|
PR PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING
|
Professional
|
Both
|
$2,563.00
|
|
|
Service Code
|
HCPCS 55840
|
| Min. Negotiated Rate |
$685.21 |
| Max. Negotiated Rate |
$1,855.04 |
| Rate for Payer: Aetna Commercial |
$1,496.67
|
| Rate for Payer: Aetna Medicare |
$1,161.60
|
| Rate for Payer: BCBS Complete |
$784.12
|
| Rate for Payer: BCBS MAPPO |
$1,116.92
|
| Rate for Payer: BCBS Trust/PPO |
$685.21
|
| Rate for Payer: BCN Commercial |
$1,680.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,116.92
|
| Rate for Payer: Cash Price |
$2,050.40
|
| Rate for Payer: Cash Price |
$2,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,608.36
|
| Rate for Payer: Cofinity Commercial |
$1,496.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,116.92
|
| Rate for Payer: Mclaren Medicaid |
$746.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,172.77
|
| Rate for Payer: Meridian Medicaid |
$784.12
|
| Rate for Payer: Nomi Health Commercial |
$1,340.30
|
| Rate for Payer: PACE SWMI |
$1,116.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,116.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$746.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,665.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,855.04
|
| Rate for Payer: Priority Health Medicare |
$1,128.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,855.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,116.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,116.92
|
| Rate for Payer: UHC Exchange |
$1,116.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,116.92
|
| Rate for Payer: UHCCP Medicaid |
$746.78
|
|
|
PR PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES
|
Professional
|
Both
|
$3,269.00
|
|
|
Service Code
|
HCPCS 55821
|
| Min. Negotiated Rate |
$536.12 |
| Max. Negotiated Rate |
$2,124.85 |
| Rate for Payer: Aetna Commercial |
$1,073.34
|
| Rate for Payer: Aetna Medicare |
$833.04
|
| Rate for Payer: BCBS Complete |
$562.93
|
| Rate for Payer: BCBS MAPPO |
$801.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,959.99
|
| Rate for Payer: BCN Commercial |
$1,208.01
|
| Rate for Payer: BCN Medicare Advantage |
$801.00
|
| Rate for Payer: Cash Price |
$2,615.20
|
| Rate for Payer: Cash Price |
$2,615.20
|
| Rate for Payer: Cofinity Commercial |
$1,153.44
|
| Rate for Payer: Cofinity Commercial |
$1,073.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$801.00
|
| Rate for Payer: Mclaren Medicaid |
$536.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$841.05
|
| Rate for Payer: Meridian Medicaid |
$562.93
|
| Rate for Payer: Nomi Health Commercial |
$961.20
|
| Rate for Payer: PACE SWMI |
$801.00
|
| Rate for Payer: PHP Medicare Advantage |
$801.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$536.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,124.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,332.56
|
| Rate for Payer: Priority Health Medicare |
$809.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,332.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$801.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$801.00
|
| Rate for Payer: UHC Exchange |
$801.00
|
| Rate for Payer: UHC Medicare Advantage |
$801.00
|
| Rate for Payer: UHCCP Medicaid |
$536.12
|
|
|
PR PROSTATE NEEDLE BIOPSY ANY APPROACH
|
Professional
|
Both
|
$504.00
|
|
|
Service Code
|
HCPCS 55700
|
| Min. Negotiated Rate |
$82.22 |
| Max. Negotiated Rate |
$2,508.90 |
| Rate for Payer: Aetna Commercial |
$165.36
|
| Rate for Payer: Aetna Medicare |
$128.34
|
| Rate for Payer: BCBS Complete |
$86.33
|
| Rate for Payer: BCBS MAPPO |
$123.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,508.90
|
| Rate for Payer: BCN Commercial |
$352.33
|
| Rate for Payer: BCN Medicare Advantage |
$123.40
|
| Rate for Payer: Cash Price |
$403.20
|
| Rate for Payer: Cash Price |
$403.20
|
| Rate for Payer: Cofinity Commercial |
$177.70
|
| Rate for Payer: Cofinity Commercial |
$165.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.40
|
| Rate for Payer: Mclaren Medicaid |
$82.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.57
|
| Rate for Payer: Meridian Medicaid |
$86.33
|
| Rate for Payer: Nomi Health Commercial |
$148.08
|
| Rate for Payer: PACE SWMI |
$123.40
|
| Rate for Payer: PHP Medicare Advantage |
$123.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$327.60
|
| Rate for Payer: Priority Health HMO/PPO |
$205.58
|
| Rate for Payer: Priority Health Medicare |
$124.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$123.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$123.40
|
| Rate for Payer: UHC Exchange |
$123.40
|
| Rate for Payer: UHC Medicare Advantage |
$123.40
|
| Rate for Payer: UHCCP Medicaid |
$82.22
|
|
|
PR PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED
|
Professional
|
Both
|
$1,070.00
|
|
|
Service Code
|
HCPCS 55725
|
| Min. Negotiated Rate |
$383.83 |
| Max. Negotiated Rate |
$1,726.48 |
| Rate for Payer: Aetna Commercial |
$764.28
|
| Rate for Payer: Aetna Medicare |
$593.17
|
| Rate for Payer: BCBS Complete |
$403.02
|
| Rate for Payer: BCBS MAPPO |
$570.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,726.48
|
| Rate for Payer: BCN Commercial |
$861.54
|
| Rate for Payer: BCN Medicare Advantage |
$570.36
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cofinity Commercial |
$821.32
|
| Rate for Payer: Cofinity Commercial |
$764.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.36
|
| Rate for Payer: Mclaren Medicaid |
$383.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$598.88
|
| Rate for Payer: Meridian Medicaid |
$403.02
|
| Rate for Payer: Nomi Health Commercial |
$684.43
|
| Rate for Payer: PACE SWMI |
$570.36
|
| Rate for Payer: PHP Medicare Advantage |
$570.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.50
|
| Rate for Payer: Priority Health HMO/PPO |
$952.82
|
| Rate for Payer: Priority Health Medicare |
$576.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$952.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$570.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$570.36
|
| Rate for Payer: UHC Exchange |
$570.36
|
| Rate for Payer: UHC Medicare Advantage |
$570.36
|
| Rate for Payer: UHCCP Medicaid |
$383.83
|
|
|
PR PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX
|
Professional
|
Both
|
$4,213.00
|
|
|
Service Code
|
HCPCS 55842
|
| Min. Negotiated Rate |
$745.07 |
| Max. Negotiated Rate |
$2,738.45 |
| Rate for Payer: Aetna Commercial |
$1,492.83
|
| Rate for Payer: Aetna Medicare |
$1,158.61
|
| Rate for Payer: BCBS Complete |
$782.32
|
| Rate for Payer: BCBS MAPPO |
$1,114.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,404.82
|
| Rate for Payer: BCN Commercial |
$1,681.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,114.05
|
| Rate for Payer: Cash Price |
$3,370.40
|
| Rate for Payer: Cash Price |
$3,370.40
|
| Rate for Payer: Cofinity Commercial |
$1,604.23
|
| Rate for Payer: Cofinity Commercial |
$1,492.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,114.05
|
| Rate for Payer: Mclaren Medicaid |
$745.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,169.75
|
| Rate for Payer: Meridian Medicaid |
$782.32
|
| Rate for Payer: Nomi Health Commercial |
$1,336.86
|
| Rate for Payer: PACE SWMI |
$1,114.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,114.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$745.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,738.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,853.98
|
| Rate for Payer: Priority Health Medicare |
$1,125.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,853.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,114.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,114.05
|
| Rate for Payer: UHC Exchange |
$1,114.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,114.05
|
| Rate for Payer: UHCCP Medicaid |
$745.07
|
|
|
PR PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM
|
Professional
|
Both
|
$2,838.00
|
|
|
Service Code
|
HCPCS 55845
|
| Min. Negotiated Rate |
$867.12 |
| Max. Negotiated Rate |
$2,155.44 |
| Rate for Payer: Aetna Commercial |
$1,739.72
|
| Rate for Payer: Aetna Medicare |
$1,350.23
|
| Rate for Payer: BCBS Complete |
$910.48
|
| Rate for Payer: BCBS MAPPO |
$1,298.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.15
|
| Rate for Payer: BCN Commercial |
$1,954.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,298.30
|
| Rate for Payer: Cash Price |
$2,270.40
|
| Rate for Payer: Cash Price |
$2,270.40
|
| Rate for Payer: Cofinity Commercial |
$1,869.55
|
| Rate for Payer: Cofinity Commercial |
$1,739.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,298.30
|
| Rate for Payer: Mclaren Medicaid |
$867.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,363.22
|
| Rate for Payer: Meridian Medicaid |
$910.48
|
| Rate for Payer: Nomi Health Commercial |
$1,557.96
|
| Rate for Payer: PACE SWMI |
$1,298.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,298.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$867.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,844.70
|
| Rate for Payer: Priority Health HMO/PPO |
$2,155.44
|
| Rate for Payer: Priority Health Medicare |
$1,311.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,155.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,298.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,298.30
|
| Rate for Payer: UHC Exchange |
$1,298.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,298.30
|
| Rate for Payer: UHCCP Medicaid |
$867.12
|
|
|
PR PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT
|
Professional
|
Both
|
$1,967.00
|
|
|
Service Code
|
HCPCS 23335
|
| Min. Negotiated Rate |
$47.12 |
| Max. Negotiated Rate |
$1,942.32 |
| Rate for Payer: Aetna Commercial |
$1,632.62
|
| Rate for Payer: Aetna Medicare |
$1,267.10
|
| Rate for Payer: BCBS Complete |
$859.27
|
| Rate for Payer: BCBS MAPPO |
$1,218.37
|
| Rate for Payer: BCBS Trust/PPO |
$47.12
|
| Rate for Payer: BCN Commercial |
$1,852.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,218.37
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Cofinity Commercial |
$1,754.45
|
| Rate for Payer: Cofinity Commercial |
$1,632.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,218.37
|
| Rate for Payer: Mclaren Medicaid |
$818.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,279.29
|
| Rate for Payer: Meridian Medicaid |
$859.27
|
| Rate for Payer: Nomi Health Commercial |
$1,462.04
|
| Rate for Payer: PACE SWMI |
$1,218.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,218.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,278.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,942.32
|
| Rate for Payer: Priority Health Medicare |
$1,230.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,942.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,218.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,218.37
|
| Rate for Payer: UHC Exchange |
$1,218.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,218.37
|
| Rate for Payer: UHCCP Medicaid |
$818.35
|
|
|
PR PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS
|
Professional
|
Both
|
$2,052.00
|
|
|
Service Code
|
HCPCS 24160
|
| Min. Negotiated Rate |
$87.70 |
| Max. Negotiated Rate |
$1,927.56 |
| Rate for Payer: Aetna Commercial |
$1,623.02
|
| Rate for Payer: Aetna Medicare |
$1,259.66
|
| Rate for Payer: BCBS Complete |
$854.12
|
| Rate for Payer: BCBS MAPPO |
$1,211.21
|
| Rate for Payer: BCBS Trust/PPO |
$87.70
|
| Rate for Payer: BCN Commercial |
$1,837.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,211.21
|
| Rate for Payer: Cash Price |
$1,641.60
|
| Rate for Payer: Cash Price |
$1,641.60
|
| Rate for Payer: Cofinity Commercial |
$1,744.14
|
| Rate for Payer: Cofinity Commercial |
$1,623.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,211.21
|
| Rate for Payer: Mclaren Medicaid |
$813.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,271.77
|
| Rate for Payer: Meridian Medicaid |
$854.12
|
| Rate for Payer: Nomi Health Commercial |
$1,453.45
|
| Rate for Payer: PACE SWMI |
$1,211.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,211.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$813.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,333.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,927.56
|
| Rate for Payer: Priority Health Medicare |
$1,223.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,927.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,211.21
|
| Rate for Payer: UHC Exchange |
$1,211.21
|
| Rate for Payer: UHC Medicare Advantage |
$1,211.21
|
| Rate for Payer: UHCCP Medicaid |
$813.45
|
|
|
PR PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT
|
Professional
|
Both
|
$2,533.00
|
|
|
Service Code
|
HCPCS 23334
|
| Min. Negotiated Rate |
$89.15 |
| Max. Negotiated Rate |
$1,646.45 |
| Rate for Payer: Aetna Commercial |
$1,371.99
|
| Rate for Payer: Aetna Medicare |
$1,064.82
|
| Rate for Payer: BCBS Complete |
$723.73
|
| Rate for Payer: BCBS MAPPO |
$1,023.87
|
| Rate for Payer: BCBS Trust/PPO |
$89.15
|
| Rate for Payer: BCN Commercial |
$1,548.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,023.87
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,474.37
|
| Rate for Payer: Cofinity Commercial |
$1,371.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,023.87
|
| Rate for Payer: Mclaren Medicaid |
$689.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,075.06
|
| Rate for Payer: Meridian Medicaid |
$723.73
|
| Rate for Payer: Nomi Health Commercial |
$1,228.64
|
| Rate for Payer: PACE SWMI |
$1,023.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,023.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,646.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,626.83
|
| Rate for Payer: Priority Health Medicare |
$1,034.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,626.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,023.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,023.87
|
| Rate for Payer: UHC Exchange |
$1,023.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,023.87
|
| Rate for Payer: UHCCP Medicaid |
$689.27
|
|
|
PR PROSTHESIS REMOVAL RADIAL HEAD
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 24164
|
| Min. Negotiated Rate |
$98.26 |
| Max. Negotiated Rate |
$1,486.55 |
| Rate for Payer: Aetna Commercial |
$940.83
|
| Rate for Payer: Aetna Medicare |
$730.19
|
| Rate for Payer: BCBS Complete |
$497.85
|
| Rate for Payer: BCBS MAPPO |
$702.11
|
| Rate for Payer: BCBS Trust/PPO |
$98.26
|
| Rate for Payer: BCN Commercial |
$1,067.76
|
| Rate for Payer: BCN Medicare Advantage |
$702.11
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cofinity Commercial |
$1,011.04
|
| Rate for Payer: Cofinity Commercial |
$940.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$702.11
|
| Rate for Payer: Mclaren Medicaid |
$474.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$737.22
|
| Rate for Payer: Meridian Medicaid |
$497.85
|
| Rate for Payer: Nomi Health Commercial |
$842.53
|
| Rate for Payer: PACE SWMI |
$702.11
|
| Rate for Payer: PHP Medicare Advantage |
$702.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,486.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,122.04
|
| Rate for Payer: Priority Health Medicare |
$709.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,122.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$702.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$702.11
|
| Rate for Payer: UHC Exchange |
$702.11
|
| Rate for Payer: UHC Medicare Advantage |
$702.11
|
| Rate for Payer: UHCCP Medicaid |
$474.14
|
|
|
PR PROSTHESIS SERVICE APHAKIA TEMPORARY
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 92358
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$897.05 |
| Rate for Payer: Aetna Commercial |
$11.22
|
| Rate for Payer: Aetna Medicare |
$11.00
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS Trust/PPO |
$897.05
|
| Rate for Payer: BCN Commercial |
$16.12
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.30
|
| Rate for Payer: Priority Health HMO/PPO |
$14.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.53
|
|
|
PR PROTECTOR HEEL OR ELBOW
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS E0191
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$13.00 |
| Rate for Payer: Aetna Commercial |
$10.47
|
| Rate for Payer: Aetna Medicare |
$10.00
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCN Commercial |
$11.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
|
|
PR PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS
|
Professional
|
Both
|
$1,398.00
|
|
|
Service Code
|
HCPCS 62267
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$908.70 |
| Rate for Payer: Aetna Commercial |
$195.72
|
| Rate for Payer: Aetna Medicare |
$151.90
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$146.06
|
| Rate for Payer: BCBS Trust/PPO |
$552.60
|
| Rate for Payer: BCN Commercial |
$391.43
|
| Rate for Payer: BCN Medicare Advantage |
$146.06
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cofinity Commercial |
$210.33
|
| Rate for Payer: Cofinity Commercial |
$195.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.06
|
| Rate for Payer: Mclaren Medicaid |
$97.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.36
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Nomi Health Commercial |
$175.27
|
| Rate for Payer: PACE SWMI |
$146.06
|
| Rate for Payer: PHP Medicare Advantage |
$146.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$908.70
|
| Rate for Payer: Priority Health HMO/PPO |
$258.77
|
| Rate for Payer: Priority Health Medicare |
$147.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$146.06
|
| Rate for Payer: UHC Exchange |
$146.06
|
| Rate for Payer: UHC Medicare Advantage |
$146.06
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR PRQ BALLOON VALVULOPLASTY AORTIC VALVE
|
Professional
|
Both
|
$2,680.00
|
|
|
Service Code
|
HCPCS 92986
|
| Min. Negotiated Rate |
$384.07 |
| Max. Negotiated Rate |
$1,889.23 |
| Rate for Payer: Aetna Commercial |
$1,688.63
|
| Rate for Payer: Aetna Medicare |
$1,310.58
|
| Rate for Payer: BCBS Complete |
$874.25
|
| Rate for Payer: BCBS MAPPO |
$1,260.17
|
| Rate for Payer: BCBS Trust/PPO |
$384.07
|
| Rate for Payer: BCN Commercial |
$1,889.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,260.17
|
| Rate for Payer: Cash Price |
$2,144.00
|
| Rate for Payer: Cash Price |
$2,144.00
|
| Rate for Payer: Cofinity Commercial |
$1,814.64
|
| Rate for Payer: Cofinity Commercial |
$1,688.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,260.17
|
| Rate for Payer: Mclaren Medicaid |
$832.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,323.18
|
| Rate for Payer: Meridian Medicaid |
$874.25
|
| Rate for Payer: Nomi Health Commercial |
$1,512.20
|
| Rate for Payer: PACE SWMI |
$1,260.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,260.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$832.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,742.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,835.32
|
| Rate for Payer: Priority Health Medicare |
$1,272.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,835.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,260.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,260.17
|
| Rate for Payer: UHC Exchange |
$1,260.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,260.17
|
| Rate for Payer: UHCCP Medicaid |
$832.62
|
|
|
PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING
|
Professional
|
Both
|
$1,989.00
|
|
|
Service Code
|
HCPCS 64561
|
| Min. Negotiated Rate |
$193.62 |
| Max. Negotiated Rate |
$1,292.85 |
| Rate for Payer: Aetna Commercial |
$388.09
|
| Rate for Payer: Aetna Medicare |
$301.20
|
| Rate for Payer: BCBS Complete |
$203.30
|
| Rate for Payer: BCBS MAPPO |
$289.62
|
| Rate for Payer: BCBS Trust/PPO |
$449.58
|
| Rate for Payer: BCN Commercial |
$1,084.87
|
| Rate for Payer: BCN Medicare Advantage |
$289.62
|
| Rate for Payer: Cash Price |
$1,591.20
|
| Rate for Payer: Cash Price |
$1,591.20
|
| Rate for Payer: Cofinity Commercial |
$417.05
|
| Rate for Payer: Cofinity Commercial |
$388.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.62
|
| Rate for Payer: Mclaren Medicaid |
$193.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$304.10
|
| Rate for Payer: Meridian Medicaid |
$203.30
|
| Rate for Payer: Nomi Health Commercial |
$347.54
|
| Rate for Payer: PACE SWMI |
$289.62
|
| Rate for Payer: PHP Medicare Advantage |
$289.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,292.85
|
| Rate for Payer: Priority Health HMO/PPO |
$515.25
|
| Rate for Payer: Priority Health Medicare |
$292.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$515.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$289.62
|
| Rate for Payer: UHC Exchange |
$289.62
|
| Rate for Payer: UHC Medicare Advantage |
$289.62
|
| Rate for Payer: UHCCP Medicaid |
$193.62
|
|
|
PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE
|
Professional
|
Both
|
$454.00
|
|
|
Service Code
|
HCPCS 64553
|
| Min. Negotiated Rate |
$181.60 |
| Max. Negotiated Rate |
$3,712.00 |
| Rate for Payer: Aetna Commercial |
$596.68
|
| Rate for Payer: Aetna Medicare |
$463.09
|
| Rate for Payer: BCBS Complete |
$181.60
|
| Rate for Payer: BCBS MAPPO |
$445.28
|
| Rate for Payer: BCBS Trust/PPO |
$264.15
|
| Rate for Payer: BCN Commercial |
$3,712.00
|
| Rate for Payer: BCN Medicare Advantage |
$445.28
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cofinity Commercial |
$641.20
|
| Rate for Payer: Cofinity Commercial |
$596.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.54
|
| Rate for Payer: Nomi Health Commercial |
$534.34
|
| Rate for Payer: PACE SWMI |
$445.28
|
| Rate for Payer: PHP Medicare Advantage |
$445.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.10
|
| Rate for Payer: Priority Health HMO/PPO |
$781.41
|
| Rate for Payer: Priority Health Medicare |
$449.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$781.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$445.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$445.28
|
| Rate for Payer: UHC Exchange |
$445.28
|
| Rate for Payer: UHC Medicare Advantage |
$445.28
|
|
|
PR PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV
|
Professional
|
Both
|
$498.00
|
|
|
Service Code
|
HCPCS 64555
|
| Min. Negotiated Rate |
$200.23 |
| Max. Negotiated Rate |
$3,168.10 |
| Rate for Payer: Aetna Commercial |
$416.74
|
| Rate for Payer: Aetna Medicare |
$323.44
|
| Rate for Payer: BCBS Complete |
$219.40
|
| Rate for Payer: BCBS MAPPO |
$311.00
|
| Rate for Payer: BCBS Trust/PPO |
$200.23
|
| Rate for Payer: BCN Commercial |
$3,168.10
|
| Rate for Payer: BCN Medicare Advantage |
$311.00
|
| Rate for Payer: Cash Price |
$398.40
|
| Rate for Payer: Cash Price |
$398.40
|
| Rate for Payer: Cofinity Commercial |
$416.74
|
| Rate for Payer: Cofinity Commercial |
$447.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.00
|
| Rate for Payer: Mclaren Medicaid |
$208.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$326.55
|
| Rate for Payer: Meridian Medicaid |
$219.40
|
| Rate for Payer: Nomi Health Commercial |
$373.20
|
| Rate for Payer: PACE SWMI |
$311.00
|
| Rate for Payer: PHP Medicare Advantage |
$311.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$323.70
|
| Rate for Payer: Priority Health HMO/PPO |
$550.51
|
| Rate for Payer: Priority Health Medicare |
$314.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$550.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$311.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.00
|
| Rate for Payer: UHC Exchange |
$311.00
|
| Rate for Payer: UHC Medicare Advantage |
$311.00
|
| Rate for Payer: UHCCP Medicaid |
$208.95
|
|
|
PR PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL
|
Professional
|
Both
|
$5,346.00
|
|
|
Service Code
|
HCPCS 63650
|
| Min. Negotiated Rate |
$227.17 |
| Max. Negotiated Rate |
$3,474.90 |
| Rate for Payer: Aetna Commercial |
$529.69
|
| Rate for Payer: Aetna Medicare |
$411.10
|
| Rate for Payer: BCBS Complete |
$279.11
|
| Rate for Payer: BCBS MAPPO |
$395.29
|
| Rate for Payer: BCBS Trust/PPO |
$227.17
|
| Rate for Payer: BCN Commercial |
$3,375.79
|
| Rate for Payer: BCN Medicare Advantage |
$395.29
|
| Rate for Payer: Cash Price |
$4,276.80
|
| Rate for Payer: Cash Price |
$4,276.80
|
| Rate for Payer: Cofinity Commercial |
$569.22
|
| Rate for Payer: Cofinity Commercial |
$529.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.29
|
| Rate for Payer: Mclaren Medicaid |
$265.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.05
|
| Rate for Payer: Meridian Medicaid |
$279.11
|
| Rate for Payer: Nomi Health Commercial |
$474.35
|
| Rate for Payer: PACE SWMI |
$395.29
|
| Rate for Payer: PHP Medicare Advantage |
$395.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,474.90
|
| Rate for Payer: Priority Health HMO/PPO |
$706.34
|
| Rate for Payer: Priority Health Medicare |
$399.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$706.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$395.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.29
|
| Rate for Payer: UHC Exchange |
$395.29
|
| Rate for Payer: UHC Medicare Advantage |
$395.29
|
| Rate for Payer: UHCCP Medicaid |
$265.82
|
|
|
PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL
|
Professional
|
Both
|
$2,470.00
|
|
|
Service Code
|
HCPCS 47533
|
| Min. Negotiated Rate |
$164.22 |
| Max. Negotiated Rate |
$2,075.16 |
| Rate for Payer: Aetna Commercial |
$331.44
|
| Rate for Payer: Aetna Medicare |
$257.23
|
| Rate for Payer: BCBS Complete |
$172.43
|
| Rate for Payer: BCBS MAPPO |
$247.34
|
| Rate for Payer: BCBS Trust/PPO |
$2,075.16
|
| Rate for Payer: BCN Commercial |
$1,723.56
|
| Rate for Payer: BCN Medicare Advantage |
$247.34
|
| Rate for Payer: Cash Price |
$1,976.00
|
| Rate for Payer: Cash Price |
$1,976.00
|
| Rate for Payer: Cofinity Commercial |
$356.17
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$247.34
|
| Rate for Payer: Mclaren Medicaid |
$164.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.71
|
| Rate for Payer: Meridian Medicaid |
$172.43
|
| Rate for Payer: Nomi Health Commercial |
$296.81
|
| Rate for Payer: PACE SWMI |
$247.34
|
| Rate for Payer: PHP Medicare Advantage |
$247.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.50
|
| Rate for Payer: Priority Health HMO/PPO |
$455.80
|
| Rate for Payer: Priority Health Medicare |
$249.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$455.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$247.34
|
| Rate for Payer: UHC Exchange |
$247.34
|
| Rate for Payer: UHC Medicare Advantage |
$247.34
|
| Rate for Payer: UHCCP Medicaid |
$164.22
|
|
|
PR PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ
|
Professional
|
Both
|
$1,142.00
|
|
|
Service Code
|
HCPCS 28436
|
| Min. Negotiated Rate |
$325.89 |
| Max. Negotiated Rate |
$775.50 |
| Rate for Payer: Aetna Commercial |
$634.52
|
| Rate for Payer: Aetna Medicare |
$492.46
|
| Rate for Payer: BCBS Complete |
$342.18
|
| Rate for Payer: BCBS MAPPO |
$473.52
|
| Rate for Payer: BCBS Trust/PPO |
$387.77
|
| Rate for Payer: BCN Commercial |
$736.93
|
| Rate for Payer: BCN Medicare Advantage |
$473.52
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cofinity Commercial |
$681.87
|
| Rate for Payer: Cofinity Commercial |
$634.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$473.52
|
| Rate for Payer: Mclaren Medicaid |
$325.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$497.20
|
| Rate for Payer: Meridian Medicaid |
$342.18
|
| Rate for Payer: Nomi Health Commercial |
$568.22
|
| Rate for Payer: PACE SWMI |
$473.52
|
| Rate for Payer: PHP Medicare Advantage |
$473.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$742.30
|
| Rate for Payer: Priority Health HMO/PPO |
$775.50
|
| Rate for Payer: Priority Health Medicare |
$478.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$775.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$473.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$473.52
|
| Rate for Payer: UHC Exchange |
$473.52
|
| Rate for Payer: UHC Medicare Advantage |
$473.52
|
| Rate for Payer: UHCCP Medicaid |
$325.89
|
|
|
PR PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE
|
Professional
|
Both
|
$1,659.00
|
|
|
Service Code
|
HCPCS 27756
|
| Min. Negotiated Rate |
$386.60 |
| Max. Negotiated Rate |
$2,701.20 |
| Rate for Payer: Aetna Commercial |
$762.80
|
| Rate for Payer: Aetna Medicare |
$592.02
|
| Rate for Payer: BCBS Complete |
$405.93
|
| Rate for Payer: BCBS MAPPO |
$569.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,701.20
|
| Rate for Payer: BCN Commercial |
$853.23
|
| Rate for Payer: BCN Medicare Advantage |
$569.25
|
| Rate for Payer: Cash Price |
$1,327.20
|
| Rate for Payer: Cash Price |
$1,327.20
|
| Rate for Payer: Cofinity Commercial |
$819.72
|
| Rate for Payer: Cofinity Commercial |
$762.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.25
|
| Rate for Payer: Mclaren Medicaid |
$386.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.71
|
| Rate for Payer: Meridian Medicaid |
$405.93
|
| Rate for Payer: Nomi Health Commercial |
$683.10
|
| Rate for Payer: PACE SWMI |
$569.25
|
| Rate for Payer: PHP Medicare Advantage |
$569.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$386.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,078.35
|
| Rate for Payer: Priority Health HMO/PPO |
$898.13
|
| Rate for Payer: Priority Health Medicare |
$574.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$898.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.25
|
| Rate for Payer: UHC Exchange |
$569.25
|
| Rate for Payer: UHC Medicare Advantage |
$569.25
|
| Rate for Payer: UHCCP Medicaid |
$386.60
|
|
|
PR PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26650
|
| Min. Negotiated Rate |
$34.87 |
| Max. Negotiated Rate |
$1,001.00 |
| Rate for Payer: Aetna Commercial |
$624.92
|
| Rate for Payer: Aetna Medicare |
$485.01
|
| Rate for Payer: BCBS Complete |
$335.70
|
| Rate for Payer: BCBS MAPPO |
$466.36
|
| Rate for Payer: BCBS Trust/PPO |
$34.87
|
| Rate for Payer: BCN Commercial |
$717.37
|
| Rate for Payer: BCN Medicare Advantage |
$466.36
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$671.56
|
| Rate for Payer: Cofinity Commercial |
$624.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.36
|
| Rate for Payer: Mclaren Medicaid |
$319.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.68
|
| Rate for Payer: Meridian Medicaid |
$335.70
|
| Rate for Payer: Nomi Health Commercial |
$559.63
|
| Rate for Payer: PACE SWMI |
$466.36
|
| Rate for Payer: PHP Medicare Advantage |
$466.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO |
$754.63
|
| Rate for Payer: Priority Health Medicare |
$471.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$754.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.36
|
| Rate for Payer: UHC Exchange |
$466.36
|
| Rate for Payer: UHC Medicare Advantage |
$466.36
|
| Rate for Payer: UHCCP Medicaid |
$319.71
|
|
|
PR PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ
|
Professional
|
Both
|
$1,571.00
|
|
|
Service Code
|
HCPCS 28406
|
| Min. Negotiated Rate |
$387.02 |
| Max. Negotiated Rate |
$1,368.30 |
| Rate for Payer: Aetna Commercial |
$758.10
|
| Rate for Payer: Aetna Medicare |
$588.38
|
| Rate for Payer: BCBS Complete |
$406.37
|
| Rate for Payer: BCBS MAPPO |
$565.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,368.30
|
| Rate for Payer: BCN Commercial |
$833.68
|
| Rate for Payer: BCN Medicare Advantage |
$565.75
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Cofinity Commercial |
$814.68
|
| Rate for Payer: Cofinity Commercial |
$758.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$565.75
|
| Rate for Payer: Mclaren Medicaid |
$387.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.04
|
| Rate for Payer: Meridian Medicaid |
$406.37
|
| Rate for Payer: Nomi Health Commercial |
$678.90
|
| Rate for Payer: PACE SWMI |
$565.75
|
| Rate for Payer: PHP Medicare Advantage |
$565.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,021.15
|
| Rate for Payer: Priority Health HMO/PPO |
$919.52
|
| Rate for Payer: Priority Health Medicare |
$571.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$919.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$565.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$565.75
|
| Rate for Payer: UHC Exchange |
$565.75
|
| Rate for Payer: UHC Medicare Advantage |
$565.75
|
| Rate for Payer: UHCCP Medicaid |
$387.02
|
|
|
PR PRQ SKELETAL FIXJ FEMORAL FX DISTAL END
|
Professional
|
Both
|
$2,236.00
|
|
|
Service Code
|
HCPCS 27509
|
| Min. Negotiated Rate |
$441.12 |
| Max. Negotiated Rate |
$1,481.35 |
| Rate for Payer: Aetna Commercial |
$867.68
|
| Rate for Payer: Aetna Medicare |
$673.42
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS MAPPO |
$647.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,481.35
|
| Rate for Payer: BCN Commercial |
$1,000.32
|
| Rate for Payer: BCN Medicare Advantage |
$647.52
|
| Rate for Payer: Cash Price |
$1,788.80
|
| Rate for Payer: Cash Price |
$1,788.80
|
| Rate for Payer: Cofinity Commercial |
$932.43
|
| Rate for Payer: Cofinity Commercial |
$867.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.52
|
| Rate for Payer: Mclaren Medicaid |
$441.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.90
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Nomi Health Commercial |
$777.02
|
| Rate for Payer: PACE SWMI |
$647.52
|
| Rate for Payer: PHP Medicare Advantage |
$647.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,453.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,046.72
|
| Rate for Payer: Priority Health Medicare |
$654.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,046.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.52
|
| Rate for Payer: UHC Exchange |
$647.52
|
| Rate for Payer: UHC Medicare Advantage |
$647.52
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
|
|
PR PRQ SKELETAL FIXJ METACARPAL FX EACH BONE
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26608
|
| Min. Negotiated Rate |
$58.11 |
| Max. Negotiated Rate |
$1,001.00 |
| Rate for Payer: Aetna Commercial |
$623.15
|
| Rate for Payer: Aetna Medicare |
$483.64
|
| Rate for Payer: BCBS Complete |
$334.13
|
| Rate for Payer: BCBS MAPPO |
$465.04
|
| Rate for Payer: BCBS Trust/PPO |
$58.11
|
| Rate for Payer: BCN Commercial |
$716.89
|
| Rate for Payer: BCN Medicare Advantage |
$465.04
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cofinity Commercial |
$669.66
|
| Rate for Payer: Cofinity Commercial |
$623.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.04
|
| Rate for Payer: Mclaren Medicaid |
$318.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.29
|
| Rate for Payer: Meridian Medicaid |
$334.13
|
| Rate for Payer: Nomi Health Commercial |
$558.05
|
| Rate for Payer: PACE SWMI |
$465.04
|
| Rate for Payer: PHP Medicare Advantage |
$465.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$318.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO |
$755.15
|
| Rate for Payer: Priority Health Medicare |
$469.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$755.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$465.04
|
| Rate for Payer: UHC Exchange |
$465.04
|
| Rate for Payer: UHC Medicare Advantage |
$465.04
|
| Rate for Payer: UHCCP Medicaid |
$318.22
|
|
