|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$2,010.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$319.29 |
| Max. Negotiated Rate |
$1,507.50 |
| Rate for Payer: Aetna Commercial |
$655.05
|
| Rate for Payer: Aetna Medicare |
$508.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$703.93
|
| Rate for Payer: BCBS Complete |
$335.25
|
| Rate for Payer: BCBS MAPPO |
$488.84
|
| Rate for Payer: BCN Commercial |
$775.85
|
| Rate for Payer: BCN Medicare Advantage |
$488.84
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cofinity Commercial |
$703.93
|
| Rate for Payer: Cofinity Commercial |
$655.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$488.84
|
| Rate for Payer: Healthscope Commercial |
$904.35
|
| Rate for Payer: Healthscope Commercial |
$782.14
|
| Rate for Payer: Mclaren Medicaid |
$319.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$513.28
|
| Rate for Payer: Meridian Medicaid |
$335.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$537.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$911.23
|
| Rate for Payer: Nomi Health Commercial |
$586.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,507.50
|
| Rate for Payer: PACE SWMI |
$488.84
|
| Rate for Payer: PHP Medicare Advantage |
$488.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$829.37
|
| Rate for Payer: Priority Health Medicare |
$488.84
|
| Rate for Payer: Priority Health SBD |
$829.37
|
| Rate for Payer: Priority Health Tiered Network |
$829.37
|
| Rate for Payer: Railroad Medicare Medicare |
$488.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$894.86
|
| Rate for Payer: UHC Core |
$894.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$488.84
|
| Rate for Payer: UHC Exchange |
$894.86
|
| Rate for Payer: UHC Medicaid |
$319.29
|
| Rate for Payer: UHCCP Medicaid |
$319.29
|
|
|
PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY
|
Professional
|
Both
|
$4,353.00
|
|
|
Service Code
|
HCPCS 69930
|
| Min. Negotiated Rate |
$675.85 |
| Max. Negotiated Rate |
$3,264.75 |
| Rate for Payer: Aetna Commercial |
$1,388.47
|
| Rate for Payer: Aetna Medicare |
$1,077.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,388.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.08
|
| Rate for Payer: BCBS Complete |
$709.64
|
| Rate for Payer: BCBS MAPPO |
$1,036.17
|
| Rate for Payer: BCN Commercial |
$1,811.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.17
|
| Rate for Payer: Cash Price |
$3,482.40
|
| Rate for Payer: Cash Price |
$3,482.40
|
| Rate for Payer: Cofinity Commercial |
$1,492.08
|
| Rate for Payer: Cofinity Commercial |
$1,388.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.17
|
| Rate for Payer: Healthscope Commercial |
$1,916.91
|
| Rate for Payer: Healthscope Commercial |
$1,657.87
|
| Rate for Payer: Mclaren Medicaid |
$675.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,087.98
|
| Rate for Payer: Meridian Medicaid |
$709.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,139.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,155.41
|
| Rate for Payer: Nomi Health Commercial |
$1,243.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,264.75
|
| Rate for Payer: PACE SWMI |
$1,036.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$675.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,790.10
|
| Rate for Payer: Priority Health Medicare |
$1,036.17
|
| Rate for Payer: Priority Health SBD |
$1,790.10
|
| Rate for Payer: Priority Health Tiered Network |
$1,790.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,036.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,104.08
|
| Rate for Payer: UHC Core |
$2,104.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,036.17
|
| Rate for Payer: UHC Exchange |
$2,104.08
|
| Rate for Payer: UHC Medicaid |
$675.85
|
| Rate for Payer: UHCCP Medicaid |
$675.85
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$525.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Aetna Medicare |
$262.50
|
| Rate for Payer: BCBS Complete |
$210.00
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$341.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$393.75
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$105.08 |
| Max. Negotiated Rate |
$273.75 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: Aetna Medicare |
$182.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.37
|
| Rate for Payer: BCBS Complete |
$146.00
|
| Rate for Payer: BCN Commercial |
$105.08
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$210.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.75
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,955.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,282.47 |
| Max. Negotiated Rate |
$3,912.99 |
| Rate for Payer: Aetna Commercial |
$2,681.23
|
| Rate for Payer: Aetna Medicare |
$2,080.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,681.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,881.32
|
| Rate for Payer: BCBS Complete |
$1,346.59
|
| Rate for Payer: BCBS MAPPO |
$2,000.92
|
| Rate for Payer: BCN Commercial |
$3,211.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,000.92
|
| Rate for Payer: Cash Price |
$3,164.00
|
| Rate for Payer: Cash Price |
$3,164.00
|
| Rate for Payer: Cofinity Commercial |
$2,681.23
|
| Rate for Payer: Cofinity Commercial |
$2,881.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,000.92
|
| Rate for Payer: Healthscope Commercial |
$3,201.47
|
| Rate for Payer: Healthscope Commercial |
$3,701.70
|
| Rate for Payer: Mclaren Medicaid |
$1,282.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,100.97
|
| Rate for Payer: Meridian Medicaid |
$1,346.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,201.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,838.45
|
| Rate for Payer: Nomi Health Commercial |
$2,401.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,966.25
|
| Rate for Payer: PACE SWMI |
$2,000.92
|
| Rate for Payer: PHP Medicare Advantage |
$2,000.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,282.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,912.99
|
| Rate for Payer: Priority Health Medicare |
$2,000.92
|
| Rate for Payer: Priority Health SBD |
$3,912.99
|
| Rate for Payer: Priority Health Tiered Network |
$3,912.99
|
| Rate for Payer: Railroad Medicare Medicare |
$2,000.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,848.22
|
| Rate for Payer: UHC Core |
$3,848.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,000.92
|
| Rate for Payer: UHC Exchange |
$3,848.22
|
| Rate for Payer: UHC Medicaid |
$1,282.47
|
| Rate for Payer: UHCCP Medicaid |
$1,282.47
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,749.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$1,103.55 |
| Max. Negotiated Rate |
$3,561.75 |
| Rate for Payer: Aetna Commercial |
$2,297.36
|
| Rate for Payer: Aetna Medicare |
$1,783.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,297.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,468.81
|
| Rate for Payer: BCBS Complete |
$1,158.73
|
| Rate for Payer: BCBS MAPPO |
$1,714.45
|
| Rate for Payer: BCN Commercial |
$2,765.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,714.45
|
| Rate for Payer: Cash Price |
$3,799.20
|
| Rate for Payer: Cash Price |
$3,799.20
|
| Rate for Payer: Cofinity Commercial |
$2,468.81
|
| Rate for Payer: Cofinity Commercial |
$2,297.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,714.45
|
| Rate for Payer: Healthscope Commercial |
$3,171.73
|
| Rate for Payer: Healthscope Commercial |
$2,743.12
|
| Rate for Payer: Mclaren Medicaid |
$1,103.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,800.17
|
| Rate for Payer: Meridian Medicaid |
$1,158.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,885.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.43
|
| Rate for Payer: Nomi Health Commercial |
$2,057.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,561.75
|
| Rate for Payer: PACE SWMI |
$1,714.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,714.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,103.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,369.32
|
| Rate for Payer: Priority Health Medicare |
$1,714.45
|
| Rate for Payer: Priority Health SBD |
$3,369.32
|
| Rate for Payer: Priority Health Tiered Network |
$3,369.32
|
| Rate for Payer: Railroad Medicare Medicare |
$1,714.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,307.27
|
| Rate for Payer: UHC Core |
$3,307.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,714.45
|
| Rate for Payer: UHC Exchange |
$3,307.27
|
| Rate for Payer: UHC Medicaid |
$1,103.55
|
| Rate for Payer: UHCCP Medicaid |
$1,103.55
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,840.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$1,333.59 |
| Max. Negotiated Rate |
$4,078.02 |
| Rate for Payer: Aetna Commercial |
$2,790.39
|
| Rate for Payer: Aetna Medicare |
$2,165.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,790.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,998.63
|
| Rate for Payer: BCBS Complete |
$1,400.27
|
| Rate for Payer: BCBS MAPPO |
$2,082.38
|
| Rate for Payer: BCN Commercial |
$3,346.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,082.38
|
| Rate for Payer: Cash Price |
$3,872.00
|
| Rate for Payer: Cash Price |
$3,872.00
|
| Rate for Payer: Cofinity Commercial |
$2,998.63
|
| Rate for Payer: Cofinity Commercial |
$2,790.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,082.38
|
| Rate for Payer: Healthscope Commercial |
$3,852.40
|
| Rate for Payer: Healthscope Commercial |
$3,331.81
|
| Rate for Payer: Mclaren Medicaid |
$1,333.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,186.50
|
| Rate for Payer: Meridian Medicaid |
$1,400.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,290.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,000.55
|
| Rate for Payer: Nomi Health Commercial |
$2,498.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,630.00
|
| Rate for Payer: PACE SWMI |
$2,082.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,082.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,333.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,078.02
|
| Rate for Payer: Priority Health Medicare |
$2,082.38
|
| Rate for Payer: Priority Health SBD |
$4,078.02
|
| Rate for Payer: Priority Health Tiered Network |
$4,078.02
|
| Rate for Payer: Railroad Medicare Medicare |
$2,082.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,007.66
|
| Rate for Payer: UHC Core |
$4,007.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,082.38
|
| Rate for Payer: UHC Exchange |
$4,007.66
|
| Rate for Payer: UHC Medicaid |
$1,333.59
|
| Rate for Payer: UHCCP Medicaid |
$1,333.59
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,990.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$797.26 |
| Max. Negotiated Rate |
$2,992.50 |
| Rate for Payer: Aetna Commercial |
$1,667.50
|
| Rate for Payer: Aetna Medicare |
$1,294.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,667.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,791.94
|
| Rate for Payer: BCBS Complete |
$837.12
|
| Rate for Payer: BCBS MAPPO |
$1,244.40
|
| Rate for Payer: BCN Commercial |
$2,010.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,244.40
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cofinity Commercial |
$1,791.94
|
| Rate for Payer: Cofinity Commercial |
$1,667.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,244.40
|
| Rate for Payer: Healthscope Commercial |
$2,302.14
|
| Rate for Payer: Healthscope Commercial |
$1,991.04
|
| Rate for Payer: Mclaren Medicaid |
$797.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,306.62
|
| Rate for Payer: Meridian Medicaid |
$837.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,368.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,395.67
|
| Rate for Payer: Nomi Health Commercial |
$1,493.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,992.50
|
| Rate for Payer: PACE SWMI |
$1,244.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,244.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$797.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,450.08
|
| Rate for Payer: Priority Health Medicare |
$1,244.40
|
| Rate for Payer: Priority Health SBD |
$2,450.08
|
| Rate for Payer: Priority Health Tiered Network |
$2,450.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,244.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,392.38
|
| Rate for Payer: UHC Core |
$2,392.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,244.40
|
| Rate for Payer: UHC Exchange |
$2,392.38
|
| Rate for Payer: UHC Medicaid |
$797.26
|
| Rate for Payer: UHCCP Medicaid |
$797.26
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,990.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$797.26 |
| Max. Negotiated Rate |
$2,992.50 |
| Rate for Payer: Aetna Commercial |
$1,667.50
|
| Rate for Payer: Aetna Medicare |
$1,294.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,667.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,791.94
|
| Rate for Payer: BCBS Complete |
$837.12
|
| Rate for Payer: BCBS MAPPO |
$1,244.40
|
| Rate for Payer: BCN Commercial |
$2,010.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,244.40
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cofinity Commercial |
$1,791.94
|
| Rate for Payer: Cofinity Commercial |
$1,667.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,244.40
|
| Rate for Payer: Healthscope Commercial |
$2,302.14
|
| Rate for Payer: Healthscope Commercial |
$1,991.04
|
| Rate for Payer: Mclaren Medicaid |
$797.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,306.62
|
| Rate for Payer: Meridian Medicaid |
$837.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,368.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,395.67
|
| Rate for Payer: Nomi Health Commercial |
$1,493.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,992.50
|
| Rate for Payer: PACE SWMI |
$1,244.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,244.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$797.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,450.08
|
| Rate for Payer: Priority Health Medicare |
$1,244.40
|
| Rate for Payer: Priority Health SBD |
$2,450.08
|
| Rate for Payer: Priority Health Tiered Network |
$2,450.08
|
| Rate for Payer: Railroad Medicare Medicare |
$1,244.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,392.38
|
| Rate for Payer: UHC Core |
$2,392.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,244.40
|
| Rate for Payer: UHC Exchange |
$2,392.38
|
| Rate for Payer: UHC Medicaid |
$797.26
|
| Rate for Payer: UHCCP Medicaid |
$797.26
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,990.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,513.70 |
| Max. Negotiated Rate |
$3,591.00 |
| Rate for Payer: Aetna Commercial |
$3,391.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,593.50
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cofinity Advantage |
$2,793.00
|
| Rate for Payer: Cofinity Commercial |
$3,431.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,192.00
|
| Rate for Payer: Healthscope Commercial |
$3,591.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,391.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,992.50
|
| Rate for Payer: PHP Commercial |
$3,391.50
|
| Rate for Payer: Priority Health SBD |
$2,513.70
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,990.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,596.00 |
| Max. Negotiated Rate |
$3,611.15 |
| Rate for Payer: Aetna Commercial |
$3,391.50
|
| Rate for Payer: Aetna Medicare |
$1,995.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,593.50
|
| Rate for Payer: BCBS Complete |
$1,596.00
|
| Rate for Payer: BCBS Trust/PPO |
$3,611.15
|
| Rate for Payer: BCN Commercial |
$3,611.15
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cash Price |
$3,192.00
|
| Rate for Payer: Cofinity Advantage |
$2,793.00
|
| Rate for Payer: Cofinity Commercial |
$3,431.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,192.00
|
| Rate for Payer: Healthscope Commercial |
$3,591.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,192.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,391.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,992.50
|
| Rate for Payer: PHP Commercial |
$3,391.50
|
| Rate for Payer: Priority Health SBD |
$2,513.70
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,835.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$1,121.66 |
| Max. Negotiated Rate |
$3,519.80 |
| Rate for Payer: Aetna Commercial |
$2,350.83
|
| Rate for Payer: Aetna Medicare |
$1,824.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,350.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,526.26
|
| Rate for Payer: BCBS Complete |
$1,177.74
|
| Rate for Payer: BCBS MAPPO |
$1,754.35
|
| Rate for Payer: BCN Commercial |
$2,888.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,754.35
|
| Rate for Payer: Cash Price |
$2,268.00
|
| Rate for Payer: Cash Price |
$2,268.00
|
| Rate for Payer: Cofinity Commercial |
$2,526.26
|
| Rate for Payer: Cofinity Commercial |
$2,350.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,754.35
|
| Rate for Payer: Healthscope Commercial |
$3,245.55
|
| Rate for Payer: Healthscope Commercial |
$2,806.96
|
| Rate for Payer: Mclaren Medicaid |
$1,121.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,842.07
|
| Rate for Payer: Meridian Medicaid |
$1,177.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,929.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,443.24
|
| Rate for Payer: Nomi Health Commercial |
$2,105.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,126.25
|
| Rate for Payer: PACE SWMI |
$1,754.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,754.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,121.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,519.80
|
| Rate for Payer: Priority Health Medicare |
$1,754.35
|
| Rate for Payer: Priority Health SBD |
$3,519.80
|
| Rate for Payer: Priority Health Tiered Network |
$3,519.80
|
| Rate for Payer: Railroad Medicare Medicare |
$1,754.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,459.03
|
| Rate for Payer: UHC Core |
$3,459.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,754.35
|
| Rate for Payer: UHC Exchange |
$3,459.03
|
| Rate for Payer: UHC Medicaid |
$1,121.66
|
| Rate for Payer: UHCCP Medicaid |
$1,121.66
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,522.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$966.38 |
| Max. Negotiated Rate |
$2,997.39 |
| Rate for Payer: Aetna Commercial |
$2,022.14
|
| Rate for Payer: Aetna Medicare |
$1,569.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,022.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,173.05
|
| Rate for Payer: BCBS Complete |
$1,014.70
|
| Rate for Payer: BCBS MAPPO |
$1,509.06
|
| Rate for Payer: BCN Commercial |
$2,460.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,509.06
|
| Rate for Payer: Cash Price |
$2,817.60
|
| Rate for Payer: Cash Price |
$2,817.60
|
| Rate for Payer: Cofinity Commercial |
$2,173.05
|
| Rate for Payer: Cofinity Commercial |
$2,022.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,509.06
|
| Rate for Payer: Healthscope Commercial |
$2,791.76
|
| Rate for Payer: Healthscope Commercial |
$2,414.50
|
| Rate for Payer: Mclaren Medicaid |
$966.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,584.51
|
| Rate for Payer: Meridian Medicaid |
$1,014.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,659.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,938.39
|
| Rate for Payer: Nomi Health Commercial |
$1,810.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,641.50
|
| Rate for Payer: PACE SWMI |
$1,509.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,509.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$966.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,997.39
|
| Rate for Payer: Priority Health Medicare |
$1,509.06
|
| Rate for Payer: Priority Health SBD |
$2,997.39
|
| Rate for Payer: Priority Health Tiered Network |
$2,997.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,509.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,945.23
|
| Rate for Payer: UHC Core |
$2,945.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,509.06
|
| Rate for Payer: UHC Exchange |
$2,945.23
|
| Rate for Payer: UHC Medicaid |
$966.38
|
| Rate for Payer: UHCCP Medicaid |
$966.38
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,299.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$1,238.38 |
| Max. Negotiated Rate |
$3,974.25 |
| Rate for Payer: Aetna Commercial |
$2,586.20
|
| Rate for Payer: Aetna Medicare |
$2,007.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,586.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,779.20
|
| Rate for Payer: BCBS Complete |
$1,300.30
|
| Rate for Payer: BCBS MAPPO |
$1,930.00
|
| Rate for Payer: BCN Commercial |
$3,126.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,930.00
|
| Rate for Payer: Cash Price |
$4,239.20
|
| Rate for Payer: Cash Price |
$4,239.20
|
| Rate for Payer: Cofinity Commercial |
$2,779.20
|
| Rate for Payer: Cofinity Commercial |
$2,586.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,930.00
|
| Rate for Payer: Healthscope Commercial |
$3,570.50
|
| Rate for Payer: Healthscope Commercial |
$3,088.00
|
| Rate for Payer: Mclaren Medicaid |
$1,238.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,026.50
|
| Rate for Payer: Meridian Medicaid |
$1,300.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,123.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,727.21
|
| Rate for Payer: Nomi Health Commercial |
$2,316.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,974.25
|
| Rate for Payer: PACE SWMI |
$1,930.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,930.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,238.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,809.84
|
| Rate for Payer: Priority Health Medicare |
$1,930.00
|
| Rate for Payer: Priority Health SBD |
$3,809.84
|
| Rate for Payer: Priority Health Tiered Network |
$3,809.84
|
| Rate for Payer: Railroad Medicare Medicare |
$1,930.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,747.07
|
| Rate for Payer: UHC Core |
$3,747.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,930.00
|
| Rate for Payer: UHC Exchange |
$3,747.07
|
| Rate for Payer: UHC Medicaid |
$1,238.38
|
| Rate for Payer: UHCCP Medicaid |
$1,238.38
|
|
|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$4,102.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$1,042.42 |
| Max. Negotiated Rate |
$3,207.93 |
| Rate for Payer: Aetna Commercial |
$2,181.27
|
| Rate for Payer: Aetna Medicare |
$1,692.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,181.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,344.05
|
| Rate for Payer: BCBS Complete |
$1,094.54
|
| Rate for Payer: BCBS MAPPO |
$1,627.81
|
| Rate for Payer: BCN Commercial |
$2,632.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,627.81
|
| Rate for Payer: Cash Price |
$3,281.60
|
| Rate for Payer: Cash Price |
$3,281.60
|
| Rate for Payer: Cofinity Commercial |
$2,344.05
|
| Rate for Payer: Cofinity Commercial |
$2,181.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,627.81
|
| Rate for Payer: Healthscope Commercial |
$3,011.45
|
| Rate for Payer: Healthscope Commercial |
$2,604.50
|
| Rate for Payer: Mclaren Medicaid |
$1,042.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,709.20
|
| Rate for Payer: Meridian Medicaid |
$1,094.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,790.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,148.45
|
| Rate for Payer: Nomi Health Commercial |
$1,953.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,076.50
|
| Rate for Payer: PACE SWMI |
$1,627.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,627.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,042.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,207.93
|
| Rate for Payer: Priority Health Medicare |
$1,627.81
|
| Rate for Payer: Priority Health SBD |
$3,207.93
|
| Rate for Payer: Priority Health Tiered Network |
$3,207.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,627.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,149.80
|
| Rate for Payer: UHC Core |
$3,149.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,627.81
|
| Rate for Payer: UHC Exchange |
$3,149.80
|
| Rate for Payer: UHC Medicaid |
$1,042.42
|
| Rate for Payer: UHCCP Medicaid |
$1,042.42
|
|
|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,326.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$976.18 |
| Max. Negotiated Rate |
$3,244.50 |
| Rate for Payer: Aetna Commercial |
$2,042.09
|
| Rate for Payer: Aetna Medicare |
$1,584.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,042.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,194.49
|
| Rate for Payer: BCBS Complete |
$1,024.99
|
| Rate for Payer: BCBS MAPPO |
$1,523.95
|
| Rate for Payer: BCN Commercial |
$2,465.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,523.95
|
| Rate for Payer: Cash Price |
$3,460.80
|
| Rate for Payer: Cash Price |
$3,460.80
|
| Rate for Payer: Cofinity Commercial |
$2,194.49
|
| Rate for Payer: Cofinity Commercial |
$2,042.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,523.95
|
| Rate for Payer: Healthscope Commercial |
$2,819.31
|
| Rate for Payer: Healthscope Commercial |
$2,438.32
|
| Rate for Payer: Mclaren Medicaid |
$976.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,600.15
|
| Rate for Payer: Meridian Medicaid |
$1,024.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,676.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,949.79
|
| Rate for Payer: Nomi Health Commercial |
$1,828.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,244.50
|
| Rate for Payer: PACE SWMI |
$1,523.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,523.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$976.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,003.45
|
| Rate for Payer: Priority Health Medicare |
$1,523.95
|
| Rate for Payer: Priority Health SBD |
$3,003.45
|
| Rate for Payer: Priority Health Tiered Network |
$3,003.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,523.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,962.91
|
| Rate for Payer: UHC Core |
$2,962.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,523.95
|
| Rate for Payer: UHC Exchange |
$2,962.91
|
| Rate for Payer: UHC Medicaid |
$976.18
|
| Rate for Payer: UHCCP Medicaid |
$976.18
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$4,084.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$738.05 |
| Max. Negotiated Rate |
$3,063.00 |
| Rate for Payer: Aetna Commercial |
$1,542.61
|
| Rate for Payer: Aetna Medicare |
$1,197.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,542.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,657.73
|
| Rate for Payer: BCBS Complete |
$774.95
|
| Rate for Payer: BCBS MAPPO |
$1,151.20
|
| Rate for Payer: BCN Commercial |
$1,860.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,151.20
|
| Rate for Payer: Cash Price |
$3,267.20
|
| Rate for Payer: Cash Price |
$3,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,657.73
|
| Rate for Payer: Cofinity Commercial |
$1,542.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,151.20
|
| Rate for Payer: Healthscope Commercial |
$2,129.72
|
| Rate for Payer: Healthscope Commercial |
$1,841.92
|
| Rate for Payer: Mclaren Medicaid |
$738.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,208.76
|
| Rate for Payer: Meridian Medicaid |
$774.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,266.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,215.93
|
| Rate for Payer: Nomi Health Commercial |
$1,381.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,063.00
|
| Rate for Payer: PACE SWMI |
$1,151.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,151.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$738.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,267.45
|
| Rate for Payer: Priority Health Medicare |
$1,151.20
|
| Rate for Payer: Priority Health SBD |
$2,267.45
|
| Rate for Payer: Priority Health Tiered Network |
$2,267.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,151.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,212.46
|
| Rate for Payer: UHC Core |
$2,212.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,151.20
|
| Rate for Payer: UHC Exchange |
$2,212.46
|
| Rate for Payer: UHC Medicaid |
$738.05
|
| Rate for Payer: UHCCP Medicaid |
$738.05
|
|
|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,950.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$1,078.42 |
| Max. Negotiated Rate |
$3,292.86 |
| Rate for Payer: Aetna Commercial |
$2,251.67
|
| Rate for Payer: Aetna Medicare |
$1,747.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,251.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,419.70
|
| Rate for Payer: BCBS Complete |
$1,132.34
|
| Rate for Payer: BCBS MAPPO |
$1,680.35
|
| Rate for Payer: BCN Commercial |
$2,702.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,680.35
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cash Price |
$3,160.00
|
| Rate for Payer: Cofinity Commercial |
$2,419.70
|
| Rate for Payer: Cofinity Commercial |
$2,251.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,680.35
|
| Rate for Payer: Healthscope Commercial |
$3,108.65
|
| Rate for Payer: Healthscope Commercial |
$2,688.56
|
| Rate for Payer: Mclaren Medicaid |
$1,078.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,764.37
|
| Rate for Payer: Meridian Medicaid |
$1,132.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,848.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,229.63
|
| Rate for Payer: Nomi Health Commercial |
$2,016.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,962.50
|
| Rate for Payer: PACE SWMI |
$1,680.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,680.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,078.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,292.86
|
| Rate for Payer: Priority Health Medicare |
$1,680.35
|
| Rate for Payer: Priority Health SBD |
$3,292.86
|
| Rate for Payer: Priority Health Tiered Network |
$3,292.86
|
| Rate for Payer: Railroad Medicare Medicare |
$1,680.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,242.84
|
| Rate for Payer: UHC Core |
$3,242.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,680.35
|
| Rate for Payer: UHC Exchange |
$3,242.84
|
| Rate for Payer: UHC Medicaid |
$1,078.42
|
| Rate for Payer: UHCCP Medicaid |
$1,078.42
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$7,025.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$1,369.59 |
| Max. Negotiated Rate |
$5,268.75 |
| Rate for Payer: Aetna Commercial |
$2,864.21
|
| Rate for Payer: Aetna Medicare |
$2,222.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,864.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,077.96
|
| Rate for Payer: BCBS Complete |
$1,438.07
|
| Rate for Payer: BCBS MAPPO |
$2,137.47
|
| Rate for Payer: BCN Commercial |
$3,432.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,137.47
|
| Rate for Payer: Cash Price |
$5,620.00
|
| Rate for Payer: Cash Price |
$5,620.00
|
| Rate for Payer: Cofinity Commercial |
$3,077.96
|
| Rate for Payer: Cofinity Commercial |
$2,864.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,137.47
|
| Rate for Payer: Healthscope Commercial |
$3,954.32
|
| Rate for Payer: Healthscope Commercial |
$3,419.95
|
| Rate for Payer: Mclaren Medicaid |
$1,369.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,244.34
|
| Rate for Payer: Meridian Medicaid |
$1,438.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,351.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,105.64
|
| Rate for Payer: Nomi Health Commercial |
$2,564.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,268.75
|
| Rate for Payer: PACE SWMI |
$2,137.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,137.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,369.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,182.37
|
| Rate for Payer: Priority Health Medicare |
$2,137.47
|
| Rate for Payer: Priority Health SBD |
$4,182.37
|
| Rate for Payer: Priority Health Tiered Network |
$4,182.37
|
| Rate for Payer: Railroad Medicare Medicare |
$2,137.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,120.48
|
| Rate for Payer: UHC Core |
$4,120.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,137.47
|
| Rate for Payer: UHC Exchange |
$4,120.48
|
| Rate for Payer: UHC Medicaid |
$1,369.59
|
| Rate for Payer: UHCCP Medicaid |
$1,369.59
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,997.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$1,224.54 |
| Max. Negotiated Rate |
$4,497.75 |
| Rate for Payer: Aetna Commercial |
$2,552.12
|
| Rate for Payer: Aetna Medicare |
$1,980.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,552.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,742.58
|
| Rate for Payer: BCBS Complete |
$1,285.77
|
| Rate for Payer: BCBS MAPPO |
$1,904.57
|
| Rate for Payer: BCN Commercial |
$3,076.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,904.57
|
| Rate for Payer: Cash Price |
$4,797.60
|
| Rate for Payer: Cash Price |
$4,797.60
|
| Rate for Payer: Cofinity Commercial |
$2,742.58
|
| Rate for Payer: Cofinity Commercial |
$2,552.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,904.57
|
| Rate for Payer: Healthscope Commercial |
$3,523.45
|
| Rate for Payer: Healthscope Commercial |
$3,047.31
|
| Rate for Payer: Mclaren Medicaid |
$1,224.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,999.80
|
| Rate for Payer: Meridian Medicaid |
$1,285.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,095.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,661.88
|
| Rate for Payer: Nomi Health Commercial |
$2,285.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,497.75
|
| Rate for Payer: PACE SWMI |
$1,904.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,904.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,224.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,748.55
|
| Rate for Payer: Priority Health Medicare |
$1,904.57
|
| Rate for Payer: Priority Health SBD |
$3,748.55
|
| Rate for Payer: Priority Health Tiered Network |
$3,748.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,904.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,670.53
|
| Rate for Payer: UHC Core |
$3,670.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,904.57
|
| Rate for Payer: UHC Exchange |
$3,670.53
|
| Rate for Payer: UHC Medicaid |
$1,224.54
|
| Rate for Payer: UHCCP Medicaid |
$1,224.54
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,704.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$1,302.28 |
| Max. Negotiated Rate |
$3,979.73 |
| Rate for Payer: Aetna Commercial |
$2,724.03
|
| Rate for Payer: Aetna Medicare |
$2,114.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,724.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,927.32
|
| Rate for Payer: BCBS Complete |
$1,367.39
|
| Rate for Payer: BCBS MAPPO |
$2,032.86
|
| Rate for Payer: BCN Commercial |
$3,266.25
|
| Rate for Payer: BCN Medicare Advantage |
$2,032.86
|
| Rate for Payer: Cash Price |
$3,763.20
|
| Rate for Payer: Cash Price |
$3,763.20
|
| Rate for Payer: Cofinity Commercial |
$2,927.32
|
| Rate for Payer: Cofinity Commercial |
$2,724.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,032.86
|
| Rate for Payer: Healthscope Commercial |
$3,760.79
|
| Rate for Payer: Healthscope Commercial |
$3,252.58
|
| Rate for Payer: Mclaren Medicaid |
$1,302.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,134.50
|
| Rate for Payer: Meridian Medicaid |
$1,367.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,236.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,901.93
|
| Rate for Payer: Nomi Health Commercial |
$2,439.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,528.00
|
| Rate for Payer: PACE SWMI |
$2,032.86
|
| Rate for Payer: PHP Medicare Advantage |
$2,032.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,302.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,979.73
|
| Rate for Payer: Priority Health Medicare |
$2,032.86
|
| Rate for Payer: Priority Health SBD |
$3,979.73
|
| Rate for Payer: Priority Health Tiered Network |
$3,979.73
|
| Rate for Payer: Railroad Medicare Medicare |
$2,032.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,909.12
|
| Rate for Payer: UHC Core |
$3,909.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,032.86
|
| Rate for Payer: UHC Exchange |
$3,909.12
|
| Rate for Payer: UHC Medicaid |
$1,302.28
|
| Rate for Payer: UHCCP Medicaid |
$1,302.28
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$51.00 |
| Max. Negotiated Rate |
$144.95 |
| Rate for Payer: Aetna Commercial |
$104.99
|
| Rate for Payer: Aetna Medicare |
$81.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.82
|
| Rate for Payer: BCBS MAPPO |
$78.35
|
| Rate for Payer: BCBS Trust/PPO |
$77.17
|
| Rate for Payer: BCN Commercial |
$74.75
|
| Rate for Payer: BCN Medicare Advantage |
$78.35
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$104.99
|
| Rate for Payer: Cofinity Commercial |
$112.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.35
|
| Rate for Payer: Healthscope Commercial |
$144.95
|
| Rate for Payer: Healthscope Commercial |
$125.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$86.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.76
|
| Rate for Payer: Nomi Health Commercial |
$94.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: PACE SWMI |
$78.35
|
| Rate for Payer: PHP Medicare Advantage |
$78.35
|
| Rate for Payer: Priority Health Medicare |
$78.35
|
| Rate for Payer: Railroad Medicare Medicare |
$78.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.75
|
| Rate for Payer: UHC Core |
$75.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$78.35
|
| Rate for Payer: UHC Exchange |
$75.75
|
|
|
PR COLLECT BLOOD FROM CATHETER VENOUS NOS
|
Professional
|
Both
|
$65.00
|
|
|
Service Code
|
HCPCS 36592
|
| Min. Negotiated Rate |
$30.87 |
| Max. Negotiated Rate |
$57.11 |
| Rate for Payer: Aetna Commercial |
$41.37
|
| Rate for Payer: Aetna Medicare |
$32.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.37
|
| Rate for Payer: BCBS MAPPO |
$30.87
|
| Rate for Payer: BCN Commercial |
$44.32
|
| Rate for Payer: BCN Medicare Advantage |
$30.87
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$44.45
|
| Rate for Payer: Cofinity Commercial |
$41.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.87
|
| Rate for Payer: Healthscope Commercial |
$49.39
|
| Rate for Payer: Healthscope Commercial |
$57.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.44
|
| Rate for Payer: Nomi Health Commercial |
$37.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.75
|
| Rate for Payer: PACE SWMI |
$30.87
|
| Rate for Payer: PHP Medicare Advantage |
$30.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.66
|
| Rate for Payer: Priority Health Medicare |
$30.87
|
| Rate for Payer: Priority Health SBD |
$47.66
|
| Rate for Payer: Priority Health Tiered Network |
$47.66
|
| Rate for Payer: Railroad Medicare Medicare |
$30.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.45
|
| Rate for Payer: UHC Core |
$45.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.87
|
| Rate for Payer: UHC Exchange |
$45.45
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.72
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCN Commercial |
$2.00
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.00
|
| Rate for Payer: Priority Health SBD |
$15.00
|
| Rate for Payer: Priority Health Tiered Network |
$15.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.00
|
| Rate for Payer: UHC Core |
$3.00
|
| Rate for Payer: UHC Exchange |
$3.00
|
|
|
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 36415
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$17.28 |
| Rate for Payer: Aetna Commercial |
$12.52
|
| Rate for Payer: Aetna Medicare |
$9.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.45
|
| Rate for Payer: BCBS MAPPO |
$9.34
|
| Rate for Payer: BCN Commercial |
$6.31
|
| Rate for Payer: BCN Medicare Advantage |
$9.34
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$13.45
|
| Rate for Payer: Cofinity Commercial |
$12.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$17.28
|
| Rate for Payer: Healthscope Commercial |
$14.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.86
|
| Rate for Payer: Nomi Health Commercial |
$11.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.25
|
| Rate for Payer: PACE SWMI |
$9.34
|
| Rate for Payer: PHP Medicare Advantage |
$9.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$15.00
|
| Rate for Payer: Priority Health Medicare |
$9.34
|
| Rate for Payer: Priority Health SBD |
$15.00
|
| Rate for Payer: Priority Health Tiered Network |
$15.00
|
| Rate for Payer: Railroad Medicare Medicare |
$9.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.00
|
| Rate for Payer: UHC Core |
$3.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.34
|
| Rate for Payer: UHC Exchange |
$3.00
|
|
