|
PR OPEN TREATMENT TARSAL BONE DISLOCATION
|
Professional
|
Both
|
$1,780.00
|
|
|
Service Code
|
HCPCS 28555
|
| Min. Negotiated Rate |
$390.22 |
| Max. Negotiated Rate |
$1,335.00 |
| Rate for Payer: Aetna Commercial |
$799.66
|
| Rate for Payer: Aetna Medicare |
$620.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$799.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$859.33
|
| Rate for Payer: BCBS Complete |
$409.73
|
| Rate for Payer: BCBS MAPPO |
$596.76
|
| Rate for Payer: BCN Commercial |
$988.00
|
| Rate for Payer: BCN Medicare Advantage |
$596.76
|
| Rate for Payer: Cash Price |
$1,424.00
|
| Rate for Payer: Cash Price |
$1,424.00
|
| Rate for Payer: Cofinity Commercial |
$799.66
|
| Rate for Payer: Cofinity Commercial |
$859.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$596.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$626.60
|
| Rate for Payer: Meridian Medicaid |
$409.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$656.44
|
| Rate for Payer: Nomi Health Commercial |
$716.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,335.00
|
| Rate for Payer: PACE SWMI |
$596.76
|
| Rate for Payer: PHP Commercial |
$835.46
|
| Rate for Payer: PHP Medicare Advantage |
$596.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$390.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,056.13
|
| Rate for Payer: Priority Health Medicare |
$596.76
|
| Rate for Payer: Priority Health SBD |
$1,056.13
|
| Rate for Payer: Priority Health Tiered Network |
$1,056.13
|
| Rate for Payer: Railroad Medicare Medicare |
$596.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,136.34
|
| Rate for Payer: UHC Core |
$1,136.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$596.76
|
| Rate for Payer: UHC Exchange |
$1,136.34
|
| Rate for Payer: UHC Medicaid |
$390.22
|
| Rate for Payer: UHCCP Medicaid |
$390.22
|
| Rate for Payer: UMR Bronson Commercial |
$818.80
|
|
|
PR OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,849.00
|
|
|
Service Code
|
HCPCS 28615
|
| Min. Negotiated Rate |
$505.88 |
| Max. Negotiated Rate |
$1,412.43 |
| Rate for Payer: Aetna Commercial |
$1,028.91
|
| Rate for Payer: Aetna Medicare |
$798.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,028.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,105.69
|
| Rate for Payer: BCBS Complete |
$531.17
|
| Rate for Payer: BCBS MAPPO |
$767.84
|
| Rate for Payer: BCN Commercial |
$1,257.90
|
| Rate for Payer: BCN Medicare Advantage |
$767.84
|
| Rate for Payer: Cash Price |
$1,479.20
|
| Rate for Payer: Cash Price |
$1,479.20
|
| Rate for Payer: Cofinity Commercial |
$1,028.91
|
| Rate for Payer: Cofinity Commercial |
$1,105.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$767.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.23
|
| Rate for Payer: Meridian Medicaid |
$531.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$844.62
|
| Rate for Payer: Nomi Health Commercial |
$921.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,386.75
|
| Rate for Payer: PACE SWMI |
$767.84
|
| Rate for Payer: PHP Commercial |
$1,074.98
|
| Rate for Payer: PHP Medicare Advantage |
$767.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,344.66
|
| Rate for Payer: Priority Health Medicare |
$767.84
|
| Rate for Payer: Priority Health SBD |
$1,344.66
|
| Rate for Payer: Priority Health Tiered Network |
$1,344.66
|
| Rate for Payer: Railroad Medicare Medicare |
$767.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,412.43
|
| Rate for Payer: UHC Core |
$1,412.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$767.84
|
| Rate for Payer: UHC Exchange |
$1,412.43
|
| Rate for Payer: UHC Medicaid |
$505.88
|
| Rate for Payer: UHCCP Medicaid |
$505.88
|
| Rate for Payer: UMR Bronson Commercial |
$850.54
|
|
|
PR OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX
|
Professional
|
Both
|
$2,413.00
|
|
|
Service Code
|
HCPCS 24685
|
| Min. Negotiated Rate |
$396.82 |
| Max. Negotiated Rate |
$1,809.75 |
| Rate for Payer: Aetna Commercial |
$809.20
|
| Rate for Payer: Aetna Medicare |
$628.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$809.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.59
|
| Rate for Payer: BCBS Complete |
$416.66
|
| Rate for Payer: BCBS MAPPO |
$603.88
|
| Rate for Payer: BCN Commercial |
$1,002.94
|
| Rate for Payer: BCN Medicare Advantage |
$603.88
|
| Rate for Payer: Cash Price |
$1,930.40
|
| Rate for Payer: Cash Price |
$1,930.40
|
| Rate for Payer: Cofinity Commercial |
$809.20
|
| Rate for Payer: Cofinity Commercial |
$869.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$634.07
|
| Rate for Payer: Meridian Medicaid |
$416.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$664.27
|
| Rate for Payer: Nomi Health Commercial |
$724.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,809.75
|
| Rate for Payer: PACE SWMI |
$603.88
|
| Rate for Payer: PHP Commercial |
$845.43
|
| Rate for Payer: PHP Medicare Advantage |
$603.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$396.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,072.11
|
| Rate for Payer: Priority Health Medicare |
$603.88
|
| Rate for Payer: Priority Health SBD |
$1,072.11
|
| Rate for Payer: Priority Health Tiered Network |
$1,072.11
|
| Rate for Payer: Railroad Medicare Medicare |
$603.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,135.68
|
| Rate for Payer: UHC Core |
$1,135.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$603.88
|
| Rate for Payer: UHC Exchange |
$1,135.68
|
| Rate for Payer: UHC Medicaid |
$396.82
|
| Rate for Payer: UHCCP Medicaid |
$396.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,109.98
|
|
|
PR OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ
|
Professional
|
Both
|
$2,002.00
|
|
|
Service Code
|
HCPCS 25545
|
| Min. Negotiated Rate |
$379.35 |
| Max. Negotiated Rate |
$1,501.50 |
| Rate for Payer: Aetna Commercial |
$772.99
|
| Rate for Payer: Aetna Medicare |
$599.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$772.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$830.68
|
| Rate for Payer: BCBS Complete |
$398.32
|
| Rate for Payer: BCBS MAPPO |
$576.86
|
| Rate for Payer: BCN Commercial |
$962.10
|
| Rate for Payer: BCN Medicare Advantage |
$576.86
|
| Rate for Payer: Cash Price |
$1,601.60
|
| Rate for Payer: Cash Price |
$1,601.60
|
| Rate for Payer: Cofinity Commercial |
$772.99
|
| Rate for Payer: Cofinity Commercial |
$830.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$576.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$605.70
|
| Rate for Payer: Meridian Medicaid |
$398.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$634.55
|
| Rate for Payer: Nomi Health Commercial |
$692.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,501.50
|
| Rate for Payer: PACE SWMI |
$576.86
|
| Rate for Payer: PHP Commercial |
$807.60
|
| Rate for Payer: PHP Medicare Advantage |
$576.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,028.45
|
| Rate for Payer: Priority Health Medicare |
$576.86
|
| Rate for Payer: Priority Health SBD |
$1,028.45
|
| Rate for Payer: Priority Health Tiered Network |
$1,028.45
|
| Rate for Payer: Railroad Medicare Medicare |
$576.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.10
|
| Rate for Payer: UHC Core |
$1,081.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$576.86
|
| Rate for Payer: UHC Exchange |
$1,081.10
|
| Rate for Payer: UHC Medicaid |
$379.35
|
| Rate for Payer: UHCCP Medicaid |
$379.35
|
| Rate for Payer: UMR Bronson Commercial |
$920.92
|
|
|
PR OPEN TREATMENT ULNAR STYLOID FRACTURE
|
Professional
|
Both
|
$1,717.00
|
|
|
Service Code
|
HCPCS 25652
|
| Min. Negotiated Rate |
$376.80 |
| Max. Negotiated Rate |
$1,287.75 |
| Rate for Payer: Aetna Commercial |
$768.65
|
| Rate for Payer: Aetna Medicare |
$596.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$768.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$826.01
|
| Rate for Payer: BCBS Complete |
$395.64
|
| Rate for Payer: BCBS MAPPO |
$573.62
|
| Rate for Payer: BCN Commercial |
$960.61
|
| Rate for Payer: BCN Medicare Advantage |
$573.62
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cofinity Commercial |
$768.65
|
| Rate for Payer: Cofinity Commercial |
$826.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$573.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$602.30
|
| Rate for Payer: Meridian Medicaid |
$395.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$630.98
|
| Rate for Payer: Nomi Health Commercial |
$688.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,287.75
|
| Rate for Payer: PACE SWMI |
$573.62
|
| Rate for Payer: PHP Commercial |
$803.07
|
| Rate for Payer: PHP Medicare Advantage |
$573.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,026.85
|
| Rate for Payer: Priority Health Medicare |
$573.62
|
| Rate for Payer: Priority Health SBD |
$1,026.85
|
| Rate for Payer: Priority Health Tiered Network |
$1,026.85
|
| Rate for Payer: Railroad Medicare Medicare |
$573.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.22
|
| Rate for Payer: UHC Core |
$1,081.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$573.62
|
| Rate for Payer: UHC Exchange |
$1,081.22
|
| Rate for Payer: UHC Medicaid |
$376.80
|
| Rate for Payer: UHCCP Medicaid |
$376.80
|
| Rate for Payer: UMR Bronson Commercial |
$789.82
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 1-2 RIBS
|
Professional
|
Both
|
$3,448.00
|
|
|
Service Code
|
HCPCS 0245T
|
| Min. Negotiated Rate |
$1,379.20 |
| Max. Negotiated Rate |
$2,586.00 |
| Rate for Payer: Aetna Medicare |
$1,724.00
|
| Rate for Payer: BCBS Complete |
$1,379.20
|
| Rate for Payer: Cash Price |
$2,758.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,586.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,586.08
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 3-4 RIBS
|
Professional
|
Both
|
$3,800.00
|
|
|
Service Code
|
HCPCS 0246T
|
| Min. Negotiated Rate |
$1,520.00 |
| Max. Negotiated Rate |
$2,850.00 |
| Rate for Payer: Aetna Medicare |
$1,900.00
|
| Rate for Payer: BCBS Complete |
$1,520.00
|
| Rate for Payer: Cash Price |
$3,040.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,850.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,748.00
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 5-6 RIBS
|
Professional
|
Both
|
$4,202.00
|
|
|
Service Code
|
HCPCS 0247T
|
| Min. Negotiated Rate |
$1,680.80 |
| Max. Negotiated Rate |
$3,151.50 |
| Rate for Payer: Aetna Medicare |
$2,101.00
|
| Rate for Payer: BCBS Complete |
$1,680.80
|
| Rate for Payer: Cash Price |
$3,361.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,151.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,932.92
|
|
|
PR OPEN TREAT RIB FRACTURE W/INT FIXATION, UNILATERAL, 7+ RIBS
|
Professional
|
Both
|
$4,850.00
|
|
|
Service Code
|
HCPCS 0248T
|
| Min. Negotiated Rate |
$1,940.00 |
| Max. Negotiated Rate |
$3,637.50 |
| Rate for Payer: Aetna Medicare |
$2,425.00
|
| Rate for Payer: BCBS Complete |
$1,940.00
|
| Rate for Payer: Cash Price |
$3,880.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,637.50
|
| Rate for Payer: UMR Bronson Commercial |
$2,231.00
|
|
|
PR OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC
|
Professional
|
Both
|
$2,825.00
|
|
|
Service Code
|
HCPCS 23550
|
| Min. Negotiated Rate |
$344.85 |
| Max. Negotiated Rate |
$2,118.75 |
| Rate for Payer: Aetna Commercial |
$704.50
|
| Rate for Payer: Aetna Medicare |
$546.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$757.08
|
| Rate for Payer: BCBS Complete |
$362.09
|
| Rate for Payer: BCBS MAPPO |
$525.75
|
| Rate for Payer: BCN Commercial |
$875.95
|
| Rate for Payer: BCN Medicare Advantage |
$525.75
|
| Rate for Payer: Cash Price |
$2,260.00
|
| Rate for Payer: Cash Price |
$2,260.00
|
| Rate for Payer: Cofinity Commercial |
$757.08
|
| Rate for Payer: Cofinity Commercial |
$704.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.04
|
| Rate for Payer: Meridian Medicaid |
$362.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$578.33
|
| Rate for Payer: Nomi Health Commercial |
$630.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,118.75
|
| Rate for Payer: PACE SWMI |
$525.75
|
| Rate for Payer: PHP Commercial |
$736.05
|
| Rate for Payer: PHP Medicare Advantage |
$525.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$344.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$936.36
|
| Rate for Payer: Priority Health Medicare |
$525.75
|
| Rate for Payer: Priority Health SBD |
$936.36
|
| Rate for Payer: Priority Health Tiered Network |
$936.36
|
| Rate for Payer: Railroad Medicare Medicare |
$525.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$997.21
|
| Rate for Payer: UHC Core |
$997.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$525.75
|
| Rate for Payer: UHC Exchange |
$997.21
|
| Rate for Payer: UHC Medicaid |
$344.85
|
| Rate for Payer: UHCCP Medicaid |
$344.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,299.50
|
|
|
PR OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION
|
Professional
|
Both
|
$2,654.00
|
|
|
Service Code
|
HCPCS 24615
|
| Min. Negotiated Rate |
$423.87 |
| Max. Negotiated Rate |
$1,990.50 |
| Rate for Payer: Aetna Commercial |
$869.43
|
| Rate for Payer: Aetna Medicare |
$674.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$934.32
|
| Rate for Payer: BCBS Complete |
$445.06
|
| Rate for Payer: BCBS MAPPO |
$648.83
|
| Rate for Payer: BCN Commercial |
$1,090.57
|
| Rate for Payer: BCN Medicare Advantage |
$648.83
|
| Rate for Payer: Cash Price |
$2,123.20
|
| Rate for Payer: Cash Price |
$2,123.20
|
| Rate for Payer: Cofinity Commercial |
$869.43
|
| Rate for Payer: Cofinity Commercial |
$934.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$648.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$681.27
|
| Rate for Payer: Meridian Medicaid |
$445.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$713.71
|
| Rate for Payer: Nomi Health Commercial |
$778.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,990.50
|
| Rate for Payer: PACE SWMI |
$648.83
|
| Rate for Payer: PHP Commercial |
$908.36
|
| Rate for Payer: PHP Medicare Advantage |
$648.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,165.80
|
| Rate for Payer: Priority Health Medicare |
$648.83
|
| Rate for Payer: Priority Health SBD |
$1,165.80
|
| Rate for Payer: Priority Health Tiered Network |
$1,165.80
|
| Rate for Payer: Railroad Medicare Medicare |
$648.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,246.03
|
| Rate for Payer: UHC Core |
$1,246.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$648.83
|
| Rate for Payer: UHC Exchange |
$1,246.03
|
| Rate for Payer: UHC Medicaid |
$423.87
|
| Rate for Payer: UHCCP Medicaid |
$423.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,220.84
|
|
|
PR OPEN TX ACUTE SHOULDER DISLOCATION
|
Professional
|
Both
|
$2,802.00
|
|
|
Service Code
|
HCPCS 23660
|
| Min. Negotiated Rate |
$351.45 |
| Max. Negotiated Rate |
$2,101.50 |
| Rate for Payer: Aetna Commercial |
$717.64
|
| Rate for Payer: Aetna Medicare |
$556.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$771.19
|
| Rate for Payer: BCBS Complete |
$369.02
|
| Rate for Payer: BCBS MAPPO |
$535.55
|
| Rate for Payer: BCN Commercial |
$897.86
|
| Rate for Payer: BCN Medicare Advantage |
$535.55
|
| Rate for Payer: Cash Price |
$2,241.60
|
| Rate for Payer: Cash Price |
$2,241.60
|
| Rate for Payer: Cofinity Commercial |
$717.64
|
| Rate for Payer: Cofinity Commercial |
$771.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.33
|
| Rate for Payer: Meridian Medicaid |
$369.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$589.11
|
| Rate for Payer: Nomi Health Commercial |
$642.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,101.50
|
| Rate for Payer: PACE SWMI |
$535.55
|
| Rate for Payer: PHP Commercial |
$749.77
|
| Rate for Payer: PHP Medicare Advantage |
$535.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$959.79
|
| Rate for Payer: Priority Health Medicare |
$535.55
|
| Rate for Payer: Priority Health SBD |
$959.79
|
| Rate for Payer: Priority Health Tiered Network |
$959.79
|
| Rate for Payer: Railroad Medicare Medicare |
$535.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,016.87
|
| Rate for Payer: UHC Core |
$1,016.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$535.55
|
| Rate for Payer: UHC Exchange |
$1,016.87
|
| Rate for Payer: UHC Medicaid |
$351.45
|
| Rate for Payer: UHCCP Medicaid |
$351.45
|
| Rate for Payer: UMR Bronson Commercial |
$1,288.92
|
|
|
PR OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA
|
Professional
|
Both
|
$2,606.00
|
|
|
Service Code
|
HCPCS 26746
|
| Min. Negotiated Rate |
$438.99 |
| Max. Negotiated Rate |
$1,954.50 |
| Rate for Payer: Aetna Commercial |
$897.01
|
| Rate for Payer: Aetna Medicare |
$696.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.95
|
| Rate for Payer: BCBS Complete |
$460.94
|
| Rate for Payer: BCBS MAPPO |
$669.41
|
| Rate for Payer: BCN Commercial |
$1,136.89
|
| Rate for Payer: BCN Medicare Advantage |
$669.41
|
| Rate for Payer: Cash Price |
$2,084.80
|
| Rate for Payer: Cash Price |
$2,084.80
|
| Rate for Payer: Cofinity Commercial |
$897.01
|
| Rate for Payer: Cofinity Commercial |
$963.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$669.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$702.88
|
| Rate for Payer: Meridian Medicaid |
$460.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$736.35
|
| Rate for Payer: Nomi Health Commercial |
$803.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,954.50
|
| Rate for Payer: PACE SWMI |
$669.41
|
| Rate for Payer: PHP Commercial |
$937.17
|
| Rate for Payer: PHP Medicare Advantage |
$669.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,215.30
|
| Rate for Payer: Priority Health Medicare |
$669.41
|
| Rate for Payer: Priority Health SBD |
$1,215.30
|
| Rate for Payer: Priority Health Tiered Network |
$1,215.30
|
| Rate for Payer: Railroad Medicare Medicare |
$669.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,290.05
|
| Rate for Payer: UHC Core |
$1,290.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$669.41
|
| Rate for Payer: UHC Exchange |
$1,290.05
|
| Rate for Payer: UHC Medicaid |
$438.99
|
| Rate for Payer: UHCCP Medicaid |
$438.99
|
| Rate for Payer: UMR Bronson Commercial |
$1,198.76
|
|
|
PR OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA
|
Professional
|
Both
|
$1,553.00
|
|
|
Service Code
|
HCPCS 25645
|
| Min. Negotiated Rate |
$348.26 |
| Max. Negotiated Rate |
$1,164.75 |
| Rate for Payer: Aetna Commercial |
$711.06
|
| Rate for Payer: Aetna Medicare |
$551.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$711.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$764.12
|
| Rate for Payer: BCBS Complete |
$365.67
|
| Rate for Payer: BCBS MAPPO |
$530.64
|
| Rate for Payer: BCN Commercial |
$878.94
|
| Rate for Payer: BCN Medicare Advantage |
$530.64
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$711.06
|
| Rate for Payer: Cofinity Commercial |
$764.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$557.17
|
| Rate for Payer: Meridian Medicaid |
$365.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$583.70
|
| Rate for Payer: Nomi Health Commercial |
$636.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,164.75
|
| Rate for Payer: PACE SWMI |
$530.64
|
| Rate for Payer: PHP Commercial |
$742.90
|
| Rate for Payer: PHP Medicare Advantage |
$530.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$939.57
|
| Rate for Payer: Priority Health Medicare |
$530.64
|
| Rate for Payer: Priority Health SBD |
$939.57
|
| Rate for Payer: Priority Health Tiered Network |
$939.57
|
| Rate for Payer: Railroad Medicare Medicare |
$530.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$991.92
|
| Rate for Payer: UHC Core |
$991.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$530.64
|
| Rate for Payer: UHC Exchange |
$991.92
|
| Rate for Payer: UHC Medicaid |
$348.26
|
| Rate for Payer: UHCCP Medicaid |
$348.26
|
| Rate for Payer: UMR Bronson Commercial |
$714.38
|
|
|
PR OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ
|
Professional
|
Both
|
$2,085.00
|
|
|
Service Code
|
HCPCS 25628
|
| Min. Negotiated Rate |
$426.64 |
| Max. Negotiated Rate |
$1,563.75 |
| Rate for Payer: Aetna Commercial |
$872.61
|
| Rate for Payer: Aetna Medicare |
$677.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$872.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$937.73
|
| Rate for Payer: BCBS Complete |
$447.97
|
| Rate for Payer: BCBS MAPPO |
$651.20
|
| Rate for Payer: BCN Commercial |
$1,103.03
|
| Rate for Payer: BCN Medicare Advantage |
$651.20
|
| Rate for Payer: Cash Price |
$1,668.00
|
| Rate for Payer: Cash Price |
$1,668.00
|
| Rate for Payer: Cofinity Commercial |
$872.61
|
| Rate for Payer: Cofinity Commercial |
$937.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$651.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$683.76
|
| Rate for Payer: Meridian Medicaid |
$447.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$716.32
|
| Rate for Payer: Nomi Health Commercial |
$781.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,563.75
|
| Rate for Payer: PACE SWMI |
$651.20
|
| Rate for Payer: PHP Commercial |
$911.68
|
| Rate for Payer: PHP Medicare Advantage |
$651.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,179.10
|
| Rate for Payer: Priority Health Medicare |
$651.20
|
| Rate for Payer: Priority Health SBD |
$1,179.10
|
| Rate for Payer: Priority Health Tiered Network |
$1,179.10
|
| Rate for Payer: Railroad Medicare Medicare |
$651.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.84
|
| Rate for Payer: UHC Core |
$1,251.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$651.20
|
| Rate for Payer: UHC Exchange |
$1,251.84
|
| Rate for Payer: UHC Medicaid |
$426.64
|
| Rate for Payer: UHCCP Medicaid |
$426.64
|
| Rate for Payer: UMR Bronson Commercial |
$959.10
|
|
|
PR OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB
|
Professional
|
Both
|
$2,323.00
|
|
|
Service Code
|
HCPCS 26685
|
| Min. Negotiated Rate |
$341.44 |
| Max. Negotiated Rate |
$1,742.25 |
| Rate for Payer: Aetna Commercial |
$693.37
|
| Rate for Payer: Aetna Medicare |
$538.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$693.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$745.11
|
| Rate for Payer: BCBS Complete |
$358.51
|
| Rate for Payer: BCBS MAPPO |
$517.44
|
| Rate for Payer: BCN Commercial |
$890.39
|
| Rate for Payer: BCN Medicare Advantage |
$517.44
|
| Rate for Payer: Cash Price |
$1,858.40
|
| Rate for Payer: Cash Price |
$1,858.40
|
| Rate for Payer: Cofinity Commercial |
$693.37
|
| Rate for Payer: Cofinity Commercial |
$745.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.31
|
| Rate for Payer: Meridian Medicaid |
$358.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$569.18
|
| Rate for Payer: Nomi Health Commercial |
$620.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,742.25
|
| Rate for Payer: PACE SWMI |
$517.44
|
| Rate for Payer: PHP Commercial |
$724.42
|
| Rate for Payer: PHP Medicare Advantage |
$517.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$951.81
|
| Rate for Payer: Priority Health Medicare |
$517.44
|
| Rate for Payer: Priority Health SBD |
$951.81
|
| Rate for Payer: Priority Health Tiered Network |
$951.81
|
| Rate for Payer: Railroad Medicare Medicare |
$517.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$995.42
|
| Rate for Payer: UHC Core |
$995.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$517.44
|
| Rate for Payer: UHC Exchange |
$995.42
|
| Rate for Payer: UHC Medicaid |
$341.44
|
| Rate for Payer: UHCCP Medicaid |
$341.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,068.58
|
|
|
PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB
|
Professional
|
Both
|
$2,975.00
|
|
|
Service Code
|
HCPCS 26665
|
| Min. Negotiated Rate |
$368.49 |
| Max. Negotiated Rate |
$2,231.25 |
| Rate for Payer: Aetna Commercial |
$749.84
|
| Rate for Payer: Aetna Medicare |
$581.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$749.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$805.80
|
| Rate for Payer: BCBS Complete |
$386.91
|
| Rate for Payer: BCBS MAPPO |
$559.58
|
| Rate for Payer: BCN Commercial |
$966.08
|
| Rate for Payer: BCN Medicare Advantage |
$559.58
|
| Rate for Payer: Cash Price |
$2,380.00
|
| Rate for Payer: Cash Price |
$2,380.00
|
| Rate for Payer: Cofinity Commercial |
$749.84
|
| Rate for Payer: Cofinity Commercial |
$805.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.56
|
| Rate for Payer: Meridian Medicaid |
$386.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$615.54
|
| Rate for Payer: Nomi Health Commercial |
$671.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,231.25
|
| Rate for Payer: PACE SWMI |
$559.58
|
| Rate for Payer: PHP Commercial |
$783.41
|
| Rate for Payer: PHP Medicare Advantage |
$559.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,032.71
|
| Rate for Payer: Priority Health Medicare |
$559.58
|
| Rate for Payer: Priority Health SBD |
$1,032.71
|
| Rate for Payer: Priority Health Tiered Network |
$1,032.71
|
| Rate for Payer: Railroad Medicare Medicare |
$559.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,084.80
|
| Rate for Payer: UHC Core |
$1,084.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$559.58
|
| Rate for Payer: UHC Exchange |
$1,084.80
|
| Rate for Payer: UHC Medicaid |
$368.49
|
| Rate for Payer: UHCCP Medicaid |
$368.49
|
| Rate for Payer: UMR Bronson Commercial |
$1,368.50
|
|
|
PR OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION
|
Professional
|
Both
|
$2,529.00
|
|
|
Service Code
|
HCPCS 23515
|
| Min. Negotiated Rate |
$433.03 |
| Max. Negotiated Rate |
$1,896.75 |
| Rate for Payer: Aetna Commercial |
$886.30
|
| Rate for Payer: Aetna Medicare |
$687.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$886.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$952.44
|
| Rate for Payer: BCBS Complete |
$454.68
|
| Rate for Payer: BCBS MAPPO |
$661.42
|
| Rate for Payer: BCN Commercial |
$1,101.04
|
| Rate for Payer: BCN Medicare Advantage |
$661.42
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Cofinity Commercial |
$886.30
|
| Rate for Payer: Cofinity Commercial |
$952.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.49
|
| Rate for Payer: Meridian Medicaid |
$454.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$727.56
|
| Rate for Payer: Nomi Health Commercial |
$793.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,896.75
|
| Rate for Payer: PACE SWMI |
$661.42
|
| Rate for Payer: PHP Commercial |
$925.99
|
| Rate for Payer: PHP Medicare Advantage |
$661.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$433.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,176.97
|
| Rate for Payer: Priority Health Medicare |
$661.42
|
| Rate for Payer: Priority Health SBD |
$1,176.97
|
| Rate for Payer: Priority Health Tiered Network |
$1,176.97
|
| Rate for Payer: Railroad Medicare Medicare |
$661.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,255.04
|
| Rate for Payer: UHC Core |
$1,255.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$661.42
|
| Rate for Payer: UHC Exchange |
$1,255.04
|
| Rate for Payer: UHC Medicaid |
$433.03
|
| Rate for Payer: UHCCP Medicaid |
$433.03
|
| Rate for Payer: UMR Bronson Commercial |
$1,163.34
|
|
|
PR OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG
|
Professional
|
Both
|
$2,079.00
|
|
|
Service Code
|
HCPCS 21365
|
| Min. Negotiated Rate |
$613.87 |
| Max. Negotiated Rate |
$1,919.88 |
| Rate for Payer: Aetna Commercial |
$1,266.38
|
| Rate for Payer: Aetna Medicare |
$982.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,266.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,360.89
|
| Rate for Payer: BCBS Complete |
$644.56
|
| Rate for Payer: BCBS MAPPO |
$945.06
|
| Rate for Payer: BCN Commercial |
$1,632.88
|
| Rate for Payer: BCN Medicare Advantage |
$945.06
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cofinity Commercial |
$1,266.38
|
| Rate for Payer: Cofinity Commercial |
$1,360.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$945.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$992.31
|
| Rate for Payer: Meridian Medicaid |
$644.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,039.57
|
| Rate for Payer: Nomi Health Commercial |
$1,134.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.25
|
| Rate for Payer: PACE SWMI |
$945.06
|
| Rate for Payer: PHP Commercial |
$1,323.08
|
| Rate for Payer: PHP Medicare Advantage |
$945.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$613.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,745.50
|
| Rate for Payer: Priority Health Medicare |
$945.06
|
| Rate for Payer: Priority Health SBD |
$1,745.50
|
| Rate for Payer: Priority Health Tiered Network |
$1,745.50
|
| Rate for Payer: Railroad Medicare Medicare |
$945.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,919.88
|
| Rate for Payer: UHC Core |
$1,919.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$945.06
|
| Rate for Payer: UHC Exchange |
$1,919.88
|
| Rate for Payer: UHC Medicaid |
$613.87
|
| Rate for Payer: UHCCP Medicaid |
$613.87
|
| Rate for Payer: UMR Bronson Commercial |
$956.34
|
|
|
PR OPEN TX COMPLICATED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$3,579.00
|
|
|
Service Code
|
HCPCS 21344
|
| Min. Negotiated Rate |
$775.11 |
| Max. Negotiated Rate |
$2,684.25 |
| Rate for Payer: Aetna Commercial |
$1,598.39
|
| Rate for Payer: Aetna Medicare |
$1,240.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,598.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,717.68
|
| Rate for Payer: BCBS Complete |
$813.87
|
| Rate for Payer: BCBS MAPPO |
$1,192.83
|
| Rate for Payer: BCN Commercial |
$2,088.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.83
|
| Rate for Payer: Cash Price |
$2,863.20
|
| Rate for Payer: Cash Price |
$2,863.20
|
| Rate for Payer: Cofinity Commercial |
$1,598.39
|
| Rate for Payer: Cofinity Commercial |
$1,717.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,252.47
|
| Rate for Payer: Meridian Medicaid |
$813.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,312.11
|
| Rate for Payer: Nomi Health Commercial |
$1,431.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,684.25
|
| Rate for Payer: PACE SWMI |
$1,192.83
|
| Rate for Payer: PHP Commercial |
$1,669.96
|
| Rate for Payer: PHP Medicare Advantage |
$1,192.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,232.05
|
| Rate for Payer: Priority Health Medicare |
$1,192.83
|
| Rate for Payer: Priority Health SBD |
$2,232.05
|
| Rate for Payer: Priority Health Tiered Network |
$2,232.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,192.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,410.06
|
| Rate for Payer: UHC Core |
$2,410.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,192.83
|
| Rate for Payer: UHC Exchange |
$2,410.06
|
| Rate for Payer: UHC Medicaid |
$775.11
|
| Rate for Payer: UHCCP Medicaid |
$775.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,646.34
|
|
|
PR OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR
|
Professional
|
Both
|
$3,103.00
|
|
|
Service Code
|
HCPCS 21433
|
| Min. Negotiated Rate |
$973.41 |
| Max. Negotiated Rate |
$3,066.96 |
| Rate for Payer: Aetna Commercial |
$2,013.27
|
| Rate for Payer: Aetna Medicare |
$1,562.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,013.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,163.51
|
| Rate for Payer: BCBS Complete |
$1,022.08
|
| Rate for Payer: BCBS MAPPO |
$1,502.44
|
| Rate for Payer: BCN Commercial |
$2,605.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,502.44
|
| Rate for Payer: Cash Price |
$2,482.40
|
| Rate for Payer: Cash Price |
$2,482.40
|
| Rate for Payer: Cofinity Commercial |
$2,013.27
|
| Rate for Payer: Cofinity Commercial |
$2,163.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,502.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,577.56
|
| Rate for Payer: Meridian Medicaid |
$1,022.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,652.68
|
| Rate for Payer: Nomi Health Commercial |
$1,802.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,327.25
|
| Rate for Payer: PACE SWMI |
$1,502.44
|
| Rate for Payer: PHP Commercial |
$2,103.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,502.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$973.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,785.67
|
| Rate for Payer: Priority Health Medicare |
$1,502.44
|
| Rate for Payer: Priority Health SBD |
$2,785.67
|
| Rate for Payer: Priority Health Tiered Network |
$2,785.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1,502.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,066.96
|
| Rate for Payer: UHC Core |
$3,066.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,502.44
|
| Rate for Payer: UHC Exchange |
$3,066.96
|
| Rate for Payer: UHC Medicaid |
$973.41
|
| Rate for Payer: UHCCP Medicaid |
$973.41
|
| Rate for Payer: UMR Bronson Commercial |
$1,427.38
|
|
|
PR OPEN TX DEPRESSED FRONTAL SINUS FRACTURE
|
Professional
|
Both
|
$2,527.00
|
|
|
Service Code
|
HCPCS 21343
|
| Min. Negotiated Rate |
$621.53 |
| Max. Negotiated Rate |
$1,895.25 |
| Rate for Payer: Aetna Commercial |
$1,266.57
|
| Rate for Payer: Aetna Medicare |
$983.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,266.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,361.09
|
| Rate for Payer: BCBS Complete |
$652.61
|
| Rate for Payer: BCBS MAPPO |
$945.20
|
| Rate for Payer: BCN Commercial |
$1,633.88
|
| Rate for Payer: BCN Medicare Advantage |
$945.20
|
| Rate for Payer: Cash Price |
$2,021.60
|
| Rate for Payer: Cash Price |
$2,021.60
|
| Rate for Payer: Cofinity Commercial |
$1,266.57
|
| Rate for Payer: Cofinity Commercial |
$1,361.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$945.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$992.46
|
| Rate for Payer: Meridian Medicaid |
$652.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,039.72
|
| Rate for Payer: Nomi Health Commercial |
$1,134.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,895.25
|
| Rate for Payer: PACE SWMI |
$945.20
|
| Rate for Payer: PHP Commercial |
$1,323.28
|
| Rate for Payer: PHP Medicare Advantage |
$945.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,746.57
|
| Rate for Payer: Priority Health Medicare |
$945.20
|
| Rate for Payer: Priority Health SBD |
$1,746.57
|
| Rate for Payer: Priority Health Tiered Network |
$1,746.57
|
| Rate for Payer: Railroad Medicare Medicare |
$945.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,850.73
|
| Rate for Payer: UHC Core |
$1,850.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$945.20
|
| Rate for Payer: UHC Exchange |
$1,850.73
|
| Rate for Payer: UHC Medicaid |
$621.53
|
| Rate for Payer: UHCCP Medicaid |
$621.53
|
| Rate for Payer: UMR Bronson Commercial |
$1,162.42
|
|
|
PR OPEN TX DEPRESSED MALAR FRACTURE
|
Professional
|
Both
|
$1,068.00
|
|
|
Service Code
|
HCPCS 21360
|
| Min. Negotiated Rate |
$298.84 |
| Max. Negotiated Rate |
$884.69 |
| Rate for Payer: Aetna Commercial |
$610.66
|
| Rate for Payer: Aetna Medicare |
$473.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$610.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$656.24
|
| Rate for Payer: BCBS Complete |
$313.78
|
| Rate for Payer: BCBS MAPPO |
$455.72
|
| Rate for Payer: BCN Commercial |
$795.27
|
| Rate for Payer: BCN Medicare Advantage |
$455.72
|
| Rate for Payer: Cash Price |
$854.40
|
| Rate for Payer: Cash Price |
$854.40
|
| Rate for Payer: Cofinity Commercial |
$610.66
|
| Rate for Payer: Cofinity Commercial |
$656.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.51
|
| Rate for Payer: Meridian Medicaid |
$313.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$501.29
|
| Rate for Payer: Nomi Health Commercial |
$546.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$801.00
|
| Rate for Payer: PACE SWMI |
$455.72
|
| Rate for Payer: PHP Commercial |
$638.01
|
| Rate for Payer: PHP Medicare Advantage |
$455.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$850.12
|
| Rate for Payer: Priority Health Medicare |
$455.72
|
| Rate for Payer: Priority Health SBD |
$850.12
|
| Rate for Payer: Priority Health Tiered Network |
$850.12
|
| Rate for Payer: Railroad Medicare Medicare |
$455.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$884.69
|
| Rate for Payer: UHC Core |
$884.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.72
|
| Rate for Payer: UHC Exchange |
$884.69
|
| Rate for Payer: UHC Medicaid |
$298.84
|
| Rate for Payer: UHCCP Medicaid |
$298.84
|
| Rate for Payer: UMR Bronson Commercial |
$491.28
|
|
|
PR OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE
|
Professional
|
Both
|
$849.00
|
|
|
Service Code
|
HCPCS 21356
|
| Min. Negotiated Rate |
$242.18 |
| Max. Negotiated Rate |
$653.71 |
| Rate for Payer: Aetna Commercial |
$491.46
|
| Rate for Payer: Aetna Medicare |
$381.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$491.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.13
|
| Rate for Payer: BCBS Complete |
$254.29
|
| Rate for Payer: BCBS MAPPO |
$366.76
|
| Rate for Payer: BCN Commercial |
$611.52
|
| Rate for Payer: BCN Medicare Advantage |
$366.76
|
| Rate for Payer: Cash Price |
$679.20
|
| Rate for Payer: Cash Price |
$679.20
|
| Rate for Payer: Cofinity Commercial |
$491.46
|
| Rate for Payer: Cofinity Commercial |
$528.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$366.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$385.10
|
| Rate for Payer: Meridian Medicaid |
$254.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$403.44
|
| Rate for Payer: Nomi Health Commercial |
$440.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$636.75
|
| Rate for Payer: PACE SWMI |
$366.76
|
| Rate for Payer: PHP Commercial |
$513.46
|
| Rate for Payer: PHP Medicare Advantage |
$366.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$242.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$653.71
|
| Rate for Payer: Priority Health Medicare |
$366.76
|
| Rate for Payer: Priority Health SBD |
$653.71
|
| Rate for Payer: Priority Health Tiered Network |
$653.71
|
| Rate for Payer: Railroad Medicare Medicare |
$366.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$647.51
|
| Rate for Payer: UHC Core |
$647.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$366.76
|
| Rate for Payer: UHC Exchange |
$647.51
|
| Rate for Payer: UHC Medicaid |
$242.18
|
| Rate for Payer: UHCCP Medicaid |
$242.18
|
| Rate for Payer: UMR Bronson Commercial |
$390.54
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$2,545.00
|
|
|
Service Code
|
HCPCS 27792
|
| Min. Negotiated Rate |
$387.66 |
| Max. Negotiated Rate |
$1,908.75 |
| Rate for Payer: Aetna Commercial |
$792.49
|
| Rate for Payer: Aetna Medicare |
$615.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$792.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$851.63
|
| Rate for Payer: BCBS Complete |
$407.04
|
| Rate for Payer: BCBS MAPPO |
$591.41
|
| Rate for Payer: BCN Commercial |
$1,078.27
|
| Rate for Payer: BCN Medicare Advantage |
$591.41
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cofinity Commercial |
$792.49
|
| Rate for Payer: Cofinity Commercial |
$851.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$620.98
|
| Rate for Payer: Meridian Medicaid |
$407.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$650.55
|
| Rate for Payer: Nomi Health Commercial |
$709.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,908.75
|
| Rate for Payer: PACE SWMI |
$591.41
|
| Rate for Payer: PHP Commercial |
$827.97
|
| Rate for Payer: PHP Medicare Advantage |
$591.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,049.22
|
| Rate for Payer: Priority Health Medicare |
$591.41
|
| Rate for Payer: Priority Health SBD |
$1,049.22
|
| Rate for Payer: Priority Health Tiered Network |
$1,049.22
|
| Rate for Payer: Railroad Medicare Medicare |
$591.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,127.26
|
| Rate for Payer: UHC Core |
$1,127.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$591.41
|
| Rate for Payer: UHC Exchange |
$1,127.26
|
| Rate for Payer: UHC Medicaid |
$387.66
|
| Rate for Payer: UHCCP Medicaid |
$387.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,170.70
|
|
