|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$141.60 |
| Max. Negotiated Rate |
$536.22 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: Aetna Medicare |
$177.00
|
| Rate for Payer: BCBS Complete |
$141.60
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.10
|
| Rate for Payer: Priority Health HMO/PPO |
$283.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.50
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO |
$11.75
|
| Rate for Payer: Priority Health HMO/PPO |
$11.75
|
| Rate for Payer: Priority Health Medicare |
$50.72
|
| Rate for Payer: Priority Health Medicare |
$50.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Exchange |
$50.22
|
| Rate for Payer: UHC Exchange |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,840.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,373.64 |
| Max. Negotiated Rate |
$3,835.50 |
| Rate for Payer: Aetna Commercial |
$2,782.16
|
| Rate for Payer: Aetna Medicare |
$2,159.29
|
| Rate for Payer: BCBS Complete |
$1,442.32
|
| Rate for Payer: BCBS MAPPO |
$2,076.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,076.24
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cofinity Commercial |
$2,989.79
|
| Rate for Payer: Cofinity Commercial |
$2,782.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,076.24
|
| Rate for Payer: Mclaren Medicaid |
$1,373.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,180.05
|
| Rate for Payer: Meridian Medicaid |
$1,442.32
|
| Rate for Payer: Nomi Health Commercial |
$2,491.49
|
| Rate for Payer: PACE SWMI |
$2,076.24
|
| Rate for Payer: PHP Medicare Advantage |
$2,076.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,373.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,496.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,835.50
|
| Rate for Payer: Priority Health Medicare |
$2,097.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,835.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,076.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,076.24
|
| Rate for Payer: UHC Exchange |
$2,076.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,076.24
|
| Rate for Payer: UHCCP Medicaid |
$1,373.64
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,611.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$3,297.97 |
| Rate for Payer: Aetna Commercial |
$2,385.32
|
| Rate for Payer: Aetna Medicare |
$1,851.29
|
| Rate for Payer: BCBS Complete |
$1,241.93
|
| Rate for Payer: BCBS MAPPO |
$1,780.09
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,780.09
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cofinity Commercial |
$2,563.33
|
| Rate for Payer: Cofinity Commercial |
$2,385.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,780.09
|
| Rate for Payer: Mclaren Medicaid |
$1,182.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,869.09
|
| Rate for Payer: Meridian Medicaid |
$1,241.93
|
| Rate for Payer: Nomi Health Commercial |
$2,136.11
|
| Rate for Payer: PACE SWMI |
$1,780.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,780.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,182.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,997.15
|
| Rate for Payer: Priority Health HMO/PPO |
$3,297.97
|
| Rate for Payer: Priority Health Medicare |
$1,797.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,297.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,780.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,780.09
|
| Rate for Payer: UHC Exchange |
$1,780.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,780.09
|
| Rate for Payer: UHCCP Medicaid |
$1,182.79
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,699.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$3,995.99 |
| Rate for Payer: Aetna Commercial |
$2,901.54
|
| Rate for Payer: Aetna Medicare |
$2,251.94
|
| Rate for Payer: BCBS Complete |
$1,503.15
|
| Rate for Payer: BCBS MAPPO |
$2,165.33
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,165.33
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cofinity Commercial |
$3,118.08
|
| Rate for Payer: Cofinity Commercial |
$2,901.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,165.33
|
| Rate for Payer: Mclaren Medicaid |
$1,431.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,273.60
|
| Rate for Payer: Meridian Medicaid |
$1,503.15
|
| Rate for Payer: Nomi Health Commercial |
$2,598.40
|
| Rate for Payer: PACE SWMI |
$2,165.33
|
| Rate for Payer: PHP Medicare Advantage |
$2,165.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,431.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,054.35
|
| Rate for Payer: Priority Health HMO/PPO |
$3,995.99
|
| Rate for Payer: Priority Health Medicare |
$2,186.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,995.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,165.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,165.33
|
| Rate for Payer: UHC Exchange |
$2,165.33
|
| Rate for Payer: UHC Medicare Advantage |
$2,165.33
|
| Rate for Payer: UHCCP Medicaid |
$1,431.57
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Mclaren Medicaid |
$860.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,312.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,299.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Exchange |
$1,299.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$920.08 |
| Max. Negotiated Rate |
$3,486.60 |
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: Aetna Medicare |
$1,007.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,210.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,210.62
|
| Rate for Payer: BCBS Complete |
$1,549.60
|
| Rate for Payer: BCBS MAPPO |
$968.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,184.82
|
| Rate for Payer: BCN Commercial |
$3,012.04
|
| Rate for Payer: BCN Medicare Advantage |
$968.50
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$968.50
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,905.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,113.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: Nomi Health Commercial |
$3,176.68
|
| Rate for Payer: PACE Senior Care Partners |
$920.08
|
| Rate for Payer: PACE SWMI |
$968.50
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: PHP Medicare Advantage |
$968.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO |
$3,370.38
|
| Rate for Payer: Priority Health Medicare |
$978.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,595.58
|
| Rate for Payer: Railroad Medicare Medicare |
$968.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,409.12
|
| Rate for Payer: UHC Core |
$3,234.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$968.50
|
| Rate for Payer: UHC Exchange |
$968.50
|
| Rate for Payer: UHC Medicare Advantage |
$968.50
|
| Rate for Payer: VA VA |
$968.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,905.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,518.10 |
| Max. Negotiated Rate |
$3,486.60 |
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: BCBS Trust/PPO |
$3,162.35
|
| Rate for Payer: BCN Commercial |
$2,993.83
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,905.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: Nomi Health Commercial |
$3,176.68
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO |
$3,370.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,595.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,409.12
|
| Rate for Payer: UHC Core |
$3,234.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,905.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Mclaren Medicaid |
$860.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,312.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,397.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,299.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Exchange |
$1,299.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,752.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,438.77 |
| Rate for Payer: Aetna Commercial |
$2,507.92
|
| Rate for Payer: Aetna Medicare |
$1,946.44
|
| Rate for Payer: BCBS Complete |
$1,297.39
|
| Rate for Payer: BCBS MAPPO |
$1,871.58
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$2,801.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,871.58
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Cofinity Commercial |
$2,695.08
|
| Rate for Payer: Cofinity Commercial |
$2,507.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,871.58
|
| Rate for Payer: Mclaren Medicaid |
$1,235.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,965.16
|
| Rate for Payer: Meridian Medicaid |
$1,297.39
|
| Rate for Payer: Nomi Health Commercial |
$2,245.90
|
| Rate for Payer: PACE SWMI |
$1,871.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,871.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,788.80
|
| Rate for Payer: Priority Health HMO/PPO |
$3,438.77
|
| Rate for Payer: Priority Health Medicare |
$1,890.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,438.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,871.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,871.58
|
| Rate for Payer: UHC Exchange |
$1,871.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,871.58
|
| Rate for Payer: UHCCP Medicaid |
$1,235.61
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,419.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$122.04 |
| Max. Negotiated Rate |
$2,936.43 |
| Rate for Payer: Aetna Commercial |
$2,129.03
|
| Rate for Payer: Aetna Medicare |
$1,652.38
|
| Rate for Payer: BCBS Complete |
$1,104.83
|
| Rate for Payer: BCBS MAPPO |
$1,588.83
|
| Rate for Payer: BCBS Trust/PPO |
$122.04
|
| Rate for Payer: BCN Commercial |
$2,394.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,588.83
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cofinity Commercial |
$2,287.92
|
| Rate for Payer: Cofinity Commercial |
$2,129.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,588.83
|
| Rate for Payer: Mclaren Medicaid |
$1,052.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,668.27
|
| Rate for Payer: Meridian Medicaid |
$1,104.83
|
| Rate for Payer: Nomi Health Commercial |
$1,906.60
|
| Rate for Payer: PACE SWMI |
$1,588.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,588.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,052.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,222.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,936.43
|
| Rate for Payer: Priority Health Medicare |
$1,604.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,936.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,588.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,588.83
|
| Rate for Payer: UHC Exchange |
$1,588.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,588.83
|
| Rate for Payer: UHCCP Medicaid |
$1,052.22
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,145.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$3,732.89 |
| Rate for Payer: Aetna Commercial |
$2,702.87
|
| Rate for Payer: Aetna Medicare |
$2,097.75
|
| Rate for Payer: BCBS Complete |
$1,404.30
|
| Rate for Payer: BCBS MAPPO |
$2,017.07
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$3,043.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,017.07
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Cofinity Commercial |
$2,904.58
|
| Rate for Payer: Cofinity Commercial |
$2,702.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,017.07
|
| Rate for Payer: Mclaren Medicaid |
$1,337.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,117.92
|
| Rate for Payer: Meridian Medicaid |
$1,404.30
|
| Rate for Payer: Nomi Health Commercial |
$2,420.48
|
| Rate for Payer: PACE SWMI |
$2,017.07
|
| Rate for Payer: PHP Medicare Advantage |
$2,017.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,337.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,344.25
|
| Rate for Payer: Priority Health HMO/PPO |
$3,732.89
|
| Rate for Payer: Priority Health Medicare |
$2,037.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,732.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,017.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,017.07
|
| Rate for Payer: UHC Exchange |
$2,017.07
|
| Rate for Payer: UHC Medicare Advantage |
$2,017.07
|
| Rate for Payer: UHCCP Medicaid |
$1,337.43
|
|
|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$3,983.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$89.28 |
| Max. Negotiated Rate |
$3,141.66 |
| Rate for Payer: Aetna Commercial |
$2,280.83
|
| Rate for Payer: Aetna Medicare |
$1,770.19
|
| Rate for Payer: BCBS Complete |
$1,182.44
|
| Rate for Payer: BCBS MAPPO |
$1,702.11
|
| Rate for Payer: BCBS Trust/PPO |
$89.28
|
| Rate for Payer: BCN Commercial |
$2,565.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.11
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Cofinity Commercial |
$2,451.04
|
| Rate for Payer: Cofinity Commercial |
$2,280.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.11
|
| Rate for Payer: Mclaren Medicaid |
$1,126.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.22
|
| Rate for Payer: Meridian Medicaid |
$1,182.44
|
| Rate for Payer: Nomi Health Commercial |
$2,042.53
|
| Rate for Payer: PACE SWMI |
$1,702.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,126.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,588.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,141.66
|
| Rate for Payer: Priority Health Medicare |
$1,719.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,141.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,702.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.11
|
| Rate for Payer: UHC Exchange |
$1,702.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.11
|
| Rate for Payer: UHCCP Medicaid |
$1,126.13
|
|
|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,200.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$324.38 |
| Max. Negotiated Rate |
$2,943.60 |
| Rate for Payer: Aetna Commercial |
$2,135.38
|
| Rate for Payer: Aetna Medicare |
$1,657.31
|
| Rate for Payer: BCBS Complete |
$1,107.07
|
| Rate for Payer: BCBS MAPPO |
$1,593.57
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$2,404.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,593.57
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$2,294.74
|
| Rate for Payer: Cofinity Commercial |
$2,135.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,593.57
|
| Rate for Payer: Mclaren Medicaid |
$1,054.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,673.25
|
| Rate for Payer: Meridian Medicaid |
$1,107.07
|
| Rate for Payer: Nomi Health Commercial |
$1,912.28
|
| Rate for Payer: PACE SWMI |
$1,593.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,593.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,054.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,730.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,943.60
|
| Rate for Payer: Priority Health Medicare |
$1,609.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,943.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,593.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,593.57
|
| Rate for Payer: UHC Exchange |
$1,593.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,593.57
|
| Rate for Payer: UHCCP Medicaid |
$1,054.35
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$3,965.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$795.98 |
| Max. Negotiated Rate |
$2,577.25 |
| Rate for Payer: Aetna Commercial |
$1,610.60
|
| Rate for Payer: Aetna Medicare |
$1,250.02
|
| Rate for Payer: BCBS Complete |
$835.78
|
| Rate for Payer: BCBS MAPPO |
$1,201.94
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,201.94
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Cofinity Commercial |
$1,730.79
|
| Rate for Payer: Cofinity Commercial |
$1,610.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,201.94
|
| Rate for Payer: Mclaren Medicaid |
$795.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,262.04
|
| Rate for Payer: Meridian Medicaid |
$835.78
|
| Rate for Payer: Nomi Health Commercial |
$1,442.33
|
| Rate for Payer: PACE SWMI |
$1,201.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,201.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$795.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,577.25
|
| Rate for Payer: Priority Health HMO/PPO |
$2,217.55
|
| Rate for Payer: Priority Health Medicare |
$1,213.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,217.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,201.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,201.94
|
| Rate for Payer: UHC Exchange |
$1,201.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,201.94
|
| Rate for Payer: UHCCP Medicaid |
$795.98
|
|
|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,835.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$244.07 |
| Max. Negotiated Rate |
$3,231.74 |
| Rate for Payer: Aetna Commercial |
$2,337.03
|
| Rate for Payer: Aetna Medicare |
$1,813.81
|
| Rate for Payer: BCBS Complete |
$1,213.75
|
| Rate for Payer: BCBS MAPPO |
$1,744.05
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$2,636.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.05
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Cofinity Commercial |
$2,511.43
|
| Rate for Payer: Cofinity Commercial |
$2,337.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.05
|
| Rate for Payer: Mclaren Medicaid |
$1,155.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,831.25
|
| Rate for Payer: Meridian Medicaid |
$1,213.75
|
| Rate for Payer: Nomi Health Commercial |
$2,092.86
|
| Rate for Payer: PACE SWMI |
$1,744.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,155.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,492.75
|
| Rate for Payer: Priority Health HMO/PPO |
$3,231.74
|
| Rate for Payer: Priority Health Medicare |
$1,761.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,231.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,744.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,744.05
|
| Rate for Payer: UHC Exchange |
$1,744.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,744.05
|
| Rate for Payer: UHCCP Medicaid |
$1,155.95
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$6,820.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$175.40 |
| Max. Negotiated Rate |
$4,433.00 |
| Rate for Payer: Aetna Commercial |
$2,974.51
|
| Rate for Payer: Aetna Medicare |
$2,308.57
|
| Rate for Payer: BCBS Complete |
$1,541.62
|
| Rate for Payer: BCBS MAPPO |
$2,219.78
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$3,348.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,219.78
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Cofinity Commercial |
$3,196.48
|
| Rate for Payer: Cofinity Commercial |
$2,974.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,219.78
|
| Rate for Payer: Mclaren Medicaid |
$1,468.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,330.77
|
| Rate for Payer: Meridian Medicaid |
$1,541.62
|
| Rate for Payer: Nomi Health Commercial |
$2,663.74
|
| Rate for Payer: PACE SWMI |
$2,219.78
|
| Rate for Payer: PHP Medicare Advantage |
$2,219.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,433.00
|
| Rate for Payer: Priority Health HMO/PPO |
$4,099.80
|
| Rate for Payer: Priority Health Medicare |
$2,241.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,099.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,219.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,219.78
|
| Rate for Payer: UHC Exchange |
$2,219.78
|
| Rate for Payer: UHC Medicare Advantage |
$2,219.78
|
| Rate for Payer: UHCCP Medicaid |
$1,468.21
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,822.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$3,784.30 |
| Rate for Payer: Aetna Commercial |
$2,651.98
|
| Rate for Payer: Aetna Medicare |
$2,058.25
|
| Rate for Payer: BCBS Complete |
$1,381.71
|
| Rate for Payer: BCBS MAPPO |
$1,979.09
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$2,995.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,979.09
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Cofinity Commercial |
$2,849.89
|
| Rate for Payer: Cofinity Commercial |
$2,651.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,979.09
|
| Rate for Payer: Mclaren Medicaid |
$1,315.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,078.04
|
| Rate for Payer: Meridian Medicaid |
$1,381.71
|
| Rate for Payer: Nomi Health Commercial |
$2,374.91
|
| Rate for Payer: PACE SWMI |
$1,979.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,979.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,315.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,784.30
|
| Rate for Payer: Priority Health HMO/PPO |
$3,675.61
|
| Rate for Payer: Priority Health Medicare |
$1,998.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,675.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,979.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,979.09
|
| Rate for Payer: UHC Exchange |
$1,979.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,979.09
|
| Rate for Payer: UHCCP Medicaid |
$1,315.91
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,567.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$305.36 |
| Max. Negotiated Rate |
$3,898.75 |
| Rate for Payer: Aetna Commercial |
$2,830.99
|
| Rate for Payer: Aetna Medicare |
$2,197.19
|
| Rate for Payer: BCBS Complete |
$1,466.92
|
| Rate for Payer: BCBS MAPPO |
$2,112.68
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$3,181.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,112.68
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Cofinity Commercial |
$3,042.26
|
| Rate for Payer: Cofinity Commercial |
$2,830.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,112.68
|
| Rate for Payer: Mclaren Medicaid |
$1,397.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,218.31
|
| Rate for Payer: Meridian Medicaid |
$1,466.92
|
| Rate for Payer: Nomi Health Commercial |
$2,535.22
|
| Rate for Payer: PACE SWMI |
$2,112.68
|
| Rate for Payer: PHP Medicare Advantage |
$2,112.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,397.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,968.55
|
| Rate for Payer: Priority Health HMO/PPO |
$3,898.75
|
| Rate for Payer: Priority Health Medicare |
$2,133.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,898.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,112.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,112.68
|
| Rate for Payer: UHC Exchange |
$2,112.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,112.68
|
| Rate for Payer: UHCCP Medicaid |
$1,397.07
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$26.40 |
| Max. Negotiated Rate |
$105.36 |
| Rate for Payer: Aetna Commercial |
$98.04
|
| Rate for Payer: Aetna Medicare |
$76.09
|
| Rate for Payer: BCBS Complete |
$26.40
|
| Rate for Payer: BCBS MAPPO |
$73.16
|
| Rate for Payer: BCBS Trust/PPO |
$67.51
|
| Rate for Payer: BCN Commercial |
$66.22
|
| Rate for Payer: BCN Medicare Advantage |
$73.16
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Cofinity Commercial |
$105.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.82
|
| Rate for Payer: Nomi Health Commercial |
$87.80
|
| Rate for Payer: PACE SWMI |
$73.16
|
| Rate for Payer: PHP Medicare Advantage |
$73.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health Medicare |
$73.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.16
|
| Rate for Payer: UHC Exchange |
$73.16
|
| Rate for Payer: UHC Medicare Advantage |
$73.16
|
|
|
PR COLLECT BLOOD FROM CATHETER VENOUS NOS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 36592
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.87 |
| Rate for Payer: Aetna Commercial |
$35.26
|
| Rate for Payer: Aetna Medicare |
$27.36
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS MAPPO |
$26.31
|
| Rate for Payer: BCN Commercial |
$42.51
|
| Rate for Payer: BCN Medicare Advantage |
$26.31
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Cofinity Commercial |
$35.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.63
|
| Rate for Payer: Nomi Health Commercial |
$31.57
|
| Rate for Payer: PACE SWMI |
$26.31
|
| Rate for Payer: PHP Medicare Advantage |
$26.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health HMO/PPO |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$26.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.31
|
| Rate for Payer: UHC Exchange |
$26.31
|
| Rate for Payer: UHC Medicare Advantage |
$26.31
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1,055.02 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.02
|
| Rate for Payer: BCN Commercial |
$1.99
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO |
$14.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.36
|
|
|
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 36415
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$1,529.43 |
| Rate for Payer: Aetna Commercial |
$12.18
|
| Rate for Payer: Aetna Medicare |
$9.45
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$9.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.43
|
| Rate for Payer: BCN Commercial |
$2.86
|
| Rate for Payer: BCN Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$12.18
|
| Rate for Payer: Cofinity Commercial |
$13.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.54
|
| Rate for Payer: Nomi Health Commercial |
$10.91
|
| Rate for Payer: PACE SWMI |
$9.09
|
| Rate for Payer: PHP Medicare Advantage |
$9.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO |
$14.36
|
| Rate for Payer: Priority Health Medicare |
$9.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.09
|
| Rate for Payer: UHC Exchange |
$9.09
|
| Rate for Payer: UHC Medicare Advantage |
$9.09
|
|
|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
Professional
|
Both
|
$117.00
|
|
|
Service Code
|
HCPCS 99091
|
| Min. Negotiated Rate |
$46.80 |
| Max. Negotiated Rate |
$780.83 |
| Rate for Payer: Aetna Commercial |
$68.22
|
| Rate for Payer: Aetna Medicare |
$52.95
|
| Rate for Payer: BCBS Complete |
$46.80
|
| Rate for Payer: BCBS MAPPO |
$50.91
|
| Rate for Payer: BCBS Trust/PPO |
$780.83
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$50.91
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cofinity Commercial |
$73.31
|
| Rate for Payer: Cofinity Commercial |
$68.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.46
|
| Rate for Payer: Nomi Health Commercial |
$61.09
|
| Rate for Payer: PACE SWMI |
$50.91
|
| Rate for Payer: PHP Medicare Advantage |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health HMO/PPO |
$72.82
|
| Rate for Payer: Priority Health Medicare |
$51.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.91
|
| Rate for Payer: UHC Exchange |
$50.91
|
| Rate for Payer: UHC Medicare Advantage |
$50.91
|
|
|
PR COLON CA SCREEN;BARIUM ENEMA
|
Professional
|
Both
|
$629.00
|
|
|
Service Code
|
HCPCS G0106
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,824.22 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$314.50
|
| Rate for Payer: BCBS Complete |
$251.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.22
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.85
|
| Rate for Payer: Priority Health HMO/PPO |
$105.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.01
|
|
