|
PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,053.00
|
|
|
Service Code
|
HCPCS 43215
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$684.45 |
| Rate for Payer: Aetna Commercial |
$180.47
|
| Rate for Payer: Aetna Medicare |
$140.07
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCBS MAPPO |
$134.68
|
| Rate for Payer: BCBS Trust/PPO |
$162.19
|
| Rate for Payer: BCN Commercial |
$579.09
|
| Rate for Payer: BCN Medicare Advantage |
$134.68
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$193.94
|
| Rate for Payer: Cofinity Commercial |
$180.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.68
|
| Rate for Payer: Mclaren Medicaid |
$89.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.41
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Nomi Health Commercial |
$161.62
|
| Rate for Payer: PACE SWMI |
$134.68
|
| Rate for Payer: PHP Medicare Advantage |
$134.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.45
|
| Rate for Payer: Priority Health HMO/PPO |
$249.96
|
| Rate for Payer: Priority Health Medicare |
$136.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$249.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$134.68
|
| Rate for Payer: UHC Exchange |
$134.68
|
| Rate for Payer: UHC Medicare Advantage |
$134.68
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY
|
Facility
|
OP
|
$1,053.00
|
|
|
Service Code
|
CPT 43215
|
| Hospital Charge Code |
43215
|
| Min. Negotiated Rate |
$250.09 |
| Max. Negotiated Rate |
$1,411.07 |
| Rate for Payer: Aetna Commercial |
$895.05
|
| Rate for Payer: Aetna Medicare |
$273.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$329.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$329.06
|
| Rate for Payer: BCBS Complete |
$1,411.07
|
| Rate for Payer: BCBS MAPPO |
$263.25
|
| Rate for Payer: BCBS Trust/PPO |
$865.67
|
| Rate for Payer: BCN Commercial |
$818.71
|
| Rate for Payer: BCN Medicare Advantage |
$263.25
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$905.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.25
|
| Rate for Payer: Healthscope Commercial |
$947.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$789.75
|
| Rate for Payer: Mclaren Medicaid |
$1,343.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$276.41
|
| Rate for Payer: Meridian Medicaid |
$1,411.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$302.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.05
|
| Rate for Payer: Nomi Health Commercial |
$863.46
|
| Rate for Payer: PACE Senior Care Partners |
$250.09
|
| Rate for Payer: PACE SWMI |
$263.25
|
| Rate for Payer: PHP Commercial |
$895.05
|
| Rate for Payer: PHP Medicare Advantage |
$263.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,343.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.45
|
| Rate for Payer: Priority Health HMO/PPO |
$916.11
|
| Rate for Payer: Priority Health Medicare |
$265.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$705.51
|
| Rate for Payer: Railroad Medicare Medicare |
$263.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$926.64
|
| Rate for Payer: UHC Core |
$879.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.25
|
| Rate for Payer: UHC Exchange |
$263.25
|
| Rate for Payer: UHC Medicare Advantage |
$263.25
|
| Rate for Payer: UHCCP Medicaid |
$1,343.79
|
| Rate for Payer: VA VA |
$263.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$789.75
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$1,053.00
|
|
|
Service Code
|
HCPCS 43215
|
| Hospital Charge Code |
43215
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$684.45 |
| Rate for Payer: Aetna Commercial |
$180.47
|
| Rate for Payer: Aetna Medicare |
$140.07
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCBS MAPPO |
$134.68
|
| Rate for Payer: BCBS Trust/PPO |
$162.19
|
| Rate for Payer: BCN Commercial |
$579.09
|
| Rate for Payer: BCN Medicare Advantage |
$134.68
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$193.94
|
| Rate for Payer: Cofinity Commercial |
$180.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.68
|
| Rate for Payer: Mclaren Medicaid |
$89.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.41
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Nomi Health Commercial |
$161.62
|
| Rate for Payer: PACE SWMI |
$134.68
|
| Rate for Payer: PHP Medicare Advantage |
$134.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.45
|
| Rate for Payer: Priority Health HMO/PPO |
$249.96
|
| Rate for Payer: Priority Health Medicare |
$136.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$249.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$134.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$134.68
|
| Rate for Payer: UHC Exchange |
$134.68
|
| Rate for Payer: UHC Medicare Advantage |
$134.68
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY
|
Facility
|
IP
|
$1,053.00
|
|
|
Service Code
|
CPT 43215
|
| Hospital Charge Code |
43215
|
| Min. Negotiated Rate |
$684.45 |
| Max. Negotiated Rate |
$947.70 |
| Rate for Payer: Aetna Commercial |
$895.05
|
| Rate for Payer: BCBS Trust/PPO |
$859.56
|
| Rate for Payer: BCN Commercial |
$813.76
|
| Rate for Payer: Cash Price |
$842.40
|
| Rate for Payer: Cofinity Commercial |
$905.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$842.40
|
| Rate for Payer: Healthscope Commercial |
$947.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$789.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$895.05
|
| Rate for Payer: Nomi Health Commercial |
$863.46
|
| Rate for Payer: PHP Commercial |
$895.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.45
|
| Rate for Payer: Priority Health HMO/PPO |
$916.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$705.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$926.64
|
| Rate for Payer: UHC Core |
$879.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$789.75
|
|
|
PR ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 43217
|
| Min. Negotiated Rate |
$73.86 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$202.22
|
| Rate for Payer: Aetna Medicare |
$156.95
|
| Rate for Payer: BCBS Complete |
$106.24
|
| Rate for Payer: BCBS MAPPO |
$150.91
|
| Rate for Payer: BCBS Trust/PPO |
$73.86
|
| Rate for Payer: BCN Commercial |
$618.18
|
| Rate for Payer: BCN Medicare Advantage |
$150.91
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$217.31
|
| Rate for Payer: Cofinity Commercial |
$202.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.91
|
| Rate for Payer: Mclaren Medicaid |
$101.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$158.46
|
| Rate for Payer: Meridian Medicaid |
$106.24
|
| Rate for Payer: Nomi Health Commercial |
$181.09
|
| Rate for Payer: PACE SWMI |
$150.91
|
| Rate for Payer: PHP Medicare Advantage |
$150.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO |
$282.19
|
| Rate for Payer: Priority Health Medicare |
$152.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.91
|
| Rate for Payer: UHC Exchange |
$150.91
|
| Rate for Payer: UHC Medicare Advantage |
$150.91
|
| Rate for Payer: UHCCP Medicaid |
$101.18
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC
|
Professional
|
Both
|
$403.00
|
|
|
Service Code
|
HCPCS 43200
|
| Min. Negotiated Rate |
$28.53 |
| Max. Negotiated Rate |
$388.99 |
| Rate for Payer: Aetna Commercial |
$111.31
|
| Rate for Payer: Aetna Medicare |
$86.39
|
| Rate for Payer: BCBS Complete |
$58.60
|
| Rate for Payer: BCBS MAPPO |
$83.07
|
| Rate for Payer: BCBS Trust/PPO |
$28.53
|
| Rate for Payer: BCN Commercial |
$388.99
|
| Rate for Payer: BCN Medicare Advantage |
$83.07
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cofinity Commercial |
$119.62
|
| Rate for Payer: Cofinity Commercial |
$111.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.07
|
| Rate for Payer: Mclaren Medicaid |
$55.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.22
|
| Rate for Payer: Meridian Medicaid |
$58.60
|
| Rate for Payer: Nomi Health Commercial |
$99.68
|
| Rate for Payer: PACE SWMI |
$83.07
|
| Rate for Payer: PHP Medicare Advantage |
$83.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.95
|
| Rate for Payer: Priority Health HMO/PPO |
$156.30
|
| Rate for Payer: Priority Health Medicare |
$83.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.07
|
| Rate for Payer: UHC Exchange |
$83.07
|
| Rate for Payer: UHC Medicare Advantage |
$83.07
|
| Rate for Payer: UHCCP Medicaid |
$55.81
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM
|
Professional
|
Both
|
$884.00
|
|
|
Service Code
|
HCPCS 43231
|
| Min. Negotiated Rate |
$98.19 |
| Max. Negotiated Rate |
$574.60 |
| Rate for Payer: Aetna Commercial |
$196.12
|
| Rate for Payer: Aetna Medicare |
$152.21
|
| Rate for Payer: BCBS Complete |
$103.10
|
| Rate for Payer: BCBS MAPPO |
$146.36
|
| Rate for Payer: BCBS Trust/PPO |
$176.98
|
| Rate for Payer: BCN Commercial |
$226.26
|
| Rate for Payer: BCN Medicare Advantage |
$146.36
|
| Rate for Payer: Cash Price |
$707.20
|
| Rate for Payer: Cash Price |
$707.20
|
| Rate for Payer: Cofinity Commercial |
$210.76
|
| Rate for Payer: Cofinity Commercial |
$196.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.36
|
| Rate for Payer: Mclaren Medicaid |
$98.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.68
|
| Rate for Payer: Meridian Medicaid |
$103.10
|
| Rate for Payer: Nomi Health Commercial |
$175.63
|
| Rate for Payer: PACE SWMI |
$146.36
|
| Rate for Payer: PHP Medicare Advantage |
$146.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$574.60
|
| Rate for Payer: Priority Health HMO/PPO |
$276.81
|
| Rate for Payer: Priority Health Medicare |
$147.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$276.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$146.36
|
| Rate for Payer: UHC Exchange |
$146.36
|
| Rate for Payer: UHC Medicare Advantage |
$146.36
|
| Rate for Payer: UHCCP Medicaid |
$98.19
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY
|
Facility
|
OP
|
$789.00
|
|
|
Service Code
|
CPT 43202
|
| Hospital Charge Code |
43202
|
| Min. Negotiated Rate |
$187.39 |
| Max. Negotiated Rate |
$1,411.07 |
| Rate for Payer: Aetna Commercial |
$670.65
|
| Rate for Payer: Aetna Medicare |
$205.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$246.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$246.56
|
| Rate for Payer: BCBS Complete |
$1,411.07
|
| Rate for Payer: BCBS MAPPO |
$197.25
|
| Rate for Payer: BCBS Trust/PPO |
$648.64
|
| Rate for Payer: BCN Commercial |
$613.45
|
| Rate for Payer: BCN Medicare Advantage |
$197.25
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$678.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$631.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.25
|
| Rate for Payer: Healthscope Commercial |
$710.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$591.75
|
| Rate for Payer: Mclaren Medicaid |
$1,343.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.11
|
| Rate for Payer: Meridian Medicaid |
$1,411.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$670.65
|
| Rate for Payer: Nomi Health Commercial |
$646.98
|
| Rate for Payer: PACE Senior Care Partners |
$187.39
|
| Rate for Payer: PACE SWMI |
$197.25
|
| Rate for Payer: PHP Commercial |
$670.65
|
| Rate for Payer: PHP Medicare Advantage |
$197.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,343.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.85
|
| Rate for Payer: Priority Health HMO/PPO |
$686.43
|
| Rate for Payer: Priority Health Medicare |
$199.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$528.63
|
| Rate for Payer: Railroad Medicare Medicare |
$197.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$694.32
|
| Rate for Payer: UHC Core |
$658.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.25
|
| Rate for Payer: UHC Exchange |
$197.25
|
| Rate for Payer: UHC Medicare Advantage |
$197.25
|
| Rate for Payer: UHCCP Medicaid |
$1,343.79
|
| Rate for Payer: VA VA |
$197.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$591.75
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY
|
Facility
|
IP
|
$789.00
|
|
|
Service Code
|
CPT 43202
|
| Hospital Charge Code |
43202
|
| Min. Negotiated Rate |
$512.85 |
| Max. Negotiated Rate |
$710.10 |
| Rate for Payer: Aetna Commercial |
$670.65
|
| Rate for Payer: BCBS Trust/PPO |
$644.06
|
| Rate for Payer: BCN Commercial |
$609.74
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$678.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$631.20
|
| Rate for Payer: Healthscope Commercial |
$710.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$591.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$670.65
|
| Rate for Payer: Nomi Health Commercial |
$646.98
|
| Rate for Payer: PHP Commercial |
$670.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.85
|
| Rate for Payer: Priority Health HMO/PPO |
$686.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$528.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$694.32
|
| Rate for Payer: UHC Core |
$658.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$591.75
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 43202
|
| Min. Negotiated Rate |
$31.17 |
| Max. Negotiated Rate |
$526.80 |
| Rate for Payer: Aetna Commercial |
$129.97
|
| Rate for Payer: Aetna Medicare |
$100.87
|
| Rate for Payer: BCBS Complete |
$68.44
|
| Rate for Payer: BCBS MAPPO |
$96.99
|
| Rate for Payer: BCBS Trust/PPO |
$31.17
|
| Rate for Payer: BCN Commercial |
$526.80
|
| Rate for Payer: BCN Medicare Advantage |
$96.99
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$139.67
|
| Rate for Payer: Cofinity Commercial |
$129.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.99
|
| Rate for Payer: Mclaren Medicaid |
$65.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.84
|
| Rate for Payer: Meridian Medicaid |
$68.44
|
| Rate for Payer: Nomi Health Commercial |
$116.39
|
| Rate for Payer: PACE SWMI |
$96.99
|
| Rate for Payer: PHP Medicare Advantage |
$96.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.85
|
| Rate for Payer: Priority Health HMO/PPO |
$182.56
|
| Rate for Payer: Priority Health Medicare |
$97.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.99
|
| Rate for Payer: UHC Exchange |
$96.99
|
| Rate for Payer: UHC Medicare Advantage |
$96.99
|
| Rate for Payer: UHCCP Medicaid |
$65.18
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 43202
|
| Hospital Charge Code |
43202
|
| Min. Negotiated Rate |
$31.17 |
| Max. Negotiated Rate |
$526.80 |
| Rate for Payer: Aetna Commercial |
$129.97
|
| Rate for Payer: Aetna Medicare |
$100.87
|
| Rate for Payer: BCBS Complete |
$68.44
|
| Rate for Payer: BCBS MAPPO |
$96.99
|
| Rate for Payer: BCBS Trust/PPO |
$31.17
|
| Rate for Payer: BCN Commercial |
$526.80
|
| Rate for Payer: BCN Medicare Advantage |
$96.99
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$139.67
|
| Rate for Payer: Cofinity Commercial |
$129.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.99
|
| Rate for Payer: Mclaren Medicaid |
$65.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.84
|
| Rate for Payer: Meridian Medicaid |
$68.44
|
| Rate for Payer: Nomi Health Commercial |
$116.39
|
| Rate for Payer: PACE SWMI |
$96.99
|
| Rate for Payer: PHP Medicare Advantage |
$96.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.85
|
| Rate for Payer: Priority Health HMO/PPO |
$182.56
|
| Rate for Payer: Priority Health Medicare |
$97.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.99
|
| Rate for Payer: UHC Exchange |
$96.99
|
| Rate for Payer: UHC Medicare Advantage |
$96.99
|
| Rate for Payer: UHCCP Medicaid |
$65.18
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ
|
Professional
|
Both
|
$495.00
|
|
|
Service Code
|
HCPCS 43201
|
| Min. Negotiated Rate |
$30.11 |
| Max. Negotiated Rate |
$383.13 |
| Rate for Payer: Aetna Commercial |
$131.27
|
| Rate for Payer: Aetna Medicare |
$101.88
|
| Rate for Payer: BCBS Complete |
$69.11
|
| Rate for Payer: BCBS MAPPO |
$97.96
|
| Rate for Payer: BCBS Trust/PPO |
$30.11
|
| Rate for Payer: BCN Commercial |
$383.13
|
| Rate for Payer: BCN Medicare Advantage |
$97.96
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$141.06
|
| Rate for Payer: Cofinity Commercial |
$131.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.96
|
| Rate for Payer: Mclaren Medicaid |
$65.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$102.86
|
| Rate for Payer: Meridian Medicaid |
$69.11
|
| Rate for Payer: Nomi Health Commercial |
$117.55
|
| Rate for Payer: PACE SWMI |
$97.96
|
| Rate for Payer: PHP Medicare Advantage |
$97.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$321.75
|
| Rate for Payer: Priority Health HMO/PPO |
$183.76
|
| Rate for Payer: Priority Health Medicare |
$98.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$183.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.96
|
| Rate for Payer: UHC Exchange |
$97.96
|
| Rate for Payer: UHC Medicare Advantage |
$97.96
|
| Rate for Payer: UHCCP Medicaid |
$65.82
|
|
|
PR ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL
|
Professional
|
Both
|
$1,104.00
|
|
|
Service Code
|
HCPCS 43227
|
| Min. Negotiated Rate |
$43.32 |
| Max. Negotiated Rate |
$876.20 |
| Rate for Payer: Aetna Commercial |
$208.33
|
| Rate for Payer: Aetna Medicare |
$161.69
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS MAPPO |
$155.47
|
| Rate for Payer: BCBS Trust/PPO |
$43.32
|
| Rate for Payer: BCN Commercial |
$876.20
|
| Rate for Payer: BCN Medicare Advantage |
$155.47
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cofinity Commercial |
$223.88
|
| Rate for Payer: Cofinity Commercial |
$208.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.47
|
| Rate for Payer: Mclaren Medicaid |
$104.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.24
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Nomi Health Commercial |
$186.56
|
| Rate for Payer: PACE SWMI |
$155.47
|
| Rate for Payer: PHP Medicare Advantage |
$155.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.60
|
| Rate for Payer: Priority Health HMO/PPO |
$291.13
|
| Rate for Payer: Priority Health Medicare |
$157.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$291.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.47
|
| Rate for Payer: UHC Exchange |
$155.47
|
| Rate for Payer: UHC Medicare Advantage |
$155.47
|
| Rate for Payer: UHCCP Medicaid |
$104.16
|
|
|
PR ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES
|
Professional
|
Both
|
$1,104.00
|
|
|
Service Code
|
HCPCS 43204
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$717.60 |
| Rate for Payer: Aetna Commercial |
$170.90
|
| Rate for Payer: Aetna Medicare |
$132.64
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$127.54
|
| Rate for Payer: BCBS Trust/PPO |
$249.36
|
| Rate for Payer: BCN Commercial |
$194.01
|
| Rate for Payer: BCN Medicare Advantage |
$127.54
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cash Price |
$883.20
|
| Rate for Payer: Cofinity Commercial |
$183.66
|
| Rate for Payer: Cofinity Commercial |
$170.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.54
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.92
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Nomi Health Commercial |
$153.05
|
| Rate for Payer: PACE SWMI |
$127.54
|
| Rate for Payer: PHP Medicare Advantage |
$127.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$717.60
|
| Rate for Payer: Priority Health HMO/PPO |
$238.05
|
| Rate for Payer: Priority Health Medicare |
$128.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.54
|
| Rate for Payer: UHC Exchange |
$127.54
|
| Rate for Payer: UHC Medicare Advantage |
$127.54
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 43229
|
| Min. Negotiated Rate |
$123.53 |
| Max. Negotiated Rate |
$1,048.21 |
| Rate for Payer: Aetna Commercial |
$248.28
|
| Rate for Payer: Aetna Medicare |
$192.69
|
| Rate for Payer: BCBS Complete |
$130.17
|
| Rate for Payer: BCBS MAPPO |
$185.28
|
| Rate for Payer: BCBS Trust/PPO |
$123.53
|
| Rate for Payer: BCN Commercial |
$1,048.21
|
| Rate for Payer: BCN Medicare Advantage |
$185.28
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$266.80
|
| Rate for Payer: Cofinity Commercial |
$248.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.28
|
| Rate for Payer: Mclaren Medicaid |
$123.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.54
|
| Rate for Payer: Meridian Medicaid |
$130.17
|
| Rate for Payer: Nomi Health Commercial |
$222.34
|
| Rate for Payer: PACE SWMI |
$185.28
|
| Rate for Payer: PHP Medicare Advantage |
$185.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$415.35
|
| Rate for Payer: Priority Health HMO/PPO |
$346.62
|
| Rate for Payer: Priority Health Medicare |
$187.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$346.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.28
|
| Rate for Payer: UHC Exchange |
$185.28
|
| Rate for Payer: UHC Medicare Advantage |
$185.28
|
| Rate for Payer: UHCCP Medicaid |
$123.97
|
|
|
PR ESOPHAGOSCOPY,INSERT TUBE/STENT
|
Professional
|
Both
|
$1,496.00
|
|
|
Service Code
|
HCPCS 43219
|
| Min. Negotiated Rate |
$598.40 |
| Max. Negotiated Rate |
$972.40 |
| Rate for Payer: Aetna Medicare |
$748.00
|
| Rate for Payer: BCBS Complete |
$598.40
|
| Rate for Payer: Cash Price |
$1,196.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$972.40
|
|
|
PR ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX
|
Professional
|
Both
|
$1,034.00
|
|
|
Service Code
|
HCPCS 43232
|
| Min. Negotiated Rate |
$81.89 |
| Max. Negotiated Rate |
$672.10 |
| Rate for Payer: Aetna Commercial |
$249.67
|
| Rate for Payer: Aetna Medicare |
$193.77
|
| Rate for Payer: BCBS Complete |
$131.06
|
| Rate for Payer: BCBS MAPPO |
$186.32
|
| Rate for Payer: BCBS Trust/PPO |
$81.89
|
| Rate for Payer: BCN Commercial |
$282.95
|
| Rate for Payer: BCN Medicare Advantage |
$186.32
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cash Price |
$827.20
|
| Rate for Payer: Cofinity Commercial |
$268.30
|
| Rate for Payer: Cofinity Commercial |
$249.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.32
|
| Rate for Payer: Mclaren Medicaid |
$124.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.64
|
| Rate for Payer: Meridian Medicaid |
$131.06
|
| Rate for Payer: Nomi Health Commercial |
$223.58
|
| Rate for Payer: PACE SWMI |
$186.32
|
| Rate for Payer: PHP Medicare Advantage |
$186.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.10
|
| Rate for Payer: Priority Health HMO/PPO |
$350.20
|
| Rate for Payer: Priority Health Medicare |
$188.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$350.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$186.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.32
|
| Rate for Payer: UHC Exchange |
$186.32
|
| Rate for Payer: UHC Medicare Advantage |
$186.32
|
| Rate for Payer: UHCCP Medicaid |
$124.82
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 43195
|
| Min. Negotiated Rate |
$29.06 |
| Max. Negotiated Rate |
$330.51 |
| Rate for Payer: Aetna Commercial |
$237.92
|
| Rate for Payer: Aetna Medicare |
$184.65
|
| Rate for Payer: BCBS Complete |
$125.02
|
| Rate for Payer: BCBS MAPPO |
$177.55
|
| Rate for Payer: BCBS Trust/PPO |
$29.06
|
| Rate for Payer: BCN Commercial |
$269.26
|
| Rate for Payer: BCN Medicare Advantage |
$177.55
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cofinity Commercial |
$255.67
|
| Rate for Payer: Cofinity Commercial |
$237.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.55
|
| Rate for Payer: Mclaren Medicaid |
$119.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.43
|
| Rate for Payer: Meridian Medicaid |
$125.02
|
| Rate for Payer: Nomi Health Commercial |
$213.06
|
| Rate for Payer: PACE SWMI |
$177.55
|
| Rate for Payer: PHP Medicare Advantage |
$177.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.65
|
| Rate for Payer: Priority Health HMO/PPO |
$330.51
|
| Rate for Payer: Priority Health Medicare |
$179.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.55
|
| Rate for Payer: UHC Exchange |
$177.55
|
| Rate for Payer: UHC Medicare Advantage |
$177.55
|
| Rate for Payer: UHCCP Medicaid |
$119.07
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 43191
|
| Min. Negotiated Rate |
$63.92 |
| Max. Negotiated Rate |
$278.01 |
| Rate for Payer: Aetna Commercial |
$199.62
|
| Rate for Payer: Aetna Medicare |
$154.93
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$148.97
|
| Rate for Payer: BCBS Trust/PPO |
$63.92
|
| Rate for Payer: BCN Commercial |
$226.26
|
| Rate for Payer: BCN Medicare Advantage |
$148.97
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$214.52
|
| Rate for Payer: Cofinity Commercial |
$199.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.97
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.42
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$178.76
|
| Rate for Payer: PACE SWMI |
$148.97
|
| Rate for Payer: PHP Medicare Advantage |
$148.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.30
|
| Rate for Payer: Priority Health HMO/PPO |
$278.01
|
| Rate for Payer: Priority Health Medicare |
$150.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$278.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.97
|
| Rate for Payer: UHC Exchange |
$148.97
|
| Rate for Payer: UHC Medicare Advantage |
$148.97
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL
|
Professional
|
Both
|
$344.00
|
|
|
Service Code
|
HCPCS 43192
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$303.66 |
| Rate for Payer: Aetna Commercial |
$217.08
|
| Rate for Payer: Aetna Medicare |
$168.48
|
| Rate for Payer: BCBS Complete |
$114.28
|
| Rate for Payer: BCBS MAPPO |
$162.00
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$247.27
|
| Rate for Payer: BCN Medicare Advantage |
$162.00
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cofinity Commercial |
$233.28
|
| Rate for Payer: Cofinity Commercial |
$217.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.00
|
| Rate for Payer: Mclaren Medicaid |
$108.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.10
|
| Rate for Payer: Meridian Medicaid |
$114.28
|
| Rate for Payer: Nomi Health Commercial |
$194.40
|
| Rate for Payer: PACE SWMI |
$162.00
|
| Rate for Payer: PHP Medicare Advantage |
$162.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$223.60
|
| Rate for Payer: Priority Health HMO/PPO |
$303.66
|
| Rate for Payer: Priority Health Medicare |
$163.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.00
|
| Rate for Payer: UHC Exchange |
$162.00
|
| Rate for Payer: UHC Medicare Advantage |
$162.00
|
| Rate for Payer: UHCCP Medicaid |
$108.84
|
|
|
PR ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
HCPCS 43193
|
| Min. Negotiated Rate |
$46.49 |
| Max. Negotiated Rate |
$345.15 |
| Rate for Payer: Aetna Commercial |
$217.71
|
| Rate for Payer: Aetna Medicare |
$168.97
|
| Rate for Payer: BCBS Complete |
$114.51
|
| Rate for Payer: BCBS MAPPO |
$162.47
|
| Rate for Payer: BCBS Trust/PPO |
$46.49
|
| Rate for Payer: BCN Commercial |
$246.29
|
| Rate for Payer: BCN Medicare Advantage |
$162.47
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cofinity Commercial |
$233.96
|
| Rate for Payer: Cofinity Commercial |
$217.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.47
|
| Rate for Payer: Mclaren Medicaid |
$109.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.59
|
| Rate for Payer: Meridian Medicaid |
$114.51
|
| Rate for Payer: Nomi Health Commercial |
$194.96
|
| Rate for Payer: PACE SWMI |
$162.47
|
| Rate for Payer: PHP Medicare Advantage |
$162.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.15
|
| Rate for Payer: Priority Health HMO/PPO |
$302.48
|
| Rate for Payer: Priority Health Medicare |
$164.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$302.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.47
|
| Rate for Payer: UHC Exchange |
$162.47
|
| Rate for Payer: UHC Medicare Advantage |
$162.47
|
| Rate for Payer: UHCCP Medicaid |
$109.06
|
|
|
PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 43194
|
| Min. Negotiated Rate |
$54.94 |
| Max. Negotiated Rate |
$338.86 |
| Rate for Payer: Aetna Commercial |
$247.56
|
| Rate for Payer: Aetna Medicare |
$192.14
|
| Rate for Payer: BCBS Complete |
$129.27
|
| Rate for Payer: BCBS MAPPO |
$184.75
|
| Rate for Payer: BCBS Trust/PPO |
$54.94
|
| Rate for Payer: BCN Commercial |
$279.53
|
| Rate for Payer: BCN Medicare Advantage |
$184.75
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cofinity Commercial |
$266.04
|
| Rate for Payer: Cofinity Commercial |
$247.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.75
|
| Rate for Payer: Mclaren Medicaid |
$123.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.99
|
| Rate for Payer: Meridian Medicaid |
$129.27
|
| Rate for Payer: Nomi Health Commercial |
$221.70
|
| Rate for Payer: PACE SWMI |
$184.75
|
| Rate for Payer: PHP Medicare Advantage |
$184.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health HMO/PPO |
$338.86
|
| Rate for Payer: Priority Health Medicare |
$186.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$338.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$184.75
|
| Rate for Payer: UHC Exchange |
$184.75
|
| Rate for Payer: UHC Medicare Advantage |
$184.75
|
| Rate for Payer: UHCCP Medicaid |
$123.11
|
|
|
PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 43212
|
| Min. Negotiated Rate |
$119.92 |
| Max. Negotiated Rate |
$373.10 |
| Rate for Payer: Aetna Commercial |
$242.02
|
| Rate for Payer: Aetna Medicare |
$187.83
|
| Rate for Payer: BCBS Complete |
$125.92
|
| Rate for Payer: BCBS MAPPO |
$180.61
|
| Rate for Payer: BCBS Trust/PPO |
$156.91
|
| Rate for Payer: BCN Commercial |
$272.68
|
| Rate for Payer: BCN Medicare Advantage |
$180.61
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$260.08
|
| Rate for Payer: Cofinity Commercial |
$242.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.61
|
| Rate for Payer: Mclaren Medicaid |
$119.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.64
|
| Rate for Payer: Meridian Medicaid |
$125.92
|
| Rate for Payer: Nomi Health Commercial |
$216.73
|
| Rate for Payer: PACE SWMI |
$180.61
|
| Rate for Payer: PHP Medicare Advantage |
$180.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health HMO/PPO |
$332.89
|
| Rate for Payer: Priority Health Medicare |
$182.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$332.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.61
|
| Rate for Payer: UHC Exchange |
$180.61
|
| Rate for Payer: UHC Medicare Advantage |
$180.61
|
| Rate for Payer: UHCCP Medicaid |
$119.92
|
|
|
PR ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH
|
Professional
|
Both
|
$1,322.00
|
|
|
Service Code
|
HCPCS 43180
|
| Min. Negotiated Rate |
$66.57 |
| Max. Negotiated Rate |
$981.40 |
| Rate for Payer: Aetna Commercial |
$703.55
|
| Rate for Payer: Aetna Medicare |
$546.04
|
| Rate for Payer: BCBS Complete |
$370.15
|
| Rate for Payer: BCBS MAPPO |
$525.04
|
| Rate for Payer: BCBS Trust/PPO |
$66.57
|
| Rate for Payer: BCN Commercial |
$799.97
|
| Rate for Payer: BCN Medicare Advantage |
$525.04
|
| Rate for Payer: Cash Price |
$1,057.60
|
| Rate for Payer: Cash Price |
$1,057.60
|
| Rate for Payer: Cofinity Commercial |
$756.06
|
| Rate for Payer: Cofinity Commercial |
$703.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$525.04
|
| Rate for Payer: Mclaren Medicaid |
$352.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$551.29
|
| Rate for Payer: Meridian Medicaid |
$370.15
|
| Rate for Payer: Nomi Health Commercial |
$630.05
|
| Rate for Payer: PACE SWMI |
$525.04
|
| Rate for Payer: PHP Medicare Advantage |
$525.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.30
|
| Rate for Payer: Priority Health HMO/PPO |
$981.40
|
| Rate for Payer: Priority Health Medicare |
$530.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$981.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$525.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$525.04
|
| Rate for Payer: UHC Exchange |
$525.04
|
| Rate for Payer: UHC Medicare Advantage |
$525.04
|
| Rate for Payer: UHCCP Medicaid |
$352.52
|
|
|
PR ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR
|
Professional
|
Both
|
$2,389.00
|
|
|
Service Code
|
HCPCS 43352
|
| Min. Negotiated Rate |
$680.32 |
| Max. Negotiated Rate |
$1,895.98 |
| Rate for Payer: Aetna Commercial |
$1,379.42
|
| Rate for Payer: Aetna Medicare |
$1,070.60
|
| Rate for Payer: BCBS Complete |
$714.34
|
| Rate for Payer: BCBS MAPPO |
$1,029.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,158.75
|
| Rate for Payer: BCN Commercial |
$1,543.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,029.42
|
| Rate for Payer: Cash Price |
$1,911.20
|
| Rate for Payer: Cash Price |
$1,911.20
|
| Rate for Payer: Cofinity Commercial |
$1,482.36
|
| Rate for Payer: Cofinity Commercial |
$1,379.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,029.42
|
| Rate for Payer: Mclaren Medicaid |
$680.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,080.89
|
| Rate for Payer: Meridian Medicaid |
$714.34
|
| Rate for Payer: Nomi Health Commercial |
$1,235.30
|
| Rate for Payer: PACE SWMI |
$1,029.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,029.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$680.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,552.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,895.98
|
| Rate for Payer: Priority Health Medicare |
$1,039.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,895.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,029.42
|
| Rate for Payer: UHC Exchange |
$1,029.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,029.42
|
| Rate for Payer: UHCCP Medicaid |
$680.32
|
|
