|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
IP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$1,998.10 |
| Max. Negotiated Rate |
$2,766.60 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,509.31
|
| Rate for Payer: BCN Commercial |
$2,375.59
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,674.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,059.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,705.12
|
| Rate for Payer: UHC Core |
$2,566.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Mclaren Medicaid |
$670.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$1,004.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,591.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Facility
|
OP
|
$3,074.00
|
|
|
Service Code
|
CPT 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$730.08 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$2,612.90
|
| Rate for Payer: Aetna Medicare |
$799.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$960.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$960.62
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$768.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,527.14
|
| Rate for Payer: BCN Commercial |
$2,390.04
|
| Rate for Payer: BCN Medicare Advantage |
$768.50
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$2,643.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,459.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.50
|
| Rate for Payer: Healthscope Commercial |
$2,766.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,305.50
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.92
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$883.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,612.90
|
| Rate for Payer: Nomi Health Commercial |
$2,520.68
|
| Rate for Payer: PACE Senior Care Partners |
$730.08
|
| Rate for Payer: PACE SWMI |
$768.50
|
| Rate for Payer: PHP Commercial |
$2,612.90
|
| Rate for Payer: PHP Medicare Advantage |
$768.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,674.38
|
| Rate for Payer: Priority Health Medicare |
$776.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,059.58
|
| Rate for Payer: Railroad Medicare Medicare |
$768.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,705.12
|
| Rate for Payer: UHC Core |
$2,566.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$768.50
|
| Rate for Payer: UHC Exchange |
$768.50
|
| Rate for Payer: UHC Medicare Advantage |
$768.50
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$768.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,305.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,074.00
|
|
|
Service Code
|
HCPCS 29807
|
| Hospital Charge Code |
29807
|
| Min. Negotiated Rate |
$670.31 |
| Max. Negotiated Rate |
$1,998.10 |
| Rate for Payer: Aetna Commercial |
$1,332.05
|
| Rate for Payer: Aetna Medicare |
$1,033.83
|
| Rate for Payer: BCBS Complete |
$703.83
|
| Rate for Payer: BCBS MAPPO |
$994.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.18
|
| Rate for Payer: BCN Commercial |
$1,517.34
|
| Rate for Payer: BCN Medicare Advantage |
$994.07
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cash Price |
$2,459.20
|
| Rate for Payer: Cofinity Commercial |
$1,431.46
|
| Rate for Payer: Cofinity Commercial |
$1,332.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$994.07
|
| Rate for Payer: Mclaren Medicaid |
$670.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,043.77
|
| Rate for Payer: Meridian Medicaid |
$703.83
|
| Rate for Payer: Nomi Health Commercial |
$1,192.88
|
| Rate for Payer: PACE SWMI |
$994.07
|
| Rate for Payer: PHP Medicare Advantage |
$994.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,998.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,591.21
|
| Rate for Payer: Priority Health Medicare |
$1,004.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,591.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$994.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$994.07
|
| Rate for Payer: UHC Exchange |
$994.07
|
| Rate for Payer: UHC Medicare Advantage |
$994.07
|
| Rate for Payer: UHCCP Medicaid |
$670.31
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$571.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$907.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
OP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$515.14 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: Aetna Medicare |
$563.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$677.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$677.81
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$542.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,783.13
|
| Rate for Payer: BCN Commercial |
$1,686.40
|
| Rate for Payer: BCN Medicare Advantage |
$542.25
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.25
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.36
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$623.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: PACE Senior Care Partners |
$515.14
|
| Rate for Payer: PACE SWMI |
$542.25
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: PHP Medicare Advantage |
$542.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,887.03
|
| Rate for Payer: Priority Health Medicare |
$547.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,453.23
|
| Rate for Payer: Railroad Medicare Medicare |
$542.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,908.72
|
| Rate for Payer: UHC Core |
$1,811.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.25
|
| Rate for Payer: UHC Exchange |
$542.25
|
| Rate for Payer: UHC Medicare Advantage |
$542.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$542.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Facility
|
IP
|
$2,169.00
|
|
|
Service Code
|
CPT 29825
|
| Hospital Charge Code |
29825
|
| Min. Negotiated Rate |
$1,409.85 |
| Max. Negotiated Rate |
$1,952.10 |
| Rate for Payer: Aetna Commercial |
$1,843.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,770.55
|
| Rate for Payer: BCN Commercial |
$1,676.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$1,865.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,735.20
|
| Rate for Payer: Healthscope Commercial |
$1,952.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,626.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,843.65
|
| Rate for Payer: Nomi Health Commercial |
$1,778.58
|
| Rate for Payer: PHP Commercial |
$1,843.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,887.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,453.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,908.72
|
| Rate for Payer: UHC Core |
$1,811.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,626.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,169.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$2,429.12 |
| Rate for Payer: Aetna Commercial |
$758.59
|
| Rate for Payer: Aetna Medicare |
$588.75
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS MAPPO |
$566.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,429.12
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$566.11
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cash Price |
$1,735.20
|
| Rate for Payer: Cofinity Commercial |
$815.20
|
| Rate for Payer: Cofinity Commercial |
$758.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.11
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.42
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Nomi Health Commercial |
$679.33
|
| Rate for Payer: PACE SWMI |
$566.11
|
| Rate for Payer: PHP Medicare Advantage |
$566.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,409.85
|
| Rate for Payer: Priority Health HMO/PPO |
$907.30
|
| Rate for Payer: Priority Health Medicare |
$571.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$907.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.11
|
| Rate for Payer: UHC Exchange |
$566.11
|
| Rate for Payer: UHC Medicare Advantage |
$566.11
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 29827
|
| Min. Negotiated Rate |
$691.61 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$1,376.68
|
| Rate for Payer: Aetna Medicare |
$1,068.46
|
| Rate for Payer: BCBS Complete |
$726.19
|
| Rate for Payer: BCBS MAPPO |
$1,027.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
| Rate for Payer: BCN Commercial |
$1,566.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.37
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,479.41
|
| Rate for Payer: Cofinity Commercial |
$1,376.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.37
|
| Rate for Payer: Mclaren Medicaid |
$691.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.74
|
| Rate for Payer: Meridian Medicaid |
$726.19
|
| Rate for Payer: Nomi Health Commercial |
$1,232.84
|
| Rate for Payer: PACE SWMI |
$1,027.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$691.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,641.58
|
| Rate for Payer: Priority Health Medicare |
$1,037.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,027.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.37
|
| Rate for Payer: UHC Exchange |
$1,027.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.37
|
| Rate for Payer: UHCCP Medicaid |
$691.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
OP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$807.26 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$2,889.15
|
| Rate for Payer: Aetna Medicare |
$883.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,062.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,062.19
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$849.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,794.32
|
| Rate for Payer: BCN Commercial |
$2,642.72
|
| Rate for Payer: BCN Medicare Advantage |
$849.75
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$2,923.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$849.75
|
| Rate for Payer: Healthscope Commercial |
$3,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,549.25
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$892.24
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$977.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$2,787.18
|
| Rate for Payer: PACE Senior Care Partners |
$807.26
|
| Rate for Payer: PACE SWMI |
$849.75
|
| Rate for Payer: PHP Commercial |
$2,889.15
|
| Rate for Payer: PHP Medicare Advantage |
$849.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,957.13
|
| Rate for Payer: Priority Health Medicare |
$858.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,277.33
|
| Rate for Payer: Railroad Medicare Medicare |
$849.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,991.12
|
| Rate for Payer: UHC Core |
$2,838.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$849.75
|
| Rate for Payer: UHC Exchange |
$849.75
|
| Rate for Payer: UHC Medicare Advantage |
$849.75
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$849.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,549.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$691.61 |
| Max. Negotiated Rate |
$2,209.35 |
| Rate for Payer: Aetna Commercial |
$1,376.68
|
| Rate for Payer: Aetna Medicare |
$1,068.46
|
| Rate for Payer: BCBS Complete |
$726.19
|
| Rate for Payer: BCBS MAPPO |
$1,027.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,317.58
|
| Rate for Payer: BCN Commercial |
$1,566.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.37
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,479.41
|
| Rate for Payer: Cofinity Commercial |
$1,376.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.37
|
| Rate for Payer: Mclaren Medicaid |
$691.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.74
|
| Rate for Payer: Meridian Medicaid |
$726.19
|
| Rate for Payer: Nomi Health Commercial |
$1,232.84
|
| Rate for Payer: PACE SWMI |
$1,027.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$691.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,641.58
|
| Rate for Payer: Priority Health Medicare |
$1,037.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,027.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.37
|
| Rate for Payer: UHC Exchange |
$1,027.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.37
|
| Rate for Payer: UHCCP Medicaid |
$691.61
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Facility
|
IP
|
$3,399.00
|
|
|
Service Code
|
CPT 29827
|
| Hospital Charge Code |
29827
|
| Min. Negotiated Rate |
$2,209.35 |
| Max. Negotiated Rate |
$3,059.10 |
| Rate for Payer: Aetna Commercial |
$2,889.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,774.60
|
| Rate for Payer: BCN Commercial |
$2,626.75
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$2,923.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,719.20
|
| Rate for Payer: Healthscope Commercial |
$3,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,549.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,889.15
|
| Rate for Payer: Nomi Health Commercial |
$2,787.18
|
| Rate for Payer: PHP Commercial |
$2,889.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,209.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,957.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,277.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,991.12
|
| Rate for Payer: UHC Core |
$2,838.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,549.25
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$1,641.25 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.16
|
| Rate for Payer: BCN Commercial |
$1,951.32
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29823
|
| Min. Negotiated Rate |
$387.02 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$765.86
|
| Rate for Payer: Aetna Medicare |
$594.40
|
| Rate for Payer: BCBS Complete |
$406.37
|
| Rate for Payer: BCBS MAPPO |
$571.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
| Rate for Payer: BCN Commercial |
$962.07
|
| Rate for Payer: BCN Medicare Advantage |
$571.54
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$823.02
|
| Rate for Payer: Cofinity Commercial |
$765.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.54
|
| Rate for Payer: Mclaren Medicaid |
$387.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.12
|
| Rate for Payer: Meridian Medicaid |
$406.37
|
| Rate for Payer: Nomi Health Commercial |
$685.85
|
| Rate for Payer: PACE SWMI |
$571.54
|
| Rate for Payer: PHP Medicare Advantage |
$571.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$917.99
|
| Rate for Payer: Priority Health Medicare |
$577.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$917.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.54
|
| Rate for Payer: UHC Exchange |
$571.54
|
| Rate for Payer: UHC Medicare Advantage |
$571.54
|
| Rate for Payer: UHCCP Medicaid |
$387.02
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$387.02 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$765.86
|
| Rate for Payer: Aetna Medicare |
$594.40
|
| Rate for Payer: BCBS Complete |
$406.37
|
| Rate for Payer: BCBS MAPPO |
$571.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,023.32
|
| Rate for Payer: BCN Commercial |
$962.07
|
| Rate for Payer: BCN Medicare Advantage |
$571.54
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$823.02
|
| Rate for Payer: Cofinity Commercial |
$765.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.54
|
| Rate for Payer: Mclaren Medicaid |
$387.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.12
|
| Rate for Payer: Meridian Medicaid |
$406.37
|
| Rate for Payer: Nomi Health Commercial |
$685.85
|
| Rate for Payer: PACE SWMI |
$571.54
|
| Rate for Payer: PHP Medicare Advantage |
$571.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$917.99
|
| Rate for Payer: Priority Health Medicare |
$577.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$917.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.54
|
| Rate for Payer: UHC Exchange |
$571.54
|
| Rate for Payer: UHC Medicare Advantage |
$571.54
|
| Rate for Payer: UHCCP Medicaid |
$387.02
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29823
|
| Hospital Charge Code |
29823
|
| Min. Negotiated Rate |
$599.69 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna Medicare |
$656.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$789.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$789.06
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$631.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,075.80
|
| Rate for Payer: BCN Commercial |
$1,963.19
|
| Rate for Payer: BCN Medicare Advantage |
$631.25
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.25
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.81
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$725.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PACE Senior Care Partners |
$599.69
|
| Rate for Payer: PACE SWMI |
$631.25
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: PHP Medicare Advantage |
$631.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Medicare |
$637.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: Railroad Medicare Medicare |
$631.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.25
|
| Rate for Payer: UHC Exchange |
$631.25
|
| Rate for Payer: UHC Medicare Advantage |
$631.25
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$631.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29826
|
| Min. Negotiated Rate |
$109.70 |
| Max. Negotiated Rate |
$2,787.84 |
| Rate for Payer: Aetna Commercial |
$221.64
|
| Rate for Payer: Aetna Medicare |
$172.02
|
| Rate for Payer: BCBS Complete |
$115.18
|
| Rate for Payer: BCBS MAPPO |
$165.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.84
|
| Rate for Payer: BCN Commercial |
$200.65
|
| Rate for Payer: BCN Medicare Advantage |
$165.40
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$238.18
|
| Rate for Payer: Cofinity Commercial |
$221.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.40
|
| Rate for Payer: Mclaren Medicaid |
$109.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.67
|
| Rate for Payer: Meridian Medicaid |
$115.18
|
| Rate for Payer: Nomi Health Commercial |
$198.48
|
| Rate for Payer: PACE SWMI |
$165.40
|
| Rate for Payer: PHP Medicare Advantage |
$165.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$259.52
|
| Rate for Payer: Priority Health Medicare |
$167.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$259.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.40
|
| Rate for Payer: UHC Exchange |
$165.40
|
| Rate for Payer: UHC Medicare Advantage |
$165.40
|
| Rate for Payer: UHCCP Medicaid |
$109.70
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$109.70 |
| Max. Negotiated Rate |
$2,787.84 |
| Rate for Payer: Aetna Commercial |
$221.64
|
| Rate for Payer: Aetna Medicare |
$172.02
|
| Rate for Payer: BCBS Complete |
$115.18
|
| Rate for Payer: BCBS MAPPO |
$165.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.84
|
| Rate for Payer: BCN Commercial |
$200.65
|
| Rate for Payer: BCN Medicare Advantage |
$165.40
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$238.18
|
| Rate for Payer: Cofinity Commercial |
$221.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.40
|
| Rate for Payer: Mclaren Medicaid |
$109.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.67
|
| Rate for Payer: Meridian Medicaid |
$115.18
|
| Rate for Payer: Nomi Health Commercial |
$198.48
|
| Rate for Payer: PACE SWMI |
$165.40
|
| Rate for Payer: PHP Medicare Advantage |
$165.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$259.52
|
| Rate for Payer: Priority Health Medicare |
$167.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$259.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.40
|
| Rate for Payer: UHC Exchange |
$165.40
|
| Rate for Payer: UHC Medicare Advantage |
$165.40
|
| Rate for Payer: UHCCP Medicaid |
$109.70
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Facility
|
IP
|
$2,525.00
|
|
|
Service Code
|
CPT 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$1,641.25 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.16
|
| Rate for Payer: BCN Commercial |
$1,951.32
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Facility
|
OP
|
$2,525.00
|
|
|
Service Code
|
CPT 29826
|
| Hospital Charge Code |
29826
|
| Min. Negotiated Rate |
$599.69 |
| Max. Negotiated Rate |
$2,272.50 |
| Rate for Payer: Aetna Commercial |
$2,146.25
|
| Rate for Payer: Aetna Medicare |
$656.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$789.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$789.06
|
| Rate for Payer: BCBS Complete |
$1,010.00
|
| Rate for Payer: BCBS MAPPO |
$631.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,075.80
|
| Rate for Payer: BCN Commercial |
$1,963.19
|
| Rate for Payer: BCN Medicare Advantage |
$631.25
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$2,171.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.25
|
| Rate for Payer: Healthscope Commercial |
$2,272.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,893.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$725.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,146.25
|
| Rate for Payer: Nomi Health Commercial |
$2,070.50
|
| Rate for Payer: PACE Senior Care Partners |
$599.69
|
| Rate for Payer: PACE SWMI |
$631.25
|
| Rate for Payer: PHP Commercial |
$2,146.25
|
| Rate for Payer: PHP Medicare Advantage |
$631.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,196.75
|
| Rate for Payer: Priority Health Medicare |
$637.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.75
|
| Rate for Payer: Railroad Medicare Medicare |
$631.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,222.00
|
| Rate for Payer: UHC Core |
$2,108.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.25
|
| Rate for Payer: UHC Exchange |
$631.25
|
| Rate for Payer: UHC Medicare Advantage |
$631.25
|
| Rate for Payer: VA VA |
$631.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,893.75
|
|
|
PR SURGICAL TRAYS
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS A4550
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$22.10 |
| Rate for Payer: Aetna Commercial |
$15.00
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.10
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Professional
|
Both
|
$5,673.00
|
|
|
Service Code
|
HCPCS 69706
|
| Min. Negotiated Rate |
$155.28 |
| Max. Negotiated Rate |
$4,200.67 |
| Rate for Payer: Aetna Commercial |
$311.48
|
| Rate for Payer: Aetna Medicare |
$241.75
|
| Rate for Payer: BCBS Complete |
$163.04
|
| Rate for Payer: BCBS MAPPO |
$232.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$4,200.67
|
| Rate for Payer: BCN Medicare Advantage |
$232.45
|
| Rate for Payer: Cash Price |
$4,538.40
|
| Rate for Payer: Cash Price |
$4,538.40
|
| Rate for Payer: Cofinity Commercial |
$334.73
|
| Rate for Payer: Cofinity Commercial |
$311.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.45
|
| Rate for Payer: Mclaren Medicaid |
$155.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$244.07
|
| Rate for Payer: Meridian Medicaid |
$163.04
|
| Rate for Payer: Nomi Health Commercial |
$278.94
|
| Rate for Payer: PACE SWMI |
$232.45
|
| Rate for Payer: PHP Medicare Advantage |
$232.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$155.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,687.45
|
| Rate for Payer: Priority Health HMO/PPO |
$352.61
|
| Rate for Payer: Priority Health Medicare |
$234.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$352.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$232.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.45
|
| Rate for Payer: UHC Exchange |
$232.45
|
| Rate for Payer: UHC Medicare Advantage |
$232.45
|
| Rate for Payer: UHCCP Medicaid |
$155.28
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Professional
|
Both
|
$5,488.00
|
|
|
Service Code
|
HCPCS 69705
|
| Min. Negotiated Rate |
$111.19 |
| Max. Negotiated Rate |
$4,063.84 |
| Rate for Payer: Aetna Commercial |
$222.69
|
| Rate for Payer: Aetna Medicare |
$172.84
|
| Rate for Payer: BCBS Complete |
$116.75
|
| Rate for Payer: BCBS MAPPO |
$166.19
|
| Rate for Payer: BCBS Trust/PPO |
$3,634.18
|
| Rate for Payer: BCN Commercial |
$4,063.84
|
| Rate for Payer: BCN Medicare Advantage |
$166.19
|
| Rate for Payer: Cash Price |
$4,390.40
|
| Rate for Payer: Cash Price |
$4,390.40
|
| Rate for Payer: Cofinity Commercial |
$239.31
|
| Rate for Payer: Cofinity Commercial |
$222.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.19
|
| Rate for Payer: Mclaren Medicaid |
$111.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.50
|
| Rate for Payer: Meridian Medicaid |
$116.75
|
| Rate for Payer: Nomi Health Commercial |
$199.43
|
| Rate for Payer: PACE SWMI |
$166.19
|
| Rate for Payer: PHP Medicare Advantage |
$166.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,567.20
|
| Rate for Payer: Priority Health HMO/PPO |
$252.43
|
| Rate for Payer: Priority Health Medicare |
$167.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$252.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.19
|
| Rate for Payer: UHC Exchange |
$166.19
|
| Rate for Payer: UHC Medicare Advantage |
$166.19
|
| Rate for Payer: UHCCP Medicaid |
$111.19
|
|
|
PR SURG OPENING,ESOPHAGUS,ABD APPRCH
|
Professional
|
Both
|
$2,787.00
|
|
|
Service Code
|
HCPCS 43350
|
| Min. Negotiated Rate |
$1,114.80 |
| Max. Negotiated Rate |
$1,811.55 |
| Rate for Payer: Aetna Medicare |
$1,393.50
|
| Rate for Payer: BCBS Complete |
$1,114.80
|
| Rate for Payer: Cash Price |
$2,229.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,811.55
|
|
|
PR SURG TX ANAL FISTULA 2ND STAGE
|
Professional
|
Both
|
$970.00
|
|
|
Service Code
|
HCPCS 46285
|
| Min. Negotiated Rate |
$276.69 |
| Max. Negotiated Rate |
$2,300.22 |
| Rate for Payer: Aetna Commercial |
$545.09
|
| Rate for Payer: Aetna Medicare |
$423.05
|
| Rate for Payer: BCBS Complete |
$290.52
|
| Rate for Payer: BCBS MAPPO |
$406.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,300.22
|
| Rate for Payer: BCN Commercial |
$826.84
|
| Rate for Payer: BCN Medicare Advantage |
$406.78
|
| Rate for Payer: Cash Price |
$776.00
|
| Rate for Payer: Cash Price |
$776.00
|
| Rate for Payer: Cofinity Commercial |
$585.76
|
| Rate for Payer: Cofinity Commercial |
$545.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$406.78
|
| Rate for Payer: Mclaren Medicaid |
$276.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.12
|
| Rate for Payer: Meridian Medicaid |
$290.52
|
| Rate for Payer: Nomi Health Commercial |
$488.14
|
| Rate for Payer: PACE SWMI |
$406.78
|
| Rate for Payer: PHP Medicare Advantage |
$406.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.50
|
| Rate for Payer: Priority Health HMO/PPO |
$765.43
|
| Rate for Payer: Priority Health Medicare |
$410.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$765.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$406.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$406.78
|
| Rate for Payer: UHC Exchange |
$406.78
|
| Rate for Payer: UHC Medicare Advantage |
$406.78
|
| Rate for Payer: UHCCP Medicaid |
$276.69
|
|
