|
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
|
|
|
PR COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 92283
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$1,441.20 |
| Rate for Payer: Aetna Commercial |
$67.44
|
| Rate for Payer: Aetna Medicare |
$52.34
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS MAPPO |
$50.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,441.20
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Medicare Advantage |
$50.33
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cofinity Commercial |
$72.48
|
| Rate for Payer: Cofinity Commercial |
$67.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.85
|
| Rate for Payer: PACE SWMI |
$50.33
|
| Rate for Payer: PHP Medicare Advantage |
$50.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.64
|
| Rate for Payer: Priority Health Medicare |
$50.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.33
|
| Rate for Payer: UHC Medicare Advantage |
$51.84
|
|
|
PR COLOSTOMY/SKIN LEVEL CECOSTOMY
|
Professional
|
Both
|
$2,642.00
|
|
|
Service Code
|
HCPCS 44320
|
| Min. Negotiated Rate |
$262.57 |
| Max. Negotiated Rate |
$2,100.24 |
| Rate for Payer: Aetna Commercial |
$1,590.85
|
| Rate for Payer: Aetna Medicare |
$1,234.69
|
| Rate for Payer: BCBS Complete |
$804.03
|
| Rate for Payer: BCBS MAPPO |
$1,187.20
|
| Rate for Payer: BCBS Trust/PPO |
$262.57
|
| Rate for Payer: BCN Commercial |
$1,745.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,187.20
|
| Rate for Payer: Cash Price |
$2,113.60
|
| Rate for Payer: Cash Price |
$2,113.60
|
| Rate for Payer: Cofinity Commercial |
$1,709.57
|
| Rate for Payer: Cofinity Commercial |
$1,590.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,187.20
|
| Rate for Payer: Mclaren Medicaid |
$765.74
|
| Rate for Payer: Meridian Medicaid |
$804.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,246.56
|
| Rate for Payer: PACE SWMI |
$1,187.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,187.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$765.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,849.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,100.24
|
| Rate for Payer: Priority Health Medicare |
$1,187.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,100.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,187.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,187.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,222.82
|
|
|
PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX
|
Professional
|
Both
|
$2,712.00
|
|
|
Service Code
|
HCPCS 44322
|
| Min. Negotiated Rate |
$643.69 |
| Max. Negotiated Rate |
$1,898.40 |
| Rate for Payer: Aetna Commercial |
$1,324.35
|
| Rate for Payer: Aetna Medicare |
$1,027.85
|
| Rate for Payer: BCBS Complete |
$675.87
|
| Rate for Payer: BCBS MAPPO |
$988.32
|
| Rate for Payer: BCBS Trust/PPO |
$955.17
|
| Rate for Payer: BCN Commercial |
$1,471.41
|
| Rate for Payer: BCN Medicare Advantage |
$988.32
|
| Rate for Payer: Cash Price |
$2,169.60
|
| Rate for Payer: Cash Price |
$2,169.60
|
| Rate for Payer: Cofinity Commercial |
$1,423.18
|
| Rate for Payer: Cofinity Commercial |
$1,324.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$988.32
|
| Rate for Payer: Mclaren Medicaid |
$643.69
|
| Rate for Payer: Meridian Medicaid |
$675.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,037.74
|
| Rate for Payer: PACE SWMI |
$988.32
|
| Rate for Payer: PHP Medicare Advantage |
$988.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$643.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,898.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,770.38
|
| Rate for Payer: Priority Health Medicare |
$988.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,770.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$988.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$988.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.97
|
|
|
PR COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$2,816.00
|
|
|
Service Code
|
HCPCS 44025
|
| Min. Negotiated Rate |
$627.07 |
| Max. Negotiated Rate |
$2,143.84 |
| Rate for Payer: Aetna Commercial |
$1,303.58
|
| Rate for Payer: Aetna Medicare |
$1,011.73
|
| Rate for Payer: BCBS Complete |
$658.42
|
| Rate for Payer: BCBS MAPPO |
$972.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,143.84
|
| Rate for Payer: BCN Commercial |
$1,427.91
|
| Rate for Payer: BCN Medicare Advantage |
$972.82
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cash Price |
$2,252.80
|
| Rate for Payer: Cofinity Commercial |
$1,400.86
|
| Rate for Payer: Cofinity Commercial |
$1,303.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$972.82
|
| Rate for Payer: Mclaren Medicaid |
$627.07
|
| Rate for Payer: Meridian Medicaid |
$658.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,021.46
|
| Rate for Payer: PACE SWMI |
$972.82
|
| Rate for Payer: PHP Medicare Advantage |
$972.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$627.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,971.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,718.05
|
| Rate for Payer: Priority Health Medicare |
$972.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,718.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$972.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$972.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,002.00
|
|
|
PR COLPOCENTESIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 57020
|
| Min. Negotiated Rate |
$50.48 |
| Max. Negotiated Rate |
$2,675.31 |
| Rate for Payer: Aetna Commercial |
$105.98
|
| Rate for Payer: Aetna Medicare |
$82.25
|
| Rate for Payer: BCBS Complete |
$53.00
|
| Rate for Payer: BCBS MAPPO |
$79.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,675.31
|
| Rate for Payer: BCN Commercial |
$185.69
|
| Rate for Payer: BCN Medicare Advantage |
$79.09
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cofinity Commercial |
$113.89
|
| Rate for Payer: Cofinity Commercial |
$105.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.09
|
| Rate for Payer: Mclaren Medicaid |
$50.48
|
| Rate for Payer: Meridian Medicaid |
$53.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.04
|
| Rate for Payer: PACE SWMI |
$79.09
|
| Rate for Payer: PHP Medicare Advantage |
$79.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$118.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.20
|
| Rate for Payer: Priority Health Medicare |
$79.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$112.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.09
|
| Rate for Payer: UHC Medicare Advantage |
$81.46
|
|
|
PR COLPOCLEISIS LE FORT TYPE
|
Professional
|
Both
|
$2,584.00
|
|
|
Service Code
|
HCPCS 57120
|
| Min. Negotiated Rate |
$341.87 |
| Max. Negotiated Rate |
$1,901.88 |
| Rate for Payer: Aetna Commercial |
$703.43
|
| Rate for Payer: Aetna Medicare |
$545.95
|
| Rate for Payer: BCBS Complete |
$358.96
|
| Rate for Payer: BCBS MAPPO |
$524.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,901.88
|
| Rate for Payer: BCN Commercial |
$779.93
|
| Rate for Payer: BCN Medicare Advantage |
$524.95
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Cofinity Commercial |
$703.43
|
| Rate for Payer: Cofinity Commercial |
$755.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$524.95
|
| Rate for Payer: Mclaren Medicaid |
$341.87
|
| Rate for Payer: Meridian Medicaid |
$358.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$551.20
|
| Rate for Payer: PACE SWMI |
$524.95
|
| Rate for Payer: PHP Medicare Advantage |
$524.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,808.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$755.59
|
| Rate for Payer: Priority Health Medicare |
$524.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$755.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$524.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$524.95
|
| Rate for Payer: UHC Medicare Advantage |
$540.70
|
|
|
PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU
|
Professional
|
Both
|
$1,058.00
|
|
|
Service Code
|
HCPCS 57210
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$2,571.24 |
| Rate for Payer: Aetna Commercial |
$519.28
|
| Rate for Payer: Aetna Medicare |
$403.02
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$387.52
|
| Rate for Payer: BCBS Trust/PPO |
$2,571.24
|
| Rate for Payer: BCN Commercial |
$578.11
|
| Rate for Payer: BCN Medicare Advantage |
$387.52
|
| Rate for Payer: Cash Price |
$846.40
|
| Rate for Payer: Cash Price |
$846.40
|
| Rate for Payer: Cofinity Commercial |
$519.28
|
| Rate for Payer: Cofinity Commercial |
$558.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.52
|
| Rate for Payer: Mclaren Medicaid |
$253.90
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$406.90
|
| Rate for Payer: PACE SWMI |
$387.52
|
| Rate for Payer: PHP Medicare Advantage |
$387.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$740.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$560.07
|
| Rate for Payer: Priority Health Medicare |
$387.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$560.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.52
|
| Rate for Payer: UHC Medicare Advantage |
$399.15
|
|
|
PR COLPOPEXY ABDOMINAL APPROACH
|
Professional
|
Both
|
$2,062.00
|
|
|
Service Code
|
HCPCS 57280
|
| Min. Negotiated Rate |
$618.55 |
| Max. Negotiated Rate |
$2,847.01 |
| Rate for Payer: Aetna Commercial |
$1,282.27
|
| Rate for Payer: Aetna Medicare |
$995.20
|
| Rate for Payer: BCBS Complete |
$649.48
|
| Rate for Payer: BCBS MAPPO |
$956.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,847.01
|
| Rate for Payer: BCN Commercial |
$1,412.28
|
| Rate for Payer: BCN Medicare Advantage |
$956.92
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$1,377.96
|
| Rate for Payer: Cofinity Commercial |
$1,282.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$956.92
|
| Rate for Payer: Mclaren Medicaid |
$618.55
|
| Rate for Payer: Meridian Medicaid |
$649.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,004.77
|
| Rate for Payer: PACE SWMI |
$956.92
|
| Rate for Payer: PHP Medicare Advantage |
$956.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,368.20
|
| Rate for Payer: Priority Health Medicare |
$956.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,368.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$956.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$956.92
|
| Rate for Payer: UHC Medicare Advantage |
$985.63
|
|
|
PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$2,086.00
|
|
|
Service Code
|
HCPCS 57282
|
| Min. Negotiated Rate |
$445.60 |
| Max. Negotiated Rate |
$2,780.44 |
| Rate for Payer: Aetna Commercial |
$921.68
|
| Rate for Payer: Aetna Medicare |
$715.33
|
| Rate for Payer: BCBS Complete |
$467.88
|
| Rate for Payer: BCBS MAPPO |
$687.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,780.44
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$687.82
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cofinity Commercial |
$990.46
|
| Rate for Payer: Cofinity Commercial |
$921.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.82
|
| Rate for Payer: Mclaren Medicaid |
$445.60
|
| Rate for Payer: Meridian Medicaid |
$467.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$722.21
|
| Rate for Payer: PACE SWMI |
$687.82
|
| Rate for Payer: PHP Medicare Advantage |
$687.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,460.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$985.67
|
| Rate for Payer: Priority Health Medicare |
$687.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$985.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$687.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.82
|
| Rate for Payer: UHC Medicare Advantage |
$708.45
|
|
|
PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$1,141.00
|
|
|
Service Code
|
HCPCS 57283
|
| Min. Negotiated Rate |
$448.79 |
| Max. Negotiated Rate |
$3,053.05 |
| Rate for Payer: Aetna Commercial |
$929.92
|
| Rate for Payer: Aetna Medicare |
$721.73
|
| Rate for Payer: BCBS Complete |
$471.23
|
| Rate for Payer: BCBS MAPPO |
$693.97
|
| Rate for Payer: BCBS Trust/PPO |
$3,053.05
|
| Rate for Payer: BCN Commercial |
$1,026.22
|
| Rate for Payer: BCN Medicare Advantage |
$693.97
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cofinity Commercial |
$999.32
|
| Rate for Payer: Cofinity Commercial |
$929.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$693.97
|
| Rate for Payer: Mclaren Medicaid |
$448.79
|
| Rate for Payer: Meridian Medicaid |
$471.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$728.67
|
| Rate for Payer: PACE SWMI |
$693.97
|
| Rate for Payer: PHP Medicare Advantage |
$693.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$798.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$994.19
|
| Rate for Payer: Priority Health Medicare |
$693.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$994.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$693.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$693.97
|
| Rate for Payer: UHC Medicare Advantage |
$714.79
|
|
|
PR COLPORRHAPHY SUTURE INJURY VAGINA
|
Professional
|
Both
|
$858.00
|
|
|
Service Code
|
HCPCS 57200
|
| Min. Negotiated Rate |
$214.92 |
| Max. Negotiated Rate |
$2,224.14 |
| Rate for Payer: Aetna Commercial |
$436.10
|
| Rate for Payer: Aetna Medicare |
$338.47
|
| Rate for Payer: BCBS Complete |
$225.67
|
| Rate for Payer: BCBS MAPPO |
$325.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,224.14
|
| Rate for Payer: BCN Commercial |
$487.70
|
| Rate for Payer: BCN Medicare Advantage |
$325.45
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Cofinity Commercial |
$436.10
|
| Rate for Payer: Cofinity Commercial |
$468.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.45
|
| Rate for Payer: Mclaren Medicaid |
$214.92
|
| Rate for Payer: Meridian Medicaid |
$225.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$341.72
|
| Rate for Payer: PACE SWMI |
$325.45
|
| Rate for Payer: PHP Medicare Advantage |
$325.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$472.47
|
| Rate for Payer: Priority Health Medicare |
$325.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$472.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.45
|
| Rate for Payer: UHC Medicare Advantage |
$335.21
|
|
|
PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS 57454
|
| Min. Negotiated Rate |
$85.41 |
| Max. Negotiated Rate |
$247.80 |
| Rate for Payer: Aetna Commercial |
$176.01
|
| Rate for Payer: Aetna Medicare |
$136.60
|
| Rate for Payer: BCBS Complete |
$89.68
|
| Rate for Payer: BCBS MAPPO |
$131.35
|
| Rate for Payer: BCBS Trust/PPO |
$246.72
|
| Rate for Payer: BCN Commercial |
$199.48
|
| Rate for Payer: BCN Medicare Advantage |
$131.35
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cofinity Commercial |
$176.01
|
| Rate for Payer: Cofinity Commercial |
$189.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.35
|
| Rate for Payer: Mclaren Medicaid |
$85.41
|
| Rate for Payer: Meridian Medicaid |
$89.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.92
|
| Rate for Payer: PACE SWMI |
$131.35
|
| Rate for Payer: PHP Medicare Advantage |
$131.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$187.47
|
| Rate for Payer: Priority Health Medicare |
$131.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.35
|
| Rate for Payer: UHC Medicare Advantage |
$135.29
|
|
|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$64.54 |
| Max. Negotiated Rate |
$1,290.64 |
| Rate for Payer: Aetna Commercial |
$134.24
|
| Rate for Payer: Aetna Medicare |
$104.19
|
| Rate for Payer: BCBS Complete |
$67.77
|
| Rate for Payer: BCBS MAPPO |
$100.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,290.64
|
| Rate for Payer: BCN Commercial |
$179.84
|
| Rate for Payer: BCN Medicare Advantage |
$100.18
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$144.26
|
| Rate for Payer: Cofinity Commercial |
$134.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.18
|
| Rate for Payer: Mclaren Medicaid |
$64.54
|
| Rate for Payer: Meridian Medicaid |
$67.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.19
|
| Rate for Payer: PACE SWMI |
$100.18
|
| Rate for Payer: PHP Medicare Advantage |
$100.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.50
|
| Rate for Payer: Priority Health Medicare |
$100.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.18
|
| Rate for Payer: UHC Medicare Advantage |
$103.19
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$274.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$304.30 |
| Rate for Payer: Aetna Commercial |
$120.04
|
| Rate for Payer: Aetna Medicare |
$93.16
|
| Rate for Payer: BCBS Complete |
$61.06
|
| Rate for Payer: BCBS MAPPO |
$89.58
|
| Rate for Payer: BCBS Trust/PPO |
$304.30
|
| Rate for Payer: BCN Commercial |
$150.00
|
| Rate for Payer: BCN Medicare Advantage |
$89.58
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cofinity Commercial |
$129.00
|
| Rate for Payer: Cofinity Commercial |
$120.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.58
|
| Rate for Payer: Mclaren Medicaid |
$58.15
|
| Rate for Payer: Meridian Medicaid |
$61.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.06
|
| Rate for Payer: PACE SWMI |
$89.58
|
| Rate for Payer: PHP Medicare Advantage |
$89.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.29
|
| Rate for Payer: Priority Health Medicare |
$89.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$128.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.58
|
| Rate for Payer: UHC Medicare Advantage |
$92.27
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$69.23 |
| Max. Negotiated Rate |
$1,460.22 |
| Rate for Payer: Aetna Commercial |
$143.98
|
| Rate for Payer: Aetna Medicare |
$111.75
|
| Rate for Payer: BCBS Complete |
$72.69
|
| Rate for Payer: BCBS MAPPO |
$107.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,460.22
|
| Rate for Payer: BCN Commercial |
$190.44
|
| Rate for Payer: BCN Medicare Advantage |
$107.45
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cofinity Commercial |
$154.73
|
| Rate for Payer: Cofinity Commercial |
$143.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.45
|
| Rate for Payer: Mclaren Medicaid |
$69.23
|
| Rate for Payer: Meridian Medicaid |
$72.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$112.82
|
| Rate for Payer: PACE SWMI |
$107.45
|
| Rate for Payer: PHP Medicare Advantage |
$107.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.92
|
| Rate for Payer: Priority Health Medicare |
$107.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.45
|
| Rate for Payer: UHC Medicare Advantage |
$110.67
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$116.51 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$243.92
|
| Rate for Payer: Aetna Medicare |
$189.31
|
| Rate for Payer: BCBS Complete |
$122.34
|
| Rate for Payer: BCBS MAPPO |
$182.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$182.03
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$262.12
|
| Rate for Payer: Cofinity Commercial |
$243.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.03
|
| Rate for Payer: Mclaren Medicaid |
$116.51
|
| Rate for Payer: Meridian Medicaid |
$122.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.13
|
| Rate for Payer: PACE SWMI |
$182.03
|
| Rate for Payer: PHP Medicare Advantage |
$182.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.48
|
| Rate for Payer: Priority Health Medicare |
$182.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.03
|
| Rate for Payer: UHC Medicare Advantage |
$187.49
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$941.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$573.92 |
| Max. Negotiated Rate |
$846.90 |
| Rate for Payer: Aetna Commercial |
$799.85
|
| Rate for Payer: BCBS Trust/PPO |
$727.20
|
| Rate for Payer: BCN Commercial |
$727.20
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$809.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.80
|
| Rate for Payer: Healthscope Commercial |
$846.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$799.85
|
| Rate for Payer: PHP Commercial |
$799.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$818.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$573.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$828.08
|
| Rate for Payer: UHC Core |
$785.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.75
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$941.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$223.49 |
| Max. Negotiated Rate |
$2,153.41 |
| Rate for Payer: Aetna Commercial |
$799.85
|
| Rate for Payer: Aetna Medicare |
$244.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$294.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$294.06
|
| Rate for Payer: BCBS Complete |
$2,153.41
|
| Rate for Payer: BCBS MAPPO |
$235.25
|
| Rate for Payer: BCBS Trust/PPO |
$731.63
|
| Rate for Payer: BCCCP Commercial |
$370.46
|
| Rate for Payer: BCN Commercial |
$731.63
|
| Rate for Payer: BCN Medicare Advantage |
$235.25
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$809.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$752.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.25
|
| Rate for Payer: Healthscope Commercial |
$846.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$705.75
|
| Rate for Payer: Mclaren Medicaid |
$2,050.87
|
| Rate for Payer: Meridian Medicaid |
$2,153.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$247.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$799.85
|
| Rate for Payer: PACE Senior Care Partners |
$223.49
|
| Rate for Payer: PACE SWMI |
$235.25
|
| Rate for Payer: PHP Commercial |
$799.85
|
| Rate for Payer: PHP Medicare Advantage |
$235.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,050.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$818.67
|
| Rate for Payer: Priority Health Medicare |
$235.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$573.92
|
| Rate for Payer: Railroad Medicare Medicare |
$235.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$828.08
|
| Rate for Payer: UHC Core |
$785.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$235.25
|
| Rate for Payer: UHC Medicare Advantage |
$242.31
|
| Rate for Payer: VA VA |
$235.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$705.75
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$941.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$116.51 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$243.92
|
| Rate for Payer: Aetna Medicare |
$189.31
|
| Rate for Payer: BCBS Complete |
$122.34
|
| Rate for Payer: BCBS MAPPO |
$182.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$182.03
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cash Price |
$752.80
|
| Rate for Payer: Cofinity Commercial |
$262.12
|
| Rate for Payer: Cofinity Commercial |
$243.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.03
|
| Rate for Payer: Mclaren Medicaid |
$116.51
|
| Rate for Payer: Meridian Medicaid |
$122.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.13
|
| Rate for Payer: PACE SWMI |
$182.03
|
| Rate for Payer: PHP Medicare Advantage |
$182.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$658.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.48
|
| Rate for Payer: Priority Health Medicare |
$182.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.03
|
| Rate for Payer: UHC Medicare Advantage |
$187.49
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$634.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$101.81 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$211.38
|
| Rate for Payer: Aetna Medicare |
$164.06
|
| Rate for Payer: BCBS Complete |
$106.90
|
| Rate for Payer: BCBS MAPPO |
$157.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$157.75
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$211.38
|
| Rate for Payer: Cofinity Commercial |
$227.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.75
|
| Rate for Payer: Mclaren Medicaid |
$101.81
|
| Rate for Payer: Meridian Medicaid |
$106.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.64
|
| Rate for Payer: PACE SWMI |
$157.75
|
| Rate for Payer: PHP Medicare Advantage |
$157.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.87
|
| Rate for Payer: Priority Health Medicare |
$157.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$157.75
|
| Rate for Payer: UHC Medicare Advantage |
$162.48
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$634.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$386.68 |
| Max. Negotiated Rate |
$570.60 |
| Rate for Payer: Aetna Commercial |
$538.90
|
| Rate for Payer: BCBS Trust/PPO |
$489.96
|
| Rate for Payer: BCN Commercial |
$489.96
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$545.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$507.20
|
| Rate for Payer: Healthscope Commercial |
$570.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$475.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$538.90
|
| Rate for Payer: PHP Commercial |
$538.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$551.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.92
|
| Rate for Payer: UHC Core |
$529.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$475.50
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$634.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$101.81 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$211.38
|
| Rate for Payer: Aetna Medicare |
$164.06
|
| Rate for Payer: BCBS Complete |
$106.90
|
| Rate for Payer: BCBS MAPPO |
$157.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$157.75
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$227.16
|
| Rate for Payer: Cofinity Commercial |
$211.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.75
|
| Rate for Payer: Mclaren Medicaid |
$101.81
|
| Rate for Payer: Meridian Medicaid |
$106.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$165.64
|
| Rate for Payer: PACE SWMI |
$157.75
|
| Rate for Payer: PHP Medicare Advantage |
$157.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.87
|
| Rate for Payer: Priority Health Medicare |
$157.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$157.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$157.75
|
| Rate for Payer: UHC Medicare Advantage |
$162.48
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$634.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$150.58 |
| Max. Negotiated Rate |
$2,153.41 |
| Rate for Payer: Aetna Commercial |
$538.90
|
| Rate for Payer: Aetna Medicare |
$164.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$198.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$198.12
|
| Rate for Payer: BCBS Complete |
$2,153.41
|
| Rate for Payer: BCBS MAPPO |
$158.50
|
| Rate for Payer: BCBS Trust/PPO |
$492.94
|
| Rate for Payer: BCCCP Commercial |
$331.36
|
| Rate for Payer: BCN Commercial |
$492.94
|
| Rate for Payer: BCN Medicare Advantage |
$158.50
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cash Price |
$507.20
|
| Rate for Payer: Cofinity Commercial |
$545.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$507.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.50
|
| Rate for Payer: Healthscope Commercial |
$570.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$475.50
|
| Rate for Payer: Mclaren Medicaid |
$2,050.87
|
| Rate for Payer: Meridian Medicaid |
$2,153.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$166.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$182.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$538.90
|
| Rate for Payer: PACE Senior Care Partners |
$150.58
|
| Rate for Payer: PACE SWMI |
$158.50
|
| Rate for Payer: PHP Commercial |
$538.90
|
| Rate for Payer: PHP Medicare Advantage |
$158.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,050.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$551.58
|
| Rate for Payer: Priority Health Medicare |
$158.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.68
|
| Rate for Payer: Railroad Medicare Medicare |
$158.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.92
|
| Rate for Payer: UHC Core |
$529.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.50
|
| Rate for Payer: UHC Medicare Advantage |
$163.26
|
| Rate for Payer: VA VA |
$158.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$475.50
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$57.30 |
| Max. Negotiated Rate |
$1,752.90 |
| Rate for Payer: Aetna Commercial |
$118.38
|
| Rate for Payer: Aetna Medicare |
$91.87
|
| Rate for Payer: BCBS Complete |
$60.16
|
| Rate for Payer: BCBS MAPPO |
$88.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,752.90
|
| Rate for Payer: BCN Commercial |
$194.49
|
| Rate for Payer: BCN Medicare Advantage |
$88.34
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$127.21
|
| Rate for Payer: Cofinity Commercial |
$118.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.34
|
| Rate for Payer: Mclaren Medicaid |
$57.30
|
| Rate for Payer: Meridian Medicaid |
$60.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$92.76
|
| Rate for Payer: PACE SWMI |
$88.34
|
| Rate for Payer: PHP Medicare Advantage |
$88.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$125.93
|
| Rate for Payer: Priority Health Medicare |
$88.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.34
|
| Rate for Payer: UHC Medicare Advantage |
$90.99
|
|
