Provider Information Service Bundle Cost
(Net+Fees=Gross)
Miles Effective Date
End Date
Value Add Why Choose Us Status Actions
Aurora Medical Center
2900 W Oklahoma Ave
Milwaukee, WI 53215
A/C #:zcrm_234253453454
SH11 - 29823
Shoulder - Arthroscopic Surgey
$8,500
$4,500
$13,000
0 01/01/2016
12/31/2016
  • One pre-operative surgeon office visit prior to surgical visit.
  • Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery.
One pre-operative surgeon office visit prior to surgical visit. Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery. APPROVED
Aurora Medical Center
2900 W Oklahoma Ave
Milwaukee, WI 53215
A/C #:zcrm_234253453454
SH11 - 29823
Shoulder - Arthroscopic Surgey
$8,500
$4,500
$13,000
0 01/01/2016
12/31/2016
  • One pre-operative surgeon office visit prior to surgical visit.
  • Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery.
One pre-operative surgeon office visit prior to surgical visit. Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery. APPROVED
Aurora Medical Center
2900 W Oklahoma Ave
Milwaukee, WI 53215
A/C #:zcrm_234253453454
SH11 - 29823
Shoulder - Arthroscopic Surgey
$8,500
$4,500
$13,000
0 01/01/2016
12/31/2016
  • One pre-operative surgeon office visit prior to surgical visit.
  • Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery.
One pre-operative surgeon office visit prior to surgical visit. Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery. APPROVED
Aurora Medical Center
2900 W Oklahoma Ave
Milwaukee, WI 53215
A/C #:zcrm_234253453454
SH11 - 29823
Shoulder - Arthroscopic Surgey
$8,500
$4,500
$13,000
0 01/01/2016
12/31/2016
  • One pre-operative surgeon office visit prior to surgical visit.
  • Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery.
One pre-operative surgeon office visit prior to surgical visit. Up to 3 post-surgical surgeon office visits (not to exceed 90 days post surgery. APPROVED