|
PR CLTX METAR FX W/MANJ
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 28475
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$1,033.88 |
| Rate for Payer: Aetna Commercial |
$299.08
|
| Rate for Payer: Aetna Medicare |
$370.50
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.88
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$481.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$360.28
|
| Rate for Payer: Priority Health Narrow Network |
$360.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$263.23
|
| Rate for Payer: UHC Exchange |
$263.23
|
| Rate for Payer: UHCCP Medicaid |
$152.08
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC REQ ANES
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 28635
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$342.34 |
| Rate for Payer: Aetna Commercial |
$178.03
|
| Rate for Payer: Aetna Medicare |
$158.00
|
| Rate for Payer: BCBS Complete |
$89.46
|
| Rate for Payer: BCBS Trust/PPO |
$342.34
|
| Rate for Payer: BCN Commercial |
$258.51
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Meridian Medicaid |
$89.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$202.02
|
| Rate for Payer: Priority Health Narrow Network |
$202.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$154.42
|
| Rate for Payer: UHC Exchange |
$154.42
|
| Rate for Payer: UHCCP Medicaid |
$85.20
|
|
|
PR CLTX METATARSOPHLNGL JT DISLC W/O ANES
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 28630
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$753.88 |
| Rate for Payer: Aetna Commercial |
$146.75
|
| Rate for Payer: Aetna Medicare |
$159.00
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$227.24
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.49
|
| Rate for Payer: Priority Health Narrow Network |
$171.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$127.30
|
| Rate for Payer: UHC Exchange |
$127.30
|
| Rate for Payer: UHCCP Medicaid |
$72.42
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA
|
Professional
|
Both
|
$715.00
|
|
|
Service Code
|
HCPCS 26725
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$830.49 |
| Rate for Payer: Aetna Commercial |
$403.72
|
| Rate for Payer: Aetna Medicare |
$357.50
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS Trust/PPO |
$830.49
|
| Rate for Payer: BCN Commercial |
$515.07
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Cash Price |
$572.00
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.94
|
| Rate for Payer: Priority Health Narrow Network |
$484.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$331.87
|
| Rate for Payer: UHC Exchange |
$331.87
|
| Rate for Payer: UHCCP Medicaid |
$205.12
|
|
|
PR CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 26720
|
| Min. Negotiated Rate |
$128.87 |
| Max. Negotiated Rate |
$909.78 |
| Rate for Payer: Aetna Commercial |
$246.60
|
| Rate for Payer: Aetna Medicare |
$206.00
|
| Rate for Payer: BCBS Complete |
$135.31
|
| Rate for Payer: BCBS Trust/PPO |
$909.78
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Meridian Medicaid |
$135.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.80
|
| Rate for Payer: Priority Health Narrow Network |
$303.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$191.11
|
| Rate for Payer: UHC Exchange |
$191.11
|
| Rate for Payer: UHCCP Medicaid |
$128.87
|
|
|
PR CLTX POST HIP ARTHRP DISLC REQ ANES
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 27266
|
| Min. Negotiated Rate |
$380.63 |
| Max. Negotiated Rate |
$3,076.82 |
| Rate for Payer: Aetna Commercial |
$779.49
|
| Rate for Payer: Aetna Medicare |
$765.00
|
| Rate for Payer: BCBS Complete |
$399.66
|
| Rate for Payer: BCBS Trust/PPO |
$3,076.82
|
| Rate for Payer: BCN Commercial |
$863.50
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Meridian Medicaid |
$399.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$380.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$905.26
|
| Rate for Payer: Priority Health Narrow Network |
$905.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$658.42
|
| Rate for Payer: UHC Exchange |
$658.42
|
| Rate for Payer: UHCCP Medicaid |
$380.63
|
|
|
PR CLTX POST HIP ARTHRP DISLC W/O ANES
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 27265
|
| Min. Negotiated Rate |
$277.11 |
| Max. Negotiated Rate |
$2,859.69 |
| Rate for Payer: Aetna Commercial |
$541.09
|
| Rate for Payer: Aetna Medicare |
$371.00
|
| Rate for Payer: BCBS Complete |
$290.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,859.69
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Meridian Medicaid |
$290.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.43
|
| Rate for Payer: Priority Health Narrow Network |
$656.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$445.34
|
| Rate for Payer: UHC Exchange |
$445.34
|
| Rate for Payer: UHCCP Medicaid |
$277.11
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/MANJ
|
Professional
|
Both
|
$1,212.00
|
|
|
Service Code
|
HCPCS 27781
|
| Min. Negotiated Rate |
$269.23 |
| Max. Negotiated Rate |
$2,284.34 |
| Rate for Payer: Aetna Commercial |
$530.55
|
| Rate for Payer: Aetna Medicare |
$606.00
|
| Rate for Payer: BCBS Complete |
$282.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.34
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Cash Price |
$969.60
|
| Rate for Payer: Meridian Medicaid |
$282.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$787.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.12
|
| Rate for Payer: Priority Health Narrow Network |
$638.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.40
|
| Rate for Payer: UHC Exchange |
$433.40
|
| Rate for Payer: UHCCP Medicaid |
$269.23
|
|
|
PR CLTX PROX FIBULA/SHFT FX W/O MANJ
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 27780
|
| Min. Negotiated Rate |
$192.34 |
| Max. Negotiated Rate |
$2,660.11 |
| Rate for Payer: Aetna Commercial |
$375.75
|
| Rate for Payer: Aetna Medicare |
$333.00
|
| Rate for Payer: BCBS Complete |
$201.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,660.11
|
| Rate for Payer: BCN Commercial |
$465.71
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Meridian Medicaid |
$201.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$432.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.90
|
| Rate for Payer: Priority Health Narrow Network |
$453.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$293.74
|
| Rate for Payer: UHC Exchange |
$293.74
|
| Rate for Payer: UHCCP Medicaid |
$192.34
|
|
|
PR CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 23605
|
| Min. Negotiated Rate |
$284.36 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$569.91
|
| Rate for Payer: Aetna Medicare |
$712.00
|
| Rate for Payer: BCBS Complete |
$298.58
|
| Rate for Payer: BCBS Trust/PPO |
$303.24
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Meridian Medicaid |
$298.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.75
|
| Rate for Payer: Priority Health Narrow Network |
$674.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$471.23
|
| Rate for Payer: UHC Exchange |
$471.23
|
| Rate for Payer: UHCCP Medicaid |
$284.36
|
|
|
PR CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 23600
|
| Min. Negotiated Rate |
$203.34 |
| Max. Negotiated Rate |
$510.25 |
| Rate for Payer: Aetna Commercial |
$415.71
|
| Rate for Payer: Aetna Medicare |
$392.50
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS Trust/PPO |
$203.34
|
| Rate for Payer: BCN Commercial |
$403.26
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$510.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$504.28
|
| Rate for Payer: Priority Health Narrow Network |
$504.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$323.00
|
| Rate for Payer: UHC Exchange |
$323.00
|
| Rate for Payer: UHCCP Medicaid |
$213.85
|
|
|
PR CLTX PROX TIBFIB JT DISLC REQ ANES
|
Professional
|
Both
|
$760.00
|
|
|
Service Code
|
HCPCS 27831
|
| Min. Negotiated Rate |
$133.15 |
| Max. Negotiated Rate |
$643.71 |
| Rate for Payer: Aetna Commercial |
$541.69
|
| Rate for Payer: Aetna Medicare |
$380.00
|
| Rate for Payer: BCBS Complete |
$286.27
|
| Rate for Payer: BCBS Trust/PPO |
$133.15
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Cash Price |
$608.00
|
| Rate for Payer: Meridian Medicaid |
$286.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.71
|
| Rate for Payer: Priority Health Narrow Network |
$643.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$432.10
|
| Rate for Payer: UHC Exchange |
$432.10
|
| Rate for Payer: UHCCP Medicaid |
$272.64
|
|
|
PR CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MNPJ
|
Professional
|
Both
|
$718.00
|
|
|
Service Code
|
HCPCS 25660
|
| Min. Negotiated Rate |
$299.90 |
| Max. Negotiated Rate |
$1,828.45 |
| Rate for Payer: Aetna Commercial |
$593.54
|
| Rate for Payer: Aetna Medicare |
$359.00
|
| Rate for Payer: BCBS Complete |
$314.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,828.45
|
| Rate for Payer: BCN Commercial |
$670.47
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Cash Price |
$574.40
|
| Rate for Payer: Meridian Medicaid |
$314.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.70
|
| 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 |
$451.62
|
| Rate for Payer: UHC Exchange |
$451.62
|
| Rate for Payer: UHCCP Medicaid |
$299.90
|
|
|
PR CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 24640
|
| Min. Negotiated Rate |
$50.91 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$105.52
|
| Rate for Payer: Aetna Medicare |
$122.00
|
| Rate for Payer: BCBS Complete |
$53.46
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Meridian Medicaid |
$53.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123.15
|
| Rate for Payer: Priority Health Narrow Network |
$123.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$99.64
|
| Rate for Payer: UHC Exchange |
$99.64
|
| Rate for Payer: UHCCP Medicaid |
$50.91
|
|
|
PR CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT
|
Professional
|
Both
|
$1,503.00
|
|
|
Service Code
|
HCPCS 25520
|
| Min. Negotiated Rate |
$362.53 |
| Max. Negotiated Rate |
$1,412.15 |
| Rate for Payer: Aetna Commercial |
$724.04
|
| Rate for Payer: Aetna Medicare |
$751.50
|
| Rate for Payer: BCBS Complete |
$380.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,412.15
|
| Rate for Payer: BCN Commercial |
$862.03
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Cash Price |
$1,202.40
|
| Rate for Payer: Meridian Medicaid |
$380.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$976.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$856.92
|
| Rate for Payer: Priority Health Narrow Network |
$856.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$582.94
|
| Rate for Payer: UHC Exchange |
$582.94
|
| Rate for Payer: UHCCP Medicaid |
$362.53
|
|
|
PR CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 23575
|
| Min. Negotiated Rate |
$192.30 |
| Max. Negotiated Rate |
$670.15 |
| Rate for Payer: Aetna Commercial |
$502.77
|
| Rate for Payer: Aetna Medicare |
$515.50
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS Trust/PPO |
$192.30
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$670.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$601.48
|
| Rate for Payer: Priority Health Narrow Network |
$601.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$404.11
|
| Rate for Payer: UHC Exchange |
$404.11
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
|
|
PR CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ
|
Professional
|
Both
|
$1,373.00
|
|
|
Service Code
|
HCPCS 23665
|
| Min. Negotiated Rate |
$159.61 |
| Max. Negotiated Rate |
$892.45 |
| Rate for Payer: Aetna Commercial |
$529.72
|
| Rate for Payer: Aetna Medicare |
$686.50
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: BCBS Trust/PPO |
$159.61
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Cash Price |
$1,098.40
|
| Rate for Payer: Meridian Medicaid |
$280.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.04
|
| Rate for Payer: Priority Health Narrow Network |
$634.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$435.70
|
| Rate for Payer: UHC Exchange |
$435.70
|
| Rate for Payer: UHCCP Medicaid |
$267.53
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 24535
|
| Min. Negotiated Rate |
$379.78 |
| Max. Negotiated Rate |
$1,066.00 |
| Rate for Payer: Aetna Commercial |
$761.70
|
| Rate for Payer: Aetna Medicare |
$820.00
|
| Rate for Payer: BCBS Complete |
$398.77
|
| Rate for Payer: BCBS Trust/PPO |
$605.96
|
| Rate for Payer: BCN Commercial |
$925.06
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Meridian Medicaid |
$398.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$379.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.66
|
| Rate for Payer: Priority Health Narrow Network |
$899.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$636.70
|
| Rate for Payer: UHC Exchange |
$636.70
|
| Rate for Payer: UHCCP Medicaid |
$379.78
|
|
|
PR CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ
|
Professional
|
Both
|
$844.00
|
|
|
Service Code
|
HCPCS 24530
|
| Min. Negotiated Rate |
$236.00 |
| Max. Negotiated Rate |
$576.64 |
| Rate for Payer: Aetna Commercial |
$463.61
|
| Rate for Payer: Aetna Medicare |
$422.00
|
| Rate for Payer: BCBS Complete |
$247.80
|
| Rate for Payer: BCBS Trust/PPO |
$472.30
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.24
|
| Rate for Payer: Priority Health Narrow Network |
$559.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$369.47
|
| Rate for Payer: UHC Exchange |
$369.47
|
| Rate for Payer: UHCCP Medicaid |
$236.00
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 27503
|
| Min. Negotiated Rate |
$521.85 |
| Max. Negotiated Rate |
$1,429.35 |
| Rate for Payer: Aetna Commercial |
$1,072.39
|
| Rate for Payer: Aetna Medicare |
$1,099.50
|
| Rate for Payer: BCBS Complete |
$547.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.58
|
| Rate for Payer: BCN Commercial |
$1,180.15
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Meridian Medicaid |
$547.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,429.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.01
|
| Rate for Payer: Priority Health Narrow Network |
$1,235.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$919.38
|
| Rate for Payer: UHC Exchange |
$919.38
|
| Rate for Payer: UHCCP Medicaid |
$521.85
|
|
|
PR CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 27501
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$3,213.12 |
| Rate for Payer: Aetna Commercial |
$663.19
|
| Rate for Payer: Aetna Medicare |
$788.00
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,213.12
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$776.01
|
| Rate for Payer: Priority Health Narrow Network |
$776.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$559.82
|
| Rate for Payer: UHC Exchange |
$559.82
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
|
|
PR CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 28545
|
| Min. Negotiated Rate |
$182.12 |
| Max. Negotiated Rate |
$656.68 |
| Rate for Payer: Aetna Commercial |
$354.16
|
| Rate for Payer: Aetna Medicare |
$355.00
|
| Rate for Payer: BCBS Complete |
$191.23
|
| Rate for Payer: BCBS Trust/PPO |
$656.68
|
| Rate for Payer: BCN Commercial |
$462.78
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Meridian Medicaid |
$191.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$429.48
|
| Rate for Payer: Priority Health Narrow Network |
$429.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.18
|
| Rate for Payer: UHC Exchange |
$262.18
|
| Rate for Payer: UHCCP Medicaid |
$182.12
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/O MANIPULATION
|
Professional
|
Both
|
$843.00
|
|
|
Service Code
|
HCPCS 27530
|
| Min. Negotiated Rate |
$195.11 |
| Max. Negotiated Rate |
$1,234.64 |
| Rate for Payer: Aetna Commercial |
$379.22
|
| Rate for Payer: Aetna Medicare |
$421.50
|
| Rate for Payer: BCBS Complete |
$204.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.64
|
| Rate for Payer: BCN Commercial |
$463.27
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Cash Price |
$674.40
|
| Rate for Payer: Meridian Medicaid |
$204.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$461.02
|
| Rate for Payer: Priority Health Narrow Network |
$461.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$402.82
|
| Rate for Payer: UHC Exchange |
$402.82
|
| Rate for Payer: UHCCP Medicaid |
$195.11
|
|
|
PR CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 27532
|
| Min. Negotiated Rate |
$382.34 |
| Max. Negotiated Rate |
$936.15 |
| Rate for Payer: Aetna Commercial |
$769.38
|
| Rate for Payer: Aetna Medicare |
$568.00
|
| Rate for Payer: BCBS Complete |
$401.46
|
| Rate for Payer: BCBS Trust/PPO |
$936.15
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Meridian Medicaid |
$401.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$382.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$738.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$904.75
|
| Rate for Payer: Priority Health Narrow Network |
$904.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$651.91
|
| Rate for Payer: UHC Exchange |
$651.91
|
| Rate for Payer: UHCCP Medicaid |
$382.34
|
|
|
PR CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 27752
|
| Min. Negotiated Rate |
$323.76 |
| Max. Negotiated Rate |
$3,450.64 |
| Rate for Payer: Aetna Commercial |
$655.97
|
| Rate for Payer: Aetna Medicare |
$896.50
|
| Rate for Payer: BCBS Complete |
$339.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,450.64
|
| Rate for Payer: BCN Commercial |
$799.48
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Meridian Medicaid |
$339.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$768.38
|
| Rate for Payer: Priority Health Narrow Network |
$768.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$557.60
|
| Rate for Payer: UHC Exchange |
$557.60
|
| Rate for Payer: UHCCP Medicaid |
$323.76
|
|
