|
PR CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ
|
Professional
|
Both
|
$292.00
|
|
|
Service Code
|
HCPCS 28510
|
| Min. Negotiated Rate |
$80.94 |
| Max. Negotiated Rate |
$1,955.77 |
| Rate for Payer: Aetna Commercial |
$155.55
|
| Rate for Payer: Aetna Medicare |
$146.00
|
| Rate for Payer: BCBS Complete |
$84.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,955.77
|
| Rate for Payer: BCN Commercial |
$179.35
|
| Rate for Payer: Cash Price |
$233.60
|
| Rate for Payer: Cash Price |
$233.60
|
| Rate for Payer: Meridian Medicaid |
$84.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$189.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$190.83
|
| Rate for Payer: Priority Health Narrow Network |
$190.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.79
|
| Rate for Payer: UHC Exchange |
$126.79
|
| Rate for Payer: UHCCP Medicaid |
$80.94
|
|
|
PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ
|
Professional
|
Both
|
$872.00
|
|
|
Service Code
|
HCPCS 27824
|
| Min. Negotiated Rate |
$205.33 |
| Max. Negotiated Rate |
$3,163.99 |
| Rate for Payer: Aetna Commercial |
$405.52
|
| Rate for Payer: Aetna Medicare |
$436.00
|
| Rate for Payer: BCBS Complete |
$215.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,163.99
|
| Rate for Payer: BCN Commercial |
$476.95
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Meridian Medicaid |
$215.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$483.92
|
| Rate for Payer: Priority Health Narrow Network |
$483.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$328.07
|
| Rate for Payer: UHC Exchange |
$328.07
|
| Rate for Payer: UHCCP Medicaid |
$205.33
|
|
|
PR CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ
|
Professional
|
Both
|
$1,938.00
|
|
|
Service Code
|
HCPCS 27825
|
| Min. Negotiated Rate |
$326.53 |
| Max. Negotiated Rate |
$3,467.23 |
| Rate for Payer: Aetna Commercial |
$656.96
|
| Rate for Payer: Aetna Medicare |
$969.00
|
| Rate for Payer: BCBS Complete |
$342.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,467.23
|
| Rate for Payer: BCN Commercial |
$812.18
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Cash Price |
$1,550.40
|
| Rate for Payer: Meridian Medicaid |
$342.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,259.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$769.91
|
| Rate for Payer: Priority Health Narrow Network |
$769.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$565.38
|
| Rate for Payer: UHC Exchange |
$565.38
|
| Rate for Payer: UHCCP Medicaid |
$326.53
|
|
|
PR CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ
|
Professional
|
Both
|
$687.00
|
|
|
Service Code
|
HCPCS 23620
|
| Min. Negotiated Rate |
$175.73 |
| Max. Negotiated Rate |
$446.55 |
| Rate for Payer: Aetna Commercial |
$342.23
|
| Rate for Payer: Aetna Medicare |
$343.50
|
| Rate for Payer: BCBS Complete |
$184.52
|
| Rate for Payer: BCBS Trust/PPO |
$193.36
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: Cash Price |
$549.60
|
| Rate for Payer: Cash Price |
$549.60
|
| Rate for Payer: Meridian Medicaid |
$184.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$446.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.72
|
| Rate for Payer: Priority Health Narrow Network |
$414.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$270.97
|
| Rate for Payer: UHC Exchange |
$270.97
|
| Rate for Payer: UHCCP Medicaid |
$175.73
|
|
|
PR CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION
|
Professional
|
Both
|
$660.00
|
|
|
Service Code
|
HCPCS 23625
|
| Min. Negotiated Rate |
$233.87 |
| Max. Negotiated Rate |
$582.99 |
| Rate for Payer: Aetna Commercial |
$465.59
|
| Rate for Payer: Aetna Medicare |
$330.00
|
| Rate for Payer: BCBS Complete |
$245.56
|
| Rate for Payer: BCBS Trust/PPO |
$234.57
|
| Rate for Payer: BCN Commercial |
$582.99
|
| Rate for Payer: Cash Price |
$528.00
|
| Rate for Payer: Cash Price |
$528.00
|
| Rate for Payer: Meridian Medicaid |
$245.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$429.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$560.26
|
| Rate for Payer: Priority Health Narrow Network |
$560.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$389.21
|
| Rate for Payer: UHC Exchange |
$389.21
|
| Rate for Payer: UHCCP Medicaid |
$233.87
|
|
|
PR CLTX GREATER TROCHANTERIC FX W/O MANJ
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 27246
|
| Min. Negotiated Rate |
$256.45 |
| Max. Negotiated Rate |
$1,725.43 |
| Rate for Payer: Aetna Commercial |
$514.65
|
| Rate for Payer: Aetna Medicare |
$448.00
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,725.43
|
| Rate for Payer: BCN Commercial |
$581.53
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$582.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.57
|
| Rate for Payer: Priority Health Narrow Network |
$606.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$431.04
|
| Rate for Payer: UHC Exchange |
$431.04
|
| Rate for Payer: UHCCP Medicaid |
$256.45
|
|
|
PR CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA
|
Professional
|
Both
|
$1,958.00
|
|
|
Service Code
|
HCPCS 27252
|
| Min. Negotiated Rate |
$485.21 |
| Max. Negotiated Rate |
$2,221.50 |
| Rate for Payer: Aetna Commercial |
$1,012.43
|
| Rate for Payer: Aetna Medicare |
$979.00
|
| Rate for Payer: BCBS Complete |
$509.47
|
| Rate for Payer: BCBS Trust/PPO |
$2,221.50
|
| Rate for Payer: BCN Commercial |
$1,107.84
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Cash Price |
$1,566.40
|
| Rate for Payer: Meridian Medicaid |
$509.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$485.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,272.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,155.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,155.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$871.46
|
| Rate for Payer: UHC Exchange |
$871.46
|
| Rate for Payer: UHCCP Medicaid |
$485.21
|
|
|
PR CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA
|
Professional
|
Both
|
$738.00
|
|
|
Service Code
|
HCPCS 27250
|
| Min. Negotiated Rate |
$114.81 |
| Max. Negotiated Rate |
$2,156.52 |
| Rate for Payer: Aetna Commercial |
$245.86
|
| Rate for Payer: Aetna Medicare |
$369.00
|
| Rate for Payer: BCBS Complete |
$120.55
|
| Rate for Payer: BCBS Trust/PPO |
$2,156.52
|
| Rate for Payer: BCN Commercial |
$262.42
|
| Rate for Payer: Cash Price |
$590.40
|
| Rate for Payer: Cash Price |
$590.40
|
| Rate for Payer: Meridian Medicaid |
$120.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$479.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$273.25
|
| Rate for Payer: Priority Health Narrow Network |
$273.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$257.21
|
| Rate for Payer: UHC Exchange |
$257.21
|
| Rate for Payer: UHCCP Medicaid |
$114.81
|
|
|
PR CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ
|
Professional
|
Both
|
$679.00
|
|
|
Service Code
|
HCPCS 24576
|
| Min. Negotiated Rate |
$129.43 |
| Max. Negotiated Rate |
$529.24 |
| Rate for Payer: Aetna Commercial |
$412.52
|
| Rate for Payer: Aetna Medicare |
$339.50
|
| Rate for Payer: BCBS Complete |
$222.31
|
| Rate for Payer: BCBS Trust/PPO |
$129.43
|
| Rate for Payer: BCN Commercial |
$529.24
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Meridian Medicaid |
$222.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$501.22
|
| Rate for Payer: Priority Health Narrow Network |
$501.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$323.29
|
| Rate for Payer: UHC Exchange |
$323.29
|
| Rate for Payer: UHCCP Medicaid |
$211.72
|
|
|
PR CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ
|
Professional
|
Both
|
$820.00
|
|
|
Service Code
|
HCPCS 24560
|
| Min. Negotiated Rate |
$112.00 |
| Max. Negotiated Rate |
$533.00 |
| Rate for Payer: Aetna Commercial |
$391.16
|
| Rate for Payer: Aetna Medicare |
$410.00
|
| Rate for Payer: BCBS Complete |
$208.89
|
| Rate for Payer: BCBS Trust/PPO |
$112.00
|
| Rate for Payer: BCN Commercial |
$502.36
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Cash Price |
$656.00
|
| Rate for Payer: Meridian Medicaid |
$208.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$533.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$470.19
|
| Rate for Payer: Priority Health Narrow Network |
$470.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$303.89
|
| Rate for Payer: UHC Exchange |
$303.89
|
| Rate for Payer: UHCCP Medicaid |
$198.94
|
|
|
PR CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,288.00
|
|
|
Service Code
|
HCPCS 24505
|
| Min. Negotiated Rate |
$300.76 |
| Max. Negotiated Rate |
$837.20 |
| Rate for Payer: Aetna Commercial |
$601.92
|
| Rate for Payer: Aetna Medicare |
$644.00
|
| Rate for Payer: BCBS Complete |
$315.80
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: Cash Price |
$1,030.40
|
| Rate for Payer: Cash Price |
$1,030.40
|
| Rate for Payer: Meridian Medicaid |
$315.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$837.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$713.93
|
| Rate for Payer: Priority Health Narrow Network |
$713.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$500.99
|
| Rate for Payer: UHC Exchange |
$500.99
|
| Rate for Payer: UHCCP Medicaid |
$300.76
|
|
|
PR CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN
|
Professional
|
Both
|
$953.00
|
|
|
Service Code
|
HCPCS 27538
|
| Min. Negotiated Rate |
$299.69 |
| Max. Negotiated Rate |
$723.24 |
| Rate for Payer: Aetna Commercial |
$595.65
|
| Rate for Payer: Aetna Medicare |
$476.50
|
| Rate for Payer: BCBS Complete |
$314.67
|
| Rate for Payer: BCBS Trust/PPO |
$716.37
|
| Rate for Payer: BCN Commercial |
$723.24
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Meridian Medicaid |
$314.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$619.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$708.84
|
| Rate for Payer: Priority Health Narrow Network |
$708.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$484.96
|
| Rate for Payer: UHC Exchange |
$484.96
|
| Rate for Payer: UHCCP Medicaid |
$299.69
|
|
|
PR CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 27238
|
| Min. Negotiated Rate |
$309.06 |
| Max. Negotiated Rate |
$1,049.20 |
| Rate for Payer: Aetna Commercial |
$620.82
|
| Rate for Payer: Aetna Medicare |
$476.00
|
| Rate for Payer: BCBS Complete |
$324.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.20
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Meridian Medicaid |
$324.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$732.25
|
| Rate for Payer: Priority Health Narrow Network |
$732.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$512.56
|
| Rate for Payer: UHC Exchange |
$512.56
|
| Rate for Payer: UHCCP Medicaid |
$309.06
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 28665
|
| Min. Negotiated Rate |
$81.79 |
| Max. Negotiated Rate |
$1,135.32 |
| Rate for Payer: Aetna Commercial |
$166.79
|
| Rate for Payer: Aetna Medicare |
$136.00
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,135.32
|
| Rate for Payer: BCN Commercial |
$217.95
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Meridian Medicaid |
$85.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$195.40
|
| Rate for Payer: Priority Health Narrow Network |
$195.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$155.39
|
| Rate for Payer: UHC Exchange |
$155.39
|
| Rate for Payer: UHCCP Medicaid |
$81.79
|
|
|
PR CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES
|
Professional
|
Both
|
$234.00
|
|
|
Service Code
|
HCPCS 28660
|
| Min. Negotiated Rate |
$61.56 |
| Max. Negotiated Rate |
$766.04 |
| Rate for Payer: Aetna Commercial |
$122.37
|
| Rate for Payer: Aetna Medicare |
$117.00
|
| Rate for Payer: BCBS Complete |
$64.64
|
| Rate for Payer: BCBS Trust/PPO |
$766.04
|
| Rate for Payer: BCN Commercial |
$183.74
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Meridian Medicaid |
$64.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.55
|
| Rate for Payer: Priority Health Narrow Network |
$146.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.58
|
| Rate for Payer: UHC Exchange |
$99.58
|
| Rate for Payer: UHCCP Medicaid |
$61.56
|
|
|
PR CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 27240
|
| Min. Negotiated Rate |
$620.90 |
| Max. Negotiated Rate |
$1,466.54 |
| Rate for Payer: Aetna Commercial |
$1,282.41
|
| Rate for Payer: Aetna Medicare |
$992.50
|
| Rate for Payer: BCBS Complete |
$651.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,203.47
|
| Rate for Payer: BCN Commercial |
$1,403.97
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Meridian Medicaid |
$651.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$620.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,466.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,466.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,101.38
|
| Rate for Payer: UHC Exchange |
$1,101.38
|
| Rate for Payer: UHCCP Medicaid |
$620.90
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ REQ ANES
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 26775
|
| Min. Negotiated Rate |
$238.13 |
| Max. Negotiated Rate |
$2,900.37 |
| Rate for Payer: Aetna Commercial |
$466.21
|
| Rate for Payer: Aetna Medicare |
$412.50
|
| Rate for Payer: BCBS Complete |
$250.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,900.37
|
| Rate for Payer: BCN Commercial |
$594.23
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Meridian Medicaid |
$250.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$564.33
|
| Rate for Payer: Priority Health Narrow Network |
$564.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$372.80
|
| Rate for Payer: UHC Exchange |
$372.80
|
| Rate for Payer: UHCCP Medicaid |
$238.13
|
|
|
PR CLTX IPHAL JT DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$558.00
|
|
|
Service Code
|
HCPCS 26770
|
| Min. Negotiated Rate |
$178.07 |
| Max. Negotiated Rate |
$1,851.16 |
| Rate for Payer: Aetna Commercial |
$345.16
|
| Rate for Payer: Aetna Medicare |
$279.00
|
| Rate for Payer: BCBS Complete |
$186.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,851.16
|
| Rate for Payer: BCN Commercial |
$433.46
|
| Rate for Payer: Cash Price |
$446.40
|
| Rate for Payer: Cash Price |
$446.40
|
| Rate for Payer: Meridian Medicaid |
$186.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$362.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$419.81
|
| Rate for Payer: Priority Health Narrow Network |
$419.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$271.78
|
| Rate for Payer: UHC Exchange |
$271.78
|
| Rate for Payer: UHCCP Medicaid |
$178.07
|
|
|
PR CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX
|
Professional
|
Both
|
$1,195.00
|
|
|
Service Code
|
HCPCS 21440
|
| Min. Negotiated Rate |
$382.76 |
| Max. Negotiated Rate |
$2,978.97 |
| Rate for Payer: Aetna Commercial |
$702.55
|
| Rate for Payer: Aetna Medicare |
$597.50
|
| Rate for Payer: BCBS Complete |
$401.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,978.97
|
| Rate for Payer: BCN Commercial |
$1,012.05
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Meridian Medicaid |
$401.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$776.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$927.65
|
| Rate for Payer: Priority Health Narrow Network |
$927.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$497.92
|
| Rate for Payer: UHC Exchange |
$497.92
|
| Rate for Payer: UHCCP Medicaid |
$382.76
|
|
|
PR CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION
|
Professional
|
Both
|
$872.00
|
|
|
Service Code
|
HCPCS 27760
|
| Min. Negotiated Rate |
$207.46 |
| Max. Negotiated Rate |
$2,919.55 |
| Rate for Payer: Aetna Commercial |
$406.19
|
| Rate for Payer: Aetna Medicare |
$436.00
|
| Rate for Payer: BCBS Complete |
$217.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,919.55
|
| Rate for Payer: BCN Commercial |
$400.52
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Cash Price |
$697.60
|
| Rate for Payer: Meridian Medicaid |
$217.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$566.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$327.37
|
| Rate for Payer: UHC Exchange |
$327.37
|
| Rate for Payer: UHCCP Medicaid |
$207.46
|
|
|
PR CLTX METACARPAL FX W/MANIPULATION EACH BONE
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26605
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$497.47 |
| Rate for Payer: Aetna Commercial |
$392.63
|
| Rate for Payer: Aetna Medicare |
$357.50
|
| Rate for Payer: BCBS Complete |
$210.45
|
| Rate for Payer: BCBS Trust/PPO |
$49.24
|
| Rate for Payer: BCN Commercial |
$497.47
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Meridian Medicaid |
$210.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$473.75
|
| Rate for Payer: Priority Health Narrow Network |
$473.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$313.76
|
| Rate for Payer: UHC Exchange |
$313.76
|
| Rate for Payer: UHCCP Medicaid |
$200.43
|
|
|
PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE
|
Professional
|
Both
|
$1,540.00
|
|
|
Service Code
|
HCPCS 26607
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$1,001.00 |
| Rate for Payer: Aetna Commercial |
$668.91
|
| Rate for Payer: Aetna Medicare |
$770.00
|
| Rate for Payer: BCBS Complete |
$348.67
|
| Rate for Payer: BCBS Trust/PPO |
$49.24
|
| Rate for Payer: BCN Commercial |
$757.45
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Cash Price |
$1,232.00
|
| Rate for Payer: Meridian Medicaid |
$348.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$792.81
|
| Rate for Payer: Priority Health Narrow Network |
$792.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$493.96
|
| Rate for Payer: UHC Exchange |
$493.96
|
| Rate for Payer: UHCCP Medicaid |
$332.07
|
|
|
PR CLTX METACARPAL FX W/O MANIPULATION EACH BONE
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26600
|
| Min. Negotiated Rate |
$103.55 |
| Max. Negotiated Rate |
$458.99 |
| Rate for Payer: Aetna Commercial |
$375.05
|
| Rate for Payer: Aetna Medicare |
$275.00
|
| Rate for Payer: BCBS Complete |
$204.64
|
| Rate for Payer: BCBS Trust/PPO |
$103.55
|
| Rate for Payer: BCN Commercial |
$364.78
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Meridian Medicaid |
$204.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$458.99
|
| Rate for Payer: Priority Health Narrow Network |
$458.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$282.92
|
| Rate for Payer: UHC Exchange |
$282.92
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 26705
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$657.27 |
| Rate for Payer: Aetna Commercial |
$510.96
|
| Rate for Payer: Aetna Medicare |
$412.50
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$657.27
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$628.44
|
| Rate for Payer: Priority Health Narrow Network |
$628.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$408.56
|
| Rate for Payer: UHC Exchange |
$408.56
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 26700
|
| Min. Negotiated Rate |
$64.45 |
| Max. Negotiated Rate |
$512.14 |
| Rate for Payer: Aetna Commercial |
$412.37
|
| Rate for Payer: Aetna Medicare |
$275.00
|
| Rate for Payer: BCBS Complete |
$221.86
|
| Rate for Payer: BCBS Trust/PPO |
$64.45
|
| Rate for Payer: BCN Commercial |
$512.14
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Meridian Medicaid |
$221.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.69
|
| Rate for Payer: Priority Health Narrow Network |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.42
|
| Rate for Payer: UHC Exchange |
$324.42
|
| Rate for Payer: UHCCP Medicaid |
$211.30
|
|
