|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$1,020.00
|
|
|
Service Code
|
HCPCS 29836
|
| Min. Negotiated Rate |
$379.14 |
| Max. Negotiated Rate |
$1,712.22 |
| Rate for Payer: Aetna Commercial |
$773.25
|
| Rate for Payer: Aetna Medicare |
$577.05
|
| Rate for Payer: BCBS Complete |
$398.10
|
| Rate for Payer: BCBS MAPPO |
$577.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,712.22
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: BCN Medicare Advantage |
$577.05
|
| Rate for Payer: Cash Price |
$816.00
|
| Rate for Payer: Cash Price |
$816.00
|
| Rate for Payer: Cofinity Commercial |
$830.95
|
| Rate for Payer: Cofinity Commercial |
$773.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.05
|
| Rate for Payer: Healthscope Commercial |
$692.46
|
| Rate for Payer: Healthscope Whirlpool |
$692.46
|
| Rate for Payer: Meridian Medicaid |
$398.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$605.90
|
| Rate for Payer: PACE SWMI |
$577.05
|
| Rate for Payer: PHP Medicare Advantage |
$577.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$714.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$902.32
|
| Rate for Payer: Priority Health Medicare |
$577.05
|
| Rate for Payer: Priority Health Narrow Network |
$902.32
|
| Rate for Payer: UHC Medicare Advantage |
$594.36
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,930.00
|
|
|
Service Code
|
HCPCS 29835
|
| Min. Negotiated Rate |
$331.43 |
| Max. Negotiated Rate |
$1,673.65 |
| Rate for Payer: Aetna Commercial |
$673.28
|
| Rate for Payer: Aetna Medicare |
$502.45
|
| Rate for Payer: BCBS Complete |
$348.00
|
| Rate for Payer: BCBS MAPPO |
$502.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,673.65
|
| Rate for Payer: BCN Commercial |
$752.07
|
| Rate for Payer: BCN Medicare Advantage |
$502.45
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Cofinity Commercial |
$723.53
|
| Rate for Payer: Cofinity Commercial |
$673.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.45
|
| Rate for Payer: Healthscope Commercial |
$602.94
|
| Rate for Payer: Healthscope Whirlpool |
$602.94
|
| Rate for Payer: Meridian Medicaid |
$348.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$527.57
|
| Rate for Payer: PACE SWMI |
$502.45
|
| Rate for Payer: PHP Medicare Advantage |
$502.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,351.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$785.88
|
| Rate for Payer: Priority Health Medicare |
$502.45
|
| Rate for Payer: Priority Health Narrow Network |
$785.88
|
| Rate for Payer: UHC Medicare Advantage |
$517.52
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,809.00
|
|
|
Service Code
|
HCPCS 29834
|
| Min. Negotiated Rate |
$319.29 |
| Max. Negotiated Rate |
$1,694.79 |
| Rate for Payer: Aetna Commercial |
$650.56
|
| Rate for Payer: Aetna Medicare |
$485.49
|
| Rate for Payer: BCBS Complete |
$335.25
|
| Rate for Payer: BCBS MAPPO |
$485.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,694.79
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$485.49
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cofinity Commercial |
$650.56
|
| Rate for Payer: Cofinity Commercial |
$699.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$485.49
|
| Rate for Payer: Healthscope Commercial |
$582.59
|
| Rate for Payer: Healthscope Whirlpool |
$582.59
|
| Rate for Payer: Meridian Medicaid |
$335.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$509.76
|
| Rate for Payer: PACE SWMI |
$485.49
|
| Rate for Payer: PHP Medicare Advantage |
$485.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,266.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$759.84
|
| Rate for Payer: Priority Health Medicare |
$485.49
|
| Rate for Payer: Priority Health Narrow Network |
$759.84
|
| Rate for Payer: UHC Medicare Advantage |
$500.05
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,396.00
|
|
|
Service Code
|
HCPCS 29861
|
| Min. Negotiated Rate |
$461.36 |
| Max. Negotiated Rate |
$1,677.20 |
| Rate for Payer: Aetna Commercial |
$940.05
|
| Rate for Payer: Aetna Medicare |
$701.53
|
| Rate for Payer: BCBS Complete |
$484.43
|
| Rate for Payer: BCBS MAPPO |
$701.53
|
| Rate for Payer: BCBS Trust/PPO |
$480.75
|
| Rate for Payer: BCN Commercial |
$1,045.28
|
| Rate for Payer: BCN Medicare Advantage |
$701.53
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cofinity Commercial |
$940.05
|
| Rate for Payer: Cofinity Commercial |
$1,010.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$701.53
|
| Rate for Payer: Healthscope Commercial |
$841.84
|
| Rate for Payer: Healthscope Whirlpool |
$841.84
|
| Rate for Payer: Meridian Medicaid |
$484.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$736.61
|
| Rate for Payer: PACE SWMI |
$701.53
|
| Rate for Payer: PHP Medicare Advantage |
$701.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,677.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,092.28
|
| Rate for Payer: Priority Health Medicare |
$701.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,092.28
|
| Rate for Payer: UHC Medicare Advantage |
$722.58
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY
|
Professional
|
Both
|
$1,615.00
|
|
|
Service Code
|
HCPCS 29863
|
| Min. Negotiated Rate |
$526.32 |
| Max. Negotiated Rate |
$1,244.96 |
| Rate for Payer: Aetna Commercial |
$1,069.79
|
| Rate for Payer: Aetna Medicare |
$798.35
|
| Rate for Payer: BCBS Complete |
$552.64
|
| Rate for Payer: BCBS MAPPO |
$798.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.17
|
| Rate for Payer: BCN Commercial |
$1,191.40
|
| Rate for Payer: BCN Medicare Advantage |
$798.35
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cash Price |
$1,292.00
|
| Rate for Payer: Cofinity Commercial |
$1,149.62
|
| Rate for Payer: Cofinity Commercial |
$1,069.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$798.35
|
| Rate for Payer: Healthscope Commercial |
$958.02
|
| Rate for Payer: Healthscope Whirlpool |
$958.02
|
| Rate for Payer: Meridian Medicaid |
$552.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$838.27
|
| Rate for Payer: PACE SWMI |
$798.35
|
| Rate for Payer: PHP Medicare Advantage |
$798.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$526.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,130.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,244.96
|
| Rate for Payer: Priority Health Medicare |
$798.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,244.96
|
| Rate for Payer: UHC Medicare Advantage |
$822.30
|
|
|
PR ARTHROSCOPY HIP W/ACETABULOPLASTY
|
Professional
|
Both
|
$3,195.00
|
|
|
Service Code
|
HCPCS 29915
|
| Min. Negotiated Rate |
$654.55 |
| Max. Negotiated Rate |
$2,236.50 |
| Rate for Payer: Aetna Commercial |
$1,343.42
|
| Rate for Payer: Aetna Medicare |
$1,002.55
|
| Rate for Payer: BCBS Complete |
$687.28
|
| Rate for Payer: BCBS MAPPO |
$1,002.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,190.26
|
| Rate for Payer: BCN Commercial |
$1,489.98
|
| Rate for Payer: BCN Medicare Advantage |
$1,002.55
|
| Rate for Payer: Cash Price |
$2,556.00
|
| Rate for Payer: Cash Price |
$2,556.00
|
| Rate for Payer: Cofinity Commercial |
$1,343.42
|
| Rate for Payer: Cofinity Commercial |
$1,443.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,002.55
|
| Rate for Payer: Healthscope Commercial |
$1,203.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,203.06
|
| Rate for Payer: Meridian Medicaid |
$687.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,052.68
|
| Rate for Payer: PACE SWMI |
$1,002.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,002.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$654.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,236.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,556.97
|
| Rate for Payer: Priority Health Medicare |
$1,002.55
|
| Rate for Payer: Priority Health Narrow Network |
$1,556.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,032.63
|
|
|
PR ARTHROSCOPY HIP W/FEMOROPLASTY
|
Professional
|
Both
|
$3,003.00
|
|
|
Service Code
|
HCPCS 29914
|
| Min. Negotiated Rate |
$556.83 |
| Max. Negotiated Rate |
$2,102.10 |
| Rate for Payer: Aetna Commercial |
$1,312.72
|
| Rate for Payer: Aetna Medicare |
$979.64
|
| Rate for Payer: BCBS Complete |
$670.50
|
| Rate for Payer: BCBS MAPPO |
$979.64
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$1,456.26
|
| Rate for Payer: BCN Medicare Advantage |
$979.64
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cofinity Commercial |
$1,410.68
|
| Rate for Payer: Cofinity Commercial |
$1,312.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$979.64
|
| Rate for Payer: Healthscope Commercial |
$1,175.57
|
| Rate for Payer: Healthscope Whirlpool |
$1,175.57
|
| Rate for Payer: Meridian Medicaid |
$670.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,028.62
|
| Rate for Payer: PACE SWMI |
$979.64
|
| Rate for Payer: PHP Medicare Advantage |
$979.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,102.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,521.74
|
| Rate for Payer: Priority Health Medicare |
$979.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,521.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,009.03
|
|
|
PR ARTHROSCOPY HIP W/LABRAL REPAIR
|
Professional
|
Both
|
$3,210.00
|
|
|
Service Code
|
HCPCS 29916
|
| Min. Negotiated Rate |
$651.78 |
| Max. Negotiated Rate |
$2,247.00 |
| Rate for Payer: Aetna Commercial |
$1,344.66
|
| Rate for Payer: Aetna Medicare |
$1,003.48
|
| Rate for Payer: BCBS Complete |
$684.37
|
| Rate for Payer: BCBS MAPPO |
$1,003.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,084.67
|
| Rate for Payer: BCN Commercial |
$1,491.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,003.48
|
| Rate for Payer: Cash Price |
$2,568.00
|
| Rate for Payer: Cash Price |
$2,568.00
|
| Rate for Payer: Cofinity Commercial |
$1,445.01
|
| Rate for Payer: Cofinity Commercial |
$1,344.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,003.48
|
| Rate for Payer: Healthscope Commercial |
$1,204.18
|
| Rate for Payer: Healthscope Whirlpool |
$1,204.18
|
| Rate for Payer: Meridian Medicaid |
$684.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,053.65
|
| Rate for Payer: PACE SWMI |
$1,003.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,003.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$651.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,558.51
|
| Rate for Payer: Priority Health Medicare |
$1,003.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,558.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,033.58
|
|
|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,111.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$267.10 |
| Max. Negotiated Rate |
$1,328.67 |
| Rate for Payer: Aetna Commercial |
$536.16
|
| Rate for Payer: Aetna Medicare |
$400.12
|
| Rate for Payer: BCBS Complete |
$280.46
|
| Rate for Payer: BCBS MAPPO |
$400.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,328.67
|
| Rate for Payer: BCN Commercial |
$810.23
|
| Rate for Payer: BCN Medicare Advantage |
$400.12
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Cofinity Commercial |
$576.17
|
| Rate for Payer: Cofinity Commercial |
$536.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.12
|
| Rate for Payer: Healthscope Commercial |
$480.14
|
| Rate for Payer: Healthscope Whirlpool |
$480.14
|
| Rate for Payer: Meridian Medicaid |
$280.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$420.13
|
| Rate for Payer: PACE SWMI |
$400.12
|
| Rate for Payer: PHP Medicare Advantage |
$400.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$777.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.07
|
| Rate for Payer: Priority Health Medicare |
$400.12
|
| Rate for Payer: Priority Health Narrow Network |
$627.07
|
| Rate for Payer: UHC Medicare Advantage |
$412.12
|
|
|
PR ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$334.84 |
| Max. Negotiated Rate |
$1,303.32 |
| Rate for Payer: Aetna Commercial |
$681.01
|
| Rate for Payer: Aetna Medicare |
$508.22
|
| Rate for Payer: BCBS Complete |
$351.58
|
| Rate for Payer: BCBS MAPPO |
$508.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,303.32
|
| Rate for Payer: BCN Commercial |
$760.87
|
| Rate for Payer: BCN Medicare Advantage |
$508.22
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$681.01
|
| Rate for Payer: Cofinity Commercial |
$731.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$508.22
|
| Rate for Payer: Healthscope Commercial |
$609.86
|
| Rate for Payer: Healthscope Whirlpool |
$609.86
|
| Rate for Payer: Meridian Medicaid |
$351.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$533.63
|
| Rate for Payer: PACE SWMI |
$508.22
|
| Rate for Payer: PHP Medicare Advantage |
$508.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$334.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$795.08
|
| Rate for Payer: Priority Health Medicare |
$508.22
|
| Rate for Payer: Priority Health Narrow Network |
$795.08
|
| Rate for Payer: UHC Medicare Advantage |
$523.47
|
|
|
PR ARTHROSCOPY KNEE LATERAL RELEASE
|
Professional
|
Both
|
$1,935.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$350.17 |
| Max. Negotiated Rate |
$1,722.26 |
| Rate for Payer: Aetna Commercial |
$704.85
|
| Rate for Payer: Aetna Medicare |
$526.01
|
| Rate for Payer: BCBS Complete |
$367.68
|
| Rate for Payer: BCBS MAPPO |
$526.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,722.26
|
| Rate for Payer: BCN Commercial |
$792.14
|
| Rate for Payer: BCN Medicare Advantage |
$526.01
|
| Rate for Payer: Cash Price |
$1,548.00
|
| Rate for Payer: Cash Price |
$1,548.00
|
| Rate for Payer: Cofinity Commercial |
$757.45
|
| Rate for Payer: Cofinity Commercial |
$704.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.01
|
| Rate for Payer: Healthscope Commercial |
$631.21
|
| Rate for Payer: Healthscope Whirlpool |
$631.21
|
| Rate for Payer: Meridian Medicaid |
$367.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.31
|
| Rate for Payer: PACE SWMI |
$526.01
|
| Rate for Payer: PHP Medicare Advantage |
$526.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,354.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$827.76
|
| Rate for Payer: Priority Health Medicare |
$526.01
|
| Rate for Payer: Priority Health Narrow Network |
$827.76
|
| Rate for Payer: UHC Medicare Advantage |
$541.79
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$2,944.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$818.87 |
| Max. Negotiated Rate |
$2,547.12 |
| Rate for Payer: Aetna Commercial |
$2,202.84
|
| Rate for Payer: Aetna Medicare |
$1,643.91
|
| Rate for Payer: BCBS Complete |
$1,122.72
|
| Rate for Payer: BCBS MAPPO |
$1,643.91
|
| Rate for Payer: BCBS Trust/PPO |
$818.87
|
| Rate for Payer: BCN Commercial |
$2,437.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,643.91
|
| Rate for Payer: Cash Price |
$2,355.20
|
| Rate for Payer: Cash Price |
$2,355.20
|
| Rate for Payer: Cofinity Commercial |
$2,367.23
|
| Rate for Payer: Cofinity Commercial |
$2,202.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,643.91
|
| Rate for Payer: Healthscope Commercial |
$1,972.69
|
| Rate for Payer: Healthscope Whirlpool |
$1,972.69
|
| Rate for Payer: Meridian Medicaid |
$1,122.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,726.11
|
| Rate for Payer: PACE SWMI |
$1,643.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,643.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,069.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,060.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,547.12
|
| Rate for Payer: Priority Health Medicare |
$1,643.91
|
| Rate for Payer: Priority Health Narrow Network |
$2,547.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,693.23
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,036.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$678.83 |
| Max. Negotiated Rate |
$2,125.20 |
| Rate for Payer: Aetna Commercial |
$1,388.12
|
| Rate for Payer: Aetna Medicare |
$1,035.91
|
| Rate for Payer: BCBS Complete |
$712.77
|
| Rate for Payer: BCBS MAPPO |
$1,035.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$1,543.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.91
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cash Price |
$2,428.80
|
| Rate for Payer: Cofinity Commercial |
$1,491.71
|
| Rate for Payer: Cofinity Commercial |
$1,388.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.91
|
| Rate for Payer: Healthscope Commercial |
$1,243.09
|
| Rate for Payer: Healthscope Whirlpool |
$1,243.09
|
| Rate for Payer: Meridian Medicaid |
$712.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,087.71
|
| Rate for Payer: PACE SWMI |
$1,035.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,125.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,613.15
|
| Rate for Payer: Priority Health Medicare |
$1,035.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,613.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,066.99
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$509.81 |
| Max. Negotiated Rate |
$1,956.30 |
| Rate for Payer: Aetna Commercial |
$1,686.83
|
| Rate for Payer: Aetna Medicare |
$1,258.83
|
| Rate for Payer: BCBS Complete |
$863.74
|
| Rate for Payer: BCBS MAPPO |
$1,258.83
|
| Rate for Payer: BCBS Trust/PPO |
$509.81
|
| Rate for Payer: BCN Commercial |
$1,872.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,258.83
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$1,812.72
|
| Rate for Payer: Cofinity Commercial |
$1,686.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,258.83
|
| Rate for Payer: Healthscope Commercial |
$1,510.60
|
| Rate for Payer: Healthscope Whirlpool |
$1,510.60
|
| Rate for Payer: Meridian Medicaid |
$863.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,321.77
|
| Rate for Payer: PACE SWMI |
$1,258.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,258.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,956.30
|
| Rate for Payer: Priority Health Medicare |
$1,258.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,956.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,296.59
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$1,999.00
|
|
|
Service Code
|
HCPCS 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$349.32 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$707.81
|
| Rate for Payer: Aetna Medicare |
$528.22
|
| Rate for Payer: BCBS Complete |
$366.79
|
| Rate for Payer: BCBS MAPPO |
$528.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| Rate for Payer: BCN Medicare Advantage |
$528.22
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$760.64
|
| Rate for Payer: Cofinity Commercial |
$707.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.22
|
| Rate for Payer: Healthscope Commercial |
$633.86
|
| Rate for Payer: Healthscope Whirlpool |
$633.86
|
| Rate for Payer: Meridian Medicaid |
$366.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$554.63
|
| Rate for Payer: PACE SWMI |
$528.22
|
| Rate for Payer: PHP Medicare Advantage |
$528.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.21
|
| Rate for Payer: Priority Health Medicare |
$528.22
|
| Rate for Payer: Priority Health Narrow Network |
$825.21
|
| Rate for Payer: UHC Medicare Advantage |
$544.07
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
OP
|
$1,999.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,399.30 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,799.10
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$1,939.03
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,549.82
|
| Rate for Payer: BCN Commercial |
$1,549.82
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$1,879.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,599.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$1,999.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,939.03
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,799.10
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,699.15
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,819.09
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,419.29
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,759.12
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
IP
|
$1,999.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,399.30 |
| Max. Negotiated Rate |
$1,999.00 |
| Rate for Payer: Aetna Commercial |
$1,799.10
|
| Rate for Payer: ASR ASR |
$1,939.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,549.82
|
| Rate for Payer: BCN Commercial |
$1,549.82
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$1,879.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,599.20
|
| Rate for Payer: Healthscope Commercial |
$1,999.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,939.03
|
| Rate for Payer: Mclaren Commercial |
$1,799.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,699.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,759.12
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$1,999.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$349.32 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$707.81
|
| Rate for Payer: Aetna Medicare |
$528.22
|
| Rate for Payer: BCBS Complete |
$366.79
|
| Rate for Payer: BCBS MAPPO |
$528.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$869.53
|
| Rate for Payer: BCN Medicare Advantage |
$528.22
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cash Price |
$1,599.20
|
| Rate for Payer: Cofinity Commercial |
$760.64
|
| Rate for Payer: Cofinity Commercial |
$707.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$528.22
|
| Rate for Payer: Healthscope Commercial |
$633.86
|
| Rate for Payer: Healthscope Whirlpool |
$633.86
|
| Rate for Payer: Meridian Medicaid |
$366.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$554.63
|
| Rate for Payer: PACE SWMI |
$528.22
|
| Rate for Payer: PHP Medicare Advantage |
$528.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,399.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.21
|
| Rate for Payer: Priority Health Medicare |
$528.22
|
| Rate for Payer: Priority Health Narrow Network |
$825.21
|
| Rate for Payer: UHC Medicare Advantage |
$544.07
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,348.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,113.20
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$2,277.56
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,820.40
|
| Rate for Payer: BCN Commercial |
$1,820.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,207.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,348.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,277.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,113.20
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,136.68
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,667.08
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,066.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$422.81 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$861.67
|
| Rate for Payer: Aetna Medicare |
$643.04
|
| Rate for Payer: BCBS Complete |
$443.95
|
| Rate for Payer: BCBS MAPPO |
$643.04
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$643.04
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$925.98
|
| Rate for Payer: Cofinity Commercial |
$861.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.04
|
| Rate for Payer: Healthscope Commercial |
$771.65
|
| Rate for Payer: Healthscope Whirlpool |
$771.65
|
| Rate for Payer: Meridian Medicaid |
$443.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$675.19
|
| Rate for Payer: PACE SWMI |
$643.04
|
| Rate for Payer: PHP Medicare Advantage |
$643.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,003.42
|
| Rate for Payer: Priority Health Medicare |
$643.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,003.42
|
| Rate for Payer: UHC Medicare Advantage |
$662.33
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,348.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$422.81 |
| Max. Negotiated Rate |
$1,643.60 |
| Rate for Payer: Aetna Commercial |
$861.67
|
| Rate for Payer: Aetna Medicare |
$643.04
|
| Rate for Payer: BCBS Complete |
$443.95
|
| Rate for Payer: BCBS MAPPO |
$643.04
|
| Rate for Payer: BCBS Trust/PPO |
$769.20
|
| Rate for Payer: BCN Commercial |
$1,057.31
|
| Rate for Payer: BCN Medicare Advantage |
$643.04
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$925.98
|
| Rate for Payer: Cofinity Commercial |
$861.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.04
|
| Rate for Payer: Healthscope Commercial |
$771.65
|
| Rate for Payer: Healthscope Whirlpool |
$771.65
|
| Rate for Payer: Meridian Medicaid |
$443.95
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$675.19
|
| Rate for Payer: PACE SWMI |
$643.04
|
| Rate for Payer: PHP Medicare Advantage |
$643.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$422.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,003.42
|
| Rate for Payer: Priority Health Medicare |
$643.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,003.42
|
| Rate for Payer: UHC Medicare Advantage |
$662.33
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,348.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,643.60 |
| Max. Negotiated Rate |
$2,348.00 |
| Rate for Payer: Aetna Commercial |
$2,113.20
|
| Rate for Payer: ASR ASR |
$2,277.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,820.40
|
| Rate for Payer: BCN Commercial |
$1,820.40
|
| Rate for Payer: Cash Price |
$1,878.40
|
| Rate for Payer: Cofinity Commercial |
$2,207.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,878.40
|
| Rate for Payer: Healthscope Commercial |
$2,348.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,277.56
|
| Rate for Payer: Mclaren Commercial |
$2,113.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,995.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,643.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,066.24
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,840.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,288.00 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,656.00
|
| Rate for Payer: Aetna Medicare |
$2,877.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,596.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,596.44
|
| Rate for Payer: ASR ASR |
$1,784.80
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.55
|
| Rate for Payer: BCN Commercial |
$1,426.55
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$1,729.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,472.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$1,840.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,784.80
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,656.00
|
| Rate for Payer: Mclaren Medicaid |
$1,573.80
|
| Rate for Payer: Mclaren Medicare |
$2,877.15
|
| Rate for Payer: Meridian Medicaid |
$1,652.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,021.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,308.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,564.00
|
| Rate for Payer: PACE Medicare |
$2,733.29
|
| Rate for Payer: PACE SWMI |
$2,877.15
|
| Rate for Payer: PHP Commercial |
$3,164.86
|
| Rate for Payer: PHP Medicaid |
$1,573.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,877.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,573.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,674.40
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,306.40
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,619.20
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,288.00 |
| Rate for Payer: Aetna Commercial |
$655.61
|
| Rate for Payer: Aetna Medicare |
$489.26
|
| Rate for Payer: BCBS Complete |
$338.84
|
| Rate for Payer: BCBS MAPPO |
$489.26
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$806.57
|
| Rate for Payer: BCN Medicare Advantage |
$489.26
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$704.53
|
| Rate for Payer: Cofinity Commercial |
$655.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.26
|
| Rate for Payer: Healthscope Commercial |
$587.11
|
| Rate for Payer: Healthscope Whirlpool |
$587.11
|
| Rate for Payer: Meridian Medicaid |
$338.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$513.72
|
| Rate for Payer: PACE SWMI |
$489.26
|
| Rate for Payer: PHP Medicare Advantage |
$489.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$765.47
|
| Rate for Payer: Priority Health Medicare |
$489.26
|
| Rate for Payer: Priority Health Narrow Network |
$765.47
|
| Rate for Payer: UHC Medicare Advantage |
$503.94
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
IP
|
$1,840.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,288.00 |
| Max. Negotiated Rate |
$1,840.00 |
| Rate for Payer: Aetna Commercial |
$1,656.00
|
| Rate for Payer: ASR ASR |
$1,784.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,426.55
|
| Rate for Payer: BCN Commercial |
$1,426.55
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$1,729.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,472.00
|
| Rate for Payer: Healthscope Commercial |
$1,840.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,784.80
|
| Rate for Payer: Mclaren Commercial |
$1,656.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,564.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,619.20
|
|
