|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$983.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
IP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$827.19 |
| Max. Negotiated Rate |
$1,181.70 |
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.45
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Cofinity Commercial |
$919.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$919.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health SBD |
$827.19
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$41,432.00 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.86
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Healthscope Commercial |
$356.51
|
| Rate for Payer: Healthscope Commercial |
$412.22
|
| Rate for Payer: Mclaren Medicaid |
$148.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41,432.00
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$222.82
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: Priority Health SBD |
$414.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$41,432.00 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.86
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Healthscope Commercial |
$356.51
|
| Rate for Payer: Healthscope Commercial |
$412.22
|
| Rate for Payer: Mclaren Medicaid |
$148.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41,432.00
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$222.82
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: Priority Health SBD |
$414.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
OP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$247.46 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$494.36
|
| Rate for Payer: BCN Commercial |
$494.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$919.10
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$919.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$827.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.46
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$650.40
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
OP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$263.90 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$494.57
|
| Rate for Payer: BCN Commercial |
$494.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$698.32
|
| Rate for Payer: Cofinity Commercial |
$568.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$568.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$649.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$730.80
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$690.20
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$690.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$511.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.90
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$650.40
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$44,143.00 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.58
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Healthscope Commercial |
$379.54
|
| Rate for Payer: Healthscope Commercial |
$438.84
|
| Rate for Payer: Mclaren Medicaid |
$158.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44,143.00
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$237.21
|
| Rate for Payer: Priority Health Narrow Network |
$442.08
|
| Rate for Payer: Priority Health SBD |
$442.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
IP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$511.56 |
| Max. Negotiated Rate |
$730.80 |
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.80
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$568.40
|
| Rate for Payer: Cofinity Commercial |
$698.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$568.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$649.60
|
| Rate for Payer: Healthscope Commercial |
$730.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$690.20
|
| Rate for Payer: PHP Commercial |
$690.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health SBD |
$511.56
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$44,143.00 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.58
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Healthscope Commercial |
$379.54
|
| Rate for Payer: Healthscope Commercial |
$438.84
|
| Rate for Payer: Mclaren Medicaid |
$158.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44,143.00
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$237.21
|
| Rate for Payer: Priority Health Narrow Network |
$442.08
|
| Rate for Payer: Priority Health SBD |
$442.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
OP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$283.11 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$494.57
|
| Rate for Payer: BCN Commercial |
$494.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Cofinity Commercial |
$1,108.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,108.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.40
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,346.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$997.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.11
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$650.40
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
IP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$997.92 |
| Max. Negotiated Rate |
$1,425.60 |
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.60
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,108.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.40
|
| Rate for Payer: PHP Commercial |
$1,346.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health SBD |
$997.92
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$47,470.00 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.96
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Healthscope Commercial |
$407.73
|
| Rate for Payer: Healthscope Commercial |
$471.44
|
| Rate for Payer: Mclaren Medicaid |
$170.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47,470.00
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$254.83
|
| Rate for Payer: Priority Health Narrow Network |
$475.48
|
| Rate for Payer: Priority Health SBD |
$475.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$47,470.00 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.96
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Healthscope Commercial |
$407.73
|
| Rate for Payer: Healthscope Commercial |
$471.44
|
| Rate for Payer: Mclaren Medicaid |
$170.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47,470.00
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$254.83
|
| Rate for Payer: Priority Health Narrow Network |
$475.48
|
| Rate for Payer: Priority Health SBD |
$475.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
IP
|
$1,022.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$643.86 |
| Max. Negotiated Rate |
$919.80 |
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health SBD |
$643.86
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$32,310.00 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.29
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Healthscope Commercial |
$322.84
|
| Rate for Payer: Healthscope Commercial |
$279.22
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,310.00
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.51
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$487.98
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,022.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$193.25 |
| Max. Negotiated Rate |
$3,138.00 |
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$450.59
|
| Rate for Payer: BCN Commercial |
$450.59
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: Nomi Health Commercial |
$1,875.89
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,807.55
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$2,246.04
|
| Rate for Payer: Priority Health SBD |
$643.86
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.25
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$502.92
|
| Rate for Payer: VA VA |
$893.28
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$32,310.00 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.29
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Healthscope Commercial |
$322.84
|
| Rate for Payer: Healthscope Commercial |
$279.22
|
| Rate for Payer: Mclaren Medicaid |
$58.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,310.00
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.51
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$487.98
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
IP
|
$1,022.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$643.86 |
| Max. Negotiated Rate |
$919.80 |
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health SBD |
$643.86
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$58,117.00 |
| Rate for Payer: Aetna Commercial |
$418.33
|
| Rate for Payer: Aetna Medicare |
$324.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$418.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.55
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$312.19
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$312.19
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$449.55
|
| Rate for Payer: Cofinity Commercial |
$418.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.19
|
| Rate for Payer: Healthscope Commercial |
$499.50
|
| Rate for Payer: Healthscope Commercial |
$577.55
|
| Rate for Payer: Mclaren Medicaid |
$208.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.80
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58,117.00
|
| Rate for Payer: Nomi Health Commercial |
$374.63
|
| Rate for Payer: PACE SWMI |
$312.19
|
| Rate for Payer: PHP Medicare Advantage |
$312.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$584.06
|
| Rate for Payer: Priority Health Medicare |
$312.19
|
| Rate for Payer: Priority Health Narrow Network |
$584.06
|
| Rate for Payer: Priority Health SBD |
$584.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.19
|
| Rate for Payer: UHC Medicare Advantage |
$312.19
|
| Rate for Payer: UHCCP Medicaid |
$208.74
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
OP
|
$1,022.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$347.39 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$965.55
|
| Rate for Payer: BCN Commercial |
$965.55
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$643.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$347.39
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,512.75
|
| Rate for Payer: VA VA |
$2,686.94
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$58,117.00 |
| Rate for Payer: Aetna Commercial |
$418.33
|
| Rate for Payer: Aetna Medicare |
$324.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$418.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.55
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$312.19
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$312.19
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$449.55
|
| Rate for Payer: Cofinity Commercial |
$418.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.19
|
| Rate for Payer: Healthscope Commercial |
$499.50
|
| Rate for Payer: Healthscope Commercial |
$577.55
|
| Rate for Payer: Mclaren Medicaid |
$208.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.80
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58,117.00
|
| Rate for Payer: Nomi Health Commercial |
$374.63
|
| Rate for Payer: PACE SWMI |
$312.19
|
| Rate for Payer: PHP Medicare Advantage |
$312.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$584.06
|
| Rate for Payer: Priority Health Medicare |
$312.19
|
| Rate for Payer: Priority Health Narrow Network |
$584.06
|
| Rate for Payer: Priority Health SBD |
$584.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.19
|
| Rate for Payer: UHC Medicare Advantage |
$312.19
|
| Rate for Payer: UHCCP Medicaid |
$208.74
|
|
|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$880.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$181.90 |
| Max. Negotiated Rate |
$50,787.00 |
| Rate for Payer: Aetna Commercial |
$364.59
|
| Rate for Payer: Aetna Medicare |
$282.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.80
|
| Rate for Payer: BCBS Complete |
$191.00
|
| Rate for Payer: BCBS MAPPO |
$272.08
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$415.86
|
| 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 |
$435.33
|
| Rate for Payer: Healthscope Commercial |
$503.35
|
| Rate for Payer: Mclaren Medicaid |
$181.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.68
|
| Rate for Payer: Meridian Medicaid |
$191.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50,787.00
|
| 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 Choice Medicaid |
$181.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.89
|
| Rate for Payer: Priority Health Medicare |
$272.08
|
| Rate for Payer: Priority Health Narrow Network |
$508.89
|
| Rate for Payer: Priority Health SBD |
$508.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.08
|
| Rate for Payer: UHC Medicare Advantage |
$272.08
|
| Rate for Payer: UHCCP Medicaid |
$181.90
|
|
|
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 |
$249.30 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$494.57
|
| Rate for Payer: BCN Commercial |
$494.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| 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 |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,013.20
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,013.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$750.96
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.30
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$650.40
|
| Rate for Payer: VA VA |
$1,155.24
|
|
|
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 |
$150.17 |
| Max. Negotiated Rate |
$41,755.00 |
| 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 |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$224.48
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| 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 |
$415.29
|
| Rate for Payer: Healthscope Commercial |
$359.17
|
| Rate for Payer: Mclaren Medicaid |
$150.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.70
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41,755.00
|
| 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 Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$419.40
|
| Rate for Payer: Priority Health Medicare |
$224.48
|
| Rate for Payer: Priority Health Narrow Network |
$419.40
|
| Rate for Payer: Priority Health SBD |
$419.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.48
|
| Rate for Payer: UHC Exchange |
$545.36
|
| Rate for Payer: UHC Medicare Advantage |
$224.48
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
|
