|
PR ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB
|
Professional
|
Both
|
$3,192.00
|
|
|
Service Code
|
HCPCS 27479
|
| Min. Negotiated Rate |
$541.66 |
| Max. Negotiated Rate |
$2,394.00 |
| Rate for Payer: Aetna Commercial |
$1,115.51
|
| Rate for Payer: Aetna Medicare |
$832.47
|
| Rate for Payer: BCBS Complete |
$568.74
|
| Rate for Payer: BCBS MAPPO |
$832.47
|
| Rate for Payer: BCN Commercial |
$1,396.34
|
| Rate for Payer: BCN Medicare Advantage |
$832.47
|
| Rate for Payer: Cash Price |
$2,553.60
|
| Rate for Payer: Cash Price |
$2,553.60
|
| Rate for Payer: Cofinity Commercial |
$1,198.76
|
| Rate for Payer: Cofinity Commercial |
$1,115.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$832.47
|
| Rate for Payer: Healthscope Commercial |
$998.96
|
| Rate for Payer: Healthscope Whirlpool |
$998.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$874.09
|
| Rate for Payer: Meridian Medicaid |
$568.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$915.72
|
| Rate for Payer: Nomi Health Commercial |
$998.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,394.00
|
| Rate for Payer: PACE SWMI |
$832.47
|
| Rate for Payer: PHP Medicare Advantage |
$832.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,492.65
|
| Rate for Payer: Priority Health Medicare |
$832.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,492.65
|
| Rate for Payer: Railroad Medicare Medicare |
$832.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,609.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$832.47
|
| Rate for Payer: UHC Exchange |
$1,609.48
|
| Rate for Payer: UHC Medicaid |
$541.66
|
| Rate for Payer: UHCCP DNSP |
$832.47
|
| Rate for Payer: UHCCP Medicaid |
$541.66
|
|
|
PR ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
|
Professional
|
Both
|
$144.00
|
|
|
Service Code
|
HCPCS 36600
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$108.00 |
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Medicare |
$12.94
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS MAPPO |
$12.94
|
| Rate for Payer: BCN Commercial |
$21.91
|
| Rate for Payer: BCN Medicare Advantage |
$12.94
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Commercial |
$18.63
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.94
|
| Rate for Payer: Healthscope Commercial |
$15.53
|
| Rate for Payer: Healthscope Whirlpool |
$15.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.59
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.23
|
| Rate for Payer: Nomi Health Commercial |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$108.00
|
| Rate for Payer: PACE SWMI |
$12.94
|
| Rate for Payer: PHP Medicare Advantage |
$12.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23.56
|
| Rate for Payer: Priority Health Medicare |
$12.94
|
| Rate for Payer: Priority Health Narrow Network |
$23.56
|
| Rate for Payer: Railroad Medicare Medicare |
$12.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.94
|
| Rate for Payer: UHC Exchange |
$27.72
|
| Rate for Payer: UHC Medicaid |
$8.31
|
| Rate for Payer: UHCCP DNSP |
$12.94
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
PR ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT
|
Professional
|
Both
|
$2,305.00
|
|
|
Service Code
|
HCPCS 36821
|
| Min. Negotiated Rate |
$383.19 |
| Max. Negotiated Rate |
$1,728.75 |
| Rate for Payer: Aetna Commercial |
$808.82
|
| Rate for Payer: Aetna Medicare |
$603.60
|
| Rate for Payer: BCBS Complete |
$402.35
|
| Rate for Payer: BCBS MAPPO |
$603.60
|
| Rate for Payer: BCN Commercial |
$966.58
|
| Rate for Payer: BCN Medicare Advantage |
$603.60
|
| Rate for Payer: Cash Price |
$1,844.00
|
| Rate for Payer: Cash Price |
$1,844.00
|
| Rate for Payer: Cofinity Commercial |
$869.18
|
| Rate for Payer: Cofinity Commercial |
$808.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.60
|
| Rate for Payer: Healthscope Commercial |
$724.32
|
| Rate for Payer: Healthscope Whirlpool |
$724.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.78
|
| Rate for Payer: Meridian Medicaid |
$402.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$663.96
|
| Rate for Payer: Nomi Health Commercial |
$724.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,728.75
|
| Rate for Payer: PACE SWMI |
$603.60
|
| Rate for Payer: PHP Medicare Advantage |
$603.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,039.44
|
| Rate for Payer: Priority Health Medicare |
$603.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,039.44
|
| Rate for Payer: Railroad Medicare Medicare |
$603.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,187.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$603.60
|
| Rate for Payer: UHC Exchange |
$1,187.97
|
| Rate for Payer: UHC Medicaid |
$383.19
|
| Rate for Payer: UHCCP DNSP |
$603.60
|
| Rate for Payer: UHCCP Medicaid |
$383.19
|
|
|
PR ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 33987
|
| Min. Negotiated Rate |
$121.41 |
| Max. Negotiated Rate |
$373.35 |
| Rate for Payer: Aetna Commercial |
$257.44
|
| Rate for Payer: Aetna Medicare |
$192.12
|
| Rate for Payer: BCBS Complete |
$127.48
|
| Rate for Payer: BCBS MAPPO |
$192.12
|
| Rate for Payer: BCN Commercial |
$301.78
|
| Rate for Payer: BCN Medicare Advantage |
$192.12
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$276.65
|
| Rate for Payer: Cofinity Commercial |
$257.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.12
|
| Rate for Payer: Healthscope Commercial |
$230.54
|
| Rate for Payer: Healthscope Whirlpool |
$230.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.73
|
| Rate for Payer: Meridian Medicaid |
$127.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$211.33
|
| Rate for Payer: Nomi Health Commercial |
$230.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$341.25
|
| Rate for Payer: PACE SWMI |
$192.12
|
| Rate for Payer: PHP Medicare Advantage |
$192.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$324.52
|
| Rate for Payer: Priority Health Medicare |
$192.12
|
| Rate for Payer: Priority Health Narrow Network |
$324.52
|
| Rate for Payer: Railroad Medicare Medicare |
$192.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$373.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$192.12
|
| Rate for Payer: UHC Exchange |
$373.35
|
| Rate for Payer: UHC Medicaid |
$121.41
|
| Rate for Payer: UHCCP DNSP |
$192.12
|
| Rate for Payer: UHCCP Medicaid |
$121.41
|
|
|
PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2
|
Professional
|
Both
|
$4,548.00
|
|
|
Service Code
|
HCPCS 22551
|
| Min. Negotiated Rate |
$1,023.47 |
| Max. Negotiated Rate |
$3,411.00 |
| Rate for Payer: Aetna Commercial |
$2,138.08
|
| Rate for Payer: Aetna Medicare |
$1,595.58
|
| Rate for Payer: BCBS Complete |
$1,074.64
|
| Rate for Payer: BCBS MAPPO |
$1,595.58
|
| Rate for Payer: BCN Commercial |
$2,576.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,595.58
|
| Rate for Payer: Cash Price |
$3,638.40
|
| Rate for Payer: Cash Price |
$3,638.40
|
| Rate for Payer: Cofinity Commercial |
$2,297.64
|
| Rate for Payer: Cofinity Commercial |
$2,138.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,595.58
|
| Rate for Payer: Healthscope Commercial |
$1,914.70
|
| Rate for Payer: Healthscope Whirlpool |
$1,914.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,675.36
|
| Rate for Payer: Meridian Medicaid |
$1,074.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,755.14
|
| Rate for Payer: Nomi Health Commercial |
$1,914.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,411.00
|
| Rate for Payer: PACE SWMI |
$1,595.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,595.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,023.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,754.27
|
| Rate for Payer: Priority Health Medicare |
$1,595.58
|
| Rate for Payer: Priority Health Narrow Network |
$2,754.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,595.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,011.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,595.58
|
| Rate for Payer: UHC Exchange |
$3,011.14
|
| Rate for Payer: UHC Medicaid |
$1,023.47
|
| Rate for Payer: UHCCP DNSP |
$1,595.58
|
| Rate for Payer: UHCCP Medicaid |
$1,023.47
|
|
|
PR ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2
|
Professional
|
Both
|
$5,063.00
|
|
|
Service Code
|
HCPCS 22554
|
| Min. Negotiated Rate |
$775.32 |
| Max. Negotiated Rate |
$3,797.25 |
| Rate for Payer: Aetna Commercial |
$1,610.67
|
| Rate for Payer: Aetna Medicare |
$1,201.99
|
| Rate for Payer: BCBS Complete |
$814.09
|
| Rate for Payer: BCBS MAPPO |
$1,201.99
|
| Rate for Payer: BCN Commercial |
$2,109.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,201.99
|
| Rate for Payer: Cash Price |
$4,050.40
|
| Rate for Payer: Cash Price |
$4,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,730.87
|
| Rate for Payer: Cofinity Commercial |
$1,610.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,201.99
|
| Rate for Payer: Healthscope Commercial |
$1,442.39
|
| Rate for Payer: Healthscope Whirlpool |
$1,442.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,262.09
|
| Rate for Payer: Meridian Medicaid |
$814.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,322.19
|
| Rate for Payer: Nomi Health Commercial |
$1,442.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,797.25
|
| Rate for Payer: PACE SWMI |
$1,201.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,201.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,052.65
|
| Rate for Payer: Priority Health Medicare |
$1,201.99
|
| Rate for Payer: Priority Health Narrow Network |
$2,052.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,201.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,209.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,201.99
|
| Rate for Payer: UHC Exchange |
$2,209.57
|
| Rate for Payer: UHC Medicaid |
$775.32
|
| Rate for Payer: UHCCP DNSP |
$1,201.99
|
| Rate for Payer: UHCCP Medicaid |
$775.32
|
|
|
PR ARTHRD ANT INTERBODY MIN DSC LUMBAR
|
Professional
|
Both
|
$3,286.00
|
|
|
Service Code
|
HCPCS 22558
|
| Min. Negotiated Rate |
$908.02 |
| Max. Negotiated Rate |
$2,707.54 |
| Rate for Payer: Aetna Commercial |
$1,894.08
|
| Rate for Payer: Aetna Medicare |
$1,413.49
|
| Rate for Payer: BCBS Complete |
$953.42
|
| Rate for Payer: BCBS MAPPO |
$1,413.49
|
| Rate for Payer: BCN Commercial |
$2,532.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,413.49
|
| Rate for Payer: Cash Price |
$2,628.80
|
| Rate for Payer: Cash Price |
$2,628.80
|
| Rate for Payer: Cofinity Commercial |
$2,035.43
|
| Rate for Payer: Cofinity Commercial |
$1,894.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,413.49
|
| Rate for Payer: Healthscope Commercial |
$1,696.19
|
| Rate for Payer: Healthscope Whirlpool |
$1,696.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,484.16
|
| Rate for Payer: Meridian Medicaid |
$953.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,554.84
|
| Rate for Payer: Nomi Health Commercial |
$1,696.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,464.50
|
| Rate for Payer: PACE SWMI |
$1,413.49
|
| Rate for Payer: PHP Medicare Advantage |
$1,413.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$908.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,464.67
|
| Rate for Payer: Priority Health Medicare |
$1,413.49
|
| Rate for Payer: Priority Health Narrow Network |
$2,464.67
|
| Rate for Payer: Railroad Medicare Medicare |
$1,413.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,707.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,413.49
|
| Rate for Payer: UHC Exchange |
$2,707.54
|
| Rate for Payer: UHC Medicaid |
$908.02
|
| Rate for Payer: UHCCP DNSP |
$1,413.49
|
| Rate for Payer: UHCCP Medicaid |
$908.02
|
|
|
PR ARTHRD ANT INTERBODY MIN DSC THORACIC
|
Professional
|
Both
|
$6,162.00
|
|
|
Service Code
|
HCPCS 22556
|
| Min. Negotiated Rate |
$1,019.63 |
| Max. Negotiated Rate |
$4,621.50 |
| Rate for Payer: Aetna Commercial |
$2,124.42
|
| Rate for Payer: Aetna Medicare |
$1,585.39
|
| Rate for Payer: BCBS Complete |
$1,070.61
|
| Rate for Payer: BCBS MAPPO |
$1,585.39
|
| Rate for Payer: BCN Commercial |
$2,807.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,585.39
|
| Rate for Payer: Cash Price |
$4,929.60
|
| Rate for Payer: Cash Price |
$4,929.60
|
| Rate for Payer: Cofinity Commercial |
$2,282.96
|
| Rate for Payer: Cofinity Commercial |
$2,124.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,585.39
|
| Rate for Payer: Healthscope Commercial |
$1,902.47
|
| Rate for Payer: Healthscope Whirlpool |
$1,902.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,664.66
|
| Rate for Payer: Meridian Medicaid |
$1,070.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,743.93
|
| Rate for Payer: Nomi Health Commercial |
$1,902.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,621.50
|
| Rate for Payer: PACE SWMI |
$1,585.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,585.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,019.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,731.38
|
| Rate for Payer: Priority Health Medicare |
$1,585.39
|
| Rate for Payer: Priority Health Narrow Network |
$2,731.38
|
| Rate for Payer: Railroad Medicare Medicare |
$1,585.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,936.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,585.39
|
| Rate for Payer: UHC Exchange |
$2,936.20
|
| Rate for Payer: UHC Medicaid |
$1,019.63
|
| Rate for Payer: UHCCP DNSP |
$1,585.39
|
| Rate for Payer: UHCCP Medicaid |
$1,019.63
|
|
|
PR ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC
|
Professional
|
Both
|
$1,062.00
|
|
|
Service Code
|
HCPCS 22552
|
| Min. Negotiated Rate |
$225.14 |
| Max. Negotiated Rate |
$796.50 |
| Rate for Payer: Aetna Commercial |
$476.92
|
| Rate for Payer: Aetna Medicare |
$355.91
|
| Rate for Payer: BCBS Complete |
$236.40
|
| Rate for Payer: BCBS MAPPO |
$355.91
|
| Rate for Payer: BCN Commercial |
$593.10
|
| Rate for Payer: BCN Medicare Advantage |
$355.91
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cofinity Commercial |
$512.51
|
| Rate for Payer: Cofinity Commercial |
$476.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.91
|
| Rate for Payer: Healthscope Commercial |
$427.09
|
| Rate for Payer: Healthscope Whirlpool |
$427.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.71
|
| Rate for Payer: Meridian Medicaid |
$236.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$391.50
|
| Rate for Payer: Nomi Health Commercial |
$427.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.50
|
| Rate for Payer: PACE SWMI |
$355.91
|
| Rate for Payer: PHP Medicare Advantage |
$355.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$634.01
|
| Rate for Payer: Priority Health Medicare |
$355.91
|
| Rate for Payer: Priority Health Narrow Network |
$634.01
|
| Rate for Payer: Railroad Medicare Medicare |
$355.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$708.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$355.91
|
| Rate for Payer: UHC Exchange |
$708.68
|
| Rate for Payer: UHC Medicaid |
$225.14
|
| Rate for Payer: UHCCP DNSP |
$355.91
|
| Rate for Payer: UHCCP Medicaid |
$225.14
|
|
|
PR ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE
|
Professional
|
Both
|
$1,717.00
|
|
|
Service Code
|
HCPCS 22585
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$1,287.75 |
| Rate for Payer: Aetna Commercial |
$388.35
|
| Rate for Payer: Aetna Medicare |
$289.81
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCBS MAPPO |
$289.81
|
| Rate for Payer: BCN Commercial |
$531.75
|
| Rate for Payer: BCN Medicare Advantage |
$289.81
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cash Price |
$1,373.60
|
| Rate for Payer: Cofinity Commercial |
$417.33
|
| Rate for Payer: Cofinity Commercial |
$388.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$289.81
|
| Rate for Payer: Healthscope Commercial |
$347.77
|
| Rate for Payer: Healthscope Whirlpool |
$347.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$304.30
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$318.79
|
| Rate for Payer: Nomi Health Commercial |
$347.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,287.75
|
| Rate for Payer: PACE SWMI |
$289.81
|
| Rate for Payer: PHP Medicare Advantage |
$289.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$517.43
|
| Rate for Payer: Priority Health Medicare |
$289.81
|
| Rate for Payer: Priority Health Narrow Network |
$517.43
|
| Rate for Payer: Railroad Medicare Medicare |
$289.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$583.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$289.81
|
| Rate for Payer: UHC Exchange |
$583.65
|
| Rate for Payer: UHC Medicaid |
$183.39
|
| Rate for Payer: UHCCP DNSP |
$289.81
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH
|
Professional
|
Both
|
$3,204.00
|
|
|
Service Code
|
HCPCS 26843
|
| Min. Negotiated Rate |
$490.75 |
| Max. Negotiated Rate |
$2,403.00 |
| Rate for Payer: Aetna Commercial |
$986.71
|
| Rate for Payer: Aetna Medicare |
$736.35
|
| Rate for Payer: BCBS Complete |
$515.29
|
| Rate for Payer: BCBS MAPPO |
$736.35
|
| Rate for Payer: BCN Commercial |
$1,180.21
|
| Rate for Payer: BCN Medicare Advantage |
$736.35
|
| Rate for Payer: Cash Price |
$2,563.20
|
| Rate for Payer: Cash Price |
$2,563.20
|
| Rate for Payer: Cofinity Commercial |
$986.71
|
| Rate for Payer: Cofinity Commercial |
$1,060.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$736.35
|
| Rate for Payer: Healthscope Commercial |
$883.62
|
| Rate for Payer: Healthscope Whirlpool |
$883.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$773.17
|
| Rate for Payer: Meridian Medicaid |
$515.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$809.99
|
| Rate for Payer: Nomi Health Commercial |
$883.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,403.00
|
| Rate for Payer: PACE SWMI |
$736.35
|
| Rate for Payer: PHP Medicare Advantage |
$736.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,261.61
|
| Rate for Payer: Priority Health Medicare |
$736.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,261.61
|
| Rate for Payer: Railroad Medicare Medicare |
$736.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,293.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$736.35
|
| Rate for Payer: UHC Exchange |
$1,293.57
|
| Rate for Payer: UHC Medicaid |
$490.75
|
| Rate for Payer: UHCCP DNSP |
$736.35
|
| Rate for Payer: UHCCP Medicaid |
$490.75
|
|
|
PR ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT
|
Professional
|
Both
|
$3,448.00
|
|
|
Service Code
|
HCPCS 26844
|
| Min. Negotiated Rate |
$536.12 |
| Max. Negotiated Rate |
$2,586.00 |
| Rate for Payer: Aetna Commercial |
$1,080.62
|
| Rate for Payer: Aetna Medicare |
$806.43
|
| Rate for Payer: BCBS Complete |
$562.93
|
| Rate for Payer: BCBS MAPPO |
$806.43
|
| Rate for Payer: BCN Commercial |
$1,299.73
|
| Rate for Payer: BCN Medicare Advantage |
$806.43
|
| Rate for Payer: Cash Price |
$2,758.40
|
| Rate for Payer: Cash Price |
$2,758.40
|
| Rate for Payer: Cofinity Commercial |
$1,161.26
|
| Rate for Payer: Cofinity Commercial |
$1,080.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$806.43
|
| Rate for Payer: Healthscope Commercial |
$967.72
|
| Rate for Payer: Healthscope Whirlpool |
$967.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$846.75
|
| Rate for Payer: Meridian Medicaid |
$562.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$887.07
|
| Rate for Payer: Nomi Health Commercial |
$967.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,586.00
|
| Rate for Payer: PACE SWMI |
$806.43
|
| Rate for Payer: PHP Medicare Advantage |
$806.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$536.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,389.37
|
| Rate for Payer: Priority Health Medicare |
$806.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,389.37
|
| Rate for Payer: Railroad Medicare Medicare |
$806.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,434.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$806.43
|
| Rate for Payer: UHC Exchange |
$1,434.02
|
| Rate for Payer: UHC Medicaid |
$536.12
|
| Rate for Payer: UHCCP DNSP |
$806.43
|
| Rate for Payer: UHCCP Medicaid |
$536.12
|
|
|
PR ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ
|
Professional
|
Both
|
$3,204.00
|
|
|
Service Code
|
HCPCS 26841
|
| Min. Negotiated Rate |
$479.04 |
| Max. Negotiated Rate |
$2,403.00 |
| Rate for Payer: Aetna Commercial |
$960.57
|
| Rate for Payer: Aetna Medicare |
$716.84
|
| Rate for Payer: BCBS Complete |
$502.99
|
| Rate for Payer: BCBS MAPPO |
$716.84
|
| Rate for Payer: BCN Commercial |
$1,167.26
|
| Rate for Payer: BCN Medicare Advantage |
$716.84
|
| Rate for Payer: Cash Price |
$2,563.20
|
| Rate for Payer: Cash Price |
$2,563.20
|
| Rate for Payer: Cofinity Commercial |
$960.57
|
| Rate for Payer: Cofinity Commercial |
$1,032.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.84
|
| Rate for Payer: Healthscope Commercial |
$860.21
|
| Rate for Payer: Healthscope Whirlpool |
$860.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$752.68
|
| Rate for Payer: Meridian Medicaid |
$502.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$788.52
|
| Rate for Payer: Nomi Health Commercial |
$860.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,403.00
|
| Rate for Payer: PACE SWMI |
$716.84
|
| Rate for Payer: PHP Medicare Advantage |
$716.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,247.77
|
| Rate for Payer: Priority Health Medicare |
$716.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,247.77
|
| Rate for Payer: Railroad Medicare Medicare |
$716.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,267.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$716.84
|
| Rate for Payer: UHC Exchange |
$1,267.82
|
| Rate for Payer: UHC Medicaid |
$479.04
|
| Rate for Payer: UHCCP DNSP |
$716.84
|
| Rate for Payer: UHCCP Medicaid |
$479.04
|
|
|
PR ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT
|
Professional
|
Both
|
$3,399.00
|
|
|
Service Code
|
HCPCS 26842
|
| Min. Negotiated Rate |
$520.36 |
| Max. Negotiated Rate |
$2,549.25 |
| Rate for Payer: Aetna Commercial |
$1,047.55
|
| Rate for Payer: Aetna Medicare |
$781.75
|
| Rate for Payer: BCBS Complete |
$546.38
|
| Rate for Payer: BCBS MAPPO |
$781.75
|
| Rate for Payer: BCN Commercial |
$1,257.41
|
| Rate for Payer: BCN Medicare Advantage |
$781.75
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cash Price |
$2,719.20
|
| Rate for Payer: Cofinity Commercial |
$1,125.72
|
| Rate for Payer: Cofinity Commercial |
$1,047.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.75
|
| Rate for Payer: Healthscope Commercial |
$938.10
|
| Rate for Payer: Healthscope Whirlpool |
$938.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.84
|
| Rate for Payer: Meridian Medicaid |
$546.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$859.92
|
| Rate for Payer: Nomi Health Commercial |
$938.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,549.25
|
| Rate for Payer: PACE SWMI |
$781.75
|
| Rate for Payer: PHP Medicare Advantage |
$781.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$520.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,344.13
|
| Rate for Payer: Priority Health Medicare |
$781.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,344.13
|
| Rate for Payer: Railroad Medicare Medicare |
$781.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,366.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$781.75
|
| Rate for Payer: UHC Exchange |
$1,366.87
|
| Rate for Payer: UHC Medicaid |
$520.36
|
| Rate for Payer: UHCCP DNSP |
$781.75
|
| Rate for Payer: UHCCP Medicaid |
$520.36
|
|
|
PR ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE
|
Professional
|
Both
|
$1,737.00
|
|
|
Service Code
|
HCPCS 25830
|
| Min. Negotiated Rate |
$618.98 |
| Max. Negotiated Rate |
$1,685.40 |
| Rate for Payer: Aetna Commercial |
$1,248.91
|
| Rate for Payer: Aetna Medicare |
$932.02
|
| Rate for Payer: BCBS Complete |
$649.93
|
| Rate for Payer: BCBS MAPPO |
$932.02
|
| Rate for Payer: BCN Commercial |
$1,552.20
|
| Rate for Payer: BCN Medicare Advantage |
$932.02
|
| Rate for Payer: Cash Price |
$1,389.60
|
| Rate for Payer: Cash Price |
$1,389.60
|
| Rate for Payer: Cofinity Commercial |
$1,342.11
|
| Rate for Payer: Cofinity Commercial |
$1,248.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$932.02
|
| Rate for Payer: Healthscope Commercial |
$1,118.42
|
| Rate for Payer: Healthscope Whirlpool |
$1,118.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$978.62
|
| Rate for Payer: Meridian Medicaid |
$649.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,025.22
|
| Rate for Payer: Nomi Health Commercial |
$1,118.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,302.75
|
| Rate for Payer: PACE SWMI |
$932.02
|
| Rate for Payer: PHP Medicare Advantage |
$932.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,659.26
|
| Rate for Payer: Priority Health Medicare |
$932.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,659.26
|
| Rate for Payer: Railroad Medicare Medicare |
$932.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,685.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$932.02
|
| Rate for Payer: UHC Exchange |
$1,685.40
|
| Rate for Payer: UHC Medicaid |
$618.98
|
| Rate for Payer: UHCCP DNSP |
$932.02
|
| Rate for Payer: UHCCP Medicaid |
$618.98
|
|
|
PR ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT
|
Professional
|
Both
|
$2,958.00
|
|
|
Service Code
|
HCPCS 28735
|
| Min. Negotiated Rate |
$464.55 |
| Max. Negotiated Rate |
$2,218.50 |
| Rate for Payer: Aetna Commercial |
$955.25
|
| Rate for Payer: Aetna Medicare |
$712.87
|
| Rate for Payer: BCBS Complete |
$487.78
|
| Rate for Payer: BCBS MAPPO |
$712.87
|
| Rate for Payer: BCN Commercial |
$1,181.21
|
| Rate for Payer: BCN Medicare Advantage |
$712.87
|
| Rate for Payer: Cash Price |
$2,366.40
|
| Rate for Payer: Cash Price |
$2,366.40
|
| Rate for Payer: Cofinity Commercial |
$955.25
|
| Rate for Payer: Cofinity Commercial |
$1,026.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$712.87
|
| Rate for Payer: Healthscope Commercial |
$855.44
|
| Rate for Payer: Healthscope Whirlpool |
$855.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$748.51
|
| Rate for Payer: Meridian Medicaid |
$487.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$784.16
|
| Rate for Payer: Nomi Health Commercial |
$855.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,218.50
|
| Rate for Payer: PACE SWMI |
$712.87
|
| Rate for Payer: PHP Medicare Advantage |
$712.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,262.68
|
| Rate for Payer: Priority Health Medicare |
$712.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,262.68
|
| Rate for Payer: Railroad Medicare Medicare |
$712.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,360.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$712.87
|
| Rate for Payer: UHC Exchange |
$1,360.05
|
| Rate for Payer: UHC Medicaid |
$464.55
|
| Rate for Payer: UHCCP DNSP |
$712.87
|
| Rate for Payer: UHCCP Medicaid |
$464.55
|
|
|
PR ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS
|
Professional
|
Both
|
$2,866.00
|
|
|
Service Code
|
HCPCS 28730
|
| Min. Negotiated Rate |
$432.60 |
| Max. Negotiated Rate |
$2,149.50 |
| Rate for Payer: Aetna Commercial |
$886.21
|
| Rate for Payer: Aetna Medicare |
$661.35
|
| Rate for Payer: BCBS Complete |
$454.23
|
| Rate for Payer: BCBS MAPPO |
$661.35
|
| Rate for Payer: BCN Commercial |
$1,099.54
|
| Rate for Payer: BCN Medicare Advantage |
$661.35
|
| Rate for Payer: Cash Price |
$2,292.80
|
| Rate for Payer: Cash Price |
$2,292.80
|
| Rate for Payer: Cofinity Commercial |
$952.34
|
| Rate for Payer: Cofinity Commercial |
$886.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.35
|
| Rate for Payer: Healthscope Commercial |
$793.62
|
| Rate for Payer: Healthscope Whirlpool |
$793.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.42
|
| Rate for Payer: Meridian Medicaid |
$454.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$727.49
|
| Rate for Payer: Nomi Health Commercial |
$793.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,149.50
|
| Rate for Payer: PACE SWMI |
$661.35
|
| Rate for Payer: PHP Medicare Advantage |
$661.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,175.38
|
| Rate for Payer: Priority Health Medicare |
$661.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,175.38
|
| Rate for Payer: Railroad Medicare Medicare |
$661.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,284.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$661.35
|
| Rate for Payer: UHC Exchange |
$1,284.40
|
| Rate for Payer: UHC Medicaid |
$432.60
|
| Rate for Payer: UHCCP DNSP |
$661.35
|
| Rate for Payer: UHCCP Medicaid |
$432.60
|
|
|
PR ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT
|
Professional
|
Both
|
$4,498.00
|
|
|
Service Code
|
HCPCS 22600
|
| Min. Negotiated Rate |
$818.13 |
| Max. Negotiated Rate |
$3,373.50 |
| Rate for Payer: Aetna Commercial |
$1,694.32
|
| Rate for Payer: Aetna Medicare |
$1,264.42
|
| Rate for Payer: BCBS Complete |
$859.04
|
| Rate for Payer: BCBS MAPPO |
$1,264.42
|
| Rate for Payer: BCN Commercial |
$2,186.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,264.42
|
| Rate for Payer: Cash Price |
$3,598.40
|
| Rate for Payer: Cash Price |
$3,598.40
|
| Rate for Payer: Cofinity Commercial |
$1,820.76
|
| Rate for Payer: Cofinity Commercial |
$1,694.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,264.42
|
| Rate for Payer: Healthscope Commercial |
$1,517.30
|
| Rate for Payer: Healthscope Whirlpool |
$1,517.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,327.64
|
| Rate for Payer: Meridian Medicaid |
$859.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,390.86
|
| Rate for Payer: Nomi Health Commercial |
$1,517.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,373.50
|
| Rate for Payer: PACE SWMI |
$1,264.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,264.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,127.71
|
| Rate for Payer: Priority Health Medicare |
$1,264.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,127.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,264.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,264.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,264.42
|
| Rate for Payer: UHC Exchange |
$2,264.30
|
| Rate for Payer: UHC Medicaid |
$818.13
|
| Rate for Payer: UHCCP DNSP |
$1,264.42
|
| Rate for Payer: UHCCP Medicaid |
$818.13
|
|
|
PR ARTHRD SI JT PLMT TRANSARTICULAR&/I-ARTIC DEVICE
|
Professional
|
Both
|
$1,355.00
|
|
|
Service Code
|
HCPCS 27279
|
| Min. Negotiated Rate |
$483.72 |
| Max. Negotiated Rate |
$1,537.88 |
| Rate for Payer: Aetna Commercial |
$999.40
|
| Rate for Payer: Aetna Medicare |
$745.82
|
| Rate for Payer: BCBS Complete |
$507.91
|
| Rate for Payer: BCBS MAPPO |
$745.82
|
| Rate for Payer: BCN Commercial |
$1,216.57
|
| Rate for Payer: BCN Medicare Advantage |
$745.82
|
| Rate for Payer: Cash Price |
$1,084.00
|
| Rate for Payer: Cash Price |
$1,084.00
|
| Rate for Payer: Cofinity Commercial |
$999.40
|
| Rate for Payer: Cofinity Commercial |
$1,073.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.82
|
| Rate for Payer: Healthscope Commercial |
$894.98
|
| Rate for Payer: Healthscope Whirlpool |
$894.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$783.11
|
| Rate for Payer: Meridian Medicaid |
$507.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$820.40
|
| Rate for Payer: Nomi Health Commercial |
$894.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,016.25
|
| Rate for Payer: PACE SWMI |
$745.82
|
| Rate for Payer: PHP Medicare Advantage |
$745.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,300.47
|
| Rate for Payer: Priority Health Medicare |
$745.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,300.47
|
| Rate for Payer: Railroad Medicare Medicare |
$745.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,537.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$745.82
|
| Rate for Payer: UHC Exchange |
$1,537.88
|
| Rate for Payer: UHC Medicaid |
$483.72
|
| Rate for Payer: UHCCP DNSP |
$745.82
|
| Rate for Payer: UHCCP Medicaid |
$483.72
|
|
|
PR ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR
|
Professional
|
Both
|
$1,261.00
|
|
|
Service Code
|
HCPCS 28737
|
| Min. Negotiated Rate |
$403.00 |
| Max. Negotiated Rate |
$1,208.80 |
| Rate for Payer: Aetna Commercial |
$827.95
|
| Rate for Payer: Aetna Medicare |
$617.87
|
| Rate for Payer: BCBS Complete |
$423.15
|
| Rate for Payer: BCBS MAPPO |
$617.87
|
| Rate for Payer: BCN Commercial |
$1,039.29
|
| Rate for Payer: BCN Medicare Advantage |
$617.87
|
| Rate for Payer: Cash Price |
$1,008.80
|
| Rate for Payer: Cash Price |
$1,008.80
|
| Rate for Payer: Cofinity Commercial |
$889.73
|
| Rate for Payer: Cofinity Commercial |
$827.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$617.87
|
| Rate for Payer: Healthscope Commercial |
$741.44
|
| Rate for Payer: Healthscope Whirlpool |
$741.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$648.76
|
| Rate for Payer: Meridian Medicaid |
$423.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$679.66
|
| Rate for Payer: Nomi Health Commercial |
$741.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$945.75
|
| Rate for Payer: PACE SWMI |
$617.87
|
| Rate for Payer: PHP Medicare Advantage |
$617.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$403.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,110.97
|
| Rate for Payer: Priority Health Medicare |
$617.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,110.97
|
| Rate for Payer: Railroad Medicare Medicare |
$617.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,208.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$617.87
|
| Rate for Payer: UHC Exchange |
$1,208.80
|
| Rate for Payer: UHC Medicaid |
$403.00
|
| Rate for Payer: UHCCP DNSP |
$617.87
|
| Rate for Payer: UHCCP Medicaid |
$403.00
|
|
|
PR ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK
|
Professional
|
Both
|
$1,516.00
|
|
|
Service Code
|
HCPCS 28760
|
| Min. Negotiated Rate |
$342.29 |
| Max. Negotiated Rate |
$1,137.00 |
| Rate for Payer: Aetna Commercial |
$701.52
|
| Rate for Payer: Aetna Medicare |
$523.52
|
| Rate for Payer: BCBS Complete |
$359.40
|
| Rate for Payer: BCBS MAPPO |
$523.52
|
| Rate for Payer: BCN Commercial |
$864.49
|
| Rate for Payer: BCN Medicare Advantage |
$523.52
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cofinity Commercial |
$753.87
|
| Rate for Payer: Cofinity Commercial |
$701.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$523.52
|
| Rate for Payer: Healthscope Commercial |
$628.22
|
| Rate for Payer: Healthscope Whirlpool |
$628.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$549.70
|
| Rate for Payer: Meridian Medicaid |
$359.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$575.87
|
| Rate for Payer: Nomi Health Commercial |
$628.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,137.00
|
| Rate for Payer: PACE SWMI |
$523.52
|
| Rate for Payer: PHP Medicare Advantage |
$523.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$342.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$924.13
|
| Rate for Payer: Priority Health Medicare |
$523.52
|
| Rate for Payer: Priority Health Narrow Network |
$924.13
|
| Rate for Payer: Railroad Medicare Medicare |
$523.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,007.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$523.52
|
| Rate for Payer: UHC Exchange |
$1,007.91
|
| Rate for Payer: UHC Medicaid |
$342.29
|
| Rate for Payer: UHCCP DNSP |
$523.52
|
| Rate for Payer: UHCCP Medicaid |
$342.29
|
|
|
PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 20605
|
| Min. Negotiated Rate |
$20.45 |
| Max. Negotiated Rate |
$96.00 |
| Rate for Payer: Aetna Commercial |
$42.57
|
| Rate for Payer: Aetna Medicare |
$31.77
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS MAPPO |
$31.77
|
| Rate for Payer: BCN Commercial |
$43.20
|
| Rate for Payer: BCN Medicare Advantage |
$31.77
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cofinity Commercial |
$45.75
|
| Rate for Payer: Cofinity Commercial |
$42.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.77
|
| Rate for Payer: Healthscope Commercial |
$38.12
|
| Rate for Payer: Healthscope Whirlpool |
$38.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.36
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.95
|
| Rate for Payer: Nomi Health Commercial |
$38.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.00
|
| Rate for Payer: PACE SWMI |
$31.77
|
| Rate for Payer: PHP Medicare Advantage |
$31.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$58.55
|
| Rate for Payer: Priority Health Medicare |
$31.77
|
| Rate for Payer: Priority Health Narrow Network |
$58.55
|
| Rate for Payer: Railroad Medicare Medicare |
$31.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$66.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.77
|
| Rate for Payer: UHC Exchange |
$66.15
|
| Rate for Payer: UHC Medicaid |
$20.45
|
| Rate for Payer: UHCCP DNSP |
$31.77
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
|
|
PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 20606
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$113.25 |
| Rate for Payer: Aetna Commercial |
$59.74
|
| Rate for Payer: Aetna Medicare |
$44.58
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$44.58
|
| Rate for Payer: BCN Commercial |
$61.26
|
| Rate for Payer: BCN Medicare Advantage |
$44.58
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cofinity Commercial |
$64.20
|
| Rate for Payer: Cofinity Commercial |
$59.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.58
|
| Rate for Payer: Healthscope Commercial |
$53.50
|
| Rate for Payer: Healthscope Whirlpool |
$53.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46.81
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$49.04
|
| Rate for Payer: Nomi Health Commercial |
$53.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.25
|
| Rate for Payer: PACE SWMI |
$44.58
|
| Rate for Payer: PHP Medicare Advantage |
$44.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$83.04
|
| Rate for Payer: Priority Health Medicare |
$44.58
|
| Rate for Payer: Priority Health Narrow Network |
$83.04
|
| Rate for Payer: Railroad Medicare Medicare |
$44.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$93.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$44.58
|
| Rate for Payer: UHC Exchange |
$93.25
|
| Rate for Payer: UHC Medicaid |
$28.54
|
| Rate for Payer: UHCCP DNSP |
$44.58
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 20610
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Aetna Commercial |
$52.88
|
| Rate for Payer: Aetna Medicare |
$39.46
|
| Rate for Payer: BCBS Complete |
$26.62
|
| Rate for Payer: BCBS MAPPO |
$39.46
|
| Rate for Payer: BCN Commercial |
$53.41
|
| Rate for Payer: BCN Medicare Advantage |
$39.46
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$56.82
|
| Rate for Payer: Cofinity Commercial |
$52.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.46
|
| Rate for Payer: Healthscope Commercial |
$47.35
|
| Rate for Payer: Healthscope Whirlpool |
$47.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.43
|
| Rate for Payer: Meridian Medicaid |
$26.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.41
|
| Rate for Payer: Nomi Health Commercial |
$47.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: PACE SWMI |
$39.46
|
| Rate for Payer: PHP Medicare Advantage |
$39.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$72.39
|
| Rate for Payer: Priority Health Medicare |
$39.46
|
| Rate for Payer: Priority Health Narrow Network |
$72.39
|
| Rate for Payer: Railroad Medicare Medicare |
$39.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$80.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.46
|
| Rate for Payer: UHC Exchange |
$80.70
|
| Rate for Payer: UHC Medicaid |
$25.35
|
| Rate for Payer: UHCCP DNSP |
$39.46
|
| Rate for Payer: UHCCP Medicaid |
$25.35
|
|
|
PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 20610
|
| Hospital Charge Code |
20610
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Aetna Commercial |
$52.88
|
| Rate for Payer: Aetna Medicare |
$39.46
|
| Rate for Payer: BCBS Complete |
$26.62
|
| Rate for Payer: BCBS MAPPO |
$39.46
|
| Rate for Payer: BCN Commercial |
$53.41
|
| Rate for Payer: BCN Medicare Advantage |
$39.46
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$56.82
|
| Rate for Payer: Cofinity Commercial |
$52.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.46
|
| Rate for Payer: Healthscope Commercial |
$47.35
|
| Rate for Payer: Healthscope Whirlpool |
$47.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.43
|
| Rate for Payer: Meridian Medicaid |
$26.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.41
|
| Rate for Payer: Nomi Health Commercial |
$47.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: PACE SWMI |
$39.46
|
| Rate for Payer: PHP Medicare Advantage |
$39.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$72.39
|
| Rate for Payer: Priority Health Medicare |
$39.46
|
| Rate for Payer: Priority Health Narrow Network |
$72.39
|
| Rate for Payer: Railroad Medicare Medicare |
$39.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$80.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.46
|
| Rate for Payer: UHC Exchange |
$80.70
|
| Rate for Payer: UHC Medicaid |
$25.35
|
| Rate for Payer: UHCCP DNSP |
$39.46
|
| Rate for Payer: UHCCP Medicaid |
$25.35
|
|
