|
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 |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| 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: Mclaren Medicaid |
$142.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| 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 Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$214.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.73
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| 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: Mclaren Medicaid |
$142.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| 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 Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$214.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.73
|
| 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
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
|
|
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 |
$1,144.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
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 |
$877.06
|
| 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 |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.89
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| 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 |
$835.24
|
| 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 |
$1,144.78
|
| 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 |
$835.24
|
| 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 |
$1,144.78
|
| 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 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 |
$1,144.78
|
| 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,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
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$267.19 |
| Max. Negotiated Rate |
$1,012.50 |
| Rate for Payer: Aetna Commercial |
$956.25
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$351.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$351.56
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$281.25
|
| Rate for Payer: BCBS Trust/PPO |
$924.86
|
| Rate for Payer: BCN Commercial |
$874.69
|
| Rate for Payer: BCN Medicare Advantage |
$281.25
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$967.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.25
|
| Rate for Payer: Healthscope Commercial |
$1,012.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$843.75
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$295.31
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$323.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$956.25
|
| Rate for Payer: Nomi Health Commercial |
$922.50
|
| Rate for Payer: PACE Senior Care Partners |
$267.19
|
| Rate for Payer: PACE SWMI |
$281.25
|
| Rate for Payer: PHP Commercial |
$956.25
|
| Rate for Payer: PHP Medicare Advantage |
$281.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO |
$978.75
|
| Rate for Payer: Priority Health Medicare |
$284.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$753.75
|
| Rate for Payer: Railroad Medicare Medicare |
$281.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$990.00
|
| Rate for Payer: UHC Core |
$939.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.25
|
| Rate for Payer: UHC Exchange |
$281.25
|
| Rate for Payer: UHC Medicare Advantage |
$281.25
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$281.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$843.75
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$731.25 |
| Max. Negotiated Rate |
$1,012.50 |
| Rate for Payer: Aetna Commercial |
$956.25
|
| Rate for Payer: BCBS Trust/PPO |
$918.34
|
| Rate for Payer: BCN Commercial |
$869.40
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$967.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Healthscope Commercial |
$1,012.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$843.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$956.25
|
| Rate for Payer: Nomi Health Commercial |
$922.50
|
| Rate for Payer: PHP Commercial |
$956.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO |
$978.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$753.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$990.00
|
| Rate for Payer: UHC Core |
$939.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$843.75
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Cofinity Commercial |
$254.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.86
|
| Rate for Payer: Mclaren Medicaid |
$126.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.35
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Nomi Health Commercial |
$227.83
|
| Rate for Payer: PACE SWMI |
$189.86
|
| Rate for Payer: PHP Medicare Advantage |
$189.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO |
$353.18
|
| Rate for Payer: Priority Health Medicare |
$191.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Exchange |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Cofinity Commercial |
$254.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.86
|
| Rate for Payer: Mclaren Medicaid |
$126.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.35
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Nomi Health Commercial |
$227.83
|
| Rate for Payer: PACE SWMI |
$189.86
|
| Rate for Payer: PHP Medicare Advantage |
$189.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO |
$353.18
|
| Rate for Payer: Priority Health Medicare |
$191.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Exchange |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR COLONOSCOPY W/STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS G6025
|
| 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
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$2,245.28 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,245.28
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
OP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$281.44 |
| Max. Negotiated Rate |
$1,066.50 |
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: Aetna Medicare |
$308.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$370.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$370.31
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$296.25
|
| Rate for Payer: BCBS Trust/PPO |
$974.19
|
| Rate for Payer: BCN Commercial |
$921.34
|
| Rate for Payer: BCN Medicare Advantage |
$296.25
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.25
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.06
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$340.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: PACE Senior Care Partners |
$281.44
|
| Rate for Payer: PACE SWMI |
$296.25
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: PHP Medicare Advantage |
$296.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,030.95
|
| Rate for Payer: Priority Health Medicare |
$299.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.95
|
| Rate for Payer: Railroad Medicare Medicare |
$296.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,042.80
|
| Rate for Payer: UHC Core |
$989.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.25
|
| Rate for Payer: UHC Exchange |
$296.25
|
| Rate for Payer: UHC Medicare Advantage |
$296.25
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$296.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
IP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$770.25 |
| Max. Negotiated Rate |
$1,066.50 |
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: BCBS Trust/PPO |
$967.32
|
| Rate for Payer: BCN Commercial |
$915.77
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,030.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$793.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,042.80
|
| Rate for Payer: UHC Core |
$989.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0105
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$2,245.28 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,245.28
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$176.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Exchange |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
|
|
PR COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV
|
Professional
|
Both
|
$96.00
|
|
|
Service Code
|
HCPCS 92283
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$1,441.20 |
| Rate for Payer: Aetna Commercial |
$65.24
|
| Rate for Payer: Aetna Medicare |
$50.64
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$48.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,441.20
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Medicare Advantage |
$48.69
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cash Price |
$76.80
|
| Rate for Payer: Cofinity Commercial |
$70.11
|
| Rate for Payer: Cofinity Commercial |
$65.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.69
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.12
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$58.43
|
| Rate for Payer: PACE SWMI |
$48.69
|
| Rate for Payer: PHP Medicare Advantage |
$48.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.40
|
| Rate for Payer: Priority Health HMO/PPO |
$10.38
|
| Rate for Payer: Priority Health Medicare |
$49.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.69
|
| Rate for Payer: UHC Exchange |
$48.69
|
| Rate for Payer: UHC Medicare Advantage |
$48.69
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
PR COLOSTOMY/SKIN LEVEL CECOSTOMY
|
Professional
|
Both
|
$2,695.00
|
|
|
Service Code
|
HCPCS 44320
|
| Min. Negotiated Rate |
$262.57 |
| Max. Negotiated Rate |
$2,144.76 |
| Rate for Payer: Aetna Commercial |
$1,553.42
|
| Rate for Payer: Aetna Medicare |
$1,205.64
|
| Rate for Payer: BCBS Complete |
$808.05
|
| Rate for Payer: BCBS MAPPO |
$1,159.27
|
| Rate for Payer: BCBS Trust/PPO |
$262.57
|
| Rate for Payer: BCN Commercial |
$1,745.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,159.27
|
| Rate for Payer: Cash Price |
$2,156.00
|
| Rate for Payer: Cash Price |
$2,156.00
|
| Rate for Payer: Cofinity Commercial |
$1,669.35
|
| Rate for Payer: Cofinity Commercial |
$1,553.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,159.27
|
| Rate for Payer: Mclaren Medicaid |
$769.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,217.23
|
| Rate for Payer: Meridian Medicaid |
$808.05
|
| Rate for Payer: Nomi Health Commercial |
$1,391.12
|
| Rate for Payer: PACE SWMI |
$1,159.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,159.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$769.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,751.75
|
| Rate for Payer: Priority Health HMO/PPO |
$2,144.76
|
| Rate for Payer: Priority Health Medicare |
$1,170.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,144.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,159.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,159.27
|
| Rate for Payer: UHC Exchange |
$1,159.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,159.27
|
| Rate for Payer: UHCCP Medicaid |
$769.57
|
|
|
PR COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX
|
Professional
|
Both
|
$2,766.00
|
|
|
Service Code
|
HCPCS 44322
|
| Min. Negotiated Rate |
$644.96 |
| Max. Negotiated Rate |
$1,802.91 |
| Rate for Payer: Aetna Commercial |
$1,285.77
|
| Rate for Payer: Aetna Medicare |
$997.91
|
| Rate for Payer: BCBS Complete |
$677.21
|
| Rate for Payer: BCBS MAPPO |
$959.53
|
| Rate for Payer: BCBS Trust/PPO |
$955.17
|
| Rate for Payer: BCN Commercial |
$1,471.41
|
| Rate for Payer: BCN Medicare Advantage |
$959.53
|
| Rate for Payer: Cash Price |
$2,212.80
|
| Rate for Payer: Cash Price |
$2,212.80
|
| Rate for Payer: Cofinity Commercial |
$1,381.72
|
| Rate for Payer: Cofinity Commercial |
$1,285.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$959.53
|
| Rate for Payer: Mclaren Medicaid |
$644.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,007.51
|
| Rate for Payer: Meridian Medicaid |
$677.21
|
| Rate for Payer: Nomi Health Commercial |
$1,151.44
|
| Rate for Payer: PACE SWMI |
$959.53
|
| Rate for Payer: PHP Medicare Advantage |
$959.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$644.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,797.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,802.91
|
| Rate for Payer: Priority Health Medicare |
$969.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,802.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$959.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$959.53
|
| Rate for Payer: UHC Exchange |
$959.53
|
| Rate for Payer: UHC Medicare Advantage |
$959.53
|
| Rate for Payer: UHCCP Medicaid |
$644.96
|
|
|
PR COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$2,872.00
|
|
|
Service Code
|
HCPCS 44025
|
| Min. Negotiated Rate |
$631.55 |
| Max. Negotiated Rate |
$2,143.84 |
| Rate for Payer: Aetna Commercial |
$1,278.31
|
| Rate for Payer: Aetna Medicare |
$992.12
|
| Rate for Payer: BCBS Complete |
$663.13
|
| Rate for Payer: BCBS MAPPO |
$953.96
|
| Rate for Payer: BCBS Trust/PPO |
$2,143.84
|
| Rate for Payer: BCN Commercial |
$1,427.91
|
| Rate for Payer: BCN Medicare Advantage |
$953.96
|
| Rate for Payer: Cash Price |
$2,297.60
|
| Rate for Payer: Cash Price |
$2,297.60
|
| Rate for Payer: Cofinity Commercial |
$1,373.70
|
| Rate for Payer: Cofinity Commercial |
$1,278.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$953.96
|
| Rate for Payer: Mclaren Medicaid |
$631.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,001.66
|
| Rate for Payer: Meridian Medicaid |
$663.13
|
| Rate for Payer: Nomi Health Commercial |
$1,144.75
|
| Rate for Payer: PACE SWMI |
$953.96
|
| Rate for Payer: PHP Medicare Advantage |
$953.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$631.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,866.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,756.37
|
| Rate for Payer: Priority Health Medicare |
$963.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,756.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$953.96
|
| Rate for Payer: UHC Exchange |
$953.96
|
| Rate for Payer: UHC Medicare Advantage |
$953.96
|
| Rate for Payer: UHCCP Medicaid |
$631.55
|
|
|
PR COLPOCENTESIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$172.00
|
|
|
Service Code
|
HCPCS 57020
|
| Min. Negotiated Rate |
$50.48 |
| Max. Negotiated Rate |
$2,675.31 |
| Rate for Payer: Aetna Commercial |
$102.22
|
| Rate for Payer: Aetna Medicare |
$79.33
|
| Rate for Payer: BCBS Complete |
$53.00
|
| Rate for Payer: BCBS MAPPO |
$76.28
|
| Rate for Payer: BCBS Trust/PPO |
$2,675.31
|
| Rate for Payer: BCN Commercial |
$185.69
|
| Rate for Payer: BCN Medicare Advantage |
$76.28
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cash Price |
$137.60
|
| Rate for Payer: Cofinity Commercial |
$109.84
|
| Rate for Payer: Cofinity Commercial |
$102.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.28
|
| Rate for Payer: Mclaren Medicaid |
$50.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.09
|
| Rate for Payer: Meridian Medicaid |
$53.00
|
| Rate for Payer: Nomi Health Commercial |
$91.54
|
| Rate for Payer: PACE SWMI |
$76.28
|
| Rate for Payer: PHP Medicare Advantage |
$76.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.80
|
| Rate for Payer: Priority Health HMO/PPO |
$117.56
|
| Rate for Payer: Priority Health Medicare |
$77.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.28
|
| Rate for Payer: UHC Exchange |
$76.28
|
| Rate for Payer: UHC Medicare Advantage |
$76.28
|
| Rate for Payer: UHCCP Medicaid |
$50.48
|
|
|
PR COLPOCLEISIS LE FORT TYPE
|
Professional
|
Both
|
$2,636.00
|
|
|
Service Code
|
HCPCS 57120
|
| Min. Negotiated Rate |
$341.01 |
| Max. Negotiated Rate |
$1,901.88 |
| Rate for Payer: Aetna Commercial |
$679.00
|
| Rate for Payer: Aetna Medicare |
$526.99
|
| Rate for Payer: BCBS Complete |
$358.06
|
| Rate for Payer: BCBS MAPPO |
$506.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,901.88
|
| Rate for Payer: BCN Commercial |
$779.93
|
| Rate for Payer: BCN Medicare Advantage |
$506.72
|
| Rate for Payer: Cash Price |
$2,108.80
|
| Rate for Payer: Cash Price |
$2,108.80
|
| Rate for Payer: Cofinity Commercial |
$729.68
|
| Rate for Payer: Cofinity Commercial |
$679.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$506.72
|
| Rate for Payer: Mclaren Medicaid |
$341.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$532.06
|
| Rate for Payer: Meridian Medicaid |
$358.06
|
| Rate for Payer: Nomi Health Commercial |
$608.06
|
| Rate for Payer: PACE SWMI |
$506.72
|
| Rate for Payer: PHP Medicare Advantage |
$506.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,713.40
|
| Rate for Payer: Priority Health HMO/PPO |
$796.15
|
| Rate for Payer: Priority Health Medicare |
$511.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$796.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$506.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$506.72
|
| Rate for Payer: UHC Exchange |
$506.72
|
| Rate for Payer: UHC Medicare Advantage |
$506.72
|
| Rate for Payer: UHCCP Medicaid |
$341.01
|
|
|
PR COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU
|
Professional
|
Both
|
$1,079.00
|
|
|
Service Code
|
HCPCS 57210
|
| Min. Negotiated Rate |
$252.62 |
| Max. Negotiated Rate |
$2,571.24 |
| Rate for Payer: Aetna Commercial |
$500.78
|
| Rate for Payer: Aetna Medicare |
$388.67
|
| Rate for Payer: BCBS Complete |
$265.25
|
| Rate for Payer: BCBS MAPPO |
$373.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,571.24
|
| Rate for Payer: BCN Commercial |
$578.11
|
| Rate for Payer: BCN Medicare Advantage |
$373.72
|
| Rate for Payer: Cash Price |
$863.20
|
| Rate for Payer: Cash Price |
$863.20
|
| Rate for Payer: Cofinity Commercial |
$538.16
|
| Rate for Payer: Cofinity Commercial |
$500.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$373.72
|
| Rate for Payer: Mclaren Medicaid |
$252.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$392.41
|
| Rate for Payer: Meridian Medicaid |
$265.25
|
| Rate for Payer: Nomi Health Commercial |
$448.46
|
| Rate for Payer: PACE SWMI |
$373.72
|
| Rate for Payer: PHP Medicare Advantage |
$373.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.35
|
| Rate for Payer: Priority Health HMO/PPO |
$591.29
|
| Rate for Payer: Priority Health Medicare |
$377.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$591.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$373.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$373.72
|
| Rate for Payer: UHC Exchange |
$373.72
|
| Rate for Payer: UHC Medicare Advantage |
$373.72
|
| Rate for Payer: UHCCP Medicaid |
$252.62
|
|
