|
PR ARTHRODESIS LATERAL EXTRACAVITARY THORACIC
|
Professional
|
Both
|
$6,230.00
|
|
|
Service Code
|
HCPCS 22532
|
| Min. Negotiated Rate |
$1,104.62 |
| Max. Negotiated Rate |
$4,672.50 |
| Rate for Payer: Aetna Commercial |
$2,302.43
|
| Rate for Payer: Aetna Medicare |
$1,718.23
|
| Rate for Payer: BCBS Complete |
$1,159.85
|
| Rate for Payer: BCBS MAPPO |
$1,718.23
|
| Rate for Payer: BCN Commercial |
$2,715.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,718.23
|
| Rate for Payer: Cash Price |
$4,984.00
|
| Rate for Payer: Cash Price |
$4,984.00
|
| Rate for Payer: Cofinity Commercial |
$2,474.25
|
| Rate for Payer: Cofinity Commercial |
$2,302.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,718.23
|
| Rate for Payer: Healthscope Commercial |
$2,061.88
|
| Rate for Payer: Healthscope Whirlpool |
$2,061.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,804.14
|
| Rate for Payer: Meridian Medicaid |
$1,159.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,890.05
|
| Rate for Payer: Nomi Health Commercial |
$2,061.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,672.50
|
| Rate for Payer: PACE SWMI |
$1,718.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,718.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,104.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,903.32
|
| Rate for Payer: Priority Health Medicare |
$1,718.23
|
| Rate for Payer: Priority Health Narrow Network |
$2,903.32
|
| Rate for Payer: Railroad Medicare Medicare |
$1,718.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,174.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,718.23
|
| Rate for Payer: UHC Exchange |
$3,174.39
|
| Rate for Payer: UHC Medicaid |
$1,104.62
|
| Rate for Payer: UHCCP DNSP |
$1,718.23
|
| Rate for Payer: UHCCP Medicaid |
$1,104.62
|
|
|
PR ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR
|
Professional
|
Both
|
$3,100.00
|
|
|
Service Code
|
HCPCS 22534
|
| Min. Negotiated Rate |
$206.40 |
| Max. Negotiated Rate |
$2,325.00 |
| Rate for Payer: Aetna Commercial |
$437.18
|
| Rate for Payer: Aetna Medicare |
$326.25
|
| Rate for Payer: BCBS Complete |
$216.72
|
| Rate for Payer: BCBS MAPPO |
$326.25
|
| Rate for Payer: BCN Commercial |
$539.81
|
| Rate for Payer: BCN Medicare Advantage |
$326.25
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Cofinity Commercial |
$469.80
|
| Rate for Payer: Cofinity Commercial |
$437.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$326.25
|
| Rate for Payer: Healthscope Commercial |
$391.50
|
| Rate for Payer: Healthscope Whirlpool |
$391.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.56
|
| Rate for Payer: Meridian Medicaid |
$216.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$358.88
|
| Rate for Payer: Nomi Health Commercial |
$391.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,325.00
|
| Rate for Payer: PACE SWMI |
$326.25
|
| Rate for Payer: PHP Medicare Advantage |
$326.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$577.05
|
| Rate for Payer: Priority Health Medicare |
$326.25
|
| Rate for Payer: Priority Health Narrow Network |
$577.05
|
| Rate for Payer: Railroad Medicare Medicare |
$326.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$642.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$326.25
|
| Rate for Payer: UHC Exchange |
$642.63
|
| Rate for Payer: UHC Medicaid |
$206.40
|
| Rate for Payer: UHCCP DNSP |
$326.25
|
| Rate for Payer: UHCCP Medicaid |
$206.40
|
|
|
PR ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ
|
Professional
|
Both
|
$2,379.00
|
|
|
Service Code
|
HCPCS 26850
|
| Min. Negotiated Rate |
$450.50 |
| Max. Negotiated Rate |
$1,784.25 |
| Rate for Payer: Aetna Commercial |
$904.12
|
| Rate for Payer: Aetna Medicare |
$674.72
|
| Rate for Payer: BCBS Complete |
$473.02
|
| Rate for Payer: BCBS MAPPO |
$674.72
|
| Rate for Payer: BCN Commercial |
$1,110.00
|
| Rate for Payer: BCN Medicare Advantage |
$674.72
|
| Rate for Payer: Cash Price |
$1,903.20
|
| Rate for Payer: Cash Price |
$1,903.20
|
| Rate for Payer: Cofinity Commercial |
$971.60
|
| Rate for Payer: Cofinity Commercial |
$904.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$674.72
|
| Rate for Payer: Healthscope Commercial |
$809.66
|
| Rate for Payer: Healthscope Whirlpool |
$809.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$708.46
|
| Rate for Payer: Meridian Medicaid |
$473.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$742.19
|
| Rate for Payer: Nomi Health Commercial |
$809.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,784.25
|
| Rate for Payer: PACE SWMI |
$674.72
|
| Rate for Payer: PHP Medicare Advantage |
$674.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,186.55
|
| Rate for Payer: Priority Health Medicare |
$674.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,186.55
|
| Rate for Payer: Railroad Medicare Medicare |
$674.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,210.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$674.72
|
| Rate for Payer: UHC Exchange |
$1,210.07
|
| Rate for Payer: UHC Medicaid |
$450.50
|
| Rate for Payer: UHCCP DNSP |
$674.72
|
| Rate for Payer: UHCCP Medicaid |
$450.50
|
|
|
PR ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT
|
Professional
|
Both
|
$2,219.00
|
|
|
Service Code
|
HCPCS 28740
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$1,664.25 |
| Rate for Payer: Aetna Commercial |
$754.27
|
| Rate for Payer: Aetna Medicare |
$562.89
|
| Rate for Payer: BCBS Complete |
$386.69
|
| Rate for Payer: BCBS MAPPO |
$562.89
|
| Rate for Payer: BCN Commercial |
$933.21
|
| Rate for Payer: BCN Medicare Advantage |
$562.89
|
| Rate for Payer: Cash Price |
$1,775.20
|
| Rate for Payer: Cash Price |
$1,775.20
|
| Rate for Payer: Cofinity Commercial |
$810.56
|
| Rate for Payer: Cofinity Commercial |
$754.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$562.89
|
| Rate for Payer: Healthscope Commercial |
$675.47
|
| Rate for Payer: Healthscope Whirlpool |
$675.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.03
|
| Rate for Payer: Meridian Medicaid |
$386.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$619.18
|
| Rate for Payer: Nomi Health Commercial |
$675.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,664.25
|
| Rate for Payer: PACE SWMI |
$562.89
|
| Rate for Payer: PHP Medicare Advantage |
$562.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$997.58
|
| Rate for Payer: Priority Health Medicare |
$562.89
|
| Rate for Payer: Priority Health Narrow Network |
$997.58
|
| Rate for Payer: Railroad Medicare Medicare |
$562.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,084.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$562.89
|
| Rate for Payer: UHC Exchange |
$1,084.68
|
| Rate for Payer: UHC Medicaid |
$368.28
|
| Rate for Payer: UHCCP DNSP |
$562.89
|
| Rate for Payer: UHCCP Medicaid |
$368.28
|
|
|
PR ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT
|
Professional
|
Both
|
$2,946.00
|
|
|
Service Code
|
HCPCS 26852
|
| Min. Negotiated Rate |
$507.15 |
| Max. Negotiated Rate |
$2,209.50 |
| Rate for Payer: Aetna Commercial |
$1,021.58
|
| Rate for Payer: Aetna Medicare |
$762.37
|
| Rate for Payer: BCBS Complete |
$532.51
|
| Rate for Payer: BCBS MAPPO |
$762.37
|
| Rate for Payer: BCN Commercial |
$1,261.89
|
| Rate for Payer: BCN Medicare Advantage |
$762.37
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Cofinity Commercial |
$1,097.81
|
| Rate for Payer: Cofinity Commercial |
$1,021.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$762.37
|
| Rate for Payer: Healthscope Commercial |
$914.84
|
| Rate for Payer: Healthscope Whirlpool |
$914.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$800.49
|
| Rate for Payer: Meridian Medicaid |
$532.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$838.61
|
| Rate for Payer: Nomi Health Commercial |
$914.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,209.50
|
| Rate for Payer: PACE SWMI |
$762.37
|
| Rate for Payer: PHP Medicare Advantage |
$762.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,348.92
|
| Rate for Payer: Priority Health Medicare |
$762.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,348.92
|
| Rate for Payer: Railroad Medicare Medicare |
$762.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,388.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$762.37
|
| Rate for Payer: UHC Exchange |
$1,388.28
|
| Rate for Payer: UHC Medicaid |
$507.15
|
| Rate for Payer: UHCCP DNSP |
$762.37
|
| Rate for Payer: UHCCP Medicaid |
$507.15
|
|
|
PR ARTHRODESIS PANTALAR
|
Professional
|
Both
|
$4,056.00
|
|
|
Service Code
|
HCPCS 28705
|
| Min. Negotiated Rate |
$705.67 |
| Max. Negotiated Rate |
$3,042.00 |
| Rate for Payer: Aetna Commercial |
$1,461.04
|
| Rate for Payer: Aetna Medicare |
$1,090.33
|
| Rate for Payer: BCBS Complete |
$740.95
|
| Rate for Payer: BCBS MAPPO |
$1,090.33
|
| Rate for Payer: BCN Commercial |
$1,840.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,090.33
|
| Rate for Payer: Cash Price |
$3,244.80
|
| Rate for Payer: Cash Price |
$3,244.80
|
| Rate for Payer: Cofinity Commercial |
$1,570.08
|
| Rate for Payer: Cofinity Commercial |
$1,461.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,090.33
|
| Rate for Payer: Healthscope Commercial |
$1,308.40
|
| Rate for Payer: Healthscope Whirlpool |
$1,308.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,144.85
|
| Rate for Payer: Meridian Medicaid |
$740.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,199.36
|
| Rate for Payer: Nomi Health Commercial |
$1,308.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,042.00
|
| Rate for Payer: PACE SWMI |
$1,090.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,090.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$705.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,967.49
|
| Rate for Payer: Priority Health Medicare |
$1,090.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,967.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,090.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,162.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,090.33
|
| Rate for Payer: UHC Exchange |
$2,162.12
|
| Rate for Payer: UHC Medicaid |
$705.67
|
| Rate for Payer: UHCCP DNSP |
$1,090.33
|
| Rate for Payer: UHCCP Medicaid |
$705.67
|
|
|
PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2
|
Professional
|
Both
|
$5,330.00
|
|
|
Service Code
|
HCPCS 22595
|
| Min. Negotiated Rate |
$955.94 |
| Max. Negotiated Rate |
$3,997.50 |
| Rate for Payer: Aetna Commercial |
$1,986.44
|
| Rate for Payer: Aetna Medicare |
$1,482.42
|
| Rate for Payer: BCBS Complete |
$1,003.74
|
| Rate for Payer: BCBS MAPPO |
$1,482.42
|
| Rate for Payer: BCN Commercial |
$2,549.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,482.42
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cofinity Commercial |
$2,134.68
|
| Rate for Payer: Cofinity Commercial |
$1,986.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,482.42
|
| Rate for Payer: Healthscope Commercial |
$1,778.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,778.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,556.54
|
| Rate for Payer: Meridian Medicaid |
$1,003.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,630.66
|
| Rate for Payer: Nomi Health Commercial |
$1,778.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,997.50
|
| Rate for Payer: PACE SWMI |
$1,482.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,482.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$955.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,480.65
|
| Rate for Payer: Priority Health Medicare |
$1,482.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,480.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1,482.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,645.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,482.42
|
| Rate for Payer: UHC Exchange |
$2,645.37
|
| Rate for Payer: UHC Medicaid |
$955.94
|
| Rate for Payer: UHCCP DNSP |
$1,482.42
|
| Rate for Payer: UHCCP Medicaid |
$955.94
|
|
|
PR ARTHRODESIS POSTERIOR CRANIOCERVICAL
|
Professional
|
Both
|
$5,497.00
|
|
|
Service Code
|
HCPCS 22590
|
| Min. Negotiated Rate |
$994.28 |
| Max. Negotiated Rate |
$4,122.75 |
| Rate for Payer: Aetna Commercial |
$2,067.95
|
| Rate for Payer: Aetna Medicare |
$1,543.25
|
| Rate for Payer: BCBS Complete |
$1,043.99
|
| Rate for Payer: BCBS MAPPO |
$1,543.25
|
| Rate for Payer: BCN Commercial |
$2,668.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,543.25
|
| Rate for Payer: Cash Price |
$4,397.60
|
| Rate for Payer: Cash Price |
$4,397.60
|
| Rate for Payer: Cofinity Commercial |
$2,222.28
|
| Rate for Payer: Cofinity Commercial |
$2,067.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,543.25
|
| Rate for Payer: Healthscope Commercial |
$1,851.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,851.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,620.41
|
| Rate for Payer: Meridian Medicaid |
$1,043.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,697.58
|
| Rate for Payer: Nomi Health Commercial |
$1,851.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,122.75
|
| Rate for Payer: PACE SWMI |
$1,543.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,543.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$994.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,596.69
|
| Rate for Payer: Priority Health Medicare |
$1,543.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,596.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,543.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,776.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,543.25
|
| Rate for Payer: UHC Exchange |
$2,776.15
|
| Rate for Payer: UHC Medicaid |
$994.28
|
| Rate for Payer: UHCCP DNSP |
$1,543.25
|
| Rate for Payer: UHCCP Medicaid |
$994.28
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL
|
Professional
|
Both
|
$1,300.00
|
|
|
Service Code
|
HCPCS 22632
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$975.00 |
| Rate for Payer: Aetna Commercial |
$388.96
|
| Rate for Payer: Aetna Medicare |
$290.27
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCBS MAPPO |
$290.27
|
| Rate for Payer: BCN Commercial |
$527.38
|
| Rate for Payer: BCN Medicare Advantage |
$290.27
|
| Rate for Payer: Cash Price |
$1,040.00
|
| Rate for Payer: Cash Price |
$1,040.00
|
| Rate for Payer: Cofinity Commercial |
$417.99
|
| Rate for Payer: Cofinity Commercial |
$388.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.27
|
| Rate for Payer: Healthscope Commercial |
$348.32
|
| Rate for Payer: Healthscope Whirlpool |
$348.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$304.78
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$319.30
|
| Rate for Payer: Nomi Health Commercial |
$348.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$975.00
|
| Rate for Payer: PACE SWMI |
$290.27
|
| Rate for Payer: PHP Medicare Advantage |
$290.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$513.16
|
| Rate for Payer: Priority Health Medicare |
$290.27
|
| Rate for Payer: Priority Health Narrow Network |
$513.16
|
| Rate for Payer: Railroad Medicare Medicare |
$290.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$574.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$290.27
|
| Rate for Payer: UHC Exchange |
$574.48
|
| Rate for Payer: UHC Medicaid |
$183.39
|
| Rate for Payer: UHCCP DNSP |
$290.27
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
|
Professional
|
Both
|
$6,951.00
|
|
|
Service Code
|
HCPCS 22630
|
| Min. Negotiated Rate |
$963.40 |
| Max. Negotiated Rate |
$5,213.25 |
| Rate for Payer: Aetna Commercial |
$2,008.30
|
| Rate for Payer: Aetna Medicare |
$1,498.73
|
| Rate for Payer: BCBS Complete |
$1,011.57
|
| Rate for Payer: BCBS MAPPO |
$1,498.73
|
| Rate for Payer: BCN Commercial |
$2,611.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,498.73
|
| Rate for Payer: Cash Price |
$5,560.80
|
| Rate for Payer: Cash Price |
$5,560.80
|
| Rate for Payer: Cofinity Commercial |
$2,158.17
|
| Rate for Payer: Cofinity Commercial |
$2,008.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,498.73
|
| Rate for Payer: Healthscope Commercial |
$1,798.48
|
| Rate for Payer: Healthscope Whirlpool |
$1,798.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,573.67
|
| Rate for Payer: Meridian Medicaid |
$1,011.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,648.60
|
| Rate for Payer: Nomi Health Commercial |
$1,798.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,213.25
|
| Rate for Payer: PACE SWMI |
$1,498.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,498.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$963.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,541.33
|
| Rate for Payer: Priority Health Medicare |
$1,498.73
|
| Rate for Payer: Priority Health Narrow Network |
$2,541.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,498.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,774.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,498.73
|
| Rate for Payer: UHC Exchange |
$2,774.99
|
| Rate for Payer: UHC Medicaid |
$963.40
|
| Rate for Payer: UHCCP DNSP |
$1,498.73
|
| Rate for Payer: UHCCP Medicaid |
$963.40
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR
|
Professional
|
Both
|
$3,398.00
|
|
|
Service Code
|
HCPCS 22612
|
| Min. Negotiated Rate |
$935.92 |
| Max. Negotiated Rate |
$2,801.75 |
| Rate for Payer: Aetna Commercial |
$1,948.86
|
| Rate for Payer: Aetna Medicare |
$1,454.37
|
| Rate for Payer: BCBS Complete |
$982.72
|
| Rate for Payer: BCBS MAPPO |
$1,454.37
|
| Rate for Payer: BCN Commercial |
$2,627.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,454.37
|
| Rate for Payer: Cash Price |
$2,718.40
|
| Rate for Payer: Cash Price |
$2,718.40
|
| Rate for Payer: Cofinity Commercial |
$2,094.29
|
| Rate for Payer: Cofinity Commercial |
$1,948.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,454.37
|
| Rate for Payer: Healthscope Commercial |
$1,745.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,745.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,527.09
|
| Rate for Payer: Meridian Medicaid |
$982.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,599.81
|
| Rate for Payer: Nomi Health Commercial |
$1,745.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,548.50
|
| Rate for Payer: PACE SWMI |
$1,454.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$935.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,556.77
|
| Rate for Payer: Priority Health Medicare |
$1,454.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,556.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,454.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,801.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,454.37
|
| Rate for Payer: UHC Exchange |
$2,801.75
|
| Rate for Payer: UHC Medicaid |
$935.92
|
| Rate for Payer: UHCCP DNSP |
$1,454.37
|
| Rate for Payer: UHCCP Medicaid |
$935.92
|
|
|
PR ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC
|
Professional
|
Both
|
$4,415.00
|
|
|
Service Code
|
HCPCS 22610
|
| Min. Negotiated Rate |
$800.67 |
| Max. Negotiated Rate |
$3,311.25 |
| Rate for Payer: Aetna Commercial |
$1,657.54
|
| Rate for Payer: Aetna Medicare |
$1,236.97
|
| Rate for Payer: BCBS Complete |
$840.70
|
| Rate for Payer: BCBS MAPPO |
$1,236.97
|
| Rate for Payer: BCN Commercial |
$2,152.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,236.97
|
| Rate for Payer: Cash Price |
$3,532.00
|
| Rate for Payer: Cash Price |
$3,532.00
|
| Rate for Payer: Cofinity Commercial |
$1,781.24
|
| Rate for Payer: Cofinity Commercial |
$1,657.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,236.97
|
| Rate for Payer: Healthscope Commercial |
$1,484.36
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,298.82
|
| Rate for Payer: Meridian Medicaid |
$840.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,360.67
|
| Rate for Payer: Nomi Health Commercial |
$1,484.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,311.25
|
| Rate for Payer: PACE SWMI |
$1,236.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,236.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$800.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,094.18
|
| Rate for Payer: Priority Health Medicare |
$1,236.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,094.18
|
| Rate for Payer: Railroad Medicare Medicare |
$1,236.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,225.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,236.97
|
| Rate for Payer: UHC Exchange |
$2,225.72
|
| Rate for Payer: UHC Medicaid |
$800.67
|
| Rate for Payer: UHCCP DNSP |
$1,236.97
|
| Rate for Payer: UHCCP Medicaid |
$800.67
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM
|
Professional
|
Both
|
$5,219.00
|
|
|
Service Code
|
HCPCS 22804
|
| Min. Negotiated Rate |
$1,417.30 |
| Max. Negotiated Rate |
$4,290.14 |
| Rate for Payer: Aetna Commercial |
$2,961.56
|
| Rate for Payer: Aetna Medicare |
$2,210.12
|
| Rate for Payer: BCBS Complete |
$1,488.16
|
| Rate for Payer: BCBS MAPPO |
$2,210.12
|
| Rate for Payer: BCN Commercial |
$3,651.19
|
| Rate for Payer: BCN Medicare Advantage |
$2,210.12
|
| Rate for Payer: Cash Price |
$4,175.20
|
| Rate for Payer: Cash Price |
$4,175.20
|
| Rate for Payer: Cofinity Commercial |
$3,182.57
|
| Rate for Payer: Cofinity Commercial |
$2,961.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,210.12
|
| Rate for Payer: Healthscope Commercial |
$2,652.14
|
| Rate for Payer: Healthscope Whirlpool |
$2,652.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,320.63
|
| Rate for Payer: Meridian Medicaid |
$1,488.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,431.13
|
| Rate for Payer: Nomi Health Commercial |
$2,652.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,914.25
|
| Rate for Payer: PACE SWMI |
$2,210.12
|
| Rate for Payer: PHP Medicare Advantage |
$2,210.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,417.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,903.03
|
| Rate for Payer: Priority Health Medicare |
$2,210.12
|
| Rate for Payer: Priority Health Narrow Network |
$3,903.03
|
| Rate for Payer: Railroad Medicare Medicare |
$2,210.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,290.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,210.12
|
| Rate for Payer: UHC Exchange |
$4,290.14
|
| Rate for Payer: UHC Medicaid |
$1,417.30
|
| Rate for Payer: UHCCP DNSP |
$2,210.12
|
| Rate for Payer: UHCCP Medicaid |
$1,417.30
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM
|
Professional
|
Both
|
$2,896.00
|
|
|
Service Code
|
HCPCS 22800
|
| Min. Negotiated Rate |
$837.30 |
| Max. Negotiated Rate |
$2,392.85 |
| Rate for Payer: Aetna Commercial |
$1,736.05
|
| Rate for Payer: Aetna Medicare |
$1,295.56
|
| Rate for Payer: BCBS Complete |
$879.16
|
| Rate for Payer: BCBS MAPPO |
$1,295.56
|
| Rate for Payer: BCN Commercial |
$2,078.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,295.56
|
| Rate for Payer: Cash Price |
$2,316.80
|
| Rate for Payer: Cash Price |
$2,316.80
|
| Rate for Payer: Cofinity Commercial |
$1,865.61
|
| Rate for Payer: Cofinity Commercial |
$1,736.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,295.56
|
| Rate for Payer: Healthscope Commercial |
$1,554.67
|
| Rate for Payer: Healthscope Whirlpool |
$1,554.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,360.34
|
| Rate for Payer: Meridian Medicaid |
$879.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,425.12
|
| Rate for Payer: Nomi Health Commercial |
$1,554.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,172.00
|
| Rate for Payer: PACE SWMI |
$1,295.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,295.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,221.93
|
| Rate for Payer: Priority Health Medicare |
$1,295.56
|
| Rate for Payer: Priority Health Narrow Network |
$2,221.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,295.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,392.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,295.56
|
| Rate for Payer: UHC Exchange |
$2,392.85
|
| Rate for Payer: UHC Medicaid |
$837.30
|
| Rate for Payer: UHCCP DNSP |
$1,295.56
|
| Rate for Payer: UHCCP Medicaid |
$837.30
|
|
|
PR ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM
|
Professional
|
Both
|
$4,511.00
|
|
|
Service Code
|
HCPCS 22802
|
| Min. Negotiated Rate |
$1,234.76 |
| Max. Negotiated Rate |
$3,721.43 |
| Rate for Payer: Aetna Commercial |
$2,575.84
|
| Rate for Payer: Aetna Medicare |
$1,922.27
|
| Rate for Payer: BCBS Complete |
$1,296.50
|
| Rate for Payer: BCBS MAPPO |
$1,922.27
|
| Rate for Payer: BCN Commercial |
$3,181.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,922.27
|
| Rate for Payer: Cash Price |
$3,608.80
|
| Rate for Payer: Cash Price |
$3,608.80
|
| Rate for Payer: Cofinity Commercial |
$2,768.07
|
| Rate for Payer: Cofinity Commercial |
$2,575.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,922.27
|
| Rate for Payer: Healthscope Commercial |
$2,306.72
|
| Rate for Payer: Healthscope Whirlpool |
$2,306.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,018.38
|
| Rate for Payer: Meridian Medicaid |
$1,296.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,114.50
|
| Rate for Payer: Nomi Health Commercial |
$2,306.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,383.25
|
| Rate for Payer: PACE SWMI |
$1,922.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,922.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,234.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$3,401.05
|
| Rate for Payer: Priority Health Medicare |
$1,922.27
|
| Rate for Payer: Priority Health Narrow Network |
$3,401.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,922.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,721.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,922.27
|
| Rate for Payer: UHC Exchange |
$3,721.43
|
| Rate for Payer: UHC Medicaid |
$1,234.76
|
| Rate for Payer: UHCCP DNSP |
$1,922.27
|
| Rate for Payer: UHCCP Medicaid |
$1,234.76
|
|
|
PR ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC
|
Professional
|
Both
|
$1,931.00
|
|
|
Service Code
|
HCPCS 22614
|
| Min. Negotiated Rate |
$222.80 |
| Max. Negotiated Rate |
$1,448.25 |
| Rate for Payer: Aetna Commercial |
$471.95
|
| Rate for Payer: Aetna Medicare |
$352.20
|
| Rate for Payer: BCBS Complete |
$233.94
|
| Rate for Payer: BCBS MAPPO |
$352.20
|
| Rate for Payer: BCN Commercial |
$643.35
|
| Rate for Payer: BCN Medicare Advantage |
$352.20
|
| Rate for Payer: Cash Price |
$1,544.80
|
| Rate for Payer: Cash Price |
$1,544.80
|
| Rate for Payer: Cofinity Commercial |
$507.17
|
| Rate for Payer: Cofinity Commercial |
$471.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$352.20
|
| Rate for Payer: Healthscope Commercial |
$422.64
|
| Rate for Payer: Healthscope Whirlpool |
$422.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.81
|
| Rate for Payer: Meridian Medicaid |
$233.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$387.42
|
| Rate for Payer: Nomi Health Commercial |
$422.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,448.25
|
| Rate for Payer: PACE SWMI |
$352.20
|
| Rate for Payer: PHP Medicare Advantage |
$352.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$626.01
|
| Rate for Payer: Priority Health Medicare |
$352.20
|
| Rate for Payer: Priority Health Narrow Network |
$626.01
|
| Rate for Payer: Railroad Medicare Medicare |
$352.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$698.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$352.20
|
| Rate for Payer: UHC Exchange |
$698.00
|
| Rate for Payer: UHC Medicaid |
$222.80
|
| Rate for Payer: UHCCP DNSP |
$352.20
|
| Rate for Payer: UHCCP Medicaid |
$222.80
|
|
|
PR ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ
|
Professional
|
Both
|
$3,337.00
|
|
|
Service Code
|
HCPCS 27280
|
| Min. Negotiated Rate |
$818.56 |
| Max. Negotiated Rate |
$2,502.75 |
| Rate for Payer: Aetna Commercial |
$1,704.69
|
| Rate for Payer: Aetna Medicare |
$1,272.16
|
| Rate for Payer: BCBS Complete |
$859.49
|
| Rate for Payer: BCBS MAPPO |
$1,272.16
|
| Rate for Payer: BCN Commercial |
$2,067.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.16
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Cofinity Commercial |
$1,831.91
|
| Rate for Payer: Cofinity Commercial |
$1,704.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.16
|
| Rate for Payer: Healthscope Commercial |
$1,526.59
|
| Rate for Payer: Healthscope Whirlpool |
$1,526.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.77
|
| Rate for Payer: Meridian Medicaid |
$859.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,399.38
|
| Rate for Payer: Nomi Health Commercial |
$1,526.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,502.75
|
| Rate for Payer: PACE SWMI |
$1,272.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,210.23
|
| Rate for Payer: Priority Health Medicare |
$1,272.16
|
| Rate for Payer: Priority Health Narrow Network |
$2,210.23
|
| Rate for Payer: Railroad Medicare Medicare |
$1,272.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,388.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,272.16
|
| Rate for Payer: UHC Exchange |
$2,388.06
|
| Rate for Payer: UHC Medicaid |
$818.56
|
| Rate for Payer: UHCCP DNSP |
$1,272.16
|
| Rate for Payer: UHCCP Medicaid |
$818.56
|
|
|
PR ARTHRODESIS SUBTALAR
|
Professional
|
Both
|
$3,374.00
|
|
|
Service Code
|
HCPCS 28725
|
| Min. Negotiated Rate |
$464.98 |
| Max. Negotiated Rate |
$2,530.50 |
| Rate for Payer: Aetna Commercial |
$952.53
|
| Rate for Payer: Aetna Medicare |
$710.84
|
| Rate for Payer: BCBS Complete |
$488.23
|
| Rate for Payer: BCBS MAPPO |
$710.84
|
| Rate for Payer: BCN Commercial |
$1,181.71
|
| Rate for Payer: BCN Medicare Advantage |
$710.84
|
| Rate for Payer: Cash Price |
$2,699.20
|
| Rate for Payer: Cash Price |
$2,699.20
|
| Rate for Payer: Cofinity Commercial |
$952.53
|
| Rate for Payer: Cofinity Commercial |
$1,023.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$710.84
|
| Rate for Payer: Healthscope Commercial |
$853.01
|
| Rate for Payer: Healthscope Whirlpool |
$853.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$746.38
|
| Rate for Payer: Meridian Medicaid |
$488.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$781.92
|
| Rate for Payer: Nomi Health Commercial |
$853.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,530.50
|
| Rate for Payer: PACE SWMI |
$710.84
|
| Rate for Payer: PHP Medicare Advantage |
$710.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,263.21
|
| Rate for Payer: Priority Health Medicare |
$710.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,263.21
|
| Rate for Payer: Railroad Medicare Medicare |
$710.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,360.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$710.84
|
| Rate for Payer: UHC Exchange |
$1,360.47
|
| Rate for Payer: UHC Medicaid |
$464.98
|
| Rate for Payer: UHCCP DNSP |
$710.84
|
| Rate for Payer: UHCCP Medicaid |
$464.98
|
|
|
PR ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 27282
|
| Min. Negotiated Rate |
$512.27 |
| Max. Negotiated Rate |
$1,497.74 |
| Rate for Payer: Aetna Commercial |
$1,051.62
|
| Rate for Payer: Aetna Medicare |
$784.79
|
| Rate for Payer: BCBS Complete |
$537.88
|
| Rate for Payer: BCBS MAPPO |
$784.79
|
| Rate for Payer: BCN Commercial |
$1,309.69
|
| Rate for Payer: BCN Medicare Advantage |
$784.79
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,130.10
|
| Rate for Payer: Cofinity Commercial |
$1,051.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$784.79
|
| Rate for Payer: Healthscope Commercial |
$941.75
|
| Rate for Payer: Healthscope Whirlpool |
$941.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$824.03
|
| Rate for Payer: Meridian Medicaid |
$537.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$863.27
|
| Rate for Payer: Nomi Health Commercial |
$941.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,161.00
|
| Rate for Payer: PACE SWMI |
$784.79
|
| Rate for Payer: PHP Medicare Advantage |
$784.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,400.02
|
| Rate for Payer: Priority Health Medicare |
$784.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,400.02
|
| Rate for Payer: Railroad Medicare Medicare |
$784.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,497.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$784.79
|
| Rate for Payer: UHC Exchange |
$1,497.74
|
| Rate for Payer: UHC Medicaid |
$512.27
|
| Rate for Payer: UHCCP DNSP |
$784.79
|
| Rate for Payer: UHCCP Medicaid |
$512.27
|
|
|
PR ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL
|
Professional
|
Both
|
$3,095.00
|
|
|
Service Code
|
HCPCS 27871
|
| Min. Negotiated Rate |
$412.58 |
| Max. Negotiated Rate |
$2,321.25 |
| Rate for Payer: Aetna Commercial |
$845.62
|
| Rate for Payer: Aetna Medicare |
$631.06
|
| Rate for Payer: BCBS Complete |
$433.21
|
| Rate for Payer: BCBS MAPPO |
$631.06
|
| Rate for Payer: BCN Commercial |
$1,048.75
|
| Rate for Payer: BCN Medicare Advantage |
$631.06
|
| Rate for Payer: Cash Price |
$2,476.00
|
| Rate for Payer: Cash Price |
$2,476.00
|
| Rate for Payer: Cofinity Commercial |
$908.73
|
| Rate for Payer: Cofinity Commercial |
$845.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.06
|
| Rate for Payer: Healthscope Commercial |
$757.27
|
| Rate for Payer: Healthscope Whirlpool |
$757.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.61
|
| Rate for Payer: Meridian Medicaid |
$433.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$694.17
|
| Rate for Payer: Nomi Health Commercial |
$757.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,321.25
|
| Rate for Payer: PACE SWMI |
$631.06
|
| Rate for Payer: PHP Medicare Advantage |
$631.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,121.09
|
| Rate for Payer: Priority Health Medicare |
$631.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,121.09
|
| Rate for Payer: Railroad Medicare Medicare |
$631.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,202.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$631.06
|
| Rate for Payer: UHC Exchange |
$1,202.53
|
| Rate for Payer: UHC Medicaid |
$412.58
|
| Rate for Payer: UHCCP DNSP |
$631.06
|
| Rate for Payer: UHCCP Medicaid |
$412.58
|
|
|
PR ARTHRODESIS TRIPLE
|
Professional
|
Both
|
$4,207.00
|
|
|
Service Code
|
HCPCS 28715
|
| Min. Negotiated Rate |
$563.60 |
| Max. Negotiated Rate |
$3,155.25 |
| Rate for Payer: Aetna Commercial |
$1,154.99
|
| Rate for Payer: Aetna Medicare |
$861.93
|
| Rate for Payer: BCBS Complete |
$591.78
|
| Rate for Payer: BCBS MAPPO |
$861.93
|
| Rate for Payer: BCN Commercial |
$1,428.71
|
| Rate for Payer: BCN Medicare Advantage |
$861.93
|
| Rate for Payer: Cash Price |
$3,365.60
|
| Rate for Payer: Cash Price |
$3,365.60
|
| Rate for Payer: Cofinity Commercial |
$1,241.18
|
| Rate for Payer: Cofinity Commercial |
$1,154.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$861.93
|
| Rate for Payer: Healthscope Commercial |
$1,034.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,034.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.03
|
| Rate for Payer: Meridian Medicaid |
$591.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$948.12
|
| Rate for Payer: Nomi Health Commercial |
$1,034.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,155.25
|
| Rate for Payer: PACE SWMI |
$861.93
|
| Rate for Payer: PHP Medicare Advantage |
$861.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$563.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,527.25
|
| Rate for Payer: Priority Health Medicare |
$861.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,527.25
|
| Rate for Payer: Railroad Medicare Medicare |
$861.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,641.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$861.93
|
| Rate for Payer: UHC Exchange |
$1,641.76
|
| Rate for Payer: UHC Medicaid |
$563.60
|
| Rate for Payer: UHCCP DNSP |
$861.93
|
| Rate for Payer: UHCCP Medicaid |
$563.60
|
|
|
PR ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT
|
Professional
|
Both
|
$2,533.00
|
|
|
Service Code
|
HCPCS 25800
|
| Min. Negotiated Rate |
$429.41 |
| Max. Negotiated Rate |
$1,899.75 |
| Rate for Payer: Aetna Commercial |
$880.22
|
| Rate for Payer: Aetna Medicare |
$656.88
|
| Rate for Payer: BCBS Complete |
$450.88
|
| Rate for Payer: BCBS MAPPO |
$656.88
|
| Rate for Payer: BCN Commercial |
$1,118.96
|
| Rate for Payer: BCN Medicare Advantage |
$656.88
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cofinity Commercial |
$945.91
|
| Rate for Payer: Cofinity Commercial |
$880.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$656.88
|
| Rate for Payer: Healthscope Commercial |
$788.26
|
| Rate for Payer: Healthscope Whirlpool |
$788.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$689.72
|
| Rate for Payer: Meridian Medicaid |
$450.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$722.57
|
| Rate for Payer: Nomi Health Commercial |
$788.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,899.75
|
| Rate for Payer: PACE SWMI |
$656.88
|
| Rate for Payer: PHP Medicare Advantage |
$656.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,196.15
|
| Rate for Payer: Priority Health Medicare |
$656.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,196.15
|
| Rate for Payer: Railroad Medicare Medicare |
$656.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,275.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$656.88
|
| Rate for Payer: UHC Exchange |
$1,275.66
|
| Rate for Payer: UHC Medicaid |
$429.41
|
| Rate for Payer: UHCCP DNSP |
$656.88
|
| Rate for Payer: UHCCP Medicaid |
$429.41
|
|
|
PR ARTHRODESIS WRIST LIMITED W/O BONE GRAFT
|
Professional
|
Both
|
$2,922.00
|
|
|
Service Code
|
HCPCS 25820
|
| Min. Negotiated Rate |
$392.35 |
| Max. Negotiated Rate |
$2,191.50 |
| Rate for Payer: Aetna Commercial |
$795.73
|
| Rate for Payer: Aetna Medicare |
$593.83
|
| Rate for Payer: BCBS Complete |
$411.97
|
| Rate for Payer: BCBS MAPPO |
$593.83
|
| Rate for Payer: BCN Commercial |
$992.47
|
| Rate for Payer: BCN Medicare Advantage |
$593.83
|
| Rate for Payer: Cash Price |
$2,337.60
|
| Rate for Payer: Cash Price |
$2,337.60
|
| Rate for Payer: Cofinity Commercial |
$855.12
|
| Rate for Payer: Cofinity Commercial |
$795.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$593.83
|
| Rate for Payer: Healthscope Commercial |
$712.60
|
| Rate for Payer: Healthscope Whirlpool |
$712.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.52
|
| Rate for Payer: Meridian Medicaid |
$411.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$653.21
|
| Rate for Payer: Nomi Health Commercial |
$712.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,191.50
|
| Rate for Payer: PACE SWMI |
$593.83
|
| Rate for Payer: PHP Medicare Advantage |
$593.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,060.94
|
| Rate for Payer: Priority Health Medicare |
$593.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,060.94
|
| Rate for Payer: Railroad Medicare Medicare |
$593.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,093.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$593.83
|
| Rate for Payer: UHC Exchange |
$1,093.17
|
| Rate for Payer: UHC Medicaid |
$392.35
|
| Rate for Payer: UHCCP DNSP |
$593.83
|
| Rate for Payer: UHCCP Medicaid |
$392.35
|
|
|
PR ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT
|
Professional
|
Both
|
$3,514.00
|
|
|
Service Code
|
HCPCS 25810
|
| Min. Negotiated Rate |
$506.30 |
| Max. Negotiated Rate |
$2,635.50 |
| Rate for Payer: Aetna Commercial |
$1,037.95
|
| Rate for Payer: Aetna Medicare |
$774.59
|
| Rate for Payer: BCBS Complete |
$531.62
|
| Rate for Payer: BCBS MAPPO |
$774.59
|
| Rate for Payer: BCN Commercial |
$1,326.12
|
| Rate for Payer: BCN Medicare Advantage |
$774.59
|
| Rate for Payer: Cash Price |
$2,811.20
|
| Rate for Payer: Cash Price |
$2,811.20
|
| Rate for Payer: Cofinity Commercial |
$1,115.41
|
| Rate for Payer: Cofinity Commercial |
$1,037.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$774.59
|
| Rate for Payer: Healthscope Commercial |
$929.51
|
| Rate for Payer: Healthscope Whirlpool |
$929.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$813.32
|
| Rate for Payer: Meridian Medicaid |
$531.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$852.05
|
| Rate for Payer: Nomi Health Commercial |
$929.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,635.50
|
| Rate for Payer: PACE SWMI |
$774.59
|
| Rate for Payer: PHP Medicare Advantage |
$774.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,417.59
|
| Rate for Payer: Priority Health Medicare |
$774.59
|
| Rate for Payer: Priority Health Narrow Network |
$1,417.59
|
| Rate for Payer: Railroad Medicare Medicare |
$774.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,511.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$774.59
|
| Rate for Payer: UHC Exchange |
$1,511.02
|
| Rate for Payer: UHC Medicaid |
$506.30
|
| Rate for Payer: UHCCP DNSP |
$774.59
|
| Rate for Payer: UHCCP Medicaid |
$506.30
|
|
|
PR ARTHRODESIS WRIST WITH AUTOGRAFT
|
Professional
|
Both
|
$14,511.00
|
|
|
Service Code
|
HCPCS 25825
|
| Min. Negotiated Rate |
$474.35 |
| Max. Negotiated Rate |
$10,883.25 |
| Rate for Payer: Aetna Commercial |
$964.13
|
| Rate for Payer: Aetna Medicare |
$719.50
|
| Rate for Payer: BCBS Complete |
$498.07
|
| Rate for Payer: BCBS MAPPO |
$719.50
|
| Rate for Payer: BCN Commercial |
$1,210.59
|
| Rate for Payer: BCN Medicare Advantage |
$719.50
|
| Rate for Payer: Cash Price |
$11,608.80
|
| Rate for Payer: Cash Price |
$11,608.80
|
| Rate for Payer: Cofinity Commercial |
$964.13
|
| Rate for Payer: Cofinity Commercial |
$1,036.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$719.50
|
| Rate for Payer: Healthscope Commercial |
$863.40
|
| Rate for Payer: Healthscope Whirlpool |
$863.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$755.48
|
| Rate for Payer: Meridian Medicaid |
$498.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$791.45
|
| Rate for Payer: Nomi Health Commercial |
$863.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10,883.25
|
| Rate for Payer: PACE SWMI |
$719.50
|
| Rate for Payer: PHP Medicare Advantage |
$719.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,294.08
|
| Rate for Payer: Priority Health Medicare |
$719.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,294.08
|
| Rate for Payer: Railroad Medicare Medicare |
$719.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,343.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$719.50
|
| Rate for Payer: UHC Exchange |
$1,343.16
|
| Rate for Payer: UHC Medicaid |
$474.35
|
| Rate for Payer: UHCCP DNSP |
$719.50
|
| Rate for Payer: UHCCP Medicaid |
$474.35
|
|
