|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$527.80 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.58
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Commercial |
$332.09
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$237.21
|
| Rate for Payer: Priority Health Narrow Network |
$442.08
|
| Rate for Payer: Priority Health SBD |
$442.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
| Rate for Payer: UMR Bronson Commercial |
$373.52
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Professional
|
Both
|
$812.00
|
|
|
Service Code
|
HCPCS 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$158.05 |
| Max. Negotiated Rate |
$527.80 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.58
|
| Rate for Payer: BCBS Complete |
$165.95
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$360.65
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$165.95
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Commercial |
$332.09
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$442.08
|
| Rate for Payer: Priority Health Medicare |
$237.21
|
| Rate for Payer: Priority Health Narrow Network |
$442.08
|
| Rate for Payer: Priority Health SBD |
$442.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$158.05
|
| Rate for Payer: UMR Bronson Commercial |
$373.52
|
|
|
PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION
|
Facility
|
OP
|
$812.00
|
|
|
Service Code
|
CPT 45393
|
| Hospital Charge Code |
45393
|
| Min. Negotiated Rate |
$239.91 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$527.80
|
| Rate for Payer: Aetna Commercial |
$690.20
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$527.80
|
| 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 |
$861.75
|
| Rate for Payer: BCN Commercial |
$861.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$649.60
|
| Rate for Payer: Cash Price |
$649.60
|
| 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: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| 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: 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 |
$690.20
|
| 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 |
$690.20
|
| 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 |
$527.80
|
| 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 |
$511.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.90
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$239.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$300.44
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
OP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$257.37 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$1,029.60
|
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.60
|
| 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 |
$861.75
|
| Rate for Payer: BCN Commercial |
$861.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,108.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,108.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,188.00
|
| 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 |
$1,346.40
|
| 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 |
$1,346.40
|
| 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 |
$1,029.60
|
| 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 |
$997.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.11
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$257.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$586.08
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,188.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.96
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Commercial |
$356.76
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$254.83
|
| Rate for Payer: Priority Health Narrow Network |
$475.48
|
| Rate for Payer: Priority Health SBD |
$475.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
| Rate for Payer: UMR Bronson Commercial |
$728.64
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Facility
|
IP
|
$1,584.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$696.96 |
| Max. Negotiated Rate |
$1,425.60 |
| Rate for Payer: Aetna American Axle |
$1,029.60
|
| Rate for Payer: Aetna Commercial |
$1,346.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.60
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,362.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,108.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,267.20
|
| Rate for Payer: Healthscope Commercial |
$1,425.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,108.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,188.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,346.40
|
| Rate for Payer: PHP Commercial |
$1,346.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health SBD |
$997.92
|
| Rate for Payer: UMR Bronson Commercial |
$696.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,188.00
|
|
|
PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES
|
Professional
|
Both
|
$1,584.00
|
|
|
Service Code
|
HCPCS 45388
|
| Hospital Charge Code |
45388
|
| Min. Negotiated Rate |
$170.19 |
| Max. Negotiated Rate |
$3,627.94 |
| Rate for Payer: Aetna Commercial |
$341.47
|
| Rate for Payer: Aetna Medicare |
$265.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$366.96
|
| Rate for Payer: BCBS Complete |
$178.70
|
| Rate for Payer: BCBS MAPPO |
$254.83
|
| Rate for Payer: BCBS Trust/PPO |
$339.70
|
| Rate for Payer: BCN Commercial |
$3,627.94
|
| Rate for Payer: BCN Medicare Advantage |
$254.83
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cash Price |
$1,267.20
|
| Rate for Payer: Cofinity Commercial |
$366.96
|
| Rate for Payer: Cofinity Commercial |
$341.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$267.57
|
| Rate for Payer: Meridian Medicaid |
$178.70
|
| Rate for Payer: Nomi Health Commercial |
$305.80
|
| Rate for Payer: PACE SWMI |
$254.83
|
| Rate for Payer: PHP Commercial |
$356.76
|
| Rate for Payer: PHP Medicare Advantage |
$254.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,029.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.48
|
| Rate for Payer: Priority Health Medicare |
$254.83
|
| Rate for Payer: Priority Health Narrow Network |
$475.48
|
| Rate for Payer: Priority Health SBD |
$475.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.83
|
| Rate for Payer: UHC Medicare Advantage |
$254.83
|
| Rate for Payer: UHCCP Medicaid |
$170.19
|
| Rate for Payer: UMR Bronson Commercial |
$728.64
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.29
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Commercial |
$244.31
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.51
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
| Rate for Payer: UMR Bronson Commercial |
$470.12
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
IP
|
$1,022.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$449.68 |
| Max. Negotiated Rate |
$919.80 |
| Rate for Payer: Aetna American Axle |
$664.30
|
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$715.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$766.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health SBD |
$643.86
|
| Rate for Payer: UMR Bronson Commercial |
$449.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$766.50
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,022.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$175.68 |
| Max. Negotiated Rate |
$2,807.55 |
| Rate for Payer: Aetna American Axle |
$664.30
|
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| 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 |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$715.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$766.50
|
| 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 |
$868.70
|
| 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 |
$868.70
|
| 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 |
$664.30
|
| 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 |
$643.86
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.25
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$175.68
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: UMR Bronson Commercial |
$378.14
|
| Rate for Payer: VA VA |
$893.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$766.50
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$233.84
|
| Rate for Payer: Aetna Medicare |
$181.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$251.29
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS MAPPO |
$174.51
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$174.51
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$233.84
|
| Rate for Payer: Cofinity Commercial |
$251.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.24
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Nomi Health Commercial |
$209.41
|
| Rate for Payer: PACE SWMI |
$174.51
|
| Rate for Payer: PHP Commercial |
$244.31
|
| Rate for Payer: PHP Medicare Advantage |
$174.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Medicare |
$174.51
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: Priority Health SBD |
$325.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.51
|
| Rate for Payer: UHC Medicare Advantage |
$174.51
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
| Rate for Payer: UMR Bronson Commercial |
$470.12
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$418.33
|
| Rate for Payer: Aetna Medicare |
$324.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$418.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.55
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$312.19
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$312.19
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$418.33
|
| Rate for Payer: Cofinity Commercial |
$449.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.80
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Nomi Health Commercial |
$374.63
|
| Rate for Payer: PACE SWMI |
$312.19
|
| Rate for Payer: PHP Commercial |
$437.07
|
| Rate for Payer: PHP Medicare Advantage |
$312.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$584.06
|
| Rate for Payer: Priority Health Medicare |
$312.19
|
| Rate for Payer: Priority Health Narrow Network |
$584.06
|
| Rate for Payer: Priority Health SBD |
$584.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.19
|
| Rate for Payer: UHC Medicare Advantage |
$312.19
|
| Rate for Payer: UHCCP Medicaid |
$208.74
|
| Rate for Payer: UMR Bronson Commercial |
$470.12
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,022.00
|
|
|
Service Code
|
HCPCS 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$664.30 |
| Rate for Payer: Aetna Commercial |
$418.33
|
| Rate for Payer: Aetna Medicare |
$324.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$418.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$449.55
|
| Rate for Payer: BCBS Complete |
$219.18
|
| Rate for Payer: BCBS MAPPO |
$312.19
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$312.19
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$449.55
|
| Rate for Payer: Cofinity Commercial |
$418.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.80
|
| Rate for Payer: Meridian Medicaid |
$219.18
|
| Rate for Payer: Nomi Health Commercial |
$374.63
|
| Rate for Payer: PACE SWMI |
$312.19
|
| Rate for Payer: PHP Commercial |
$437.07
|
| Rate for Payer: PHP Medicare Advantage |
$312.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$584.06
|
| Rate for Payer: Priority Health Medicare |
$312.19
|
| Rate for Payer: Priority Health Narrow Network |
$584.06
|
| Rate for Payer: Priority Health SBD |
$584.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.19
|
| Rate for Payer: UHC Medicare Advantage |
$312.19
|
| Rate for Payer: UHCCP Medicaid |
$208.74
|
| Rate for Payer: UMR Bronson Commercial |
$470.12
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
OP
|
$1,022.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$315.81 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$664.30
|
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,682.40
|
| Rate for Payer: BCN Commercial |
$1,682.40
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$715.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$766.50
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$643.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$347.39
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$315.81
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$378.14
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$766.50
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Facility
|
IP
|
$1,022.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
45390
|
| Min. Negotiated Rate |
$449.68 |
| Max. Negotiated Rate |
$919.80 |
| Rate for Payer: Aetna American Axle |
$664.30
|
| Rate for Payer: Aetna Commercial |
$868.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$664.30
|
| Rate for Payer: Cash Price |
$817.60
|
| Rate for Payer: Cofinity Commercial |
$715.40
|
| Rate for Payer: Cofinity Commercial |
$878.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$715.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$817.60
|
| Rate for Payer: Healthscope Commercial |
$919.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$715.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$766.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$868.70
|
| Rate for Payer: PHP Commercial |
$868.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$664.30
|
| Rate for Payer: Priority Health SBD |
$643.86
|
| Rate for Payer: UMR Bronson Commercial |
$449.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$766.50
|
|
|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$880.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$181.90 |
| Max. Negotiated Rate |
$572.00 |
| Rate for Payer: Aetna Commercial |
$364.59
|
| Rate for Payer: Aetna Medicare |
$282.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.80
|
| Rate for Payer: BCBS Complete |
$191.00
|
| Rate for Payer: BCBS MAPPO |
$272.08
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$415.86
|
| Rate for Payer: BCN Medicare Advantage |
$272.08
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cofinity Commercial |
$364.59
|
| Rate for Payer: Cofinity Commercial |
$391.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.68
|
| Rate for Payer: Meridian Medicaid |
$191.00
|
| Rate for Payer: Nomi Health Commercial |
$326.50
|
| Rate for Payer: PACE SWMI |
$272.08
|
| Rate for Payer: PHP Commercial |
$380.91
|
| Rate for Payer: PHP Medicare Advantage |
$272.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.89
|
| Rate for Payer: Priority Health Medicare |
$272.08
|
| Rate for Payer: Priority Health Narrow Network |
$508.89
|
| Rate for Payer: Priority Health SBD |
$508.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.08
|
| Rate for Payer: UHC Medicare Advantage |
$272.08
|
| Rate for Payer: UHCCP Medicaid |
$181.90
|
| Rate for Payer: UMR Bronson Commercial |
$404.80
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,192.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$226.64 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$774.80
|
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.80
|
| 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 |
$861.75
|
| Rate for Payer: BCN Commercial |
$861.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| Rate for Payer: Cofinity Commercial |
$834.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$834.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$834.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$894.00
|
| 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 |
$1,013.20
|
| 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 |
$1,013.20
|
| 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 |
$774.80
|
| 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 |
$750.96
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.30
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$226.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$441.04
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$894.00
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 45379
|
| Hospital Charge Code |
45379
|
| Min. Negotiated Rate |
$150.17 |
| Max. Negotiated Rate |
$774.80 |
| Rate for Payer: Aetna Commercial |
$300.80
|
| Rate for Payer: Aetna Medicare |
$233.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$323.25
|
| Rate for Payer: BCBS Complete |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$224.48
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$224.48
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$323.25
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.70
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Nomi Health Commercial |
$269.38
|
| Rate for Payer: PACE SWMI |
$224.48
|
| Rate for Payer: PHP Commercial |
$314.27
|
| Rate for Payer: PHP Medicare Advantage |
$224.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$419.40
|
| Rate for Payer: Priority Health Medicare |
$224.48
|
| Rate for Payer: Priority Health Narrow Network |
$419.40
|
| Rate for Payer: Priority Health SBD |
$419.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.48
|
| Rate for Payer: UHC Medicare Advantage |
$224.48
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
| Rate for Payer: UMR Bronson Commercial |
$548.32
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
IP
|
$1,192.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$524.48 |
| Max. Negotiated Rate |
$1,072.80 |
| Rate for Payer: Aetna American Axle |
$774.80
|
| Rate for Payer: Aetna Commercial |
$1,013.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.80
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$1,025.12
|
| Rate for Payer: Cofinity Commercial |
$834.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$834.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$953.60
|
| Rate for Payer: Healthscope Commercial |
$1,072.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$834.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$894.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,013.20
|
| Rate for Payer: PHP Commercial |
$1,013.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health SBD |
$750.96
|
| Rate for Payer: UMR Bronson Commercial |
$524.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$894.00
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 45379
|
| Min. Negotiated Rate |
$150.17 |
| Max. Negotiated Rate |
$774.80 |
| Rate for Payer: Aetna Commercial |
$300.80
|
| Rate for Payer: Aetna Medicare |
$233.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$323.25
|
| Rate for Payer: BCBS Complete |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$224.48
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$224.48
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$300.80
|
| Rate for Payer: Cofinity Commercial |
$323.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.70
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Nomi Health Commercial |
$269.38
|
| Rate for Payer: PACE SWMI |
$224.48
|
| Rate for Payer: PHP Commercial |
$314.27
|
| Rate for Payer: PHP Medicare Advantage |
$224.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$419.40
|
| Rate for Payer: Priority Health Medicare |
$224.48
|
| Rate for Payer: Priority Health Narrow Network |
$419.40
|
| Rate for Payer: Priority Health SBD |
$419.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.48
|
| Rate for Payer: UHC Medicare Advantage |
$224.48
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
| Rate for Payer: UMR Bronson Commercial |
$548.32
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,217.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$3,510.17 |
| Rate for Payer: Aetna Commercial |
$304.86
|
| Rate for Payer: Aetna Medicare |
$236.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$304.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$327.61
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$227.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,324.06
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$227.51
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cash Price |
$973.60
|
| Rate for Payer: Cofinity Commercial |
$304.86
|
| Rate for Payer: Cofinity Commercial |
$327.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.89
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Nomi Health Commercial |
$273.01
|
| Rate for Payer: PACE SWMI |
$227.51
|
| Rate for Payer: PHP Commercial |
$318.51
|
| Rate for Payer: PHP Medicare Advantage |
$227.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$425.96
|
| Rate for Payer: Priority Health Medicare |
$227.51
|
| Rate for Payer: Priority Health Narrow Network |
$425.96
|
| Rate for Payer: Priority Health SBD |
$425.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.51
|
| Rate for Payer: UHC Medicare Advantage |
$227.51
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
| Rate for Payer: UMR Bronson Commercial |
$559.82
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,604.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$144.84 |
| Max. Negotiated Rate |
$3,239.54 |
| Rate for Payer: Aetna Commercial |
$290.19
|
| Rate for Payer: Aetna Medicare |
$225.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.85
|
| Rate for Payer: BCBS Complete |
$152.08
|
| Rate for Payer: BCBS MAPPO |
$216.56
|
| Rate for Payer: BCBS Trust/PPO |
$3,239.54
|
| Rate for Payer: BCN Commercial |
$941.68
|
| Rate for Payer: BCN Medicare Advantage |
$216.56
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cash Price |
$1,283.20
|
| Rate for Payer: Cofinity Commercial |
$290.19
|
| Rate for Payer: Cofinity Commercial |
$311.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.39
|
| Rate for Payer: Meridian Medicaid |
$152.08
|
| Rate for Payer: Nomi Health Commercial |
$259.87
|
| Rate for Payer: PACE SWMI |
$216.56
|
| Rate for Payer: PHP Commercial |
$303.18
|
| Rate for Payer: PHP Medicare Advantage |
$216.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,042.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$405.69
|
| Rate for Payer: Priority Health Medicare |
$216.56
|
| Rate for Payer: Priority Health Narrow Network |
$405.69
|
| Rate for Payer: Priority Health SBD |
$405.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.56
|
| Rate for Payer: UHC Medicare Advantage |
$216.56
|
| Rate for Payer: UHCCP Medicaid |
$144.84
|
| Rate for Payer: UMR Bronson Commercial |
$737.84
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$443.96 |
| Max. Negotiated Rate |
$908.10 |
| Rate for Payer: Aetna American Axle |
$655.85
|
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.85
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$706.30
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$706.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$706.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$756.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$857.65
|
| Rate for Payer: PHP Commercial |
$857.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health SBD |
$635.67
|
| Rate for Payer: UMR Bronson Commercial |
$443.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$756.75
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.71
|
| Rate for Payer: BCBS Complete |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Commercial |
$207.77
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.63
|
| Rate for Payer: Priority Health Medicare |
$148.41
|
| Rate for Payer: Priority Health Narrow Network |
$275.63
|
| Rate for Payer: Priority Health SBD |
$275.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
| Rate for Payer: UHCCP Medicaid |
$49.63
|
| Rate for Payer: UMR Bronson Commercial |
$464.14
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$1,009.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$149.26 |
| Max. Negotiated Rate |
$2,807.55 |
| Rate for Payer: Aetna American Axle |
$655.85
|
| Rate for Payer: Aetna Commercial |
$857.65
|
| Rate for Payer: Aetna Medicare |
$929.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.85
|
| 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 |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$706.30
|
| Rate for Payer: Cofinity Commercial |
$867.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$706.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$807.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$908.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$706.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$756.75
|
| 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 |
$857.65
|
| 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 |
$857.65
|
| 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 |
$655.85
|
| 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 |
$635.67
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.19
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$149.26
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: UMR Bronson Commercial |
$373.33
|
| Rate for Payer: VA VA |
$893.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$756.75
|
|
