|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$3,905.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$89.28 |
| Max. Negotiated Rate |
$3,086.86 |
| Rate for Payer: Aetna Commercial |
$2,343.85
|
| Rate for Payer: Aetna Medicare |
$1,819.11
|
| Rate for Payer: BCBS Complete |
$1,177.74
|
| Rate for Payer: BCBS MAPPO |
$1,749.14
|
| Rate for Payer: BCBS Trust/PPO |
$89.28
|
| Rate for Payer: BCN Commercial |
$2,565.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,749.14
|
| Rate for Payer: Cash Price |
$3,124.00
|
| Rate for Payer: Cash Price |
$3,124.00
|
| Rate for Payer: Cofinity Commercial |
$2,518.76
|
| Rate for Payer: Cofinity Commercial |
$2,343.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,749.14
|
| Rate for Payer: Mclaren Medicaid |
$1,121.66
|
| Rate for Payer: Meridian Medicaid |
$1,177.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,836.60
|
| Rate for Payer: PACE SWMI |
$1,749.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,749.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,121.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,733.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.86
|
| Rate for Payer: Priority Health Medicare |
$1,749.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,086.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,749.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,749.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,801.61
|
|
|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,118.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$324.38 |
| Max. Negotiated Rate |
$2,893.42 |
| Rate for Payer: Aetna Commercial |
$2,195.95
|
| Rate for Payer: Aetna Medicare |
$1,704.32
|
| Rate for Payer: BCBS Complete |
$1,103.49
|
| Rate for Payer: BCBS MAPPO |
$1,638.77
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$2,404.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,638.77
|
| Rate for Payer: Cash Price |
$3,294.40
|
| Rate for Payer: Cash Price |
$3,294.40
|
| Rate for Payer: Cofinity Commercial |
$2,359.83
|
| Rate for Payer: Cofinity Commercial |
$2,195.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,638.77
|
| Rate for Payer: Mclaren Medicaid |
$1,050.94
|
| Rate for Payer: Meridian Medicaid |
$1,103.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,720.71
|
| Rate for Payer: PACE SWMI |
$1,638.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,882.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,893.42
|
| Rate for Payer: Priority Health Medicare |
$1,638.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,893.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,638.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,638.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,687.93
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$3,887.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$791.72 |
| Max. Negotiated Rate |
$2,720.90 |
| Rate for Payer: Aetna Commercial |
$1,649.63
|
| Rate for Payer: Aetna Medicare |
$1,280.31
|
| Rate for Payer: BCBS Complete |
$831.31
|
| Rate for Payer: BCBS MAPPO |
$1,231.07
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,231.07
|
| Rate for Payer: Cash Price |
$3,109.60
|
| Rate for Payer: Cash Price |
$3,109.60
|
| Rate for Payer: Cofinity Commercial |
$1,772.74
|
| Rate for Payer: Cofinity Commercial |
$1,649.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,231.07
|
| Rate for Payer: Mclaren Medicaid |
$791.72
|
| Rate for Payer: Meridian Medicaid |
$831.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,292.62
|
| Rate for Payer: PACE SWMI |
$1,231.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,231.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$791.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,720.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,174.33
|
| Rate for Payer: Priority Health Medicare |
$1,231.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,174.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,231.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,231.07
|
| Rate for Payer: UHC Medicare Advantage |
$1,268.00
|
|
|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,760.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$244.07 |
| Max. Negotiated Rate |
$3,172.11 |
| Rate for Payer: Aetna Commercial |
$2,404.28
|
| Rate for Payer: Aetna Medicare |
$1,866.01
|
| Rate for Payer: BCBS Complete |
$1,211.51
|
| Rate for Payer: BCBS MAPPO |
$1,794.24
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$2,636.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,794.24
|
| Rate for Payer: Cash Price |
$3,008.00
|
| Rate for Payer: Cash Price |
$3,008.00
|
| Rate for Payer: Cofinity Commercial |
$2,583.71
|
| Rate for Payer: Cofinity Commercial |
$2,404.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,794.24
|
| Rate for Payer: Mclaren Medicaid |
$1,153.82
|
| Rate for Payer: Meridian Medicaid |
$1,211.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,883.95
|
| Rate for Payer: PACE SWMI |
$1,794.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,794.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,153.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,632.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,172.11
|
| Rate for Payer: Priority Health Medicare |
$1,794.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,172.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,794.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,794.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,848.07
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$6,686.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$175.40 |
| Max. Negotiated Rate |
$4,680.20 |
| Rate for Payer: Aetna Commercial |
$3,056.42
|
| Rate for Payer: Aetna Medicare |
$2,372.15
|
| Rate for Payer: BCBS Complete |
$1,536.93
|
| Rate for Payer: BCBS MAPPO |
$2,280.91
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$3,348.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,280.91
|
| Rate for Payer: Cash Price |
$5,348.80
|
| Rate for Payer: Cash Price |
$5,348.80
|
| Rate for Payer: Cofinity Commercial |
$3,284.51
|
| Rate for Payer: Cofinity Commercial |
$3,056.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,280.91
|
| Rate for Payer: Mclaren Medicaid |
$1,463.74
|
| Rate for Payer: Meridian Medicaid |
$1,536.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,394.96
|
| Rate for Payer: PACE SWMI |
$2,280.91
|
| Rate for Payer: PHP Medicare Advantage |
$2,280.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,463.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,680.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,029.38
|
| Rate for Payer: Priority Health Medicare |
$2,280.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,029.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,280.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,280.91
|
| Rate for Payer: UHC Medicare Advantage |
$2,349.34
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,708.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$3,995.60 |
| Rate for Payer: Aetna Commercial |
$2,726.07
|
| Rate for Payer: Aetna Medicare |
$2,115.76
|
| Rate for Payer: BCBS Complete |
$1,377.90
|
| Rate for Payer: BCBS MAPPO |
$2,034.38
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$2,995.10
|
| Rate for Payer: BCN Medicare Advantage |
$2,034.38
|
| Rate for Payer: Cash Price |
$4,566.40
|
| Rate for Payer: Cash Price |
$4,566.40
|
| Rate for Payer: Cofinity Commercial |
$2,929.51
|
| Rate for Payer: Cofinity Commercial |
$2,726.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,034.38
|
| Rate for Payer: Mclaren Medicaid |
$1,312.29
|
| Rate for Payer: Meridian Medicaid |
$1,377.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,136.10
|
| Rate for Payer: PACE SWMI |
$2,034.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,034.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,312.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,995.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,603.69
|
| Rate for Payer: Priority Health Medicare |
$2,034.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,603.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,034.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,034.38
|
| Rate for Payer: UHC Medicare Advantage |
$2,095.41
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,477.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$305.36 |
| Max. Negotiated Rate |
$3,828.30 |
| Rate for Payer: Aetna Commercial |
$2,904.77
|
| Rate for Payer: Aetna Medicare |
$2,254.45
|
| Rate for Payer: BCBS Complete |
$1,461.56
|
| Rate for Payer: BCBS MAPPO |
$2,167.74
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$3,181.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,167.74
|
| Rate for Payer: Cash Price |
$3,581.60
|
| Rate for Payer: Cash Price |
$3,581.60
|
| Rate for Payer: Cofinity Commercial |
$3,121.55
|
| Rate for Payer: Cofinity Commercial |
$2,904.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,167.74
|
| Rate for Payer: Mclaren Medicaid |
$1,391.96
|
| Rate for Payer: Meridian Medicaid |
$1,461.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,276.13
|
| Rate for Payer: PACE SWMI |
$2,167.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,167.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,391.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,133.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,828.30
|
| Rate for Payer: Priority Health Medicare |
$2,167.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,828.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,167.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,167.74
|
| Rate for Payer: UHC Medicare Advantage |
$2,232.77
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$65.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$93.81 |
| Rate for Payer: Aetna Commercial |
$87.30
|
| Rate for Payer: Aetna Medicare |
$67.75
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS MAPPO |
$65.15
|
| Rate for Payer: BCBS Trust/PPO |
$67.51
|
| Rate for Payer: BCN Commercial |
$66.22
|
| Rate for Payer: BCN Medicare Advantage |
$65.15
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$87.30
|
| Rate for Payer: Cofinity Commercial |
$93.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$68.41
|
| Rate for Payer: PACE SWMI |
$65.15
|
| Rate for Payer: PHP Medicare Advantage |
$65.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health Medicare |
$65.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.15
|
| Rate for Payer: UHC Medicare Advantage |
$67.10
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1,055.02 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.02
|
| Rate for Payer: BCN Commercial |
$1.99
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.30
|
|
|
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 36415
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$1,529.43 |
| Rate for Payer: Aetna Commercial |
$11.48
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$8.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.43
|
| Rate for Payer: BCN Commercial |
$2.86
|
| Rate for Payer: BCN Medicare Advantage |
$8.57
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$12.34
|
| Rate for Payer: Cofinity Commercial |
$11.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.00
|
| Rate for Payer: PACE SWMI |
$8.57
|
| Rate for Payer: PHP Medicare Advantage |
$8.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.30
|
| Rate for Payer: Priority Health Medicare |
$8.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.57
|
| Rate for Payer: UHC Medicare Advantage |
$8.83
|
|
|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 99091
|
| Min. Negotiated Rate |
$46.00 |
| Max. Negotiated Rate |
$780.83 |
| Rate for Payer: Aetna Commercial |
$71.23
|
| Rate for Payer: Aetna Medicare |
$55.29
|
| Rate for Payer: BCBS Complete |
$46.00
|
| Rate for Payer: BCBS MAPPO |
$53.16
|
| Rate for Payer: BCBS Trust/PPO |
$780.83
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$53.16
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$76.55
|
| Rate for Payer: Cofinity Commercial |
$71.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.82
|
| Rate for Payer: PACE SWMI |
$53.16
|
| Rate for Payer: PHP Medicare Advantage |
$53.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.86
|
| Rate for Payer: Priority Health Medicare |
$53.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.16
|
| Rate for Payer: UHC Medicare Advantage |
$54.75
|
|
|
PR COLON CA SCREEN;BARIUM ENEMA
|
Professional
|
Both
|
$617.00
|
|
|
Service Code
|
HCPCS G0106
|
| Min. Negotiated Rate |
$37.49 |
| Max. Negotiated Rate |
$1,824.22 |
| Rate for Payer: Aetna Commercial |
$284.17
|
| Rate for Payer: Aetna Medicare |
$220.55
|
| Rate for Payer: BCBS Complete |
$39.36
|
| Rate for Payer: BCBS MAPPO |
$212.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.22
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: BCN Medicare Advantage |
$212.07
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cofinity Commercial |
$284.17
|
| Rate for Payer: Cofinity Commercial |
$305.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.07
|
| Rate for Payer: Mclaren Medicaid |
$37.49
|
| Rate for Payer: Meridian Medicaid |
$39.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$222.67
|
| Rate for Payer: PACE SWMI |
$212.07
|
| Rate for Payer: PHP Medicare Advantage |
$212.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$395.70
|
| Rate for Payer: Priority Health Medicare |
$212.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$395.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.07
|
| Rate for Payer: UHC Medicare Advantage |
$218.43
|
|
|
PR COLON CA SCRN; BARIUM ENEMA
|
Professional
|
Both
|
$391.00
|
|
|
Service Code
|
HCPCS G0120
|
| Min. Negotiated Rate |
$37.49 |
| Max. Negotiated Rate |
$1,971.09 |
| Rate for Payer: Aetna Commercial |
$284.17
|
| Rate for Payer: Aetna Medicare |
$220.55
|
| Rate for Payer: BCBS Complete |
$39.36
|
| Rate for Payer: BCBS MAPPO |
$212.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,971.09
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: BCN Medicare Advantage |
$212.07
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cofinity Commercial |
$305.38
|
| Rate for Payer: Cofinity Commercial |
$284.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.07
|
| Rate for Payer: Mclaren Medicaid |
$37.49
|
| Rate for Payer: Meridian Medicaid |
$39.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$222.67
|
| Rate for Payer: PACE SWMI |
$212.07
|
| Rate for Payer: PHP Medicare Advantage |
$212.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$395.70
|
| Rate for Payer: Priority Health Medicare |
$212.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$395.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.07
|
| Rate for Payer: UHC Medicare Advantage |
$218.43
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$241.03
|
| Rate for Payer: Aetna Medicare |
$187.06
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$179.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$179.87
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cofinity Commercial |
$259.01
|
| Rate for Payer: Cofinity Commercial |
$241.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.87
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.86
|
| Rate for Payer: PACE SWMI |
$179.87
|
| Rate for Payer: PHP Medicare Advantage |
$179.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$813.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.87
|
| Rate for Payer: UHC Medicare Advantage |
$185.27
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
OP
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$275.98 |
| Max. Negotiated Rate |
$1,045.80 |
| Rate for Payer: Aetna Commercial |
$987.70
|
| Rate for Payer: Aetna Medicare |
$302.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$363.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$363.12
|
| Rate for Payer: BCBS Complete |
$629.53
|
| Rate for Payer: BCBS MAPPO |
$290.50
|
| Rate for Payer: BCBS Trust/PPO |
$903.46
|
| Rate for Payer: BCN Commercial |
$903.46
|
| Rate for Payer: BCN Medicare Advantage |
$290.50
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cofinity Commercial |
$999.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$929.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.50
|
| Rate for Payer: Healthscope Commercial |
$1,045.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$871.50
|
| Rate for Payer: Mclaren Medicaid |
$599.55
|
| Rate for Payer: Meridian Medicaid |
$629.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$305.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$334.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$987.70
|
| Rate for Payer: PACE Senior Care Partners |
$275.98
|
| Rate for Payer: PACE SWMI |
$290.50
|
| Rate for Payer: PHP Commercial |
$987.70
|
| Rate for Payer: PHP Medicare Advantage |
$290.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$813.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,010.94
|
| Rate for Payer: Priority Health Medicare |
$290.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$708.70
|
| Rate for Payer: Railroad Medicare Medicare |
$290.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,022.56
|
| Rate for Payer: UHC Core |
$970.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.50
|
| Rate for Payer: UHC Medicare Advantage |
$299.22
|
| Rate for Payer: VA VA |
$290.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$871.50
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
IP
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$708.70 |
| Max. Negotiated Rate |
$1,045.80 |
| Rate for Payer: Aetna Commercial |
$987.70
|
| Rate for Payer: BCBS Trust/PPO |
$897.99
|
| Rate for Payer: BCN Commercial |
$897.99
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cofinity Commercial |
$999.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$929.60
|
| Rate for Payer: Healthscope Commercial |
$1,045.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$871.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$987.70
|
| Rate for Payer: PHP Commercial |
$987.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$813.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,010.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$708.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,022.56
|
| Rate for Payer: UHC Core |
$970.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$871.50
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0121
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$241.03
|
| Rate for Payer: Aetna Medicare |
$187.06
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$179.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$179.87
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cofinity Commercial |
$259.01
|
| Rate for Payer: Cofinity Commercial |
$241.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.87
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.86
|
| Rate for Payer: PACE SWMI |
$179.87
|
| Rate for Payer: PHP Medicare Advantage |
$179.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$813.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.87
|
| Rate for Payer: UHC Medicare Advantage |
$185.27
|
|
|
PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
|
Professional
|
Both
|
$451.00
|
|
|
Service Code
|
HCPCS 91117
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$917.13 |
| Rate for Payer: Aetna Commercial |
$176.72
|
| Rate for Payer: Aetna Medicare |
$137.16
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$131.88
|
| Rate for Payer: BCBS Trust/PPO |
$917.13
|
| Rate for Payer: BCN Commercial |
$195.47
|
| Rate for Payer: BCN Medicare Advantage |
$131.88
|
| Rate for Payer: Cash Price |
$360.80
|
| Rate for Payer: Cash Price |
$360.80
|
| Rate for Payer: Cofinity Commercial |
$189.91
|
| Rate for Payer: Cofinity Commercial |
$176.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.88
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$138.47
|
| Rate for Payer: PACE SWMI |
$131.88
|
| Rate for Payer: PHP Medicare Advantage |
$131.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$179.66
|
| Rate for Payer: Priority Health Medicare |
$131.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$179.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.88
|
| Rate for Payer: UHC Medicare Advantage |
$135.84
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 45383
|
| Min. Negotiated Rate |
$593.20 |
| Max. Negotiated Rate |
$1,038.10 |
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,038.10
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$904.48 |
| Max. Negotiated Rate |
$1,334.70 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,146.06
|
| Rate for Payer: BCN Commercial |
$1,146.06
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,260.55
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,038.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,290.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$904.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,305.04
|
| Rate for Payer: UHC Core |
$1,238.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$593.20 |
| Max. Negotiated Rate |
$1,038.10 |
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,038.10
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
OP
|
$1,483.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$352.21 |
| Max. Negotiated Rate |
$1,334.70 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna Medicare |
$385.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$463.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$463.44
|
| Rate for Payer: BCBS Complete |
$593.20
|
| Rate for Payer: BCBS MAPPO |
$370.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,153.03
|
| Rate for Payer: BCN Commercial |
$1,153.03
|
| Rate for Payer: BCN Medicare Advantage |
$370.75
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.75
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,112.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$389.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$426.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,260.55
|
| Rate for Payer: PACE Senior Care Partners |
$352.21
|
| Rate for Payer: PACE SWMI |
$370.75
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: PHP Medicare Advantage |
$370.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,038.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,290.21
|
| Rate for Payer: Priority Health Medicare |
$370.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$904.48
|
| Rate for Payer: Railroad Medicare Medicare |
$370.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,305.04
|
| Rate for Payer: UHC Core |
$1,238.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.75
|
| Rate for Payer: UHC Medicare Advantage |
$381.87
|
| Rate for Payer: VA VA |
$370.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,112.25
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,287.00
|
|
|
Service Code
|
HCPCS 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$148.04 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$308.44
|
| Rate for Payer: Aetna Medicare |
$239.39
|
| Rate for Payer: BCBS Complete |
$155.44
|
| Rate for Payer: BCBS MAPPO |
$230.18
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$230.18
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cofinity Commercial |
$308.44
|
| Rate for Payer: Cofinity Commercial |
$331.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.18
|
| Rate for Payer: Mclaren Medicaid |
$148.04
|
| Rate for Payer: Meridian Medicaid |
$155.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$241.69
|
| Rate for Payer: PACE SWMI |
$230.18
|
| Rate for Payer: PHP Medicare Advantage |
$230.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$407.47
|
| Rate for Payer: Priority Health Medicare |
$230.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$407.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.18
|
| Rate for Payer: UHC Medicare Advantage |
$237.09
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,287.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$148.04 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$308.44
|
| Rate for Payer: Aetna Medicare |
$239.39
|
| Rate for Payer: BCBS Complete |
$155.44
|
| Rate for Payer: BCBS MAPPO |
$230.18
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$230.18
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cofinity Commercial |
$308.44
|
| Rate for Payer: Cofinity Commercial |
$331.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.18
|
| Rate for Payer: Mclaren Medicaid |
$148.04
|
| Rate for Payer: Meridian Medicaid |
$155.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$241.69
|
| Rate for Payer: PACE SWMI |
$230.18
|
| Rate for Payer: PHP Medicare Advantage |
$230.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$407.47
|
| Rate for Payer: Priority Health Medicare |
$230.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$407.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.18
|
| Rate for Payer: UHC Medicare Advantage |
$237.09
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
IP
|
$1,287.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$784.94 |
| Max. Negotiated Rate |
$1,158.30 |
| Rate for Payer: Aetna Commercial |
$1,093.95
|
| Rate for Payer: BCBS Trust/PPO |
$994.59
|
| Rate for Payer: BCN Commercial |
$994.59
|
| Rate for Payer: Cash Price |
$1,029.60
|
| Rate for Payer: Cofinity Commercial |
$1,106.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,029.60
|
| Rate for Payer: Healthscope Commercial |
$1,158.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$965.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,093.95
|
| Rate for Payer: PHP Commercial |
$1,093.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,119.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$784.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,132.56
|
| Rate for Payer: UHC Core |
$1,074.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$965.25
|
|
