|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$77.75 |
| Max. Negotiated Rate |
$260.95 |
| Rate for Payer: Aetna Commercial |
$160.92
|
| Rate for Payer: Aetna Medicare |
$124.89
|
| Rate for Payer: BCBS Complete |
$81.64
|
| Rate for Payer: BCBS MAPPO |
$120.09
|
| Rate for Payer: BCBS Trust/PPO |
$122.57
|
| Rate for Payer: BCN Commercial |
$260.95
|
| Rate for Payer: BCN Medicare Advantage |
$120.09
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$172.93
|
| Rate for Payer: Cofinity Commercial |
$160.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.09
|
| Rate for Payer: Mclaren Medicaid |
$77.75
|
| Rate for Payer: Meridian Medicaid |
$81.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.09
|
| Rate for Payer: PACE SWMI |
$120.09
|
| Rate for Payer: PHP Medicare Advantage |
$120.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.90
|
| Rate for Payer: Priority Health Medicare |
$120.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$170.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.09
|
| Rate for Payer: UHC Medicare Advantage |
$123.69
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$53.68 |
| Max. Negotiated Rate |
$1,801.50 |
| Rate for Payer: Aetna Commercial |
$112.18
|
| Rate for Payer: Aetna Medicare |
$87.07
|
| Rate for Payer: BCBS Complete |
$56.36
|
| Rate for Payer: BCBS MAPPO |
$83.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,801.50
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$83.72
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$112.18
|
| Rate for Payer: Cofinity Commercial |
$120.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.72
|
| Rate for Payer: Mclaren Medicaid |
$53.68
|
| Rate for Payer: Meridian Medicaid |
$56.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$87.91
|
| Rate for Payer: PACE SWMI |
$83.72
|
| Rate for Payer: PHP Medicare Advantage |
$83.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$119.31
|
| Rate for Payer: Priority Health Medicare |
$83.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.72
|
| Rate for Payer: UHC Medicare Advantage |
$86.23
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$344.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$209.81 |
| Max. Negotiated Rate |
$309.60 |
| Rate for Payer: Aetna Commercial |
$292.40
|
| Rate for Payer: BCBS Trust/PPO |
$265.84
|
| Rate for Payer: BCN Commercial |
$265.84
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$295.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
| Rate for Payer: Healthscope Commercial |
$309.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
| Rate for Payer: PHP Commercial |
$292.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$302.72
|
| Rate for Payer: UHC Core |
$287.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.00
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$150.72
|
| Rate for Payer: Aetna Medicare |
$116.98
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$112.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$112.48
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$161.97
|
| Rate for Payer: Cofinity Commercial |
$150.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.48
|
| Rate for Payer: Mclaren Medicaid |
$72.42
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$118.10
|
| Rate for Payer: PACE SWMI |
$112.48
|
| Rate for Payer: PHP Medicare Advantage |
$112.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.02
|
| Rate for Payer: Priority Health Medicare |
$112.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$160.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.48
|
| Rate for Payer: UHC Medicare Advantage |
$115.85
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$150.72
|
| Rate for Payer: Aetna Medicare |
$116.98
|
| Rate for Payer: BCBS Complete |
$76.04
|
| Rate for Payer: BCBS MAPPO |
$112.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$112.48
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$161.97
|
| Rate for Payer: Cofinity Commercial |
$150.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.48
|
| Rate for Payer: Mclaren Medicaid |
$72.42
|
| Rate for Payer: Meridian Medicaid |
$76.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$118.10
|
| Rate for Payer: PACE SWMI |
$112.48
|
| Rate for Payer: PHP Medicare Advantage |
$112.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.02
|
| Rate for Payer: Priority Health Medicare |
$112.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$160.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.48
|
| Rate for Payer: UHC Medicare Advantage |
$115.85
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$344.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$81.70 |
| Max. Negotiated Rate |
$309.60 |
| Rate for Payer: Aetna Commercial |
$292.40
|
| Rate for Payer: Aetna Medicare |
$89.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107.50
|
| Rate for Payer: BCBS Complete |
$220.97
|
| Rate for Payer: BCBS MAPPO |
$86.00
|
| Rate for Payer: BCBS Trust/PPO |
$267.46
|
| Rate for Payer: BCN Commercial |
$267.46
|
| Rate for Payer: BCN Medicare Advantage |
$86.00
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$295.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$275.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.00
|
| Rate for Payer: Healthscope Commercial |
$309.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$258.00
|
| Rate for Payer: Mclaren Medicaid |
$210.45
|
| Rate for Payer: Meridian Medicaid |
$220.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$292.40
|
| Rate for Payer: PACE Senior Care Partners |
$81.70
|
| Rate for Payer: PACE SWMI |
$86.00
|
| Rate for Payer: PHP Commercial |
$292.40
|
| Rate for Payer: PHP Medicare Advantage |
$86.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$299.28
|
| Rate for Payer: Priority Health Medicare |
$86.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$209.81
|
| Rate for Payer: Railroad Medicare Medicare |
$86.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$302.72
|
| Rate for Payer: UHC Core |
$287.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.00
|
| Rate for Payer: UHC Medicare Advantage |
$88.58
|
| Rate for Payer: VA VA |
$86.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$258.00
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$983.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$295.43 |
| Max. Negotiated Rate |
$1,747.09 |
| Rate for Payer: Aetna Commercial |
$606.56
|
| Rate for Payer: Aetna Medicare |
$470.77
|
| Rate for Payer: BCBS Complete |
$310.20
|
| Rate for Payer: BCBS MAPPO |
$452.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,747.09
|
| Rate for Payer: BCN Commercial |
$673.89
|
| Rate for Payer: BCN Medicare Advantage |
$452.66
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cofinity Commercial |
$651.83
|
| Rate for Payer: Cofinity Commercial |
$606.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$452.66
|
| Rate for Payer: Mclaren Medicaid |
$295.43
|
| Rate for Payer: Meridian Medicaid |
$310.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$475.29
|
| Rate for Payer: PACE SWMI |
$452.66
|
| Rate for Payer: PHP Medicare Advantage |
$452.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$652.85
|
| Rate for Payer: Priority Health Medicare |
$452.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$652.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$452.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$452.66
|
| Rate for Payer: UHC Medicare Advantage |
$466.24
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$162.31 |
| Max. Negotiated Rate |
$979.31 |
| Rate for Payer: Aetna Commercial |
$336.93
|
| Rate for Payer: Aetna Medicare |
$261.50
|
| Rate for Payer: BCBS Complete |
$170.43
|
| Rate for Payer: BCBS MAPPO |
$251.44
|
| Rate for Payer: BCBS Trust/PPO |
$315.92
|
| Rate for Payer: BCN Commercial |
$979.31
|
| Rate for Payer: BCN Medicare Advantage |
$251.44
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$362.07
|
| Rate for Payer: Cofinity Commercial |
$336.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.44
|
| Rate for Payer: Mclaren Medicaid |
$162.31
|
| Rate for Payer: Meridian Medicaid |
$170.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$264.01
|
| Rate for Payer: PACE SWMI |
$251.44
|
| Rate for Payer: PHP Medicare Advantage |
$251.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$446.26
|
| Rate for Payer: Priority Health Medicare |
$251.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$446.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.44
|
| Rate for Payer: UHC Medicare Advantage |
$258.98
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
OP
|
$1,396.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$331.55 |
| Max. Negotiated Rate |
$1,256.40 |
| Rate for Payer: Aetna Commercial |
$1,186.60
|
| Rate for Payer: Aetna Medicare |
$362.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$436.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$436.25
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$349.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.39
|
| Rate for Payer: BCN Commercial |
$1,085.39
|
| Rate for Payer: BCN Medicare Advantage |
$349.00
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$1,200.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.00
|
| Rate for Payer: Healthscope Commercial |
$1,256.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,047.00
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$401.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,186.60
|
| Rate for Payer: PACE Senior Care Partners |
$331.55
|
| Rate for Payer: PACE SWMI |
$349.00
|
| Rate for Payer: PHP Commercial |
$1,186.60
|
| Rate for Payer: PHP Medicare Advantage |
$349.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.52
|
| Rate for Payer: Priority Health Medicare |
$349.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$851.42
|
| Rate for Payer: Railroad Medicare Medicare |
$349.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,228.48
|
| Rate for Payer: UHC Core |
$1,165.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.00
|
| Rate for Payer: UHC Medicare Advantage |
$359.47
|
| Rate for Payer: VA VA |
$349.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,047.00
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$162.31 |
| Max. Negotiated Rate |
$979.31 |
| Rate for Payer: Aetna Commercial |
$336.93
|
| Rate for Payer: Aetna Medicare |
$261.50
|
| Rate for Payer: BCBS Complete |
$170.43
|
| Rate for Payer: BCBS MAPPO |
$251.44
|
| Rate for Payer: BCBS Trust/PPO |
$315.92
|
| Rate for Payer: BCN Commercial |
$979.31
|
| Rate for Payer: BCN Medicare Advantage |
$251.44
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$362.07
|
| Rate for Payer: Cofinity Commercial |
$336.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.44
|
| Rate for Payer: Mclaren Medicaid |
$162.31
|
| Rate for Payer: Meridian Medicaid |
$170.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$264.01
|
| Rate for Payer: PACE SWMI |
$251.44
|
| Rate for Payer: PHP Medicare Advantage |
$251.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$446.26
|
| Rate for Payer: Priority Health Medicare |
$251.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$446.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.44
|
| Rate for Payer: UHC Medicare Advantage |
$258.98
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
IP
|
$1,396.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$851.42 |
| Max. Negotiated Rate |
$1,256.40 |
| Rate for Payer: Aetna Commercial |
$1,186.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,078.83
|
| Rate for Payer: BCN Commercial |
$1,078.83
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cofinity Commercial |
$1,200.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,116.80
|
| Rate for Payer: Healthscope Commercial |
$1,256.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,047.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,186.60
|
| Rate for Payer: PHP Commercial |
$1,186.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$851.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,228.48
|
| Rate for Payer: UHC Core |
$1,165.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,047.00
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 45386
|
| Min. Negotiated Rate |
$118.34 |
| Max. Negotiated Rate |
$905.80 |
| Rate for Payer: Aetna Commercial |
$275.65
|
| Rate for Payer: Aetna Medicare |
$213.94
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCBS MAPPO |
$205.71
|
| Rate for Payer: BCBS Trust/PPO |
$118.34
|
| Rate for Payer: BCN Commercial |
$898.67
|
| Rate for Payer: BCN Medicare Advantage |
$205.71
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cofinity Commercial |
$275.65
|
| Rate for Payer: Cofinity Commercial |
$296.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$205.71
|
| Rate for Payer: Mclaren Medicaid |
$133.13
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$216.00
|
| Rate for Payer: PACE SWMI |
$205.71
|
| Rate for Payer: PHP Medicare Advantage |
$205.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$905.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.13
|
| Rate for Payer: Priority Health Medicare |
$205.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$205.71
|
| Rate for Payer: UHC Medicare Advantage |
$211.88
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Facility
|
OP
|
$1,378.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
45381
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$327.28 |
| Max. Negotiated Rate |
$1,240.20 |
| Rate for Payer: Aetna Commercial |
$1,171.30
|
| Rate for Payer: Aetna Medicare |
$358.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$430.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$430.62
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$344.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,071.40
|
| Rate for Payer: BCN Commercial |
$1,071.40
|
| Rate for Payer: BCN Medicare Advantage |
$344.50
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cofinity Commercial |
$1,185.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,102.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.50
|
| Rate for Payer: Healthscope Commercial |
$1,240.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,033.50
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$361.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$396.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,171.30
|
| Rate for Payer: PACE Senior Care Partners |
$327.28
|
| Rate for Payer: PACE SWMI |
$344.50
|
| Rate for Payer: PHP Commercial |
$1,171.30
|
| Rate for Payer: PHP Medicare Advantage |
$344.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$964.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,198.86
|
| Rate for Payer: Priority Health Medicare |
$344.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$840.44
|
| Rate for Payer: Railroad Medicare Medicare |
$344.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,212.64
|
| Rate for Payer: UHC Core |
$1,150.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.50
|
| Rate for Payer: UHC Medicare Advantage |
$354.84
|
| Rate for Payer: VA VA |
$344.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,033.50
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Professional
|
Both
|
$1,378.00
|
|
|
Service Code
|
HCPCS 45381
|
| Min. Negotiated Rate |
$125.88 |
| Max. Negotiated Rate |
$964.60 |
| Rate for Payer: Aetna Commercial |
$260.84
|
| Rate for Payer: Aetna Medicare |
$202.45
|
| Rate for Payer: BCBS Complete |
$132.17
|
| Rate for Payer: BCBS MAPPO |
$194.66
|
| Rate for Payer: BCBS Trust/PPO |
$218.19
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$194.66
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cofinity Commercial |
$260.84
|
| Rate for Payer: Cofinity Commercial |
$280.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.66
|
| Rate for Payer: Mclaren Medicaid |
$125.88
|
| Rate for Payer: Meridian Medicaid |
$132.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.39
|
| Rate for Payer: PACE SWMI |
$194.66
|
| Rate for Payer: PHP Medicare Advantage |
$194.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$964.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.73
|
| Rate for Payer: Priority Health Medicare |
$194.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$345.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$194.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.66
|
| Rate for Payer: UHC Medicare Advantage |
$200.50
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Facility
|
IP
|
$1,378.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
45381
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$840.44 |
| Max. Negotiated Rate |
$1,240.20 |
| Rate for Payer: Aetna Commercial |
$1,171.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.92
|
| Rate for Payer: BCN Commercial |
$1,064.92
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cofinity Commercial |
$1,185.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,102.40
|
| Rate for Payer: Healthscope Commercial |
$1,240.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,033.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,171.30
|
| Rate for Payer: PHP Commercial |
$1,171.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$964.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,198.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$840.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,212.64
|
| Rate for Payer: UHC Core |
$1,150.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,033.50
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Professional
|
Both
|
$1,378.00
|
|
|
Service Code
|
HCPCS 45381
|
| Hospital Charge Code |
45381
|
| Min. Negotiated Rate |
$125.88 |
| Max. Negotiated Rate |
$964.60 |
| Rate for Payer: Aetna Commercial |
$260.84
|
| Rate for Payer: Aetna Medicare |
$202.45
|
| Rate for Payer: BCBS Complete |
$132.17
|
| Rate for Payer: BCBS MAPPO |
$194.66
|
| Rate for Payer: BCBS Trust/PPO |
$218.19
|
| Rate for Payer: BCN Commercial |
$650.43
|
| Rate for Payer: BCN Medicare Advantage |
$194.66
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cash Price |
$1,102.40
|
| Rate for Payer: Cofinity Commercial |
$260.84
|
| Rate for Payer: Cofinity Commercial |
$280.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.66
|
| Rate for Payer: Mclaren Medicaid |
$125.88
|
| Rate for Payer: Meridian Medicaid |
$132.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.39
|
| Rate for Payer: PACE SWMI |
$194.66
|
| Rate for Payer: PHP Medicare Advantage |
$194.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$964.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.73
|
| Rate for Payer: Priority Health Medicare |
$194.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$345.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$194.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.66
|
| Rate for Payer: UHC Medicare Advantage |
$200.50
|
|
|
PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX
|
Professional
|
Both
|
$533.00
|
|
|
Service Code
|
HCPCS 45391
|
| Min. Negotiated Rate |
$161.67 |
| Max. Negotiated Rate |
$444.51 |
| Rate for Payer: Aetna Commercial |
$335.54
|
| Rate for Payer: Aetna Medicare |
$260.42
|
| Rate for Payer: BCBS Complete |
$169.75
|
| Rate for Payer: BCBS MAPPO |
$250.40
|
| Rate for Payer: BCBS Trust/PPO |
$304.83
|
| Rate for Payer: BCN Commercial |
$369.44
|
| Rate for Payer: BCN Medicare Advantage |
$250.40
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cofinity Commercial |
$360.58
|
| Rate for Payer: Cofinity Commercial |
$335.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.40
|
| Rate for Payer: Mclaren Medicaid |
$161.67
|
| Rate for Payer: Meridian Medicaid |
$169.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$262.92
|
| Rate for Payer: PACE SWMI |
$250.40
|
| Rate for Payer: PHP Medicare Advantage |
$250.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$444.51
|
| Rate for Payer: Priority Health Medicare |
$250.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$444.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.40
|
| Rate for Payer: UHC Medicare Advantage |
$257.91
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Facility
|
IP
|
$1,420.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
45384
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$866.06 |
| Max. Negotiated Rate |
$1,278.00 |
| Rate for Payer: Aetna Commercial |
$1,207.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,097.38
|
| Rate for Payer: BCN Commercial |
$1,097.38
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,221.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,136.00
|
| Rate for Payer: Healthscope Commercial |
$1,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,065.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,207.00
|
| Rate for Payer: PHP Commercial |
$1,207.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$866.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.60
|
| Rate for Payer: UHC Core |
$1,185.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,065.00
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 45384
|
| Min. Negotiated Rate |
$143.56 |
| Max. Negotiated Rate |
$994.00 |
| Rate for Payer: Aetna Commercial |
$297.61
|
| Rate for Payer: Aetna Medicare |
$230.98
|
| Rate for Payer: BCBS Complete |
$150.74
|
| Rate for Payer: BCBS MAPPO |
$222.10
|
| Rate for Payer: BCBS Trust/PPO |
$302.72
|
| Rate for Payer: BCN Commercial |
$717.86
|
| Rate for Payer: BCN Medicare Advantage |
$222.10
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$297.61
|
| Rate for Payer: Cofinity Commercial |
$319.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.10
|
| Rate for Payer: Mclaren Medicaid |
$143.56
|
| Rate for Payer: Meridian Medicaid |
$150.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$233.20
|
| Rate for Payer: PACE SWMI |
$222.10
|
| Rate for Payer: PHP Medicare Advantage |
$222.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$393.36
|
| Rate for Payer: Priority Health Medicare |
$222.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$393.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.10
|
| Rate for Payer: UHC Medicare Advantage |
$228.76
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Facility
|
OP
|
$1,420.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
45384
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$337.25 |
| Max. Negotiated Rate |
$1,278.00 |
| Rate for Payer: Aetna Commercial |
$1,207.00
|
| Rate for Payer: Aetna Medicare |
$369.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$443.75
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$355.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,104.05
|
| Rate for Payer: BCN Commercial |
$1,104.05
|
| Rate for Payer: BCN Medicare Advantage |
$355.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,221.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,136.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.00
|
| Rate for Payer: Healthscope Commercial |
$1,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,065.00
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,207.00
|
| Rate for Payer: PACE Senior Care Partners |
$337.25
|
| Rate for Payer: PACE SWMI |
$355.00
|
| Rate for Payer: PHP Commercial |
$1,207.00
|
| Rate for Payer: PHP Medicare Advantage |
$355.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.40
|
| Rate for Payer: Priority Health Medicare |
$355.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$866.06
|
| Rate for Payer: Railroad Medicare Medicare |
$355.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.60
|
| Rate for Payer: UHC Core |
$1,185.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.00
|
| Rate for Payer: UHC Medicare Advantage |
$365.65
|
| Rate for Payer: VA VA |
$355.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,065.00
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 45384
|
| Hospital Charge Code |
45384
|
| Min. Negotiated Rate |
$143.56 |
| Max. Negotiated Rate |
$994.00 |
| Rate for Payer: Aetna Commercial |
$297.61
|
| Rate for Payer: Aetna Medicare |
$230.98
|
| Rate for Payer: BCBS Complete |
$150.74
|
| Rate for Payer: BCBS MAPPO |
$222.10
|
| Rate for Payer: BCBS Trust/PPO |
$302.72
|
| Rate for Payer: BCN Commercial |
$717.86
|
| Rate for Payer: BCN Medicare Advantage |
$222.10
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$297.61
|
| Rate for Payer: Cofinity Commercial |
$319.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.10
|
| Rate for Payer: Mclaren Medicaid |
$143.56
|
| Rate for Payer: Meridian Medicaid |
$150.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$233.20
|
| Rate for Payer: PACE SWMI |
$222.10
|
| Rate for Payer: PHP Medicare Advantage |
$222.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$393.36
|
| Rate for Payer: Priority Health Medicare |
$222.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$393.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.10
|
| Rate for Payer: UHC Medicare Advantage |
$228.76
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 45385
|
| Hospital Charge Code |
45385
|
| Min. Negotiated Rate |
$103.02 |
| Max. Negotiated Rate |
$994.00 |
| Rate for Payer: Aetna Commercial |
$330.78
|
| Rate for Payer: Aetna Medicare |
$256.72
|
| Rate for Payer: BCBS Complete |
$167.52
|
| Rate for Payer: BCBS MAPPO |
$246.85
|
| Rate for Payer: BCBS Trust/PPO |
$103.02
|
| Rate for Payer: BCN Commercial |
$665.09
|
| Rate for Payer: BCN Medicare Advantage |
$246.85
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$355.46
|
| Rate for Payer: Cofinity Commercial |
$330.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.85
|
| Rate for Payer: Mclaren Medicaid |
$159.54
|
| Rate for Payer: Meridian Medicaid |
$167.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$259.19
|
| Rate for Payer: PACE SWMI |
$246.85
|
| Rate for Payer: PHP Medicare Advantage |
$246.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$438.04
|
| Rate for Payer: Priority Health Medicare |
$246.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$438.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.85
|
| Rate for Payer: UHC Medicare Advantage |
$254.26
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Facility
|
IP
|
$1,420.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
45385
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$866.06 |
| Max. Negotiated Rate |
$1,278.00 |
| Rate for Payer: Aetna Commercial |
$1,207.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,097.38
|
| Rate for Payer: BCN Commercial |
$1,097.38
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,221.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,136.00
|
| Rate for Payer: Healthscope Commercial |
$1,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,065.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,207.00
|
| Rate for Payer: PHP Commercial |
$1,207.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$866.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.60
|
| Rate for Payer: UHC Core |
$1,185.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,065.00
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 45385
|
| Min. Negotiated Rate |
$103.02 |
| Max. Negotiated Rate |
$994.00 |
| Rate for Payer: Aetna Commercial |
$330.78
|
| Rate for Payer: Aetna Medicare |
$256.72
|
| Rate for Payer: BCBS Complete |
$167.52
|
| Rate for Payer: BCBS MAPPO |
$246.85
|
| Rate for Payer: BCBS Trust/PPO |
$103.02
|
| Rate for Payer: BCN Commercial |
$665.09
|
| Rate for Payer: BCN Medicare Advantage |
$246.85
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$355.46
|
| Rate for Payer: Cofinity Commercial |
$330.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.85
|
| Rate for Payer: Mclaren Medicaid |
$159.54
|
| Rate for Payer: Meridian Medicaid |
$167.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$259.19
|
| Rate for Payer: PACE SWMI |
$246.85
|
| Rate for Payer: PHP Medicare Advantage |
$246.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$438.04
|
| Rate for Payer: Priority Health Medicare |
$246.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$438.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.85
|
| Rate for Payer: UHC Medicare Advantage |
$254.26
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Facility
|
OP
|
$1,420.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
45385
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$337.25 |
| Max. Negotiated Rate |
$1,278.00 |
| Rate for Payer: Aetna Commercial |
$1,207.00
|
| Rate for Payer: Aetna Medicare |
$369.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$443.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$443.75
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$355.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,104.05
|
| Rate for Payer: BCN Commercial |
$1,104.05
|
| Rate for Payer: BCN Medicare Advantage |
$355.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,221.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,136.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.00
|
| Rate for Payer: Healthscope Commercial |
$1,278.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,065.00
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$372.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,207.00
|
| Rate for Payer: PACE Senior Care Partners |
$337.25
|
| Rate for Payer: PACE SWMI |
$355.00
|
| Rate for Payer: PHP Commercial |
$1,207.00
|
| Rate for Payer: PHP Medicare Advantage |
$355.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$994.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,235.40
|
| Rate for Payer: Priority Health Medicare |
$355.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$866.06
|
| Rate for Payer: Railroad Medicare Medicare |
$355.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.60
|
| Rate for Payer: UHC Core |
$1,185.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.00
|
| Rate for Payer: UHC Medicare Advantage |
$365.65
|
| Rate for Payer: VA VA |
$355.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,065.00
|
|
