|
PR OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES
|
Professional
|
Both
|
$1,984.00
|
|
|
Service Code
|
HCPCS 25670
|
| Min. Negotiated Rate |
$397.88 |
| Max. Negotiated Rate |
$1,426.94 |
| Rate for Payer: Aetna Commercial |
$786.54
|
| Rate for Payer: Aetna Medicare |
$610.45
|
| Rate for Payer: BCBS Complete |
$417.77
|
| Rate for Payer: BCBS MAPPO |
$586.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.94
|
| Rate for Payer: BCN Commercial |
$899.66
|
| Rate for Payer: BCN Medicare Advantage |
$586.97
|
| Rate for Payer: Cash Price |
$1,587.20
|
| Rate for Payer: Cash Price |
$1,587.20
|
| Rate for Payer: Cofinity Commercial |
$845.24
|
| Rate for Payer: Cofinity Commercial |
$786.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$586.97
|
| Rate for Payer: Mclaren Medicaid |
$397.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$616.32
|
| Rate for Payer: Meridian Medicaid |
$417.77
|
| Rate for Payer: Nomi Health Commercial |
$704.36
|
| Rate for Payer: PACE SWMI |
$586.97
|
| Rate for Payer: PHP Medicare Advantage |
$586.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$397.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,289.60
|
| Rate for Payer: Priority Health HMO/PPO |
$944.45
|
| Rate for Payer: Priority Health Medicare |
$592.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$944.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$586.97
|
| Rate for Payer: UHC Exchange |
$586.97
|
| Rate for Payer: UHC Medicare Advantage |
$586.97
|
| Rate for Payer: UHCCP Medicaid |
$397.88
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS
|
Professional
|
Both
|
$1,263.00
|
|
|
Service Code
|
HCPCS 21811
|
| Min. Negotiated Rate |
$377.01 |
| Max. Negotiated Rate |
$6,603.85 |
| Rate for Payer: Aetna Commercial |
$769.50
|
| Rate for Payer: Aetna Medicare |
$597.22
|
| Rate for Payer: BCBS Complete |
$395.86
|
| Rate for Payer: BCBS MAPPO |
$574.25
|
| Rate for Payer: BCBS Trust/PPO |
$6,603.85
|
| Rate for Payer: BCN Commercial |
$859.09
|
| Rate for Payer: BCN Medicare Advantage |
$574.25
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cash Price |
$1,010.40
|
| Rate for Payer: Cofinity Commercial |
$826.92
|
| Rate for Payer: Cofinity Commercial |
$769.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$574.25
|
| Rate for Payer: Mclaren Medicaid |
$377.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.96
|
| Rate for Payer: Meridian Medicaid |
$395.86
|
| Rate for Payer: Nomi Health Commercial |
$689.10
|
| Rate for Payer: PACE SWMI |
$574.25
|
| Rate for Payer: PHP Medicare Advantage |
$574.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.95
|
| Rate for Payer: Priority Health HMO/PPO |
$898.65
|
| Rate for Payer: Priority Health Medicare |
$579.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$898.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$574.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$574.25
|
| Rate for Payer: UHC Exchange |
$574.25
|
| Rate for Payer: UHC Medicare Advantage |
$574.25
|
| Rate for Payer: UHCCP Medicaid |
$377.01
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS
|
Professional
|
Both
|
$1,763.00
|
|
|
Service Code
|
HCPCS 21812
|
| Min. Negotiated Rate |
$456.46 |
| Max. Negotiated Rate |
$3,247.68 |
| Rate for Payer: Aetna Commercial |
$930.76
|
| Rate for Payer: Aetna Medicare |
$722.38
|
| Rate for Payer: BCBS Complete |
$479.28
|
| Rate for Payer: BCBS MAPPO |
$694.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,247.68
|
| Rate for Payer: BCN Commercial |
$1,041.37
|
| Rate for Payer: BCN Medicare Advantage |
$694.60
|
| Rate for Payer: Cash Price |
$1,410.40
|
| Rate for Payer: Cash Price |
$1,410.40
|
| Rate for Payer: Cofinity Commercial |
$930.76
|
| Rate for Payer: Cofinity Commercial |
$1,000.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$694.60
|
| Rate for Payer: Mclaren Medicaid |
$456.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$729.33
|
| Rate for Payer: Meridian Medicaid |
$479.28
|
| Rate for Payer: Nomi Health Commercial |
$833.52
|
| Rate for Payer: PACE SWMI |
$694.60
|
| Rate for Payer: PHP Medicare Advantage |
$694.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$456.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,145.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,084.39
|
| Rate for Payer: Priority Health Medicare |
$701.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,084.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$694.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$694.60
|
| Rate for Payer: UHC Exchange |
$694.60
|
| Rate for Payer: UHC Medicare Advantage |
$694.60
|
| Rate for Payer: UHCCP Medicaid |
$456.46
|
|
|
PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 21813
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,485.88 |
| Rate for Payer: Aetna Commercial |
$1,278.25
|
| Rate for Payer: Aetna Medicare |
$992.08
|
| Rate for Payer: BCBS Complete |
$656.64
|
| Rate for Payer: BCBS MAPPO |
$953.92
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,423.52
|
| Rate for Payer: BCN Medicare Advantage |
$953.92
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$1,373.64
|
| Rate for Payer: Cofinity Commercial |
$1,278.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$953.92
|
| Rate for Payer: Mclaren Medicaid |
$625.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,001.62
|
| Rate for Payer: Meridian Medicaid |
$656.64
|
| Rate for Payer: Nomi Health Commercial |
$1,144.70
|
| Rate for Payer: PACE SWMI |
$953.92
|
| Rate for Payer: PHP Medicare Advantage |
$953.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$625.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,485.88
|
| Rate for Payer: Priority Health Medicare |
$963.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,485.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.92
|
| Rate for Payer: UHC Exchange |
$953.92
|
| Rate for Payer: UHC Medicare Advantage |
$953.92
|
| Rate for Payer: UHCCP Medicaid |
$625.37
|
|
|
PR OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD
|
Professional
|
Both
|
$3,192.00
|
|
|
Service Code
|
HCPCS 23585
|
| Min. Negotiated Rate |
$187.20 |
| Max. Negotiated Rate |
$2,074.80 |
| Rate for Payer: Aetna Commercial |
$1,260.40
|
| Rate for Payer: Aetna Medicare |
$978.22
|
| Rate for Payer: BCBS Complete |
$664.91
|
| Rate for Payer: BCBS MAPPO |
$940.60
|
| Rate for Payer: BCBS Trust/PPO |
$187.20
|
| Rate for Payer: BCN Commercial |
$1,432.81
|
| Rate for Payer: BCN Medicare Advantage |
$940.60
|
| Rate for Payer: Cash Price |
$2,553.60
|
| Rate for Payer: Cash Price |
$2,553.60
|
| Rate for Payer: Cofinity Commercial |
$1,354.46
|
| Rate for Payer: Cofinity Commercial |
$1,260.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$940.60
|
| Rate for Payer: Mclaren Medicaid |
$633.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$987.63
|
| Rate for Payer: Meridian Medicaid |
$664.91
|
| Rate for Payer: Nomi Health Commercial |
$1,128.72
|
| Rate for Payer: PACE SWMI |
$940.60
|
| Rate for Payer: PHP Medicare Advantage |
$940.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,074.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,501.14
|
| Rate for Payer: Priority Health Medicare |
$950.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,501.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$940.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$940.60
|
| Rate for Payer: UHC Exchange |
$940.60
|
| Rate for Payer: UHC Medicare Advantage |
$940.60
|
| Rate for Payer: UHCCP Medicaid |
$633.25
|
|
|
PR OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 28531
|
| Min. Negotiated Rate |
$118.85 |
| Max. Negotiated Rate |
$486.56 |
| Rate for Payer: Aetna Commercial |
$232.64
|
| Rate for Payer: Aetna Medicare |
$180.55
|
| Rate for Payer: BCBS Complete |
$124.79
|
| Rate for Payer: BCBS MAPPO |
$173.61
|
| Rate for Payer: BCBS Trust/PPO |
$486.56
|
| Rate for Payer: BCN Commercial |
$478.42
|
| Rate for Payer: BCN Medicare Advantage |
$173.61
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$250.00
|
| Rate for Payer: Cofinity Commercial |
$232.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.61
|
| Rate for Payer: Mclaren Medicaid |
$118.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.29
|
| Rate for Payer: Meridian Medicaid |
$124.79
|
| Rate for Payer: Nomi Health Commercial |
$208.33
|
| Rate for Payer: PACE SWMI |
$173.61
|
| Rate for Payer: PHP Medicare Advantage |
$173.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health HMO/PPO |
$280.90
|
| Rate for Payer: Priority Health Medicare |
$175.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$280.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.61
|
| Rate for Payer: UHC Exchange |
$173.61
|
| Rate for Payer: UHC Medicare Advantage |
$173.61
|
| Rate for Payer: UHCCP Medicaid |
$118.85
|
|
|
PR OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$2,451.00
|
|
|
Service Code
|
HCPCS 23530
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,593.15 |
| Rate for Payer: Aetna Commercial |
$748.03
|
| Rate for Payer: Aetna Medicare |
$580.56
|
| Rate for Payer: BCBS Complete |
$397.42
|
| Rate for Payer: BCBS MAPPO |
$558.23
|
| Rate for Payer: BCBS Trust/PPO |
$414.72
|
| Rate for Payer: BCN Commercial |
$852.74
|
| Rate for Payer: BCN Medicare Advantage |
$558.23
|
| Rate for Payer: Cash Price |
$1,960.80
|
| Rate for Payer: Cash Price |
$1,960.80
|
| Rate for Payer: Cofinity Commercial |
$803.85
|
| Rate for Payer: Cofinity Commercial |
$748.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.23
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.14
|
| Rate for Payer: Meridian Medicaid |
$397.42
|
| Rate for Payer: Nomi Health Commercial |
$669.88
|
| Rate for Payer: PACE SWMI |
$558.23
|
| Rate for Payer: PHP Medicare Advantage |
$558.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,593.15
|
| Rate for Payer: Priority Health HMO/PPO |
$895.59
|
| Rate for Payer: Priority Health Medicare |
$563.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$895.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.23
|
| Rate for Payer: UHC Exchange |
$558.23
|
| Rate for Payer: UHC Medicare Advantage |
$558.23
|
| Rate for Payer: UHCCP Medicaid |
$378.50
|
|
|
PR OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 21825
|
| Min. Negotiated Rate |
$358.05 |
| Max. Negotiated Rate |
$6,614.63 |
| Rate for Payer: Aetna Commercial |
$714.15
|
| Rate for Payer: Aetna Medicare |
$554.27
|
| Rate for Payer: BCBS Complete |
$375.95
|
| Rate for Payer: BCBS MAPPO |
$532.95
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$804.85
|
| Rate for Payer: BCN Medicare Advantage |
$532.95
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cofinity Commercial |
$767.45
|
| Rate for Payer: Cofinity Commercial |
$714.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.95
|
| Rate for Payer: Mclaren Medicaid |
$358.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.60
|
| Rate for Payer: Meridian Medicaid |
$375.95
|
| Rate for Payer: Nomi Health Commercial |
$639.54
|
| Rate for Payer: PACE SWMI |
$532.95
|
| Rate for Payer: PHP Medicare Advantage |
$532.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$652.60
|
| Rate for Payer: Priority Health HMO/PPO |
$848.79
|
| Rate for Payer: Priority Health Medicare |
$538.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$848.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$532.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$532.95
|
| Rate for Payer: UHC Exchange |
$532.95
|
| Rate for Payer: UHC Medicare Advantage |
$532.95
|
| Rate for Payer: UHCCP Medicaid |
$358.05
|
|
|
PR OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA
|
Professional
|
Both
|
$1,571.00
|
|
|
Service Code
|
HCPCS 28465
|
| Min. Negotiated Rate |
$419.18 |
| Max. Negotiated Rate |
$1,021.15 |
| Rate for Payer: Aetna Commercial |
$825.80
|
| Rate for Payer: Aetna Medicare |
$640.92
|
| Rate for Payer: BCBS Complete |
$440.14
|
| Rate for Payer: BCBS MAPPO |
$616.27
|
| Rate for Payer: BCBS Trust/PPO |
$524.60
|
| Rate for Payer: BCN Commercial |
$931.42
|
| Rate for Payer: BCN Medicare Advantage |
$616.27
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cofinity Commercial |
$887.43
|
| Rate for Payer: Cofinity Commercial |
$825.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$616.27
|
| Rate for Payer: Mclaren Medicaid |
$419.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$647.08
|
| Rate for Payer: Meridian Medicaid |
$440.14
|
| Rate for Payer: Nomi Health Commercial |
$739.52
|
| Rate for Payer: PACE SWMI |
$616.27
|
| Rate for Payer: PHP Medicare Advantage |
$616.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,021.15
|
| Rate for Payer: Priority Health HMO/PPO |
$991.26
|
| Rate for Payer: Priority Health Medicare |
$622.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$991.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$616.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$616.27
|
| Rate for Payer: UHC Exchange |
$616.27
|
| Rate for Payer: UHC Medicare Advantage |
$616.27
|
| Rate for Payer: UHCCP Medicaid |
$419.18
|
|
|
PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,786.00
|
|
|
Service Code
|
HCPCS 27535
|
| Min. Negotiated Rate |
$533.05 |
| Max. Negotiated Rate |
$1,810.90 |
| Rate for Payer: Aetna Commercial |
$1,158.35
|
| Rate for Payer: Aetna Medicare |
$899.02
|
| Rate for Payer: BCBS Complete |
$609.22
|
| Rate for Payer: BCBS MAPPO |
$864.44
|
| Rate for Payer: BCBS Trust/PPO |
$533.05
|
| Rate for Payer: BCN Commercial |
$1,313.07
|
| Rate for Payer: BCN Medicare Advantage |
$864.44
|
| Rate for Payer: Cash Price |
$2,228.80
|
| Rate for Payer: Cash Price |
$2,228.80
|
| Rate for Payer: Cofinity Commercial |
$1,244.79
|
| Rate for Payer: Cofinity Commercial |
$1,158.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$864.44
|
| Rate for Payer: Mclaren Medicaid |
$580.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$907.66
|
| Rate for Payer: Meridian Medicaid |
$609.22
|
| Rate for Payer: Nomi Health Commercial |
$1,037.33
|
| Rate for Payer: PACE SWMI |
$864.44
|
| Rate for Payer: PHP Medicare Advantage |
$864.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$580.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,810.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,375.95
|
| Rate for Payer: Priority Health Medicare |
$873.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,375.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$864.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$864.44
|
| Rate for Payer: UHC Exchange |
$864.44
|
| Rate for Payer: UHC Medicare Advantage |
$864.44
|
| Rate for Payer: UHCCP Medicaid |
$580.21
|
|
|
PR OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC
|
Professional
|
Both
|
$2,108.00
|
|
|
Service Code
|
HCPCS 25685
|
| Min. Negotiated Rate |
$481.17 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$954.43
|
| Rate for Payer: Aetna Medicare |
$740.75
|
| Rate for Payer: BCBS Complete |
$505.23
|
| Rate for Payer: BCBS MAPPO |
$712.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$1,084.38
|
| Rate for Payer: BCN Medicare Advantage |
$712.26
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cash Price |
$1,686.40
|
| Rate for Payer: Cofinity Commercial |
$954.43
|
| Rate for Payer: Cofinity Commercial |
$1,025.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$712.26
|
| Rate for Payer: Mclaren Medicaid |
$481.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$747.87
|
| Rate for Payer: Meridian Medicaid |
$505.23
|
| Rate for Payer: Nomi Health Commercial |
$854.71
|
| Rate for Payer: PACE SWMI |
$712.26
|
| Rate for Payer: PHP Medicare Advantage |
$712.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$481.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,370.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,139.34
|
| Rate for Payer: Priority Health Medicare |
$719.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,139.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$712.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$712.26
|
| Rate for Payer: UHC Exchange |
$712.26
|
| Rate for Payer: UHC Medicare Advantage |
$712.26
|
| Rate for Payer: UHCCP Medicaid |
$481.17
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP
|
Professional
|
Both
|
$4,168.00
|
|
|
Service Code
|
HCPCS 27823
|
| Min. Negotiated Rate |
$636.66 |
| Max. Negotiated Rate |
$3,182.48 |
| Rate for Payer: Aetna Commercial |
$1,259.31
|
| Rate for Payer: Aetna Medicare |
$977.37
|
| Rate for Payer: BCBS Complete |
$668.49
|
| Rate for Payer: BCBS MAPPO |
$939.78
|
| Rate for Payer: BCBS Trust/PPO |
$3,182.48
|
| Rate for Payer: BCN Commercial |
$1,447.95
|
| Rate for Payer: BCN Medicare Advantage |
$939.78
|
| Rate for Payer: Cash Price |
$3,334.40
|
| Rate for Payer: Cash Price |
$3,334.40
|
| Rate for Payer: Cofinity Commercial |
$1,353.28
|
| Rate for Payer: Cofinity Commercial |
$1,259.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$939.78
|
| Rate for Payer: Mclaren Medicaid |
$636.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$986.77
|
| Rate for Payer: Meridian Medicaid |
$668.49
|
| Rate for Payer: Nomi Health Commercial |
$1,127.74
|
| Rate for Payer: PACE SWMI |
$939.78
|
| Rate for Payer: PHP Medicare Advantage |
$939.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$636.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,709.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,516.91
|
| Rate for Payer: Priority Health Medicare |
$949.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,516.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$939.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$939.78
|
| Rate for Payer: UHC Exchange |
$939.78
|
| Rate for Payer: UHC Medicare Advantage |
$939.78
|
| Rate for Payer: UHCCP Medicaid |
$636.66
|
|
|
PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP
|
Professional
|
Both
|
$3,537.00
|
|
|
Service Code
|
HCPCS 27822
|
| Min. Negotiated Rate |
$565.30 |
| Max. Negotiated Rate |
$3,847.61 |
| Rate for Payer: Aetna Commercial |
$1,115.30
|
| Rate for Payer: Aetna Medicare |
$865.60
|
| Rate for Payer: BCBS Complete |
$593.56
|
| Rate for Payer: BCBS MAPPO |
$832.31
|
| Rate for Payer: BCBS Trust/PPO |
$3,847.61
|
| Rate for Payer: BCN Commercial |
$1,287.17
|
| Rate for Payer: BCN Medicare Advantage |
$832.31
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cash Price |
$2,829.60
|
| Rate for Payer: Cofinity Commercial |
$1,198.53
|
| Rate for Payer: Cofinity Commercial |
$1,115.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$832.31
|
| Rate for Payer: Mclaren Medicaid |
$565.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$873.93
|
| Rate for Payer: Meridian Medicaid |
$593.56
|
| Rate for Payer: Nomi Health Commercial |
$998.77
|
| Rate for Payer: PACE SWMI |
$832.31
|
| Rate for Payer: PHP Medicare Advantage |
$832.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$565.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,299.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,347.46
|
| Rate for Payer: Priority Health Medicare |
$840.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,347.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$832.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$832.31
|
| Rate for Payer: UHC Exchange |
$832.31
|
| Rate for Payer: UHC Medicare Advantage |
$832.31
|
| Rate for Payer: UHCCP Medicaid |
$565.30
|
|
|
PR OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 92014
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$1,611.32 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Aetna Medicare |
$72.95
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$70.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,611.32
|
| Rate for Payer: BCN Commercial |
$134.35
|
| Rate for Payer: BCN Medicare Advantage |
$70.14
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$93.99
|
| Rate for Payer: Cofinity Commercial |
$101.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.14
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.65
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Nomi Health Commercial |
$84.17
|
| Rate for Payer: PACE SWMI |
$70.14
|
| Rate for Payer: PHP Medicare Advantage |
$70.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
| Rate for Payer: Priority Health HMO/PPO |
$92.60
|
| Rate for Payer: Priority Health Medicare |
$70.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$92.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$70.14
|
| Rate for Payer: UHC Exchange |
$70.14
|
| Rate for Payer: UHC Medicare Advantage |
$70.14
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
PR OPH SVCS MEDICAL XM&EVAL COMPRE NEW PT 1/> VST
|
Professional
|
Both
|
$209.00
|
|
|
Service Code
|
HCPCS 92004
|
| Min. Negotiated Rate |
$58.79 |
| Max. Negotiated Rate |
$1,175.47 |
| Rate for Payer: Aetna Commercial |
$116.46
|
| Rate for Payer: Aetna Medicare |
$90.39
|
| Rate for Payer: BCBS Complete |
$61.73
|
| Rate for Payer: BCBS MAPPO |
$86.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,175.47
|
| Rate for Payer: BCN Commercial |
$159.06
|
| Rate for Payer: BCN Medicare Advantage |
$86.91
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cofinity Commercial |
$125.15
|
| Rate for Payer: Cofinity Commercial |
$116.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.91
|
| Rate for Payer: Mclaren Medicaid |
$58.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.26
|
| Rate for Payer: Meridian Medicaid |
$61.73
|
| Rate for Payer: Nomi Health Commercial |
$104.29
|
| Rate for Payer: PACE SWMI |
$86.91
|
| Rate for Payer: PHP Medicare Advantage |
$86.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.85
|
| Rate for Payer: Priority Health HMO/PPO |
$115.02
|
| Rate for Payer: Priority Health Medicare |
$87.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$115.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.91
|
| Rate for Payer: UHC Exchange |
$86.91
|
| Rate for Payer: UHC Medicare Advantage |
$86.91
|
| Rate for Payer: UHCCP Medicaid |
$58.79
|
|
|
PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE EST PT
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 92012
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$1,213.51 |
| Rate for Payer: Aetna Commercial |
$62.32
|
| Rate for Payer: Aetna Medicare |
$48.37
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$46.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,213.51
|
| Rate for Payer: BCN Commercial |
$95.65
|
| Rate for Payer: BCN Medicare Advantage |
$46.51
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cofinity Commercial |
$66.97
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.51
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.84
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Nomi Health Commercial |
$55.81
|
| Rate for Payer: PACE SWMI |
$46.51
|
| Rate for Payer: PHP Medicare Advantage |
$46.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$97.50
|
| Rate for Payer: Priority Health HMO/PPO |
$61.46
|
| Rate for Payer: Priority Health Medicare |
$46.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.51
|
| Rate for Payer: UHC Exchange |
$46.51
|
| Rate for Payer: UHC Medicare Advantage |
$46.51
|
| Rate for Payer: UHCCP Medicaid |
$31.52
|
|
|
PR OPH SVCS MEDICAL XM&EVAL INTERMEDIATE NEW PT
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 92002
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$902.86 |
| Rate for Payer: Aetna Commercial |
$56.53
|
| Rate for Payer: Aetna Medicare |
$43.88
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$42.19
|
| Rate for Payer: BCBS Trust/PPO |
$902.86
|
| Rate for Payer: BCN Commercial |
$90.99
|
| Rate for Payer: BCN Medicare Advantage |
$42.19
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cofinity Commercial |
$60.75
|
| Rate for Payer: Cofinity Commercial |
$56.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.19
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.30
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Nomi Health Commercial |
$50.63
|
| Rate for Payer: PACE SWMI |
$42.19
|
| Rate for Payer: PHP Medicare Advantage |
$42.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
| Rate for Payer: Priority Health HMO/PPO |
$55.65
|
| Rate for Payer: Priority Health Medicare |
$42.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.19
|
| Rate for Payer: UHC Exchange |
$42.19
|
| Rate for Payer: UHC Medicare Advantage |
$42.19
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 34716
|
| Min. Negotiated Rate |
$232.60 |
| Max. Negotiated Rate |
$1,773.50 |
| Rate for Payer: Aetna Commercial |
$478.46
|
| Rate for Payer: Aetna Medicare |
$371.34
|
| Rate for Payer: BCBS Complete |
$244.23
|
| Rate for Payer: BCBS MAPPO |
$357.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,773.50
|
| Rate for Payer: BCN Commercial |
$530.22
|
| Rate for Payer: BCN Medicare Advantage |
$357.06
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$514.17
|
| Rate for Payer: Cofinity Commercial |
$478.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.06
|
| Rate for Payer: Mclaren Medicaid |
$232.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.91
|
| Rate for Payer: Meridian Medicaid |
$244.23
|
| Rate for Payer: Nomi Health Commercial |
$428.47
|
| Rate for Payer: PACE SWMI |
$357.06
|
| Rate for Payer: PHP Medicare Advantage |
$357.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.55
|
| Rate for Payer: Priority Health HMO/PPO |
$578.10
|
| Rate for Payer: Priority Health Medicare |
$360.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$578.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.06
|
| Rate for Payer: UHC Exchange |
$357.06
|
| Rate for Payer: UHC Medicare Advantage |
$357.06
|
| Rate for Payer: UHCCP Medicaid |
$232.60
|
|
|
PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$290.00
|
|
|
Service Code
|
HCPCS 34834
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$1,323.92 |
| Rate for Payer: Aetna Commercial |
$166.36
|
| Rate for Payer: Aetna Medicare |
$129.12
|
| Rate for Payer: BCBS Complete |
$84.32
|
| Rate for Payer: BCBS MAPPO |
$124.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,323.92
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$124.15
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cofinity Commercial |
$178.78
|
| Rate for Payer: Cofinity Commercial |
$166.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.15
|
| Rate for Payer: Mclaren Medicaid |
$80.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.36
|
| Rate for Payer: Meridian Medicaid |
$84.32
|
| Rate for Payer: Nomi Health Commercial |
$148.98
|
| Rate for Payer: PACE SWMI |
$124.15
|
| Rate for Payer: PHP Medicare Advantage |
$124.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.50
|
| Rate for Payer: Priority Health HMO/PPO |
$200.49
|
| Rate for Payer: Priority Health Medicare |
$125.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$200.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$124.15
|
| Rate for Payer: UHC Exchange |
$124.15
|
| Rate for Payer: UHC Medicare Advantage |
$124.15
|
| Rate for Payer: UHCCP Medicaid |
$80.30
|
|
|
PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI
|
Professional
|
Both
|
$1,267.00
|
|
|
Service Code
|
HCPCS 34812
|
| Min. Negotiated Rate |
$128.01 |
| Max. Negotiated Rate |
$823.55 |
| Rate for Payer: Aetna Commercial |
$264.82
|
| Rate for Payer: Aetna Medicare |
$205.54
|
| Rate for Payer: BCBS Complete |
$134.41
|
| Rate for Payer: BCBS MAPPO |
$197.63
|
| Rate for Payer: BCBS Trust/PPO |
$498.72
|
| Rate for Payer: BCN Commercial |
$292.72
|
| Rate for Payer: BCN Medicare Advantage |
$197.63
|
| Rate for Payer: Cash Price |
$1,013.60
|
| Rate for Payer: Cash Price |
$1,013.60
|
| Rate for Payer: Cofinity Commercial |
$284.59
|
| Rate for Payer: Cofinity Commercial |
$264.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.63
|
| Rate for Payer: Mclaren Medicaid |
$128.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.51
|
| Rate for Payer: Meridian Medicaid |
$134.41
|
| Rate for Payer: Nomi Health Commercial |
$237.16
|
| Rate for Payer: PACE SWMI |
$197.63
|
| Rate for Payer: PHP Medicare Advantage |
$197.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$823.55
|
| Rate for Payer: Priority Health HMO/PPO |
$319.63
|
| Rate for Payer: Priority Health Medicare |
$199.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$319.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.63
|
| Rate for Payer: UHC Exchange |
$197.63
|
| Rate for Payer: UHC Medicare Advantage |
$197.63
|
| Rate for Payer: UHCCP Medicaid |
$128.01
|
|
|
PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH
|
Professional
|
Both
|
$568.00
|
|
|
Service Code
|
HCPCS 34714
|
| Min. Negotiated Rate |
$168.06 |
| Max. Negotiated Rate |
$1,553.20 |
| Rate for Payer: Aetna Commercial |
$346.11
|
| Rate for Payer: Aetna Medicare |
$268.62
|
| Rate for Payer: BCBS Complete |
$176.46
|
| Rate for Payer: BCBS MAPPO |
$258.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,553.20
|
| Rate for Payer: BCN Commercial |
$383.62
|
| Rate for Payer: BCN Medicare Advantage |
$258.29
|
| Rate for Payer: Cash Price |
$454.40
|
| Rate for Payer: Cash Price |
$454.40
|
| Rate for Payer: Cofinity Commercial |
$371.94
|
| Rate for Payer: Cofinity Commercial |
$346.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$258.29
|
| Rate for Payer: Mclaren Medicaid |
$168.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.20
|
| Rate for Payer: Meridian Medicaid |
$176.46
|
| Rate for Payer: Nomi Health Commercial |
$309.95
|
| Rate for Payer: PACE SWMI |
$258.29
|
| Rate for Payer: PHP Medicare Advantage |
$258.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$369.20
|
| Rate for Payer: Priority Health HMO/PPO |
$418.54
|
| Rate for Payer: Priority Health Medicare |
$260.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$418.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$258.29
|
| Rate for Payer: UHC Exchange |
$258.29
|
| Rate for Payer: UHC Medicare Advantage |
$258.29
|
| Rate for Payer: UHCCP Medicaid |
$168.06
|
|
|
PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP
|
Professional
|
Both
|
$2,232.00
|
|
|
Service Code
|
HCPCS 34833
|
| Min. Negotiated Rate |
$244.52 |
| Max. Negotiated Rate |
$1,450.80 |
| Rate for Payer: Aetna Commercial |
$507.50
|
| Rate for Payer: Aetna Medicare |
$393.88
|
| Rate for Payer: BCBS Complete |
$256.75
|
| Rate for Payer: BCBS MAPPO |
$378.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,407.92
|
| Rate for Payer: BCN Commercial |
$557.58
|
| Rate for Payer: BCN Medicare Advantage |
$378.73
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cofinity Commercial |
$545.37
|
| Rate for Payer: Cofinity Commercial |
$507.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.73
|
| Rate for Payer: Mclaren Medicaid |
$244.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.67
|
| Rate for Payer: Meridian Medicaid |
$256.75
|
| Rate for Payer: Nomi Health Commercial |
$454.48
|
| Rate for Payer: PACE SWMI |
$378.73
|
| Rate for Payer: PHP Medicare Advantage |
$378.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,450.80
|
| Rate for Payer: Priority Health HMO/PPO |
$609.46
|
| Rate for Payer: Priority Health Medicare |
$382.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$609.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$378.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.73
|
| Rate for Payer: UHC Exchange |
$378.73
|
| Rate for Payer: UHC Medicare Advantage |
$378.73
|
| Rate for Payer: UHCCP Medicaid |
$244.52
|
|
|
PR OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH
|
Professional
|
Both
|
$4,812.00
|
|
|
Service Code
|
HCPCS 34830
|
| Min. Negotiated Rate |
$841.05 |
| Max. Negotiated Rate |
$3,127.80 |
| Rate for Payer: Aetna Commercial |
$2,275.83
|
| Rate for Payer: Aetna Medicare |
$1,766.32
|
| Rate for Payer: BCBS Complete |
$1,156.27
|
| Rate for Payer: BCBS MAPPO |
$1,698.38
|
| Rate for Payer: BCBS Trust/PPO |
$841.05
|
| Rate for Payer: BCN Commercial |
$2,510.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,698.38
|
| Rate for Payer: Cash Price |
$3,849.60
|
| Rate for Payer: Cash Price |
$3,849.60
|
| Rate for Payer: Cofinity Commercial |
$2,445.67
|
| Rate for Payer: Cofinity Commercial |
$2,275.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,698.38
|
| Rate for Payer: Mclaren Medicaid |
$1,101.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,783.30
|
| Rate for Payer: Meridian Medicaid |
$1,156.27
|
| Rate for Payer: Nomi Health Commercial |
$2,038.06
|
| Rate for Payer: PACE SWMI |
$1,698.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,698.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,101.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,127.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,744.22
|
| Rate for Payer: Priority Health Medicare |
$1,715.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,744.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,698.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,698.38
|
| Rate for Payer: UHC Exchange |
$1,698.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,698.38
|
| Rate for Payer: UHCCP Medicaid |
$1,101.21
|
|
|
PR OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH
|
Professional
|
Both
|
$4,077.00
|
|
|
Service Code
|
HCPCS 34831
|
| Min. Negotiated Rate |
$953.05 |
| Max. Negotiated Rate |
$3,001.08 |
| Rate for Payer: Aetna Commercial |
$2,493.00
|
| Rate for Payer: Aetna Medicare |
$1,934.87
|
| Rate for Payer: BCBS Complete |
$1,268.77
|
| Rate for Payer: BCBS MAPPO |
$1,860.45
|
| Rate for Payer: BCBS Trust/PPO |
$953.05
|
| Rate for Payer: BCN Commercial |
$2,745.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,860.45
|
| Rate for Payer: Cash Price |
$3,261.60
|
| Rate for Payer: Cash Price |
$3,261.60
|
| Rate for Payer: Cofinity Commercial |
$2,679.05
|
| Rate for Payer: Cofinity Commercial |
$2,493.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,860.45
|
| Rate for Payer: Mclaren Medicaid |
$1,208.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,953.47
|
| Rate for Payer: Meridian Medicaid |
$1,268.77
|
| Rate for Payer: Nomi Health Commercial |
$2,232.54
|
| Rate for Payer: PACE SWMI |
$1,860.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,860.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,208.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,650.05
|
| Rate for Payer: Priority Health HMO/PPO |
$3,001.08
|
| Rate for Payer: Priority Health Medicare |
$1,879.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,001.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,860.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,860.45
|
| Rate for Payer: UHC Exchange |
$1,860.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,860.45
|
| Rate for Payer: UHCCP Medicaid |
$1,208.35
|
|
|
PR OPN SUBCLA CRTD ART TRPOS NCK INC ULAT
|
Professional
|
Both
|
$3,200.00
|
|
|
Service Code
|
HCPCS 33889
|
| Min. Negotiated Rate |
$497.14 |
| Max. Negotiated Rate |
$2,852.29 |
| Rate for Payer: Aetna Commercial |
$1,027.43
|
| Rate for Payer: Aetna Medicare |
$797.41
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$766.74
|
| Rate for Payer: BCBS Trust/PPO |
$2,852.29
|
| Rate for Payer: BCN Commercial |
$1,130.80
|
| Rate for Payer: BCN Medicare Advantage |
$766.74
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cash Price |
$2,560.00
|
| Rate for Payer: Cofinity Commercial |
$1,104.11
|
| Rate for Payer: Cofinity Commercial |
$1,027.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.74
|
| Rate for Payer: Mclaren Medicaid |
$497.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.08
|
| Rate for Payer: Meridian Medicaid |
$522.00
|
| Rate for Payer: Nomi Health Commercial |
$920.09
|
| Rate for Payer: PACE SWMI |
$766.74
|
| Rate for Payer: PHP Medicare Advantage |
$766.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$497.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,080.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,234.90
|
| Rate for Payer: Priority Health Medicare |
$774.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,234.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.74
|
| Rate for Payer: UHC Exchange |
$766.74
|
| Rate for Payer: UHC Medicare Advantage |
$766.74
|
| Rate for Payer: UHCCP Medicaid |
$497.14
|
|
