$1,902.42 |
| Rate for Payer: Aetna Commercial |
$270.81
|
| Rate for Payer: Aetna Medicare |
$210.18
|
| Rate for Payer: BCBS Complete |
$137.99
|
| Rate for Payer: BCBS MAPPO |
$202.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,781.43
|
| Rate for Payer: BCN Commercial |
$1,902.42
|
| Rate for Payer: BCN Medicare Advantage |
$202.10
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$270.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.10
|
| Rate for Payer: Mclaren Medicaid |
$131.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.20
|
| Rate for Payer: Meridian Medicaid |
$137.99
|
| Rate for Payer: Nomi Health Commercial |
$242.52
|
| Rate for Payer: PACE SWMI |
$202.10
|
| Rate for Payer: PHP Medicare Advantage |
$202.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.20
|
| Rate for Payer: Priority Health HMO/PPO |
$327.08
|
| Rate for Payer: Priority Health Medicare |
$204.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$327.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.10
|
| Rate for Payer: UHC Exchange |
$202.10
|
| Rate for Payer: UHC Medicare Advantage |
$202.10
|
| Rate for Payer: UHCCP Medicaid |
$131.42
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL
|
Professional
|
Both
|
$1,211.00
|
|
|
Service Code
|
HCPCS 37236
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$4,048.21 |
| Rate for Payer: Aetna Commercial |
$564.14
|
| Rate for Payer: Aetna Medicare |
$437.84
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$421.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,359.84
|
| Rate for Payer: BCN Commercial |
$4,048.21
|
| Rate for Payer: BCN Medicare Advantage |
$421.00
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cofinity Commercial |
$606.24
|
| Rate for Payer: Cofinity Commercial |
$564.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.00
|
| Rate for Payer: Mclaren Medicaid |
$274.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.05
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Nomi Health Commercial |
$505.20
|
| Rate for Payer: PACE SWMI |
$421.00
|
| Rate for Payer: PHP Medicare Advantage |
$421.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.15
|
| Rate for Payer: Priority Health HMO/PPO |
$682.86
|
| Rate for Payer: Priority Health Medicare |
$425.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$682.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.00
|
| Rate for Payer: UHC Exchange |
$421.00
|
| Rate for Payer: UHC Medicare Advantage |
$421.00
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 37238
|
| Min. Negotiated Rate |
$191.27 |
| Max. Negotiated Rate |
$5,084.69 |
| Rate for Payer: Aetna Commercial |
$391.29
|
| Rate for Payer: Aetna Medicare |
$303.69
|
| Rate for Payer: BCBS Complete |
$200.83
|
| Rate for Payer: BCBS MAPPO |
$292.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,106.33
|
| Rate for Payer: BCN Commercial |
$5,084.69
|
| Rate for Payer: BCN Medicare Advantage |
$292.01
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$420.49
|
| Rate for Payer: Cofinity Commercial |
$391.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.01
|
| Rate for Payer: Mclaren Medicaid |
$191.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.61
|
| Rate for Payer: Meridian Medicaid |
$200.83
|
| Rate for Payer: Nomi Health Commercial |
$350.41
|
| Rate for Payer: PACE SWMI |
$292.01
|
| Rate for Payer: PHP Medicare Advantage |
$292.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health HMO/PPO |
$475.45
|
| Rate for Payer: Priority Health Medicare |
$294.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.01
|
| Rate for Payer: UHC Exchange |
$292.01
|
| Rate for Payer: UHC Medicare Advantage |
$292.01
|
| Rate for Payer: UHCCP Medicaid |
$191.27
|
|
|
PR OPEN REPAIR OF ROTATOR CUFF ACUTE
|
Professional
|
Both
|
$2,616.00
|
|
|
Service Code
|
HCPCS 23410
|
| Min. Negotiated Rate |
$57.73 |
| Max. Negotiated Rate |
$1,700.40 |
| Rate for Payer: Aetna Commercial |
$1,059.42
|
| Rate for Payer: Aetna Medicare |
$822.23
|
| Rate for Payer: BCBS Complete |
$560.69
|
| Rate for Payer: BCBS MAPPO |
$790.61
|
| Rate for Payer: BCBS Trust/PPO |
$57.73
|
| Rate for Payer: BCN Commercial |
$1,206.54
|
| Rate for Payer: BCN Medicare Advantage |
$790.61
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cofinity Commercial |
$1,138.48
|
| Rate for Payer: Cofinity Commercial |
$1,059.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$790.61
|
| Rate for Payer: Mclaren Medicaid |
$533.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$830.14
|
| Rate for Payer: Meridian Medicaid |
$560.69
|
| Rate for Payer: Nomi Health Commercial |
$948.73
|
| Rate for Payer: PACE SWMI |
$790.61
|
| Rate for Payer: PHP Medicare Advantage |
$790.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$533.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,700.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,265.03
|
| Rate for Payer: Priority Health Medicare |
$798.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,265.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$790.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$790.61
|
| Rate for Payer: UHC Exchange |
$790.61
|
| Rate for Payer: UHC Medicare Advantage |
$790.61
|
| Rate for Payer: UHCCP Medicaid |
$533.99
|
|
|
PR OPEN REPAIR OF ROTATOR CUFF CHRONIC
|
Professional
|
Both
|
$3,119.00
|
|
|
Service Code
|
HCPCS 23412
|
| Min. Negotiated Rate |
$78.96 |
| Max. Negotiated Rate |
$2,027.35 |
| Rate for Payer: Aetna Commercial |
$1,101.68
|
| Rate for Payer: Aetna Medicare |
$855.04
|
| Rate for Payer: BCBS Complete |
$582.61
|
| Rate for Payer: BCBS MAPPO |
$822.15
|
| Rate for Payer: BCBS Trust/PPO |
$78.96
|
| Rate for Payer: BCN Commercial |
$1,379.62
|
| Rate for Payer: BCN Medicare Advantage |
$822.15
|
| Rate for Payer: Cash Price |
$2,495.20
|
| Rate for Payer: Cash Price |
$2,495.20
|
| Rate for Payer: Cofinity Commercial |
$1,183.90
|
| Rate for Payer: Cofinity Commercial |
$1,101.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.15
|
| Rate for Payer: Mclaren Medicaid |
$554.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$863.26
|
| Rate for Payer: Meridian Medicaid |
$582.61
|
| Rate for Payer: Nomi Health Commercial |
$986.58
|
| Rate for Payer: PACE SWMI |
$822.15
|
| Rate for Payer: PHP Medicare Advantage |
$822.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$554.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,027.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,314.90
|
| Rate for Payer: Priority Health Medicare |
$830.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,314.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$822.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$822.15
|
| Rate for Payer: UHC Exchange |
$822.15
|
| Rate for Payer: UHC Medicare Advantage |
$822.15
|
| Rate for Payer: UHCCP Medicaid |
$554.87
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Facility
|
IP
|
$3,005.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$1,953.25 |
| Max. Negotiated Rate |
$2,704.50 |
| Rate for Payer: Aetna Commercial |
$2,554.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,452.98
|
| Rate for Payer: BCN Commercial |
$2,322.26
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$2,584.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,404.00
|
| Rate for Payer: Healthscope Commercial |
$2,704.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,253.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,554.25
|
| Rate for Payer: Nomi Health Commercial |
$2,464.10
|
| Rate for Payer: PHP Commercial |
$2,554.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,614.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,013.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,644.40
|
| Rate for Payer: UHC Core |
$2,509.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,253.75
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Professional
|
Both
|
$3,005.00
|
|
|
Service Code
|
HCPCS 27814
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$1,953.25 |
| Rate for Payer: Aetna Commercial |
$984.90
|
| Rate for Payer: Aetna Medicare |
$764.40
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCBS MAPPO |
$735.00
|
| Rate for Payer: BCBS Trust/PPO |
$761.81
|
| Rate for Payer: BCN Commercial |
$1,124.94
|
| Rate for Payer: BCN Medicare Advantage |
$735.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$984.90
|
| Rate for Payer: Cofinity Commercial |
$1,058.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$735.00
|
| Rate for Payer: Mclaren Medicaid |
$496.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$771.75
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Nomi Health Commercial |
$882.00
|
| Rate for Payer: PACE SWMI |
$735.00
|
| Rate for Payer: PHP Medicare Advantage |
$735.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,180.05
|
| Rate for Payer: Priority Health Medicare |
$742.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,180.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$735.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$735.00
|
| Rate for Payer: UHC Exchange |
$735.00
|
| Rate for Payer: UHC Medicare Advantage |
$735.00
|
| Rate for Payer: UHCCP Medicaid |
$496.93
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Facility
|
OP
|
$3,005.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$713.69 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$2,554.25
|
| Rate for Payer: Aetna Medicare |
$781.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$939.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$939.06
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$751.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,470.41
|
| Rate for Payer: BCN Commercial |
$2,336.39
|
| Rate for Payer: BCN Medicare Advantage |
$751.25
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$2,584.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,404.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$751.25
|
| Rate for Payer: Healthscope Commercial |
$2,704.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,253.75
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$788.81
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$863.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,554.25
|
| Rate for Payer: Nomi Health Commercial |
$2,464.10
|
| Rate for Payer: PACE Senior Care Partners |
$713.69
|
| Rate for Payer: PACE SWMI |
$751.25
|
| Rate for Payer: PHP Commercial |
$2,554.25
|
| Rate for Payer: PHP Medicare Advantage |
$751.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,614.35
|
| Rate for Payer: Priority Health Medicare |
$758.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,013.35
|
| Rate for Payer: Railroad Medicare Medicare |
$751.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,644.40
|
| Rate for Payer: UHC Core |
$2,509.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$751.25
|
| Rate for Payer: UHC Exchange |
$751.25
|
| Rate for Payer: UHC Medicare Advantage |
$751.25
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$751.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,253.75
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Professional
|
Both
|
$3,005.00
|
|
|
Service Code
|
HCPCS 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$496.93 |
| Max. Negotiated Rate |
$1,953.25 |
| Rate for Payer: Aetna Commercial |
$984.90
|
| Rate for Payer: Aetna Medicare |
$764.40
|
| Rate for Payer: BCBS Complete |
$521.78
|
| Rate for Payer: BCBS MAPPO |
$735.00
|
| Rate for Payer: BCBS Trust/PPO |
$761.81
|
| Rate for Payer: BCN Commercial |
$1,124.94
|
| Rate for Payer: BCN Medicare Advantage |
$735.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$984.90
|
| Rate for Payer: Cofinity Commercial |
$1,058.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$735.00
|
| Rate for Payer: Mclaren Medicaid |
$496.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$771.75
|
| Rate for Payer: Meridian Medicaid |
$521.78
|
| Rate for Payer: Nomi Health Commercial |
$882.00
|
| Rate for Payer: PACE SWMI |
$735.00
|
| Rate for Payer: PHP Medicare Advantage |
$735.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,180.05
|
| Rate for Payer: Priority Health Medicare |
$742.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,180.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$735.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$735.00
|
| Rate for Payer: UHC Exchange |
$735.00
|
| Rate for Payer: UHC Medicare Advantage |
$735.00
|
| Rate for Payer: UHCCP Medicaid |
$496.93
|
|
|
PR OPEN TREATMENT CALCANEAL FRACTURE
|
Professional
|
Both
|
$3,366.00
|
|
|
Service Code
|
HCPCS 28415
|
| Min. Negotiated Rate |
$725.27 |
| Max. Negotiated Rate |
$2,187.90 |
| Rate for Payer: Aetna Commercial |
$1,437.07
|
| Rate for Payer: Aetna Medicare |
$1,115.34
|
| Rate for Payer: BCBS Complete |
$761.53
|
| Rate for Payer: BCBS MAPPO |
$1,072.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,611.32
|
| Rate for Payer: BCN Commercial |
$1,648.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,072.44
|
| Rate for Payer: Cash Price |
$2,692.80
|
| Rate for Payer: Cash Price |
$2,692.80
|
| Rate for Payer: Cofinity Commercial |
$1,544.31
|
| Rate for Payer: Cofinity Commercial |
$1,437.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,072.44
|
| Rate for Payer: Mclaren Medicaid |
$725.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,126.06
|
| Rate for Payer: Meridian Medicaid |
$761.53
|
| Rate for Payer: Nomi Health Commercial |
$1,286.93
|
| Rate for Payer: PACE SWMI |
$1,072.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,072.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$725.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,187.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,723.51
|
| Rate for Payer: Priority Health Medicare |
$1,083.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,723.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,072.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,072.44
|
| Rate for Payer: UHC Exchange |
$1,072.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,072.44
|
| Rate for Payer: UHCCP Medicaid |
$725.27
|
|
|
PR OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT
|
Professional
|
Both
|
$2,224.00
|
|
|
Service Code
|
HCPCS 28420
|
| Min. Negotiated Rate |
$372.45 |
| Max. Negotiated Rate |
$1,994.73 |
| Rate for Payer: Aetna Commercial |
$1,664.70
|
| Rate for Payer: Aetna Medicare |
$1,292.00
|
| Rate for Payer: BCBS Complete |
$881.63
|
| Rate for Payer: BCBS MAPPO |
$1,242.31
|
| Rate for Payer: BCBS Trust/PPO |
$372.45
|
| Rate for Payer: BCN Commercial |
$1,904.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,242.31
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Cofinity Commercial |
$1,788.93
|
| Rate for Payer: Cofinity Commercial |
$1,664.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,242.31
|
| Rate for Payer: Mclaren Medicaid |
$839.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.43
|
| Rate for Payer: Meridian Medicaid |
$881.63
|
| Rate for Payer: Nomi Health Commercial |
$1,490.77
|
| Rate for Payer: PACE SWMI |
$1,242.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,242.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,445.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,994.73
|
| Rate for Payer: Priority Health Medicare |
$1,254.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,994.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,242.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,242.31
|
| Rate for Payer: UHC Exchange |
$1,242.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,242.31
|
| Rate for Payer: UHCCP Medicaid |
$839.65
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA
|
Professional
|
Both
|
$4,603.00
|
|
|
Service Code
|
HCPCS 27828
|
| Min. Negotiated Rate |
$855.62 |
| Max. Negotiated Rate |
$2,991.95 |
| Rate for Payer: Aetna Commercial |
$1,697.59
|
| Rate for Payer: Aetna Medicare |
$1,317.53
|
| Rate for Payer: BCBS Complete |
$898.40
|
| Rate for Payer: BCBS MAPPO |
$1,266.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,308.07
|
| Rate for Payer: BCN Commercial |
$1,948.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.86
|
| Rate for Payer: Cash Price |
$3,682.40
|
| Rate for Payer: Cash Price |
$3,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,824.28
|
| Rate for Payer: Cofinity Commercial |
$1,697.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.86
|
| Rate for Payer: Mclaren Medicaid |
$855.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,330.20
|
| Rate for Payer: Meridian Medicaid |
$898.40
|
| Rate for Payer: Nomi Health Commercial |
$1,520.23
|
| Rate for Payer: PACE SWMI |
$1,266.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$855.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,991.95
|
| Rate for Payer: Priority Health HMO/PPO |
$2,037.98
|
| Rate for Payer: Priority Health Medicare |
$1,279.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,037.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,266.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.86
|
| Rate for Payer: UHC Exchange |
$1,266.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,266.86
|
| Rate for Payer: UHCCP Medicaid |
$855.62
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA
|
Professional
|
Both
|
$3,101.00
|
|
|
Service Code
|
HCPCS 27826
|
| Min. Negotiated Rate |
$552.52 |
| Max. Negotiated Rate |
$3,384.29 |
| Rate for Payer: Aetna Commercial |
$1,089.70
|
| Rate for Payer: Aetna Medicare |
$845.74
|
| Rate for Payer: BCBS Complete |
$580.15
|
| Rate for Payer: BCBS MAPPO |
$813.21
|
| Rate for Payer: BCBS Trust/PPO |
$3,384.29
|
| Rate for Payer: BCN Commercial |
$1,257.85
|
| Rate for Payer: BCN Medicare Advantage |
$813.21
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cofinity Commercial |
$1,171.02
|
| Rate for Payer: Cofinity Commercial |
$1,089.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$813.21
|
| Rate for Payer: Mclaren Medicaid |
$552.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$853.87
|
| Rate for Payer: Meridian Medicaid |
$580.15
|
| Rate for Payer: Nomi Health Commercial |
$975.85
|
| Rate for Payer: PACE SWMI |
$813.21
|
| Rate for Payer: PHP Medicare Advantage |
$813.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,015.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,316.93
|
| Rate for Payer: Priority Health Medicare |
$821.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,316.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$813.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$813.21
|
| Rate for Payer: UHC Exchange |
$813.21
|
| Rate for Payer: UHC Medicare Advantage |
$813.21
|
| Rate for Payer: UHCCP Medicaid |
$552.52
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY
|
Professional
|
Both
|
$4,362.00
|
|
|
Service Code
|
HCPCS 27827
|
| Min. Negotiated Rate |
$725.69 |
| Max. Negotiated Rate |
$3,897.80 |
| Rate for Payer: Aetna Commercial |
$1,435.30
|
| Rate for Payer: Aetna Medicare |
$1,113.96
|
| Rate for Payer: BCBS Complete |
$761.97
|
| Rate for Payer: BCBS MAPPO |
$1,071.12
|
| Rate for Payer: BCBS Trust/PPO |
$3,897.80
|
| Rate for Payer: BCN Commercial |
$1,647.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,071.12
|
| Rate for Payer: Cash Price |
$3,489.60
|
| Rate for Payer: Cash Price |
$3,489.60
|
| Rate for Payer: Cofinity Commercial |
$1,542.41
|
| Rate for Payer: Cofinity Commercial |
$1,435.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,071.12
|
| Rate for Payer: Mclaren Medicaid |
$725.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,124.68
|
| Rate for Payer: Meridian Medicaid |
$761.97
|
| Rate for Payer: Nomi Health Commercial |
$1,285.34
|
| Rate for Payer: PACE SWMI |
$1,071.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,071.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$725.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,835.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,724.52
|
| Rate for Payer: Priority Health Medicare |
$1,081.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,724.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,071.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,071.12
|
| Rate for Payer: UHC Exchange |
$1,071.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,071.12
|
| Rate for Payer: UHCCP Medicaid |
$725.69
|
|
|
PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE
|
Professional
|
Both
|
$2,016.00
|
|
|
Service Code
|
HCPCS 27248
|
| Min. Negotiated Rate |
$483.94 |
| Max. Negotiated Rate |
$2,101.58 |
| Rate for Payer: Aetna Commercial |
$963.47
|
| Rate for Payer: Aetna Medicare |
$747.77
|
| Rate for Payer: BCBS Complete |
$508.14
|
| Rate for Payer: BCBS MAPPO |
$719.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,101.58
|
| Rate for Payer: BCN Commercial |
$1,094.15
|
| Rate for Payer: BCN Medicare Advantage |
$719.01
|
| Rate for Payer: Cash Price |
$1,612.80
|
| Rate for Payer: Cash Price |
$1,612.80
|
| Rate for Payer: Cofinity Commercial |
$963.47
|
| Rate for Payer: Cofinity Commercial |
$1,035.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$719.01
|
| Rate for Payer: Mclaren Medicaid |
$483.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$754.96
|
| Rate for Payer: Meridian Medicaid |
$508.14
|
| Rate for Payer: Nomi Health Commercial |
$862.81
|
| Rate for Payer: PACE SWMI |
$719.01
|
| Rate for Payer: PHP Medicare Advantage |
$719.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,146.97
|
| Rate for Payer: Priority Health Medicare |
$726.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,146.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$719.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$719.01
|
| Rate for Payer: UHC Exchange |
$719.01
|
| Rate for Payer: UHC Medicare Advantage |
$719.01
|
| Rate for Payer: UHCCP Medicaid |
$483.94
|
|
|
PR OPEN TREATMENT HUMERAL CONDYLAR FRACTURE
|
Professional
|
Both
|
$2,858.00
|
|
|
Service Code
|
HCPCS 24579
|
| Min. Negotiated Rate |
$378.26 |
| Max. Negotiated Rate |
$1,857.70 |
| Rate for Payer: Aetna Commercial |
$1,081.73
|
| Rate for Payer: Aetna Medicare |
$839.55
|
| Rate for Payer: BCBS Complete |
$573.22
|
| Rate for Payer: BCBS MAPPO |
$807.26
|
| Rate for Payer: BCBS Trust/PPO |
$378.26
|
| Rate for Payer: BCN Commercial |
$1,229.02
|
| Rate for Payer: BCN Medicare Advantage |
$807.26
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,162.45
|
| Rate for Payer: Cofinity Commercial |
$1,081.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$807.26
|
| Rate for Payer: Mclaren Medicaid |
$545.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$847.62
|
| Rate for Payer: Meridian Medicaid |
$573.22
|
| Rate for Payer: Nomi Health Commercial |
$968.71
|
| Rate for Payer: PACE SWMI |
$807.26
|
| Rate for Payer: PHP Medicare Advantage |
$807.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$545.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,857.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,290.97
|
| Rate for Payer: Priority Health Medicare |
$815.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,290.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$807.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$807.26
|
| Rate for Payer: UHC Exchange |
$807.26
|
| Rate for Payer: UHC Medicare Advantage |
$807.26
|
| Rate for Payer: UHCCP Medicaid |
$545.92
|
|
|
PR OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$979.00
|
|
|
Service Code
|
HCPCS 28675
|
| Min. Negotiated Rate |
$269.66 |
| Max. Negotiated Rate |
$841.50 |
| Rate for Payer: Aetna Commercial |
$529.88
|
| Rate for Payer: Aetna Medicare |
$411.25
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS MAPPO |
$395.43
|
| Rate for Payer: BCBS Trust/PPO |
$671.47
|
| Rate for Payer: BCN Commercial |
$841.50
|
| Rate for Payer: BCN Medicare Advantage |
$395.43
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cofinity Commercial |
$569.42
|
| Rate for Payer: Cofinity Commercial |
$529.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.43
|
| Rate for Payer: Mclaren Medicaid |
$269.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.20
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Nomi Health Commercial |
$474.52
|
| Rate for Payer: PACE SWMI |
$395.43
|
| Rate for Payer: PHP Medicare Advantage |
$395.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$636.35
|
| Rate for Payer: Priority Health HMO/PPO |
$640.66
|
| Rate for Payer: Priority Health Medicare |
$399.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.43
|
| Rate for Payer: UHC Exchange |
$395.43
|
| Rate for Payer: UHC Medicare Advantage |
$395.43
|
| Rate for Payer: UHCCP Medicaid |
$269.66
|
|
|
PR OPEN TREATMENT LUNATE DISLOCATION
|
Professional
|
Both
|
$1,904.00
|
|
|
Service Code
|
HCPCS 25695
|
| Min. Negotiated Rate |
$416.20 |
| Max. Negotiated Rate |
$1,237.60 |
| Rate for Payer: Aetna Commercial |
$824.15
|
| Rate for Payer: Aetna Medicare |
$639.64
|
| Rate for Payer: BCBS Complete |
$437.01
|
| Rate for Payer: BCBS MAPPO |
$615.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$937.77
|
| Rate for Payer: BCN Medicare Advantage |
$615.04
|
| Rate for Payer: Cash Price |
$1,523.20
|
| Rate for Payer: Cash Price |
$1,523.20
|
| Rate for Payer: Cofinity Commercial |
$885.66
|
| Rate for Payer: Cofinity Commercial |
$824.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.04
|
| Rate for Payer: Mclaren Medicaid |
$416.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$645.79
|
| Rate for Payer: Meridian Medicaid |
$437.01
|
| Rate for Payer: Nomi Health Commercial |
$738.05
|
| Rate for Payer: PACE SWMI |
$615.04
|
| Rate for Payer: PHP Medicare Advantage |
$615.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,237.60
|
| Rate for Payer: Priority Health HMO/PPO |
$985.66
|
| Rate for Payer: Priority Health Medicare |
$621.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$985.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$615.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$615.04
|
| Rate for Payer: UHC Exchange |
$615.04
|
| Rate for Payer: UHC Medicare Advantage |
$615.04
|
| Rate for Payer: UHCCP Medicaid |
$416.20
|
|
|
PR OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE
|
Professional
|
Both
|
$1,713.00
|
|
|
Service Code
|
HCPCS 21465
|
| Min. Negotiated Rate |
$520.79 |
| Max. Negotiated Rate |
$3,350.93 |
| Rate for Payer: Aetna Commercial |
$1,030.37
|
| Rate for Payer: Aetna Medicare |
$799.69
|
| Rate for Payer: BCBS Complete |
$546.83
|
| Rate for Payer: BCBS MAPPO |
$768.93
|
| Rate for Payer: BCBS Trust/PPO |
$3,350.93
|
| Rate for Payer: BCN Commercial |
$1,159.64
|
| Rate for Payer: BCN Medicare Advantage |
$768.93
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Cofinity Commercial |
$1,107.26
|
| Rate for Payer: Cofinity Commercial |
$1,030.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.93
|
| Rate for Payer: Mclaren Medicaid |
$520.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$807.38
|
| Rate for Payer: Meridian Medicaid |
$546.83
|
| Rate for Payer: Nomi Health Commercial |
$922.72
|
| Rate for Payer: PACE SWMI |
$768.93
|
| Rate for Payer: PHP Medicare Advantage |
$768.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$520.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,113.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,217.70
|
| Rate for Payer: Priority Health Medicare |
$776.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,217.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$768.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$768.93
|
| Rate for Payer: UHC Exchange |
$768.93
|
| Rate for Payer: UHC Medicare Advantage |
$768.93
|
| Rate for Payer: UHCCP Medicaid |
$520.79
|
|
|
PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 27766
|
| Min. Negotiated Rate |
$396.18 |
| Max. Negotiated Rate |
$2,661.86 |
| Rate for Payer: Aetna Commercial |
$781.58
|
| Rate for Payer: Aetna Medicare |
$606.60
|
| Rate for Payer: BCBS Complete |
$415.99
|
| Rate for Payer: BCBS MAPPO |
$583.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,661.86
|
| Rate for Payer: BCN Commercial |
$895.26
|
| Rate for Payer: BCN Medicare Advantage |
$583.27
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cofinity Commercial |
$839.91
|
| Rate for Payer: Cofinity Commercial |
$781.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$583.27
|
| Rate for Payer: Mclaren Medicaid |
$396.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$612.43
|
| Rate for Payer: Meridian Medicaid |
$415.99
|
| Rate for Payer: Nomi Health Commercial |
$699.92
|
| Rate for Payer: PACE SWMI |
$583.27
|
| Rate for Payer: PHP Medicare Advantage |
$583.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$396.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,417.65
|
| Rate for Payer: Priority Health HMO/PPO |
$937.33
|
| Rate for Payer: Priority Health Medicare |
$589.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$937.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$583.27
|
| Rate for Payer: UHC Exchange |
$583.27
|
| Rate for Payer: UHC Medicare Advantage |
$583.27
|
| Rate for Payer: UHCCP Medicaid |
$396.18
|
|
|
PR OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION
|
Professional
|
Both
|
$1,925.00
|
|
|
Service Code
|
HCPCS 26715
|
| Min. Negotiated Rate |
$378.29 |
| Max. Negotiated Rate |
$1,251.25 |
| Rate for Payer: Aetna Commercial |
$743.85
|
| Rate for Payer: Aetna Medicare |
$577.31
|
| Rate for Payer: BCBS Complete |
$397.20
|
| Rate for Payer: BCBS MAPPO |
$555.11
|
| Rate for Payer: BCBS Trust/PPO |
$381.43
|
| Rate for Payer: BCN Commercial |
$849.33
|
| Rate for Payer: BCN Medicare Advantage |
$555.11
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cofinity Commercial |
$799.36
|
| Rate for Payer: Cofinity Commercial |
$743.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$555.11
|
| Rate for Payer: Mclaren Medicaid |
$378.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$582.87
|
| Rate for Payer: Meridian Medicaid |
$397.20
|
| Rate for Payer: Nomi Health Commercial |
$666.13
|
| Rate for Payer: PACE SWMI |
$555.11
|
| Rate for Payer: PHP Medicare Advantage |
$555.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.25
|
| Rate for Payer: Priority Health HMO/PPO |
$894.07
|
| Rate for Payer: Priority Health Medicare |
$560.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$894.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$555.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$555.11
|
| Rate for Payer: UHC Exchange |
$555.11
|
| Rate for Payer: UHC Medicare Advantage |
$555.11
|
| Rate for Payer: UHCCP Medicaid |
$378.29
|
|
|
PR OPEN TREATMENT METATARSAL FRACTURE EACH
|
Professional
|
Both
|
$1,346.00
|
|
|
Service Code
|
HCPCS 28485
|
| Min. Negotiated Rate |
$366.15 |
| Max. Negotiated Rate |
$874.90 |
| Rate for Payer: Aetna Commercial |
$718.49
|
| Rate for Payer: Aetna Medicare |
$557.64
|
| Rate for Payer: BCBS Complete |
$384.46
|
| Rate for Payer: BCBS MAPPO |
$536.19
|
| Rate for Payer: BCBS Trust/PPO |
$613.88
|
| Rate for Payer: BCN Commercial |
$824.89
|
| Rate for Payer: BCN Medicare Advantage |
$536.19
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cash Price |
$1,076.80
|
| Rate for Payer: Cofinity Commercial |
$772.11
|
| Rate for Payer: Cofinity Commercial |
$718.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$536.19
|
| Rate for Payer: Mclaren Medicaid |
$366.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$563.00
|
| Rate for Payer: Meridian Medicaid |
$384.46
|
| Rate for Payer: Nomi Health Commercial |
$643.43
|
| Rate for Payer: PACE SWMI |
$536.19
|
| Rate for Payer: PHP Medicare Advantage |
$536.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$874.90
|
| Rate for Payer: Priority Health HMO/PPO |
$872.19
|
| Rate for Payer: Priority Health Medicare |
$541.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$872.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$536.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$536.19
|
| Rate for Payer: UHC Exchange |
$536.19
|
| Rate for Payer: UHC Medicare Advantage |
$536.19
|
| Rate for Payer: UHCCP Medicaid |
$366.15
|
|
|
PR OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED
|
Professional
|
Both
|
$840.00
|
|
|
Service Code
|
HCPCS 21325
|
| Min. Negotiated Rate |
$285.85 |
| Max. Negotiated Rate |
$1,404.22 |
| Rate for Payer: Aetna Commercial |
$552.84
|
| Rate for Payer: Aetna Medicare |
$429.07
|
| Rate for Payer: BCBS Complete |
$300.14
|
| Rate for Payer: BCBS MAPPO |
$412.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.22
|
| Rate for Payer: BCN Commercial |
$656.30
|
| Rate for Payer: BCN Medicare Advantage |
$412.57
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$594.10
|
| Rate for Payer: Cofinity Commercial |
$552.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$412.57
|
| Rate for Payer: Mclaren Medicaid |
$285.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$433.20
|
| Rate for Payer: Meridian Medicaid |
$300.14
|
| Rate for Payer: Nomi Health Commercial |
$495.08
|
| Rate for Payer: PACE SWMI |
$412.57
|
| Rate for Payer: PHP Medicare Advantage |
$412.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$546.00
|
| Rate for Payer: Priority Health HMO/PPO |
$684.42
|
| Rate for Payer: Priority Health Medicare |
$416.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$684.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$412.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$412.57
|
| Rate for Payer: UHC Exchange |
$412.57
|
| Rate for Payer: UHC Medicare Advantage |
$412.57
|
| Rate for Payer: UHCCP Medicaid |
$285.85
|
|
