|
PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT
|
Professional
|
Both
|
$2,501.00
|
|
|
Service Code
|
HCPCS 29906
|
| Min. Negotiated Rate |
$399.16 |
| Max. Negotiated Rate |
$1,875.75 |
| Rate for Payer: Aetna Commercial |
$817.79
|
| Rate for Payer: Aetna Medicare |
$610.29
|
| Rate for Payer: BCBS Complete |
$419.12
|
| Rate for Payer: BCBS MAPPO |
$610.29
|
| Rate for Payer: BCN Commercial |
$1,013.39
|
| Rate for Payer: BCN Medicare Advantage |
$610.29
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cash Price |
$2,000.80
|
| Rate for Payer: Cofinity Commercial |
$878.82
|
| Rate for Payer: Cofinity Commercial |
$817.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.29
|
| Rate for Payer: Healthscope Commercial |
$732.35
|
| Rate for Payer: Healthscope Whirlpool |
$732.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$640.80
|
| Rate for Payer: Meridian Medicaid |
$419.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.32
|
| Rate for Payer: Nomi Health Commercial |
$732.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,875.75
|
| Rate for Payer: PACE SWMI |
$610.29
|
| Rate for Payer: PHP Medicare Advantage |
$610.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$399.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,083.28
|
| Rate for Payer: Priority Health Medicare |
$610.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,083.28
|
| Rate for Payer: Railroad Medicare Medicare |
$610.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,159.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.29
|
| Rate for Payer: UHC Exchange |
$1,159.17
|
| Rate for Payer: UHC Medicaid |
$399.16
|
| Rate for Payer: UHCCP DNSP |
$610.29
|
| Rate for Payer: UHCCP Medicaid |
$399.16
|
|
|
PR ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX
|
Professional
|
Both
|
$945.00
|
|
|
Service Code
|
HCPCS 29840
|
| Min. Negotiated Rate |
$281.37 |
| Max. Negotiated Rate |
$782.08 |
| Rate for Payer: Aetna Commercial |
$572.88
|
| Rate for Payer: Aetna Medicare |
$427.52
|
| Rate for Payer: BCBS Complete |
$295.44
|
| Rate for Payer: BCBS MAPPO |
$427.52
|
| Rate for Payer: BCN Commercial |
$701.16
|
| Rate for Payer: BCN Medicare Advantage |
$427.52
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cash Price |
$756.00
|
| Rate for Payer: Cofinity Commercial |
$615.63
|
| Rate for Payer: Cofinity Commercial |
$572.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.52
|
| Rate for Payer: Healthscope Commercial |
$513.02
|
| Rate for Payer: Healthscope Whirlpool |
$513.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$448.90
|
| Rate for Payer: Meridian Medicaid |
$295.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$470.27
|
| Rate for Payer: Nomi Health Commercial |
$513.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$708.75
|
| Rate for Payer: PACE SWMI |
$427.52
|
| Rate for Payer: PHP Medicare Advantage |
$427.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$749.52
|
| Rate for Payer: Priority Health Medicare |
$427.52
|
| Rate for Payer: Priority Health Narrow Network |
$749.52
|
| Rate for Payer: Railroad Medicare Medicare |
$427.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$782.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$427.52
|
| Rate for Payer: UHC Exchange |
$782.08
|
| Rate for Payer: UHC Medicaid |
$281.37
|
| Rate for Payer: UHCCP DNSP |
$427.52
|
| Rate for Payer: UHCCP Medicaid |
$281.37
|
|
|
PR ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE
|
Professional
|
Both
|
$1,943.00
|
|
|
Service Code
|
HCPCS 29843
|
| Min. Negotiated Rate |
$299.48 |
| Max. Negotiated Rate |
$1,457.25 |
| Rate for Payer: Aetna Commercial |
$610.28
|
| Rate for Payer: Aetna Medicare |
$455.43
|
| Rate for Payer: BCBS Complete |
$314.45
|
| Rate for Payer: BCBS MAPPO |
$455.43
|
| Rate for Payer: BCN Commercial |
$748.96
|
| Rate for Payer: BCN Medicare Advantage |
$455.43
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cash Price |
$1,554.40
|
| Rate for Payer: Cofinity Commercial |
$655.82
|
| Rate for Payer: Cofinity Commercial |
$610.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.43
|
| Rate for Payer: Healthscope Commercial |
$546.52
|
| Rate for Payer: Healthscope Whirlpool |
$546.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$478.20
|
| Rate for Payer: Meridian Medicaid |
$314.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$500.97
|
| Rate for Payer: Nomi Health Commercial |
$546.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,457.25
|
| Rate for Payer: PACE SWMI |
$455.43
|
| Rate for Payer: PHP Medicare Advantage |
$455.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$800.62
|
| Rate for Payer: Priority Health Medicare |
$455.43
|
| Rate for Payer: Priority Health Narrow Network |
$800.62
|
| Rate for Payer: Railroad Medicare Medicare |
$455.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$843.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$455.43
|
| Rate for Payer: UHC Exchange |
$843.78
|
| Rate for Payer: UHC Medicaid |
$299.48
|
| Rate for Payer: UHCCP DNSP |
$455.43
|
| Rate for Payer: UHCCP Medicaid |
$299.48
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE
|
Professional
|
Both
|
$2,091.00
|
|
|
Service Code
|
HCPCS 29845
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,568.25 |
| Rate for Payer: Aetna Commercial |
$712.16
|
| Rate for Payer: Aetna Medicare |
$531.46
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCBS MAPPO |
$531.46
|
| Rate for Payer: BCN Commercial |
$898.36
|
| Rate for Payer: BCN Medicare Advantage |
$531.46
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cash Price |
$1,672.80
|
| Rate for Payer: Cofinity Commercial |
$765.30
|
| Rate for Payer: Cofinity Commercial |
$712.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.46
|
| Rate for Payer: Healthscope Commercial |
$637.75
|
| Rate for Payer: Healthscope Whirlpool |
$637.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.03
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$584.61
|
| Rate for Payer: Nomi Health Commercial |
$637.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,568.25
|
| Rate for Payer: PACE SWMI |
$531.46
|
| Rate for Payer: PHP Medicare Advantage |
$531.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$960.32
|
| Rate for Payer: Priority Health Medicare |
$531.46
|
| Rate for Payer: Priority Health Narrow Network |
$960.32
|
| Rate for Payer: Railroad Medicare Medicare |
$531.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,014.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$531.46
|
| Rate for Payer: UHC Exchange |
$1,014.25
|
| Rate for Payer: UHC Medicaid |
$348.68
|
| Rate for Payer: UHCCP DNSP |
$531.46
|
| Rate for Payer: UHCCP Medicaid |
$348.68
|
|
|
PR ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL
|
Professional
|
Both
|
$1,933.00
|
|
|
Service Code
|
HCPCS 29844
|
| Min. Negotiated Rate |
$300.33 |
| Max. Negotiated Rate |
$1,449.75 |
| Rate for Payer: Aetna Commercial |
$612.98
|
| Rate for Payer: Aetna Medicare |
$457.45
|
| Rate for Payer: BCBS Complete |
$315.35
|
| Rate for Payer: BCBS MAPPO |
$457.45
|
| Rate for Payer: BCN Commercial |
$769.88
|
| Rate for Payer: BCN Medicare Advantage |
$457.45
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cash Price |
$1,546.40
|
| Rate for Payer: Cofinity Commercial |
$658.73
|
| Rate for Payer: Cofinity Commercial |
$612.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.45
|
| Rate for Payer: Healthscope Commercial |
$548.94
|
| Rate for Payer: Healthscope Whirlpool |
$548.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.32
|
| Rate for Payer: Meridian Medicaid |
$315.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$503.19
|
| Rate for Payer: Nomi Health Commercial |
$548.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,449.75
|
| Rate for Payer: PACE SWMI |
$457.45
|
| Rate for Payer: PHP Medicare Advantage |
$457.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$822.98
|
| Rate for Payer: Priority Health Medicare |
$457.45
|
| Rate for Payer: Priority Health Narrow Network |
$822.98
|
| Rate for Payer: Railroad Medicare Medicare |
$457.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$868.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$457.45
|
| Rate for Payer: UHC Exchange |
$868.26
|
| Rate for Payer: UHC Medicaid |
$300.33
|
| Rate for Payer: UHCCP DNSP |
$457.45
|
| Rate for Payer: UHCCP Medicaid |
$300.33
|
|
|
PR ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY
|
Professional
|
Both
|
$2,254.00
|
|
|
Service Code
|
HCPCS 29847
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,690.50 |
| Rate for Payer: Aetna Commercial |
$674.38
|
| Rate for Payer: Aetna Medicare |
$503.27
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$503.27
|
| Rate for Payer: BCN Commercial |
$834.12
|
| Rate for Payer: BCN Medicare Advantage |
$503.27
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cash Price |
$1,803.20
|
| Rate for Payer: Cofinity Commercial |
$724.71
|
| Rate for Payer: Cofinity Commercial |
$674.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$503.27
|
| Rate for Payer: Healthscope Commercial |
$603.92
|
| Rate for Payer: Healthscope Whirlpool |
$603.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.43
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$553.60
|
| Rate for Payer: Nomi Health Commercial |
$603.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,690.50
|
| Rate for Payer: PACE SWMI |
$503.27
|
| Rate for Payer: PHP Medicare Advantage |
$503.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$891.64
|
| Rate for Payer: Priority Health Medicare |
$503.27
|
| Rate for Payer: Priority Health Narrow Network |
$891.64
|
| Rate for Payer: Railroad Medicare Medicare |
$503.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$946.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$503.27
|
| Rate for Payer: UHC Exchange |
$946.98
|
| Rate for Payer: UHC Medicaid |
$329.72
|
| Rate for Payer: UHCCP DNSP |
$503.27
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
|
|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,277.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$388.73 |
| Max. Negotiated Rate |
$1,707.75 |
| Rate for Payer: Aetna Commercial |
$796.27
|
| Rate for Payer: Aetna Medicare |
$594.23
|
| Rate for Payer: BCBS Complete |
$408.17
|
| Rate for Payer: BCBS MAPPO |
$594.23
|
| Rate for Payer: BCN Commercial |
$983.01
|
| Rate for Payer: BCN Medicare Advantage |
$594.23
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cash Price |
$1,821.60
|
| Rate for Payer: Cofinity Commercial |
$855.69
|
| Rate for Payer: Cofinity Commercial |
$796.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.23
|
| Rate for Payer: Healthscope Commercial |
$713.08
|
| Rate for Payer: Healthscope Whirlpool |
$713.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$623.94
|
| Rate for Payer: Meridian Medicaid |
$408.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$653.65
|
| Rate for Payer: Nomi Health Commercial |
$713.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,707.75
|
| Rate for Payer: PACE SWMI |
$594.23
|
| Rate for Payer: PHP Medicare Advantage |
$594.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,050.82
|
| Rate for Payer: Priority Health Medicare |
$594.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,050.82
|
| Rate for Payer: Railroad Medicare Medicare |
$594.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,132.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$594.23
|
| Rate for Payer: UHC Exchange |
$1,132.11
|
| Rate for Payer: UHC Medicaid |
$388.73
|
| Rate for Payer: UHCCP DNSP |
$594.23
|
| Rate for Payer: UHCCP Medicaid |
$388.73
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$582.15 |
| Rate for Payer: Aetna Commercial |
$436.40
|
| Rate for Payer: Aetna Medicare |
$325.67
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$325.67
|
| Rate for Payer: BCN Commercial |
$527.86
|
| Rate for Payer: BCN Medicare Advantage |
$325.67
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$468.96
|
| Rate for Payer: Cofinity Commercial |
$436.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.67
|
| Rate for Payer: Healthscope Commercial |
$390.80
|
| Rate for Payer: Healthscope Whirlpool |
$390.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.95
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$358.24
|
| Rate for Payer: Nomi Health Commercial |
$390.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$525.75
|
| Rate for Payer: PACE SWMI |
$325.67
|
| Rate for Payer: PHP Medicare Advantage |
$325.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$564.26
|
| Rate for Payer: Priority Health Medicare |
$325.67
|
| Rate for Payer: Priority Health Narrow Network |
$564.26
|
| Rate for Payer: Railroad Medicare Medicare |
$325.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$582.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.67
|
| Rate for Payer: UHC Exchange |
$582.15
|
| Rate for Payer: UHC Medicaid |
$215.98
|
| Rate for Payer: UHCCP DNSP |
$325.67
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$202.78 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$409.45
|
| Rate for Payer: Aetna Medicare |
$305.56
|
| Rate for Payer: BCBS Complete |
$212.92
|
| Rate for Payer: BCBS MAPPO |
$305.56
|
| Rate for Payer: BCN Commercial |
$504.96
|
| Rate for Payer: BCN Medicare Advantage |
$305.56
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$440.01
|
| Rate for Payer: Cofinity Commercial |
$409.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.56
|
| Rate for Payer: Healthscope Commercial |
$366.67
|
| Rate for Payer: Healthscope Whirlpool |
$366.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.84
|
| Rate for Payer: Meridian Medicaid |
$212.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$336.12
|
| Rate for Payer: Nomi Health Commercial |
$366.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: PACE SWMI |
$305.56
|
| Rate for Payer: PHP Medicare Advantage |
$305.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$539.77
|
| Rate for Payer: Priority Health Medicare |
$305.56
|
| Rate for Payer: Priority Health Narrow Network |
$539.77
|
| Rate for Payer: Railroad Medicare Medicare |
$305.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$556.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.56
|
| Rate for Payer: UHC Exchange |
$556.07
|
| Rate for Payer: UHC Medicaid |
$202.78
|
| Rate for Payer: UHCCP DNSP |
$305.56
|
| Rate for Payer: UHCCP Medicaid |
$202.78
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$217.05 |
| Max. Negotiated Rate |
$586.45 |
| Rate for Payer: Aetna Commercial |
$438.65
|
| Rate for Payer: Aetna Medicare |
$327.35
|
| Rate for Payer: BCBS Complete |
$227.90
|
| Rate for Payer: BCBS MAPPO |
$327.35
|
| Rate for Payer: BCN Commercial |
$531.34
|
| Rate for Payer: BCN Medicare Advantage |
$327.35
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cofinity Commercial |
$471.38
|
| Rate for Payer: Cofinity Commercial |
$438.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.35
|
| Rate for Payer: Healthscope Commercial |
$392.82
|
| Rate for Payer: Healthscope Whirlpool |
$392.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$343.72
|
| Rate for Payer: Meridian Medicaid |
$227.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$360.08
|
| Rate for Payer: Nomi Health Commercial |
$392.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: PACE SWMI |
$327.35
|
| Rate for Payer: PHP Medicare Advantage |
$327.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$568.00
|
| Rate for Payer: Priority Health Medicare |
$327.35
|
| Rate for Payer: Priority Health Narrow Network |
$568.00
|
| Rate for Payer: Railroad Medicare Medicare |
$327.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$586.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$327.35
|
| Rate for Payer: UHC Exchange |
$586.45
|
| Rate for Payer: UHC Medicaid |
$217.05
|
| Rate for Payer: UHCCP DNSP |
$327.35
|
| Rate for Payer: UHCCP Medicaid |
$217.05
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$374.88 |
| Max. Negotiated Rate |
$1,066.59 |
| Rate for Payer: Aetna Commercial |
$762.46
|
| Rate for Payer: Aetna Medicare |
$569.00
|
| Rate for Payer: BCBS Complete |
$393.62
|
| Rate for Payer: BCBS MAPPO |
$569.00
|
| Rate for Payer: BCN Commercial |
$955.13
|
| Rate for Payer: BCN Medicare Advantage |
$569.00
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$819.36
|
| Rate for Payer: Cofinity Commercial |
$762.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.00
|
| Rate for Payer: Healthscope Commercial |
$682.80
|
| Rate for Payer: Healthscope Whirlpool |
$682.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.45
|
| Rate for Payer: Meridian Medicaid |
$393.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$625.90
|
| Rate for Payer: Nomi Health Commercial |
$682.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$845.25
|
| Rate for Payer: PACE SWMI |
$569.00
|
| Rate for Payer: PHP Medicare Advantage |
$569.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$374.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,021.01
|
| Rate for Payer: Priority Health Medicare |
$569.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,021.01
|
| Rate for Payer: Railroad Medicare Medicare |
$569.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,066.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$569.00
|
| Rate for Payer: UHC Exchange |
$1,066.59
|
| Rate for Payer: UHC Medicaid |
$374.88
|
| Rate for Payer: UHCCP DNSP |
$569.00
|
| Rate for Payer: UHCCP Medicaid |
$374.88
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,922.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$369.13 |
| Max. Negotiated Rate |
$1,441.50 |
| Rate for Payer: Aetna Commercial |
$755.17
|
| Rate for Payer: Aetna Medicare |
$563.56
|
| Rate for Payer: BCBS Complete |
$387.59
|
| Rate for Payer: BCBS MAPPO |
$563.56
|
| Rate for Payer: BCN Commercial |
$946.16
|
| Rate for Payer: BCN Medicare Advantage |
$563.56
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cash Price |
$1,537.60
|
| Rate for Payer: Cofinity Commercial |
$811.53
|
| Rate for Payer: Cofinity Commercial |
$755.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$563.56
|
| Rate for Payer: Healthscope Commercial |
$676.27
|
| Rate for Payer: Healthscope Whirlpool |
$676.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$591.74
|
| Rate for Payer: Meridian Medicaid |
$387.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$619.92
|
| Rate for Payer: Nomi Health Commercial |
$676.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,441.50
|
| Rate for Payer: PACE SWMI |
$563.56
|
| Rate for Payer: PHP Medicare Advantage |
$563.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,011.42
|
| Rate for Payer: Priority Health Medicare |
$563.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,011.42
|
| Rate for Payer: Railroad Medicare Medicare |
$563.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,073.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$563.56
|
| Rate for Payer: UHC Exchange |
$1,073.77
|
| Rate for Payer: UHC Medicaid |
$369.13
|
| Rate for Payer: UHCCP DNSP |
$563.56
|
| Rate for Payer: UHCCP Medicaid |
$369.13
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$262.20 |
| Max. Negotiated Rate |
$1,127.25 |
| Rate for Payer: Aetna Commercial |
$532.61
|
| Rate for Payer: Aetna Medicare |
$397.47
|
| Rate for Payer: BCBS Complete |
$275.31
|
| Rate for Payer: BCBS MAPPO |
$397.47
|
| Rate for Payer: BCN Commercial |
$649.37
|
| Rate for Payer: BCN Medicare Advantage |
$397.47
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cofinity Commercial |
$572.36
|
| Rate for Payer: Cofinity Commercial |
$532.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.47
|
| Rate for Payer: Healthscope Commercial |
$476.96
|
| Rate for Payer: Healthscope Whirlpool |
$476.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.34
|
| Rate for Payer: Meridian Medicaid |
$275.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$437.22
|
| Rate for Payer: Nomi Health Commercial |
$476.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,127.25
|
| Rate for Payer: PACE SWMI |
$397.47
|
| Rate for Payer: PHP Medicare Advantage |
$397.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$694.16
|
| Rate for Payer: Priority Health Medicare |
$397.47
|
| Rate for Payer: Priority Health Narrow Network |
$694.16
|
| Rate for Payer: Railroad Medicare Medicare |
$397.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$724.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$397.47
|
| Rate for Payer: UHC Exchange |
$724.76
|
| Rate for Payer: UHC Medicaid |
$262.20
|
| Rate for Payer: UHCCP DNSP |
$397.47
|
| Rate for Payer: UHCCP Medicaid |
$262.20
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$907.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$872.78 |
| Rate for Payer: Aetna Commercial |
$637.13
|
| Rate for Payer: Aetna Medicare |
$475.47
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$475.47
|
| Rate for Payer: BCN Commercial |
$780.84
|
| Rate for Payer: BCN Medicare Advantage |
$475.47
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cofinity Commercial |
$684.68
|
| Rate for Payer: Cofinity Commercial |
$637.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$475.47
|
| Rate for Payer: Healthscope Commercial |
$570.56
|
| Rate for Payer: Healthscope Whirlpool |
$570.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$499.24
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$523.02
|
| Rate for Payer: Nomi Health Commercial |
$570.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.25
|
| Rate for Payer: PACE SWMI |
$475.47
|
| Rate for Payer: PHP Medicare Advantage |
$475.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$834.68
|
| Rate for Payer: Priority Health Medicare |
$475.47
|
| Rate for Payer: Priority Health Narrow Network |
$834.68
|
| Rate for Payer: Railroad Medicare Medicare |
$475.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$872.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$475.47
|
| Rate for Payer: UHC Exchange |
$872.78
|
| Rate for Payer: UHC Medicaid |
$313.32
|
| Rate for Payer: UHCCP DNSP |
$475.47
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$2,035.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$429.20 |
| Max. Negotiated Rate |
$1,526.25 |
| Rate for Payer: Aetna Commercial |
$879.38
|
| Rate for Payer: Aetna Medicare |
$656.25
|
| Rate for Payer: BCBS Complete |
$450.66
|
| Rate for Payer: BCBS MAPPO |
$656.25
|
| Rate for Payer: BCN Commercial |
$1,094.56
|
| Rate for Payer: BCN Medicare Advantage |
$656.25
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cash Price |
$1,628.00
|
| Rate for Payer: Cofinity Commercial |
$945.00
|
| Rate for Payer: Cofinity Commercial |
$879.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$656.25
|
| Rate for Payer: Healthscope Commercial |
$787.50
|
| Rate for Payer: Healthscope Whirlpool |
$787.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$689.06
|
| Rate for Payer: Meridian Medicaid |
$450.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$721.88
|
| Rate for Payer: Nomi Health Commercial |
$787.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,526.25
|
| Rate for Payer: PACE SWMI |
$656.25
|
| Rate for Payer: PHP Medicare Advantage |
$656.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,170.06
|
| Rate for Payer: Priority Health Medicare |
$656.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,170.06
|
| Rate for Payer: Railroad Medicare Medicare |
$656.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,251.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$656.25
|
| Rate for Payer: UHC Exchange |
$1,251.96
|
| Rate for Payer: UHC Medicaid |
$429.20
|
| Rate for Payer: UHCCP DNSP |
$656.25
|
| Rate for Payer: UHCCP Medicaid |
$429.20
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,796.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$569.78 |
| Max. Negotiated Rate |
$1,705.70 |
| Rate for Payer: Aetna Commercial |
$1,174.80
|
| Rate for Payer: Aetna Medicare |
$876.72
|
| Rate for Payer: BCBS Complete |
$598.27
|
| Rate for Payer: BCBS MAPPO |
$876.72
|
| Rate for Payer: BCN Commercial |
$1,476.51
|
| Rate for Payer: BCN Medicare Advantage |
$876.72
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cofinity Commercial |
$1,262.48
|
| Rate for Payer: Cofinity Commercial |
$1,174.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$876.72
|
| Rate for Payer: Healthscope Commercial |
$1,052.06
|
| Rate for Payer: Healthscope Whirlpool |
$1,052.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$920.56
|
| Rate for Payer: Meridian Medicaid |
$598.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$964.39
|
| Rate for Payer: Nomi Health Commercial |
$1,052.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,347.00
|
| Rate for Payer: PACE SWMI |
$876.72
|
| Rate for Payer: PHP Medicare Advantage |
$876.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,578.35
|
| Rate for Payer: Priority Health Medicare |
$876.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,578.35
|
| Rate for Payer: Railroad Medicare Medicare |
$876.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,705.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$876.72
|
| Rate for Payer: UHC Exchange |
$1,705.70
|
| Rate for Payer: UHC Medicaid |
$569.78
|
| Rate for Payer: UHCCP DNSP |
$876.72
|
| Rate for Payer: UHCCP Medicaid |
$569.78
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,724.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$548.90 |
| Max. Negotiated Rate |
$1,645.41 |
| Rate for Payer: Aetna Commercial |
$1,132.14
|
| Rate for Payer: Aetna Medicare |
$844.88
|
| Rate for Payer: BCBS Complete |
$576.35
|
| Rate for Payer: BCBS MAPPO |
$844.88
|
| Rate for Payer: BCN Commercial |
$1,420.25
|
| Rate for Payer: BCN Medicare Advantage |
$844.88
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cofinity Commercial |
$1,216.63
|
| Rate for Payer: Cofinity Commercial |
$1,132.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$844.88
|
| Rate for Payer: Healthscope Commercial |
$1,013.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,013.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$887.12
|
| Rate for Payer: Meridian Medicaid |
$576.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$929.37
|
| Rate for Payer: Nomi Health Commercial |
$1,013.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,293.00
|
| Rate for Payer: PACE SWMI |
$844.88
|
| Rate for Payer: PHP Medicare Advantage |
$844.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,518.20
|
| Rate for Payer: Priority Health Medicare |
$844.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,518.20
|
| Rate for Payer: Railroad Medicare Medicare |
$844.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,645.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$844.88
|
| Rate for Payer: UHC Exchange |
$1,645.41
|
| Rate for Payer: UHC Medicaid |
$548.90
|
| Rate for Payer: UHCCP DNSP |
$844.88
|
| Rate for Payer: UHCCP Medicaid |
$548.90
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$263.27 |
| Max. Negotiated Rate |
$713.80 |
| Rate for Payer: Aetna Commercial |
$534.81
|
| Rate for Payer: Aetna Medicare |
$399.11
|
| Rate for Payer: BCBS Complete |
$276.43
|
| Rate for Payer: BCBS MAPPO |
$399.11
|
| Rate for Payer: BCN Commercial |
$652.85
|
| Rate for Payer: BCN Medicare Advantage |
$399.11
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cofinity Commercial |
$574.72
|
| Rate for Payer: Cofinity Commercial |
$534.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.11
|
| Rate for Payer: Healthscope Commercial |
$478.93
|
| Rate for Payer: Healthscope Whirlpool |
$478.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.07
|
| Rate for Payer: Meridian Medicaid |
$276.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.02
|
| Rate for Payer: Nomi Health Commercial |
$478.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$560.25
|
| Rate for Payer: PACE SWMI |
$399.11
|
| Rate for Payer: PHP Medicare Advantage |
$399.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$697.88
|
| Rate for Payer: Priority Health Medicare |
$399.11
|
| Rate for Payer: Priority Health Narrow Network |
$697.88
|
| Rate for Payer: Railroad Medicare Medicare |
$399.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$713.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$399.11
|
| Rate for Payer: UHC Exchange |
$713.80
|
| Rate for Payer: UHC Medicaid |
$263.27
|
| Rate for Payer: UHCCP DNSP |
$399.11
|
| Rate for Payer: UHCCP Medicaid |
$263.27
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,083.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$1,562.25 |
| Rate for Payer: Aetna Commercial |
$723.72
|
| Rate for Payer: Aetna Medicare |
$540.09
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$540.09
|
| Rate for Payer: BCN Commercial |
$890.89
|
| Rate for Payer: BCN Medicare Advantage |
$540.09
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cofinity Commercial |
$777.73
|
| Rate for Payer: Cofinity Commercial |
$723.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.09
|
| Rate for Payer: Healthscope Commercial |
$648.11
|
| Rate for Payer: Healthscope Whirlpool |
$648.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$567.09
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$594.10
|
| Rate for Payer: Nomi Health Commercial |
$648.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,562.25
|
| Rate for Payer: PACE SWMI |
$540.09
|
| Rate for Payer: PHP Medicare Advantage |
$540.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$952.34
|
| Rate for Payer: Priority Health Medicare |
$540.09
|
| Rate for Payer: Priority Health Narrow Network |
$952.34
|
| Rate for Payer: Railroad Medicare Medicare |
$540.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,003.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$540.09
|
| Rate for Payer: UHC Exchange |
$1,003.98
|
| Rate for Payer: UHC Medicaid |
$354.86
|
| Rate for Payer: UHCCP DNSP |
$540.09
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,201.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$389.36 |
| Max. Negotiated Rate |
$1,650.75 |
| Rate for Payer: Aetna Commercial |
$796.71
|
| Rate for Payer: Aetna Medicare |
$594.56
|
| Rate for Payer: BCBS Complete |
$408.83
|
| Rate for Payer: BCBS MAPPO |
$594.56
|
| Rate for Payer: BCN Commercial |
$988.99
|
| Rate for Payer: BCN Medicare Advantage |
$594.56
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cash Price |
$1,760.80
|
| Rate for Payer: Cofinity Commercial |
$856.17
|
| Rate for Payer: Cofinity Commercial |
$796.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$594.56
|
| Rate for Payer: Healthscope Commercial |
$713.47
|
| Rate for Payer: Healthscope Whirlpool |
$713.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$624.29
|
| Rate for Payer: Meridian Medicaid |
$408.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$654.02
|
| Rate for Payer: Nomi Health Commercial |
$713.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,650.75
|
| Rate for Payer: PACE SWMI |
$594.56
|
| Rate for Payer: PHP Medicare Advantage |
$594.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$389.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,057.20
|
| Rate for Payer: Priority Health Medicare |
$594.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,057.20
|
| Rate for Payer: Railroad Medicare Medicare |
$594.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,121.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$594.56
|
| Rate for Payer: UHC Exchange |
$1,121.34
|
| Rate for Payer: UHC Medicaid |
$389.36
|
| Rate for Payer: UHCCP DNSP |
$594.56
|
| Rate for Payer: UHCCP Medicaid |
$389.36
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$221.31 |
| Max. Negotiated Rate |
$600.21 |
| Rate for Payer: Aetna Commercial |
$447.95
|
| Rate for Payer: Aetna Medicare |
$334.29
|
| Rate for Payer: BCBS Complete |
$232.38
|
| Rate for Payer: BCBS MAPPO |
$334.29
|
| Rate for Payer: BCN Commercial |
$542.80
|
| Rate for Payer: BCN Medicare Advantage |
$334.29
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cofinity Commercial |
$481.38
|
| Rate for Payer: Cofinity Commercial |
$447.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.29
|
| Rate for Payer: Healthscope Commercial |
$401.15
|
| Rate for Payer: Healthscope Whirlpool |
$401.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$351.00
|
| Rate for Payer: Meridian Medicaid |
$232.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$367.72
|
| Rate for Payer: Nomi Health Commercial |
$401.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$536.25
|
| Rate for Payer: PACE SWMI |
$334.29
|
| Rate for Payer: PHP Medicare Advantage |
$334.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$580.24
|
| Rate for Payer: Priority Health Medicare |
$334.29
|
| Rate for Payer: Priority Health Narrow Network |
$580.24
|
| Rate for Payer: Railroad Medicare Medicare |
$334.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$600.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$334.29
|
| Rate for Payer: UHC Exchange |
$600.21
|
| Rate for Payer: UHC Medicaid |
$221.31
|
| Rate for Payer: UHCCP DNSP |
$334.29
|
| Rate for Payer: UHCCP Medicaid |
$221.31
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,731.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$296.07 |
| Max. Negotiated Rate |
$1,298.25 |
| Rate for Payer: Aetna Commercial |
$601.87
|
| Rate for Payer: Aetna Medicare |
$449.16
|
| Rate for Payer: BCBS Complete |
$310.87
|
| Rate for Payer: BCBS MAPPO |
$449.16
|
| Rate for Payer: BCN Commercial |
$752.95
|
| Rate for Payer: BCN Medicare Advantage |
$449.16
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Cash Price |
$1,384.80
|
| Rate for Payer: Cofinity Commercial |
$646.79
|
| Rate for Payer: Cofinity Commercial |
$601.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.16
|
| Rate for Payer: Healthscope Commercial |
$538.99
|
| Rate for Payer: Healthscope Whirlpool |
$538.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$471.62
|
| Rate for Payer: Meridian Medicaid |
$310.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$494.08
|
| Rate for Payer: Nomi Health Commercial |
$538.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,298.25
|
| Rate for Payer: PACE SWMI |
$449.16
|
| Rate for Payer: PHP Medicare Advantage |
$449.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$804.88
|
| Rate for Payer: Priority Health Medicare |
$449.16
|
| Rate for Payer: Priority Health Narrow Network |
$804.88
|
| Rate for Payer: Railroad Medicare Medicare |
$449.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$840.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$449.16
|
| Rate for Payer: UHC Exchange |
$840.52
|
| Rate for Payer: UHC Medicaid |
$296.07
|
| Rate for Payer: UHCCP DNSP |
$449.16
|
| Rate for Payer: UHCCP Medicaid |
$296.07
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,478.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$349.53 |
| Max. Negotiated Rate |
$1,108.50 |
| Rate for Payer: Aetna Commercial |
$715.76
|
| Rate for Payer: Aetna Medicare |
$534.15
|
| Rate for Payer: BCBS Complete |
$367.01
|
| Rate for Payer: BCBS MAPPO |
$534.15
|
| Rate for Payer: BCN Commercial |
$867.98
|
| Rate for Payer: BCN Medicare Advantage |
$534.15
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cofinity Commercial |
$769.18
|
| Rate for Payer: Cofinity Commercial |
$715.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$534.15
|
| Rate for Payer: Healthscope Commercial |
$640.98
|
| Rate for Payer: Healthscope Whirlpool |
$640.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$560.86
|
| Rate for Payer: Meridian Medicaid |
$367.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$587.57
|
| Rate for Payer: Nomi Health Commercial |
$640.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,108.50
|
| Rate for Payer: PACE SWMI |
$534.15
|
| Rate for Payer: PHP Medicare Advantage |
$534.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$927.85
|
| Rate for Payer: Priority Health Medicare |
$534.15
|
| Rate for Payer: Priority Health Narrow Network |
$927.85
|
| Rate for Payer: Railroad Medicare Medicare |
$534.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,008.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$534.15
|
| Rate for Payer: UHC Exchange |
$1,008.07
|
| Rate for Payer: UHC Medicaid |
$349.53
|
| Rate for Payer: UHCCP DNSP |
$534.15
|
| Rate for Payer: UHCCP Medicaid |
$349.53
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,069.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$359.76 |
| Max. Negotiated Rate |
$1,057.55 |
| Rate for Payer: Aetna Commercial |
$737.58
|
| Rate for Payer: Aetna Medicare |
$550.43
|
| Rate for Payer: BCBS Complete |
$377.75
|
| Rate for Payer: BCBS MAPPO |
$550.43
|
| Rate for Payer: BCN Commercial |
$931.72
|
| Rate for Payer: BCN Medicare Advantage |
$550.43
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cofinity Commercial |
$792.62
|
| Rate for Payer: Cofinity Commercial |
$737.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.43
|
| Rate for Payer: Healthscope Commercial |
$660.52
|
| Rate for Payer: Healthscope Whirlpool |
$660.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.95
|
| Rate for Payer: Meridian Medicaid |
$377.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$605.47
|
| Rate for Payer: Nomi Health Commercial |
$660.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$801.75
|
| Rate for Payer: PACE SWMI |
$550.43
|
| Rate for Payer: PHP Medicare Advantage |
$550.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$995.98
|
| Rate for Payer: Priority Health Medicare |
$550.43
|
| Rate for Payer: Priority Health Narrow Network |
$995.98
|
| Rate for Payer: Railroad Medicare Medicare |
$550.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,057.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$550.43
|
| Rate for Payer: UHC Exchange |
$1,057.55
|
| Rate for Payer: UHC Medicaid |
$359.76
|
| Rate for Payer: UHCCP DNSP |
$550.43
|
| Rate for Payer: UHCCP Medicaid |
$359.76
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,438.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$415.35 |
| Max. Negotiated Rate |
$1,196.96 |
| Rate for Payer: Aetna Commercial |
$850.27
|
| Rate for Payer: Aetna Medicare |
$634.53
|
| Rate for Payer: BCBS Complete |
$436.12
|
| Rate for Payer: BCBS MAPPO |
$634.53
|
| Rate for Payer: BCN Commercial |
$1,053.23
|
| Rate for Payer: BCN Medicare Advantage |
$634.53
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Cash Price |
$1,150.40
|
| Rate for Payer: Cofinity Commercial |
$913.72
|
| Rate for Payer: Cofinity Commercial |
$850.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$634.53
|
| Rate for Payer: Healthscope Commercial |
$761.44
|
| Rate for Payer: Healthscope Whirlpool |
$761.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$666.26
|
| Rate for Payer: Meridian Medicaid |
$436.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$697.98
|
| Rate for Payer: Nomi Health Commercial |
$761.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,078.50
|
| Rate for Payer: PACE SWMI |
$634.53
|
| Rate for Payer: PHP Medicare Advantage |
$634.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$415.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,125.88
|
| Rate for Payer: Priority Health Medicare |
$634.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,125.88
|
| Rate for Payer: Railroad Medicare Medicare |
$634.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,196.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$634.53
|
| Rate for Payer: UHC Exchange |
$1,196.96
|
| Rate for Payer: UHC Medicaid |
$415.35
|
| Rate for Payer: UHCCP DNSP |
$634.53
|
| Rate for Payer: UHCCP Medicaid |
$415.35
|
|
