|
PR ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 27610
|
| Min. Negotiated Rate |
$420.46 |
| Max. Negotiated Rate |
$1,605.50 |
| Rate for Payer: Aetna Commercial |
$865.59
|
| Rate for Payer: Aetna Medicare |
$1,105.50
|
| Rate for Payer: BCBS Complete |
$441.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$947.54
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Meridian Medicaid |
$441.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$420.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,437.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$996.35
|
| Rate for Payer: Priority Health Narrow Network |
$996.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$749.23
|
| Rate for Payer: UHC Exchange |
$749.23
|
| Rate for Payer: UHCCP Medicaid |
$420.46
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$533.80 |
| Rate for Payer: Aetna Commercial |
$449.11
|
| Rate for Payer: Aetna Medicare |
$340.17
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.80
|
| Rate for Payer: Priority Health Narrow Network |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$362.14
|
| Rate for Payer: UHC Exchange |
$362.14
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Professional
|
Both
|
$680.34
|
|
|
Service Code
|
HCPCS 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$225.78 |
| Max. Negotiated Rate |
$533.80 |
| Rate for Payer: Aetna Commercial |
$449.11
|
| Rate for Payer: Aetna Medicare |
$340.17
|
| Rate for Payer: BCBS Complete |
$237.07
|
| Rate for Payer: BCN Commercial |
$505.29
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Cash Price |
$544.27
|
| Rate for Payer: Meridian Medicaid |
$237.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.80
|
| Rate for Payer: Priority Health Narrow Network |
$533.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$362.14
|
| Rate for Payer: UHC Exchange |
$362.14
|
| Rate for Payer: UHCCP Medicaid |
$225.78
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
IP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$442.00 |
| Max. Negotiated Rate |
$680.00 |
| Rate for Payer: Aetna Commercial |
$612.00
|
| Rate for Payer: ASR ASR |
$659.60
|
| Rate for Payer: ASR Commercial |
$659.60
|
| Rate for Payer: BCBS Trust/PPO |
$554.13
|
| Rate for Payer: BCN Commercial |
$527.20
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$639.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Healthscope Commercial |
$680.00
|
| Rate for Payer: Healthscope Whirlpool |
$659.60
|
| Rate for Payer: Mclaren Commercial |
$612.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: Nomi Health Commercial |
$557.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$598.40
|
|
|
PR ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH
|
Facility
|
OP
|
$680.00
|
|
|
Service Code
|
CPT 26100
|
| Hospital Charge Code |
26100
|
| Min. Negotiated Rate |
$442.00 |
| Max. Negotiated Rate |
$4,927.45 |
| Rate for Payer: Aetna Commercial |
$612.00
|
| Rate for Payer: Aetna Medicare |
$3,179.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: ASR ASR |
$659.60
|
| Rate for Payer: ASR Commercial |
$659.60
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$556.85
|
| Rate for Payer: BCN Commercial |
$527.20
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cash Price |
$544.00
|
| Rate for Payer: Cofinity Commercial |
$639.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$544.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$680.00
|
| Rate for Payer: Healthscope Whirlpool |
$659.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,179.00
|
| Rate for Payer: Mclaren Commercial |
$612.00
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$578.00
|
| Rate for Payer: Nomi Health Commercial |
$557.60
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$3,496.90
|
| Rate for Payer: PHP Medicaid |
$1,703.94
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$595.82
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$476.68
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$598.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$4,927.45
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP DNSP |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: VA VA |
$3,179.00
|
|
|
PR ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 26110
|
| Min. Negotiated Rate |
$172.35 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$429.75
|
| Rate for Payer: Aetna Medicare |
$457.00
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS Trust/PPO |
$172.35
|
| Rate for Payer: BCN Commercial |
$484.76
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.90
|
| Rate for Payer: Priority Health Narrow Network |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$352.16
|
| Rate for Payer: UHC Exchange |
$352.16
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 26105
|
| Min. Negotiated Rate |
$152.40 |
| Max. Negotiated Rate |
$536.84 |
| Rate for Payer: Aetna Commercial |
$452.31
|
| Rate for Payer: Aetna Medicare |
$296.00
|
| Rate for Payer: BCBS Complete |
$238.63
|
| Rate for Payer: BCBS Trust/PPO |
$152.40
|
| Rate for Payer: BCN Commercial |
$509.20
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Meridian Medicaid |
$238.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.84
|
| Rate for Payer: Priority Health Narrow Network |
$536.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$368.22
|
| Rate for Payer: UHC Exchange |
$368.22
|
| Rate for Payer: UHCCP Medicaid |
$227.27
|
|
|
PR ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE
|
Professional
|
Both
|
$1,094.00
|
|
|
Service Code
|
HCPCS 25107
|
| Min. Negotiated Rate |
$164.83 |
| Max. Negotiated Rate |
$962.77 |
| Rate for Payer: Aetna Commercial |
$820.03
|
| Rate for Payer: Aetna Medicare |
$547.00
|
| Rate for Payer: BCBS Complete |
$428.96
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$913.34
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Cash Price |
$875.20
|
| Rate for Payer: Meridian Medicaid |
$428.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$711.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$962.77
|
| Rate for Payer: Priority Health Narrow Network |
$962.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$696.38
|
| Rate for Payer: UHC Exchange |
$696.38
|
| Rate for Payer: UHCCP Medicaid |
$408.53
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVECTOMY
|
Professional
|
Both
|
$1,866.00
|
|
|
Service Code
|
HCPCS 24102
|
| Min. Negotiated Rate |
$171.17 |
| Max. Negotiated Rate |
$1,212.90 |
| Rate for Payer: Aetna Commercial |
$824.91
|
| Rate for Payer: Aetna Medicare |
$933.00
|
| Rate for Payer: BCBS Complete |
$424.94
|
| Rate for Payer: BCBS Trust/PPO |
$171.17
|
| Rate for Payer: BCN Commercial |
$909.91
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Cash Price |
$1,492.80
|
| Rate for Payer: Meridian Medicaid |
$424.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,212.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$958.70
|
| Rate for Payer: Priority Health Narrow Network |
$958.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$696.79
|
| Rate for Payer: UHC Exchange |
$696.79
|
| Rate for Payer: UHCCP Medicaid |
$404.70
|
|
|
PR ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$1,459.00
|
|
|
Service Code
|
HCPCS 24100
|
| Min. Negotiated Rate |
$37.78 |
| Max. Negotiated Rate |
$948.35 |
| Rate for Payer: Aetna Commercial |
$558.36
|
| Rate for Payer: Aetna Medicare |
$729.50
|
| Rate for Payer: BCBS Complete |
$291.64
|
| Rate for Payer: BCBS Trust/PPO |
$37.78
|
| Rate for Payer: BCN Commercial |
$623.06
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Cash Price |
$1,167.20
|
| Rate for Payer: Meridian Medicaid |
$291.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$948.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.96
|
| Rate for Payer: Priority Health Narrow Network |
$657.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$458.58
|
| Rate for Payer: UHC Exchange |
$458.58
|
| Rate for Payer: UHCCP Medicaid |
$277.75
|
|
|
PR ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 23100
|
| Min. Negotiated Rate |
$333.98 |
| Max. Negotiated Rate |
$790.25 |
| Rate for Payer: Aetna Commercial |
$672.84
|
| Rate for Payer: Aetna Medicare |
$440.50
|
| Rate for Payer: BCBS Complete |
$350.68
|
| Rate for Payer: BCBS Trust/PPO |
$352.38
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Meridian Medicaid |
$350.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$790.25
|
| Rate for Payer: Priority Health Narrow Network |
$790.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$554.56
|
| Rate for Payer: UHC Exchange |
$554.56
|
| Rate for Payer: UHCCP Medicaid |
$333.98
|
|
|
PR ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB
|
Professional
|
Both
|
$1,976.00
|
|
|
Service Code
|
HCPCS 23040
|
| Min. Negotiated Rate |
$468.17 |
| Max. Negotiated Rate |
$1,284.40 |
| Rate for Payer: Aetna Commercial |
$957.15
|
| Rate for Payer: Aetna Medicare |
$988.00
|
| Rate for Payer: BCBS Complete |
$491.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,209.28
|
| Rate for Payer: BCN Commercial |
$1,057.99
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Cash Price |
$1,580.80
|
| Rate for Payer: Meridian Medicaid |
$491.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$468.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,284.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,109.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,109.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$819.02
|
| Rate for Payer: UHC Exchange |
$819.02
|
| Rate for Payer: UHCCP Medicaid |
$468.17
|
|
|
PR ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,744.00
|
|
|
Service Code
|
HCPCS 27033
|
| Min. Negotiated Rate |
$631.55 |
| Max. Negotiated Rate |
$1,494.01 |
| Rate for Payer: Aetna Commercial |
$1,301.05
|
| Rate for Payer: Aetna Medicare |
$872.00
|
| Rate for Payer: BCBS Complete |
$663.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$1,424.98
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Cash Price |
$1,395.20
|
| Rate for Payer: Meridian Medicaid |
$663.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$631.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,133.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,494.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,494.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,125.19
|
| Rate for Payer: UHC Exchange |
$1,125.19
|
| Rate for Payer: UHCCP Medicaid |
$631.55
|
|
|
PR ARTHROTOMY HIP W/DRAINAGE
|
Professional
|
Both
|
$1,674.00
|
|
|
Service Code
|
HCPCS 27030
|
| Min. Negotiated Rate |
$607.48 |
| Max. Negotiated Rate |
$1,440.08 |
| Rate for Payer: Aetna Commercial |
$1,253.75
|
| Rate for Payer: Aetna Medicare |
$837.00
|
| Rate for Payer: BCBS Complete |
$637.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.66
|
| Rate for Payer: BCN Commercial |
$1,373.67
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Cash Price |
$1,339.20
|
| Rate for Payer: Meridian Medicaid |
$637.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,088.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,440.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,440.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,085.68
|
| Rate for Payer: UHC Exchange |
$1,085.68
|
| Rate for Payer: UHCCP Medicaid |
$607.48
|
|
|
PR ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY
|
Professional
|
Both
|
$725.00
|
|
|
Service Code
|
HCPCS 27330
|
| Min. Negotiated Rate |
$279.24 |
| Max. Negotiated Rate |
$982.11 |
| Rate for Payer: Aetna Commercial |
$557.61
|
| Rate for Payer: Aetna Medicare |
$362.50
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS Trust/PPO |
$982.11
|
| Rate for Payer: BCN Commercial |
$626.48
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Meridian Medicaid |
$293.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$661.52
|
| Rate for Payer: Priority Health Narrow Network |
$661.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.92
|
| Rate for Payer: UHC Exchange |
$449.92
|
| Rate for Payer: UHCCP Medicaid |
$279.24
|
|
|
PR ARTHROTOMY W/BIOPSY HIP JOINT
|
Professional
|
Both
|
$2,022.00
|
|
|
Service Code
|
HCPCS 27052
|
| Min. Negotiated Rate |
$381.06 |
| Max. Negotiated Rate |
$4,201.57 |
| Rate for Payer: Aetna Commercial |
$769.63
|
| Rate for Payer: Aetna Medicare |
$1,011.00
|
| Rate for Payer: BCBS Complete |
$400.11
|
| Rate for Payer: BCBS Trust/PPO |
$4,201.57
|
| Rate for Payer: BCN Commercial |
$855.19
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Cash Price |
$1,617.60
|
| Rate for Payer: Meridian Medicaid |
$400.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$381.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,314.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$901.19
|
| Rate for Payer: Priority Health Narrow Network |
$901.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$641.00
|
| Rate for Payer: UHC Exchange |
$641.00
|
| Rate for Payer: UHCCP Medicaid |
$381.06
|
|
|
PR ARTHROTOMY W/MENISCUS REPAIR KNEE
|
Professional
|
Both
|
$2,137.00
|
|
|
Service Code
|
HCPCS 27403
|
| Min. Negotiated Rate |
$312.75 |
| Max. Negotiated Rate |
$1,389.05 |
| Rate for Payer: Aetna Commercial |
$860.40
|
| Rate for Payer: Aetna Medicare |
$1,068.50
|
| Rate for Payer: BCBS Complete |
$444.17
|
| Rate for Payer: BCBS Trust/PPO |
$312.75
|
| Rate for Payer: BCN Commercial |
$951.46
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Cash Price |
$1,709.60
|
| Rate for Payer: Meridian Medicaid |
$444.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,001.44
|
| Rate for Payer: Priority Health Narrow Network |
$1,001.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$729.38
|
| Rate for Payer: UHC Exchange |
$729.38
|
| Rate for Payer: UHCCP Medicaid |
$423.02
|
|
|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$694.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$958.34 |
| Rate for Payer: Aetna Commercial |
$463.54
|
| Rate for Payer: Aetna Medicare |
$347.00
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCBS Trust/PPO |
$958.34
|
| Rate for Payer: BCN Commercial |
$520.44
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$549.06
|
| Rate for Payer: Priority Health Narrow Network |
$549.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$387.79
|
| Rate for Payer: UHC Exchange |
$387.79
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$1,249.43 |
| Rate for Payer: Aetna Commercial |
$647.14
|
| Rate for Payer: Aetna Medicare |
$840.50
|
| Rate for Payer: BCBS Complete |
$338.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,249.43
|
| Rate for Payer: BCN Commercial |
$723.73
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Meridian Medicaid |
$338.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$760.75
|
| Rate for Payer: Priority Health Narrow Network |
$760.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$552.49
|
| Rate for Payer: UHC Exchange |
$552.49
|
| Rate for Payer: UHCCP Medicaid |
$322.06
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,435.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$371.26 |
| Max. Negotiated Rate |
$932.75 |
| Rate for Payer: Aetna Commercial |
$762.69
|
| Rate for Payer: Aetna Medicare |
$717.50
|
| Rate for Payer: BCBS Complete |
$389.82
|
| Rate for Payer: BCBS Trust/PPO |
$870.11
|
| Rate for Payer: BCN Commercial |
$839.06
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Meridian Medicaid |
$389.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$371.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$932.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$884.40
|
| Rate for Payer: Priority Health Narrow Network |
$884.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$671.36
|
| Rate for Payer: UHC Exchange |
$671.36
|
| Rate for Payer: UHCCP Medicaid |
$371.26
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$244.60 |
| Max. Negotiated Rate |
$956.15 |
| Rate for Payer: Aetna Commercial |
$802.28
|
| Rate for Payer: Aetna Medicare |
$519.00
|
| Rate for Payer: BCBS Complete |
$418.45
|
| Rate for Payer: BCBS Trust/PPO |
$244.60
|
| Rate for Payer: BCN Commercial |
$894.77
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Meridian Medicaid |
$418.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$956.15
|
| Rate for Payer: Priority Health Narrow Network |
$956.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$730.02
|
| Rate for Payer: UHC Exchange |
$730.02
|
| Rate for Payer: UHCCP Medicaid |
$398.52
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$450.50 |
| Max. Negotiated Rate |
$4,275.53 |
| Rate for Payer: Aetna Commercial |
$917.33
|
| Rate for Payer: Aetna Medicare |
$698.00
|
| Rate for Payer: BCBS Complete |
$473.02
|
| Rate for Payer: BCBS Trust/PPO |
$4,275.53
|
| Rate for Payer: BCN Commercial |
$1,016.94
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Meridian Medicaid |
$473.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$907.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,066.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,066.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$776.88
|
| Rate for Payer: UHC Exchange |
$776.88
|
| Rate for Payer: UHCCP Medicaid |
$450.50
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$914.61
|
| Rate for Payer: Aetna Medicare |
$1,255.50
|
| Rate for Payer: BCBS Complete |
$472.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Meridian Medicaid |
$472.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,064.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$774.72
|
| Rate for Payer: UHC Exchange |
$774.72
|
| Rate for Payer: UHCCP Medicaid |
$450.07
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$914.61
|
| Rate for Payer: Aetna Medicare |
$1,255.50
|
| Rate for Payer: BCBS Complete |
$472.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$1,014.00
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Meridian Medicaid |
$472.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$450.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,064.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,064.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$774.72
|
| Rate for Payer: UHC Exchange |
$774.72
|
| Rate for Payer: UHCCP Medicaid |
$450.07
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
IP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,632.15 |
| Max. Negotiated Rate |
$2,511.00 |
| Rate for Payer: Aetna Commercial |
$2,259.90
|
| Rate for Payer: ASR ASR |
$2,435.67
|
| Rate for Payer: ASR Commercial |
$2,435.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,046.21
|
| Rate for Payer: BCN Commercial |
$1,946.78
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$2,360.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,008.80
|
| Rate for Payer: Healthscope Commercial |
$2,511.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,435.67
|
| Rate for Payer: Mclaren Commercial |
$2,259.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,134.35
|
| Rate for Payer: Nomi Health Commercial |
$2,059.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,209.68
|
|
