|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,192.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$283.10 |
| Max. Negotiated Rate |
$1,072.80 |
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna Medicare |
$309.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$372.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$372.50
|
| Rate for Payer: BCBS Complete |
$895.16
|
| Rate for Payer: BCBS MAPPO |
$298.00
|
| Rate for Payer: BCBS Trust/PPO |
$979.94
|
| Rate for Payer: BCN Commercial |
$926.78
|
| Rate for Payer: BCN Medicare Advantage |
$298.00
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.00
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$894.00
|
| Rate for Payer: Mclaren Medicaid |
$852.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.90
|
| Rate for Payer: Meridian Medicaid |
$895.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,013.20
|
| Rate for Payer: Nomi Health Commercial |
$977.44
|
| Rate for Payer: PACE Senior Care Partners |
$283.10
|
| Rate for Payer: PACE SWMI |
$298.00
|
| Rate for Payer: PHP Commercial |
$1,013.20
|
| Rate for Payer: PHP Medicare Advantage |
$298.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,037.04
|
| Rate for Payer: Priority Health Medicare |
$300.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$798.64
|
| Rate for Payer: Railroad Medicare Medicare |
$298.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,048.96
|
| Rate for Payer: UHC Core |
$995.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.00
|
| Rate for Payer: UHC Exchange |
$298.00
|
| Rate for Payer: UHC Medicare Advantage |
$298.00
|
| Rate for Payer: UHCCP Medicaid |
$852.47
|
| Rate for Payer: VA VA |
$298.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$894.00
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,217.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$227.51 |
| Max. Negotiated Rate |
$791.05 |
| Rate for Payer: Aetna Commercial |
$304.86
|
| Rate for Payer: Aetna Medicare |
$236.61
|
| Rate for Payer: BCBS Complete |
$486.80
|
| Rate for Payer: BCBS MAPPO |
$227.51
|
| Rate for Payer: BCN Medicare Advantage |
$227.51
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cofinity Commercial |
$327.61
|
| Rate for Payer: Cofinity Commercial |
$304.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.89
|
| Rate for Payer: Nomi Health Commercial |
$273.01
|
| Rate for Payer: PACE SWMI |
$227.51
|
| Rate for Payer: PHP Medicare Advantage |
$227.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.05
|
| Rate for Payer: Priority Health Medicare |
$229.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.51
|
| Rate for Payer: UHC Exchange |
$227.51
|
| Rate for Payer: UHC Medicare Advantage |
$227.51
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,604.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$216.56 |
| Max. Negotiated Rate |
$1,042.60 |
| Rate for Payer: Aetna Commercial |
$290.19
|
| Rate for Payer: Aetna Medicare |
$225.22
|
| Rate for Payer: BCBS Complete |
$641.60
|
| Rate for Payer: BCBS MAPPO |
$216.56
|
| Rate for Payer: BCN Medicare Advantage |
$216.56
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cofinity Commercial |
$311.85
|
| Rate for Payer: Cofinity Commercial |
$290.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.39
|
| Rate for Payer: Nomi Health Commercial |
$259.87
|
| Rate for Payer: PACE SWMI |
$216.56
|
| Rate for Payer: PHP Medicare Advantage |
$216.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,042.60
|
| Rate for Payer: Priority Health Medicare |
$218.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.56
|
| Rate for Payer: UHC Exchange |
$216.56
|
| Rate for Payer: UHC Medicare Advantage |
$216.56
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$148.41 |
| Max. Negotiated Rate |
$655.85 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: BCBS Complete |
$403.60
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$149.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Exchange |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$655.85 |
| Max. Negotiated Rate |
$908.10 |
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: BCBS Trust/PPO |
$823.65
|
| Rate for Payer: BCN Commercial |
$779.76
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$756.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: Nomi Health Commercial |
$827.38
|
| Rate for Payer: PHP Commercial |
$857.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO |
$877.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$676.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.92
|
| Rate for Payer: UHC Core |
$842.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$756.75
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$239.64 |
| Max. Negotiated Rate |
$908.10 |
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna Medicare |
$262.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$315.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$315.31
|
| Rate for Payer: BCBS Complete |
$692.17
|
| Rate for Payer: BCBS MAPPO |
$252.25
|
| Rate for Payer: BCBS Trust/PPO |
$829.50
|
| Rate for Payer: BCN Commercial |
$784.50
|
| Rate for Payer: BCN Medicare Advantage |
$252.25
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.25
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$756.75
|
| Rate for Payer: Mclaren Medicaid |
$659.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.86
|
| Rate for Payer: Meridian Medicaid |
$692.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$290.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: Nomi Health Commercial |
$827.38
|
| Rate for Payer: PACE Senior Care Partners |
$239.64
|
| Rate for Payer: PACE SWMI |
$252.25
|
| Rate for Payer: PHP Commercial |
$857.65
|
| Rate for Payer: PHP Medicare Advantage |
$252.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$659.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO |
$877.83
|
| Rate for Payer: Priority Health Medicare |
$254.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$676.03
|
| Rate for Payer: Railroad Medicare Medicare |
$252.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.92
|
| Rate for Payer: UHC Core |
$842.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.25
|
| Rate for Payer: UHC Exchange |
$252.25
|
| Rate for Payer: UHC Medicare Advantage |
$252.25
|
| Rate for Payer: UHCCP Medicaid |
$659.17
|
| Rate for Payer: VA VA |
$252.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$756.75
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$148.41 |
| Max. Negotiated Rate |
$655.85 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: BCBS Complete |
$403.60
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health Medicare |
$149.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Exchange |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
|
|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$190.29 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$254.99
|
| Rate for Payer: Aetna Medicare |
$197.90
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$190.29
|
| Rate for Payer: BCN Medicare Advantage |
$190.29
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$274.02
|
| Rate for Payer: Cofinity Commercial |
$254.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.80
|
| Rate for Payer: Nomi Health Commercial |
$228.35
|
| Rate for Payer: PACE SWMI |
$190.29
|
| Rate for Payer: PHP Medicare Advantage |
$190.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$192.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$190.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.29
|
| Rate for Payer: UHC Exchange |
$190.29
|
| Rate for Payer: UHC Medicare Advantage |
$190.29
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$172.61 |
| Max. Negotiated Rate |
$683.15 |
| Rate for Payer: Aetna Commercial |
$231.30
|
| Rate for Payer: Aetna Medicare |
$179.51
|
| Rate for Payer: BCBS Complete |
$420.40
|
| Rate for Payer: BCBS MAPPO |
$172.61
|
| Rate for Payer: BCN Medicare Advantage |
$172.61
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cofinity Commercial |
$248.56
|
| Rate for Payer: Cofinity Commercial |
$231.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.24
|
| Rate for Payer: Nomi Health Commercial |
$207.13
|
| Rate for Payer: PACE SWMI |
$172.61
|
| Rate for Payer: PHP Medicare Advantage |
$172.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health Medicare |
$174.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.61
|
| Rate for Payer: UHC Exchange |
$172.61
|
| Rate for Payer: UHC Medicare Advantage |
$172.61
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$162.54 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$164.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Exchange |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$760.50 |
| Max. Negotiated Rate |
$1,053.00 |
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: BCBS Trust/PPO |
$955.07
|
| Rate for Payer: BCN Commercial |
$904.18
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$877.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: Nomi Health Commercial |
$959.40
|
| Rate for Payer: PHP Commercial |
$994.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,017.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$783.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.60
|
| Rate for Payer: UHC Core |
$976.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$877.50
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$162.54 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$164.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Exchange |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$277.88 |
| Max. Negotiated Rate |
$1,053.00 |
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna Medicare |
$304.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$365.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$365.62
|
| Rate for Payer: BCBS Complete |
$895.16
|
| Rate for Payer: BCBS MAPPO |
$292.50
|
| Rate for Payer: BCBS Trust/PPO |
$961.86
|
| Rate for Payer: BCN Commercial |
$909.67
|
| Rate for Payer: BCN Medicare Advantage |
$292.50
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.50
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$877.50
|
| Rate for Payer: Mclaren Medicaid |
$852.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$307.12
|
| Rate for Payer: Meridian Medicaid |
$895.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$336.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: Nomi Health Commercial |
$959.40
|
| Rate for Payer: PACE Senior Care Partners |
$277.88
|
| Rate for Payer: PACE SWMI |
$292.50
|
| Rate for Payer: PHP Commercial |
$994.50
|
| Rate for Payer: PHP Medicare Advantage |
$292.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,017.90
|
| Rate for Payer: Priority Health Medicare |
$295.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$783.90
|
| Rate for Payer: Railroad Medicare Medicare |
$292.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.60
|
| Rate for Payer: UHC Core |
$976.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.50
|
| Rate for Payer: UHC Exchange |
$292.50
|
| Rate for Payer: UHC Medicare Advantage |
$292.50
|
| Rate for Payer: UHCCP Medicaid |
$852.47
|
| Rate for Payer: VA VA |
$292.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$877.50
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$285.29 |
| Max. Negotiated Rate |
$682.50 |
| Rate for Payer: Aetna Commercial |
$382.29
|
| Rate for Payer: Aetna Medicare |
$296.70
|
| Rate for Payer: BCBS Complete |
$420.00
|
| Rate for Payer: BCBS MAPPO |
$285.29
|
| Rate for Payer: BCN Medicare Advantage |
$285.29
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cofinity Commercial |
$410.82
|
| Rate for Payer: Cofinity Commercial |
$382.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.55
|
| Rate for Payer: Nomi Health Commercial |
$342.35
|
| Rate for Payer: PACE SWMI |
$285.29
|
| Rate for Payer: PHP Medicare Advantage |
$285.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health Medicare |
$288.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.29
|
| Rate for Payer: UHC Exchange |
$285.29
|
| Rate for Payer: UHC Medicare Advantage |
$285.29
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$220.80 |
| Max. Negotiated Rate |
$358.80 |
| Rate for Payer: Aetna Commercial |
$328.82
|
| Rate for Payer: Aetna Medicare |
$255.21
|
| Rate for Payer: BCBS Complete |
$220.80
|
| Rate for Payer: BCBS MAPPO |
$245.39
|
| Rate for Payer: BCN Medicare Advantage |
$245.39
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cofinity Commercial |
$353.36
|
| Rate for Payer: Cofinity Commercial |
$328.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.66
|
| Rate for Payer: Nomi Health Commercial |
$294.47
|
| Rate for Payer: PACE SWMI |
$245.39
|
| Rate for Payer: PHP Medicare Advantage |
$245.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$358.80
|
| Rate for Payer: Priority Health Medicare |
$247.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.39
|
| Rate for Payer: UHC Exchange |
$245.39
|
| Rate for Payer: UHC Medicare Advantage |
$245.39
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$198.63 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$266.16
|
| Rate for Payer: Aetna Medicare |
$206.58
|
| Rate for Payer: BCBS Complete |
$468.00
|
| Rate for Payer: BCBS MAPPO |
$198.63
|
| Rate for Payer: BCN Medicare Advantage |
$198.63
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$286.03
|
| Rate for Payer: Cofinity Commercial |
$266.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.56
|
| Rate for Payer: Nomi Health Commercial |
$238.36
|
| Rate for Payer: PACE SWMI |
$198.63
|
| Rate for Payer: PHP Medicare Advantage |
$198.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health Medicare |
$200.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.63
|
| Rate for Payer: UHC Exchange |
$198.63
|
| Rate for Payer: UHC Medicare Advantage |
$198.63
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$325.61 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$356.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$428.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$428.44
|
| Rate for Payer: BCBS Complete |
$895.16
|
| Rate for Payer: BCBS MAPPO |
$342.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.10
|
| Rate for Payer: BCN Commercial |
$1,065.95
|
| Rate for Payer: BCN Medicare Advantage |
$342.75
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.75
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Mclaren Medicaid |
$852.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.89
|
| Rate for Payer: Meridian Medicaid |
$895.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$394.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: PACE Senior Care Partners |
$325.61
|
| Rate for Payer: PACE SWMI |
$342.75
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: PHP Medicare Advantage |
$342.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$852.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,192.77
|
| Rate for Payer: Priority Health Medicare |
$346.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$918.57
|
| Rate for Payer: Railroad Medicare Medicare |
$342.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,206.48
|
| Rate for Payer: UHC Core |
$1,144.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.75
|
| Rate for Payer: UHC Exchange |
$342.75
|
| Rate for Payer: UHC Medicare Advantage |
$342.75
|
| Rate for Payer: UHCCP Medicaid |
$852.47
|
| Rate for Payer: VA VA |
$342.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$212.73 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$214.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Exchange |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$212.73 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health Medicare |
$214.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Exchange |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$891.15 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,119.15
|
| Rate for Payer: BCN Commercial |
$1,059.51
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,192.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$918.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,206.48
|
| Rate for Payer: UHC Core |
$1,144.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$325.61 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$356.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$428.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$428.44
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: BCBS MAPPO |
$342.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.10
|
| Rate for Payer: BCN Commercial |
$1,065.95
|
| Rate for Payer: BCN Medicare Advantage |
$342.75
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.75
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$394.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: PACE Senior Care Partners |
$325.61
|
| Rate for Payer: PACE SWMI |
$342.75
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: PHP Medicare Advantage |
$342.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,192.77
|
| Rate for Payer: Priority Health Medicare |
$346.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$918.57
|
| Rate for Payer: Railroad Medicare Medicare |
$342.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,206.48
|
| Rate for Payer: UHC Core |
$1,144.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.75
|
| Rate for Payer: UHC Exchange |
$342.75
|
| Rate for Payer: UHC Medicare Advantage |
$342.75
|
| Rate for Payer: VA VA |
$342.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$891.15 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,119.15
|
| Rate for Payer: BCN Commercial |
$1,059.51
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: Nomi Health Commercial |
$1,124.22
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,192.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$918.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,206.48
|
| Rate for Payer: UHC Core |
$1,144.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$640.80 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Medicare |
$801.00
|
| Rate for Payer: BCBS Complete |
$640.80
|
| Rate for Payer: Cash Price |
$1,281.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,041.30
|
|
