|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 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
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,217.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$42,379.00 |
| Rate for Payer: Aetna Commercial |
$304.86
|
| Rate for Payer: Aetna Medicare |
$236.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.61
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$227.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,324.06
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| 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 |
$364.02
|
| Rate for Payer: Healthscope Commercial |
$420.89
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.89
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,379.00
|
| 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 Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$425.96
|
| Rate for Payer: Priority Health Medicare |
$227.51
|
| Rate for Payer: Priority Health Narrow Network |
$425.96
|
| Rate for Payer: Priority Health SBD |
$425.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.51
|
| Rate for Payer: UHC Medicare Advantage |
$227.51
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,604.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$144.84 |
| Max. Negotiated Rate |
$40,370.00 |
| Rate for Payer: Aetna Commercial |
$290.19
|
| Rate for Payer: Aetna Medicare |
$225.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.85
|
| Rate for Payer: BCBS Complete |
$152.08
|
| Rate for Payer: BCBS MAPPO |
$216.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,239.54
|
| Rate for Payer: BCN Commercial |
$941.68
|
| 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 |
$400.64
|
| Rate for Payer: Healthscope Commercial |
$346.50
|
| Rate for Payer: Mclaren Medicaid |
$144.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.39
|
| Rate for Payer: Meridian Medicaid |
$152.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,370.00
|
| 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 Choice Medicaid |
$144.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,042.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$405.69
|
| Rate for Payer: Priority Health Medicare |
$216.56
|
| Rate for Payer: Priority Health Narrow Network |
$405.69
|
| Rate for Payer: Priority Health SBD |
$405.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$522.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.56
|
| Rate for Payer: UHC Exchange |
$522.42
|
| Rate for Payer: UHC Medicare Advantage |
$216.56
|
| Rate for Payer: UHCCP Medicaid |
$144.84
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$27,450.00 |
| 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 |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| 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: Mclaren Medicaid |
$49.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,450.00
|
| 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 Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.63
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: Priority Health Narrow Network |
$275.63
|
| Rate for Payer: Priority Health SBD |
$275.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Exchange |
$358.03
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
| Rate for Payer: UHCCP Medicaid |
$49.63
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$27,450.00 |
| 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 |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| 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: Mclaren Medicaid |
$49.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,450.00
|
| 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 Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.63
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: Priority Health Narrow Network |
$275.63
|
| Rate for Payer: Priority Health SBD |
$275.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Exchange |
$358.03
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
| Rate for Payer: UHCCP Medicaid |
$49.63
|
|
|
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
|
Facility
|
OP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$164.19 |
| Max. Negotiated Rate |
$3,138.00 |
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.85
|
| 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 |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Cofinity Commercial |
$706.30
|
| 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 |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| 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 |
$857.65
|
| 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 |
$857.65
|
| 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 |
$655.85
|
| 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 |
$635.67
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.19
|
| 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 STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$126.52 |
| Max. Negotiated Rate |
$35,098.00 |
| Rate for Payer: Aetna Commercial |
$254.99
|
| Rate for Payer: Aetna Medicare |
$197.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.02
|
| Rate for Payer: BCBS Complete |
$132.85
|
| Rate for Payer: BCBS MAPPO |
$190.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.46
|
| Rate for Payer: BCN Commercial |
$568.82
|
| 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 |
$352.04
|
| Rate for Payer: Healthscope Commercial |
$304.46
|
| Rate for Payer: Mclaren Medicaid |
$126.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.80
|
| Rate for Payer: Meridian Medicaid |
$132.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35,098.00
|
| 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 Choice Medicaid |
$126.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$352.59
|
| Rate for Payer: Priority Health Medicare |
$190.29
|
| Rate for Payer: Priority Health Narrow Network |
$352.59
|
| Rate for Payer: Priority Health SBD |
$352.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.29
|
| Rate for Payer: UHC Exchange |
$451.12
|
| Rate for Payer: UHC Medicare Advantage |
$190.29
|
| Rate for Payer: UHCCP Medicaid |
$126.52
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$31,966.00 |
| Rate for Payer: Aetna Commercial |
$231.30
|
| Rate for Payer: Aetna Medicare |
$179.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.56
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS MAPPO |
$172.61
|
| Rate for Payer: BCBS Trust/PPO |
$4,654.32
|
| Rate for Payer: BCN Commercial |
$817.56
|
| 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 |
$276.18
|
| Rate for Payer: Healthscope Commercial |
$319.33
|
| Rate for Payer: Mclaren Medicaid |
$115.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.24
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,966.00
|
| 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 Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.77
|
| Rate for Payer: Priority Health Medicare |
$172.61
|
| Rate for Payer: Priority Health Narrow Network |
$322.77
|
| Rate for Payer: Priority Health SBD |
$322.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.61
|
| Rate for Payer: UHC Medicare Advantage |
$172.61
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$179.82 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.50
|
| 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 |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$819.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| 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 |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| 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 |
$994.50
|
| 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 |
$994.50
|
| 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 |
$760.50
|
| 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 |
$737.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.82
|
| 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 STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$30,114.00 |
| 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 |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| 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 |
$300.70
|
| Rate for Payer: Healthscope Commercial |
$260.06
|
| Rate for Payer: Mclaren Medicaid |
$108.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,114.00
|
| 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 Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: Priority Health SBD |
$302.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Exchange |
$397.51
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$30,114.00 |
| 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 |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| 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 |
$300.70
|
| Rate for Payer: Healthscope Commercial |
$260.06
|
| Rate for Payer: Mclaren Medicaid |
$108.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,114.00
|
| 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 Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: Priority Health SBD |
$302.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Exchange |
$397.51
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
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/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$190.85 |
| Max. Negotiated Rate |
$53,206.00 |
| Rate for Payer: Aetna Commercial |
$382.29
|
| Rate for Payer: Aetna Medicare |
$296.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.82
|
| Rate for Payer: BCBS Complete |
$200.39
|
| Rate for Payer: BCBS MAPPO |
$285.29
|
| Rate for Payer: BCN Commercial |
$435.90
|
| 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 |
$456.46
|
| Rate for Payer: Healthscope Commercial |
$527.79
|
| Rate for Payer: Mclaren Medicaid |
$190.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.55
|
| Rate for Payer: Meridian Medicaid |
$200.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53,206.00
|
| 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 Choice Medicaid |
$190.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$534.56
|
| Rate for Payer: Priority Health Medicare |
$285.29
|
| Rate for Payer: Priority Health Narrow Network |
$534.56
|
| Rate for Payer: Priority Health SBD |
$534.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.29
|
| Rate for Payer: UHC Medicare Advantage |
$285.29
|
| Rate for Payer: UHCCP Medicaid |
$190.85
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$164.22 |
| Max. Negotiated Rate |
$45,725.00 |
| Rate for Payer: Aetna Commercial |
$328.82
|
| Rate for Payer: Aetna Medicare |
$255.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$328.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.36
|
| Rate for Payer: BCBS Complete |
$172.43
|
| Rate for Payer: BCBS MAPPO |
$245.39
|
| Rate for Payer: BCBS Trust/PPO |
$4,432.97
|
| Rate for Payer: BCN Commercial |
$374.82
|
| 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: Mclaren Medicaid |
$164.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.66
|
| Rate for Payer: Meridian Medicaid |
$172.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,725.00
|
| 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 Choice Medicaid |
$164.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$358.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$459.37
|
| Rate for Payer: Priority Health Medicare |
$245.39
|
| Rate for Payer: Priority Health Narrow Network |
$459.37
|
| Rate for Payer: Priority Health SBD |
$459.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.39
|
| Rate for Payer: UHC Medicare Advantage |
$245.39
|
| Rate for Payer: UHCCP Medicaid |
$164.22
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$132.91 |
| Max. Negotiated Rate |
$36,760.00 |
| Rate for Payer: Aetna Commercial |
$266.16
|
| Rate for Payer: Aetna Medicare |
$206.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.03
|
| Rate for Payer: BCBS Complete |
$139.56
|
| Rate for Payer: BCBS MAPPO |
$198.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,813.27
|
| Rate for Payer: BCN Commercial |
$593.26
|
| 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: Mclaren Medicaid |
$132.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.56
|
| Rate for Payer: Meridian Medicaid |
$139.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,760.00
|
| 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 Choice Medicaid |
$132.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.88
|
| Rate for Payer: Priority Health Medicare |
$198.63
|
| Rate for Payer: Priority Health Narrow Network |
$369.88
|
| Rate for Payer: Priority Health SBD |
$369.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$429.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.63
|
| Rate for Payer: UHC Exchange |
$429.42
|
| Rate for Payer: UHC Medicare Advantage |
$198.63
|
| Rate for Payer: UHCCP Medicaid |
$132.91
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$39,517.00 |
| 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 |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| 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 |
$393.55
|
| Rate for Payer: Healthscope Commercial |
$340.37
|
| Rate for Payer: Mclaren Medicaid |
$142.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39,517.00
|
| 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 Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: Priority Health SBD |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$497.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Exchange |
$497.38
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
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 |
$236.22 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| 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 |
$1,096.80
|
| 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 |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| 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 |
$1,165.35
|
| 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 |
$1,165.35
|
| 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 |
$891.15
|
| 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 |
$863.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.22
|
| 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 STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$39,517.00 |
| 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 |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| 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: Mclaren Medicaid |
$142.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39,517.00
|
| 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 Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: Priority Health SBD |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$497.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Exchange |
$497.38
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
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
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: BCBS Complete |
$548.40
|
| 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
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| 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
|
| 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
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$640.80 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Medicare |
$801.00
|
| Rate for Payer: BCBS Complete |
$640.80
|
| Rate for Payer: Cash Price |
$1,281.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,041.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,041.30
|
|
