|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$880.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$272.08 |
| Max. Negotiated Rate |
$572.00 |
| Rate for Payer: Aetna Commercial |
$364.59
|
| Rate for Payer: Aetna Medicare |
$282.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.59
|
| Rate for Payer: BCBS Complete |
$352.00
|
| Rate for Payer: BCBS MAPPO |
$272.08
|
| Rate for Payer: BCN Medicare Advantage |
$272.08
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cofinity Commercial |
$391.80
|
| Rate for Payer: Cofinity Commercial |
$364.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.08
|
| Rate for Payer: Healthscope Commercial |
$503.35
|
| Rate for Payer: Healthscope Commercial |
$435.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$572.00
|
| Rate for Payer: Nomi Health Commercial |
$326.50
|
| Rate for Payer: PACE SWMI |
$272.08
|
| Rate for Payer: PHP Medicare Advantage |
$272.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.00
|
| Rate for Payer: Priority Health Medicare |
$272.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.08
|
| Rate for Payer: UHC Medicare Advantage |
$272.08
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 45379
|
| Min. Negotiated Rate |
$224.48 |
| Max. Negotiated Rate |
$774.80 |
| Rate for Payer: Aetna Commercial |
$300.80
|
| Rate for Payer: Aetna Medicare |
$233.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$323.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.80
|
| Rate for Payer: BCBS Complete |
$476.80
|
| Rate for Payer: BCBS MAPPO |
$224.48
|
| Rate for Payer: BCN Medicare Advantage |
$224.48
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$323.25
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.48
|
| Rate for Payer: Healthscope Commercial |
$359.17
|
| Rate for Payer: Healthscope Commercial |
$415.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$774.80
|
| Rate for Payer: Nomi Health Commercial |
$269.38
|
| Rate for Payer: PACE SWMI |
$224.48
|
| Rate for Payer: PHP Medicare Advantage |
$224.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health Medicare |
$224.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.48
|
| Rate for Payer: UHC Medicare Advantage |
$224.48
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
IP
|
$1,192.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$750.96 |
| Max. Negotiated Rate |
$1,072.80 |
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.80
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| Rate for Payer: Cofinity Commercial |
$834.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$834.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.60
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,013.20
|
| Rate for Payer: PHP Commercial |
$1,013.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health SBD |
$750.96
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,192.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| Rate for Payer: Cofinity Commercial |
$834.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$834.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,013.20
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,013.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$750.96
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$647.41
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 45379
|
| Hospital Charge Code |
45379
|
| Min. Negotiated Rate |
$224.48 |
| Max. Negotiated Rate |
$774.80 |
| Rate for Payer: Aetna Commercial |
$300.80
|
| Rate for Payer: Aetna Medicare |
$233.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$323.25
|
| Rate for Payer: BCBS Complete |
$476.80
|
| Rate for Payer: BCBS MAPPO |
$224.48
|
| Rate for Payer: BCN Medicare Advantage |
$224.48
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$323.25
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.48
|
| Rate for Payer: Healthscope Commercial |
$359.17
|
| Rate for Payer: Healthscope Commercial |
$415.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$774.80
|
| Rate for Payer: Nomi Health Commercial |
$269.38
|
| Rate for Payer: PACE SWMI |
$224.48
|
| Rate for Payer: PHP Medicare Advantage |
$224.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health Medicare |
$224.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.48
|
| Rate for Payer: UHC Medicare Advantage |
$224.48
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,217.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$227.51 |
| Max. Negotiated Rate |
$791.05 |
| Rate for Payer: Aetna Commercial |
$304.86
|
| Rate for Payer: Aetna Medicare |
$236.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.86
|
| Rate for Payer: BCBS Complete |
$486.80
|
| Rate for Payer: BCBS MAPPO |
$227.51
|
| Rate for Payer: BCN Medicare Advantage |
$227.51
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cofinity Commercial |
$327.61
|
| Rate for Payer: Cofinity Commercial |
$304.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.51
|
| Rate for Payer: Healthscope Commercial |
$420.89
|
| Rate for Payer: Healthscope Commercial |
$364.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$791.05
|
| Rate for Payer: Nomi Health Commercial |
$273.01
|
| Rate for Payer: PACE SWMI |
$227.51
|
| Rate for Payer: PHP Medicare Advantage |
$227.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.05
|
| Rate for Payer: Priority Health Medicare |
$227.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.51
|
| Rate for Payer: UHC Medicare Advantage |
$227.51
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,604.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$216.56 |
| Max. Negotiated Rate |
$1,042.60 |
| Rate for Payer: Aetna Commercial |
$290.19
|
| Rate for Payer: Aetna Medicare |
$225.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.19
|
| Rate for Payer: BCBS Complete |
$641.60
|
| Rate for Payer: BCBS MAPPO |
$216.56
|
| Rate for Payer: BCN Medicare Advantage |
$216.56
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cofinity Commercial |
$311.85
|
| Rate for Payer: Cofinity Commercial |
$290.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.56
|
| Rate for Payer: Healthscope Commercial |
$346.50
|
| Rate for Payer: Healthscope Commercial |
$400.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,042.60
|
| Rate for Payer: Nomi Health Commercial |
$259.87
|
| Rate for Payer: PACE SWMI |
$216.56
|
| Rate for Payer: PHP Medicare Advantage |
$216.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,042.60
|
| Rate for Payer: Priority Health Medicare |
$216.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.56
|
| Rate for Payer: UHC Medicare Advantage |
$216.56
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$635.67 |
| Max. Negotiated Rate |
$908.10 |
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.85
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$706.30
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$706.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: PHP Commercial |
$857.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health SBD |
$635.67
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$148.41 |
| Max. Negotiated Rate |
$655.85 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.87
|
| Rate for Payer: BCBS Complete |
$403.60
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Healthscope Commercial |
$274.56
|
| Rate for Payer: Healthscope Commercial |
$237.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.85
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$148.41 |
| Max. Negotiated Rate |
$655.85 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.71
|
| Rate for Payer: BCBS Complete |
$403.60
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Healthscope Commercial |
$237.46
|
| Rate for Payer: Healthscope Commercial |
$274.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$655.85
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$476.60 |
| Max. Negotiated Rate |
$2,502.92 |
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna Medicare |
$924.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,111.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,111.46
|
| Rate for Payer: BCBS Complete |
$500.42
|
| Rate for Payer: BCBS MAPPO |
$889.17
|
| Rate for Payer: BCN Medicare Advantage |
$889.17
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$706.30
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$706.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$889.17
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Mclaren Medicaid |
$476.60
|
| Rate for Payer: Mclaren Medicare |
$889.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.63
|
| Rate for Payer: Meridian Medicaid |
$500.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,022.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: PACE Medicare |
$844.71
|
| Rate for Payer: PACE SWMI |
$889.17
|
| Rate for Payer: PHP Commercial |
$857.65
|
| Rate for Payer: PHP Medicare Advantage |
$889.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$889.17
|
| Rate for Payer: Priority Health SBD |
$635.67
|
| Rate for Payer: Railroad Medicare Medicare |
$889.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,502.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$889.17
|
| Rate for Payer: UHC Medicare Advantage |
$889.17
|
| Rate for Payer: UHCCP Medicaid |
$500.60
|
| Rate for Payer: VA VA |
$889.17
|
|
|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$190.29 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$254.99
|
| Rate for Payer: Aetna Medicare |
$197.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.99
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$190.29
|
| Rate for Payer: BCN Medicare Advantage |
$190.29
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$274.02
|
| Rate for Payer: Cofinity Commercial |
$254.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.29
|
| Rate for Payer: Healthscope Commercial |
$304.46
|
| Rate for Payer: Healthscope Commercial |
$352.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$891.15
|
| Rate for Payer: Nomi Health Commercial |
$228.35
|
| Rate for Payer: PACE SWMI |
$190.29
|
| Rate for Payer: PHP Medicare Advantage |
$190.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$190.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.29
|
| Rate for Payer: UHC Medicare Advantage |
$190.29
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$172.61 |
| Max. Negotiated Rate |
$683.15 |
| Rate for Payer: Aetna Commercial |
$231.30
|
| Rate for Payer: Aetna Medicare |
$179.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.30
|
| Rate for Payer: BCBS Complete |
$420.40
|
| Rate for Payer: BCBS MAPPO |
$172.61
|
| Rate for Payer: BCN Medicare Advantage |
$172.61
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cofinity Commercial |
$248.56
|
| Rate for Payer: Cofinity Commercial |
$231.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.61
|
| Rate for Payer: Healthscope Commercial |
$319.33
|
| Rate for Payer: Healthscope Commercial |
$276.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$683.15
|
| Rate for Payer: Nomi Health Commercial |
$207.13
|
| Rate for Payer: PACE SWMI |
$172.61
|
| Rate for Payer: PHP Medicare Advantage |
$172.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health Medicare |
$172.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.61
|
| Rate for Payer: UHC Medicare Advantage |
$172.61
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Cofinity Commercial |
$819.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$819.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$994.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$737.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$647.41
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$162.54 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.80
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$760.50
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$737.10 |
| Max. Negotiated Rate |
$1,053.00 |
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.50
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Cofinity Commercial |
$819.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$819.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: PHP Commercial |
$994.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health SBD |
$737.10
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$162.54 |
| Max. Negotiated Rate |
$760.50 |
| 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 |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$760.50
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$285.29 |
| Max. Negotiated Rate |
$682.50 |
| Rate for Payer: Aetna Commercial |
$382.29
|
| Rate for Payer: Aetna Medicare |
$296.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.29
|
| Rate for Payer: BCBS Complete |
$420.00
|
| Rate for Payer: BCBS MAPPO |
$285.29
|
| Rate for Payer: BCN Medicare Advantage |
$285.29
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cofinity Commercial |
$410.82
|
| Rate for Payer: Cofinity Commercial |
$382.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.29
|
| Rate for Payer: Healthscope Commercial |
$527.79
|
| Rate for Payer: Healthscope Commercial |
$456.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$682.50
|
| Rate for Payer: Nomi Health Commercial |
$342.35
|
| Rate for Payer: PACE SWMI |
$285.29
|
| Rate for Payer: PHP Medicare Advantage |
$285.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health Medicare |
$285.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.29
|
| Rate for Payer: UHC Medicare Advantage |
$285.29
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$220.80 |
| Max. Negotiated Rate |
$453.97 |
| Rate for Payer: Aetna Commercial |
$328.82
|
| Rate for Payer: Aetna Medicare |
$255.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$328.82
|
| Rate for Payer: BCBS Complete |
$220.80
|
| Rate for Payer: BCBS MAPPO |
$245.39
|
| Rate for Payer: BCN Medicare Advantage |
$245.39
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cofinity Commercial |
$353.36
|
| Rate for Payer: Cofinity Commercial |
$328.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.39
|
| Rate for Payer: Healthscope Commercial |
$392.62
|
| Rate for Payer: Healthscope Commercial |
$453.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$358.80
|
| Rate for Payer: Nomi Health Commercial |
$294.47
|
| Rate for Payer: PACE SWMI |
$245.39
|
| Rate for Payer: PHP Medicare Advantage |
$245.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$358.80
|
| Rate for Payer: Priority Health Medicare |
$245.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.39
|
| Rate for Payer: UHC Medicare Advantage |
$245.39
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$198.63 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$266.16
|
| Rate for Payer: Aetna Medicare |
$206.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.16
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$198.63
|
| Rate for Payer: BCN Medicare Advantage |
$198.63
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$286.03
|
| Rate for Payer: Cofinity Commercial |
$266.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.63
|
| Rate for Payer: Healthscope Commercial |
$367.47
|
| Rate for Payer: Healthscope Commercial |
$317.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$760.50
|
| Rate for Payer: Nomi Health Commercial |
$238.36
|
| Rate for Payer: PACE SWMI |
$198.63
|
| Rate for Payer: PHP Medicare Advantage |
$198.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$198.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.63
|
| Rate for Payer: UHC Medicare Advantage |
$198.63
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$212.73 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.06
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Healthscope Commercial |
$340.37
|
| Rate for Payer: Healthscope Commercial |
$393.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$891.15
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$616.36 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$863.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$647.41
|
| Rate for Payer: VA VA |
$1,149.93
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$212.73 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.33
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Healthscope Commercial |
$340.37
|
| Rate for Payer: Healthscope Commercial |
$393.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$891.15
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$863.73 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health SBD |
$863.73
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$891.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
|
