|
PR CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION
|
Professional
|
Both
|
$1,696.00
|
|
|
Service Code
|
HCPCS 27818
|
| Min. Negotiated Rate |
$292.66 |
| Max. Negotiated Rate |
$3,352.06 |
| Rate for Payer: Aetna Commercial |
$577.55
|
| Rate for Payer: Aetna Medicare |
$448.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.65
|
| Rate for Payer: BCBS Complete |
$307.29
|
| Rate for Payer: BCBS MAPPO |
$431.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,352.06
|
| Rate for Payer: BCN Commercial |
$736.44
|
| Rate for Payer: BCN Medicare Advantage |
$431.01
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cash Price |
$1,356.80
|
| Rate for Payer: Cofinity Commercial |
$577.55
|
| Rate for Payer: Cofinity Commercial |
$620.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.56
|
| Rate for Payer: Meridian Medicaid |
$307.29
|
| Rate for Payer: Nomi Health Commercial |
$517.21
|
| Rate for Payer: PACE SWMI |
$431.01
|
| Rate for Payer: PHP Commercial |
$603.41
|
| Rate for Payer: PHP Medicare Advantage |
$431.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$292.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,102.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.58
|
| Rate for Payer: Priority Health Medicare |
$431.01
|
| Rate for Payer: Priority Health Narrow Network |
$693.58
|
| Rate for Payer: Priority Health SBD |
$693.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.01
|
| Rate for Payer: UHC Medicare Advantage |
$431.01
|
| Rate for Payer: UHCCP Medicaid |
$292.66
|
| Rate for Payer: UMR Bronson Commercial |
$780.16
|
|
|
PR CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 27816
|
| Min. Negotiated Rate |
$198.09 |
| Max. Negotiated Rate |
$2,170.78 |
| Rate for Payer: Aetna Commercial |
$385.88
|
| Rate for Payer: Aetna Medicare |
$299.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$385.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.68
|
| Rate for Payer: BCBS Complete |
$207.99
|
| Rate for Payer: BCBS MAPPO |
$287.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$496.49
|
| Rate for Payer: BCN Medicare Advantage |
$287.97
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$385.88
|
| Rate for Payer: Cofinity Commercial |
$414.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$287.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$302.37
|
| Rate for Payer: Meridian Medicaid |
$207.99
|
| Rate for Payer: Nomi Health Commercial |
$345.56
|
| Rate for Payer: PACE SWMI |
$287.97
|
| Rate for Payer: PHP Commercial |
$403.16
|
| Rate for Payer: PHP Medicare Advantage |
$287.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$468.66
|
| Rate for Payer: Priority Health Medicare |
$287.97
|
| Rate for Payer: Priority Health Narrow Network |
$468.66
|
| Rate for Payer: Priority Health SBD |
$468.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$287.97
|
| Rate for Payer: UHC Medicare Advantage |
$287.97
|
| Rate for Payer: UHCCP Medicaid |
$198.09
|
| Rate for Payer: UMR Bronson Commercial |
$268.64
|
|
|
PR CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 22310
|
| Min. Negotiated Rate |
$195.53 |
| Max. Negotiated Rate |
$581.75 |
| Rate for Payer: Aetna Commercial |
$384.54
|
| Rate for Payer: Aetna Medicare |
$298.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.24
|
| Rate for Payer: BCBS Complete |
$205.31
|
| Rate for Payer: BCBS MAPPO |
$286.97
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$286.97
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cofinity Commercial |
$384.54
|
| Rate for Payer: Cofinity Commercial |
$413.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$301.32
|
| Rate for Payer: Meridian Medicaid |
$205.31
|
| Rate for Payer: Nomi Health Commercial |
$344.36
|
| Rate for Payer: PACE SWMI |
$286.97
|
| Rate for Payer: PHP Commercial |
$401.76
|
| Rate for Payer: PHP Medicare Advantage |
$286.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.07
|
| Rate for Payer: Priority Health Medicare |
$286.97
|
| Rate for Payer: Priority Health Narrow Network |
$463.07
|
| Rate for Payer: Priority Health SBD |
$463.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.97
|
| Rate for Payer: UHC Medicare Advantage |
$286.97
|
| Rate for Payer: UHCCP Medicaid |
$195.53
|
| Rate for Payer: UMR Bronson Commercial |
$411.70
|
|
|
PR CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ
|
Professional
|
Both
|
$1,302.00
|
|
|
Service Code
|
HCPCS 22315
|
| Min. Negotiated Rate |
$368.43 |
| Max. Negotiated Rate |
$1,305.75 |
| Rate for Payer: Aetna Commercial |
$1,015.75
|
| Rate for Payer: Aetna Medicare |
$788.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,091.55
|
| Rate for Payer: BCBS Complete |
$537.21
|
| Rate for Payer: BCBS MAPPO |
$758.02
|
| Rate for Payer: BCBS Trust/PPO |
$368.43
|
| Rate for Payer: BCN Commercial |
$1,305.75
|
| Rate for Payer: BCN Medicare Advantage |
$758.02
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cash Price |
$1,041.60
|
| Rate for Payer: Cofinity Commercial |
$1,015.75
|
| Rate for Payer: Cofinity Commercial |
$1,091.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.92
|
| Rate for Payer: Meridian Medicaid |
$537.21
|
| Rate for Payer: Nomi Health Commercial |
$909.62
|
| Rate for Payer: PACE SWMI |
$758.02
|
| Rate for Payer: PHP Commercial |
$1,061.23
|
| Rate for Payer: PHP Medicare Advantage |
$758.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$846.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,205.99
|
| Rate for Payer: Priority Health Medicare |
$758.02
|
| Rate for Payer: Priority Health Narrow Network |
$1,205.99
|
| Rate for Payer: Priority Health SBD |
$1,205.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$758.02
|
| Rate for Payer: UHC Medicare Advantage |
$758.02
|
| Rate for Payer: UHCCP Medicaid |
$511.63
|
| Rate for Payer: UMR Bronson Commercial |
$598.92
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
Professional
|
Both
|
$2,029.00
|
|
|
Service Code
|
HCPCS 57260
|
| Min. Negotiated Rate |
$499.27 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$1,000.87
|
| Rate for Payer: Aetna Medicare |
$776.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,000.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,075.56
|
| Rate for Payer: BCBS Complete |
$524.23
|
| Rate for Payer: BCBS MAPPO |
$746.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,141.55
|
| Rate for Payer: BCN Medicare Advantage |
$746.92
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cash Price |
$1,623.20
|
| Rate for Payer: Cofinity Commercial |
$1,000.87
|
| Rate for Payer: Cofinity Commercial |
$1,075.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$746.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$784.27
|
| Rate for Payer: Meridian Medicaid |
$524.23
|
| Rate for Payer: Nomi Health Commercial |
$896.30
|
| Rate for Payer: PACE SWMI |
$746.92
|
| Rate for Payer: PHP Commercial |
$1,045.69
|
| Rate for Payer: PHP Medicare Advantage |
$746.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,318.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,164.23
|
| Rate for Payer: Priority Health Medicare |
$746.92
|
| Rate for Payer: Priority Health Narrow Network |
$1,164.23
|
| Rate for Payer: Priority Health SBD |
$1,164.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$746.92
|
| Rate for Payer: UHC Medicare Advantage |
$746.92
|
| Rate for Payer: UHCCP Medicaid |
$499.27
|
| Rate for Payer: UMR Bronson Commercial |
$933.34
|
|
|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,612.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.27 |
| Max. Negotiated Rate |
$1,697.80 |
| Rate for Payer: Aetna Commercial |
$1,120.29
|
| Rate for Payer: Aetna Medicare |
$869.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,120.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.90
|
| Rate for Payer: BCBS Complete |
$586.18
|
| Rate for Payer: BCBS MAPPO |
$836.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: BCN Medicare Advantage |
$836.04
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cash Price |
$2,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,120.29
|
| Rate for Payer: Cofinity Commercial |
$1,203.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$836.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.84
|
| Rate for Payer: Meridian Medicaid |
$586.18
|
| Rate for Payer: Nomi Health Commercial |
$1,003.25
|
| Rate for Payer: PACE SWMI |
$836.04
|
| Rate for Payer: PHP Commercial |
$1,170.46
|
| Rate for Payer: PHP Medicare Advantage |
$836.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,697.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,301.62
|
| Rate for Payer: Priority Health Medicare |
$836.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,301.62
|
| Rate for Payer: Priority Health SBD |
$1,301.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$836.04
|
| Rate for Payer: UHC Medicare Advantage |
$836.04
|
| Rate for Payer: UHCCP Medicaid |
$558.27
|
| Rate for Payer: UMR Bronson Commercial |
$1,201.52
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$395.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$669.36 |
| Rate for Payer: Aetna Commercial |
$44.61
|
| Rate for Payer: Aetna Medicare |
$34.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.94
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$33.29
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$33.29
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cofinity Commercial |
$44.61
|
| Rate for Payer: Cofinity Commercial |
$47.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.95
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Nomi Health Commercial |
$39.95
|
| Rate for Payer: PACE SWMI |
$33.29
|
| Rate for Payer: PHP Commercial |
$46.61
|
| Rate for Payer: PHP Medicare Advantage |
$33.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.31
|
| Rate for Payer: Priority Health Medicare |
$33.29
|
| Rate for Payer: Priority Health Narrow Network |
$55.31
|
| Rate for Payer: Priority Health SBD |
$55.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.29
|
| Rate for Payer: UHC Medicare Advantage |
$33.29
|
| Rate for Payer: UHCCP Medicaid |
$22.15
|
| Rate for Payer: UMR Bronson Commercial |
$181.70
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,951.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$331.85 |
| Max. Negotiated Rate |
$1,268.15 |
| Rate for Payer: Aetna Commercial |
$660.30
|
| Rate for Payer: Aetna Medicare |
$512.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$660.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.57
|
| Rate for Payer: BCBS Complete |
$348.44
|
| Rate for Payer: BCBS MAPPO |
$492.76
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: BCN Medicare Advantage |
$492.76
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cash Price |
$1,560.80
|
| Rate for Payer: Cofinity Commercial |
$660.30
|
| Rate for Payer: Cofinity Commercial |
$709.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.40
|
| Rate for Payer: Meridian Medicaid |
$348.44
|
| Rate for Payer: Nomi Health Commercial |
$591.31
|
| Rate for Payer: PACE SWMI |
$492.76
|
| Rate for Payer: PHP Commercial |
$689.86
|
| Rate for Payer: PHP Medicare Advantage |
$492.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,268.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.72
|
| Rate for Payer: Priority Health Medicare |
$492.76
|
| Rate for Payer: Priority Health Narrow Network |
$787.72
|
| Rate for Payer: Priority Health SBD |
$787.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.76
|
| Rate for Payer: UHC Medicare Advantage |
$492.76
|
| Rate for Payer: UHCCP Medicaid |
$331.85
|
| Rate for Payer: UMR Bronson Commercial |
$897.46
|
|
|
PR COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY
|
Professional
|
Both
|
$4,226.00
|
|
|
Service Code
|
HCPCS 69930
|
| Min. Negotiated Rate |
$774.89 |
| Max. Negotiated Rate |
$2,746.90 |
| Rate for Payer: Aetna Commercial |
$1,534.11
|
| Rate for Payer: Aetna Medicare |
$1,190.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,534.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,648.60
|
| Rate for Payer: BCBS Complete |
$813.63
|
| Rate for Payer: BCBS MAPPO |
$1,144.86
|
| Rate for Payer: BCN Commercial |
$1,788.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,144.86
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cash Price |
$3,380.80
|
| Rate for Payer: Cofinity Commercial |
$1,648.60
|
| Rate for Payer: Cofinity Commercial |
$1,534.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,144.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,202.10
|
| Rate for Payer: Meridian Medicaid |
$813.63
|
| Rate for Payer: Nomi Health Commercial |
$1,373.83
|
| Rate for Payer: PACE SWMI |
$1,144.86
|
| Rate for Payer: PHP Commercial |
$1,602.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,144.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,746.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,778.18
|
| Rate for Payer: Priority Health Medicare |
$1,144.86
|
| Rate for Payer: Priority Health Narrow Network |
$1,778.18
|
| Rate for Payer: Priority Health SBD |
$1,778.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,144.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.86
|
| Rate for Payer: UHCCP Medicaid |
$774.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,943.96
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: UMR Bronson Commercial |
$234.60
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$141.60 |
| Max. Negotiated Rate |
$536.22 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: Aetna Medicare |
$177.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.37
|
| Rate for Payer: BCBS Complete |
$141.60
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.50
|
| Rate for Payer: Priority Health Narrow Network |
$283.50
|
| Rate for Payer: Priority Health SBD |
$283.50
|
| Rate for Payer: UMR Bronson Commercial |
$162.84
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$156.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Commercial |
$67.29
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: Aetna Medicare |
$52.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.29
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS MAPPO |
$50.22
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: BCN Medicare Advantage |
$50.22
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$67.29
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Cofinity Commercial |
$72.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.73
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: Nomi Health Commercial |
$60.26
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PACE SWMI |
$50.22
|
| Rate for Payer: PHP Commercial |
$70.31
|
| Rate for Payer: PHP Commercial |
$70.31
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: PHP Medicare Advantage |
$50.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.89
|
| Rate for Payer: Priority Health Medicare |
$50.22
|
| Rate for Payer: Priority Health Medicare |
$50.22
|
| Rate for Payer: Priority Health Narrow Network |
$76.89
|
| Rate for Payer: Priority Health Narrow Network |
$76.89
|
| Rate for Payer: Priority Health SBD |
$11.75
|
| Rate for Payer: Priority Health SBD |
$11.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHC Medicare Advantage |
$50.22
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UMR Bronson Commercial |
$7.82
|
| Rate for Payer: UMR Bronson Commercial |
$71.76
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,840.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,373.64 |
| Max. Negotiated Rate |
$3,835.50 |
| Rate for Payer: Aetna Commercial |
$2,782.16
|
| Rate for Payer: Aetna Medicare |
$2,159.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,782.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,989.79
|
| Rate for Payer: BCBS Complete |
$1,442.32
|
| Rate for Payer: BCBS MAPPO |
$2,076.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,076.24
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cash Price |
$3,072.00
|
| Rate for Payer: Cofinity Commercial |
$2,782.16
|
| Rate for Payer: Cofinity Commercial |
$2,989.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,076.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,180.05
|
| Rate for Payer: Meridian Medicaid |
$1,442.32
|
| Rate for Payer: Nomi Health Commercial |
$2,491.49
|
| Rate for Payer: PACE SWMI |
$2,076.24
|
| Rate for Payer: PHP Commercial |
$2,906.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,076.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,373.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,496.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,835.50
|
| Rate for Payer: Priority Health Medicare |
$2,076.24
|
| Rate for Payer: Priority Health Narrow Network |
$3,835.50
|
| Rate for Payer: Priority Health SBD |
$3,835.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,076.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,076.24
|
| Rate for Payer: UHCCP Medicaid |
$1,373.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,766.40
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,611.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$3,297.97 |
| Rate for Payer: Aetna Commercial |
$2,385.32
|
| Rate for Payer: Aetna Medicare |
$1,851.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,385.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,563.33
|
| Rate for Payer: BCBS Complete |
$1,241.93
|
| Rate for Payer: BCBS MAPPO |
$1,780.09
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,780.09
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cash Price |
$3,688.80
|
| Rate for Payer: Cofinity Commercial |
$2,385.32
|
| Rate for Payer: Cofinity Commercial |
$2,563.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,780.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,869.09
|
| Rate for Payer: Meridian Medicaid |
$1,241.93
|
| Rate for Payer: Nomi Health Commercial |
$2,136.11
|
| Rate for Payer: PACE SWMI |
$1,780.09
|
| Rate for Payer: PHP Commercial |
$2,492.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,780.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,182.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,997.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,297.97
|
| Rate for Payer: Priority Health Medicare |
$1,780.09
|
| Rate for Payer: Priority Health Narrow Network |
$3,297.97
|
| Rate for Payer: Priority Health SBD |
$3,297.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,780.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,780.09
|
| Rate for Payer: UHCCP Medicaid |
$1,182.79
|
| Rate for Payer: UMR Bronson Commercial |
$2,121.06
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,699.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$3,995.99 |
| Rate for Payer: Aetna Commercial |
$2,901.54
|
| Rate for Payer: Aetna Medicare |
$2,251.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,901.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,118.08
|
| Rate for Payer: BCBS Complete |
$1,503.15
|
| Rate for Payer: BCBS MAPPO |
$2,165.33
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,165.33
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cash Price |
$3,759.20
|
| Rate for Payer: Cofinity Commercial |
$2,901.54
|
| Rate for Payer: Cofinity Commercial |
$3,118.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,165.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,273.60
|
| Rate for Payer: Meridian Medicaid |
$1,503.15
|
| Rate for Payer: Nomi Health Commercial |
$2,598.40
|
| Rate for Payer: PACE SWMI |
$2,165.33
|
| Rate for Payer: PHP Commercial |
$3,031.46
|
| Rate for Payer: PHP Medicare Advantage |
$2,165.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,431.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,054.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,995.99
|
| Rate for Payer: Priority Health Medicare |
$2,165.33
|
| Rate for Payer: Priority Health Narrow Network |
$3,995.99
|
| Rate for Payer: Priority Health SBD |
$3,995.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,165.33
|
| Rate for Payer: UHC Medicare Advantage |
$2,165.33
|
| Rate for Payer: UHCCP Medicaid |
$1,431.57
|
| Rate for Payer: UMR Bronson Commercial |
$2,161.54
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,704.56 |
| Max. Negotiated Rate |
$3,486.60 |
| Rate for Payer: Aetna American Axle |
$2,518.10
|
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,518.10
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$2,711.80
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,711.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,711.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,905.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health SBD |
$2,440.62
|
| Rate for Payer: UMR Bronson Commercial |
$1,704.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,905.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,874.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,310.30 |
| Max. Negotiated Rate |
$4,912.39 |
| Rate for Payer: Aetna American Axle |
$2,518.10
|
| Rate for Payer: Aetna Commercial |
$3,292.90
|
| Rate for Payer: Aetna Medicare |
$1,937.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,518.10
|
| Rate for Payer: BCBS Complete |
$1,549.60
|
| Rate for Payer: BCBS Trust/PPO |
$4,912.39
|
| Rate for Payer: BCN Commercial |
$4,912.39
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$3,331.64
|
| Rate for Payer: Cofinity Commercial |
$2,711.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,711.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,099.20
|
| Rate for Payer: Healthscope Commercial |
$3,486.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,711.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,905.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.90
|
| Rate for Payer: PHP Commercial |
$3,292.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health SBD |
$2,440.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,441.33
|
| Rate for Payer: UHC Core |
$1,879.00
|
| Rate for Payer: UHC Exchange |
$1,310.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,433.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,905.50
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,741.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,871.42
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Commercial |
$1,819.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,299.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: Priority Health SBD |
$2,397.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,782.04
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,874.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$860.09 |
| Max. Negotiated Rate |
$2,518.10 |
| Rate for Payer: Aetna Commercial |
$1,741.46
|
| Rate for Payer: Aetna Medicare |
$1,351.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,741.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,871.42
|
| Rate for Payer: BCBS Complete |
$903.09
|
| Rate for Payer: BCBS MAPPO |
$1,299.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,299.60
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cash Price |
$3,099.20
|
| Rate for Payer: Cofinity Commercial |
$1,741.46
|
| Rate for Payer: Cofinity Commercial |
$1,871.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,299.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,364.58
|
| Rate for Payer: Meridian Medicaid |
$903.09
|
| Rate for Payer: Nomi Health Commercial |
$1,559.52
|
| Rate for Payer: PACE SWMI |
$1,299.60
|
| Rate for Payer: PHP Commercial |
$1,819.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,299.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,518.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,397.11
|
| Rate for Payer: Priority Health Medicare |
$1,299.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,397.11
|
| Rate for Payer: Priority Health SBD |
$2,397.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,299.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,299.60
|
| Rate for Payer: UHCCP Medicaid |
$860.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,782.04
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,752.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,438.77 |
| Rate for Payer: Aetna Commercial |
$2,507.92
|
| Rate for Payer: Aetna Medicare |
$1,946.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,507.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,695.08
|
| Rate for Payer: BCBS Complete |
$1,297.39
|
| Rate for Payer: BCBS MAPPO |
$1,871.58
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$2,801.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,871.58
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Cash Price |
$2,201.60
|
| Rate for Payer: Cofinity Commercial |
$2,507.92
|
| Rate for Payer: Cofinity Commercial |
$2,695.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,871.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,965.16
|
| Rate for Payer: Meridian Medicaid |
$1,297.39
|
| Rate for Payer: Nomi Health Commercial |
$2,245.90
|
| Rate for Payer: PACE SWMI |
$1,871.58
|
| Rate for Payer: PHP Commercial |
$2,620.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,871.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,788.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,438.77
|
| Rate for Payer: Priority Health Medicare |
$1,871.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,438.77
|
| Rate for Payer: Priority Health SBD |
$3,438.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,871.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,871.58
|
| Rate for Payer: UHCCP Medicaid |
$1,235.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,265.92
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,419.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$122.04 |
| Max. Negotiated Rate |
$2,936.43 |
| Rate for Payer: Aetna Commercial |
$2,129.03
|
| Rate for Payer: Aetna Medicare |
$1,652.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,129.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,287.92
|
| Rate for Payer: BCBS Complete |
$1,104.83
|
| Rate for Payer: BCBS MAPPO |
$1,588.83
|
| Rate for Payer: BCBS Trust/PPO |
$122.04
|
| Rate for Payer: BCN Commercial |
$2,394.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,588.83
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cofinity Commercial |
$2,129.03
|
| Rate for Payer: Cofinity Commercial |
$2,287.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,588.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,668.27
|
| Rate for Payer: Meridian Medicaid |
$1,104.83
|
| Rate for Payer: Nomi Health Commercial |
$1,906.60
|
| Rate for Payer: PACE SWMI |
$1,588.83
|
| Rate for Payer: PHP Commercial |
$2,224.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,588.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,052.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,222.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,936.43
|
| Rate for Payer: Priority Health Medicare |
$1,588.83
|
| Rate for Payer: Priority Health Narrow Network |
$2,936.43
|
| Rate for Payer: Priority Health SBD |
$2,936.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,588.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,588.83
|
| Rate for Payer: UHCCP Medicaid |
$1,052.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,572.74
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,145.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$3,732.89 |
| Rate for Payer: Aetna Commercial |
$2,702.87
|
| Rate for Payer: Aetna Medicare |
$2,097.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,702.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,904.58
|
| Rate for Payer: BCBS Complete |
$1,404.30
|
| Rate for Payer: BCBS MAPPO |
$2,017.07
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$3,043.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,017.07
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Cash Price |
$4,116.00
|
| Rate for Payer: Cofinity Commercial |
$2,702.87
|
| Rate for Payer: Cofinity Commercial |
$2,904.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,017.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,117.92
|
| Rate for Payer: Meridian Medicaid |
$1,404.30
|
| Rate for Payer: Nomi Health Commercial |
$2,420.48
|
| Rate for Payer: PACE SWMI |
$2,017.07
|
| Rate for Payer: PHP Commercial |
$2,823.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,017.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,337.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,344.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,732.89
|
| Rate for Payer: Priority Health Medicare |
$2,017.07
|
| Rate for Payer: Priority Health Narrow Network |
$3,732.89
|
| Rate for Payer: Priority Health SBD |
$3,732.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,017.07
|
| Rate for Payer: UHC Medicare Advantage |
$2,017.07
|
| Rate for Payer: UHCCP Medicaid |
$1,337.43
|
| Rate for Payer: UMR Bronson Commercial |
$2,366.70
|
|
|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$3,983.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$89.28 |
| Max. Negotiated Rate |
$3,141.66 |
| Rate for Payer: Aetna Commercial |
$2,280.83
|
| Rate for Payer: Aetna Medicare |
$1,770.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,280.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,451.04
|
| Rate for Payer: BCBS Complete |
$1,182.44
|
| Rate for Payer: BCBS MAPPO |
$1,702.11
|
| Rate for Payer: BCBS Trust/PPO |
$89.28
|
| Rate for Payer: BCN Commercial |
$2,565.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,702.11
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Cash Price |
$3,186.40
|
| Rate for Payer: Cofinity Commercial |
$2,280.83
|
| Rate for Payer: Cofinity Commercial |
$2,451.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,702.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,787.22
|
| Rate for Payer: Meridian Medicaid |
$1,182.44
|
| Rate for Payer: Nomi Health Commercial |
$2,042.53
|
| Rate for Payer: PACE SWMI |
$1,702.11
|
| Rate for Payer: PHP Commercial |
$2,382.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,702.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,126.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,588.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,141.66
|
| Rate for Payer: Priority Health Medicare |
$1,702.11
|
| Rate for Payer: Priority Health Narrow Network |
$3,141.66
|
| Rate for Payer: Priority Health SBD |
$3,141.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,702.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,702.11
|
| Rate for Payer: UHCCP Medicaid |
$1,126.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,832.18
|
|
|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,200.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$324.38 |
| Max. Negotiated Rate |
$2,943.60 |
| Rate for Payer: Aetna Commercial |
$2,135.38
|
| Rate for Payer: Aetna Medicare |
$1,657.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,135.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,294.74
|
| Rate for Payer: BCBS Complete |
$1,107.07
|
| Rate for Payer: BCBS MAPPO |
$1,593.57
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$2,404.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,593.57
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cofinity Commercial |
$2,135.38
|
| Rate for Payer: Cofinity Commercial |
$2,294.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,593.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,673.25
|
| Rate for Payer: Meridian Medicaid |
$1,107.07
|
| Rate for Payer: Nomi Health Commercial |
$1,912.28
|
| Rate for Payer: PACE SWMI |
$1,593.57
|
| Rate for Payer: PHP Commercial |
$2,231.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,593.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,054.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,730.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,943.60
|
| Rate for Payer: Priority Health Medicare |
$1,593.57
|
| Rate for Payer: Priority Health Narrow Network |
$2,943.60
|
| Rate for Payer: Priority Health SBD |
$2,943.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,593.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,593.57
|
| Rate for Payer: UHCCP Medicaid |
$1,054.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,932.00
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$3,965.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$795.98 |
| Max. Negotiated Rate |
$2,577.25 |
| Rate for Payer: Aetna Commercial |
$1,610.60
|
| Rate for Payer: Aetna Medicare |
$1,250.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,610.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,730.79
|
| Rate for Payer: BCBS Complete |
$835.78
|
| Rate for Payer: BCBS MAPPO |
$1,201.94
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,201.94
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Cofinity Commercial |
$1,610.60
|
| Rate for Payer: Cofinity Commercial |
$1,730.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,201.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,262.04
|
| Rate for Payer: Meridian Medicaid |
$835.78
|
| Rate for Payer: Nomi Health Commercial |
$1,442.33
|
| Rate for Payer: PACE SWMI |
$1,201.94
|
| Rate for Payer: PHP Commercial |
$1,682.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,201.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$795.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,577.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,217.55
|
| Rate for Payer: Priority Health Medicare |
$1,201.94
|
| Rate for Payer: Priority Health Narrow Network |
$2,217.55
|
| Rate for Payer: Priority Health SBD |
$2,217.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,201.94
|
| Rate for Payer: UHC Medicare Advantage |
$1,201.94
|
| Rate for Payer: UHCCP Medicaid |
$795.98
|
| Rate for Payer: UMR Bronson Commercial |
$1,823.90
|
|
