|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
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 W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$401.72 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$817.94
|
| Rate for Payer: Aetna Medicare |
$610.40
|
| Rate for Payer: BCBS Complete |
$421.81
|
| Rate for Payer: BCBS MAPPO |
$610.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$610.40
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$878.98
|
| Rate for Payer: Cofinity Commercial |
$817.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.40
|
| Rate for Payer: Healthscope Commercial |
$732.48
|
| Rate for Payer: Healthscope Whirlpool |
$732.48
|
| Rate for Payer: Meridian Medicaid |
$421.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$640.92
|
| Rate for Payer: PACE SWMI |
$610.40
|
| Rate for Payer: PHP Medicare Advantage |
$610.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$953.38
|
| Rate for Payer: Priority Health Medicare |
$610.40
|
| Rate for Payer: Priority Health Narrow Network |
$953.38
|
| Rate for Payer: UHC Medicare Advantage |
$628.71
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
OP
|
$2,221.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,554.70 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$1,998.90
|
| 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 |
$2,154.37
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,721.94
|
| Rate for Payer: BCN Commercial |
$1,721.94
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$2,087.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,776.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,221.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,154.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$1,998.90
|
| 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 |
$1,887.85
|
| 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 |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,021.11
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,576.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,954.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,221.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$401.72 |
| Max. Negotiated Rate |
$1,554.70 |
| Rate for Payer: Aetna Commercial |
$817.94
|
| Rate for Payer: Aetna Medicare |
$610.40
|
| Rate for Payer: BCBS Complete |
$421.81
|
| Rate for Payer: BCBS MAPPO |
$610.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.73
|
| Rate for Payer: BCN Commercial |
$912.36
|
| Rate for Payer: BCN Medicare Advantage |
$610.40
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$878.98
|
| Rate for Payer: Cofinity Commercial |
$817.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.40
|
| Rate for Payer: Healthscope Commercial |
$732.48
|
| Rate for Payer: Healthscope Whirlpool |
$732.48
|
| Rate for Payer: Meridian Medicaid |
$421.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$640.92
|
| Rate for Payer: PACE SWMI |
$610.40
|
| Rate for Payer: PHP Medicare Advantage |
$610.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$953.38
|
| Rate for Payer: Priority Health Medicare |
$610.40
|
| Rate for Payer: Priority Health Narrow Network |
$953.38
|
| Rate for Payer: UHC Medicare Advantage |
$628.71
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
IP
|
$2,221.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,554.70 |
| Max. Negotiated Rate |
$2,221.00 |
| Rate for Payer: Aetna Commercial |
$1,998.90
|
| Rate for Payer: ASR ASR |
$2,154.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,721.94
|
| Rate for Payer: BCN Commercial |
$1,721.94
|
| Rate for Payer: Cash Price |
$1,776.80
|
| Rate for Payer: Cofinity Commercial |
$2,087.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,776.80
|
| Rate for Payer: Healthscope Commercial |
$2,221.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,154.37
|
| Rate for Payer: Mclaren Commercial |
$1,998.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,887.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,554.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,954.48
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,704.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$544.43 |
| Max. Negotiated Rate |
$1,892.80 |
| Rate for Payer: Aetna Commercial |
$1,114.25
|
| Rate for Payer: Aetna Medicare |
$831.53
|
| Rate for Payer: BCBS Complete |
$571.65
|
| Rate for Payer: BCBS MAPPO |
$831.53
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| Rate for Payer: BCN Medicare Advantage |
$831.53
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,114.25
|
| Rate for Payer: Cofinity Commercial |
$1,197.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$831.53
|
| Rate for Payer: Healthscope Commercial |
$997.84
|
| Rate for Payer: Healthscope Whirlpool |
$997.84
|
| Rate for Payer: Meridian Medicaid |
$571.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$873.11
|
| Rate for Payer: PACE SWMI |
$831.53
|
| Rate for Payer: PHP Medicare Advantage |
$831.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$544.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,892.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,295.01
|
| Rate for Payer: Priority Health Medicare |
$831.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,295.01
|
| Rate for Payer: UHC Medicare Advantage |
$856.48
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
OP
|
$2,704.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,433.60
|
| 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 |
$2,622.88
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$2,096.41
|
| Rate for Payer: BCN Commercial |
$2,096.41
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$2,541.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,163.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,704.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,622.88
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,433.60
|
| 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 |
$2,298.40
|
| 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 |
$1,892.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,460.64
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,919.84
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,379.52
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
IP
|
$2,704.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,892.80 |
| Max. Negotiated Rate |
$2,704.00 |
| Rate for Payer: Aetna Commercial |
$2,433.60
|
| Rate for Payer: ASR ASR |
$2,622.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,096.41
|
| Rate for Payer: BCN Commercial |
$2,096.41
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$2,541.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,163.20
|
| Rate for Payer: Healthscope Commercial |
$2,704.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,622.88
|
| Rate for Payer: Mclaren Commercial |
$2,433.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,298.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,892.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,379.52
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,704.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$544.43 |
| Max. Negotiated Rate |
$1,892.80 |
| Rate for Payer: Aetna Commercial |
$1,114.25
|
| Rate for Payer: Aetna Medicare |
$831.53
|
| Rate for Payer: BCBS Complete |
$571.65
|
| Rate for Payer: BCBS MAPPO |
$831.53
|
| Rate for Payer: BCBS Trust/PPO |
$654.56
|
| Rate for Payer: BCN Commercial |
$1,239.29
|
| Rate for Payer: BCN Medicare Advantage |
$831.53
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,197.40
|
| Rate for Payer: Cofinity Commercial |
$1,114.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$831.53
|
| Rate for Payer: Healthscope Commercial |
$997.84
|
| Rate for Payer: Healthscope Whirlpool |
$997.84
|
| Rate for Payer: Meridian Medicaid |
$571.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$873.11
|
| Rate for Payer: PACE SWMI |
$831.53
|
| Rate for Payer: PHP Medicare Advantage |
$831.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$544.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,892.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,295.01
|
| Rate for Payer: Priority Health Medicare |
$831.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,295.01
|
| Rate for Payer: UHC Medicare Advantage |
$856.48
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,380.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$321.77 |
| Max. Negotiated Rate |
$1,666.00 |
| Rate for Payer: Aetna Commercial |
$911.04
|
| Rate for Payer: Aetna Medicare |
$679.88
|
| Rate for Payer: BCBS Complete |
$467.43
|
| Rate for Payer: BCBS MAPPO |
$679.88
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| Rate for Payer: BCN Medicare Advantage |
$679.88
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$911.04
|
| Rate for Payer: Cofinity Commercial |
$979.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.88
|
| Rate for Payer: Healthscope Commercial |
$815.86
|
| Rate for Payer: Healthscope Whirlpool |
$815.86
|
| Rate for Payer: Meridian Medicaid |
$467.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$713.87
|
| Rate for Payer: PACE SWMI |
$679.88
|
| Rate for Payer: PHP Medicare Advantage |
$679.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,059.60
|
| Rate for Payer: Priority Health Medicare |
$679.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,059.60
|
| Rate for Payer: UHC Medicare Advantage |
$700.28
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
IP
|
$2,380.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$1,666.00 |
| Max. Negotiated Rate |
$2,380.00 |
| Rate for Payer: Aetna Commercial |
$2,142.00
|
| Rate for Payer: ASR ASR |
$2,308.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,845.21
|
| Rate for Payer: BCN Commercial |
$1,845.21
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$2,237.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,904.00
|
| Rate for Payer: Healthscope Commercial |
$2,380.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,308.60
|
| Rate for Payer: Mclaren Commercial |
$2,142.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,023.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,094.40
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,380.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$321.77 |
| Max. Negotiated Rate |
$1,666.00 |
| Rate for Payer: Aetna Commercial |
$911.04
|
| Rate for Payer: Aetna Medicare |
$679.88
|
| Rate for Payer: BCBS Complete |
$467.43
|
| Rate for Payer: BCBS MAPPO |
$679.88
|
| Rate for Payer: BCBS Trust/PPO |
$321.77
|
| Rate for Payer: BCN Commercial |
$1,116.50
|
| Rate for Payer: BCN Medicare Advantage |
$679.88
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$979.03
|
| Rate for Payer: Cofinity Commercial |
$911.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.88
|
| Rate for Payer: Healthscope Commercial |
$815.86
|
| Rate for Payer: Healthscope Whirlpool |
$815.86
|
| Rate for Payer: Meridian Medicaid |
$467.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$713.87
|
| Rate for Payer: PACE SWMI |
$679.88
|
| Rate for Payer: PHP Medicare Advantage |
$679.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,059.60
|
| Rate for Payer: Priority Health Medicare |
$679.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,059.60
|
| Rate for Payer: UHC Medicare Advantage |
$700.28
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
OP
|
$2,380.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,142.00
|
| 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 |
$2,308.60
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,845.21
|
| Rate for Payer: BCN Commercial |
$1,845.21
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$2,237.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,904.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,380.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,308.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,142.00
|
| 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 |
$2,023.00
|
| 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 |
$1,666.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,165.80
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,689.80
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,094.40
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,380.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$421.53 |
| Max. Negotiated Rate |
$1,666.00 |
| Rate for Payer: Aetna Commercial |
$846.60
|
| Rate for Payer: Aetna Medicare |
$631.79
|
| Rate for Payer: BCBS Complete |
$442.61
|
| Rate for Payer: BCBS MAPPO |
$631.79
|
| Rate for Payer: BCBS Trust/PPO |
$556.30
|
| Rate for Payer: BCN Commercial |
$942.17
|
| Rate for Payer: BCN Medicare Advantage |
$631.79
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$909.78
|
| Rate for Payer: Cofinity Commercial |
$846.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.79
|
| Rate for Payer: Healthscope Commercial |
$758.15
|
| Rate for Payer: Healthscope Whirlpool |
$758.15
|
| Rate for Payer: Meridian Medicaid |
$442.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$663.38
|
| Rate for Payer: PACE SWMI |
$631.79
|
| Rate for Payer: PHP Medicare Advantage |
$631.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.54
|
| Rate for Payer: Priority Health Medicare |
$631.79
|
| Rate for Payer: Priority Health Narrow Network |
$984.54
|
| Rate for Payer: UHC Medicare Advantage |
$650.74
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$899.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$293.30 |
| Max. Negotiated Rate |
$1,377.81 |
| Rate for Payer: Aetna Commercial |
$596.09
|
| Rate for Payer: Aetna Medicare |
$444.84
|
| Rate for Payer: BCBS Complete |
$307.96
|
| Rate for Payer: BCBS MAPPO |
$444.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.81
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$444.84
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cofinity Commercial |
$640.57
|
| Rate for Payer: Cofinity Commercial |
$596.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$444.84
|
| Rate for Payer: Healthscope Commercial |
$533.81
|
| Rate for Payer: Healthscope Whirlpool |
$533.81
|
| Rate for Payer: Meridian Medicaid |
$307.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$467.08
|
| Rate for Payer: PACE SWMI |
$444.84
|
| Rate for Payer: PHP Medicare Advantage |
$444.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$698.06
|
| Rate for Payer: Priority Health Medicare |
$444.84
|
| Rate for Payer: Priority Health Narrow Network |
$698.06
|
| Rate for Payer: UHC Medicare Advantage |
$458.19
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,849.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$317.16 |
| Max. Negotiated Rate |
$1,294.30 |
| Rate for Payer: Aetna Commercial |
$643.08
|
| Rate for Payer: Aetna Medicare |
$479.91
|
| Rate for Payer: BCBS Complete |
$333.02
|
| Rate for Payer: BCBS MAPPO |
$479.91
|
| Rate for Payer: BCBS Trust/PPO |
$543.09
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$479.91
|
| Rate for Payer: Cash Price |
$1,479.20
|
| Rate for Payer: Cash Price |
$1,479.20
|
| Rate for Payer: Cofinity Commercial |
$691.07
|
| Rate for Payer: Cofinity Commercial |
$643.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.91
|
| Rate for Payer: Healthscope Commercial |
$575.89
|
| Rate for Payer: Healthscope Whirlpool |
$575.89
|
| Rate for Payer: Meridian Medicaid |
$333.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$503.91
|
| Rate for Payer: PACE SWMI |
$479.91
|
| Rate for Payer: PHP Medicare Advantage |
$479.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$317.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,294.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$751.68
|
| Rate for Payer: Priority Health Medicare |
$479.91
|
| Rate for Payer: Priority Health Narrow Network |
$751.68
|
| Rate for Payer: UHC Medicare Advantage |
$494.31
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,840.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$324.40 |
| Max. Negotiated Rate |
$1,288.00 |
| Rate for Payer: Aetna Commercial |
$660.78
|
| Rate for Payer: Aetna Medicare |
$493.12
|
| Rate for Payer: BCBS Complete |
$340.62
|
| Rate for Payer: BCBS MAPPO |
$493.12
|
| Rate for Payer: BCBS Trust/PPO |
$730.64
|
| Rate for Payer: BCN Commercial |
$738.88
|
| Rate for Payer: BCN Medicare Advantage |
$493.12
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cash Price |
$1,472.00
|
| Rate for Payer: Cofinity Commercial |
$660.78
|
| Rate for Payer: Cofinity Commercial |
$710.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$493.12
|
| Rate for Payer: Healthscope Commercial |
$591.74
|
| Rate for Payer: Healthscope Whirlpool |
$591.74
|
| Rate for Payer: Meridian Medicaid |
$340.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$517.78
|
| Rate for Payer: PACE SWMI |
$493.12
|
| Rate for Payer: PHP Medicare Advantage |
$493.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$772.10
|
| Rate for Payer: Priority Health Medicare |
$493.12
|
| Rate for Payer: Priority Health Narrow Network |
$772.10
|
| Rate for Payer: UHC Medicare Advantage |
$507.91
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,145.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$353.79 |
| Max. Negotiated Rate |
$1,501.50 |
| Rate for Payer: Aetna Commercial |
$720.13
|
| Rate for Payer: Aetna Medicare |
$537.41
|
| Rate for Payer: BCBS Complete |
$371.48
|
| Rate for Payer: BCBS MAPPO |
$537.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,365.66
|
| Rate for Payer: BCN Commercial |
$803.39
|
| Rate for Payer: BCN Medicare Advantage |
$537.41
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cofinity Commercial |
$720.13
|
| Rate for Payer: Cofinity Commercial |
$773.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.41
|
| Rate for Payer: Healthscope Commercial |
$644.89
|
| Rate for Payer: Healthscope Whirlpool |
$644.89
|
| Rate for Payer: Meridian Medicaid |
$371.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$564.28
|
| Rate for Payer: PACE SWMI |
$537.41
|
| Rate for Payer: PHP Medicare Advantage |
$537.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$353.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,501.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$839.52
|
| Rate for Payer: Priority Health Medicare |
$537.41
|
| Rate for Payer: Priority Health Narrow Network |
$839.52
|
| Rate for Payer: UHC Medicare Advantage |
$553.53
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,168.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$417.05 |
| Max. Negotiated Rate |
$1,605.50 |
| Rate for Payer: Aetna Commercial |
$850.70
|
| Rate for Payer: Aetna Medicare |
$634.85
|
| Rate for Payer: BCBS Complete |
$437.90
|
| Rate for Payer: BCBS MAPPO |
$634.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$947.54
|
| Rate for Payer: BCN Medicare Advantage |
$634.85
|
| Rate for Payer: Cash Price |
$1,734.40
|
| Rate for Payer: Cash Price |
$1,734.40
|
| Rate for Payer: Cofinity Commercial |
$914.18
|
| Rate for Payer: Cofinity Commercial |
$850.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$634.85
|
| Rate for Payer: Healthscope Commercial |
$761.82
|
| Rate for Payer: Healthscope Whirlpool |
$761.82
|
| Rate for Payer: Meridian Medicaid |
$437.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$666.59
|
| Rate for Payer: PACE SWMI |
$634.85
|
| Rate for Payer: PHP Medicare Advantage |
$634.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,517.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$990.15
|
| Rate for Payer: Priority Health Medicare |
$634.85
|
| Rate for Payer: Priority Health Narrow Network |
$990.15
|
| Rate for Payer: UHC Medicare Advantage |
$653.90
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
IP
|
$667.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$466.90 |
| Max. Negotiated Rate |
$667.00 |
| Rate for Payer: Aetna Commercial |
$600.30
|
| Rate for Payer: ASR ASR |
$646.99
|
| Rate for Payer: BCBS Trust/PPO |
$517.13
|
| Rate for Payer: BCN Commercial |
$517.13
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cofinity Commercial |
$626.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$533.60
|
| Rate for Payer: Healthscope Commercial |
$667.00
|
| Rate for Payer: Healthscope Whirlpool |
$646.99
|
| Rate for Payer: Mclaren Commercial |
$600.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$566.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$586.96
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
OP
|
$667.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$466.90 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$600.30
|
| 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 |
$646.99
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$517.13
|
| Rate for Payer: BCN Commercial |
$517.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cofinity Commercial |
$626.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$533.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$667.00
|
| Rate for Payer: Healthscope Whirlpool |
$646.99
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$600.30
|
| 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 |
$566.95
|
| 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 |
$466.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.97
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$473.57
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$586.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$172.35 |
| Max. Negotiated Rate |
$627.20 |
| Rate for Payer: Aetna Commercial |
$430.14
|
| Rate for Payer: Aetna Medicare |
$321.00
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$321.00
|
| Rate for Payer: BCBS Trust/PPO |
$172.35
|
| Rate for Payer: BCN Commercial |
$484.76
|
| Rate for Payer: BCN Medicare Advantage |
$321.00
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$430.14
|
| Rate for Payer: Cofinity Commercial |
$462.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$321.00
|
| Rate for Payer: Healthscope Commercial |
$385.20
|
| Rate for Payer: Healthscope Whirlpool |
$385.20
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$337.05
|
| Rate for Payer: PACE SWMI |
$321.00
|
| Rate for Payer: PHP Medicare Advantage |
$321.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$506.56
|
| Rate for Payer: Priority Health Medicare |
$321.00
|
| Rate for Payer: Priority Health Narrow Network |
$506.56
|
| Rate for Payer: UHC Medicare Advantage |
$330.63
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$152.40 |
| Max. Negotiated Rate |
$532.09 |
| Rate for Payer: Aetna Commercial |
$452.29
|
| Rate for Payer: Aetna Medicare |
$337.53
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$337.53
|
| Rate for Payer: BCBS Trust/PPO |
$152.40
|
| Rate for Payer: BCN Commercial |
$509.20
|
| Rate for Payer: BCN Medicare Advantage |
$337.53
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$452.29
|
| Rate for Payer: Cofinity Commercial |
$486.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$337.53
|
| Rate for Payer: Healthscope Commercial |
$405.04
|
| Rate for Payer: Healthscope Whirlpool |
$405.04
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$354.41
|
| Rate for Payer: PACE SWMI |
$337.53
|
| Rate for Payer: PHP Medicare Advantage |
$337.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$532.09
|
| Rate for Payer: Priority Health Medicare |
$337.53
|
| Rate for Payer: Priority Health Narrow Network |
$532.09
|
| Rate for Payer: UHC Medicare Advantage |
$347.66
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$164.83 |
| Max. Negotiated Rate |
$954.40 |
| Rate for Payer: Aetna Commercial |
$814.76
|
| Rate for Payer: Aetna Medicare |
$608.03
|
| Rate for Payer: BCBS Complete |
$423.15
|
| Rate for Payer: BCBS MAPPO |
$608.03
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$913.34
|
| Rate for Payer: BCN Medicare Advantage |
$608.03
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cofinity Commercial |
$875.56
|
| Rate for Payer: Cofinity Commercial |
$814.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$608.03
|
| Rate for Payer: Healthscope Commercial |
$729.64
|
| Rate for Payer: Healthscope Whirlpool |
$729.64
|
| Rate for Payer: Meridian Medicaid |
$423.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$638.43
|
| Rate for Payer: PACE SWMI |
$608.03
|
| Rate for Payer: PHP Medicare Advantage |
$608.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$403.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$751.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$954.40
|
| Rate for Payer: Priority Health Medicare |
$608.03
|
| Rate for Payer: Priority Health Narrow Network |
$954.40
|
| Rate for Payer: UHC Medicare Advantage |
$626.27
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,829.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$171.17 |
| Max. Negotiated Rate |
$1,280.30 |
| Rate for Payer: Aetna Commercial |
$815.34
|
| Rate for Payer: Aetna Medicare |
$608.46
|
| Rate for Payer: BCBS Complete |
$421.35
|
| Rate for Payer: BCBS MAPPO |
$608.46
|
| Rate for Payer: BCBS Trust/PPO |
$171.17
|
| Rate for Payer: BCN Commercial |
$909.91
|
| Rate for Payer: BCN Medicare Advantage |
$608.46
|
| Rate for Payer: Cash Price |
$1,463.20
|
| Rate for Payer: Cash Price |
$1,463.20
|
| Rate for Payer: Cofinity Commercial |
$876.18
|
| Rate for Payer: Cofinity Commercial |
$815.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$608.46
|
| Rate for Payer: Healthscope Commercial |
$730.15
|
| Rate for Payer: Healthscope Whirlpool |
$730.15
|
| Rate for Payer: Meridian Medicaid |
$421.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$638.88
|
| Rate for Payer: PACE SWMI |
$608.46
|
| Rate for Payer: PHP Medicare Advantage |
$608.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$950.83
|
| Rate for Payer: Priority Health Medicare |
$608.46
|
| Rate for Payer: Priority Health Narrow Network |
$950.83
|
| Rate for Payer: UHC Medicare Advantage |
$626.71
|
|
