|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$6,799.34
|
|
|
Service Code
|
APR-DRG 4851
|
| Min. Negotiated Rate |
$6,147.42 |
| Max. Negotiated Rate |
$6,799.34 |
| Rate for Payer: BCBS Complete |
$6,799.34
|
| Rate for Payer: Mclaren Medicaid |
$6,475.56
|
| Rate for Payer: Meridian Medicaid |
$6,799.34
|
| Rate for Payer: PHP Medicaid |
$6,147.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,475.56
|
| Rate for Payer: UHC Medicaid |
$6,475.56
|
| Rate for Payer: UHCCP Medicaid |
$6,475.56
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$12,633.58
|
|
|
Service Code
|
APR-DRG 4853
|
| Min. Negotiated Rate |
$11,422.26 |
| Max. Negotiated Rate |
$12,633.58 |
| Rate for Payer: BCBS Complete |
$12,633.58
|
| Rate for Payer: Mclaren Medicaid |
$12,031.98
|
| Rate for Payer: Meridian Medicaid |
$12,633.58
|
| Rate for Payer: PHP Medicaid |
$11,422.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,031.98
|
| Rate for Payer: UHC Medicaid |
$12,031.98
|
| Rate for Payer: UHCCP Medicaid |
$12,031.98
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,952.46
|
|
|
Service Code
|
APR-DRG 4852
|
| Min. Negotiated Rate |
$7,189.97 |
| Max. Negotiated Rate |
$7,952.46 |
| Rate for Payer: BCBS Complete |
$7,952.46
|
| Rate for Payer: Mclaren Medicaid |
$7,573.77
|
| Rate for Payer: Meridian Medicaid |
$7,952.46
|
| Rate for Payer: PHP Medicaid |
$7,189.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,573.77
|
| Rate for Payer: UHC Medicaid |
$7,573.77
|
| Rate for Payer: UHCCP Medicaid |
$7,573.77
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$17,789.35
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$16,083.70 |
| Max. Negotiated Rate |
$17,789.35 |
| Rate for Payer: BCBS Complete |
$17,789.35
|
| Rate for Payer: Mclaren Medicaid |
$16,942.24
|
| Rate for Payer: Meridian Medicaid |
$17,789.35
|
| Rate for Payer: PHP Medicaid |
$16,083.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,942.24
|
| Rate for Payer: UHC Medicaid |
$16,942.24
|
| Rate for Payer: UHCCP Medicaid |
$16,942.24
|
|
|
PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$24,033.28
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$13,634.02 |
| Max. Negotiated Rate |
$24,033.28 |
| Rate for Payer: Aetna Medicare |
$14,351.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,939.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,939.50
|
| Rate for Payer: BCBS MAPPO |
$14,351.60
|
| Rate for Payer: BCN Medicare Advantage |
$14,351.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,351.60
|
| Rate for Payer: Humana Choice PPO Medicare |
$14,351.60
|
| Rate for Payer: Mclaren Medicare |
$14,351.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15,069.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,504.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,786.76
|
| Rate for Payer: PACE Medicare |
$13,634.02
|
| Rate for Payer: PACE SWMI |
$14,351.60
|
| Rate for Payer: PHP Commercial |
$15,786.76
|
| Rate for Payer: PHP Medicare Advantage |
$14,351.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$24,033.28
|
| Rate for Payer: Priority Health Medicare |
$14,351.60
|
| Rate for Payer: Priority Health Narrow Network |
$19,226.63
|
| Rate for Payer: Railroad Medicare Medicare |
$14,351.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,351.60
|
| Rate for Payer: UHC Exchange |
$22,244.98
|
| Rate for Payer: UHCCP DNSP |
$14,351.60
|
| Rate for Payer: VA VA |
$14,351.60
|
|
|
PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$42,881.54
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$23,019.42 |
| Max. Negotiated Rate |
$42,881.54 |
| Rate for Payer: Aetna Medicare |
$24,230.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,288.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,288.71
|
| Rate for Payer: BCBS MAPPO |
$24,230.97
|
| Rate for Payer: BCN Medicare Advantage |
$24,230.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,230.97
|
| Rate for Payer: Humana Choice PPO Medicare |
$24,230.97
|
| Rate for Payer: Mclaren Medicare |
$24,230.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,442.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27,865.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$26,654.07
|
| Rate for Payer: PACE Medicare |
$23,019.42
|
| Rate for Payer: PACE SWMI |
$24,230.97
|
| Rate for Payer: PHP Commercial |
$26,654.07
|
| Rate for Payer: PHP Medicare Advantage |
$24,230.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$42,881.54
|
| Rate for Payer: Priority Health Medicare |
$24,230.97
|
| Rate for Payer: Priority Health Narrow Network |
$34,305.23
|
| Rate for Payer: Railroad Medicare Medicare |
$24,230.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24,230.97
|
| Rate for Payer: UHC Exchange |
$37,558.00
|
| Rate for Payer: UHCCP DNSP |
$24,230.97
|
| Rate for Payer: VA VA |
$24,230.97
|
|
|
PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$15,197.86
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$9,234.45 |
| Max. Negotiated Rate |
$15,197.86 |
| Rate for Payer: Aetna Medicare |
$9,720.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,150.59
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,150.59
|
| Rate for Payer: BCBS MAPPO |
$9,720.47
|
| Rate for Payer: BCN Medicare Advantage |
$9,720.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,720.47
|
| Rate for Payer: Humana Choice PPO Medicare |
$9,720.47
|
| Rate for Payer: Mclaren Medicare |
$9,720.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,206.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,178.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,692.52
|
| Rate for Payer: PACE Medicare |
$9,234.45
|
| Rate for Payer: PACE SWMI |
$9,720.47
|
| Rate for Payer: PHP Commercial |
$10,692.52
|
| Rate for Payer: PHP Medicare Advantage |
$9,720.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15,197.86
|
| Rate for Payer: Priority Health Medicare |
$9,720.47
|
| Rate for Payer: Priority Health Narrow Network |
$12,158.29
|
| Rate for Payer: Railroad Medicare Medicare |
$9,720.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,720.47
|
| Rate for Payer: UHC Exchange |
$15,066.73
|
| Rate for Payer: UHCCP DNSP |
$9,720.47
|
| Rate for Payer: VA VA |
$9,720.47
|
|
|
PR OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 28114
|
| Min. Negotiated Rate |
$508.64 |
| Max. Negotiated Rate |
$1,497.00 |
| Rate for Payer: Aetna Commercial |
$1,037.71
|
| Rate for Payer: Aetna Medicare |
$774.41
|
| Rate for Payer: BCBS Complete |
$534.07
|
| Rate for Payer: BCBS MAPPO |
$774.41
|
| Rate for Payer: BCN Commercial |
$1,274.84
|
| Rate for Payer: BCN Medicare Advantage |
$774.41
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,115.15
|
| Rate for Payer: Cofinity Commercial |
$1,037.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$774.41
|
| Rate for Payer: Healthscope Commercial |
$929.29
|
| Rate for Payer: Healthscope Whirlpool |
$929.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$813.13
|
| Rate for Payer: Meridian Medicaid |
$534.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$851.85
|
| Rate for Payer: Nomi Health Commercial |
$929.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: PACE SWMI |
$774.41
|
| Rate for Payer: PHP Medicare Advantage |
$774.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,362.76
|
| Rate for Payer: Priority Health Medicare |
$774.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,362.76
|
| Rate for Payer: Railroad Medicare Medicare |
$774.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,441.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$774.41
|
| Rate for Payer: UHC Exchange |
$1,441.50
|
| Rate for Payer: UHC Medicaid |
$508.64
|
| Rate for Payer: UHCCP DNSP |
$774.41
|
| Rate for Payer: UHCCP Medicaid |
$508.64
|
|
|
PR OSTC PRTL EXOSTC/CONDYLC METAR HEAD
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 28288
|
| Min. Negotiated Rate |
$265.61 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$539.00
|
| Rate for Payer: Aetna Medicare |
$402.24
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$402.24
|
| Rate for Payer: BCN Commercial |
$661.82
|
| Rate for Payer: BCN Medicare Advantage |
$402.24
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$579.23
|
| Rate for Payer: Cofinity Commercial |
$539.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.24
|
| Rate for Payer: Healthscope Commercial |
$482.69
|
| Rate for Payer: Healthscope Whirlpool |
$482.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$422.35
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$442.46
|
| Rate for Payer: Nomi Health Commercial |
$482.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: PACE SWMI |
$402.24
|
| Rate for Payer: PHP Medicare Advantage |
$402.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$707.46
|
| Rate for Payer: Priority Health Medicare |
$402.24
|
| Rate for Payer: Priority Health Narrow Network |
$707.46
|
| Rate for Payer: Railroad Medicare Medicare |
$402.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$751.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$402.24
|
| Rate for Payer: UHC Exchange |
$751.44
|
| Rate for Payer: UHC Medicaid |
$265.61
|
| Rate for Payer: UHCCP DNSP |
$402.24
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR OSTECTOMY CALCANEUS
|
Professional
|
Both
|
$1,060.00
|
|
|
Service Code
|
HCPCS 28118
|
| Min. Negotiated Rate |
$258.80 |
| Max. Negotiated Rate |
$795.00 |
| Rate for Payer: Aetna Commercial |
$528.09
|
| Rate for Payer: Aetna Medicare |
$394.10
|
| Rate for Payer: BCBS Complete |
$271.74
|
| Rate for Payer: BCBS MAPPO |
$394.10
|
| Rate for Payer: BCN Commercial |
$646.37
|
| Rate for Payer: BCN Medicare Advantage |
$394.10
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cofinity Commercial |
$567.50
|
| Rate for Payer: Cofinity Commercial |
$528.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.10
|
| Rate for Payer: Healthscope Commercial |
$472.92
|
| Rate for Payer: Healthscope Whirlpool |
$472.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.81
|
| Rate for Payer: Meridian Medicaid |
$271.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$433.51
|
| Rate for Payer: Nomi Health Commercial |
$472.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$795.00
|
| Rate for Payer: PACE SWMI |
$394.10
|
| Rate for Payer: PHP Medicare Advantage |
$394.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$258.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$690.97
|
| Rate for Payer: Priority Health Medicare |
$394.10
|
| Rate for Payer: Priority Health Narrow Network |
$690.97
|
| Rate for Payer: Railroad Medicare Medicare |
$394.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$728.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$394.10
|
| Rate for Payer: UHC Exchange |
$728.68
|
| Rate for Payer: UHC Medicaid |
$258.80
|
| Rate for Payer: UHCCP DNSP |
$394.10
|
| Rate for Payer: UHCCP Medicaid |
$258.80
|
|
|
PR OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 28119
|
| Min. Negotiated Rate |
$220.67 |
| Max. Negotiated Rate |
$944.25 |
| Rate for Payer: Aetna Commercial |
$450.15
|
| Rate for Payer: Aetna Medicare |
$335.93
|
| Rate for Payer: BCBS Complete |
$231.70
|
| Rate for Payer: BCBS MAPPO |
$335.93
|
| Rate for Payer: BCN Commercial |
$554.25
|
| Rate for Payer: BCN Medicare Advantage |
$335.93
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$483.74
|
| Rate for Payer: Cofinity Commercial |
$450.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.93
|
| Rate for Payer: Healthscope Commercial |
$403.12
|
| Rate for Payer: Healthscope Whirlpool |
$403.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.73
|
| Rate for Payer: Meridian Medicaid |
$231.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$369.52
|
| Rate for Payer: Nomi Health Commercial |
$403.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$944.25
|
| Rate for Payer: PACE SWMI |
$335.93
|
| Rate for Payer: PHP Medicare Advantage |
$335.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$592.49
|
| Rate for Payer: Priority Health Medicare |
$335.93
|
| Rate for Payer: Priority Health Narrow Network |
$592.49
|
| Rate for Payer: Railroad Medicare Medicare |
$335.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$629.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$335.93
|
| Rate for Payer: UHC Exchange |
$629.51
|
| Rate for Payer: UHC Medicaid |
$220.67
|
| Rate for Payer: UHCCP DNSP |
$335.93
|
| Rate for Payer: UHCCP Medicaid |
$220.67
|
|
|
PR OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
Professional
|
Both
|
$856.00
|
|
|
Service Code
|
HCPCS 28111
|
| Min. Negotiated Rate |
$192.77 |
| Max. Negotiated Rate |
$642.00 |
| Rate for Payer: Aetna Commercial |
$394.68
|
| Rate for Payer: Aetna Medicare |
$294.54
|
| Rate for Payer: BCBS Complete |
$202.41
|
| Rate for Payer: BCBS MAPPO |
$294.54
|
| Rate for Payer: BCN Commercial |
$483.54
|
| Rate for Payer: BCN Medicare Advantage |
$294.54
|
| Rate for Payer: Cash Price |
$684.80
|
| Rate for Payer: Cash Price |
$684.80
|
| Rate for Payer: Cofinity Commercial |
$424.14
|
| Rate for Payer: Cofinity Commercial |
$394.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.54
|
| Rate for Payer: Healthscope Commercial |
$353.45
|
| Rate for Payer: Healthscope Whirlpool |
$353.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.27
|
| Rate for Payer: Meridian Medicaid |
$202.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$323.99
|
| Rate for Payer: Nomi Health Commercial |
$353.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$642.00
|
| Rate for Payer: PACE SWMI |
$294.54
|
| Rate for Payer: PHP Medicare Advantage |
$294.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$516.88
|
| Rate for Payer: Priority Health Medicare |
$294.54
|
| Rate for Payer: Priority Health Narrow Network |
$516.88
|
| Rate for Payer: Railroad Medicare Medicare |
$294.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$566.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$294.54
|
| Rate for Payer: UHC Exchange |
$566.53
|
| Rate for Payer: UHC Medicaid |
$192.77
|
| Rate for Payer: UHCCP DNSP |
$294.54
|
| Rate for Payer: UHCCP Medicaid |
$192.77
|
|
|
PR OSTECTOMY COMPLETE 5TH METATARSAL HEAD
|
Professional
|
Both
|
$1,065.00
|
|
|
Service Code
|
HCPCS 28113
|
| Min. Negotiated Rate |
$259.22 |
| Max. Negotiated Rate |
$798.75 |
| Rate for Payer: Aetna Commercial |
$526.31
|
| Rate for Payer: Aetna Medicare |
$392.77
|
| Rate for Payer: BCBS Complete |
$272.18
|
| Rate for Payer: BCBS MAPPO |
$392.77
|
| Rate for Payer: BCN Commercial |
$651.85
|
| Rate for Payer: BCN Medicare Advantage |
$392.77
|
| Rate for Payer: Cash Price |
$852.00
|
| Rate for Payer: Cash Price |
$852.00
|
| Rate for Payer: Cofinity Commercial |
$565.59
|
| Rate for Payer: Cofinity Commercial |
$526.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$392.77
|
| Rate for Payer: Healthscope Commercial |
$471.32
|
| Rate for Payer: Healthscope Whirlpool |
$471.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$412.41
|
| Rate for Payer: Meridian Medicaid |
$272.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$432.05
|
| Rate for Payer: Nomi Health Commercial |
$471.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$798.75
|
| Rate for Payer: PACE SWMI |
$392.77
|
| Rate for Payer: PHP Medicare Advantage |
$392.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$696.82
|
| Rate for Payer: Priority Health Medicare |
$392.77
|
| Rate for Payer: Priority Health Narrow Network |
$696.82
|
| Rate for Payer: Railroad Medicare Medicare |
$392.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$735.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$392.77
|
| Rate for Payer: UHC Exchange |
$735.62
|
| Rate for Payer: UHC Medicaid |
$259.22
|
| Rate for Payer: UHCCP DNSP |
$392.77
|
| Rate for Payer: UHCCP Medicaid |
$259.22
|
|
|
PR OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4
|
Professional
|
Both
|
$1,000.00
|
|
|
Service Code
|
HCPCS 28112
|
| Min. Negotiated Rate |
$189.36 |
| Max. Negotiated Rate |
$750.00 |
| Rate for Payer: Aetna Commercial |
$385.57
|
| Rate for Payer: Aetna Medicare |
$287.74
|
| Rate for Payer: BCBS Complete |
$198.83
|
| Rate for Payer: BCBS MAPPO |
$287.74
|
| Rate for Payer: BCN Commercial |
$477.56
|
| Rate for Payer: BCN Medicare Advantage |
$287.74
|
| Rate for Payer: Cash Price |
$800.00
|
| Rate for Payer: Cash Price |
$800.00
|
| Rate for Payer: Cofinity Commercial |
$414.35
|
| Rate for Payer: Cofinity Commercial |
$385.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.74
|
| Rate for Payer: Healthscope Commercial |
$345.29
|
| Rate for Payer: Healthscope Whirlpool |
$345.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.13
|
| Rate for Payer: Meridian Medicaid |
$198.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$316.51
|
| Rate for Payer: Nomi Health Commercial |
$345.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$750.00
|
| Rate for Payer: PACE SWMI |
$287.74
|
| Rate for Payer: PHP Medicare Advantage |
$287.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$189.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$510.50
|
| Rate for Payer: Priority Health Medicare |
$287.74
|
| Rate for Payer: Priority Health Narrow Network |
$510.50
|
| Rate for Payer: Railroad Medicare Medicare |
$287.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$544.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$287.74
|
| Rate for Payer: UHC Exchange |
$544.53
|
| Rate for Payer: UHC Medicaid |
$189.36
|
| Rate for Payer: UHCCP DNSP |
$287.74
|
| Rate for Payer: UHCCP Medicaid |
$189.36
|
|
|
PR OSTECTOMY PRTL 5TH METAR HEAD SPX
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 28110
|
| Min. Negotiated Rate |
$179.99 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$365.74
|
| Rate for Payer: Aetna Medicare |
$272.94
|
| Rate for Payer: BCBS Complete |
$188.99
|
| Rate for Payer: BCBS MAPPO |
$272.94
|
| Rate for Payer: BCN Commercial |
$450.17
|
| Rate for Payer: BCN Medicare Advantage |
$272.94
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$393.03
|
| Rate for Payer: Cofinity Commercial |
$365.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.94
|
| Rate for Payer: Healthscope Commercial |
$327.53
|
| Rate for Payer: Healthscope Whirlpool |
$327.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$286.59
|
| Rate for Payer: Meridian Medicaid |
$188.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$300.23
|
| Rate for Payer: Nomi Health Commercial |
$327.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$705.75
|
| Rate for Payer: PACE SWMI |
$272.94
|
| Rate for Payer: PHP Medicare Advantage |
$272.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$481.22
|
| Rate for Payer: Priority Health Medicare |
$272.94
|
| Rate for Payer: Priority Health Narrow Network |
$481.22
|
| Rate for Payer: Railroad Medicare Medicare |
$272.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$504.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$272.94
|
| Rate for Payer: UHC Exchange |
$504.57
|
| Rate for Payer: UHC Medicaid |
$179.99
|
| Rate for Payer: UHCCP DNSP |
$272.94
|
| Rate for Payer: UHCCP Medicaid |
$179.99
|
|
|
PR OSTECTOMY STERNUM PARTIAL
|
Professional
|
Both
|
$4,072.00
|
|
|
Service Code
|
HCPCS 21620
|
| Min. Negotiated Rate |
$319.07 |
| Max. Negotiated Rate |
$3,054.00 |
| Rate for Payer: Aetna Commercial |
$656.41
|
| Rate for Payer: Aetna Medicare |
$489.86
|
| Rate for Payer: BCBS Complete |
$335.02
|
| Rate for Payer: BCBS MAPPO |
$489.86
|
| Rate for Payer: BCN Commercial |
$758.92
|
| Rate for Payer: BCN Medicare Advantage |
$489.86
|
| Rate for Payer: Cash Price |
$3,257.60
|
| Rate for Payer: Cash Price |
$3,257.60
|
| Rate for Payer: Cofinity Commercial |
$705.40
|
| Rate for Payer: Cofinity Commercial |
$656.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$489.86
|
| Rate for Payer: Healthscope Commercial |
$587.83
|
| Rate for Payer: Healthscope Whirlpool |
$587.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$514.35
|
| Rate for Payer: Meridian Medicaid |
$335.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$538.85
|
| Rate for Payer: Nomi Health Commercial |
$587.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,054.00
|
| Rate for Payer: PACE SWMI |
$489.86
|
| Rate for Payer: PHP Medicare Advantage |
$489.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$811.27
|
| Rate for Payer: Priority Health Medicare |
$489.86
|
| Rate for Payer: Priority Health Narrow Network |
$811.27
|
| Rate for Payer: Railroad Medicare Medicare |
$489.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$886.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$489.86
|
| Rate for Payer: UHC Exchange |
$886.81
|
| Rate for Payer: UHC Medicaid |
$319.07
|
| Rate for Payer: UHCCP DNSP |
$489.86
|
| Rate for Payer: UHCCP Medicaid |
$319.07
|
|
|
PR OSTECTOMY TARSAL COALITION
|
Professional
|
Both
|
$1,482.00
|
|
|
Service Code
|
HCPCS 28116
|
| Min. Negotiated Rate |
$309.70 |
| Max. Negotiated Rate |
$1,111.50 |
| Rate for Payer: Aetna Commercial |
$636.19
|
| Rate for Payer: Aetna Medicare |
$474.77
|
| Rate for Payer: BCBS Complete |
$325.19
|
| Rate for Payer: BCBS MAPPO |
$474.77
|
| Rate for Payer: BCN Commercial |
$788.80
|
| Rate for Payer: BCN Medicare Advantage |
$474.77
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cofinity Commercial |
$683.67
|
| Rate for Payer: Cofinity Commercial |
$636.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$474.77
|
| Rate for Payer: Healthscope Commercial |
$569.72
|
| Rate for Payer: Healthscope Whirlpool |
$569.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$498.51
|
| Rate for Payer: Meridian Medicaid |
$325.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$522.25
|
| Rate for Payer: Nomi Health Commercial |
$569.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,111.50
|
| Rate for Payer: PACE SWMI |
$474.77
|
| Rate for Payer: PHP Medicare Advantage |
$474.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$309.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$843.21
|
| Rate for Payer: Priority Health Medicare |
$474.77
|
| Rate for Payer: Priority Health Narrow Network |
$843.21
|
| Rate for Payer: Railroad Medicare Medicare |
$474.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,009.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$474.77
|
| Rate for Payer: UHC Exchange |
$1,009.23
|
| Rate for Payer: UHC Medicaid |
$309.70
|
| Rate for Payer: UHCCP DNSP |
$474.77
|
| Rate for Payer: UHCCP Medicaid |
$309.70
|
|
|
PR OSTEOCHONDRAL ALLOGRAFT KNEE OPEN
|
Professional
|
Both
|
$4,712.00
|
|
|
Service Code
|
HCPCS 27415
|
| Min. Negotiated Rate |
$802.58 |
| Max. Negotiated Rate |
$3,534.00 |
| Rate for Payer: Aetna Commercial |
$1,655.78
|
| Rate for Payer: Aetna Medicare |
$1,235.66
|
| Rate for Payer: BCBS Complete |
$842.71
|
| Rate for Payer: BCBS MAPPO |
$1,235.66
|
| Rate for Payer: BCN Commercial |
$2,079.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.66
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Cash Price |
$3,769.60
|
| Rate for Payer: Cofinity Commercial |
$1,779.35
|
| Rate for Payer: Cofinity Commercial |
$1,655.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.66
|
| Rate for Payer: Healthscope Commercial |
$1,482.79
|
| Rate for Payer: Healthscope Whirlpool |
$1,482.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.44
|
| Rate for Payer: Meridian Medicaid |
$842.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,359.23
|
| Rate for Payer: Nomi Health Commercial |
$1,482.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,534.00
|
| Rate for Payer: PACE SWMI |
$1,235.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$802.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,222.47
|
| Rate for Payer: Priority Health Medicare |
$1,235.66
|
| Rate for Payer: Priority Health Narrow Network |
$2,222.47
|
| Rate for Payer: Railroad Medicare Medicare |
$1,235.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,407.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,235.66
|
| Rate for Payer: UHC Exchange |
$2,407.06
|
| Rate for Payer: UHC Medicaid |
$802.58
|
| Rate for Payer: UHCCP DNSP |
$1,235.66
|
| Rate for Payer: UHCCP Medicaid |
$802.58
|
|
|
PR OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY
|
Professional
|
Both
|
$3,190.00
|
|
|
Service Code
|
HCPCS 27416
|
| Min. Negotiated Rate |
$575.53 |
| Max. Negotiated Rate |
$2,392.50 |
| Rate for Payer: Aetna Commercial |
$1,186.33
|
| Rate for Payer: Aetna Medicare |
$885.32
|
| Rate for Payer: BCBS Complete |
$604.31
|
| Rate for Payer: BCBS MAPPO |
$885.32
|
| Rate for Payer: BCN Commercial |
$1,489.96
|
| Rate for Payer: BCN Medicare Advantage |
$885.32
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cash Price |
$2,552.00
|
| Rate for Payer: Cofinity Commercial |
$1,274.86
|
| Rate for Payer: Cofinity Commercial |
$1,186.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$885.32
|
| Rate for Payer: Healthscope Commercial |
$1,062.38
|
| Rate for Payer: Healthscope Whirlpool |
$1,062.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$929.59
|
| Rate for Payer: Meridian Medicaid |
$604.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$973.85
|
| Rate for Payer: Nomi Health Commercial |
$1,062.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,392.50
|
| Rate for Payer: PACE SWMI |
$885.32
|
| Rate for Payer: PHP Medicare Advantage |
$885.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$575.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,592.73
|
| Rate for Payer: Priority Health Medicare |
$885.32
|
| Rate for Payer: Priority Health Narrow Network |
$1,592.73
|
| Rate for Payer: Railroad Medicare Medicare |
$885.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,718.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$885.32
|
| Rate for Payer: UHC Exchange |
$1,718.25
|
| Rate for Payer: UHC Medicaid |
$575.53
|
| Rate for Payer: UHCCP DNSP |
$885.32
|
| Rate for Payer: UHCCP Medicaid |
$575.53
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 98925
|
| Min. Negotiated Rate |
$12.57 |
| Max. Negotiated Rate |
$42.00 |
| Rate for Payer: Aetna Commercial |
$26.16
|
| Rate for Payer: Aetna Medicare |
$19.52
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS MAPPO |
$19.52
|
| Rate for Payer: BCN Commercial |
$22.70
|
| Rate for Payer: BCN Medicare Advantage |
$19.52
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$28.11
|
| Rate for Payer: Cofinity Commercial |
$26.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.52
|
| Rate for Payer: Healthscope Commercial |
$23.42
|
| Rate for Payer: Healthscope Whirlpool |
$23.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.50
|
| Rate for Payer: Meridian Medicaid |
$13.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$21.47
|
| Rate for Payer: Nomi Health Commercial |
$23.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: PACE SWMI |
$19.52
|
| Rate for Payer: PHP Medicare Advantage |
$19.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$31.23
|
| Rate for Payer: Priority Health Medicare |
$19.52
|
| Rate for Payer: Priority Health Narrow Network |
$31.23
|
| Rate for Payer: Railroad Medicare Medicare |
$19.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$19.52
|
| Rate for Payer: UHC Exchange |
$38.58
|
| Rate for Payer: UHC Medicaid |
$12.57
|
| Rate for Payer: UHCCP DNSP |
$19.52
|
| Rate for Payer: UHCCP Medicaid |
$12.57
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 98926
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$60.00 |
| Rate for Payer: Aetna Commercial |
$39.44
|
| Rate for Payer: Aetna Medicare |
$29.43
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$29.43
|
| Rate for Payer: BCN Commercial |
$34.38
|
| Rate for Payer: BCN Medicare Advantage |
$29.43
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$42.38
|
| Rate for Payer: Cofinity Commercial |
$39.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.43
|
| Rate for Payer: Healthscope Commercial |
$35.32
|
| Rate for Payer: Healthscope Whirlpool |
$35.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.90
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.37
|
| Rate for Payer: Nomi Health Commercial |
$35.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.00
|
| Rate for Payer: PACE SWMI |
$29.43
|
| Rate for Payer: PHP Medicare Advantage |
$29.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$47.31
|
| Rate for Payer: Priority Health Medicare |
$29.43
|
| Rate for Payer: Priority Health Narrow Network |
$47.31
|
| Rate for Payer: Railroad Medicare Medicare |
$29.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.43
|
| Rate for Payer: UHC Exchange |
$58.51
|
| Rate for Payer: UHC Medicaid |
$18.96
|
| Rate for Payer: UHCCP DNSP |
$29.43
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 98927
|
| Min. Negotiated Rate |
$25.56 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Commercial |
$53.28
|
| Rate for Payer: Aetna Medicare |
$39.76
|
| Rate for Payer: BCBS Complete |
$26.84
|
| Rate for Payer: BCBS MAPPO |
$39.76
|
| Rate for Payer: BCN Commercial |
$45.73
|
| Rate for Payer: BCN Medicare Advantage |
$39.76
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$57.25
|
| Rate for Payer: Cofinity Commercial |
$53.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.76
|
| Rate for Payer: Healthscope Commercial |
$47.71
|
| Rate for Payer: Healthscope Whirlpool |
$47.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.75
|
| Rate for Payer: Meridian Medicaid |
$26.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.74
|
| Rate for Payer: Nomi Health Commercial |
$47.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: PACE SWMI |
$39.76
|
| Rate for Payer: PHP Medicare Advantage |
$39.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$62.91
|
| Rate for Payer: Priority Health Medicare |
$39.76
|
| Rate for Payer: Priority Health Narrow Network |
$62.91
|
| Rate for Payer: Railroad Medicare Medicare |
$39.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$76.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.76
|
| Rate for Payer: UHC Exchange |
$76.76
|
| Rate for Payer: UHC Medicaid |
$25.56
|
| Rate for Payer: UHCCP DNSP |
$39.76
|
| Rate for Payer: UHCCP Medicaid |
$25.56
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 98928
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Aetna Commercial |
$66.57
|
| Rate for Payer: Aetna Medicare |
$49.68
|
| Rate for Payer: BCBS Complete |
$33.55
|
| Rate for Payer: BCBS MAPPO |
$49.68
|
| Rate for Payer: BCN Commercial |
$57.75
|
| Rate for Payer: BCN Medicare Advantage |
$49.68
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cofinity Commercial |
$71.54
|
| Rate for Payer: Cofinity Commercial |
$66.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.68
|
| Rate for Payer: Healthscope Commercial |
$59.62
|
| Rate for Payer: Healthscope Whirlpool |
$59.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.16
|
| Rate for Payer: Meridian Medicaid |
$33.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$54.65
|
| Rate for Payer: Nomi Health Commercial |
$59.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: PACE SWMI |
$49.68
|
| Rate for Payer: PHP Medicare Advantage |
$49.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$79.45
|
| Rate for Payer: Priority Health Medicare |
$49.68
|
| Rate for Payer: Priority Health Narrow Network |
$79.45
|
| Rate for Payer: Railroad Medicare Medicare |
$49.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$96.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$49.68
|
| Rate for Payer: UHC Exchange |
$96.12
|
| Rate for Payer: UHC Medicaid |
$31.95
|
| Rate for Payer: UHCCP DNSP |
$49.68
|
| Rate for Payer: UHCCP Medicaid |
$31.95
|
|
|
PR OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS
|
Professional
|
Both
|
$155.00
|
|
|
Service Code
|
HCPCS 98929
|
| Min. Negotiated Rate |
$37.91 |
| Max. Negotiated Rate |
$117.71 |
| Rate for Payer: Aetna Commercial |
$78.94
|
| Rate for Payer: Aetna Medicare |
$58.91
|
| Rate for Payer: BCBS Complete |
$39.81
|
| Rate for Payer: BCBS MAPPO |
$58.91
|
| Rate for Payer: BCN Commercial |
$68.76
|
| Rate for Payer: BCN Medicare Advantage |
$58.91
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cofinity Commercial |
$84.83
|
| Rate for Payer: Cofinity Commercial |
$78.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.91
|
| Rate for Payer: Healthscope Commercial |
$70.69
|
| Rate for Payer: Healthscope Whirlpool |
$70.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.86
|
| Rate for Payer: Meridian Medicaid |
$39.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$64.80
|
| Rate for Payer: Nomi Health Commercial |
$70.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$116.25
|
| Rate for Payer: PACE SWMI |
$58.91
|
| Rate for Payer: PHP Medicare Advantage |
$58.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$94.60
|
| Rate for Payer: Priority Health Medicare |
$58.91
|
| Rate for Payer: Priority Health Narrow Network |
$94.60
|
| Rate for Payer: Railroad Medicare Medicare |
$58.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$117.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$58.91
|
| Rate for Payer: UHC Exchange |
$117.71
|
| Rate for Payer: UHC Medicaid |
$37.91
|
| Rate for Payer: UHCCP DNSP |
$58.91
|
| Rate for Payer: UHCCP Medicaid |
$37.91
|
|
|
PR OSTEOPLASTY CARPAL BONE SHORTENING
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 25394
|
| Min. Negotiated Rate |
$469.03 |
| Max. Negotiated Rate |
$1,497.00 |
| Rate for Payer: Aetna Commercial |
$962.76
|
| Rate for Payer: Aetna Medicare |
$718.48
|
| Rate for Payer: BCBS Complete |
$492.48
|
| Rate for Payer: BCBS MAPPO |
$718.48
|
| Rate for Payer: BCN Commercial |
$1,199.63
|
| Rate for Payer: BCN Medicare Advantage |
$718.48
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cofinity Commercial |
$962.76
|
| Rate for Payer: Cofinity Commercial |
$1,034.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$718.48
|
| Rate for Payer: Healthscope Commercial |
$862.18
|
| Rate for Payer: Healthscope Whirlpool |
$862.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$754.40
|
| Rate for Payer: Meridian Medicaid |
$492.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$790.33
|
| Rate for Payer: Nomi Health Commercial |
$862.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: PACE SWMI |
$718.48
|
| Rate for Payer: PHP Medicare Advantage |
$718.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,282.38
|
| Rate for Payer: Priority Health Medicare |
$718.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,282.38
|
| Rate for Payer: Railroad Medicare Medicare |
$718.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,370.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$718.48
|
| Rate for Payer: UHC Exchange |
$1,370.74
|
| Rate for Payer: UHC Medicaid |
$469.03
|
| Rate for Payer: UHCCP DNSP |
$718.48
|
| Rate for Payer: UHCCP Medicaid |
$469.03
|
|
