|
PR TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS
|
Professional
|
Both
|
$862.00
|
|
|
Service Code
|
HCPCS 28222
|
| Min. Negotiated Rate |
$222.59 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna Commercial |
$454.90
|
| Rate for Payer: Aetna Medicare |
$339.48
|
| Rate for Payer: BCBS Complete |
$233.72
|
| Rate for Payer: BCBS MAPPO |
$339.48
|
| Rate for Payer: BCN Commercial |
$561.72
|
| Rate for Payer: BCN Medicare Advantage |
$339.48
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cash Price |
$689.60
|
| Rate for Payer: Cofinity Commercial |
$488.85
|
| Rate for Payer: Cofinity Commercial |
$454.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.48
|
| Rate for Payer: Healthscope Commercial |
$407.38
|
| Rate for Payer: Healthscope Whirlpool |
$407.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.45
|
| Rate for Payer: Meridian Medicaid |
$233.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$373.43
|
| Rate for Payer: Nomi Health Commercial |
$407.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$646.50
|
| Rate for Payer: PACE SWMI |
$339.48
|
| Rate for Payer: PHP Medicare Advantage |
$339.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$600.47
|
| Rate for Payer: Priority Health Medicare |
$339.48
|
| Rate for Payer: Priority Health Narrow Network |
$600.47
|
| Rate for Payer: Railroad Medicare Medicare |
$339.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$624.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$339.48
|
| Rate for Payer: UHC Exchange |
$624.83
|
| Rate for Payer: UHC Medicaid |
$222.59
|
| Rate for Payer: UHCCP DNSP |
$339.48
|
| Rate for Payer: UHCCP Medicaid |
$222.59
|
|
|
PR TENOLYSIS FLEXOR FOOT SINGLE TENDON
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 28220
|
| Min. Negotiated Rate |
$184.03 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$375.03
|
| Rate for Payer: Aetna Medicare |
$279.87
|
| Rate for Payer: BCBS Complete |
$193.23
|
| Rate for Payer: BCBS MAPPO |
$279.87
|
| Rate for Payer: BCN Commercial |
$463.62
|
| Rate for Payer: BCN Medicare Advantage |
$279.87
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$403.01
|
| Rate for Payer: Cofinity Commercial |
$375.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.87
|
| Rate for Payer: Healthscope Commercial |
$335.84
|
| Rate for Payer: Healthscope Whirlpool |
$335.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$293.86
|
| Rate for Payer: Meridian Medicaid |
$193.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$307.86
|
| Rate for Payer: Nomi Health Commercial |
$335.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: PACE SWMI |
$279.87
|
| Rate for Payer: PHP Medicare Advantage |
$279.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$495.60
|
| Rate for Payer: Priority Health Medicare |
$279.87
|
| Rate for Payer: Priority Health Narrow Network |
$495.60
|
| Rate for Payer: Railroad Medicare Medicare |
$279.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$528.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$279.87
|
| Rate for Payer: UHC Exchange |
$528.28
|
| Rate for Payer: UHC Medicaid |
$184.03
|
| Rate for Payer: UHCCP DNSP |
$279.87
|
| Rate for Payer: UHCCP Medicaid |
$184.03
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO
|
Professional
|
Both
|
$1,839.00
|
|
|
Service Code
|
HCPCS 26442
|
| Min. Negotiated Rate |
$612.80 |
| Max. Negotiated Rate |
$1,656.62 |
| Rate for Payer: Aetna Commercial |
$1,230.45
|
| Rate for Payer: Aetna Medicare |
$918.25
|
| Rate for Payer: BCBS Complete |
$643.44
|
| Rate for Payer: BCBS MAPPO |
$918.25
|
| Rate for Payer: BCN Commercial |
$1,497.43
|
| Rate for Payer: BCN Medicare Advantage |
$918.25
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cash Price |
$1,471.20
|
| Rate for Payer: Cofinity Commercial |
$1,322.28
|
| Rate for Payer: Cofinity Commercial |
$1,230.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$918.25
|
| Rate for Payer: Healthscope Commercial |
$1,101.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,101.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$964.16
|
| Rate for Payer: Meridian Medicaid |
$643.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,010.08
|
| Rate for Payer: Nomi Health Commercial |
$1,101.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,379.25
|
| Rate for Payer: PACE SWMI |
$918.25
|
| Rate for Payer: PHP Medicare Advantage |
$918.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$612.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,600.71
|
| Rate for Payer: Priority Health Medicare |
$918.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,600.71
|
| Rate for Payer: Railroad Medicare Medicare |
$918.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,656.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$918.25
|
| Rate for Payer: UHC Exchange |
$1,656.62
|
| Rate for Payer: UHC Medicaid |
$612.80
|
| Rate for Payer: UHCCP DNSP |
$918.25
|
| Rate for Payer: UHCCP Medicaid |
$612.80
|
|
|
PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON
|
Professional
|
Both
|
$1,225.00
|
|
|
Service Code
|
HCPCS 26440
|
| Min. Negotiated Rate |
$409.81 |
| Max. Negotiated Rate |
$1,068.83 |
| Rate for Payer: Aetna Commercial |
$815.08
|
| Rate for Payer: Aetna Medicare |
$608.27
|
| Rate for Payer: BCBS Complete |
$430.30
|
| Rate for Payer: BCBS MAPPO |
$608.27
|
| Rate for Payer: BCN Commercial |
$978.04
|
| Rate for Payer: BCN Medicare Advantage |
$608.27
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cash Price |
$980.00
|
| Rate for Payer: Cofinity Commercial |
$875.91
|
| Rate for Payer: Cofinity Commercial |
$815.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$608.27
|
| Rate for Payer: Healthscope Commercial |
$729.92
|
| Rate for Payer: Healthscope Whirlpool |
$729.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$638.68
|
| Rate for Payer: Meridian Medicaid |
$430.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$669.10
|
| Rate for Payer: Nomi Health Commercial |
$729.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$918.75
|
| Rate for Payer: PACE SWMI |
$608.27
|
| Rate for Payer: PHP Medicare Advantage |
$608.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,045.50
|
| Rate for Payer: Priority Health Medicare |
$608.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,045.50
|
| Rate for Payer: Railroad Medicare Medicare |
$608.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,068.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$608.27
|
| Rate for Payer: UHC Exchange |
$1,068.83
|
| Rate for Payer: UHC Medicaid |
$409.81
|
| Rate for Payer: UHCCP DNSP |
$608.27
|
| Rate for Payer: UHCCP Medicaid |
$409.81
|
|
|
PR TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH
|
Professional
|
Both
|
$1,340.00
|
|
|
Service Code
|
HCPCS 27680
|
| Min. Negotiated Rate |
$260.50 |
| Max. Negotiated Rate |
$1,005.00 |
| Rate for Payer: Aetna Commercial |
$531.35
|
| Rate for Payer: Aetna Medicare |
$396.53
|
| Rate for Payer: BCBS Complete |
$273.52
|
| Rate for Payer: BCBS MAPPO |
$396.53
|
| Rate for Payer: BCN Commercial |
$647.38
|
| Rate for Payer: BCN Medicare Advantage |
$396.53
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cash Price |
$1,072.00
|
| Rate for Payer: Cofinity Commercial |
$571.00
|
| Rate for Payer: Cofinity Commercial |
$531.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.53
|
| Rate for Payer: Healthscope Commercial |
$475.84
|
| Rate for Payer: Healthscope Whirlpool |
$475.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.36
|
| Rate for Payer: Meridian Medicaid |
$273.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$436.18
|
| Rate for Payer: Nomi Health Commercial |
$475.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,005.00
|
| Rate for Payer: PACE SWMI |
$396.53
|
| Rate for Payer: PHP Medicare Advantage |
$396.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$692.02
|
| Rate for Payer: Priority Health Medicare |
$396.53
|
| Rate for Payer: Priority Health Narrow Network |
$692.02
|
| Rate for Payer: Railroad Medicare Medicare |
$396.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$738.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$396.53
|
| Rate for Payer: UHC Exchange |
$738.26
|
| Rate for Payer: UHC Medicaid |
$260.50
|
| Rate for Payer: UHCCP DNSP |
$396.53
|
| Rate for Payer: UHCCP Medicaid |
$260.50
|
|
|
PR TENOLYSIS TRICEPS
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS 24332
|
| Min. Negotiated Rate |
$376.16 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$767.53
|
| Rate for Payer: Aetna Medicare |
$572.78
|
| Rate for Payer: BCBS Complete |
$394.97
|
| Rate for Payer: BCBS MAPPO |
$572.78
|
| Rate for Payer: BCN Commercial |
$947.66
|
| Rate for Payer: BCN Medicare Advantage |
$572.78
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cofinity Commercial |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$767.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.78
|
| Rate for Payer: Healthscope Commercial |
$687.34
|
| Rate for Payer: Healthscope Whirlpool |
$687.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$601.42
|
| Rate for Payer: Meridian Medicaid |
$394.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$630.06
|
| Rate for Payer: Nomi Health Commercial |
$687.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,096.50
|
| Rate for Payer: PACE SWMI |
$572.78
|
| Rate for Payer: PHP Medicare Advantage |
$572.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,013.01
|
| Rate for Payer: Priority Health Medicare |
$572.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,013.01
|
| Rate for Payer: Railroad Medicare Medicare |
$572.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,066.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$572.78
|
| Rate for Payer: UHC Exchange |
$1,066.93
|
| Rate for Payer: UHC Medicaid |
$376.16
|
| Rate for Payer: UHCCP DNSP |
$572.78
|
| Rate for Payer: UHCCP Medicaid |
$376.16
|
|
|
PR TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX
|
Professional
|
Both
|
$2,965.00
|
|
|
Service Code
|
HCPCS 27006
|
| Min. Negotiated Rate |
$416.20 |
| Max. Negotiated Rate |
$2,223.75 |
| Rate for Payer: Aetna Commercial |
$851.17
|
| Rate for Payer: Aetna Medicare |
$635.20
|
| Rate for Payer: BCBS Complete |
$437.01
|
| Rate for Payer: BCBS MAPPO |
$635.20
|
| Rate for Payer: BCN Commercial |
$1,087.59
|
| Rate for Payer: BCN Medicare Advantage |
$635.20
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Cash Price |
$2,372.00
|
| Rate for Payer: Cofinity Commercial |
$914.69
|
| Rate for Payer: Cofinity Commercial |
$851.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$635.20
|
| Rate for Payer: Healthscope Commercial |
$762.24
|
| Rate for Payer: Healthscope Whirlpool |
$762.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$666.96
|
| Rate for Payer: Meridian Medicaid |
$437.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$698.72
|
| Rate for Payer: Nomi Health Commercial |
$762.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,223.75
|
| Rate for Payer: PACE SWMI |
$635.20
|
| Rate for Payer: PHP Medicare Advantage |
$635.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,162.61
|
| Rate for Payer: Priority Health Medicare |
$635.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,162.61
|
| Rate for Payer: Railroad Medicare Medicare |
$635.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,251.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$635.20
|
| Rate for Payer: UHC Exchange |
$1,251.95
|
| Rate for Payer: UHC Medicaid |
$416.20
|
| Rate for Payer: UHCCP DNSP |
$635.20
|
| Rate for Payer: UHCCP Medicaid |
$416.20
|
|
|
PR TENOTOMY ADDUCTOR HIP OPEN
|
Professional
|
Both
|
$1,090.00
|
|
|
Service Code
|
HCPCS 27001
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$943.10 |
| Rate for Payer: Aetna Commercial |
$670.20
|
| Rate for Payer: Aetna Medicare |
$500.15
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$500.15
|
| Rate for Payer: BCN Commercial |
$825.16
|
| Rate for Payer: BCN Medicare Advantage |
$500.15
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Cash Price |
$872.00
|
| Rate for Payer: Cofinity Commercial |
$720.22
|
| Rate for Payer: Cofinity Commercial |
$670.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$500.15
|
| Rate for Payer: Healthscope Commercial |
$600.18
|
| Rate for Payer: Healthscope Whirlpool |
$600.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$525.16
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$550.16
|
| Rate for Payer: Nomi Health Commercial |
$600.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$817.50
|
| Rate for Payer: PACE SWMI |
$500.15
|
| Rate for Payer: PHP Medicare Advantage |
$500.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$882.06
|
| Rate for Payer: Priority Health Medicare |
$500.15
|
| Rate for Payer: Priority Health Narrow Network |
$882.06
|
| Rate for Payer: Railroad Medicare Medicare |
$500.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$943.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$500.15
|
| Rate for Payer: UHC Exchange |
$943.10
|
| Rate for Payer: UHC Medicaid |
$327.81
|
| Rate for Payer: UHCCP DNSP |
$500.15
|
| Rate for Payer: UHCCP Medicaid |
$327.81
|
|
|
PR TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 27000
|
| Min. Negotiated Rate |
$231.11 |
| Max. Negotiated Rate |
$703.57 |
| Rate for Payer: Aetna Commercial |
$470.78
|
| Rate for Payer: Aetna Medicare |
$351.33
|
| Rate for Payer: BCBS Complete |
$242.67
|
| Rate for Payer: BCBS MAPPO |
$351.33
|
| Rate for Payer: BCN Commercial |
$593.59
|
| Rate for Payer: BCN Medicare Advantage |
$351.33
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cash Price |
$688.00
|
| Rate for Payer: Cofinity Commercial |
$505.92
|
| Rate for Payer: Cofinity Commercial |
$470.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.33
|
| Rate for Payer: Healthscope Commercial |
$421.60
|
| Rate for Payer: Healthscope Whirlpool |
$421.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$368.90
|
| Rate for Payer: Meridian Medicaid |
$242.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$386.46
|
| Rate for Payer: Nomi Health Commercial |
$421.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$645.00
|
| Rate for Payer: PACE SWMI |
$351.33
|
| Rate for Payer: PHP Medicare Advantage |
$351.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$634.53
|
| Rate for Payer: Priority Health Medicare |
$351.33
|
| Rate for Payer: Priority Health Narrow Network |
$634.53
|
| Rate for Payer: Railroad Medicare Medicare |
$351.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$703.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$351.33
|
| Rate for Payer: UHC Exchange |
$703.57
|
| Rate for Payer: UHC Medicaid |
$231.11
|
| Rate for Payer: UHCCP DNSP |
$351.33
|
| Rate for Payer: UHCCP Medicaid |
$231.11
|
|
|
PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 24357
|
| Min. Negotiated Rate |
$245.16 |
| Max. Negotiated Rate |
$983.25 |
| Rate for Payer: Aetna Commercial |
$496.97
|
| Rate for Payer: Aetna Medicare |
$370.87
|
| Rate for Payer: BCBS Complete |
$257.42
|
| Rate for Payer: BCBS MAPPO |
$370.87
|
| Rate for Payer: BCN Commercial |
$634.43
|
| Rate for Payer: BCN Medicare Advantage |
$370.87
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cofinity Commercial |
$534.05
|
| Rate for Payer: Cofinity Commercial |
$496.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.87
|
| Rate for Payer: Healthscope Commercial |
$445.04
|
| Rate for Payer: Healthscope Whirlpool |
$445.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.41
|
| Rate for Payer: Meridian Medicaid |
$257.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$407.96
|
| Rate for Payer: Nomi Health Commercial |
$445.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$983.25
|
| Rate for Payer: PACE SWMI |
$370.87
|
| Rate for Payer: PHP Medicare Advantage |
$370.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$678.18
|
| Rate for Payer: Priority Health Medicare |
$370.87
|
| Rate for Payer: Priority Health Narrow Network |
$678.18
|
| Rate for Payer: Railroad Medicare Medicare |
$370.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$721.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$370.87
|
| Rate for Payer: UHC Exchange |
$721.18
|
| Rate for Payer: UHC Medicaid |
$245.16
|
| Rate for Payer: UHCCP DNSP |
$370.87
|
| Rate for Payer: UHCCP Medicaid |
$245.16
|
|
|
PR TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26460
|
| Min. Negotiated Rate |
$286.06 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$568.67
|
| Rate for Payer: Aetna Medicare |
$424.38
|
| Rate for Payer: BCBS Complete |
$300.36
|
| Rate for Payer: BCBS MAPPO |
$424.38
|
| Rate for Payer: BCN Commercial |
$683.73
|
| Rate for Payer: BCN Medicare Advantage |
$424.38
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cofinity Commercial |
$611.11
|
| Rate for Payer: Cofinity Commercial |
$568.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.38
|
| Rate for Payer: Healthscope Commercial |
$509.26
|
| Rate for Payer: Healthscope Whirlpool |
$509.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$445.60
|
| Rate for Payer: Meridian Medicaid |
$300.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$466.82
|
| Rate for Payer: Nomi Health Commercial |
$509.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: PACE SWMI |
$424.38
|
| Rate for Payer: PHP Medicare Advantage |
$424.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$730.89
|
| Rate for Payer: Priority Health Medicare |
$424.38
|
| Rate for Payer: Priority Health Narrow Network |
$730.89
|
| Rate for Payer: Railroad Medicare Medicare |
$424.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$703.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$424.38
|
| Rate for Payer: UHC Exchange |
$703.26
|
| Rate for Payer: UHC Medicaid |
$286.06
|
| Rate for Payer: UHCCP DNSP |
$424.38
|
| Rate for Payer: UHCCP Medicaid |
$286.06
|
|
|
PR TENOTOMY FLEXOR FINGER OPEN EACH TENDON
|
Professional
|
Both
|
$1,021.00
|
|
|
Service Code
|
HCPCS 26455
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$765.75 |
| Rate for Payer: Aetna Commercial |
$582.42
|
| Rate for Payer: Aetna Medicare |
$434.64
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$434.64
|
| Rate for Payer: BCN Commercial |
$698.67
|
| Rate for Payer: BCN Medicare Advantage |
$434.64
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cash Price |
$816.80
|
| Rate for Payer: Cofinity Commercial |
$625.88
|
| Rate for Payer: Cofinity Commercial |
$582.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.64
|
| Rate for Payer: Healthscope Commercial |
$521.57
|
| Rate for Payer: Healthscope Whirlpool |
$521.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.37
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$478.10
|
| Rate for Payer: Nomi Health Commercial |
$521.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$765.75
|
| Rate for Payer: PACE SWMI |
$434.64
|
| Rate for Payer: PHP Medicare Advantage |
$434.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$746.85
|
| Rate for Payer: Priority Health Medicare |
$434.64
|
| Rate for Payer: Priority Health Narrow Network |
$746.85
|
| Rate for Payer: Railroad Medicare Medicare |
$434.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$720.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$434.64
|
| Rate for Payer: UHC Exchange |
$720.41
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP DNSP |
$434.64
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR TENOTOMY FLEXOR PALM OPEN EACH TENDON
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 26450
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$870.75 |
| Rate for Payer: Aetna Commercial |
$582.54
|
| Rate for Payer: Aetna Medicare |
$434.73
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$434.73
|
| Rate for Payer: BCN Commercial |
$703.64
|
| Rate for Payer: BCN Medicare Advantage |
$434.73
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$626.01
|
| Rate for Payer: Cofinity Commercial |
$582.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.73
|
| Rate for Payer: Healthscope Commercial |
$521.68
|
| Rate for Payer: Healthscope Whirlpool |
$521.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.47
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$478.20
|
| Rate for Payer: Nomi Health Commercial |
$521.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$870.75
|
| Rate for Payer: PACE SWMI |
$434.73
|
| Rate for Payer: PHP Medicare Advantage |
$434.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$752.19
|
| Rate for Payer: Priority Health Medicare |
$434.73
|
| Rate for Payer: Priority Health Narrow Network |
$752.19
|
| Rate for Payer: Railroad Medicare Medicare |
$434.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$725.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$434.73
|
| Rate for Payer: UHC Exchange |
$725.75
|
| Rate for Payer: UHC Medicaid |
$292.66
|
| Rate for Payer: UHCCP DNSP |
$434.73
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
|
|
PR TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,453.00
|
|
|
Service Code
|
HCPCS 27005
|
| Min. Negotiated Rate |
$429.83 |
| Max. Negotiated Rate |
$1,262.93 |
| Rate for Payer: Aetna Commercial |
$882.30
|
| Rate for Payer: Aetna Medicare |
$658.43
|
| Rate for Payer: BCBS Complete |
$451.32
|
| Rate for Payer: BCBS MAPPO |
$658.43
|
| Rate for Payer: BCN Commercial |
$1,102.53
|
| Rate for Payer: BCN Medicare Advantage |
$658.43
|
| Rate for Payer: Cash Price |
$1,162.40
|
| Rate for Payer: Cash Price |
$1,162.40
|
| Rate for Payer: Cofinity Commercial |
$948.14
|
| Rate for Payer: Cofinity Commercial |
$882.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$658.43
|
| Rate for Payer: Healthscope Commercial |
$790.12
|
| Rate for Payer: Healthscope Whirlpool |
$790.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$691.35
|
| Rate for Payer: Meridian Medicaid |
$451.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$724.27
|
| Rate for Payer: Nomi Health Commercial |
$790.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,089.75
|
| Rate for Payer: PACE SWMI |
$658.43
|
| Rate for Payer: PHP Medicare Advantage |
$658.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,178.57
|
| Rate for Payer: Priority Health Medicare |
$658.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,178.57
|
| Rate for Payer: Railroad Medicare Medicare |
$658.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,262.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$658.43
|
| Rate for Payer: UHC Exchange |
$1,262.93
|
| Rate for Payer: UHC Medicaid |
$429.83
|
| Rate for Payer: UHCCP DNSP |
$658.43
|
| Rate for Payer: UHCCP Medicaid |
$429.83
|
|
|
PR TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON
|
Professional
|
Both
|
$933.00
|
|
|
Service Code
|
HCPCS 24310
|
| Min. Negotiated Rate |
$282.01 |
| Max. Negotiated Rate |
$819.44 |
| Rate for Payer: Aetna Commercial |
$575.40
|
| Rate for Payer: Aetna Medicare |
$429.40
|
| Rate for Payer: BCBS Complete |
$296.11
|
| Rate for Payer: BCBS MAPPO |
$429.40
|
| Rate for Payer: BCN Commercial |
$724.06
|
| Rate for Payer: BCN Medicare Advantage |
$429.40
|
| Rate for Payer: Cash Price |
$746.40
|
| Rate for Payer: Cash Price |
$746.40
|
| Rate for Payer: Cofinity Commercial |
$618.34
|
| Rate for Payer: Cofinity Commercial |
$575.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$429.40
|
| Rate for Payer: Healthscope Commercial |
$515.28
|
| Rate for Payer: Healthscope Whirlpool |
$515.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$450.87
|
| Rate for Payer: Meridian Medicaid |
$296.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$472.34
|
| Rate for Payer: Nomi Health Commercial |
$515.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$699.75
|
| Rate for Payer: PACE SWMI |
$429.40
|
| Rate for Payer: PHP Medicare Advantage |
$429.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$774.01
|
| Rate for Payer: Priority Health Medicare |
$429.40
|
| Rate for Payer: Priority Health Narrow Network |
$774.01
|
| Rate for Payer: Railroad Medicare Medicare |
$429.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$819.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$429.40
|
| Rate for Payer: UHC Exchange |
$819.44
|
| Rate for Payer: UHC Medicaid |
$282.01
|
| Rate for Payer: UHCCP DNSP |
$429.40
|
| Rate for Payer: UHCCP Medicaid |
$282.01
|
|
|
PR TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON
|
Professional
|
Both
|
$684.00
|
|
|
Service Code
|
HCPCS 28234
|
| Min. Negotiated Rate |
$166.35 |
| Max. Negotiated Rate |
$513.00 |
| Rate for Payer: Aetna Commercial |
$336.15
|
| Rate for Payer: Aetna Medicare |
$250.86
|
| Rate for Payer: BCBS Complete |
$174.67
|
| Rate for Payer: BCBS MAPPO |
$250.86
|
| Rate for Payer: BCN Commercial |
$413.33
|
| Rate for Payer: BCN Medicare Advantage |
$250.86
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Cofinity Commercial |
$361.24
|
| Rate for Payer: Cofinity Commercial |
$336.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.86
|
| Rate for Payer: Healthscope Commercial |
$301.03
|
| Rate for Payer: Healthscope Whirlpool |
$301.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.40
|
| Rate for Payer: Meridian Medicaid |
$174.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.95
|
| Rate for Payer: Nomi Health Commercial |
$301.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$513.00
|
| Rate for Payer: PACE SWMI |
$250.86
|
| Rate for Payer: PHP Medicare Advantage |
$250.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$441.84
|
| Rate for Payer: Priority Health Medicare |
$250.86
|
| Rate for Payer: Priority Health Narrow Network |
$441.84
|
| Rate for Payer: Railroad Medicare Medicare |
$250.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$458.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.86
|
| Rate for Payer: UHC Exchange |
$458.58
|
| Rate for Payer: UHC Medicaid |
$166.35
|
| Rate for Payer: UHCCP DNSP |
$250.86
|
| Rate for Payer: UHCCP Medicaid |
$166.35
|
|
|
PR TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG
|
Professional
|
Both
|
$1,188.00
|
|
|
Service Code
|
HCPCS 27391
|
| Min. Negotiated Rate |
$351.88 |
| Max. Negotiated Rate |
$982.73 |
| Rate for Payer: Aetna Commercial |
$718.19
|
| Rate for Payer: Aetna Medicare |
$535.96
|
| Rate for Payer: BCBS Complete |
$369.47
|
| Rate for Payer: BCBS MAPPO |
$535.96
|
| Rate for Payer: BCN Commercial |
$889.90
|
| Rate for Payer: BCN Medicare Advantage |
$535.96
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cofinity Commercial |
$771.78
|
| Rate for Payer: Cofinity Commercial |
$718.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$535.96
|
| Rate for Payer: Healthscope Commercial |
$643.15
|
| Rate for Payer: Healthscope Whirlpool |
$643.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$562.76
|
| Rate for Payer: Meridian Medicaid |
$369.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$589.56
|
| Rate for Payer: Nomi Health Commercial |
$643.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$891.00
|
| Rate for Payer: PACE SWMI |
$535.96
|
| Rate for Payer: PHP Medicare Advantage |
$535.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$951.27
|
| Rate for Payer: Priority Health Medicare |
$535.96
|
| Rate for Payer: Priority Health Narrow Network |
$951.27
|
| Rate for Payer: Railroad Medicare Medicare |
$535.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$982.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$535.96
|
| Rate for Payer: UHC Exchange |
$982.73
|
| Rate for Payer: UHC Medicaid |
$351.88
|
| Rate for Payer: UHCCP DNSP |
$535.96
|
| Rate for Payer: UHCCP Medicaid |
$351.88
|
|
|
PR TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 28010
|
| Min. Negotiated Rate |
$126.31 |
| Max. Negotiated Rate |
$361.45 |
| Rate for Payer: Aetna Commercial |
$256.13
|
| Rate for Payer: Aetna Medicare |
$191.14
|
| Rate for Payer: BCBS Complete |
$132.63
|
| Rate for Payer: BCBS MAPPO |
$191.14
|
| Rate for Payer: BCN Commercial |
$318.21
|
| Rate for Payer: BCN Medicare Advantage |
$191.14
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$275.24
|
| Rate for Payer: Cofinity Commercial |
$256.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.14
|
| Rate for Payer: Healthscope Commercial |
$229.37
|
| Rate for Payer: Healthscope Whirlpool |
$229.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.70
|
| Rate for Payer: Meridian Medicaid |
$132.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$210.25
|
| Rate for Payer: Nomi Health Commercial |
$229.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
| Rate for Payer: PACE SWMI |
$191.14
|
| Rate for Payer: PHP Medicare Advantage |
$191.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$340.15
|
| Rate for Payer: Priority Health Medicare |
$191.14
|
| Rate for Payer: Priority Health Narrow Network |
$340.15
|
| Rate for Payer: Railroad Medicare Medicare |
$191.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$361.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$191.14
|
| Rate for Payer: UHC Exchange |
$361.45
|
| Rate for Payer: UHC Medicaid |
$126.31
|
| Rate for Payer: UHCCP DNSP |
$191.14
|
| Rate for Payer: UHCCP Medicaid |
$126.31
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES
|
Professional
|
Both
|
$893.00
|
|
|
Service Code
|
HCPCS 27606
|
| Min. Negotiated Rate |
$162.52 |
| Max. Negotiated Rate |
$669.75 |
| Rate for Payer: Aetna Commercial |
$333.95
|
| Rate for Payer: Aetna Medicare |
$249.22
|
| Rate for Payer: BCBS Complete |
$170.65
|
| Rate for Payer: BCBS MAPPO |
$249.22
|
| Rate for Payer: BCN Commercial |
$411.33
|
| Rate for Payer: BCN Medicare Advantage |
$249.22
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cofinity Commercial |
$358.88
|
| Rate for Payer: Cofinity Commercial |
$333.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.22
|
| Rate for Payer: Healthscope Commercial |
$299.06
|
| Rate for Payer: Healthscope Whirlpool |
$299.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.68
|
| Rate for Payer: Meridian Medicaid |
$170.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$274.14
|
| Rate for Payer: Nomi Health Commercial |
$299.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.75
|
| Rate for Payer: PACE SWMI |
$249.22
|
| Rate for Payer: PHP Medicare Advantage |
$249.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$439.70
|
| Rate for Payer: Priority Health Medicare |
$249.22
|
| Rate for Payer: Priority Health Narrow Network |
$439.70
|
| Rate for Payer: Railroad Medicare Medicare |
$249.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$484.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$249.22
|
| Rate for Payer: UHC Exchange |
$484.78
|
| Rate for Payer: UHC Medicaid |
$162.52
|
| Rate for Payer: UHCCP DNSP |
$249.22
|
| Rate for Payer: UHCCP Medicaid |
$162.52
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 27605
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$588.75 |
| Rate for Payer: Aetna Commercial |
$225.88
|
| Rate for Payer: Aetna Medicare |
$168.57
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCBS MAPPO |
$168.57
|
| Rate for Payer: BCN Commercial |
$277.38
|
| Rate for Payer: BCN Medicare Advantage |
$168.57
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$242.74
|
| Rate for Payer: Cofinity Commercial |
$225.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.57
|
| Rate for Payer: Healthscope Commercial |
$202.28
|
| Rate for Payer: Healthscope Whirlpool |
$202.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.00
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$185.43
|
| Rate for Payer: Nomi Health Commercial |
$202.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$588.75
|
| Rate for Payer: PACE SWMI |
$168.57
|
| Rate for Payer: PHP Medicare Advantage |
$168.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$296.51
|
| Rate for Payer: Priority Health Medicare |
$168.57
|
| Rate for Payer: Priority Health Narrow Network |
$296.51
|
| Rate for Payer: Railroad Medicare Medicare |
$168.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$323.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$168.57
|
| Rate for Payer: UHC Exchange |
$323.99
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP DNSP |
$168.57
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
|
|
PR TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX
|
Professional
|
Both
|
$1,216.00
|
|
|
Service Code
|
HCPCS 27306
|
| Min. Negotiated Rate |
$207.25 |
| Max. Negotiated Rate |
$912.00 |
| Rate for Payer: Aetna Commercial |
$420.13
|
| Rate for Payer: Aetna Medicare |
$313.53
|
| Rate for Payer: BCBS Complete |
$217.61
|
| Rate for Payer: BCBS MAPPO |
$313.53
|
| Rate for Payer: BCN Commercial |
$526.86
|
| Rate for Payer: BCN Medicare Advantage |
$313.53
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cofinity Commercial |
$451.48
|
| Rate for Payer: Cofinity Commercial |
$420.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$313.53
|
| Rate for Payer: Healthscope Commercial |
$376.24
|
| Rate for Payer: Healthscope Whirlpool |
$376.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$329.21
|
| Rate for Payer: Meridian Medicaid |
$217.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$344.88
|
| Rate for Payer: Nomi Health Commercial |
$376.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$912.00
|
| Rate for Payer: PACE SWMI |
$313.53
|
| Rate for Payer: PHP Medicare Advantage |
$313.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$563.21
|
| Rate for Payer: Priority Health Medicare |
$313.53
|
| Rate for Payer: Priority Health Narrow Network |
$563.21
|
| Rate for Payer: Railroad Medicare Medicare |
$313.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$595.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$313.53
|
| Rate for Payer: UHC Exchange |
$595.10
|
| Rate for Payer: UHC Medicaid |
$207.25
|
| Rate for Payer: UHCCP DNSP |
$313.53
|
| Rate for Payer: UHCCP Medicaid |
$207.25
|
|
|
PR TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON
|
Professional
|
Both
|
$870.00
|
|
|
Service Code
|
HCPCS 27307
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$833.95 |
| Rate for Payer: Aetna Commercial |
$488.64
|
| Rate for Payer: Aetna Medicare |
$364.66
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$364.66
|
| Rate for Payer: BCN Commercial |
$628.45
|
| Rate for Payer: BCN Medicare Advantage |
$364.66
|
| Rate for Payer: Cash Price |
$696.00
|
| Rate for Payer: Cash Price |
$696.00
|
| Rate for Payer: Cofinity Commercial |
$525.11
|
| Rate for Payer: Cofinity Commercial |
$488.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.66
|
| Rate for Payer: Healthscope Commercial |
$437.59
|
| Rate for Payer: Healthscope Whirlpool |
$437.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.89
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$401.13
|
| Rate for Payer: Nomi Health Commercial |
$437.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$652.50
|
| Rate for Payer: PACE SWMI |
$364.66
|
| Rate for Payer: PHP Medicare Advantage |
$364.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$671.79
|
| Rate for Payer: Priority Health Medicare |
$364.66
|
| Rate for Payer: Priority Health Narrow Network |
$671.79
|
| Rate for Payer: Railroad Medicare Medicare |
$364.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$833.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$364.66
|
| Rate for Payer: UHC Exchange |
$833.95
|
| Rate for Payer: UHC Medicaid |
$239.84
|
| Rate for Payer: UHCCP DNSP |
$364.66
|
| Rate for Payer: UHCCP Medicaid |
$239.84
|
|
|
PR TENOTOMY SHOULDER AREA 1 TENDON
|
Professional
|
Both
|
$1,784.00
|
|
|
Service Code
|
HCPCS 23405
|
| Min. Negotiated Rate |
$366.36 |
| Max. Negotiated Rate |
$1,338.00 |
| Rate for Payer: Aetna Commercial |
$750.37
|
| Rate for Payer: Aetna Medicare |
$559.98
|
| Rate for Payer: BCBS Complete |
$384.68
|
| Rate for Payer: BCBS MAPPO |
$559.98
|
| Rate for Payer: BCN Commercial |
$936.70
|
| Rate for Payer: BCN Medicare Advantage |
$559.98
|
| Rate for Payer: Cash Price |
$1,427.20
|
| Rate for Payer: Cash Price |
$1,427.20
|
| Rate for Payer: Cofinity Commercial |
$806.37
|
| Rate for Payer: Cofinity Commercial |
$750.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.98
|
| Rate for Payer: Healthscope Commercial |
$671.98
|
| Rate for Payer: Healthscope Whirlpool |
$671.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.98
|
| Rate for Payer: Meridian Medicaid |
$384.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$615.98
|
| Rate for Payer: Nomi Health Commercial |
$671.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,338.00
|
| Rate for Payer: PACE SWMI |
$559.98
|
| Rate for Payer: PHP Medicare Advantage |
$559.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,001.31
|
| Rate for Payer: Priority Health Medicare |
$559.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,001.31
|
| Rate for Payer: Railroad Medicare Medicare |
$559.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,081.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$559.98
|
| Rate for Payer: UHC Exchange |
$1,081.11
|
| Rate for Payer: UHC Medicaid |
$366.36
|
| Rate for Payer: UHCCP DNSP |
$559.98
|
| Rate for Payer: UHCCP Medicaid |
$366.36
|
|
|
PR TERBUTALINE SULFATE INJ
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS J3105
|
| Min. Negotiated Rate |
$0.19 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$3.97
|
| Rate for Payer: Aetna Medicare |
$2.96
|
| Rate for Payer: BCBS MAPPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$0.28
|
| Rate for Payer: BCN Commercial |
$0.19
|
| Rate for Payer: BCN Medicare Advantage |
$2.96
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$4.26
|
| Rate for Payer: Cofinity Commercial |
$3.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.96
|
| Rate for Payer: Healthscope Commercial |
$3.55
|
| Rate for Payer: Healthscope Whirlpool |
$3.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.26
|
| Rate for Payer: Nomi Health Commercial |
$3.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$2.96
|
| Rate for Payer: PHP Medicare Advantage |
$2.96
|
| Rate for Payer: Priority Health Medicare |
$2.96
|
| Rate for Payer: Railroad Medicare Medicare |
$2.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.96
|
| Rate for Payer: UHC Exchange |
$2.47
|
| Rate for Payer: UHCCP DNSP |
$2.96
|
|
|
PR TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION
|
Professional
|
Both
|
$452.00
|
|
|
Service Code
|
HCPCS 95923
|
| Min. Negotiated Rate |
$114.83 |
| Max. Negotiated Rate |
$339.00 |
| Rate for Payer: Aetna Commercial |
$153.87
|
| Rate for Payer: Aetna Medicare |
$114.83
|
| Rate for Payer: BCBS MAPPO |
$114.83
|
| Rate for Payer: BCN Commercial |
$175.79
|
| Rate for Payer: BCN Medicare Advantage |
$114.83
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cofinity Commercial |
$165.36
|
| Rate for Payer: Cofinity Commercial |
$153.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.83
|
| Rate for Payer: Healthscope Commercial |
$137.80
|
| Rate for Payer: Healthscope Whirlpool |
$137.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.31
|
| Rate for Payer: Nomi Health Commercial |
$137.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.00
|
| Rate for Payer: PACE SWMI |
$114.83
|
| Rate for Payer: PHP Medicare Advantage |
$114.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$162.11
|
| Rate for Payer: Priority Health Medicare |
$114.83
|
| Rate for Payer: Priority Health Narrow Network |
$162.11
|
| Rate for Payer: Railroad Medicare Medicare |
$114.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$198.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$114.83
|
| Rate for Payer: UHC Exchange |
$198.26
|
| Rate for Payer: UHCCP DNSP |
$114.83
|
|
