|
PR COLOSTOMY/SKIN LEVEL CECOSTOMY
|
Professional
|
Both
|
$2,776.00
|
|
|
Service Code
|
HCPCS 44320
|
| Min. Negotiated Rate |
$715.47 |
| Max. Negotiated Rate |
$2,192.22 |
| Rate for Payer: Aetna Commercial |
$1,615.18
|
| Rate for Payer: Aetna Medicare |
$1,388.00
|
| Rate for Payer: BCBS Complete |
$751.24
|
| Rate for Payer: BCN Commercial |
$1,799.20
|
| Rate for Payer: Cash Price |
$2,220.80
|
| Rate for Payer: Cash Price |
$2,220.80
|
| Rate for Payer: Mclaren Medicaid |
$715.47
|
| Rate for Payer: Meridian Medicaid |
$751.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,082.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$715.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,192.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,192.22
|
| Rate for Payer: UHC Medicaid |
$715.47
|
| Rate for Payer: UHCCP Medicaid |
$715.47
|
|
|
PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX
|
Professional
|
Both
|
$2,849.00
|
|
|
Service Code
|
HCPCS 44322
|
| Min. Negotiated Rate |
$627.07 |
| Max. Negotiated Rate |
$2,136.75 |
| Rate for Payer: Aetna Commercial |
$1,358.01
|
| Rate for Payer: Aetna Medicare |
$1,424.50
|
| Rate for Payer: BCBS Complete |
$658.42
|
| Rate for Payer: BCN Commercial |
$1,507.88
|
| Rate for Payer: Cash Price |
$2,279.20
|
| Rate for Payer: Cash Price |
$2,279.20
|
| Rate for Payer: Mclaren Medicaid |
$627.07
|
| Rate for Payer: Meridian Medicaid |
$658.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,136.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$627.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,837.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,837.26
|
| Rate for Payer: UHC Medicaid |
$627.07
|
| Rate for Payer: UHCCP Medicaid |
$627.07
|
|
|
PR COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$2,958.00
|
|
|
Service Code
|
HCPCS 44025
|
| Min. Negotiated Rate |
$586.39 |
| Max. Negotiated Rate |
$2,218.50 |
| Rate for Payer: Aetna Commercial |
$1,320.54
|
| Rate for Payer: Aetna Medicare |
$1,479.00
|
| Rate for Payer: BCBS Complete |
$615.71
|
| Rate for Payer: BCN Commercial |
$1,476.51
|
| Rate for Payer: Cash Price |
$2,366.40
|
| Rate for Payer: Cash Price |
$2,366.40
|
| Rate for Payer: Mclaren Medicaid |
$586.39
|
| Rate for Payer: Meridian Medicaid |
$615.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,218.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$586.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,799.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,799.03
|
| Rate for Payer: UHC Medicaid |
$586.39
|
| Rate for Payer: UHCCP Medicaid |
$586.39
|
|
|
PR COLPOCENTESIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$177.00
|
|
|
Service Code
|
HCPCS 57020
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$132.75 |
| Rate for Payer: Aetna Commercial |
$96.32
|
| Rate for Payer: Aetna Medicare |
$88.50
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCN Commercial |
$118.03
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Mclaren Medicaid |
$43.88
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$119.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$119.53
|
| Rate for Payer: UHC Medicaid |
$43.88
|
| Rate for Payer: UHCCP Medicaid |
$43.88
|
|
|
PR COLPOCLEISIS LE FORT TYPE
|
Professional
|
Both
|
$2,715.00
|
|
|
Service Code
|
HCPCS 57120
|
| Min. Negotiated Rate |
$302.03 |
| Max. Negotiated Rate |
$2,036.25 |
| Rate for Payer: Aetna Commercial |
$629.10
|
| Rate for Payer: Aetna Medicare |
$1,357.50
|
| Rate for Payer: BCBS Complete |
$317.13
|
| Rate for Payer: BCN Commercial |
$797.27
|
| Rate for Payer: Cash Price |
$2,172.00
|
| Rate for Payer: Cash Price |
$2,172.00
|
| Rate for Payer: Mclaren Medicaid |
$302.03
|
| Rate for Payer: Meridian Medicaid |
$317.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,036.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$302.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$807.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$807.46
|
| Rate for Payer: UHC Medicaid |
$302.03
|
| Rate for Payer: UHCCP Medicaid |
$302.03
|
|
|
PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU
|
Professional
|
Both
|
$1,111.00
|
|
|
Service Code
|
HCPCS 57210
|
| Min. Negotiated Rate |
$226.42 |
| Max. Negotiated Rate |
$833.25 |
| Rate for Payer: Aetna Commercial |
$464.42
|
| Rate for Payer: Aetna Medicare |
$555.50
|
| Rate for Payer: BCBS Complete |
$237.74
|
| Rate for Payer: BCN Commercial |
$590.60
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Cash Price |
$888.80
|
| Rate for Payer: Mclaren Medicaid |
$226.42
|
| Rate for Payer: Meridian Medicaid |
$237.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$833.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$598.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$598.16
|
| Rate for Payer: UHC Medicaid |
$226.42
|
| Rate for Payer: UHCCP Medicaid |
$226.42
|
|
|
PR COLPOPEXY ABDOMINAL APPROACH
|
Professional
|
Both
|
$2,166.00
|
|
|
Service Code
|
HCPCS 57280
|
| Min. Negotiated Rate |
$546.35 |
| Max. Negotiated Rate |
$1,624.50 |
| Rate for Payer: Aetna Commercial |
$1,153.81
|
| Rate for Payer: Aetna Medicare |
$1,083.00
|
| Rate for Payer: BCBS Complete |
$573.67
|
| Rate for Payer: BCN Commercial |
$1,446.14
|
| Rate for Payer: Cash Price |
$1,732.80
|
| Rate for Payer: Cash Price |
$1,732.80
|
| Rate for Payer: Mclaren Medicaid |
$546.35
|
| Rate for Payer: Meridian Medicaid |
$573.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,624.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,464.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,464.62
|
| Rate for Payer: UHC Medicaid |
$546.35
|
| Rate for Payer: UHCCP Medicaid |
$546.35
|
|
|
PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$2,192.00
|
|
|
Service Code
|
HCPCS 57282
|
| Min. Negotiated Rate |
$392.35 |
| Max. Negotiated Rate |
$1,644.00 |
| Rate for Payer: Aetna Commercial |
$827.22
|
| Rate for Payer: Aetna Medicare |
$1,096.00
|
| Rate for Payer: BCBS Complete |
$411.97
|
| Rate for Payer: BCN Commercial |
$1,040.28
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Mclaren Medicaid |
$392.35
|
| Rate for Payer: Meridian Medicaid |
$411.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,644.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,053.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,053.58
|
| Rate for Payer: UHC Medicaid |
$392.35
|
| Rate for Payer: UHCCP Medicaid |
$392.35
|
|
|
PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$1,199.00
|
|
|
Service Code
|
HCPCS 57283
|
| Min. Negotiated Rate |
$394.69 |
| Max. Negotiated Rate |
$1,062.16 |
| Rate for Payer: Aetna Commercial |
$832.81
|
| Rate for Payer: Aetna Medicare |
$599.50
|
| Rate for Payer: BCBS Complete |
$414.42
|
| Rate for Payer: BCN Commercial |
$1,048.75
|
| Rate for Payer: Cash Price |
$959.20
|
| Rate for Payer: Cash Price |
$959.20
|
| Rate for Payer: Mclaren Medicaid |
$394.69
|
| Rate for Payer: Meridian Medicaid |
$414.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$899.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,062.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,062.16
|
| Rate for Payer: UHC Medicaid |
$394.69
|
| Rate for Payer: UHCCP Medicaid |
$394.69
|
|
|
PR COLPORRHAPHY SUTURE INJURY VAGINA
|
Professional
|
Both
|
$901.00
|
|
|
Service Code
|
HCPCS 57200
|
| Min. Negotiated Rate |
$194.26 |
| Max. Negotiated Rate |
$675.75 |
| Rate for Payer: Aetna Commercial |
$387.33
|
| Rate for Payer: Aetna Medicare |
$450.50
|
| Rate for Payer: BCBS Complete |
$203.97
|
| Rate for Payer: BCN Commercial |
$499.97
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Cash Price |
$720.80
|
| Rate for Payer: Mclaren Medicaid |
$194.26
|
| Rate for Payer: Meridian Medicaid |
$203.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$675.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$506.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$506.37
|
| Rate for Payer: UHC Medicaid |
$194.26
|
| Rate for Payer: UHCCP Medicaid |
$194.26
|
|
|
PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE
|
Professional
|
Both
|
$372.00
|
|
|
Service Code
|
HCPCS 57454
|
| Min. Negotiated Rate |
$75.83 |
| Max. Negotiated Rate |
$279.00 |
| Rate for Payer: Aetna Commercial |
$159.65
|
| Rate for Payer: Aetna Medicare |
$186.00
|
| Rate for Payer: BCBS Complete |
$79.62
|
| Rate for Payer: BCN Commercial |
$157.87
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Mclaren Medicaid |
$75.83
|
| Rate for Payer: Meridian Medicaid |
$79.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$279.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$202.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$202.74
|
| Rate for Payer: UHC Medicaid |
$75.83
|
| Rate for Payer: UHCCP Medicaid |
$75.83
|
|
|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$375.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$56.87 |
| Max. Negotiated Rate |
$281.25 |
| Rate for Payer: Aetna Commercial |
$120.98
|
| Rate for Payer: Aetna Medicare |
$187.50
|
| Rate for Payer: BCBS Complete |
$59.71
|
| Rate for Payer: BCN Commercial |
$118.20
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Mclaren Medicaid |
$56.87
|
| Rate for Payer: Meridian Medicaid |
$59.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$151.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.80
|
| Rate for Payer: UHC Medicaid |
$56.87
|
| Rate for Payer: UHCCP Medicaid |
$56.87
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$287.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$52.61 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$107.71
|
| Rate for Payer: Aetna Medicare |
$143.50
|
| Rate for Payer: BCBS Complete |
$55.24
|
| Rate for Payer: BCN Commercial |
$107.60
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Mclaren Medicaid |
$52.61
|
| Rate for Payer: Meridian Medicaid |
$55.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$138.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.19
|
| Rate for Payer: UHC Medicaid |
$52.61
|
| Rate for Payer: UHCCP Medicaid |
$52.61
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$375.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$61.56 |
| Max. Negotiated Rate |
$281.25 |
| Rate for Payer: Aetna Commercial |
$130.36
|
| Rate for Payer: Aetna Medicare |
$187.50
|
| Rate for Payer: BCBS Complete |
$64.64
|
| Rate for Payer: BCN Commercial |
$128.41
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Cash Price |
$300.00
|
| Rate for Payer: Mclaren Medicaid |
$61.56
|
| Rate for Payer: Meridian Medicaid |
$64.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$281.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$164.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$164.92
|
| Rate for Payer: UHC Medicaid |
$61.56
|
| Rate for Payer: UHCCP Medicaid |
$61.56
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$103.09 |
| Max. Negotiated Rate |
$741.75 |
| Rate for Payer: Aetna Commercial |
$221.07
|
| Rate for Payer: Aetna Medicare |
$494.50
|
| Rate for Payer: BCBS Complete |
$108.24
|
| Rate for Payer: BCN Commercial |
$273.89
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Mclaren Medicaid |
$103.09
|
| Rate for Payer: Meridian Medicaid |
$108.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$741.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$277.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.40
|
| Rate for Payer: UHC Medicaid |
$103.09
|
| Rate for Payer: UHCCP Medicaid |
$103.09
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$90.31 |
| Max. Negotiated Rate |
$499.50 |
| Rate for Payer: Aetna Commercial |
$191.11
|
| Rate for Payer: Aetna Medicare |
$333.00
|
| Rate for Payer: BCBS Complete |
$94.83
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Mclaren Medicaid |
$90.31
|
| Rate for Payer: Meridian Medicaid |
$94.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$499.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$242.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$242.60
|
| Rate for Payer: UHC Medicaid |
$90.31
|
| Rate for Payer: UHCCP Medicaid |
$90.31
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$242.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$51.76 |
| Max. Negotiated Rate |
$181.50 |
| Rate for Payer: Aetna Commercial |
$107.00
|
| Rate for Payer: Aetna Medicare |
$121.00
|
| Rate for Payer: BCBS Complete |
$54.35
|
| Rate for Payer: BCN Commercial |
$134.95
|
| Rate for Payer: Cash Price |
$193.60
|
| Rate for Payer: Cash Price |
$193.60
|
| Rate for Payer: Mclaren Medicaid |
$51.76
|
| Rate for Payer: Meridian Medicaid |
$54.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$181.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$136.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.68
|
| Rate for Payer: UHC Medicaid |
$51.76
|
| Rate for Payer: UHCCP Medicaid |
$51.76
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$314.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$235.50 |
| Rate for Payer: Aetna Commercial |
$144.96
|
| Rate for Payer: Aetna Medicare |
$157.00
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCN Commercial |
$182.76
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Mclaren Medicaid |
$69.65
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$235.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$185.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.09
|
| Rate for Payer: UHC Medicaid |
$69.65
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$249.00 |
| Rate for Payer: Aetna Commercial |
$100.46
|
| Rate for Payer: Aetna Medicare |
$166.00
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCN Commercial |
$125.99
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Mclaren Medicaid |
$48.14
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$127.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.60
|
| Rate for Payer: UHC Medicaid |
$48.14
|
| Rate for Payer: UHCCP Medicaid |
$48.14
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$362.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$251.95 |
| Max. Negotiated Rate |
$325.80 |
| Rate for Payer: Aetna Commercial |
$307.70
|
| Rate for Payer: BCBS Trust/PPO |
$298.98
|
| Rate for Payer: BCN Commercial |
$298.98
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cofinity Commercial |
$311.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.60
|
| Rate for Payer: Healthscope Commercial |
$325.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$307.70
|
| Rate for Payer: Nomi Health Commercial |
$296.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.50
|
| Rate for Payer: PHP Commercial |
$307.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$314.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.95
|
| Rate for Payer: UHC Core |
$302.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.50
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$362.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$63.82 |
| Max. Negotiated Rate |
$325.80 |
| Rate for Payer: Aetna Commercial |
$307.70
|
| Rate for Payer: Aetna Medicare |
$94.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$113.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$113.12
|
| Rate for Payer: BCBS Complete |
$67.01
|
| Rate for Payer: BCBS MAPPO |
$90.50
|
| Rate for Payer: BCBS Trust/PPO |
$297.60
|
| Rate for Payer: BCN Commercial |
$297.60
|
| Rate for Payer: BCN Medicare Advantage |
$90.50
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cofinity Commercial |
$311.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.50
|
| Rate for Payer: Healthscope Commercial |
$325.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.50
|
| Rate for Payer: Mclaren Medicaid |
$63.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.03
|
| Rate for Payer: Meridian Medicaid |
$67.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$99.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$307.70
|
| Rate for Payer: Nomi Health Commercial |
$296.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.50
|
| Rate for Payer: PACE Senior Care Partners |
$85.97
|
| Rate for Payer: PACE SWMI |
$90.50
|
| Rate for Payer: PHP Commercial |
$307.70
|
| Rate for Payer: PHP Medicare Advantage |
$90.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$314.94
|
| Rate for Payer: Priority Health Medicare |
$91.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.95
|
| Rate for Payer: Railroad Medicare Medicare |
$90.50
|
| Rate for Payer: UHC Core |
$302.27
|
| Rate for Payer: UHC Exchange |
$90.50
|
| Rate for Payer: UHC Medicaid |
$63.82
|
| Rate for Payer: UHC Medicare Advantage |
$90.50
|
| Rate for Payer: UHCCP Medicaid |
$63.82
|
| Rate for Payer: VA VA |
$90.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.50
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$362.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$64.54 |
| Max. Negotiated Rate |
$271.50 |
| Rate for Payer: Aetna Commercial |
$135.19
|
| Rate for Payer: Aetna Medicare |
$181.00
|
| Rate for Payer: BCBS Complete |
$67.77
|
| Rate for Payer: BCN Commercial |
$169.81
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Mclaren Medicaid |
$64.54
|
| Rate for Payer: Meridian Medicaid |
$67.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$171.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$171.98
|
| Rate for Payer: UHC Medicaid |
$64.54
|
| Rate for Payer: UHCCP Medicaid |
$64.54
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$362.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$64.54 |
| Max. Negotiated Rate |
$271.50 |
| Rate for Payer: Aetna Commercial |
$135.19
|
| Rate for Payer: Aetna Medicare |
$181.00
|
| Rate for Payer: BCBS Complete |
$67.77
|
| Rate for Payer: BCN Commercial |
$169.81
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Mclaren Medicaid |
$64.54
|
| Rate for Payer: Meridian Medicaid |
$67.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$171.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$171.98
|
| Rate for Payer: UHC Medicaid |
$64.54
|
| Rate for Payer: UHCCP Medicaid |
$64.54
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$1,033.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$260.50 |
| Max. Negotiated Rate |
$774.75 |
| Rate for Payer: Aetna Commercial |
$541.29
|
| Rate for Payer: Aetna Medicare |
$516.50
|
| Rate for Payer: BCBS Complete |
$273.52
|
| Rate for Payer: BCN Commercial |
$687.71
|
| Rate for Payer: Cash Price |
$826.40
|
| Rate for Payer: Cash Price |
$826.40
|
| Rate for Payer: Mclaren Medicaid |
$260.50
|
| Rate for Payer: Meridian Medicaid |
$273.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$774.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$696.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$696.51
|
| Rate for Payer: UHC Medicaid |
$260.50
|
| Rate for Payer: UHCCP Medicaid |
$260.50
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,467.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$144.63 |
| Max. Negotiated Rate |
$1,100.25 |
| Rate for Payer: Aetna Commercial |
$344.31
|
| Rate for Payer: Aetna Medicare |
$733.50
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCN Commercial |
$380.96
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Mclaren Medicaid |
$144.63
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,100.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$464.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$464.17
|
| Rate for Payer: UHC Medicaid |
$144.63
|
| Rate for Payer: UHCCP Medicaid |
$144.63
|
|
