|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH
|
Professional
|
Both
|
$2,885.00
|
|
|
Service Code
|
HCPCS 43335
|
| Min. Negotiated Rate |
$798.96 |
| Max. Negotiated Rate |
$2,397.90 |
| Rate for Payer: Aetna Commercial |
$1,680.63
|
| Rate for Payer: Aetna Medicare |
$1,304.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,680.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,806.05
|
| Rate for Payer: BCBS Complete |
$838.91
|
| Rate for Payer: BCBS MAPPO |
$1,254.20
|
| Rate for Payer: BCN Commercial |
$1,968.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,254.20
|
| Rate for Payer: Cash Price |
$2,308.00
|
| Rate for Payer: Cash Price |
$2,308.00
|
| Rate for Payer: Cofinity Commercial |
$1,680.63
|
| Rate for Payer: Cofinity Commercial |
$1,806.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,254.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,316.91
|
| Rate for Payer: Meridian Medicaid |
$838.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,379.62
|
| Rate for Payer: Nomi Health Commercial |
$1,505.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,163.75
|
| Rate for Payer: PACE SWMI |
$1,254.20
|
| Rate for Payer: PHP Commercial |
$1,755.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,254.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$798.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,397.90
|
| Rate for Payer: Priority Health Medicare |
$1,254.20
|
| Rate for Payer: Priority Health SBD |
$2,397.90
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.90
|
| Rate for Payer: Railroad Medicare Medicare |
$1,254.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,383.31
|
| Rate for Payer: UHC Core |
$2,383.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,254.20
|
| Rate for Payer: UHC Exchange |
$2,383.31
|
| Rate for Payer: UHC Medicaid |
$798.96
|
| Rate for Payer: UHCCP Medicaid |
$798.96
|
| Rate for Payer: UMR Bronson Commercial |
$1,327.10
|
|
|
PR RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH
|
Professional
|
Both
|
$3,542.00
|
|
|
Service Code
|
HCPCS 43334
|
| Min. Negotiated Rate |
$744.01 |
| Max. Negotiated Rate |
$2,656.50 |
| Rate for Payer: Aetna Commercial |
$1,564.03
|
| Rate for Payer: Aetna Medicare |
$1,213.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,564.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,680.75
|
| Rate for Payer: BCBS Complete |
$781.21
|
| Rate for Payer: BCBS MAPPO |
$1,167.19
|
| Rate for Payer: BCN Commercial |
$1,834.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,167.19
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: Cash Price |
$2,833.60
|
| Rate for Payer: Cofinity Commercial |
$1,564.03
|
| Rate for Payer: Cofinity Commercial |
$1,680.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,167.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,225.55
|
| Rate for Payer: Meridian Medicaid |
$781.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,283.91
|
| Rate for Payer: Nomi Health Commercial |
$1,400.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,656.50
|
| Rate for Payer: PACE SWMI |
$1,167.19
|
| Rate for Payer: PHP Commercial |
$1,634.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,167.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$744.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,234.68
|
| Rate for Payer: Priority Health Medicare |
$1,167.19
|
| Rate for Payer: Priority Health SBD |
$2,234.68
|
| Rate for Payer: Priority Health Tiered Network |
$2,234.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,167.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,225.84
|
| Rate for Payer: UHC Core |
$2,225.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,167.19
|
| Rate for Payer: UHC Exchange |
$2,225.84
|
| Rate for Payer: UHC Medicaid |
$744.01
|
| Rate for Payer: UHCCP Medicaid |
$744.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,629.32
|
|
|
PR RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE
|
Professional
|
Both
|
$1,597.00
|
|
|
Service Code
|
HCPCS 49621
|
| Min. Negotiated Rate |
$435.80 |
| Max. Negotiated Rate |
$1,373.69 |
| Rate for Payer: Aetna Commercial |
$918.64
|
| Rate for Payer: Aetna Medicare |
$712.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$918.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$987.19
|
| Rate for Payer: BCBS Complete |
$457.59
|
| Rate for Payer: BCBS MAPPO |
$685.55
|
| Rate for Payer: BCN Commercial |
$1,127.43
|
| Rate for Payer: BCN Medicare Advantage |
$685.55
|
| Rate for Payer: Cash Price |
$1,277.60
|
| Rate for Payer: Cash Price |
$1,277.60
|
| Rate for Payer: Cofinity Commercial |
$918.64
|
| Rate for Payer: Cofinity Commercial |
$987.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$685.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$719.83
|
| Rate for Payer: Meridian Medicaid |
$457.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$754.11
|
| Rate for Payer: Nomi Health Commercial |
$822.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,197.75
|
| Rate for Payer: PACE SWMI |
$685.55
|
| Rate for Payer: PHP Commercial |
$959.77
|
| Rate for Payer: PHP Medicare Advantage |
$685.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$435.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,373.69
|
| Rate for Payer: Priority Health Medicare |
$685.55
|
| Rate for Payer: Priority Health SBD |
$1,373.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,373.69
|
| Rate for Payer: Railroad Medicare Medicare |
$685.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,358.97
|
| Rate for Payer: UHC Core |
$1,358.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$685.55
|
| Rate for Payer: UHC Exchange |
$1,358.97
|
| Rate for Payer: UHC Medicaid |
$435.80
|
| Rate for Payer: UHCCP Medicaid |
$435.80
|
| Rate for Payer: UMR Bronson Commercial |
$734.62
|
|
|
PR RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,968.00
|
|
|
Service Code
|
HCPCS 49622
|
| Min. Negotiated Rate |
$541.87 |
| Max. Negotiated Rate |
$1,708.63 |
| Rate for Payer: Aetna Commercial |
$1,143.96
|
| Rate for Payer: Aetna Medicare |
$887.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,229.33
|
| Rate for Payer: BCBS Complete |
$568.96
|
| Rate for Payer: BCBS MAPPO |
$853.70
|
| Rate for Payer: BCN Commercial |
$1,402.31
|
| Rate for Payer: BCN Medicare Advantage |
$853.70
|
| Rate for Payer: Cash Price |
$1,574.40
|
| Rate for Payer: Cash Price |
$1,574.40
|
| Rate for Payer: Cofinity Commercial |
$1,143.96
|
| Rate for Payer: Cofinity Commercial |
$1,229.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$896.38
|
| Rate for Payer: Meridian Medicaid |
$568.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$939.07
|
| Rate for Payer: Nomi Health Commercial |
$1,024.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,476.00
|
| Rate for Payer: PACE SWMI |
$853.70
|
| Rate for Payer: PHP Commercial |
$1,195.18
|
| Rate for Payer: PHP Medicare Advantage |
$853.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,708.63
|
| Rate for Payer: Priority Health Medicare |
$853.70
|
| Rate for Payer: Priority Health SBD |
$1,708.63
|
| Rate for Payer: Priority Health Tiered Network |
$1,708.63
|
| Rate for Payer: Railroad Medicare Medicare |
$853.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,677.57
|
| Rate for Payer: UHC Core |
$1,677.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$853.70
|
| Rate for Payer: UHC Exchange |
$1,677.57
|
| Rate for Payer: UHC Medicaid |
$541.87
|
| Rate for Payer: UHCCP Medicaid |
$541.87
|
| Rate for Payer: UMR Bronson Commercial |
$905.28
|
|
|
PR RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS
|
Professional
|
Both
|
$7,791.00
|
|
|
Service Code
|
HCPCS 33925
|
| Min. Negotiated Rate |
$1,019.42 |
| Max. Negotiated Rate |
$5,843.25 |
| Rate for Payer: Aetna Commercial |
$2,148.90
|
| Rate for Payer: Aetna Medicare |
$1,667.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,148.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,309.27
|
| Rate for Payer: BCBS Complete |
$1,070.39
|
| Rate for Payer: BCBS MAPPO |
$1,603.66
|
| Rate for Payer: BCN Commercial |
$2,522.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,603.66
|
| Rate for Payer: Cash Price |
$6,232.80
|
| Rate for Payer: Cash Price |
$6,232.80
|
| Rate for Payer: Cofinity Commercial |
$2,148.90
|
| Rate for Payer: Cofinity Commercial |
$2,309.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,603.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,683.84
|
| Rate for Payer: Meridian Medicaid |
$1,070.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,764.03
|
| Rate for Payer: Nomi Health Commercial |
$1,924.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,843.25
|
| Rate for Payer: PACE SWMI |
$1,603.66
|
| Rate for Payer: PHP Commercial |
$2,245.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,603.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,019.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,712.39
|
| Rate for Payer: Priority Health Medicare |
$1,603.66
|
| Rate for Payer: Priority Health SBD |
$2,712.39
|
| Rate for Payer: Priority Health Tiered Network |
$2,712.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,603.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,062.70
|
| Rate for Payer: UHC Core |
$3,062.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,603.66
|
| Rate for Payer: UHC Exchange |
$3,062.70
|
| Rate for Payer: UHC Medicaid |
$1,019.42
|
| Rate for Payer: UHCCP Medicaid |
$1,019.42
|
| Rate for Payer: UMR Bronson Commercial |
$3,583.86
|
|
|
PR RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT
|
Professional
|
Both
|
$6,052.00
|
|
|
Service Code
|
HCPCS 33545
|
| Min. Negotiated Rate |
$1,829.03 |
| Max. Negotiated Rate |
$5,491.77 |
| Rate for Payer: Aetna Commercial |
$3,854.71
|
| Rate for Payer: Aetna Medicare |
$2,991.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,854.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,142.38
|
| Rate for Payer: BCBS Complete |
$1,920.48
|
| Rate for Payer: BCBS MAPPO |
$2,876.65
|
| Rate for Payer: BCN Commercial |
$4,483.82
|
| Rate for Payer: BCN Medicare Advantage |
$2,876.65
|
| Rate for Payer: Cash Price |
$4,841.60
|
| Rate for Payer: Cash Price |
$4,841.60
|
| Rate for Payer: Cofinity Commercial |
$3,854.71
|
| Rate for Payer: Cofinity Commercial |
$4,142.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,876.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,020.48
|
| Rate for Payer: Meridian Medicaid |
$1,920.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,164.32
|
| Rate for Payer: Nomi Health Commercial |
$3,451.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,539.00
|
| Rate for Payer: PACE SWMI |
$2,876.65
|
| Rate for Payer: PHP Commercial |
$4,027.31
|
| Rate for Payer: PHP Medicare Advantage |
$2,876.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,829.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,821.78
|
| Rate for Payer: Priority Health Medicare |
$2,876.65
|
| Rate for Payer: Priority Health SBD |
$4,821.78
|
| Rate for Payer: Priority Health Tiered Network |
$4,821.78
|
| Rate for Payer: Railroad Medicare Medicare |
$2,876.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,491.77
|
| Rate for Payer: UHC Core |
$5,491.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,876.65
|
| Rate for Payer: UHC Exchange |
$5,491.77
|
| Rate for Payer: UHC Medicaid |
$1,829.03
|
| Rate for Payer: UHCCP Medicaid |
$1,829.03
|
| Rate for Payer: UMR Bronson Commercial |
$2,783.92
|
|
|
PR RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL
|
Professional
|
Both
|
$2,010.00
|
|
|
Service Code
|
HCPCS 27695
|
| Min. Negotiated Rate |
$296.92 |
| Max. Negotiated Rate |
$1,507.50 |
| Rate for Payer: Aetna Commercial |
$605.41
|
| Rate for Payer: Aetna Medicare |
$469.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.59
|
| Rate for Payer: BCBS Complete |
$311.77
|
| Rate for Payer: BCBS MAPPO |
$451.80
|
| Rate for Payer: BCN Commercial |
$742.49
|
| Rate for Payer: BCN Medicare Advantage |
$451.80
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cofinity Commercial |
$605.41
|
| Rate for Payer: Cofinity Commercial |
$650.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$474.39
|
| Rate for Payer: Meridian Medicaid |
$311.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$496.98
|
| Rate for Payer: Nomi Health Commercial |
$542.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.50
|
| Rate for Payer: PACE SWMI |
$451.80
|
| Rate for Payer: PHP Commercial |
$632.52
|
| Rate for Payer: PHP Medicare Advantage |
$451.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$793.71
|
| Rate for Payer: Priority Health Medicare |
$451.80
|
| Rate for Payer: Priority Health SBD |
$793.71
|
| Rate for Payer: Priority Health Tiered Network |
$793.71
|
| Rate for Payer: Railroad Medicare Medicare |
$451.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$825.65
|
| Rate for Payer: UHC Core |
$825.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$451.80
|
| Rate for Payer: UHC Exchange |
$825.65
|
| Rate for Payer: UHC Medicaid |
$296.92
|
| Rate for Payer: UHCCP Medicaid |
$296.92
|
| Rate for Payer: UMR Bronson Commercial |
$924.60
|
|
|
PR RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT
|
Professional
|
Both
|
$1,077.00
|
|
|
Service Code
|
HCPCS 27652
|
| Min. Negotiated Rate |
$393.20 |
| Max. Negotiated Rate |
$1,165.24 |
| Rate for Payer: Aetna Commercial |
$808.70
|
| Rate for Payer: Aetna Medicare |
$627.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$869.05
|
| Rate for Payer: BCBS Complete |
$412.86
|
| Rate for Payer: BCBS MAPPO |
$603.51
|
| Rate for Payer: BCN Commercial |
$1,011.89
|
| Rate for Payer: BCN Medicare Advantage |
$603.51
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Cofinity Commercial |
$808.70
|
| Rate for Payer: Cofinity Commercial |
$869.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.69
|
| Rate for Payer: Meridian Medicaid |
$412.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$663.86
|
| Rate for Payer: Nomi Health Commercial |
$724.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$807.75
|
| Rate for Payer: PACE SWMI |
$603.51
|
| Rate for Payer: PHP Commercial |
$844.91
|
| Rate for Payer: PHP Medicare Advantage |
$603.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,081.69
|
| Rate for Payer: Priority Health Medicare |
$603.51
|
| Rate for Payer: Priority Health SBD |
$1,081.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,081.69
|
| Rate for Payer: Railroad Medicare Medicare |
$603.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,165.24
|
| Rate for Payer: UHC Core |
$1,165.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$603.51
|
| Rate for Payer: UHC Exchange |
$1,165.24
|
| Rate for Payer: UHC Medicaid |
$393.20
|
| Rate for Payer: UHCCP Medicaid |
$393.20
|
| Rate for Payer: UMR Bronson Commercial |
$495.42
|
|
|
PR RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL
|
Professional
|
Both
|
$1,960.00
|
|
|
Service Code
|
HCPCS 27405
|
| Min. Negotiated Rate |
$406.40 |
| Max. Negotiated Rate |
$1,470.00 |
| Rate for Payer: Aetna Commercial |
$831.54
|
| Rate for Payer: Aetna Medicare |
$645.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.59
|
| Rate for Payer: BCBS Complete |
$426.72
|
| Rate for Payer: BCBS MAPPO |
$620.55
|
| Rate for Payer: BCN Commercial |
$1,033.81
|
| Rate for Payer: BCN Medicare Advantage |
$620.55
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Cofinity Commercial |
$831.54
|
| Rate for Payer: Cofinity Commercial |
$893.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.58
|
| Rate for Payer: Meridian Medicaid |
$426.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$682.61
|
| Rate for Payer: Nomi Health Commercial |
$744.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,470.00
|
| Rate for Payer: PACE SWMI |
$620.55
|
| Rate for Payer: PHP Commercial |
$868.77
|
| Rate for Payer: PHP Medicare Advantage |
$620.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,105.11
|
| Rate for Payer: Priority Health Medicare |
$620.55
|
| Rate for Payer: Priority Health SBD |
$1,105.11
|
| Rate for Payer: Priority Health Tiered Network |
$1,105.11
|
| Rate for Payer: Railroad Medicare Medicare |
$620.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,178.19
|
| Rate for Payer: UHC Core |
$1,178.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$620.55
|
| Rate for Payer: UHC Exchange |
$1,178.19
|
| Rate for Payer: UHC Medicaid |
$406.40
|
| Rate for Payer: UHCCP Medicaid |
$406.40
|
| Rate for Payer: UMR Bronson Commercial |
$901.60
|
|
|
PR RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS
|
Professional
|
Both
|
$2,993.00
|
|
|
Service Code
|
HCPCS 27696
|
| Min. Negotiated Rate |
$325.46 |
| Max. Negotiated Rate |
$2,244.75 |
| Rate for Payer: Aetna Commercial |
$667.82
|
| Rate for Payer: Aetna Medicare |
$518.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.65
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$498.37
|
| Rate for Payer: BCN Commercial |
$833.62
|
| Rate for Payer: BCN Medicare Advantage |
$498.37
|
| Rate for Payer: Cash Price |
$2,394.40
|
| Rate for Payer: Cash Price |
$2,394.40
|
| Rate for Payer: Cofinity Commercial |
$667.82
|
| Rate for Payer: Cofinity Commercial |
$717.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$523.29
|
| Rate for Payer: Meridian Medicaid |
$341.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$548.21
|
| Rate for Payer: Nomi Health Commercial |
$598.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,244.75
|
| Rate for Payer: PACE SWMI |
$498.37
|
| Rate for Payer: PHP Commercial |
$697.72
|
| Rate for Payer: PHP Medicare Advantage |
$498.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$891.12
|
| Rate for Payer: Priority Health Medicare |
$498.37
|
| Rate for Payer: Priority Health SBD |
$891.12
|
| Rate for Payer: Priority Health Tiered Network |
$891.12
|
| Rate for Payer: Railroad Medicare Medicare |
$498.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$976.21
|
| Rate for Payer: UHC Core |
$976.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$498.37
|
| Rate for Payer: UHC Exchange |
$976.21
|
| Rate for Payer: UHC Medicaid |
$325.46
|
| Rate for Payer: UHCCP Medicaid |
$325.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,376.78
|
|
|
PR RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL
|
Professional
|
Both
|
$2,246.00
|
|
|
Service Code
|
HCPCS 26548
|
| Min. Negotiated Rate |
$488.41 |
| Max. Negotiated Rate |
$1,684.50 |
| Rate for Payer: Aetna Commercial |
$982.98
|
| Rate for Payer: Aetna Medicare |
$762.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,056.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$982.98
|
| Rate for Payer: BCBS Complete |
$512.83
|
| Rate for Payer: BCBS MAPPO |
$733.57
|
| Rate for Payer: BCN Commercial |
$1,209.60
|
| Rate for Payer: BCN Medicare Advantage |
$733.57
|
| Rate for Payer: Cash Price |
$1,796.80
|
| Rate for Payer: Cash Price |
$1,796.80
|
| Rate for Payer: Cofinity Commercial |
$1,056.34
|
| Rate for Payer: Cofinity Commercial |
$982.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$733.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$770.25
|
| Rate for Payer: Meridian Medicaid |
$512.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$806.93
|
| Rate for Payer: Nomi Health Commercial |
$880.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,684.50
|
| Rate for Payer: PACE SWMI |
$733.57
|
| Rate for Payer: PHP Commercial |
$1,027.00
|
| Rate for Payer: PHP Medicare Advantage |
$733.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,293.03
|
| Rate for Payer: Priority Health Medicare |
$733.57
|
| Rate for Payer: Priority Health SBD |
$1,293.03
|
| Rate for Payer: Priority Health Tiered Network |
$1,293.03
|
| Rate for Payer: Railroad Medicare Medicare |
$733.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,328.30
|
| Rate for Payer: UHC Core |
$1,328.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$733.57
|
| Rate for Payer: UHC Exchange |
$1,328.30
|
| Rate for Payer: UHC Medicaid |
$488.41
|
| Rate for Payer: UHCCP Medicaid |
$488.41
|
| Rate for Payer: UMR Bronson Commercial |
$1,033.16
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
IP
|
$1,103.00
|
|
|
Service Code
|
CPT 49555
|
| Hospital Charge Code |
49555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$485.32 |
| Max. Negotiated Rate |
$992.70 |
| Rate for Payer: Aetna American Axle |
$716.95
|
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$716.95
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Advantage |
$772.10
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$772.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$937.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: Priority Health SBD |
$694.89
|
| Rate for Payer: UMR Bronson Commercial |
$485.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 49555
|
| Hospital Charge Code |
49555
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$1,117.04 |
| Rate for Payer: Aetna Commercial |
$773.33
|
| Rate for Payer: Aetna Medicare |
$600.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$773.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.04
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCBS MAPPO |
$577.11
|
| Rate for Payer: BCN Commercial |
$916.79
|
| Rate for Payer: BCN Medicare Advantage |
$577.11
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$773.33
|
| Rate for Payer: Cofinity Commercial |
$831.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$605.97
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$634.82
|
| Rate for Payer: Nomi Health Commercial |
$692.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PACE SWMI |
$577.11
|
| Rate for Payer: PHP Commercial |
$807.95
|
| Rate for Payer: PHP Medicare Advantage |
$577.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,117.04
|
| Rate for Payer: Priority Health Medicare |
$577.11
|
| Rate for Payer: Priority Health SBD |
$1,117.04
|
| Rate for Payer: Priority Health Tiered Network |
$1,117.04
|
| Rate for Payer: Railroad Medicare Medicare |
$577.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,069.80
|
| Rate for Payer: UHC Core |
$1,069.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$577.11
|
| Rate for Payer: UHC Exchange |
$1,069.80
|
| Rate for Payer: UHC Medicaid |
$372.11
|
| Rate for Payer: UHCCP Medicaid |
$372.11
|
| Rate for Payer: UMR Bronson Commercial |
$507.38
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 49555
|
| Min. Negotiated Rate |
$372.11 |
| Max. Negotiated Rate |
$1,117.04 |
| Rate for Payer: Aetna Commercial |
$773.33
|
| Rate for Payer: Aetna Medicare |
$600.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$773.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.04
|
| Rate for Payer: BCBS Complete |
$390.72
|
| Rate for Payer: BCBS MAPPO |
$577.11
|
| Rate for Payer: BCN Commercial |
$916.79
|
| Rate for Payer: BCN Medicare Advantage |
$577.11
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$773.33
|
| Rate for Payer: Cofinity Commercial |
$831.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$605.97
|
| Rate for Payer: Meridian Medicaid |
$390.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$634.82
|
| Rate for Payer: Nomi Health Commercial |
$692.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PACE SWMI |
$577.11
|
| Rate for Payer: PHP Commercial |
$807.95
|
| Rate for Payer: PHP Medicare Advantage |
$577.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,117.04
|
| Rate for Payer: Priority Health Medicare |
$577.11
|
| Rate for Payer: Priority Health SBD |
$1,117.04
|
| Rate for Payer: Priority Health Tiered Network |
$1,117.04
|
| Rate for Payer: Railroad Medicare Medicare |
$577.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,069.80
|
| Rate for Payer: UHC Core |
$1,069.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$577.11
|
| Rate for Payer: UHC Exchange |
$1,069.80
|
| Rate for Payer: UHC Medicaid |
$372.11
|
| Rate for Payer: UHCCP Medicaid |
$372.11
|
| Rate for Payer: UMR Bronson Commercial |
$507.38
|
|
|
PR RPR RECRT FEM HERNIA REDUCIBLE
|
Facility
|
OP
|
$1,103.00
|
|
|
Service Code
|
CPT 49555
|
| Hospital Charge Code |
49555
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$408.11 |
| Max. Negotiated Rate |
$11,537.07 |
| Rate for Payer: Aetna American Axle |
$716.95
|
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: Aetna Medicare |
$3,710.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$716.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$3,191.89
|
| Rate for Payer: BCN Commercial |
$3,191.89
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Advantage |
$772.10
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$772.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$3,745.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$937.55
|
| Rate for Payer: Nomi Health Commercial |
$10,702.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$827.25
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,537.07
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health SBD |
$694.89
|
| Rate for Payer: Priority Health Tiered Network |
$9,229.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: UMR Bronson Commercial |
$408.11
|
| Rate for Payer: VA VA |
$3,567.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR RPR RECRT FEM HRNA INCARCERATED
|
Professional
|
Both
|
$1,525.00
|
|
|
Service Code
|
HCPCS 49557
|
| Min. Negotiated Rate |
$441.55 |
| Max. Negotiated Rate |
$1,328.18 |
| Rate for Payer: Aetna Commercial |
$919.74
|
| Rate for Payer: Aetna Medicare |
$713.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$988.37
|
| Rate for Payer: BCBS Complete |
$463.63
|
| Rate for Payer: BCBS MAPPO |
$686.37
|
| Rate for Payer: BCN Commercial |
$1,090.08
|
| Rate for Payer: BCN Medicare Advantage |
$686.37
|
| Rate for Payer: Cash Price |
$1,220.00
|
| Rate for Payer: Cash Price |
$1,220.00
|
| Rate for Payer: Cofinity Commercial |
$919.74
|
| Rate for Payer: Cofinity Commercial |
$988.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.69
|
| Rate for Payer: Meridian Medicaid |
$463.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$755.01
|
| Rate for Payer: Nomi Health Commercial |
$823.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,143.75
|
| Rate for Payer: PACE SWMI |
$686.37
|
| Rate for Payer: PHP Commercial |
$960.92
|
| Rate for Payer: PHP Medicare Advantage |
$686.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,328.18
|
| Rate for Payer: Priority Health Medicare |
$686.37
|
| Rate for Payer: Priority Health SBD |
$1,328.18
|
| Rate for Payer: Priority Health Tiered Network |
$1,328.18
|
| Rate for Payer: Railroad Medicare Medicare |
$686.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,287.76
|
| Rate for Payer: UHC Core |
$1,287.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$686.37
|
| Rate for Payer: UHC Exchange |
$1,287.76
|
| Rate for Payer: UHC Medicaid |
$441.55
|
| Rate for Payer: UHCCP Medicaid |
$441.55
|
| Rate for Payer: UMR Bronson Commercial |
$701.50
|
|
|
PR RPR RECRT INCAL/VNT HERNIA INCARCERATED
|
Professional
|
Both
|
$2,732.00
|
|
|
Service Code
|
HCPCS 49566
|
| Min. Negotiated Rate |
$1,092.80 |
| Max. Negotiated Rate |
$2,049.00 |
| Rate for Payer: Aetna Medicare |
$1,366.00
|
| Rate for Payer: BCBS Complete |
$1,092.80
|
| Rate for Payer: Cash Price |
$2,185.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,049.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,256.72
|
|
|
PR RPR RECRT INCAL/VNT HERNIA REDUCIBLE
|
Professional
|
Both
|
$2,364.00
|
|
|
Service Code
|
HCPCS 49565
|
| Min. Negotiated Rate |
$945.60 |
| Max. Negotiated Rate |
$1,773.00 |
| Rate for Payer: Aetna Medicare |
$1,182.00
|
| Rate for Payer: BCBS Complete |
$945.60
|
| Rate for Payer: Cash Price |
$1,891.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,773.00
|
| Rate for Payer: UMR Bronson Commercial |
$1,087.44
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
IP
|
$1,773.00
|
|
|
Service Code
|
CPT 49520
|
| Hospital Charge Code |
49520
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$780.12 |
| Max. Negotiated Rate |
$1,595.70 |
| Rate for Payer: Aetna American Axle |
$1,152.45
|
| Rate for Payer: Aetna Commercial |
$1,507.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.45
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Advantage |
$1,241.10
|
| Rate for Payer: Cofinity Commercial |
$1,524.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.40
|
| Rate for Payer: Healthscope Commercial |
$1,595.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,241.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,329.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,507.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PHP Commercial |
$1,507.05
|
| Rate for Payer: Priority Health SBD |
$1,116.99
|
| Rate for Payer: UMR Bronson Commercial |
$780.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,329.75
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$1,773.00
|
|
|
Service Code
|
HCPCS 49520
|
| Hospital Charge Code |
49520
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$1,329.75 |
| Rate for Payer: Aetna Commercial |
$806.80
|
| Rate for Payer: Aetna Medicare |
$626.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.01
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCBS MAPPO |
$602.09
|
| Rate for Payer: BCN Commercial |
$958.62
|
| Rate for Payer: BCN Medicare Advantage |
$602.09
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Commercial |
$806.80
|
| Rate for Payer: Cofinity Commercial |
$867.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$632.19
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$662.30
|
| Rate for Payer: Nomi Health Commercial |
$722.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PACE SWMI |
$602.09
|
| Rate for Payer: PHP Commercial |
$842.93
|
| Rate for Payer: PHP Medicare Advantage |
$602.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,168.01
|
| Rate for Payer: Priority Health Medicare |
$602.09
|
| Rate for Payer: Priority Health SBD |
$1,168.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,168.01
|
| Rate for Payer: Railroad Medicare Medicare |
$602.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,123.05
|
| Rate for Payer: UHC Core |
$1,123.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$602.09
|
| Rate for Payer: UHC Exchange |
$1,123.05
|
| Rate for Payer: UHC Medicaid |
$387.87
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
| Rate for Payer: UMR Bronson Commercial |
$815.58
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Facility
|
OP
|
$1,773.00
|
|
|
Service Code
|
CPT 49520
|
| Hospital Charge Code |
49520
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$656.01 |
| Max. Negotiated Rate |
$11,537.07 |
| Rate for Payer: Aetna American Axle |
$1,152.45
|
| Rate for Payer: Aetna Commercial |
$1,507.05
|
| Rate for Payer: Aetna Medicare |
$3,710.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,459.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,459.41
|
| Rate for Payer: BCBS Complete |
$1,959.29
|
| Rate for Payer: BCBS MAPPO |
$3,567.53
|
| Rate for Payer: BCBS Trust/PPO |
$4,564.37
|
| Rate for Payer: BCN Commercial |
$4,564.37
|
| Rate for Payer: BCN Medicare Advantage |
$3,567.53
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Advantage |
$1,241.10
|
| Rate for Payer: Cofinity Commercial |
$1,524.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,418.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,567.53
|
| Rate for Payer: Healthscope Commercial |
$1,595.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,241.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,329.75
|
| Rate for Payer: Mclaren Medicaid |
$3,567.53
|
| Rate for Payer: Mclaren Medicare |
$3,567.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,745.91
|
| Rate for Payer: Meridian Medicaid |
$3,745.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,102.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,924.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,507.05
|
| Rate for Payer: Nomi Health Commercial |
$10,702.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PACE Medicare |
$3,389.15
|
| Rate for Payer: PACE SWMI |
$3,567.53
|
| Rate for Payer: PHP Commercial |
$1,507.05
|
| Rate for Payer: PHP Medicare Advantage |
$3,567.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,865.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11,537.07
|
| Rate for Payer: Priority Health Medicare |
$3,567.53
|
| Rate for Payer: Priority Health SBD |
$1,116.99
|
| Rate for Payer: Priority Health Tiered Network |
$9,229.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,567.53
|
| Rate for Payer: UHC Medicaid |
$1,865.82
|
| Rate for Payer: UHCCP Medicaid |
$1,865.82
|
| Rate for Payer: UMR Bronson Commercial |
$656.01
|
| Rate for Payer: VA VA |
$3,567.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,329.75
|
|
|
PR RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE
|
Professional
|
Both
|
$1,773.00
|
|
|
Service Code
|
HCPCS 49520
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$1,329.75 |
| Rate for Payer: Aetna Commercial |
$806.80
|
| Rate for Payer: Aetna Medicare |
$626.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.01
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCBS MAPPO |
$602.09
|
| Rate for Payer: BCN Commercial |
$958.62
|
| Rate for Payer: BCN Medicare Advantage |
$602.09
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cash Price |
$1,418.40
|
| Rate for Payer: Cofinity Commercial |
$806.80
|
| Rate for Payer: Cofinity Commercial |
$867.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$632.19
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$662.30
|
| Rate for Payer: Nomi Health Commercial |
$722.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,329.75
|
| Rate for Payer: PACE SWMI |
$602.09
|
| Rate for Payer: PHP Commercial |
$842.93
|
| Rate for Payer: PHP Medicare Advantage |
$602.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,168.01
|
| Rate for Payer: Priority Health Medicare |
$602.09
|
| Rate for Payer: Priority Health SBD |
$1,168.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,168.01
|
| Rate for Payer: Railroad Medicare Medicare |
$602.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,123.05
|
| Rate for Payer: UHC Core |
$1,123.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$602.09
|
| Rate for Payer: UHC Exchange |
$1,123.05
|
| Rate for Payer: UHC Medicaid |
$387.87
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
| Rate for Payer: UMR Bronson Commercial |
$815.58
|
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$2,155.00
|
|
|
Service Code
|
HCPCS 49521
|
| Min. Negotiated Rate |
$436.86 |
| Max. Negotiated Rate |
$1,616.25 |
| Rate for Payer: Aetna Commercial |
$909.91
|
| Rate for Payer: Aetna Medicare |
$706.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$909.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.82
|
| Rate for Payer: BCBS Complete |
$458.70
|
| Rate for Payer: BCBS MAPPO |
$679.04
|
| Rate for Payer: BCN Commercial |
$1,085.60
|
| Rate for Payer: BCN Medicare Advantage |
$679.04
|
| Rate for Payer: Cash Price |
$1,724.00
|
| Rate for Payer: Cash Price |
$1,724.00
|
| Rate for Payer: Cofinity Commercial |
$909.91
|
| Rate for Payer: Cofinity Commercial |
$977.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$712.99
|
| Rate for Payer: Meridian Medicaid |
$458.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$746.94
|
| Rate for Payer: Nomi Health Commercial |
$814.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,616.25
|
| Rate for Payer: PACE SWMI |
$679.04
|
| Rate for Payer: PHP Commercial |
$950.66
|
| Rate for Payer: PHP Medicare Advantage |
$679.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$436.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,322.72
|
| Rate for Payer: Priority Health Medicare |
$679.04
|
| Rate for Payer: Priority Health SBD |
$1,322.72
|
| Rate for Payer: Priority Health Tiered Network |
$1,322.72
|
| Rate for Payer: Railroad Medicare Medicare |
$679.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.03
|
| Rate for Payer: UHC Core |
$1,276.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$679.04
|
| Rate for Payer: UHC Exchange |
$1,276.03
|
| Rate for Payer: UHC Medicaid |
$436.86
|
| Rate for Payer: UHCCP Medicaid |
$436.86
|
| Rate for Payer: UMR Bronson Commercial |
$991.30
|
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Facility
|
IP
|
$2,155.00
|
|
|
Service Code
|
CPT 49521
|
| Hospital Charge Code |
49521
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$948.20 |
| Max. Negotiated Rate |
$1,939.50 |
| Rate for Payer: Aetna American Axle |
$1,400.75
|
| Rate for Payer: Aetna Commercial |
$1,831.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,400.75
|
| Rate for Payer: Cash Price |
$1,724.00
|
| Rate for Payer: Cofinity Advantage |
$1,508.50
|
| Rate for Payer: Cofinity Commercial |
$1,853.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,724.00
|
| Rate for Payer: Healthscope Commercial |
$1,939.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,508.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,616.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,831.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,616.25
|
| Rate for Payer: PHP Commercial |
$1,831.75
|
| Rate for Payer: Priority Health SBD |
$1,357.65
|
| Rate for Payer: UMR Bronson Commercial |
$948.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,616.25
|
|
|
PR RPR RECRT INGUN HERNIA ANY AGE INCARCERATED
|
Professional
|
Both
|
$2,155.00
|
|
|
Service Code
|
HCPCS 49521
|
| Hospital Charge Code |
49521
|
| Min. Negotiated Rate |
$436.86 |
| Max. Negotiated Rate |
$1,616.25 |
| Rate for Payer: Aetna Commercial |
$909.91
|
| Rate for Payer: Aetna Medicare |
$706.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$909.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.82
|
| Rate for Payer: BCBS Complete |
$458.70
|
| Rate for Payer: BCBS MAPPO |
$679.04
|
| Rate for Payer: BCN Commercial |
$1,085.60
|
| Rate for Payer: BCN Medicare Advantage |
$679.04
|
| Rate for Payer: Cash Price |
$1,724.00
|
| Rate for Payer: Cash Price |
$1,724.00
|
| Rate for Payer: Cofinity Commercial |
$909.91
|
| Rate for Payer: Cofinity Commercial |
$977.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$712.99
|
| Rate for Payer: Meridian Medicaid |
$458.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$746.94
|
| Rate for Payer: Nomi Health Commercial |
$814.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,616.25
|
| Rate for Payer: PACE SWMI |
$679.04
|
| Rate for Payer: PHP Commercial |
$950.66
|
| Rate for Payer: PHP Medicare Advantage |
$679.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$436.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,322.72
|
| Rate for Payer: Priority Health Medicare |
$679.04
|
| Rate for Payer: Priority Health SBD |
$1,322.72
|
| Rate for Payer: Priority Health Tiered Network |
$1,322.72
|
| Rate for Payer: Railroad Medicare Medicare |
$679.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.03
|
| Rate for Payer: UHC Core |
$1,276.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$679.04
|
| Rate for Payer: UHC Exchange |
$1,276.03
|
| Rate for Payer: UHC Medicaid |
$436.86
|
| Rate for Payer: UHCCP Medicaid |
$436.86
|
| Rate for Payer: UMR Bronson Commercial |
$991.30
|
|
