|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,835.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$244.07 |
| Max. Negotiated Rate |
$3,231.74 |
| Rate for Payer: Aetna Commercial |
$2,337.03
|
| Rate for Payer: Aetna Medicare |
$1,813.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,337.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,511.43
|
| Rate for Payer: BCBS Complete |
$1,213.75
|
| Rate for Payer: BCBS MAPPO |
$1,744.05
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$2,636.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.05
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Cofinity Commercial |
$2,337.03
|
| Rate for Payer: Cofinity Commercial |
$2,511.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,831.25
|
| Rate for Payer: Meridian Medicaid |
$1,213.75
|
| Rate for Payer: Nomi Health Commercial |
$2,092.86
|
| Rate for Payer: PACE SWMI |
$1,744.05
|
| Rate for Payer: PHP Commercial |
$2,441.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,155.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,492.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,231.74
|
| Rate for Payer: Priority Health Medicare |
$1,744.05
|
| Rate for Payer: Priority Health Narrow Network |
$3,231.74
|
| Rate for Payer: Priority Health SBD |
$3,231.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,744.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,744.05
|
| Rate for Payer: UHCCP Medicaid |
$1,155.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,764.10
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$6,820.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$175.40 |
| Max. Negotiated Rate |
$4,433.00 |
| Rate for Payer: Aetna Commercial |
$2,974.51
|
| Rate for Payer: Aetna Medicare |
$2,308.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,974.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,196.48
|
| Rate for Payer: BCBS Complete |
$1,541.62
|
| Rate for Payer: BCBS MAPPO |
$2,219.78
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$3,348.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,219.78
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Cofinity Commercial |
$2,974.51
|
| Rate for Payer: Cofinity Commercial |
$3,196.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,219.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,330.77
|
| Rate for Payer: Meridian Medicaid |
$1,541.62
|
| Rate for Payer: Nomi Health Commercial |
$2,663.74
|
| Rate for Payer: PACE SWMI |
$2,219.78
|
| Rate for Payer: PHP Commercial |
$3,107.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,219.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,433.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,099.80
|
| Rate for Payer: Priority Health Medicare |
$2,219.78
|
| Rate for Payer: Priority Health Narrow Network |
$4,099.80
|
| Rate for Payer: Priority Health SBD |
$4,099.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,219.78
|
| Rate for Payer: UHC Medicare Advantage |
$2,219.78
|
| Rate for Payer: UHCCP Medicaid |
$1,468.21
|
| Rate for Payer: UMR Bronson Commercial |
$3,137.20
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,822.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$3,784.30 |
| Rate for Payer: Aetna Commercial |
$2,651.98
|
| Rate for Payer: Aetna Medicare |
$2,058.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,651.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,849.89
|
| Rate for Payer: BCBS Complete |
$1,381.71
|
| Rate for Payer: BCBS MAPPO |
$1,979.09
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$2,995.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,979.09
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Cofinity Commercial |
$2,651.98
|
| Rate for Payer: Cofinity Commercial |
$2,849.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,979.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,078.04
|
| Rate for Payer: Meridian Medicaid |
$1,381.71
|
| Rate for Payer: Nomi Health Commercial |
$2,374.91
|
| Rate for Payer: PACE SWMI |
$1,979.09
|
| Rate for Payer: PHP Commercial |
$2,770.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,979.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,315.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,784.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,675.61
|
| Rate for Payer: Priority Health Medicare |
$1,979.09
|
| Rate for Payer: Priority Health Narrow Network |
$3,675.61
|
| Rate for Payer: Priority Health SBD |
$3,675.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,979.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,979.09
|
| Rate for Payer: UHCCP Medicaid |
$1,315.91
|
| Rate for Payer: UMR Bronson Commercial |
$2,678.12
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,567.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$305.36 |
| Max. Negotiated Rate |
$3,898.75 |
| Rate for Payer: Aetna Commercial |
$2,830.99
|
| Rate for Payer: Aetna Medicare |
$2,197.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,830.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,042.26
|
| Rate for Payer: BCBS Complete |
$1,466.92
|
| Rate for Payer: BCBS MAPPO |
$2,112.68
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$3,181.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,112.68
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Cofinity Commercial |
$2,830.99
|
| Rate for Payer: Cofinity Commercial |
$3,042.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,112.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,218.31
|
| Rate for Payer: Meridian Medicaid |
$1,466.92
|
| Rate for Payer: Nomi Health Commercial |
$2,535.22
|
| Rate for Payer: PACE SWMI |
$2,112.68
|
| Rate for Payer: PHP Commercial |
$2,957.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,112.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,397.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,968.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,898.75
|
| Rate for Payer: Priority Health Medicare |
$2,112.68
|
| Rate for Payer: Priority Health Narrow Network |
$3,898.75
|
| Rate for Payer: Priority Health SBD |
$3,898.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,112.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,112.68
|
| Rate for Payer: UHCCP Medicaid |
$1,397.07
|
| Rate for Payer: UMR Bronson Commercial |
$2,100.82
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$26.40 |
| Max. Negotiated Rate |
$105.36 |
| Rate for Payer: Aetna Commercial |
$98.04
|
| Rate for Payer: Aetna Medicare |
$76.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.04
|
| Rate for Payer: BCBS Complete |
$26.40
|
| Rate for Payer: BCBS MAPPO |
$73.16
|
| Rate for Payer: BCBS Trust/PPO |
$67.51
|
| Rate for Payer: BCN Commercial |
$66.22
|
| Rate for Payer: BCN Medicare Advantage |
$73.16
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$105.36
|
| Rate for Payer: Cofinity Commercial |
$98.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.82
|
| Rate for Payer: Nomi Health Commercial |
$87.80
|
| Rate for Payer: PACE SWMI |
$73.16
|
| Rate for Payer: PHP Commercial |
$102.43
|
| Rate for Payer: PHP Medicare Advantage |
$73.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health Medicare |
$73.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.16
|
| Rate for Payer: UHC Medicare Advantage |
$73.16
|
| Rate for Payer: UMR Bronson Commercial |
$30.36
|
|
|
PR COLLECT BLOOD FROM CATHETER VENOUS NOS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 36592
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.87 |
| Rate for Payer: Aetna Commercial |
$35.26
|
| Rate for Payer: Aetna Medicare |
$27.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.89
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS MAPPO |
$26.31
|
| Rate for Payer: BCN Commercial |
$42.51
|
| Rate for Payer: BCN Medicare Advantage |
$26.31
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$37.89
|
| Rate for Payer: Cofinity Commercial |
$35.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.63
|
| Rate for Payer: Nomi Health Commercial |
$31.57
|
| Rate for Payer: PACE SWMI |
$26.31
|
| Rate for Payer: PHP Commercial |
$36.83
|
| Rate for Payer: PHP Medicare Advantage |
$26.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$26.31
|
| Rate for Payer: Priority Health Narrow Network |
$47.87
|
| Rate for Payer: Priority Health SBD |
$47.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.31
|
| Rate for Payer: UHC Medicare Advantage |
$26.31
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1,055.02 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.72
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.02
|
| Rate for Payer: BCN Commercial |
$1.99
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.36
|
| Rate for Payer: Priority Health Narrow Network |
$14.36
|
| Rate for Payer: Priority Health SBD |
$14.36
|
| Rate for Payer: UMR Bronson Commercial |
$5.06
|
|
|
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 36415
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$1,529.43 |
| Rate for Payer: Aetna Commercial |
$12.18
|
| Rate for Payer: Aetna Medicare |
$9.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.18
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$9.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.43
|
| Rate for Payer: BCN Commercial |
$2.86
|
| Rate for Payer: BCN Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$12.18
|
| Rate for Payer: Cofinity Commercial |
$13.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.54
|
| Rate for Payer: Nomi Health Commercial |
$10.91
|
| Rate for Payer: PACE SWMI |
$9.09
|
| Rate for Payer: PHP Commercial |
$12.73
|
| Rate for Payer: PHP Medicare Advantage |
$9.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.36
|
| Rate for Payer: Priority Health Medicare |
$9.09
|
| Rate for Payer: Priority Health Narrow Network |
$14.36
|
| Rate for Payer: Priority Health SBD |
$14.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.09
|
| Rate for Payer: UHC Medicare Advantage |
$9.09
|
| Rate for Payer: UMR Bronson Commercial |
$6.90
|
|
|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
Professional
|
Both
|
$117.00
|
|
|
Service Code
|
HCPCS 99091
|
| Min. Negotiated Rate |
$46.80 |
| Max. Negotiated Rate |
$780.83 |
| Rate for Payer: Aetna Commercial |
$68.22
|
| Rate for Payer: Aetna Medicare |
$52.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.31
|
| Rate for Payer: BCBS Complete |
$46.80
|
| Rate for Payer: BCBS MAPPO |
$50.91
|
| Rate for Payer: BCBS Trust/PPO |
$780.83
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$50.91
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cofinity Commercial |
$73.31
|
| Rate for Payer: Cofinity Commercial |
$68.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.46
|
| Rate for Payer: Nomi Health Commercial |
$61.09
|
| Rate for Payer: PACE SWMI |
$50.91
|
| Rate for Payer: PHP Commercial |
$71.27
|
| Rate for Payer: PHP Medicare Advantage |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.82
|
| Rate for Payer: Priority Health Medicare |
$50.91
|
| Rate for Payer: Priority Health Narrow Network |
$72.82
|
| Rate for Payer: Priority Health SBD |
$72.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.91
|
| Rate for Payer: UHC Medicare Advantage |
$50.91
|
| Rate for Payer: UMR Bronson Commercial |
$53.82
|
|
|
PR COLON CA SCREEN;BARIUM ENEMA
|
Professional
|
Both
|
$629.00
|
|
|
Service Code
|
HCPCS G0106
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,824.22 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$314.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.17
|
| Rate for Payer: BCBS Complete |
$251.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.22
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$391.96
|
| Rate for Payer: Priority Health Narrow Network |
$391.96
|
| Rate for Payer: Priority Health SBD |
$105.01
|
| Rate for Payer: UMR Bronson Commercial |
$289.34
|
|
|
PR COLON CA SCRN; BARIUM ENEMA
|
Professional
|
Both
|
$399.00
|
|
|
Service Code
|
HCPCS G0120
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,971.09 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$199.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.17
|
| Rate for Payer: BCBS Complete |
$159.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,971.09
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$391.96
|
| Rate for Payer: Priority Health Narrow Network |
$391.96
|
| Rate for Payer: Priority Health SBD |
$105.01
|
| Rate for Payer: UMR Bronson Commercial |
$183.54
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
OP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$176.06 |
| Max. Negotiated Rate |
$2,807.55 |
| Rate for Payer: Aetna American Axle |
$770.25
|
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$770.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$785.12
|
| Rate for Payer: BCN Commercial |
$785.12
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Cofinity Commercial |
$829.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$829.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$829.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$1,875.89
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,807.55
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$2,246.04
|
| Rate for Payer: Priority Health SBD |
$746.55
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.67
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$176.06
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: UMR Bronson Commercial |
$438.45
|
| Rate for Payer: VA VA |
$893.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$181.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.84
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$174.89
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.84
|
| Rate for Payer: Cofinity Commercial |
$234.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.63
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.87
|
| Rate for Payer: PACE SWMI |
$174.89
|
| Rate for Payer: PHP Commercial |
$244.85
|
| Rate for Payer: PHP Medicare Advantage |
$174.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.89
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.89
|
| Rate for Payer: UHC Medicare Advantage |
$174.89
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
| Rate for Payer: UMR Bronson Commercial |
$545.10
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$234.35
|
| Rate for Payer: Aetna Medicare |
$181.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.84
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$174.89
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$251.84
|
| Rate for Payer: Cofinity Commercial |
$234.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.63
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.87
|
| Rate for Payer: PACE SWMI |
$174.89
|
| Rate for Payer: PHP Commercial |
$244.85
|
| Rate for Payer: PHP Medicare Advantage |
$174.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.89
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.89
|
| Rate for Payer: UHC Medicare Advantage |
$174.89
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
| Rate for Payer: UMR Bronson Commercial |
$545.10
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
IP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$521.40 |
| Max. Negotiated Rate |
$1,066.50 |
| Rate for Payer: Aetna American Axle |
$770.25
|
| Rate for Payer: Aetna Commercial |
$1,007.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$770.25
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,019.10
|
| Rate for Payer: Cofinity Commercial |
$829.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$829.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Healthscope Commercial |
$1,066.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$829.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$888.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: PHP Commercial |
$1,007.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health SBD |
$746.55
|
| Rate for Payer: UMR Bronson Commercial |
$521.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$888.75
|
|
|
PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 91117
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$917.13 |
| Rate for Payer: Aetna Commercial |
$170.39
|
| Rate for Payer: Aetna Medicare |
$132.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.11
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$127.16
|
| Rate for Payer: BCBS Trust/PPO |
$917.13
|
| Rate for Payer: BCN Commercial |
$195.47
|
| Rate for Payer: BCN Medicare Advantage |
$127.16
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cofinity Commercial |
$170.39
|
| Rate for Payer: Cofinity Commercial |
$183.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.52
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Nomi Health Commercial |
$152.59
|
| Rate for Payer: PACE SWMI |
$127.16
|
| Rate for Payer: PHP Commercial |
$178.02
|
| Rate for Payer: PHP Medicare Advantage |
$127.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.84
|
| Rate for Payer: Priority Health Medicare |
$127.16
|
| Rate for Payer: Priority Health Narrow Network |
$181.84
|
| Rate for Payer: Priority Health SBD |
$181.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.16
|
| Rate for Payer: UHC Medicare Advantage |
$127.16
|
| Rate for Payer: UHCCP Medicaid |
$85.84
|
| Rate for Payer: UMR Bronson Commercial |
$211.60
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$559.81 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna American Axle |
$983.45
|
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.45
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,059.10
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,059.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health SBD |
$953.19
|
| Rate for Payer: UMR Bronson Commercial |
$559.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$665.72 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna American Axle |
$983.45
|
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.45
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,059.10
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,059.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health SBD |
$953.19
|
| Rate for Payer: UMR Bronson Commercial |
$665.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: UMR Bronson Commercial |
$695.98
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: UMR Bronson Commercial |
$695.98
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
IP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$577.72 |
| Max. Negotiated Rate |
$1,181.70 |
| Rate for Payer: Aetna American Axle |
$853.45
|
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.45
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Cofinity Commercial |
$919.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$919.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$919.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health SBD |
$827.19
|
| Rate for Payer: UMR Bronson Commercial |
$577.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.75
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.86
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$222.82
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: Priority Health SBD |
$414.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
| Rate for Payer: UMR Bronson Commercial |
$603.98
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
OP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$224.96 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$853.45
|
| Rate for Payer: Aetna Commercial |
$1,116.05
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$853.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$861.39
|
| Rate for Payer: BCN Commercial |
$861.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,129.18
|
| Rate for Payer: Cofinity Commercial |
$919.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$919.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,181.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$919.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$984.75
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,116.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$827.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.46
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$224.96
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$485.81
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$984.75
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$298.58
|
| Rate for Payer: Aetna Medicare |
$231.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.86
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS MAPPO |
$222.82
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: BCN Medicare Advantage |
$222.82
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$320.86
|
| Rate for Payer: Cofinity Commercial |
$298.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$222.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$233.96
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Nomi Health Commercial |
$267.38
|
| Rate for Payer: PACE SWMI |
$222.82
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: PHP Medicare Advantage |
$222.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Medicare |
$222.82
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: Priority Health SBD |
$414.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$222.82
|
| Rate for Payer: UHC Medicare Advantage |
$222.82
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
| Rate for Payer: UMR Bronson Commercial |
$603.98
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
IP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$357.28 |
| Max. Negotiated Rate |
$730.80 |
| Rate for Payer: Aetna American Axle |
$527.80
|
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.80
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$568.40
|
| Rate for Payer: Cofinity Commercial |
$698.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$568.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$649.60
|
| Rate for Payer: Healthscope Commercial |
$730.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$568.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$690.20
|
| Rate for Payer: PHP Commercial |
$690.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health SBD |
$511.56
|
| Rate for Payer: UMR Bronson Commercial |
$357.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.00
|
|
