|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,215.00
|
|
|
Service Code
|
HCPCS 26055
|
| Hospital Charge Code |
26055
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$911.25 |
| Rate for Payer: Aetna Commercial |
$384.81
|
| Rate for Payer: Aetna Medicare |
$607.50
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCN Commercial |
$453.17
|
| Rate for Payer: Cash Price |
$972.00
|
| Rate for Payer: Cash Price |
$972.00
|
| Rate for Payer: Mclaren Medicaid |
$183.39
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$911.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$484.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.41
|
| Rate for Payer: UHC Medicaid |
$183.39
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR TENDON SHEATH INCISION
|
Professional
|
Both
|
$1,215.00
|
|
|
Service Code
|
HCPCS 26055
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$911.25 |
| Rate for Payer: Aetna Commercial |
$384.81
|
| Rate for Payer: Aetna Medicare |
$607.50
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCN Commercial |
$453.17
|
| Rate for Payer: Cash Price |
$972.00
|
| Rate for Payer: Cash Price |
$972.00
|
| Rate for Payer: Mclaren Medicaid |
$183.39
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$911.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$484.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.41
|
| Rate for Payer: UHC Medicaid |
$183.39
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS 26483
|
| Min. Negotiated Rate |
$532.50 |
| Max. Negotiated Rate |
$1,401.61 |
| Rate for Payer: Aetna Commercial |
$1,159.57
|
| Rate for Payer: Aetna Medicare |
$731.00
|
| Rate for Payer: BCBS Complete |
$559.12
|
| Rate for Payer: BCN Commercial |
$1,311.19
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Mclaren Medicaid |
$532.50
|
| Rate for Payer: Meridian Medicaid |
$559.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,096.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,401.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,401.61
|
| Rate for Payer: UHC Medicaid |
$532.50
|
| Rate for Payer: UHCCP Medicaid |
$532.50
|
|
|
PR TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 24340
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$993.33 |
| Rate for Payer: Aetna Commercial |
$824.71
|
| Rate for Payer: Aetna Medicare |
$562.50
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCN Commercial |
$929.23
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Mclaren Medicaid |
$372.11
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$843.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$993.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$993.33
|
| Rate for Payer: UHC Medicaid |
$372.11
|
| Rate for Payer: UHCCP Medicaid |
$372.11
|
|
|
PR TENODESIS DISTAL JOINT EACH
|
Professional
|
Both
|
$1,045.00
|
|
|
Service Code
|
HCPCS 26474
|
| Min. Negotiated Rate |
$417.69 |
| Max. Negotiated Rate |
$1,050.82 |
| Rate for Payer: Aetna Commercial |
$857.34
|
| Rate for Payer: Aetna Medicare |
$522.50
|
| Rate for Payer: BCBS Complete |
$438.57
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Mclaren Medicaid |
$417.69
|
| Rate for Payer: Meridian Medicaid |
$438.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$783.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,050.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,050.82
|
| Rate for Payer: UHC Medicaid |
$417.69
|
| Rate for Payer: UHCCP Medicaid |
$417.69
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 23430
|
| Min. Negotiated Rate |
$444.11 |
| Max. Negotiated Rate |
$1,821.00 |
| Rate for Payer: Aetna Commercial |
$992.48
|
| Rate for Payer: Aetna Medicare |
$1,214.00
|
| Rate for Payer: BCBS Complete |
$466.32
|
| Rate for Payer: BCN Commercial |
$1,134.90
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Mclaren Medicaid |
$444.11
|
| Rate for Payer: Meridian Medicaid |
$466.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,821.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,213.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,213.18
|
| Rate for Payer: UHC Medicaid |
$444.11
|
| Rate for Payer: UHCCP Medicaid |
$444.11
|
|
|
PR TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$2,042.00
|
|
|
Service Code
|
HCPCS 26471
|
| Min. Negotiated Rate |
$410.45 |
| Max. Negotiated Rate |
$1,531.50 |
| Rate for Payer: Aetna Commercial |
$869.56
|
| Rate for Payer: Aetna Medicare |
$1,021.00
|
| Rate for Payer: BCBS Complete |
$430.97
|
| Rate for Payer: BCN Commercial |
$998.45
|
| Rate for Payer: Cash Price |
$1,633.60
|
| Rate for Payer: Cash Price |
$1,633.60
|
| Rate for Payer: Mclaren Medicaid |
$410.45
|
| Rate for Payer: Meridian Medicaid |
$430.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,531.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,067.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,067.32
|
| Rate for Payer: UHC Medicaid |
$410.45
|
| Rate for Payer: UHCCP Medicaid |
$410.45
|
|
|
PR TENODESIS WRIST EXTENSORS FINGERS
|
Professional
|
Both
|
$1,350.00
|
|
|
Service Code
|
HCPCS 25301
|
| Min. Negotiated Rate |
$382.12 |
| Max. Negotiated Rate |
$1,055.08 |
| Rate for Payer: Aetna Commercial |
$858.14
|
| Rate for Payer: Aetna Medicare |
$675.00
|
| Rate for Payer: BCBS Complete |
$401.23
|
| Rate for Payer: BCN Commercial |
$987.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Mclaren Medicaid |
$382.12
|
| Rate for Payer: Meridian Medicaid |
$401.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,012.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,055.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,055.08
|
| Rate for Payer: UHC Medicaid |
$382.12
|
| Rate for Payer: UHCCP Medicaid |
$382.12
|
|
|
PR TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA
|
Professional
|
Both
|
$1,899.00
|
|
|
Service Code
|
HCPCS 26449
|
| Min. Negotiated Rate |
$421.31 |
| Max. Negotiated Rate |
$1,424.25 |
| Rate for Payer: Aetna Commercial |
$924.13
|
| Rate for Payer: Aetna Medicare |
$949.50
|
| Rate for Payer: BCBS Complete |
$442.38
|
| Rate for Payer: BCN Commercial |
$1,077.13
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Mclaren Medicaid |
$421.31
|
| Rate for Payer: Meridian Medicaid |
$442.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,424.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,151.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,151.42
|
| Rate for Payer: UHC Medicaid |
$421.31
|
| Rate for Payer: UHCCP Medicaid |
$421.31
|
|
|
PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON
|
Professional
|
Both
|
$820.00
|
|
|
Service Code
|
HCPCS 28226
|
| Min. Negotiated Rate |
$249.21 |
| Max. Negotiated Rate |
$656.90 |
| Rate for Payer: Aetna Commercial |
$526.36
|
| Rate for Payer: Aetna Medicare |
$410.00
|
| Rate for Payer: BCBS Complete |
$261.67
|
| Rate for Payer: BCN Commercial |
$614.51
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Mclaren Medicaid |
$249.21
|
| Rate for Payer: Meridian Medicaid |
$261.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$615.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$656.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.90
|
| Rate for Payer: UHC Medicaid |
$249.21
|
| Rate for Payer: UHCCP Medicaid |
$249.21
|
|
|
PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 28225
|
| Min. Negotiated Rate |
$160.18 |
| Max. Negotiated Rate |
$502.50 |
| Rate for Payer: Aetna Commercial |
$349.34
|
| Rate for Payer: Aetna Medicare |
$335.00
|
| Rate for Payer: BCBS Complete |
$168.19
|
| Rate for Payer: BCN Commercial |
$404.86
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Mclaren Medicaid |
$160.18
|
| Rate for Payer: Meridian Medicaid |
$168.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$502.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$432.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$432.79
|
| Rate for Payer: UHC Medicaid |
$160.18
|
| Rate for Payer: UHCCP Medicaid |
$160.18
|
|
|
PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH
|
Professional
|
Both
|
$1,266.00
|
|
|
Service Code
|
HCPCS 26445
|
| Min. Negotiated Rate |
$385.74 |
| Max. Negotiated Rate |
$972.04 |
| Rate for Payer: Aetna Commercial |
$805.18
|
| Rate for Payer: Aetna Medicare |
$633.00
|
| Rate for Payer: BCBS Complete |
$405.03
|
| Rate for Payer: BCN Commercial |
$909.32
|
| Rate for Payer: Cash Price |
$1,012.80
|
| Rate for Payer: Cash Price |
$1,012.80
|
| Rate for Payer: Mclaren Medicaid |
$385.74
|
| Rate for Payer: Meridian Medicaid |
$405.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$949.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$972.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$972.04
|
| Rate for Payer: UHC Medicaid |
$385.74
|
| Rate for Payer: UHCCP Medicaid |
$385.74
|
|
|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$862.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$222.59 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna Commercial |
$475.18
|
| Rate for Payer: Aetna Medicare |
$431.00
|
| Rate for Payer: BCBS Complete |
$233.72
|
| Rate for Payer: BCN Commercial |
$561.72
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Mclaren Medicaid |
$222.59
|
| Rate for Payer: Meridian Medicaid |
$233.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$646.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$600.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$600.47
|
| Rate for Payer: UHC Medicaid |
$222.59
|
| Rate for Payer: UHCCP Medicaid |
$222.59
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$184.03 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$400.31
|
| Rate for Payer: Aetna Medicare |
$509.00
|
| Rate for Payer: BCBS Complete |
$193.23
|
| Rate for Payer: BCN Commercial |
$463.62
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Mclaren Medicaid |
$184.03
|
| Rate for Payer: Meridian Medicaid |
$193.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$495.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$495.60
|
| Rate for Payer: UHC Medicaid |
$184.03
|
| Rate for Payer: UHCCP Medicaid |
$184.03
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$612.80 |
| Max. Negotiated Rate |
$1,600.71 |
| Rate for Payer: Aetna Commercial |
$1,311.01
|
| Rate for Payer: Aetna Medicare |
$919.50
|
| Rate for Payer: BCBS Complete |
$643.44
|
| Rate for Payer: BCN Commercial |
$1,497.43
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Mclaren Medicaid |
$612.80
|
| Rate for Payer: Meridian Medicaid |
$643.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$612.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,600.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,600.71
|
| Rate for Payer: UHC Medicaid |
$612.80
|
| Rate for Payer: UHCCP Medicaid |
$612.80
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,225.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$409.81 |
| Max. Negotiated Rate |
$1,045.50 |
| Rate for Payer: Aetna Commercial |
$863.93
|
| Rate for Payer: Aetna Medicare |
$612.50
|
| Rate for Payer: BCBS Complete |
$430.30
|
| Rate for Payer: BCN Commercial |
$978.04
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Mclaren Medicaid |
$409.81
|
| Rate for Payer: Meridian Medicaid |
$430.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$918.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,045.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,045.50
|
| Rate for Payer: UHC Medicaid |
$409.81
|
| Rate for Payer: UHCCP Medicaid |
$409.81
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$260.50 |
| Max. Negotiated Rate |
$1,005.00 |
| Rate for Payer: Aetna Commercial |
$557.39
|
| Rate for Payer: Aetna Medicare |
$670.00
|
| Rate for Payer: BCBS Complete |
$273.52
|
| Rate for Payer: BCN Commercial |
$647.38
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Mclaren Medicaid |
$260.50
|
| Rate for Payer: Meridian Medicaid |
$273.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$692.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$692.02
|
| Rate for Payer: UHC Medicaid |
$260.50
|
| Rate for Payer: UHCCP Medicaid |
$260.50
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$376.16 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$819.67
|
| Rate for Payer: Aetna Medicare |
$731.00
|
| Rate for Payer: BCBS Complete |
$394.97
|
| Rate for Payer: BCN Commercial |
$947.66
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Mclaren Medicaid |
$376.16
|
| Rate for Payer: Meridian Medicaid |
$394.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,096.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,013.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,013.01
|
| Rate for Payer: UHC Medicaid |
$376.16
|
| Rate for Payer: UHCCP Medicaid |
$376.16
|
|
|
PR TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX
|
Professional
|
Both
|
$2,965.00
|
|
|
Service Code
|
HCPCS 27006
|
| Min. Negotiated Rate |
$416.20 |
| Max. Negotiated Rate |
$2,223.75 |
| Rate for Payer: Aetna Commercial |
$958.69
|
| Rate for Payer: Aetna Medicare |
$1,482.50
|
| Rate for Payer: BCBS Complete |
$437.01
|
| Rate for Payer: BCN Commercial |
$1,087.59
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Mclaren Medicaid |
$416.20
|
| Rate for Payer: Meridian Medicaid |
$437.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,223.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,162.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,162.61
|
| Rate for Payer: UHC Medicaid |
$416.20
|
| Rate for Payer: UHCCP Medicaid |
$416.20
|
|
|
PR TENOTOMY ADDUCTOR HIP OPEN
|
Professional
|
Both
|
$1,090.00
|
|
|
Service Code
|
HCPCS 27001
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$882.06 |
| Rate for Payer: Aetna Commercial |
$723.30
|
| Rate for Payer: Aetna Medicare |
$545.00
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$882.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$882.06
|
| Rate for Payer: UHC Medicaid |
$327.81
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
|
|
PR TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 27000
|
| Min. Negotiated Rate |
$231.11 |
| Max. Negotiated Rate |
$645.00 |
| Rate for Payer: Aetna Commercial |
$541.57
|
| Rate for Payer: Aetna Medicare |
$430.00
|
| Rate for Payer: BCBS Complete |
$242.67
|
| Rate for Payer: BCN Commercial |
$593.59
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Mclaren Medicaid |
$231.11
|
| Rate for Payer: Meridian Medicaid |
$242.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$645.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$634.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$634.53
|
| Rate for Payer: UHC Medicaid |
$231.11
|
| Rate for Payer: UHCCP Medicaid |
$231.11
|
|
|
PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 24357
|
| Min. Negotiated Rate |
$245.16 |
| Max. Negotiated Rate |
$983.25 |
| Rate for Payer: Aetna Commercial |
$554.57
|
| Rate for Payer: Aetna Medicare |
$655.50
|
| Rate for Payer: BCBS Complete |
$257.42
|
| Rate for Payer: BCN Commercial |
$634.43
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Mclaren Medicaid |
$245.16
|
| Rate for Payer: Meridian Medicaid |
$257.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$983.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$678.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$678.18
|
| Rate for Payer: UHC Medicaid |
$245.16
|
| Rate for Payer: UHCCP Medicaid |
$245.16
|
|
|
PR TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26460
|
| Min. Negotiated Rate |
$286.06 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$582.66
|
| Rate for Payer: Aetna Medicare |
$510.50
|
| Rate for Payer: BCBS Complete |
$300.36
|
| Rate for Payer: BCN Commercial |
$683.73
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Mclaren Medicaid |
$286.06
|
| Rate for Payer: Meridian Medicaid |
$300.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$730.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$730.89
|
| Rate for Payer: UHC Medicaid |
$286.06
|
| Rate for Payer: UHCCP Medicaid |
$286.06
|
|
|
PR TENOTOMY FLEXOR FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26455
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$593.34
|
| Rate for Payer: Aetna Medicare |
$510.50
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Mclaren Medicaid |
$292.66
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$746.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$746.85
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR TENOTOMY FLEXOR PALM OPEN EACH TENDON
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 26450
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$870.75 |
| Rate for Payer: Aetna Commercial |
$597.83
|
| Rate for Payer: Aetna Medicare |
$580.50
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCN Commercial |
$703.64
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Mclaren Medicaid |
$292.66
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$870.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$752.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$752.19
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
