|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 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 |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| 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 LIMITED SPX
|
Facility
|
IP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$825.88 |
| Max. Negotiated Rate |
$1,689.30 |
| Rate for Payer: Aetna American Axle |
$1,220.05
|
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.05
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,313.90
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,313.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,313.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,407.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health SBD |
$1,182.51
|
| Rate for Payer: UMR Bronson Commercial |
$825.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,407.75
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.89
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Commercial |
$671.68
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UMR Bronson Commercial |
$863.42
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$498.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$642.89
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Commercial |
$671.68
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UMR Bronson Commercial |
$863.42
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$694.49 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,220.05
|
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.05
|
| 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 |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,313.90
|
| Rate for Payer: Cofinity Commercial |
$1,614.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,313.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,689.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,313.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,407.75
|
| 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 |
$1,595.45
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| 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 |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,182.51
|
| 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 |
$694.49
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,407.75
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.60
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Commercial |
$837.49
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$622.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.60
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Commercial |
$837.49
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$838.05 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,472.25
|
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| 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 |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,585.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| 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 |
$1,925.25
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| 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 |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| 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 |
$838.05
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$996.60 |
| Max. Negotiated Rate |
$2,038.50 |
| Rate for Payer: Aetna American Axle |
$1,472.25
|
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,585.50
|
| Rate for Payer: Cofinity Commercial |
$1,947.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,585.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Healthscope Commercial |
$2,038.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,585.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,698.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| Rate for Payer: UMR Bronson Commercial |
$996.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,083.91
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Commercial |
$1,132.45
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.68
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
IP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,213.52 |
| Max. Negotiated Rate |
$2,482.20 |
| Rate for Payer: Aetna American Axle |
$1,792.70
|
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,792.70
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,930.60
|
| Rate for Payer: Cofinity Commercial |
$2,371.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,930.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Healthscope Commercial |
$2,482.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,930.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,068.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health SBD |
$1,737.54
|
| Rate for Payer: UMR Bronson Commercial |
$1,213.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,068.50
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$841.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,083.91
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Commercial |
$1,132.45
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.68
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
OP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,020.46 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,792.70
|
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,792.70
|
| 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 |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,930.60
|
| Rate for Payer: Cofinity Commercial |
$2,371.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,930.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,482.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,930.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,068.50
|
| 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 |
$2,344.30
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| 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 |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,737.54
|
| 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 |
$1,020.46
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,068.50
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
IP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$1,068.32 |
| Max. Negotiated Rate |
$2,185.20 |
| Rate for Payer: Aetna American Axle |
$1,578.20
|
| Rate for Payer: Aetna Commercial |
$2,063.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,578.20
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$1,699.60
|
| Rate for Payer: Cofinity Commercial |
$2,088.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,699.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,942.40
|
| Rate for Payer: Healthscope Commercial |
$2,185.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,699.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,821.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,063.80
|
| Rate for Payer: PHP Commercial |
$2,063.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health SBD |
$1,529.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,068.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,821.00
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$664.66 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$691.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.64
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Commercial |
$930.52
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
OP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$898.36 |
| Max. Negotiated Rate |
$8,907.47 |
| Rate for Payer: Aetna American Axle |
$1,578.20
|
| Rate for Payer: Aetna Commercial |
$2,063.80
|
| Rate for Payer: Aetna Medicare |
$3,290.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,578.20
|
| 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 |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$1,699.60
|
| Rate for Payer: Cofinity Commercial |
$2,088.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,699.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,942.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,185.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,699.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,821.00
|
| 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 |
$2,063.80
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$2,063.80
|
| 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 |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health SBD |
$1,529.64
|
| 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 |
$898.36
|
| Rate for Payer: VA VA |
$3,164.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,821.00
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$664.66 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$691.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.64
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Commercial |
$930.52
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$640.67 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$858.50
|
| Rate for Payer: Aetna Medicare |
$666.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$922.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$858.50
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$640.67
|
| Rate for Payer: BCN Medicare Advantage |
$640.67
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$922.56
|
| Rate for Payer: Cofinity Commercial |
$858.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$640.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$672.70
|
| Rate for Payer: Nomi Health Commercial |
$768.80
|
| Rate for Payer: PACE SWMI |
$640.67
|
| Rate for Payer: PHP Commercial |
$896.94
|
| Rate for Payer: PHP Medicare Advantage |
$640.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$640.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$640.67
|
| Rate for Payer: UHC Medicare Advantage |
$640.67
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$366.80 |
| Max. Negotiated Rate |
$635.17 |
| Rate for Payer: Aetna Commercial |
$591.06
|
| Rate for Payer: Aetna Medicare |
$458.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$635.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$591.06
|
| Rate for Payer: BCBS Complete |
$366.80
|
| Rate for Payer: BCBS MAPPO |
$441.09
|
| Rate for Payer: BCN Medicare Advantage |
$441.09
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cofinity Commercial |
$635.17
|
| Rate for Payer: Cofinity Commercial |
$591.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$463.14
|
| Rate for Payer: Nomi Health Commercial |
$529.31
|
| Rate for Payer: PACE SWMI |
$441.09
|
| Rate for Payer: PHP Commercial |
$617.53
|
| Rate for Payer: PHP Medicare Advantage |
$441.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.05
|
| Rate for Payer: Priority Health Medicare |
$441.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$441.09
|
| Rate for Payer: UHC Medicare Advantage |
$441.09
|
| Rate for Payer: UMR Bronson Commercial |
$421.82
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,886.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$471.58 |
| Max. Negotiated Rate |
$1,225.90 |
| Rate for Payer: Aetna Commercial |
$631.92
|
| Rate for Payer: Aetna Medicare |
$490.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$679.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$631.92
|
| Rate for Payer: BCBS Complete |
$754.40
|
| Rate for Payer: BCBS MAPPO |
$471.58
|
| Rate for Payer: BCN Medicare Advantage |
$471.58
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cash Price |
$1,508.80
|
| Rate for Payer: Cofinity Commercial |
$679.08
|
| Rate for Payer: Cofinity Commercial |
$631.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$471.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$495.16
|
| Rate for Payer: Nomi Health Commercial |
$565.90
|
| Rate for Payer: PACE SWMI |
$471.58
|
| Rate for Payer: PHP Commercial |
$660.21
|
| Rate for Payer: PHP Medicare Advantage |
$471.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.90
|
| Rate for Payer: Priority Health Medicare |
$471.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$471.58
|
| Rate for Payer: UHC Medicare Advantage |
$471.58
|
| Rate for Payer: UMR Bronson Commercial |
$867.56
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$566.19 |
| Max. Negotiated Rate |
$1,319.50 |
| Rate for Payer: Aetna Commercial |
$758.69
|
| Rate for Payer: Aetna Medicare |
$588.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.69
|
| Rate for Payer: BCBS Complete |
$812.00
|
| Rate for Payer: BCBS MAPPO |
$566.19
|
| Rate for Payer: BCN Medicare Advantage |
$566.19
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$815.31
|
| Rate for Payer: Cofinity Commercial |
$758.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$594.50
|
| Rate for Payer: Nomi Health Commercial |
$679.43
|
| Rate for Payer: PACE SWMI |
$566.19
|
| Rate for Payer: PHP Commercial |
$792.67
|
| Rate for Payer: PHP Medicare Advantage |
$566.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,319.50
|
| Rate for Payer: Priority Health Medicare |
$566.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$566.19
|
| Rate for Payer: UHC Medicare Advantage |
$566.19
|
| Rate for Payer: UMR Bronson Commercial |
$933.80
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$484.99 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$649.89
|
| Rate for Payer: Aetna Medicare |
$504.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.89
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$484.99
|
| Rate for Payer: BCN Medicare Advantage |
$484.99
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$698.39
|
| Rate for Payer: Cofinity Commercial |
$649.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$484.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.24
|
| Rate for Payer: Nomi Health Commercial |
$581.99
|
| Rate for Payer: PACE SWMI |
$484.99
|
| Rate for Payer: PHP Commercial |
$678.99
|
| Rate for Payer: PHP Medicare Advantage |
$484.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$484.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$484.99
|
| Rate for Payer: UHC Medicare Advantage |
$484.99
|
| Rate for Payer: UMR Bronson Commercial |
$863.42
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,188.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$526.83 |
| Max. Negotiated Rate |
$1,422.20 |
| Rate for Payer: Aetna Commercial |
$705.95
|
| Rate for Payer: Aetna Medicare |
$547.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$705.95
|
| Rate for Payer: BCBS Complete |
$875.20
|
| Rate for Payer: BCBS MAPPO |
$526.83
|
| Rate for Payer: BCN Medicare Advantage |
$526.83
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cash Price |
$1,750.40
|
| Rate for Payer: Cofinity Commercial |
$758.64
|
| Rate for Payer: Cofinity Commercial |
$705.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$553.17
|
| Rate for Payer: Nomi Health Commercial |
$632.20
|
| Rate for Payer: PACE SWMI |
$526.83
|
| Rate for Payer: PHP Commercial |
$737.56
|
| Rate for Payer: PHP Medicare Advantage |
$526.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,422.20
|
| Rate for Payer: Priority Health Medicare |
$526.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.83
|
| Rate for Payer: UHC Medicare Advantage |
$526.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,006.48
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$621.87 |
| Max. Negotiated Rate |
$1,437.15 |
| Rate for Payer: Aetna Commercial |
$833.31
|
| Rate for Payer: Aetna Medicare |
$646.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.31
|
| Rate for Payer: BCBS Complete |
$884.40
|
| Rate for Payer: BCBS MAPPO |
$621.87
|
| Rate for Payer: BCN Medicare Advantage |
$621.87
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cofinity Commercial |
$895.49
|
| Rate for Payer: Cofinity Commercial |
$833.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$652.96
|
| Rate for Payer: Nomi Health Commercial |
$746.24
|
| Rate for Payer: PACE SWMI |
$621.87
|
| Rate for Payer: PHP Commercial |
$870.62
|
| Rate for Payer: PHP Medicare Advantage |
$621.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.15
|
| Rate for Payer: Priority Health Medicare |
$621.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$621.87
|
| Rate for Payer: UHC Medicare Advantage |
$621.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,017.06
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$272.14 |
| Max. Negotiated Rate |
$475.14 |
| Rate for Payer: Aetna Commercial |
$442.15
|
| Rate for Payer: Aetna Medicare |
$343.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.15
|
| Rate for Payer: BCBS Complete |
$272.14
|
| Rate for Payer: BCBS MAPPO |
$329.96
|
| Rate for Payer: BCN Medicare Advantage |
$329.96
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cofinity Commercial |
$442.15
|
| Rate for Payer: Cofinity Commercial |
$475.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.46
|
| Rate for Payer: Nomi Health Commercial |
$395.95
|
| Rate for Payer: PACE SWMI |
$329.96
|
| Rate for Payer: PHP Commercial |
$461.94
|
| Rate for Payer: PHP Medicare Advantage |
$329.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health Medicare |
$329.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.96
|
| Rate for Payer: UHC Medicare Advantage |
$329.96
|
| Rate for Payer: UMR Bronson Commercial |
$312.96
|
|
