|
PR ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT
|
Professional
|
Both
|
$3,003.00
|
|
|
Service Code
|
HCPCS 29868
|
| Min. Negotiated Rate |
$1,201.20 |
| Max. Negotiated Rate |
$2,313.36 |
| Rate for Payer: Aetna Commercial |
$2,152.71
|
| Rate for Payer: Aetna Medicare |
$1,606.50
|
| Rate for Payer: BCBS Complete |
$1,201.20
|
| Rate for Payer: BCBS MAPPO |
$1,606.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,606.50
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cash Price |
$2,402.40
|
| Rate for Payer: Cofinity Commercial |
$2,313.36
|
| Rate for Payer: Cofinity Commercial |
$2,152.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,606.50
|
| Rate for Payer: Healthscope Commercial |
$1,927.80
|
| Rate for Payer: Healthscope Whirlpool |
$1,927.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,686.83
|
| Rate for Payer: Nomi Health Commercial |
$1,927.80
|
| Rate for Payer: PACE SWMI |
$1,606.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,606.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,951.95
|
| Rate for Payer: Priority Health Medicare |
$1,606.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,606.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,606.50
|
| Rate for Payer: UHCCP DNSP |
$1,606.50
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST
|
Professional
|
Both
|
$3,097.00
|
|
|
Service Code
|
HCPCS 29866
|
| Min. Negotiated Rate |
$1,015.34 |
| Max. Negotiated Rate |
$2,013.05 |
| Rate for Payer: Aetna Commercial |
$1,360.56
|
| Rate for Payer: Aetna Medicare |
$1,015.34
|
| Rate for Payer: BCBS Complete |
$1,238.80
|
| Rate for Payer: BCBS MAPPO |
$1,015.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.34
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cash Price |
$2,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,462.09
|
| Rate for Payer: Cofinity Commercial |
$1,360.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.34
|
| Rate for Payer: Healthscope Commercial |
$1,218.41
|
| Rate for Payer: Healthscope Whirlpool |
$1,218.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,066.11
|
| Rate for Payer: Nomi Health Commercial |
$1,218.41
|
| Rate for Payer: PACE SWMI |
$1,015.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,013.05
|
| Rate for Payer: Priority Health Medicare |
$1,015.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.34
|
| Rate for Payer: UHCCP DNSP |
$1,015.34
|
|
|
PR ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29867
|
| Min. Negotiated Rate |
$906.00 |
| Max. Negotiated Rate |
$1,774.90 |
| Rate for Payer: Aetna Commercial |
$1,651.64
|
| Rate for Payer: Aetna Medicare |
$1,232.57
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$1,232.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,232.57
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$1,774.90
|
| Rate for Payer: Cofinity Commercial |
$1,651.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,232.57
|
| Rate for Payer: Healthscope Commercial |
$1,479.08
|
| Rate for Payer: Healthscope Whirlpool |
$1,479.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,294.20
|
| Rate for Payer: Nomi Health Commercial |
$1,479.08
|
| Rate for Payer: PACE SWMI |
$1,232.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,232.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$1,232.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,232.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,232.57
|
| Rate for Payer: UHCCP DNSP |
$1,232.57
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$517.69
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Healthscope Commercial |
$621.23
|
| Rate for Payer: Healthscope Whirlpool |
$621.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UHCCP DNSP |
$517.69
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Professional
|
Both
|
$2,039.00
|
|
|
Service Code
|
HCPCS 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$517.69 |
| Max. Negotiated Rate |
$1,325.35 |
| Rate for Payer: Aetna Commercial |
$693.70
|
| Rate for Payer: Aetna Medicare |
$517.69
|
| Rate for Payer: BCBS Complete |
$815.60
|
| Rate for Payer: BCBS MAPPO |
$517.69
|
| Rate for Payer: BCN Medicare Advantage |
$517.69
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$745.47
|
| Rate for Payer: Cofinity Commercial |
$693.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$517.69
|
| Rate for Payer: Healthscope Commercial |
$621.23
|
| Rate for Payer: Healthscope Whirlpool |
$621.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.57
|
| Rate for Payer: Nomi Health Commercial |
$621.23
|
| Rate for Payer: PACE SWMI |
$517.69
|
| Rate for Payer: PHP Medicare Advantage |
$517.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health Medicare |
$517.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$517.69
|
| Rate for Payer: UHC Medicare Advantage |
$517.69
|
| Rate for Payer: UHCCP DNSP |
$517.69
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
IP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,325.35 |
| Max. Negotiated Rate |
$2,039.00 |
| Rate for Payer: Aetna Commercial |
$1,835.10
|
| Rate for Payer: ASR ASR |
$1,977.83
|
| Rate for Payer: ASR Commercial |
$1,977.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,661.58
|
| Rate for Payer: BCN Commercial |
$1,580.84
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,916.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Healthscope Commercial |
$2,039.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,977.83
|
| Rate for Payer: Mclaren Commercial |
$1,835.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: Nomi Health Commercial |
$1,671.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,794.32
|
|
|
PR ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY
|
Facility
|
OP
|
$2,039.00
|
|
|
Service Code
|
CPT 29874
|
| Hospital Charge Code |
29874
|
| Min. Negotiated Rate |
$1,325.35 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,835.10
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$1,977.83
|
| Rate for Payer: ASR Commercial |
$1,977.83
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,669.74
|
| Rate for Payer: BCN Commercial |
$1,580.84
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cash Price |
$1,631.20
|
| Rate for Payer: Cofinity Commercial |
$1,916.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,631.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,039.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,977.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,835.10
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,733.15
|
| Rate for Payer: Nomi Health Commercial |
$1,671.98
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,325.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,786.57
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,429.34
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,794.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,556.75 |
| Max. Negotiated Rate |
$2,395.00 |
| Rate for Payer: Aetna Commercial |
$2,155.50
|
| Rate for Payer: ASR ASR |
$2,323.15
|
| Rate for Payer: ASR Commercial |
$2,323.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,951.69
|
| Rate for Payer: BCN Commercial |
$1,856.84
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,251.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,395.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,323.15
|
| Rate for Payer: Mclaren Commercial |
$2,155.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,107.60
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$630.77 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$630.77
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Healthscope Commercial |
$756.92
|
| Rate for Payer: Healthscope Whirlpool |
$756.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP DNSP |
$630.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 29876
|
| Min. Negotiated Rate |
$630.77 |
| Max. Negotiated Rate |
$1,556.75 |
| Rate for Payer: Aetna Commercial |
$845.23
|
| Rate for Payer: Aetna Medicare |
$630.77
|
| Rate for Payer: BCBS Complete |
$958.00
|
| Rate for Payer: BCBS MAPPO |
$630.77
|
| Rate for Payer: BCN Medicare Advantage |
$630.77
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$908.31
|
| Rate for Payer: Cofinity Commercial |
$845.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$630.77
|
| Rate for Payer: Healthscope Commercial |
$756.92
|
| Rate for Payer: Healthscope Whirlpool |
$756.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$662.31
|
| Rate for Payer: Nomi Health Commercial |
$756.92
|
| Rate for Payer: PACE SWMI |
$630.77
|
| Rate for Payer: PHP Medicare Advantage |
$630.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health Medicare |
$630.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$630.77
|
| Rate for Payer: UHC Medicare Advantage |
$630.77
|
| Rate for Payer: UHCCP DNSP |
$630.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 29876
|
| Hospital Charge Code |
29876
|
| Min. Negotiated Rate |
$1,556.75 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,155.50
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,323.15
|
| Rate for Payer: ASR Commercial |
$2,323.15
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,961.27
|
| Rate for Payer: BCN Commercial |
$1,856.84
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$2,251.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,395.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,323.15
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,155.50
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$1,963.90
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,556.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,098.50
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,678.89
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,107.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$479.77
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Healthscope Commercial |
$575.72
|
| Rate for Payer: Healthscope Whirlpool |
$575.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP DNSP |
$479.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Professional
|
Both
|
$1,877.00
|
|
|
Service Code
|
HCPCS 29875
|
| Min. Negotiated Rate |
$479.77 |
| Max. Negotiated Rate |
$1,220.05 |
| Rate for Payer: Aetna Commercial |
$642.89
|
| Rate for Payer: Aetna Medicare |
$479.77
|
| Rate for Payer: BCBS Complete |
$750.80
|
| Rate for Payer: BCBS MAPPO |
$479.77
|
| Rate for Payer: BCN Medicare Advantage |
$479.77
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$690.87
|
| Rate for Payer: Cofinity Commercial |
$642.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.77
|
| Rate for Payer: Healthscope Commercial |
$575.72
|
| Rate for Payer: Healthscope Whirlpool |
$575.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$503.76
|
| Rate for Payer: Nomi Health Commercial |
$575.72
|
| Rate for Payer: PACE SWMI |
$479.77
|
| Rate for Payer: PHP Medicare Advantage |
$479.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health Medicare |
$479.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.77
|
| Rate for Payer: UHC Medicare Advantage |
$479.77
|
| Rate for Payer: UHCCP DNSP |
$479.77
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
OP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,220.05 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$1,689.30
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$1,820.69
|
| Rate for Payer: ASR Commercial |
$1,820.69
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,537.08
|
| Rate for Payer: BCN Commercial |
$1,455.24
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,764.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$1,877.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,820.69
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$1,689.30
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: Nomi Health Commercial |
$1,539.14
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,644.63
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,315.78
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,651.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
Facility
|
IP
|
$1,877.00
|
|
|
Service Code
|
CPT 29875
|
| Hospital Charge Code |
29875
|
| Min. Negotiated Rate |
$1,220.05 |
| Max. Negotiated Rate |
$1,877.00 |
| Rate for Payer: Aetna Commercial |
$1,689.30
|
| Rate for Payer: ASR ASR |
$1,820.69
|
| Rate for Payer: ASR Commercial |
$1,820.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.57
|
| Rate for Payer: BCN Commercial |
$1,455.24
|
| Rate for Payer: Cash Price |
$1,501.60
|
| Rate for Payer: Cofinity Commercial |
$1,764.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,501.60
|
| Rate for Payer: Healthscope Commercial |
$1,877.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,820.69
|
| Rate for Payer: Mclaren Commercial |
$1,689.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,595.45
|
| Rate for Payer: Nomi Health Commercial |
$1,539.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,220.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,651.76
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$598.21
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Healthscope Commercial |
$717.85
|
| Rate for Payer: Healthscope Whirlpool |
$717.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP DNSP |
$598.21
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
IP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,472.25 |
| Max. Negotiated Rate |
$2,265.00 |
| Rate for Payer: Aetna Commercial |
$2,038.50
|
| Rate for Payer: ASR ASR |
$2,197.05
|
| Rate for Payer: ASR Commercial |
$2,197.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,845.75
|
| Rate for Payer: BCN Commercial |
$1,756.05
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$2,129.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Healthscope Commercial |
$2,265.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,197.05
|
| Rate for Payer: Mclaren Commercial |
$2,038.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$1,857.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,993.20
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Facility
|
OP
|
$2,265.00
|
|
|
Service Code
|
CPT 29884
|
| Hospital Charge Code |
29884
|
| Min. Negotiated Rate |
$1,472.25 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,038.50
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,197.05
|
| Rate for Payer: ASR Commercial |
$2,197.05
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,854.81
|
| Rate for Payer: BCN Commercial |
$1,756.05
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$2,129.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,812.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,265.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,197.05
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,038.50
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,925.25
|
| Rate for Payer: Nomi Health Commercial |
$1,857.30
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,984.59
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,587.77
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,993.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 29884
|
| Min. Negotiated Rate |
$598.21 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Commercial |
$801.60
|
| Rate for Payer: Aetna Medicare |
$598.21
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: BCBS MAPPO |
$598.21
|
| Rate for Payer: BCN Medicare Advantage |
$598.21
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Cofinity Commercial |
$861.42
|
| Rate for Payer: Cofinity Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.21
|
| Rate for Payer: Healthscope Commercial |
$717.85
|
| Rate for Payer: Healthscope Whirlpool |
$717.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.12
|
| Rate for Payer: Nomi Health Commercial |
$717.85
|
| Rate for Payer: PACE SWMI |
$598.21
|
| Rate for Payer: PHP Medicare Advantage |
$598.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
| Rate for Payer: Priority Health Medicare |
$598.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.21
|
| Rate for Payer: UHC Medicare Advantage |
$598.21
|
| Rate for Payer: UHCCP DNSP |
$598.21
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$808.89
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Healthscope Commercial |
$970.67
|
| Rate for Payer: Healthscope Whirlpool |
$970.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP DNSP |
$808.89
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Professional
|
Both
|
$2,758.00
|
|
|
Service Code
|
HCPCS 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$808.89 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,083.91
|
| Rate for Payer: Aetna Medicare |
$808.89
|
| Rate for Payer: BCBS Complete |
$1,103.20
|
| Rate for Payer: BCBS MAPPO |
$808.89
|
| Rate for Payer: BCN Medicare Advantage |
$808.89
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$1,164.80
|
| Rate for Payer: Cofinity Commercial |
$1,083.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.89
|
| Rate for Payer: Healthscope Commercial |
$970.67
|
| Rate for Payer: Healthscope Whirlpool |
$970.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.33
|
| Rate for Payer: Nomi Health Commercial |
$970.67
|
| Rate for Payer: PACE SWMI |
$808.89
|
| Rate for Payer: PHP Medicare Advantage |
$808.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health Medicare |
$808.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.89
|
| Rate for Payer: UHC Medicare Advantage |
$808.89
|
| Rate for Payer: UHCCP DNSP |
$808.89
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
IP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,792.70 |
| Max. Negotiated Rate |
$2,758.00 |
| Rate for Payer: Aetna Commercial |
$2,482.20
|
| Rate for Payer: ASR ASR |
$2,675.26
|
| Rate for Payer: ASR Commercial |
$2,675.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,247.49
|
| Rate for Payer: BCN Commercial |
$2,138.28
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$2,592.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Healthscope Commercial |
$2,758.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,675.26
|
| Rate for Payer: Mclaren Commercial |
$2,482.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: Nomi Health Commercial |
$2,261.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,427.04
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL
|
Facility
|
OP
|
$2,758.00
|
|
|
Service Code
|
CPT 29883
|
| Hospital Charge Code |
29883
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,482.20
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,675.26
|
| Rate for Payer: ASR Commercial |
$2,675.26
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,258.53
|
| Rate for Payer: BCN Commercial |
$2,138.28
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cash Price |
$2,206.40
|
| Rate for Payer: Cofinity Commercial |
$2,592.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,206.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,758.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,675.26
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,482.20
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.30
|
| Rate for Payer: Nomi Health Commercial |
$2,261.56
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,416.56
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,933.36
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,427.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Facility
|
OP
|
$2,428.00
|
|
|
Service Code
|
CPT 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$1,578.20 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,185.20
|
| Rate for Payer: Aetna Medicare |
$3,164.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,955.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,955.50
|
| Rate for Payer: ASR ASR |
$2,355.16
|
| Rate for Payer: ASR Commercial |
$2,355.16
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,988.29
|
| Rate for Payer: BCN Commercial |
$1,882.43
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$2,282.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,942.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,428.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,355.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,185.20
|
| Rate for Payer: Mclaren Medicaid |
$1,696.12
|
| Rate for Payer: Mclaren Medicare |
$3,164.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,322.62
|
| Rate for Payer: Meridian Medicaid |
$1,780.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,639.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,063.80
|
| Rate for Payer: Nomi Health Commercial |
$1,990.96
|
| Rate for Payer: PACE Medicare |
$3,006.18
|
| Rate for Payer: PACE SWMI |
$3,164.40
|
| Rate for Payer: PHP Commercial |
$3,480.84
|
| Rate for Payer: PHP Medicaid |
$1,696.12
|
| Rate for Payer: PHP Medicare Advantage |
$3,164.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,696.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,127.41
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,702.03
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,136.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,164.40
|
| Rate for Payer: UHC Exchange |
$4,904.82
|
| Rate for Payer: UHC Medicare Advantage |
$3,164.40
|
| Rate for Payer: UHCCP DNSP |
$3,164.40
|
| Rate for Payer: UHCCP Medicaid |
$1,696.12
|
| Rate for Payer: VA VA |
$3,164.40
|
|
|
PR ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL
|
Professional
|
Both
|
$2,428.00
|
|
|
Service Code
|
HCPCS 29882
|
| Hospital Charge Code |
29882
|
| Min. Negotiated Rate |
$664.66 |
| Max. Negotiated Rate |
$1,578.20 |
| Rate for Payer: Aetna Commercial |
$890.64
|
| Rate for Payer: Aetna Medicare |
$664.66
|
| Rate for Payer: BCBS Complete |
$971.20
|
| Rate for Payer: BCBS MAPPO |
$664.66
|
| Rate for Payer: BCN Medicare Advantage |
$664.66
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cash Price |
$1,942.40
|
| Rate for Payer: Cofinity Commercial |
$957.11
|
| Rate for Payer: Cofinity Commercial |
$890.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.66
|
| Rate for Payer: Healthscope Commercial |
$797.59
|
| Rate for Payer: Healthscope Whirlpool |
$797.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.89
|
| Rate for Payer: Nomi Health Commercial |
$797.59
|
| Rate for Payer: PACE SWMI |
$664.66
|
| Rate for Payer: PHP Medicare Advantage |
$664.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,578.20
|
| Rate for Payer: Priority Health Medicare |
$664.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.66
|
| Rate for Payer: UHC Medicare Advantage |
$664.66
|
| Rate for Payer: UHCCP DNSP |
$664.66
|
|
