|
PR COLPOPEXY ABDOMINAL APPROACH
|
Professional
|
Both
|
$2,103.00
|
|
|
Service Code
|
HCPCS 57280
|
| Min. Negotiated Rate |
$618.55 |
| Max. Negotiated Rate |
$2,847.01 |
| Rate for Payer: Aetna Commercial |
$1,240.60
|
| Rate for Payer: Aetna Medicare |
$962.85
|
| Rate for Payer: BCBS Complete |
$649.48
|
| Rate for Payer: BCBS MAPPO |
$925.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,847.01
|
| Rate for Payer: BCN Commercial |
$1,412.28
|
| Rate for Payer: BCN Medicare Advantage |
$925.82
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cash Price |
$1,682.40
|
| Rate for Payer: Cofinity Commercial |
$1,333.18
|
| Rate for Payer: Cofinity Commercial |
$1,240.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$925.82
|
| Rate for Payer: Mclaren Medicaid |
$618.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.11
|
| Rate for Payer: Meridian Medicaid |
$649.48
|
| Rate for Payer: Nomi Health Commercial |
$1,110.98
|
| Rate for Payer: PACE SWMI |
$925.82
|
| Rate for Payer: PHP Medicare Advantage |
$925.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,366.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,440.52
|
| Rate for Payer: Priority Health Medicare |
$935.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,440.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$925.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$925.82
|
| Rate for Payer: UHC Exchange |
$925.82
|
| Rate for Payer: UHC Medicare Advantage |
$925.82
|
| Rate for Payer: UHCCP Medicaid |
$618.55
|
|
|
PR COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$2,128.00
|
|
|
Service Code
|
HCPCS 57282
|
| Min. Negotiated Rate |
$444.96 |
| Max. Negotiated Rate |
$2,780.44 |
| Rate for Payer: Aetna Commercial |
$890.18
|
| Rate for Payer: Aetna Medicare |
$690.88
|
| Rate for Payer: BCBS Complete |
$467.21
|
| Rate for Payer: BCBS MAPPO |
$664.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,780.44
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$664.31
|
| Rate for Payer: Cash Price |
$1,702.40
|
| Rate for Payer: Cash Price |
$1,702.40
|
| Rate for Payer: Cofinity Commercial |
$956.61
|
| Rate for Payer: Cofinity Commercial |
$890.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.31
|
| Rate for Payer: Mclaren Medicaid |
$444.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.53
|
| Rate for Payer: Meridian Medicaid |
$467.21
|
| Rate for Payer: Nomi Health Commercial |
$797.17
|
| Rate for Payer: PACE SWMI |
$664.31
|
| Rate for Payer: PHP Medicare Advantage |
$664.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,383.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,037.72
|
| Rate for Payer: Priority Health Medicare |
$670.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,037.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$664.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$664.31
|
| Rate for Payer: UHC Exchange |
$664.31
|
| Rate for Payer: UHC Medicare Advantage |
$664.31
|
| Rate for Payer: UHCCP Medicaid |
$444.96
|
|
|
PR COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH
|
Professional
|
Both
|
$1,164.00
|
|
|
Service Code
|
HCPCS 57283
|
| Min. Negotiated Rate |
$448.58 |
| Max. Negotiated Rate |
$3,053.05 |
| Rate for Payer: Aetna Commercial |
$898.15
|
| Rate for Payer: Aetna Medicare |
$697.07
|
| Rate for Payer: BCBS Complete |
$471.01
|
| Rate for Payer: BCBS MAPPO |
$670.26
|
| Rate for Payer: BCBS Trust/PPO |
$3,053.05
|
| Rate for Payer: BCN Commercial |
$1,026.22
|
| Rate for Payer: BCN Medicare Advantage |
$670.26
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cash Price |
$931.20
|
| Rate for Payer: Cofinity Commercial |
$965.17
|
| Rate for Payer: Cofinity Commercial |
$898.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$670.26
|
| Rate for Payer: Mclaren Medicaid |
$448.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$703.77
|
| Rate for Payer: Meridian Medicaid |
$471.01
|
| Rate for Payer: Nomi Health Commercial |
$804.31
|
| Rate for Payer: PACE SWMI |
$670.26
|
| Rate for Payer: PHP Medicare Advantage |
$670.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$756.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,045.17
|
| Rate for Payer: Priority Health Medicare |
$676.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,045.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$670.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$670.26
|
| Rate for Payer: UHC Exchange |
$670.26
|
| Rate for Payer: UHC Medicare Advantage |
$670.26
|
| Rate for Payer: UHCCP Medicaid |
$448.58
|
|
|
PR COLPORRHAPHY SUTURE INJURY VAGINA
|
Professional
|
Both
|
$875.00
|
|
|
Service Code
|
HCPCS 57200
|
| Min. Negotiated Rate |
$213.85 |
| Max. Negotiated Rate |
$2,224.14 |
| Rate for Payer: Aetna Commercial |
$421.79
|
| Rate for Payer: Aetna Medicare |
$327.36
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$314.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,224.14
|
| Rate for Payer: BCN Commercial |
$487.70
|
| Rate for Payer: BCN Medicare Advantage |
$314.77
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cash Price |
$700.00
|
| Rate for Payer: Cofinity Commercial |
$453.27
|
| Rate for Payer: Cofinity Commercial |
$421.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.77
|
| Rate for Payer: Mclaren Medicaid |
$213.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.51
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Nomi Health Commercial |
$377.72
|
| Rate for Payer: PACE SWMI |
$314.77
|
| Rate for Payer: PHP Medicare Advantage |
$314.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$568.75
|
| Rate for Payer: Priority Health HMO/PPO |
$500.51
|
| Rate for Payer: Priority Health Medicare |
$317.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$500.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.77
|
| Rate for Payer: UHC Exchange |
$314.77
|
| Rate for Payer: UHC Medicare Advantage |
$314.77
|
| Rate for Payer: UHCCP Medicaid |
$213.85
|
|
|
PR COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE
|
Professional
|
Both
|
$361.00
|
|
|
Service Code
|
HCPCS 57454
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$246.72 |
| Rate for Payer: Aetna Commercial |
$172.15
|
| Rate for Payer: Aetna Medicare |
$133.61
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$128.47
|
| Rate for Payer: BCBS Trust/PPO |
$246.72
|
| Rate for Payer: BCN Commercial |
$199.48
|
| Rate for Payer: BCN Medicare Advantage |
$128.47
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cofinity Commercial |
$185.00
|
| Rate for Payer: Cofinity Commercial |
$172.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.47
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.89
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Nomi Health Commercial |
$154.16
|
| Rate for Payer: PACE SWMI |
$128.47
|
| Rate for Payer: PHP Medicare Advantage |
$128.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.65
|
| Rate for Payer: Priority Health HMO/PPO |
$198.91
|
| Rate for Payer: Priority Health Medicare |
$129.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$128.47
|
| Rate for Payer: UHC Exchange |
$128.47
|
| Rate for Payer: UHC Medicare Advantage |
$128.47
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57456
|
| Min. Negotiated Rate |
$64.11 |
| Max. Negotiated Rate |
$1,290.64 |
| Rate for Payer: Aetna Commercial |
$129.28
|
| Rate for Payer: Aetna Medicare |
$100.34
|
| Rate for Payer: BCBS Complete |
$67.32
|
| Rate for Payer: BCBS MAPPO |
$96.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,290.64
|
| Rate for Payer: BCN Commercial |
$179.84
|
| Rate for Payer: BCN Medicare Advantage |
$96.48
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$138.93
|
| Rate for Payer: Cofinity Commercial |
$129.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.48
|
| Rate for Payer: Mclaren Medicaid |
$64.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.30
|
| Rate for Payer: Meridian Medicaid |
$67.32
|
| Rate for Payer: Nomi Health Commercial |
$115.78
|
| Rate for Payer: PACE SWMI |
$96.48
|
| Rate for Payer: PHP Medicare Advantage |
$96.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health HMO/PPO |
$150.30
|
| Rate for Payer: Priority Health Medicare |
$97.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$150.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.48
|
| Rate for Payer: UHC Exchange |
$96.48
|
| Rate for Payer: UHC Medicare Advantage |
$96.48
|
| Rate for Payer: UHCCP Medicaid |
$64.11
|
|
|
PR COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 57452
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$304.30 |
| Rate for Payer: Aetna Commercial |
$116.70
|
| Rate for Payer: Aetna Medicare |
$90.57
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$87.09
|
| Rate for Payer: BCBS Trust/PPO |
$304.30
|
| Rate for Payer: BCN Commercial |
$150.00
|
| Rate for Payer: BCN Medicare Advantage |
$87.09
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cofinity Commercial |
$125.41
|
| Rate for Payer: Cofinity Commercial |
$116.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.09
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.44
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Nomi Health Commercial |
$104.51
|
| Rate for Payer: PACE SWMI |
$87.09
|
| Rate for Payer: PHP Medicare Advantage |
$87.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
| Rate for Payer: Priority Health HMO/PPO |
$135.41
|
| Rate for Payer: Priority Health Medicare |
$87.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$87.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.09
|
| Rate for Payer: UHC Exchange |
$87.09
|
| Rate for Payer: UHC Medicare Advantage |
$87.09
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
|
|
PR COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 57455
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$1,460.22 |
| Rate for Payer: Aetna Commercial |
$140.66
|
| Rate for Payer: Aetna Medicare |
$109.17
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCBS MAPPO |
$104.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,460.22
|
| Rate for Payer: BCN Commercial |
$190.44
|
| Rate for Payer: BCN Medicare Advantage |
$104.97
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$151.16
|
| Rate for Payer: Cofinity Commercial |
$140.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.97
|
| Rate for Payer: Mclaren Medicaid |
$69.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.22
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Nomi Health Commercial |
$125.96
|
| Rate for Payer: PACE SWMI |
$104.97
|
| Rate for Payer: PHP Medicare Advantage |
$104.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health HMO/PPO |
$161.21
|
| Rate for Payer: Priority Health Medicare |
$106.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$161.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.97
|
| Rate for Payer: UHC Exchange |
$104.97
|
| Rate for Payer: UHC Medicare Advantage |
$104.97
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$117.15 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: BCBS Complete |
$123.01
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Mclaren Medicaid |
$117.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Meridian Medicaid |
$123.01
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$271.33
|
| Rate for Payer: Priority Health Medicare |
$178.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Exchange |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
| Rate for Payer: UHCCP Medicaid |
$117.15
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
OP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$228.00 |
| Max. Negotiated Rate |
$2,365.09 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: Aetna Medicare |
$249.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$300.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$300.00
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$240.00
|
| Rate for Payer: BCBS Trust/PPO |
$789.22
|
| Rate for Payer: BCCCP Commercial |
$331.06
|
| Rate for Payer: BCN Commercial |
$746.40
|
| Rate for Payer: BCN Medicare Advantage |
$240.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.00
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$276.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: Nomi Health Commercial |
$787.20
|
| Rate for Payer: PACE Senior Care Partners |
$228.00
|
| Rate for Payer: PACE SWMI |
$240.00
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: PHP Medicare Advantage |
$240.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$835.20
|
| Rate for Payer: Priority Health Medicare |
$242.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.20
|
| Rate for Payer: Railroad Medicare Medicare |
$240.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$844.80
|
| Rate for Payer: UHC Core |
$801.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.00
|
| Rate for Payer: UHC Exchange |
$240.00
|
| Rate for Payer: UHC Medicare Advantage |
$240.00
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$240.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Facility
|
IP
|
$960.00
|
|
|
Service Code
|
CPT 57461
|
| Hospital Charge Code |
57461
|
| Min. Negotiated Rate |
$624.00 |
| Max. Negotiated Rate |
$864.00 |
| Rate for Payer: Aetna Commercial |
$816.00
|
| Rate for Payer: BCBS Trust/PPO |
$783.65
|
| Rate for Payer: BCN Commercial |
$741.89
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$825.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$768.00
|
| Rate for Payer: Healthscope Commercial |
$864.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$720.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$816.00
|
| Rate for Payer: Nomi Health Commercial |
$787.20
|
| Rate for Payer: PHP Commercial |
$816.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$835.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$844.80
|
| Rate for Payer: UHC Core |
$801.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$720.00
|
|
|
PR COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
|
Professional
|
Both
|
$960.00
|
|
|
Service Code
|
HCPCS 57461
|
| Min. Negotiated Rate |
$117.15 |
| Max. Negotiated Rate |
$1,582.26 |
| Rate for Payer: Aetna Commercial |
$236.99
|
| Rate for Payer: Aetna Medicare |
$183.93
|
| Rate for Payer: BCBS Complete |
$123.01
|
| Rate for Payer: BCBS MAPPO |
$176.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,582.26
|
| Rate for Payer: BCN Commercial |
$518.49
|
| Rate for Payer: BCN Medicare Advantage |
$176.86
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cash Price |
$768.00
|
| Rate for Payer: Cofinity Commercial |
$254.68
|
| Rate for Payer: Cofinity Commercial |
$236.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.86
|
| Rate for Payer: Mclaren Medicaid |
$117.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.70
|
| Rate for Payer: Meridian Medicaid |
$123.01
|
| Rate for Payer: Nomi Health Commercial |
$212.23
|
| Rate for Payer: PACE SWMI |
$176.86
|
| Rate for Payer: PHP Medicare Advantage |
$176.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.00
|
| Rate for Payer: Priority Health HMO/PPO |
$271.33
|
| Rate for Payer: Priority Health Medicare |
$178.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.86
|
| Rate for Payer: UHC Exchange |
$176.86
|
| Rate for Payer: UHC Medicare Advantage |
$176.86
|
| Rate for Payer: UHCCP Medicaid |
$117.15
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
IP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$420.55 |
| Max. Negotiated Rate |
$582.30 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: BCBS Trust/PPO |
$528.15
|
| Rate for Payer: BCN Commercial |
$500.00
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: Nomi Health Commercial |
$530.54
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$562.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.36
|
| Rate for Payer: UHC Core |
$540.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Facility
|
OP
|
$647.00
|
|
|
Service Code
|
CPT 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$153.66 |
| Max. Negotiated Rate |
$2,365.09 |
| Rate for Payer: Aetna Commercial |
$549.95
|
| Rate for Payer: Aetna Medicare |
$168.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$202.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$202.19
|
| Rate for Payer: BCBS Complete |
$2,365.09
|
| Rate for Payer: BCBS MAPPO |
$161.75
|
| Rate for Payer: BCBS Trust/PPO |
$531.90
|
| Rate for Payer: BCCCP Commercial |
$295.08
|
| Rate for Payer: BCN Commercial |
$503.04
|
| Rate for Payer: BCN Medicare Advantage |
$161.75
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$556.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$517.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.75
|
| Rate for Payer: Healthscope Commercial |
$582.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$485.25
|
| Rate for Payer: Mclaren Medicaid |
$2,252.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.84
|
| Rate for Payer: Meridian Medicaid |
$2,365.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$186.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$549.95
|
| Rate for Payer: Nomi Health Commercial |
$530.54
|
| Rate for Payer: PACE Senior Care Partners |
$153.66
|
| Rate for Payer: PACE SWMI |
$161.75
|
| Rate for Payer: PHP Commercial |
$549.95
|
| Rate for Payer: PHP Medicare Advantage |
$161.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,252.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$562.89
|
| Rate for Payer: Priority Health Medicare |
$163.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$433.49
|
| Rate for Payer: Railroad Medicare Medicare |
$161.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.36
|
| Rate for Payer: UHC Core |
$540.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$161.75
|
| Rate for Payer: UHC Exchange |
$161.75
|
| Rate for Payer: UHC Medicare Advantage |
$161.75
|
| Rate for Payer: UHCCP Medicaid |
$2,252.32
|
| Rate for Payer: VA VA |
$161.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$485.25
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Hospital Charge Code |
57460
|
| Min. Negotiated Rate |
$102.45 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: BCBS Complete |
$107.57
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Mclaren Medicaid |
$102.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Meridian Medicaid |
$107.57
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$237.10
|
| Rate for Payer: Priority Health Medicare |
$155.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$237.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Exchange |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
| Rate for Payer: UHCCP Medicaid |
$102.45
|
|
|
PR COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
HCPCS 57460
|
| Min. Negotiated Rate |
$102.45 |
| Max. Negotiated Rate |
$1,524.15 |
| Rate for Payer: Aetna Commercial |
$206.41
|
| Rate for Payer: Aetna Medicare |
$160.20
|
| Rate for Payer: BCBS Complete |
$107.57
|
| Rate for Payer: BCBS MAPPO |
$154.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,524.15
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$154.04
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cash Price |
$517.60
|
| Rate for Payer: Cofinity Commercial |
$221.82
|
| Rate for Payer: Cofinity Commercial |
$206.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.04
|
| Rate for Payer: Mclaren Medicaid |
$102.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.74
|
| Rate for Payer: Meridian Medicaid |
$107.57
|
| Rate for Payer: Nomi Health Commercial |
$184.85
|
| Rate for Payer: PACE SWMI |
$154.04
|
| Rate for Payer: PHP Medicare Advantage |
$154.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.55
|
| Rate for Payer: Priority Health HMO/PPO |
$237.10
|
| Rate for Payer: Priority Health Medicare |
$155.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$237.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.04
|
| Rate for Payer: UHC Exchange |
$154.04
|
| Rate for Payer: UHC Medicare Advantage |
$154.04
|
| Rate for Payer: UHCCP Medicaid |
$102.45
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 57420
|
| Min. Negotiated Rate |
$57.72 |
| Max. Negotiated Rate |
$1,752.90 |
| Rate for Payer: Aetna Commercial |
$116.24
|
| Rate for Payer: Aetna Medicare |
$90.22
|
| Rate for Payer: BCBS Complete |
$60.61
|
| Rate for Payer: BCBS MAPPO |
$86.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,752.90
|
| Rate for Payer: BCN Commercial |
$194.49
|
| Rate for Payer: BCN Medicare Advantage |
$86.75
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$124.92
|
| Rate for Payer: Cofinity Commercial |
$116.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.75
|
| Rate for Payer: Mclaren Medicaid |
$57.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.09
|
| Rate for Payer: Meridian Medicaid |
$60.61
|
| Rate for Payer: Nomi Health Commercial |
$104.10
|
| Rate for Payer: PACE SWMI |
$86.75
|
| Rate for Payer: PHP Medicare Advantage |
$86.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health HMO/PPO |
$133.43
|
| Rate for Payer: Priority Health Medicare |
$87.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$133.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.75
|
| Rate for Payer: UHC Exchange |
$86.75
|
| Rate for Payer: UHC Medicare Advantage |
$86.75
|
| Rate for Payer: UHCCP Medicaid |
$57.72
|
|
|
PR COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 57421
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$260.95 |
| Rate for Payer: Aetna Commercial |
$157.83
|
| Rate for Payer: Aetna Medicare |
$122.49
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$117.78
|
| Rate for Payer: BCBS Trust/PPO |
$122.57
|
| Rate for Payer: BCN Commercial |
$260.95
|
| Rate for Payer: BCN Medicare Advantage |
$117.78
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$157.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$117.78
|
| Rate for Payer: Mclaren Medicaid |
$78.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$123.67
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Nomi Health Commercial |
$141.34
|
| Rate for Payer: PACE SWMI |
$117.78
|
| Rate for Payer: PHP Medicare Advantage |
$117.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health HMO/PPO |
$181.06
|
| Rate for Payer: Priority Health Medicare |
$118.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$117.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$117.78
|
| Rate for Payer: UHC Exchange |
$117.78
|
| Rate for Payer: UHC Medicare Advantage |
$117.78
|
| Rate for Payer: UHCCP Medicaid |
$78.17
|
|
|
PR COLPOSCOPY VULVA
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 56820
|
| Min. Negotiated Rate |
$53.89 |
| Max. Negotiated Rate |
$1,801.50 |
| Rate for Payer: Aetna Commercial |
$108.42
|
| Rate for Payer: Aetna Medicare |
$84.15
|
| Rate for Payer: BCBS Complete |
$56.58
|
| Rate for Payer: BCBS MAPPO |
$80.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,801.50
|
| Rate for Payer: BCN Commercial |
$184.23
|
| Rate for Payer: BCN Medicare Advantage |
$80.91
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$116.51
|
| Rate for Payer: Cofinity Commercial |
$108.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.91
|
| Rate for Payer: Mclaren Medicaid |
$53.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.96
|
| Rate for Payer: Meridian Medicaid |
$56.58
|
| Rate for Payer: Nomi Health Commercial |
$97.09
|
| Rate for Payer: PACE SWMI |
$80.91
|
| Rate for Payer: PHP Medicare Advantage |
$80.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO |
$125.00
|
| Rate for Payer: Priority Health Medicare |
$81.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.91
|
| Rate for Payer: UHC Exchange |
$80.91
|
| Rate for Payer: UHC Medicare Advantage |
$80.91
|
| Rate for Payer: UHCCP Medicaid |
$53.89
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Hospital Charge Code |
56821
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Mclaren Medicaid |
$72.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$168.66
|
| Rate for Payer: Priority Health Medicare |
$110.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$168.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Exchange |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
IP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$228.15 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: BCBS Trust/PPO |
$286.52
|
| Rate for Payer: BCN Commercial |
$271.25
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: Nomi Health Commercial |
$287.82
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$305.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.88
|
| Rate for Payer: UHC Core |
$293.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Facility
|
OP
|
$351.00
|
|
|
Service Code
|
CPT 56821
|
| Hospital Charge Code |
56821
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$83.36 |
| Max. Negotiated Rate |
$315.90 |
| Rate for Payer: Aetna Commercial |
$298.35
|
| Rate for Payer: Aetna Medicare |
$91.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$109.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$109.69
|
| Rate for Payer: BCBS Complete |
$226.27
|
| Rate for Payer: BCBS MAPPO |
$87.75
|
| Rate for Payer: BCBS Trust/PPO |
$288.56
|
| Rate for Payer: BCN Commercial |
$272.90
|
| Rate for Payer: BCN Medicare Advantage |
$87.75
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$301.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$280.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$87.75
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$263.25
|
| Rate for Payer: Mclaren Medicaid |
$215.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.14
|
| Rate for Payer: Meridian Medicaid |
$226.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$298.35
|
| Rate for Payer: Nomi Health Commercial |
$287.82
|
| Rate for Payer: PACE Senior Care Partners |
$83.36
|
| Rate for Payer: PACE SWMI |
$87.75
|
| Rate for Payer: PHP Commercial |
$298.35
|
| Rate for Payer: PHP Medicare Advantage |
$87.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$305.37
|
| Rate for Payer: Priority Health Medicare |
$88.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.17
|
| Rate for Payer: Railroad Medicare Medicare |
$87.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.88
|
| Rate for Payer: UHC Core |
$293.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$87.75
|
| Rate for Payer: UHC Exchange |
$87.75
|
| Rate for Payer: UHC Medicare Advantage |
$87.75
|
| Rate for Payer: UHCCP Medicaid |
$215.48
|
| Rate for Payer: VA VA |
$87.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$263.25
|
|
|
PR COLPOSCOPY VULVA W/BIOPSY
|
Professional
|
Both
|
$351.00
|
|
|
Service Code
|
HCPCS 56821
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$146.53
|
| Rate for Payer: Aetna Medicare |
$113.72
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$109.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$109.35
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cash Price |
$280.80
|
| Rate for Payer: Cofinity Commercial |
$157.46
|
| Rate for Payer: Cofinity Commercial |
$146.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.35
|
| Rate for Payer: Mclaren Medicaid |
$72.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.82
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Nomi Health Commercial |
$131.22
|
| Rate for Payer: PACE SWMI |
$109.35
|
| Rate for Payer: PHP Medicare Advantage |
$109.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.15
|
| Rate for Payer: Priority Health HMO/PPO |
$168.66
|
| Rate for Payer: Priority Health Medicare |
$110.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$168.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.35
|
| Rate for Payer: UHC Exchange |
$109.35
|
| Rate for Payer: UHC Medicare Advantage |
$109.35
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
|
|
PR COLPOTOMY W/DRAINAGE PELVIC ABSCESS
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 57010
|
| Min. Negotiated Rate |
$294.15 |
| Max. Negotiated Rate |
$1,747.09 |
| Rate for Payer: Aetna Commercial |
$584.76
|
| Rate for Payer: Aetna Medicare |
$453.85
|
| Rate for Payer: BCBS Complete |
$308.86
|
| Rate for Payer: BCBS MAPPO |
$436.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,747.09
|
| Rate for Payer: BCN Commercial |
$673.89
|
| Rate for Payer: BCN Medicare Advantage |
$436.39
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$628.40
|
| Rate for Payer: Cofinity Commercial |
$584.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.39
|
| Rate for Payer: Mclaren Medicaid |
$294.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.21
|
| Rate for Payer: Meridian Medicaid |
$308.86
|
| Rate for Payer: Nomi Health Commercial |
$523.67
|
| Rate for Payer: PACE SWMI |
$436.39
|
| Rate for Payer: PHP Medicare Advantage |
$436.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$651.95
|
| Rate for Payer: Priority Health HMO/PPO |
$688.02
|
| Rate for Payer: Priority Health Medicare |
$440.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$688.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.39
|
| Rate for Payer: UHC Exchange |
$436.39
|
| Rate for Payer: UHC Medicare Advantage |
$436.39
|
| Rate for Payer: UHCCP Medicaid |
$294.15
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$162.95 |
| Max. Negotiated Rate |
$979.31 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: BCBS Complete |
$171.10
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCBS Trust/PPO |
$315.92
|
| Rate for Payer: BCN Commercial |
$979.31
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Mclaren Medicaid |
$162.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Meridian Medicaid |
$171.10
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO |
$454.60
|
| Rate for Payer: Priority Health Medicare |
$246.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Exchange |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
| Rate for Payer: UHCCP Medicaid |
$162.95
|
|
