|
PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS
|
Professional
|
Both
|
$3,089.00
|
|
|
Service Code
|
HCPCS 29899
|
| Min. Negotiated Rate |
$959.94 |
| Max. Negotiated Rate |
$2,007.85 |
| Rate for Payer: Aetna Commercial |
$1,286.32
|
| Rate for Payer: Aetna Medicare |
$998.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,382.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,286.32
|
| Rate for Payer: BCBS Complete |
$1,235.60
|
| Rate for Payer: BCBS MAPPO |
$959.94
|
| Rate for Payer: BCN Medicare Advantage |
$959.94
|
| Rate for Payer: Cash Price |
$2,471.20
|
| Rate for Payer: Cash Price |
$2,471.20
|
| Rate for Payer: Cofinity Commercial |
$1,382.31
|
| Rate for Payer: Cofinity Commercial |
$1,286.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$959.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,007.94
|
| Rate for Payer: Nomi Health Commercial |
$1,151.93
|
| Rate for Payer: PACE SWMI |
$959.94
|
| Rate for Payer: PHP Commercial |
$1,343.92
|
| Rate for Payer: PHP Medicare Advantage |
$959.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,007.85
|
| Rate for Payer: Priority Health Medicare |
$959.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$959.94
|
| Rate for Payer: UHC Medicare Advantage |
$959.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,420.94
|
|
|
PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$1,942.00
|
|
|
Service Code
|
HCPCS 29894
|
| Min. Negotiated Rate |
$487.28 |
| Max. Negotiated Rate |
$1,262.30 |
| Rate for Payer: Aetna Commercial |
$652.96
|
| Rate for Payer: Aetna Medicare |
$506.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$701.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$652.96
|
| Rate for Payer: BCBS Complete |
$776.80
|
| Rate for Payer: BCBS MAPPO |
$487.28
|
| Rate for Payer: BCN Medicare Advantage |
$487.28
|
| Rate for Payer: Cash Price |
$1,553.60
|
| Rate for Payer: Cash Price |
$1,553.60
|
| Rate for Payer: Cofinity Commercial |
$701.68
|
| Rate for Payer: Cofinity Commercial |
$652.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$487.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$511.64
|
| Rate for Payer: Nomi Health Commercial |
$584.74
|
| Rate for Payer: PACE SWMI |
$487.28
|
| Rate for Payer: PHP Commercial |
$682.19
|
| Rate for Payer: PHP Medicare Advantage |
$487.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,262.30
|
| Rate for Payer: Priority Health Medicare |
$487.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$487.28
|
| Rate for Payer: UHC Medicare Advantage |
$487.28
|
| Rate for Payer: UMR Bronson Commercial |
$893.32
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 29838
|
| Min. Negotiated Rate |
$574.32 |
| Max. Negotiated Rate |
$1,430.65 |
| Rate for Payer: Aetna Commercial |
$769.59
|
| Rate for Payer: Aetna Medicare |
$597.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$827.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$769.59
|
| Rate for Payer: BCBS Complete |
$880.40
|
| Rate for Payer: BCBS MAPPO |
$574.32
|
| Rate for Payer: BCN Medicare Advantage |
$574.32
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$827.02
|
| Rate for Payer: Cofinity Commercial |
$769.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$574.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$603.04
|
| Rate for Payer: Nomi Health Commercial |
$689.18
|
| Rate for Payer: PACE SWMI |
$574.32
|
| Rate for Payer: PHP Commercial |
$804.05
|
| Rate for Payer: PHP Medicare Advantage |
$574.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,430.65
|
| Rate for Payer: Priority Health Medicare |
$574.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$574.32
|
| Rate for Payer: UHC Medicare Advantage |
$574.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,012.46
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED
|
Professional
|
Both
|
$1,940.00
|
|
|
Service Code
|
HCPCS 29837
|
| Min. Negotiated Rate |
$503.31 |
| Max. Negotiated Rate |
$1,261.00 |
| Rate for Payer: Aetna Commercial |
$674.44
|
| Rate for Payer: Aetna Medicare |
$523.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$674.44
|
| Rate for Payer: BCBS Complete |
$776.00
|
| Rate for Payer: BCBS MAPPO |
$503.31
|
| Rate for Payer: BCN Medicare Advantage |
$503.31
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cash Price |
$1,552.00
|
| Rate for Payer: Cofinity Commercial |
$724.77
|
| Rate for Payer: Cofinity Commercial |
$674.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$503.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.48
|
| Rate for Payer: Nomi Health Commercial |
$603.97
|
| Rate for Payer: PACE SWMI |
$503.31
|
| Rate for Payer: PHP Commercial |
$704.63
|
| Rate for Payer: PHP Medicare Advantage |
$503.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.00
|
| Rate for Payer: Priority Health Medicare |
$503.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$503.31
|
| Rate for Payer: UHC Medicare Advantage |
$503.31
|
| Rate for Payer: UMR Bronson Commercial |
$892.40
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$1,040.00
|
|
|
Service Code
|
HCPCS 29836
|
| Min. Negotiated Rate |
$416.00 |
| Max. Negotiated Rate |
$815.50 |
| Rate for Payer: Aetna Commercial |
$758.87
|
| Rate for Payer: Aetna Medicare |
$588.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.87
|
| Rate for Payer: BCBS Complete |
$416.00
|
| Rate for Payer: BCBS MAPPO |
$566.32
|
| Rate for Payer: BCN Medicare Advantage |
$566.32
|
| Rate for Payer: Cash Price |
$832.00
|
| Rate for Payer: Cash Price |
$832.00
|
| Rate for Payer: Cofinity Commercial |
$815.50
|
| Rate for Payer: Cofinity Commercial |
$758.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.64
|
| Rate for Payer: Nomi Health Commercial |
$679.58
|
| Rate for Payer: PACE SWMI |
$566.32
|
| Rate for Payer: PHP Commercial |
$792.85
|
| Rate for Payer: PHP Medicare Advantage |
$566.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.00
|
| Rate for Payer: Priority Health Medicare |
$566.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.32
|
| Rate for Payer: UHC Medicare Advantage |
$566.32
|
| Rate for Payer: UMR Bronson Commercial |
$478.40
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,969.00
|
|
|
Service Code
|
HCPCS 29835
|
| Min. Negotiated Rate |
$494.19 |
| Max. Negotiated Rate |
$1,279.85 |
| Rate for Payer: Aetna Commercial |
$662.21
|
| Rate for Payer: Aetna Medicare |
$513.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$711.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.21
|
| Rate for Payer: BCBS Complete |
$787.60
|
| Rate for Payer: BCBS MAPPO |
$494.19
|
| Rate for Payer: BCN Medicare Advantage |
$494.19
|
| Rate for Payer: Cash Price |
$1,575.20
|
| Rate for Payer: Cash Price |
$1,575.20
|
| Rate for Payer: Cofinity Commercial |
$711.63
|
| Rate for Payer: Cofinity Commercial |
$662.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$494.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$518.90
|
| Rate for Payer: Nomi Health Commercial |
$593.03
|
| Rate for Payer: PACE SWMI |
$494.19
|
| Rate for Payer: PHP Commercial |
$691.87
|
| Rate for Payer: PHP Medicare Advantage |
$494.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,279.85
|
| Rate for Payer: Priority Health Medicare |
$494.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$494.19
|
| Rate for Payer: UHC Medicare Advantage |
$494.19
|
| Rate for Payer: UMR Bronson Commercial |
$905.74
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,845.00
|
|
|
Service Code
|
HCPCS 29834
|
| Min. Negotiated Rate |
$478.16 |
| Max. Negotiated Rate |
$1,199.25 |
| Rate for Payer: Aetna Commercial |
$640.73
|
| Rate for Payer: Aetna Medicare |
$497.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$688.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.73
|
| Rate for Payer: BCBS Complete |
$738.00
|
| Rate for Payer: BCBS MAPPO |
$478.16
|
| Rate for Payer: BCN Medicare Advantage |
$478.16
|
| Rate for Payer: Cash Price |
$1,476.00
|
| Rate for Payer: Cash Price |
$1,476.00
|
| Rate for Payer: Cofinity Commercial |
$688.55
|
| Rate for Payer: Cofinity Commercial |
$640.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$478.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$502.07
|
| Rate for Payer: Nomi Health Commercial |
$573.79
|
| Rate for Payer: PACE SWMI |
$478.16
|
| Rate for Payer: PHP Commercial |
$669.42
|
| Rate for Payer: PHP Medicare Advantage |
$478.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,199.25
|
| Rate for Payer: Priority Health Medicare |
$478.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$478.16
|
| Rate for Payer: UHC Medicare Advantage |
$478.16
|
| Rate for Payer: UMR Bronson Commercial |
$848.70
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,444.00
|
|
|
Service Code
|
HCPCS 29861
|
| Min. Negotiated Rate |
$671.37 |
| Max. Negotiated Rate |
$1,588.60 |
| Rate for Payer: Aetna Commercial |
$899.64
|
| Rate for Payer: Aetna Medicare |
$698.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$966.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$899.64
|
| Rate for Payer: BCBS Complete |
$977.60
|
| Rate for Payer: BCBS MAPPO |
$671.37
|
| Rate for Payer: BCN Medicare Advantage |
$671.37
|
| Rate for Payer: Cash Price |
$1,955.20
|
| Rate for Payer: Cash Price |
$1,955.20
|
| Rate for Payer: Cofinity Commercial |
$966.77
|
| Rate for Payer: Cofinity Commercial |
$899.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$671.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$704.94
|
| Rate for Payer: Nomi Health Commercial |
$805.64
|
| Rate for Payer: PACE SWMI |
$671.37
|
| Rate for Payer: PHP Commercial |
$939.92
|
| Rate for Payer: PHP Medicare Advantage |
$671.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,588.60
|
| Rate for Payer: Priority Health Medicare |
$671.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$671.37
|
| Rate for Payer: UHC Medicare Advantage |
$671.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,124.24
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY
|
Professional
|
Both
|
$1,647.00
|
|
|
Service Code
|
HCPCS 29863
|
| Min. Negotiated Rate |
$658.80 |
| Max. Negotiated Rate |
$1,131.13 |
| Rate for Payer: Aetna Commercial |
$1,052.58
|
| Rate for Payer: Aetna Medicare |
$816.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,131.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.58
|
| Rate for Payer: BCBS Complete |
$658.80
|
| Rate for Payer: BCBS MAPPO |
$785.51
|
| Rate for Payer: BCN Medicare Advantage |
$785.51
|
| Rate for Payer: Cash Price |
$1,317.60
|
| Rate for Payer: Cash Price |
$1,317.60
|
| Rate for Payer: Cofinity Commercial |
$1,131.13
|
| Rate for Payer: Cofinity Commercial |
$1,052.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$785.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$824.79
|
| Rate for Payer: Nomi Health Commercial |
$942.61
|
| Rate for Payer: PACE SWMI |
$785.51
|
| Rate for Payer: PHP Commercial |
$1,099.71
|
| Rate for Payer: PHP Medicare Advantage |
$785.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,070.55
|
| Rate for Payer: Priority Health Medicare |
$785.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$785.51
|
| Rate for Payer: UHC Medicare Advantage |
$785.51
|
| Rate for Payer: UMR Bronson Commercial |
$757.62
|
|
|
PR ARTHROSCOPY HIP W/ACETABULOPLASTY
|
Professional
|
Both
|
$3,259.00
|
|
|
Service Code
|
HCPCS 29915
|
| Min. Negotiated Rate |
$977.43 |
| Max. Negotiated Rate |
$2,118.35 |
| Rate for Payer: Aetna Commercial |
$1,309.76
|
| Rate for Payer: Aetna Medicare |
$1,016.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,309.76
|
| Rate for Payer: BCBS Complete |
$1,303.60
|
| Rate for Payer: BCBS MAPPO |
$977.43
|
| Rate for Payer: BCN Medicare Advantage |
$977.43
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cash Price |
$2,607.20
|
| Rate for Payer: Cofinity Commercial |
$1,407.50
|
| Rate for Payer: Cofinity Commercial |
$1,309.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.30
|
| Rate for Payer: Nomi Health Commercial |
$1,172.92
|
| Rate for Payer: PACE SWMI |
$977.43
|
| Rate for Payer: PHP Commercial |
$1,368.40
|
| Rate for Payer: PHP Medicare Advantage |
$977.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,118.35
|
| Rate for Payer: Priority Health Medicare |
$977.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.43
|
| Rate for Payer: UHC Medicare Advantage |
$977.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,499.14
|
|
|
PR ARTHROSCOPY HIP W/FEMOROPLASTY
|
Professional
|
Both
|
$3,063.00
|
|
|
Service Code
|
HCPCS 29914
|
| Min. Negotiated Rate |
$958.71 |
| Max. Negotiated Rate |
$1,990.95 |
| Rate for Payer: Aetna Commercial |
$1,284.67
|
| Rate for Payer: Aetna Medicare |
$997.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,380.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,284.67
|
| Rate for Payer: BCBS Complete |
$1,225.20
|
| Rate for Payer: BCBS MAPPO |
$958.71
|
| Rate for Payer: BCN Medicare Advantage |
$958.71
|
| Rate for Payer: Cash Price |
$2,450.40
|
| Rate for Payer: Cash Price |
$2,450.40
|
| Rate for Payer: Cofinity Commercial |
$1,380.54
|
| Rate for Payer: Cofinity Commercial |
$1,284.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$958.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,006.65
|
| Rate for Payer: Nomi Health Commercial |
$1,150.45
|
| Rate for Payer: PACE SWMI |
$958.71
|
| Rate for Payer: PHP Commercial |
$1,342.19
|
| Rate for Payer: PHP Medicare Advantage |
$958.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,990.95
|
| Rate for Payer: Priority Health Medicare |
$958.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$958.71
|
| Rate for Payer: UHC Medicare Advantage |
$958.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,408.98
|
|
|
PR ARTHROSCOPY HIP W/LABRAL REPAIR
|
Professional
|
Both
|
$3,274.00
|
|
|
Service Code
|
HCPCS 29916
|
| Min. Negotiated Rate |
$978.52 |
| Max. Negotiated Rate |
$2,128.10 |
| Rate for Payer: Aetna Commercial |
$1,311.22
|
| Rate for Payer: Aetna Medicare |
$1,017.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,409.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,311.22
|
| Rate for Payer: BCBS Complete |
$1,309.60
|
| Rate for Payer: BCBS MAPPO |
$978.52
|
| Rate for Payer: BCN Medicare Advantage |
$978.52
|
| Rate for Payer: Cash Price |
$2,619.20
|
| Rate for Payer: Cash Price |
$2,619.20
|
| Rate for Payer: Cofinity Commercial |
$1,409.07
|
| Rate for Payer: Cofinity Commercial |
$1,311.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$978.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,027.45
|
| Rate for Payer: Nomi Health Commercial |
$1,174.22
|
| Rate for Payer: PACE SWMI |
$978.52
|
| Rate for Payer: PHP Commercial |
$1,369.93
|
| Rate for Payer: PHP Medicare Advantage |
$978.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,128.10
|
| Rate for Payer: Priority Health Medicare |
$978.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$978.52
|
| Rate for Payer: UHC Medicare Advantage |
$978.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,506.04
|
|
|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,133.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$399.51 |
| Max. Negotiated Rate |
$736.45 |
| Rate for Payer: Aetna Commercial |
$535.34
|
| Rate for Payer: Aetna Medicare |
$415.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.34
|
| Rate for Payer: BCBS Complete |
$453.20
|
| Rate for Payer: BCBS MAPPO |
$399.51
|
| Rate for Payer: BCN Medicare Advantage |
$399.51
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cash Price |
$906.40
|
| Rate for Payer: Cofinity Commercial |
$575.29
|
| Rate for Payer: Cofinity Commercial |
$535.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.49
|
| Rate for Payer: Nomi Health Commercial |
$479.41
|
| Rate for Payer: PACE SWMI |
$399.51
|
| Rate for Payer: PHP Commercial |
$559.31
|
| Rate for Payer: PHP Medicare Advantage |
$399.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.45
|
| Rate for Payer: Priority Health Medicare |
$399.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.51
|
| Rate for Payer: UHC Medicare Advantage |
$399.51
|
| Rate for Payer: UMR Bronson Commercial |
$521.18
|
|
|
PR ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE
|
Professional
|
Both
|
$1,618.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$498.35 |
| Max. Negotiated Rate |
$1,051.70 |
| Rate for Payer: Aetna Commercial |
$667.79
|
| Rate for Payer: Aetna Medicare |
$518.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.79
|
| Rate for Payer: BCBS Complete |
$647.20
|
| Rate for Payer: BCBS MAPPO |
$498.35
|
| Rate for Payer: BCN Medicare Advantage |
$498.35
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cash Price |
$1,294.40
|
| Rate for Payer: Cofinity Commercial |
$717.62
|
| Rate for Payer: Cofinity Commercial |
$667.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.27
|
| Rate for Payer: Nomi Health Commercial |
$598.02
|
| Rate for Payer: PACE SWMI |
$498.35
|
| Rate for Payer: PHP Commercial |
$697.69
|
| Rate for Payer: PHP Medicare Advantage |
$498.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.70
|
| Rate for Payer: Priority Health Medicare |
$498.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.35
|
| Rate for Payer: UHC Medicare Advantage |
$498.35
|
| Rate for Payer: UMR Bronson Commercial |
$744.28
|
|
|
PR ARTHROSCOPY KNEE LATERAL RELEASE
|
Professional
|
Both
|
$1,974.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$516.84 |
| Max. Negotiated Rate |
$1,283.10 |
| Rate for Payer: Aetna Commercial |
$692.57
|
| Rate for Payer: Aetna Medicare |
$537.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$744.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.57
|
| Rate for Payer: BCBS Complete |
$789.60
|
| Rate for Payer: BCBS MAPPO |
$516.84
|
| Rate for Payer: BCN Medicare Advantage |
$516.84
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cofinity Commercial |
$744.25
|
| Rate for Payer: Cofinity Commercial |
$692.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.68
|
| Rate for Payer: Nomi Health Commercial |
$620.21
|
| Rate for Payer: PACE SWMI |
$516.84
|
| Rate for Payer: PHP Commercial |
$723.58
|
| Rate for Payer: PHP Medicare Advantage |
$516.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.10
|
| Rate for Payer: Priority Health Medicare |
$516.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.84
|
| Rate for Payer: UHC Medicare Advantage |
$516.84
|
| Rate for Payer: UMR Bronson Commercial |
$908.04
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,003.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$1,201.20 |
| Max. Negotiated Rate |
$2,313.36 |
| Rate for Payer: Aetna Commercial |
$2,152.71
|
| Rate for Payer: Aetna Medicare |
$1,670.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,313.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,152.71
|
| Rate for Payer: BCBS Complete |
$1,201.20
|
| Rate for Payer: BCBS MAPPO |
$1,606.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,606.50
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cofinity Commercial |
$2,313.36
|
| Rate for Payer: Cofinity Commercial |
$2,152.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,606.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,686.83
|
| Rate for Payer: Nomi Health Commercial |
$1,927.80
|
| Rate for Payer: PACE SWMI |
$1,606.50
|
| Rate for Payer: PHP Commercial |
$2,249.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,606.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,951.95
|
| Rate for Payer: Priority Health Medicare |
$1,606.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,606.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,606.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,381.38
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,097.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$1,015.34 |
| Max. Negotiated Rate |
$2,013.05 |
| Rate for Payer: Aetna Commercial |
$1,360.56
|
| Rate for Payer: Aetna Medicare |
$1,055.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,360.56
|
| Rate for Payer: BCBS Complete |
$1,238.80
|
| Rate for Payer: BCBS MAPPO |
$1,015.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.34
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,462.09
|
| Rate for Payer: Cofinity Commercial |
$1,360.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,066.11
|
| Rate for Payer: Nomi Health Commercial |
$1,218.41
|
| Rate for Payer: PACE SWMI |
$1,015.34
|
| Rate for Payer: PHP Commercial |
$1,421.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,013.05
|
| Rate for Payer: Priority Health Medicare |
$1,015.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,424.62
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$906.00 |
| Max. Negotiated Rate |
$1,774.90 |
| Rate for Payer: Aetna Commercial |
$1,651.64
|
| Rate for Payer: Aetna Medicare |
$1,281.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,651.64
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$1,232.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,232.57
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,774.90
|
| Rate for Payer: Cofinity Commercial |
$1,651.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,232.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,294.20
|
| Rate for Payer: Nomi Health Commercial |
$1,479.08
|
| Rate for Payer: PACE SWMI |
$1,232.57
|
| Rate for Payer: PHP Commercial |
$1,725.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,232.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$1,232.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Commercial |
$724.77
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UMR Bronson Commercial |
$937.94
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Commercial |
$724.77
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UMR Bronson Commercial |
$937.94
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
IP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$897.16 |
| Max. Negotiated Rate |
$1,835.10 |
| Rate for Payer: Aetna American Axle |
$1,325.35
|
| Rate for Payer: Aetna Commercial |
$1,733.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,325.35
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,427.30
|
| Rate for Payer: Cofinity Commercial |
$1,753.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,427.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Healthscope Commercial |
$1,835.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,427.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,529.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: PHP Commercial |
$1,733.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health SBD |
$1,284.57
|
| Rate for Payer: UMR Bronson Commercial |
$897.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,529.25
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
OP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$754.43 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,325.35
|
| Rate for Payer: Aetna Commercial |
$1,733.15
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,325.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,427.30
|
| Rate for Payer: Cofinity Commercial |
$1,753.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,427.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,835.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,427.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,529.25
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,733.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,284.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: UMR Bronson Commercial |
$754.43
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,529.25
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$886.15 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,556.75
|
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,676.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8,907.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$6,047.48
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: UMR Bronson Commercial |
$886.15
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$630.77 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$656.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$908.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.23
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Commercial |
$883.08
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,053.80 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna American Axle |
$1,556.75
|
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,676.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,676.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,796.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,053.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,796.25
|
|
