|
PR CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK
|
Professional
|
Both
|
$521.00
|
|
|
Service Code
|
HCPCS 54150
|
| Min. Negotiated Rate |
$61.13 |
| Max. Negotiated Rate |
$1,797.28 |
| Rate for Payer: Aetna Commercial |
$123.39
|
| Rate for Payer: Aetna Medicare |
$95.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.60
|
| Rate for Payer: BCBS Complete |
$64.19
|
| Rate for Payer: BCBS MAPPO |
$92.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,797.28
|
| Rate for Payer: BCN Commercial |
$216.98
|
| Rate for Payer: BCN Medicare Advantage |
$92.08
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$123.39
|
| Rate for Payer: Cofinity Commercial |
$132.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.68
|
| Rate for Payer: Meridian Medicaid |
$64.19
|
| Rate for Payer: Nomi Health Commercial |
$110.50
|
| Rate for Payer: PACE SWMI |
$92.08
|
| Rate for Payer: PHP Commercial |
$128.91
|
| Rate for Payer: PHP Medicare Advantage |
$92.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$151.79
|
| Rate for Payer: Priority Health Medicare |
$92.08
|
| Rate for Payer: Priority Health Narrow Network |
$151.79
|
| Rate for Payer: Priority Health SBD |
$151.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.08
|
| Rate for Payer: UHC Medicare Advantage |
$92.08
|
| Rate for Payer: UHCCP Medicaid |
$61.13
|
| Rate for Payer: UMR Bronson Commercial |
$239.66
|
|
|
PR CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX
|
Professional
|
Both
|
$479.00
|
|
|
Service Code
|
HCPCS 61050
|
| Min. Negotiated Rate |
$51.33 |
| Max. Negotiated Rate |
$519.32 |
| Rate for Payer: Aetna Commercial |
$102.70
|
| Rate for Payer: Aetna Medicare |
$79.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.36
|
| Rate for Payer: BCBS Complete |
$53.90
|
| Rate for Payer: BCBS MAPPO |
$76.64
|
| Rate for Payer: BCBS Trust/PPO |
$519.32
|
| Rate for Payer: BCN Commercial |
$115.82
|
| Rate for Payer: BCN Medicare Advantage |
$76.64
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$102.70
|
| Rate for Payer: Cofinity Commercial |
$110.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.47
|
| Rate for Payer: Meridian Medicaid |
$53.90
|
| Rate for Payer: Nomi Health Commercial |
$91.97
|
| Rate for Payer: PACE SWMI |
$76.64
|
| Rate for Payer: PHP Commercial |
$107.30
|
| Rate for Payer: PHP Medicare Advantage |
$76.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.78
|
| Rate for Payer: Priority Health Medicare |
$76.64
|
| Rate for Payer: Priority Health Narrow Network |
$134.78
|
| Rate for Payer: Priority Health SBD |
$134.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.64
|
| Rate for Payer: UHC Medicare Advantage |
$76.64
|
| Rate for Payer: UHCCP Medicaid |
$51.33
|
| Rate for Payer: UMR Bronson Commercial |
$220.34
|
|
|
PR CLAVICULECTOMY PARTIAL
|
Professional
|
Both
|
$1,092.00
|
|
|
Service Code
|
HCPCS 23120
|
| Min. Negotiated Rate |
$34.34 |
| Max. Negotiated Rate |
$956.69 |
| Rate for Payer: Aetna Commercial |
$760.70
|
| Rate for Payer: Aetna Medicare |
$590.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$817.47
|
| Rate for Payer: BCBS Complete |
$405.26
|
| Rate for Payer: BCBS MAPPO |
$567.69
|
| Rate for Payer: BCBS Trust/PPO |
$34.34
|
| Rate for Payer: BCN Commercial |
$956.69
|
| Rate for Payer: BCN Medicare Advantage |
$567.69
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cofinity Commercial |
$760.70
|
| Rate for Payer: Cofinity Commercial |
$817.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$596.07
|
| Rate for Payer: Meridian Medicaid |
$405.26
|
| Rate for Payer: Nomi Health Commercial |
$681.23
|
| Rate for Payer: PACE SWMI |
$567.69
|
| Rate for Payer: PHP Commercial |
$794.77
|
| Rate for Payer: PHP Medicare Advantage |
$567.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$709.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$915.96
|
| Rate for Payer: Priority Health Medicare |
$567.69
|
| Rate for Payer: Priority Health Narrow Network |
$915.96
|
| Rate for Payer: Priority Health SBD |
$915.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$567.69
|
| Rate for Payer: UHC Medicare Advantage |
$567.69
|
| Rate for Payer: UHCCP Medicaid |
$385.96
|
| Rate for Payer: UMR Bronson Commercial |
$502.32
|
|
|
PR CLAVICULECTOMY TOTAL
|
Professional
|
Both
|
$1,599.00
|
|
|
Service Code
|
HCPCS 23125
|
| Min. Negotiated Rate |
$44.38 |
| Max. Negotiated Rate |
$1,100.67 |
| Rate for Payer: Aetna Commercial |
$920.77
|
| Rate for Payer: Aetna Medicare |
$714.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$989.48
|
| Rate for Payer: BCBS Complete |
$487.78
|
| Rate for Payer: BCBS MAPPO |
$687.14
|
| Rate for Payer: BCBS Trust/PPO |
$44.38
|
| Rate for Payer: BCN Commercial |
$1,047.24
|
| Rate for Payer: BCN Medicare Advantage |
$687.14
|
| Rate for Payer: Cash Price |
$1,279.20
|
| Rate for Payer: Cash Price |
$1,279.20
|
| Rate for Payer: Cofinity Commercial |
$920.77
|
| Rate for Payer: Cofinity Commercial |
$989.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.50
|
| Rate for Payer: Meridian Medicaid |
$487.78
|
| Rate for Payer: Nomi Health Commercial |
$824.57
|
| Rate for Payer: PACE SWMI |
$687.14
|
| Rate for Payer: PHP Commercial |
$962.00
|
| Rate for Payer: PHP Medicare Advantage |
$687.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,039.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,100.67
|
| Rate for Payer: Priority Health Medicare |
$687.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,100.67
|
| Rate for Payer: Priority Health SBD |
$1,100.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.14
|
| Rate for Payer: UHC Medicare Advantage |
$687.14
|
| Rate for Payer: UHCCP Medicaid |
$464.55
|
| Rate for Payer: UMR Bronson Commercial |
$735.54
|
|
|
PR CLOSED RX PELVIC RING FX/SUBLUX
|
Professional
|
Both
|
$970.00
|
|
|
Service Code
|
HCPCS 27193
|
| Min. Negotiated Rate |
$388.00 |
| Max. Negotiated Rate |
$630.50 |
| Rate for Payer: Aetna Medicare |
$485.00
|
| Rate for Payer: BCBS Complete |
$388.00
|
| Rate for Payer: Cash Price |
$776.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$630.50
|
| Rate for Payer: UMR Bronson Commercial |
$446.20
|
|
|
PR CLOSED RX PELV RING FX/SUBLUX,MANIP
|
Professional
|
Both
|
$1,941.00
|
|
|
Service Code
|
HCPCS 27194
|
| Min. Negotiated Rate |
$776.40 |
| Max. Negotiated Rate |
$1,261.65 |
| Rate for Payer: Aetna Medicare |
$970.50
|
| Rate for Payer: BCBS Complete |
$776.40
|
| Rate for Payer: Cash Price |
$1,552.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,261.65
|
| Rate for Payer: UMR Bronson Commercial |
$892.86
|
|
|
PR CLOSED RX RIB FRACTURE
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 21800
|
| Min. Negotiated Rate |
$89.60 |
| Max. Negotiated Rate |
$145.60 |
| Rate for Payer: Aetna Medicare |
$112.00
|
| Rate for Payer: BCBS Complete |
$89.60
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
|
|
PR CLOSED TREATMENT COCCYGEAL FRACTURE
|
Professional
|
Both
|
$390.00
|
|
|
Service Code
|
HCPCS 27200
|
| Min. Negotiated Rate |
$129.29 |
| Max. Negotiated Rate |
$1,904.52 |
| Rate for Payer: Aetna Commercial |
$251.52
|
| Rate for Payer: Aetna Medicare |
$195.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.29
|
| Rate for Payer: BCBS Complete |
$135.75
|
| Rate for Payer: BCBS MAPPO |
$187.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,904.52
|
| Rate for Payer: BCN Commercial |
$279.53
|
| Rate for Payer: BCN Medicare Advantage |
$187.70
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cofinity Commercial |
$251.52
|
| Rate for Payer: Cofinity Commercial |
$270.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.08
|
| Rate for Payer: Meridian Medicaid |
$135.75
|
| Rate for Payer: Nomi Health Commercial |
$225.24
|
| Rate for Payer: PACE SWMI |
$187.70
|
| Rate for Payer: PHP Commercial |
$262.78
|
| Rate for Payer: PHP Medicare Advantage |
$187.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.30
|
| Rate for Payer: Priority Health Medicare |
$187.70
|
| Rate for Payer: Priority Health Narrow Network |
$304.30
|
| Rate for Payer: Priority Health SBD |
$304.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.70
|
| Rate for Payer: UHC Medicare Advantage |
$187.70
|
| Rate for Payer: UHCCP Medicaid |
$129.29
|
| Rate for Payer: UMR Bronson Commercial |
$179.40
|
|
|
PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 27768
|
| Min. Negotiated Rate |
$298.41 |
| Max. Negotiated Rate |
$3,241.12 |
| Rate for Payer: Aetna Commercial |
$584.84
|
| Rate for Payer: Aetna Medicare |
$453.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$584.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$628.49
|
| Rate for Payer: BCBS Complete |
$313.33
|
| Rate for Payer: BCBS MAPPO |
$436.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,241.12
|
| Rate for Payer: BCN Commercial |
$667.54
|
| Rate for Payer: BCN Medicare Advantage |
$436.45
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cofinity Commercial |
$584.84
|
| Rate for Payer: Cofinity Commercial |
$628.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.27
|
| Rate for Payer: Meridian Medicaid |
$313.33
|
| Rate for Payer: Nomi Health Commercial |
$523.74
|
| Rate for Payer: PACE SWMI |
$436.45
|
| Rate for Payer: PHP Commercial |
$611.03
|
| Rate for Payer: PHP Medicare Advantage |
$436.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$706.30
|
| Rate for Payer: Priority Health Medicare |
$436.45
|
| Rate for Payer: Priority Health Narrow Network |
$706.30
|
| Rate for Payer: Priority Health SBD |
$706.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.45
|
| Rate for Payer: UHC Medicare Advantage |
$436.45
|
| Rate for Payer: UHCCP Medicaid |
$298.41
|
| Rate for Payer: UMR Bronson Commercial |
$351.90
|
|
|
PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ
|
Professional
|
Both
|
$727.00
|
|
|
Service Code
|
HCPCS 27767
|
| Min. Negotiated Rate |
$196.81 |
| Max. Negotiated Rate |
$563.09 |
| Rate for Payer: Aetna Commercial |
$380.72
|
| Rate for Payer: Aetna Medicare |
$295.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.13
|
| Rate for Payer: BCBS Complete |
$206.65
|
| Rate for Payer: BCBS MAPPO |
$284.12
|
| Rate for Payer: BCBS Trust/PPO |
$563.09
|
| Rate for Payer: BCN Commercial |
$438.35
|
| Rate for Payer: BCN Medicare Advantage |
$284.12
|
| Rate for Payer: Cash Price |
$581.60
|
| Rate for Payer: Cash Price |
$581.60
|
| Rate for Payer: Cofinity Commercial |
$380.72
|
| Rate for Payer: Cofinity Commercial |
$409.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$284.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$298.33
|
| Rate for Payer: Meridian Medicaid |
$206.65
|
| Rate for Payer: Nomi Health Commercial |
$340.94
|
| Rate for Payer: PACE SWMI |
$284.12
|
| Rate for Payer: PHP Commercial |
$397.77
|
| Rate for Payer: PHP Medicare Advantage |
$284.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$472.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.02
|
| Rate for Payer: Priority Health Medicare |
$284.12
|
| Rate for Payer: Priority Health Narrow Network |
$461.02
|
| Rate for Payer: Priority Health SBD |
$461.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$284.12
|
| Rate for Payer: UHC Medicare Advantage |
$284.12
|
| Rate for Payer: UHCCP Medicaid |
$196.81
|
| Rate for Payer: UMR Bronson Commercial |
$334.42
|
|
|
PR CLOSED TREATMENT SESAMOID FRACTURE
|
Professional
|
Both
|
$352.00
|
|
|
Service Code
|
HCPCS 28530
|
| Min. Negotiated Rate |
$69.23 |
| Max. Negotiated Rate |
$1,243.09 |
| Rate for Payer: Aetna Commercial |
$134.09
|
| Rate for Payer: Aetna Medicare |
$104.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.10
|
| Rate for Payer: BCBS Complete |
$72.69
|
| Rate for Payer: BCBS MAPPO |
$100.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,243.09
|
| Rate for Payer: BCN Commercial |
$171.04
|
| Rate for Payer: BCN Medicare Advantage |
$100.07
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cash Price |
$281.60
|
| Rate for Payer: Cofinity Commercial |
$134.09
|
| Rate for Payer: Cofinity Commercial |
$144.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.07
|
| Rate for Payer: Meridian Medicaid |
$72.69
|
| Rate for Payer: Nomi Health Commercial |
$120.08
|
| Rate for Payer: PACE SWMI |
$100.07
|
| Rate for Payer: PHP Commercial |
$140.10
|
| Rate for Payer: PHP Medicare Advantage |
$100.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.80
|
| Rate for Payer: Priority Health Medicare |
$100.07
|
| Rate for Payer: Priority Health Narrow Network |
$160.80
|
| Rate for Payer: Priority Health SBD |
$160.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.07
|
| Rate for Payer: UHC Medicare Advantage |
$100.07
|
| Rate for Payer: UHCCP Medicaid |
$69.23
|
| Rate for Payer: UMR Bronson Commercial |
$161.92
|
|
|
PR CLOSED TREATMENT STERNUM FRACTURE
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 21820
|
| Min. Negotiated Rate |
$89.24 |
| Max. Negotiated Rate |
$234.59 |
| Rate for Payer: Aetna Commercial |
$194.41
|
| Rate for Payer: Aetna Medicare |
$150.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.92
|
| Rate for Payer: BCBS Complete |
$105.34
|
| Rate for Payer: BCBS MAPPO |
$145.08
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$224.30
|
| Rate for Payer: BCN Medicare Advantage |
$145.08
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$194.41
|
| Rate for Payer: Cofinity Commercial |
$208.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.33
|
| Rate for Payer: Meridian Medicaid |
$105.34
|
| Rate for Payer: Nomi Health Commercial |
$174.10
|
| Rate for Payer: PACE SWMI |
$145.08
|
| Rate for Payer: PHP Commercial |
$203.11
|
| Rate for Payer: PHP Medicare Advantage |
$145.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$234.59
|
| Rate for Payer: Priority Health Medicare |
$145.08
|
| Rate for Payer: Priority Health Narrow Network |
$234.59
|
| Rate for Payer: Priority Health SBD |
$234.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.08
|
| Rate for Payer: UHC Medicare Advantage |
$145.08
|
| Rate for Payer: UHCCP Medicaid |
$100.32
|
| Rate for Payer: UMR Bronson Commercial |
$89.24
|
|
|
PR CLOSED TREATMENT ULNAR STYLOID FRACTURE
|
Professional
|
Both
|
$833.00
|
|
|
Service Code
|
HCPCS 25650
|
| Min. Negotiated Rate |
$206.40 |
| Max. Negotiated Rate |
$1,117.88 |
| Rate for Payer: Aetna Commercial |
$402.24
|
| Rate for Payer: Aetna Medicare |
$312.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.26
|
| Rate for Payer: BCBS Complete |
$216.72
|
| Rate for Payer: BCBS MAPPO |
$300.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.88
|
| Rate for Payer: BCN Commercial |
$498.94
|
| Rate for Payer: BCN Medicare Advantage |
$300.18
|
| Rate for Payer: Cash Price |
$666.40
|
| Rate for Payer: Cash Price |
$666.40
|
| Rate for Payer: Cofinity Commercial |
$402.24
|
| Rate for Payer: Cofinity Commercial |
$432.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.19
|
| Rate for Payer: Meridian Medicaid |
$216.72
|
| Rate for Payer: Nomi Health Commercial |
$360.22
|
| Rate for Payer: PACE SWMI |
$300.18
|
| Rate for Payer: PHP Commercial |
$420.25
|
| Rate for Payer: PHP Medicare Advantage |
$300.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$541.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$487.48
|
| Rate for Payer: Priority Health Medicare |
$300.18
|
| Rate for Payer: Priority Health Narrow Network |
$487.48
|
| Rate for Payer: Priority Health SBD |
$487.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$300.18
|
| Rate for Payer: UHC Medicare Advantage |
$300.18
|
| Rate for Payer: UHCCP Medicaid |
$206.40
|
| Rate for Payer: UMR Bronson Commercial |
$383.18
|
|
|
PR CLOSED TREAT SPINE PROCESS FX
|
Professional
|
Both
|
$423.00
|
|
|
Service Code
|
HCPCS 22305
|
| Min. Negotiated Rate |
$169.20 |
| Max. Negotiated Rate |
$274.95 |
| Rate for Payer: Aetna Medicare |
$211.50
|
| Rate for Payer: BCBS Complete |
$169.20
|
| Rate for Payer: Cash Price |
$338.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.95
|
| Rate for Payer: UMR Bronson Commercial |
$194.58
|
|
|
PR CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 27840
|
| Min. Negotiated Rate |
$257.52 |
| Max. Negotiated Rate |
$1,414.69 |
| Rate for Payer: Aetna Commercial |
$506.81
|
| Rate for Payer: Aetna Medicare |
$393.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.64
|
| Rate for Payer: BCBS Complete |
$270.40
|
| Rate for Payer: BCBS MAPPO |
$378.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,414.69
|
| Rate for Payer: BCN Commercial |
$577.62
|
| Rate for Payer: BCN Medicare Advantage |
$378.22
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cofinity Commercial |
$506.81
|
| Rate for Payer: Cofinity Commercial |
$544.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.13
|
| Rate for Payer: Meridian Medicaid |
$270.40
|
| Rate for Payer: Nomi Health Commercial |
$453.86
|
| Rate for Payer: PACE SWMI |
$378.22
|
| Rate for Payer: PHP Commercial |
$529.51
|
| Rate for Payer: PHP Medicare Advantage |
$378.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$257.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$610.63
|
| Rate for Payer: Priority Health Medicare |
$378.22
|
| Rate for Payer: Priority Health Narrow Network |
$610.63
|
| Rate for Payer: Priority Health SBD |
$610.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.22
|
| Rate for Payer: UHC Medicare Advantage |
$378.22
|
| Rate for Payer: UHCCP Medicaid |
$257.52
|
| Rate for Payer: UMR Bronson Commercial |
$423.66
|
|
|
PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ
|
Professional
|
Both
|
$1,190.00
|
|
|
Service Code
|
HCPCS 27810
|
| Min. Negotiated Rate |
$284.57 |
| Max. Negotiated Rate |
$2,867.08 |
| Rate for Payer: Aetna Commercial |
$560.21
|
| Rate for Payer: Aetna Medicare |
$434.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$560.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$602.02
|
| Rate for Payer: BCBS Complete |
$298.80
|
| Rate for Payer: BCBS MAPPO |
$418.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,867.08
|
| Rate for Payer: BCN Commercial |
$710.05
|
| Rate for Payer: BCN Medicare Advantage |
$418.07
|
| Rate for Payer: Cash Price |
$952.00
|
| Rate for Payer: Cash Price |
$952.00
|
| Rate for Payer: Cofinity Commercial |
$560.21
|
| Rate for Payer: Cofinity Commercial |
$602.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$418.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.97
|
| Rate for Payer: Meridian Medicaid |
$298.80
|
| Rate for Payer: Nomi Health Commercial |
$501.68
|
| Rate for Payer: PACE SWMI |
$418.07
|
| Rate for Payer: PHP Commercial |
$585.30
|
| Rate for Payer: PHP Medicare Advantage |
$418.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$773.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$675.27
|
| Rate for Payer: Priority Health Medicare |
$418.07
|
| Rate for Payer: Priority Health Narrow Network |
$675.27
|
| Rate for Payer: Priority Health SBD |
$675.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$418.07
|
| Rate for Payer: UHC Medicare Advantage |
$418.07
|
| Rate for Payer: UHCCP Medicaid |
$284.57
|
| Rate for Payer: UMR Bronson Commercial |
$547.40
|
|
|
PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ
|
Professional
|
Both
|
$872.00
|
|
|
Service Code
|
HCPCS 27808
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$566.80 |
| Rate for Payer: Aetna Commercial |
$400.11
|
| Rate for Payer: Aetna Medicare |
$310.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$400.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.97
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$298.59
|
| Rate for Payer: BCBS Trust/PPO |
$556.11
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: BCN Medicare Advantage |
$298.59
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cofinity Commercial |
$400.11
|
| Rate for Payer: Cofinity Commercial |
$429.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$313.52
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Nomi Health Commercial |
$358.31
|
| Rate for Payer: PACE SWMI |
$298.59
|
| Rate for Payer: PHP Commercial |
$418.03
|
| Rate for Payer: PHP Medicare Advantage |
$298.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$486.98
|
| Rate for Payer: Priority Health Medicare |
$298.59
|
| Rate for Payer: Priority Health Narrow Network |
$486.98
|
| Rate for Payer: Priority Health SBD |
$486.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.59
|
| Rate for Payer: UHC Medicare Advantage |
$298.59
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
| Rate for Payer: UMR Bronson Commercial |
$401.12
|
|
|
PR CLOSED TX CALCANEAL FRACTURE W/MANIPULATION
|
Professional
|
Both
|
$1,164.00
|
|
|
Service Code
|
HCPCS 28405
|
| Min. Negotiated Rate |
$270.94 |
| Max. Negotiated Rate |
$1,513.05 |
| Rate for Payer: Aetna Commercial |
$531.69
|
| Rate for Payer: Aetna Medicare |
$412.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$571.36
|
| Rate for Payer: BCBS Complete |
$284.49
|
| Rate for Payer: BCBS MAPPO |
$396.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,513.05
|
| Rate for Payer: BCN Commercial |
$673.40
|
| Rate for Payer: BCN Medicare Advantage |
$396.78
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cofinity Commercial |
$531.69
|
| Rate for Payer: Cofinity Commercial |
$571.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.62
|
| Rate for Payer: Meridian Medicaid |
$284.49
|
| Rate for Payer: Nomi Health Commercial |
$476.14
|
| Rate for Payer: PACE SWMI |
$396.78
|
| Rate for Payer: PHP Commercial |
$555.49
|
| Rate for Payer: PHP Medicare Advantage |
$396.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$756.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$639.13
|
| Rate for Payer: Priority Health Medicare |
$396.78
|
| Rate for Payer: Priority Health Narrow Network |
$639.13
|
| Rate for Payer: Priority Health SBD |
$639.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.78
|
| Rate for Payer: UHC Medicare Advantage |
$396.78
|
| Rate for Payer: UHCCP Medicaid |
$270.94
|
| Rate for Payer: UMR Bronson Commercial |
$535.44
|
|
|
PR CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 28400
|
| Min. Negotiated Rate |
$153.57 |
| Max. Negotiated Rate |
$1,304.90 |
| Rate for Payer: Aetna Commercial |
$297.69
|
| Rate for Payer: Aetna Medicare |
$231.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$319.91
|
| Rate for Payer: BCBS Complete |
$161.25
|
| Rate for Payer: BCBS MAPPO |
$222.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,304.90
|
| Rate for Payer: BCN Commercial |
$368.95
|
| Rate for Payer: BCN Medicare Advantage |
$222.16
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cofinity Commercial |
$297.69
|
| Rate for Payer: Cofinity Commercial |
$319.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.27
|
| Rate for Payer: Meridian Medicaid |
$161.25
|
| Rate for Payer: Nomi Health Commercial |
$266.59
|
| Rate for Payer: PACE SWMI |
$222.16
|
| Rate for Payer: PHP Commercial |
$311.02
|
| Rate for Payer: PHP Medicare Advantage |
$222.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$363.84
|
| Rate for Payer: Priority Health Medicare |
$222.16
|
| Rate for Payer: Priority Health Narrow Network |
$363.84
|
| Rate for Payer: Priority Health SBD |
$363.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.16
|
| Rate for Payer: UHC Medicare Advantage |
$222.16
|
| Rate for Payer: UHCCP Medicaid |
$153.57
|
| Rate for Payer: UMR Bronson Commercial |
$330.28
|
|
|
PR CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ
|
Professional
|
Both
|
$756.00
|
|
|
Service Code
|
HCPCS 25624
|
| Min. Negotiated Rate |
$298.63 |
| Max. Negotiated Rate |
$939.26 |
| Rate for Payer: Aetna Commercial |
$583.13
|
| Rate for Payer: Aetna Medicare |
$452.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$583.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.64
|
| Rate for Payer: BCBS Complete |
$313.56
|
| Rate for Payer: BCBS MAPPO |
$435.17
|
| Rate for Payer: BCBS Trust/PPO |
$939.26
|
| Rate for Payer: BCN Commercial |
$735.95
|
| Rate for Payer: BCN Medicare Advantage |
$435.17
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$583.13
|
| Rate for Payer: Cofinity Commercial |
$626.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$435.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.93
|
| Rate for Payer: Meridian Medicaid |
$313.56
|
| Rate for Payer: Nomi Health Commercial |
$522.20
|
| Rate for Payer: PACE SWMI |
$435.17
|
| Rate for Payer: PHP Commercial |
$609.24
|
| Rate for Payer: PHP Medicare Advantage |
$435.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$705.27
|
| Rate for Payer: Priority Health Medicare |
$435.17
|
| Rate for Payer: Priority Health Narrow Network |
$705.27
|
| Rate for Payer: Priority Health SBD |
$705.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$435.17
|
| Rate for Payer: UHC Medicare Advantage |
$435.17
|
| Rate for Payer: UHCCP Medicaid |
$298.63
|
| Rate for Payer: UMR Bronson Commercial |
$347.76
|
|
|
PR CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ
|
Professional
|
Both
|
$794.00
|
|
|
Service Code
|
HCPCS 25622
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$939.26 |
| Rate for Payer: Aetna Commercial |
$373.35
|
| Rate for Payer: Aetna Medicare |
$289.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$373.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.21
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$278.62
|
| Rate for Payer: BCBS Trust/PPO |
$939.26
|
| Rate for Payer: BCN Commercial |
$373.03
|
| Rate for Payer: BCN Medicare Advantage |
$278.62
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cofinity Commercial |
$373.35
|
| Rate for Payer: Cofinity Commercial |
$401.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.55
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Nomi Health Commercial |
$334.34
|
| Rate for Payer: PACE SWMI |
$278.62
|
| Rate for Payer: PHP Commercial |
$390.07
|
| Rate for Payer: PHP Medicare Advantage |
$278.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$516.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.90
|
| Rate for Payer: Priority Health Medicare |
$278.62
|
| Rate for Payer: Priority Health Narrow Network |
$453.90
|
| Rate for Payer: Priority Health SBD |
$453.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.62
|
| Rate for Payer: UHC Medicare Advantage |
$278.62
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
| Rate for Payer: UMR Bronson Commercial |
$365.24
|
|
|
PR CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 25675
|
| Min. Negotiated Rate |
$277.11 |
| Max. Negotiated Rate |
$1,123.17 |
| Rate for Payer: Aetna Commercial |
$544.17
|
| Rate for Payer: Aetna Medicare |
$422.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$584.78
|
| Rate for Payer: BCBS Complete |
$290.97
|
| Rate for Payer: BCBS MAPPO |
$406.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,123.17
|
| Rate for Payer: BCN Commercial |
$685.13
|
| Rate for Payer: BCN Medicare Advantage |
$406.10
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$544.17
|
| Rate for Payer: Cofinity Commercial |
$584.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$406.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$426.40
|
| Rate for Payer: Meridian Medicaid |
$290.97
|
| Rate for Payer: Nomi Health Commercial |
$487.32
|
| Rate for Payer: PACE SWMI |
$406.10
|
| Rate for Payer: PHP Commercial |
$568.54
|
| Rate for Payer: PHP Medicare Advantage |
$406.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$653.88
|
| Rate for Payer: Priority Health Medicare |
$406.10
|
| Rate for Payer: Priority Health Narrow Network |
$653.88
|
| Rate for Payer: Priority Health SBD |
$653.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$406.10
|
| Rate for Payer: UHC Medicare Advantage |
$406.10
|
| Rate for Payer: UHCCP Medicaid |
$277.11
|
| Rate for Payer: UMR Bronson Commercial |
$474.26
|
|
|
PR CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ
|
Professional
|
Both
|
$805.00
|
|
|
Service Code
|
HCPCS 27268
|
| Min. Negotiated Rate |
$358.27 |
| Max. Negotiated Rate |
$3,411.76 |
| Rate for Payer: Aetna Commercial |
$708.32
|
| Rate for Payer: Aetna Medicare |
$549.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$708.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$761.18
|
| Rate for Payer: BCBS Complete |
$376.18
|
| Rate for Payer: BCBS MAPPO |
$528.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,411.76
|
| Rate for Payer: BCN Commercial |
$805.83
|
| Rate for Payer: BCN Medicare Advantage |
$528.60
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cofinity Commercial |
$708.32
|
| Rate for Payer: Cofinity Commercial |
$761.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$555.03
|
| Rate for Payer: Meridian Medicaid |
$376.18
|
| Rate for Payer: Nomi Health Commercial |
$634.32
|
| Rate for Payer: PACE SWMI |
$528.60
|
| Rate for Payer: PHP Commercial |
$740.04
|
| Rate for Payer: PHP Medicare Advantage |
$528.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$847.76
|
| Rate for Payer: Priority Health Medicare |
$528.60
|
| Rate for Payer: Priority Health Narrow Network |
$847.76
|
| Rate for Payer: Priority Health SBD |
$847.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$528.60
|
| Rate for Payer: UHC Medicare Advantage |
$528.60
|
| Rate for Payer: UHCCP Medicaid |
$358.27
|
| Rate for Payer: UMR Bronson Commercial |
$370.30
|
|
|
PR CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$1,282.00
|
|
|
Service Code
|
HCPCS 27500
|
| Min. Negotiated Rate |
$316.09 |
| Max. Negotiated Rate |
$2,223.09 |
| Rate for Payer: Aetna Commercial |
$624.71
|
| Rate for Payer: Aetna Medicare |
$484.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$671.33
|
| Rate for Payer: BCBS Complete |
$331.89
|
| Rate for Payer: BCBS MAPPO |
$466.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,223.09
|
| Rate for Payer: BCN Commercial |
$778.46
|
| Rate for Payer: BCN Medicare Advantage |
$466.20
|
| Rate for Payer: Cash Price |
$1,025.60
|
| Rate for Payer: Cash Price |
$1,025.60
|
| Rate for Payer: Cofinity Commercial |
$624.71
|
| Rate for Payer: Cofinity Commercial |
$671.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.51
|
| Rate for Payer: Meridian Medicaid |
$331.89
|
| Rate for Payer: Nomi Health Commercial |
$559.44
|
| Rate for Payer: PACE SWMI |
$466.20
|
| Rate for Payer: PHP Commercial |
$652.68
|
| Rate for Payer: PHP Medicare Advantage |
$466.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$316.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$833.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$750.06
|
| Rate for Payer: Priority Health Medicare |
$466.20
|
| Rate for Payer: Priority Health Narrow Network |
$750.06
|
| Rate for Payer: Priority Health SBD |
$750.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.20
|
| Rate for Payer: UHC Medicare Advantage |
$466.20
|
| Rate for Payer: UHCCP Medicaid |
$316.09
|
| Rate for Payer: UMR Bronson Commercial |
$589.72
|
|
|
PR CLOSED TX KNEE DISLOCATION W/ANESTHESIA
|
Professional
|
Both
|
$879.00
|
|
|
Service Code
|
HCPCS 27552
|
| Min. Negotiated Rate |
$404.34 |
| Max. Negotiated Rate |
$1,159.09 |
| Rate for Payer: Aetna Commercial |
$823.44
|
| Rate for Payer: Aetna Medicare |
$639.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$823.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$884.89
|
| Rate for Payer: BCBS Complete |
$437.90
|
| Rate for Payer: BCBS MAPPO |
$614.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,159.09
|
| Rate for Payer: BCN Commercial |
$936.30
|
| Rate for Payer: BCN Medicare Advantage |
$614.51
|
| Rate for Payer: Cash Price |
$703.20
|
| Rate for Payer: Cash Price |
$703.20
|
| Rate for Payer: Cofinity Commercial |
$823.44
|
| Rate for Payer: Cofinity Commercial |
$884.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$645.24
|
| Rate for Payer: Meridian Medicaid |
$437.90
|
| Rate for Payer: Nomi Health Commercial |
$737.41
|
| Rate for Payer: PACE SWMI |
$614.51
|
| Rate for Payer: PHP Commercial |
$860.31
|
| Rate for Payer: PHP Medicare Advantage |
$614.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$571.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$987.70
|
| Rate for Payer: Priority Health Medicare |
$614.51
|
| Rate for Payer: Priority Health Narrow Network |
$987.70
|
| Rate for Payer: Priority Health SBD |
$987.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$614.51
|
| Rate for Payer: UHC Medicare Advantage |
$614.51
|
| Rate for Payer: UHCCP Medicaid |
$417.05
|
| Rate for Payer: UMR Bronson Commercial |
$404.34
|
|
