|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.41
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Commercial |
$341.03
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
| Rate for Payer: UMR Bronson Commercial |
$655.04
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$925.60 |
| Rate for Payer: Aetna Commercial |
$326.41
|
| Rate for Payer: Aetna Medicare |
$253.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.41
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$243.59
|
| Rate for Payer: BCN Medicare Advantage |
$243.59
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$350.77
|
| Rate for Payer: Cofinity Commercial |
$326.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.77
|
| Rate for Payer: Nomi Health Commercial |
$292.31
|
| Rate for Payer: PACE SWMI |
$243.59
|
| Rate for Payer: PHP Commercial |
$341.03
|
| Rate for Payer: PHP Medicare Advantage |
$243.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$243.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.59
|
| Rate for Payer: UHC Medicare Advantage |
$243.59
|
| Rate for Payer: UMR Bronson Commercial |
$655.04
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
IP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$626.56 |
| Max. Negotiated Rate |
$1,281.60 |
| Rate for Payer: Aetna American Axle |
$925.60
|
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.60
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Cofinity Commercial |
$996.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$996.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health SBD |
$897.12
|
| Rate for Payer: UMR Bronson Commercial |
$626.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.00
|
|
|
PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD
|
Facility
|
OP
|
$1,424.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
45382
|
| Min. Negotiated Rate |
$526.88 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$925.60
|
| Rate for Payer: Aetna Commercial |
$1,210.40
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$925.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$996.80
|
| Rate for Payer: Cofinity Commercial |
$1,224.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$996.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,139.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,281.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$996.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,068.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,210.40
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,210.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$897.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$526.88
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,068.00
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,320.00
|
|
|
Service Code
|
HCPCS 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$200.44 |
| Max. Negotiated Rate |
$858.00 |
| Rate for Payer: Aetna Commercial |
$268.59
|
| Rate for Payer: Aetna Medicare |
$208.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.59
|
| Rate for Payer: BCBS Complete |
$528.00
|
| Rate for Payer: BCBS MAPPO |
$200.44
|
| Rate for Payer: BCN Medicare Advantage |
$200.44
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$268.59
|
| Rate for Payer: Cofinity Commercial |
$288.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.46
|
| Rate for Payer: Nomi Health Commercial |
$240.53
|
| Rate for Payer: PACE SWMI |
$200.44
|
| Rate for Payer: PHP Commercial |
$280.62
|
| Rate for Payer: PHP Medicare Advantage |
$200.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$200.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.44
|
| Rate for Payer: UHC Medicare Advantage |
$200.44
|
| Rate for Payer: UMR Bronson Commercial |
$607.20
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Facility
|
IP
|
$1,320.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$580.80 |
| Max. Negotiated Rate |
$1,188.00 |
| Rate for Payer: Aetna American Axle |
$858.00
|
| Rate for Payer: Aetna Commercial |
$1,122.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$858.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$1,135.20
|
| Rate for Payer: Cofinity Commercial |
$924.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$924.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,056.00
|
| Rate for Payer: Healthscope Commercial |
$1,188.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$924.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$990.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,122.00
|
| Rate for Payer: PHP Commercial |
$1,122.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health SBD |
$831.60
|
| Rate for Payer: UMR Bronson Commercial |
$580.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$990.00
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Facility
|
OP
|
$1,320.00
|
|
|
Service Code
|
CPT 45386
|
| Hospital Charge Code |
45386
|
| Min. Negotiated Rate |
$488.40 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$858.00
|
| Rate for Payer: Aetna Commercial |
$1,122.00
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$858.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$1,135.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$924.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,056.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,188.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$924.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$990.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,122.00
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,122.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$831.60
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$488.40
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$990.00
|
|
|
PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT
|
Professional
|
Both
|
$1,320.00
|
|
|
Service Code
|
HCPCS 45386
|
| Min. Negotiated Rate |
$200.44 |
| Max. Negotiated Rate |
$858.00 |
| Rate for Payer: Aetna Commercial |
$268.59
|
| Rate for Payer: Aetna Medicare |
$208.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.59
|
| Rate for Payer: BCBS Complete |
$528.00
|
| Rate for Payer: BCBS MAPPO |
$200.44
|
| Rate for Payer: BCN Medicare Advantage |
$200.44
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cash Price |
$1,056.00
|
| Rate for Payer: Cofinity Commercial |
$288.63
|
| Rate for Payer: Cofinity Commercial |
$268.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.46
|
| Rate for Payer: Nomi Health Commercial |
$240.53
|
| Rate for Payer: PACE SWMI |
$200.44
|
| Rate for Payer: PHP Commercial |
$280.62
|
| Rate for Payer: PHP Medicare Advantage |
$200.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$858.00
|
| Rate for Payer: Priority Health Medicare |
$200.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.44
|
| Rate for Payer: UHC Medicare Advantage |
$200.44
|
| Rate for Payer: UMR Bronson Commercial |
$607.20
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Professional
|
Both
|
$1,406.00
|
|
|
Service Code
|
HCPCS 45381
|
| Hospital Charge Code |
45381
|
| Min. Negotiated Rate |
$189.86 |
| Max. Negotiated Rate |
$913.90 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.41
|
| Rate for Payer: BCBS Complete |
$562.40
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$254.41
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.35
|
| Rate for Payer: Nomi Health Commercial |
$227.83
|
| Rate for Payer: PACE SWMI |
$189.86
|
| Rate for Payer: PHP Commercial |
$265.80
|
| Rate for Payer: PHP Medicare Advantage |
$189.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health Medicare |
$189.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UMR Bronson Commercial |
$646.76
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Professional
|
Both
|
$1,406.00
|
|
|
Service Code
|
HCPCS 45381
|
| Min. Negotiated Rate |
$189.86 |
| Max. Negotiated Rate |
$913.90 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.41
|
| Rate for Payer: BCBS Complete |
$562.40
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$273.40
|
| Rate for Payer: Cofinity Commercial |
$254.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.35
|
| Rate for Payer: Nomi Health Commercial |
$227.83
|
| Rate for Payer: PACE SWMI |
$189.86
|
| Rate for Payer: PHP Commercial |
$265.80
|
| Rate for Payer: PHP Medicare Advantage |
$189.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health Medicare |
$189.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UMR Bronson Commercial |
$646.76
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Facility
|
IP
|
$1,406.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
45381
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$618.64 |
| Max. Negotiated Rate |
$1,265.40 |
| Rate for Payer: Aetna American Axle |
$913.90
|
| Rate for Payer: Aetna Commercial |
$1,195.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$913.90
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$1,209.16
|
| Rate for Payer: Cofinity Commercial |
$984.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$984.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,124.80
|
| Rate for Payer: Healthscope Commercial |
$1,265.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$984.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,054.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,195.10
|
| Rate for Payer: PHP Commercial |
$1,195.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health SBD |
$885.78
|
| Rate for Payer: UMR Bronson Commercial |
$618.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,054.50
|
|
|
PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
|
Facility
|
OP
|
$1,406.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
45381
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$520.22 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$913.90
|
| Rate for Payer: Aetna Commercial |
$1,195.10
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$913.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cash Price |
$1,124.80
|
| Rate for Payer: Cofinity Commercial |
$1,209.16
|
| Rate for Payer: Cofinity Commercial |
$984.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$984.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,124.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,265.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$984.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,054.50
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,195.10
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,195.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$913.90
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$885.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$520.22
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,054.50
|
|
|
PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX
|
Professional
|
Both
|
$544.00
|
|
|
Service Code
|
HCPCS 45391
|
| Min. Negotiated Rate |
$217.60 |
| Max. Negotiated Rate |
$353.60 |
| Rate for Payer: Aetna Commercial |
$324.52
|
| Rate for Payer: Aetna Medicare |
$251.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.52
|
| Rate for Payer: BCBS Complete |
$217.60
|
| Rate for Payer: BCBS MAPPO |
$242.18
|
| Rate for Payer: BCN Medicare Advantage |
$242.18
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cash Price |
$435.20
|
| Rate for Payer: Cofinity Commercial |
$348.74
|
| Rate for Payer: Cofinity Commercial |
$324.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.29
|
| Rate for Payer: Nomi Health Commercial |
$290.62
|
| Rate for Payer: PACE SWMI |
$242.18
|
| Rate for Payer: PHP Commercial |
$339.05
|
| Rate for Payer: PHP Medicare Advantage |
$242.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$353.60
|
| Rate for Payer: Priority Health Medicare |
$242.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.18
|
| Rate for Payer: UHC Medicare Advantage |
$242.18
|
| Rate for Payer: UMR Bronson Commercial |
$250.24
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Professional
|
Both
|
$1,448.00
|
|
|
Service Code
|
HCPCS 45384
|
| Min. Negotiated Rate |
$216.55 |
| Max. Negotiated Rate |
$941.20 |
| Rate for Payer: Aetna Commercial |
$290.18
|
| Rate for Payer: Aetna Medicare |
$225.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.18
|
| Rate for Payer: BCBS Complete |
$579.20
|
| Rate for Payer: BCBS MAPPO |
$216.55
|
| Rate for Payer: BCN Medicare Advantage |
$216.55
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$311.83
|
| Rate for Payer: Cofinity Commercial |
$290.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.38
|
| Rate for Payer: Nomi Health Commercial |
$259.86
|
| Rate for Payer: PACE SWMI |
$216.55
|
| Rate for Payer: PHP Commercial |
$303.17
|
| Rate for Payer: PHP Medicare Advantage |
$216.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$216.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.55
|
| Rate for Payer: UHC Medicare Advantage |
$216.55
|
| Rate for Payer: UMR Bronson Commercial |
$666.08
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Facility
|
IP
|
$1,448.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
45384
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$637.12 |
| Max. Negotiated Rate |
$1,303.20 |
| Rate for Payer: Aetna American Axle |
$941.20
|
| Rate for Payer: Aetna Commercial |
$1,230.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.20
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,013.60
|
| Rate for Payer: Cofinity Commercial |
$1,245.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,013.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,158.40
|
| Rate for Payer: Healthscope Commercial |
$1,303.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,013.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,086.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,230.80
|
| Rate for Payer: PHP Commercial |
$1,230.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health SBD |
$912.24
|
| Rate for Payer: UMR Bronson Commercial |
$637.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,086.00
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Professional
|
Both
|
$1,448.00
|
|
|
Service Code
|
HCPCS 45384
|
| Hospital Charge Code |
45384
|
| Min. Negotiated Rate |
$216.55 |
| Max. Negotiated Rate |
$941.20 |
| Rate for Payer: Aetna Commercial |
$290.18
|
| Rate for Payer: Aetna Medicare |
$225.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.83
|
| Rate for Payer: BCBS Complete |
$579.20
|
| Rate for Payer: BCBS MAPPO |
$216.55
|
| Rate for Payer: BCN Medicare Advantage |
$216.55
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$311.83
|
| Rate for Payer: Cofinity Commercial |
$290.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.38
|
| Rate for Payer: Nomi Health Commercial |
$259.86
|
| Rate for Payer: PACE SWMI |
$216.55
|
| Rate for Payer: PHP Commercial |
$303.17
|
| Rate for Payer: PHP Medicare Advantage |
$216.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$216.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.55
|
| Rate for Payer: UHC Medicare Advantage |
$216.55
|
| Rate for Payer: UMR Bronson Commercial |
$666.08
|
|
|
PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS
|
Facility
|
OP
|
$1,448.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
45384
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$535.76 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$941.20
|
| Rate for Payer: Aetna Commercial |
$1,230.80
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,245.28
|
| Rate for Payer: Cofinity Commercial |
$1,013.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,013.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,158.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,303.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,013.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,086.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,230.80
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,230.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$912.24
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$535.76
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,086.00
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Professional
|
Both
|
$1,448.00
|
|
|
Service Code
|
HCPCS 45385
|
| Hospital Charge Code |
45385
|
| Min. Negotiated Rate |
$239.20 |
| Max. Negotiated Rate |
$941.20 |
| Rate for Payer: Aetna Commercial |
$320.53
|
| Rate for Payer: Aetna Medicare |
$248.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$344.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.53
|
| Rate for Payer: BCBS Complete |
$579.20
|
| Rate for Payer: BCBS MAPPO |
$239.20
|
| Rate for Payer: BCN Medicare Advantage |
$239.20
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$320.53
|
| Rate for Payer: Cofinity Commercial |
$344.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$251.16
|
| Rate for Payer: Nomi Health Commercial |
$287.04
|
| Rate for Payer: PACE SWMI |
$239.20
|
| Rate for Payer: PHP Commercial |
$334.88
|
| Rate for Payer: PHP Medicare Advantage |
$239.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$239.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.20
|
| Rate for Payer: UHC Medicare Advantage |
$239.20
|
| Rate for Payer: UMR Bronson Commercial |
$666.08
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Facility
|
IP
|
$1,448.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
45385
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$637.12 |
| Max. Negotiated Rate |
$1,303.20 |
| Rate for Payer: Aetna American Axle |
$941.20
|
| Rate for Payer: Aetna Commercial |
$1,230.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.20
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,013.60
|
| Rate for Payer: Cofinity Commercial |
$1,245.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,013.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,158.40
|
| Rate for Payer: Healthscope Commercial |
$1,303.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,013.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,086.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,230.80
|
| Rate for Payer: PHP Commercial |
$1,230.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health SBD |
$912.24
|
| Rate for Payer: UMR Bronson Commercial |
$637.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,086.00
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Professional
|
Both
|
$1,448.00
|
|
|
Service Code
|
HCPCS 45385
|
| Min. Negotiated Rate |
$239.20 |
| Max. Negotiated Rate |
$941.20 |
| Rate for Payer: Aetna Commercial |
$320.53
|
| Rate for Payer: Aetna Medicare |
$248.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$344.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.53
|
| Rate for Payer: BCBS Complete |
$579.20
|
| Rate for Payer: BCBS MAPPO |
$239.20
|
| Rate for Payer: BCN Medicare Advantage |
$239.20
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$344.45
|
| Rate for Payer: Cofinity Commercial |
$320.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$251.16
|
| Rate for Payer: Nomi Health Commercial |
$287.04
|
| Rate for Payer: PACE SWMI |
$239.20
|
| Rate for Payer: PHP Commercial |
$334.88
|
| Rate for Payer: PHP Medicare Advantage |
$239.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$239.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.20
|
| Rate for Payer: UHC Medicare Advantage |
$239.20
|
| Rate for Payer: UMR Bronson Commercial |
$666.08
|
|
|
PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ
|
Facility
|
OP
|
$1,448.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
45385
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$535.76 |
| Max. Negotiated Rate |
$3,236.94 |
| Rate for Payer: Aetna American Axle |
$941.20
|
| Rate for Payer: Aetna Commercial |
$1,230.80
|
| Rate for Payer: Aetna Medicare |
$1,195.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,437.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,437.41
|
| Rate for Payer: BCBS Complete |
$647.18
|
| Rate for Payer: BCBS MAPPO |
$1,149.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,149.93
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cash Price |
$1,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,013.60
|
| Rate for Payer: Cofinity Commercial |
$1,245.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,013.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,158.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,149.93
|
| Rate for Payer: Healthscope Commercial |
$1,303.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,013.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,086.00
|
| Rate for Payer: Mclaren Medicaid |
$616.36
|
| Rate for Payer: Mclaren Medicare |
$1,149.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,207.43
|
| Rate for Payer: Meridian Medicaid |
$647.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,322.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,230.80
|
| Rate for Payer: PACE Medicare |
$1,092.43
|
| Rate for Payer: PACE SWMI |
$1,149.93
|
| Rate for Payer: PHP Commercial |
$1,230.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$616.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$941.20
|
| Rate for Payer: Priority Health Medicare |
$1,149.93
|
| Rate for Payer: Priority Health SBD |
$912.24
|
| Rate for Payer: Railroad Medicare Medicare |
$1,149.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,236.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,149.93
|
| Rate for Payer: UHC Exchange |
$2,197.63
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.93
|
| Rate for Payer: UHCCP Medicaid |
$616.36
|
| Rate for Payer: UMR Bronson Commercial |
$535.76
|
| Rate for Payer: VA VA |
$1,149.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,086.00
|
|
|
PR COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 45392
|
| Min. Negotiated Rate |
$285.58 |
| Max. Negotiated Rate |
$646.75 |
| Rate for Payer: Aetna Commercial |
$382.68
|
| Rate for Payer: Aetna Medicare |
$297.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$411.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.68
|
| Rate for Payer: BCBS Complete |
$398.00
|
| Rate for Payer: BCBS MAPPO |
$285.58
|
| Rate for Payer: BCN Medicare Advantage |
$285.58
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$411.24
|
| Rate for Payer: Cofinity Commercial |
$382.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.86
|
| Rate for Payer: Nomi Health Commercial |
$342.70
|
| Rate for Payer: PACE SWMI |
$285.58
|
| Rate for Payer: PHP Commercial |
$399.81
|
| Rate for Payer: PHP Medicare Advantage |
$285.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.75
|
| Rate for Payer: Priority Health Medicare |
$285.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.58
|
| Rate for Payer: UHC Medicare Advantage |
$285.58
|
| Rate for Payer: UMR Bronson Commercial |
$457.70
|
|
|
PR COMM SVCS BY RHC/FQHC 5 MIN
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS G0071
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$31.85 |
| Rate for Payer: Aetna Medicare |
$24.50
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: UMR Bronson Commercial |
$22.54
|
|
|
PR COMPLETE REPLACEMENT PICC RS&I
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 36584
|
| Min. Negotiated Rate |
$55.83 |
| Max. Negotiated Rate |
$261.30 |
| Rate for Payer: Aetna Commercial |
$74.81
|
| Rate for Payer: Aetna Medicare |
$58.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.40
|
| Rate for Payer: BCBS Complete |
$160.80
|
| Rate for Payer: BCBS MAPPO |
$55.83
|
| Rate for Payer: BCN Medicare Advantage |
$55.83
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$74.81
|
| Rate for Payer: Cofinity Commercial |
$80.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.62
|
| Rate for Payer: Nomi Health Commercial |
$67.00
|
| Rate for Payer: PACE SWMI |
$55.83
|
| Rate for Payer: PHP Commercial |
$78.16
|
| Rate for Payer: PHP Medicare Advantage |
$55.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.30
|
| Rate for Payer: Priority Health Medicare |
$55.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.83
|
| Rate for Payer: UHC Medicare Advantage |
$55.83
|
| Rate for Payer: UMR Bronson Commercial |
$184.92
|
|
|
PR COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY
|
Professional
|
Both
|
$363.00
|
|
|
Service Code
|
HCPCS 93303
|
| Min. Negotiated Rate |
$145.20 |
| Max. Negotiated Rate |
$279.94 |
| Rate for Payer: Aetna Commercial |
$260.50
|
| Rate for Payer: Aetna Medicare |
$202.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$260.50
|
| Rate for Payer: BCBS Complete |
$145.20
|
| Rate for Payer: BCBS MAPPO |
$194.40
|
| Rate for Payer: BCN Medicare Advantage |
$194.40
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cofinity Commercial |
$279.94
|
| Rate for Payer: Cofinity Commercial |
$260.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.12
|
| Rate for Payer: Nomi Health Commercial |
$233.28
|
| Rate for Payer: PACE SWMI |
$194.40
|
| Rate for Payer: PHP Commercial |
$272.16
|
| Rate for Payer: PHP Medicare Advantage |
$194.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.95
|
| Rate for Payer: Priority Health Medicare |
$194.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.40
|
| Rate for Payer: UHC Medicare Advantage |
$194.40
|
| Rate for Payer: UMR Bronson Commercial |
$166.98
|
|
