|
PR LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL
|
Professional
|
Both
|
$4,877.00
|
|
|
Service Code
|
HCPCS 63250
|
| Min. Negotiated Rate |
$331.77 |
| Max. Negotiated Rate |
$5,116.16 |
| Rate for Payer: Aetna Commercial |
$3,941.01
|
| Rate for Payer: Aetna Medicare |
$3,058.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,941.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,235.11
|
| Rate for Payer: BCBS Complete |
$2,020.23
|
| Rate for Payer: BCBS MAPPO |
$2,941.05
|
| Rate for Payer: BCBS Trust/PPO |
$331.77
|
| Rate for Payer: BCN Commercial |
$4,362.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,941.05
|
| Rate for Payer: Cash Price |
$3,901.60
|
| Rate for Payer: Cash Price |
$3,901.60
|
| Rate for Payer: Cofinity Commercial |
$3,941.01
|
| Rate for Payer: Cofinity Commercial |
$4,235.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,941.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,088.10
|
| Rate for Payer: Meridian Medicaid |
$2,020.23
|
| Rate for Payer: Nomi Health Commercial |
$3,529.26
|
| Rate for Payer: PACE SWMI |
$2,941.05
|
| Rate for Payer: PHP Commercial |
$4,117.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,941.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,924.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,170.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,116.16
|
| Rate for Payer: Priority Health Medicare |
$2,941.05
|
| Rate for Payer: Priority Health Narrow Network |
$5,116.16
|
| Rate for Payer: Priority Health SBD |
$5,116.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,941.05
|
| Rate for Payer: UHC Medicare Advantage |
$2,941.05
|
| Rate for Payer: UHCCP Medicaid |
$1,924.03
|
| Rate for Payer: UMR Bronson Commercial |
$2,243.42
|
|
|
PR LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC
|
Professional
|
Both
|
$5,857.00
|
|
|
Service Code
|
HCPCS 63251
|
| Min. Negotiated Rate |
$725.36 |
| Max. Negotiated Rate |
$5,231.04 |
| Rate for Payer: Aetna Commercial |
$4,027.58
|
| Rate for Payer: Aetna Medicare |
$3,125.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,027.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,328.15
|
| Rate for Payer: BCBS Complete |
$2,065.63
|
| Rate for Payer: BCBS MAPPO |
$3,005.66
|
| Rate for Payer: BCBS Trust/PPO |
$725.36
|
| Rate for Payer: BCN Commercial |
$4,461.14
|
| Rate for Payer: BCN Medicare Advantage |
$3,005.66
|
| Rate for Payer: Cash Price |
$4,685.60
|
| Rate for Payer: Cash Price |
$4,685.60
|
| Rate for Payer: Cofinity Commercial |
$4,027.58
|
| Rate for Payer: Cofinity Commercial |
$4,328.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,005.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,155.94
|
| Rate for Payer: Meridian Medicaid |
$2,065.63
|
| Rate for Payer: Nomi Health Commercial |
$3,606.79
|
| Rate for Payer: PACE SWMI |
$3,005.66
|
| Rate for Payer: PHP Commercial |
$4,207.92
|
| Rate for Payer: PHP Medicare Advantage |
$3,005.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,967.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,807.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,231.04
|
| Rate for Payer: Priority Health Medicare |
$3,005.66
|
| Rate for Payer: Priority Health Narrow Network |
$5,231.04
|
| Rate for Payer: Priority Health SBD |
$5,231.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,005.66
|
| Rate for Payer: UHC Medicare Advantage |
$3,005.66
|
| Rate for Payer: UHCCP Medicaid |
$1,967.27
|
| Rate for Payer: UMR Bronson Commercial |
$2,694.22
|
|
|
PR LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM
|
Professional
|
Both
|
$490.00
|
|
|
Service Code
|
HCPCS 63053
|
| Min. Negotiated Rate |
$146.54 |
| Max. Negotiated Rate |
$390.13 |
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Aetna Commercial |
$299.65
|
| Rate for Payer: Aetna Medicare |
$232.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$299.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.01
|
| Rate for Payer: BCBS Complete |
$153.87
|
| Rate for Payer: BCBS MAPPO |
$223.62
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$332.79
|
| Rate for Payer: BCN Medicare Advantage |
$223.62
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Cofinity Commercial |
$299.65
|
| Rate for Payer: Cofinity Commercial |
$322.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$234.80
|
| Rate for Payer: Meridian Medicaid |
$153.87
|
| Rate for Payer: Nomi Health Commercial |
$268.34
|
| Rate for Payer: PACE SWMI |
$223.62
|
| Rate for Payer: PHP Commercial |
$313.07
|
| Rate for Payer: PHP Medicare Advantage |
$223.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$390.13
|
| Rate for Payer: Priority Health Medicare |
$223.62
|
| Rate for Payer: Priority Health Narrow Network |
$390.13
|
| Rate for Payer: Priority Health SBD |
$390.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$223.62
|
| Rate for Payer: UHC Medicare Advantage |
$223.62
|
| Rate for Payer: UHCCP Medicaid |
$146.54
|
| Rate for Payer: UMR Bronson Commercial |
$225.40
|
|
|
PR LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM
|
Professional
|
Both
|
$653.00
|
|
|
Service Code
|
HCPCS 63052
|
| Min. Negotiated Rate |
$165.50 |
| Max. Negotiated Rate |
$449.06 |
| Rate for Payer: Aetna Commercial |
$338.77
|
| Rate for Payer: Aetna Medicare |
$262.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.05
|
| Rate for Payer: BCBS Complete |
$173.78
|
| Rate for Payer: BCBS MAPPO |
$252.81
|
| Rate for Payer: BCBS Trust/PPO |
$449.06
|
| Rate for Payer: BCN Commercial |
$375.79
|
| Rate for Payer: BCN Medicare Advantage |
$252.81
|
| Rate for Payer: Cash Price |
$522.40
|
| Rate for Payer: Cash Price |
$522.40
|
| Rate for Payer: Cofinity Commercial |
$338.77
|
| Rate for Payer: Cofinity Commercial |
$364.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265.45
|
| Rate for Payer: Meridian Medicaid |
$173.78
|
| Rate for Payer: Nomi Health Commercial |
$303.37
|
| Rate for Payer: PACE SWMI |
$252.81
|
| Rate for Payer: PHP Commercial |
$353.93
|
| Rate for Payer: PHP Medicare Advantage |
$252.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$424.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$439.05
|
| Rate for Payer: Priority Health Medicare |
$252.81
|
| Rate for Payer: Priority Health Narrow Network |
$439.05
|
| Rate for Payer: Priority Health SBD |
$439.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.81
|
| Rate for Payer: UHC Medicare Advantage |
$252.81
|
| Rate for Payer: UHCCP Medicaid |
$165.50
|
| Rate for Payer: UMR Bronson Commercial |
$300.38
|
|
|
PR LAM FACETECTOMY&FORAMOT 1 VRT SGM EA ADDL SGM
|
Professional
|
Both
|
$2,308.00
|
|
|
Service Code
|
HCPCS 63048
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$1,500.20 |
| Rate for Payer: Aetna Commercial |
$275.83
|
| Rate for Payer: Aetna Medicare |
$214.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.41
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCBS MAPPO |
$205.84
|
| Rate for Payer: BCBS Trust/PPO |
$347.09
|
| Rate for Payer: BCN Commercial |
$336.83
|
| Rate for Payer: BCN Medicare Advantage |
$205.84
|
| Rate for Payer: Cash Price |
$1,846.40
|
| Rate for Payer: Cash Price |
$1,846.40
|
| Rate for Payer: Cofinity Commercial |
$275.83
|
| Rate for Payer: Cofinity Commercial |
$296.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.13
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Nomi Health Commercial |
$247.01
|
| Rate for Payer: PACE SWMI |
$205.84
|
| Rate for Payer: PHP Commercial |
$288.18
|
| Rate for Payer: PHP Medicare Advantage |
$205.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,500.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.29
|
| Rate for Payer: Priority Health Medicare |
$205.84
|
| Rate for Payer: Priority Health Narrow Network |
$358.29
|
| Rate for Payer: Priority Health SBD |
$358.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.84
|
| Rate for Payer: UHC Medicare Advantage |
$205.84
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,061.68
|
|
|
PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM CERVICAL
|
Professional
|
Both
|
$2,678.00
|
|
|
Service Code
|
HCPCS 63045
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$2,229.36 |
| Rate for Payer: Aetna Commercial |
$1,696.79
|
| Rate for Payer: Aetna Medicare |
$1,316.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,696.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,823.41
|
| Rate for Payer: BCBS Complete |
$881.18
|
| Rate for Payer: BCBS MAPPO |
$1,266.26
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$2,089.87
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.26
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cash Price |
$2,142.40
|
| Rate for Payer: Cofinity Commercial |
$1,696.79
|
| Rate for Payer: Cofinity Commercial |
$1,823.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,329.57
|
| Rate for Payer: Meridian Medicaid |
$881.18
|
| Rate for Payer: Nomi Health Commercial |
$1,519.51
|
| Rate for Payer: PACE SWMI |
$1,266.26
|
| Rate for Payer: PHP Commercial |
$1,772.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,740.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,229.36
|
| Rate for Payer: Priority Health Medicare |
$1,266.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,229.36
|
| Rate for Payer: Priority Health SBD |
$2,229.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,266.26
|
| Rate for Payer: UHCCP Medicaid |
$839.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,231.88
|
|
|
PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR
|
Professional
|
Both
|
$2,286.00
|
|
|
Service Code
|
HCPCS 63047
|
| Min. Negotiated Rate |
$364.00 |
| Max. Negotiated Rate |
$1,911.45 |
| Rate for Payer: Aetna Commercial |
$1,451.22
|
| Rate for Payer: Aetna Medicare |
$1,126.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,451.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,559.52
|
| Rate for Payer: BCBS Complete |
$757.06
|
| Rate for Payer: BCBS MAPPO |
$1,083.00
|
| Rate for Payer: BCBS Trust/PPO |
$364.00
|
| Rate for Payer: BCN Commercial |
$1,792.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,083.00
|
| Rate for Payer: Cash Price |
$1,828.80
|
| Rate for Payer: Cash Price |
$1,828.80
|
| Rate for Payer: Cofinity Commercial |
$1,451.22
|
| Rate for Payer: Cofinity Commercial |
$1,559.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,083.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,137.15
|
| Rate for Payer: Meridian Medicaid |
$757.06
|
| Rate for Payer: Nomi Health Commercial |
$1,299.60
|
| Rate for Payer: PACE SWMI |
$1,083.00
|
| Rate for Payer: PHP Commercial |
$1,516.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,083.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,485.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,911.45
|
| Rate for Payer: Priority Health Medicare |
$1,083.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,911.45
|
| Rate for Payer: Priority Health SBD |
$1,911.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,083.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.00
|
| Rate for Payer: UHCCP Medicaid |
$721.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,051.56
|
|
|
PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM THORACIC
|
Professional
|
Both
|
$2,551.00
|
|
|
Service Code
|
HCPCS 63046
|
| Min. Negotiated Rate |
$189.66 |
| Max. Negotiated Rate |
$2,126.99 |
| Rate for Payer: Aetna Commercial |
$1,617.50
|
| Rate for Payer: Aetna Medicare |
$1,255.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,617.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,738.21
|
| Rate for Payer: BCBS Complete |
$841.60
|
| Rate for Payer: BCBS MAPPO |
$1,207.09
|
| Rate for Payer: BCBS Trust/PPO |
$189.66
|
| Rate for Payer: BCN Commercial |
$1,992.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,207.09
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cash Price |
$2,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,617.50
|
| Rate for Payer: Cofinity Commercial |
$1,738.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,207.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,267.44
|
| Rate for Payer: Meridian Medicaid |
$841.60
|
| Rate for Payer: Nomi Health Commercial |
$1,448.51
|
| Rate for Payer: PACE SWMI |
$1,207.09
|
| Rate for Payer: PHP Commercial |
$1,689.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,207.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$801.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,658.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,126.99
|
| Rate for Payer: Priority Health Medicare |
$1,207.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,126.99
|
| Rate for Payer: Priority Health SBD |
$2,126.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,207.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,207.09
|
| Rate for Payer: UHCCP Medicaid |
$801.52
|
| Rate for Payer: UMR Bronson Commercial |
$1,173.46
|
|
|
PR LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL
|
Professional
|
Both
|
$1,720.00
|
|
|
Service Code
|
HCPCS 63655
|
| Min. Negotiated Rate |
$297.43 |
| Max. Negotiated Rate |
$1,455.91 |
| Rate for Payer: Aetna Commercial |
$1,104.43
|
| Rate for Payer: Aetna Medicare |
$857.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,186.85
|
| Rate for Payer: BCBS Complete |
$577.24
|
| Rate for Payer: BCBS MAPPO |
$824.20
|
| Rate for Payer: BCBS Trust/PPO |
$297.43
|
| Rate for Payer: BCN Commercial |
$1,362.40
|
| Rate for Payer: BCN Medicare Advantage |
$824.20
|
| Rate for Payer: Cash Price |
$1,376.00
|
| Rate for Payer: Cash Price |
$1,376.00
|
| Rate for Payer: Cofinity Commercial |
$1,104.43
|
| Rate for Payer: Cofinity Commercial |
$1,186.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$824.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$865.41
|
| Rate for Payer: Meridian Medicaid |
$577.24
|
| Rate for Payer: Nomi Health Commercial |
$989.04
|
| Rate for Payer: PACE SWMI |
$824.20
|
| Rate for Payer: PHP Commercial |
$1,153.88
|
| Rate for Payer: PHP Medicare Advantage |
$824.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,118.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,455.91
|
| Rate for Payer: Priority Health Medicare |
$824.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,455.91
|
| Rate for Payer: Priority Health SBD |
$1,455.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$824.20
|
| Rate for Payer: UHC Medicare Advantage |
$824.20
|
| Rate for Payer: UHCCP Medicaid |
$549.75
|
| Rate for Payer: UMR Bronson Commercial |
$791.20
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL
|
Professional
|
Both
|
$6,802.00
|
|
|
Service Code
|
HCPCS 63275
|
| Min. Negotiated Rate |
$191.77 |
| Max. Negotiated Rate |
$4,421.30 |
| Rate for Payer: Aetna Commercial |
$2,383.55
|
| Rate for Payer: Aetna Medicare |
$1,849.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,383.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,561.43
|
| Rate for Payer: BCBS Complete |
$1,230.30
|
| Rate for Payer: BCBS MAPPO |
$1,778.77
|
| Rate for Payer: BCBS Trust/PPO |
$191.77
|
| Rate for Payer: BCN Commercial |
$2,936.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,778.77
|
| Rate for Payer: Cash Price |
$5,441.60
|
| Rate for Payer: Cash Price |
$5,441.60
|
| Rate for Payer: Cofinity Commercial |
$2,383.55
|
| Rate for Payer: Cofinity Commercial |
$2,561.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,778.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,867.71
|
| Rate for Payer: Meridian Medicaid |
$1,230.30
|
| Rate for Payer: Nomi Health Commercial |
$2,134.52
|
| Rate for Payer: PACE SWMI |
$1,778.77
|
| Rate for Payer: PHP Commercial |
$2,490.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,778.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,421.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,115.42
|
| Rate for Payer: Priority Health Medicare |
$1,778.77
|
| Rate for Payer: Priority Health Narrow Network |
$3,115.42
|
| Rate for Payer: Priority Health SBD |
$3,115.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,778.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,778.77
|
| Rate for Payer: UHCCP Medicaid |
$1,171.71
|
| Rate for Payer: UMR Bronson Commercial |
$3,128.92
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR
|
Professional
|
Both
|
$6,212.00
|
|
|
Service Code
|
HCPCS 63277
|
| Min. Negotiated Rate |
$453.81 |
| Max. Negotiated Rate |
$4,037.80 |
| Rate for Payer: Aetna Commercial |
$2,065.30
|
| Rate for Payer: Aetna Medicare |
$1,602.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,065.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,219.43
|
| Rate for Payer: BCBS Complete |
$1,069.27
|
| Rate for Payer: BCBS MAPPO |
$1,541.27
|
| Rate for Payer: BCBS Trust/PPO |
$453.81
|
| Rate for Payer: BCN Commercial |
$2,538.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,541.27
|
| Rate for Payer: Cash Price |
$4,969.60
|
| Rate for Payer: Cash Price |
$4,969.60
|
| Rate for Payer: Cofinity Commercial |
$2,065.30
|
| Rate for Payer: Cofinity Commercial |
$2,219.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,541.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,618.33
|
| Rate for Payer: Meridian Medicaid |
$1,069.27
|
| Rate for Payer: Nomi Health Commercial |
$1,849.52
|
| Rate for Payer: PACE SWMI |
$1,541.27
|
| Rate for Payer: PHP Commercial |
$2,157.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,541.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,018.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,037.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,700.26
|
| Rate for Payer: Priority Health Medicare |
$1,541.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,700.26
|
| Rate for Payer: Priority Health SBD |
$2,700.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,541.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,541.27
|
| Rate for Payer: UHCCP Medicaid |
$1,018.35
|
| Rate for Payer: UMR Bronson Commercial |
$2,857.52
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL
|
Professional
|
Both
|
$5,404.00
|
|
|
Service Code
|
HCPCS 63278
|
| Min. Negotiated Rate |
$351.32 |
| Max. Negotiated Rate |
$3,512.60 |
| Rate for Payer: Aetna Commercial |
$2,122.84
|
| Rate for Payer: Aetna Medicare |
$1,647.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,122.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,281.26
|
| Rate for Payer: BCBS Complete |
$1,095.43
|
| Rate for Payer: BCBS MAPPO |
$1,584.21
|
| Rate for Payer: BCBS Trust/PPO |
$351.32
|
| Rate for Payer: BCN Commercial |
$2,597.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,584.21
|
| Rate for Payer: Cash Price |
$4,323.20
|
| Rate for Payer: Cash Price |
$4,323.20
|
| Rate for Payer: Cofinity Commercial |
$2,122.84
|
| Rate for Payer: Cofinity Commercial |
$2,281.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,584.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,663.42
|
| Rate for Payer: Meridian Medicaid |
$1,095.43
|
| Rate for Payer: Nomi Health Commercial |
$1,901.05
|
| Rate for Payer: PACE SWMI |
$1,584.21
|
| Rate for Payer: PHP Commercial |
$2,217.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,584.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,043.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,512.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,771.35
|
| Rate for Payer: Priority Health Medicare |
$1,584.21
|
| Rate for Payer: Priority Health Narrow Network |
$2,771.35
|
| Rate for Payer: Priority Health SBD |
$2,771.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,584.21
|
| Rate for Payer: UHC Medicare Advantage |
$1,584.21
|
| Rate for Payer: UHCCP Medicaid |
$1,043.27
|
| Rate for Payer: UMR Bronson Commercial |
$2,485.84
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC
|
Professional
|
Both
|
$6,924.00
|
|
|
Service Code
|
HCPCS 63276
|
| Min. Negotiated Rate |
$311.70 |
| Max. Negotiated Rate |
$4,500.60 |
| Rate for Payer: Aetna Commercial |
$2,368.28
|
| Rate for Payer: Aetna Medicare |
$1,838.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,545.01
|
| Rate for Payer: BCBS Complete |
$1,222.47
|
| Rate for Payer: BCBS MAPPO |
$1,767.37
|
| Rate for Payer: BCBS Trust/PPO |
$311.70
|
| Rate for Payer: BCN Commercial |
$2,902.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,767.37
|
| Rate for Payer: Cash Price |
$5,539.20
|
| Rate for Payer: Cash Price |
$5,539.20
|
| Rate for Payer: Cofinity Commercial |
$2,368.28
|
| Rate for Payer: Cofinity Commercial |
$2,545.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,767.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,855.74
|
| Rate for Payer: Meridian Medicaid |
$1,222.47
|
| Rate for Payer: Nomi Health Commercial |
$2,120.84
|
| Rate for Payer: PACE SWMI |
$1,767.37
|
| Rate for Payer: PHP Commercial |
$2,474.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,767.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,164.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,500.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,096.08
|
| Rate for Payer: Priority Health Medicare |
$1,767.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,096.08
|
| Rate for Payer: Priority Health SBD |
$3,096.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,767.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,767.37
|
| Rate for Payer: UHCCP Medicaid |
$1,164.26
|
| Rate for Payer: UMR Bronson Commercial |
$3,185.04
|
|
|
PR LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR
|
Professional
|
Both
|
$5,916.00
|
|
|
Service Code
|
HCPCS 63200
|
| Min. Negotiated Rate |
$291.09 |
| Max. Negotiated Rate |
$3,845.40 |
| Rate for Payer: Aetna Commercial |
$2,056.39
|
| Rate for Payer: Aetna Medicare |
$1,596.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,056.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,209.85
|
| Rate for Payer: BCBS Complete |
$1,062.12
|
| Rate for Payer: BCBS MAPPO |
$1,534.62
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$2,479.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,534.62
|
| Rate for Payer: Cash Price |
$4,732.80
|
| Rate for Payer: Cash Price |
$4,732.80
|
| Rate for Payer: Cofinity Commercial |
$2,056.39
|
| Rate for Payer: Cofinity Commercial |
$2,209.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,534.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,611.35
|
| Rate for Payer: Meridian Medicaid |
$1,062.12
|
| Rate for Payer: Nomi Health Commercial |
$1,841.54
|
| Rate for Payer: PACE SWMI |
$1,534.62
|
| Rate for Payer: PHP Commercial |
$2,148.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,534.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,011.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,845.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,659.89
|
| Rate for Payer: Priority Health Medicare |
$1,534.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,659.89
|
| Rate for Payer: Priority Health SBD |
$2,659.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,534.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,534.62
|
| Rate for Payer: UHCCP Medicaid |
$1,011.54
|
| Rate for Payer: UMR Bronson Commercial |
$2,721.36
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR
|
Professional
|
Both
|
$5,033.00
|
|
|
Service Code
|
HCPCS 63005
|
| Min. Negotiated Rate |
$233.48 |
| Max. Negotiated Rate |
$3,271.45 |
| Rate for Payer: Aetna Commercial |
$1,591.52
|
| Rate for Payer: Aetna Medicare |
$1,235.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,591.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,710.29
|
| Rate for Payer: BCBS Complete |
$826.61
|
| Rate for Payer: BCBS MAPPO |
$1,187.70
|
| Rate for Payer: BCBS Trust/PPO |
$233.48
|
| Rate for Payer: BCN Commercial |
$1,947.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,187.70
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,591.52
|
| Rate for Payer: Cofinity Commercial |
$1,710.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,187.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,247.08
|
| Rate for Payer: Meridian Medicaid |
$826.61
|
| Rate for Payer: Nomi Health Commercial |
$1,425.24
|
| Rate for Payer: PACE SWMI |
$1,187.70
|
| Rate for Payer: PHP Commercial |
$1,662.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,187.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$787.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,081.49
|
| Rate for Payer: Priority Health Medicare |
$1,187.70
|
| Rate for Payer: Priority Health Narrow Network |
$2,081.49
|
| Rate for Payer: Priority Health SBD |
$2,081.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,187.70
|
| Rate for Payer: UHC Medicare Advantage |
$1,187.70
|
| Rate for Payer: UHCCP Medicaid |
$787.25
|
| Rate for Payer: UMR Bronson Commercial |
$2,315.18
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL
|
Professional
|
Both
|
$2,241.00
|
|
|
Service Code
|
HCPCS 63011
|
| Min. Negotiated Rate |
$449.06 |
| Max. Negotiated Rate |
$1,877.33 |
| Rate for Payer: Aetna Commercial |
$1,418.39
|
| Rate for Payer: Aetna Medicare |
$1,100.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,418.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,524.24
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,058.50
|
| Rate for Payer: BCBS Trust/PPO |
$449.06
|
| Rate for Payer: BCN Commercial |
$1,606.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,058.50
|
| Rate for Payer: Cash Price |
$1,792.80
|
| Rate for Payer: Cash Price |
$1,792.80
|
| Rate for Payer: Cofinity Commercial |
$1,418.39
|
| Rate for Payer: Cofinity Commercial |
$1,524.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,058.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,111.42
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Nomi Health Commercial |
$1,270.20
|
| Rate for Payer: PACE SWMI |
$1,058.50
|
| Rate for Payer: PHP Commercial |
$1,481.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,058.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,456.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,877.33
|
| Rate for Payer: Priority Health Medicare |
$1,058.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,877.33
|
| Rate for Payer: Priority Health SBD |
$1,877.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,058.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,058.50
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,030.86
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC
|
Professional
|
Both
|
$6,183.00
|
|
|
Service Code
|
HCPCS 63003
|
| Min. Negotiated Rate |
$194.94 |
| Max. Negotiated Rate |
$4,018.95 |
| Rate for Payer: Aetna Commercial |
$1,638.57
|
| Rate for Payer: Aetna Medicare |
$1,271.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,638.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,760.85
|
| Rate for Payer: BCBS Complete |
$848.08
|
| Rate for Payer: BCBS MAPPO |
$1,222.81
|
| Rate for Payer: BCBS Trust/PPO |
$194.94
|
| Rate for Payer: BCN Commercial |
$2,002.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,222.81
|
| Rate for Payer: Cash Price |
$4,946.40
|
| Rate for Payer: Cash Price |
$4,946.40
|
| Rate for Payer: Cofinity Commercial |
$1,638.57
|
| Rate for Payer: Cofinity Commercial |
$1,760.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,222.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,283.95
|
| Rate for Payer: Meridian Medicaid |
$848.08
|
| Rate for Payer: Nomi Health Commercial |
$1,467.37
|
| Rate for Payer: PACE SWMI |
$1,222.81
|
| Rate for Payer: PHP Commercial |
$1,711.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,222.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$807.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,018.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,137.23
|
| Rate for Payer: Priority Health Medicare |
$1,222.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,137.23
|
| Rate for Payer: Priority Health SBD |
$2,137.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,222.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,222.81
|
| Rate for Payer: UHCCP Medicaid |
$807.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,844.18
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL
|
Professional
|
Both
|
$6,256.00
|
|
|
Service Code
|
HCPCS 63015
|
| Min. Negotiated Rate |
$422.11 |
| Max. Negotiated Rate |
$4,066.40 |
| Rate for Payer: Aetna Commercial |
$1,964.02
|
| Rate for Payer: Aetna Medicare |
$1,524.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,964.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,110.59
|
| Rate for Payer: BCBS Complete |
$1,016.49
|
| Rate for Payer: BCBS MAPPO |
$1,465.69
|
| Rate for Payer: BCBS Trust/PPO |
$422.11
|
| Rate for Payer: BCN Commercial |
$2,404.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,465.69
|
| Rate for Payer: Cash Price |
$5,004.80
|
| Rate for Payer: Cash Price |
$5,004.80
|
| Rate for Payer: Cofinity Commercial |
$1,964.02
|
| Rate for Payer: Cofinity Commercial |
$2,110.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,465.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,538.97
|
| Rate for Payer: Meridian Medicaid |
$1,016.49
|
| Rate for Payer: Nomi Health Commercial |
$1,758.83
|
| Rate for Payer: PACE SWMI |
$1,465.69
|
| Rate for Payer: PHP Commercial |
$2,051.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,465.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$968.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,566.60
|
| Rate for Payer: Priority Health Medicare |
$1,465.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,566.60
|
| Rate for Payer: Priority Health SBD |
$2,566.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,465.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,465.69
|
| Rate for Payer: UHCCP Medicaid |
$968.09
|
| Rate for Payer: UMR Bronson Commercial |
$2,877.76
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR
|
Professional
|
Both
|
$6,258.00
|
|
|
Service Code
|
HCPCS 63017
|
| Min. Negotiated Rate |
$263.09 |
| Max. Negotiated Rate |
$4,067.70 |
| Rate for Payer: Aetna Commercial |
$1,675.96
|
| Rate for Payer: Aetna Medicare |
$1,300.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,675.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,801.04
|
| Rate for Payer: BCBS Complete |
$869.33
|
| Rate for Payer: BCBS MAPPO |
$1,250.72
|
| Rate for Payer: BCBS Trust/PPO |
$263.09
|
| Rate for Payer: BCN Commercial |
$2,056.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,250.72
|
| Rate for Payer: Cash Price |
$5,006.40
|
| Rate for Payer: Cash Price |
$5,006.40
|
| Rate for Payer: Cofinity Commercial |
$1,675.96
|
| Rate for Payer: Cofinity Commercial |
$1,801.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,250.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,313.26
|
| Rate for Payer: Meridian Medicaid |
$869.33
|
| Rate for Payer: Nomi Health Commercial |
$1,500.86
|
| Rate for Payer: PACE SWMI |
$1,250.72
|
| Rate for Payer: PHP Commercial |
$1,751.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,250.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$827.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,067.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,194.66
|
| Rate for Payer: Priority Health Medicare |
$1,250.72
|
| Rate for Payer: Priority Health Narrow Network |
$2,194.66
|
| Rate for Payer: Priority Health SBD |
$2,194.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,250.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,250.72
|
| Rate for Payer: UHCCP Medicaid |
$827.93
|
| Rate for Payer: UMR Bronson Commercial |
$2,878.68
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC
|
Professional
|
Both
|
$6,773.00
|
|
|
Service Code
|
HCPCS 63016
|
| Min. Negotiated Rate |
$313.28 |
| Max. Negotiated Rate |
$4,402.45 |
| Rate for Payer: Aetna Commercial |
$2,015.79
|
| Rate for Payer: Aetna Medicare |
$1,564.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,015.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,166.22
|
| Rate for Payer: BCBS Complete |
$1,042.66
|
| Rate for Payer: BCBS MAPPO |
$1,504.32
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$2,480.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,504.32
|
| Rate for Payer: Cash Price |
$5,418.40
|
| Rate for Payer: Cash Price |
$5,418.40
|
| Rate for Payer: Cofinity Commercial |
$2,015.79
|
| Rate for Payer: Cofinity Commercial |
$2,166.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,504.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,579.54
|
| Rate for Payer: Meridian Medicaid |
$1,042.66
|
| Rate for Payer: Nomi Health Commercial |
$1,805.18
|
| Rate for Payer: PACE SWMI |
$1,504.32
|
| Rate for Payer: PHP Commercial |
$2,106.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,504.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$993.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,402.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,638.84
|
| Rate for Payer: Priority Health Medicare |
$1,504.32
|
| Rate for Payer: Priority Health Narrow Network |
$2,638.84
|
| Rate for Payer: Priority Health SBD |
$2,638.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,504.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,504.32
|
| Rate for Payer: UHCCP Medicaid |
$993.01
|
| Rate for Payer: UMR Bronson Commercial |
$3,115.58
|
|
|
PR LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS
|
Professional
|
Both
|
$5,784.00
|
|
|
Service Code
|
HCPCS 63185
|
| Min. Negotiated Rate |
$806.84 |
| Max. Negotiated Rate |
$4,716.13 |
| Rate for Payer: Aetna Commercial |
$1,636.37
|
| Rate for Payer: Aetna Medicare |
$1,270.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,636.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,758.48
|
| Rate for Payer: BCBS Complete |
$847.18
|
| Rate for Payer: BCBS MAPPO |
$1,221.17
|
| Rate for Payer: BCBS Trust/PPO |
$4,716.13
|
| Rate for Payer: BCN Commercial |
$1,680.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,221.17
|
| Rate for Payer: Cash Price |
$4,627.20
|
| Rate for Payer: Cash Price |
$4,627.20
|
| Rate for Payer: Cofinity Commercial |
$1,636.37
|
| Rate for Payer: Cofinity Commercial |
$1,758.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,221.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,282.23
|
| Rate for Payer: Meridian Medicaid |
$847.18
|
| Rate for Payer: Nomi Health Commercial |
$1,465.40
|
| Rate for Payer: PACE SWMI |
$1,221.17
|
| Rate for Payer: PHP Commercial |
$1,709.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,221.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$806.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,759.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,141.21
|
| Rate for Payer: Priority Health Medicare |
$1,221.17
|
| Rate for Payer: Priority Health Narrow Network |
$2,141.21
|
| Rate for Payer: Priority Health SBD |
$2,141.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,221.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,221.17
|
| Rate for Payer: UHCCP Medicaid |
$806.84
|
| Rate for Payer: UMR Bronson Commercial |
$2,660.64
|
|
|
PR LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR
|
Professional
|
Both
|
$6,155.00
|
|
|
Service Code
|
HCPCS 63012
|
| Min. Negotiated Rate |
$479.17 |
| Max. Negotiated Rate |
$4,000.75 |
| Rate for Payer: Aetna Commercial |
$1,570.83
|
| Rate for Payer: Aetna Medicare |
$1,219.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,570.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,688.05
|
| Rate for Payer: BCBS Complete |
$816.54
|
| Rate for Payer: BCBS MAPPO |
$1,172.26
|
| Rate for Payer: BCBS Trust/PPO |
$479.17
|
| Rate for Payer: BCN Commercial |
$1,940.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,172.26
|
| Rate for Payer: Cash Price |
$4,924.00
|
| Rate for Payer: Cash Price |
$4,924.00
|
| Rate for Payer: Cofinity Commercial |
$1,570.83
|
| Rate for Payer: Cofinity Commercial |
$1,688.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,172.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,230.87
|
| Rate for Payer: Meridian Medicaid |
$816.54
|
| Rate for Payer: Nomi Health Commercial |
$1,406.71
|
| Rate for Payer: PACE SWMI |
$1,172.26
|
| Rate for Payer: PHP Commercial |
$1,641.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,172.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,000.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,065.01
|
| Rate for Payer: Priority Health Medicare |
$1,172.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,065.01
|
| Rate for Payer: Priority Health SBD |
$2,065.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,172.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,172.26
|
| Rate for Payer: UHCCP Medicaid |
$777.66
|
| Rate for Payer: UMR Bronson Commercial |
$2,831.30
|
|
|
PR LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE
|
Professional
|
Both
|
$2,232.00
|
|
|
Service Code
|
HCPCS 63191
|
| Min. Negotiated Rate |
$243.55 |
| Max. Negotiated Rate |
$2,403.96 |
| Rate for Payer: Aetna Commercial |
$1,840.03
|
| Rate for Payer: Aetna Medicare |
$1,428.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,840.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,977.35
|
| Rate for Payer: BCBS Complete |
$950.73
|
| Rate for Payer: BCBS MAPPO |
$1,373.16
|
| Rate for Payer: BCBS Trust/PPO |
$243.55
|
| Rate for Payer: BCN Commercial |
$2,045.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,373.16
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cofinity Commercial |
$1,840.03
|
| Rate for Payer: Cofinity Commercial |
$1,977.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,373.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,441.82
|
| Rate for Payer: Meridian Medicaid |
$950.73
|
| Rate for Payer: Nomi Health Commercial |
$1,647.79
|
| Rate for Payer: PACE SWMI |
$1,373.16
|
| Rate for Payer: PHP Commercial |
$1,922.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,373.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$905.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,450.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,403.96
|
| Rate for Payer: Priority Health Medicare |
$1,373.16
|
| Rate for Payer: Priority Health Narrow Network |
$2,403.96
|
| Rate for Payer: Priority Health SBD |
$2,403.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,373.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,373.16
|
| Rate for Payer: UHCCP Medicaid |
$905.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,026.72
|
|
|
PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC
|
Professional
|
Both
|
$5,746.00
|
|
|
Service Code
|
HCPCS 63020
|
| Min. Negotiated Rate |
$230.34 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: Aetna Commercial |
$1,445.55
|
| Rate for Payer: Aetna Medicare |
$1,121.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,445.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,553.43
|
| Rate for Payer: BCBS Complete |
$754.59
|
| Rate for Payer: BCBS MAPPO |
$1,078.77
|
| Rate for Payer: BCBS Trust/PPO |
$230.34
|
| Rate for Payer: BCN Commercial |
$1,778.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,078.77
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,445.55
|
| Rate for Payer: Cofinity Commercial |
$1,553.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,078.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,132.71
|
| Rate for Payer: Meridian Medicaid |
$754.59
|
| Rate for Payer: Nomi Health Commercial |
$1,294.52
|
| Rate for Payer: PACE SWMI |
$1,078.77
|
| Rate for Payer: PHP Commercial |
$1,510.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,078.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$718.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,734.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,899.51
|
| Rate for Payer: Priority Health Medicare |
$1,078.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,899.51
|
| Rate for Payer: Priority Health SBD |
$1,899.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,078.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,078.77
|
| Rate for Payer: UHCCP Medicaid |
$718.66
|
| Rate for Payer: UMR Bronson Commercial |
$2,643.16
|
|
|
PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR
|
Professional
|
Both
|
$5,564.00
|
|
|
Service Code
|
HCPCS 63030
|
| Min. Negotiated Rate |
$318.04 |
| Max. Negotiated Rate |
$3,616.60 |
| Rate for Payer: Aetna Commercial |
$1,198.01
|
| Rate for Payer: Aetna Medicare |
$929.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,198.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,287.42
|
| Rate for Payer: BCBS Complete |
$627.56
|
| Rate for Payer: BCBS MAPPO |
$894.04
|
| Rate for Payer: BCBS Trust/PPO |
$318.04
|
| Rate for Payer: BCN Commercial |
$1,146.75
|
| Rate for Payer: BCN Medicare Advantage |
$894.04
|
| Rate for Payer: Cash Price |
$4,451.20
|
| Rate for Payer: Cash Price |
$4,451.20
|
| Rate for Payer: Cofinity Commercial |
$1,198.01
|
| Rate for Payer: Cofinity Commercial |
$1,287.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$894.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$938.74
|
| Rate for Payer: Meridian Medicaid |
$627.56
|
| Rate for Payer: Nomi Health Commercial |
$1,072.85
|
| Rate for Payer: PACE SWMI |
$894.04
|
| Rate for Payer: PHP Commercial |
$1,251.66
|
| Rate for Payer: PHP Medicare Advantage |
$894.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$597.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,616.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,583.88
|
| Rate for Payer: Priority Health Medicare |
$894.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,583.88
|
| Rate for Payer: Priority Health SBD |
$1,583.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$894.04
|
| Rate for Payer: UHC Medicare Advantage |
$894.04
|
| Rate for Payer: UHCCP Medicaid |
$597.68
|
| Rate for Payer: UMR Bronson Commercial |
$2,559.44
|
|
