|
PR SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL
|
Professional
|
Both
|
$419.00
|
|
|
Service Code
|
HCPCS 42330
|
| Min. Negotiated Rate |
$106.93 |
| Max. Negotiated Rate |
$345.01 |
| Rate for Payer: Aetna Commercial |
$210.35
|
| Rate for Payer: Aetna Medicare |
$163.26
|
| Rate for Payer: BCBS Complete |
$112.28
|
| Rate for Payer: BCBS MAPPO |
$156.98
|
| Rate for Payer: BCBS Trust/PPO |
$237.74
|
| Rate for Payer: BCN Commercial |
$345.01
|
| Rate for Payer: BCN Medicare Advantage |
$156.98
|
| Rate for Payer: Cash Price |
$335.20
|
| Rate for Payer: Cash Price |
$335.20
|
| Rate for Payer: Cofinity Commercial |
$226.05
|
| Rate for Payer: Cofinity Commercial |
$210.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.98
|
| Rate for Payer: Mclaren Medicaid |
$106.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$164.83
|
| Rate for Payer: Meridian Medicaid |
$112.28
|
| Rate for Payer: Nomi Health Commercial |
$188.38
|
| Rate for Payer: PACE SWMI |
$156.98
|
| Rate for Payer: PHP Medicare Advantage |
$156.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.35
|
| Rate for Payer: Priority Health HMO/PPO |
$298.89
|
| Rate for Payer: Priority Health Medicare |
$158.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$298.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.98
|
| Rate for Payer: UHC Exchange |
$156.98
|
| Rate for Payer: UHC Medicare Advantage |
$156.98
|
| Rate for Payer: UHCCP Medicaid |
$106.93
|
|
|
PR SIGMOIDOSCOPY,ABLATE LESN
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 45339
|
| Min. Negotiated Rate |
$300.40 |
| Max. Negotiated Rate |
$488.15 |
| Rate for Payer: Aetna Medicare |
$375.50
|
| Rate for Payer: BCBS Complete |
$300.40
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
|
|
PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES
|
Professional
|
Both
|
$756.00
|
|
|
Service Code
|
HCPCS 45346
|
| Min. Negotiated Rate |
$101.18 |
| Max. Negotiated Rate |
$3,394.35 |
| Rate for Payer: Aetna Commercial |
$202.38
|
| Rate for Payer: Aetna Medicare |
$157.07
|
| Rate for Payer: BCBS Complete |
$106.24
|
| Rate for Payer: BCBS MAPPO |
$151.03
|
| Rate for Payer: BCBS Trust/PPO |
$333.36
|
| Rate for Payer: BCN Commercial |
$3,394.35
|
| Rate for Payer: BCN Medicare Advantage |
$151.03
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cofinity Commercial |
$217.48
|
| Rate for Payer: Cofinity Commercial |
$202.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.03
|
| Rate for Payer: Mclaren Medicaid |
$101.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$158.58
|
| Rate for Payer: Meridian Medicaid |
$106.24
|
| Rate for Payer: Nomi Health Commercial |
$181.24
|
| Rate for Payer: PACE SWMI |
$151.03
|
| Rate for Payer: PHP Medicare Advantage |
$151.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$491.40
|
| Rate for Payer: Priority Health HMO/PPO |
$282.78
|
| Rate for Payer: Priority Health Medicare |
$152.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$151.03
|
| Rate for Payer: UHC Exchange |
$151.03
|
| Rate for Payer: UHC Medicare Advantage |
$151.03
|
| Rate for Payer: UHCCP Medicaid |
$101.18
|
|
|
PR SIGMOIDOSCOPY FLX CONTROL BLEEDING
|
Professional
|
Both
|
$667.00
|
|
|
Service Code
|
HCPCS 45334
|
| Min. Negotiated Rate |
$74.34 |
| Max. Negotiated Rate |
$727.15 |
| Rate for Payer: Aetna Commercial |
$148.24
|
| Rate for Payer: Aetna Medicare |
$115.06
|
| Rate for Payer: BCBS Complete |
$78.06
|
| Rate for Payer: BCBS MAPPO |
$110.63
|
| Rate for Payer: BCBS Trust/PPO |
$286.87
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$110.63
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cash Price |
$533.60
|
| Rate for Payer: Cofinity Commercial |
$159.31
|
| Rate for Payer: Cofinity Commercial |
$148.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.63
|
| Rate for Payer: Mclaren Medicaid |
$74.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.16
|
| Rate for Payer: Meridian Medicaid |
$78.06
|
| Rate for Payer: Nomi Health Commercial |
$132.76
|
| Rate for Payer: PACE SWMI |
$110.63
|
| Rate for Payer: PHP Medicare Advantage |
$110.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$433.55
|
| Rate for Payer: Priority Health HMO/PPO |
$207.61
|
| Rate for Payer: Priority Health Medicare |
$111.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$207.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.63
|
| Rate for Payer: UHC Exchange |
$110.63
|
| Rate for Payer: UHC Medicare Advantage |
$110.63
|
| Rate for Payer: UHCCP Medicaid |
$74.34
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
IP
|
$249.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$161.85 |
| Max. Negotiated Rate |
$224.10 |
| Rate for Payer: Aetna Commercial |
$211.65
|
| Rate for Payer: BCBS Trust/PPO |
$203.26
|
| Rate for Payer: BCN Commercial |
$192.43
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$214.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.20
|
| Rate for Payer: Healthscope Commercial |
$224.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$186.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$211.65
|
| Rate for Payer: Nomi Health Commercial |
$204.18
|
| Rate for Payer: PHP Commercial |
$211.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.85
|
| Rate for Payer: Priority Health HMO/PPO |
$216.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.12
|
| Rate for Payer: UHC Core |
$207.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$186.75
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
OP
|
$249.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$59.14 |
| Max. Negotiated Rate |
$678.18 |
| Rate for Payer: Aetna Commercial |
$211.65
|
| Rate for Payer: Aetna Medicare |
$64.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$77.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$77.81
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$62.25
|
| Rate for Payer: BCBS Trust/PPO |
$204.70
|
| Rate for Payer: BCN Commercial |
$193.60
|
| Rate for Payer: BCN Medicare Advantage |
$62.25
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$214.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$199.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.25
|
| Rate for Payer: Healthscope Commercial |
$224.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$186.75
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.36
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$211.65
|
| Rate for Payer: Nomi Health Commercial |
$204.18
|
| Rate for Payer: PACE Senior Care Partners |
$59.14
|
| Rate for Payer: PACE SWMI |
$62.25
|
| Rate for Payer: PHP Commercial |
$211.65
|
| Rate for Payer: PHP Medicare Advantage |
$62.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.85
|
| Rate for Payer: Priority Health HMO/PPO |
$216.63
|
| Rate for Payer: Priority Health Medicare |
$62.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.83
|
| Rate for Payer: Railroad Medicare Medicare |
$62.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.12
|
| Rate for Payer: UHC Core |
$207.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.25
|
| Rate for Payer: UHC Exchange |
$62.25
|
| Rate for Payer: UHC Medicare Advantage |
$62.25
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$62.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$186.75
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 45330
|
| Min. Negotiated Rate |
$36.42 |
| Max. Negotiated Rate |
$239.85 |
| Rate for Payer: Aetna Commercial |
$72.24
|
| Rate for Payer: Aetna Medicare |
$56.07
|
| Rate for Payer: BCBS Complete |
$38.24
|
| Rate for Payer: BCBS MAPPO |
$53.91
|
| Rate for Payer: BCBS Trust/PPO |
$239.85
|
| Rate for Payer: BCN Commercial |
$219.89
|
| Rate for Payer: BCN Medicare Advantage |
$53.91
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$77.63
|
| Rate for Payer: Cofinity Commercial |
$72.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.91
|
| Rate for Payer: Mclaren Medicaid |
$36.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.61
|
| Rate for Payer: Meridian Medicaid |
$38.24
|
| Rate for Payer: Nomi Health Commercial |
$64.69
|
| Rate for Payer: PACE SWMI |
$53.91
|
| Rate for Payer: PHP Medicare Advantage |
$53.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.85
|
| Rate for Payer: Priority Health HMO/PPO |
$100.83
|
| Rate for Payer: Priority Health Medicare |
$54.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.91
|
| Rate for Payer: UHC Exchange |
$53.91
|
| Rate for Payer: UHC Medicare Advantage |
$53.91
|
| Rate for Payer: UHCCP Medicaid |
$36.42
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 45330
|
| Hospital Charge Code |
45330
|
| Min. Negotiated Rate |
$36.42 |
| Max. Negotiated Rate |
$239.85 |
| Rate for Payer: Aetna Commercial |
$72.24
|
| Rate for Payer: Aetna Medicare |
$56.07
|
| Rate for Payer: BCBS Complete |
$38.24
|
| Rate for Payer: BCBS MAPPO |
$53.91
|
| Rate for Payer: BCBS Trust/PPO |
$239.85
|
| Rate for Payer: BCN Commercial |
$219.89
|
| Rate for Payer: BCN Medicare Advantage |
$53.91
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$77.63
|
| Rate for Payer: Cofinity Commercial |
$72.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.91
|
| Rate for Payer: Mclaren Medicaid |
$36.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.61
|
| Rate for Payer: Meridian Medicaid |
$38.24
|
| Rate for Payer: Nomi Health Commercial |
$64.69
|
| Rate for Payer: PACE SWMI |
$53.91
|
| Rate for Payer: PHP Medicare Advantage |
$53.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.85
|
| Rate for Payer: Priority Health HMO/PPO |
$100.83
|
| Rate for Payer: Priority Health Medicare |
$54.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.91
|
| Rate for Payer: UHC Exchange |
$53.91
|
| Rate for Payer: UHC Medicare Advantage |
$53.91
|
| Rate for Payer: UHCCP Medicaid |
$36.42
|
|
|
PR SIGMOIDOSCOPY FLX NDSC US XM
|
Professional
|
Both
|
$297.00
|
|
|
Service Code
|
HCPCS 45341
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$291.09 |
| Rate for Payer: Aetna Commercial |
$156.32
|
| Rate for Payer: Aetna Medicare |
$121.33
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$116.66
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$116.66
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$167.99
|
| Rate for Payer: Cofinity Commercial |
$156.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.66
|
| Rate for Payer: Mclaren Medicaid |
$78.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.49
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Nomi Health Commercial |
$139.99
|
| Rate for Payer: PACE SWMI |
$116.66
|
| Rate for Payer: PHP Medicare Advantage |
$116.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.05
|
| Rate for Payer: Priority Health HMO/PPO |
$218.96
|
| Rate for Payer: Priority Health Medicare |
$117.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.66
|
| Rate for Payer: UHC Exchange |
$116.66
|
| Rate for Payer: UHC Medicare Advantage |
$116.66
|
| Rate for Payer: UHCCP Medicaid |
$78.38
|
|
|
PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT
|
Professional
|
Both
|
$371.00
|
|
|
Service Code
|
HCPCS 45347
|
| Min. Negotiated Rate |
$97.13 |
| Max. Negotiated Rate |
$271.45 |
| Rate for Payer: Aetna Commercial |
$194.30
|
| Rate for Payer: Aetna Medicare |
$150.80
|
| Rate for Payer: BCBS Complete |
$101.99
|
| Rate for Payer: BCBS MAPPO |
$145.00
|
| Rate for Payer: BCBS Trust/PPO |
$118.87
|
| Rate for Payer: BCN Commercial |
$220.39
|
| Rate for Payer: BCN Medicare Advantage |
$145.00
|
| Rate for Payer: Cash Price |
$296.80
|
| Rate for Payer: Cash Price |
$296.80
|
| Rate for Payer: Cofinity Commercial |
$208.80
|
| Rate for Payer: Cofinity Commercial |
$194.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.00
|
| Rate for Payer: Mclaren Medicaid |
$97.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.25
|
| Rate for Payer: Meridian Medicaid |
$101.99
|
| Rate for Payer: Nomi Health Commercial |
$174.00
|
| Rate for Payer: PACE SWMI |
$145.00
|
| Rate for Payer: PHP Medicare Advantage |
$145.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$241.15
|
| Rate for Payer: Priority Health HMO/PPO |
$271.45
|
| Rate for Payer: Priority Health Medicare |
$146.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.00
|
| Rate for Payer: UHC Exchange |
$145.00
|
| Rate for Payer: UHC Medicare Advantage |
$145.00
|
| Rate for Payer: UHCCP Medicaid |
$97.13
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 45340
|
| Min. Negotiated Rate |
$49.42 |
| Max. Negotiated Rate |
$675.35 |
| Rate for Payer: Aetna Commercial |
$98.25
|
| Rate for Payer: Aetna Medicare |
$76.25
|
| Rate for Payer: BCBS Complete |
$51.89
|
| Rate for Payer: BCBS MAPPO |
$73.32
|
| Rate for Payer: BCBS Trust/PPO |
$96.68
|
| Rate for Payer: BCN Commercial |
$675.35
|
| Rate for Payer: BCN Medicare Advantage |
$73.32
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$98.25
|
| Rate for Payer: Cofinity Commercial |
$105.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.32
|
| Rate for Payer: Mclaren Medicaid |
$49.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.99
|
| Rate for Payer: Meridian Medicaid |
$51.89
|
| Rate for Payer: Nomi Health Commercial |
$87.98
|
| Rate for Payer: PACE SWMI |
$73.32
|
| Rate for Payer: PHP Medicare Advantage |
$73.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO |
$139.01
|
| Rate for Payer: Priority Health Medicare |
$74.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.32
|
| Rate for Payer: UHC Exchange |
$73.32
|
| Rate for Payer: UHC Medicare Advantage |
$73.32
|
| Rate for Payer: UHCCP Medicaid |
$49.42
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX
|
Professional
|
Both
|
$807.00
|
|
|
Service Code
|
HCPCS 45342
|
| Min. Negotiated Rate |
$107.35 |
| Max. Negotiated Rate |
$524.55 |
| Rate for Payer: Aetna Commercial |
$214.94
|
| Rate for Payer: Aetna Medicare |
$166.82
|
| Rate for Payer: BCBS Complete |
$112.72
|
| Rate for Payer: BCBS MAPPO |
$160.40
|
| Rate for Payer: BCBS Trust/PPO |
$269.43
|
| Rate for Payer: BCN Commercial |
$245.32
|
| Rate for Payer: BCN Medicare Advantage |
$160.40
|
| Rate for Payer: Cash Price |
$645.60
|
| Rate for Payer: Cash Price |
$645.60
|
| Rate for Payer: Cofinity Commercial |
$230.98
|
| Rate for Payer: Cofinity Commercial |
$214.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$160.40
|
| Rate for Payer: Mclaren Medicaid |
$107.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$168.42
|
| Rate for Payer: Meridian Medicaid |
$112.72
|
| Rate for Payer: Nomi Health Commercial |
$192.48
|
| Rate for Payer: PACE SWMI |
$160.40
|
| Rate for Payer: PHP Medicare Advantage |
$160.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.55
|
| Rate for Payer: Priority Health HMO/PPO |
$300.69
|
| Rate for Payer: Priority Health Medicare |
$162.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$300.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$160.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$160.40
|
| Rate for Payer: UHC Exchange |
$160.40
|
| Rate for Payer: UHC Medicare Advantage |
$160.40
|
| Rate for Payer: UHCCP Medicaid |
$107.35
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$343.00
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
45331
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$222.95 |
| Max. Negotiated Rate |
$308.70 |
| Rate for Payer: Aetna Commercial |
$291.55
|
| Rate for Payer: BCBS Trust/PPO |
$279.99
|
| Rate for Payer: BCN Commercial |
$265.07
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$294.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.40
|
| Rate for Payer: Healthscope Commercial |
$308.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$257.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.55
|
| Rate for Payer: Nomi Health Commercial |
$281.26
|
| Rate for Payer: PHP Commercial |
$291.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.95
|
| Rate for Payer: Priority Health HMO/PPO |
$298.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.84
|
| Rate for Payer: UHC Core |
$286.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$257.25
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$343.00
|
|
|
Service Code
|
CPT 45331
|
| Hospital Charge Code |
45331
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$81.46 |
| Max. Negotiated Rate |
$678.18 |
| Rate for Payer: Aetna Commercial |
$291.55
|
| Rate for Payer: Aetna Medicare |
$89.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$107.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$107.19
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$85.75
|
| Rate for Payer: BCBS Trust/PPO |
$281.98
|
| Rate for Payer: BCN Commercial |
$266.68
|
| Rate for Payer: BCN Medicare Advantage |
$85.75
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$294.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$274.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.75
|
| Rate for Payer: Healthscope Commercial |
$308.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$257.25
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.04
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$291.55
|
| Rate for Payer: Nomi Health Commercial |
$281.26
|
| Rate for Payer: PACE Senior Care Partners |
$81.46
|
| Rate for Payer: PACE SWMI |
$85.75
|
| Rate for Payer: PHP Commercial |
$291.55
|
| Rate for Payer: PHP Medicare Advantage |
$85.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.95
|
| Rate for Payer: Priority Health HMO/PPO |
$298.41
|
| Rate for Payer: Priority Health Medicare |
$86.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.81
|
| Rate for Payer: Railroad Medicare Medicare |
$85.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.84
|
| Rate for Payer: UHC Core |
$286.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.75
|
| Rate for Payer: UHC Exchange |
$85.75
|
| Rate for Payer: UHC Medicare Advantage |
$85.75
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$85.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$257.25
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 45331
|
| Min. Negotiated Rate |
$46.22 |
| Max. Negotiated Rate |
$421.73 |
| Rate for Payer: Aetna Commercial |
$91.90
|
| Rate for Payer: Aetna Medicare |
$71.32
|
| Rate for Payer: BCBS Complete |
$48.53
|
| Rate for Payer: BCBS MAPPO |
$68.58
|
| Rate for Payer: BCBS Trust/PPO |
$302.72
|
| Rate for Payer: BCN Commercial |
$421.73
|
| Rate for Payer: BCN Medicare Advantage |
$68.58
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$98.76
|
| Rate for Payer: Cofinity Commercial |
$91.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68.58
|
| Rate for Payer: Mclaren Medicaid |
$46.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.01
|
| Rate for Payer: Meridian Medicaid |
$48.53
|
| Rate for Payer: Nomi Health Commercial |
$82.30
|
| Rate for Payer: PACE SWMI |
$68.58
|
| Rate for Payer: PHP Medicare Advantage |
$68.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.95
|
| Rate for Payer: Priority Health HMO/PPO |
$128.27
|
| Rate for Payer: Priority Health Medicare |
$69.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$128.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$68.58
|
| Rate for Payer: UHC Exchange |
$68.58
|
| Rate for Payer: UHC Medicare Advantage |
$68.58
|
| Rate for Payer: UHCCP Medicaid |
$46.22
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 45331
|
| Hospital Charge Code |
45331
|
| Min. Negotiated Rate |
$46.22 |
| Max. Negotiated Rate |
$421.73 |
| Rate for Payer: Aetna Commercial |
$91.90
|
| Rate for Payer: Aetna Medicare |
$71.32
|
| Rate for Payer: BCBS Complete |
$48.53
|
| Rate for Payer: BCBS MAPPO |
$68.58
|
| Rate for Payer: BCBS Trust/PPO |
$302.72
|
| Rate for Payer: BCN Commercial |
$421.73
|
| Rate for Payer: BCN Medicare Advantage |
$68.58
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cofinity Commercial |
$98.76
|
| Rate for Payer: Cofinity Commercial |
$91.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68.58
|
| Rate for Payer: Mclaren Medicaid |
$46.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.01
|
| Rate for Payer: Meridian Medicaid |
$48.53
|
| Rate for Payer: Nomi Health Commercial |
$82.30
|
| Rate for Payer: PACE SWMI |
$68.58
|
| Rate for Payer: PHP Medicare Advantage |
$68.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.95
|
| Rate for Payer: Priority Health HMO/PPO |
$128.27
|
| Rate for Payer: Priority Health Medicare |
$69.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$128.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$68.58
|
| Rate for Payer: UHC Exchange |
$68.58
|
| Rate for Payer: UHC Medicare Advantage |
$68.58
|
| Rate for Payer: UHCCP Medicaid |
$46.22
|
|
|
PR SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 45350
|
| Min. Negotiated Rate |
$63.90 |
| Max. Negotiated Rate |
$991.04 |
| Rate for Payer: Aetna Commercial |
$127.43
|
| Rate for Payer: Aetna Medicare |
$98.90
|
| Rate for Payer: BCBS Complete |
$67.10
|
| Rate for Payer: BCBS MAPPO |
$95.10
|
| Rate for Payer: BCBS Trust/PPO |
$383.02
|
| Rate for Payer: BCN Commercial |
$991.04
|
| Rate for Payer: BCN Medicare Advantage |
$95.10
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$136.94
|
| Rate for Payer: Cofinity Commercial |
$127.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.10
|
| Rate for Payer: Mclaren Medicaid |
$63.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.86
|
| Rate for Payer: Meridian Medicaid |
$67.10
|
| Rate for Payer: Nomi Health Commercial |
$114.12
|
| Rate for Payer: PACE SWMI |
$95.10
|
| Rate for Payer: PHP Medicare Advantage |
$95.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO |
$178.97
|
| Rate for Payer: Priority Health Medicare |
$96.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$178.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$95.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.10
|
| Rate for Payer: UHC Exchange |
$95.10
|
| Rate for Payer: UHC Medicare Advantage |
$95.10
|
| Rate for Payer: UHCCP Medicaid |
$63.90
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY
|
Facility
|
IP
|
$520.00
|
|
|
Service Code
|
CPT 45332
|
| Hospital Charge Code |
45332
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$468.00 |
| Rate for Payer: Aetna Commercial |
$442.00
|
| Rate for Payer: BCBS Trust/PPO |
$424.48
|
| Rate for Payer: BCN Commercial |
$401.86
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$447.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Healthscope Commercial |
$468.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.00
|
| Rate for Payer: Nomi Health Commercial |
$426.40
|
| Rate for Payer: PHP Commercial |
$442.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO |
$452.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$348.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.60
|
| Rate for Payer: UHC Core |
$434.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.00
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 45332
|
| Min. Negotiated Rate |
$66.67 |
| Max. Negotiated Rate |
$407.06 |
| Rate for Payer: Aetna Commercial |
$133.00
|
| Rate for Payer: Aetna Medicare |
$103.22
|
| Rate for Payer: BCBS Complete |
$70.00
|
| Rate for Payer: BCBS MAPPO |
$99.25
|
| Rate for Payer: BCBS Trust/PPO |
$147.92
|
| Rate for Payer: BCN Commercial |
$407.06
|
| Rate for Payer: BCN Medicare Advantage |
$99.25
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$142.92
|
| Rate for Payer: Cofinity Commercial |
$133.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.25
|
| Rate for Payer: Mclaren Medicaid |
$66.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.21
|
| Rate for Payer: Meridian Medicaid |
$70.00
|
| Rate for Payer: Nomi Health Commercial |
$119.10
|
| Rate for Payer: PACE SWMI |
$99.25
|
| Rate for Payer: PHP Medicare Advantage |
$99.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO |
$186.73
|
| Rate for Payer: Priority Health Medicare |
$100.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$186.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.25
|
| Rate for Payer: UHC Exchange |
$99.25
|
| Rate for Payer: UHC Medicare Advantage |
$99.25
|
| Rate for Payer: UHCCP Medicaid |
$66.67
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 45332
|
| Hospital Charge Code |
45332
|
| Min. Negotiated Rate |
$66.67 |
| Max. Negotiated Rate |
$407.06 |
| Rate for Payer: Aetna Commercial |
$133.00
|
| Rate for Payer: Aetna Medicare |
$103.22
|
| Rate for Payer: BCBS Complete |
$70.00
|
| Rate for Payer: BCBS MAPPO |
$99.25
|
| Rate for Payer: BCBS Trust/PPO |
$147.92
|
| Rate for Payer: BCN Commercial |
$407.06
|
| Rate for Payer: BCN Medicare Advantage |
$99.25
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$142.92
|
| Rate for Payer: Cofinity Commercial |
$133.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.25
|
| Rate for Payer: Mclaren Medicaid |
$66.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.21
|
| Rate for Payer: Meridian Medicaid |
$70.00
|
| Rate for Payer: Nomi Health Commercial |
$119.10
|
| Rate for Payer: PACE SWMI |
$99.25
|
| Rate for Payer: PHP Medicare Advantage |
$99.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO |
$186.73
|
| Rate for Payer: Priority Health Medicare |
$100.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$186.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.25
|
| Rate for Payer: UHC Exchange |
$99.25
|
| Rate for Payer: UHC Medicare Advantage |
$99.25
|
| Rate for Payer: UHCCP Medicaid |
$66.67
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY
|
Facility
|
OP
|
$520.00
|
|
|
Service Code
|
CPT 45332
|
| Hospital Charge Code |
45332
|
| Min. Negotiated Rate |
$123.50 |
| Max. Negotiated Rate |
$877.06 |
| Rate for Payer: Aetna Commercial |
$442.00
|
| Rate for Payer: Aetna Medicare |
$135.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$162.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$162.50
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$130.00
|
| Rate for Payer: BCBS Trust/PPO |
$427.49
|
| Rate for Payer: BCN Commercial |
$404.30
|
| Rate for Payer: BCN Medicare Advantage |
$130.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$447.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.00
|
| Rate for Payer: Healthscope Commercial |
$468.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.00
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.50
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.00
|
| Rate for Payer: Nomi Health Commercial |
$426.40
|
| Rate for Payer: PACE Senior Care Partners |
$123.50
|
| Rate for Payer: PACE SWMI |
$130.00
|
| Rate for Payer: PHP Commercial |
$442.00
|
| Rate for Payer: PHP Medicare Advantage |
$130.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO |
$452.40
|
| Rate for Payer: Priority Health Medicare |
$131.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$348.40
|
| Rate for Payer: Railroad Medicare Medicare |
$130.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.60
|
| Rate for Payer: UHC Core |
$434.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.00
|
| Rate for Payer: UHC Exchange |
$130.00
|
| Rate for Payer: UHC Medicare Advantage |
$130.00
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$130.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.00
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 45333
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$488.15 |
| Rate for Payer: Aetna Commercial |
$119.55
|
| Rate for Payer: Aetna Medicare |
$92.79
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$89.22
|
| Rate for Payer: BCBS Trust/PPO |
$297.83
|
| Rate for Payer: BCN Commercial |
$485.26
|
| Rate for Payer: BCN Medicare Advantage |
$89.22
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$128.48
|
| Rate for Payer: Cofinity Commercial |
$119.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.22
|
| Rate for Payer: Mclaren Medicaid |
$59.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.68
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Nomi Health Commercial |
$107.06
|
| Rate for Payer: PACE SWMI |
$89.22
|
| Rate for Payer: PHP Medicare Advantage |
$89.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO |
$167.06
|
| Rate for Payer: Priority Health Medicare |
$90.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$167.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.22
|
| Rate for Payer: UHC Exchange |
$89.22
|
| Rate for Payer: UHC Medicare Advantage |
$89.22
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS
|
Facility
|
IP
|
$751.00
|
|
|
Service Code
|
CPT 45333
|
| Hospital Charge Code |
45333
|
| Min. Negotiated Rate |
$488.15 |
| Max. Negotiated Rate |
$675.90 |
| Rate for Payer: Aetna Commercial |
$638.35
|
| Rate for Payer: BCBS Trust/PPO |
$613.04
|
| Rate for Payer: BCN Commercial |
$580.37
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$645.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.80
|
| Rate for Payer: Healthscope Commercial |
$675.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$563.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$638.35
|
| Rate for Payer: Nomi Health Commercial |
$615.82
|
| Rate for Payer: PHP Commercial |
$638.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO |
$653.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$503.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.88
|
| Rate for Payer: UHC Core |
$627.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$563.25
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 45333
|
| Hospital Charge Code |
45333
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$488.15 |
| Rate for Payer: Aetna Commercial |
$119.55
|
| Rate for Payer: Aetna Medicare |
$92.79
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$89.22
|
| Rate for Payer: BCBS Trust/PPO |
$297.83
|
| Rate for Payer: BCN Commercial |
$485.26
|
| Rate for Payer: BCN Medicare Advantage |
$89.22
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$128.48
|
| Rate for Payer: Cofinity Commercial |
$119.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.22
|
| Rate for Payer: Mclaren Medicaid |
$59.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.68
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Nomi Health Commercial |
$107.06
|
| Rate for Payer: PACE SWMI |
$89.22
|
| Rate for Payer: PHP Medicare Advantage |
$89.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO |
$167.06
|
| Rate for Payer: Priority Health Medicare |
$90.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$167.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.22
|
| Rate for Payer: UHC Exchange |
$89.22
|
| Rate for Payer: UHC Medicare Advantage |
$89.22
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS
|
Facility
|
OP
|
$751.00
|
|
|
Service Code
|
CPT 45333
|
| Hospital Charge Code |
45333
|
| Min. Negotiated Rate |
$178.36 |
| Max. Negotiated Rate |
$678.18 |
| Rate for Payer: Aetna Commercial |
$638.35
|
| Rate for Payer: Aetna Medicare |
$195.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$234.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$234.69
|
| Rate for Payer: BCBS Complete |
$678.18
|
| Rate for Payer: BCBS MAPPO |
$187.75
|
| Rate for Payer: BCBS Trust/PPO |
$617.40
|
| Rate for Payer: BCN Commercial |
$583.90
|
| Rate for Payer: BCN Medicare Advantage |
$187.75
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$645.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.75
|
| Rate for Payer: Healthscope Commercial |
$675.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$563.25
|
| Rate for Payer: Mclaren Medicaid |
$645.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$197.14
|
| Rate for Payer: Meridian Medicaid |
$678.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$215.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$638.35
|
| Rate for Payer: Nomi Health Commercial |
$615.82
|
| Rate for Payer: PACE Senior Care Partners |
$178.36
|
| Rate for Payer: PACE SWMI |
$187.75
|
| Rate for Payer: PHP Commercial |
$638.35
|
| Rate for Payer: PHP Medicare Advantage |
$187.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO |
$653.37
|
| Rate for Payer: Priority Health Medicare |
$189.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$503.17
|
| Rate for Payer: Railroad Medicare Medicare |
$187.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.88
|
| Rate for Payer: UHC Core |
$627.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.75
|
| Rate for Payer: UHC Exchange |
$187.75
|
| Rate for Payer: UHC Medicare Advantage |
$187.75
|
| Rate for Payer: UHCCP Medicaid |
$645.84
|
| Rate for Payer: VA VA |
$187.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$563.25
|
|
