|
PR OPEN TX HUMERAL EPICONDYLAR FRACTURE
|
Professional
|
Both
|
$2,436.00
|
|
|
Service Code
|
HCPCS 24575
|
| Min. Negotiated Rate |
$402.56 |
| Max. Negotiated Rate |
$1,583.40 |
| Rate for Payer: Aetna Commercial |
$950.76
|
| Rate for Payer: Aetna Medicare |
$737.90
|
| Rate for Payer: BCBS Complete |
$505.00
|
| Rate for Payer: BCBS MAPPO |
$709.52
|
| Rate for Payer: BCBS Trust/PPO |
$402.56
|
| Rate for Payer: BCN Commercial |
$1,079.97
|
| Rate for Payer: BCN Medicare Advantage |
$709.52
|
| Rate for Payer: Cash Price |
$1,948.80
|
| Rate for Payer: Cash Price |
$1,948.80
|
| Rate for Payer: Cofinity Commercial |
$950.76
|
| Rate for Payer: Cofinity Commercial |
$1,021.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.52
|
| Rate for Payer: Mclaren Medicaid |
$480.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$745.00
|
| Rate for Payer: Meridian Medicaid |
$505.00
|
| Rate for Payer: Nomi Health Commercial |
$851.42
|
| Rate for Payer: PACE SWMI |
$709.52
|
| Rate for Payer: PHP Medicare Advantage |
$709.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,583.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,136.79
|
| Rate for Payer: Priority Health Medicare |
$716.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,136.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$709.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$709.52
|
| Rate for Payer: UHC Exchange |
$709.52
|
| Rate for Payer: UHC Medicare Advantage |
$709.52
|
| Rate for Payer: UHCCP Medicaid |
$480.95
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$3,045.00
|
|
|
Service Code
|
HCPCS 24545
|
| Min. Negotiated Rate |
$314.34 |
| Max. Negotiated Rate |
$1,979.25 |
| Rate for Payer: Aetna Commercial |
$1,202.02
|
| Rate for Payer: Aetna Medicare |
$932.91
|
| Rate for Payer: BCBS Complete |
$635.17
|
| Rate for Payer: BCBS MAPPO |
$897.03
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$1,361.45
|
| Rate for Payer: BCN Medicare Advantage |
$897.03
|
| Rate for Payer: Cash Price |
$2,436.00
|
| Rate for Payer: Cash Price |
$2,436.00
|
| Rate for Payer: Cofinity Commercial |
$1,291.72
|
| Rate for Payer: Cofinity Commercial |
$1,202.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$897.03
|
| Rate for Payer: Mclaren Medicaid |
$604.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$941.88
|
| Rate for Payer: Meridian Medicaid |
$635.17
|
| Rate for Payer: Nomi Health Commercial |
$1,076.44
|
| Rate for Payer: PACE SWMI |
$897.03
|
| Rate for Payer: PHP Medicare Advantage |
$897.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$604.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,979.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,431.93
|
| Rate for Payer: Priority Health Medicare |
$906.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,431.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$897.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$897.03
|
| Rate for Payer: UHC Exchange |
$897.03
|
| Rate for Payer: UHC Medicare Advantage |
$897.03
|
| Rate for Payer: UHCCP Medicaid |
$604.92
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN
|
Professional
|
Both
|
$3,982.00
|
|
|
Service Code
|
HCPCS 24546
|
| Min. Negotiated Rate |
$387.77 |
| Max. Negotiated Rate |
$2,588.30 |
| Rate for Payer: Aetna Commercial |
$1,342.29
|
| Rate for Payer: Aetna Medicare |
$1,041.78
|
| Rate for Payer: BCBS Complete |
$708.52
|
| Rate for Payer: BCBS MAPPO |
$1,001.71
|
| Rate for Payer: BCBS Trust/PPO |
$387.77
|
| Rate for Payer: BCN Commercial |
$1,520.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,001.71
|
| Rate for Payer: Cash Price |
$3,185.60
|
| Rate for Payer: Cash Price |
$3,185.60
|
| Rate for Payer: Cofinity Commercial |
$1,442.46
|
| Rate for Payer: Cofinity Commercial |
$1,342.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,001.71
|
| Rate for Payer: Mclaren Medicaid |
$674.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,051.80
|
| Rate for Payer: Meridian Medicaid |
$708.52
|
| Rate for Payer: Nomi Health Commercial |
$1,202.05
|
| Rate for Payer: PACE SWMI |
$1,001.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,001.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$674.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,588.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,596.30
|
| Rate for Payer: Priority Health Medicare |
$1,011.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,596.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,001.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,001.71
|
| Rate for Payer: UHC Exchange |
$1,001.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,001.71
|
| Rate for Payer: UHCCP Medicaid |
$674.78
|
|
|
PR OPEN TX ILIAC SPINE UNI/BIL
|
Professional
|
Both
|
$2,634.00
|
|
|
Service Code
|
HCPCS G0412
|
| Min. Negotiated Rate |
$470.52 |
| Max. Negotiated Rate |
$2,061.43 |
| Rate for Payer: Aetna Commercial |
$936.77
|
| Rate for Payer: Aetna Medicare |
$727.04
|
| Rate for Payer: BCBS Complete |
$494.05
|
| Rate for Payer: BCBS MAPPO |
$699.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.43
|
| Rate for Payer: BCN Commercial |
$1,062.38
|
| Rate for Payer: BCN Medicare Advantage |
$699.08
|
| Rate for Payer: Cash Price |
$2,107.20
|
| Rate for Payer: Cash Price |
$2,107.20
|
| Rate for Payer: Cofinity Commercial |
$936.77
|
| Rate for Payer: Cofinity Commercial |
$1,006.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$699.08
|
| Rate for Payer: Mclaren Medicaid |
$470.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$734.03
|
| Rate for Payer: Meridian Medicaid |
$494.05
|
| Rate for Payer: Nomi Health Commercial |
$838.90
|
| Rate for Payer: PACE SWMI |
$699.08
|
| Rate for Payer: PHP Medicare Advantage |
$699.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$470.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,712.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,115.92
|
| Rate for Payer: Priority Health Medicare |
$706.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,115.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$699.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$699.08
|
| Rate for Payer: UHC Exchange |
$699.08
|
| Rate for Payer: UHC Medicare Advantage |
$699.08
|
| Rate for Payer: UHCCP Medicaid |
$470.52
|
|
|
PR OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE
|
Professional
|
Both
|
$2,749.00
|
|
|
Service Code
|
HCPCS 27540
|
| Min. Negotiated Rate |
$246.72 |
| Max. Negotiated Rate |
$1,786.85 |
| Rate for Payer: Aetna Commercial |
$1,054.90
|
| Rate for Payer: Aetna Medicare |
$818.73
|
| Rate for Payer: BCBS Complete |
$558.01
|
| Rate for Payer: BCBS MAPPO |
$787.24
|
| Rate for Payer: BCBS Trust/PPO |
$246.72
|
| Rate for Payer: BCN Commercial |
$1,199.22
|
| Rate for Payer: BCN Medicare Advantage |
$787.24
|
| Rate for Payer: Cash Price |
$2,199.20
|
| Rate for Payer: Cash Price |
$2,199.20
|
| Rate for Payer: Cofinity Commercial |
$1,133.63
|
| Rate for Payer: Cofinity Commercial |
$1,054.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.24
|
| Rate for Payer: Mclaren Medicaid |
$531.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$826.60
|
| Rate for Payer: Meridian Medicaid |
$558.01
|
| Rate for Payer: Nomi Health Commercial |
$944.69
|
| Rate for Payer: PACE SWMI |
$787.24
|
| Rate for Payer: PHP Medicare Advantage |
$787.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$531.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,786.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,256.38
|
| Rate for Payer: Priority Health Medicare |
$795.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,256.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$787.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$787.24
|
| Rate for Payer: UHC Exchange |
$787.24
|
| Rate for Payer: UHC Medicare Advantage |
$787.24
|
| Rate for Payer: UHCCP Medicaid |
$531.44
|
|
|
PR OPEN TX INTERPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26785
|
| Min. Negotiated Rate |
$101.43 |
| Max. Negotiated Rate |
$1,001.00 |
| Rate for Payer: Aetna Commercial |
$711.83
|
| Rate for Payer: Aetna Medicare |
$552.47
|
| Rate for Payer: BCBS Complete |
$380.66
|
| Rate for Payer: BCBS MAPPO |
$531.22
|
| Rate for Payer: BCBS Trust/PPO |
$101.43
|
| Rate for Payer: BCN Commercial |
$812.67
|
| Rate for Payer: BCN Medicare Advantage |
$531.22
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$764.96
|
| Rate for Payer: Cofinity Commercial |
$711.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.22
|
| Rate for Payer: Mclaren Medicaid |
$362.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$557.78
|
| Rate for Payer: Meridian Medicaid |
$380.66
|
| Rate for Payer: Nomi Health Commercial |
$637.46
|
| Rate for Payer: PACE SWMI |
$531.22
|
| Rate for Payer: PHP Medicare Advantage |
$531.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO |
$854.38
|
| Rate for Payer: Priority Health Medicare |
$536.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$854.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$531.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.22
|
| Rate for Payer: UHC Exchange |
$531.22
|
| Rate for Payer: UHC Medicare Advantage |
$531.22
|
| Rate for Payer: UHCCP Medicaid |
$362.53
|
|
|
PR OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR
|
Professional
|
Both
|
$2,150.00
|
|
|
Service Code
|
HCPCS 27557
|
| Min. Negotiated Rate |
$673.93 |
| Max. Negotiated Rate |
$1,599.36 |
| Rate for Payer: Aetna Commercial |
$1,347.49
|
| Rate for Payer: Aetna Medicare |
$1,045.81
|
| Rate for Payer: BCBS Complete |
$707.63
|
| Rate for Payer: BCBS MAPPO |
$1,005.59
|
| Rate for Payer: BCBS Trust/PPO |
$843.70
|
| Rate for Payer: BCN Commercial |
$1,527.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,005.59
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Cofinity Commercial |
$1,448.05
|
| Rate for Payer: Cofinity Commercial |
$1,347.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,005.59
|
| Rate for Payer: Mclaren Medicaid |
$673.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,055.87
|
| Rate for Payer: Meridian Medicaid |
$707.63
|
| Rate for Payer: Nomi Health Commercial |
$1,206.71
|
| Rate for Payer: PACE SWMI |
$1,005.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,005.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$673.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,397.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,599.36
|
| Rate for Payer: Priority Health Medicare |
$1,015.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,599.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,005.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,005.59
|
| Rate for Payer: UHC Exchange |
$1,005.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,005.59
|
| Rate for Payer: UHCCP Medicaid |
$673.93
|
|
|
PR OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR
|
Professional
|
Both
|
$1,775.00
|
|
|
Service Code
|
HCPCS 27556
|
| Min. Negotiated Rate |
$488.15 |
| Max. Negotiated Rate |
$1,344.92 |
| Rate for Payer: Aetna Commercial |
$1,130.58
|
| Rate for Payer: Aetna Medicare |
$877.47
|
| Rate for Payer: BCBS Complete |
$594.91
|
| Rate for Payer: BCBS MAPPO |
$843.72
|
| Rate for Payer: BCBS Trust/PPO |
$488.15
|
| Rate for Payer: BCN Commercial |
$1,284.24
|
| Rate for Payer: BCN Medicare Advantage |
$843.72
|
| Rate for Payer: Cash Price |
$1,420.00
|
| Rate for Payer: Cash Price |
$1,420.00
|
| Rate for Payer: Cofinity Commercial |
$1,214.96
|
| Rate for Payer: Cofinity Commercial |
$1,130.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$843.72
|
| Rate for Payer: Mclaren Medicaid |
$566.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$885.91
|
| Rate for Payer: Meridian Medicaid |
$594.91
|
| Rate for Payer: Nomi Health Commercial |
$1,012.46
|
| Rate for Payer: PACE SWMI |
$843.72
|
| Rate for Payer: PHP Medicare Advantage |
$843.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$566.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,153.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,344.92
|
| Rate for Payer: Priority Health Medicare |
$852.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,344.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$843.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$843.72
|
| Rate for Payer: UHC Exchange |
$843.72
|
| Rate for Payer: UHC Medicare Advantage |
$843.72
|
| Rate for Payer: UHCCP Medicaid |
$566.58
|
|
|
PR OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION
|
Professional
|
Both
|
$5,350.00
|
|
|
Service Code
|
HCPCS 27558
|
| Min. Negotiated Rate |
$765.95 |
| Max. Negotiated Rate |
$3,477.50 |
| Rate for Payer: Aetna Commercial |
$1,533.58
|
| Rate for Payer: Aetna Medicare |
$1,190.24
|
| Rate for Payer: BCBS Complete |
$804.25
|
| Rate for Payer: BCBS MAPPO |
$1,144.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,509.88
|
| Rate for Payer: BCN Commercial |
$1,736.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,144.46
|
| Rate for Payer: Cash Price |
$4,280.00
|
| Rate for Payer: Cash Price |
$4,280.00
|
| Rate for Payer: Cofinity Commercial |
$1,648.02
|
| Rate for Payer: Cofinity Commercial |
$1,533.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,144.46
|
| Rate for Payer: Mclaren Medicaid |
$765.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,201.68
|
| Rate for Payer: Meridian Medicaid |
$804.25
|
| Rate for Payer: Nomi Health Commercial |
$1,373.35
|
| Rate for Payer: PACE SWMI |
$1,144.46
|
| Rate for Payer: PHP Medicare Advantage |
$1,144.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$765.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,477.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,817.15
|
| Rate for Payer: Priority Health Medicare |
$1,155.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,817.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,144.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,144.46
|
| Rate for Payer: UHC Exchange |
$1,144.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.46
|
| Rate for Payer: UHCCP Medicaid |
$765.95
|
|
|
PR OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION
|
Professional
|
Both
|
$3,401.00
|
|
|
Service Code
|
HCPCS 21462
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,917.40 |
| Rate for Payer: Aetna Commercial |
$1,430.70
|
| Rate for Payer: Aetna Medicare |
$1,110.40
|
| Rate for Payer: BCBS Complete |
$776.96
|
| Rate for Payer: BCBS MAPPO |
$1,067.69
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,917.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,067.69
|
| Rate for Payer: Cash Price |
$2,720.80
|
| Rate for Payer: Cash Price |
$2,720.80
|
| Rate for Payer: Cofinity Commercial |
$1,537.47
|
| Rate for Payer: Cofinity Commercial |
$1,430.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,067.69
|
| Rate for Payer: Mclaren Medicaid |
$739.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,121.07
|
| Rate for Payer: Meridian Medicaid |
$776.96
|
| Rate for Payer: Nomi Health Commercial |
$1,281.23
|
| Rate for Payer: PACE SWMI |
$1,067.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,067.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$739.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,770.84
|
| Rate for Payer: Priority Health Medicare |
$1,078.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,770.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,067.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,067.69
|
| Rate for Payer: UHC Exchange |
$1,067.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,067.69
|
| Rate for Payer: UHCCP Medicaid |
$739.96
|
|
|
PR OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION
|
Professional
|
Both
|
$4,190.00
|
|
|
Service Code
|
HCPCS 21461
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$2,723.50 |
| Rate for Payer: Aetna Commercial |
$1,285.31
|
| Rate for Payer: Aetna Medicare |
$997.56
|
| Rate for Payer: BCBS Complete |
$699.35
|
| Rate for Payer: BCBS MAPPO |
$959.19
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$2,696.52
|
| Rate for Payer: BCN Medicare Advantage |
$959.19
|
| Rate for Payer: Cash Price |
$3,352.00
|
| Rate for Payer: Cash Price |
$3,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,381.23
|
| Rate for Payer: Cofinity Commercial |
$1,285.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$959.19
|
| Rate for Payer: Mclaren Medicaid |
$666.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,007.15
|
| Rate for Payer: Meridian Medicaid |
$699.35
|
| Rate for Payer: Nomi Health Commercial |
$1,151.03
|
| Rate for Payer: PACE SWMI |
$959.19
|
| Rate for Payer: PHP Medicare Advantage |
$959.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,723.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,624.29
|
| Rate for Payer: Priority Health Medicare |
$968.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,624.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$959.19
|
| Rate for Payer: UHC Exchange |
$959.19
|
| Rate for Payer: UHC Medicare Advantage |
$959.19
|
| Rate for Payer: UHCCP Medicaid |
$666.05
|
|
|
PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE
|
Professional
|
Both
|
$1,925.00
|
|
|
Service Code
|
HCPCS 26615
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$1,251.25 |
| Rate for Payer: Aetna Commercial |
$746.65
|
| Rate for Payer: Aetna Medicare |
$579.49
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$557.20
|
| Rate for Payer: BCBS Trust/PPO |
$53.49
|
| Rate for Payer: BCN Commercial |
$851.77
|
| Rate for Payer: BCN Medicare Advantage |
$557.20
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cofinity Commercial |
$802.37
|
| Rate for Payer: Cofinity Commercial |
$746.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.20
|
| Rate for Payer: Mclaren Medicaid |
$379.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.06
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Nomi Health Commercial |
$668.64
|
| Rate for Payer: PACE SWMI |
$557.20
|
| Rate for Payer: PHP Medicare Advantage |
$557.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,251.25
|
| Rate for Payer: Priority Health HMO/PPO |
$897.12
|
| Rate for Payer: Priority Health Medicare |
$562.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$897.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.20
|
| Rate for Payer: UHC Exchange |
$557.20
|
| Rate for Payer: UHC Medicare Advantage |
$557.20
|
| Rate for Payer: UHCCP Medicaid |
$379.78
|
|
|
PR OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,037.00
|
|
|
Service Code
|
HCPCS 28645
|
| Min. Negotiated Rate |
$316.52 |
| Max. Negotiated Rate |
$945.59 |
| Rate for Payer: Aetna Commercial |
$625.02
|
| Rate for Payer: Aetna Medicare |
$485.09
|
| Rate for Payer: BCBS Complete |
$332.35
|
| Rate for Payer: BCBS MAPPO |
$466.43
|
| Rate for Payer: BCBS Trust/PPO |
$821.51
|
| Rate for Payer: BCN Commercial |
$945.59
|
| Rate for Payer: BCN Medicare Advantage |
$466.43
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cash Price |
$829.60
|
| Rate for Payer: Cofinity Commercial |
$671.66
|
| Rate for Payer: Cofinity Commercial |
$625.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.43
|
| Rate for Payer: Mclaren Medicaid |
$316.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.75
|
| Rate for Payer: Meridian Medicaid |
$332.35
|
| Rate for Payer: Nomi Health Commercial |
$559.72
|
| Rate for Payer: PACE SWMI |
$466.43
|
| Rate for Payer: PHP Medicare Advantage |
$466.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$316.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.05
|
| Rate for Payer: Priority Health HMO/PPO |
$751.59
|
| Rate for Payer: Priority Health Medicare |
$471.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$751.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.43
|
| Rate for Payer: UHC Exchange |
$466.43
|
| Rate for Payer: UHC Medicare Advantage |
$466.43
|
| Rate for Payer: UHCCP Medicaid |
$316.52
|
|
|
PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW
|
Professional
|
Both
|
$3,444.00
|
|
|
Service Code
|
HCPCS 24635
|
| Min. Negotiated Rate |
$444.96 |
| Max. Negotiated Rate |
$2,238.60 |
| Rate for Payer: Aetna Commercial |
$878.69
|
| Rate for Payer: Aetna Medicare |
$681.97
|
| Rate for Payer: BCBS Complete |
$467.21
|
| Rate for Payer: BCBS MAPPO |
$655.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,028.60
|
| Rate for Payer: BCN Commercial |
$998.86
|
| Rate for Payer: BCN Medicare Advantage |
$655.74
|
| Rate for Payer: Cash Price |
$2,755.20
|
| Rate for Payer: Cash Price |
$2,755.20
|
| Rate for Payer: Cofinity Commercial |
$944.27
|
| Rate for Payer: Cofinity Commercial |
$878.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.74
|
| Rate for Payer: Mclaren Medicaid |
$444.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$688.53
|
| Rate for Payer: Meridian Medicaid |
$467.21
|
| Rate for Payer: Nomi Health Commercial |
$786.89
|
| Rate for Payer: PACE SWMI |
$655.74
|
| Rate for Payer: PHP Medicare Advantage |
$655.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,238.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,048.77
|
| Rate for Payer: Priority Health Medicare |
$662.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,048.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$655.74
|
| Rate for Payer: UHC Exchange |
$655.74
|
| Rate for Payer: UHC Medicare Advantage |
$655.74
|
| Rate for Payer: UHCCP Medicaid |
$444.96
|
|
|
PR OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 21330
|
| Min. Negotiated Rate |
$343.57 |
| Max. Negotiated Rate |
$1,404.22 |
| Rate for Payer: Aetna Commercial |
$668.69
|
| Rate for Payer: Aetna Medicare |
$518.98
|
| Rate for Payer: BCBS Complete |
$360.75
|
| Rate for Payer: BCBS MAPPO |
$499.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.22
|
| Rate for Payer: BCN Commercial |
$788.24
|
| Rate for Payer: BCN Medicare Advantage |
$499.02
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$718.59
|
| Rate for Payer: Cofinity Commercial |
$668.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.02
|
| Rate for Payer: Mclaren Medicaid |
$343.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.97
|
| Rate for Payer: Meridian Medicaid |
$360.75
|
| Rate for Payer: Nomi Health Commercial |
$598.82
|
| Rate for Payer: PACE SWMI |
$499.02
|
| Rate for Payer: PHP Medicare Advantage |
$499.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,075.75
|
| Rate for Payer: Priority Health HMO/PPO |
$822.33
|
| Rate for Payer: Priority Health Medicare |
$504.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$822.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$499.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.02
|
| Rate for Payer: UHC Exchange |
$499.02
|
| Rate for Payer: UHC Medicare Advantage |
$499.02
|
| Rate for Payer: UHCCP Medicaid |
$343.57
|
|
|
PR OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION
|
Professional
|
Both
|
$1,476.00
|
|
|
Service Code
|
HCPCS 21336
|
| Min. Negotiated Rate |
$409.39 |
| Max. Negotiated Rate |
$10,615.31 |
| Rate for Payer: Aetna Commercial |
$796.17
|
| Rate for Payer: Aetna Medicare |
$617.93
|
| Rate for Payer: BCBS Complete |
$429.86
|
| Rate for Payer: BCBS MAPPO |
$594.16
|
| Rate for Payer: BCBS Trust/PPO |
$10,615.31
|
| Rate for Payer: BCN Commercial |
$936.30
|
| Rate for Payer: BCN Medicare Advantage |
$594.16
|
| Rate for Payer: Cash Price |
$1,180.80
|
| Rate for Payer: Cash Price |
$1,180.80
|
| Rate for Payer: Cofinity Commercial |
$855.59
|
| Rate for Payer: Cofinity Commercial |
$796.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.16
|
| Rate for Payer: Mclaren Medicaid |
$409.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.87
|
| Rate for Payer: Meridian Medicaid |
$429.86
|
| Rate for Payer: Nomi Health Commercial |
$712.99
|
| Rate for Payer: PACE SWMI |
$594.16
|
| Rate for Payer: PHP Medicare Advantage |
$594.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$959.40
|
| Rate for Payer: Priority Health HMO/PPO |
$978.54
|
| Rate for Payer: Priority Health Medicare |
$600.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$978.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$594.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$594.16
|
| Rate for Payer: UHC Exchange |
$594.16
|
| Rate for Payer: UHC Medicare Advantage |
$594.16
|
| Rate for Payer: UHCCP Medicaid |
$409.39
|
|
|
PR OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION
|
Professional
|
Both
|
$1,874.00
|
|
|
Service Code
|
HCPCS 21338
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,218.10 |
| Rate for Payer: Aetna Commercial |
$839.44
|
| Rate for Payer: Aetna Medicare |
$651.51
|
| Rate for Payer: BCBS Complete |
$454.01
|
| Rate for Payer: BCBS MAPPO |
$626.45
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$989.57
|
| Rate for Payer: BCN Medicare Advantage |
$626.45
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cofinity Commercial |
$902.09
|
| Rate for Payer: Cofinity Commercial |
$839.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.45
|
| Rate for Payer: Mclaren Medicaid |
$432.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$657.77
|
| Rate for Payer: Meridian Medicaid |
$454.01
|
| Rate for Payer: Nomi Health Commercial |
$751.74
|
| Rate for Payer: PACE SWMI |
$626.45
|
| Rate for Payer: PHP Medicare Advantage |
$626.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,218.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,029.94
|
| Rate for Payer: Priority Health Medicare |
$632.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,029.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$626.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$626.45
|
| Rate for Payer: UHC Exchange |
$626.45
|
| Rate for Payer: UHC Medicare Advantage |
$626.45
|
| Rate for Payer: UHCCP Medicaid |
$432.39
|
|
|
PR OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL
|
Professional
|
Both
|
$1,196.00
|
|
|
Service Code
|
HCPCS 21386
|
| Min. Negotiated Rate |
$448.58 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$888.38
|
| Rate for Payer: Aetna Medicare |
$689.49
|
| Rate for Payer: BCBS Complete |
$471.01
|
| Rate for Payer: BCBS MAPPO |
$662.97
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$1,013.51
|
| Rate for Payer: BCN Medicare Advantage |
$662.97
|
| Rate for Payer: Cash Price |
$956.80
|
| Rate for Payer: Cash Price |
$956.80
|
| Rate for Payer: Cofinity Commercial |
$954.68
|
| Rate for Payer: Cofinity Commercial |
$888.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$662.97
|
| Rate for Payer: Mclaren Medicaid |
$448.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$696.12
|
| Rate for Payer: Meridian Medicaid |
$471.01
|
| Rate for Payer: Nomi Health Commercial |
$795.56
|
| Rate for Payer: PACE SWMI |
$662.97
|
| Rate for Payer: PHP Medicare Advantage |
$662.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$777.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,060.97
|
| Rate for Payer: Priority Health Medicare |
$669.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,060.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$662.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$662.97
|
| Rate for Payer: UHC Exchange |
$662.97
|
| Rate for Payer: UHC Medicare Advantage |
$662.97
|
| Rate for Payer: UHCCP Medicaid |
$448.58
|
|
|
PR OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL
|
Professional
|
Both
|
$1,545.00
|
|
|
Service Code
|
HCPCS 21385
|
| Min. Negotiated Rate |
$473.29 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$934.18
|
| Rate for Payer: Aetna Medicare |
$725.04
|
| Rate for Payer: BCBS Complete |
$496.95
|
| Rate for Payer: BCBS MAPPO |
$697.15
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$1,075.09
|
| Rate for Payer: BCN Medicare Advantage |
$697.15
|
| Rate for Payer: Cash Price |
$1,236.00
|
| Rate for Payer: Cash Price |
$1,236.00
|
| Rate for Payer: Cofinity Commercial |
$934.18
|
| Rate for Payer: Cofinity Commercial |
$1,003.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$697.15
|
| Rate for Payer: Mclaren Medicaid |
$473.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$732.01
|
| Rate for Payer: Meridian Medicaid |
$496.95
|
| Rate for Payer: Nomi Health Commercial |
$836.58
|
| Rate for Payer: PACE SWMI |
$697.15
|
| Rate for Payer: PHP Medicare Advantage |
$697.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$473.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,004.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,122.54
|
| Rate for Payer: Priority Health Medicare |
$704.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,122.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$697.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$697.15
|
| Rate for Payer: UHC Exchange |
$697.15
|
| Rate for Payer: UHC Medicare Advantage |
$697.15
|
| Rate for Payer: UHCCP Medicaid |
$473.29
|
|
|
PR OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR
|
Professional
|
Both
|
$1,579.00
|
|
|
Service Code
|
HCPCS 21423
|
| Min. Negotiated Rate |
$24.96 |
| Max. Negotiated Rate |
$1,218.73 |
| Rate for Payer: Aetna Commercial |
$1,015.18
|
| Rate for Payer: Aetna Medicare |
$787.90
|
| Rate for Payer: BCBS Complete |
$538.54
|
| Rate for Payer: BCBS MAPPO |
$757.60
|
| Rate for Payer: BCBS Trust/PPO |
$24.96
|
| Rate for Payer: BCN Commercial |
$1,169.40
|
| Rate for Payer: BCN Medicare Advantage |
$757.60
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cash Price |
$1,263.20
|
| Rate for Payer: Cofinity Commercial |
$1,090.94
|
| Rate for Payer: Cofinity Commercial |
$1,015.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.60
|
| Rate for Payer: Mclaren Medicaid |
$512.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.48
|
| Rate for Payer: Meridian Medicaid |
$538.54
|
| Rate for Payer: Nomi Health Commercial |
$909.12
|
| Rate for Payer: PACE SWMI |
$757.60
|
| Rate for Payer: PHP Medicare Advantage |
$757.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,026.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,218.73
|
| Rate for Payer: Priority Health Medicare |
$765.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,218.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$757.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.60
|
| Rate for Payer: UHC Exchange |
$757.60
|
| Rate for Payer: UHC Medicare Advantage |
$757.60
|
| Rate for Payer: UHCCP Medicaid |
$512.90
|
|
|
PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA
|
Professional
|
Both
|
$1,815.00
|
|
|
Service Code
|
HCPCS 26735
|
| Min. Negotiated Rate |
$391.92 |
| Max. Negotiated Rate |
$1,561.28 |
| Rate for Payer: Aetna Commercial |
$771.20
|
| Rate for Payer: Aetna Medicare |
$598.54
|
| Rate for Payer: BCBS Complete |
$411.52
|
| Rate for Payer: BCBS MAPPO |
$575.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,561.28
|
| Rate for Payer: BCN Commercial |
$880.11
|
| Rate for Payer: BCN Medicare Advantage |
$575.52
|
| Rate for Payer: Cash Price |
$1,452.00
|
| Rate for Payer: Cash Price |
$1,452.00
|
| Rate for Payer: Cofinity Commercial |
$828.75
|
| Rate for Payer: Cofinity Commercial |
$771.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$575.52
|
| Rate for Payer: Mclaren Medicaid |
$391.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$604.30
|
| Rate for Payer: Meridian Medicaid |
$411.52
|
| Rate for Payer: Nomi Health Commercial |
$690.62
|
| Rate for Payer: PACE SWMI |
$575.52
|
| Rate for Payer: PHP Medicare Advantage |
$575.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,179.75
|
| Rate for Payer: Priority Health HMO/PPO |
$927.15
|
| Rate for Payer: Priority Health Medicare |
$581.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$927.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$575.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$575.52
|
| Rate for Payer: UHC Exchange |
$575.52
|
| Rate for Payer: UHC Medicare Advantage |
$575.52
|
| Rate for Payer: UHCCP Medicaid |
$391.92
|
|
|
PR OPEN TX POST PELVIC FXCTURE
|
Professional
|
Both
|
$2,367.00
|
|
|
Service Code
|
HCPCS G0415
|
| Min. Negotiated Rate |
$446.41 |
| Max. Negotiated Rate |
$2,095.49 |
| Rate for Payer: Aetna Commercial |
$1,776.01
|
| Rate for Payer: Aetna Medicare |
$1,378.40
|
| Rate for Payer: BCBS Complete |
$931.51
|
| Rate for Payer: BCBS MAPPO |
$1,325.38
|
| Rate for Payer: BCBS Trust/PPO |
$446.41
|
| Rate for Payer: BCN Commercial |
$2,004.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,325.38
|
| Rate for Payer: Cash Price |
$1,893.60
|
| Rate for Payer: Cash Price |
$1,893.60
|
| Rate for Payer: Cofinity Commercial |
$1,908.55
|
| Rate for Payer: Cofinity Commercial |
$1,776.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,325.38
|
| Rate for Payer: Mclaren Medicaid |
$887.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,391.65
|
| Rate for Payer: Meridian Medicaid |
$931.51
|
| Rate for Payer: Nomi Health Commercial |
$1,590.46
|
| Rate for Payer: PACE SWMI |
$1,325.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,325.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$887.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,538.55
|
| Rate for Payer: Priority Health HMO/PPO |
$2,095.49
|
| Rate for Payer: Priority Health Medicare |
$1,338.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,095.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,325.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,325.38
|
| Rate for Payer: UHC Exchange |
$1,325.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,325.38
|
| Rate for Payer: UHCCP Medicaid |
$887.15
|
|
|
PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB
|
Professional
|
Both
|
$1,843.00
|
|
|
Service Code
|
HCPCS 27832
|
| Min. Negotiated Rate |
$496.50 |
| Max. Negotiated Rate |
$1,321.62 |
| Rate for Payer: Aetna Commercial |
$983.52
|
| Rate for Payer: Aetna Medicare |
$763.33
|
| Rate for Payer: BCBS Complete |
$521.32
|
| Rate for Payer: BCBS MAPPO |
$733.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,321.62
|
| Rate for Payer: BCN Commercial |
$1,116.14
|
| Rate for Payer: BCN Medicare Advantage |
$733.97
|
| Rate for Payer: Cash Price |
$1,474.40
|
| Rate for Payer: Cash Price |
$1,474.40
|
| Rate for Payer: Cofinity Commercial |
$983.52
|
| Rate for Payer: Cofinity Commercial |
$1,056.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$733.97
|
| Rate for Payer: Mclaren Medicaid |
$496.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$770.67
|
| Rate for Payer: Meridian Medicaid |
$521.32
|
| Rate for Payer: Nomi Health Commercial |
$880.76
|
| Rate for Payer: PACE SWMI |
$733.97
|
| Rate for Payer: PHP Medicare Advantage |
$733.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,197.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,174.46
|
| Rate for Payer: Priority Health Medicare |
$741.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,174.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$733.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$733.97
|
| Rate for Payer: UHC Exchange |
$733.97
|
| Rate for Payer: UHC Medicare Advantage |
$733.97
|
| Rate for Payer: UHCCP Medicaid |
$496.50
|
|
|
PR OPEN TX RADIAL HEAD/NECK FRACTURE
|
Professional
|
Both
|
$2,365.00
|
|
|
Service Code
|
HCPCS 24665
|
| Min. Negotiated Rate |
$432.39 |
| Max. Negotiated Rate |
$1,537.25 |
| Rate for Payer: Aetna Commercial |
$852.45
|
| Rate for Payer: Aetna Medicare |
$661.61
|
| Rate for Payer: BCBS Complete |
$454.01
|
| Rate for Payer: BCBS MAPPO |
$636.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,195.54
|
| Rate for Payer: BCN Commercial |
$971.00
|
| Rate for Payer: BCN Medicare Advantage |
$636.16
|
| Rate for Payer: Cash Price |
$1,892.00
|
| Rate for Payer: Cash Price |
$1,892.00
|
| Rate for Payer: Cofinity Commercial |
$916.07
|
| Rate for Payer: Cofinity Commercial |
$852.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$636.16
|
| Rate for Payer: Mclaren Medicaid |
$432.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$667.97
|
| Rate for Payer: Meridian Medicaid |
$454.01
|
| Rate for Payer: Nomi Health Commercial |
$763.39
|
| Rate for Payer: PACE SWMI |
$636.16
|
| Rate for Payer: PHP Medicare Advantage |
$636.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,537.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,021.79
|
| Rate for Payer: Priority Health Medicare |
$642.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,021.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$636.16
|
| Rate for Payer: UHC Exchange |
$636.16
|
| Rate for Payer: UHC Medicare Advantage |
$636.16
|
| Rate for Payer: UHCCP Medicaid |
$432.39
|
|
|
PR OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC
|
Professional
|
Both
|
$2,905.00
|
|
|
Service Code
|
HCPCS 24666
|
| Min. Negotiated Rate |
$479.25 |
| Max. Negotiated Rate |
$1,888.25 |
| Rate for Payer: Aetna Commercial |
$948.63
|
| Rate for Payer: Aetna Medicare |
$736.25
|
| Rate for Payer: BCBS Complete |
$503.21
|
| Rate for Payer: BCBS MAPPO |
$707.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.45
|
| Rate for Payer: BCN Commercial |
$1,080.46
|
| Rate for Payer: BCN Medicare Advantage |
$707.93
|
| Rate for Payer: Cash Price |
$2,324.00
|
| Rate for Payer: Cash Price |
$2,324.00
|
| Rate for Payer: Cofinity Commercial |
$948.63
|
| Rate for Payer: Cofinity Commercial |
$1,019.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.93
|
| Rate for Payer: Mclaren Medicaid |
$479.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$743.33
|
| Rate for Payer: Meridian Medicaid |
$503.21
|
| Rate for Payer: Nomi Health Commercial |
$849.52
|
| Rate for Payer: PACE SWMI |
$707.93
|
| Rate for Payer: PHP Medicare Advantage |
$707.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,888.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,134.25
|
| Rate for Payer: Priority Health Medicare |
$715.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,134.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.93
|
| Rate for Payer: UHC Exchange |
$707.93
|
| Rate for Payer: UHC Medicare Advantage |
$707.93
|
| Rate for Payer: UHCCP Medicaid |
$479.25
|
|
