|
PR ARTHROTOMY WRIST JOINT WITH BIOPSY
|
Professional
|
Both
|
$694.00
|
|
|
Service Code
|
HCPCS 25100
|
| Min. Negotiated Rate |
$277.60 |
| Max. Negotiated Rate |
$489.20 |
| Rate for Payer: Aetna Commercial |
$455.22
|
| Rate for Payer: Aetna Medicare |
$339.72
|
| Rate for Payer: BCBS Complete |
$277.60
|
| Rate for Payer: BCBS MAPPO |
$339.72
|
| Rate for Payer: BCN Medicare Advantage |
$339.72
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cash Price |
$555.20
|
| Rate for Payer: Cofinity Commercial |
$489.20
|
| Rate for Payer: Cofinity Commercial |
$455.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.72
|
| Rate for Payer: Healthscope Commercial |
$407.66
|
| Rate for Payer: Healthscope Whirlpool |
$407.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.71
|
| Rate for Payer: Nomi Health Commercial |
$407.66
|
| Rate for Payer: PACE SWMI |
$339.72
|
| Rate for Payer: PHP Medicare Advantage |
$339.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.10
|
| Rate for Payer: Priority Health Medicare |
$339.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.72
|
| Rate for Payer: UHC Medicare Advantage |
$339.72
|
| Rate for Payer: UHCCP DNSP |
$339.72
|
|
|
PR ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25105
|
| Min. Negotiated Rate |
$472.63 |
| Max. Negotiated Rate |
$1,092.65 |
| Rate for Payer: Aetna Commercial |
$633.32
|
| Rate for Payer: Aetna Medicare |
$472.63
|
| Rate for Payer: BCBS Complete |
$672.40
|
| Rate for Payer: BCBS MAPPO |
$472.63
|
| Rate for Payer: BCN Medicare Advantage |
$472.63
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$680.59
|
| Rate for Payer: Cofinity Commercial |
$633.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.63
|
| Rate for Payer: Healthscope Commercial |
$567.16
|
| Rate for Payer: Healthscope Whirlpool |
$567.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.26
|
| Rate for Payer: Nomi Health Commercial |
$567.16
|
| Rate for Payer: PACE SWMI |
$472.63
|
| Rate for Payer: PHP Medicare Advantage |
$472.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health Medicare |
$472.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.63
|
| Rate for Payer: UHC Medicare Advantage |
$472.63
|
| Rate for Payer: UHCCP DNSP |
$472.63
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE
|
Professional
|
Both
|
$1,435.00
|
|
|
Service Code
|
HCPCS 27625
|
| Min. Negotiated Rate |
$548.57 |
| Max. Negotiated Rate |
$932.75 |
| Rate for Payer: Aetna Commercial |
$735.08
|
| Rate for Payer: Aetna Medicare |
$548.57
|
| Rate for Payer: BCBS Complete |
$574.00
|
| Rate for Payer: BCBS MAPPO |
$548.57
|
| Rate for Payer: BCN Medicare Advantage |
$548.57
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cash Price |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$789.94
|
| Rate for Payer: Cofinity Commercial |
$735.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.57
|
| Rate for Payer: Healthscope Commercial |
$658.28
|
| Rate for Payer: Healthscope Whirlpool |
$658.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$576.00
|
| Rate for Payer: Nomi Health Commercial |
$658.28
|
| Rate for Payer: PACE SWMI |
$548.57
|
| Rate for Payer: PHP Medicare Advantage |
$548.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$932.75
|
| Rate for Payer: Priority Health Medicare |
$548.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.57
|
| Rate for Payer: UHC Medicare Advantage |
$548.57
|
| Rate for Payer: UHCCP DNSP |
$548.57
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 27626
|
| Min. Negotiated Rate |
$415.20 |
| Max. Negotiated Rate |
$848.49 |
| Rate for Payer: Aetna Commercial |
$789.57
|
| Rate for Payer: Aetna Medicare |
$589.23
|
| Rate for Payer: BCBS Complete |
$415.20
|
| Rate for Payer: BCBS MAPPO |
$589.23
|
| Rate for Payer: BCN Medicare Advantage |
$589.23
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cofinity Commercial |
$848.49
|
| Rate for Payer: Cofinity Commercial |
$789.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.23
|
| Rate for Payer: Healthscope Commercial |
$707.08
|
| Rate for Payer: Healthscope Whirlpool |
$707.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$618.69
|
| Rate for Payer: Nomi Health Commercial |
$707.08
|
| Rate for Payer: PACE SWMI |
$589.23
|
| Rate for Payer: PHP Medicare Advantage |
$589.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health Medicare |
$589.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$589.23
|
| Rate for Payer: UHC Medicare Advantage |
$589.23
|
| Rate for Payer: UHCCP DNSP |
$589.23
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY HIP JOINT
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27054
|
| Min. Negotiated Rate |
$558.40 |
| Max. Negotiated Rate |
$958.71 |
| Rate for Payer: Aetna Commercial |
$892.13
|
| Rate for Payer: Aetna Medicare |
$665.77
|
| Rate for Payer: BCBS Complete |
$558.40
|
| Rate for Payer: BCBS MAPPO |
$665.77
|
| Rate for Payer: BCN Medicare Advantage |
$665.77
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$958.71
|
| Rate for Payer: Cofinity Commercial |
$892.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.77
|
| Rate for Payer: Healthscope Commercial |
$798.92
|
| Rate for Payer: Healthscope Whirlpool |
$798.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.06
|
| Rate for Payer: Nomi Health Commercial |
$798.92
|
| Rate for Payer: PACE SWMI |
$665.77
|
| Rate for Payer: PHP Medicare Advantage |
$665.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$907.40
|
| Rate for Payer: Priority Health Medicare |
$665.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.77
|
| Rate for Payer: UHC Medicare Advantage |
$665.77
|
| Rate for Payer: UHCCP DNSP |
$665.77
|
|
|
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
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Min. Negotiated Rate |
$665.04 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$891.15
|
| Rate for Payer: Aetna Medicare |
$665.04
|
| Rate for Payer: BCBS Complete |
$1,004.40
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCN Medicare Advantage |
$665.04
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$957.66
|
| Rate for Payer: Cofinity Commercial |
$891.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.04
|
| Rate for Payer: Healthscope Commercial |
$798.05
|
| Rate for Payer: Healthscope Whirlpool |
$798.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Nomi Health Commercial |
$798.05
|
| Rate for Payer: PACE SWMI |
$665.04
|
| Rate for Payer: PHP Medicare Advantage |
$665.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
| Rate for Payer: UHCCP DNSP |
$665.04
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Professional
|
Both
|
$2,511.00
|
|
|
Service Code
|
HCPCS 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$665.04 |
| Max. Negotiated Rate |
$1,632.15 |
| Rate for Payer: Aetna Commercial |
$891.15
|
| Rate for Payer: Aetna Medicare |
$665.04
|
| Rate for Payer: BCBS Complete |
$1,004.40
|
| Rate for Payer: BCBS MAPPO |
$665.04
|
| Rate for Payer: BCN Medicare Advantage |
$665.04
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cash Price |
$2,008.80
|
| Rate for Payer: Cofinity Commercial |
$957.66
|
| Rate for Payer: Cofinity Commercial |
$891.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$665.04
|
| Rate for Payer: Healthscope Commercial |
$798.05
|
| Rate for Payer: Healthscope Whirlpool |
$798.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$698.29
|
| Rate for Payer: Nomi Health Commercial |
$798.05
|
| Rate for Payer: PACE SWMI |
$665.04
|
| Rate for Payer: PHP Medicare Advantage |
$665.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,632.15
|
| Rate for Payer: Priority Health Medicare |
$665.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$665.04
|
| Rate for Payer: UHC Medicare Advantage |
$665.04
|
| Rate for Payer: UHCCP DNSP |
$665.04
|
|
|
PR ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR
|
Facility
|
OP
|
$2,511.00
|
|
|
Service Code
|
CPT 27334
|
| Hospital Charge Code |
27334
|
| Min. Negotiated Rate |
$1,632.15 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,259.90
|
| 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 |
$2,435.67
|
| Rate for Payer: ASR Commercial |
$2,435.67
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,056.26
|
| Rate for Payer: BCN Commercial |
$1,946.78
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,008.80
|
| 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: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$2,511.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,435.67
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,259.90
|
| 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 |
$2,134.35
|
| Rate for Payer: Nomi Health Commercial |
$2,059.02
|
| 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 |
$1,632.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,200.14
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,760.21
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,209.68
|
| 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 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,117.60 |
| Max. Negotiated Rate |
$1,816.10 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,237.42
|
| Rate for Payer: BCBS Complete |
$1,117.60
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Healthscope Commercial |
$1,484.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP DNSP |
$1,237.42
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
OP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,816.10 |
| Max. Negotiated Rate |
$19,450.56 |
| Rate for Payer: Aetna Commercial |
$2,514.60
|
| Rate for Payer: Aetna Medicare |
$12,548.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: ASR ASR |
$2,710.18
|
| Rate for Payer: ASR Commercial |
$2,710.18
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.01
|
| Rate for Payer: BCN Commercial |
$2,166.19
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,626.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$2,794.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,710.18
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,548.75
|
| Rate for Payer: Mclaren Commercial |
$2,514.60
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: Nomi Health Commercial |
$2,291.08
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$13,803.62
|
| Rate for Payer: PHP Medicaid |
$6,726.13
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,448.10
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,958.59
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,458.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$19,450.56
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP DNSP |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: VA VA |
$12,548.75
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Professional
|
Both
|
$2,794.00
|
|
|
Service Code
|
HCPCS 27130
|
| Min. Negotiated Rate |
$1,117.60 |
| Max. Negotiated Rate |
$1,816.10 |
| Rate for Payer: Aetna Commercial |
$1,658.14
|
| Rate for Payer: Aetna Medicare |
$1,237.42
|
| Rate for Payer: BCBS Complete |
$1,117.60
|
| Rate for Payer: BCBS MAPPO |
$1,237.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.42
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$1,781.88
|
| Rate for Payer: Cofinity Commercial |
$1,658.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.42
|
| Rate for Payer: Healthscope Commercial |
$1,484.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,484.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,299.29
|
| Rate for Payer: Nomi Health Commercial |
$1,484.90
|
| Rate for Payer: PACE SWMI |
$1,237.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: Priority Health Medicare |
$1,237.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,237.42
|
| Rate for Payer: UHCCP DNSP |
$1,237.42
|
|
|
PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT
|
Facility
|
IP
|
$2,794.00
|
|
|
Service Code
|
CPT 27130
|
| Hospital Charge Code |
27130
|
| Min. Negotiated Rate |
$1,816.10 |
| Max. Negotiated Rate |
$2,794.00 |
| Rate for Payer: Aetna Commercial |
$2,514.60
|
| Rate for Payer: ASR ASR |
$2,710.18
|
| Rate for Payer: ASR Commercial |
$2,710.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,276.83
|
| Rate for Payer: BCN Commercial |
$2,166.19
|
| Rate for Payer: Cash Price |
$2,235.20
|
| Rate for Payer: Cofinity Commercial |
$2,626.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,235.20
|
| Rate for Payer: Healthscope Commercial |
$2,794.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,710.18
|
| Rate for Payer: Mclaren Commercial |
$2,514.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,374.90
|
| Rate for Payer: Nomi Health Commercial |
$2,291.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,816.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,458.72
|
|
|
PR ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
|
Professional
|
Both
|
$5,189.00
|
|
|
Service Code
|
HCPCS 24363
|
| Min. Negotiated Rate |
$1,394.88 |
| Max. Negotiated Rate |
$3,372.85 |
| Rate for Payer: Aetna Commercial |
$1,869.14
|
| Rate for Payer: Aetna Medicare |
$1,394.88
|
| Rate for Payer: BCBS Complete |
$2,075.60
|
| Rate for Payer: BCBS MAPPO |
$1,394.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,394.88
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cash Price |
$4,151.20
|
| Rate for Payer: Cofinity Commercial |
$2,008.63
|
| Rate for Payer: Cofinity Commercial |
$1,869.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,394.88
|
| Rate for Payer: Healthscope Commercial |
$1,673.86
|
| Rate for Payer: Healthscope Whirlpool |
$1,673.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,464.62
|
| Rate for Payer: Nomi Health Commercial |
$1,673.86
|
| Rate for Payer: PACE SWMI |
$1,394.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,394.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,372.85
|
| Rate for Payer: Priority Health Medicare |
$1,394.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,394.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,394.88
|
| Rate for Payer: UHCCP DNSP |
$1,394.88
|
|
|
PR ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL
|
Professional
|
Both
|
$1,457.00
|
|
|
Service Code
|
HCPCS 27443
|
| Min. Negotiated Rate |
$582.80 |
| Max. Negotiated Rate |
$1,136.58 |
| Rate for Payer: Aetna Commercial |
$1,057.65
|
| Rate for Payer: Aetna Medicare |
$789.29
|
| Rate for Payer: BCBS Complete |
$582.80
|
| Rate for Payer: BCBS MAPPO |
$789.29
|
| Rate for Payer: BCN Medicare Advantage |
$789.29
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cash Price |
$1,165.60
|
| Rate for Payer: Cofinity Commercial |
$1,136.58
|
| Rate for Payer: Cofinity Commercial |
$1,057.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$789.29
|
| Rate for Payer: Healthscope Commercial |
$947.15
|
| Rate for Payer: Healthscope Whirlpool |
$947.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$828.75
|
| Rate for Payer: Nomi Health Commercial |
$947.15
|
| Rate for Payer: PACE SWMI |
$789.29
|
| Rate for Payer: PHP Medicare Advantage |
$789.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.05
|
| Rate for Payer: Priority Health Medicare |
$789.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$789.29
|
| Rate for Payer: UHC Medicare Advantage |
$789.29
|
| Rate for Payer: UHCCP DNSP |
$789.29
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
IP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,975.35 |
| Max. Negotiated Rate |
$3,039.00 |
| Rate for Payer: Aetna Commercial |
$2,735.10
|
| Rate for Payer: ASR ASR |
$2,947.83
|
| Rate for Payer: ASR Commercial |
$2,947.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,476.48
|
| Rate for Payer: BCN Commercial |
$2,356.14
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,856.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Healthscope Commercial |
$3,039.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,947.83
|
| Rate for Payer: Mclaren Commercial |
$2,735.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,583.15
|
| Rate for Payer: Nomi Health Commercial |
$2,491.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,674.32
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$771.24
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Healthscope Commercial |
$925.49
|
| Rate for Payer: Healthscope Whirlpool |
$925.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP DNSP |
$771.24
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Facility
|
OP
|
$3,039.00
|
|
|
Service Code
|
CPT 25447
|
| Hospital Charge Code |
25447
|
| Min. Negotiated Rate |
$1,696.12 |
| Max. Negotiated Rate |
$4,904.82 |
| Rate for Payer: Aetna Commercial |
$2,735.10
|
| 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 |
$2,947.83
|
| Rate for Payer: ASR Commercial |
$2,947.83
|
| Rate for Payer: BCBS Complete |
$1,780.92
|
| Rate for Payer: BCBS MAPPO |
$3,164.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,488.64
|
| Rate for Payer: BCN Commercial |
$2,356.14
|
| Rate for Payer: BCN Medicare Advantage |
$3,164.40
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$2,856.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,431.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,164.40
|
| Rate for Payer: Healthscope Commercial |
$3,039.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,947.83
|
| Rate for Payer: Humana Choice PPO Medicare |
$3,164.40
|
| Rate for Payer: Mclaren Commercial |
$2,735.10
|
| 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 |
$2,583.15
|
| Rate for Payer: Nomi Health Commercial |
$2,491.98
|
| 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 |
$1,975.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,662.77
|
| Rate for Payer: Priority Health Medicare |
$3,164.40
|
| Rate for Payer: Priority Health Narrow Network |
$2,130.34
|
| Rate for Payer: Railroad Medicare Medicare |
$3,164.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,674.32
|
| 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 ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION
|
Professional
|
Both
|
$3,039.00
|
|
|
Service Code
|
HCPCS 25447
|
| Min. Negotiated Rate |
$771.24 |
| Max. Negotiated Rate |
$1,975.35 |
| Rate for Payer: Aetna Commercial |
$1,033.46
|
| Rate for Payer: Aetna Medicare |
$771.24
|
| Rate for Payer: BCBS Complete |
$1,215.60
|
| Rate for Payer: BCBS MAPPO |
$771.24
|
| Rate for Payer: BCN Medicare Advantage |
$771.24
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cash Price |
$2,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,033.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$771.24
|
| Rate for Payer: Healthscope Commercial |
$925.49
|
| Rate for Payer: Healthscope Whirlpool |
$925.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.80
|
| Rate for Payer: Nomi Health Commercial |
$925.49
|
| Rate for Payer: PACE SWMI |
$771.24
|
| Rate for Payer: PHP Medicare Advantage |
$771.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,975.35
|
| Rate for Payer: Priority Health Medicare |
$771.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$771.24
|
| Rate for Payer: UHC Medicare Advantage |
$771.24
|
| Rate for Payer: UHCCP DNSP |
$771.24
|
|
|
PR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION
|
Professional
|
Both
|
$2,560.00
|
|
|
Service Code
|
HCPCS 25448
|
| Min. Negotiated Rate |
$852.77 |
| Max. Negotiated Rate |
$1,664.00 |
| Rate for Payer: Aetna Commercial |
$1,142.71
|
| Rate for Payer: Aetna Medicare |
$852.77
|
| Rate for Payer: BCBS Complete |
$1,024.00
|
| Rate for Payer: BCBS MAPPO |
$852.77
|
| Rate for Payer: BCN Medicare Advantage |
$852.77
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cash Price |
$2,048.00
|
| Rate for Payer: Cofinity Commercial |
$1,227.99
|
| Rate for Payer: Cofinity Commercial |
$1,142.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$852.77
|
| Rate for Payer: Healthscope Commercial |
$1,023.32
|
| Rate for Payer: Healthscope Whirlpool |
$1,023.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.41
|
| Rate for Payer: Nomi Health Commercial |
$1,023.32
|
| Rate for Payer: PACE SWMI |
$852.77
|
| Rate for Payer: PHP Medicare Advantage |
$852.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,664.00
|
| Rate for Payer: Priority Health Medicare |
$852.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$852.77
|
| Rate for Payer: UHC Medicare Advantage |
$852.77
|
| Rate for Payer: UHCCP DNSP |
$852.77
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,235.86
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Healthscope Commercial |
$1,483.03
|
| Rate for Payer: Healthscope Whirlpool |
$1,483.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP DNSP |
$1,235.86
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
IP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,254.55 |
| Max. Negotiated Rate |
$5,007.00 |
| Rate for Payer: Aetna Commercial |
$4,506.30
|
| Rate for Payer: ASR ASR |
$4,856.79
|
| Rate for Payer: ASR Commercial |
$4,856.79
|
| Rate for Payer: BCBS Trust/PPO |
$4,080.20
|
| Rate for Payer: BCN Commercial |
$3,881.93
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$4,706.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Healthscope Commercial |
$5,007.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,856.79
|
| Rate for Payer: Mclaren Commercial |
$4,506.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: Nomi Health Commercial |
$4,105.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,406.16
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Facility
|
OP
|
$5,007.00
|
|
|
Service Code
|
CPT 27447
|
| Hospital Charge Code |
27447
|
| Min. Negotiated Rate |
$3,254.55 |
| Max. Negotiated Rate |
$19,450.56 |
| Rate for Payer: Aetna Commercial |
$4,506.30
|
| Rate for Payer: Aetna Medicare |
$12,548.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: ASR ASR |
$4,856.79
|
| Rate for Payer: ASR Commercial |
$4,856.79
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCBS Trust/PPO |
$4,100.23
|
| Rate for Payer: BCN Commercial |
$3,881.93
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$4,706.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4,005.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$5,007.00
|
| Rate for Payer: Healthscope Whirlpool |
$4,856.79
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,548.75
|
| Rate for Payer: Mclaren Commercial |
$4,506.30
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,255.95
|
| Rate for Payer: Nomi Health Commercial |
$4,105.74
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$13,803.62
|
| Rate for Payer: PHP Medicaid |
$6,726.13
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,387.13
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health Narrow Network |
$3,509.91
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4,406.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$19,450.56
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP DNSP |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: VA VA |
$12,548.75
|
|
|
PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS
|
Professional
|
Both
|
$5,007.00
|
|
|
Service Code
|
HCPCS 27447
|
| Min. Negotiated Rate |
$1,235.86 |
| Max. Negotiated Rate |
$3,254.55 |
| Rate for Payer: Aetna Commercial |
$1,656.05
|
| Rate for Payer: Aetna Medicare |
$1,235.86
|
| Rate for Payer: BCBS Complete |
$2,002.80
|
| Rate for Payer: BCBS MAPPO |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.86
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cash Price |
$4,005.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.64
|
| Rate for Payer: Cofinity Commercial |
$1,656.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.86
|
| Rate for Payer: Healthscope Commercial |
$1,483.03
|
| Rate for Payer: Healthscope Whirlpool |
$1,483.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.65
|
| Rate for Payer: Nomi Health Commercial |
$1,483.03
|
| Rate for Payer: PACE SWMI |
$1,235.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,254.55
|
| Rate for Payer: Priority Health Medicare |
$1,235.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,235.86
|
| Rate for Payer: UHCCP DNSP |
$1,235.86
|
|
|
PR ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT
|
Facility
|
OP
|
$3,221.00
|
|
|
Service Code
|
CPT 27446
|
| Hospital Charge Code |
27446
|
| Min. Negotiated Rate |
$2,093.65 |
| Max. Negotiated Rate |
$19,450.56 |
| Rate for Payer: Aetna Commercial |
$2,898.90
|
| Rate for Payer: Aetna Medicare |
$12,548.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,685.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,685.94
|
| Rate for Payer: ASR ASR |
$3,124.37
|
| Rate for Payer: ASR Commercial |
$3,124.37
|
| Rate for Payer: BCBS Complete |
$7,062.44
|
| Rate for Payer: BCBS MAPPO |
$12,548.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,637.68
|
| Rate for Payer: BCN Commercial |
$2,497.24
|
| Rate for Payer: BCN Medicare Advantage |
$12,548.75
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cash Price |
$2,576.80
|
| Rate for Payer: Cofinity Commercial |
$3,027.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,576.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,548.75
|
| Rate for Payer: Healthscope Commercial |
$3,221.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,124.37
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,548.75
|
| Rate for Payer: Mclaren Commercial |
$2,898.90
|
| Rate for Payer: Mclaren Medicaid |
$6,726.13
|
| Rate for Payer: Mclaren Medicare |
$12,548.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,176.19
|
| Rate for Payer: Meridian Medicaid |
$7,062.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,431.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,737.85
|
| Rate for Payer: Nomi Health Commercial |
$2,641.22
|
| Rate for Payer: PACE Medicare |
$11,921.31
|
| Rate for Payer: PACE SWMI |
$12,548.75
|
| Rate for Payer: PHP Commercial |
$13,803.62
|
| Rate for Payer: PHP Medicaid |
$6,726.13
|
| Rate for Payer: PHP Medicare Advantage |
$12,548.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,726.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,093.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,822.24
|
| Rate for Payer: Priority Health Medicare |
$12,548.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,257.92
|
| Rate for Payer: Railroad Medicare Medicare |
$12,548.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,834.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$12,548.75
|
| Rate for Payer: UHC Exchange |
$19,450.56
|
| Rate for Payer: UHC Medicare Advantage |
$12,548.75
|
| Rate for Payer: UHCCP DNSP |
$12,548.75
|
| Rate for Payer: UHCCP Medicaid |
$6,726.13
|
| Rate for Payer: VA VA |
$12,548.75
|
|
