|
PR ANOPLASTY PLASTIC OPERATION STRICTURE ADULT
|
Professional
|
Both
|
$1,349.00
|
|
|
Service Code
|
HCPCS 46700
|
| Min. Negotiated Rate |
$272.07 |
| Max. Negotiated Rate |
$1,172.90 |
| Rate for Payer: Aetna Commercial |
$840.15
|
| Rate for Payer: Aetna Medicare |
$652.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$840.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$902.85
|
| Rate for Payer: BCBS Complete |
$444.39
|
| Rate for Payer: BCBS MAPPO |
$626.98
|
| Rate for Payer: BCBS Trust/PPO |
$272.07
|
| Rate for Payer: BCN Commercial |
$958.78
|
| Rate for Payer: BCN Medicare Advantage |
$626.98
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cofinity Commercial |
$840.15
|
| Rate for Payer: Cofinity Commercial |
$902.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.33
|
| Rate for Payer: Meridian Medicaid |
$444.39
|
| Rate for Payer: Nomi Health Commercial |
$752.38
|
| Rate for Payer: PACE SWMI |
$626.98
|
| Rate for Payer: PHP Commercial |
$877.77
|
| Rate for Payer: PHP Medicare Advantage |
$626.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$876.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,172.90
|
| Rate for Payer: Priority Health Medicare |
$626.98
|
| Rate for Payer: Priority Health Narrow Network |
$1,172.90
|
| Rate for Payer: Priority Health SBD |
$1,172.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$626.98
|
| Rate for Payer: UHC Medicare Advantage |
$626.98
|
| Rate for Payer: UHCCP Medicaid |
$423.23
|
| Rate for Payer: UMR Bronson Commercial |
$620.54
|
|
|
PR ANOPLASTY PLASTIC OPERATION STRICTURE INFANT
|
Professional
|
Both
|
$1,425.00
|
|
|
Service Code
|
HCPCS 46705
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$1,031.51 |
| Rate for Payer: Aetna Commercial |
$740.86
|
| Rate for Payer: Aetna Medicare |
$575.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$740.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$796.15
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$552.88
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$841.50
|
| Rate for Payer: BCN Medicare Advantage |
$552.88
|
| Rate for Payer: Cash Price |
$1,140.00
|
| Rate for Payer: Cash Price |
$1,140.00
|
| Rate for Payer: Cofinity Commercial |
$740.86
|
| Rate for Payer: Cofinity Commercial |
$796.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$552.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$580.52
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$663.46
|
| Rate for Payer: PACE SWMI |
$552.88
|
| Rate for Payer: PHP Commercial |
$774.03
|
| Rate for Payer: PHP Medicare Advantage |
$552.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$926.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,031.51
|
| Rate for Payer: Priority Health Medicare |
$552.88
|
| Rate for Payer: Priority Health Narrow Network |
$1,031.51
|
| Rate for Payer: Priority Health SBD |
$1,031.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$552.88
|
| Rate for Payer: UHC Medicare Advantage |
$552.88
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
| Rate for Payer: UMR Bronson Commercial |
$655.50
|
|
|
PR ANORECTAL MANOMETRY
|
Professional
|
Both
|
$393.00
|
|
|
Service Code
|
HCPCS 91122
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$1,146.94 |
| Rate for Payer: Aetna Commercial |
$330.69
|
| Rate for Payer: Aetna Medicare |
$256.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$355.36
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,146.94
|
| Rate for Payer: BCN Commercial |
$401.69
|
| Rate for Payer: BCN Medicare Advantage |
$246.78
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$330.69
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.12
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE SWMI |
$246.78
|
| Rate for Payer: PHP Commercial |
$345.49
|
| Rate for Payer: PHP Medicare Advantage |
$246.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$374.51
|
| Rate for Payer: Priority Health Medicare |
$246.78
|
| Rate for Payer: Priority Health Narrow Network |
$374.51
|
| Rate for Payer: Priority Health SBD |
$116.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
| Rate for Payer: UHCCP Medicaid |
$54.95
|
| Rate for Payer: UMR Bronson Commercial |
$180.78
|
|
|
PR ANORECTAL MYOMECTOMY
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 45108
|
| Min. Negotiated Rate |
$243.89 |
| Max. Negotiated Rate |
$1,082.25 |
| Rate for Payer: Aetna Commercial |
$486.63
|
| Rate for Payer: Aetna Medicare |
$377.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$486.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.95
|
| Rate for Payer: BCBS Complete |
$256.08
|
| Rate for Payer: BCBS MAPPO |
$363.16
|
| Rate for Payer: BCBS Trust/PPO |
$359.24
|
| Rate for Payer: BCN Commercial |
$549.27
|
| Rate for Payer: BCN Medicare Advantage |
$363.16
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$486.63
|
| Rate for Payer: Cofinity Commercial |
$522.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.32
|
| Rate for Payer: Meridian Medicaid |
$256.08
|
| Rate for Payer: Nomi Health Commercial |
$435.79
|
| Rate for Payer: PACE SWMI |
$363.16
|
| Rate for Payer: PHP Commercial |
$508.42
|
| Rate for Payer: PHP Medicare Advantage |
$363.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$243.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$677.74
|
| Rate for Payer: Priority Health Medicare |
$363.16
|
| Rate for Payer: Priority Health Narrow Network |
$677.74
|
| Rate for Payer: Priority Health SBD |
$677.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.16
|
| Rate for Payer: UHC Medicare Advantage |
$363.16
|
| Rate for Payer: UHCCP Medicaid |
$243.89
|
| Rate for Payer: UMR Bronson Commercial |
$765.90
|
|
|
PR ANOSCOPY ABLATION LESION
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 46615
|
| Min. Negotiated Rate |
$57.94 |
| Max. Negotiated Rate |
$435.50 |
| Rate for Payer: Aetna Commercial |
$115.58
|
| Rate for Payer: Aetna Medicare |
$89.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.20
|
| Rate for Payer: BCBS Complete |
$60.84
|
| Rate for Payer: BCBS MAPPO |
$86.25
|
| Rate for Payer: BCBS Trust/PPO |
$245.13
|
| Rate for Payer: BCN Commercial |
$261.44
|
| Rate for Payer: BCN Medicare Advantage |
$86.25
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$115.58
|
| Rate for Payer: Cofinity Commercial |
$124.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.56
|
| Rate for Payer: Meridian Medicaid |
$60.84
|
| Rate for Payer: Nomi Health Commercial |
$103.50
|
| Rate for Payer: PACE SWMI |
$86.25
|
| Rate for Payer: PHP Commercial |
$120.75
|
| Rate for Payer: PHP Medicare Advantage |
$86.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.68
|
| Rate for Payer: Priority Health Medicare |
$86.25
|
| Rate for Payer: Priority Health Narrow Network |
$161.68
|
| Rate for Payer: Priority Health SBD |
$161.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.25
|
| Rate for Payer: UHC Medicare Advantage |
$86.25
|
| Rate for Payer: UHCCP Medicaid |
$57.94
|
| Rate for Payer: UMR Bronson Commercial |
$308.20
|
|
|
PR ANOSCOPY CONTROL BLEEDING
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 46614
|
| Min. Negotiated Rate |
$41.54 |
| Max. Negotiated Rate |
$415.35 |
| Rate for Payer: Aetna Commercial |
$82.68
|
| Rate for Payer: Aetna Medicare |
$64.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.85
|
| Rate for Payer: BCBS Complete |
$43.62
|
| Rate for Payer: BCBS MAPPO |
$61.70
|
| Rate for Payer: BCBS Trust/PPO |
$241.96
|
| Rate for Payer: BCN Commercial |
$249.71
|
| Rate for Payer: BCN Medicare Advantage |
$61.70
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$82.68
|
| Rate for Payer: Cofinity Commercial |
$88.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.78
|
| Rate for Payer: Meridian Medicaid |
$43.62
|
| Rate for Payer: Nomi Health Commercial |
$74.04
|
| Rate for Payer: PACE SWMI |
$61.70
|
| Rate for Payer: PHP Commercial |
$86.38
|
| Rate for Payer: PHP Medicare Advantage |
$61.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$415.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$115.13
|
| Rate for Payer: Priority Health Medicare |
$61.70
|
| Rate for Payer: Priority Health Narrow Network |
$115.13
|
| Rate for Payer: Priority Health SBD |
$115.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.70
|
| Rate for Payer: UHC Medicare Advantage |
$61.70
|
| Rate for Payer: UHCCP Medicaid |
$41.54
|
| Rate for Payer: UMR Bronson Commercial |
$293.94
|
|
|
PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 46600
|
| Min. Negotiated Rate |
$26.63 |
| Max. Negotiated Rate |
$2,291.24 |
| Rate for Payer: Aetna Commercial |
$52.39
|
| Rate for Payer: Aetna Medicare |
$40.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.30
|
| Rate for Payer: BCBS Complete |
$27.96
|
| Rate for Payer: BCBS MAPPO |
$39.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,291.24
|
| Rate for Payer: BCN Commercial |
$141.36
|
| Rate for Payer: BCN Medicare Advantage |
$39.10
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cofinity Commercial |
$52.39
|
| Rate for Payer: Cofinity Commercial |
$56.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.06
|
| Rate for Payer: Meridian Medicaid |
$27.96
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: PACE SWMI |
$39.10
|
| Rate for Payer: PHP Commercial |
$54.74
|
| Rate for Payer: PHP Medicare Advantage |
$39.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.98
|
| Rate for Payer: Priority Health Medicare |
$39.10
|
| Rate for Payer: Priority Health Narrow Network |
$73.98
|
| Rate for Payer: Priority Health SBD |
$73.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.10
|
| Rate for Payer: UHC Medicare Advantage |
$39.10
|
| Rate for Payer: UHCCP Medicaid |
$26.63
|
| Rate for Payer: UMR Bronson Commercial |
$112.70
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 46601
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$375.62 |
| Rate for Payer: Aetna Commercial |
$119.51
|
| Rate for Payer: Aetna Medicare |
$92.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.43
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$89.19
|
| Rate for Payer: BCBS Trust/PPO |
$375.62
|
| Rate for Payer: BCN Commercial |
$218.93
|
| Rate for Payer: BCN Medicare Advantage |
$89.19
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$119.51
|
| Rate for Payer: Cofinity Commercial |
$128.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.65
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Nomi Health Commercial |
$107.03
|
| Rate for Payer: PACE SWMI |
$89.19
|
| Rate for Payer: PHP Commercial |
$124.87
|
| Rate for Payer: PHP Medicare Advantage |
$89.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167.06
|
| Rate for Payer: Priority Health Medicare |
$89.19
|
| Rate for Payer: Priority Health Narrow Network |
$167.06
|
| Rate for Payer: Priority Health SBD |
$167.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.19
|
| Rate for Payer: UHC Medicare Advantage |
$89.19
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
| Rate for Payer: UMR Bronson Commercial |
$125.12
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX
|
Professional
|
Both
|
$288.00
|
|
|
Service Code
|
HCPCS 46607
|
| Min. Negotiated Rate |
$79.02 |
| Max. Negotiated Rate |
$1,451.24 |
| Rate for Payer: Aetna Commercial |
$158.28
|
| Rate for Payer: Aetna Medicare |
$122.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.09
|
| Rate for Payer: BCBS Complete |
$82.97
|
| Rate for Payer: BCBS MAPPO |
$118.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,451.24
|
| Rate for Payer: BCN Commercial |
$302.98
|
| Rate for Payer: BCN Medicare Advantage |
$118.12
|
| Rate for Payer: Cash Price |
$230.40
|
| Rate for Payer: Cash Price |
$230.40
|
| Rate for Payer: Cofinity Commercial |
$158.28
|
| Rate for Payer: Cofinity Commercial |
$170.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.03
|
| Rate for Payer: Meridian Medicaid |
$82.97
|
| Rate for Payer: Nomi Health Commercial |
$141.74
|
| Rate for Payer: PACE SWMI |
$118.12
|
| Rate for Payer: PHP Commercial |
$165.37
|
| Rate for Payer: PHP Medicare Advantage |
$118.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.93
|
| Rate for Payer: Priority Health Medicare |
$118.12
|
| Rate for Payer: Priority Health Narrow Network |
$221.93
|
| Rate for Payer: Priority Health SBD |
$221.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.12
|
| Rate for Payer: UHC Medicare Advantage |
$118.12
|
| Rate for Payer: UHCCP Medicaid |
$79.02
|
| Rate for Payer: UMR Bronson Commercial |
$132.48
|
|
|
PR ANOSCOPY W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 46606
|
| Min. Negotiated Rate |
$48.56 |
| Max. Negotiated Rate |
$3,172.97 |
| Rate for Payer: Aetna Commercial |
$97.04
|
| Rate for Payer: Aetna Medicare |
$75.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.04
|
| Rate for Payer: BCBS Complete |
$50.99
|
| Rate for Payer: BCBS MAPPO |
$72.42
|
| Rate for Payer: BCBS Trust/PPO |
$3,172.97
|
| Rate for Payer: BCN Commercial |
$414.40
|
| Rate for Payer: BCN Medicare Advantage |
$72.42
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$104.28
|
| Rate for Payer: Cofinity Commercial |
$97.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.04
|
| Rate for Payer: Meridian Medicaid |
$50.99
|
| Rate for Payer: Nomi Health Commercial |
$86.90
|
| Rate for Payer: PACE SWMI |
$72.42
|
| Rate for Payer: PHP Commercial |
$101.39
|
| Rate for Payer: PHP Medicare Advantage |
$72.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.83
|
| Rate for Payer: Priority Health Medicare |
$72.42
|
| Rate for Payer: Priority Health Narrow Network |
$134.83
|
| Rate for Payer: Priority Health SBD |
$134.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.42
|
| Rate for Payer: UHC Medicare Advantage |
$72.42
|
| Rate for Payer: UHCCP Medicaid |
$48.56
|
| Rate for Payer: UMR Bronson Commercial |
$168.82
|
|
|
PR ANOSCOPY W/DILATION
|
Professional
|
Both
|
$1,006.00
|
|
|
Service Code
|
HCPCS 46604
|
| Min. Negotiated Rate |
$42.17 |
| Max. Negotiated Rate |
$2,787.84 |
| Rate for Payer: Aetna Commercial |
$83.98
|
| Rate for Payer: Aetna Medicare |
$65.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.24
|
| Rate for Payer: BCBS Complete |
$44.28
|
| Rate for Payer: BCBS MAPPO |
$62.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,787.84
|
| Rate for Payer: BCN Commercial |
$967.58
|
| Rate for Payer: BCN Medicare Advantage |
$62.67
|
| Rate for Payer: Cash Price |
$804.80
|
| Rate for Payer: Cash Price |
$804.80
|
| Rate for Payer: Cofinity Commercial |
$83.98
|
| Rate for Payer: Cofinity Commercial |
$90.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.80
|
| Rate for Payer: Meridian Medicaid |
$44.28
|
| Rate for Payer: Nomi Health Commercial |
$75.20
|
| Rate for Payer: PACE SWMI |
$62.67
|
| Rate for Payer: PHP Commercial |
$87.74
|
| Rate for Payer: PHP Medicare Advantage |
$62.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$653.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$118.13
|
| Rate for Payer: Priority Health Medicare |
$62.67
|
| Rate for Payer: Priority Health Narrow Network |
$118.13
|
| Rate for Payer: Priority Health SBD |
$118.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.67
|
| Rate for Payer: UHC Medicare Advantage |
$62.67
|
| Rate for Payer: UHCCP Medicaid |
$42.17
|
| Rate for Payer: UMR Bronson Commercial |
$462.76
|
|
|
PR ANOSCOPY W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$356.00
|
|
|
Service Code
|
HCPCS 46608
|
| Min. Negotiated Rate |
$54.53 |
| Max. Negotiated Rate |
$432.96 |
| Rate for Payer: Aetna Commercial |
$109.96
|
| Rate for Payer: Aetna Medicare |
$85.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.17
|
| Rate for Payer: BCBS Complete |
$57.26
|
| Rate for Payer: BCBS MAPPO |
$82.06
|
| Rate for Payer: BCBS Trust/PPO |
$241.96
|
| Rate for Payer: BCN Commercial |
$432.96
|
| Rate for Payer: BCN Medicare Advantage |
$82.06
|
| Rate for Payer: Cash Price |
$284.80
|
| Rate for Payer: Cash Price |
$284.80
|
| Rate for Payer: Cofinity Commercial |
$109.96
|
| Rate for Payer: Cofinity Commercial |
$118.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.16
|
| Rate for Payer: Meridian Medicaid |
$57.26
|
| Rate for Payer: Nomi Health Commercial |
$98.47
|
| Rate for Payer: PACE SWMI |
$82.06
|
| Rate for Payer: PHP Commercial |
$114.88
|
| Rate for Payer: PHP Medicare Advantage |
$82.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$231.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$151.53
|
| Rate for Payer: Priority Health Medicare |
$82.06
|
| Rate for Payer: Priority Health Narrow Network |
$151.53
|
| Rate for Payer: Priority Health SBD |
$151.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.06
|
| Rate for Payer: UHC Medicare Advantage |
$82.06
|
| Rate for Payer: UHCCP Medicaid |
$54.53
|
| Rate for Payer: UMR Bronson Commercial |
$163.76
|
|
|
PR ANOSCOPY W/RMVL LESION CAUTERY
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 46610
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$410.00 |
| Rate for Payer: Aetna Commercial |
$103.11
|
| Rate for Payer: Aetna Medicare |
$80.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.81
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$76.95
|
| Rate for Payer: BCBS Trust/PPO |
$241.96
|
| Rate for Payer: BCN Commercial |
$410.00
|
| Rate for Payer: BCN Medicare Advantage |
$76.95
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$103.11
|
| Rate for Payer: Cofinity Commercial |
$110.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.80
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Nomi Health Commercial |
$92.34
|
| Rate for Payer: PACE SWMI |
$76.95
|
| Rate for Payer: PHP Commercial |
$107.73
|
| Rate for Payer: PHP Medicare Advantage |
$76.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.18
|
| Rate for Payer: Priority Health Medicare |
$76.95
|
| Rate for Payer: Priority Health Narrow Network |
$143.18
|
| Rate for Payer: Priority Health SBD |
$143.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.95
|
| Rate for Payer: UHC Medicare Advantage |
$76.95
|
| Rate for Payer: UHCCP Medicaid |
$51.55
|
| Rate for Payer: UMR Bronson Commercial |
$264.04
|
|
|
PR ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 46611
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$2,682.71 |
| Rate for Payer: Aetna Commercial |
$102.95
|
| Rate for Payer: Aetna Medicare |
$79.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.64
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$76.83
|
| Rate for Payer: BCBS Trust/PPO |
$2,682.71
|
| Rate for Payer: BCN Commercial |
$329.36
|
| Rate for Payer: BCN Medicare Advantage |
$76.83
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$102.95
|
| Rate for Payer: Cofinity Commercial |
$110.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.67
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Nomi Health Commercial |
$92.20
|
| Rate for Payer: PACE SWMI |
$76.83
|
| Rate for Payer: PHP Commercial |
$107.56
|
| Rate for Payer: PHP Medicare Advantage |
$76.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.77
|
| Rate for Payer: Priority Health Medicare |
$76.83
|
| Rate for Payer: Priority Health Narrow Network |
$143.77
|
| Rate for Payer: Priority Health SBD |
$143.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.83
|
| Rate for Payer: UHC Medicare Advantage |
$76.83
|
| Rate for Payer: UHCCP Medicaid |
$51.55
|
| Rate for Payer: UMR Bronson Commercial |
$264.04
|
|
|
PR ANOSC RMVL MULT TUMORS CAUTERY/SNARE
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 46612
|
| Min. Negotiated Rate |
$61.56 |
| Max. Negotiated Rate |
$494.54 |
| Rate for Payer: Aetna Commercial |
$124.33
|
| Rate for Payer: Aetna Medicare |
$96.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.60
|
| Rate for Payer: BCBS Complete |
$64.64
|
| Rate for Payer: BCBS MAPPO |
$92.78
|
| Rate for Payer: BCBS Trust/PPO |
$316.98
|
| Rate for Payer: BCN Commercial |
$494.54
|
| Rate for Payer: BCN Medicare Advantage |
$92.78
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$124.33
|
| Rate for Payer: Cofinity Commercial |
$133.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.42
|
| Rate for Payer: Meridian Medicaid |
$64.64
|
| Rate for Payer: Nomi Health Commercial |
$111.34
|
| Rate for Payer: PACE SWMI |
$92.78
|
| Rate for Payer: PHP Commercial |
$129.89
|
| Rate for Payer: PHP Medicare Advantage |
$92.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.62
|
| Rate for Payer: Priority Health Medicare |
$92.78
|
| Rate for Payer: Priority Health Narrow Network |
$170.62
|
| Rate for Payer: Priority Health SBD |
$170.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.78
|
| Rate for Payer: UHC Medicare Advantage |
$92.78
|
| Rate for Payer: UHCCP Medicaid |
$61.56
|
| Rate for Payer: UMR Bronson Commercial |
$308.20
|
|
|
PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 45990
|
| Hospital Charge Code |
45990
|
| Min. Negotiated Rate |
$68.16 |
| Max. Negotiated Rate |
$1,244.67 |
| Rate for Payer: Aetna Commercial |
$137.06
|
| Rate for Payer: Aetna Medicare |
$106.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.28
|
| Rate for Payer: BCBS Complete |
$71.57
|
| Rate for Payer: BCBS MAPPO |
$102.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,244.67
|
| Rate for Payer: BCN Commercial |
$151.98
|
| Rate for Payer: BCN Medicare Advantage |
$102.28
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$147.28
|
| Rate for Payer: Cofinity Commercial |
$137.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.39
|
| Rate for Payer: Meridian Medicaid |
$71.57
|
| Rate for Payer: Nomi Health Commercial |
$122.74
|
| Rate for Payer: PACE SWMI |
$102.28
|
| Rate for Payer: PHP Commercial |
$143.19
|
| Rate for Payer: PHP Medicare Advantage |
$102.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$188.53
|
| Rate for Payer: Priority Health Medicare |
$102.28
|
| Rate for Payer: Priority Health Narrow Network |
$188.53
|
| Rate for Payer: Priority Health SBD |
$188.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.28
|
| Rate for Payer: UHC Medicare Advantage |
$102.28
|
| Rate for Payer: UHCCP Medicaid |
$68.16
|
| Rate for Payer: UMR Bronson Commercial |
$148.12
|
|
|
PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
|
Facility
|
OP
|
$322.00
|
|
|
Service Code
|
CPT 45990
|
| Hospital Charge Code |
45990
|
| Min. Negotiated Rate |
$102.25 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$209.30
|
| Rate for Payer: Aetna Commercial |
$273.70
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$2,848.28
|
| Rate for Payer: BCN Commercial |
$2,848.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$225.40
|
| Rate for Payer: Cofinity Commercial |
$276.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$225.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$289.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.50
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.70
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$273.70
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$202.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.48
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$102.25
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$119.14
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.50
|
|
|
PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
|
Facility
|
IP
|
$322.00
|
|
|
Service Code
|
CPT 45990
|
| Hospital Charge Code |
45990
|
| Min. Negotiated Rate |
$141.68 |
| Max. Negotiated Rate |
$289.80 |
| Rate for Payer: Aetna American Axle |
$209.30
|
| Rate for Payer: Aetna Commercial |
$273.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.30
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$225.40
|
| Rate for Payer: Cofinity Commercial |
$276.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$225.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.60
|
| Rate for Payer: Healthscope Commercial |
$289.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$225.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.70
|
| Rate for Payer: PHP Commercial |
$273.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health SBD |
$202.86
|
| Rate for Payer: UMR Bronson Commercial |
$141.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.50
|
|
|
PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 45990
|
| Min. Negotiated Rate |
$68.16 |
| Max. Negotiated Rate |
$1,244.67 |
| Rate for Payer: Aetna Commercial |
$137.06
|
| Rate for Payer: Aetna Medicare |
$106.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.28
|
| Rate for Payer: BCBS Complete |
$71.57
|
| Rate for Payer: BCBS MAPPO |
$102.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,244.67
|
| Rate for Payer: BCN Commercial |
$151.98
|
| Rate for Payer: BCN Medicare Advantage |
$102.28
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$137.06
|
| Rate for Payer: Cofinity Commercial |
$147.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.39
|
| Rate for Payer: Meridian Medicaid |
$71.57
|
| Rate for Payer: Nomi Health Commercial |
$122.74
|
| Rate for Payer: PACE SWMI |
$102.28
|
| Rate for Payer: PHP Commercial |
$143.19
|
| Rate for Payer: PHP Medicare Advantage |
$102.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$188.53
|
| Rate for Payer: Priority Health Medicare |
$102.28
|
| Rate for Payer: Priority Health Narrow Network |
$188.53
|
| Rate for Payer: Priority Health SBD |
$188.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.28
|
| Rate for Payer: UHC Medicare Advantage |
$102.28
|
| Rate for Payer: UHCCP Medicaid |
$68.16
|
| Rate for Payer: UMR Bronson Commercial |
$148.12
|
|
|
PR ANTEPARTUM CARE ONLY 4-6 VISITS
|
Professional
|
Both
|
$1,156.00
|
|
|
Service Code
|
HCPCS 59425
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$973.77 |
| Rate for Payer: Aetna Commercial |
$568.28
|
| Rate for Payer: Aetna Medicare |
$441.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$610.69
|
| Rate for Payer: BCBS Complete |
$423.03
|
| Rate for Payer: BCBS MAPPO |
$424.09
|
| Rate for Payer: BCBS Trust/PPO |
$94.57
|
| Rate for Payer: BCN Commercial |
$973.77
|
| Rate for Payer: BCN Medicare Advantage |
$424.09
|
| Rate for Payer: Cash Price |
$924.80
|
| Rate for Payer: Cash Price |
$924.80
|
| Rate for Payer: Cofinity Commercial |
$568.28
|
| Rate for Payer: Cofinity Commercial |
$610.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$445.29
|
| Rate for Payer: Meridian Medicaid |
$423.03
|
| Rate for Payer: Nomi Health Commercial |
$508.91
|
| Rate for Payer: PACE SWMI |
$424.09
|
| Rate for Payer: PHP Commercial |
$593.73
|
| Rate for Payer: PHP Medicare Advantage |
$424.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$402.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$751.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.42
|
| Rate for Payer: Priority Health Medicare |
$424.09
|
| Rate for Payer: Priority Health Narrow Network |
$606.42
|
| Rate for Payer: Priority Health SBD |
$606.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$424.09
|
| Rate for Payer: UHC Medicare Advantage |
$424.09
|
| Rate for Payer: UHCCP Medicaid |
$402.89
|
| Rate for Payer: UMR Bronson Commercial |
$531.76
|
|
|
PR ANTEPARTUM CARE ONLY 7/> VISITS
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 59426
|
| Min. Negotiated Rate |
$55.47 |
| Max. Negotiated Rate |
$1,391.08 |
| Rate for Payer: Aetna Commercial |
$1,044.37
|
| Rate for Payer: Aetna Medicare |
$810.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,044.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,122.31
|
| Rate for Payer: BCBS Complete |
$777.43
|
| Rate for Payer: BCBS MAPPO |
$779.38
|
| Rate for Payer: BCBS Trust/PPO |
$55.47
|
| Rate for Payer: BCN Commercial |
$1,391.08
|
| Rate for Payer: BCN Medicare Advantage |
$779.38
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$1,044.37
|
| Rate for Payer: Cofinity Commercial |
$1,122.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$779.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$818.35
|
| Rate for Payer: Meridian Medicaid |
$777.43
|
| Rate for Payer: Nomi Health Commercial |
$935.26
|
| Rate for Payer: PACE SWMI |
$779.38
|
| Rate for Payer: PHP Commercial |
$1,091.13
|
| Rate for Payer: PHP Medicare Advantage |
$779.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$740.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,113.63
|
| Rate for Payer: Priority Health Medicare |
$779.38
|
| Rate for Payer: Priority Health Narrow Network |
$1,113.63
|
| Rate for Payer: Priority Health SBD |
$1,113.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$779.38
|
| Rate for Payer: UHC Medicare Advantage |
$779.38
|
| Rate for Payer: UHCCP Medicaid |
$740.41
|
| Rate for Payer: UMR Bronson Commercial |
$730.94
|
|
|
PR ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO
|
Professional
|
Both
|
$1,553.00
|
|
|
Service Code
|
HCPCS 57240
|
| Min. Negotiated Rate |
$394.05 |
| Max. Negotiated Rate |
$2,162.33 |
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Aetna Commercial |
$787.10
|
| Rate for Payer: Aetna Medicare |
$610.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$787.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.84
|
| Rate for Payer: BCBS Complete |
$413.75
|
| Rate for Payer: BCBS MAPPO |
$587.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,162.33
|
| Rate for Payer: BCN Commercial |
$899.66
|
| Rate for Payer: BCN Medicare Advantage |
$587.39
|
| Rate for Payer: Cash Price |
$1,242.40
|
| Rate for Payer: Cofinity Commercial |
$787.10
|
| Rate for Payer: Cofinity Commercial |
$845.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$616.76
|
| Rate for Payer: Meridian Medicaid |
$413.75
|
| Rate for Payer: Nomi Health Commercial |
$704.87
|
| Rate for Payer: PACE SWMI |
$587.39
|
| Rate for Payer: PHP Commercial |
$822.35
|
| Rate for Payer: PHP Medicare Advantage |
$587.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,009.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$918.18
|
| Rate for Payer: Priority Health Medicare |
$587.39
|
| Rate for Payer: Priority Health Narrow Network |
$918.18
|
| Rate for Payer: Priority Health SBD |
$918.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$587.39
|
| Rate for Payer: UHC Medicare Advantage |
$587.39
|
| Rate for Payer: UHCCP Medicaid |
$394.05
|
| Rate for Payer: UMR Bronson Commercial |
$714.38
|
|
|
PR ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$3,881.00
|
|
|
Service Code
|
HCPCS 22845
|
| Min. Negotiated Rate |
$92.54 |
| Max. Negotiated Rate |
$2,522.65 |
| Rate for Payer: Aetna Commercial |
$950.37
|
| Rate for Payer: Aetna Medicare |
$737.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,021.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$950.37
|
| Rate for Payer: BCBS Complete |
$487.56
|
| Rate for Payer: BCBS MAPPO |
$709.23
|
| Rate for Payer: BCBS Trust/PPO |
$92.54
|
| Rate for Payer: BCN Commercial |
$1,164.39
|
| Rate for Payer: BCN Medicare Advantage |
$709.23
|
| Rate for Payer: Cash Price |
$3,104.80
|
| Rate for Payer: Cash Price |
$3,104.80
|
| Rate for Payer: Cofinity Commercial |
$1,021.29
|
| Rate for Payer: Cofinity Commercial |
$950.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.69
|
| Rate for Payer: Meridian Medicaid |
$487.56
|
| Rate for Payer: Nomi Health Commercial |
$851.08
|
| Rate for Payer: PACE SWMI |
$709.23
|
| Rate for Payer: PHP Commercial |
$992.92
|
| Rate for Payer: PHP Medicare Advantage |
$709.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,522.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,105.24
|
| Rate for Payer: Priority Health Medicare |
$709.23
|
| Rate for Payer: Priority Health Narrow Network |
$1,105.24
|
| Rate for Payer: Priority Health SBD |
$1,105.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$709.23
|
| Rate for Payer: UHC Medicare Advantage |
$709.23
|
| Rate for Payer: UHCCP Medicaid |
$464.34
|
| Rate for Payer: UMR Bronson Commercial |
$1,785.26
|
|
|
PR ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$4,270.00
|
|
|
Service Code
|
HCPCS 22846
|
| Min. Negotiated Rate |
$62.83 |
| Max. Negotiated Rate |
$2,775.50 |
| Rate for Payer: Aetna Commercial |
$990.34
|
| Rate for Payer: Aetna Medicare |
$768.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,064.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$990.34
|
| Rate for Payer: BCBS Complete |
$507.91
|
| Rate for Payer: BCBS MAPPO |
$739.06
|
| Rate for Payer: BCBS Trust/PPO |
$62.83
|
| Rate for Payer: BCN Commercial |
$1,211.74
|
| Rate for Payer: BCN Medicare Advantage |
$739.06
|
| Rate for Payer: Cash Price |
$3,416.00
|
| Rate for Payer: Cash Price |
$3,416.00
|
| Rate for Payer: Cofinity Commercial |
$1,064.25
|
| Rate for Payer: Cofinity Commercial |
$990.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$739.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$776.01
|
| Rate for Payer: Meridian Medicaid |
$507.91
|
| Rate for Payer: Nomi Health Commercial |
$886.87
|
| Rate for Payer: PACE SWMI |
$739.06
|
| Rate for Payer: PHP Commercial |
$1,034.68
|
| Rate for Payer: PHP Medicare Advantage |
$739.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,775.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,150.53
|
| Rate for Payer: Priority Health Medicare |
$739.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,150.53
|
| Rate for Payer: Priority Health SBD |
$1,150.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$739.06
|
| Rate for Payer: UHC Medicare Advantage |
$739.06
|
| Rate for Payer: UHCCP Medicaid |
$483.72
|
| Rate for Payer: UMR Bronson Commercial |
$1,964.20
|
|
|
PR ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$3,779.00
|
|
|
Service Code
|
HCPCS 22847
|
| Min. Negotiated Rate |
$111.22 |
| Max. Negotiated Rate |
$2,456.35 |
| Rate for Payer: Aetna Commercial |
$1,027.50
|
| Rate for Payer: Aetna Medicare |
$797.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,027.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,104.18
|
| Rate for Payer: BCBS Complete |
$533.85
|
| Rate for Payer: BCBS MAPPO |
$766.79
|
| Rate for Payer: BCBS Trust/PPO |
$111.22
|
| Rate for Payer: BCN Commercial |
$1,158.16
|
| Rate for Payer: BCN Medicare Advantage |
$766.79
|
| Rate for Payer: Cash Price |
$3,023.20
|
| Rate for Payer: Cash Price |
$3,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,027.50
|
| Rate for Payer: Cofinity Commercial |
$1,104.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$805.13
|
| Rate for Payer: Meridian Medicaid |
$533.85
|
| Rate for Payer: Nomi Health Commercial |
$920.15
|
| Rate for Payer: PACE SWMI |
$766.79
|
| Rate for Payer: PHP Commercial |
$1,073.51
|
| Rate for Payer: PHP Medicare Advantage |
$766.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,456.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,207.52
|
| Rate for Payer: Priority Health Medicare |
$766.79
|
| Rate for Payer: Priority Health Narrow Network |
$1,207.52
|
| Rate for Payer: Priority Health SBD |
$1,207.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.79
|
| Rate for Payer: UHC Medicare Advantage |
$766.79
|
| Rate for Payer: UHCCP Medicaid |
$508.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,738.34
|
|
