|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$125.88 |
| Max. Negotiated Rate |
$3,079.46 |
| Rate for Payer: Aetna Commercial |
$261.29
|
| Rate for Payer: Aetna Medicare |
$202.79
|
| Rate for Payer: BCBS Complete |
$132.17
|
| Rate for Payer: BCBS MAPPO |
$194.99
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.46
|
| Rate for Payer: BCN Commercial |
$568.82
|
| Rate for Payer: BCN Medicare Advantage |
$194.99
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$280.79
|
| Rate for Payer: Cofinity Commercial |
$261.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.99
|
| Rate for Payer: Mclaren Medicaid |
$125.88
|
| Rate for Payer: Meridian Medicaid |
$132.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.74
|
| Rate for Payer: PACE SWMI |
$194.99
|
| Rate for Payer: PHP Medicare Advantage |
$194.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.14
|
| Rate for Payer: Priority Health Medicare |
$194.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$345.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$194.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.99
|
| Rate for Payer: UHC Medicare Advantage |
$200.84
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,030.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$115.23 |
| Max. Negotiated Rate |
$4,654.32 |
| Rate for Payer: Aetna Commercial |
$237.97
|
| Rate for Payer: Aetna Medicare |
$184.69
|
| Rate for Payer: BCBS Complete |
$120.99
|
| Rate for Payer: BCBS MAPPO |
$177.59
|
| Rate for Payer: BCBS Trust/PPO |
$4,654.32
|
| Rate for Payer: BCN Commercial |
$817.56
|
| Rate for Payer: BCN Medicare Advantage |
$177.59
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cofinity Commercial |
$255.73
|
| Rate for Payer: Cofinity Commercial |
$237.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.59
|
| Rate for Payer: Mclaren Medicaid |
$115.23
|
| Rate for Payer: Meridian Medicaid |
$120.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.47
|
| Rate for Payer: PACE SWMI |
$177.59
|
| Rate for Payer: PHP Medicare Advantage |
$177.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$315.73
|
| Rate for Payer: Priority Health Medicare |
$177.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$315.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.59
|
| Rate for Payer: UHC Medicare Advantage |
$182.92
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$224.18
|
| Rate for Payer: Aetna Medicare |
$173.99
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$167.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$167.30
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$240.91
|
| Rate for Payer: Cofinity Commercial |
$224.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.30
|
| Rate for Payer: Mclaren Medicaid |
$107.99
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$175.66
|
| Rate for Payer: PACE SWMI |
$167.30
|
| Rate for Payer: PHP Medicare Advantage |
$167.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$296.93
|
| Rate for Payer: Priority Health Medicare |
$167.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$296.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$167.30
|
| Rate for Payer: UHC Medicare Advantage |
$172.32
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,147.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$272.41 |
| Max. Negotiated Rate |
$1,032.30 |
| Rate for Payer: Aetna Commercial |
$974.95
|
| Rate for Payer: Aetna Medicare |
$298.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$358.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$358.44
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$286.75
|
| Rate for Payer: BCBS Trust/PPO |
$891.79
|
| Rate for Payer: BCN Commercial |
$891.79
|
| Rate for Payer: BCN Medicare Advantage |
$286.75
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$986.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$917.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.75
|
| Rate for Payer: Healthscope Commercial |
$1,032.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$860.25
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$301.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$329.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$974.95
|
| Rate for Payer: PACE Senior Care Partners |
$272.41
|
| Rate for Payer: PACE SWMI |
$286.75
|
| Rate for Payer: PHP Commercial |
$974.95
|
| Rate for Payer: PHP Medicare Advantage |
$286.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$997.89
|
| Rate for Payer: Priority Health Medicare |
$286.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$699.56
|
| Rate for Payer: Railroad Medicare Medicare |
$286.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,009.36
|
| Rate for Payer: UHC Core |
$957.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.75
|
| Rate for Payer: UHC Medicare Advantage |
$295.35
|
| Rate for Payer: VA VA |
$286.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$860.25
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$224.18
|
| Rate for Payer: Aetna Medicare |
$173.99
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$167.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$167.30
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$240.91
|
| Rate for Payer: Cofinity Commercial |
$224.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.30
|
| Rate for Payer: Mclaren Medicaid |
$107.99
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$175.66
|
| Rate for Payer: PACE SWMI |
$167.30
|
| Rate for Payer: PHP Medicare Advantage |
$167.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$296.93
|
| Rate for Payer: Priority Health Medicare |
$167.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$296.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$167.30
|
| Rate for Payer: UHC Medicare Advantage |
$172.32
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,147.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$699.56 |
| Max. Negotiated Rate |
$1,032.30 |
| Rate for Payer: Aetna Commercial |
$974.95
|
| Rate for Payer: BCBS Trust/PPO |
$886.40
|
| Rate for Payer: BCN Commercial |
$886.40
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$986.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$917.60
|
| Rate for Payer: Healthscope Commercial |
$1,032.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$860.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$974.95
|
| Rate for Payer: PHP Commercial |
$974.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$997.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$699.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,009.36
|
| Rate for Payer: UHC Core |
$957.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$860.25
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$541.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$164.01 |
| Max. Negotiated Rate |
$4,432.97 |
| Rate for Payer: Aetna Commercial |
$340.40
|
| Rate for Payer: Aetna Medicare |
$264.19
|
| Rate for Payer: BCBS Complete |
$172.21
|
| Rate for Payer: BCBS MAPPO |
$254.03
|
| Rate for Payer: BCBS Trust/PPO |
$4,432.97
|
| Rate for Payer: BCN Commercial |
$374.82
|
| Rate for Payer: BCN Medicare Advantage |
$254.03
|
| Rate for Payer: Cash Price |
$432.80
|
| Rate for Payer: Cash Price |
$432.80
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$340.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.03
|
| Rate for Payer: Mclaren Medicaid |
$164.01
|
| Rate for Payer: Meridian Medicaid |
$172.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$266.73
|
| Rate for Payer: PACE SWMI |
$254.03
|
| Rate for Payer: PHP Medicare Advantage |
$254.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$378.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.97
|
| Rate for Payer: Priority Health Medicare |
$254.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$450.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.03
|
| Rate for Payer: UHC Medicare Advantage |
$261.65
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$132.06 |
| Max. Negotiated Rate |
$3,813.27 |
| Rate for Payer: Aetna Commercial |
$273.65
|
| Rate for Payer: Aetna Medicare |
$212.39
|
| Rate for Payer: BCBS Complete |
$138.66
|
| Rate for Payer: BCBS MAPPO |
$204.22
|
| Rate for Payer: BCBS Trust/PPO |
$3,813.27
|
| Rate for Payer: BCN Commercial |
$593.26
|
| Rate for Payer: BCN Medicare Advantage |
$204.22
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$294.08
|
| Rate for Payer: Cofinity Commercial |
$273.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.22
|
| Rate for Payer: Mclaren Medicaid |
$132.06
|
| Rate for Payer: Meridian Medicaid |
$138.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$214.43
|
| Rate for Payer: PACE SWMI |
$204.22
|
| Rate for Payer: PHP Medicare Advantage |
$204.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$362.77
|
| Rate for Payer: Priority Health Medicare |
$204.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$362.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.22
|
| Rate for Payer: UHC Medicare Advantage |
$210.35
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$141.65 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$294.18
|
| Rate for Payer: Aetna Medicare |
$228.32
|
| Rate for Payer: BCBS Complete |
$148.73
|
| Rate for Payer: BCBS MAPPO |
$219.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: BCN Medicare Advantage |
$219.54
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$316.14
|
| Rate for Payer: Cofinity Commercial |
$294.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.54
|
| Rate for Payer: Mclaren Medicaid |
$141.65
|
| Rate for Payer: Meridian Medicaid |
$148.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.52
|
| Rate for Payer: PACE SWMI |
$219.54
|
| Rate for Payer: PHP Medicare Advantage |
$219.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$141.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$389.23
|
| Rate for Payer: Priority Health Medicare |
$219.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$389.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.54
|
| Rate for Payer: UHC Medicare Advantage |
$226.13
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,344.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$319.20 |
| Max. Negotiated Rate |
$1,209.60 |
| Rate for Payer: Aetna Commercial |
$1,142.40
|
| Rate for Payer: Aetna Medicare |
$349.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$420.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$420.00
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$336.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.96
|
| Rate for Payer: BCN Commercial |
$1,044.96
|
| Rate for Payer: BCN Medicare Advantage |
$336.00
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,155.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.00
|
| Rate for Payer: Healthscope Commercial |
$1,209.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,008.00
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$352.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$386.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,142.40
|
| Rate for Payer: PACE Senior Care Partners |
$319.20
|
| Rate for Payer: PACE SWMI |
$336.00
|
| Rate for Payer: PHP Commercial |
$1,142.40
|
| Rate for Payer: PHP Medicare Advantage |
$336.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,169.28
|
| Rate for Payer: Priority Health Medicare |
$336.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.71
|
| Rate for Payer: Railroad Medicare Medicare |
$336.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.72
|
| Rate for Payer: UHC Core |
$1,122.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$336.00
|
| Rate for Payer: UHC Medicare Advantage |
$346.08
|
| Rate for Payer: VA VA |
$336.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,008.00
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,344.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$819.71 |
| Max. Negotiated Rate |
$1,209.60 |
| Rate for Payer: Aetna Commercial |
$1,142.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,038.64
|
| Rate for Payer: BCN Commercial |
$1,038.64
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,155.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Healthscope Commercial |
$1,209.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,008.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,142.40
|
| Rate for Payer: PHP Commercial |
$1,142.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,169.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.72
|
| Rate for Payer: UHC Core |
$1,122.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,008.00
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$141.65 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$294.18
|
| Rate for Payer: Aetna Medicare |
$228.32
|
| Rate for Payer: BCBS Complete |
$148.73
|
| Rate for Payer: BCBS MAPPO |
$219.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: BCN Medicare Advantage |
$219.54
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$294.18
|
| Rate for Payer: Cofinity Commercial |
$316.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.54
|
| Rate for Payer: Mclaren Medicaid |
$141.65
|
| Rate for Payer: Meridian Medicaid |
$148.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.52
|
| Rate for Payer: PACE SWMI |
$219.54
|
| Rate for Payer: PHP Medicare Advantage |
$219.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$141.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$389.23
|
| Rate for Payer: Priority Health Medicare |
$219.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$389.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.54
|
| Rate for Payer: UHC Medicare Advantage |
$226.13
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
IP
|
$1,344.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$819.71 |
| Max. Negotiated Rate |
$1,209.60 |
| Rate for Payer: Aetna Commercial |
$1,142.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,038.64
|
| Rate for Payer: BCN Commercial |
$1,038.64
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,155.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Healthscope Commercial |
$1,209.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,008.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,142.40
|
| Rate for Payer: PHP Commercial |
$1,142.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,169.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.72
|
| Rate for Payer: UHC Core |
$1,122.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,008.00
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44393
|
| Min. Negotiated Rate |
$537.60 |
| Max. Negotiated Rate |
$940.80 |
| Rate for Payer: BCBS Complete |
$537.60
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$537.60 |
| Max. Negotiated Rate |
$940.80 |
| Rate for Payer: BCBS Complete |
$537.60
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
OP
|
$1,344.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$319.20 |
| Max. Negotiated Rate |
$1,209.60 |
| Rate for Payer: Aetna Commercial |
$1,142.40
|
| Rate for Payer: Aetna Medicare |
$349.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$420.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$420.00
|
| Rate for Payer: BCBS Complete |
$537.60
|
| Rate for Payer: BCBS MAPPO |
$336.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.96
|
| Rate for Payer: BCN Commercial |
$1,044.96
|
| Rate for Payer: BCN Medicare Advantage |
$336.00
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$1,155.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,075.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$336.00
|
| Rate for Payer: Healthscope Commercial |
$1,209.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,008.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$352.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$386.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,142.40
|
| Rate for Payer: PACE Senior Care Partners |
$319.20
|
| Rate for Payer: PACE SWMI |
$336.00
|
| Rate for Payer: PHP Commercial |
$1,142.40
|
| Rate for Payer: PHP Medicare Advantage |
$336.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,169.28
|
| Rate for Payer: Priority Health Medicare |
$336.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.71
|
| Rate for Payer: Railroad Medicare Medicare |
$336.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.72
|
| Rate for Payer: UHC Core |
$1,122.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$336.00
|
| Rate for Payer: UHC Medicare Advantage |
$346.08
|
| Rate for Payer: VA VA |
$336.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,008.00
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,571.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$628.40 |
| Max. Negotiated Rate |
$1,099.70 |
| Rate for Payer: BCBS Complete |
$628.40
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,099.70
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,103.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$261.96 |
| Max. Negotiated Rate |
$992.70 |
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: Aetna Medicare |
$286.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$344.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$344.69
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$275.75
|
| Rate for Payer: BCBS Trust/PPO |
$857.58
|
| Rate for Payer: BCN Commercial |
$857.58
|
| Rate for Payer: BCN Medicare Advantage |
$275.75
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.75
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$289.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$317.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$937.55
|
| Rate for Payer: PACE Senior Care Partners |
$261.96
|
| Rate for Payer: PACE SWMI |
$275.75
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: PHP Medicare Advantage |
$275.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.61
|
| Rate for Payer: Priority Health Medicare |
$275.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$672.72
|
| Rate for Payer: Railroad Medicare Medicare |
$275.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$970.64
|
| Rate for Payer: UHC Core |
$921.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$275.75
|
| Rate for Payer: UHC Medicare Advantage |
$284.02
|
| Rate for Payer: VA VA |
$275.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
45380
|
| Min. Negotiated Rate |
$126.10 |
| Max. Negotiated Rate |
$772.10 |
| Rate for Payer: Aetna Commercial |
$261.34
|
| Rate for Payer: Aetna Medicare |
$202.83
|
| Rate for Payer: BCBS Complete |
$132.40
|
| Rate for Payer: BCBS MAPPO |
$195.03
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$195.03
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$261.34
|
| Rate for Payer: Cofinity Commercial |
$280.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$195.03
|
| Rate for Payer: Mclaren Medicaid |
$126.10
|
| Rate for Payer: Meridian Medicaid |
$132.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.78
|
| Rate for Payer: PACE SWMI |
$195.03
|
| Rate for Payer: PHP Medicare Advantage |
$195.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$346.32
|
| Rate for Payer: Priority Health Medicare |
$195.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$346.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$195.03
|
| Rate for Payer: UHC Medicare Advantage |
$200.88
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,103.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$672.72 |
| Max. Negotiated Rate |
$992.70 |
| Rate for Payer: Aetna Commercial |
$937.55
|
| Rate for Payer: BCBS Trust/PPO |
$852.40
|
| Rate for Payer: BCN Commercial |
$852.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$948.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$882.40
|
| Rate for Payer: Healthscope Commercial |
$992.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$827.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$937.55
|
| Rate for Payer: PHP Commercial |
$937.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$672.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$970.64
|
| Rate for Payer: UHC Core |
$921.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$827.25
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,103.00
|
|
|
Service Code
|
HCPCS 45380
|
| Min. Negotiated Rate |
$126.10 |
| Max. Negotiated Rate |
$772.10 |
| Rate for Payer: Aetna Commercial |
$261.34
|
| Rate for Payer: Aetna Medicare |
$202.83
|
| Rate for Payer: BCBS Complete |
$132.40
|
| Rate for Payer: BCBS MAPPO |
$195.03
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$195.03
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cash Price |
$882.40
|
| Rate for Payer: Cofinity Commercial |
$261.34
|
| Rate for Payer: Cofinity Commercial |
$280.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$195.03
|
| Rate for Payer: Mclaren Medicaid |
$126.10
|
| Rate for Payer: Meridian Medicaid |
$132.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.78
|
| Rate for Payer: PACE SWMI |
$195.03
|
| Rate for Payer: PHP Medicare Advantage |
$195.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$346.32
|
| Rate for Payer: Priority Health Medicare |
$195.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$346.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$195.03
|
| Rate for Payer: UHC Medicare Advantage |
$200.88
|
|
|
PR COLONOSCOPY W/STENT
|
Professional
|
Both
|
$1,571.00
|
|
|
Service Code
|
HCPCS G6025
|
| Min. Negotiated Rate |
$628.40 |
| Max. Negotiated Rate |
$1,099.70 |
| Rate for Payer: BCBS Complete |
$628.40
|
| Rate for Payer: Cash Price |
$1,256.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,099.70
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
IP
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
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 COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$2,245.28 |
| Rate for Payer: Aetna Commercial |
$240.53
|
| Rate for Payer: Aetna Medicare |
$186.68
|
| Rate for Payer: BCBS Complete |
$61.06
|
| Rate for Payer: BCBS MAPPO |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,245.28
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$179.50
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cash Price |
$929.60
|
| Rate for Payer: Cofinity Commercial |
$258.48
|
| Rate for Payer: Cofinity Commercial |
$240.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.50
|
| Rate for Payer: Mclaren Medicaid |
$58.15
|
| Rate for Payer: Meridian Medicaid |
$61.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.48
|
| Rate for Payer: PACE SWMI |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$179.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| 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 |
$179.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$318.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.50
|
| Rate for Payer: UHC Medicare Advantage |
$184.88
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
OP
|
$1,162.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
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
|
|
