|
PR TENODESIS DISTAL JOINT EACH
|
Professional
|
Both
|
$1,045.00
|
|
|
Service Code
|
HCPCS 26474
|
| Min. Negotiated Rate |
$417.69 |
| Max. Negotiated Rate |
$1,056.04 |
| Rate for Payer: Aetna Commercial |
$833.19
|
| Rate for Payer: Aetna Medicare |
$646.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$833.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$895.36
|
| Rate for Payer: BCBS Complete |
$438.57
|
| Rate for Payer: BCBS MAPPO |
$621.78
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: BCN Medicare Advantage |
$621.78
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Cash Price |
$836.00
|
| Rate for Payer: Cofinity Commercial |
$833.19
|
| Rate for Payer: Cofinity Commercial |
$895.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$621.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$652.87
|
| Rate for Payer: Meridian Medicaid |
$438.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$683.96
|
| Rate for Payer: Nomi Health Commercial |
$746.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$783.75
|
| Rate for Payer: PACE SWMI |
$621.78
|
| Rate for Payer: PHP Commercial |
$870.49
|
| Rate for Payer: PHP Medicare Advantage |
$621.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,050.82
|
| Rate for Payer: Priority Health Medicare |
$621.78
|
| Rate for Payer: Priority Health SBD |
$1,050.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,050.82
|
| Rate for Payer: Railroad Medicare Medicare |
$621.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,056.04
|
| Rate for Payer: UHC Core |
$1,056.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$621.78
|
| Rate for Payer: UHC Exchange |
$1,056.04
|
| Rate for Payer: UHC Medicaid |
$417.69
|
| Rate for Payer: UHCCP Medicaid |
$417.69
|
| Rate for Payer: UMR Bronson Commercial |
$480.70
|
|
|
PR TENODESIS LONG TENDON BICEPS
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 23430
|
| Min. Negotiated Rate |
$444.11 |
| Max. Negotiated Rate |
$1,821.00 |
| Rate for Payer: Aetna Commercial |
$909.86
|
| Rate for Payer: Aetna Medicare |
$706.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$909.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.76
|
| Rate for Payer: BCBS Complete |
$466.32
|
| Rate for Payer: BCBS MAPPO |
$679.00
|
| Rate for Payer: BCN Commercial |
$1,134.90
|
| Rate for Payer: BCN Medicare Advantage |
$679.00
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$909.86
|
| Rate for Payer: Cofinity Commercial |
$977.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$712.95
|
| Rate for Payer: Meridian Medicaid |
$466.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$746.90
|
| Rate for Payer: Nomi Health Commercial |
$814.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,821.00
|
| Rate for Payer: PACE SWMI |
$679.00
|
| Rate for Payer: PHP Commercial |
$950.60
|
| Rate for Payer: PHP Medicare Advantage |
$679.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,213.18
|
| Rate for Payer: Priority Health Medicare |
$679.00
|
| Rate for Payer: Priority Health SBD |
$1,213.18
|
| Rate for Payer: Priority Health Tiered Network |
$1,213.18
|
| Rate for Payer: Railroad Medicare Medicare |
$679.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,299.29
|
| Rate for Payer: UHC Core |
$1,299.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$679.00
|
| Rate for Payer: UHC Exchange |
$1,299.29
|
| Rate for Payer: UHC Medicaid |
$444.11
|
| Rate for Payer: UHCCP Medicaid |
$444.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,116.88
|
|
|
PR TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$2,042.00
|
|
|
Service Code
|
HCPCS 26471
|
| Min. Negotiated Rate |
$410.45 |
| Max. Negotiated Rate |
$1,531.50 |
| Rate for Payer: Aetna Commercial |
$820.17
|
| Rate for Payer: Aetna Medicare |
$636.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.38
|
| Rate for Payer: BCBS Complete |
$430.97
|
| Rate for Payer: BCBS MAPPO |
$612.07
|
| Rate for Payer: BCN Commercial |
$998.45
|
| Rate for Payer: BCN Medicare Advantage |
$612.07
|
| Rate for Payer: Cash Price |
$1,633.60
|
| Rate for Payer: Cash Price |
$1,633.60
|
| Rate for Payer: Cofinity Commercial |
$820.17
|
| Rate for Payer: Cofinity Commercial |
$881.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$642.67
|
| Rate for Payer: Meridian Medicaid |
$430.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$673.28
|
| Rate for Payer: Nomi Health Commercial |
$734.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,531.50
|
| Rate for Payer: PACE SWMI |
$612.07
|
| Rate for Payer: PHP Commercial |
$856.90
|
| Rate for Payer: PHP Medicare Advantage |
$612.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,067.32
|
| Rate for Payer: Priority Health Medicare |
$612.07
|
| Rate for Payer: Priority Health SBD |
$1,067.32
|
| Rate for Payer: Priority Health Tiered Network |
$1,067.32
|
| Rate for Payer: Railroad Medicare Medicare |
$612.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,076.40
|
| Rate for Payer: UHC Core |
$1,076.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$612.07
|
| Rate for Payer: UHC Exchange |
$1,076.40
|
| Rate for Payer: UHC Medicaid |
$410.45
|
| Rate for Payer: UHCCP Medicaid |
$410.45
|
| Rate for Payer: UMR Bronson Commercial |
$939.32
|
|
|
PR TENODESIS WRIST EXTENSORS FINGERS
|
Professional
|
Both
|
$1,350.00
|
|
|
Service Code
|
HCPCS 25301
|
| Min. Negotiated Rate |
$382.12 |
| Max. Negotiated Rate |
$1,119.36 |
| Rate for Payer: Aetna Commercial |
$781.47
|
| Rate for Payer: Aetna Medicare |
$606.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$781.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.79
|
| Rate for Payer: BCBS Complete |
$401.23
|
| Rate for Payer: BCBS MAPPO |
$583.19
|
| Rate for Payer: BCN Commercial |
$987.00
|
| Rate for Payer: BCN Medicare Advantage |
$583.19
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Cofinity Commercial |
$781.47
|
| Rate for Payer: Cofinity Commercial |
$839.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$583.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$612.35
|
| Rate for Payer: Meridian Medicaid |
$401.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$641.51
|
| Rate for Payer: Nomi Health Commercial |
$699.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,012.50
|
| Rate for Payer: PACE SWMI |
$583.19
|
| Rate for Payer: PHP Commercial |
$816.47
|
| Rate for Payer: PHP Medicare Advantage |
$583.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,055.08
|
| Rate for Payer: Priority Health Medicare |
$583.19
|
| Rate for Payer: Priority Health SBD |
$1,055.08
|
| Rate for Payer: Priority Health Tiered Network |
$1,055.08
|
| Rate for Payer: Railroad Medicare Medicare |
$583.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,119.36
|
| Rate for Payer: UHC Core |
$1,119.36
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$583.19
|
| Rate for Payer: UHC Exchange |
$1,119.36
|
| Rate for Payer: UHC Medicaid |
$382.12
|
| Rate for Payer: UHCCP Medicaid |
$382.12
|
| Rate for Payer: UMR Bronson Commercial |
$621.00
|
|
|
PR TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA
|
Professional
|
Both
|
$1,899.00
|
|
|
Service Code
|
HCPCS 26449
|
| Min. Negotiated Rate |
$421.31 |
| Max. Negotiated Rate |
$1,424.25 |
| Rate for Payer: Aetna Commercial |
$855.99
|
| Rate for Payer: Aetna Medicare |
$664.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$855.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.87
|
| Rate for Payer: BCBS Complete |
$442.38
|
| Rate for Payer: BCBS MAPPO |
$638.80
|
| Rate for Payer: BCN Commercial |
$1,077.13
|
| Rate for Payer: BCN Medicare Advantage |
$638.80
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cash Price |
$1,519.20
|
| Rate for Payer: Cofinity Commercial |
$855.99
|
| Rate for Payer: Cofinity Commercial |
$919.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$670.74
|
| Rate for Payer: Meridian Medicaid |
$442.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$702.68
|
| Rate for Payer: Nomi Health Commercial |
$766.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,424.25
|
| Rate for Payer: PACE SWMI |
$638.80
|
| Rate for Payer: PHP Commercial |
$894.32
|
| Rate for Payer: PHP Medicare Advantage |
$638.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,151.42
|
| Rate for Payer: Priority Health Medicare |
$638.80
|
| Rate for Payer: Priority Health SBD |
$1,151.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,151.42
|
| Rate for Payer: Railroad Medicare Medicare |
$638.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,201.47
|
| Rate for Payer: UHC Core |
$1,201.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$638.80
|
| Rate for Payer: UHC Exchange |
$1,201.47
|
| Rate for Payer: UHC Medicaid |
$421.31
|
| Rate for Payer: UHCCP Medicaid |
$421.31
|
| Rate for Payer: UMR Bronson Commercial |
$873.54
|
|
|
PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON
|
Professional
|
Both
|
$820.00
|
|
|
Service Code
|
HCPCS 28226
|
| Min. Negotiated Rate |
$249.21 |
| Max. Negotiated Rate |
$681.87 |
| Rate for Payer: Aetna Commercial |
$505.29
|
| Rate for Payer: Aetna Medicare |
$392.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$505.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$543.00
|
| Rate for Payer: BCBS Complete |
$261.67
|
| Rate for Payer: BCBS MAPPO |
$377.08
|
| Rate for Payer: BCN Commercial |
$614.51
|
| Rate for Payer: BCN Medicare Advantage |
$377.08
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Cofinity Commercial |
$505.29
|
| Rate for Payer: Cofinity Commercial |
$543.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$377.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$395.93
|
| Rate for Payer: Meridian Medicaid |
$261.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$414.79
|
| Rate for Payer: Nomi Health Commercial |
$452.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$615.00
|
| Rate for Payer: PACE SWMI |
$377.08
|
| Rate for Payer: PHP Commercial |
$527.91
|
| Rate for Payer: PHP Medicare Advantage |
$377.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$656.90
|
| Rate for Payer: Priority Health Medicare |
$377.08
|
| Rate for Payer: Priority Health SBD |
$656.90
|
| Rate for Payer: Priority Health Tiered Network |
$656.90
|
| Rate for Payer: Railroad Medicare Medicare |
$377.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$681.87
|
| Rate for Payer: UHC Core |
$681.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$377.08
|
| Rate for Payer: UHC Exchange |
$681.87
|
| Rate for Payer: UHC Medicaid |
$249.21
|
| Rate for Payer: UHCCP Medicaid |
$249.21
|
| Rate for Payer: UMR Bronson Commercial |
$377.20
|
|
|
PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 28225
|
| Min. Negotiated Rate |
$160.18 |
| Max. Negotiated Rate |
$502.50 |
| Rate for Payer: Aetna Commercial |
$325.43
|
| Rate for Payer: Aetna Medicare |
$252.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$349.72
|
| Rate for Payer: BCBS Complete |
$168.19
|
| Rate for Payer: BCBS MAPPO |
$242.86
|
| Rate for Payer: BCN Commercial |
$404.86
|
| Rate for Payer: BCN Medicare Advantage |
$242.86
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$325.43
|
| Rate for Payer: Cofinity Commercial |
$349.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.00
|
| Rate for Payer: Meridian Medicaid |
$168.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$267.15
|
| Rate for Payer: Nomi Health Commercial |
$291.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$502.50
|
| Rate for Payer: PACE SWMI |
$242.86
|
| Rate for Payer: PHP Commercial |
$340.00
|
| Rate for Payer: PHP Medicare Advantage |
$242.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$160.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$432.79
|
| Rate for Payer: Priority Health Medicare |
$242.86
|
| Rate for Payer: Priority Health SBD |
$432.79
|
| Rate for Payer: Priority Health Tiered Network |
$432.79
|
| Rate for Payer: Railroad Medicare Medicare |
$242.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.40
|
| Rate for Payer: UHC Core |
$458.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$242.86
|
| Rate for Payer: UHC Exchange |
$458.40
|
| Rate for Payer: UHC Medicaid |
$160.18
|
| Rate for Payer: UHCCP Medicaid |
$160.18
|
| Rate for Payer: UMR Bronson Commercial |
$308.20
|
|
|
PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH
|
Professional
|
Both
|
$1,266.00
|
|
|
Service Code
|
HCPCS 26445
|
| Min. Negotiated Rate |
$385.74 |
| Max. Negotiated Rate |
$993.80 |
| Rate for Payer: Aetna Commercial |
$764.95
|
| Rate for Payer: Aetna Medicare |
$593.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$764.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$822.04
|
| Rate for Payer: BCBS Complete |
$405.03
|
| Rate for Payer: BCBS MAPPO |
$570.86
|
| Rate for Payer: BCN Commercial |
$909.32
|
| Rate for Payer: BCN Medicare Advantage |
$570.86
|
| Rate for Payer: Cash Price |
$1,012.80
|
| Rate for Payer: Cash Price |
$1,012.80
|
| Rate for Payer: Cofinity Commercial |
$764.95
|
| Rate for Payer: Cofinity Commercial |
$822.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.40
|
| Rate for Payer: Meridian Medicaid |
$405.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$627.95
|
| Rate for Payer: Nomi Health Commercial |
$685.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$949.50
|
| Rate for Payer: PACE SWMI |
$570.86
|
| Rate for Payer: PHP Commercial |
$799.20
|
| Rate for Payer: PHP Medicare Advantage |
$570.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$972.04
|
| Rate for Payer: Priority Health Medicare |
$570.86
|
| Rate for Payer: Priority Health SBD |
$972.04
|
| Rate for Payer: Priority Health Tiered Network |
$972.04
|
| Rate for Payer: Railroad Medicare Medicare |
$570.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$993.80
|
| Rate for Payer: UHC Core |
$993.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$570.86
|
| Rate for Payer: UHC Exchange |
$993.80
|
| Rate for Payer: UHC Medicaid |
$385.74
|
| Rate for Payer: UHCCP Medicaid |
$385.74
|
| Rate for Payer: UMR Bronson Commercial |
$582.36
|
|
|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$862.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$222.59 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna Commercial |
$454.90
|
| Rate for Payer: Aetna Medicare |
$353.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$454.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.85
|
| Rate for Payer: BCBS Complete |
$233.72
|
| Rate for Payer: BCBS MAPPO |
$339.48
|
| Rate for Payer: BCN Commercial |
$561.72
|
| Rate for Payer: BCN Medicare Advantage |
$339.48
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cofinity Commercial |
$454.90
|
| Rate for Payer: Cofinity Commercial |
$488.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.45
|
| Rate for Payer: Meridian Medicaid |
$233.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$373.43
|
| Rate for Payer: Nomi Health Commercial |
$407.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$646.50
|
| Rate for Payer: PACE SWMI |
$339.48
|
| Rate for Payer: PHP Commercial |
$475.27
|
| Rate for Payer: PHP Medicare Advantage |
$339.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$600.47
|
| Rate for Payer: Priority Health Medicare |
$339.48
|
| Rate for Payer: Priority Health SBD |
$600.47
|
| Rate for Payer: Priority Health Tiered Network |
$600.47
|
| Rate for Payer: Railroad Medicare Medicare |
$339.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$624.83
|
| Rate for Payer: UHC Core |
$624.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$339.48
|
| Rate for Payer: UHC Exchange |
$624.83
|
| Rate for Payer: UHC Medicaid |
$222.59
|
| Rate for Payer: UHCCP Medicaid |
$222.59
|
| Rate for Payer: UMR Bronson Commercial |
$396.52
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$184.03 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$375.03
|
| Rate for Payer: Aetna Medicare |
$291.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$375.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.01
|
| Rate for Payer: BCBS Complete |
$193.23
|
| Rate for Payer: BCBS MAPPO |
$279.87
|
| Rate for Payer: BCN Commercial |
$463.62
|
| Rate for Payer: BCN Medicare Advantage |
$279.87
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$375.03
|
| Rate for Payer: Cofinity Commercial |
$403.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.86
|
| Rate for Payer: Meridian Medicaid |
$193.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$307.86
|
| Rate for Payer: Nomi Health Commercial |
$335.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: PACE SWMI |
$279.87
|
| Rate for Payer: PHP Commercial |
$391.82
|
| Rate for Payer: PHP Medicare Advantage |
$279.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$495.60
|
| Rate for Payer: Priority Health Medicare |
$279.87
|
| Rate for Payer: Priority Health SBD |
$495.60
|
| Rate for Payer: Priority Health Tiered Network |
$495.60
|
| Rate for Payer: Railroad Medicare Medicare |
$279.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.28
|
| Rate for Payer: UHC Core |
$528.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$279.87
|
| Rate for Payer: UHC Exchange |
$528.28
|
| Rate for Payer: UHC Medicaid |
$184.03
|
| Rate for Payer: UHCCP Medicaid |
$184.03
|
| Rate for Payer: UMR Bronson Commercial |
$468.28
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$612.80 |
| Max. Negotiated Rate |
$1,656.62 |
| Rate for Payer: Aetna Commercial |
$1,230.45
|
| Rate for Payer: Aetna Medicare |
$954.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,230.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,322.28
|
| Rate for Payer: BCBS Complete |
$643.44
|
| Rate for Payer: BCBS MAPPO |
$918.25
|
| Rate for Payer: BCN Commercial |
$1,497.43
|
| Rate for Payer: BCN Medicare Advantage |
$918.25
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cofinity Commercial |
$1,230.45
|
| Rate for Payer: Cofinity Commercial |
$1,322.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$918.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$964.16
|
| Rate for Payer: Meridian Medicaid |
$643.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,010.08
|
| Rate for Payer: Nomi Health Commercial |
$1,101.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
| Rate for Payer: PACE SWMI |
$918.25
|
| Rate for Payer: PHP Commercial |
$1,285.55
|
| Rate for Payer: PHP Medicare Advantage |
$918.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$612.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,600.71
|
| Rate for Payer: Priority Health Medicare |
$918.25
|
| Rate for Payer: Priority Health SBD |
$1,600.71
|
| Rate for Payer: Priority Health Tiered Network |
$1,600.71
|
| Rate for Payer: Railroad Medicare Medicare |
$918.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,656.62
|
| Rate for Payer: UHC Core |
$1,656.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$918.25
|
| Rate for Payer: UHC Exchange |
$1,656.62
|
| Rate for Payer: UHC Medicaid |
$612.80
|
| Rate for Payer: UHCCP Medicaid |
$612.80
|
| Rate for Payer: UMR Bronson Commercial |
$845.94
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,225.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$409.81 |
| Max. Negotiated Rate |
$1,068.83 |
| Rate for Payer: Aetna Commercial |
$815.08
|
| Rate for Payer: Aetna Medicare |
$632.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$815.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$875.91
|
| Rate for Payer: BCBS Complete |
$430.30
|
| Rate for Payer: BCBS MAPPO |
$608.27
|
| Rate for Payer: BCN Commercial |
$978.04
|
| Rate for Payer: BCN Medicare Advantage |
$608.27
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cofinity Commercial |
$815.08
|
| Rate for Payer: Cofinity Commercial |
$875.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$608.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$638.68
|
| Rate for Payer: Meridian Medicaid |
$430.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$669.10
|
| Rate for Payer: Nomi Health Commercial |
$729.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$918.75
|
| Rate for Payer: PACE SWMI |
$608.27
|
| Rate for Payer: PHP Commercial |
$851.58
|
| Rate for Payer: PHP Medicare Advantage |
$608.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,045.50
|
| Rate for Payer: Priority Health Medicare |
$608.27
|
| Rate for Payer: Priority Health SBD |
$1,045.50
|
| Rate for Payer: Priority Health Tiered Network |
$1,045.50
|
| Rate for Payer: Railroad Medicare Medicare |
$608.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,068.83
|
| Rate for Payer: UHC Core |
$1,068.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$608.27
|
| Rate for Payer: UHC Exchange |
$1,068.83
|
| Rate for Payer: UHC Medicaid |
$409.81
|
| Rate for Payer: UHCCP Medicaid |
$409.81
|
| Rate for Payer: UMR Bronson Commercial |
$563.50
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$260.50 |
| Max. Negotiated Rate |
$1,005.00 |
| Rate for Payer: Aetna Commercial |
$531.35
|
| Rate for Payer: Aetna Medicare |
$412.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$571.00
|
| Rate for Payer: BCBS Complete |
$273.52
|
| Rate for Payer: BCBS MAPPO |
$396.53
|
| Rate for Payer: BCN Commercial |
$647.38
|
| Rate for Payer: BCN Medicare Advantage |
$396.53
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cofinity Commercial |
$531.35
|
| Rate for Payer: Cofinity Commercial |
$571.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.36
|
| Rate for Payer: Meridian Medicaid |
$273.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$436.18
|
| Rate for Payer: Nomi Health Commercial |
$475.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.00
|
| Rate for Payer: PACE SWMI |
$396.53
|
| Rate for Payer: PHP Commercial |
$555.14
|
| Rate for Payer: PHP Medicare Advantage |
$396.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$692.02
|
| Rate for Payer: Priority Health Medicare |
$396.53
|
| Rate for Payer: Priority Health SBD |
$692.02
|
| Rate for Payer: Priority Health Tiered Network |
$692.02
|
| Rate for Payer: Railroad Medicare Medicare |
$396.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$738.26
|
| Rate for Payer: UHC Core |
$738.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$396.53
|
| Rate for Payer: UHC Exchange |
$738.26
|
| Rate for Payer: UHC Medicaid |
$260.50
|
| Rate for Payer: UHCCP Medicaid |
$260.50
|
| Rate for Payer: UMR Bronson Commercial |
$616.40
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$376.16 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$767.53
|
| Rate for Payer: Aetna Medicare |
$595.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$824.80
|
| Rate for Payer: BCBS Complete |
$394.97
|
| Rate for Payer: BCBS MAPPO |
$572.78
|
| Rate for Payer: BCN Commercial |
$947.66
|
| Rate for Payer: BCN Medicare Advantage |
$572.78
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cofinity Commercial |
$767.53
|
| Rate for Payer: Cofinity Commercial |
$824.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$601.42
|
| Rate for Payer: Meridian Medicaid |
$394.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$630.06
|
| Rate for Payer: Nomi Health Commercial |
$687.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,096.50
|
| Rate for Payer: PACE SWMI |
$572.78
|
| Rate for Payer: PHP Commercial |
$801.89
|
| Rate for Payer: PHP Medicare Advantage |
$572.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,013.01
|
| Rate for Payer: Priority Health Medicare |
$572.78
|
| Rate for Payer: Priority Health SBD |
$1,013.01
|
| Rate for Payer: Priority Health Tiered Network |
$1,013.01
|
| Rate for Payer: Railroad Medicare Medicare |
$572.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.93
|
| Rate for Payer: UHC Core |
$1,066.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$572.78
|
| Rate for Payer: UHC Exchange |
$1,066.93
|
| Rate for Payer: UHC Medicaid |
$376.16
|
| Rate for Payer: UHCCP Medicaid |
$376.16
|
| Rate for Payer: UMR Bronson Commercial |
$672.52
|
|
|
PR TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX
|
Professional
|
Both
|
$2,965.00
|
|
|
Service Code
|
HCPCS 27006
|
| Min. Negotiated Rate |
$416.20 |
| Max. Negotiated Rate |
$2,223.75 |
| Rate for Payer: Aetna Commercial |
$851.17
|
| Rate for Payer: Aetna Medicare |
$660.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$851.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$914.69
|
| Rate for Payer: BCBS Complete |
$437.01
|
| Rate for Payer: BCBS MAPPO |
$635.20
|
| Rate for Payer: BCN Commercial |
$1,087.59
|
| Rate for Payer: BCN Medicare Advantage |
$635.20
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Cofinity Commercial |
$851.17
|
| Rate for Payer: Cofinity Commercial |
$914.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$666.96
|
| Rate for Payer: Meridian Medicaid |
$437.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$698.72
|
| Rate for Payer: Nomi Health Commercial |
$762.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,223.75
|
| Rate for Payer: PACE SWMI |
$635.20
|
| Rate for Payer: PHP Commercial |
$889.28
|
| Rate for Payer: PHP Medicare Advantage |
$635.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,162.61
|
| Rate for Payer: Priority Health Medicare |
$635.20
|
| Rate for Payer: Priority Health SBD |
$1,162.61
|
| Rate for Payer: Priority Health Tiered Network |
$1,162.61
|
| Rate for Payer: Railroad Medicare Medicare |
$635.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.95
|
| Rate for Payer: UHC Core |
$1,251.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$635.20
|
| Rate for Payer: UHC Exchange |
$1,251.95
|
| Rate for Payer: UHC Medicaid |
$416.20
|
| Rate for Payer: UHCCP Medicaid |
$416.20
|
| Rate for Payer: UMR Bronson Commercial |
$1,363.90
|
|
|
PR TENOTOMY ADDUCTOR HIP OPEN
|
Professional
|
Both
|
$1,090.00
|
|
|
Service Code
|
HCPCS 27001
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$943.10 |
| Rate for Payer: Aetna Commercial |
$670.20
|
| Rate for Payer: Aetna Medicare |
$520.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$720.22
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$500.15
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: BCN Medicare Advantage |
$500.15
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Cofinity Commercial |
$670.20
|
| Rate for Payer: Cofinity Commercial |
$720.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$500.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$525.16
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$550.16
|
| Rate for Payer: Nomi Health Commercial |
$600.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.50
|
| Rate for Payer: PACE SWMI |
$500.15
|
| Rate for Payer: PHP Commercial |
$700.21
|
| Rate for Payer: PHP Medicare Advantage |
$500.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$882.06
|
| Rate for Payer: Priority Health Medicare |
$500.15
|
| Rate for Payer: Priority Health SBD |
$882.06
|
| Rate for Payer: Priority Health Tiered Network |
$882.06
|
| Rate for Payer: Railroad Medicare Medicare |
$500.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$943.10
|
| Rate for Payer: UHC Core |
$943.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$500.15
|
| Rate for Payer: UHC Exchange |
$943.10
|
| Rate for Payer: UHC Medicaid |
$327.81
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
| Rate for Payer: UMR Bronson Commercial |
$501.40
|
|
|
PR TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 27000
|
| Min. Negotiated Rate |
$231.11 |
| Max. Negotiated Rate |
$703.57 |
| Rate for Payer: Aetna Commercial |
$470.78
|
| Rate for Payer: Aetna Medicare |
$365.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$470.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$505.92
|
| Rate for Payer: BCBS Complete |
$242.67
|
| Rate for Payer: BCBS MAPPO |
$351.33
|
| Rate for Payer: BCN Commercial |
$593.59
|
| Rate for Payer: BCN Medicare Advantage |
$351.33
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cofinity Commercial |
$470.78
|
| Rate for Payer: Cofinity Commercial |
$505.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.90
|
| Rate for Payer: Meridian Medicaid |
$242.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$386.46
|
| Rate for Payer: Nomi Health Commercial |
$421.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$645.00
|
| Rate for Payer: PACE SWMI |
$351.33
|
| Rate for Payer: PHP Commercial |
$491.86
|
| Rate for Payer: PHP Medicare Advantage |
$351.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$634.53
|
| Rate for Payer: Priority Health Medicare |
$351.33
|
| Rate for Payer: Priority Health SBD |
$634.53
|
| Rate for Payer: Priority Health Tiered Network |
$634.53
|
| Rate for Payer: Railroad Medicare Medicare |
$351.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$703.57
|
| Rate for Payer: UHC Core |
$703.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$351.33
|
| Rate for Payer: UHC Exchange |
$703.57
|
| Rate for Payer: UHC Medicaid |
$231.11
|
| Rate for Payer: UHCCP Medicaid |
$231.11
|
| Rate for Payer: UMR Bronson Commercial |
$395.60
|
|
|
PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 24357
|
| Min. Negotiated Rate |
$245.16 |
| Max. Negotiated Rate |
$983.25 |
| Rate for Payer: Aetna Commercial |
$496.97
|
| Rate for Payer: Aetna Medicare |
$385.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$496.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.05
|
| Rate for Payer: BCBS Complete |
$257.42
|
| Rate for Payer: BCBS MAPPO |
$370.87
|
| Rate for Payer: BCN Commercial |
$634.43
|
| Rate for Payer: BCN Medicare Advantage |
$370.87
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cofinity Commercial |
$496.97
|
| Rate for Payer: Cofinity Commercial |
$534.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.41
|
| Rate for Payer: Meridian Medicaid |
$257.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$407.96
|
| Rate for Payer: Nomi Health Commercial |
$445.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$983.25
|
| Rate for Payer: PACE SWMI |
$370.87
|
| Rate for Payer: PHP Commercial |
$519.22
|
| Rate for Payer: PHP Medicare Advantage |
$370.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$678.18
|
| Rate for Payer: Priority Health Medicare |
$370.87
|
| Rate for Payer: Priority Health SBD |
$678.18
|
| Rate for Payer: Priority Health Tiered Network |
$678.18
|
| Rate for Payer: Railroad Medicare Medicare |
$370.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$721.18
|
| Rate for Payer: UHC Core |
$721.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$370.87
|
| Rate for Payer: UHC Exchange |
$721.18
|
| Rate for Payer: UHC Medicaid |
$245.16
|
| Rate for Payer: UHCCP Medicaid |
$245.16
|
| Rate for Payer: UMR Bronson Commercial |
$603.06
|
|
|
PR TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26460
|
| Min. Negotiated Rate |
$286.06 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$568.67
|
| Rate for Payer: Aetna Medicare |
$441.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.11
|
| Rate for Payer: BCBS Complete |
$300.36
|
| Rate for Payer: BCBS MAPPO |
$424.38
|
| Rate for Payer: BCN Commercial |
$683.73
|
| Rate for Payer: BCN Medicare Advantage |
$424.38
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cofinity Commercial |
$568.67
|
| Rate for Payer: Cofinity Commercial |
$611.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$445.60
|
| Rate for Payer: Meridian Medicaid |
$300.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$466.82
|
| Rate for Payer: Nomi Health Commercial |
$509.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: PACE SWMI |
$424.38
|
| Rate for Payer: PHP Commercial |
$594.13
|
| Rate for Payer: PHP Medicare Advantage |
$424.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$730.89
|
| Rate for Payer: Priority Health Medicare |
$424.38
|
| Rate for Payer: Priority Health SBD |
$730.89
|
| Rate for Payer: Priority Health Tiered Network |
$730.89
|
| Rate for Payer: Railroad Medicare Medicare |
$424.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$703.26
|
| Rate for Payer: UHC Core |
$703.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$424.38
|
| Rate for Payer: UHC Exchange |
$703.26
|
| Rate for Payer: UHC Medicaid |
$286.06
|
| Rate for Payer: UHCCP Medicaid |
$286.06
|
| Rate for Payer: UMR Bronson Commercial |
$469.66
|
|
|
PR TENOTOMY FLEXOR FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26455
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$582.42
|
| Rate for Payer: Aetna Medicare |
$452.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$625.88
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$434.64
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: BCN Medicare Advantage |
$434.64
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cofinity Commercial |
$582.42
|
| Rate for Payer: Cofinity Commercial |
$625.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.37
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$478.10
|
| Rate for Payer: Nomi Health Commercial |
$521.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: PACE SWMI |
$434.64
|
| Rate for Payer: PHP Commercial |
$608.50
|
| Rate for Payer: PHP Medicare Advantage |
$434.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$746.85
|
| Rate for Payer: Priority Health Medicare |
$434.64
|
| Rate for Payer: Priority Health SBD |
$746.85
|
| Rate for Payer: Priority Health Tiered Network |
$746.85
|
| Rate for Payer: Railroad Medicare Medicare |
$434.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$720.41
|
| Rate for Payer: UHC Core |
$720.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$434.64
|
| Rate for Payer: UHC Exchange |
$720.41
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
| Rate for Payer: UMR Bronson Commercial |
$469.66
|
|
|
PR TENOTOMY FLEXOR PALM OPEN EACH TENDON
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 26450
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$870.75 |
| Rate for Payer: Aetna Commercial |
$582.54
|
| Rate for Payer: Aetna Medicare |
$452.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.01
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$434.73
|
| Rate for Payer: BCN Commercial |
$703.64
|
| Rate for Payer: BCN Medicare Advantage |
$434.73
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$582.54
|
| Rate for Payer: Cofinity Commercial |
$626.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.47
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$478.20
|
| Rate for Payer: Nomi Health Commercial |
$521.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$870.75
|
| Rate for Payer: PACE SWMI |
$434.73
|
| Rate for Payer: PHP Commercial |
$608.62
|
| Rate for Payer: PHP Medicare Advantage |
$434.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$752.19
|
| Rate for Payer: Priority Health Medicare |
$434.73
|
| Rate for Payer: Priority Health SBD |
$752.19
|
| Rate for Payer: Priority Health Tiered Network |
$752.19
|
| Rate for Payer: Railroad Medicare Medicare |
$434.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$725.75
|
| Rate for Payer: UHC Core |
$725.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$434.73
|
| Rate for Payer: UHC Exchange |
$725.75
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
| Rate for Payer: UMR Bronson Commercial |
$534.06
|
|
|
PR TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,453.00
|
|
|
Service Code
|
HCPCS 27005
|
| Min. Negotiated Rate |
$429.83 |
| Max. Negotiated Rate |
$1,262.93 |
| Rate for Payer: Aetna Commercial |
$882.30
|
| Rate for Payer: Aetna Medicare |
$684.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$882.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$948.14
|
| Rate for Payer: BCBS Complete |
$451.32
|
| Rate for Payer: BCBS MAPPO |
$658.43
|
| Rate for Payer: BCN Commercial |
$1,102.53
|
| Rate for Payer: BCN Medicare Advantage |
$658.43
|
| Rate for Payer: Cash Price |
$1,162.40
|
| Rate for Payer: Cash Price |
$1,162.40
|
| Rate for Payer: Cofinity Commercial |
$882.30
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.35
|
| Rate for Payer: Meridian Medicaid |
$451.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$724.27
|
| Rate for Payer: Nomi Health Commercial |
$790.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,089.75
|
| Rate for Payer: PACE SWMI |
$658.43
|
| Rate for Payer: PHP Commercial |
$921.80
|
| Rate for Payer: PHP Medicare Advantage |
$658.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,178.57
|
| Rate for Payer: Priority Health Medicare |
$658.43
|
| Rate for Payer: Priority Health SBD |
$1,178.57
|
| Rate for Payer: Priority Health Tiered Network |
$1,178.57
|
| Rate for Payer: Railroad Medicare Medicare |
$658.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,262.93
|
| Rate for Payer: UHC Core |
$1,262.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$658.43
|
| Rate for Payer: UHC Exchange |
$1,262.93
|
| Rate for Payer: UHC Medicaid |
$429.83
|
| Rate for Payer: UHCCP Medicaid |
$429.83
|
| Rate for Payer: UMR Bronson Commercial |
$668.38
|
|
|
PR TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON
|
Professional
|
Both
|
$933.00
|
|
|
Service Code
|
HCPCS 24310
|
| Min. Negotiated Rate |
$282.01 |
| Max. Negotiated Rate |
$819.44 |
| Rate for Payer: Aetna Commercial |
$575.40
|
| Rate for Payer: Aetna Medicare |
$446.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$618.34
|
| Rate for Payer: BCBS Complete |
$296.11
|
| Rate for Payer: BCBS MAPPO |
$429.40
|
| Rate for Payer: BCN Commercial |
$724.06
|
| Rate for Payer: BCN Medicare Advantage |
$429.40
|
| Rate for Payer: Cash Price |
$746.40
|
| Rate for Payer: Cash Price |
$746.40
|
| Rate for Payer: Cofinity Commercial |
$575.40
|
| Rate for Payer: Cofinity Commercial |
$618.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$450.87
|
| Rate for Payer: Meridian Medicaid |
$296.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$472.34
|
| Rate for Payer: Nomi Health Commercial |
$515.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$699.75
|
| Rate for Payer: PACE SWMI |
$429.40
|
| Rate for Payer: PHP Commercial |
$601.16
|
| Rate for Payer: PHP Medicare Advantage |
$429.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$774.01
|
| Rate for Payer: Priority Health Medicare |
$429.40
|
| Rate for Payer: Priority Health SBD |
$774.01
|
| Rate for Payer: Priority Health Tiered Network |
$774.01
|
| Rate for Payer: Railroad Medicare Medicare |
$429.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$819.44
|
| Rate for Payer: UHC Core |
$819.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$429.40
|
| Rate for Payer: UHC Exchange |
$819.44
|
| Rate for Payer: UHC Medicaid |
$282.01
|
| Rate for Payer: UHCCP Medicaid |
$282.01
|
| Rate for Payer: UMR Bronson Commercial |
$429.18
|
|
|
PR TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON
|
Professional
|
Both
|
$684.00
|
|
|
Service Code
|
HCPCS 28234
|
| Min. Negotiated Rate |
$166.35 |
| Max. Negotiated Rate |
$513.00 |
| Rate for Payer: Aetna Commercial |
$336.15
|
| Rate for Payer: Aetna Medicare |
$260.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$336.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$361.24
|
| Rate for Payer: BCBS Complete |
$174.67
|
| Rate for Payer: BCBS MAPPO |
$250.86
|
| Rate for Payer: BCN Commercial |
$413.33
|
| Rate for Payer: BCN Medicare Advantage |
$250.86
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Cofinity Commercial |
$336.15
|
| Rate for Payer: Cofinity Commercial |
$361.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.40
|
| Rate for Payer: Meridian Medicaid |
$174.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.95
|
| Rate for Payer: Nomi Health Commercial |
$301.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$513.00
|
| Rate for Payer: PACE SWMI |
$250.86
|
| Rate for Payer: PHP Commercial |
$351.20
|
| Rate for Payer: PHP Medicare Advantage |
$250.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$441.84
|
| Rate for Payer: Priority Health Medicare |
$250.86
|
| Rate for Payer: Priority Health SBD |
$441.84
|
| Rate for Payer: Priority Health Tiered Network |
$441.84
|
| Rate for Payer: Railroad Medicare Medicare |
$250.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.58
|
| Rate for Payer: UHC Core |
$458.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.86
|
| Rate for Payer: UHC Exchange |
$458.58
|
| Rate for Payer: UHC Medicaid |
$166.35
|
| Rate for Payer: UHCCP Medicaid |
$166.35
|
| Rate for Payer: UMR Bronson Commercial |
$314.64
|
|
|
PR TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG
|
Professional
|
Both
|
$1,188.00
|
|
|
Service Code
|
HCPCS 27391
|
| Min. Negotiated Rate |
$351.88 |
| Max. Negotiated Rate |
$982.73 |
| Rate for Payer: Aetna Commercial |
$718.19
|
| Rate for Payer: Aetna Medicare |
$557.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$718.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$771.78
|
| Rate for Payer: BCBS Complete |
$369.47
|
| Rate for Payer: BCBS MAPPO |
$535.96
|
| Rate for Payer: BCN Commercial |
$889.90
|
| Rate for Payer: BCN Medicare Advantage |
$535.96
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cofinity Commercial |
$718.19
|
| Rate for Payer: Cofinity Commercial |
$771.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.76
|
| Rate for Payer: Meridian Medicaid |
$369.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$589.56
|
| Rate for Payer: Nomi Health Commercial |
$643.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$891.00
|
| Rate for Payer: PACE SWMI |
$535.96
|
| Rate for Payer: PHP Commercial |
$750.34
|
| Rate for Payer: PHP Medicare Advantage |
$535.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$951.27
|
| Rate for Payer: Priority Health Medicare |
$535.96
|
| Rate for Payer: Priority Health SBD |
$951.27
|
| Rate for Payer: Priority Health Tiered Network |
$951.27
|
| Rate for Payer: Railroad Medicare Medicare |
$535.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$982.73
|
| Rate for Payer: UHC Core |
$982.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$535.96
|
| Rate for Payer: UHC Exchange |
$982.73
|
| Rate for Payer: UHC Medicaid |
$351.88
|
| Rate for Payer: UHCCP Medicaid |
$351.88
|
| Rate for Payer: UMR Bronson Commercial |
$546.48
|
|
