|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
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 |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| 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 RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$126.52 |
| Max. Negotiated Rate |
$3,079.46 |
| Rate for Payer: Aetna Commercial |
$254.99
|
| Rate for Payer: Aetna Medicare |
$197.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$274.02
|
| Rate for Payer: BCBS Complete |
$132.85
|
| Rate for Payer: BCBS MAPPO |
$190.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.46
|
| Rate for Payer: BCN Commercial |
$568.82
|
| Rate for Payer: BCN Medicare Advantage |
$190.29
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$254.99
|
| Rate for Payer: Cofinity Commercial |
$274.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$190.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.80
|
| Rate for Payer: Meridian Medicaid |
$132.85
|
| Rate for Payer: Nomi Health Commercial |
$228.35
|
| Rate for Payer: PACE SWMI |
$190.29
|
| Rate for Payer: PHP Commercial |
$266.41
|
| Rate for Payer: PHP Medicare Advantage |
$190.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$352.59
|
| Rate for Payer: Priority Health Medicare |
$190.29
|
| Rate for Payer: Priority Health Narrow Network |
$352.59
|
| Rate for Payer: Priority Health SBD |
$352.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$190.29
|
| Rate for Payer: UHC Medicare Advantage |
$190.29
|
| Rate for Payer: UHCCP Medicaid |
$126.52
|
| Rate for Payer: UMR Bronson Commercial |
$630.66
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$4,654.32 |
| Rate for Payer: Aetna Commercial |
$231.30
|
| Rate for Payer: Aetna Medicare |
$179.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.56
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS MAPPO |
$172.61
|
| Rate for Payer: BCBS Trust/PPO |
$4,654.32
|
| Rate for Payer: BCN Commercial |
$817.56
|
| Rate for Payer: BCN Medicare Advantage |
$172.61
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cofinity Commercial |
$231.30
|
| Rate for Payer: Cofinity Commercial |
$248.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.24
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Nomi Health Commercial |
$207.13
|
| Rate for Payer: PACE SWMI |
$172.61
|
| Rate for Payer: PHP Commercial |
$241.65
|
| Rate for Payer: PHP Medicare Advantage |
$172.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.77
|
| Rate for Payer: Priority Health Medicare |
$172.61
|
| Rate for Payer: Priority Health Narrow Network |
$322.77
|
| Rate for Payer: Priority Health SBD |
$322.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.61
|
| Rate for Payer: UHC Medicare Advantage |
$172.61
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
| Rate for Payer: UMR Bronson Commercial |
$483.46
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.06
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Commercial |
$227.56
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: Priority Health SBD |
$302.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
| Rate for Payer: UMR Bronson Commercial |
$538.20
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$514.80 |
| Max. Negotiated Rate |
$1,053.00 |
| Rate for Payer: Aetna American Axle |
$760.50
|
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.50
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Cofinity Commercial |
$819.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$819.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$819.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$877.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$994.50
|
| Rate for Payer: PHP Commercial |
$994.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health SBD |
$737.10
|
| Rate for Payer: UMR Bronson Commercial |
$514.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$877.50
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,170.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$163.47 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$760.50
|
| Rate for Payer: Aetna Commercial |
$994.50
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.50
|
| 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 |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$1,006.20
|
| Rate for Payer: Cofinity Commercial |
$819.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$819.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$936.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,053.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$819.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$877.50
|
| 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 |
$994.50
|
| 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 |
$994.50
|
| 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 |
$760.50
|
| 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 |
$737.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.82
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$163.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$432.90
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$877.50
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$217.80
|
| Rate for Payer: Aetna Medicare |
$169.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.06
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$162.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$162.54
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$234.06
|
| Rate for Payer: Cofinity Commercial |
$217.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.67
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Nomi Health Commercial |
$195.05
|
| Rate for Payer: PACE SWMI |
$162.54
|
| Rate for Payer: PHP Commercial |
$227.56
|
| Rate for Payer: PHP Medicare Advantage |
$162.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$302.48
|
| Rate for Payer: Priority Health Medicare |
$162.54
|
| Rate for Payer: Priority Health Narrow Network |
$302.48
|
| Rate for Payer: Priority Health SBD |
$302.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.54
|
| Rate for Payer: UHC Medicare Advantage |
$162.54
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
| Rate for Payer: UMR Bronson Commercial |
$538.20
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 44403
|
| Min. Negotiated Rate |
$190.85 |
| Max. Negotiated Rate |
$682.50 |
| Rate for Payer: Aetna Commercial |
$382.29
|
| Rate for Payer: Aetna Medicare |
$296.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$382.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.82
|
| Rate for Payer: BCBS Complete |
$200.39
|
| Rate for Payer: BCBS MAPPO |
$285.29
|
| Rate for Payer: BCN Commercial |
$435.90
|
| Rate for Payer: BCN Medicare Advantage |
$285.29
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cofinity Commercial |
$382.29
|
| Rate for Payer: Cofinity Commercial |
$410.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$299.55
|
| Rate for Payer: Meridian Medicaid |
$200.39
|
| Rate for Payer: Nomi Health Commercial |
$342.35
|
| Rate for Payer: PACE SWMI |
$285.29
|
| Rate for Payer: PHP Commercial |
$399.41
|
| Rate for Payer: PHP Medicare Advantage |
$285.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$190.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$534.56
|
| Rate for Payer: Priority Health Medicare |
$285.29
|
| Rate for Payer: Priority Health Narrow Network |
$534.56
|
| Rate for Payer: Priority Health SBD |
$534.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.29
|
| Rate for Payer: UHC Medicare Advantage |
$285.29
|
| Rate for Payer: UHCCP Medicaid |
$190.85
|
| Rate for Payer: UMR Bronson Commercial |
$483.00
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$164.22 |
| Max. Negotiated Rate |
$4,432.97 |
| Rate for Payer: Aetna Commercial |
$328.82
|
| Rate for Payer: Aetna Medicare |
$255.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$328.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.36
|
| Rate for Payer: BCBS Complete |
$172.43
|
| Rate for Payer: BCBS MAPPO |
$245.39
|
| Rate for Payer: BCBS Trust/PPO |
$4,432.97
|
| Rate for Payer: BCN Commercial |
$374.82
|
| Rate for Payer: BCN Medicare Advantage |
$245.39
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cofinity Commercial |
$328.82
|
| Rate for Payer: Cofinity Commercial |
$353.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.66
|
| Rate for Payer: Meridian Medicaid |
$172.43
|
| Rate for Payer: Nomi Health Commercial |
$294.47
|
| Rate for Payer: PACE SWMI |
$245.39
|
| Rate for Payer: PHP Commercial |
$343.55
|
| Rate for Payer: PHP Medicare Advantage |
$245.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$358.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$459.37
|
| Rate for Payer: Priority Health Medicare |
$245.39
|
| Rate for Payer: Priority Health Narrow Network |
$459.37
|
| Rate for Payer: Priority Health SBD |
$459.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.39
|
| Rate for Payer: UHC Medicare Advantage |
$245.39
|
| Rate for Payer: UHCCP Medicaid |
$164.22
|
| Rate for Payer: UMR Bronson Commercial |
$253.92
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$132.91 |
| Max. Negotiated Rate |
$3,813.27 |
| Rate for Payer: Aetna Commercial |
$266.16
|
| Rate for Payer: Aetna Medicare |
$206.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.03
|
| Rate for Payer: BCBS Complete |
$139.56
|
| Rate for Payer: BCBS MAPPO |
$198.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,813.27
|
| Rate for Payer: BCN Commercial |
$593.26
|
| Rate for Payer: BCN Medicare Advantage |
$198.63
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$266.16
|
| Rate for Payer: Cofinity Commercial |
$286.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.56
|
| Rate for Payer: Meridian Medicaid |
$139.56
|
| Rate for Payer: Nomi Health Commercial |
$238.36
|
| Rate for Payer: PACE SWMI |
$198.63
|
| Rate for Payer: PHP Commercial |
$278.08
|
| Rate for Payer: PHP Medicare Advantage |
$198.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$760.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$369.88
|
| Rate for Payer: Priority Health Medicare |
$198.63
|
| Rate for Payer: Priority Health Narrow Network |
$369.88
|
| Rate for Payer: Priority Health SBD |
$369.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.63
|
| Rate for Payer: UHC Medicare Advantage |
$198.63
|
| Rate for Payer: UHCCP Medicaid |
$132.91
|
| Rate for Payer: UMR Bronson Commercial |
$538.20
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$214.75 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$891.15
|
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| 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 |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$959.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| 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 |
$1,165.35
|
| 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 |
$1,165.35
|
| 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 |
$891.15
|
| 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 |
$863.73
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.22
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$214.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$507.27
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Hospital Charge Code |
44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.06
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Commercial |
$297.82
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: Priority Health SBD |
$396.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
| Rate for Payer: UMR Bronson Commercial |
$630.66
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$142.07 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$285.06
|
| Rate for Payer: Aetna Medicare |
$221.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.33
|
| Rate for Payer: BCBS Complete |
$149.17
|
| Rate for Payer: BCBS MAPPO |
$212.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: BCN Medicare Advantage |
$212.73
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$285.06
|
| Rate for Payer: Cofinity Commercial |
$306.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.37
|
| Rate for Payer: Meridian Medicaid |
$149.17
|
| Rate for Payer: Nomi Health Commercial |
$255.28
|
| Rate for Payer: PACE SWMI |
$212.73
|
| Rate for Payer: PHP Commercial |
$297.82
|
| Rate for Payer: PHP Medicare Advantage |
$212.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$212.73
|
| Rate for Payer: Priority Health Narrow Network |
$396.73
|
| Rate for Payer: Priority Health SBD |
$396.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.73
|
| Rate for Payer: UHC Medicare Advantage |
$212.73
|
| Rate for Payer: UHCCP Medicaid |
$142.07
|
| Rate for Payer: UMR Bronson Commercial |
$630.66
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
44394
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$603.24 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna American Axle |
$891.15
|
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$959.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health SBD |
$863.73
|
| Rate for Payer: UMR Bronson Commercial |
$603.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: UMR Bronson Commercial |
$630.66
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
OP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$507.27 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna American Axle |
$891.15
|
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$959.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health SBD |
$863.73
|
| Rate for Payer: UMR Bronson Commercial |
$507.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$548.40 |
| Max. Negotiated Rate |
$891.15 |
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$548.40
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: UMR Bronson Commercial |
$630.66
|
|
|
PR COLONOSCOPY THRU STOMA,LESION REMOVAL
|
Facility
|
IP
|
$1,371.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
44393
|
| Min. Negotiated Rate |
$603.24 |
| Max. Negotiated Rate |
$1,233.90 |
| Rate for Payer: Aetna American Axle |
$891.15
|
| Rate for Payer: Aetna Commercial |
$1,165.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$891.15
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,179.06
|
| Rate for Payer: Cofinity Commercial |
$959.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$959.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,096.80
|
| Rate for Payer: Healthscope Commercial |
$1,233.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$959.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,028.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,165.35
|
| Rate for Payer: PHP Commercial |
$1,165.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.15
|
| Rate for Payer: Priority Health SBD |
$863.73
|
| Rate for Payer: UMR Bronson Commercial |
$603.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,028.25
|
|
|
PR COLONOSCOPY,TRANSENDOSCOPIC STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS 45387
|
| Min. Negotiated Rate |
$640.80 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Medicare |
$801.00
|
| Rate for Payer: BCBS Complete |
$640.80
|
| Rate for Payer: Cash Price |
$1,281.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,041.30
|
| Rate for Payer: UMR Bronson Commercial |
$736.92
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$495.00 |
| Max. Negotiated Rate |
$1,012.50 |
| Rate for Payer: Aetna American Axle |
$731.25
|
| Rate for Payer: Aetna Commercial |
$956.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$731.25
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$787.50
|
| Rate for Payer: Cofinity Commercial |
$967.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$787.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Healthscope Commercial |
$1,012.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$787.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$843.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$956.25
|
| Rate for Payer: PHP Commercial |
$956.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health SBD |
$708.75
|
| Rate for Payer: UMR Bronson Commercial |
$495.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$843.75
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Hospital Charge Code |
45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.40
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| 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: Meridian Medicaid |
$133.30
|
| 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 Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.18
|
| Rate for Payer: Priority Health Medicare |
$189.86
|
| Rate for Payer: Priority Health Narrow Network |
$353.18
|
| Rate for Payer: Priority Health SBD |
$353.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
| Rate for Payer: UMR Bronson Commercial |
$517.50
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,125.00
|
|
|
Service Code
|
HCPCS 45380
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$731.25 |
| Rate for Payer: Aetna Commercial |
$254.41
|
| Rate for Payer: Aetna Medicare |
$197.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.40
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$189.86
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$637.23
|
| Rate for Payer: BCN Medicare Advantage |
$189.86
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| 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: Meridian Medicaid |
$133.30
|
| 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 Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.18
|
| Rate for Payer: Priority Health Medicare |
$189.86
|
| Rate for Payer: Priority Health Narrow Network |
$353.18
|
| Rate for Payer: Priority Health SBD |
$353.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.86
|
| Rate for Payer: UHC Medicare Advantage |
$189.86
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
| Rate for Payer: UMR Bronson Commercial |
$517.50
|
|
|
PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,125.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
45380
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$190.74 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$731.25
|
| Rate for Payer: Aetna Commercial |
$956.25
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$731.25
|
| 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 |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cash Price |
$900.00
|
| Rate for Payer: Cofinity Commercial |
$787.50
|
| Rate for Payer: Cofinity Commercial |
$967.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$787.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$900.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,012.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$787.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$843.75
|
| 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 |
$956.25
|
| 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 |
$956.25
|
| 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 |
$731.25
|
| 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 |
$708.75
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.81
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$190.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$416.25
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$843.75
|
|
|
PR COLONOSCOPY W/STENT
|
Professional
|
Both
|
$1,602.00
|
|
|
Service Code
|
HCPCS G6025
|
| Min. Negotiated Rate |
$640.80 |
| Max. Negotiated Rate |
$1,041.30 |
| Rate for Payer: Aetna Medicare |
$801.00
|
| Rate for Payer: BCBS Complete |
$640.80
|
| Rate for Payer: Cash Price |
$1,281.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,041.30
|
| Rate for Payer: UMR Bronson Commercial |
$736.92
|
|
|
PR COLORECTAL SCRN; HI RISK IND
|
Facility
|
IP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0105
|
| Hospital Charge Code |
G0105
|
|
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
|
|
