|
PR ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG
|
Professional
|
Both
|
$2,542.00
|
|
|
Service Code
|
HCPCS 29885
|
| Min. Negotiated Rate |
$494.59 |
| Max. Negotiated Rate |
$1,652.30 |
| Rate for Payer: Aetna Commercial |
$980.12
|
| Rate for Payer: Aetna Medicare |
$760.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,053.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.12
|
| Rate for Payer: BCBS Complete |
$519.32
|
| Rate for Payer: BCBS MAPPO |
$731.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$1,112.72
|
| Rate for Payer: BCN Medicare Advantage |
$731.43
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cash Price |
$2,033.60
|
| Rate for Payer: Cofinity Commercial |
$1,053.26
|
| Rate for Payer: Cofinity Commercial |
$980.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$768.00
|
| Rate for Payer: Meridian Medicaid |
$519.32
|
| Rate for Payer: Nomi Health Commercial |
$877.72
|
| Rate for Payer: PACE SWMI |
$731.43
|
| Rate for Payer: PHP Commercial |
$1,024.00
|
| Rate for Payer: PHP Medicare Advantage |
$731.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,652.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,170.38
|
| Rate for Payer: Priority Health Medicare |
$731.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,170.38
|
| Rate for Payer: Priority Health SBD |
$1,170.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.43
|
| Rate for Payer: UHC Medicare Advantage |
$731.43
|
| Rate for Payer: UHCCP Medicaid |
$494.59
|
| Rate for Payer: UMR Bronson Commercial |
$1,169.32
|
|
|
PR ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ
|
Professional
|
Both
|
$2,525.00
|
|
|
Service Code
|
HCPCS 29887
|
| Min. Negotiated Rate |
$492.67 |
| Max. Negotiated Rate |
$1,641.25 |
| Rate for Payer: Aetna Commercial |
$976.26
|
| Rate for Payer: Aetna Medicare |
$757.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,049.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$976.26
|
| Rate for Payer: BCBS Complete |
$517.30
|
| Rate for Payer: BCBS MAPPO |
$728.55
|
| Rate for Payer: BCBS Trust/PPO |
$675.17
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$728.55
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cash Price |
$2,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,049.11
|
| Rate for Payer: Cofinity Commercial |
$976.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$764.98
|
| Rate for Payer: Meridian Medicaid |
$517.30
|
| Rate for Payer: Nomi Health Commercial |
$874.26
|
| Rate for Payer: PACE SWMI |
$728.55
|
| Rate for Payer: PHP Commercial |
$1,019.97
|
| Rate for Payer: PHP Medicare Advantage |
$728.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,641.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,166.31
|
| Rate for Payer: Priority Health Medicare |
$728.55
|
| Rate for Payer: Priority Health Narrow Network |
$1,166.31
|
| Rate for Payer: Priority Health SBD |
$1,166.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.55
|
| Rate for Payer: UHC Medicare Advantage |
$728.55
|
| Rate for Payer: UHCCP Medicaid |
$492.67
|
| Rate for Payer: UMR Bronson Commercial |
$1,161.50
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
IP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$1,139.16 |
| Max. Negotiated Rate |
$2,330.10 |
| Rate for Payer: Aetna American Axle |
$1,682.85
|
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,682.85
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$1,812.30
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,812.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,812.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,200.65
|
| Rate for Payer: PHP Commercial |
$2,200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health SBD |
$1,631.07
|
| Rate for Payer: UMR Bronson Commercial |
$1,139.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Min. Negotiated Rate |
$367.64 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.97
|
| Rate for Payer: BCBS Complete |
$386.02
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Meridian Medicaid |
$386.02
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Commercial |
$759.28
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$871.17
|
| Rate for Payer: Priority Health Medicare |
$542.34
|
| Rate for Payer: Priority Health Narrow Network |
$871.17
|
| Rate for Payer: Priority Health SBD |
$871.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UHCCP Medicaid |
$367.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,190.94
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Facility
|
OP
|
$2,589.00
|
|
|
Service Code
|
CPT 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$544.92 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$1,682.85
|
| Rate for Payer: Aetna Commercial |
$2,200.65
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,682.85
|
| 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 |
$3,443.10
|
| Rate for Payer: BCN Commercial |
$3,443.10
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$1,812.30
|
| Rate for Payer: Cofinity Commercial |
$2,226.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,812.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,071.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$2,330.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,812.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,941.75
|
| 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 |
$2,200.65
|
| 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 |
$2,200.65
|
| 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 |
$1,682.85
|
| 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 |
$1,631.07
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$599.41
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$544.92
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$957.93
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,941.75
|
|
|
PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING
|
Professional
|
Both
|
$2,589.00
|
|
|
Service Code
|
HCPCS 29880
|
| Hospital Charge Code |
29880
|
| Min. Negotiated Rate |
$367.64 |
| Max. Negotiated Rate |
$1,682.85 |
| Rate for Payer: Aetna Commercial |
$726.74
|
| Rate for Payer: Aetna Medicare |
$564.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$726.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.97
|
| Rate for Payer: BCBS Complete |
$386.02
|
| Rate for Payer: BCBS MAPPO |
$542.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$912.57
|
| Rate for Payer: BCN Medicare Advantage |
$542.34
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cash Price |
$2,071.20
|
| Rate for Payer: Cofinity Commercial |
$780.97
|
| Rate for Payer: Cofinity Commercial |
$726.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.46
|
| Rate for Payer: Meridian Medicaid |
$386.02
|
| Rate for Payer: Nomi Health Commercial |
$650.81
|
| Rate for Payer: PACE SWMI |
$542.34
|
| Rate for Payer: PHP Commercial |
$759.28
|
| Rate for Payer: PHP Medicare Advantage |
$542.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$367.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,682.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$871.17
|
| Rate for Payer: Priority Health Medicare |
$542.34
|
| Rate for Payer: Priority Health Narrow Network |
$871.17
|
| Rate for Payer: Priority Health SBD |
$871.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.34
|
| Rate for Payer: UHC Medicare Advantage |
$542.34
|
| Rate for Payer: UHCCP Medicaid |
$367.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,190.94
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$524.69 |
| Max. Negotiated Rate |
$9,991.56 |
| 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 |
$3,200.01
|
| Rate for Payer: BCN Commercial |
$3,200.01
|
| 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: 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) |
$577.16
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$524.69
|
| 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 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29881
|
| Hospital Charge Code |
29881
|
| 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 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29881
|
| Hospital Charge Code |
29881
|
| Min. Negotiated Rate |
$126.26 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: BCN Medicare Advantage |
$522.36
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$752.20
|
| Rate for Payer: Cofinity Commercial |
$699.96
|
| Rate for Payer: Aetna Commercial |
$699.96
|
| Rate for Payer: Aetna Medicare |
$543.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$699.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.20
|
| Rate for Payer: BCBS Complete |
$372.15
|
| Rate for Payer: BCBS MAPPO |
$522.36
|
| Rate for Payer: BCBS Trust/PPO |
$126.26
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.48
|
| Rate for Payer: Meridian Medicaid |
$372.15
|
| Rate for Payer: Nomi Health Commercial |
$626.83
|
| Rate for Payer: PACE SWMI |
$522.36
|
| Rate for Payer: PHP Commercial |
$731.30
|
| Rate for Payer: PHP Medicare Advantage |
$522.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.36
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.36
|
| Rate for Payer: UHC Medicare Advantage |
$522.36
|
| Rate for Payer: UHCCP Medicaid |
$354.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
|
PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29881
|
| Min. Negotiated Rate |
$126.26 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$699.96
|
| Rate for Payer: Aetna Medicare |
$543.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$699.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.20
|
| Rate for Payer: BCBS Complete |
$372.15
|
| Rate for Payer: BCBS MAPPO |
$522.36
|
| Rate for Payer: BCBS Trust/PPO |
$126.26
|
| Rate for Payer: BCN Commercial |
$878.68
|
| Rate for Payer: BCN Medicare Advantage |
$522.36
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$699.96
|
| Rate for Payer: Cofinity Commercial |
$752.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$522.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$548.48
|
| Rate for Payer: Meridian Medicaid |
$372.15
|
| Rate for Payer: Nomi Health Commercial |
$626.83
|
| Rate for Payer: PACE SWMI |
$522.36
|
| Rate for Payer: PHP Commercial |
$731.30
|
| Rate for Payer: PHP Medicare Advantage |
$522.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.61
|
| Rate for Payer: Priority Health Medicare |
$522.36
|
| Rate for Payer: Priority Health Narrow Network |
$839.61
|
| Rate for Payer: Priority Health SBD |
$839.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$522.36
|
| Rate for Payer: UHC Medicare Advantage |
$522.36
|
| Rate for Payer: UHCCP Medicaid |
$354.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
|
PR ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29904
|
| Min. Negotiated Rate |
$419.61 |
| Max. Negotiated Rate |
$12,622.63 |
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Aetna Commercial |
$831.47
|
| Rate for Payer: Aetna Medicare |
$645.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.52
|
| Rate for Payer: BCBS Complete |
$440.59
|
| Rate for Payer: BCBS MAPPO |
$620.50
|
| Rate for Payer: BCBS Trust/PPO |
$12,622.63
|
| Rate for Payer: BCN Commercial |
$941.68
|
| Rate for Payer: BCN Medicare Advantage |
$620.50
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$831.47
|
| Rate for Payer: Cofinity Commercial |
$893.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.52
|
| Rate for Payer: Meridian Medicaid |
$440.59
|
| Rate for Payer: Nomi Health Commercial |
$744.60
|
| Rate for Payer: PACE SWMI |
$620.50
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: PHP Medicare Advantage |
$620.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$990.76
|
| Rate for Payer: Priority Health Medicare |
$620.50
|
| Rate for Payer: Priority Health Narrow Network |
$990.76
|
| Rate for Payer: Priority Health SBD |
$990.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$620.50
|
| Rate for Payer: UHC Medicare Advantage |
$620.50
|
| Rate for Payer: UHCCP Medicaid |
$419.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,101.70
|
|
|
PR ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29846
|
| Min. Negotiated Rate |
$343.14 |
| Max. Negotiated Rate |
$1,401.05 |
| Rate for Payer: Aetna Commercial |
$677.36
|
| Rate for Payer: Aetna Medicare |
$525.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.91
|
| Rate for Payer: BCBS Complete |
$360.30
|
| Rate for Payer: BCBS MAPPO |
$505.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,401.05
|
| Rate for Payer: BCN Commercial |
$772.60
|
| Rate for Payer: BCN Medicare Advantage |
$505.49
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$677.36
|
| Rate for Payer: Cofinity Commercial |
$727.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$505.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$530.76
|
| Rate for Payer: Meridian Medicaid |
$360.30
|
| Rate for Payer: Nomi Health Commercial |
$606.59
|
| Rate for Payer: PACE SWMI |
$505.49
|
| Rate for Payer: PHP Commercial |
$707.69
|
| Rate for Payer: PHP Medicare Advantage |
$505.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$811.12
|
| Rate for Payer: Priority Health Medicare |
$505.49
|
| Rate for Payer: Priority Health Narrow Network |
$811.12
|
| Rate for Payer: Priority Health SBD |
$811.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$505.49
|
| Rate for Payer: UHC Medicare Advantage |
$505.49
|
| Rate for Payer: UHCCP Medicaid |
$343.14
|
| Rate for Payer: UMR Bronson Commercial |
$937.94
|
|
|
PR ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,225.00
|
|
|
Service Code
|
HCPCS 23044
|
| Min. Negotiated Rate |
$366.57 |
| Max. Negotiated Rate |
$1,094.11 |
| Rate for Payer: Aetna Commercial |
$727.12
|
| Rate for Payer: Aetna Medicare |
$564.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$781.39
|
| Rate for Payer: BCBS Complete |
$384.90
|
| Rate for Payer: BCBS MAPPO |
$542.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,094.11
|
| Rate for Payer: BCN Commercial |
$839.55
|
| Rate for Payer: BCN Medicare Advantage |
$542.63
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cofinity Commercial |
$727.12
|
| Rate for Payer: Cofinity Commercial |
$781.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$542.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$569.76
|
| Rate for Payer: Meridian Medicaid |
$384.90
|
| Rate for Payer: Nomi Health Commercial |
$651.16
|
| Rate for Payer: PACE SWMI |
$542.63
|
| Rate for Payer: PHP Commercial |
$759.68
|
| Rate for Payer: PHP Medicare Advantage |
$542.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$796.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$876.76
|
| Rate for Payer: Priority Health Medicare |
$542.63
|
| Rate for Payer: Priority Health Narrow Network |
$876.76
|
| Rate for Payer: Priority Health SBD |
$876.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$542.63
|
| Rate for Payer: UHC Medicare Advantage |
$542.63
|
| Rate for Payer: UHCCP Medicaid |
$366.57
|
| Rate for Payer: UMR Bronson Commercial |
$563.50
|
|
|
PR ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG
|
Professional
|
Both
|
$805.00
|
|
|
Service Code
|
HCPCS 23101
|
| Min. Negotiated Rate |
$39.62 |
| Max. Negotiated Rate |
$714.95 |
| Rate for Payer: Aetna Commercial |
$593.98
|
| Rate for Payer: Aetna Medicare |
$461.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$593.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$638.31
|
| Rate for Payer: BCBS Complete |
$316.47
|
| Rate for Payer: BCBS MAPPO |
$443.27
|
| Rate for Payer: BCBS Trust/PPO |
$39.62
|
| Rate for Payer: BCN Commercial |
$677.30
|
| Rate for Payer: BCN Medicare Advantage |
$443.27
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cofinity Commercial |
$593.98
|
| Rate for Payer: Cofinity Commercial |
$638.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$465.43
|
| Rate for Payer: Meridian Medicaid |
$316.47
|
| Rate for Payer: Nomi Health Commercial |
$531.92
|
| Rate for Payer: PACE SWMI |
$443.27
|
| Rate for Payer: PHP Commercial |
$620.58
|
| Rate for Payer: PHP Medicare Advantage |
$443.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$714.95
|
| Rate for Payer: Priority Health Medicare |
$443.27
|
| Rate for Payer: Priority Health Narrow Network |
$714.95
|
| Rate for Payer: Priority Health SBD |
$714.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.27
|
| Rate for Payer: UHC Medicare Advantage |
$443.27
|
| Rate for Payer: UHCCP Medicaid |
$301.40
|
| Rate for Payer: UMR Bronson Commercial |
$370.30
|
|
|
PR ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 27620
|
| Min. Negotiated Rate |
$238.79 |
| Max. Negotiated Rate |
$732.55 |
| Rate for Payer: Aetna Commercial |
$579.03
|
| Rate for Payer: Aetna Medicare |
$449.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.24
|
| Rate for Payer: BCBS Complete |
$308.42
|
| Rate for Payer: BCBS MAPPO |
$432.11
|
| Rate for Payer: BCBS Trust/PPO |
$238.79
|
| Rate for Payer: BCN Commercial |
$652.87
|
| Rate for Payer: BCN Medicare Advantage |
$432.11
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$579.03
|
| Rate for Payer: Cofinity Commercial |
$622.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.72
|
| Rate for Payer: Meridian Medicaid |
$308.42
|
| Rate for Payer: Nomi Health Commercial |
$518.53
|
| Rate for Payer: PACE SWMI |
$432.11
|
| Rate for Payer: PHP Commercial |
$604.95
|
| Rate for Payer: PHP Medicare Advantage |
$432.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$694.08
|
| Rate for Payer: Priority Health Medicare |
$432.11
|
| Rate for Payer: Priority Health Narrow Network |
$694.08
|
| Rate for Payer: Priority Health SBD |
$694.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.11
|
| Rate for Payer: UHC Medicare Advantage |
$432.11
|
| Rate for Payer: UHCCP Medicaid |
$293.73
|
| Rate for Payer: UMR Bronson Commercial |
$518.42
|
|
|
PR ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX
|
Professional
|
Both
|
$2,063.00
|
|
|
Service Code
|
HCPCS 24006
|
| Min. Negotiated Rate |
$40.33 |
| Max. Negotiated Rate |
$1,340.95 |
| Rate for Payer: Aetna Commercial |
$926.78
|
| Rate for Payer: Aetna Medicare |
$719.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$926.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$995.95
|
| Rate for Payer: BCBS Complete |
$491.36
|
| Rate for Payer: BCBS MAPPO |
$691.63
|
| Rate for Payer: BCBS Trust/PPO |
$40.33
|
| Rate for Payer: BCN Commercial |
$1,050.17
|
| Rate for Payer: BCN Medicare Advantage |
$691.63
|
| Rate for Payer: Cash Price |
$1,650.40
|
| Rate for Payer: Cash Price |
$1,650.40
|
| Rate for Payer: Cofinity Commercial |
$926.78
|
| Rate for Payer: Cofinity Commercial |
$995.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$691.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$726.21
|
| Rate for Payer: Meridian Medicaid |
$491.36
|
| Rate for Payer: Nomi Health Commercial |
$829.96
|
| Rate for Payer: PACE SWMI |
$691.63
|
| Rate for Payer: PHP Commercial |
$968.28
|
| Rate for Payer: PHP Medicare Advantage |
$691.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,340.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,106.26
|
| Rate for Payer: Priority Health Medicare |
$691.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,106.26
|
| Rate for Payer: Priority Health SBD |
$1,106.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$691.63
|
| Rate for Payer: UHC Medicare Advantage |
$691.63
|
| Rate for Payer: UHCCP Medicaid |
$467.96
|
| Rate for Payer: UMR Bronson Commercial |
$948.98
|
|
|
PR ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,038.00
|
|
|
Service Code
|
HCPCS 24000
|
| Min. Negotiated Rate |
$21.65 |
| Max. Negotiated Rate |
$1,324.70 |
| Rate for Payer: Aetna Commercial |
$623.01
|
| Rate for Payer: Aetna Medicare |
$483.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$669.50
|
| Rate for Payer: BCBS Complete |
$331.67
|
| Rate for Payer: BCBS MAPPO |
$464.93
|
| Rate for Payer: BCBS Trust/PPO |
$21.65
|
| Rate for Payer: BCN Commercial |
$708.59
|
| Rate for Payer: BCN Medicare Advantage |
$464.93
|
| Rate for Payer: Cash Price |
$1,630.40
|
| Rate for Payer: Cash Price |
$1,630.40
|
| Rate for Payer: Cofinity Commercial |
$623.01
|
| Rate for Payer: Cofinity Commercial |
$669.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$464.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.18
|
| Rate for Payer: Meridian Medicaid |
$331.67
|
| Rate for Payer: Nomi Health Commercial |
$557.92
|
| Rate for Payer: PACE SWMI |
$464.93
|
| Rate for Payer: PHP Commercial |
$650.90
|
| Rate for Payer: PHP Medicare Advantage |
$464.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$315.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,324.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$746.50
|
| Rate for Payer: Priority Health Medicare |
$464.93
|
| Rate for Payer: Priority Health Narrow Network |
$746.50
|
| Rate for Payer: Priority Health SBD |
$746.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$464.93
|
| Rate for Payer: UHC Medicare Advantage |
$464.93
|
| Rate for Payer: UHCCP Medicaid |
$315.88
|
| Rate for Payer: UMR Bronson Commercial |
$937.48
|
|
|
PR ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB
|
Professional
|
Both
|
$1,348.00
|
|
|
Service Code
|
HCPCS 24101
|
| Min. Negotiated Rate |
$57.31 |
| Max. Negotiated Rate |
$876.20 |
| Rate for Payer: Aetna Commercial |
$653.48
|
| Rate for Payer: Aetna Medicare |
$507.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$653.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$702.24
|
| Rate for Payer: BCBS Complete |
$348.44
|
| Rate for Payer: BCBS MAPPO |
$487.67
|
| Rate for Payer: BCBS Trust/PPO |
$57.31
|
| Rate for Payer: BCN Commercial |
$747.68
|
| Rate for Payer: BCN Medicare Advantage |
$487.67
|
| Rate for Payer: Cash Price |
$1,078.40
|
| Rate for Payer: Cash Price |
$1,078.40
|
| Rate for Payer: Cofinity Commercial |
$653.48
|
| Rate for Payer: Cofinity Commercial |
$702.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$487.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$512.05
|
| Rate for Payer: Meridian Medicaid |
$348.44
|
| Rate for Payer: Nomi Health Commercial |
$585.20
|
| Rate for Payer: PACE SWMI |
$487.67
|
| Rate for Payer: PHP Commercial |
$682.74
|
| Rate for Payer: PHP Medicare Advantage |
$487.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$876.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$784.66
|
| Rate for Payer: Priority Health Medicare |
$487.67
|
| Rate for Payer: Priority Health Narrow Network |
$784.66
|
| Rate for Payer: Priority Health SBD |
$784.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$487.67
|
| Rate for Payer: UHC Medicare Advantage |
$487.67
|
| Rate for Payer: UHCCP Medicaid |
$331.85
|
| Rate for Payer: UMR Bronson Commercial |
$620.08
|
|
|
PR ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT
|
Professional
|
Both
|
$1,290.00
|
|
|
Service Code
|
HCPCS 26070
|
| Min. Negotiated Rate |
$193.15 |
| Max. Negotiated Rate |
$838.50 |
| Rate for Payer: Aetna Commercial |
$419.61
|
| Rate for Payer: Aetna Medicare |
$325.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$419.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$450.92
|
| Rate for Payer: BCBS Complete |
$224.77
|
| Rate for Payer: BCBS MAPPO |
$313.14
|
| Rate for Payer: BCBS Trust/PPO |
$193.15
|
| Rate for Payer: BCN Commercial |
$479.88
|
| Rate for Payer: BCN Medicare Advantage |
$313.14
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cofinity Commercial |
$419.61
|
| Rate for Payer: Cofinity Commercial |
$450.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$313.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$328.80
|
| Rate for Payer: Meridian Medicaid |
$224.77
|
| Rate for Payer: Nomi Health Commercial |
$375.77
|
| Rate for Payer: PACE SWMI |
$313.14
|
| Rate for Payer: PHP Commercial |
$438.40
|
| Rate for Payer: PHP Medicare Advantage |
$313.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$838.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$506.82
|
| Rate for Payer: Priority Health Medicare |
$313.14
|
| Rate for Payer: Priority Health Narrow Network |
$506.82
|
| Rate for Payer: Priority Health SBD |
$506.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$313.14
|
| Rate for Payer: UHC Medicare Advantage |
$313.14
|
| Rate for Payer: UHCCP Medicaid |
$214.07
|
| Rate for Payer: UMR Bronson Commercial |
$593.40
|
|
|
PR ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA
|
Professional
|
Both
|
$1,089.00
|
|
|
Service Code
|
HCPCS 26080
|
| Min. Negotiated Rate |
$132.87 |
| Max. Negotiated Rate |
$707.85 |
| Rate for Payer: Aetna Commercial |
$517.21
|
| Rate for Payer: Aetna Medicare |
$401.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$517.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$555.81
|
| Rate for Payer: BCBS Complete |
$277.78
|
| Rate for Payer: BCBS MAPPO |
$385.98
|
| Rate for Payer: BCBS Trust/PPO |
$132.87
|
| Rate for Payer: BCN Commercial |
$592.28
|
| Rate for Payer: BCN Medicare Advantage |
$385.98
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cash Price |
$871.20
|
| Rate for Payer: Cofinity Commercial |
$517.21
|
| Rate for Payer: Cofinity Commercial |
$555.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$385.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$405.28
|
| Rate for Payer: Meridian Medicaid |
$277.78
|
| Rate for Payer: Nomi Health Commercial |
$463.18
|
| Rate for Payer: PACE SWMI |
$385.98
|
| Rate for Payer: PHP Commercial |
$540.37
|
| Rate for Payer: PHP Medicare Advantage |
$385.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$625.38
|
| Rate for Payer: Priority Health Medicare |
$385.98
|
| Rate for Payer: Priority Health Narrow Network |
$625.38
|
| Rate for Payer: Priority Health SBD |
$625.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$385.98
|
| Rate for Payer: UHC Medicare Advantage |
$385.98
|
| Rate for Payer: UHCCP Medicaid |
$264.55
|
| Rate for Payer: UMR Bronson Commercial |
$500.94
|
|
|
PR ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA
|
Professional
|
Both
|
$573.00
|
|
|
Service Code
|
HCPCS 26075
|
| Min. Negotiated Rate |
$120.56 |
| Max. Negotiated Rate |
$530.74 |
| Rate for Payer: Aetna Commercial |
$439.56
|
| Rate for Payer: Aetna Medicare |
$341.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$472.36
|
| Rate for Payer: BCBS Complete |
$235.72
|
| Rate for Payer: BCBS MAPPO |
$328.03
|
| Rate for Payer: BCBS Trust/PPO |
$120.56
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: BCN Medicare Advantage |
$328.03
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cofinity Commercial |
$439.56
|
| Rate for Payer: Cofinity Commercial |
$472.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$344.43
|
| Rate for Payer: Meridian Medicaid |
$235.72
|
| Rate for Payer: Nomi Health Commercial |
$393.64
|
| Rate for Payer: PACE SWMI |
$328.03
|
| Rate for Payer: PHP Commercial |
$459.24
|
| Rate for Payer: PHP Medicare Advantage |
$328.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$372.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$530.74
|
| Rate for Payer: Priority Health Medicare |
$328.03
|
| Rate for Payer: Priority Health Narrow Network |
$530.74
|
| Rate for Payer: Priority Health SBD |
$530.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.03
|
| Rate for Payer: UHC Medicare Advantage |
$328.03
|
| Rate for Payer: UHCCP Medicaid |
$224.50
|
| Rate for Payer: UMR Bronson Commercial |
$263.58
|
|
|
PR ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB
|
Professional
|
Both
|
$1,255.00
|
|
|
Service Code
|
HCPCS 23107
|
| Min. Negotiated Rate |
$24.83 |
| Max. Negotiated Rate |
$1,031.46 |
| Rate for Payer: Aetna Commercial |
$861.26
|
| Rate for Payer: Aetna Medicare |
$668.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.53
|
| Rate for Payer: BCBS Complete |
$456.92
|
| Rate for Payer: BCBS MAPPO |
$642.73
|
| Rate for Payer: BCBS Trust/PPO |
$24.83
|
| Rate for Payer: BCN Commercial |
$976.37
|
| Rate for Payer: BCN Medicare Advantage |
$642.73
|
| Rate for Payer: Cash Price |
$1,004.00
|
| Rate for Payer: Cash Price |
$1,004.00
|
| Rate for Payer: Cofinity Commercial |
$861.26
|
| Rate for Payer: Cofinity Commercial |
$925.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$642.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$674.87
|
| Rate for Payer: Meridian Medicaid |
$456.92
|
| Rate for Payer: Nomi Health Commercial |
$771.28
|
| Rate for Payer: PACE SWMI |
$642.73
|
| Rate for Payer: PHP Commercial |
$899.82
|
| Rate for Payer: PHP Medicare Advantage |
$642.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$435.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$815.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,031.46
|
| Rate for Payer: Priority Health Medicare |
$642.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,031.46
|
| Rate for Payer: Priority Health SBD |
$1,031.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$642.73
|
| Rate for Payer: UHC Medicare Advantage |
$642.73
|
| Rate for Payer: UHCCP Medicaid |
$435.16
|
| Rate for Payer: UMR Bronson Commercial |
$577.30
|
|
|
PR ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX
|
Professional
|
Both
|
$1,001.00
|
|
|
Service Code
|
HCPCS 23106
|
| Min. Negotiated Rate |
$151.62 |
| Max. Negotiated Rate |
$784.15 |
| Rate for Payer: Aetna Commercial |
$652.37
|
| Rate for Payer: Aetna Medicare |
$506.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$652.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$701.05
|
| Rate for Payer: BCBS Complete |
$348.00
|
| Rate for Payer: BCBS MAPPO |
$486.84
|
| Rate for Payer: BCBS Trust/PPO |
$151.62
|
| Rate for Payer: BCN Commercial |
$744.75
|
| Rate for Payer: BCN Medicare Advantage |
$486.84
|
| Rate for Payer: Cash Price |
$800.80
|
| Rate for Payer: Cash Price |
$800.80
|
| Rate for Payer: Cofinity Commercial |
$652.37
|
| Rate for Payer: Cofinity Commercial |
$701.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$511.18
|
| Rate for Payer: Meridian Medicaid |
$348.00
|
| Rate for Payer: Nomi Health Commercial |
$584.21
|
| Rate for Payer: PACE SWMI |
$486.84
|
| Rate for Payer: PHP Commercial |
$681.58
|
| Rate for Payer: PHP Medicare Advantage |
$486.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$650.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$784.15
|
| Rate for Payer: Priority Health Medicare |
$486.84
|
| Rate for Payer: Priority Health Narrow Network |
$784.15
|
| Rate for Payer: Priority Health SBD |
$784.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.84
|
| Rate for Payer: UHC Medicare Advantage |
$486.84
|
| Rate for Payer: UHCCP Medicaid |
$331.43
|
| Rate for Payer: UMR Bronson Commercial |
$460.46
|
|
|
PR ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY
|
Professional
|
Both
|
$1,134.00
|
|
|
Service Code
|
HCPCS 23105
|
| Min. Negotiated Rate |
$85.58 |
| Max. Negotiated Rate |
$995.85 |
| Rate for Payer: Aetna Commercial |
$831.32
|
| Rate for Payer: Aetna Medicare |
$645.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.36
|
| Rate for Payer: BCBS Complete |
$441.26
|
| Rate for Payer: BCBS MAPPO |
$620.39
|
| Rate for Payer: BCBS Trust/PPO |
$85.58
|
| Rate for Payer: BCN Commercial |
$943.64
|
| Rate for Payer: BCN Medicare Advantage |
$620.39
|
| Rate for Payer: Cash Price |
$907.20
|
| Rate for Payer: Cash Price |
$907.20
|
| Rate for Payer: Cofinity Commercial |
$831.32
|
| Rate for Payer: Cofinity Commercial |
$893.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.41
|
| Rate for Payer: Meridian Medicaid |
$441.26
|
| Rate for Payer: Nomi Health Commercial |
$744.47
|
| Rate for Payer: PACE SWMI |
$620.39
|
| Rate for Payer: PHP Commercial |
$868.55
|
| Rate for Payer: PHP Medicare Advantage |
$620.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$420.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$995.85
|
| Rate for Payer: Priority Health Medicare |
$620.39
|
| Rate for Payer: Priority Health Narrow Network |
$995.85
|
| Rate for Payer: Priority Health SBD |
$995.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$620.39
|
| Rate for Payer: UHC Medicare Advantage |
$620.39
|
| Rate for Payer: UHCCP Medicaid |
$420.25
|
| Rate for Payer: UMR Bronson Commercial |
$521.64
|
|
|
PR ARTHRT KNE W/EXPL DRG/RMVL FB
|
Facility
|
IP
|
$2,691.00
|
|
|
Service Code
|
CPT 27310
|
| Hospital Charge Code |
27310
|
| Min. Negotiated Rate |
$1,184.04 |
| Max. Negotiated Rate |
$2,421.90 |
| Rate for Payer: Aetna American Axle |
$1,749.15
|
| Rate for Payer: Aetna Commercial |
$2,287.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,749.15
|
| Rate for Payer: Cash Price |
$2,152.80
|
| Rate for Payer: Cofinity Commercial |
$1,883.70
|
| Rate for Payer: Cofinity Commercial |
$2,314.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,883.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,152.80
|
| Rate for Payer: Healthscope Commercial |
$2,421.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,883.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,018.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,287.35
|
| Rate for Payer: PHP Commercial |
$2,287.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,749.15
|
| Rate for Payer: Priority Health SBD |
$1,695.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,184.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,018.25
|
|
