|
PR ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX
|
Professional
|
Both
|
$3,172.00
|
|
|
Service Code
|
HCPCS 44130
|
| Min. Negotiated Rate |
$605.43 |
| Max. Negotiated Rate |
$235,069.00 |
| Rate for Payer: Aetna Commercial |
$1,711.41
|
| Rate for Payer: Aetna Medicare |
$1,328.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,711.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,839.12
|
| Rate for Payer: BCBS Complete |
$887.44
|
| Rate for Payer: BCBS MAPPO |
$1,277.17
|
| Rate for Payer: BCBS Trust/PPO |
$605.43
|
| Rate for Payer: BCN Commercial |
$1,916.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,277.17
|
| Rate for Payer: Cash Price |
$2,537.60
|
| Rate for Payer: Cash Price |
$2,537.60
|
| Rate for Payer: Cofinity Commercial |
$1,839.12
|
| Rate for Payer: Cofinity Commercial |
$1,711.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,277.17
|
| Rate for Payer: Healthscope Commercial |
$2,362.76
|
| Rate for Payer: Healthscope Commercial |
$2,043.47
|
| Rate for Payer: Mclaren Medicaid |
$845.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,341.03
|
| Rate for Payer: Meridian Medicaid |
$887.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235,069.00
|
| Rate for Payer: Nomi Health Commercial |
$1,532.60
|
| Rate for Payer: PACE SWMI |
$1,277.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,277.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$845.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,061.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,351.77
|
| Rate for Payer: Priority Health Medicare |
$1,277.17
|
| Rate for Payer: Priority Health Narrow Network |
$2,351.77
|
| Rate for Payer: Priority Health SBD |
$2,351.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,052.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,277.17
|
| Rate for Payer: UHC Exchange |
$1,052.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,277.17
|
| Rate for Payer: UHCCP Medicaid |
$845.18
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Facility
|
OP
|
$2,816.00
|
|
|
Service Code
|
CPT 44005
|
| Hospital Charge Code |
44005
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,126.40 |
| Max. Negotiated Rate |
$3,362.00 |
| Rate for Payer: Aetna Commercial |
$2,393.60
|
| Rate for Payer: Aetna Medicare |
$1,408.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,830.40
|
| Rate for Payer: BCBS Complete |
$1,126.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,300.82
|
| Rate for Payer: BCN Commercial |
$2,300.82
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,971.20
|
| Rate for Payer: Cofinity Commercial |
$2,421.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,971.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,252.80
|
| Rate for Payer: Healthscope Commercial |
$2,534.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,393.60
|
| Rate for Payer: PHP Commercial |
$2,393.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,830.40
|
| Rate for Payer: Priority Health SBD |
$1,774.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,174.77
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Exchange |
$3,362.00
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Facility
|
IP
|
$2,816.00
|
|
|
Service Code
|
CPT 44005
|
| Hospital Charge Code |
44005
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,774.08 |
| Max. Negotiated Rate |
$2,534.40 |
| Rate for Payer: Aetna Commercial |
$2,393.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,830.40
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,971.20
|
| Rate for Payer: Cofinity Commercial |
$2,421.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,971.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,252.80
|
| Rate for Payer: Healthscope Commercial |
$2,534.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,393.60
|
| Rate for Payer: PHP Commercial |
$2,393.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,830.40
|
| Rate for Payer: Priority Health SBD |
$1,774.08
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Professional
|
Both
|
$2,816.00
|
|
|
Service Code
|
HCPCS 44005
|
| Min. Negotiated Rate |
$700.56 |
| Max. Negotiated Rate |
$195,219.00 |
| Rate for Payer: Aetna Commercial |
$1,420.12
|
| Rate for Payer: Aetna Medicare |
$1,102.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,420.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,526.10
|
| Rate for Payer: BCBS Complete |
$735.59
|
| Rate for Payer: BCBS MAPPO |
$1,059.79
|
| Rate for Payer: BCBS Trust/PPO |
$784.00
|
| Rate for Payer: BCN Commercial |
$1,590.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,059.79
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,526.10
|
| Rate for Payer: Cofinity Commercial |
$1,420.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,059.79
|
| Rate for Payer: Healthscope Commercial |
$1,960.61
|
| Rate for Payer: Healthscope Commercial |
$1,695.66
|
| Rate for Payer: Mclaren Medicaid |
$700.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,112.78
|
| Rate for Payer: Meridian Medicaid |
$735.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195,219.00
|
| Rate for Payer: Nomi Health Commercial |
$1,271.75
|
| Rate for Payer: PACE SWMI |
$1,059.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,059.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$700.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,830.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,951.45
|
| Rate for Payer: Priority Health Medicare |
$1,059.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,951.45
|
| Rate for Payer: Priority Health SBD |
$1,951.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,279.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,059.79
|
| Rate for Payer: UHC Exchange |
$1,279.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,059.79
|
| Rate for Payer: UHCCP Medicaid |
$700.56
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Professional
|
Both
|
$2,816.00
|
|
|
Service Code
|
HCPCS 44005
|
| Hospital Charge Code |
44005
|
| Min. Negotiated Rate |
$700.56 |
| Max. Negotiated Rate |
$195,219.00 |
| Rate for Payer: Aetna Commercial |
$1,420.12
|
| Rate for Payer: Aetna Medicare |
$1,102.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,420.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,526.10
|
| Rate for Payer: BCBS Complete |
$735.59
|
| Rate for Payer: BCBS MAPPO |
$1,059.79
|
| Rate for Payer: BCBS Trust/PPO |
$784.00
|
| Rate for Payer: BCN Commercial |
$1,590.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,059.79
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,526.10
|
| Rate for Payer: Cofinity Commercial |
$1,420.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,059.79
|
| Rate for Payer: Healthscope Commercial |
$1,960.61
|
| Rate for Payer: Healthscope Commercial |
$1,695.66
|
| Rate for Payer: Mclaren Medicaid |
$700.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,112.78
|
| Rate for Payer: Meridian Medicaid |
$735.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195,219.00
|
| Rate for Payer: Nomi Health Commercial |
$1,271.75
|
| Rate for Payer: PACE SWMI |
$1,059.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,059.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$700.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,830.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,951.45
|
| Rate for Payer: Priority Health Medicare |
$1,059.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,951.45
|
| Rate for Payer: Priority Health SBD |
$1,951.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,279.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,059.79
|
| Rate for Payer: UHC Exchange |
$1,279.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,059.79
|
| Rate for Payer: UHCCP Medicaid |
$700.56
|
|
|
PR ENTERORRHAPHY MULTIPLE PERFORATIONS
|
Professional
|
Both
|
$3,081.00
|
|
|
Service Code
|
HCPCS 44603
|
| Min. Negotiated Rate |
$220.30 |
| Max. Negotiated Rate |
$288,754.00 |
| Rate for Payer: Aetna Commercial |
$2,098.23
|
| Rate for Payer: Aetna Medicare |
$1,628.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,098.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,254.81
|
| Rate for Payer: BCBS Complete |
$1,085.15
|
| Rate for Payer: BCBS MAPPO |
$1,565.84
|
| Rate for Payer: BCBS Trust/PPO |
$220.30
|
| Rate for Payer: BCN Commercial |
$2,349.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,565.84
|
| Rate for Payer: Cash Price |
$2,464.80
|
| Rate for Payer: Cash Price |
$2,464.80
|
| Rate for Payer: Cofinity Commercial |
$2,254.81
|
| Rate for Payer: Cofinity Commercial |
$2,098.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,565.84
|
| Rate for Payer: Healthscope Commercial |
$2,896.80
|
| Rate for Payer: Healthscope Commercial |
$2,505.34
|
| Rate for Payer: Mclaren Medicaid |
$1,033.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,644.13
|
| Rate for Payer: Meridian Medicaid |
$1,085.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$288,754.00
|
| Rate for Payer: Nomi Health Commercial |
$1,879.01
|
| Rate for Payer: PACE SWMI |
$1,565.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,565.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,033.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,002.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,879.76
|
| Rate for Payer: Priority Health Medicare |
$1,565.84
|
| Rate for Payer: Priority Health Narrow Network |
$2,879.76
|
| Rate for Payer: Priority Health SBD |
$2,879.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,166.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,565.84
|
| Rate for Payer: UHC Exchange |
$1,166.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,565.84
|
| Rate for Payer: UHCCP Medicaid |
$1,033.48
|
|
|
PR ENTERORRHAPHY SINGLE PERFORATION
|
Professional
|
Both
|
$2,425.00
|
|
|
Service Code
|
HCPCS 44602
|
| Min. Negotiated Rate |
$898.01 |
| Max. Negotiated Rate |
$251,932.00 |
| Rate for Payer: Aetna Commercial |
$1,826.43
|
| Rate for Payer: Aetna Medicare |
$1,417.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,826.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,962.73
|
| Rate for Payer: BCBS Complete |
$942.91
|
| Rate for Payer: BCBS MAPPO |
$1,363.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,323.39
|
| Rate for Payer: BCN Commercial |
$2,046.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,363.01
|
| Rate for Payer: Cash Price |
$1,940.00
|
| Rate for Payer: Cash Price |
$1,940.00
|
| Rate for Payer: Cofinity Commercial |
$1,962.73
|
| Rate for Payer: Cofinity Commercial |
$1,826.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,363.01
|
| Rate for Payer: Healthscope Commercial |
$2,521.57
|
| Rate for Payer: Healthscope Commercial |
$2,180.82
|
| Rate for Payer: Mclaren Medicaid |
$898.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,431.16
|
| Rate for Payer: Meridian Medicaid |
$942.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251,932.00
|
| Rate for Payer: Nomi Health Commercial |
$1,635.61
|
| Rate for Payer: PACE SWMI |
$1,363.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,363.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$898.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,576.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,506.30
|
| Rate for Payer: Priority Health Medicare |
$1,363.01
|
| Rate for Payer: Priority Health Narrow Network |
$2,506.30
|
| Rate for Payer: Priority Health SBD |
$2,506.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$938.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,363.01
|
| Rate for Payer: UHC Exchange |
$938.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,363.01
|
| Rate for Payer: UHCCP Medicaid |
$898.01
|
|
|
PR ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 44377
|
| Min. Negotiated Rate |
$187.44 |
| Max. Negotiated Rate |
$52,330.00 |
| Rate for Payer: Aetna Commercial |
$375.55
|
| Rate for Payer: Aetna Medicare |
$291.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$375.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.57
|
| Rate for Payer: BCBS Complete |
$196.81
|
| Rate for Payer: BCBS MAPPO |
$280.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,573.28
|
| Rate for Payer: BCN Commercial |
$428.57
|
| Rate for Payer: BCN Medicare Advantage |
$280.26
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cofinity Commercial |
$403.57
|
| Rate for Payer: Cofinity Commercial |
$375.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.26
|
| Rate for Payer: Healthscope Commercial |
$518.48
|
| Rate for Payer: Healthscope Commercial |
$448.42
|
| Rate for Payer: Mclaren Medicaid |
$187.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.27
|
| Rate for Payer: Meridian Medicaid |
$196.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,330.00
|
| Rate for Payer: Nomi Health Commercial |
$336.31
|
| Rate for Payer: PACE SWMI |
$280.26
|
| Rate for Payer: PHP Medicare Advantage |
$280.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$738.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$525.59
|
| Rate for Payer: Priority Health Medicare |
$280.26
|
| Rate for Payer: Priority Health Narrow Network |
$525.59
|
| Rate for Payer: Priority Health SBD |
$525.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.26
|
| Rate for Payer: UHC Exchange |
$435.71
|
| Rate for Payer: UHC Medicare Advantage |
$280.26
|
| Rate for Payer: UHCCP Medicaid |
$187.44
|
|
|
PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX
|
Professional
|
Both
|
$1,036.00
|
|
|
Service Code
|
HCPCS 44376
|
| Min. Negotiated Rate |
$178.71 |
| Max. Negotiated Rate |
$49,612.00 |
| Rate for Payer: Aetna Commercial |
$357.97
|
| Rate for Payer: Aetna Medicare |
$277.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$357.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.68
|
| Rate for Payer: BCBS Complete |
$187.65
|
| Rate for Payer: BCBS MAPPO |
$267.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,925.65
|
| Rate for Payer: BCN Commercial |
$406.58
|
| Rate for Payer: BCN Medicare Advantage |
$267.14
|
| Rate for Payer: Cash Price |
$828.80
|
| Rate for Payer: Cash Price |
$828.80
|
| Rate for Payer: Cofinity Commercial |
$384.68
|
| Rate for Payer: Cofinity Commercial |
$357.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.14
|
| Rate for Payer: Healthscope Commercial |
$494.21
|
| Rate for Payer: Healthscope Commercial |
$427.42
|
| Rate for Payer: Mclaren Medicaid |
$178.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.50
|
| Rate for Payer: Meridian Medicaid |
$187.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49,612.00
|
| Rate for Payer: Nomi Health Commercial |
$320.57
|
| Rate for Payer: PACE SWMI |
$267.14
|
| Rate for Payer: PHP Medicare Advantage |
$267.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$673.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.15
|
| Rate for Payer: Priority Health Medicare |
$267.14
|
| Rate for Payer: Priority Health Narrow Network |
$498.15
|
| Rate for Payer: Priority Health SBD |
$498.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$267.14
|
| Rate for Payer: UHC Exchange |
$416.20
|
| Rate for Payer: UHC Medicare Advantage |
$267.14
|
| Rate for Payer: UHCCP Medicaid |
$178.71
|
|
|
PR ENTEROSCOPY > 2ND PRTN ABLTJ LESION
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 44369
|
| Min. Negotiated Rate |
$154.43 |
| Max. Negotiated Rate |
$42,851.00 |
| Rate for Payer: Aetna Commercial |
$309.08
|
| Rate for Payer: Aetna Medicare |
$239.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$309.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.15
|
| Rate for Payer: BCBS Complete |
$162.15
|
| Rate for Payer: BCBS MAPPO |
$230.66
|
| Rate for Payer: BCBS Trust/PPO |
$593.28
|
| Rate for Payer: BCN Commercial |
$351.36
|
| Rate for Payer: BCN Medicare Advantage |
$230.66
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$332.15
|
| Rate for Payer: Cofinity Commercial |
$309.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.66
|
| Rate for Payer: Healthscope Commercial |
$426.72
|
| Rate for Payer: Healthscope Commercial |
$369.06
|
| Rate for Payer: Mclaren Medicaid |
$154.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.19
|
| Rate for Payer: Meridian Medicaid |
$162.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,851.00
|
| Rate for Payer: Nomi Health Commercial |
$276.79
|
| Rate for Payer: PACE SWMI |
$230.66
|
| Rate for Payer: PHP Medicare Advantage |
$230.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$431.34
|
| Rate for Payer: Priority Health Medicare |
$230.66
|
| Rate for Payer: Priority Health Narrow Network |
$431.34
|
| Rate for Payer: Priority Health SBD |
$431.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.66
|
| Rate for Payer: UHC Exchange |
$322.95
|
| Rate for Payer: UHC Medicare Advantage |
$230.66
|
| Rate for Payer: UHCCP Medicaid |
$154.43
|
|
|
PR ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 44373
|
| Min. Negotiated Rate |
$121.41 |
| Max. Negotiated Rate |
$33,512.00 |
| Rate for Payer: Aetna Commercial |
$243.49
|
| Rate for Payer: Aetna Medicare |
$188.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$261.66
|
| Rate for Payer: BCBS Complete |
$127.48
|
| Rate for Payer: BCBS MAPPO |
$181.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,809.96
|
| Rate for Payer: BCN Commercial |
$274.63
|
| Rate for Payer: BCN Medicare Advantage |
$181.71
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$261.66
|
| Rate for Payer: Cofinity Commercial |
$243.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.71
|
| Rate for Payer: Healthscope Commercial |
$336.16
|
| Rate for Payer: Healthscope Commercial |
$290.74
|
| Rate for Payer: Mclaren Medicaid |
$121.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$190.80
|
| Rate for Payer: Meridian Medicaid |
$127.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,512.00
|
| Rate for Payer: Nomi Health Commercial |
$218.05
|
| Rate for Payer: PACE SWMI |
$181.71
|
| Rate for Payer: PHP Medicare Advantage |
$181.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$336.48
|
| Rate for Payer: Priority Health Medicare |
$181.71
|
| Rate for Payer: Priority Health Narrow Network |
$336.48
|
| Rate for Payer: Priority Health SBD |
$336.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$181.71
|
| Rate for Payer: UHC Exchange |
$258.30
|
| Rate for Payer: UHC Medicare Advantage |
$181.71
|
| Rate for Payer: UHCCP Medicaid |
$121.41
|
|
|
PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING
|
Facility
|
OP
|
$1,548.00
|
|
|
Service Code
|
CPT 44378
|
| Hospital Charge Code |
44378
|
| Min. Negotiated Rate |
$401.36 |
| Max. Negotiated Rate |
$5,841.66 |
| Rate for Payer: Aetna Commercial |
$1,315.80
|
| Rate for Payer: Aetna Medicare |
$1,932.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,006.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,323.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,323.29
|
| Rate for Payer: BCBS Complete |
$1,046.04
|
| Rate for Payer: BCBS MAPPO |
$1,858.63
|
| Rate for Payer: BCBS Trust/PPO |
$634.26
|
| Rate for Payer: BCN Commercial |
$634.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,858.63
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,331.28
|
| Rate for Payer: Cofinity Commercial |
$1,083.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,083.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,238.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,858.63
|
| Rate for Payer: Healthscope Commercial |
$1,393.20
|
| Rate for Payer: Mclaren Medicaid |
$996.23
|
| Rate for Payer: Mclaren Medicare |
$1,858.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,951.56
|
| Rate for Payer: Meridian Medicaid |
$1,046.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,137.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,315.80
|
| Rate for Payer: Nomi Health Commercial |
$3,903.12
|
| Rate for Payer: PACE Medicare |
$1,765.70
|
| Rate for Payer: PACE SWMI |
$1,858.63
|
| Rate for Payer: PHP Commercial |
$1,315.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,858.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$996.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,841.66
|
| Rate for Payer: Priority Health Medicare |
$1,858.63
|
| Rate for Payer: Priority Health Narrow Network |
$4,673.33
|
| Rate for Payer: Priority Health SBD |
$975.24
|
| Rate for Payer: Railroad Medicare Medicare |
$1,858.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$401.36
|
| Rate for Payer: UHC Core |
$3,138.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,858.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,858.63
|
| Rate for Payer: UHCCP Medicaid |
$1,046.41
|
| Rate for Payer: VA VA |
$1,858.63
|
|
|
PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING
|
Facility
|
IP
|
$1,548.00
|
|
|
Service Code
|
CPT 44378
|
| Hospital Charge Code |
44378
|
| Min. Negotiated Rate |
$975.24 |
| Max. Negotiated Rate |
$1,393.20 |
| Rate for Payer: Aetna Commercial |
$1,315.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,006.20
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,083.60
|
| Rate for Payer: Cofinity Commercial |
$1,331.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,083.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,238.40
|
| Rate for Payer: Healthscope Commercial |
$1,393.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,315.80
|
| Rate for Payer: PHP Commercial |
$1,315.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.20
|
| Rate for Payer: Priority Health SBD |
$975.24
|
|
|
PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 44378
|
| Hospital Charge Code |
44378
|
| Min. Negotiated Rate |
$241.33 |
| Max. Negotiated Rate |
$67,131.00 |
| Rate for Payer: Aetna Commercial |
$483.78
|
| Rate for Payer: Aetna Medicare |
$375.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.88
|
| Rate for Payer: BCBS Complete |
$253.40
|
| Rate for Payer: BCBS MAPPO |
$361.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,701.65
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$361.03
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$519.88
|
| Rate for Payer: Cofinity Commercial |
$483.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.03
|
| Rate for Payer: Healthscope Commercial |
$667.91
|
| Rate for Payer: Healthscope Commercial |
$577.65
|
| Rate for Payer: Mclaren Medicaid |
$241.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$379.08
|
| Rate for Payer: Meridian Medicaid |
$253.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67,131.00
|
| Rate for Payer: Nomi Health Commercial |
$433.24
|
| Rate for Payer: PACE SWMI |
$361.03
|
| Rate for Payer: PHP Medicare Advantage |
$361.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.74
|
| Rate for Payer: Priority Health Medicare |
$361.03
|
| Rate for Payer: Priority Health Narrow Network |
$674.74
|
| Rate for Payer: Priority Health SBD |
$674.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$361.03
|
| Rate for Payer: UHC Exchange |
$552.28
|
| Rate for Payer: UHC Medicare Advantage |
$361.03
|
| Rate for Payer: UHCCP Medicaid |
$241.33
|
|
|
PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING
|
Professional
|
Both
|
$1,548.00
|
|
|
Service Code
|
HCPCS 44378
|
| Min. Negotiated Rate |
$241.33 |
| Max. Negotiated Rate |
$67,131.00 |
| Rate for Payer: Aetna Commercial |
$483.78
|
| Rate for Payer: Aetna Medicare |
$375.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.88
|
| Rate for Payer: BCBS Complete |
$253.40
|
| Rate for Payer: BCBS MAPPO |
$361.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,701.65
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$361.03
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cash Price |
$1,238.40
|
| Rate for Payer: Cofinity Commercial |
$519.88
|
| Rate for Payer: Cofinity Commercial |
$483.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$361.03
|
| Rate for Payer: Healthscope Commercial |
$667.91
|
| Rate for Payer: Healthscope Commercial |
$577.65
|
| Rate for Payer: Mclaren Medicaid |
$241.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$379.08
|
| Rate for Payer: Meridian Medicaid |
$253.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67,131.00
|
| Rate for Payer: Nomi Health Commercial |
$433.24
|
| Rate for Payer: PACE SWMI |
$361.03
|
| Rate for Payer: PHP Medicare Advantage |
$361.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$674.74
|
| Rate for Payer: Priority Health Medicare |
$361.03
|
| Rate for Payer: Priority Health Narrow Network |
$674.74
|
| Rate for Payer: Priority Health SBD |
$674.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$361.03
|
| Rate for Payer: UHC Exchange |
$552.28
|
| Rate for Payer: UHC Medicare Advantage |
$361.03
|
| Rate for Payer: UHCCP Medicaid |
$241.33
|
|
|
PR ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT
|
Professional
|
Both
|
$1,384.00
|
|
|
Service Code
|
HCPCS 44370
|
| Min. Negotiated Rate |
$167.84 |
| Max. Negotiated Rate |
$46,553.00 |
| Rate for Payer: Aetna Commercial |
$335.50
|
| Rate for Payer: Aetna Medicare |
$260.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$335.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.53
|
| Rate for Payer: BCBS Complete |
$176.23
|
| Rate for Payer: BCBS MAPPO |
$250.37
|
| Rate for Payer: BCBS Trust/PPO |
$316.98
|
| Rate for Payer: BCN Commercial |
$382.15
|
| Rate for Payer: BCN Medicare Advantage |
$250.37
|
| Rate for Payer: Cash Price |
$1,107.20
|
| Rate for Payer: Cash Price |
$1,107.20
|
| Rate for Payer: Cofinity Commercial |
$360.53
|
| Rate for Payer: Cofinity Commercial |
$335.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.37
|
| Rate for Payer: Healthscope Commercial |
$463.18
|
| Rate for Payer: Healthscope Commercial |
$400.59
|
| Rate for Payer: Mclaren Medicaid |
$167.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$262.89
|
| Rate for Payer: Meridian Medicaid |
$176.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46,553.00
|
| Rate for Payer: Nomi Health Commercial |
$300.44
|
| Rate for Payer: PACE SWMI |
$250.37
|
| Rate for Payer: PHP Medicare Advantage |
$250.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$899.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$469.51
|
| Rate for Payer: Priority Health Medicare |
$250.37
|
| Rate for Payer: Priority Health Narrow Network |
$469.51
|
| Rate for Payer: Priority Health SBD |
$469.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$341.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.37
|
| Rate for Payer: UHC Exchange |
$341.07
|
| Rate for Payer: UHC Medicare Advantage |
$250.37
|
| Rate for Payer: UHCCP Medicaid |
$167.84
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING
|
Professional
|
Both
|
$1,318.00
|
|
|
Service Code
|
HCPCS 44366
|
| Min. Negotiated Rate |
$150.80 |
| Max. Negotiated Rate |
$41,891.00 |
| Rate for Payer: Aetna Commercial |
$301.84
|
| Rate for Payer: Aetna Medicare |
$234.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$301.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.36
|
| Rate for Payer: BCBS Complete |
$158.34
|
| Rate for Payer: BCBS MAPPO |
$225.25
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCN Commercial |
$343.54
|
| Rate for Payer: BCN Medicare Advantage |
$225.25
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cofinity Commercial |
$324.36
|
| Rate for Payer: Cofinity Commercial |
$301.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.25
|
| Rate for Payer: Healthscope Commercial |
$416.71
|
| Rate for Payer: Healthscope Commercial |
$360.40
|
| Rate for Payer: Mclaren Medicaid |
$150.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.51
|
| Rate for Payer: Meridian Medicaid |
$158.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41,891.00
|
| Rate for Payer: Nomi Health Commercial |
$270.30
|
| Rate for Payer: PACE SWMI |
$225.25
|
| Rate for Payer: PHP Medicare Advantage |
$225.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$856.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.20
|
| Rate for Payer: Priority Health Medicare |
$225.25
|
| Rate for Payer: Priority Health Narrow Network |
$421.20
|
| Rate for Payer: Priority Health SBD |
$421.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$316.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.25
|
| Rate for Payer: UHC Exchange |
$316.95
|
| Rate for Payer: UHC Medicare Advantage |
$225.25
|
| Rate for Payer: UHCCP Medicaid |
$150.80
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT
|
Professional
|
Both
|
$1,532.00
|
|
|
Service Code
|
HCPCS 44379
|
| Min. Negotiated Rate |
$256.88 |
| Max. Negotiated Rate |
$71,366.00 |
| Rate for Payer: Aetna Commercial |
$514.37
|
| Rate for Payer: Aetna Medicare |
$399.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$514.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$552.76
|
| Rate for Payer: BCBS Complete |
$269.72
|
| Rate for Payer: BCBS MAPPO |
$383.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,943.09
|
| Rate for Payer: BCN Commercial |
$584.95
|
| Rate for Payer: BCN Medicare Advantage |
$383.86
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cash Price |
$1,225.60
|
| Rate for Payer: Cofinity Commercial |
$552.76
|
| Rate for Payer: Cofinity Commercial |
$514.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.86
|
| Rate for Payer: Healthscope Commercial |
$710.14
|
| Rate for Payer: Healthscope Commercial |
$614.18
|
| Rate for Payer: Mclaren Medicaid |
$256.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$403.05
|
| Rate for Payer: Meridian Medicaid |
$269.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,366.00
|
| Rate for Payer: Nomi Health Commercial |
$460.63
|
| Rate for Payer: PACE SWMI |
$383.86
|
| Rate for Payer: PHP Medicare Advantage |
$383.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$995.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$719.50
|
| Rate for Payer: Priority Health Medicare |
$383.86
|
| Rate for Payer: Priority Health Narrow Network |
$719.50
|
| Rate for Payer: Priority Health SBD |
$719.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$564.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.86
|
| Rate for Payer: UHC Exchange |
$564.52
|
| Rate for Payer: UHC Medicare Advantage |
$383.86
|
| Rate for Payer: UHCCP Medicaid |
$256.88
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE
|
Professional
|
Both
|
$940.00
|
|
|
Service Code
|
HCPCS 44372
|
| Min. Negotiated Rate |
$151.23 |
| Max. Negotiated Rate |
$41,908.00 |
| Rate for Payer: Aetna Commercial |
$303.52
|
| Rate for Payer: Aetna Medicare |
$235.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$303.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.17
|
| Rate for Payer: BCBS Complete |
$158.79
|
| Rate for Payer: BCBS MAPPO |
$226.51
|
| Rate for Payer: BCBS Trust/PPO |
$368.23
|
| Rate for Payer: BCN Commercial |
$343.05
|
| Rate for Payer: BCN Medicare Advantage |
$226.51
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Cofinity Commercial |
$326.17
|
| Rate for Payer: Cofinity Commercial |
$303.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.51
|
| Rate for Payer: Healthscope Commercial |
$419.04
|
| Rate for Payer: Healthscope Commercial |
$362.42
|
| Rate for Payer: Mclaren Medicaid |
$151.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$237.84
|
| Rate for Payer: Meridian Medicaid |
$158.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41,908.00
|
| Rate for Payer: Nomi Health Commercial |
$271.81
|
| Rate for Payer: PACE SWMI |
$226.51
|
| Rate for Payer: PHP Medicare Advantage |
$226.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.20
|
| Rate for Payer: Priority Health Medicare |
$226.51
|
| Rate for Payer: Priority Health Narrow Network |
$421.20
|
| Rate for Payer: Priority Health SBD |
$421.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.51
|
| Rate for Payer: UHC Exchange |
$320.26
|
| Rate for Payer: UHC Medicare Advantage |
$226.51
|
| Rate for Payer: UHCCP Medicaid |
$151.23
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$974.00
|
|
|
Service Code
|
HCPCS 44363
|
| Min. Negotiated Rate |
$120.56 |
| Max. Negotiated Rate |
$33,473.00 |
| Rate for Payer: Aetna Commercial |
$241.12
|
| Rate for Payer: Aetna Medicare |
$187.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.11
|
| Rate for Payer: BCBS Complete |
$126.59
|
| Rate for Payer: BCBS MAPPO |
$179.94
|
| Rate for Payer: BCBS Trust/PPO |
$283.17
|
| Rate for Payer: BCN Commercial |
$274.63
|
| Rate for Payer: BCN Medicare Advantage |
$179.94
|
| Rate for Payer: Cash Price |
$779.20
|
| Rate for Payer: Cash Price |
$779.20
|
| Rate for Payer: Cofinity Commercial |
$259.11
|
| Rate for Payer: Cofinity Commercial |
$241.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.94
|
| Rate for Payer: Healthscope Commercial |
$332.89
|
| Rate for Payer: Healthscope Commercial |
$287.90
|
| Rate for Payer: Mclaren Medicaid |
$120.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.94
|
| Rate for Payer: Meridian Medicaid |
$126.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,473.00
|
| Rate for Payer: Nomi Health Commercial |
$215.93
|
| Rate for Payer: PACE SWMI |
$179.94
|
| Rate for Payer: PHP Medicare Advantage |
$179.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$633.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$337.07
|
| Rate for Payer: Priority Health Medicare |
$179.94
|
| Rate for Payer: Priority Health Narrow Network |
$337.07
|
| Rate for Payer: Priority Health SBD |
$337.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.94
|
| Rate for Payer: UHC Exchange |
$254.71
|
| Rate for Payer: UHC Medicare Advantage |
$179.94
|
| Rate for Payer: UHCCP Medicaid |
$120.56
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 44365
|
| Min. Negotiated Rate |
$114.81 |
| Max. Negotiated Rate |
$31,732.00 |
| Rate for Payer: Aetna Commercial |
$229.65
|
| Rate for Payer: Aetna Medicare |
$178.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.79
|
| Rate for Payer: BCBS Complete |
$120.55
|
| Rate for Payer: BCBS MAPPO |
$171.38
|
| Rate for Payer: BCBS Trust/PPO |
$740.68
|
| Rate for Payer: BCN Commercial |
$260.46
|
| Rate for Payer: BCN Medicare Advantage |
$171.38
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$246.79
|
| Rate for Payer: Cofinity Commercial |
$229.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.38
|
| Rate for Payer: Healthscope Commercial |
$317.05
|
| Rate for Payer: Healthscope Commercial |
$274.21
|
| Rate for Payer: Mclaren Medicaid |
$114.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.95
|
| Rate for Payer: Meridian Medicaid |
$120.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,732.00
|
| Rate for Payer: Nomi Health Commercial |
$205.66
|
| Rate for Payer: PACE SWMI |
$171.38
|
| Rate for Payer: PHP Medicare Advantage |
$171.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$320.97
|
| Rate for Payer: Priority Health Medicare |
$171.38
|
| Rate for Payer: Priority Health Narrow Network |
$320.97
|
| Rate for Payer: Priority Health SBD |
$320.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.38
|
| Rate for Payer: UHC Exchange |
$244.45
|
| Rate for Payer: UHC Medicare Advantage |
$171.38
|
| Rate for Payer: UHCCP Medicaid |
$114.81
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 44364
|
| Min. Negotiated Rate |
$128.65 |
| Max. Negotiated Rate |
$35,680.00 |
| Rate for Payer: Aetna Commercial |
$257.39
|
| Rate for Payer: Aetna Medicare |
$199.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.60
|
| Rate for Payer: BCBS Complete |
$135.08
|
| Rate for Payer: BCBS MAPPO |
$192.08
|
| Rate for Payer: BCBS Trust/PPO |
$700.00
|
| Rate for Payer: BCN Commercial |
$292.72
|
| Rate for Payer: BCN Medicare Advantage |
$192.08
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$276.60
|
| Rate for Payer: Cofinity Commercial |
$257.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.08
|
| Rate for Payer: Healthscope Commercial |
$355.35
|
| Rate for Payer: Healthscope Commercial |
$307.33
|
| Rate for Payer: Mclaren Medicaid |
$128.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.68
|
| Rate for Payer: Meridian Medicaid |
$135.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35,680.00
|
| Rate for Payer: Nomi Health Commercial |
$230.50
|
| Rate for Payer: PACE SWMI |
$192.08
|
| Rate for Payer: PHP Medicare Advantage |
$192.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$359.15
|
| Rate for Payer: Priority Health Medicare |
$192.08
|
| Rate for Payer: Priority Health Narrow Network |
$359.15
|
| Rate for Payer: Priority Health SBD |
$359.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$192.08
|
| Rate for Payer: UHC Exchange |
$273.04
|
| Rate for Payer: UHC Medicare Advantage |
$192.08
|
| Rate for Payer: UHCCP Medicaid |
$128.65
|
|
|
PR ENTEROTOMY SM INT OTH/THN DUO DCMPRN
|
Professional
|
Both
|
$2,764.00
|
|
|
Service Code
|
HCPCS 44021
|
| Min. Negotiated Rate |
$626.43 |
| Max. Negotiated Rate |
$174,064.00 |
| Rate for Payer: Aetna Commercial |
$1,269.42
|
| Rate for Payer: Aetna Medicare |
$985.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,269.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,364.16
|
| Rate for Payer: BCBS Complete |
$657.75
|
| Rate for Payer: BCBS MAPPO |
$947.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,724.90
|
| Rate for Payer: BCN Commercial |
$1,418.63
|
| Rate for Payer: BCN Medicare Advantage |
$947.33
|
| Rate for Payer: Cash Price |
$2,211.20
|
| Rate for Payer: Cash Price |
$2,211.20
|
| Rate for Payer: Cofinity Commercial |
$1,364.16
|
| Rate for Payer: Cofinity Commercial |
$1,269.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$947.33
|
| Rate for Payer: Healthscope Commercial |
$1,752.56
|
| Rate for Payer: Healthscope Commercial |
$1,515.73
|
| Rate for Payer: Mclaren Medicaid |
$626.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$994.70
|
| Rate for Payer: Meridian Medicaid |
$657.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174,064.00
|
| Rate for Payer: Nomi Health Commercial |
$1,136.80
|
| Rate for Payer: PACE SWMI |
$947.33
|
| Rate for Payer: PHP Medicare Advantage |
$947.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,796.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,737.28
|
| Rate for Payer: Priority Health Medicare |
$947.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,737.28
|
| Rate for Payer: Priority Health SBD |
$1,737.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$968.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$947.33
|
| Rate for Payer: UHC Exchange |
$968.30
|
| Rate for Payer: UHC Medicare Advantage |
$947.33
|
| Rate for Payer: UHCCP Medicaid |
$626.43
|
|
|
PR ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL
|
Professional
|
Both
|
$2,946.00
|
|
|
Service Code
|
HCPCS 44020
|
| Min. Negotiated Rate |
$627.07 |
| Max. Negotiated Rate |
$174,182.00 |
| Rate for Payer: Aetna Commercial |
$1,270.25
|
| Rate for Payer: Aetna Medicare |
$985.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,270.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,365.05
|
| Rate for Payer: BCBS Complete |
$658.42
|
| Rate for Payer: BCBS MAPPO |
$947.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,324.52
|
| Rate for Payer: BCN Commercial |
$1,420.10
|
| Rate for Payer: BCN Medicare Advantage |
$947.95
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Cash Price |
$2,356.80
|
| Rate for Payer: Cofinity Commercial |
$1,365.05
|
| Rate for Payer: Cofinity Commercial |
$1,270.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$947.95
|
| Rate for Payer: Healthscope Commercial |
$1,753.71
|
| Rate for Payer: Healthscope Commercial |
$1,516.72
|
| Rate for Payer: Mclaren Medicaid |
$627.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$995.35
|
| Rate for Payer: Meridian Medicaid |
$658.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174,182.00
|
| Rate for Payer: Nomi Health Commercial |
$1,137.54
|
| Rate for Payer: PACE SWMI |
$947.95
|
| Rate for Payer: PHP Medicare Advantage |
$947.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$627.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,914.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,742.06
|
| Rate for Payer: Priority Health Medicare |
$947.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,742.06
|
| Rate for Payer: Priority Health SBD |
$1,742.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$955.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$947.95
|
| Rate for Payer: UHC Exchange |
$955.89
|
| Rate for Payer: UHC Medicare Advantage |
$947.95
|
| Rate for Payer: UHCCP Medicaid |
$627.07
|
|
|
PR ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,992.00
|
|
|
Service Code
|
HCPCS 44128
|
| Min. Negotiated Rate |
$154.43 |
| Max. Negotiated Rate |
$43,547.00 |
| Rate for Payer: Aetna Commercial |
$316.47
|
| Rate for Payer: Aetna Medicare |
$245.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$340.08
|
| Rate for Payer: BCBS Complete |
$162.15
|
| Rate for Payer: BCBS MAPPO |
$236.17
|
| Rate for Payer: BCBS Trust/PPO |
$726.94
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Medicare Advantage |
$236.17
|
| Rate for Payer: Cash Price |
$1,593.60
|
| Rate for Payer: Cash Price |
$1,593.60
|
| Rate for Payer: Cofinity Commercial |
$340.08
|
| Rate for Payer: Cofinity Commercial |
$316.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.17
|
| Rate for Payer: Healthscope Commercial |
$436.91
|
| Rate for Payer: Healthscope Commercial |
$377.87
|
| Rate for Payer: Mclaren Medicaid |
$154.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$247.98
|
| Rate for Payer: Meridian Medicaid |
$162.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,547.00
|
| Rate for Payer: Nomi Health Commercial |
$283.40
|
| Rate for Payer: PACE SWMI |
$236.17
|
| Rate for Payer: PHP Medicare Advantage |
$236.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$154.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,294.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$430.75
|
| Rate for Payer: Priority Health Medicare |
$236.17
|
| Rate for Payer: Priority Health Narrow Network |
$430.75
|
| Rate for Payer: Priority Health SBD |
$430.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.17
|
| Rate for Payer: UHC Exchange |
$283.62
|
| Rate for Payer: UHC Medicare Advantage |
$236.17
|
| Rate for Payer: UHCCP Medicaid |
$154.43
|
|
