|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Facility
|
IP
|
$2,979.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$2,085.30 |
| Max. Negotiated Rate |
$2,979.00 |
| Rate for Payer: Aetna Commercial |
$2,681.10
|
| Rate for Payer: ASR ASR |
$2,889.63
|
| Rate for Payer: BCBS Trust/PPO |
$2,309.62
|
| Rate for Payer: BCN Commercial |
$2,309.62
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$2,800.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,383.20
|
| Rate for Payer: Healthscope Commercial |
$2,979.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,889.63
|
| Rate for Payer: Mclaren Commercial |
$2,681.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,532.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,621.52
|
|
|
PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS
|
Professional
|
Both
|
$2,979.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$539.32 |
| Max. Negotiated Rate |
$3,253.04 |
| Rate for Payer: Aetna Commercial |
$1,098.44
|
| Rate for Payer: Aetna Medicare |
$819.73
|
| Rate for Payer: BCBS Complete |
$566.29
|
| Rate for Payer: BCBS MAPPO |
$819.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,253.04
|
| Rate for Payer: BCN Commercial |
$1,226.09
|
| Rate for Payer: BCN Medicare Advantage |
$819.73
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cash Price |
$2,383.20
|
| Rate for Payer: Cofinity Commercial |
$1,098.44
|
| Rate for Payer: Cofinity Commercial |
$1,180.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$819.73
|
| Rate for Payer: Healthscope Commercial |
$983.68
|
| Rate for Payer: Healthscope Whirlpool |
$983.68
|
| Rate for Payer: Meridian Medicaid |
$566.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$860.72
|
| Rate for Payer: PACE SWMI |
$819.73
|
| Rate for Payer: PHP Medicare Advantage |
$819.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$539.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,281.22
|
| Rate for Payer: Priority Health Medicare |
$819.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,281.22
|
| Rate for Payer: UHC Medicare Advantage |
$844.32
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$4,909.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$821.54 |
| Max. Negotiated Rate |
$3,436.30 |
| Rate for Payer: Aetna Commercial |
$1,695.10
|
| Rate for Payer: Aetna Medicare |
$1,265.00
|
| Rate for Payer: BCBS Complete |
$862.62
|
| Rate for Payer: BCBS MAPPO |
$1,265.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.00
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$1,821.60
|
| Rate for Payer: Cofinity Commercial |
$1,695.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.00
|
| Rate for Payer: Healthscope Commercial |
$1,518.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,518.00
|
| Rate for Payer: Meridian Medicaid |
$862.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,328.25
|
| Rate for Payer: PACE SWMI |
$1,265.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$821.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,958.34
|
| Rate for Payer: Priority Health Medicare |
$1,265.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,302.95
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$4,909.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,436.30 |
| Max. Negotiated Rate |
$14,623.31 |
| Rate for Payer: Aetna Commercial |
$4,418.10
|
| Rate for Payer: Aetna Medicare |
$11,698.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,623.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,623.31
|
| Rate for Payer: ASR ASR |
$4,761.73
|
| Rate for Payer: BCBS Complete |
$6,719.70
|
| Rate for Payer: BCBS MAPPO |
$11,698.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,805.95
|
| Rate for Payer: BCN Commercial |
$3,805.95
|
| Rate for Payer: BCN Medicare Advantage |
$11,698.65
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$4,614.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,927.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,698.65
|
| Rate for Payer: Healthscope Commercial |
$4,909.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,761.73
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,698.65
|
| Rate for Payer: Mclaren Commercial |
$4,418.10
|
| Rate for Payer: Mclaren Medicaid |
$6,399.16
|
| Rate for Payer: Mclaren Medicare |
$11,698.65
|
| Rate for Payer: Meridian Medicaid |
$6,719.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,283.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,453.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,172.65
|
| Rate for Payer: PACE Medicare |
$11,113.72
|
| Rate for Payer: PACE SWMI |
$11,698.65
|
| Rate for Payer: PHP Commercial |
$12,868.52
|
| Rate for Payer: PHP Medicaid |
$6,399.16
|
| Rate for Payer: PHP Medicare Advantage |
$11,698.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,399.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,467.19
|
| Rate for Payer: Priority Health Medicare |
$11,698.65
|
| Rate for Payer: Priority Health Narrow Network |
$3,485.39
|
| Rate for Payer: Railroad Medicare Medicare |
$11,698.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,319.92
|
| Rate for Payer: UHC Medicare Advantage |
$12,049.61
|
| Rate for Payer: VA VA |
$11,698.65
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$4,909.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$821.54 |
| Max. Negotiated Rate |
$3,436.30 |
| Rate for Payer: Aetna Commercial |
$1,695.10
|
| Rate for Payer: Aetna Medicare |
$1,265.00
|
| Rate for Payer: BCBS Complete |
$862.62
|
| Rate for Payer: BCBS MAPPO |
$1,265.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,016.52
|
| Rate for Payer: BCN Commercial |
$2,063.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.00
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$1,821.60
|
| Rate for Payer: Cofinity Commercial |
$1,695.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.00
|
| Rate for Payer: Healthscope Commercial |
$1,518.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,518.00
|
| Rate for Payer: Meridian Medicaid |
$862.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,328.25
|
| Rate for Payer: PACE SWMI |
$1,265.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$821.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,958.34
|
| Rate for Payer: Priority Health Medicare |
$1,265.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,302.95
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$4,909.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,436.30 |
| Max. Negotiated Rate |
$4,909.00 |
| Rate for Payer: Aetna Commercial |
$4,418.10
|
| Rate for Payer: ASR ASR |
$4,761.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,805.95
|
| Rate for Payer: BCN Commercial |
$3,805.95
|
| Rate for Payer: Cash Price |
$3,927.20
|
| Rate for Payer: Cofinity Commercial |
$4,614.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,927.20
|
| Rate for Payer: Healthscope Commercial |
$4,909.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,761.73
|
| Rate for Payer: Mclaren Commercial |
$4,418.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$4,172.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,436.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,319.92
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,158.00
|
|
|
Service Code
|
HCPCS 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$736.77 |
| Max. Negotiated Rate |
$2,210.60 |
| Rate for Payer: Aetna Commercial |
$1,514.92
|
| Rate for Payer: Aetna Medicare |
$1,130.54
|
| Rate for Payer: BCBS Complete |
$773.61
|
| Rate for Payer: BCBS MAPPO |
$1,130.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$1,677.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.54
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$1,514.92
|
| Rate for Payer: Cofinity Commercial |
$1,627.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.54
|
| Rate for Payer: Healthscope Commercial |
$1,356.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,356.65
|
| Rate for Payer: Meridian Medicaid |
$773.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,187.07
|
| Rate for Payer: PACE SWMI |
$1,130.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$736.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,753.07
|
| Rate for Payer: Priority Health Medicare |
$1,130.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,753.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,164.46
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
IP
|
$3,158.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,210.60 |
| Max. Negotiated Rate |
$3,158.00 |
| Rate for Payer: Aetna Commercial |
$2,842.20
|
| Rate for Payer: ASR ASR |
$3,063.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,448.40
|
| Rate for Payer: BCN Commercial |
$2,448.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$2,968.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,526.40
|
| Rate for Payer: Healthscope Commercial |
$3,158.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,063.26
|
| Rate for Payer: Mclaren Commercial |
$2,842.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,684.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,779.04
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,158.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,210.60 |
| Max. Negotiated Rate |
$14,623.31 |
| Rate for Payer: Aetna Commercial |
$2,842.20
|
| Rate for Payer: Aetna Medicare |
$11,698.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,623.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,623.31
|
| Rate for Payer: ASR ASR |
$3,063.26
|
| Rate for Payer: BCBS Complete |
$6,719.70
|
| Rate for Payer: BCBS MAPPO |
$11,698.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,448.40
|
| Rate for Payer: BCN Commercial |
$2,448.40
|
| Rate for Payer: BCN Medicare Advantage |
$11,698.65
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$2,968.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,526.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,698.65
|
| Rate for Payer: Healthscope Commercial |
$3,158.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,063.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,698.65
|
| Rate for Payer: Mclaren Commercial |
$2,842.20
|
| Rate for Payer: Mclaren Medicaid |
$6,399.16
|
| Rate for Payer: Mclaren Medicare |
$11,698.65
|
| Rate for Payer: Meridian Medicaid |
$6,719.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12,283.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,453.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,684.30
|
| Rate for Payer: PACE Medicare |
$11,113.72
|
| Rate for Payer: PACE SWMI |
$11,698.65
|
| Rate for Payer: PHP Commercial |
$12,868.52
|
| Rate for Payer: PHP Medicaid |
$6,399.16
|
| Rate for Payer: PHP Medicare Advantage |
$11,698.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,399.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,873.78
|
| Rate for Payer: Priority Health Medicare |
$11,698.65
|
| Rate for Payer: Priority Health Narrow Network |
$2,242.18
|
| Rate for Payer: Railroad Medicare Medicare |
$11,698.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,779.04
|
| Rate for Payer: UHC Medicare Advantage |
$12,049.61
|
| Rate for Payer: VA VA |
$11,698.65
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Professional
|
Both
|
$3,158.00
|
|
|
Service Code
|
HCPCS 27446
|
| Min. Negotiated Rate |
$736.77 |
| Max. Negotiated Rate |
$2,210.60 |
| Rate for Payer: Aetna Commercial |
$1,514.92
|
| Rate for Payer: Aetna Medicare |
$1,130.54
|
| Rate for Payer: BCBS Complete |
$773.61
|
| Rate for Payer: BCBS MAPPO |
$1,130.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$1,677.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.54
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cash Price |
$2,526.40
|
| Rate for Payer: Cofinity Commercial |
$1,627.98
|
| Rate for Payer: Cofinity Commercial |
$1,514.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.54
|
| Rate for Payer: Healthscope Commercial |
$1,356.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,356.65
|
| Rate for Payer: Meridian Medicaid |
$773.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,187.07
|
| Rate for Payer: PACE SWMI |
$1,130.54
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$736.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,210.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,753.07
|
| Rate for Payer: Priority Health Medicare |
$1,130.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,753.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,164.46
|
|
|
PR ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT
|
Professional
|
Both
|
$1,657.00
|
|
|
Service Code
|
HCPCS 27441
|
| Min. Negotiated Rate |
$523.55 |
| Max. Negotiated Rate |
$1,266.92 |
| Rate for Payer: Aetna Commercial |
$1,090.42
|
| Rate for Payer: Aetna Medicare |
$813.75
|
| Rate for Payer: BCBS Complete |
$559.12
|
| Rate for Payer: BCBS MAPPO |
$813.75
|
| Rate for Payer: BCBS Trust/PPO |
$523.55
|
| Rate for Payer: BCN Commercial |
$1,212.41
|
| Rate for Payer: BCN Medicare Advantage |
$813.75
|
| Rate for Payer: Cash Price |
$1,325.60
|
| Rate for Payer: Cash Price |
$1,325.60
|
| Rate for Payer: Cofinity Commercial |
$1,171.80
|
| Rate for Payer: Cofinity Commercial |
$1,090.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$813.75
|
| Rate for Payer: Healthscope Commercial |
$976.50
|
| Rate for Payer: Healthscope Whirlpool |
$976.50
|
| Rate for Payer: Meridian Medicaid |
$559.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$854.44
|
| Rate for Payer: PACE SWMI |
$813.75
|
| Rate for Payer: PHP Medicare Advantage |
$813.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,159.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.92
|
| Rate for Payer: Priority Health Medicare |
$813.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,266.92
|
| Rate for Payer: UHC Medicare Advantage |
$838.16
|
|
|
PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT
|
Professional
|
Both
|
$2,138.00
|
|
|
Service Code
|
HCPCS 26531
|
| Min. Negotiated Rate |
$224.00 |
| Max. Negotiated Rate |
$1,496.60 |
| Rate for Payer: Aetna Commercial |
$835.03
|
| Rate for Payer: Aetna Medicare |
$623.16
|
| Rate for Payer: BCBS Complete |
$431.64
|
| Rate for Payer: BCBS MAPPO |
$623.16
|
| Rate for Payer: BCBS Trust/PPO |
$224.00
|
| Rate for Payer: BCN Commercial |
$934.35
|
| Rate for Payer: BCN Medicare Advantage |
$623.16
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Cash Price |
$1,710.40
|
| Rate for Payer: Cofinity Commercial |
$835.03
|
| Rate for Payer: Cofinity Commercial |
$897.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$623.16
|
| Rate for Payer: Healthscope Commercial |
$747.79
|
| Rate for Payer: Healthscope Whirlpool |
$747.79
|
| Rate for Payer: Meridian Medicaid |
$431.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$654.32
|
| Rate for Payer: PACE SWMI |
$623.16
|
| Rate for Payer: PHP Medicare Advantage |
$623.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,496.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$976.36
|
| Rate for Payer: Priority Health Medicare |
$623.16
|
| Rate for Payer: Priority Health Narrow Network |
$976.36
|
| Rate for Payer: UHC Medicare Advantage |
$641.85
|
|
|
PR ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS
|
Professional
|
Both
|
$2,053.00
|
|
|
Service Code
|
HCPCS 25446
|
| Min. Negotiated Rate |
$753.81 |
| Max. Negotiated Rate |
$1,794.43 |
| Rate for Payer: Aetna Commercial |
$1,547.47
|
| Rate for Payer: Aetna Medicare |
$1,154.83
|
| Rate for Payer: BCBS Complete |
$791.50
|
| Rate for Payer: BCBS MAPPO |
$1,154.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.86
|
| Rate for Payer: BCN Commercial |
$1,717.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,154.83
|
| Rate for Payer: Cash Price |
$1,642.40
|
| Rate for Payer: Cash Price |
$1,642.40
|
| Rate for Payer: Cofinity Commercial |
$1,662.96
|
| Rate for Payer: Cofinity Commercial |
$1,547.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,154.83
|
| Rate for Payer: Healthscope Commercial |
$1,385.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,385.80
|
| Rate for Payer: Meridian Medicaid |
$791.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,212.57
|
| Rate for Payer: PACE SWMI |
$1,154.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,154.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$753.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,794.43
|
| Rate for Payer: Priority Health Medicare |
$1,154.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,794.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,189.47
|
|
|
PR ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ
|
Professional
|
Both
|
$3,612.00
|
|
|
Service Code
|
HCPCS 25332
|
| Min. Negotiated Rate |
$546.77 |
| Max. Negotiated Rate |
$2,528.40 |
| Rate for Payer: Aetna Commercial |
$1,117.06
|
| Rate for Payer: Aetna Medicare |
$833.63
|
| Rate for Payer: BCBS Complete |
$574.11
|
| Rate for Payer: BCBS MAPPO |
$833.63
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$1,244.17
|
| Rate for Payer: BCN Medicare Advantage |
$833.63
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Cofinity Commercial |
$1,200.43
|
| Rate for Payer: Cofinity Commercial |
$1,117.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$833.63
|
| Rate for Payer: Healthscope Commercial |
$1,000.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,000.36
|
| Rate for Payer: Meridian Medicaid |
$574.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$875.31
|
| Rate for Payer: PACE SWMI |
$833.63
|
| Rate for Payer: PHP Medicare Advantage |
$833.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,528.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,300.12
|
| Rate for Payer: Priority Health Medicare |
$833.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.12
|
| Rate for Payer: UHC Medicare Advantage |
$858.64
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
IP
|
$3,998.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$2,798.60 |
| Max. Negotiated Rate |
$3,998.00 |
| Rate for Payer: Aetna Commercial |
$3,598.20
|
| Rate for Payer: ASR ASR |
$3,878.06
|
| Rate for Payer: BCBS Trust/PPO |
$3,099.65
|
| Rate for Payer: BCN Commercial |
$3,099.65
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$3,758.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.40
|
| Rate for Payer: Healthscope Commercial |
$3,998.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,878.06
|
| Rate for Payer: Mclaren Commercial |
$3,598.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,398.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,518.24
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$3,998.00
|
|
|
Service Code
|
HCPCS 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$626.65 |
| Max. Negotiated Rate |
$2,798.60 |
| Rate for Payer: Aetna Commercial |
$1,287.69
|
| Rate for Payer: Aetna Medicare |
$960.96
|
| Rate for Payer: BCBS Complete |
$657.98
|
| Rate for Payer: BCBS MAPPO |
$960.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: BCN Commercial |
$1,573.32
|
| Rate for Payer: BCN Medicare Advantage |
$960.96
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$1,383.78
|
| Rate for Payer: Cofinity Commercial |
$1,287.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$960.96
|
| Rate for Payer: Healthscope Commercial |
$1,153.15
|
| Rate for Payer: Healthscope Whirlpool |
$1,153.15
|
| Rate for Payer: Meridian Medicaid |
$657.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,009.01
|
| Rate for Payer: PACE SWMI |
$960.96
|
| Rate for Payer: PHP Medicare Advantage |
$960.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.14
|
| Rate for Payer: Priority Health Medicare |
$960.96
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.14
|
| Rate for Payer: UHC Medicare Advantage |
$989.79
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Facility
|
OP
|
$3,998.00
|
|
|
Service Code
|
CPT 29888
|
| Hospital Charge Code |
29888
|
| Min. Negotiated Rate |
$2,798.60 |
| Max. Negotiated Rate |
$7,948.86 |
| Rate for Payer: Aetna Commercial |
$3,598.20
|
| Rate for Payer: Aetna Medicare |
$6,359.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,948.86
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,948.86
|
| Rate for Payer: ASR ASR |
$3,878.06
|
| Rate for Payer: BCBS Complete |
$3,652.66
|
| Rate for Payer: BCBS MAPPO |
$6,359.09
|
| Rate for Payer: BCBS Trust/PPO |
$3,099.65
|
| Rate for Payer: BCN Commercial |
$3,099.65
|
| Rate for Payer: BCN Medicare Advantage |
$6,359.09
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$3,758.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,198.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,359.09
|
| Rate for Payer: Healthscope Commercial |
$3,998.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,878.06
|
| Rate for Payer: Humana Choice PPO Medicare |
$6,359.09
|
| Rate for Payer: Mclaren Commercial |
$3,598.20
|
| Rate for Payer: Mclaren Medicaid |
$3,478.42
|
| Rate for Payer: Mclaren Medicare |
$6,359.09
|
| Rate for Payer: Meridian Medicaid |
$3,652.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$6,677.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7,312.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,398.30
|
| Rate for Payer: PACE Medicare |
$6,041.14
|
| Rate for Payer: PACE SWMI |
$6,359.09
|
| Rate for Payer: PHP Commercial |
$6,995.00
|
| Rate for Payer: PHP Medicaid |
$3,478.42
|
| Rate for Payer: PHP Medicare Advantage |
$6,359.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,478.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,638.18
|
| Rate for Payer: Priority Health Medicare |
$6,359.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,838.58
|
| Rate for Payer: Railroad Medicare Medicare |
$6,359.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,518.24
|
| Rate for Payer: UHC Medicare Advantage |
$6,549.86
|
| Rate for Payer: VA VA |
$6,359.09
|
|
|
PR ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$3,998.00
|
|
|
Service Code
|
HCPCS 29888
|
| Min. Negotiated Rate |
$626.65 |
| Max. Negotiated Rate |
$2,798.60 |
| Rate for Payer: Aetna Commercial |
$1,287.69
|
| Rate for Payer: Aetna Medicare |
$960.96
|
| Rate for Payer: BCBS Complete |
$657.98
|
| Rate for Payer: BCBS MAPPO |
$960.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,043.92
|
| Rate for Payer: BCN Commercial |
$1,573.32
|
| Rate for Payer: BCN Medicare Advantage |
$960.96
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cash Price |
$3,198.40
|
| Rate for Payer: Cofinity Commercial |
$1,287.69
|
| Rate for Payer: Cofinity Commercial |
$1,383.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$960.96
|
| Rate for Payer: Healthscope Commercial |
$1,153.15
|
| Rate for Payer: Healthscope Whirlpool |
$1,153.15
|
| Rate for Payer: Meridian Medicaid |
$657.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,009.01
|
| Rate for Payer: PACE SWMI |
$960.96
|
| Rate for Payer: PHP Medicare Advantage |
$960.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.14
|
| Rate for Payer: Priority Health Medicare |
$960.96
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.14
|
| Rate for Payer: UHC Medicare Advantage |
$989.79
|
|
|
PR ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ
|
Professional
|
Both
|
$4,154.00
|
|
|
Service Code
|
HCPCS 29889
|
| Min. Negotiated Rate |
$788.95 |
| Max. Negotiated Rate |
$2,907.80 |
| Rate for Payer: Aetna Commercial |
$1,615.12
|
| Rate for Payer: Aetna Medicare |
$1,205.31
|
| Rate for Payer: BCBS Complete |
$828.40
|
| Rate for Payer: BCBS MAPPO |
$1,205.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,326.56
|
| Rate for Payer: BCN Commercial |
$1,793.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,205.31
|
| Rate for Payer: Cash Price |
$3,323.20
|
| Rate for Payer: Cash Price |
$3,323.20
|
| Rate for Payer: Cofinity Commercial |
$1,735.65
|
| Rate for Payer: Cofinity Commercial |
$1,615.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,205.31
|
| Rate for Payer: Healthscope Commercial |
$1,446.37
|
| Rate for Payer: Healthscope Whirlpool |
$1,446.37
|
| Rate for Payer: Meridian Medicaid |
$828.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,265.58
|
| Rate for Payer: PACE SWMI |
$1,205.31
|
| Rate for Payer: PHP Medicare Advantage |
$1,205.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,907.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,874.60
|
| Rate for Payer: Priority Health Medicare |
$1,205.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,874.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,241.47
|
|
|
PR ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX
|
Professional
|
Both
|
$2,635.00
|
|
|
Service Code
|
HCPCS 29892
|
| Min. Negotiated Rate |
$413.43 |
| Max. Negotiated Rate |
$1,844.50 |
| Rate for Payer: Aetna Commercial |
$845.96
|
| Rate for Payer: Aetna Medicare |
$631.31
|
| Rate for Payer: BCBS Complete |
$434.10
|
| Rate for Payer: BCBS MAPPO |
$631.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.83
|
| Rate for Payer: BCN Commercial |
$939.24
|
| Rate for Payer: BCN Medicare Advantage |
$631.31
|
| Rate for Payer: Cash Price |
$2,108.00
|
| Rate for Payer: Cash Price |
$2,108.00
|
| Rate for Payer: Cofinity Commercial |
$845.96
|
| Rate for Payer: Cofinity Commercial |
$909.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.31
|
| Rate for Payer: Healthscope Commercial |
$757.57
|
| Rate for Payer: Healthscope Whirlpool |
$757.57
|
| Rate for Payer: Meridian Medicaid |
$434.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$662.88
|
| Rate for Payer: PACE SWMI |
$631.31
|
| Rate for Payer: PHP Medicare Advantage |
$631.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,844.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$981.47
|
| Rate for Payer: Priority Health Medicare |
$631.31
|
| Rate for Payer: Priority Health Narrow Network |
$981.47
|
| Rate for Payer: UHC Medicare Advantage |
$650.25
|
|
|
PR ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR
|
Professional
|
Both
|
$2,492.00
|
|
|
Service Code
|
HCPCS 29855
|
| Min. Negotiated Rate |
$503.96 |
| Max. Negotiated Rate |
$1,744.40 |
| Rate for Payer: Aetna Commercial |
$1,030.86
|
| Rate for Payer: Aetna Medicare |
$769.30
|
| Rate for Payer: BCBS Complete |
$529.16
|
| Rate for Payer: BCBS MAPPO |
$769.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,471.84
|
| Rate for Payer: BCN Commercial |
$1,147.91
|
| Rate for Payer: BCN Medicare Advantage |
$769.30
|
| Rate for Payer: Cash Price |
$1,993.60
|
| Rate for Payer: Cash Price |
$1,993.60
|
| Rate for Payer: Cofinity Commercial |
$1,030.86
|
| Rate for Payer: Cofinity Commercial |
$1,107.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$769.30
|
| Rate for Payer: Healthscope Commercial |
$923.16
|
| Rate for Payer: Healthscope Whirlpool |
$923.16
|
| Rate for Payer: Meridian Medicaid |
$529.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$807.76
|
| Rate for Payer: PACE SWMI |
$769.30
|
| Rate for Payer: PHP Medicare Advantage |
$769.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$503.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,744.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,199.52
|
| Rate for Payer: Priority Health Medicare |
$769.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,199.52
|
| Rate for Payer: UHC Medicare Advantage |
$792.38
|
|
|
PR ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR
|
Professional
|
Both
|
$1,751.00
|
|
|
Service Code
|
HCPCS 29856
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$1,644.07 |
| Rate for Payer: Aetna Commercial |
$1,311.14
|
| Rate for Payer: Aetna Medicare |
$978.46
|
| Rate for Payer: BCBS Complete |
$671.17
|
| Rate for Payer: BCBS MAPPO |
$978.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,644.07
|
| Rate for Payer: BCN Commercial |
$1,455.28
|
| Rate for Payer: BCN Medicare Advantage |
$978.46
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cash Price |
$1,400.80
|
| Rate for Payer: Cofinity Commercial |
$1,311.14
|
| Rate for Payer: Cofinity Commercial |
$1,408.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$978.46
|
| Rate for Payer: Healthscope Commercial |
$1,174.15
|
| Rate for Payer: Healthscope Whirlpool |
$1,174.15
|
| Rate for Payer: Meridian Medicaid |
$671.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,027.38
|
| Rate for Payer: PACE SWMI |
$978.46
|
| Rate for Payer: PHP Medicare Advantage |
$978.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$639.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,225.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,520.71
|
| Rate for Payer: Priority Health Medicare |
$978.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,520.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,007.81
|
|
|
PR ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT
|
Professional
|
Both
|
$2,380.00
|
|
|
Service Code
|
HCPCS 29891
|
| Min. Negotiated Rate |
$435.37 |
| Max. Negotiated Rate |
$1,666.00 |
| Rate for Payer: Aetna Commercial |
$882.36
|
| Rate for Payer: Aetna Medicare |
$658.48
|
| Rate for Payer: BCBS Complete |
$457.14
|
| Rate for Payer: BCBS MAPPO |
$658.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,590.71
|
| Rate for Payer: BCN Commercial |
$982.73
|
| Rate for Payer: BCN Medicare Advantage |
$658.48
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cash Price |
$1,904.00
|
| Rate for Payer: Cofinity Commercial |
$948.21
|
| Rate for Payer: Cofinity Commercial |
$882.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.48
|
| Rate for Payer: Healthscope Commercial |
$790.18
|
| Rate for Payer: Healthscope Whirlpool |
$790.18
|
| Rate for Payer: Meridian Medicaid |
$457.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$691.40
|
| Rate for Payer: PACE SWMI |
$658.48
|
| Rate for Payer: PHP Medicare Advantage |
$658.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$435.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,666.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,026.91
|
| Rate for Payer: Priority Health Medicare |
$658.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,026.91
|
| Rate for Payer: UHC Medicare Advantage |
$678.23
|
|
|
PR ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG
|
Professional
|
Both
|
$2,704.00
|
|
|
Service Code
|
HCPCS 29862
|
| Min. Negotiated Rate |
$526.75 |
| Max. Negotiated Rate |
$1,892.80 |
| Rate for Payer: Aetna Commercial |
$1,071.37
|
| Rate for Payer: Aetna Medicare |
$799.53
|
| Rate for Payer: BCBS Complete |
$553.09
|
| Rate for Payer: BCBS MAPPO |
$799.53
|
| Rate for Payer: BCBS Trust/PPO |
$798.79
|
| Rate for Payer: BCN Commercial |
$1,193.35
|
| Rate for Payer: BCN Medicare Advantage |
$799.53
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,151.32
|
| Rate for Payer: Cofinity Commercial |
$1,071.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$799.53
|
| Rate for Payer: Healthscope Commercial |
$959.44
|
| Rate for Payer: Healthscope Whirlpool |
$959.44
|
| Rate for Payer: Meridian Medicaid |
$553.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$839.51
|
| Rate for Payer: PACE SWMI |
$799.53
|
| Rate for Payer: PHP Medicare Advantage |
$799.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$526.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,892.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,247.01
|
| Rate for Payer: Priority Health Medicare |
$799.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,247.01
|
| Rate for Payer: UHC Medicare Advantage |
$823.52
|
|
|
PR ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX
|
Facility
|
OP
|
$2,475.00
|
|
|
Service Code
|
CPT 29879
|
| Hospital Charge Code |
29879
|
| Min. Negotiated Rate |
$1,573.80 |
| Max. Negotiated Rate |
$3,596.44 |
| Rate for Payer: Aetna Commercial |
$2,227.50
|
| 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 |
$2,400.75
|
| Rate for Payer: BCBS Complete |
$1,652.63
|
| Rate for Payer: BCBS MAPPO |
$2,877.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,918.87
|
| Rate for Payer: BCN Commercial |
$1,918.87
|
| Rate for Payer: BCN Medicare Advantage |
$2,877.15
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cofinity Commercial |
$2,326.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,980.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,877.15
|
| Rate for Payer: Healthscope Commercial |
$2,475.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,400.75
|
| Rate for Payer: Humana Choice PPO Medicare |
$2,877.15
|
| Rate for Payer: Mclaren Commercial |
$2,227.50
|
| 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 |
$2,103.75
|
| 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 |
$1,732.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,252.25
|
| Rate for Payer: Priority Health Medicare |
$2,877.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,757.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2,877.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,178.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,963.46
|
| Rate for Payer: VA VA |
$2,877.15
|
|
