|
PR ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29895
|
| Min. Negotiated Rate |
$276.47 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$567.03
|
| Rate for Payer: Aetna Medicare |
$423.16
|
| Rate for Payer: BCBS Complete |
$290.29
|
| Rate for Payer: BCBS MAPPO |
$423.16
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: BCN Medicare Advantage |
$423.16
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$609.35
|
| Rate for Payer: Cofinity Commercial |
$567.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$423.16
|
| Rate for Payer: Healthscope Commercial |
$507.79
|
| Rate for Payer: Healthscope Whirlpool |
$507.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$444.32
|
| Rate for Payer: Meridian Medicaid |
$290.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$465.48
|
| Rate for Payer: Nomi Health Commercial |
$507.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$423.16
|
| Rate for Payer: PHP Medicare Advantage |
$423.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$746.85
|
| Rate for Payer: Priority Health Medicare |
$423.16
|
| Rate for Payer: Priority Health Narrow Network |
$746.85
|
| Rate for Payer: Railroad Medicare Medicare |
$423.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$812.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$423.16
|
| Rate for Payer: UHC Exchange |
$812.91
|
| Rate for Payer: UHC Medicaid |
$276.47
|
| Rate for Payer: UHCCP DNSP |
$423.16
|
| Rate for Payer: UHCCP Medicaid |
$276.47
|
|
|
PR ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS
|
Professional
|
Both
|
$3,182.00
|
|
|
Service Code
|
HCPCS 29899
|
| Min. Negotiated Rate |
$587.45 |
| Max. Negotiated Rate |
$2,386.50 |
| Rate for Payer: Aetna Commercial |
$1,211.60
|
| Rate for Payer: Aetna Medicare |
$904.18
|
| Rate for Payer: BCBS Complete |
$616.82
|
| Rate for Payer: BCBS MAPPO |
$904.18
|
| Rate for Payer: BCN Commercial |
$1,509.88
|
| Rate for Payer: BCN Medicare Advantage |
$904.18
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Cash Price |
$2,545.60
|
| Rate for Payer: Cofinity Commercial |
$1,302.02
|
| Rate for Payer: Cofinity Commercial |
$1,211.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.18
|
| Rate for Payer: Healthscope Commercial |
$1,085.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,085.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.39
|
| Rate for Payer: Meridian Medicaid |
$616.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.60
|
| Rate for Payer: Nomi Health Commercial |
$1,085.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,386.50
|
| Rate for Payer: PACE SWMI |
$904.18
|
| Rate for Payer: PHP Medicare Advantage |
$904.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,614.02
|
| Rate for Payer: Priority Health Medicare |
$904.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,614.02
|
| Rate for Payer: Railroad Medicare Medicare |
$904.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,807.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$904.18
|
| Rate for Payer: UHC Exchange |
$1,807.29
|
| Rate for Payer: UHC Medicaid |
$587.45
|
| Rate for Payer: UHCCP DNSP |
$904.18
|
| Rate for Payer: UHCCP Medicaid |
$587.45
|
|
|
PR ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 29894
|
| Min. Negotiated Rate |
$302.89 |
| Max. Negotiated Rate |
$1,500.00 |
| Rate for Payer: Aetna Commercial |
$620.59
|
| Rate for Payer: Aetna Medicare |
$463.13
|
| Rate for Payer: BCBS Complete |
$318.03
|
| Rate for Payer: BCBS MAPPO |
$463.13
|
| Rate for Payer: BCN Commercial |
$770.37
|
| Rate for Payer: BCN Medicare Advantage |
$463.13
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cash Price |
$1,600.00
|
| Rate for Payer: Cofinity Commercial |
$666.91
|
| Rate for Payer: Cofinity Commercial |
$620.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$463.13
|
| Rate for Payer: Healthscope Commercial |
$555.76
|
| Rate for Payer: Healthscope Whirlpool |
$555.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$486.29
|
| Rate for Payer: Meridian Medicaid |
$318.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$509.44
|
| Rate for Payer: Nomi Health Commercial |
$555.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,500.00
|
| Rate for Payer: PACE SWMI |
$463.13
|
| Rate for Payer: PHP Medicare Advantage |
$463.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$823.51
|
| Rate for Payer: Priority Health Medicare |
$463.13
|
| Rate for Payer: Priority Health Narrow Network |
$823.51
|
| Rate for Payer: Railroad Medicare Medicare |
$463.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$871.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$463.13
|
| Rate for Payer: UHC Exchange |
$871.97
|
| Rate for Payer: UHC Medicaid |
$302.89
|
| Rate for Payer: UHCCP DNSP |
$463.13
|
| Rate for Payer: UHCCP Medicaid |
$302.89
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29838
|
| Min. Negotiated Rate |
$356.14 |
| Max. Negotiated Rate |
$1,700.25 |
| Rate for Payer: Aetna Commercial |
$728.02
|
| Rate for Payer: Aetna Medicare |
$543.30
|
| Rate for Payer: BCBS Complete |
$373.95
|
| Rate for Payer: BCBS MAPPO |
$543.30
|
| Rate for Payer: BCN Commercial |
$910.31
|
| Rate for Payer: BCN Medicare Advantage |
$543.30
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cofinity Commercial |
$782.35
|
| Rate for Payer: Cofinity Commercial |
$728.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.30
|
| Rate for Payer: Healthscope Commercial |
$651.96
|
| Rate for Payer: Healthscope Whirlpool |
$651.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$570.47
|
| Rate for Payer: Meridian Medicaid |
$373.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$597.63
|
| Rate for Payer: Nomi Health Commercial |
$651.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.25
|
| Rate for Payer: PACE SWMI |
$543.30
|
| Rate for Payer: PHP Medicare Advantage |
$543.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$356.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$973.09
|
| Rate for Payer: Priority Health Medicare |
$543.30
|
| Rate for Payer: Priority Health Narrow Network |
$973.09
|
| Rate for Payer: Railroad Medicare Medicare |
$543.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,030.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$543.30
|
| Rate for Payer: UHC Exchange |
$1,030.57
|
| Rate for Payer: UHC Medicaid |
$356.14
|
| Rate for Payer: UHCCP DNSP |
$543.30
|
| Rate for Payer: UHCCP Medicaid |
$356.14
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 29837
|
| Min. Negotiated Rate |
$323.12 |
| Max. Negotiated Rate |
$1,498.50 |
| Rate for Payer: Aetna Commercial |
$660.51
|
| Rate for Payer: Aetna Medicare |
$492.92
|
| Rate for Payer: BCBS Complete |
$339.28
|
| Rate for Payer: BCBS MAPPO |
$492.92
|
| Rate for Payer: BCN Commercial |
$797.27
|
| Rate for Payer: BCN Medicare Advantage |
$492.92
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$709.80
|
| Rate for Payer: Cofinity Commercial |
$660.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.92
|
| Rate for Payer: Healthscope Commercial |
$591.50
|
| Rate for Payer: Healthscope Whirlpool |
$591.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.57
|
| Rate for Payer: Meridian Medicaid |
$339.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$542.21
|
| Rate for Payer: Nomi Health Commercial |
$591.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,498.50
|
| Rate for Payer: PACE SWMI |
$492.92
|
| Rate for Payer: PHP Medicare Advantage |
$492.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$852.26
|
| Rate for Payer: Priority Health Medicare |
$492.92
|
| Rate for Payer: Priority Health Narrow Network |
$852.26
|
| Rate for Payer: Railroad Medicare Medicare |
$492.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$917.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$492.92
|
| Rate for Payer: UHC Exchange |
$917.69
|
| Rate for Payer: UHC Medicaid |
$323.12
|
| Rate for Payer: UHCCP DNSP |
$492.92
|
| Rate for Payer: UHCCP Medicaid |
$323.12
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$1,071.00
|
|
|
Service Code
|
HCPCS 29836
|
| Min. Negotiated Rate |
$349.53 |
| Max. Negotiated Rate |
$1,016.51 |
| Rate for Payer: Aetna Commercial |
$713.91
|
| Rate for Payer: Aetna Medicare |
$532.77
|
| Rate for Payer: BCBS Complete |
$367.01
|
| Rate for Payer: BCBS MAPPO |
$532.77
|
| Rate for Payer: BCN Commercial |
$897.86
|
| Rate for Payer: BCN Medicare Advantage |
$532.77
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cash Price |
$856.80
|
| Rate for Payer: Cofinity Commercial |
$767.19
|
| Rate for Payer: Cofinity Commercial |
$713.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.77
|
| Rate for Payer: Healthscope Commercial |
$639.32
|
| Rate for Payer: Healthscope Whirlpool |
$639.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.41
|
| Rate for Payer: Meridian Medicaid |
$367.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$586.05
|
| Rate for Payer: Nomi Health Commercial |
$639.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$803.25
|
| Rate for Payer: PACE SWMI |
$532.77
|
| Rate for Payer: PHP Medicare Advantage |
$532.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$959.79
|
| Rate for Payer: Priority Health Medicare |
$532.77
|
| Rate for Payer: Priority Health Narrow Network |
$959.79
|
| Rate for Payer: Railroad Medicare Medicare |
$532.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,016.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.77
|
| Rate for Payer: UHC Exchange |
$1,016.51
|
| Rate for Payer: UHC Medicaid |
$349.53
|
| Rate for Payer: UHCCP DNSP |
$532.77
|
| Rate for Payer: UHCCP Medicaid |
$349.53
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$2,028.00
|
|
|
Service Code
|
HCPCS 29835
|
| Min. Negotiated Rate |
$310.55 |
| Max. Negotiated Rate |
$1,521.00 |
| Rate for Payer: Aetna Commercial |
$634.05
|
| Rate for Payer: Aetna Medicare |
$473.17
|
| Rate for Payer: BCBS Complete |
$326.08
|
| Rate for Payer: BCBS MAPPO |
$473.17
|
| Rate for Payer: BCN Commercial |
$783.32
|
| Rate for Payer: BCN Medicare Advantage |
$473.17
|
| Rate for Payer: Cash Price |
$1,622.40
|
| Rate for Payer: Cash Price |
$1,622.40
|
| Rate for Payer: Cofinity Commercial |
$681.36
|
| Rate for Payer: Cofinity Commercial |
$634.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$473.17
|
| Rate for Payer: Healthscope Commercial |
$567.80
|
| Rate for Payer: Healthscope Whirlpool |
$567.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.83
|
| Rate for Payer: Meridian Medicaid |
$326.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$520.49
|
| Rate for Payer: Nomi Health Commercial |
$567.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,521.00
|
| Rate for Payer: PACE SWMI |
$473.17
|
| Rate for Payer: PHP Medicare Advantage |
$473.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$310.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$837.35
|
| Rate for Payer: Priority Health Medicare |
$473.17
|
| Rate for Payer: Priority Health Narrow Network |
$837.35
|
| Rate for Payer: Railroad Medicare Medicare |
$473.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$885.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$473.17
|
| Rate for Payer: UHC Exchange |
$885.16
|
| Rate for Payer: UHC Medicaid |
$310.55
|
| Rate for Payer: UHCCP DNSP |
$473.17
|
| Rate for Payer: UHCCP Medicaid |
$310.55
|
|
|
PR ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$1,900.00
|
|
|
Service Code
|
HCPCS 29834
|
| Min. Negotiated Rate |
$298.84 |
| Max. Negotiated Rate |
$1,425.00 |
| Rate for Payer: Aetna Commercial |
$609.87
|
| Rate for Payer: Aetna Medicare |
$455.13
|
| Rate for Payer: BCBS Complete |
$313.78
|
| Rate for Payer: BCBS MAPPO |
$455.13
|
| Rate for Payer: BCN Commercial |
$758.92
|
| Rate for Payer: BCN Medicare Advantage |
$455.13
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cash Price |
$1,520.00
|
| Rate for Payer: Cofinity Commercial |
$655.39
|
| Rate for Payer: Cofinity Commercial |
$609.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.13
|
| Rate for Payer: Healthscope Commercial |
$546.16
|
| Rate for Payer: Healthscope Whirlpool |
$546.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$477.89
|
| Rate for Payer: Meridian Medicaid |
$313.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$500.64
|
| Rate for Payer: Nomi Health Commercial |
$546.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,425.00
|
| Rate for Payer: PACE SWMI |
$455.13
|
| Rate for Payer: PHP Medicare Advantage |
$455.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$811.27
|
| Rate for Payer: Priority Health Medicare |
$455.13
|
| Rate for Payer: Priority Health Narrow Network |
$811.27
|
| Rate for Payer: Railroad Medicare Medicare |
$455.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$856.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.13
|
| Rate for Payer: UHC Exchange |
$856.03
|
| Rate for Payer: UHC Medicaid |
$298.84
|
| Rate for Payer: UHCCP DNSP |
$455.13
|
| Rate for Payer: UHCCP Medicaid |
$298.84
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,517.00
|
|
|
Service Code
|
HCPCS 29861
|
| Min. Negotiated Rate |
$419.18 |
| Max. Negotiated Rate |
$1,887.75 |
| Rate for Payer: Aetna Commercial |
$860.15
|
| Rate for Payer: Aetna Medicare |
$641.90
|
| Rate for Payer: BCBS Complete |
$440.14
|
| Rate for Payer: BCBS MAPPO |
$641.90
|
| Rate for Payer: BCN Commercial |
$1,058.21
|
| Rate for Payer: BCN Medicare Advantage |
$641.90
|
| Rate for Payer: Cash Price |
$2,013.60
|
| Rate for Payer: Cash Price |
$2,013.60
|
| Rate for Payer: Cofinity Commercial |
$924.34
|
| Rate for Payer: Cofinity Commercial |
$860.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.90
|
| Rate for Payer: Healthscope Commercial |
$770.28
|
| Rate for Payer: Healthscope Whirlpool |
$770.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$674.00
|
| Rate for Payer: Meridian Medicaid |
$440.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$706.09
|
| Rate for Payer: Nomi Health Commercial |
$770.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,887.75
|
| Rate for Payer: PACE SWMI |
$641.90
|
| Rate for Payer: PHP Medicare Advantage |
$641.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,131.19
|
| Rate for Payer: Priority Health Medicare |
$641.90
|
| Rate for Payer: Priority Health Narrow Network |
$1,131.19
|
| Rate for Payer: Railroad Medicare Medicare |
$641.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,260.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$641.90
|
| Rate for Payer: UHC Exchange |
$1,260.37
|
| Rate for Payer: UHC Medicaid |
$419.18
|
| Rate for Payer: UHCCP DNSP |
$641.90
|
| Rate for Payer: UHCCP Medicaid |
$419.18
|
|
|
PR ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 29863
|
| Min. Negotiated Rate |
$482.87 |
| Max. Negotiated Rate |
$1,422.43 |
| Rate for Payer: Aetna Commercial |
$989.27
|
| Rate for Payer: Aetna Medicare |
$738.26
|
| Rate for Payer: BCBS Complete |
$507.01
|
| Rate for Payer: BCBS MAPPO |
$738.26
|
| Rate for Payer: BCN Commercial |
$1,241.46
|
| Rate for Payer: BCN Medicare Advantage |
$738.26
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$989.27
|
| Rate for Payer: Cofinity Commercial |
$1,063.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.26
|
| Rate for Payer: Healthscope Commercial |
$885.91
|
| Rate for Payer: Healthscope Whirlpool |
$885.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$775.17
|
| Rate for Payer: Meridian Medicaid |
$507.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$812.09
|
| Rate for Payer: Nomi Health Commercial |
$885.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,272.00
|
| Rate for Payer: PACE SWMI |
$738.26
|
| Rate for Payer: PHP Medicare Advantage |
$738.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,327.10
|
| Rate for Payer: Priority Health Medicare |
$738.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,327.10
|
| Rate for Payer: Railroad Medicare Medicare |
$738.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,422.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$738.26
|
| Rate for Payer: UHC Exchange |
$1,422.43
|
| Rate for Payer: UHC Medicaid |
$482.87
|
| Rate for Payer: UHCCP DNSP |
$738.26
|
| Rate for Payer: UHCCP Medicaid |
$482.87
|
|
|
PR ARTHROSCOPY HIP W/ACETABULOPLASTY
|
Professional
|
Both
|
$3,357.00
|
|
|
Service Code
|
HCPCS 29915
|
| Min. Negotiated Rate |
$594.48 |
| Max. Negotiated Rate |
$2,517.75 |
| Rate for Payer: Aetna Commercial |
$1,225.59
|
| Rate for Payer: Aetna Medicare |
$914.62
|
| Rate for Payer: BCBS Complete |
$624.20
|
| Rate for Payer: BCBS MAPPO |
$914.62
|
| Rate for Payer: BCN Commercial |
$1,537.27
|
| Rate for Payer: BCN Medicare Advantage |
$914.62
|
| Rate for Payer: Cash Price |
$2,685.60
|
| Rate for Payer: Cash Price |
$2,685.60
|
| Rate for Payer: Cofinity Commercial |
$1,317.05
|
| Rate for Payer: Cofinity Commercial |
$1,225.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.62
|
| Rate for Payer: Healthscope Commercial |
$1,097.54
|
| Rate for Payer: Healthscope Whirlpool |
$1,097.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$960.35
|
| Rate for Payer: Meridian Medicaid |
$624.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,006.08
|
| Rate for Payer: Nomi Health Commercial |
$1,097.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,517.75
|
| Rate for Payer: PACE SWMI |
$914.62
|
| Rate for Payer: PHP Medicare Advantage |
$914.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,643.30
|
| Rate for Payer: Priority Health Medicare |
$914.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,643.30
|
| Rate for Payer: Railroad Medicare Medicare |
$914.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,794.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$914.62
|
| Rate for Payer: UHC Exchange |
$1,794.31
|
| Rate for Payer: UHC Medicaid |
$594.48
|
| Rate for Payer: UHCCP DNSP |
$914.62
|
| Rate for Payer: UHCCP Medicaid |
$594.48
|
|
|
PR ARTHROSCOPY HIP W/FEMOROPLASTY
|
Professional
|
Both
|
$3,155.00
|
|
|
Service Code
|
HCPCS 29914
|
| Min. Negotiated Rate |
$583.62 |
| Max. Negotiated Rate |
$2,366.25 |
| Rate for Payer: Aetna Commercial |
$1,202.69
|
| Rate for Payer: Aetna Medicare |
$897.53
|
| Rate for Payer: BCBS Complete |
$612.80
|
| Rate for Payer: BCBS MAPPO |
$897.53
|
| Rate for Payer: BCN Commercial |
$1,508.39
|
| Rate for Payer: BCN Medicare Advantage |
$897.53
|
| Rate for Payer: Cash Price |
$2,524.00
|
| Rate for Payer: Cash Price |
$2,524.00
|
| Rate for Payer: Cofinity Commercial |
$1,292.44
|
| Rate for Payer: Cofinity Commercial |
$1,202.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$897.53
|
| Rate for Payer: Healthscope Commercial |
$1,077.04
|
| Rate for Payer: Healthscope Whirlpool |
$1,077.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$942.41
|
| Rate for Payer: Meridian Medicaid |
$612.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$987.28
|
| Rate for Payer: Nomi Health Commercial |
$1,077.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,366.25
|
| Rate for Payer: PACE SWMI |
$897.53
|
| Rate for Payer: PHP Medicare Advantage |
$897.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$583.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,612.43
|
| Rate for Payer: Priority Health Medicare |
$897.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,612.43
|
| Rate for Payer: Railroad Medicare Medicare |
$897.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,742.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$897.53
|
| Rate for Payer: UHC Exchange |
$1,742.96
|
| Rate for Payer: UHC Medicaid |
$583.62
|
| Rate for Payer: UHCCP DNSP |
$897.53
|
| Rate for Payer: UHCCP Medicaid |
$583.62
|
|
|
PR ARTHROSCOPY HIP W/LABRAL REPAIR
|
Professional
|
Both
|
$3,372.00
|
|
|
Service Code
|
HCPCS 29916
|
| Min. Negotiated Rate |
$593.42 |
| Max. Negotiated Rate |
$2,529.00 |
| Rate for Payer: Aetna Commercial |
$1,223.46
|
| Rate for Payer: Aetna Medicare |
$913.03
|
| Rate for Payer: BCBS Complete |
$623.09
|
| Rate for Payer: BCBS MAPPO |
$913.03
|
| Rate for Payer: BCN Commercial |
$1,539.26
|
| Rate for Payer: BCN Medicare Advantage |
$913.03
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cash Price |
$2,697.60
|
| Rate for Payer: Cofinity Commercial |
$1,314.76
|
| Rate for Payer: Cofinity Commercial |
$1,223.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$913.03
|
| Rate for Payer: Healthscope Commercial |
$1,095.64
|
| Rate for Payer: Healthscope Whirlpool |
$1,095.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$958.68
|
| Rate for Payer: Meridian Medicaid |
$623.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,004.33
|
| Rate for Payer: Nomi Health Commercial |
$1,095.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,529.00
|
| Rate for Payer: PACE SWMI |
$913.03
|
| Rate for Payer: PHP Medicare Advantage |
$913.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$593.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,645.42
|
| Rate for Payer: Priority Health Medicare |
$913.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,645.42
|
| Rate for Payer: Railroad Medicare Medicare |
$913.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,794.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$913.03
|
| Rate for Payer: UHC Exchange |
$1,794.76
|
| Rate for Payer: UHC Medicaid |
$593.42
|
| Rate for Payer: UHCCP DNSP |
$913.03
|
| Rate for Payer: UHCCP Medicaid |
$593.42
|
|
|
PR ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX
|
Professional
|
Both
|
$1,167.00
|
|
|
Service Code
|
HCPCS 29870
|
| Min. Negotiated Rate |
$254.96 |
| Max. Negotiated Rate |
$875.25 |
| Rate for Payer: Aetna Commercial |
$518.79
|
| Rate for Payer: Aetna Medicare |
$387.16
|
| Rate for Payer: BCBS Complete |
$267.71
|
| Rate for Payer: BCBS MAPPO |
$387.16
|
| Rate for Payer: BCN Commercial |
$635.43
|
| Rate for Payer: BCN Medicare Advantage |
$387.16
|
| Rate for Payer: Cash Price |
$933.60
|
| Rate for Payer: Cash Price |
$933.60
|
| Rate for Payer: Cofinity Commercial |
$557.51
|
| Rate for Payer: Cofinity Commercial |
$518.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.16
|
| Rate for Payer: Healthscope Commercial |
$464.59
|
| Rate for Payer: Healthscope Whirlpool |
$464.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.52
|
| Rate for Payer: Meridian Medicaid |
$267.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$425.88
|
| Rate for Payer: Nomi Health Commercial |
$464.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$875.25
|
| Rate for Payer: PACE SWMI |
$387.16
|
| Rate for Payer: PHP Medicare Advantage |
$387.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$679.25
|
| Rate for Payer: Priority Health Medicare |
$387.16
|
| Rate for Payer: Priority Health Narrow Network |
$679.25
|
| Rate for Payer: Railroad Medicare Medicare |
$387.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$711.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$387.16
|
| Rate for Payer: UHC Exchange |
$711.40
|
| Rate for Payer: UHC Medicaid |
$254.96
|
| Rate for Payer: UHCCP DNSP |
$387.16
|
| Rate for Payer: UHCCP Medicaid |
$254.96
|
|
|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,093.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$964.46 |
| Max. Negotiated Rate |
$2,937.78 |
| Rate for Payer: Aetna Commercial |
$1,995.76
|
| Rate for Payer: Aetna Medicare |
$1,489.37
|
| Rate for Payer: BCBS Complete |
$1,012.68
|
| Rate for Payer: BCBS MAPPO |
$1,489.37
|
| Rate for Payer: BCN Commercial |
$2,519.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,489.37
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cash Price |
$2,474.40
|
| Rate for Payer: Cofinity Commercial |
$2,144.69
|
| Rate for Payer: Cofinity Commercial |
$1,995.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,489.37
|
| Rate for Payer: Healthscope Commercial |
$1,787.24
|
| Rate for Payer: Healthscope Whirlpool |
$1,787.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,563.84
|
| Rate for Payer: Meridian Medicaid |
$1,012.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,638.31
|
| Rate for Payer: Nomi Health Commercial |
$1,787.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,319.75
|
| Rate for Payer: PACE SWMI |
$1,489.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,489.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$964.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,693.05
|
| Rate for Payer: Priority Health Medicare |
$1,489.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,693.05
|
| Rate for Payer: Railroad Medicare Medicare |
$1,489.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,937.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,489.37
|
| Rate for Payer: UHC Exchange |
$2,937.78
|
| Rate for Payer: UHC Medicaid |
$964.46
|
| Rate for Payer: UHCCP DNSP |
$1,489.37
|
| Rate for Payer: UHCCP Medicaid |
$964.46
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,190.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$624.52 |
| Max. Negotiated Rate |
$2,392.50 |
| Rate for Payer: Aetna Commercial |
$1,283.18
|
| Rate for Payer: Aetna Medicare |
$957.60
|
| Rate for Payer: BCBS Complete |
$655.75
|
| Rate for Payer: BCBS MAPPO |
$957.60
|
| Rate for Payer: BCN Commercial |
$1,601.51
|
| Rate for Payer: BCN Medicare Advantage |
$957.60
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,378.94
|
| Rate for Payer: Cofinity Commercial |
$1,283.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$957.60
|
| Rate for Payer: Healthscope Commercial |
$1,149.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,149.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,005.48
|
| Rate for Payer: Meridian Medicaid |
$655.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,053.36
|
| Rate for Payer: Nomi Health Commercial |
$1,149.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,392.50
|
| Rate for Payer: PACE SWMI |
$957.60
|
| Rate for Payer: PHP Medicare Advantage |
$957.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,711.96
|
| Rate for Payer: Priority Health Medicare |
$957.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,711.96
|
| Rate for Payer: Railroad Medicare Medicare |
$957.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,836.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$957.60
|
| Rate for Payer: UHC Exchange |
$1,836.41
|
| Rate for Payer: UHC Medicaid |
$624.52
|
| Rate for Payer: UHCCP DNSP |
$957.60
|
| Rate for Payer: UHCCP Medicaid |
$624.52
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$751.68 |
| Max. Negotiated Rate |
$2,238.72 |
| Rate for Payer: Aetna Commercial |
$1,548.91
|
| Rate for Payer: Aetna Medicare |
$1,155.90
|
| Rate for Payer: BCBS Complete |
$789.26
|
| Rate for Payer: BCBS MAPPO |
$1,155.90
|
| Rate for Payer: BCN Commercial |
$1,939.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.90
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$1,664.50
|
| Rate for Payer: Cofinity Commercial |
$1,548.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.90
|
| Rate for Payer: Healthscope Commercial |
$1,387.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,387.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.69
|
| Rate for Payer: Meridian Medicaid |
$789.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,271.49
|
| Rate for Payer: Nomi Health Commercial |
$1,387.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$1,155.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$751.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,073.42
|
| Rate for Payer: Priority Health Medicare |
$1,155.90
|
| Rate for Payer: Priority Health Narrow Network |
$2,073.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,238.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,155.90
|
| Rate for Payer: UHC Exchange |
$2,238.72
|
| Rate for Payer: UHC Medicaid |
$751.68
|
| Rate for Payer: UHCCP DNSP |
$1,155.90
|
| Rate for Payer: UHCCP Medicaid |
$751.68
|
|
|
PR ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE
|
Professional
|
Both
|
$2,033.00
|
|
|
Service Code
|
HCPCS 29873
|
| Min. Negotiated Rate |
$332.28 |
| Max. Negotiated Rate |
$1,524.75 |
| Rate for Payer: Aetna Commercial |
$673.32
|
| Rate for Payer: Aetna Medicare |
$502.48
|
| Rate for Payer: BCBS Complete |
$348.89
|
| Rate for Payer: BCBS MAPPO |
$502.48
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: BCN Medicare Advantage |
$502.48
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cofinity Commercial |
$723.57
|
| Rate for Payer: Cofinity Commercial |
$673.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.48
|
| Rate for Payer: Healthscope Commercial |
$602.98
|
| Rate for Payer: Healthscope Whirlpool |
$602.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.60
|
| Rate for Payer: Meridian Medicaid |
$348.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$552.73
|
| Rate for Payer: Nomi Health Commercial |
$602.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,524.75
|
| Rate for Payer: PACE SWMI |
$502.48
|
| Rate for Payer: PHP Medicare Advantage |
$502.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$882.06
|
| Rate for Payer: Priority Health Medicare |
$502.48
|
| Rate for Payer: Priority Health Narrow Network |
$882.06
|
| Rate for Payer: Railroad Medicare Medicare |
$502.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$915.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$502.48
|
| Rate for Payer: UHC Exchange |
$915.41
|
| Rate for Payer: UHC Medicaid |
$332.28
|
| Rate for Payer: UHCCP DNSP |
$502.48
|
| Rate for Payer: UHCCP Medicaid |
$332.28
|
|
|
PR ARTHROSCOPY KNEE SURG INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,667.00
|
|
|
Service Code
|
HCPCS 29871
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$1,250.25 |
| Rate for Payer: Aetna Commercial |
$639.54
|
| Rate for Payer: Aetna Medicare |
$477.27
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$477.27
|
| Rate for Payer: BCN Commercial |
$790.30
|
| Rate for Payer: BCN Medicare Advantage |
$477.27
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cash Price |
$1,333.60
|
| Rate for Payer: Cofinity Commercial |
$687.27
|
| Rate for Payer: Cofinity Commercial |
$639.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.27
|
| Rate for Payer: Healthscope Commercial |
$572.72
|
| Rate for Payer: Healthscope Whirlpool |
$572.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.13
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$525.00
|
| Rate for Payer: Nomi Health Commercial |
$572.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,250.25
|
| Rate for Payer: PACE SWMI |
$477.27
|
| Rate for Payer: PHP Medicare Advantage |
$477.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$844.81
|
| Rate for Payer: Priority Health Medicare |
$477.27
|
| Rate for Payer: Priority Health Narrow Network |
$844.81
|
| Rate for Payer: Railroad Medicare Medicare |
$477.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$893.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$477.27
|
| Rate for Payer: UHC Exchange |
$893.52
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP DNSP |
$477.27
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ
|
Professional
|
Both
|
$2,333.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$373.82 |
| Max. Negotiated Rate |
$1,749.75 |
| Rate for Payer: Aetna Commercial |
$764.62
|
| Rate for Payer: Aetna Medicare |
$570.61
|
| Rate for Payer: BCBS Complete |
$392.51
|
| Rate for Payer: BCBS MAPPO |
$570.61
|
| Rate for Payer: BCN Commercial |
$947.16
|
| Rate for Payer: BCN Medicare Advantage |
$570.61
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cash Price |
$1,866.40
|
| Rate for Payer: Cofinity Commercial |
$821.68
|
| Rate for Payer: Cofinity Commercial |
$764.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.61
|
| Rate for Payer: Healthscope Commercial |
$684.73
|
| Rate for Payer: Healthscope Whirlpool |
$684.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.14
|
| Rate for Payer: Meridian Medicaid |
$392.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$627.67
|
| Rate for Payer: Nomi Health Commercial |
$684.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,749.75
|
| Rate for Payer: PACE SWMI |
$570.61
|
| Rate for Payer: PHP Medicare Advantage |
$570.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$373.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,012.49
|
| Rate for Payer: Priority Health Medicare |
$570.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.49
|
| Rate for Payer: Railroad Medicare Medicare |
$570.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,078.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$570.61
|
| Rate for Payer: UHC Exchange |
$1,078.31
|
| Rate for Payer: UHC Medicaid |
$373.82
|
| Rate for Payer: UHCCP DNSP |
$570.61
|
| Rate for Payer: UHCCP Medicaid |
$373.82
|
|
|
PR ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,100.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$322.70 |
| Max. Negotiated Rate |
$1,575.00 |
| Rate for Payer: Aetna Commercial |
$660.10
|
| Rate for Payer: Aetna Medicare |
$492.61
|
| Rate for Payer: BCBS Complete |
$338.83
|
| Rate for Payer: BCBS MAPPO |
$492.61
|
| Rate for Payer: BCN Commercial |
$900.47
|
| Rate for Payer: BCN Medicare Advantage |
$492.61
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cofinity Commercial |
$709.36
|
| Rate for Payer: Cofinity Commercial |
$660.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.61
|
| Rate for Payer: Healthscope Commercial |
$591.13
|
| Rate for Payer: Healthscope Whirlpool |
$591.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.24
|
| Rate for Payer: Meridian Medicaid |
$338.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$541.87
|
| Rate for Payer: Nomi Health Commercial |
$591.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,575.00
|
| Rate for Payer: PACE SWMI |
$492.61
|
| Rate for Payer: PHP Medicare Advantage |
$492.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$876.21
|
| Rate for Payer: Priority Health Medicare |
$492.61
|
| Rate for Payer: Priority Health Narrow Network |
$876.21
|
| Rate for Payer: Railroad Medicare Medicare |
$492.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$936.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$492.61
|
| Rate for Payer: UHC Exchange |
$936.89
|
| Rate for Payer: UHC Medicaid |
$322.70
|
| Rate for Payer: UHCCP DNSP |
$492.61
|
| Rate for Payer: UHCCP Medicaid |
$322.70
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$302.46 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$617.42
|
| Rate for Payer: Aetna Medicare |
$460.76
|
| Rate for Payer: BCBS Complete |
$317.58
|
| Rate for Payer: BCBS MAPPO |
$460.76
|
| Rate for Payer: BCN Commercial |
$835.92
|
| Rate for Payer: BCN Medicare Advantage |
$460.76
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$663.49
|
| Rate for Payer: Cofinity Commercial |
$617.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.76
|
| Rate for Payer: Healthscope Commercial |
$552.91
|
| Rate for Payer: Healthscope Whirlpool |
$552.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.80
|
| Rate for Payer: Meridian Medicaid |
$317.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.84
|
| Rate for Payer: Nomi Health Commercial |
$552.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$460.76
|
| Rate for Payer: PHP Medicare Advantage |
$460.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$813.39
|
| Rate for Payer: Priority Health Medicare |
$460.76
|
| Rate for Payer: Priority Health Narrow Network |
$813.39
|
| Rate for Payer: Railroad Medicare Medicare |
$460.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$863.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.76
|
| Rate for Payer: UHC Exchange |
$863.25
|
| Rate for Payer: UHC Medicaid |
$302.46
|
| Rate for Payer: UHCCP DNSP |
$460.76
|
| Rate for Payer: UHCCP Medicaid |
$302.46
|
|
|
PR ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2/>CMPRT
|
Professional
|
Both
|
$2,467.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$392.13 |
| Max. Negotiated Rate |
$1,850.25 |
| Rate for Payer: Aetna Commercial |
$803.09
|
| Rate for Payer: Aetna Medicare |
$599.32
|
| Rate for Payer: BCBS Complete |
$411.74
|
| Rate for Payer: BCBS MAPPO |
$599.32
|
| Rate for Payer: BCN Commercial |
$1,095.78
|
| Rate for Payer: BCN Medicare Advantage |
$599.32
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cash Price |
$1,973.60
|
| Rate for Payer: Cofinity Commercial |
$863.02
|
| Rate for Payer: Cofinity Commercial |
$803.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.32
|
| Rate for Payer: Healthscope Commercial |
$719.18
|
| Rate for Payer: Healthscope Whirlpool |
$719.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.29
|
| Rate for Payer: Meridian Medicaid |
$411.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$659.25
|
| Rate for Payer: Nomi Health Commercial |
$719.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,850.25
|
| Rate for Payer: PACE SWMI |
$599.32
|
| Rate for Payer: PHP Medicare Advantage |
$599.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,066.25
|
| Rate for Payer: Priority Health Medicare |
$599.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,066.25
|
| Rate for Payer: Railroad Medicare Medicare |
$599.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,139.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$599.32
|
| Rate for Payer: UHC Exchange |
$1,139.40
|
| Rate for Payer: UHC Medicaid |
$392.13
|
| Rate for Payer: UHCCP DNSP |
$599.32
|
| Rate for Payer: UHCCP Medicaid |
$392.13
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,841.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$2,130.75 |
| Rate for Payer: Aetna Commercial |
$1,029.51
|
| Rate for Payer: Aetna Medicare |
$768.29
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$768.29
|
| Rate for Payer: BCN Commercial |
$1,276.32
|
| Rate for Payer: BCN Medicare Advantage |
$768.29
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cash Price |
$2,272.80
|
| Rate for Payer: Cofinity Commercial |
$1,106.34
|
| Rate for Payer: Cofinity Commercial |
$1,029.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$768.29
|
| Rate for Payer: Healthscope Commercial |
$921.95
|
| Rate for Payer: Healthscope Whirlpool |
$921.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$806.70
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$845.12
|
| Rate for Payer: Nomi Health Commercial |
$921.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,130.75
|
| Rate for Payer: PACE SWMI |
$768.29
|
| Rate for Payer: PHP Medicare Advantage |
$768.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,364.35
|
| Rate for Payer: Priority Health Medicare |
$768.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,364.35
|
| Rate for Payer: Railroad Medicare Medicare |
$768.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,469.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$768.29
|
| Rate for Payer: UHC Exchange |
$1,469.99
|
| Rate for Payer: UHC Medicaid |
$501.19
|
| Rate for Payer: UHCCP DNSP |
$768.29
|
| Rate for Payer: UHCCP Medicaid |
$501.19
|
|
|
PR ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29882
|
| Min. Negotiated Rate |
$409.39 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$839.82
|
| Rate for Payer: Aetna Medicare |
$626.73
|
| Rate for Payer: BCBS Complete |
$429.86
|
| Rate for Payer: BCBS MAPPO |
$626.73
|
| Rate for Payer: BCN Commercial |
$1,153.22
|
| Rate for Payer: BCN Medicare Advantage |
$626.73
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$902.49
|
| Rate for Payer: Cofinity Commercial |
$839.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.73
|
| Rate for Payer: Healthscope Commercial |
$752.08
|
| Rate for Payer: Healthscope Whirlpool |
$752.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.07
|
| Rate for Payer: Meridian Medicaid |
$429.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$689.40
|
| Rate for Payer: Nomi Health Commercial |
$752.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$626.73
|
| Rate for Payer: PHP Medicare Advantage |
$626.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,122.14
|
| Rate for Payer: Priority Health Medicare |
$626.73
|
| Rate for Payer: Priority Health Narrow Network |
$1,122.14
|
| Rate for Payer: Railroad Medicare Medicare |
$626.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,208.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$626.73
|
| Rate for Payer: UHC Exchange |
$1,208.97
|
| Rate for Payer: UHC Medicaid |
$409.39
|
| Rate for Payer: UHCCP DNSP |
$626.73
|
| Rate for Payer: UHCCP Medicaid |
$409.39
|
|
