|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
Professional
|
Both
|
$121.00
|
|
|
Service Code
|
HCPCS 99091
|
| Min. Negotiated Rate |
$47.00 |
| Max. Negotiated Rate |
$93.01 |
| Rate for Payer: Aetna Commercial |
$62.98
|
| Rate for Payer: Aetna Medicare |
$48.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.68
|
| Rate for Payer: BCBS Complete |
$48.40
|
| Rate for Payer: BCBS MAPPO |
$47.00
|
| Rate for Payer: BCN Commercial |
$79.68
|
| Rate for Payer: BCN Medicare Advantage |
$47.00
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cofinity Commercial |
$67.68
|
| Rate for Payer: Cofinity Commercial |
$62.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.00
|
| Rate for Payer: Healthscope Commercial |
$86.95
|
| Rate for Payer: Healthscope Commercial |
$75.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.74
|
| Rate for Payer: Nomi Health Commercial |
$56.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: PACE SWMI |
$47.00
|
| Rate for Payer: PHP Medicare Advantage |
$47.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$73.47
|
| Rate for Payer: Priority Health Medicare |
$47.00
|
| Rate for Payer: Priority Health SBD |
$73.47
|
| Rate for Payer: Priority Health Tiered Network |
$73.47
|
| Rate for Payer: Railroad Medicare Medicare |
$47.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.01
|
| Rate for Payer: UHC Core |
$93.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$47.00
|
| Rate for Payer: UHC Exchange |
$93.01
|
|
|
PR COLON CA SCREEN;BARIUM ENEMA
|
Professional
|
Both
|
$648.00
|
|
|
Service Code
|
HCPCS G0106
|
| Min. Negotiated Rate |
$220.17 |
| Max. Negotiated Rate |
$486.00 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$324.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.17
|
| Rate for Payer: BCBS Complete |
$259.20
|
| Rate for Payer: BCN Commercial |
$255.24
|
| Rate for Payer: Cash Price |
$518.40
|
| Rate for Payer: Cash Price |
$518.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.00
|
|
|
PR COLON CA SCRN; BARIUM ENEMA
|
Professional
|
Both
|
$411.00
|
|
|
Service Code
|
HCPCS G0120
|
| Min. Negotiated Rate |
$164.40 |
| Max. Negotiated Rate |
$318.11 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$205.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.17
|
| Rate for Payer: BCBS Complete |
$164.40
|
| Rate for Payer: BCN Commercial |
$255.24
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$308.25
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
OP
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$484.62 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna Commercial |
$1,037.85
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$793.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$577.15
|
| Rate for Payer: BCN Commercial |
$577.15
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cofinity Advantage |
$854.70
|
| Rate for Payer: Cofinity Commercial |
$1,050.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$976.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$1,098.90
|
| Rate for Payer: Mclaren Medicaid |
$484.62
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,037.85
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$1,037.85
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$769.23
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: VA VA |
$926.61
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0121
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$915.75 |
| Rate for Payer: Aetna Commercial |
$218.31
|
| Rate for Payer: Aetna Medicare |
$169.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.31
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$162.92
|
| Rate for Payer: BCN Commercial |
$273.39
|
| Rate for Payer: BCN Medicare Advantage |
$162.92
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cofinity Commercial |
$234.60
|
| Rate for Payer: Cofinity Commercial |
$218.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.92
|
| Rate for Payer: Healthscope Commercial |
$301.40
|
| Rate for Payer: Healthscope Commercial |
$260.67
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.07
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$179.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.81
|
| Rate for Payer: Nomi Health Commercial |
$195.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| Rate for Payer: PACE SWMI |
$162.92
|
| Rate for Payer: PHP Medicare Advantage |
$162.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$333.11
|
| Rate for Payer: Priority Health Medicare |
$162.92
|
| Rate for Payer: Priority Health SBD |
$333.11
|
| Rate for Payer: Priority Health Tiered Network |
$333.11
|
| Rate for Payer: Railroad Medicare Medicare |
$162.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.59
|
| Rate for Payer: UHC Core |
$327.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.92
|
| Rate for Payer: UHC Exchange |
$327.59
|
| Rate for Payer: UHC Medicaid |
$105.22
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$915.75 |
| Rate for Payer: Aetna Commercial |
$218.31
|
| Rate for Payer: Aetna Medicare |
$169.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.60
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$162.92
|
| Rate for Payer: BCN Commercial |
$273.39
|
| Rate for Payer: BCN Medicare Advantage |
$162.92
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cofinity Commercial |
$234.60
|
| Rate for Payer: Cofinity Commercial |
$218.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.92
|
| Rate for Payer: Healthscope Commercial |
$301.40
|
| Rate for Payer: Healthscope Commercial |
$260.67
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.07
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$179.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.81
|
| Rate for Payer: Nomi Health Commercial |
$195.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| Rate for Payer: PACE SWMI |
$162.92
|
| Rate for Payer: PHP Medicare Advantage |
$162.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$333.11
|
| Rate for Payer: Priority Health Medicare |
$162.92
|
| Rate for Payer: Priority Health SBD |
$333.11
|
| Rate for Payer: Priority Health Tiered Network |
$333.11
|
| Rate for Payer: Railroad Medicare Medicare |
$162.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.59
|
| Rate for Payer: UHC Core |
$327.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.92
|
| Rate for Payer: UHC Exchange |
$327.59
|
| Rate for Payer: UHC Medicaid |
$105.22
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
IP
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$769.23 |
| Max. Negotiated Rate |
$1,098.90 |
| Rate for Payer: Aetna Commercial |
$1,037.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$793.65
|
| Rate for Payer: Cash Price |
$976.80
|
| Rate for Payer: Cofinity Advantage |
$854.70
|
| Rate for Payer: Cofinity Commercial |
$1,050.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$976.80
|
| Rate for Payer: Healthscope Commercial |
$1,098.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,037.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| Rate for Payer: PHP Commercial |
$1,037.85
|
| Rate for Payer: Priority Health SBD |
$769.23
|
|
|
PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
|
Professional
|
Both
|
$474.00
|
|
|
Service Code
|
HCPCS 91117
|
| Min. Negotiated Rate |
$77.75 |
| Max. Negotiated Rate |
$355.50 |
| Rate for Payer: Aetna Commercial |
$160.20
|
| Rate for Payer: Aetna Medicare |
$124.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.15
|
| Rate for Payer: BCBS Complete |
$81.64
|
| Rate for Payer: BCBS MAPPO |
$119.55
|
| Rate for Payer: BCN Commercial |
$200.69
|
| Rate for Payer: BCN Medicare Advantage |
$119.55
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cofinity Commercial |
$172.15
|
| Rate for Payer: Cofinity Commercial |
$160.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.55
|
| Rate for Payer: Healthscope Commercial |
$221.17
|
| Rate for Payer: Healthscope Commercial |
$191.28
|
| Rate for Payer: Mclaren Medicaid |
$77.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$125.53
|
| Rate for Payer: Meridian Medicaid |
$81.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$131.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$197.82
|
| Rate for Payer: Nomi Health Commercial |
$143.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$355.50
|
| Rate for Payer: PACE SWMI |
$119.55
|
| Rate for Payer: PHP Medicare Advantage |
$119.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$185.08
|
| Rate for Payer: Priority Health Medicare |
$119.55
|
| Rate for Payer: Priority Health SBD |
$185.08
|
| Rate for Payer: Priority Health Tiered Network |
$185.08
|
| Rate for Payer: Railroad Medicare Medicare |
$119.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$221.25
|
| Rate for Payer: UHC Core |
$221.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$119.55
|
| Rate for Payer: UHC Exchange |
$221.25
|
| Rate for Payer: UHC Medicaid |
$77.75
|
| Rate for Payer: UHCCP Medicaid |
$77.75
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 45383
|
| Min. Negotiated Rate |
$623.20 |
| Max. Negotiated Rate |
$1,168.50 |
| Rate for Payer: Aetna Medicare |
$779.00
|
| Rate for Payer: BCBS Complete |
$623.20
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,012.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,168.50
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$623.20 |
| Max. Negotiated Rate |
$1,168.50 |
| Rate for Payer: Aetna Medicare |
$779.00
|
| Rate for Payer: BCBS Complete |
$623.20
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,012.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,168.50
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
OP
|
$1,558.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$623.20 |
| Max. Negotiated Rate |
$1,402.20 |
| Rate for Payer: Aetna Commercial |
$1,324.30
|
| Rate for Payer: Aetna Medicare |
$779.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,012.70
|
| Rate for Payer: BCBS Complete |
$623.20
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Advantage |
$1,090.60
|
| Rate for Payer: Cofinity Commercial |
$1,339.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Healthscope Commercial |
$1,402.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,246.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,324.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,168.50
|
| Rate for Payer: PHP Commercial |
$1,324.30
|
| Rate for Payer: Priority Health SBD |
$981.54
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
IP
|
$1,558.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$981.54 |
| Max. Negotiated Rate |
$1,402.20 |
| Rate for Payer: Aetna Commercial |
$1,324.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,012.70
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Advantage |
$1,090.60
|
| Rate for Payer: Cofinity Commercial |
$1,339.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,246.40
|
| Rate for Payer: Healthscope Commercial |
$1,402.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,324.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,168.50
|
| Rate for Payer: PHP Commercial |
$1,324.30
|
| Rate for Payer: Priority Health SBD |
$981.54
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,352.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$133.55 |
| Max. Negotiated Rate |
$1,014.00 |
| Rate for Payer: Aetna Commercial |
$277.98
|
| Rate for Payer: Aetna Medicare |
$215.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.73
|
| Rate for Payer: BCBS Complete |
$140.23
|
| Rate for Payer: BCBS MAPPO |
$207.45
|
| Rate for Payer: BCN Commercial |
$347.09
|
| Rate for Payer: BCN Medicare Advantage |
$207.45
|
| Rate for Payer: Cash Price |
$1,081.60
|
| Rate for Payer: Cash Price |
$1,081.60
|
| Rate for Payer: Cofinity Commercial |
$298.73
|
| Rate for Payer: Cofinity Commercial |
$277.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.45
|
| Rate for Payer: Healthscope Commercial |
$331.92
|
| Rate for Payer: Healthscope Commercial |
$383.78
|
| Rate for Payer: Mclaren Medicaid |
$133.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.82
|
| Rate for Payer: Meridian Medicaid |
$140.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$228.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$414.32
|
| Rate for Payer: Nomi Health Commercial |
$248.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,014.00
|
| Rate for Payer: PACE SWMI |
$207.45
|
| Rate for Payer: PHP Medicare Advantage |
$207.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$422.92
|
| Rate for Payer: Priority Health Medicare |
$207.45
|
| Rate for Payer: Priority Health SBD |
$422.92
|
| Rate for Payer: Priority Health Tiered Network |
$422.92
|
| Rate for Payer: Railroad Medicare Medicare |
$207.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$418.12
|
| Rate for Payer: UHC Core |
$418.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$207.45
|
| Rate for Payer: UHC Exchange |
$418.12
|
| Rate for Payer: UHC Medicaid |
$133.55
|
| Rate for Payer: UHCCP Medicaid |
$133.55
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$836.00
|
|
|
Service Code
|
HCPCS 45393
|
| Min. Negotiated Rate |
$139.30 |
| Max. Negotiated Rate |
$627.00 |
| Rate for Payer: Aetna Commercial |
$290.42
|
| Rate for Payer: Aetna Medicare |
$225.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.09
|
| Rate for Payer: BCBS Complete |
$146.26
|
| Rate for Payer: BCBS MAPPO |
$216.73
|
| Rate for Payer: BCN Commercial |
$369.50
|
| Rate for Payer: BCN Medicare Advantage |
$216.73
|
| Rate for Payer: Cash Price |
$668.80
|
| Rate for Payer: Cash Price |
$668.80
|
| Rate for Payer: Cofinity Commercial |
$312.09
|
| Rate for Payer: Cofinity Commercial |
$290.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.73
|
| Rate for Payer: Healthscope Commercial |
$400.95
|
| Rate for Payer: Healthscope Commercial |
$346.77
|
| Rate for Payer: Mclaren Medicaid |
$139.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.57
|
| Rate for Payer: Meridian Medicaid |
$146.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$238.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$441.43
|
| Rate for Payer: Nomi Health Commercial |
$260.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$627.00
|
| Rate for Payer: PACE SWMI |
$216.73
|
| Rate for Payer: PHP Medicare Advantage |
$216.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$450.21
|
| Rate for Payer: Priority Health Medicare |
$216.73
|
| Rate for Payer: Priority Health SBD |
$450.21
|
| Rate for Payer: Priority Health Tiered Network |
$450.21
|
| Rate for Payer: Railroad Medicare Medicare |
$216.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.07
|
| Rate for Payer: UHC Core |
$448.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$216.73
|
| Rate for Payer: UHC Exchange |
$448.07
|
| Rate for Payer: UHC Medicaid |
$139.30
|
| Rate for Payer: UHCCP Medicaid |
$139.30
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 45388
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$1,224.00 |
| Rate for Payer: Aetna Commercial |
$316.11
|
| Rate for Payer: Aetna Medicare |
$245.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$339.70
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$235.90
|
| Rate for Payer: BCN Commercial |
$397.89
|
| Rate for Payer: BCN Medicare Advantage |
$235.90
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$339.70
|
| Rate for Payer: Cofinity Commercial |
$316.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.90
|
| Rate for Payer: Healthscope Commercial |
$436.42
|
| Rate for Payer: Healthscope Commercial |
$377.44
|
| Rate for Payer: Mclaren Medicaid |
$152.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.69
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$259.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$474.70
|
| Rate for Payer: Nomi Health Commercial |
$283.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,224.00
|
| Rate for Payer: PACE SWMI |
$235.90
|
| Rate for Payer: PHP Medicare Advantage |
$235.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$484.80
|
| Rate for Payer: Priority Health Medicare |
$235.90
|
| Rate for Payer: Priority Health SBD |
$484.80
|
| Rate for Payer: Priority Health Tiered Network |
$484.80
|
| Rate for Payer: Railroad Medicare Medicare |
$235.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.11
|
| Rate for Payer: UHC Core |
$479.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$235.90
|
| Rate for Payer: UHC Exchange |
$479.11
|
| Rate for Payer: UHC Medicaid |
$152.08
|
| Rate for Payer: UHCCP Medicaid |
$152.08
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,053.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$484.62 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna Commercial |
$895.05
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$577.15
|
| Rate for Payer: BCN Commercial |
$577.15
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Advantage |
$737.10
|
| Rate for Payer: Cofinity Commercial |
$905.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$947.70
|
| Rate for Payer: Mclaren Medicaid |
$484.62
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.05
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.75
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$895.05
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$663.39
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: VA VA |
$926.61
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
IP
|
$1,053.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$663.39 |
| Max. Negotiated Rate |
$947.70 |
| Rate for Payer: Aetna Commercial |
$895.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.45
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Advantage |
$737.10
|
| Rate for Payer: Cofinity Commercial |
$905.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.40
|
| Rate for Payer: Healthscope Commercial |
$947.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.75
|
| Rate for Payer: PHP Commercial |
$895.05
|
| Rate for Payer: Priority Health SBD |
$663.39
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,053.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$789.75 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.06
|
| Rate for Payer: BCBS Complete |
$110.26
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Commercial |
$272.89
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Healthscope Commercial |
$300.70
|
| Rate for Payer: Healthscope Commercial |
$260.06
|
| Rate for Payer: Mclaren Medicaid |
$105.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$110.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.10
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.75
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$332.51
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health SBD |
$332.51
|
| Rate for Payer: Priority Health Tiered Network |
$332.51
|
| Rate for Payer: Railroad Medicare Medicare |
$162.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.96
|
| Rate for Payer: UHC Core |
$326.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.54
|
| Rate for Payer: UHC Exchange |
$326.96
|
| Rate for Payer: UHC Medicaid |
$105.01
|
| Rate for Payer: UHCCP Medicaid |
$105.01
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,053.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$789.75 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.06
|
| Rate for Payer: BCBS Complete |
$110.26
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Commercial |
$272.89
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Healthscope Commercial |
$300.70
|
| Rate for Payer: Healthscope Commercial |
$260.06
|
| Rate for Payer: Mclaren Medicaid |
$105.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$110.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.10
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.75
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$332.51
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health SBD |
$332.51
|
| Rate for Payer: Priority Health Tiered Network |
$332.51
|
| Rate for Payer: Railroad Medicare Medicare |
$162.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$326.96
|
| Rate for Payer: UHC Core |
$326.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.54
|
| Rate for Payer: UHC Exchange |
$326.96
|
| Rate for Payer: UHC Medicaid |
$105.01
|
| Rate for Payer: UHCCP Medicaid |
$105.01
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,053.00
|
|
|
Service Code
|
HCPCS 45390
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$789.75 |
| Rate for Payer: Aetna Commercial |
$384.33
|
| Rate for Payer: Aetna Medicare |
$298.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.01
|
| Rate for Payer: BCBS Complete |
$194.35
|
| Rate for Payer: BCBS MAPPO |
$286.81
|
| Rate for Payer: BCN Commercial |
$488.02
|
| Rate for Payer: BCN Medicare Advantage |
$286.81
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$413.01
|
| Rate for Payer: Cofinity Commercial |
$384.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.81
|
| Rate for Payer: Healthscope Commercial |
$530.60
|
| Rate for Payer: Healthscope Commercial |
$458.90
|
| Rate for Payer: Mclaren Medicaid |
$185.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$301.15
|
| Rate for Payer: Meridian Medicaid |
$194.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$315.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$581.17
|
| Rate for Payer: Nomi Health Commercial |
$344.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.75
|
| Rate for Payer: PACE SWMI |
$286.81
|
| Rate for Payer: PHP Medicare Advantage |
$286.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$594.63
|
| Rate for Payer: Priority Health Medicare |
$286.81
|
| Rate for Payer: Priority Health SBD |
$594.63
|
| Rate for Payer: Priority Health Tiered Network |
$594.63
|
| Rate for Payer: Railroad Medicare Medicare |
$286.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.59
|
| Rate for Payer: UHC Core |
$586.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$286.81
|
| Rate for Payer: UHC Exchange |
$586.59
|
| Rate for Payer: UHC Medicaid |
$185.10
|
| Rate for Payer: UHCCP Medicaid |
$185.10
|
|
|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$906.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$161.45 |
| Max. Negotiated Rate |
$679.50 |
| Rate for Payer: Aetna Commercial |
$335.25
|
| Rate for Payer: Aetna Medicare |
$260.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$335.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.27
|
| Rate for Payer: BCBS Complete |
$169.52
|
| Rate for Payer: BCBS MAPPO |
$250.19
|
| Rate for Payer: BCN Commercial |
$425.28
|
| Rate for Payer: BCN Medicare Advantage |
$250.19
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cofinity Commercial |
$360.27
|
| Rate for Payer: Cofinity Commercial |
$335.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.19
|
| Rate for Payer: Healthscope Commercial |
$462.85
|
| Rate for Payer: Healthscope Commercial |
$400.30
|
| Rate for Payer: Mclaren Medicaid |
$161.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$262.70
|
| Rate for Payer: Meridian Medicaid |
$169.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$507.87
|
| Rate for Payer: Nomi Health Commercial |
$300.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$679.50
|
| Rate for Payer: PACE SWMI |
$250.19
|
| Rate for Payer: PHP Medicare Advantage |
$250.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$518.17
|
| Rate for Payer: Priority Health Medicare |
$250.19
|
| Rate for Payer: Priority Health SBD |
$518.17
|
| Rate for Payer: Priority Health Tiered Network |
$518.17
|
| Rate for Payer: Railroad Medicare Medicare |
$250.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$512.06
|
| Rate for Payer: UHC Core |
$512.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.19
|
| Rate for Payer: UHC Exchange |
$512.06
|
| Rate for Payer: UHC Medicaid |
$161.45
|
| Rate for Payer: UHCCP Medicaid |
$161.45
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,228.00
|
|
|
Service Code
|
HCPCS 45379
|
| Hospital Charge Code |
45379
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$921.00 |
| Rate for Payer: Aetna Commercial |
$278.01
|
| Rate for Payer: Aetna Medicare |
$215.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.76
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS MAPPO |
$207.47
|
| Rate for Payer: BCN Commercial |
$351.07
|
| Rate for Payer: BCN Medicare Advantage |
$207.47
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$298.76
|
| Rate for Payer: Cofinity Commercial |
$278.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.47
|
| Rate for Payer: Healthscope Commercial |
$383.82
|
| Rate for Payer: Healthscope Commercial |
$331.95
|
| Rate for Payer: Mclaren Medicaid |
$133.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.84
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$228.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$417.55
|
| Rate for Payer: Nomi Health Commercial |
$248.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.00
|
| Rate for Payer: PACE SWMI |
$207.47
|
| Rate for Payer: PHP Medicare Advantage |
$207.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$427.76
|
| Rate for Payer: Priority Health Medicare |
$207.47
|
| Rate for Payer: Priority Health SBD |
$427.76
|
| Rate for Payer: Priority Health Tiered Network |
$427.76
|
| Rate for Payer: Railroad Medicare Medicare |
$207.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.58
|
| Rate for Payer: UHC Core |
$422.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$207.47
|
| Rate for Payer: UHC Exchange |
$422.58
|
| Rate for Payer: UHC Medicaid |
$133.98
|
| Rate for Payer: UHCCP Medicaid |
$133.98
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,228.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$623.59 |
| Max. Negotiated Rate |
$3,855.91 |
| Rate for Payer: Aetna Commercial |
$1,043.80
|
| Rate for Payer: Aetna Medicare |
$1,240.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$798.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,490.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,490.42
|
| Rate for Payer: BCBS Complete |
$654.83
|
| Rate for Payer: BCBS MAPPO |
$1,192.34
|
| Rate for Payer: BCBS Trust/PPO |
$633.48
|
| Rate for Payer: BCN Commercial |
$633.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.34
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Advantage |
$859.60
|
| Rate for Payer: Cofinity Commercial |
$1,056.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$1,105.20
|
| Rate for Payer: Mclaren Medicaid |
$623.59
|
| Rate for Payer: Mclaren Medicare |
$1,192.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,251.96
|
| Rate for Payer: Meridian Medicaid |
$1,251.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,371.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,311.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,043.80
|
| Rate for Payer: Nomi Health Commercial |
$3,577.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.00
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$1,043.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,192.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,855.91
|
| Rate for Payer: Priority Health Medicare |
$1,192.34
|
| Rate for Payer: Priority Health SBD |
$773.64
|
| Rate for Payer: Priority Health Tiered Network |
$3,084.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,192.34
|
| Rate for Payer: UHC Medicaid |
$623.59
|
| Rate for Payer: UHCCP Medicaid |
$623.59
|
| Rate for Payer: VA VA |
$1,192.34
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
IP
|
$1,228.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$773.64 |
| Max. Negotiated Rate |
$1,105.20 |
| Rate for Payer: Aetna Commercial |
$1,043.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$798.20
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Advantage |
$859.60
|
| Rate for Payer: Cofinity Commercial |
$1,056.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.40
|
| Rate for Payer: Healthscope Commercial |
$1,105.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,043.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.00
|
| Rate for Payer: PHP Commercial |
$1,043.80
|
| Rate for Payer: Priority Health SBD |
$773.64
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,228.00
|
|
|
Service Code
|
HCPCS 45379
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$921.00 |
| Rate for Payer: Aetna Commercial |
$278.01
|
| Rate for Payer: Aetna Medicare |
$215.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.76
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS MAPPO |
$207.47
|
| Rate for Payer: BCN Commercial |
$351.07
|
| Rate for Payer: BCN Medicare Advantage |
$207.47
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$298.76
|
| Rate for Payer: Cofinity Commercial |
$278.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.47
|
| Rate for Payer: Healthscope Commercial |
$383.82
|
| Rate for Payer: Healthscope Commercial |
$331.95
|
| Rate for Payer: Mclaren Medicaid |
$133.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.84
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$228.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$417.55
|
| Rate for Payer: Nomi Health Commercial |
$248.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$921.00
|
| Rate for Payer: PACE SWMI |
$207.47
|
| Rate for Payer: PHP Medicare Advantage |
$207.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$427.76
|
| Rate for Payer: Priority Health Medicare |
$207.47
|
| Rate for Payer: Priority Health SBD |
$427.76
|
| Rate for Payer: Priority Health Tiered Network |
$427.76
|
| Rate for Payer: Railroad Medicare Medicare |
$207.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.58
|
| Rate for Payer: UHC Core |
$422.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$207.47
|
| Rate for Payer: UHC Exchange |
$422.58
|
| Rate for Payer: UHC Medicaid |
$133.98
|
| Rate for Payer: UHCCP Medicaid |
$133.98
|
|
