|
PR TENODESIS LONG TENDON BICEPS
|
Facility
|
IP
|
$2,357.00
|
|
|
Service Code
|
CPT 23430
|
| Hospital Charge Code |
23430
|
| Min. Negotiated Rate |
$1,037.08 |
| Max. Negotiated Rate |
$2,121.30 |
| Rate for Payer: Aetna American Axle |
$1,532.05
|
| Rate for Payer: Aetna Commercial |
$2,003.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.05
|
| Rate for Payer: Cash Price |
$1,885.60
|
| Rate for Payer: Cofinity Commercial |
$1,649.90
|
| Rate for Payer: Cofinity Commercial |
$2,027.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,649.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,885.60
|
| Rate for Payer: Healthscope Commercial |
$2,121.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,649.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,767.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,003.45
|
| Rate for Payer: PHP Commercial |
$2,003.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,532.05
|
| Rate for Payer: Priority Health SBD |
$1,484.91
|
| Rate for Payer: UMR Bronson Commercial |
$1,037.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,767.75
|
|
|
PR TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,983.00
|
|
|
Service Code
|
HCPCS 26471
|
| Min. Negotiated Rate |
$427.07 |
| Max. Negotiated Rate |
$1,867.54 |
| Rate for Payer: Aetna Commercial |
$827.07
|
| Rate for Payer: Aetna Medicare |
$641.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$827.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$888.80
|
| Rate for Payer: BCBS Complete |
$448.42
|
| Rate for Payer: BCBS MAPPO |
$617.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.54
|
| Rate for Payer: BCN Commercial |
$983.22
|
| Rate for Payer: BCN Medicare Advantage |
$617.22
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cofinity Commercial |
$827.07
|
| Rate for Payer: Cofinity Commercial |
$888.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$617.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$648.08
|
| Rate for Payer: Meridian Medicaid |
$448.42
|
| Rate for Payer: Nomi Health Commercial |
$740.66
|
| Rate for Payer: PACE SWMI |
$617.22
|
| Rate for Payer: PHP Commercial |
$864.11
|
| Rate for Payer: PHP Medicare Advantage |
$617.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,022.81
|
| Rate for Payer: Priority Health Medicare |
$617.22
|
| Rate for Payer: Priority Health Narrow Network |
$1,022.81
|
| Rate for Payer: Priority Health SBD |
$1,022.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$617.22
|
| Rate for Payer: UHC Medicare Advantage |
$617.22
|
| Rate for Payer: UHCCP Medicaid |
$427.07
|
| Rate for Payer: UMR Bronson Commercial |
$912.18
|
|
|
PR TENODESIS WRIST EXTENSORS FINGERS
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 25301
|
| Min. Negotiated Rate |
$232.45 |
| Max. Negotiated Rate |
$999.91 |
| Rate for Payer: Aetna Commercial |
$834.04
|
| Rate for Payer: Aetna Medicare |
$647.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$834.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$896.28
|
| Rate for Payer: BCBS Complete |
$443.28
|
| Rate for Payer: BCBS MAPPO |
$622.42
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$950.96
|
| Rate for Payer: BCN Medicare Advantage |
$622.42
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cofinity Commercial |
$834.04
|
| Rate for Payer: Cofinity Commercial |
$896.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$622.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$653.54
|
| Rate for Payer: Meridian Medicaid |
$443.28
|
| Rate for Payer: Nomi Health Commercial |
$746.90
|
| Rate for Payer: PACE SWMI |
$622.42
|
| Rate for Payer: PHP Commercial |
$871.39
|
| Rate for Payer: PHP Medicare Advantage |
$622.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$852.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$999.91
|
| Rate for Payer: Priority Health Medicare |
$622.42
|
| Rate for Payer: Priority Health Narrow Network |
$999.91
|
| Rate for Payer: Priority Health SBD |
$999.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$622.42
|
| Rate for Payer: UHC Medicare Advantage |
$622.42
|
| Rate for Payer: UHCCP Medicaid |
$422.17
|
| Rate for Payer: UMR Bronson Commercial |
$603.06
|
|
|
PR TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA
|
Professional
|
Both
|
$1,844.00
|
|
|
Service Code
|
HCPCS 26449
|
| Min. Negotiated Rate |
$460.72 |
| Max. Negotiated Rate |
$1,435.39 |
| Rate for Payer: Aetna Commercial |
$905.40
|
| Rate for Payer: Aetna Medicare |
$702.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$905.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$972.96
|
| Rate for Payer: BCBS Complete |
$483.76
|
| Rate for Payer: BCBS MAPPO |
$675.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,435.39
|
| Rate for Payer: BCN Commercial |
$1,033.07
|
| Rate for Payer: BCN Medicare Advantage |
$675.67
|
| Rate for Payer: Cash Price |
$1,475.20
|
| Rate for Payer: Cash Price |
$1,475.20
|
| Rate for Payer: Cofinity Commercial |
$905.40
|
| Rate for Payer: Cofinity Commercial |
$972.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$675.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$709.45
|
| Rate for Payer: Meridian Medicaid |
$483.76
|
| Rate for Payer: Nomi Health Commercial |
$810.80
|
| Rate for Payer: PACE SWMI |
$675.67
|
| Rate for Payer: PHP Commercial |
$945.94
|
| Rate for Payer: PHP Medicare Advantage |
$675.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,198.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.96
|
| Rate for Payer: Priority Health Medicare |
$675.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.96
|
| Rate for Payer: Priority Health SBD |
$1,088.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$675.67
|
| Rate for Payer: UHC Medicare Advantage |
$675.67
|
| Rate for Payer: UHCCP Medicaid |
$460.72
|
| Rate for Payer: UMR Bronson Commercial |
$848.24
|
|
|
PR TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON
|
Professional
|
Both
|
$796.00
|
|
|
Service Code
|
HCPCS 28226
|
| Min. Negotiated Rate |
$262.84 |
| Max. Negotiated Rate |
$1,180.75 |
| Rate for Payer: Aetna Commercial |
$516.07
|
| Rate for Payer: Aetna Medicare |
$400.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$516.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.59
|
| Rate for Payer: BCBS Complete |
$275.98
|
| Rate for Payer: BCBS MAPPO |
$385.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.75
|
| Rate for Payer: BCN Commercial |
$906.98
|
| Rate for Payer: BCN Medicare Advantage |
$385.13
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cash Price |
$636.80
|
| Rate for Payer: Cofinity Commercial |
$516.07
|
| Rate for Payer: Cofinity Commercial |
$554.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$385.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$404.39
|
| Rate for Payer: Meridian Medicaid |
$275.98
|
| Rate for Payer: Nomi Health Commercial |
$462.16
|
| Rate for Payer: PACE SWMI |
$385.13
|
| Rate for Payer: PHP Commercial |
$539.18
|
| Rate for Payer: PHP Medicare Advantage |
$385.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$517.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$621.82
|
| Rate for Payer: Priority Health Medicare |
$385.13
|
| Rate for Payer: Priority Health Narrow Network |
$621.82
|
| Rate for Payer: Priority Health SBD |
$621.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$385.13
|
| Rate for Payer: UHC Medicare Advantage |
$385.13
|
| Rate for Payer: UHCCP Medicaid |
$262.84
|
| Rate for Payer: UMR Bronson Commercial |
$366.16
|
|
|
PR TENOLYSIS EXTENSOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$650.00
|
|
|
Service Code
|
HCPCS 28225
|
| Min. Negotiated Rate |
$173.17 |
| Max. Negotiated Rate |
$1,072.98 |
| Rate for Payer: Aetna Commercial |
$340.04
|
| Rate for Payer: Aetna Medicare |
$263.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$340.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$365.41
|
| Rate for Payer: BCBS Complete |
$181.83
|
| Rate for Payer: BCBS MAPPO |
$253.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.98
|
| Rate for Payer: BCN Commercial |
$601.07
|
| Rate for Payer: BCN Medicare Advantage |
$253.76
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cash Price |
$520.00
|
| Rate for Payer: Cofinity Commercial |
$340.04
|
| Rate for Payer: Cofinity Commercial |
$365.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$266.45
|
| Rate for Payer: Meridian Medicaid |
$181.83
|
| Rate for Payer: Nomi Health Commercial |
$304.51
|
| Rate for Payer: PACE SWMI |
$253.76
|
| Rate for Payer: PHP Commercial |
$355.26
|
| Rate for Payer: PHP Medicare Advantage |
$253.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$422.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$409.12
|
| Rate for Payer: Priority Health Medicare |
$253.76
|
| Rate for Payer: Priority Health Narrow Network |
$409.12
|
| Rate for Payer: Priority Health SBD |
$409.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.76
|
| Rate for Payer: UHC Medicare Advantage |
$253.76
|
| Rate for Payer: UHCCP Medicaid |
$173.17
|
| Rate for Payer: UMR Bronson Commercial |
$299.00
|
|
|
PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH
|
Professional
|
Both
|
$1,229.00
|
|
|
Service Code
|
HCPCS 26445
|
| Min. Negotiated Rate |
$388.94 |
| Max. Negotiated Rate |
$1,045.51 |
| Rate for Payer: Aetna Commercial |
$747.61
|
| Rate for Payer: Aetna Medicare |
$580.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$747.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$803.40
|
| Rate for Payer: BCBS Complete |
$408.39
|
| Rate for Payer: BCBS MAPPO |
$557.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,045.51
|
| Rate for Payer: BCN Commercial |
$905.52
|
| Rate for Payer: BCN Medicare Advantage |
$557.92
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cash Price |
$983.20
|
| Rate for Payer: Cofinity Commercial |
$747.61
|
| Rate for Payer: Cofinity Commercial |
$803.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$557.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$585.82
|
| Rate for Payer: Meridian Medicaid |
$408.39
|
| Rate for Payer: Nomi Health Commercial |
$669.50
|
| Rate for Payer: PACE SWMI |
$557.92
|
| Rate for Payer: PHP Commercial |
$781.09
|
| Rate for Payer: PHP Medicare Advantage |
$557.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$935.28
|
| Rate for Payer: Priority Health Medicare |
$557.92
|
| Rate for Payer: Priority Health Narrow Network |
$935.28
|
| Rate for Payer: Priority Health SBD |
$935.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$557.92
|
| Rate for Payer: UHC Medicare Advantage |
$557.92
|
| Rate for Payer: UHCCP Medicaid |
$388.94
|
| Rate for Payer: UMR Bronson Commercial |
$565.34
|
|
|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$240.26 |
| Max. Negotiated Rate |
$1,051.85 |
| Rate for Payer: Aetna Commercial |
$474.79
|
| Rate for Payer: Aetna Medicare |
$368.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$474.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$510.22
|
| Rate for Payer: BCBS Complete |
$252.27
|
| Rate for Payer: BCBS MAPPO |
$354.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.85
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$354.32
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$474.79
|
| Rate for Payer: Cofinity Commercial |
$510.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$372.04
|
| Rate for Payer: Meridian Medicaid |
$252.27
|
| Rate for Payer: Nomi Health Commercial |
$425.18
|
| Rate for Payer: PACE SWMI |
$354.32
|
| Rate for Payer: PHP Commercial |
$496.05
|
| Rate for Payer: PHP Medicare Advantage |
$354.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$570.95
|
| Rate for Payer: Priority Health Medicare |
$354.32
|
| Rate for Payer: Priority Health Narrow Network |
$570.95
|
| Rate for Payer: Priority Health SBD |
$570.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$354.32
|
| Rate for Payer: UHC Medicare Advantage |
$354.32
|
| Rate for Payer: UHCCP Medicaid |
$240.26
|
| Rate for Payer: UMR Bronson Commercial |
$385.02
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$988.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$198.30 |
| Max. Negotiated Rate |
$1,218.26 |
| Rate for Payer: Aetna Commercial |
$390.97
|
| Rate for Payer: Aetna Medicare |
$303.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.15
|
| Rate for Payer: BCBS Complete |
$208.22
|
| Rate for Payer: BCBS MAPPO |
$291.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,218.26
|
| Rate for Payer: BCN Commercial |
$653.85
|
| Rate for Payer: BCN Medicare Advantage |
$291.77
|
| Rate for Payer: Cash Price |
$790.40
|
| Rate for Payer: Cash Price |
$790.40
|
| Rate for Payer: Cofinity Commercial |
$390.97
|
| Rate for Payer: Cofinity Commercial |
$420.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$291.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.36
|
| Rate for Payer: Meridian Medicaid |
$208.22
|
| Rate for Payer: Nomi Health Commercial |
$350.12
|
| Rate for Payer: PACE SWMI |
$291.77
|
| Rate for Payer: PHP Commercial |
$408.48
|
| Rate for Payer: PHP Medicare Advantage |
$291.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$642.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$471.20
|
| Rate for Payer: Priority Health Medicare |
$291.77
|
| Rate for Payer: Priority Health Narrow Network |
$471.20
|
| Rate for Payer: Priority Health SBD |
$471.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$291.77
|
| Rate for Payer: UHC Medicare Advantage |
$291.77
|
| Rate for Payer: UHCCP Medicaid |
$198.30
|
| Rate for Payer: UMR Bronson Commercial |
$454.48
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,785.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$640.49 |
| Max. Negotiated Rate |
$1,530.15 |
| Rate for Payer: Aetna Commercial |
$1,245.86
|
| Rate for Payer: Aetna Medicare |
$966.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,245.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,338.84
|
| Rate for Payer: BCBS Complete |
$672.51
|
| Rate for Payer: BCBS MAPPO |
$929.75
|
| Rate for Payer: BCBS Trust/PPO |
$688.90
|
| Rate for Payer: BCN Commercial |
$1,468.96
|
| Rate for Payer: BCN Medicare Advantage |
$929.75
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cash Price |
$1,428.00
|
| Rate for Payer: Cofinity Commercial |
$1,245.86
|
| Rate for Payer: Cofinity Commercial |
$1,338.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$929.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$976.24
|
| Rate for Payer: Meridian Medicaid |
$672.51
|
| Rate for Payer: Nomi Health Commercial |
$1,115.70
|
| Rate for Payer: PACE SWMI |
$929.75
|
| Rate for Payer: PHP Commercial |
$1,301.65
|
| Rate for Payer: PHP Medicare Advantage |
$929.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$640.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,160.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,530.15
|
| Rate for Payer: Priority Health Medicare |
$929.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,530.15
|
| Rate for Payer: Priority Health SBD |
$1,530.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$929.75
|
| Rate for Payer: UHC Medicare Advantage |
$929.75
|
| Rate for Payer: UHCCP Medicaid |
$640.49
|
| Rate for Payer: UMR Bronson Commercial |
$821.10
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,189.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$418.33 |
| Max. Negotiated Rate |
$1,006.53 |
| Rate for Payer: Aetna Commercial |
$806.44
|
| Rate for Payer: Aetna Medicare |
$625.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$866.62
|
| Rate for Payer: BCBS Complete |
$439.25
|
| Rate for Payer: BCBS MAPPO |
$601.82
|
| Rate for Payer: BCBS Trust/PPO |
$497.66
|
| Rate for Payer: BCN Commercial |
$970.51
|
| Rate for Payer: BCN Medicare Advantage |
$601.82
|
| Rate for Payer: Cash Price |
$951.20
|
| Rate for Payer: Cash Price |
$951.20
|
| Rate for Payer: Cofinity Commercial |
$806.44
|
| Rate for Payer: Cofinity Commercial |
$866.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$601.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$631.91
|
| Rate for Payer: Meridian Medicaid |
$439.25
|
| Rate for Payer: Nomi Health Commercial |
$722.18
|
| Rate for Payer: PACE SWMI |
$601.82
|
| Rate for Payer: PHP Commercial |
$842.55
|
| Rate for Payer: PHP Medicare Advantage |
$601.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,006.53
|
| Rate for Payer: Priority Health Medicare |
$601.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,006.53
|
| Rate for Payer: Priority Health SBD |
$1,006.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$601.82
|
| Rate for Payer: UHC Medicare Advantage |
$601.82
|
| Rate for Payer: UHCCP Medicaid |
$418.33
|
| Rate for Payer: UMR Bronson Commercial |
$546.94
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$276.90 |
| Max. Negotiated Rate |
$3,794.78 |
| Rate for Payer: Aetna Commercial |
$546.00
|
| Rate for Payer: Aetna Medicare |
$423.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$586.74
|
| Rate for Payer: BCBS Complete |
$290.74
|
| Rate for Payer: BCBS MAPPO |
$407.46
|
| Rate for Payer: BCBS Trust/PPO |
$3,794.78
|
| Rate for Payer: BCN Commercial |
$614.26
|
| Rate for Payer: BCN Medicare Advantage |
$407.46
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$546.00
|
| Rate for Payer: Cofinity Commercial |
$586.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.83
|
| Rate for Payer: Meridian Medicaid |
$290.74
|
| Rate for Payer: Nomi Health Commercial |
$488.95
|
| Rate for Payer: PACE SWMI |
$407.46
|
| Rate for Payer: PHP Commercial |
$570.44
|
| Rate for Payer: PHP Medicare Advantage |
$407.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$651.34
|
| Rate for Payer: Priority Health Medicare |
$407.46
|
| Rate for Payer: Priority Health Narrow Network |
$651.34
|
| Rate for Payer: Priority Health SBD |
$651.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.46
|
| Rate for Payer: UHC Medicare Advantage |
$407.46
|
| Rate for Payer: UHCCP Medicaid |
$276.90
|
| Rate for Payer: UMR Bronson Commercial |
$598.46
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,419.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$227.17 |
| Max. Negotiated Rate |
$958.18 |
| Rate for Payer: Aetna Commercial |
$800.46
|
| Rate for Payer: Aetna Medicare |
$621.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$800.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$860.20
|
| Rate for Payer: BCBS Complete |
$425.61
|
| Rate for Payer: BCBS MAPPO |
$597.36
|
| Rate for Payer: BCBS Trust/PPO |
$227.17
|
| Rate for Payer: BCN Commercial |
$910.40
|
| Rate for Payer: BCN Medicare Advantage |
$597.36
|
| Rate for Payer: Cash Price |
$1,135.20
|
| Rate for Payer: Cash Price |
$1,135.20
|
| Rate for Payer: Cofinity Commercial |
$800.46
|
| Rate for Payer: Cofinity Commercial |
$860.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$597.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$627.23
|
| Rate for Payer: Meridian Medicaid |
$425.61
|
| Rate for Payer: Nomi Health Commercial |
$716.83
|
| Rate for Payer: PACE SWMI |
$597.36
|
| Rate for Payer: PHP Commercial |
$836.30
|
| Rate for Payer: PHP Medicare Advantage |
$597.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$922.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.18
|
| Rate for Payer: Priority Health Medicare |
$597.36
|
| Rate for Payer: Priority Health Narrow Network |
$958.18
|
| Rate for Payer: Priority Health SBD |
$958.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$597.36
|
| Rate for Payer: UHC Medicare Advantage |
$597.36
|
| Rate for Payer: UHCCP Medicaid |
$405.34
|
| Rate for Payer: UMR Bronson Commercial |
$652.74
|
|
|
PR TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX
|
Professional
|
Both
|
$2,879.00
|
|
|
Service Code
|
HCPCS 27006
|
| Min. Negotiated Rate |
$146.80 |
| Max. Negotiated Rate |
$1,871.35 |
| Rate for Payer: Aetna Commercial |
$918.65
|
| Rate for Payer: Aetna Medicare |
$712.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$918.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$987.21
|
| Rate for Payer: BCBS Complete |
$488.45
|
| Rate for Payer: BCBS MAPPO |
$685.56
|
| Rate for Payer: BCBS Trust/PPO |
$146.80
|
| Rate for Payer: BCN Commercial |
$1,046.26
|
| Rate for Payer: BCN Medicare Advantage |
$685.56
|
| Rate for Payer: Cash Price |
$2,303.20
|
| Rate for Payer: Cash Price |
$2,303.20
|
| Rate for Payer: Cofinity Commercial |
$918.65
|
| Rate for Payer: Cofinity Commercial |
$987.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$685.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$719.84
|
| Rate for Payer: Meridian Medicaid |
$488.45
|
| Rate for Payer: Nomi Health Commercial |
$822.67
|
| Rate for Payer: PACE SWMI |
$685.56
|
| Rate for Payer: PHP Commercial |
$959.78
|
| Rate for Payer: PHP Medicare Advantage |
$685.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$465.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,871.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,103.73
|
| Rate for Payer: Priority Health Medicare |
$685.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,103.73
|
| Rate for Payer: Priority Health SBD |
$1,103.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$685.56
|
| Rate for Payer: UHC Medicare Advantage |
$685.56
|
| Rate for Payer: UHCCP Medicaid |
$465.19
|
| Rate for Payer: UMR Bronson Commercial |
$1,324.34
|
|
|
PR TENOTOMY ADDUCTOR HIP OPEN
|
Professional
|
Both
|
$1,058.00
|
|
|
Service Code
|
HCPCS 27001
|
| Min. Negotiated Rate |
$352.94 |
| Max. Negotiated Rate |
$838.10 |
| Rate for Payer: Aetna Commercial |
$698.42
|
| Rate for Payer: Aetna Medicare |
$542.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.54
|
| Rate for Payer: BCBS Complete |
$370.59
|
| Rate for Payer: BCBS MAPPO |
$521.21
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$798.99
|
| Rate for Payer: BCN Medicare Advantage |
$521.21
|
| Rate for Payer: Cash Price |
$846.40
|
| Rate for Payer: Cash Price |
$846.40
|
| Rate for Payer: Cofinity Commercial |
$698.42
|
| Rate for Payer: Cofinity Commercial |
$750.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$521.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$547.27
|
| Rate for Payer: Meridian Medicaid |
$370.59
|
| Rate for Payer: Nomi Health Commercial |
$625.45
|
| Rate for Payer: PACE SWMI |
$521.21
|
| Rate for Payer: PHP Commercial |
$729.69
|
| Rate for Payer: PHP Medicare Advantage |
$521.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$687.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$838.10
|
| Rate for Payer: Priority Health Medicare |
$521.21
|
| Rate for Payer: Priority Health Narrow Network |
$838.10
|
| Rate for Payer: Priority Health SBD |
$838.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$521.21
|
| Rate for Payer: UHC Medicare Advantage |
$521.21
|
| Rate for Payer: UHCCP Medicaid |
$352.94
|
| Rate for Payer: UMR Bronson Commercial |
$486.68
|
|
|
PR TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX
|
Professional
|
Both
|
$835.00
|
|
|
Service Code
|
HCPCS 27000
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$635.54 |
| Rate for Payer: Aetna Commercial |
$499.53
|
| Rate for Payer: Aetna Medicare |
$387.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.80
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$372.78
|
| Rate for Payer: BCBS Trust/PPO |
$635.54
|
| Rate for Payer: BCN Commercial |
$578.11
|
| Rate for Payer: BCN Medicare Advantage |
$372.78
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cofinity Commercial |
$499.53
|
| Rate for Payer: Cofinity Commercial |
$536.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$372.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$391.42
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Nomi Health Commercial |
$447.34
|
| Rate for Payer: PACE SWMI |
$372.78
|
| Rate for Payer: PHP Commercial |
$521.89
|
| Rate for Payer: PHP Medicare Advantage |
$372.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$604.01
|
| Rate for Payer: Priority Health Medicare |
$372.78
|
| Rate for Payer: Priority Health Narrow Network |
$604.01
|
| Rate for Payer: Priority Health SBD |
$604.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$372.78
|
| Rate for Payer: UHC Medicare Advantage |
$372.78
|
| Rate for Payer: UHCCP Medicaid |
$253.90
|
| Rate for Payer: UMR Bronson Commercial |
$384.10
|
|
|
PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS
|
Professional
|
Both
|
$1,273.00
|
|
|
Service Code
|
HCPCS 24357
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$827.45 |
| Rate for Payer: Aetna Commercial |
$531.66
|
| Rate for Payer: Aetna Medicare |
$412.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$571.33
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$396.76
|
| Rate for Payer: BCBS Trust/PPO |
$296.90
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$396.76
|
| Rate for Payer: Cash Price |
$1,018.40
|
| Rate for Payer: Cash Price |
$1,018.40
|
| Rate for Payer: Cofinity Commercial |
$531.66
|
| Rate for Payer: Cofinity Commercial |
$571.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.60
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Nomi Health Commercial |
$476.11
|
| Rate for Payer: PACE SWMI |
$396.76
|
| Rate for Payer: PHP Commercial |
$555.46
|
| Rate for Payer: PHP Medicare Advantage |
$396.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$827.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$647.28
|
| Rate for Payer: Priority Health Medicare |
$396.76
|
| Rate for Payer: Priority Health Narrow Network |
$647.28
|
| Rate for Payer: Priority Health SBD |
$647.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.76
|
| Rate for Payer: UHC Medicare Advantage |
$396.76
|
| Rate for Payer: UHCCP Medicaid |
$271.36
|
| Rate for Payer: UMR Bronson Commercial |
$585.58
|
|
|
PR TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$991.00
|
|
|
Service Code
|
HCPCS 26460
|
| Min. Negotiated Rate |
$292.45 |
| Max. Negotiated Rate |
$1,932.52 |
| Rate for Payer: Aetna Commercial |
$563.35
|
| Rate for Payer: Aetna Medicare |
$437.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$605.39
|
| Rate for Payer: BCBS Complete |
$307.07
|
| Rate for Payer: BCBS MAPPO |
$420.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,932.52
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: BCN Medicare Advantage |
$420.41
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cofinity Commercial |
$563.35
|
| Rate for Payer: Cofinity Commercial |
$605.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.43
|
| Rate for Payer: Meridian Medicaid |
$307.07
|
| Rate for Payer: Nomi Health Commercial |
$504.49
|
| Rate for Payer: PACE SWMI |
$420.41
|
| Rate for Payer: PHP Commercial |
$588.57
|
| Rate for Payer: PHP Medicare Advantage |
$420.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$644.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$701.71
|
| Rate for Payer: Priority Health Medicare |
$420.41
|
| Rate for Payer: Priority Health Narrow Network |
$701.71
|
| Rate for Payer: Priority Health SBD |
$701.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.41
|
| Rate for Payer: UHC Medicare Advantage |
$420.41
|
| Rate for Payer: UHCCP Medicaid |
$292.45
|
| Rate for Payer: UMR Bronson Commercial |
$455.86
|
|
|
PR TENOTOMY FLEXOR FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$991.00
|
|
|
Service Code
|
HCPCS 26455
|
| Min. Negotiated Rate |
$298.84 |
| Max. Negotiated Rate |
$1,822.64 |
| Rate for Payer: Aetna Commercial |
$576.56
|
| Rate for Payer: Aetna Medicare |
$447.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$576.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$619.59
|
| Rate for Payer: BCBS Complete |
$313.78
|
| Rate for Payer: BCBS MAPPO |
$430.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,822.64
|
| Rate for Payer: BCN Commercial |
$690.01
|
| Rate for Payer: BCN Medicare Advantage |
$430.27
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cofinity Commercial |
$576.56
|
| Rate for Payer: Cofinity Commercial |
$619.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$451.78
|
| Rate for Payer: Meridian Medicaid |
$313.78
|
| Rate for Payer: Nomi Health Commercial |
$516.32
|
| Rate for Payer: PACE SWMI |
$430.27
|
| Rate for Payer: PHP Commercial |
$602.38
|
| Rate for Payer: PHP Medicare Advantage |
$430.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$644.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$716.48
|
| Rate for Payer: Priority Health Medicare |
$430.27
|
| Rate for Payer: Priority Health Narrow Network |
$716.48
|
| Rate for Payer: Priority Health SBD |
$716.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.27
|
| Rate for Payer: UHC Medicare Advantage |
$430.27
|
| Rate for Payer: UHCCP Medicaid |
$298.84
|
| Rate for Payer: UMR Bronson Commercial |
$455.86
|
|
|
PR TENOTOMY FLEXOR PALM OPEN EACH TENDON
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 26450
|
| Min. Negotiated Rate |
$300.97 |
| Max. Negotiated Rate |
$1,515.16 |
| Rate for Payer: Aetna Commercial |
$580.64
|
| Rate for Payer: Aetna Medicare |
$450.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.97
|
| Rate for Payer: BCBS Complete |
$316.02
|
| Rate for Payer: BCBS MAPPO |
$433.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,515.16
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$433.31
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$580.64
|
| Rate for Payer: Cofinity Commercial |
$623.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.98
|
| Rate for Payer: Meridian Medicaid |
$316.02
|
| Rate for Payer: Nomi Health Commercial |
$519.97
|
| Rate for Payer: PACE SWMI |
$433.31
|
| Rate for Payer: PHP Commercial |
$606.63
|
| Rate for Payer: PHP Medicare Advantage |
$433.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$721.05
|
| Rate for Payer: Priority Health Medicare |
$433.31
|
| Rate for Payer: Priority Health Narrow Network |
$721.05
|
| Rate for Payer: Priority Health SBD |
$721.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.31
|
| Rate for Payer: UHC Medicare Advantage |
$433.31
|
| Rate for Payer: UHCCP Medicaid |
$300.97
|
| Rate for Payer: UMR Bronson Commercial |
$518.42
|
|
|
PR TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,411.00
|
|
|
Service Code
|
HCPCS 27005
|
| Min. Negotiated Rate |
$471.58 |
| Max. Negotiated Rate |
$1,113.39 |
| Rate for Payer: Aetna Commercial |
$935.68
|
| Rate for Payer: Aetna Medicare |
$726.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,005.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$935.68
|
| Rate for Payer: BCBS Complete |
$495.16
|
| Rate for Payer: BCBS MAPPO |
$698.27
|
| Rate for Payer: BCBS Trust/PPO |
$801.96
|
| Rate for Payer: BCN Commercial |
$1,053.58
|
| Rate for Payer: BCN Medicare Advantage |
$698.27
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cofinity Commercial |
$1,005.51
|
| Rate for Payer: Cofinity Commercial |
$935.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$698.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$733.18
|
| Rate for Payer: Meridian Medicaid |
$495.16
|
| Rate for Payer: Nomi Health Commercial |
$837.92
|
| Rate for Payer: PACE SWMI |
$698.27
|
| Rate for Payer: PHP Commercial |
$977.58
|
| Rate for Payer: PHP Medicare Advantage |
$698.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$471.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$917.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,113.39
|
| Rate for Payer: Priority Health Medicare |
$698.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,113.39
|
| Rate for Payer: Priority Health SBD |
$1,113.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$698.27
|
| Rate for Payer: UHC Medicare Advantage |
$698.27
|
| Rate for Payer: UHCCP Medicaid |
$471.58
|
| Rate for Payer: UMR Bronson Commercial |
$649.06
|
|
|
PR TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON
|
Professional
|
Both
|
$906.00
|
|
|
Service Code
|
HCPCS 24310
|
| Min. Negotiated Rate |
$182.79 |
| Max. Negotiated Rate |
$739.38 |
| Rate for Payer: Aetna Commercial |
$610.80
|
| Rate for Payer: Aetna Medicare |
$474.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$610.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$656.38
|
| Rate for Payer: BCBS Complete |
$325.18
|
| Rate for Payer: BCBS MAPPO |
$455.82
|
| Rate for Payer: BCBS Trust/PPO |
$182.79
|
| Rate for Payer: BCN Commercial |
$704.67
|
| Rate for Payer: BCN Medicare Advantage |
$455.82
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cofinity Commercial |
$610.80
|
| Rate for Payer: Cofinity Commercial |
$656.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.61
|
| Rate for Payer: Meridian Medicaid |
$325.18
|
| Rate for Payer: Nomi Health Commercial |
$546.98
|
| Rate for Payer: PACE SWMI |
$455.82
|
| Rate for Payer: PHP Commercial |
$638.15
|
| Rate for Payer: PHP Medicare Advantage |
$455.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$739.38
|
| Rate for Payer: Priority Health Medicare |
$455.82
|
| Rate for Payer: Priority Health Narrow Network |
$739.38
|
| Rate for Payer: Priority Health SBD |
$739.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$455.82
|
| Rate for Payer: UHC Medicare Advantage |
$455.82
|
| Rate for Payer: UHCCP Medicaid |
$309.70
|
| Rate for Payer: UMR Bronson Commercial |
$416.76
|
|
|
PR TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON
|
Professional
|
Both
|
$664.00
|
|
|
Service Code
|
HCPCS 28234
|
| Min. Negotiated Rate |
$176.79 |
| Max. Negotiated Rate |
$2,375.77 |
| Rate for Payer: Aetna Commercial |
$345.48
|
| Rate for Payer: Aetna Medicare |
$268.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$345.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$371.26
|
| Rate for Payer: BCBS Complete |
$185.63
|
| Rate for Payer: BCBS MAPPO |
$257.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,375.77
|
| Rate for Payer: BCN Commercial |
$594.72
|
| Rate for Payer: BCN Medicare Advantage |
$257.82
|
| Rate for Payer: Cash Price |
$531.20
|
| Rate for Payer: Cash Price |
$531.20
|
| Rate for Payer: Cofinity Commercial |
$345.48
|
| Rate for Payer: Cofinity Commercial |
$371.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$270.71
|
| Rate for Payer: Meridian Medicaid |
$185.63
|
| Rate for Payer: Nomi Health Commercial |
$309.38
|
| Rate for Payer: PACE SWMI |
$257.82
|
| Rate for Payer: PHP Commercial |
$360.95
|
| Rate for Payer: PHP Medicare Advantage |
$257.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$417.27
|
| Rate for Payer: Priority Health Medicare |
$257.82
|
| Rate for Payer: Priority Health Narrow Network |
$417.27
|
| Rate for Payer: Priority Health SBD |
$417.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$257.82
|
| Rate for Payer: UHC Medicare Advantage |
$257.82
|
| Rate for Payer: UHCCP Medicaid |
$176.79
|
| Rate for Payer: UMR Bronson Commercial |
$305.44
|
|
|
PR TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG
|
Professional
|
Both
|
$1,153.00
|
|
|
Service Code
|
HCPCS 27391
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$924.00 |
| Rate for Payer: Aetna Commercial |
$751.90
|
| Rate for Payer: Aetna Medicare |
$583.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$751.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.01
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS MAPPO |
$561.12
|
| Rate for Payer: BCBS Trust/PPO |
$924.00
|
| Rate for Payer: BCN Commercial |
$858.11
|
| Rate for Payer: BCN Medicare Advantage |
$561.12
|
| Rate for Payer: Cash Price |
$922.40
|
| Rate for Payer: Cash Price |
$922.40
|
| Rate for Payer: Cofinity Commercial |
$751.90
|
| Rate for Payer: Cofinity Commercial |
$808.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.18
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Nomi Health Commercial |
$673.34
|
| Rate for Payer: PACE SWMI |
$561.12
|
| Rate for Payer: PHP Commercial |
$785.57
|
| Rate for Payer: PHP Medicare Advantage |
$561.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$749.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$900.69
|
| Rate for Payer: Priority Health Medicare |
$561.12
|
| Rate for Payer: Priority Health Narrow Network |
$900.69
|
| Rate for Payer: Priority Health SBD |
$900.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.12
|
| Rate for Payer: UHC Medicare Advantage |
$561.12
|
| Rate for Payer: UHCCP Medicaid |
$380.63
|
| Rate for Payer: UMR Bronson Commercial |
$530.38
|
|
|
PR TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 28010
|
| Min. Negotiated Rate |
$136.11 |
| Max. Negotiated Rate |
$3,603.53 |
| Rate for Payer: Aetna Commercial |
$266.62
|
| Rate for Payer: Aetna Medicare |
$206.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.52
|
| Rate for Payer: BCBS Complete |
$142.92
|
| Rate for Payer: BCBS MAPPO |
$198.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,603.53
|
| Rate for Payer: BCN Commercial |
$340.12
|
| Rate for Payer: BCN Medicare Advantage |
$198.97
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$266.62
|
| Rate for Payer: Cofinity Commercial |
$286.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.92
|
| Rate for Payer: Meridian Medicaid |
$142.92
|
| Rate for Payer: Nomi Health Commercial |
$238.76
|
| Rate for Payer: PACE SWMI |
$198.97
|
| Rate for Payer: PHP Commercial |
$278.56
|
| Rate for Payer: PHP Medicare Advantage |
$198.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.60
|
| Rate for Payer: Priority Health Medicare |
$198.97
|
| Rate for Payer: Priority Health Narrow Network |
$321.60
|
| Rate for Payer: Priority Health SBD |
$321.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.97
|
| Rate for Payer: UHC Medicare Advantage |
$198.97
|
| Rate for Payer: UHCCP Medicaid |
$136.11
|
| Rate for Payer: UMR Bronson Commercial |
$181.24
|
|
