|
PR OPEN IMPLANTATION CRANIAL NERVE NEA & PULSE GEN
|
Professional
|
Both
|
$1,938.00
|
|
|
Service Code
|
HCPCS 64568
|
| Min. Negotiated Rate |
$582.74 |
| Max. Negotiated Rate |
$1,259.70 |
| Rate for Payer: Aetna Commercial |
$780.87
|
| Rate for Payer: Aetna Medicare |
$606.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.87
|
| Rate for Payer: BCBS Complete |
$775.20
|
| Rate for Payer: BCBS MAPPO |
$582.74
|
| Rate for Payer: BCN Medicare Advantage |
$582.74
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cofinity Commercial |
$839.15
|
| Rate for Payer: Cofinity Commercial |
$780.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$582.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$611.88
|
| Rate for Payer: Nomi Health Commercial |
$699.29
|
| Rate for Payer: PACE SWMI |
$582.74
|
| Rate for Payer: PHP Commercial |
$815.84
|
| Rate for Payer: PHP Medicare Advantage |
$582.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.70
|
| Rate for Payer: Priority Health Medicare |
$582.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$582.74
|
| Rate for Payer: UHC Medicare Advantage |
$582.74
|
| Rate for Payer: UMR Bronson Commercial |
$891.48
|
|
|
PR OPEN IMPLANTATION NEA PERIPHERAL NERVE
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 64575
|
| Min. Negotiated Rate |
$300.08 |
| Max. Negotiated Rate |
$646.75 |
| Rate for Payer: Aetna Commercial |
$402.11
|
| Rate for Payer: Aetna Medicare |
$312.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.11
|
| Rate for Payer: BCBS Complete |
$398.00
|
| Rate for Payer: BCBS MAPPO |
$300.08
|
| Rate for Payer: BCN Medicare Advantage |
$300.08
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$432.12
|
| Rate for Payer: Cofinity Commercial |
$402.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.08
|
| Rate for Payer: Nomi Health Commercial |
$360.10
|
| Rate for Payer: PACE SWMI |
$300.08
|
| Rate for Payer: PHP Commercial |
$420.11
|
| Rate for Payer: PHP Medicare Advantage |
$300.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.75
|
| Rate for Payer: Priority Health Medicare |
$300.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$300.08
|
| Rate for Payer: UHC Medicare Advantage |
$300.08
|
| Rate for Payer: UMR Bronson Commercial |
$457.70
|
|
|
PR OPEN IMPLANTATION NEA SACRAL NERVE
|
Professional
|
Both
|
$1,517.00
|
|
|
Service Code
|
HCPCS 64581
|
| Min. Negotiated Rate |
$606.80 |
| Max. Negotiated Rate |
$986.05 |
| Rate for Payer: Aetna Commercial |
$844.82
|
| Rate for Payer: Aetna Medicare |
$655.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$907.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$844.82
|
| Rate for Payer: BCBS Complete |
$606.80
|
| Rate for Payer: BCBS MAPPO |
$630.46
|
| Rate for Payer: BCN Medicare Advantage |
$630.46
|
| Rate for Payer: Cash Price |
$1,213.60
|
| Rate for Payer: Cash Price |
$1,213.60
|
| Rate for Payer: Cofinity Commercial |
$907.86
|
| Rate for Payer: Cofinity Commercial |
$844.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$661.98
|
| Rate for Payer: Nomi Health Commercial |
$756.55
|
| Rate for Payer: PACE SWMI |
$630.46
|
| Rate for Payer: PHP Commercial |
$882.64
|
| Rate for Payer: PHP Medicare Advantage |
$630.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$986.05
|
| Rate for Payer: Priority Health Medicare |
$630.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.46
|
| Rate for Payer: UHC Medicare Advantage |
$630.46
|
| Rate for Payer: UMR Bronson Commercial |
$697.82
|
|
|
PR OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR
|
Professional
|
Both
|
$1,751.00
|
|
|
Service Code
|
HCPCS 64582
|
| Min. Negotiated Rate |
$700.40 |
| Max. Negotiated Rate |
$1,152.86 |
| Rate for Payer: Aetna Commercial |
$1,072.80
|
| Rate for Payer: Aetna Medicare |
$832.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,072.80
|
| Rate for Payer: BCBS Complete |
$700.40
|
| Rate for Payer: BCBS MAPPO |
$800.60
|
| Rate for Payer: BCN Medicare Advantage |
$800.60
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,152.86
|
| Rate for Payer: Cofinity Commercial |
$1,072.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$800.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$840.63
|
| Rate for Payer: Nomi Health Commercial |
$960.72
|
| Rate for Payer: PACE SWMI |
$800.60
|
| Rate for Payer: PHP Commercial |
$1,120.84
|
| Rate for Payer: PHP Medicare Advantage |
$800.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,138.15
|
| Rate for Payer: Priority Health Medicare |
$800.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$800.60
|
| Rate for Payer: UHC Medicare Advantage |
$800.60
|
| Rate for Payer: UMR Bronson Commercial |
$805.46
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL
|
Professional
|
Both
|
$640.00
|
|
|
Service Code
|
HCPCS 37239
|
| Min. Negotiated Rate |
$143.88 |
| Max. Negotiated Rate |
$416.00 |
| Rate for Payer: Aetna Commercial |
$192.80
|
| Rate for Payer: Aetna Medicare |
$149.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.80
|
| Rate for Payer: BCBS Complete |
$256.00
|
| Rate for Payer: BCBS MAPPO |
$143.88
|
| Rate for Payer: BCN Medicare Advantage |
$143.88
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cash Price |
$512.00
|
| Rate for Payer: Cofinity Commercial |
$207.19
|
| Rate for Payer: Cofinity Commercial |
$192.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.07
|
| Rate for Payer: Nomi Health Commercial |
$172.66
|
| Rate for Payer: PACE SWMI |
$143.88
|
| Rate for Payer: PHP Commercial |
$201.43
|
| Rate for Payer: PHP Medicare Advantage |
$143.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$416.00
|
| Rate for Payer: Priority Health Medicare |
$143.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.88
|
| Rate for Payer: UHC Medicare Advantage |
$143.88
|
| Rate for Payer: UMR Bronson Commercial |
$294.40
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 37237
|
| Min. Negotiated Rate |
$202.10 |
| Max. Negotiated Rate |
$330.20 |
| Rate for Payer: Aetna Commercial |
$270.81
|
| Rate for Payer: Aetna Medicare |
$210.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$291.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$270.81
|
| Rate for Payer: BCBS Complete |
$203.20
|
| Rate for Payer: BCBS MAPPO |
$202.10
|
| Rate for Payer: BCN Medicare Advantage |
$202.10
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$270.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.21
|
| Rate for Payer: Nomi Health Commercial |
$242.52
|
| Rate for Payer: PACE SWMI |
$202.10
|
| Rate for Payer: PHP Commercial |
$282.94
|
| Rate for Payer: PHP Medicare Advantage |
$202.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.20
|
| Rate for Payer: Priority Health Medicare |
$202.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.10
|
| Rate for Payer: UHC Medicare Advantage |
$202.10
|
| Rate for Payer: UMR Bronson Commercial |
$233.68
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL
|
Professional
|
Both
|
$1,211.00
|
|
|
Service Code
|
HCPCS 37236
|
| Min. Negotiated Rate |
$421.00 |
| Max. Negotiated Rate |
$787.15 |
| Rate for Payer: Aetna Commercial |
$564.14
|
| Rate for Payer: Aetna Medicare |
$437.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$606.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.14
|
| Rate for Payer: BCBS Complete |
$484.40
|
| Rate for Payer: BCBS MAPPO |
$421.00
|
| Rate for Payer: BCN Medicare Advantage |
$421.00
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cash Price |
$968.80
|
| Rate for Payer: Cofinity Commercial |
$606.24
|
| Rate for Payer: Cofinity Commercial |
$564.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.05
|
| Rate for Payer: Nomi Health Commercial |
$505.20
|
| Rate for Payer: PACE SWMI |
$421.00
|
| Rate for Payer: PHP Commercial |
$589.40
|
| Rate for Payer: PHP Medicare Advantage |
$421.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.15
|
| Rate for Payer: Priority Health Medicare |
$421.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.00
|
| Rate for Payer: UHC Medicare Advantage |
$421.00
|
| Rate for Payer: UMR Bronson Commercial |
$557.06
|
|
|
PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 37238
|
| Min. Negotiated Rate |
$292.01 |
| Max. Negotiated Rate |
$835.25 |
| Rate for Payer: Aetna Commercial |
$391.29
|
| Rate for Payer: Aetna Medicare |
$303.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.29
|
| Rate for Payer: BCBS Complete |
$514.00
|
| Rate for Payer: BCBS MAPPO |
$292.01
|
| Rate for Payer: BCN Medicare Advantage |
$292.01
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$420.49
|
| Rate for Payer: Cofinity Commercial |
$391.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.61
|
| Rate for Payer: Nomi Health Commercial |
$350.41
|
| Rate for Payer: PACE SWMI |
$292.01
|
| Rate for Payer: PHP Commercial |
$408.81
|
| Rate for Payer: PHP Medicare Advantage |
$292.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health Medicare |
$292.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.01
|
| Rate for Payer: UHC Medicare Advantage |
$292.01
|
| Rate for Payer: UMR Bronson Commercial |
$591.10
|
|
|
PR OPEN REPAIR OF ROTATOR CUFF ACUTE
|
Professional
|
Both
|
$2,616.00
|
|
|
Service Code
|
HCPCS 23410
|
| Min. Negotiated Rate |
$790.61 |
| Max. Negotiated Rate |
$1,700.40 |
| Rate for Payer: Aetna Commercial |
$1,059.42
|
| Rate for Payer: Aetna Medicare |
$822.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,138.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,059.42
|
| Rate for Payer: BCBS Complete |
$1,046.40
|
| Rate for Payer: BCBS MAPPO |
$790.61
|
| Rate for Payer: BCN Medicare Advantage |
$790.61
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cofinity Commercial |
$1,138.48
|
| Rate for Payer: Cofinity Commercial |
$1,059.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$790.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$830.14
|
| Rate for Payer: Nomi Health Commercial |
$948.73
|
| Rate for Payer: PACE SWMI |
$790.61
|
| Rate for Payer: PHP Commercial |
$1,106.85
|
| Rate for Payer: PHP Medicare Advantage |
$790.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,700.40
|
| Rate for Payer: Priority Health Medicare |
$790.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$790.61
|
| Rate for Payer: UHC Medicare Advantage |
$790.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,203.36
|
|
|
PR OPEN REPAIR OF ROTATOR CUFF CHRONIC
|
Professional
|
Both
|
$3,119.00
|
|
|
Service Code
|
HCPCS 23412
|
| Min. Negotiated Rate |
$822.15 |
| Max. Negotiated Rate |
$2,027.35 |
| Rate for Payer: Aetna Commercial |
$1,101.68
|
| Rate for Payer: Aetna Medicare |
$855.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,183.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,101.68
|
| Rate for Payer: BCBS Complete |
$1,247.60
|
| Rate for Payer: BCBS MAPPO |
$822.15
|
| Rate for Payer: BCN Medicare Advantage |
$822.15
|
| Rate for Payer: Cash Price |
$2,495.20
|
| Rate for Payer: Cash Price |
$2,495.20
|
| Rate for Payer: Cofinity Commercial |
$1,183.90
|
| Rate for Payer: Cofinity Commercial |
$1,101.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$822.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$863.26
|
| Rate for Payer: Nomi Health Commercial |
$986.58
|
| Rate for Payer: PACE SWMI |
$822.15
|
| Rate for Payer: PHP Commercial |
$1,151.01
|
| Rate for Payer: PHP Medicare Advantage |
$822.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,027.35
|
| Rate for Payer: Priority Health Medicare |
$822.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$822.15
|
| Rate for Payer: UHC Medicare Advantage |
$822.15
|
| Rate for Payer: UMR Bronson Commercial |
$1,434.74
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Professional
|
Both
|
$3,005.00
|
|
|
Service Code
|
HCPCS 27814
|
| Min. Negotiated Rate |
$735.00 |
| Max. Negotiated Rate |
$1,953.25 |
| Rate for Payer: Aetna Commercial |
$984.90
|
| Rate for Payer: Aetna Medicare |
$764.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$984.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,058.40
|
| Rate for Payer: BCBS Complete |
$1,202.00
|
| Rate for Payer: BCBS MAPPO |
$735.00
|
| Rate for Payer: BCN Medicare Advantage |
$735.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$984.90
|
| Rate for Payer: Cofinity Commercial |
$1,058.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$735.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$771.75
|
| Rate for Payer: Nomi Health Commercial |
$882.00
|
| Rate for Payer: PACE SWMI |
$735.00
|
| Rate for Payer: PHP Commercial |
$1,029.00
|
| Rate for Payer: PHP Medicare Advantage |
$735.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health Medicare |
$735.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$735.00
|
| Rate for Payer: UHC Medicare Advantage |
$735.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,382.30
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Professional
|
Both
|
$3,005.00
|
|
|
Service Code
|
HCPCS 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$735.00 |
| Max. Negotiated Rate |
$1,953.25 |
| Rate for Payer: Aetna Commercial |
$984.90
|
| Rate for Payer: Aetna Medicare |
$764.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$984.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,058.40
|
| Rate for Payer: BCBS Complete |
$1,202.00
|
| Rate for Payer: BCBS MAPPO |
$735.00
|
| Rate for Payer: BCN Medicare Advantage |
$735.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$1,058.40
|
| Rate for Payer: Cofinity Commercial |
$984.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$735.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$771.75
|
| Rate for Payer: Nomi Health Commercial |
$882.00
|
| Rate for Payer: PACE SWMI |
$735.00
|
| Rate for Payer: PHP Commercial |
$1,029.00
|
| Rate for Payer: PHP Medicare Advantage |
$735.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health Medicare |
$735.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$735.00
|
| Rate for Payer: UHC Medicare Advantage |
$735.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,382.30
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Facility
|
OP
|
$3,005.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$1,111.85 |
| Max. Negotiated Rate |
$19,611.80 |
| Rate for Payer: Aetna American Axle |
$1,953.25
|
| Rate for Payer: Aetna Commercial |
$2,554.25
|
| Rate for Payer: Aetna Medicare |
$7,245.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,953.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8,708.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8,708.92
|
| Rate for Payer: BCBS Complete |
$3,921.11
|
| Rate for Payer: BCBS MAPPO |
$6,967.14
|
| Rate for Payer: BCN Medicare Advantage |
$6,967.14
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$2,584.30
|
| Rate for Payer: Cofinity Commercial |
$2,103.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,103.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,404.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,967.14
|
| Rate for Payer: Healthscope Commercial |
$2,704.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,103.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,253.75
|
| Rate for Payer: Mclaren Medicaid |
$3,734.39
|
| Rate for Payer: Mclaren Medicare |
$6,967.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,315.50
|
| Rate for Payer: Meridian Medicaid |
$3,921.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,012.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,554.25
|
| Rate for Payer: PACE Medicare |
$6,618.78
|
| Rate for Payer: PACE SWMI |
$6,967.14
|
| Rate for Payer: PHP Commercial |
$2,554.25
|
| Rate for Payer: PHP Medicare Advantage |
$6,967.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,734.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health Medicare |
$6,967.14
|
| Rate for Payer: Priority Health SBD |
$1,893.15
|
| Rate for Payer: Railroad Medicare Medicare |
$6,967.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19,611.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$6,967.14
|
| Rate for Payer: UHC Exchange |
$13,314.90
|
| Rate for Payer: UHC Medicare Advantage |
$6,967.14
|
| Rate for Payer: UHCCP Medicaid |
$3,734.39
|
| Rate for Payer: UMR Bronson Commercial |
$1,111.85
|
| Rate for Payer: VA VA |
$6,967.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,253.75
|
|
|
PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE
|
Facility
|
IP
|
$3,005.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
27814
|
| Min. Negotiated Rate |
$1,322.20 |
| Max. Negotiated Rate |
$2,704.50 |
| Rate for Payer: Aetna American Axle |
$1,953.25
|
| Rate for Payer: Aetna Commercial |
$2,554.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,953.25
|
| Rate for Payer: Cash Price |
$2,404.00
|
| Rate for Payer: Cofinity Commercial |
$2,103.50
|
| Rate for Payer: Cofinity Commercial |
$2,584.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,103.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,404.00
|
| Rate for Payer: Healthscope Commercial |
$2,704.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,103.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,253.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,554.25
|
| Rate for Payer: PHP Commercial |
$2,554.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,953.25
|
| Rate for Payer: Priority Health SBD |
$1,893.15
|
| Rate for Payer: UMR Bronson Commercial |
$1,322.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,253.75
|
|
|
PR OPEN TREATMENT CALCANEAL FRACTURE
|
Professional
|
Both
|
$3,366.00
|
|
|
Service Code
|
HCPCS 28415
|
| Min. Negotiated Rate |
$1,072.44 |
| Max. Negotiated Rate |
$2,187.90 |
| Rate for Payer: Aetna Commercial |
$1,437.07
|
| Rate for Payer: Aetna Medicare |
$1,115.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,544.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,437.07
|
| Rate for Payer: BCBS Complete |
$1,346.40
|
| Rate for Payer: BCBS MAPPO |
$1,072.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,072.44
|
| Rate for Payer: Cash Price |
$2,692.80
|
| Rate for Payer: Cash Price |
$2,692.80
|
| Rate for Payer: Cofinity Commercial |
$1,544.31
|
| Rate for Payer: Cofinity Commercial |
$1,437.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,072.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,126.06
|
| Rate for Payer: Nomi Health Commercial |
$1,286.93
|
| Rate for Payer: PACE SWMI |
$1,072.44
|
| Rate for Payer: PHP Commercial |
$1,501.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,072.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,187.90
|
| Rate for Payer: Priority Health Medicare |
$1,072.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,072.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,072.44
|
| Rate for Payer: UMR Bronson Commercial |
$1,548.36
|
|
|
PR OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT
|
Professional
|
Both
|
$2,224.00
|
|
|
Service Code
|
HCPCS 28420
|
| Min. Negotiated Rate |
$889.60 |
| Max. Negotiated Rate |
$1,788.93 |
| Rate for Payer: Aetna Commercial |
$1,664.70
|
| Rate for Payer: Aetna Medicare |
$1,292.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,788.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,664.70
|
| Rate for Payer: BCBS Complete |
$889.60
|
| Rate for Payer: BCBS MAPPO |
$1,242.31
|
| Rate for Payer: BCN Medicare Advantage |
$1,242.31
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Cofinity Commercial |
$1,788.93
|
| Rate for Payer: Cofinity Commercial |
$1,664.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,242.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.43
|
| Rate for Payer: Nomi Health Commercial |
$1,490.77
|
| Rate for Payer: PACE SWMI |
$1,242.31
|
| Rate for Payer: PHP Commercial |
$1,739.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,242.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,445.60
|
| Rate for Payer: Priority Health Medicare |
$1,242.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,242.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,242.31
|
| Rate for Payer: UMR Bronson Commercial |
$1,023.04
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA
|
Professional
|
Both
|
$4,603.00
|
|
|
Service Code
|
HCPCS 27828
|
| Min. Negotiated Rate |
$1,266.86 |
| Max. Negotiated Rate |
$2,991.95 |
| Rate for Payer: Aetna Commercial |
$1,697.59
|
| Rate for Payer: Aetna Medicare |
$1,317.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,824.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,697.59
|
| Rate for Payer: BCBS Complete |
$1,841.20
|
| Rate for Payer: BCBS MAPPO |
$1,266.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,266.86
|
| Rate for Payer: Cash Price |
$3,682.40
|
| Rate for Payer: Cash Price |
$3,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,824.28
|
| Rate for Payer: Cofinity Commercial |
$1,697.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,266.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,330.20
|
| Rate for Payer: Nomi Health Commercial |
$1,520.23
|
| Rate for Payer: PACE SWMI |
$1,266.86
|
| Rate for Payer: PHP Commercial |
$1,773.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,266.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,991.95
|
| Rate for Payer: Priority Health Medicare |
$1,266.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,266.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,266.86
|
| Rate for Payer: UMR Bronson Commercial |
$2,117.38
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA
|
Professional
|
Both
|
$3,101.00
|
|
|
Service Code
|
HCPCS 27826
|
| Min. Negotiated Rate |
$813.21 |
| Max. Negotiated Rate |
$2,015.65 |
| Rate for Payer: Aetna Commercial |
$1,089.70
|
| Rate for Payer: Aetna Medicare |
$845.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,171.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,089.70
|
| Rate for Payer: BCBS Complete |
$1,240.40
|
| Rate for Payer: BCBS MAPPO |
$813.21
|
| Rate for Payer: BCN Medicare Advantage |
$813.21
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cash Price |
$2,480.80
|
| Rate for Payer: Cofinity Commercial |
$1,171.02
|
| Rate for Payer: Cofinity Commercial |
$1,089.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$813.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$853.87
|
| Rate for Payer: Nomi Health Commercial |
$975.85
|
| Rate for Payer: PACE SWMI |
$813.21
|
| Rate for Payer: PHP Commercial |
$1,138.49
|
| Rate for Payer: PHP Medicare Advantage |
$813.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,015.65
|
| Rate for Payer: Priority Health Medicare |
$813.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$813.21
|
| Rate for Payer: UHC Medicare Advantage |
$813.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,426.46
|
|
|
PR OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY
|
Professional
|
Both
|
$4,362.00
|
|
|
Service Code
|
HCPCS 27827
|
| Min. Negotiated Rate |
$1,071.12 |
| Max. Negotiated Rate |
$2,835.30 |
| Rate for Payer: Aetna Commercial |
$1,435.30
|
| Rate for Payer: Aetna Medicare |
$1,113.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,542.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,435.30
|
| Rate for Payer: BCBS Complete |
$1,744.80
|
| Rate for Payer: BCBS MAPPO |
$1,071.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,071.12
|
| Rate for Payer: Cash Price |
$3,489.60
|
| Rate for Payer: Cash Price |
$3,489.60
|
| Rate for Payer: Cofinity Commercial |
$1,542.41
|
| Rate for Payer: Cofinity Commercial |
$1,435.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,071.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,124.68
|
| Rate for Payer: Nomi Health Commercial |
$1,285.34
|
| Rate for Payer: PACE SWMI |
$1,071.12
|
| Rate for Payer: PHP Commercial |
$1,499.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,071.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,835.30
|
| Rate for Payer: Priority Health Medicare |
$1,071.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,071.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,071.12
|
| Rate for Payer: UMR Bronson Commercial |
$2,006.52
|
|
|
PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE
|
Professional
|
Both
|
$2,016.00
|
|
|
Service Code
|
HCPCS 27248
|
| Min. Negotiated Rate |
$719.01 |
| Max. Negotiated Rate |
$1,310.40 |
| Rate for Payer: Aetna Commercial |
$963.47
|
| Rate for Payer: Aetna Medicare |
$747.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,035.37
|
| Rate for Payer: BCBS Complete |
$806.40
|
| Rate for Payer: BCBS MAPPO |
$719.01
|
| Rate for Payer: BCN Medicare Advantage |
$719.01
|
| Rate for Payer: Cash Price |
$1,612.80
|
| Rate for Payer: Cash Price |
$1,612.80
|
| Rate for Payer: Cofinity Commercial |
$963.47
|
| Rate for Payer: Cofinity Commercial |
$1,035.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$719.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$754.96
|
| Rate for Payer: Nomi Health Commercial |
$862.81
|
| Rate for Payer: PACE SWMI |
$719.01
|
| Rate for Payer: PHP Commercial |
$1,006.61
|
| Rate for Payer: PHP Medicare Advantage |
$719.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,310.40
|
| Rate for Payer: Priority Health Medicare |
$719.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$719.01
|
| Rate for Payer: UHC Medicare Advantage |
$719.01
|
| Rate for Payer: UMR Bronson Commercial |
$927.36
|
|
|
PR OPEN TREATMENT HUMERAL CONDYLAR FRACTURE
|
Professional
|
Both
|
$2,858.00
|
|
|
Service Code
|
HCPCS 24579
|
| Min. Negotiated Rate |
$807.26 |
| Max. Negotiated Rate |
$1,857.70 |
| Rate for Payer: Aetna Commercial |
$1,081.73
|
| Rate for Payer: Aetna Medicare |
$839.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,162.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,081.73
|
| Rate for Payer: BCBS Complete |
$1,143.20
|
| Rate for Payer: BCBS MAPPO |
$807.26
|
| Rate for Payer: BCN Medicare Advantage |
$807.26
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cash Price |
$2,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,162.45
|
| Rate for Payer: Cofinity Commercial |
$1,081.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$807.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$847.62
|
| Rate for Payer: Nomi Health Commercial |
$968.71
|
| Rate for Payer: PACE SWMI |
$807.26
|
| Rate for Payer: PHP Commercial |
$1,130.16
|
| Rate for Payer: PHP Medicare Advantage |
$807.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,857.70
|
| Rate for Payer: Priority Health Medicare |
$807.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$807.26
|
| Rate for Payer: UHC Medicare Advantage |
$807.26
|
| Rate for Payer: UMR Bronson Commercial |
$1,314.68
|
|
|
PR OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$979.00
|
|
|
Service Code
|
HCPCS 28675
|
| Min. Negotiated Rate |
$391.60 |
| Max. Negotiated Rate |
$636.35 |
| Rate for Payer: Aetna Commercial |
$529.88
|
| Rate for Payer: Aetna Medicare |
$411.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$569.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$529.88
|
| Rate for Payer: BCBS Complete |
$391.60
|
| Rate for Payer: BCBS MAPPO |
$395.43
|
| Rate for Payer: BCN Medicare Advantage |
$395.43
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cash Price |
$783.20
|
| Rate for Payer: Cofinity Commercial |
$569.42
|
| Rate for Payer: Cofinity Commercial |
$529.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.20
|
| Rate for Payer: Nomi Health Commercial |
$474.52
|
| Rate for Payer: PACE SWMI |
$395.43
|
| Rate for Payer: PHP Commercial |
$553.60
|
| Rate for Payer: PHP Medicare Advantage |
$395.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$636.35
|
| Rate for Payer: Priority Health Medicare |
$395.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.43
|
| Rate for Payer: UHC Medicare Advantage |
$395.43
|
| Rate for Payer: UMR Bronson Commercial |
$450.34
|
|
|
PR OPEN TREATMENT LUNATE DISLOCATION
|
Professional
|
Both
|
$1,904.00
|
|
|
Service Code
|
HCPCS 25695
|
| Min. Negotiated Rate |
$615.04 |
| Max. Negotiated Rate |
$1,237.60 |
| Rate for Payer: Aetna Commercial |
$824.15
|
| Rate for Payer: Aetna Medicare |
$639.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$885.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$824.15
|
| Rate for Payer: BCBS Complete |
$761.60
|
| Rate for Payer: BCBS MAPPO |
$615.04
|
| Rate for Payer: BCN Medicare Advantage |
$615.04
|
| Rate for Payer: Cash Price |
$1,523.20
|
| Rate for Payer: Cash Price |
$1,523.20
|
| Rate for Payer: Cofinity Commercial |
$885.66
|
| Rate for Payer: Cofinity Commercial |
$824.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$615.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$645.79
|
| Rate for Payer: Nomi Health Commercial |
$738.05
|
| Rate for Payer: PACE SWMI |
$615.04
|
| Rate for Payer: PHP Commercial |
$861.06
|
| Rate for Payer: PHP Medicare Advantage |
$615.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,237.60
|
| Rate for Payer: Priority Health Medicare |
$615.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$615.04
|
| Rate for Payer: UHC Medicare Advantage |
$615.04
|
| Rate for Payer: UMR Bronson Commercial |
$875.84
|
|
|
PR OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE
|
Professional
|
Both
|
$1,713.00
|
|
|
Service Code
|
HCPCS 21465
|
| Min. Negotiated Rate |
$685.20 |
| Max. Negotiated Rate |
$1,113.45 |
| Rate for Payer: Aetna Commercial |
$1,030.37
|
| Rate for Payer: Aetna Medicare |
$799.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,107.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,030.37
|
| Rate for Payer: BCBS Complete |
$685.20
|
| Rate for Payer: BCBS MAPPO |
$768.93
|
| Rate for Payer: BCN Medicare Advantage |
$768.93
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Cofinity Commercial |
$1,107.26
|
| Rate for Payer: Cofinity Commercial |
$1,030.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$807.38
|
| Rate for Payer: Nomi Health Commercial |
$922.72
|
| Rate for Payer: PACE SWMI |
$768.93
|
| Rate for Payer: PHP Commercial |
$1,076.50
|
| Rate for Payer: PHP Medicare Advantage |
$768.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,113.45
|
| Rate for Payer: Priority Health Medicare |
$768.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$768.93
|
| Rate for Payer: UHC Medicare Advantage |
$768.93
|
| Rate for Payer: UMR Bronson Commercial |
$787.98
|
|
|
PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 27766
|
| Min. Negotiated Rate |
$583.27 |
| Max. Negotiated Rate |
$1,417.65 |
| Rate for Payer: Aetna Commercial |
$781.58
|
| Rate for Payer: Aetna Medicare |
$606.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$781.58
|
| Rate for Payer: BCBS Complete |
$872.40
|
| Rate for Payer: BCBS MAPPO |
$583.27
|
| Rate for Payer: BCN Medicare Advantage |
$583.27
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cash Price |
$1,744.80
|
| Rate for Payer: Cofinity Commercial |
$839.91
|
| Rate for Payer: Cofinity Commercial |
$781.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$583.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$612.43
|
| Rate for Payer: Nomi Health Commercial |
$699.92
|
| Rate for Payer: PACE SWMI |
$583.27
|
| Rate for Payer: PHP Commercial |
$816.58
|
| Rate for Payer: PHP Medicare Advantage |
$583.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,417.65
|
| Rate for Payer: Priority Health Medicare |
$583.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$583.27
|
| Rate for Payer: UHC Medicare Advantage |
$583.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,003.26
|
|
