|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,097.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$685.01 |
| 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) |
$1,360.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.09
|
| Rate for Payer: BCBS Complete |
$719.26
|
| Rate for Payer: BCBS MAPPO |
$1,015.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$1,543.73
|
| 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 |
$1,360.56
|
| Rate for Payer: Cofinity Commercial |
$1,462.09
|
| 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: Meridian Medicaid |
$719.26
|
| 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 Choice Medicaid |
$685.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,013.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,621.74
|
| Rate for Payer: Priority Health Medicare |
$1,015.34
|
| Rate for Payer: Priority Health Narrow Network |
$1,621.74
|
| Rate for Payer: Priority Health SBD |
$1,621.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.34
|
| Rate for Payer: UHCCP Medicaid |
$685.01
|
| 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 |
$509.81 |
| Max. Negotiated Rate |
$1,965.22 |
| Rate for Payer: Aetna Commercial |
$1,651.64
|
| Rate for Payer: Aetna Medicare |
$1,281.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,651.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,774.90
|
| Rate for Payer: BCBS Complete |
$871.12
|
| Rate for Payer: BCBS MAPPO |
$1,232.57
|
| Rate for Payer: BCBS Trust/PPO |
$509.81
|
| Rate for Payer: BCN Commercial |
$1,872.13
|
| 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 |
$1,651.64
|
| Rate for Payer: Cofinity Commercial |
$1,774.90
|
| 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: Meridian Medicaid |
$871.12
|
| 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 Choice Medicaid |
$829.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,965.22
|
| Rate for Payer: Priority Health Medicare |
$1,232.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,965.22
|
| Rate for Payer: Priority Health SBD |
$1,965.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.57
|
| Rate for Payer: UHCCP Medicaid |
$829.64
|
| 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 |
$350.60 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: BCBS Complete |
$368.13
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| 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: Meridian Medicaid |
$368.13
|
| 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 Choice Medicaid |
$350.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.54
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: Priority Health Narrow Network |
$834.54
|
| Rate for Payer: Priority Health SBD |
$834.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UHCCP Medicaid |
$350.60
|
| 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 |
$350.60 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$538.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.47
|
| Rate for Payer: BCBS Complete |
$368.13
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| 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: Meridian Medicaid |
$368.13
|
| 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 Choice Medicaid |
$350.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$834.54
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: Priority Health Narrow Network |
$834.54
|
| Rate for Payer: Priority Health SBD |
$834.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UHCCP Medicaid |
$350.60
|
| 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 |
$522.60 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Aetna American Axle |
$1,325.35
|
| Rate for Payer: Aetna Commercial |
$1,733.15
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,325.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,214.78
|
| Rate for Payer: BCN Commercial |
$2,214.78
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,631.20
|
| 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 |
$3,179.00
|
| 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 |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,733.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,284.57
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$574.86
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$522.60
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$754.43
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,529.25
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$426.64 |
| 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) |
$845.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$908.31
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| 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: Meridian Medicaid |
$447.97
|
| 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 Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,010.09
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,010.09
|
| Rate for Payer: Priority Health SBD |
$1,010.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP Medicaid |
$426.64
|
| 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
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$633.16 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: BCN Commercial |
$3,598.98
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| 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: Aetna American Axle |
$1,556.75
|
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,598.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| 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: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$696.48
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$633.16
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$886.15
|
| Rate for Payer: VA VA |
$3,179.00
|
| 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
|
| Min. Negotiated Rate |
$426.64 |
| 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) |
$845.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$908.31
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| 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: Meridian Medicaid |
$447.97
|
| 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 Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,010.09
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,010.09
|
| Rate for Payer: Priority Health SBD |
$1,010.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP Medicaid |
$426.64
|
| 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
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$325.46 |
| 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) |
$642.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| 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: Meridian Medicaid |
$341.73
|
| 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 Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$770.93
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: Priority Health Narrow Network |
$770.93
|
| Rate for Payer: Priority Health SBD |
$770.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
| Rate for Payer: UMR Bronson Commercial |
$863.42
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$325.46 |
| 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) |
$642.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$690.87
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| 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: Meridian Medicaid |
$341.73
|
| 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 Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$770.93
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: Priority Health Narrow Network |
$770.93
|
| Rate for Payer: Priority Health SBD |
$770.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
| 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 |
$481.87 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,220.05
|
| Rate for Payer: Aetna Commercial |
$1,595.45
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,220.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,401.48
|
| Rate for Payer: BCN Commercial |
$3,401.48
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,501.60
|
| 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 |
$3,179.00
|
| 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 |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,595.45
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,182.51
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$530.06
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$481.87
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$694.49
|
| Rate for Payer: VA VA |
$3,179.00
|
| 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
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$405.13 |
| 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) |
$801.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| 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: Meridian Medicaid |
$425.39
|
| 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 Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.71
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: Priority Health Narrow Network |
$959.71
|
| Rate for Payer: Priority Health SBD |
$959.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,041.90
|
|
|
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/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$405.13 |
| 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) |
$801.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.42
|
| Rate for Payer: BCBS Complete |
$425.39
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| 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: Meridian Medicaid |
$425.39
|
| 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 Choice Medicaid |
$405.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.71
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: Priority Health Narrow Network |
$959.71
|
| Rate for Payer: Priority Health SBD |
$959.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP Medicaid |
$405.13
|
| 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 |
$600.96 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,472.25
|
| Rate for Payer: Aetna Commercial |
$1,925.25
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,472.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,214.78
|
| Rate for Payer: BCN Commercial |
$2,214.78
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| 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 |
$3,179.00
|
| 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: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,925.25
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,426.95
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$661.06
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$600.96
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$838.05
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,698.75
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
OP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$817.43 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Priority Health SBD |
$1,737.54
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$899.17
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$817.43
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,020.46
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Aetna American Axle |
$1,792.70
|
| Rate for Payer: Aetna Commercial |
$2,344.30
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,792.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,558.76
|
| Rate for Payer: BCN Commercial |
$2,558.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$2,206.40
|
| 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 |
$3,179.00
|
| 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 |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$2,344.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,068.50
|
|
|
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 |
$545.92 |
| 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) |
$1,083.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: BCBS Complete |
$573.22
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| 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: Meridian Medicaid |
$573.22
|
| 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 Choice Medicaid |
$545.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.65
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.65
|
| Rate for Payer: Priority Health SBD |
$1,300.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP Medicaid |
$545.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.68
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$545.92 |
| 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) |
$1,083.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,164.80
|
| Rate for Payer: BCBS Complete |
$573.22
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| 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: Meridian Medicaid |
$573.22
|
| 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 Choice Medicaid |
$545.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.65
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.65
|
| Rate for Payer: Priority Health SBD |
$1,300.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP Medicaid |
$545.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,268.68
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
OP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$667.38 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,578.20
|
| Rate for Payer: Aetna Commercial |
$2,063.80
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,578.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$4,687.44
|
| Rate for Payer: BCN Commercial |
$4,687.44
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,942.40
|
| 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 |
$3,179.00
|
| 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 |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,063.80
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$2,063.80
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$1,529.64
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$734.12
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$667.38
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$898.36
|
| Rate for Payer: VA VA |
$3,179.00
|
| 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 |
$321.77 |
| 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) |
$890.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.11
|
| Rate for Payer: BCBS Complete |
$471.45
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| 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: Meridian Medicaid |
$471.45
|
| 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 Choice Medicaid |
$449.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,063.52
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,063.52
|
| Rate for Payer: Priority Health SBD |
$1,063.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP Medicaid |
$449.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$321.77 |
| 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) |
$890.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.11
|
| Rate for Payer: BCBS Complete |
$471.45
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| 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: Meridian Medicaid |
$471.45
|
| 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 Choice Medicaid |
$449.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,063.52
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,063.52
|
| Rate for Payer: Priority Health SBD |
$1,063.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP Medicaid |
$449.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
