|
PR LAPAROSCOPY SLING OPERATION STRESS INCONT
|
Professional
|
Both
|
$1,724.00
|
|
|
Service Code
|
HCPCS 51992
|
| Min. Negotiated Rate |
$534.42 |
| Max. Negotiated Rate |
$1,505.66 |
| Rate for Payer: Aetna Commercial |
$1,074.32
|
| Rate for Payer: Aetna Medicare |
$833.80
|
| Rate for Payer: BCBS Complete |
$561.14
|
| Rate for Payer: BCBS MAPPO |
$801.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.66
|
| Rate for Payer: BCN Commercial |
$1,210.95
|
| Rate for Payer: BCN Medicare Advantage |
$801.73
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cash Price |
$1,379.20
|
| Rate for Payer: Cofinity Commercial |
$1,154.49
|
| Rate for Payer: Cofinity Commercial |
$1,074.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$801.73
|
| Rate for Payer: Mclaren Medicaid |
$534.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$841.82
|
| Rate for Payer: Meridian Medicaid |
$561.14
|
| Rate for Payer: Nomi Health Commercial |
$962.08
|
| Rate for Payer: PACE SWMI |
$801.73
|
| Rate for Payer: PHP Medicare Advantage |
$801.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$534.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,120.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,334.69
|
| Rate for Payer: Priority Health Medicare |
$809.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,334.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$801.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$801.73
|
| Rate for Payer: UHC Exchange |
$801.73
|
| Rate for Payer: UHC Medicare Advantage |
$801.73
|
| Rate for Payer: UHCCP Medicaid |
$534.42
|
|
|
PR LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 44203
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$1,325.50 |
| Rate for Payer: Aetna Commercial |
$311.15
|
| Rate for Payer: Aetna Medicare |
$241.49
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$232.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,325.50
|
| Rate for Payer: BCN Commercial |
$349.89
|
| Rate for Payer: BCN Medicare Advantage |
$232.20
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Cofinity Commercial |
$311.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.20
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.81
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Nomi Health Commercial |
$278.64
|
| Rate for Payer: PACE SWMI |
$232.20
|
| Rate for Payer: PHP Medicare Advantage |
$232.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.90
|
| Rate for Payer: Priority Health HMO/PPO |
$424.78
|
| Rate for Payer: Priority Health Medicare |
$234.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$424.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$232.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.20
|
| Rate for Payer: UHC Exchange |
$232.20
|
| Rate for Payer: UHC Medicare Advantage |
$232.20
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<
|
Professional
|
Both
|
$2,025.00
|
|
|
Service Code
|
HCPCS 58541
|
| Min. Negotiated Rate |
$187.02 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$939.22
|
| Rate for Payer: Aetna Medicare |
$728.95
|
| Rate for Payer: BCBS Complete |
$492.70
|
| Rate for Payer: BCBS MAPPO |
$700.91
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$1,070.70
|
| Rate for Payer: BCN Medicare Advantage |
$700.91
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cash Price |
$1,620.00
|
| Rate for Payer: Cofinity Commercial |
$939.22
|
| Rate for Payer: Cofinity Commercial |
$1,009.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$700.91
|
| Rate for Payer: Mclaren Medicaid |
$469.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$735.96
|
| Rate for Payer: Meridian Medicaid |
$492.70
|
| Rate for Payer: Nomi Health Commercial |
$841.09
|
| Rate for Payer: PACE SWMI |
$700.91
|
| Rate for Payer: PHP Medicare Advantage |
$700.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$469.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,316.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,093.29
|
| Rate for Payer: Priority Health Medicare |
$707.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,093.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$700.91
|
| Rate for Payer: UHC Exchange |
$700.91
|
| Rate for Payer: UHC Medicare Advantage |
$700.91
|
| Rate for Payer: UHCCP Medicaid |
$469.24
|
|
|
PR LAPAROSCOPY SURG ABLATION RENAL CYSTS
|
Professional
|
Both
|
$1,762.00
|
|
|
Service Code
|
HCPCS 50541
|
| Min. Negotiated Rate |
$585.11 |
| Max. Negotiated Rate |
$2,280.67 |
| Rate for Payer: Aetna Commercial |
$1,173.59
|
| Rate for Payer: Aetna Medicare |
$910.84
|
| Rate for Payer: BCBS Complete |
$614.37
|
| Rate for Payer: BCBS MAPPO |
$875.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,280.67
|
| Rate for Payer: BCN Commercial |
$1,319.92
|
| Rate for Payer: BCN Medicare Advantage |
$875.81
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cash Price |
$1,409.60
|
| Rate for Payer: Cofinity Commercial |
$1,261.17
|
| Rate for Payer: Cofinity Commercial |
$1,173.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$875.81
|
| Rate for Payer: Mclaren Medicaid |
$585.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$919.60
|
| Rate for Payer: Meridian Medicaid |
$614.37
|
| Rate for Payer: Nomi Health Commercial |
$1,050.97
|
| Rate for Payer: PACE SWMI |
$875.81
|
| Rate for Payer: PHP Medicare Advantage |
$875.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$585.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,145.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,453.47
|
| Rate for Payer: Priority Health Medicare |
$884.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,453.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$875.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$875.81
|
| Rate for Payer: UHC Exchange |
$875.81
|
| Rate for Payer: UHC Medicare Advantage |
$875.81
|
| Rate for Payer: UHCCP Medicaid |
$585.11
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,011.00
|
|
|
Service Code
|
HCPCS 47562
|
| Min. Negotiated Rate |
$427.28 |
| Max. Negotiated Rate |
$1,957.15 |
| Rate for Payer: Aetna Commercial |
$862.25
|
| Rate for Payer: Aetna Medicare |
$669.21
|
| Rate for Payer: BCBS Complete |
$448.64
|
| Rate for Payer: BCBS MAPPO |
$643.47
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$643.47
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$926.60
|
| Rate for Payer: Cofinity Commercial |
$862.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.47
|
| Rate for Payer: Mclaren Medicaid |
$427.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.64
|
| Rate for Payer: Meridian Medicaid |
$448.64
|
| Rate for Payer: Nomi Health Commercial |
$772.16
|
| Rate for Payer: PACE SWMI |
$643.47
|
| Rate for Payer: PHP Medicare Advantage |
$643.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,188.42
|
| Rate for Payer: Priority Health Medicare |
$649.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,188.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$643.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.47
|
| Rate for Payer: UHC Exchange |
$643.47
|
| Rate for Payer: UHC Medicare Advantage |
$643.47
|
| Rate for Payer: UHCCP Medicaid |
$427.28
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
IP
|
$3,011.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,957.15 |
| Max. Negotiated Rate |
$2,709.90 |
| Rate for Payer: Aetna Commercial |
$2,559.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,457.88
|
| Rate for Payer: BCN Commercial |
$2,326.90
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$2,589.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,408.80
|
| Rate for Payer: Healthscope Commercial |
$2,709.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,258.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,559.35
|
| Rate for Payer: Nomi Health Commercial |
$2,469.02
|
| Rate for Payer: PHP Commercial |
$2,559.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health HMO/PPO |
$2,619.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,017.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,649.68
|
| Rate for Payer: UHC Core |
$2,514.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,258.25
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Facility
|
OP
|
$3,011.00
|
|
|
Service Code
|
CPT 47562
|
| Hospital Charge Code |
47562
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$715.11 |
| Max. Negotiated Rate |
$4,339.88 |
| Rate for Payer: Aetna Commercial |
$2,559.35
|
| Rate for Payer: Aetna Medicare |
$782.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$940.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$940.94
|
| Rate for Payer: BCBS Complete |
$4,339.88
|
| Rate for Payer: BCBS MAPPO |
$752.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,475.34
|
| Rate for Payer: BCN Commercial |
$2,341.05
|
| Rate for Payer: BCN Medicare Advantage |
$752.75
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$2,589.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,408.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$752.75
|
| Rate for Payer: Healthscope Commercial |
$2,709.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,258.25
|
| Rate for Payer: Mclaren Medicaid |
$4,132.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$790.39
|
| Rate for Payer: Meridian Medicaid |
$4,339.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$865.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,559.35
|
| Rate for Payer: Nomi Health Commercial |
$2,469.02
|
| Rate for Payer: PACE Senior Care Partners |
$715.11
|
| Rate for Payer: PACE SWMI |
$752.75
|
| Rate for Payer: PHP Commercial |
$2,559.35
|
| Rate for Payer: PHP Medicare Advantage |
$752.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,132.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health HMO/PPO |
$2,619.57
|
| Rate for Payer: Priority Health Medicare |
$760.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,017.37
|
| Rate for Payer: Railroad Medicare Medicare |
$752.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,649.68
|
| Rate for Payer: UHC Core |
$2,514.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$752.75
|
| Rate for Payer: UHC Exchange |
$752.75
|
| Rate for Payer: UHC Medicare Advantage |
$752.75
|
| Rate for Payer: UHCCP Medicaid |
$4,132.95
|
| Rate for Payer: VA VA |
$752.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,258.25
|
|
|
PR LAPAROSCOPY SURG CHOLECYSTECTOMY
|
Professional
|
Both
|
$3,011.00
|
|
|
Service Code
|
HCPCS 47562
|
| Hospital Charge Code |
47562
|
| Min. Negotiated Rate |
$427.28 |
| Max. Negotiated Rate |
$1,957.15 |
| Rate for Payer: Aetna Commercial |
$862.25
|
| Rate for Payer: Aetna Medicare |
$669.21
|
| Rate for Payer: BCBS Complete |
$448.64
|
| Rate for Payer: BCBS MAPPO |
$643.47
|
| Rate for Payer: BCBS Trust/PPO |
$481.23
|
| Rate for Payer: BCN Commercial |
$965.63
|
| Rate for Payer: BCN Medicare Advantage |
$643.47
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cash Price |
$2,408.80
|
| Rate for Payer: Cofinity Commercial |
$926.60
|
| Rate for Payer: Cofinity Commercial |
$862.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.47
|
| Rate for Payer: Mclaren Medicaid |
$427.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.64
|
| Rate for Payer: Meridian Medicaid |
$448.64
|
| Rate for Payer: Nomi Health Commercial |
$772.16
|
| Rate for Payer: PACE SWMI |
$643.47
|
| Rate for Payer: PHP Medicare Advantage |
$643.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$427.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,957.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,188.42
|
| Rate for Payer: Priority Health Medicare |
$649.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,188.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$643.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.47
|
| Rate for Payer: UHC Exchange |
$643.47
|
| Rate for Payer: UHC Medicare Advantage |
$643.47
|
| Rate for Payer: UHCCP Medicaid |
$427.28
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
OP
|
$2,762.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$655.98 |
| Max. Negotiated Rate |
$2,485.80 |
| Rate for Payer: Aetna Commercial |
$2,347.70
|
| Rate for Payer: Aetna Medicare |
$718.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$863.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$863.12
|
| Rate for Payer: BCBS Complete |
$1,104.80
|
| Rate for Payer: BCBS MAPPO |
$690.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,270.64
|
| Rate for Payer: BCN Commercial |
$2,147.46
|
| Rate for Payer: BCN Medicare Advantage |
$690.50
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$2,375.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,209.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$690.50
|
| Rate for Payer: Healthscope Commercial |
$2,485.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,071.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$725.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$794.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,347.70
|
| Rate for Payer: Nomi Health Commercial |
$2,264.84
|
| Rate for Payer: PACE Senior Care Partners |
$655.98
|
| Rate for Payer: PACE SWMI |
$690.50
|
| Rate for Payer: PHP Commercial |
$2,347.70
|
| Rate for Payer: PHP Medicare Advantage |
$690.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health HMO/PPO |
$2,402.94
|
| Rate for Payer: Priority Health Medicare |
$697.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,850.54
|
| Rate for Payer: Railroad Medicare Medicare |
$690.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,430.56
|
| Rate for Payer: UHC Core |
$2,306.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$690.50
|
| Rate for Payer: UHC Exchange |
$690.50
|
| Rate for Payer: UHC Medicare Advantage |
$690.50
|
| Rate for Payer: VA VA |
$690.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,071.50
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Facility
|
IP
|
$2,762.00
|
|
|
Service Code
|
CPT 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$1,795.30 |
| Max. Negotiated Rate |
$2,485.80 |
| Rate for Payer: Aetna Commercial |
$2,347.70
|
| Rate for Payer: BCBS Trust/PPO |
$2,254.62
|
| Rate for Payer: BCN Commercial |
$2,134.47
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$2,375.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,209.60
|
| Rate for Payer: Healthscope Commercial |
$2,485.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,071.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,347.70
|
| Rate for Payer: Nomi Health Commercial |
$2,264.84
|
| Rate for Payer: PHP Commercial |
$2,347.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health HMO/PPO |
$2,402.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,850.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,430.56
|
| Rate for Payer: UHC Core |
$2,306.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,071.50
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,762.00
|
|
|
Service Code
|
HCPCS 44188
|
| Min. Negotiated Rate |
$775.11 |
| Max. Negotiated Rate |
$2,164.44 |
| Rate for Payer: Aetna Commercial |
$1,558.69
|
| Rate for Payer: Aetna Medicare |
$1,209.73
|
| Rate for Payer: BCBS Complete |
$813.87
|
| Rate for Payer: BCBS MAPPO |
$1,163.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,163.20
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,675.01
|
| Rate for Payer: Cofinity Commercial |
$1,558.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,163.20
|
| Rate for Payer: Mclaren Medicaid |
$775.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,221.36
|
| Rate for Payer: Meridian Medicaid |
$813.87
|
| Rate for Payer: Nomi Health Commercial |
$1,395.84
|
| Rate for Payer: PACE SWMI |
$1,163.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,163.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health HMO/PPO |
$2,164.44
|
| Rate for Payer: Priority Health Medicare |
$1,174.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,164.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,163.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,163.20
|
| Rate for Payer: UHC Exchange |
$1,163.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,163.20
|
| Rate for Payer: UHCCP Medicaid |
$775.11
|
|
|
PR LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY
|
Professional
|
Both
|
$2,762.00
|
|
|
Service Code
|
HCPCS 44188
|
| Hospital Charge Code |
44188
|
| Min. Negotiated Rate |
$775.11 |
| Max. Negotiated Rate |
$2,164.44 |
| Rate for Payer: Aetna Commercial |
$1,558.69
|
| Rate for Payer: Aetna Medicare |
$1,209.73
|
| Rate for Payer: BCBS Complete |
$813.87
|
| Rate for Payer: BCBS MAPPO |
$1,163.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,113.13
|
| Rate for Payer: BCN Commercial |
$1,768.04
|
| Rate for Payer: BCN Medicare Advantage |
$1,163.20
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cash Price |
$2,209.60
|
| Rate for Payer: Cofinity Commercial |
$1,675.01
|
| Rate for Payer: Cofinity Commercial |
$1,558.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,163.20
|
| Rate for Payer: Mclaren Medicaid |
$775.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,221.36
|
| Rate for Payer: Meridian Medicaid |
$813.87
|
| Rate for Payer: Nomi Health Commercial |
$1,395.84
|
| Rate for Payer: PACE SWMI |
$1,163.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,163.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,795.30
|
| Rate for Payer: Priority Health HMO/PPO |
$2,164.44
|
| Rate for Payer: Priority Health Medicare |
$1,174.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,164.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,163.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,163.20
|
| Rate for Payer: UHC Exchange |
$1,163.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,163.20
|
| Rate for Payer: UHCCP Medicaid |
$775.11
|
|
|
PR LAPAROSCOPY SURGICAL JEJUNOSTOMY
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 44186
|
| Min. Negotiated Rate |
$419.82 |
| Max. Negotiated Rate |
$1,298.70 |
| Rate for Payer: Aetna Commercial |
$847.40
|
| Rate for Payer: Aetna Medicare |
$657.69
|
| Rate for Payer: BCBS Complete |
$440.81
|
| Rate for Payer: BCBS MAPPO |
$632.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,287.47
|
| Rate for Payer: BCN Commercial |
$951.95
|
| Rate for Payer: BCN Medicare Advantage |
$632.39
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$910.64
|
| Rate for Payer: Cofinity Commercial |
$847.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$632.39
|
| Rate for Payer: Mclaren Medicaid |
$419.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$664.01
|
| Rate for Payer: Meridian Medicaid |
$440.81
|
| Rate for Payer: Nomi Health Commercial |
$758.87
|
| Rate for Payer: PACE SWMI |
$632.39
|
| Rate for Payer: PHP Medicare Advantage |
$632.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,298.70
|
| Rate for Payer: Priority Health HMO/PPO |
$1,170.52
|
| Rate for Payer: Priority Health Medicare |
$638.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,170.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$632.39
|
| Rate for Payer: UHC Exchange |
$632.39
|
| Rate for Payer: UHC Medicare Advantage |
$632.39
|
| Rate for Payer: UHCCP Medicaid |
$419.82
|
|
|
PR LAPAROSCOPY SURGICAL ORCHIECTOMY
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 54690
|
| Min. Negotiated Rate |
$420.25 |
| Max. Negotiated Rate |
$2,517.35 |
| Rate for Payer: Aetna Commercial |
$840.33
|
| Rate for Payer: Aetna Medicare |
$652.19
|
| Rate for Payer: BCBS Complete |
$441.26
|
| Rate for Payer: BCBS MAPPO |
$627.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,517.35
|
| Rate for Payer: BCN Commercial |
$945.10
|
| Rate for Payer: BCN Medicare Advantage |
$627.11
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$903.04
|
| Rate for Payer: Cofinity Commercial |
$840.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$627.11
|
| Rate for Payer: Mclaren Medicaid |
$420.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.47
|
| Rate for Payer: Meridian Medicaid |
$441.26
|
| Rate for Payer: Nomi Health Commercial |
$752.53
|
| Rate for Payer: PACE SWMI |
$627.11
|
| Rate for Payer: PHP Medicare Advantage |
$627.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$420.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,043.90
|
| Rate for Payer: Priority Health Medicare |
$633.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,043.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$627.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$627.11
|
| Rate for Payer: UHC Exchange |
$627.11
|
| Rate for Payer: UHC Medicare Advantage |
$627.11
|
| Rate for Payer: UHCCP Medicaid |
$420.25
|
|
|
PR LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE
|
Professional
|
Both
|
$3,023.00
|
|
|
Service Code
|
HCPCS 44187
|
| Min. Negotiated Rate |
$696.08 |
| Max. Negotiated Rate |
$1,964.95 |
| Rate for Payer: Aetna Commercial |
$1,395.37
|
| Rate for Payer: Aetna Medicare |
$1,082.97
|
| Rate for Payer: BCBS Complete |
$730.88
|
| Rate for Payer: BCBS MAPPO |
$1,041.32
|
| Rate for Payer: BCBS Trust/PPO |
$828.90
|
| Rate for Payer: BCN Commercial |
$1,587.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,041.32
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cofinity Commercial |
$1,499.50
|
| Rate for Payer: Cofinity Commercial |
$1,395.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,041.32
|
| Rate for Payer: Mclaren Medicaid |
$696.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,093.39
|
| Rate for Payer: Meridian Medicaid |
$730.88
|
| Rate for Payer: Nomi Health Commercial |
$1,249.58
|
| Rate for Payer: PACE SWMI |
$1,041.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,041.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$696.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,964.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,943.71
|
| Rate for Payer: Priority Health Medicare |
$1,051.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,943.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,041.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,041.32
|
| Rate for Payer: UHC Exchange |
$1,041.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,041.32
|
| Rate for Payer: UHCCP Medicaid |
$696.08
|
|
|
PR LAPAROSCOPY SURG PARTIAL NEPHRECTOMY
|
Professional
|
Both
|
$2,852.00
|
|
|
Service Code
|
HCPCS 50543
|
| Min. Negotiated Rate |
$948.28 |
| Max. Negotiated Rate |
$3,176.67 |
| Rate for Payer: Aetna Commercial |
$1,901.39
|
| Rate for Payer: Aetna Medicare |
$1,475.71
|
| Rate for Payer: BCBS Complete |
$995.69
|
| Rate for Payer: BCBS MAPPO |
$1,418.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,176.67
|
| Rate for Payer: BCN Commercial |
$2,139.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,418.95
|
| Rate for Payer: Cash Price |
$2,281.60
|
| Rate for Payer: Cash Price |
$2,281.60
|
| Rate for Payer: Cofinity Commercial |
$2,043.29
|
| Rate for Payer: Cofinity Commercial |
$1,901.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,418.95
|
| Rate for Payer: Mclaren Medicaid |
$948.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,489.90
|
| Rate for Payer: Meridian Medicaid |
$995.69
|
| Rate for Payer: Nomi Health Commercial |
$1,702.74
|
| Rate for Payer: PACE SWMI |
$1,418.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,418.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$948.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,853.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,357.82
|
| Rate for Payer: Priority Health Medicare |
$1,433.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,357.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,418.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,418.95
|
| Rate for Payer: UHC Exchange |
$1,418.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,418.95
|
| Rate for Payer: UHCCP Medicaid |
$948.28
|
|
|
PR LAPAROSCOPY SURG PYELOPLASTY
|
Professional
|
Both
|
$2,397.00
|
|
|
Service Code
|
HCPCS 50544
|
| Min. Negotiated Rate |
$788.74 |
| Max. Negotiated Rate |
$2,666.86 |
| Rate for Payer: Aetna Commercial |
$1,584.36
|
| Rate for Payer: Aetna Medicare |
$1,229.65
|
| Rate for Payer: BCBS Complete |
$828.18
|
| Rate for Payer: BCBS MAPPO |
$1,182.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,666.86
|
| Rate for Payer: BCN Commercial |
$1,782.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,182.36
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cofinity Commercial |
$1,702.60
|
| Rate for Payer: Cofinity Commercial |
$1,584.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,182.36
|
| Rate for Payer: Mclaren Medicaid |
$788.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,241.48
|
| Rate for Payer: Meridian Medicaid |
$828.18
|
| Rate for Payer: Nomi Health Commercial |
$1,418.83
|
| Rate for Payer: PACE SWMI |
$1,182.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,182.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,558.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,960.50
|
| Rate for Payer: Priority Health Medicare |
$1,194.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,960.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,182.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,182.36
|
| Rate for Payer: UHC Exchange |
$1,182.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,182.36
|
| Rate for Payer: UHCCP Medicaid |
$788.74
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
OP
|
$1,561.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$370.74 |
| Max. Negotiated Rate |
$4,339.88 |
| Rate for Payer: Aetna Commercial |
$1,326.85
|
| Rate for Payer: Aetna Medicare |
$405.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$487.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$487.81
|
| Rate for Payer: BCBS Complete |
$4,339.88
|
| Rate for Payer: BCBS MAPPO |
$390.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,283.30
|
| Rate for Payer: BCN Commercial |
$1,213.68
|
| Rate for Payer: BCN Medicare Advantage |
$390.25
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,342.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,248.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.25
|
| Rate for Payer: Healthscope Commercial |
$1,404.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,170.75
|
| Rate for Payer: Mclaren Medicaid |
$4,132.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$409.76
|
| Rate for Payer: Meridian Medicaid |
$4,339.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$448.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,326.85
|
| Rate for Payer: Nomi Health Commercial |
$1,280.02
|
| Rate for Payer: PACE Senior Care Partners |
$370.74
|
| Rate for Payer: PACE SWMI |
$390.25
|
| Rate for Payer: PHP Commercial |
$1,326.85
|
| Rate for Payer: PHP Medicare Advantage |
$390.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,132.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,358.07
|
| Rate for Payer: Priority Health Medicare |
$394.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,045.87
|
| Rate for Payer: Railroad Medicare Medicare |
$390.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,373.68
|
| Rate for Payer: UHC Core |
$1,303.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$390.25
|
| Rate for Payer: UHC Exchange |
$390.25
|
| Rate for Payer: UHC Medicare Advantage |
$390.25
|
| Rate for Payer: UHCCP Medicaid |
$4,132.95
|
| Rate for Payer: VA VA |
$390.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,170.75
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,561.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
49650
|
| Min. Negotiated Rate |
$281.59 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$564.61
|
| Rate for Payer: Aetna Medicare |
$438.20
|
| Rate for Payer: BCBS Complete |
$295.67
|
| Rate for Payer: BCBS MAPPO |
$421.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$421.35
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$606.74
|
| Rate for Payer: Cofinity Commercial |
$564.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.35
|
| Rate for Payer: Mclaren Medicaid |
$281.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.42
|
| Rate for Payer: Meridian Medicaid |
$295.67
|
| Rate for Payer: Nomi Health Commercial |
$505.62
|
| Rate for Payer: PACE SWMI |
$421.35
|
| Rate for Payer: PHP Medicare Advantage |
$421.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health HMO/PPO |
$782.73
|
| Rate for Payer: Priority Health Medicare |
$425.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$782.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.35
|
| Rate for Payer: UHC Exchange |
$421.35
|
| Rate for Payer: UHC Medicare Advantage |
$421.35
|
| Rate for Payer: UHCCP Medicaid |
$281.59
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Professional
|
Both
|
$1,561.00
|
|
|
Service Code
|
HCPCS 49650
|
| Min. Negotiated Rate |
$281.59 |
| Max. Negotiated Rate |
$4,463.08 |
| Rate for Payer: Aetna Commercial |
$564.61
|
| Rate for Payer: Aetna Medicare |
$438.20
|
| Rate for Payer: BCBS Complete |
$295.67
|
| Rate for Payer: BCBS MAPPO |
$421.35
|
| Rate for Payer: BCBS Trust/PPO |
$4,463.08
|
| Rate for Payer: BCN Commercial |
$635.28
|
| Rate for Payer: BCN Medicare Advantage |
$421.35
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$606.74
|
| Rate for Payer: Cofinity Commercial |
$564.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.35
|
| Rate for Payer: Mclaren Medicaid |
$281.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.42
|
| Rate for Payer: Meridian Medicaid |
$295.67
|
| Rate for Payer: Nomi Health Commercial |
$505.62
|
| Rate for Payer: PACE SWMI |
$421.35
|
| Rate for Payer: PHP Medicare Advantage |
$421.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health HMO/PPO |
$782.73
|
| Rate for Payer: Priority Health Medicare |
$425.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$782.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$421.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.35
|
| Rate for Payer: UHC Exchange |
$421.35
|
| Rate for Payer: UHC Medicare Advantage |
$421.35
|
| Rate for Payer: UHCCP Medicaid |
$281.59
|
|
|
PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
|
Facility
|
IP
|
$1,561.00
|
|
|
Service Code
|
CPT 49650
|
| Hospital Charge Code |
49650
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,014.65 |
| Max. Negotiated Rate |
$1,404.90 |
| Rate for Payer: Aetna Commercial |
$1,326.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,274.24
|
| Rate for Payer: BCN Commercial |
$1,206.34
|
| Rate for Payer: Cash Price |
$1,248.80
|
| Rate for Payer: Cofinity Commercial |
$1,342.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,248.80
|
| Rate for Payer: Healthscope Commercial |
$1,404.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,170.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,326.85
|
| Rate for Payer: Nomi Health Commercial |
$1,280.02
|
| Rate for Payer: PHP Commercial |
$1,326.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,358.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,045.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,373.68
|
| Rate for Payer: UHC Core |
$1,303.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,170.75
|
|
|
PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 49321
|
| Min. Negotiated Rate |
$222.59 |
| Max. Negotiated Rate |
$1,478.18 |
| Rate for Payer: Aetna Commercial |
$447.36
|
| Rate for Payer: Aetna Medicare |
$347.20
|
| Rate for Payer: BCBS Complete |
$233.72
|
| Rate for Payer: BCBS MAPPO |
$333.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,478.18
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: BCN Medicare Advantage |
$333.85
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$480.74
|
| Rate for Payer: Cofinity Commercial |
$447.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.85
|
| Rate for Payer: Mclaren Medicaid |
$222.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.54
|
| Rate for Payer: Meridian Medicaid |
$233.72
|
| Rate for Payer: Nomi Health Commercial |
$400.62
|
| Rate for Payer: PACE SWMI |
$333.85
|
| Rate for Payer: PHP Medicare Advantage |
$333.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health HMO/PPO |
$619.87
|
| Rate for Payer: Priority Health Medicare |
$337.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$619.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$333.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.85
|
| Rate for Payer: UHC Exchange |
$333.85
|
| Rate for Payer: UHC Medicare Advantage |
$333.85
|
| Rate for Payer: UHCCP Medicaid |
$222.59
|
|
|
PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM
|
Professional
|
Both
|
$2,970.00
|
|
|
Service Code
|
HCPCS 58572
|
| Min. Negotiated Rate |
$61.81 |
| Max. Negotiated Rate |
$1,930.50 |
| Rate for Payer: Aetna Commercial |
$1,340.74
|
| Rate for Payer: Aetna Medicare |
$1,040.57
|
| Rate for Payer: BCBS Complete |
$701.59
|
| Rate for Payer: BCBS MAPPO |
$1,000.55
|
| Rate for Payer: BCBS Trust/PPO |
$61.81
|
| Rate for Payer: BCN Commercial |
$1,519.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.55
|
| Rate for Payer: Cash Price |
$2,376.00
|
| Rate for Payer: Cash Price |
$2,376.00
|
| Rate for Payer: Cofinity Commercial |
$1,440.79
|
| Rate for Payer: Cofinity Commercial |
$1,340.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.55
|
| Rate for Payer: Mclaren Medicaid |
$668.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,050.58
|
| Rate for Payer: Meridian Medicaid |
$701.59
|
| Rate for Payer: Nomi Health Commercial |
$1,200.66
|
| Rate for Payer: PACE SWMI |
$1,000.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$668.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,930.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,515.92
|
| Rate for Payer: Priority Health Medicare |
$1,010.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,515.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,000.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,000.55
|
| Rate for Payer: UHC Exchange |
$1,000.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,000.55
|
| Rate for Payer: UHCCP Medicaid |
$668.18
|
|
|
PR LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR
|
Professional
|
Both
|
$3,465.00
|
|
|
Service Code
|
HCPCS 58573
|
| Min. Negotiated Rate |
$61.81 |
| Max. Negotiated Rate |
$2,252.25 |
| Rate for Payer: Aetna Commercial |
$1,568.09
|
| Rate for Payer: Aetna Medicare |
$1,217.03
|
| Rate for Payer: BCBS Complete |
$820.34
|
| Rate for Payer: BCBS MAPPO |
$1,170.22
|
| Rate for Payer: BCBS Trust/PPO |
$61.81
|
| Rate for Payer: BCN Commercial |
$1,779.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,170.22
|
| Rate for Payer: Cash Price |
$2,772.00
|
| Rate for Payer: Cash Price |
$2,772.00
|
| Rate for Payer: Cofinity Commercial |
$1,685.12
|
| Rate for Payer: Cofinity Commercial |
$1,568.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,170.22
|
| Rate for Payer: Mclaren Medicaid |
$781.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,228.73
|
| Rate for Payer: Meridian Medicaid |
$820.34
|
| Rate for Payer: Nomi Health Commercial |
$1,404.26
|
| Rate for Payer: PACE SWMI |
$1,170.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,170.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,252.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,821.49
|
| Rate for Payer: Priority Health Medicare |
$1,181.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,821.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,170.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,170.22
|
| Rate for Payer: UHC Exchange |
$1,170.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,170.22
|
| Rate for Payer: UHCCP Medicaid |
$781.28
|
|
|
PR LAPAROSCOPY W/LYSIS OF ADHESIONS
|
Professional
|
Both
|
$2,687.00
|
|
|
Service Code
|
HCPCS 58660
|
| Min. Negotiated Rate |
$440.91 |
| Max. Negotiated Rate |
$1,746.55 |
| Rate for Payer: Aetna Commercial |
$887.63
|
| Rate for Payer: Aetna Medicare |
$688.91
|
| Rate for Payer: BCBS Complete |
$462.96
|
| Rate for Payer: BCBS MAPPO |
$662.41
|
| Rate for Payer: BCBS Trust/PPO |
$540.45
|
| Rate for Payer: BCN Commercial |
$999.34
|
| Rate for Payer: BCN Medicare Advantage |
$662.41
|
| Rate for Payer: Cash Price |
$2,149.60
|
| Rate for Payer: Cash Price |
$2,149.60
|
| Rate for Payer: Cofinity Commercial |
$953.87
|
| Rate for Payer: Cofinity Commercial |
$887.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$662.41
|
| Rate for Payer: Mclaren Medicaid |
$440.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$695.53
|
| Rate for Payer: Meridian Medicaid |
$462.96
|
| Rate for Payer: Nomi Health Commercial |
$794.89
|
| Rate for Payer: PACE SWMI |
$662.41
|
| Rate for Payer: PHP Medicare Advantage |
$662.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,024.34
|
| Rate for Payer: Priority Health Medicare |
$669.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,024.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$662.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$662.41
|
| Rate for Payer: UHC Exchange |
$662.41
|
| Rate for Payer: UHC Medicare Advantage |
$662.41
|
| Rate for Payer: UHCCP Medicaid |
$440.91
|
|
