|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,254.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$135.89 |
| Max. Negotiated Rate |
$940.50 |
| Rate for Payer: Aetna Commercial |
$281.72
|
| Rate for Payer: Aetna Medicare |
$218.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$281.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$302.75
|
| Rate for Payer: BCBS Complete |
$142.68
|
| Rate for Payer: BCBS MAPPO |
$210.24
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: BCN Medicare Advantage |
$210.24
|
| Rate for Payer: Cash Price |
$1,003.20
|
| Rate for Payer: Cash Price |
$1,003.20
|
| Rate for Payer: Cofinity Commercial |
$302.75
|
| Rate for Payer: Cofinity Commercial |
$281.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.24
|
| Rate for Payer: Healthscope Commercial |
$388.94
|
| Rate for Payer: Healthscope Commercial |
$336.38
|
| Rate for Payer: Mclaren Medicaid |
$135.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$220.75
|
| Rate for Payer: Meridian Medicaid |
$142.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$231.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$423.79
|
| Rate for Payer: Nomi Health Commercial |
$252.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$940.50
|
| Rate for Payer: PACE SWMI |
$210.24
|
| Rate for Payer: PHP Medicare Advantage |
$210.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$433.84
|
| Rate for Payer: Priority Health Medicare |
$210.24
|
| Rate for Payer: Priority Health SBD |
$433.84
|
| Rate for Payer: Priority Health Tiered Network |
$433.84
|
| Rate for Payer: Railroad Medicare Medicare |
$210.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$427.85
|
| Rate for Payer: UHC Core |
$427.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$210.24
|
| Rate for Payer: UHC Exchange |
$427.85
|
| Rate for Payer: UHC Medicaid |
$135.89
|
| Rate for Payer: UHCCP Medicaid |
$135.89
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,652.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$1,239.00 |
| Rate for Payer: Aetna Commercial |
$268.64
|
| Rate for Payer: Aetna Medicare |
$208.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.69
|
| Rate for Payer: BCBS Complete |
$135.97
|
| Rate for Payer: BCBS MAPPO |
$200.48
|
| Rate for Payer: BCN Commercial |
$338.63
|
| Rate for Payer: BCN Medicare Advantage |
$200.48
|
| Rate for Payer: Cash Price |
$1,321.60
|
| Rate for Payer: Cash Price |
$1,321.60
|
| Rate for Payer: Cofinity Commercial |
$288.69
|
| Rate for Payer: Cofinity Commercial |
$268.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.48
|
| Rate for Payer: Healthscope Commercial |
$370.89
|
| Rate for Payer: Healthscope Commercial |
$320.77
|
| Rate for Payer: Mclaren Medicaid |
$129.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.50
|
| Rate for Payer: Meridian Medicaid |
$135.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$220.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$403.70
|
| Rate for Payer: Nomi Health Commercial |
$240.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,239.00
|
| Rate for Payer: PACE SWMI |
$200.48
|
| Rate for Payer: PHP Medicare Advantage |
$200.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$412.60
|
| Rate for Payer: Priority Health Medicare |
$200.48
|
| Rate for Payer: Priority Health SBD |
$412.60
|
| Rate for Payer: Priority Health Tiered Network |
$412.60
|
| Rate for Payer: Railroad Medicare Medicare |
$200.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$406.52
|
| Rate for Payer: UHC Core |
$406.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$200.48
|
| Rate for Payer: UHC Exchange |
$406.52
|
| Rate for Payer: UHC Medicaid |
$129.50
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,039.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$779.25 |
| Rate for Payer: Aetna Commercial |
$186.73
|
| Rate for Payer: Aetna Medicare |
$144.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.66
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCBS MAPPO |
$139.35
|
| Rate for Payer: BCN Commercial |
$231.56
|
| Rate for Payer: BCN Medicare Advantage |
$139.35
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cofinity Commercial |
$200.66
|
| Rate for Payer: Cofinity Commercial |
$186.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.35
|
| Rate for Payer: Healthscope Commercial |
$257.80
|
| Rate for Payer: Healthscope Commercial |
$222.96
|
| Rate for Payer: Mclaren Medicaid |
$89.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$146.32
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$153.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$274.50
|
| Rate for Payer: Nomi Health Commercial |
$167.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$779.25
|
| Rate for Payer: PACE SWMI |
$139.35
|
| Rate for Payer: PHP Medicare Advantage |
$139.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$282.14
|
| Rate for Payer: Priority Health Medicare |
$139.35
|
| Rate for Payer: Priority Health SBD |
$282.14
|
| Rate for Payer: Priority Health Tiered Network |
$282.14
|
| Rate for Payer: Railroad Medicare Medicare |
$139.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.35
|
| Rate for Payer: UHC Core |
$276.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$139.35
|
| Rate for Payer: UHC Exchange |
$276.35
|
| Rate for Payer: UHC Medicaid |
$89.89
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
|
|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,412.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$114.59 |
| Max. Negotiated Rate |
$1,059.00 |
| Rate for Payer: Aetna Commercial |
$238.95
|
| Rate for Payer: Aetna Medicare |
$185.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.78
|
| Rate for Payer: BCBS Complete |
$120.32
|
| Rate for Payer: BCBS MAPPO |
$178.32
|
| Rate for Payer: BCN Commercial |
$295.80
|
| Rate for Payer: BCN Medicare Advantage |
$178.32
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cofinity Commercial |
$256.78
|
| Rate for Payer: Cofinity Commercial |
$238.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.32
|
| Rate for Payer: Healthscope Commercial |
$329.89
|
| Rate for Payer: Healthscope Commercial |
$285.31
|
| Rate for Payer: Mclaren Medicaid |
$114.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$187.24
|
| Rate for Payer: Meridian Medicaid |
$120.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$196.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$350.98
|
| Rate for Payer: Nomi Health Commercial |
$213.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
| Rate for Payer: PACE SWMI |
$178.32
|
| Rate for Payer: PHP Medicare Advantage |
$178.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$360.42
|
| Rate for Payer: Priority Health Medicare |
$178.32
|
| Rate for Payer: Priority Health SBD |
$360.42
|
| Rate for Payer: Priority Health Tiered Network |
$360.42
|
| Rate for Payer: Railroad Medicare Medicare |
$178.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.74
|
| Rate for Payer: UHC Core |
$353.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$178.32
|
| Rate for Payer: UHC Exchange |
$353.74
|
| Rate for Payer: UHC Medicaid |
$114.59
|
| Rate for Payer: UHCCP Medicaid |
$114.59
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,083.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$103.73 |
| Max. Negotiated Rate |
$812.25 |
| Rate for Payer: Aetna Commercial |
$214.75
|
| Rate for Payer: Aetna Medicare |
$166.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$230.77
|
| Rate for Payer: BCBS Complete |
$108.92
|
| Rate for Payer: BCBS MAPPO |
$160.26
|
| Rate for Payer: BCN Commercial |
$270.40
|
| Rate for Payer: BCN Medicare Advantage |
$160.26
|
| Rate for Payer: Cash Price |
$866.40
|
| Rate for Payer: Cash Price |
$866.40
|
| Rate for Payer: Cofinity Commercial |
$230.77
|
| Rate for Payer: Cofinity Commercial |
$214.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$160.26
|
| Rate for Payer: Healthscope Commercial |
$296.48
|
| Rate for Payer: Healthscope Commercial |
$256.42
|
| Rate for Payer: Mclaren Medicaid |
$103.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$168.27
|
| Rate for Payer: Meridian Medicaid |
$108.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$176.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$319.66
|
| Rate for Payer: Nomi Health Commercial |
$192.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$812.25
|
| Rate for Payer: PACE SWMI |
$160.26
|
| Rate for Payer: PHP Medicare Advantage |
$160.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$329.47
|
| Rate for Payer: Priority Health Medicare |
$160.26
|
| Rate for Payer: Priority Health SBD |
$329.47
|
| Rate for Payer: Priority Health Tiered Network |
$329.47
|
| Rate for Payer: Railroad Medicare Medicare |
$160.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.47
|
| Rate for Payer: UHC Core |
$322.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$160.26
|
| Rate for Payer: UHC Exchange |
$322.47
|
| Rate for Payer: UHC Medicaid |
$103.73
|
| Rate for Payer: UHCCP Medicaid |
$103.73
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,205.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$97.98 |
| Max. Negotiated Rate |
$903.75 |
| Rate for Payer: Aetna Commercial |
$203.29
|
| Rate for Payer: Aetna Medicare |
$157.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$218.46
|
| Rate for Payer: BCBS Complete |
$102.88
|
| Rate for Payer: BCBS MAPPO |
$151.71
|
| Rate for Payer: BCN Commercial |
$253.97
|
| Rate for Payer: BCN Medicare Advantage |
$151.71
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cofinity Commercial |
$218.46
|
| Rate for Payer: Cofinity Commercial |
$203.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.71
|
| Rate for Payer: Healthscope Commercial |
$280.66
|
| Rate for Payer: Healthscope Commercial |
$242.74
|
| Rate for Payer: Mclaren Medicaid |
$97.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.30
|
| Rate for Payer: Meridian Medicaid |
$102.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$166.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$301.14
|
| Rate for Payer: Nomi Health Commercial |
$182.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$903.75
|
| Rate for Payer: PACE SWMI |
$151.71
|
| Rate for Payer: PHP Medicare Advantage |
$151.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$309.45
|
| Rate for Payer: Priority Health Medicare |
$151.71
|
| Rate for Payer: Priority Health SBD |
$309.45
|
| Rate for Payer: Priority Health Tiered Network |
$309.45
|
| Rate for Payer: Railroad Medicare Medicare |
$151.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.75
|
| Rate for Payer: UHC Core |
$303.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$151.71
|
| Rate for Payer: UHC Exchange |
$303.75
|
| Rate for Payer: UHC Medicaid |
$97.98
|
| Rate for Payer: UHCCP Medicaid |
$97.98
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,082.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$169.55 |
| Max. Negotiated Rate |
$811.50 |
| Rate for Payer: Aetna Commercial |
$351.84
|
| Rate for Payer: Aetna Medicare |
$273.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$351.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$378.10
|
| Rate for Payer: BCBS Complete |
$178.03
|
| Rate for Payer: BCBS MAPPO |
$262.57
|
| Rate for Payer: BCN Commercial |
$446.19
|
| Rate for Payer: BCN Medicare Advantage |
$262.57
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cofinity Commercial |
$378.10
|
| Rate for Payer: Cofinity Commercial |
$351.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$262.57
|
| Rate for Payer: Healthscope Commercial |
$485.75
|
| Rate for Payer: Healthscope Commercial |
$420.11
|
| Rate for Payer: Mclaren Medicaid |
$169.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$275.70
|
| Rate for Payer: Meridian Medicaid |
$178.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$288.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$532.06
|
| Rate for Payer: Nomi Health Commercial |
$315.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$811.50
|
| Rate for Payer: PACE SWMI |
$262.57
|
| Rate for Payer: PHP Medicare Advantage |
$262.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$543.65
|
| Rate for Payer: Priority Health Medicare |
$262.57
|
| Rate for Payer: Priority Health SBD |
$543.65
|
| Rate for Payer: Priority Health Tiered Network |
$543.65
|
| Rate for Payer: Railroad Medicare Medicare |
$262.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$536.32
|
| Rate for Payer: UHC Core |
$536.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$262.57
|
| Rate for Payer: UHC Exchange |
$536.32
|
| Rate for Payer: UHC Medicaid |
$169.55
|
| Rate for Payer: UHCCP Medicaid |
$169.55
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$569.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$146.12 |
| Max. Negotiated Rate |
$467.81 |
| Rate for Payer: Aetna Commercial |
$302.99
|
| Rate for Payer: Aetna Medicare |
$235.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$302.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$325.60
|
| Rate for Payer: BCBS Complete |
$153.43
|
| Rate for Payer: BCBS MAPPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$383.94
|
| Rate for Payer: BCN Medicare Advantage |
$226.11
|
| Rate for Payer: Cash Price |
$455.20
|
| Rate for Payer: Cash Price |
$455.20
|
| Rate for Payer: Cofinity Commercial |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$302.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.11
|
| Rate for Payer: Healthscope Commercial |
$418.30
|
| Rate for Payer: Healthscope Commercial |
$361.78
|
| Rate for Payer: Mclaren Medicaid |
$146.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$237.42
|
| Rate for Payer: Meridian Medicaid |
$153.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$248.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$457.25
|
| Rate for Payer: Nomi Health Commercial |
$271.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$426.75
|
| Rate for Payer: PACE SWMI |
$226.11
|
| Rate for Payer: PHP Medicare Advantage |
$226.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$467.81
|
| Rate for Payer: Priority Health Medicare |
$226.11
|
| Rate for Payer: Priority Health SBD |
$467.81
|
| Rate for Payer: Priority Health Tiered Network |
$467.81
|
| Rate for Payer: Railroad Medicare Medicare |
$226.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$462.16
|
| Rate for Payer: UHC Core |
$462.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$226.11
|
| Rate for Payer: UHC Exchange |
$462.16
|
| Rate for Payer: UHC Medicaid |
$146.12
|
| Rate for Payer: UHCCP Medicaid |
$146.12
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,205.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$903.75 |
| Rate for Payer: Aetna Commercial |
$245.38
|
| Rate for Payer: Aetna Medicare |
$190.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.69
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$183.12
|
| Rate for Payer: BCN Commercial |
$310.74
|
| Rate for Payer: BCN Medicare Advantage |
$183.12
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cash Price |
$964.00
|
| Rate for Payer: Cofinity Commercial |
$263.69
|
| Rate for Payer: Cofinity Commercial |
$245.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.12
|
| Rate for Payer: Healthscope Commercial |
$338.77
|
| Rate for Payer: Healthscope Commercial |
$292.99
|
| Rate for Payer: Mclaren Medicaid |
$118.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.28
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$201.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$367.60
|
| Rate for Payer: Nomi Health Commercial |
$219.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$903.75
|
| Rate for Payer: PACE SWMI |
$183.12
|
| Rate for Payer: PHP Medicare Advantage |
$183.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$378.61
|
| Rate for Payer: Priority Health Medicare |
$183.12
|
| Rate for Payer: Priority Health SBD |
$378.61
|
| Rate for Payer: Priority Health Tiered Network |
$378.61
|
| Rate for Payer: Railroad Medicare Medicare |
$183.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.85
|
| Rate for Payer: UHC Core |
$370.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$183.12
|
| Rate for Payer: UHC Exchange |
$370.85
|
| Rate for Payer: UHC Medicaid |
$118.43
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,412.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$1,059.00 |
| Rate for Payer: Aetna Commercial |
$264.60
|
| Rate for Payer: Aetna Medicare |
$205.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.34
|
| Rate for Payer: BCBS Complete |
$133.74
|
| Rate for Payer: BCBS MAPPO |
$197.46
|
| Rate for Payer: BCN Commercial |
$332.15
|
| Rate for Payer: BCN Medicare Advantage |
$197.46
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cofinity Commercial |
$284.34
|
| Rate for Payer: Cofinity Commercial |
$264.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.46
|
| Rate for Payer: Healthscope Commercial |
$365.30
|
| Rate for Payer: Healthscope Commercial |
$315.94
|
| Rate for Payer: Mclaren Medicaid |
$127.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.33
|
| Rate for Payer: Meridian Medicaid |
$133.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$395.17
|
| Rate for Payer: Nomi Health Commercial |
$236.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
| Rate for Payer: PACE SWMI |
$197.46
|
| Rate for Payer: PHP Medicare Advantage |
$197.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$404.71
|
| Rate for Payer: Priority Health Medicare |
$197.46
|
| Rate for Payer: Priority Health SBD |
$404.71
|
| Rate for Payer: Priority Health Tiered Network |
$404.71
|
| Rate for Payer: Railroad Medicare Medicare |
$197.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.83
|
| Rate for Payer: UHC Core |
$398.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.46
|
| Rate for Payer: UHC Exchange |
$398.83
|
| Rate for Payer: UHC Medicaid |
$127.37
|
| Rate for Payer: UHCCP Medicaid |
$127.37
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,412.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$623.59 |
| Max. Negotiated Rate |
$3,855.91 |
| Rate for Payer: Aetna Commercial |
$1,200.20
|
| Rate for Payer: Aetna Medicare |
$1,240.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$917.80
|
| 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 |
$1,129.60
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cofinity Advantage |
$988.40
|
| Rate for Payer: Cofinity Commercial |
$1,214.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,129.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$1,270.80
|
| 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 |
$1,200.20
|
| Rate for Payer: Nomi Health Commercial |
$3,577.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$1,200.20
|
| 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 |
$889.56
|
| 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 STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,412.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$1,059.00 |
| Rate for Payer: Aetna Commercial |
$264.60
|
| Rate for Payer: Aetna Medicare |
$205.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.34
|
| Rate for Payer: BCBS Complete |
$133.74
|
| Rate for Payer: BCBS MAPPO |
$197.46
|
| Rate for Payer: BCN Commercial |
$332.15
|
| Rate for Payer: BCN Medicare Advantage |
$197.46
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cofinity Commercial |
$284.34
|
| Rate for Payer: Cofinity Commercial |
$264.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.46
|
| Rate for Payer: Healthscope Commercial |
$365.30
|
| Rate for Payer: Healthscope Commercial |
$315.94
|
| Rate for Payer: Mclaren Medicaid |
$127.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.33
|
| Rate for Payer: Meridian Medicaid |
$133.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$217.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$395.17
|
| Rate for Payer: Nomi Health Commercial |
$236.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
| Rate for Payer: PACE SWMI |
$197.46
|
| Rate for Payer: PHP Medicare Advantage |
$197.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$404.71
|
| Rate for Payer: Priority Health Medicare |
$197.46
|
| Rate for Payer: Priority Health SBD |
$404.71
|
| Rate for Payer: Priority Health Tiered Network |
$404.71
|
| Rate for Payer: Railroad Medicare Medicare |
$197.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.83
|
| Rate for Payer: UHC Core |
$398.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$197.46
|
| Rate for Payer: UHC Exchange |
$398.83
|
| Rate for Payer: UHC Medicaid |
$127.37
|
| Rate for Payer: UHCCP Medicaid |
$127.37
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,412.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$889.56 |
| Max. Negotiated Rate |
$1,270.80 |
| Rate for Payer: Aetna Commercial |
$1,200.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$917.80
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Cofinity Advantage |
$988.40
|
| Rate for Payer: Cofinity Commercial |
$1,214.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,129.60
|
| Rate for Payer: Healthscope Commercial |
$1,270.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,200.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
| Rate for Payer: PHP Commercial |
$1,200.20
|
| Rate for Payer: Priority Health SBD |
$889.56
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,412.00
|
|
|
Service Code
|
HCPCS 44393
|
| Min. Negotiated Rate |
$564.80 |
| Max. Negotiated Rate |
$1,059.00 |
| Rate for Payer: Aetna Medicare |
$706.00
|
| Rate for Payer: BCBS Complete |
$564.80
|
| Rate for Payer: Cash Price |
$1,129.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$917.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,059.00
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,650.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$660.00 |
| Max. Negotiated Rate |
$1,237.50 |
| Rate for Payer: Aetna Medicare |
$825.00
|
| Rate for Payer: BCBS Complete |
$660.00
|
| Rate for Payer: Cash Price |
$1,320.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,072.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,237.50
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,159.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$623.59 |
| Max. Negotiated Rate |
$3,855.91 |
| Rate for Payer: Aetna Commercial |
$985.15
|
| Rate for Payer: Aetna Medicare |
$1,240.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.35
|
| 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 |
$633.22
|
| Rate for Payer: BCN Commercial |
$633.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,192.34
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Advantage |
$811.30
|
| Rate for Payer: Cofinity Commercial |
$996.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,192.34
|
| Rate for Payer: Healthscope Commercial |
$1,043.10
|
| 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 |
$985.15
|
| Rate for Payer: Nomi Health Commercial |
$3,577.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$869.25
|
| Rate for Payer: PACE Medicare |
$1,132.72
|
| Rate for Payer: PACE SWMI |
$1,192.34
|
| Rate for Payer: PHP Commercial |
$985.15
|
| 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 |
$730.17
|
| 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 W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,159.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$730.17 |
| Max. Negotiated Rate |
$1,043.10 |
| Rate for Payer: Aetna Commercial |
$985.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$753.35
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Advantage |
$811.30
|
| Rate for Payer: Cofinity Commercial |
$996.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$927.20
|
| Rate for Payer: Healthscope Commercial |
$1,043.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$985.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$869.25
|
| Rate for Payer: PHP Commercial |
$985.15
|
| Rate for Payer: Priority Health SBD |
$730.17
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
45380
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$869.25 |
| Rate for Payer: Aetna Commercial |
$234.97
|
| Rate for Payer: Aetna Medicare |
$182.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.50
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$175.35
|
| Rate for Payer: BCN Commercial |
$296.80
|
| Rate for Payer: BCN Medicare Advantage |
$175.35
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$252.50
|
| Rate for Payer: Cofinity Commercial |
$234.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.35
|
| Rate for Payer: Healthscope Commercial |
$324.40
|
| Rate for Payer: Healthscope Commercial |
$280.56
|
| Rate for Payer: Mclaren Medicaid |
$113.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$184.12
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$351.05
|
| Rate for Payer: Nomi Health Commercial |
$210.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$869.25
|
| Rate for Payer: PACE SWMI |
$175.35
|
| Rate for Payer: PHP Medicare Advantage |
$175.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$361.64
|
| Rate for Payer: Priority Health Medicare |
$175.35
|
| Rate for Payer: Priority Health SBD |
$361.64
|
| Rate for Payer: Priority Health Tiered Network |
$361.64
|
| Rate for Payer: Railroad Medicare Medicare |
$175.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.85
|
| Rate for Payer: UHC Core |
$353.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$175.35
|
| Rate for Payer: UHC Exchange |
$353.85
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,159.00
|
|
|
Service Code
|
HCPCS 45380
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$869.25 |
| Rate for Payer: Aetna Commercial |
$234.97
|
| Rate for Payer: Aetna Medicare |
$182.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.50
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$175.35
|
| Rate for Payer: BCN Commercial |
$296.80
|
| Rate for Payer: BCN Medicare Advantage |
$175.35
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cash Price |
$927.20
|
| Rate for Payer: Cofinity Commercial |
$252.50
|
| Rate for Payer: Cofinity Commercial |
$234.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.35
|
| Rate for Payer: Healthscope Commercial |
$324.40
|
| Rate for Payer: Healthscope Commercial |
$280.56
|
| Rate for Payer: Mclaren Medicaid |
$113.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$184.12
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$351.05
|
| Rate for Payer: Nomi Health Commercial |
$210.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$869.25
|
| Rate for Payer: PACE SWMI |
$175.35
|
| Rate for Payer: PHP Medicare Advantage |
$175.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$361.64
|
| Rate for Payer: Priority Health Medicare |
$175.35
|
| Rate for Payer: Priority Health SBD |
$361.64
|
| Rate for Payer: Priority Health Tiered Network |
$361.64
|
| Rate for Payer: Railroad Medicare Medicare |
$175.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.85
|
| Rate for Payer: UHC Core |
$353.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$175.35
|
| Rate for Payer: UHC Exchange |
$353.85
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR COLONOSCOPY W/STENT
|
Professional
|
Both
|
$1,650.00
|
|
|
Service Code
|
HCPCS G6025
|
| Min. Negotiated Rate |
$660.00 |
| Max. Negotiated Rate |
$1,237.50 |
| Rate for Payer: Aetna Medicare |
$825.00
|
| Rate for Payer: BCBS Complete |
$660.00
|
| Rate for Payer: Cash Price |
$1,320.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,072.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,237.50
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0105
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$915.75 |
| 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 |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| 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 |
$260.06
|
| Rate for Payer: Healthscope Commercial |
$300.70
|
| 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 |
$269.25
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| 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) |
$326.34
|
| Rate for Payer: UHC Core |
$326.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.54
|
| Rate for Payer: UHC Exchange |
$326.34
|
| Rate for Payer: UHC Medicaid |
$105.01
|
| Rate for Payer: UHCCP Medicaid |
$105.01
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
IP
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
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 COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$915.75 |
| 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 |
$976.80
|
| Rate for Payer: Cash Price |
$976.80
|
| 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 |
$269.25
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$915.75
|
| 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) |
$326.34
|
| Rate for Payer: UHC Core |
$326.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.54
|
| Rate for Payer: UHC Exchange |
$326.34
|
| Rate for Payer: UHC Medicaid |
$105.01
|
| Rate for Payer: UHCCP Medicaid |
$105.01
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
OP
|
$1,221.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
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 COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 92283
|
| Min. Negotiated Rate |
$50.96 |
| Max. Negotiated Rate |
$94.28 |
| Rate for Payer: Aetna Commercial |
$68.29
|
| Rate for Payer: Aetna Medicare |
$53.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.29
|
| Rate for Payer: BCBS MAPPO |
$50.96
|
| Rate for Payer: BCN Commercial |
$81.17
|
| Rate for Payer: BCN Medicare Advantage |
$50.96
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cofinity Commercial |
$73.38
|
| Rate for Payer: Cofinity Commercial |
$68.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.96
|
| Rate for Payer: Healthscope Commercial |
$81.54
|
| Rate for Payer: Healthscope Commercial |
$94.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.50
|
| Rate for Payer: Nomi Health Commercial |
$61.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.25
|
| Rate for Payer: PACE SWMI |
$50.96
|
| Rate for Payer: PHP Medicare Advantage |
$50.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.45
|
| Rate for Payer: Priority Health Medicare |
$50.96
|
| Rate for Payer: Priority Health SBD |
$69.45
|
| Rate for Payer: Priority Health Tiered Network |
$69.45
|
| Rate for Payer: Railroad Medicare Medicare |
$50.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.00
|
| Rate for Payer: UHC Core |
$63.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50.96
|
| Rate for Payer: UHC Exchange |
$63.00
|
|
