|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$753.88 |
| Rate for Payer: Aetna Commercial |
$144.08
|
| Rate for Payer: Aetna Medicare |
$111.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.83
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$107.52
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: BCN Medicare Advantage |
$107.52
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$144.08
|
| Rate for Payer: Cofinity Commercial |
$154.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.90
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Nomi Health Commercial |
$129.02
|
| Rate for Payer: PACE SWMI |
$107.52
|
| Rate for Payer: PHP Commercial |
$150.53
|
| Rate for Payer: PHP Medicare Advantage |
$107.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.49
|
| Rate for Payer: Priority Health Medicare |
$107.52
|
| Rate for Payer: Priority Health Narrow Network |
$171.49
|
| Rate for Payer: Priority Health SBD |
$171.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.52
|
| Rate for Payer: UHC Medicare Advantage |
$107.52
|
| Rate for Payer: UHCCP Medicaid |
$72.42
|
| Rate for Payer: UMR Bronson Commercial |
$146.28
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$830.49 |
| Rate for Payer: Aetna Commercial |
$401.29
|
| Rate for Payer: Aetna Medicare |
$311.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.24
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS MAPPO |
$299.47
|
| Rate for Payer: BCBS Trust/PPO |
$830.49
|
| Rate for Payer: BCN Commercial |
$515.07
|
| Rate for Payer: BCN Medicare Advantage |
$299.47
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$401.29
|
| Rate for Payer: Cofinity Commercial |
$431.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.44
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Nomi Health Commercial |
$359.36
|
| Rate for Payer: PACE SWMI |
$299.47
|
| Rate for Payer: PHP Commercial |
$419.26
|
| Rate for Payer: PHP Medicare Advantage |
$299.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.94
|
| Rate for Payer: Priority Health Medicare |
$299.47
|
| Rate for Payer: Priority Health Narrow Network |
$484.94
|
| Rate for Payer: Priority Health SBD |
$484.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$299.47
|
| Rate for Payer: UHC Medicare Advantage |
$299.47
|
| Rate for Payer: UHCCP Medicaid |
$205.12
|
| Rate for Payer: UMR Bronson Commercial |
$328.90
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$128.87 |
| Max. Negotiated Rate |
$909.78 |
| Rate for Payer: Aetna Commercial |
$249.66
|
| Rate for Payer: Aetna Medicare |
$193.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.29
|
| Rate for Payer: BCBS Complete |
$135.31
|
| Rate for Payer: BCBS MAPPO |
$186.31
|
| Rate for Payer: BCBS Trust/PPO |
$909.78
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$186.31
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$249.66
|
| Rate for Payer: Cofinity Commercial |
$268.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.63
|
| Rate for Payer: Meridian Medicaid |
$135.31
|
| Rate for Payer: Nomi Health Commercial |
$223.57
|
| Rate for Payer: PACE SWMI |
$186.31
|
| Rate for Payer: PHP Commercial |
$260.83
|
| Rate for Payer: PHP Medicare Advantage |
$186.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.80
|
| Rate for Payer: Priority Health Medicare |
$186.31
|
| Rate for Payer: Priority Health Narrow Network |
$303.80
|
| Rate for Payer: Priority Health SBD |
$303.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.31
|
| Rate for Payer: UHC Medicare Advantage |
$186.31
|
| Rate for Payer: UHCCP Medicaid |
$128.87
|
| Rate for Payer: UMR Bronson Commercial |
$189.52
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$3,076.82 |
| Rate for Payer: Aetna Commercial |
$753.47
|
| Rate for Payer: Aetna Medicare |
$584.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$809.70
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$562.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,076.82
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: BCN Medicare Advantage |
$562.29
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$753.47
|
| Rate for Payer: Cofinity Commercial |
$809.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$590.40
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Nomi Health Commercial |
$674.75
|
| Rate for Payer: PACE SWMI |
$562.29
|
| Rate for Payer: PHP Commercial |
$787.21
|
| Rate for Payer: PHP Medicare Advantage |
$562.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$905.26
|
| Rate for Payer: Priority Health Medicare |
$562.29
|
| Rate for Payer: Priority Health Narrow Network |
$905.26
|
| Rate for Payer: Priority Health SBD |
$905.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$562.29
|
| Rate for Payer: UHC Medicare Advantage |
$562.29
|
| Rate for Payer: UHCCP Medicaid |
$380.63
|
| Rate for Payer: UMR Bronson Commercial |
$703.80
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$277.11 |
| Max. Negotiated Rate |
$2,859.69 |
| Rate for Payer: Aetna Commercial |
$546.43
|
| Rate for Payer: Aetna Medicare |
$424.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.20
|
| Rate for Payer: BCBS Complete |
$290.97
|
| Rate for Payer: BCBS MAPPO |
$407.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,859.69
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$407.78
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cofinity Commercial |
$546.43
|
| Rate for Payer: Cofinity Commercial |
$587.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Medicaid |
$290.97
|
| Rate for Payer: Nomi Health Commercial |
$489.34
|
| Rate for Payer: PACE SWMI |
$407.78
|
| Rate for Payer: PHP Commercial |
$570.89
|
| Rate for Payer: PHP Medicare Advantage |
$407.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.43
|
| Rate for Payer: Priority Health Medicare |
$407.78
|
| Rate for Payer: Priority Health Narrow Network |
$656.43
|
| Rate for Payer: Priority Health SBD |
$656.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.78
|
| Rate for Payer: UHC Medicare Advantage |
$407.78
|
| Rate for Payer: UHCCP Medicaid |
$277.11
|
| Rate for Payer: UMR Bronson Commercial |
$341.32
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,212.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$269.23 |
| Max. Negotiated Rate |
$2,284.34 |
| Rate for Payer: Aetna Commercial |
$526.93
|
| Rate for Payer: Aetna Medicare |
$408.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$526.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$566.25
|
| Rate for Payer: BCBS Complete |
$282.69
|
| Rate for Payer: BCBS MAPPO |
$393.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.34
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$393.23
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cofinity Commercial |
$526.93
|
| Rate for Payer: Cofinity Commercial |
$566.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$393.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$412.89
|
| Rate for Payer: Meridian Medicaid |
$282.69
|
| Rate for Payer: Nomi Health Commercial |
$471.88
|
| Rate for Payer: PACE SWMI |
$393.23
|
| Rate for Payer: PHP Commercial |
$550.52
|
| Rate for Payer: PHP Medicare Advantage |
$393.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.12
|
| Rate for Payer: Priority Health Medicare |
$393.23
|
| Rate for Payer: Priority Health Narrow Network |
$638.12
|
| Rate for Payer: Priority Health SBD |
$638.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$393.23
|
| Rate for Payer: UHC Medicare Advantage |
$393.23
|
| Rate for Payer: UHCCP Medicaid |
$269.23
|
| Rate for Payer: UMR Bronson Commercial |
$557.52
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$2,660.11 |
| Rate for Payer: Aetna Commercial |
$373.73
|
| Rate for Payer: Aetna Medicare |
$290.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$373.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.62
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS MAPPO |
$278.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.11
|
| Rate for Payer: BCN Commercial |
$465.71
|
| Rate for Payer: BCN Medicare Advantage |
$278.90
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$373.73
|
| Rate for Payer: Cofinity Commercial |
$401.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.84
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Nomi Health Commercial |
$334.68
|
| Rate for Payer: PACE SWMI |
$278.90
|
| Rate for Payer: PHP Commercial |
$390.46
|
| Rate for Payer: PHP Medicare Advantage |
$278.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.90
|
| Rate for Payer: Priority Health Medicare |
$278.90
|
| Rate for Payer: Priority Health Narrow Network |
$453.90
|
| Rate for Payer: Priority Health SBD |
$453.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.90
|
| Rate for Payer: UHC Medicare Advantage |
$278.90
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
| Rate for Payer: UMR Bronson Commercial |
$306.36
|
|
|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$558.36
|
| Rate for Payer: Aetna Medicare |
$433.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.03
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS MAPPO |
$416.69
|
| Rate for Payer: BCBS Trust/PPO |
$303.24
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$416.69
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$558.36
|
| Rate for Payer: Cofinity Commercial |
$600.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.52
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Nomi Health Commercial |
$500.03
|
| Rate for Payer: PACE SWMI |
$416.69
|
| Rate for Payer: PHP Commercial |
$583.37
|
| Rate for Payer: PHP Medicare Advantage |
$416.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.75
|
| Rate for Payer: Priority Health Medicare |
$416.69
|
| Rate for Payer: Priority Health Narrow Network |
$674.75
|
| Rate for Payer: Priority Health SBD |
$674.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.69
|
| Rate for Payer: UHC Medicare Advantage |
$416.69
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
| Rate for Payer: UMR Bronson Commercial |
$655.04
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$203.34 |
| Max. Negotiated Rate |
$510.25 |
| Rate for Payer: Aetna Commercial |
$414.84
|
| Rate for Payer: Aetna Medicare |
$321.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.80
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$309.58
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Commercial |
$403.26
|
| Rate for Payer: BCN Medicare Advantage |
$309.58
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$414.84
|
| Rate for Payer: Cofinity Commercial |
$445.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.06
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Nomi Health Commercial |
$371.50
|
| Rate for Payer: PACE SWMI |
$309.58
|
| Rate for Payer: PHP Commercial |
$433.41
|
| Rate for Payer: PHP Medicare Advantage |
$309.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$510.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$504.28
|
| Rate for Payer: Priority Health Medicare |
$309.58
|
| Rate for Payer: Priority Health Narrow Network |
$504.28
|
| Rate for Payer: Priority Health SBD |
$504.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.58
|
| Rate for Payer: UHC Medicare Advantage |
$309.58
|
| Rate for Payer: UHCCP Medicaid |
$213.85
|
| Rate for Payer: UMR Bronson Commercial |
$361.10
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$133.15 |
| Max. Negotiated Rate |
$643.71 |
| Rate for Payer: Aetna Commercial |
$534.69
|
| Rate for Payer: Aetna Medicare |
$414.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.59
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS MAPPO |
$399.02
|
| Rate for Payer: BCBS Trust/PPO |
$133.15
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$399.02
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cofinity Commercial |
$534.69
|
| Rate for Payer: Cofinity Commercial |
$574.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.97
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Nomi Health Commercial |
$478.82
|
| Rate for Payer: PACE SWMI |
$399.02
|
| Rate for Payer: PHP Commercial |
$558.63
|
| Rate for Payer: PHP Medicare Advantage |
$399.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.71
|
| Rate for Payer: Priority Health Medicare |
$399.02
|
| Rate for Payer: Priority Health Narrow Network |
$643.71
|
| Rate for Payer: Priority Health SBD |
$643.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.02
|
| Rate for Payer: UHC Medicare Advantage |
$399.02
|
| Rate for Payer: UHCCP Medicaid |
$272.64
|
| Rate for Payer: UMR Bronson Commercial |
$349.60
|
|
|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MNPJ
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$1,828.45 |
| Rate for Payer: Aetna Commercial |
$586.88
|
| Rate for Payer: Aetna Medicare |
$455.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$630.68
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS MAPPO |
$437.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,828.45
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$437.97
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cofinity Commercial |
$586.88
|
| Rate for Payer: Cofinity Commercial |
$630.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$437.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.87
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Nomi Health Commercial |
$525.56
|
| Rate for Payer: PACE SWMI |
$437.97
|
| Rate for Payer: PHP Commercial |
$613.16
|
| Rate for Payer: PHP Medicare Advantage |
$437.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$708.84
|
| Rate for Payer: Priority Health Medicare |
$437.97
|
| Rate for Payer: Priority Health Narrow Network |
$708.84
|
| Rate for Payer: Priority Health SBD |
$708.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$437.97
|
| Rate for Payer: UHC Medicare Advantage |
$437.97
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
| Rate for Payer: UMR Bronson Commercial |
$330.28
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$50.91 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$100.10
|
| Rate for Payer: Aetna Medicare |
$77.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.57
|
| Rate for Payer: BCBS Complete |
$53.46
|
| Rate for Payer: BCBS MAPPO |
$74.70
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$74.70
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$100.10
|
| Rate for Payer: Cofinity Commercial |
$107.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.44
|
| Rate for Payer: Meridian Medicaid |
$53.46
|
| Rate for Payer: Nomi Health Commercial |
$89.64
|
| Rate for Payer: PACE SWMI |
$74.70
|
| Rate for Payer: PHP Commercial |
$104.58
|
| Rate for Payer: PHP Medicare Advantage |
$74.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123.15
|
| Rate for Payer: Priority Health Medicare |
$74.70
|
| Rate for Payer: Priority Health Narrow Network |
$123.15
|
| Rate for Payer: Priority Health SBD |
$123.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.70
|
| Rate for Payer: UHC Medicare Advantage |
$74.70
|
| Rate for Payer: UHCCP Medicaid |
$50.91
|
| Rate for Payer: UMR Bronson Commercial |
$112.24
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$362.53 |
| Max. Negotiated Rate |
$1,412.15 |
| Rate for Payer: Aetna Commercial |
$712.36
|
| Rate for Payer: Aetna Medicare |
$552.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.52
|
| Rate for Payer: BCBS Complete |
$380.66
|
| Rate for Payer: BCBS MAPPO |
$531.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,412.15
|
| Rate for Payer: BCN Commercial |
$862.03
|
| Rate for Payer: BCN Medicare Advantage |
$531.61
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$712.36
|
| Rate for Payer: Cofinity Commercial |
$765.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.19
|
| Rate for Payer: Meridian Medicaid |
$380.66
|
| Rate for Payer: Nomi Health Commercial |
$637.93
|
| Rate for Payer: PACE SWMI |
$531.61
|
| Rate for Payer: PHP Commercial |
$744.25
|
| Rate for Payer: PHP Medicare Advantage |
$531.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$856.92
|
| Rate for Payer: Priority Health Medicare |
$531.61
|
| Rate for Payer: Priority Health Narrow Network |
$856.92
|
| Rate for Payer: Priority Health SBD |
$856.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.61
|
| Rate for Payer: UHC Medicare Advantage |
$531.61
|
| Rate for Payer: UHCCP Medicaid |
$362.53
|
| Rate for Payer: UMR Bronson Commercial |
$691.38
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$670.15 |
| Rate for Payer: Aetna Commercial |
$497.94
|
| Rate for Payer: Aetna Medicare |
$386.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.10
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$371.60
|
| Rate for Payer: BCBS Trust/PPO |
$192.30
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$371.60
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$497.94
|
| Rate for Payer: Cofinity Commercial |
$535.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.18
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Nomi Health Commercial |
$445.92
|
| Rate for Payer: PACE SWMI |
$371.60
|
| Rate for Payer: PHP Commercial |
$520.24
|
| Rate for Payer: PHP Medicare Advantage |
$371.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$601.48
|
| Rate for Payer: Priority Health Medicare |
$371.60
|
| Rate for Payer: Priority Health Narrow Network |
$601.48
|
| Rate for Payer: Priority Health SBD |
$601.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.60
|
| Rate for Payer: UHC Medicare Advantage |
$371.60
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
| Rate for Payer: UMR Bronson Commercial |
$474.26
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$159.61 |
| Max. Negotiated Rate |
$892.45 |
| Rate for Payer: Aetna Commercial |
$524.72
|
| Rate for Payer: Aetna Medicare |
$407.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.88
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: BCBS MAPPO |
$391.58
|
| Rate for Payer: BCBS Trust/PPO |
$159.61
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$391.58
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cofinity Commercial |
$524.72
|
| Rate for Payer: Cofinity Commercial |
$563.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.16
|
| Rate for Payer: Meridian Medicaid |
$280.91
|
| Rate for Payer: Nomi Health Commercial |
$469.90
|
| Rate for Payer: PACE SWMI |
$391.58
|
| Rate for Payer: PHP Commercial |
$548.21
|
| Rate for Payer: PHP Medicare Advantage |
$391.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.04
|
| Rate for Payer: Priority Health Medicare |
$391.58
|
| Rate for Payer: Priority Health Narrow Network |
$634.04
|
| Rate for Payer: Priority Health SBD |
$634.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.58
|
| Rate for Payer: UHC Medicare Advantage |
$391.58
|
| Rate for Payer: UHCCP Medicaid |
$267.53
|
| Rate for Payer: UMR Bronson Commercial |
$631.58
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$1,066.00 |
| Rate for Payer: Aetna Commercial |
$748.06
|
| Rate for Payer: Aetna Medicare |
$580.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$748.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.88
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS MAPPO |
$558.25
|
| Rate for Payer: BCBS Trust/PPO |
$605.96
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: BCN Medicare Advantage |
$558.25
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$748.06
|
| Rate for Payer: Cofinity Commercial |
$803.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$586.16
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Nomi Health Commercial |
$669.90
|
| Rate for Payer: PACE SWMI |
$558.25
|
| Rate for Payer: PHP Commercial |
$781.55
|
| Rate for Payer: PHP Medicare Advantage |
$558.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.66
|
| Rate for Payer: Priority Health Medicare |
$558.25
|
| Rate for Payer: Priority Health Narrow Network |
$899.66
|
| Rate for Payer: Priority Health SBD |
$899.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.25
|
| Rate for Payer: UHC Medicare Advantage |
$558.25
|
| Rate for Payer: UHCCP Medicaid |
$379.78
|
| Rate for Payer: UMR Bronson Commercial |
$754.40
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
|
Professional
|
Both
|
$844.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$236.00 |
| Max. Negotiated Rate |
$576.64 |
| Rate for Payer: Aetna Commercial |
$459.93
|
| Rate for Payer: Aetna Medicare |
$356.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.25
|
| Rate for Payer: BCBS Complete |
$247.80
|
| Rate for Payer: BCBS MAPPO |
$343.23
|
| Rate for Payer: BCBS Trust/PPO |
$472.30
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: BCN Medicare Advantage |
$343.23
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cofinity Commercial |
$459.93
|
| Rate for Payer: Cofinity Commercial |
$494.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$360.39
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Nomi Health Commercial |
$411.88
|
| Rate for Payer: PACE SWMI |
$343.23
|
| Rate for Payer: PHP Commercial |
$480.52
|
| Rate for Payer: PHP Medicare Advantage |
$343.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.24
|
| Rate for Payer: Priority Health Medicare |
$343.23
|
| Rate for Payer: Priority Health Narrow Network |
$559.24
|
| Rate for Payer: Priority Health SBD |
$559.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.23
|
| Rate for Payer: UHC Medicare Advantage |
$343.23
|
| Rate for Payer: UHCCP Medicaid |
$236.00
|
| Rate for Payer: UMR Bronson Commercial |
$388.24
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$521.85 |
| Max. Negotiated Rate |
$1,429.35 |
| Rate for Payer: Aetna Commercial |
$1,036.78
|
| Rate for Payer: Aetna Medicare |
$804.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,036.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,114.16
|
| Rate for Payer: BCBS Complete |
$547.94
|
| Rate for Payer: BCBS MAPPO |
$773.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$1,180.15
|
| Rate for Payer: BCN Medicare Advantage |
$773.72
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cofinity Commercial |
$1,036.78
|
| Rate for Payer: Cofinity Commercial |
$1,114.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$773.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$812.41
|
| Rate for Payer: Meridian Medicaid |
$547.94
|
| Rate for Payer: Nomi Health Commercial |
$928.46
|
| Rate for Payer: PACE SWMI |
$773.72
|
| Rate for Payer: PHP Commercial |
$1,083.21
|
| Rate for Payer: PHP Medicare Advantage |
$773.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,429.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.01
|
| Rate for Payer: Priority Health Medicare |
$773.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.01
|
| Rate for Payer: Priority Health SBD |
$1,235.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$773.72
|
| Rate for Payer: UHC Medicare Advantage |
$773.72
|
| Rate for Payer: UHCCP Medicaid |
$521.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,011.54
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$3,213.12 |
| Rate for Payer: Aetna Commercial |
$647.46
|
| Rate for Payer: Aetna Medicare |
$502.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$695.78
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$483.18
|
| Rate for Payer: BCBS Trust/PPO |
$3,213.12
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$483.18
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cofinity Commercial |
$647.46
|
| Rate for Payer: Cofinity Commercial |
$695.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$507.34
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Nomi Health Commercial |
$579.82
|
| Rate for Payer: PACE SWMI |
$483.18
|
| Rate for Payer: PHP Commercial |
$676.45
|
| Rate for Payer: PHP Medicare Advantage |
$483.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$776.01
|
| Rate for Payer: Priority Health Medicare |
$483.18
|
| Rate for Payer: Priority Health Narrow Network |
$776.01
|
| Rate for Payer: Priority Health SBD |
$776.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.18
|
| Rate for Payer: UHC Medicare Advantage |
$483.18
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
| Rate for Payer: UMR Bronson Commercial |
$724.96
|
|
|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$182.12 |
| Max. Negotiated Rate |
$656.68 |
| Rate for Payer: Aetna Commercial |
$353.67
|
| Rate for Payer: Aetna Medicare |
$274.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.06
|
| Rate for Payer: BCBS Complete |
$191.23
|
| Rate for Payer: BCBS MAPPO |
$263.93
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$462.78
|
| Rate for Payer: BCN Medicare Advantage |
$263.93
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cofinity Commercial |
$353.67
|
| Rate for Payer: Cofinity Commercial |
$380.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$277.13
|
| Rate for Payer: Meridian Medicaid |
$191.23
|
| Rate for Payer: Nomi Health Commercial |
$316.72
|
| Rate for Payer: PACE SWMI |
$263.93
|
| Rate for Payer: PHP Commercial |
$369.50
|
| Rate for Payer: PHP Medicare Advantage |
$263.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$429.48
|
| Rate for Payer: Priority Health Medicare |
$263.93
|
| Rate for Payer: Priority Health Narrow Network |
$429.48
|
| Rate for Payer: Priority Health SBD |
$429.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.93
|
| Rate for Payer: UHC Medicare Advantage |
$263.93
|
| Rate for Payer: UHCCP Medicaid |
$182.12
|
| Rate for Payer: UMR Bronson Commercial |
$326.60
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$195.11 |
| Max. Negotiated Rate |
$1,234.64 |
| Rate for Payer: Aetna Commercial |
$377.83
|
| Rate for Payer: Aetna Medicare |
$293.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.02
|
| Rate for Payer: BCBS Complete |
$204.87
|
| Rate for Payer: BCBS MAPPO |
$281.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.64
|
| Rate for Payer: BCN Commercial |
$463.27
|
| Rate for Payer: BCN Medicare Advantage |
$281.96
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cofinity Commercial |
$377.83
|
| Rate for Payer: Cofinity Commercial |
$406.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.06
|
| Rate for Payer: Meridian Medicaid |
$204.87
|
| Rate for Payer: Nomi Health Commercial |
$338.35
|
| Rate for Payer: PACE SWMI |
$281.96
|
| Rate for Payer: PHP Commercial |
$394.74
|
| Rate for Payer: PHP Medicare Advantage |
$281.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.02
|
| Rate for Payer: Priority Health Medicare |
$281.96
|
| Rate for Payer: Priority Health Narrow Network |
$461.02
|
| Rate for Payer: Priority Health SBD |
$461.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.96
|
| Rate for Payer: UHC Medicare Advantage |
$281.96
|
| Rate for Payer: UHCCP Medicaid |
$195.11
|
| Rate for Payer: UMR Bronson Commercial |
$387.78
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$382.34 |
| Max. Negotiated Rate |
$936.15 |
| Rate for Payer: Aetna Commercial |
$755.40
|
| Rate for Payer: Aetna Medicare |
$586.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$755.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$811.77
|
| Rate for Payer: BCBS Complete |
$401.46
|
| Rate for Payer: BCBS MAPPO |
$563.73
|
| Rate for Payer: BCBS Trust/PPO |
$936.15
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$563.73
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cofinity Commercial |
$755.40
|
| Rate for Payer: Cofinity Commercial |
$811.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.92
|
| Rate for Payer: Meridian Medicaid |
$401.46
|
| Rate for Payer: Nomi Health Commercial |
$676.48
|
| Rate for Payer: PACE SWMI |
$563.73
|
| Rate for Payer: PHP Commercial |
$789.22
|
| Rate for Payer: PHP Medicare Advantage |
$563.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$738.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$904.75
|
| Rate for Payer: Priority Health Medicare |
$563.73
|
| Rate for Payer: Priority Health Narrow Network |
$904.75
|
| Rate for Payer: Priority Health SBD |
$904.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$563.73
|
| Rate for Payer: UHC Medicare Advantage |
$563.73
|
| Rate for Payer: UHCCP Medicaid |
$382.34
|
| Rate for Payer: UMR Bronson Commercial |
$522.56
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$323.76 |
| Max. Negotiated Rate |
$3,450.64 |
| Rate for Payer: Aetna Commercial |
$638.80
|
| Rate for Payer: Aetna Medicare |
$495.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$638.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$686.48
|
| Rate for Payer: BCBS Complete |
$339.95
|
| Rate for Payer: BCBS MAPPO |
$476.72
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.64
|
| Rate for Payer: BCN Commercial |
$799.48
|
| Rate for Payer: BCN Medicare Advantage |
$476.72
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cofinity Commercial |
$638.80
|
| Rate for Payer: Cofinity Commercial |
$686.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$476.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$500.56
|
| Rate for Payer: Meridian Medicaid |
$339.95
|
| Rate for Payer: Nomi Health Commercial |
$572.06
|
| Rate for Payer: PACE SWMI |
$476.72
|
| Rate for Payer: PHP Commercial |
$667.41
|
| Rate for Payer: PHP Medicare Advantage |
$476.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.38
|
| Rate for Payer: Priority Health Medicare |
$476.72
|
| Rate for Payer: Priority Health Narrow Network |
$768.38
|
| Rate for Payer: Priority Health SBD |
$768.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$476.72
|
| Rate for Payer: UHC Medicare Advantage |
$476.72
|
| Rate for Payer: UHCCP Medicaid |
$323.76
|
| Rate for Payer: UMR Bronson Commercial |
$824.78
|
|
|
PR CLTX TIBIAL SHAFT FX W/O MANIPULATION
|
Professional
|
Both
|
$921.00
|
|
|
Service Code
|
HCPCS 27750
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$598.65 |
| Rate for Payer: Aetna Commercial |
$422.35
|
| Rate for Payer: Aetna Medicare |
$327.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.87
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS MAPPO |
$315.19
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$522.39
|
| Rate for Payer: BCN Medicare Advantage |
$315.19
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cash Price |
$736.80
|
| Rate for Payer: Cofinity Commercial |
$422.35
|
| Rate for Payer: Cofinity Commercial |
$453.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.95
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Nomi Health Commercial |
$378.23
|
| Rate for Payer: PACE SWMI |
$315.19
|
| Rate for Payer: PHP Commercial |
$441.27
|
| Rate for Payer: PHP Medicare Advantage |
$315.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.94
|
| Rate for Payer: Priority Health Medicare |
$315.19
|
| Rate for Payer: Priority Health Narrow Network |
$513.94
|
| Rate for Payer: Priority Health SBD |
$513.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.19
|
| Rate for Payer: UHC Medicare Advantage |
$315.19
|
| Rate for Payer: UHCCP Medicaid |
$216.83
|
| Rate for Payer: UMR Bronson Commercial |
$423.66
|
|
|
PR CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ
|
Professional
|
Both
|
$894.00
|
|
|
Service Code
|
HCPCS 25680
|
| Min. Negotiated Rate |
$352.52 |
| Max. Negotiated Rate |
$1,480.30 |
| Rate for Payer: Aetna Commercial |
$692.07
|
| Rate for Payer: Aetna Medicare |
$537.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$692.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$743.72
|
| Rate for Payer: BCBS Complete |
$370.15
|
| Rate for Payer: BCBS MAPPO |
$516.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,480.30
|
| Rate for Payer: BCN Commercial |
$789.70
|
| Rate for Payer: BCN Medicare Advantage |
$516.47
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cash Price |
$715.20
|
| Rate for Payer: Cofinity Commercial |
$692.07
|
| Rate for Payer: Cofinity Commercial |
$743.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$542.29
|
| Rate for Payer: Meridian Medicaid |
$370.15
|
| Rate for Payer: Nomi Health Commercial |
$619.76
|
| Rate for Payer: PACE SWMI |
$516.47
|
| Rate for Payer: PHP Commercial |
$723.06
|
| Rate for Payer: PHP Medicare Advantage |
$516.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$833.01
|
| Rate for Payer: Priority Health Medicare |
$516.47
|
| Rate for Payer: Priority Health Narrow Network |
$833.01
|
| Rate for Payer: Priority Health SBD |
$833.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.47
|
| Rate for Payer: UHC Medicare Advantage |
$516.47
|
| Rate for Payer: UHCCP Medicaid |
$352.52
|
| Rate for Payer: UMR Bronson Commercial |
$411.24
|
|
