|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,093.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$964.46 |
| Max. Negotiated Rate |
$2,937.78 |
| Rate for Payer: Aetna Commercial |
$1,995.76
|
| Rate for Payer: Aetna Medicare |
$1,548.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,995.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,144.69
|
| Rate for Payer: BCBS Complete |
$1,012.68
|
| Rate for Payer: BCBS MAPPO |
$1,489.37
|
| Rate for Payer: BCN Commercial |
$2,519.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,489.37
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cofinity Commercial |
$1,995.76
|
| Rate for Payer: Cofinity Commercial |
$2,144.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,489.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,563.84
|
| Rate for Payer: Meridian Medicaid |
$1,012.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,638.31
|
| Rate for Payer: Nomi Health Commercial |
$1,787.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,319.75
|
| Rate for Payer: PACE SWMI |
$1,489.37
|
| Rate for Payer: PHP Commercial |
$2,085.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,489.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$964.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,693.05
|
| Rate for Payer: Priority Health Medicare |
$1,489.37
|
| Rate for Payer: Priority Health SBD |
$2,693.05
|
| Rate for Payer: Priority Health Tiered Network |
$2,693.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,489.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,937.78
|
| Rate for Payer: UHC Core |
$2,937.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,489.37
|
| Rate for Payer: UHC Exchange |
$2,937.78
|
| Rate for Payer: UHC Medicaid |
$964.46
|
| Rate for Payer: UHCCP Medicaid |
$964.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,422.78
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,190.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$624.52 |
| Max. Negotiated Rate |
$2,392.50 |
| Rate for Payer: Aetna Commercial |
$1,283.18
|
| Rate for Payer: Aetna Medicare |
$995.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,283.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,378.94
|
| Rate for Payer: BCBS Complete |
$655.75
|
| Rate for Payer: BCBS MAPPO |
$957.60
|
| Rate for Payer: BCN Commercial |
$1,601.51
|
| Rate for Payer: BCN Medicare Advantage |
$957.60
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,283.18
|
| Rate for Payer: Cofinity Commercial |
$1,378.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$957.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,005.48
|
| Rate for Payer: Meridian Medicaid |
$655.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,053.36
|
| Rate for Payer: Nomi Health Commercial |
$1,149.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,392.50
|
| Rate for Payer: PACE SWMI |
$957.60
|
| Rate for Payer: PHP Commercial |
$1,340.64
|
| Rate for Payer: PHP Medicare Advantage |
$957.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,711.96
|
| Rate for Payer: Priority Health Medicare |
$957.60
|
| Rate for Payer: Priority Health SBD |
$1,711.96
|
| Rate for Payer: Priority Health Tiered Network |
$1,711.96
|
| Rate for Payer: Railroad Medicare Medicare |
$957.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,836.41
|
| Rate for Payer: UHC Core |
$1,836.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$957.60
|
| Rate for Payer: UHC Exchange |
$1,836.41
|
| Rate for Payer: UHC Medicaid |
$624.52
|
| Rate for Payer: UHCCP Medicaid |
$624.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,467.40
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$751.68 |
| Max. Negotiated Rate |
$2,238.72 |
| Rate for Payer: Aetna Commercial |
$1,548.91
|
| Rate for Payer: Aetna Medicare |
$1,202.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,548.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,664.50
|
| Rate for Payer: BCBS Complete |
$789.26
|
| Rate for Payer: BCBS MAPPO |
$1,155.90
|
| Rate for Payer: BCN Commercial |
$1,939.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.90
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$1,548.91
|
| Rate for Payer: Cofinity Commercial |
$1,664.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.69
|
| Rate for Payer: Meridian Medicaid |
$789.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,271.49
|
| Rate for Payer: Nomi Health Commercial |
$1,387.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$1,155.90
|
| Rate for Payer: PHP Commercial |
$1,618.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$751.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,073.42
|
| Rate for Payer: Priority Health Medicare |
$1,155.90
|
| Rate for Payer: Priority Health SBD |
$2,073.42
|
| Rate for Payer: Priority Health Tiered Network |
$2,073.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,238.72
|
| Rate for Payer: UHC Core |
$2,238.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,155.90
|
| Rate for Payer: UHC Exchange |
$2,238.72
|
| Rate for Payer: UHC Medicaid |
$751.68
|
| Rate for Payer: UHCCP Medicaid |
$751.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,073.18
|
|
|
PR ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE
|
Professional
|
Both
|
$2,033.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$332.28 |
| Max. Negotiated Rate |
$1,524.75 |
| Rate for Payer: Aetna Commercial |
$673.32
|
| Rate for Payer: Aetna Medicare |
$522.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$673.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.57
|
| Rate for Payer: BCBS Complete |
$348.89
|
| Rate for Payer: BCBS MAPPO |
$502.48
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: BCN Medicare Advantage |
$502.48
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cofinity Commercial |
$673.32
|
| Rate for Payer: Cofinity Commercial |
$723.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.60
|
| Rate for Payer: Meridian Medicaid |
$348.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$552.73
|
| Rate for Payer: Nomi Health Commercial |
$602.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,524.75
|
| Rate for Payer: PACE SWMI |
$502.48
|
| Rate for Payer: PHP Commercial |
$703.47
|
| Rate for Payer: PHP Medicare Advantage |
$502.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$882.06
|
| Rate for Payer: Priority Health Medicare |
$502.48
|
| Rate for Payer: Priority Health SBD |
$882.06
|
| Rate for Payer: Priority Health Tiered Network |
$882.06
|
| Rate for Payer: Railroad Medicare Medicare |
$502.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$915.41
|
| Rate for Payer: UHC Core |
$915.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$502.48
|
| Rate for Payer: UHC Exchange |
$915.41
|
| Rate for Payer: UHC Medicaid |
$332.28
|
| Rate for Payer: UHCCP Medicaid |
$332.28
|
| Rate for Payer: UMR Bronson Commercial |
$935.18
|
|
|
PR ARTHROSCOPY KNEE SURG INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,667.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$1,250.25 |
| Rate for Payer: Aetna Commercial |
$639.54
|
| Rate for Payer: Aetna Medicare |
$496.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$687.27
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$477.27
|
| Rate for Payer: BCN Commercial |
$790.30
|
| Rate for Payer: BCN Medicare Advantage |
$477.27
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cofinity Commercial |
$639.54
|
| Rate for Payer: Cofinity Commercial |
$687.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.13
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$525.00
|
| Rate for Payer: Nomi Health Commercial |
$572.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,250.25
|
| Rate for Payer: PACE SWMI |
$477.27
|
| Rate for Payer: PHP Commercial |
$668.18
|
| Rate for Payer: PHP Medicare Advantage |
$477.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$844.81
|
| Rate for Payer: Priority Health Medicare |
$477.27
|
| Rate for Payer: Priority Health SBD |
$844.81
|
| Rate for Payer: Priority Health Tiered Network |
$844.81
|
| Rate for Payer: Railroad Medicare Medicare |
$477.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$893.52
|
| Rate for Payer: UHC Core |
$893.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$477.27
|
| Rate for Payer: UHC Exchange |
$893.52
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
| Rate for Payer: UMR Bronson Commercial |
$766.82
|
|
|
PR ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$373.82 |
| Max. Negotiated Rate |
$1,749.75 |
| Rate for Payer: Aetna Commercial |
$764.62
|
| Rate for Payer: Aetna Medicare |
$593.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$764.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$821.68
|
| Rate for Payer: BCBS Complete |
$392.51
|
| Rate for Payer: BCBS MAPPO |
$570.61
|
| Rate for Payer: BCN Commercial |
$947.16
|
| Rate for Payer: BCN Medicare Advantage |
$570.61
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$764.62
|
| Rate for Payer: Cofinity Commercial |
$821.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.14
|
| Rate for Payer: Meridian Medicaid |
$392.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$627.67
|
| Rate for Payer: Nomi Health Commercial |
$684.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$570.61
|
| Rate for Payer: PHP Commercial |
$798.85
|
| Rate for Payer: PHP Medicare Advantage |
$570.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$373.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,012.49
|
| Rate for Payer: Priority Health Medicare |
$570.61
|
| Rate for Payer: Priority Health SBD |
$1,012.49
|
| Rate for Payer: Priority Health Tiered Network |
$1,012.49
|
| Rate for Payer: Railroad Medicare Medicare |
$570.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,078.31
|
| Rate for Payer: UHC Core |
$1,078.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$570.61
|
| Rate for Payer: UHC Exchange |
$1,078.31
|
| Rate for Payer: UHC Medicaid |
$373.82
|
| Rate for Payer: UHCCP Medicaid |
$373.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,073.18
|
|
|
PR ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,575.00 |
| Rate for Payer: Aetna Commercial |
$660.10
|
| Rate for Payer: Aetna Medicare |
$512.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$660.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.36
|
| Rate for Payer: BCBS Complete |
$338.83
|
| Rate for Payer: BCBS MAPPO |
$492.61
|
| Rate for Payer: BCN Commercial |
$900.47
|
| Rate for Payer: BCN Medicare Advantage |
$492.61
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cofinity Commercial |
$660.10
|
| Rate for Payer: Cofinity Commercial |
$709.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.24
|
| Rate for Payer: Meridian Medicaid |
$338.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$541.87
|
| Rate for Payer: Nomi Health Commercial |
$591.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,575.00
|
| Rate for Payer: PACE SWMI |
$492.61
|
| Rate for Payer: PHP Commercial |
$689.65
|
| Rate for Payer: PHP Medicare Advantage |
$492.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$876.21
|
| Rate for Payer: Priority Health Medicare |
$492.61
|
| Rate for Payer: Priority Health SBD |
$876.21
|
| Rate for Payer: Priority Health Tiered Network |
$876.21
|
| Rate for Payer: Railroad Medicare Medicare |
$492.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$936.89
|
| Rate for Payer: UHC Core |
$936.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$492.61
|
| Rate for Payer: UHC Exchange |
$936.89
|
| Rate for Payer: UHC Medicaid |
$322.70
|
| Rate for Payer: UHCCP Medicaid |
$322.70
|
| Rate for Payer: UMR Bronson Commercial |
$966.00
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$302.46 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$617.42
|
| Rate for Payer: Aetna Medicare |
$479.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$663.49
|
| Rate for Payer: BCBS Complete |
$317.58
|
| Rate for Payer: BCBS MAPPO |
$460.76
|
| Rate for Payer: BCN Commercial |
$835.92
|
| Rate for Payer: BCN Medicare Advantage |
$460.76
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$617.42
|
| Rate for Payer: Cofinity Commercial |
$663.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.80
|
| Rate for Payer: Meridian Medicaid |
$317.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.84
|
| Rate for Payer: Nomi Health Commercial |
$552.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$460.76
|
| Rate for Payer: PHP Commercial |
$645.06
|
| Rate for Payer: PHP Medicare Advantage |
$460.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$813.39
|
| Rate for Payer: Priority Health Medicare |
$460.76
|
| Rate for Payer: Priority Health SBD |
$813.39
|
| Rate for Payer: Priority Health Tiered Network |
$813.39
|
| Rate for Payer: Railroad Medicare Medicare |
$460.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$863.25
|
| Rate for Payer: UHC Core |
$863.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.76
|
| Rate for Payer: UHC Exchange |
$863.25
|
| Rate for Payer: UHC Medicaid |
$302.46
|
| Rate for Payer: UHCCP Medicaid |
$302.46
|
| Rate for Payer: UMR Bronson Commercial |
$889.18
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2/>CMPRT
|
Professional
|
Both
|
$2,467.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$392.13 |
| Max. Negotiated Rate |
$1,850.25 |
| Rate for Payer: Aetna Commercial |
$803.09
|
| Rate for Payer: Aetna Medicare |
$623.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$863.02
|
| Rate for Payer: BCBS Complete |
$411.74
|
| Rate for Payer: BCBS MAPPO |
$599.32
|
| Rate for Payer: BCN Commercial |
$1,095.78
|
| Rate for Payer: BCN Medicare Advantage |
$599.32
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cofinity Commercial |
$803.09
|
| Rate for Payer: Cofinity Commercial |
$863.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.29
|
| Rate for Payer: Meridian Medicaid |
$411.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$659.25
|
| Rate for Payer: Nomi Health Commercial |
$719.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,850.25
|
| Rate for Payer: PACE SWMI |
$599.32
|
| Rate for Payer: PHP Commercial |
$839.05
|
| Rate for Payer: PHP Medicare Advantage |
$599.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,066.25
|
| Rate for Payer: Priority Health Medicare |
$599.32
|
| Rate for Payer: Priority Health SBD |
$1,066.25
|
| Rate for Payer: Priority Health Tiered Network |
$1,066.25
|
| Rate for Payer: Railroad Medicare Medicare |
$599.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,139.40
|
| Rate for Payer: UHC Core |
$1,139.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$599.32
|
| Rate for Payer: UHC Exchange |
$1,139.40
|
| Rate for Payer: UHC Medicaid |
$392.13
|
| Rate for Payer: UHCCP Medicaid |
$392.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,134.82
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,841.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$2,130.75 |
| Rate for Payer: Aetna Commercial |
$1,029.51
|
| Rate for Payer: Aetna Medicare |
$799.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,106.34
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$768.29
|
| Rate for Payer: BCN Commercial |
$1,276.32
|
| Rate for Payer: BCN Medicare Advantage |
$768.29
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cofinity Commercial |
$1,029.51
|
| Rate for Payer: Cofinity Commercial |
$1,106.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.70
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$845.12
|
| Rate for Payer: Nomi Health Commercial |
$921.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,130.75
|
| Rate for Payer: PACE SWMI |
$768.29
|
| Rate for Payer: PHP Commercial |
$1,075.61
|
| Rate for Payer: PHP Medicare Advantage |
$768.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,364.35
|
| Rate for Payer: Priority Health Medicare |
$768.29
|
| Rate for Payer: Priority Health SBD |
$1,364.35
|
| Rate for Payer: Priority Health Tiered Network |
$1,364.35
|
| Rate for Payer: Railroad Medicare Medicare |
$768.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,469.99
|
| Rate for Payer: UHC Core |
$1,469.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$768.29
|
| Rate for Payer: UHC Exchange |
$1,469.99
|
| Rate for Payer: UHC Medicaid |
$501.19
|
| Rate for Payer: UHCCP Medicaid |
$501.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,306.86
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$409.39 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$839.82
|
| Rate for Payer: Aetna Medicare |
$651.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$902.49
|
| Rate for Payer: BCBS Complete |
$429.86
|
| Rate for Payer: BCBS MAPPO |
$626.73
|
| Rate for Payer: BCN Commercial |
$1,153.22
|
| Rate for Payer: BCN Medicare Advantage |
$626.73
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$839.82
|
| Rate for Payer: Cofinity Commercial |
$902.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.07
|
| Rate for Payer: Meridian Medicaid |
$429.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$689.40
|
| Rate for Payer: Nomi Health Commercial |
$752.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$626.73
|
| Rate for Payer: PHP Commercial |
$877.42
|
| Rate for Payer: PHP Medicare Advantage |
$626.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.14
|
| Rate for Payer: Priority Health Medicare |
$626.73
|
| Rate for Payer: Priority Health SBD |
$1,122.14
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.14
|
| Rate for Payer: Railroad Medicare Medicare |
$626.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,208.97
|
| Rate for Payer: UHC Core |
$1,208.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$626.73
|
| Rate for Payer: UHC Exchange |
$1,208.97
|
| Rate for Payer: UHC Medicaid |
$409.39
|
| Rate for Payer: UHCCP Medicaid |
$409.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,150.46
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$399.16 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$817.79
|
| Rate for Payer: Aetna Medicare |
$634.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$817.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$878.82
|
| Rate for Payer: BCBS Complete |
$419.12
|
| Rate for Payer: BCBS MAPPO |
$610.29
|
| Rate for Payer: BCN Commercial |
$1,013.39
|
| Rate for Payer: BCN Medicare Advantage |
$610.29
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$817.79
|
| Rate for Payer: Cofinity Commercial |
$878.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.80
|
| Rate for Payer: Meridian Medicaid |
$419.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.32
|
| Rate for Payer: Nomi Health Commercial |
$732.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$610.29
|
| Rate for Payer: PHP Commercial |
$854.41
|
| Rate for Payer: PHP Medicare Advantage |
$610.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,083.28
|
| Rate for Payer: Priority Health Medicare |
$610.29
|
| Rate for Payer: Priority Health SBD |
$1,083.28
|
| Rate for Payer: Priority Health Tiered Network |
$1,083.28
|
| Rate for Payer: Railroad Medicare Medicare |
$610.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,159.17
|
| Rate for Payer: UHC Core |
$1,159.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.29
|
| Rate for Payer: UHC Exchange |
$1,159.17
|
| Rate for Payer: UHC Medicaid |
$399.16
|
| Rate for Payer: UHCCP Medicaid |
$399.16
|
| Rate for Payer: UMR Bronson Commercial |
$1,150.46
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$945.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$281.37 |
| Max. Negotiated Rate |
$782.08 |
| Rate for Payer: Aetna Commercial |
$572.88
|
| Rate for Payer: Aetna Medicare |
$444.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.63
|
| Rate for Payer: BCBS Complete |
$295.44
|
| Rate for Payer: BCBS MAPPO |
$427.52
|
| Rate for Payer: BCN Commercial |
$701.16
|
| Rate for Payer: BCN Medicare Advantage |
$427.52
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cofinity Commercial |
$572.88
|
| Rate for Payer: Cofinity Commercial |
$615.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$448.90
|
| Rate for Payer: Meridian Medicaid |
$295.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$470.27
|
| Rate for Payer: Nomi Health Commercial |
$513.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$708.75
|
| Rate for Payer: PACE SWMI |
$427.52
|
| Rate for Payer: PHP Commercial |
$598.53
|
| Rate for Payer: PHP Medicare Advantage |
$427.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$749.52
|
| Rate for Payer: Priority Health Medicare |
$427.52
|
| Rate for Payer: Priority Health SBD |
$749.52
|
| Rate for Payer: Priority Health Tiered Network |
$749.52
|
| Rate for Payer: Railroad Medicare Medicare |
$427.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$782.08
|
| Rate for Payer: UHC Core |
$782.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$427.52
|
| Rate for Payer: UHC Exchange |
$782.08
|
| Rate for Payer: UHC Medicaid |
$281.37
|
| Rate for Payer: UHCCP Medicaid |
$281.37
|
| Rate for Payer: UMR Bronson Commercial |
$434.70
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,943.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$299.48 |
| Max. Negotiated Rate |
$1,457.25 |
| Rate for Payer: Aetna Commercial |
$610.28
|
| Rate for Payer: Aetna Medicare |
$473.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$610.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.82
|
| Rate for Payer: BCBS Complete |
$314.45
|
| Rate for Payer: BCBS MAPPO |
$455.43
|
| Rate for Payer: BCN Commercial |
$748.96
|
| Rate for Payer: BCN Medicare Advantage |
$455.43
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cofinity Commercial |
$610.28
|
| Rate for Payer: Cofinity Commercial |
$655.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.20
|
| Rate for Payer: Meridian Medicaid |
$314.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$500.97
|
| Rate for Payer: Nomi Health Commercial |
$546.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,457.25
|
| Rate for Payer: PACE SWMI |
$455.43
|
| Rate for Payer: PHP Commercial |
$637.60
|
| Rate for Payer: PHP Medicare Advantage |
$455.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$800.62
|
| Rate for Payer: Priority Health Medicare |
$455.43
|
| Rate for Payer: Priority Health SBD |
$800.62
|
| Rate for Payer: Priority Health Tiered Network |
$800.62
|
| Rate for Payer: Railroad Medicare Medicare |
$455.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$843.78
|
| Rate for Payer: UHC Core |
$843.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.43
|
| Rate for Payer: UHC Exchange |
$843.78
|
| Rate for Payer: UHC Medicaid |
$299.48
|
| Rate for Payer: UHCCP Medicaid |
$299.48
|
| Rate for Payer: UMR Bronson Commercial |
$893.78
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,091.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,568.25 |
| Rate for Payer: Aetna Commercial |
$712.16
|
| Rate for Payer: Aetna Medicare |
$552.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.30
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCBS MAPPO |
$531.46
|
| Rate for Payer: BCN Commercial |
$898.36
|
| Rate for Payer: BCN Medicare Advantage |
$531.46
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cofinity Commercial |
$712.16
|
| Rate for Payer: Cofinity Commercial |
$765.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.03
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$584.61
|
| Rate for Payer: Nomi Health Commercial |
$637.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,568.25
|
| Rate for Payer: PACE SWMI |
$531.46
|
| Rate for Payer: PHP Commercial |
$744.04
|
| Rate for Payer: PHP Medicare Advantage |
$531.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$960.32
|
| Rate for Payer: Priority Health Medicare |
$531.46
|
| Rate for Payer: Priority Health SBD |
$960.32
|
| Rate for Payer: Priority Health Tiered Network |
$960.32
|
| Rate for Payer: Railroad Medicare Medicare |
$531.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.25
|
| Rate for Payer: UHC Core |
$1,014.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$531.46
|
| Rate for Payer: UHC Exchange |
$1,014.25
|
| Rate for Payer: UHC Medicaid |
$348.68
|
| Rate for Payer: UHCCP Medicaid |
$348.68
|
| Rate for Payer: UMR Bronson Commercial |
$961.86
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$300.33 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$612.98
|
| Rate for Payer: Aetna Medicare |
$475.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.73
|
| Rate for Payer: BCBS Complete |
$315.35
|
| Rate for Payer: BCBS MAPPO |
$457.45
|
| Rate for Payer: BCN Commercial |
$769.88
|
| Rate for Payer: BCN Medicare Advantage |
$457.45
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$612.98
|
| Rate for Payer: Cofinity Commercial |
$658.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.32
|
| Rate for Payer: Meridian Medicaid |
$315.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$503.19
|
| Rate for Payer: Nomi Health Commercial |
$548.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$457.45
|
| Rate for Payer: PHP Commercial |
$640.43
|
| Rate for Payer: PHP Medicare Advantage |
$457.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$822.98
|
| Rate for Payer: Priority Health Medicare |
$457.45
|
| Rate for Payer: Priority Health SBD |
$822.98
|
| Rate for Payer: Priority Health Tiered Network |
$822.98
|
| Rate for Payer: Railroad Medicare Medicare |
$457.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$868.26
|
| Rate for Payer: UHC Core |
$868.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$457.45
|
| Rate for Payer: UHC Exchange |
$868.26
|
| Rate for Payer: UHC Medicaid |
$300.33
|
| Rate for Payer: UHCCP Medicaid |
$300.33
|
| Rate for Payer: UMR Bronson Commercial |
$889.18
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,254.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,690.50 |
| Rate for Payer: Aetna Commercial |
$674.38
|
| Rate for Payer: Aetna Medicare |
$523.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$674.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.71
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$503.27
|
| Rate for Payer: BCN Commercial |
$834.12
|
| Rate for Payer: BCN Medicare Advantage |
$503.27
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cofinity Commercial |
$674.38
|
| Rate for Payer: Cofinity Commercial |
$724.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$503.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.43
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$553.60
|
| Rate for Payer: Nomi Health Commercial |
$603.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,690.50
|
| Rate for Payer: PACE SWMI |
$503.27
|
| Rate for Payer: PHP Commercial |
$704.58
|
| Rate for Payer: PHP Medicare Advantage |
$503.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$891.64
|
| Rate for Payer: Priority Health Medicare |
$503.27
|
| Rate for Payer: Priority Health SBD |
$891.64
|
| Rate for Payer: Priority Health Tiered Network |
$891.64
|
| Rate for Payer: Railroad Medicare Medicare |
$503.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.98
|
| Rate for Payer: UHC Core |
$946.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$503.27
|
| Rate for Payer: UHC Exchange |
$946.98
|
| Rate for Payer: UHC Medicaid |
$329.72
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,036.84
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,277.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$388.73 |
| Max. Negotiated Rate |
$1,707.75 |
| Rate for Payer: Aetna Commercial |
$796.27
|
| Rate for Payer: Aetna Medicare |
$618.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$796.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$855.69
|
| Rate for Payer: BCBS Complete |
$408.17
|
| Rate for Payer: BCBS MAPPO |
$594.23
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: BCN Medicare Advantage |
$594.23
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cofinity Commercial |
$796.27
|
| Rate for Payer: Cofinity Commercial |
$855.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.94
|
| Rate for Payer: Meridian Medicaid |
$408.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$653.65
|
| Rate for Payer: Nomi Health Commercial |
$713.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,707.75
|
| Rate for Payer: PACE SWMI |
$594.23
|
| Rate for Payer: PHP Commercial |
$831.92
|
| Rate for Payer: PHP Medicare Advantage |
$594.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,050.82
|
| Rate for Payer: Priority Health Medicare |
$594.23
|
| Rate for Payer: Priority Health SBD |
$1,050.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,050.82
|
| Rate for Payer: Railroad Medicare Medicare |
$594.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.11
|
| Rate for Payer: UHC Core |
$1,132.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$594.23
|
| Rate for Payer: UHC Exchange |
$1,132.11
|
| Rate for Payer: UHC Medicaid |
$388.73
|
| Rate for Payer: UHCCP Medicaid |
$388.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,047.42
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$582.15 |
| Rate for Payer: Aetna Commercial |
$436.40
|
| Rate for Payer: Aetna Medicare |
$338.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.96
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$325.67
|
| Rate for Payer: BCN Commercial |
$527.86
|
| Rate for Payer: BCN Medicare Advantage |
$325.67
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$436.40
|
| Rate for Payer: Cofinity Commercial |
$468.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.95
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$358.24
|
| Rate for Payer: Nomi Health Commercial |
$390.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$525.75
|
| Rate for Payer: PACE SWMI |
$325.67
|
| Rate for Payer: PHP Commercial |
$455.94
|
| Rate for Payer: PHP Medicare Advantage |
$325.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$564.26
|
| Rate for Payer: Priority Health Medicare |
$325.67
|
| Rate for Payer: Priority Health SBD |
$564.26
|
| Rate for Payer: Priority Health Tiered Network |
$564.26
|
| Rate for Payer: Railroad Medicare Medicare |
$325.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.15
|
| Rate for Payer: UHC Core |
$582.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.67
|
| Rate for Payer: UHC Exchange |
$582.15
|
| Rate for Payer: UHC Medicaid |
$215.98
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
| Rate for Payer: UMR Bronson Commercial |
$322.46
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$202.78 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$409.45
|
| Rate for Payer: Aetna Medicare |
$317.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.01
|
| Rate for Payer: BCBS Complete |
$212.92
|
| Rate for Payer: BCBS MAPPO |
$305.56
|
| Rate for Payer: BCN Commercial |
$504.96
|
| Rate for Payer: BCN Medicare Advantage |
$305.56
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$409.45
|
| Rate for Payer: Cofinity Commercial |
$440.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.84
|
| Rate for Payer: Meridian Medicaid |
$212.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.12
|
| Rate for Payer: Nomi Health Commercial |
$366.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: PACE SWMI |
$305.56
|
| Rate for Payer: PHP Commercial |
$427.78
|
| Rate for Payer: PHP Medicare Advantage |
$305.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$539.77
|
| Rate for Payer: Priority Health Medicare |
$305.56
|
| Rate for Payer: Priority Health SBD |
$539.77
|
| Rate for Payer: Priority Health Tiered Network |
$539.77
|
| Rate for Payer: Railroad Medicare Medicare |
$305.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.07
|
| Rate for Payer: UHC Core |
$556.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.56
|
| Rate for Payer: UHC Exchange |
$556.07
|
| Rate for Payer: UHC Medicaid |
$202.78
|
| Rate for Payer: UHCCP Medicaid |
$202.78
|
| Rate for Payer: UMR Bronson Commercial |
$432.86
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$217.05 |
| Max. Negotiated Rate |
$586.45 |
| Rate for Payer: Aetna Commercial |
$438.65
|
| Rate for Payer: Aetna Medicare |
$340.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$438.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.38
|
| Rate for Payer: BCBS Complete |
$227.90
|
| Rate for Payer: BCBS MAPPO |
$327.35
|
| Rate for Payer: BCN Commercial |
$531.34
|
| Rate for Payer: BCN Medicare Advantage |
$327.35
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$438.65
|
| Rate for Payer: Cofinity Commercial |
$471.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$343.72
|
| Rate for Payer: Meridian Medicaid |
$227.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$360.08
|
| Rate for Payer: Nomi Health Commercial |
$392.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: PACE SWMI |
$327.35
|
| Rate for Payer: PHP Commercial |
$458.29
|
| Rate for Payer: PHP Medicare Advantage |
$327.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$568.00
|
| Rate for Payer: Priority Health Medicare |
$327.35
|
| Rate for Payer: Priority Health SBD |
$568.00
|
| Rate for Payer: Priority Health Tiered Network |
$568.00
|
| Rate for Payer: Railroad Medicare Medicare |
$327.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.45
|
| Rate for Payer: UHC Core |
$586.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$327.35
|
| Rate for Payer: UHC Exchange |
$586.45
|
| Rate for Payer: UHC Medicaid |
$217.05
|
| Rate for Payer: UHCCP Medicaid |
$217.05
|
| Rate for Payer: UMR Bronson Commercial |
$280.60
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$374.88 |
| Max. Negotiated Rate |
$1,066.59 |
| Rate for Payer: Aetna Commercial |
$762.46
|
| Rate for Payer: Aetna Medicare |
$591.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$762.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$819.36
|
| Rate for Payer: BCBS Complete |
$393.62
|
| Rate for Payer: BCBS MAPPO |
$569.00
|
| Rate for Payer: BCN Commercial |
$955.13
|
| Rate for Payer: BCN Medicare Advantage |
$569.00
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$762.46
|
| Rate for Payer: Cofinity Commercial |
$819.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.45
|
| Rate for Payer: Meridian Medicaid |
$393.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$625.90
|
| Rate for Payer: Nomi Health Commercial |
$682.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$845.25
|
| Rate for Payer: PACE SWMI |
$569.00
|
| Rate for Payer: PHP Commercial |
$796.60
|
| Rate for Payer: PHP Medicare Advantage |
$569.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,021.01
|
| Rate for Payer: Priority Health Medicare |
$569.00
|
| Rate for Payer: Priority Health SBD |
$1,021.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,021.01
|
| Rate for Payer: Railroad Medicare Medicare |
$569.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.59
|
| Rate for Payer: UHC Core |
$1,066.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$569.00
|
| Rate for Payer: UHC Exchange |
$1,066.59
|
| Rate for Payer: UHC Medicaid |
$374.88
|
| Rate for Payer: UHCCP Medicaid |
$374.88
|
| Rate for Payer: UMR Bronson Commercial |
$518.42
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,922.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$369.13 |
| Max. Negotiated Rate |
$1,441.50 |
| Rate for Payer: Aetna Commercial |
$755.17
|
| Rate for Payer: Aetna Medicare |
$586.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$811.53
|
| Rate for Payer: BCBS Complete |
$387.59
|
| Rate for Payer: BCBS MAPPO |
$563.56
|
| Rate for Payer: BCN Commercial |
$946.16
|
| Rate for Payer: BCN Medicare Advantage |
$563.56
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cofinity Commercial |
$755.17
|
| Rate for Payer: Cofinity Commercial |
$811.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.74
|
| Rate for Payer: Meridian Medicaid |
$387.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$619.92
|
| Rate for Payer: Nomi Health Commercial |
$676.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,441.50
|
| Rate for Payer: PACE SWMI |
$563.56
|
| Rate for Payer: PHP Commercial |
$788.98
|
| Rate for Payer: PHP Medicare Advantage |
$563.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,011.42
|
| Rate for Payer: Priority Health Medicare |
$563.56
|
| Rate for Payer: Priority Health SBD |
$1,011.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,011.42
|
| Rate for Payer: Railroad Medicare Medicare |
$563.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,073.77
|
| Rate for Payer: UHC Core |
$1,073.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$563.56
|
| Rate for Payer: UHC Exchange |
$1,073.77
|
| Rate for Payer: UHC Medicaid |
$369.13
|
| Rate for Payer: UHCCP Medicaid |
$369.13
|
| Rate for Payer: UMR Bronson Commercial |
$884.12
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$262.20 |
| Max. Negotiated Rate |
$1,127.25 |
| Rate for Payer: Aetna Commercial |
$532.61
|
| Rate for Payer: Aetna Medicare |
$413.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.36
|
| Rate for Payer: BCBS Complete |
$275.31
|
| Rate for Payer: BCBS MAPPO |
$397.47
|
| Rate for Payer: BCN Commercial |
$649.37
|
| Rate for Payer: BCN Medicare Advantage |
$397.47
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$532.61
|
| Rate for Payer: Cofinity Commercial |
$572.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.34
|
| Rate for Payer: Meridian Medicaid |
$275.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$437.22
|
| Rate for Payer: Nomi Health Commercial |
$476.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.25
|
| Rate for Payer: PACE SWMI |
$397.47
|
| Rate for Payer: PHP Commercial |
$556.46
|
| Rate for Payer: PHP Medicare Advantage |
$397.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$694.16
|
| Rate for Payer: Priority Health Medicare |
$397.47
|
| Rate for Payer: Priority Health SBD |
$694.16
|
| Rate for Payer: Priority Health Tiered Network |
$694.16
|
| Rate for Payer: Railroad Medicare Medicare |
$397.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$724.76
|
| Rate for Payer: UHC Core |
$724.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$397.47
|
| Rate for Payer: UHC Exchange |
$724.76
|
| Rate for Payer: UHC Medicaid |
$262.20
|
| Rate for Payer: UHCCP Medicaid |
$262.20
|
| Rate for Payer: UMR Bronson Commercial |
$691.38
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$907.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$872.78 |
| Rate for Payer: Aetna Commercial |
$637.13
|
| Rate for Payer: Aetna Medicare |
$494.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$637.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.68
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$475.47
|
| Rate for Payer: BCN Commercial |
$780.84
|
| Rate for Payer: BCN Medicare Advantage |
$475.47
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cofinity Commercial |
$637.13
|
| Rate for Payer: Cofinity Commercial |
$684.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$499.24
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$523.02
|
| Rate for Payer: Nomi Health Commercial |
$570.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.25
|
| Rate for Payer: PACE SWMI |
$475.47
|
| Rate for Payer: PHP Commercial |
$665.66
|
| Rate for Payer: PHP Medicare Advantage |
$475.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$834.68
|
| Rate for Payer: Priority Health Medicare |
$475.47
|
| Rate for Payer: Priority Health SBD |
$834.68
|
| Rate for Payer: Priority Health Tiered Network |
$834.68
|
| Rate for Payer: Railroad Medicare Medicare |
$475.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$872.78
|
| Rate for Payer: UHC Core |
$872.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$475.47
|
| Rate for Payer: UHC Exchange |
$872.78
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
| Rate for Payer: UMR Bronson Commercial |
$417.22
|
|
