|
PR ANTERIOR TIBIAL TUBERCLEPLASTY
|
Professional
|
Both
|
$2,577.00
|
|
|
Service Code
|
HCPCS 27418
|
| Min. Negotiated Rate |
$532.07 |
| Max. Negotiated Rate |
$1,675.05 |
| Rate for Payer: Aetna Commercial |
$1,055.32
|
| Rate for Payer: Aetna Medicare |
$819.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,055.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,134.07
|
| Rate for Payer: BCBS Complete |
$558.67
|
| Rate for Payer: BCBS MAPPO |
$787.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,136.90
|
| Rate for Payer: BCN Commercial |
$1,343.56
|
| Rate for Payer: BCN Medicare Advantage |
$787.55
|
| Rate for Payer: Cash Price |
$2,061.60
|
| Rate for Payer: Cash Price |
$2,061.60
|
| Rate for Payer: Cofinity Commercial |
$1,055.32
|
| Rate for Payer: Cofinity Commercial |
$1,134.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$826.93
|
| Rate for Payer: Meridian Medicaid |
$558.67
|
| Rate for Payer: Nomi Health Commercial |
$945.06
|
| Rate for Payer: PACE SWMI |
$787.55
|
| Rate for Payer: PHP Commercial |
$1,102.57
|
| Rate for Payer: PHP Medicare Advantage |
$787.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,675.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,268.59
|
| Rate for Payer: Priority Health Medicare |
$787.55
|
| Rate for Payer: Priority Health Narrow Network |
$1,268.59
|
| Rate for Payer: Priority Health SBD |
$1,268.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$787.55
|
| Rate for Payer: UHC Medicare Advantage |
$787.55
|
| Rate for Payer: UHCCP Medicaid |
$532.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,185.42
|
|
|
PR ANTICOAG MGMT, EACH SUBSEQ 90 DAYS
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 99364
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$61.10 |
| Rate for Payer: Aetna Medicare |
$47.00
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: UMR Bronson Commercial |
$43.24
|
|
|
PR ANTICOAG MGMT, INITIAL 90 DAYS
|
Professional
|
Both
|
$207.00
|
|
|
Service Code
|
HCPCS 99363
|
| Min. Negotiated Rate |
$82.80 |
| Max. Negotiated Rate |
$134.55 |
| Rate for Payer: Aetna Medicare |
$103.50
|
| Rate for Payer: BCBS Complete |
$82.80
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.55
|
| Rate for Payer: UMR Bronson Commercial |
$95.22
|
|
|
PR ANTICOAGULANT MGMT FOR PT TAKING WARFARIN
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 93793
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$39.09 |
| Rate for Payer: Aetna Commercial |
$14.23
|
| Rate for Payer: Aetna Medicare |
$11.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.29
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCBS MAPPO |
$10.62
|
| Rate for Payer: BCBS Trust/PPO |
$39.09
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: BCN Medicare Advantage |
$10.62
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$14.23
|
| Rate for Payer: Cofinity Commercial |
$15.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.15
|
| Rate for Payer: Nomi Health Commercial |
$12.74
|
| Rate for Payer: PACE SWMI |
$10.62
|
| Rate for Payer: PHP Commercial |
$14.87
|
| Rate for Payer: PHP Medicare Advantage |
$10.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.01
|
| Rate for Payer: Priority Health Medicare |
$10.62
|
| Rate for Payer: Priority Health Narrow Network |
$16.01
|
| Rate for Payer: Priority Health SBD |
$16.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.62
|
| Rate for Payer: UHC Medicare Advantage |
$10.62
|
| Rate for Payer: UMR Bronson Commercial |
$11.04
|
|
|
PR ANT VESICOURETHROPEXY/URETHROPEXY SMPL
|
Professional
|
Both
|
$2,459.00
|
|
|
Service Code
|
HCPCS 51840
|
| Min. Negotiated Rate |
$445.17 |
| Max. Negotiated Rate |
$5,391.30 |
| Rate for Payer: Aetna Commercial |
$886.92
|
| Rate for Payer: Aetna Medicare |
$688.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$886.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$953.11
|
| Rate for Payer: BCBS Complete |
$467.43
|
| Rate for Payer: BCBS MAPPO |
$661.88
|
| Rate for Payer: BCBS Trust/PPO |
$5,391.30
|
| Rate for Payer: BCN Commercial |
$1,010.58
|
| Rate for Payer: BCN Medicare Advantage |
$661.88
|
| Rate for Payer: Cash Price |
$1,967.20
|
| Rate for Payer: Cash Price |
$1,967.20
|
| Rate for Payer: Cofinity Commercial |
$886.92
|
| Rate for Payer: Cofinity Commercial |
$953.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.97
|
| Rate for Payer: Meridian Medicaid |
$467.43
|
| Rate for Payer: Nomi Health Commercial |
$794.26
|
| Rate for Payer: PACE SWMI |
$661.88
|
| Rate for Payer: PHP Commercial |
$926.63
|
| Rate for Payer: PHP Medicare Advantage |
$661.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,598.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,111.54
|
| Rate for Payer: Priority Health Medicare |
$661.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,111.54
|
| Rate for Payer: Priority Health SBD |
$1,111.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.88
|
| Rate for Payer: UHC Medicare Advantage |
$661.88
|
| Rate for Payer: UHCCP Medicaid |
$445.17
|
| Rate for Payer: UMR Bronson Commercial |
$1,131.14
|
|
|
PR AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 33866
|
| Min. Negotiated Rate |
$573.21 |
| Max. Negotiated Rate |
$1,429.55 |
| Rate for Payer: Aetna Commercial |
$1,181.97
|
| Rate for Payer: Aetna Medicare |
$917.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,181.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,270.18
|
| Rate for Payer: BCBS Complete |
$603.40
|
| Rate for Payer: BCBS MAPPO |
$882.07
|
| Rate for Payer: BCBS Trust/PPO |
$573.21
|
| Rate for Payer: BCN Commercial |
$1,314.55
|
| Rate for Payer: BCN Medicare Advantage |
$882.07
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,181.97
|
| Rate for Payer: Cofinity Commercial |
$1,270.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$882.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$926.17
|
| Rate for Payer: Meridian Medicaid |
$603.40
|
| Rate for Payer: Nomi Health Commercial |
$1,058.48
|
| Rate for Payer: PACE SWMI |
$882.07
|
| Rate for Payer: PHP Commercial |
$1,234.90
|
| Rate for Payer: PHP Medicare Advantage |
$882.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$574.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,429.55
|
| Rate for Payer: Priority Health Medicare |
$882.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,429.55
|
| Rate for Payer: Priority Health SBD |
$1,429.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$882.07
|
| Rate for Payer: UHC Medicare Advantage |
$882.07
|
| Rate for Payer: UHCCP Medicaid |
$574.67
|
| Rate for Payer: UMR Bronson Commercial |
$892.40
|
|
|
PR AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX
|
Professional
|
Both
|
$1,864.00
|
|
|
Service Code
|
HCPCS 33800
|
| Min. Negotiated Rate |
$623.66 |
| Max. Negotiated Rate |
$1,550.79 |
| Rate for Payer: Aetna Commercial |
$1,270.98
|
| Rate for Payer: Aetna Medicare |
$986.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,270.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,365.83
|
| Rate for Payer: BCBS Complete |
$654.84
|
| Rate for Payer: BCBS MAPPO |
$948.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,416.90
|
| Rate for Payer: BCN Commercial |
$1,417.16
|
| Rate for Payer: BCN Medicare Advantage |
$948.49
|
| Rate for Payer: Cash Price |
$1,491.20
|
| Rate for Payer: Cash Price |
$1,491.20
|
| Rate for Payer: Cofinity Commercial |
$1,270.98
|
| Rate for Payer: Cofinity Commercial |
$1,365.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$948.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$995.91
|
| Rate for Payer: Meridian Medicaid |
$654.84
|
| Rate for Payer: Nomi Health Commercial |
$1,138.19
|
| Rate for Payer: PACE SWMI |
$948.49
|
| Rate for Payer: PHP Commercial |
$1,327.89
|
| Rate for Payer: PHP Medicare Advantage |
$948.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,211.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,550.79
|
| Rate for Payer: Priority Health Medicare |
$948.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,550.79
|
| Rate for Payer: Priority Health SBD |
$1,550.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$948.49
|
| Rate for Payer: UHC Medicare Advantage |
$948.49
|
| Rate for Payer: UHCCP Medicaid |
$623.66
|
| Rate for Payer: UMR Bronson Commercial |
$857.44
|
|
|
PR AORTOPLASTY SUPRAVALVULAR STENOSIS
|
Professional
|
Both
|
$9,378.00
|
|
|
Service Code
|
HCPCS 33417
|
| Min. Negotiated Rate |
$918.19 |
| Max. Negotiated Rate |
$6,095.70 |
| Rate for Payer: Aetna Commercial |
$2,148.37
|
| Rate for Payer: Aetna Medicare |
$1,667.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,148.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,308.69
|
| Rate for Payer: BCBS Complete |
$1,106.62
|
| Rate for Payer: BCBS MAPPO |
$1,603.26
|
| Rate for Payer: BCBS Trust/PPO |
$918.19
|
| Rate for Payer: BCN Commercial |
$2,397.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,603.26
|
| Rate for Payer: Cash Price |
$7,502.40
|
| Rate for Payer: Cash Price |
$7,502.40
|
| Rate for Payer: Cofinity Commercial |
$2,148.37
|
| Rate for Payer: Cofinity Commercial |
$2,308.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,603.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,683.42
|
| Rate for Payer: Meridian Medicaid |
$1,106.62
|
| Rate for Payer: Nomi Health Commercial |
$1,923.91
|
| Rate for Payer: PACE SWMI |
$1,603.26
|
| Rate for Payer: PHP Commercial |
$2,244.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,603.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,053.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,095.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,623.49
|
| Rate for Payer: Priority Health Medicare |
$1,603.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,623.49
|
| Rate for Payer: Priority Health SBD |
$2,623.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,603.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,603.26
|
| Rate for Payer: UHCCP Medicaid |
$1,053.92
|
| Rate for Payer: UMR Bronson Commercial |
$4,313.88
|
|
|
PR APNEALINK
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS 00020
|
|
Hospital Revenue Code
|
920
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: UMR Bronson Commercial |
$4.60
|
|
|
PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX
|
Professional
|
Both
|
$865.00
|
|
|
Service Code
|
HCPCS 44955
|
| Min. Negotiated Rate |
$53.04 |
| Max. Negotiated Rate |
$566.34 |
| Rate for Payer: Aetna Commercial |
$108.08
|
| Rate for Payer: Aetna Medicare |
$83.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.15
|
| Rate for Payer: BCBS Complete |
$55.69
|
| Rate for Payer: BCBS MAPPO |
$80.66
|
| Rate for Payer: BCBS Trust/PPO |
$566.34
|
| Rate for Payer: BCN Commercial |
$121.19
|
| Rate for Payer: BCN Medicare Advantage |
$80.66
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cofinity Commercial |
$116.15
|
| Rate for Payer: Cofinity Commercial |
$108.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.69
|
| Rate for Payer: Meridian Medicaid |
$55.69
|
| Rate for Payer: Nomi Health Commercial |
$96.79
|
| Rate for Payer: PACE SWMI |
$80.66
|
| Rate for Payer: PHP Commercial |
$112.92
|
| Rate for Payer: PHP Medicare Advantage |
$80.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$562.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.95
|
| Rate for Payer: Priority Health Medicare |
$80.66
|
| Rate for Payer: Priority Health Narrow Network |
$147.95
|
| Rate for Payer: Priority Health SBD |
$147.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.66
|
| Rate for Payer: UHC Medicare Advantage |
$80.66
|
| Rate for Payer: UHCCP Medicaid |
$53.04
|
| Rate for Payer: UMR Bronson Commercial |
$397.90
|
|
|
PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX
|
Professional
|
Both
|
$865.00
|
|
|
Service Code
|
HCPCS 44955
|
| Hospital Charge Code |
44955
|
| Min. Negotiated Rate |
$53.04 |
| Max. Negotiated Rate |
$566.34 |
| Rate for Payer: Aetna Commercial |
$108.08
|
| Rate for Payer: Aetna Medicare |
$83.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.15
|
| Rate for Payer: BCBS Complete |
$55.69
|
| Rate for Payer: BCBS MAPPO |
$80.66
|
| Rate for Payer: BCBS Trust/PPO |
$566.34
|
| Rate for Payer: BCN Commercial |
$121.19
|
| Rate for Payer: BCN Medicare Advantage |
$80.66
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cofinity Commercial |
$108.08
|
| Rate for Payer: Cofinity Commercial |
$116.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.69
|
| Rate for Payer: Meridian Medicaid |
$55.69
|
| Rate for Payer: Nomi Health Commercial |
$96.79
|
| Rate for Payer: PACE SWMI |
$80.66
|
| Rate for Payer: PHP Commercial |
$112.92
|
| Rate for Payer: PHP Medicare Advantage |
$80.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$562.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.95
|
| Rate for Payer: Priority Health Medicare |
$80.66
|
| Rate for Payer: Priority Health Narrow Network |
$147.95
|
| Rate for Payer: Priority Health SBD |
$147.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.66
|
| Rate for Payer: UHC Medicare Advantage |
$80.66
|
| Rate for Payer: UHCCP Medicaid |
$53.04
|
| Rate for Payer: UMR Bronson Commercial |
$397.90
|
|
|
PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX
|
Facility
|
IP
|
$865.00
|
|
|
Service Code
|
CPT 44955
|
| Hospital Charge Code |
44955
|
| Min. Negotiated Rate |
$380.60 |
| Max. Negotiated Rate |
$778.50 |
| Rate for Payer: Aetna American Axle |
$562.25
|
| Rate for Payer: Aetna Commercial |
$735.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.25
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cofinity Commercial |
$605.50
|
| Rate for Payer: Cofinity Commercial |
$743.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$605.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$692.00
|
| Rate for Payer: Healthscope Commercial |
$778.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$605.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$648.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$735.25
|
| Rate for Payer: PHP Commercial |
$735.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$562.25
|
| Rate for Payer: Priority Health SBD |
$544.95
|
| Rate for Payer: UMR Bronson Commercial |
$380.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$648.75
|
|
|
PR APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX
|
Facility
|
OP
|
$865.00
|
|
|
Service Code
|
CPT 44955
|
| Hospital Charge Code |
44955
|
| Min. Negotiated Rate |
$81.35 |
| Max. Negotiated Rate |
$778.50 |
| Rate for Payer: Aetna American Axle |
$562.25
|
| Rate for Payer: Aetna Commercial |
$735.25
|
| Rate for Payer: Aetna Medicare |
$432.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.25
|
| Rate for Payer: BCBS Complete |
$346.00
|
| Rate for Payer: BCBS Trust/PPO |
$308.28
|
| Rate for Payer: BCN Commercial |
$308.28
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cash Price |
$692.00
|
| Rate for Payer: Cofinity Commercial |
$743.90
|
| Rate for Payer: Cofinity Commercial |
$605.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$605.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$692.00
|
| Rate for Payer: Healthscope Commercial |
$778.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$605.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$648.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$735.25
|
| Rate for Payer: PHP Commercial |
$735.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$562.25
|
| Rate for Payer: Priority Health SBD |
$544.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.48
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$81.35
|
| Rate for Payer: UMR Bronson Commercial |
$320.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$648.75
|
|
|
PR APPENDEC RPTD APPENDIX ABSC/PRITONITIS
|
Professional
|
Both
|
$2,137.00
|
|
|
Service Code
|
HCPCS 44960
|
| Min. Negotiated Rate |
$564.45 |
| Max. Negotiated Rate |
$1,572.03 |
| Rate for Payer: Aetna Commercial |
$1,143.22
|
| Rate for Payer: Aetna Medicare |
$887.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,228.54
|
| Rate for Payer: BCBS Complete |
$592.67
|
| Rate for Payer: BCBS MAPPO |
$853.15
|
| Rate for Payer: BCBS Trust/PPO |
$857.96
|
| Rate for Payer: BCN Commercial |
$1,281.31
|
| Rate for Payer: BCN Medicare Advantage |
$853.15
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cofinity Commercial |
$1,143.22
|
| Rate for Payer: Cofinity Commercial |
$1,228.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.81
|
| Rate for Payer: Meridian Medicaid |
$592.67
|
| Rate for Payer: Nomi Health Commercial |
$1,023.78
|
| Rate for Payer: PACE SWMI |
$853.15
|
| Rate for Payer: PHP Commercial |
$1,194.41
|
| Rate for Payer: PHP Medicare Advantage |
$853.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$564.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,572.03
|
| Rate for Payer: Priority Health Medicare |
$853.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,572.03
|
| Rate for Payer: Priority Health SBD |
$1,572.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.15
|
| Rate for Payer: UHC Medicare Advantage |
$853.15
|
| Rate for Payer: UHCCP Medicaid |
$564.45
|
| Rate for Payer: UMR Bronson Commercial |
$983.02
|
|
|
PR APPENDECTOMY
|
Facility
|
IP
|
$1,738.00
|
|
|
Service Code
|
CPT 44950
|
| Hospital Charge Code |
44950
|
| Min. Negotiated Rate |
$764.72 |
| Max. Negotiated Rate |
$1,564.20 |
| Rate for Payer: Aetna American Axle |
$1,129.70
|
| Rate for Payer: Aetna Commercial |
$1,477.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,129.70
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$1,216.60
|
| Rate for Payer: Cofinity Commercial |
$1,494.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,216.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,390.40
|
| Rate for Payer: Healthscope Commercial |
$1,564.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,216.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,303.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,477.30
|
| Rate for Payer: PHP Commercial |
$1,477.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,129.70
|
| Rate for Payer: Priority Health SBD |
$1,094.94
|
| Rate for Payer: UMR Bronson Commercial |
$764.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,303.50
|
|
|
PR APPENDECTOMY
|
Professional
|
Both
|
$1,738.00
|
|
|
Service Code
|
HCPCS 44950
|
| Hospital Charge Code |
44950
|
| Min. Negotiated Rate |
$413.13 |
| Max. Negotiated Rate |
$1,152.61 |
| Rate for Payer: Aetna Commercial |
$836.91
|
| Rate for Payer: Aetna Medicare |
$649.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$836.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$899.37
|
| Rate for Payer: BCBS Complete |
$434.33
|
| Rate for Payer: BCBS MAPPO |
$624.56
|
| Rate for Payer: BCBS Trust/PPO |
$413.13
|
| Rate for Payer: BCN Commercial |
$938.75
|
| Rate for Payer: BCN Medicare Advantage |
$624.56
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$899.37
|
| Rate for Payer: Cofinity Commercial |
$836.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.79
|
| Rate for Payer: Meridian Medicaid |
$434.33
|
| Rate for Payer: Nomi Health Commercial |
$749.47
|
| Rate for Payer: PACE SWMI |
$624.56
|
| Rate for Payer: PHP Commercial |
$874.38
|
| Rate for Payer: PHP Medicare Advantage |
$624.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,129.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,152.61
|
| Rate for Payer: Priority Health Medicare |
$624.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,152.61
|
| Rate for Payer: Priority Health SBD |
$1,152.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.56
|
| Rate for Payer: UHC Medicare Advantage |
$624.56
|
| Rate for Payer: UHCCP Medicaid |
$413.65
|
| Rate for Payer: UMR Bronson Commercial |
$799.48
|
|
|
PR APPENDECTOMY
|
Facility
|
OP
|
$1,738.00
|
|
|
Service Code
|
CPT 44950
|
| Hospital Charge Code |
44950
|
| Min. Negotiated Rate |
$643.06 |
| Max. Negotiated Rate |
$19,214.90 |
| Rate for Payer: Aetna American Axle |
$1,129.70
|
| Rate for Payer: Aetna Commercial |
$1,477.30
|
| Rate for Payer: Aetna Medicare |
$6,358.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,129.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,641.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,641.98
|
| Rate for Payer: BCBS Complete |
$3,440.72
|
| Rate for Payer: BCBS MAPPO |
$6,113.58
|
| Rate for Payer: BCBS Trust/PPO |
$4,781.90
|
| Rate for Payer: BCN Commercial |
$4,781.90
|
| Rate for Payer: BCN Medicare Advantage |
$6,113.58
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$1,216.60
|
| Rate for Payer: Cofinity Commercial |
$1,494.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,216.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,390.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,113.58
|
| Rate for Payer: Healthscope Commercial |
$1,564.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,216.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,303.50
|
| Rate for Payer: Mclaren Medicaid |
$3,276.88
|
| Rate for Payer: Mclaren Medicare |
$6,113.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,419.26
|
| Rate for Payer: Meridian Medicaid |
$3,440.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,030.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,477.30
|
| Rate for Payer: Nomi Health Commercial |
$12,838.52
|
| Rate for Payer: PACE Medicare |
$5,807.90
|
| Rate for Payer: PACE SWMI |
$6,113.58
|
| Rate for Payer: PHP Commercial |
$1,477.30
|
| Rate for Payer: PHP Medicare Advantage |
$6,113.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,276.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,129.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19,214.90
|
| Rate for Payer: Priority Health Medicare |
$6,113.58
|
| Rate for Payer: Priority Health Narrow Network |
$15,371.92
|
| Rate for Payer: Priority Health SBD |
$1,094.94
|
| Rate for Payer: Railroad Medicare Medicare |
$6,113.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17,209.12
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,113.58
|
| Rate for Payer: UHC Exchange |
$11,683.66
|
| Rate for Payer: UHC Medicare Advantage |
$6,113.58
|
| Rate for Payer: UHCCP Medicaid |
$3,276.88
|
| Rate for Payer: UMR Bronson Commercial |
$643.06
|
| Rate for Payer: VA VA |
$6,113.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,303.50
|
|
|
PR APPENDECTOMY
|
Professional
|
Both
|
$1,738.00
|
|
|
Service Code
|
HCPCS 44950
|
| Min. Negotiated Rate |
$413.13 |
| Max. Negotiated Rate |
$1,152.61 |
| Rate for Payer: Aetna Commercial |
$836.91
|
| Rate for Payer: Aetna Medicare |
$649.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$836.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$899.37
|
| Rate for Payer: BCBS Complete |
$434.33
|
| Rate for Payer: BCBS MAPPO |
$624.56
|
| Rate for Payer: BCBS Trust/PPO |
$413.13
|
| Rate for Payer: BCN Commercial |
$938.75
|
| Rate for Payer: BCN Medicare Advantage |
$624.56
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$836.91
|
| Rate for Payer: Cofinity Commercial |
$899.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.79
|
| Rate for Payer: Meridian Medicaid |
$434.33
|
| Rate for Payer: Nomi Health Commercial |
$749.47
|
| Rate for Payer: PACE SWMI |
$624.56
|
| Rate for Payer: PHP Commercial |
$874.38
|
| Rate for Payer: PHP Medicare Advantage |
$624.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,129.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,152.61
|
| Rate for Payer: Priority Health Medicare |
$624.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,152.61
|
| Rate for Payer: Priority Health SBD |
$1,152.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$624.56
|
| Rate for Payer: UHC Medicare Advantage |
$624.56
|
| Rate for Payer: UHCCP Medicaid |
$413.65
|
| Rate for Payer: UMR Bronson Commercial |
$799.48
|
|
|
PR APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 20660
|
| Min. Negotiated Rate |
$154.85 |
| Max. Negotiated Rate |
$6,925.56 |
| Rate for Payer: Aetna Commercial |
$317.26
|
| Rate for Payer: Aetna Medicare |
$246.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$340.93
|
| Rate for Payer: BCBS Complete |
$162.59
|
| Rate for Payer: BCBS MAPPO |
$236.76
|
| Rate for Payer: BCBS Trust/PPO |
$6,925.56
|
| Rate for Payer: BCN Commercial |
$352.82
|
| Rate for Payer: BCN Medicare Advantage |
$236.76
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$317.26
|
| Rate for Payer: Cofinity Commercial |
$340.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.60
|
| Rate for Payer: Meridian Medicaid |
$162.59
|
| Rate for Payer: Nomi Health Commercial |
$284.11
|
| Rate for Payer: PACE SWMI |
$236.76
|
| Rate for Payer: PHP Commercial |
$331.46
|
| Rate for Payer: PHP Medicare Advantage |
$236.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$366.38
|
| Rate for Payer: Priority Health Medicare |
$236.76
|
| Rate for Payer: Priority Health Narrow Network |
$366.38
|
| Rate for Payer: Priority Health SBD |
$366.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.76
|
| Rate for Payer: UHC Medicare Advantage |
$236.76
|
| Rate for Payer: UHCCP Medicaid |
$154.85
|
| Rate for Payer: UMR Bronson Commercial |
$397.44
|
|
|
PR APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS
|
Professional
|
Both
|
$660.00
|
|
|
Service Code
|
HCPCS 29325
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$1,154.34 |
| Rate for Payer: Aetna Commercial |
$229.72
|
| Rate for Payer: Aetna Medicare |
$178.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.86
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$171.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,154.34
|
| Rate for Payer: BCN Commercial |
$402.67
|
| Rate for Payer: BCN Medicare Advantage |
$171.43
|
| Rate for Payer: Cash Price |
$528.00
|
| Rate for Payer: Cash Price |
$528.00
|
| Rate for Payer: Cofinity Commercial |
$229.72
|
| Rate for Payer: Cofinity Commercial |
$246.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.00
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Nomi Health Commercial |
$205.72
|
| Rate for Payer: PACE SWMI |
$171.43
|
| Rate for Payer: PHP Commercial |
$240.00
|
| Rate for Payer: PHP Medicare Advantage |
$171.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$429.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$272.24
|
| Rate for Payer: Priority Health Medicare |
$171.43
|
| Rate for Payer: Priority Health Narrow Network |
$272.24
|
| Rate for Payer: Priority Health SBD |
$272.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.43
|
| Rate for Payer: UHC Medicare Advantage |
$171.43
|
| Rate for Payer: UHCCP Medicaid |
$116.09
|
| Rate for Payer: UMR Bronson Commercial |
$303.60
|
|
|
PR APPLICATION CAST ELBOW FINGER SHORT ARM
|
Professional
|
Both
|
$201.00
|
|
|
Service Code
|
HCPCS 29075
|
| Min. Negotiated Rate |
$41.11 |
| Max. Negotiated Rate |
$1,010.64 |
| Rate for Payer: Aetna Commercial |
$81.00
|
| Rate for Payer: Aetna Medicare |
$62.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.05
|
| Rate for Payer: BCBS Complete |
$43.17
|
| Rate for Payer: BCBS MAPPO |
$60.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.64
|
| Rate for Payer: BCN Commercial |
$104.05
|
| Rate for Payer: BCN Medicare Advantage |
$60.45
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cofinity Commercial |
$81.00
|
| Rate for Payer: Cofinity Commercial |
$87.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63.47
|
| Rate for Payer: Meridian Medicaid |
$43.17
|
| Rate for Payer: Nomi Health Commercial |
$72.54
|
| Rate for Payer: PACE SWMI |
$60.45
|
| Rate for Payer: PHP Commercial |
$84.63
|
| Rate for Payer: PHP Medicare Advantage |
$60.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$96.17
|
| Rate for Payer: Priority Health Medicare |
$60.45
|
| Rate for Payer: Priority Health Narrow Network |
$96.17
|
| Rate for Payer: Priority Health SBD |
$96.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$60.45
|
| Rate for Payer: UHC Medicare Advantage |
$60.45
|
| Rate for Payer: UHCCP Medicaid |
$41.11
|
| Rate for Payer: UMR Bronson Commercial |
$92.46
|
|
|
PR APPLICATION CAST FIGURE-OF-8
|
Professional
|
Both
|
$239.00
|
|
|
Service Code
|
HCPCS 29049
|
| Min. Negotiated Rate |
$45.58 |
| Max. Negotiated Rate |
$822.03 |
| Rate for Payer: Aetna Commercial |
$89.98
|
| Rate for Payer: Aetna Medicare |
$69.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.70
|
| Rate for Payer: BCBS Complete |
$47.86
|
| Rate for Payer: BCBS MAPPO |
$67.15
|
| Rate for Payer: BCBS Trust/PPO |
$822.03
|
| Rate for Payer: BCN Commercial |
$146.60
|
| Rate for Payer: BCN Medicare Advantage |
$67.15
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cofinity Commercial |
$89.98
|
| Rate for Payer: Cofinity Commercial |
$96.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$67.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$70.51
|
| Rate for Payer: Meridian Medicaid |
$47.86
|
| Rate for Payer: Nomi Health Commercial |
$80.58
|
| Rate for Payer: PACE SWMI |
$67.15
|
| Rate for Payer: PHP Commercial |
$94.01
|
| Rate for Payer: PHP Medicare Advantage |
$67.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$107.37
|
| Rate for Payer: Priority Health Medicare |
$67.15
|
| Rate for Payer: Priority Health Narrow Network |
$107.37
|
| Rate for Payer: Priority Health SBD |
$107.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$67.15
|
| Rate for Payer: UHC Medicare Advantage |
$67.15
|
| Rate for Payer: UHCCP Medicaid |
$45.58
|
| Rate for Payer: UMR Bronson Commercial |
$109.94
|
|
|
PR APPLICATION CAST FINGER
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 29086
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$1,122.64 |
| Rate for Payer: Aetna Commercial |
$62.19
|
| Rate for Payer: Aetna Medicare |
$48.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.83
|
| Rate for Payer: BCBS Complete |
$33.55
|
| Rate for Payer: BCBS MAPPO |
$46.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,122.64
|
| Rate for Payer: BCN Commercial |
$112.40
|
| Rate for Payer: BCN Medicare Advantage |
$46.41
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cofinity Commercial |
$62.19
|
| Rate for Payer: Cofinity Commercial |
$66.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.73
|
| Rate for Payer: Meridian Medicaid |
$33.55
|
| Rate for Payer: Nomi Health Commercial |
$55.69
|
| Rate for Payer: PACE SWMI |
$46.41
|
| Rate for Payer: PHP Commercial |
$64.97
|
| Rate for Payer: PHP Medicare Advantage |
$46.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.82
|
| Rate for Payer: Priority Health Medicare |
$46.41
|
| Rate for Payer: Priority Health Narrow Network |
$75.82
|
| Rate for Payer: Priority Health SBD |
$75.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.41
|
| Rate for Payer: UHC Medicare Advantage |
$46.41
|
| Rate for Payer: UHCCP Medicaid |
$31.95
|
| Rate for Payer: UMR Bronson Commercial |
$60.26
|
|
|
PR APPLICATION CAST HAND & LOWER FOREARM GAUNTLET
|
Professional
|
Both
|
$189.00
|
|
|
Service Code
|
HCPCS 29085
|
| Min. Negotiated Rate |
$44.09 |
| Max. Negotiated Rate |
$1,099.39 |
| Rate for Payer: Aetna Commercial |
$86.91
|
| Rate for Payer: Aetna Medicare |
$67.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.40
|
| Rate for Payer: BCBS Complete |
$46.29
|
| Rate for Payer: BCBS MAPPO |
$64.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,099.39
|
| Rate for Payer: BCN Commercial |
$113.88
|
| Rate for Payer: BCN Medicare Advantage |
$64.86
|
| Rate for Payer: Cash Price |
$151.20
|
| Rate for Payer: Cash Price |
$151.20
|
| Rate for Payer: Cofinity Commercial |
$86.91
|
| Rate for Payer: Cofinity Commercial |
$93.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.10
|
| Rate for Payer: Meridian Medicaid |
$46.29
|
| Rate for Payer: Nomi Health Commercial |
$77.83
|
| Rate for Payer: PACE SWMI |
$64.86
|
| Rate for Payer: PHP Commercial |
$90.80
|
| Rate for Payer: PHP Medicare Advantage |
$64.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.81
|
| Rate for Payer: Priority Health Medicare |
$64.86
|
| Rate for Payer: Priority Health Narrow Network |
$103.81
|
| Rate for Payer: Priority Health SBD |
$103.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.86
|
| Rate for Payer: UHC Medicare Advantage |
$64.86
|
| Rate for Payer: UHCCP Medicaid |
$44.09
|
| Rate for Payer: UMR Bronson Commercial |
$86.94
|
|
|
PR APPLICATION CAST SHOULDER HAND LONG ARM
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 29065
|
| Min. Negotiated Rate |
$44.30 |
| Max. Negotiated Rate |
$1,191.32 |
| Rate for Payer: Aetna Commercial |
$87.30
|
| Rate for Payer: Aetna Medicare |
$67.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.82
|
| Rate for Payer: BCBS Complete |
$46.52
|
| Rate for Payer: BCBS MAPPO |
$65.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,191.32
|
| Rate for Payer: BCN Commercial |
$114.65
|
| Rate for Payer: BCN Medicare Advantage |
$65.15
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$87.30
|
| Rate for Payer: Cofinity Commercial |
$93.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.41
|
| Rate for Payer: Meridian Medicaid |
$46.52
|
| Rate for Payer: Nomi Health Commercial |
$78.18
|
| Rate for Payer: PACE SWMI |
$65.15
|
| Rate for Payer: PHP Commercial |
$91.21
|
| Rate for Payer: PHP Medicare Advantage |
$65.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$104.82
|
| Rate for Payer: Priority Health Medicare |
$65.15
|
| Rate for Payer: Priority Health Narrow Network |
$104.82
|
| Rate for Payer: Priority Health SBD |
$104.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.15
|
| Rate for Payer: UHC Medicare Advantage |
$65.15
|
| Rate for Payer: UHCCP Medicaid |
$44.30
|
| Rate for Payer: UMR Bronson Commercial |
$119.14
|
|
