|
PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB
|
Professional
|
Both
|
$126.00
|
|
|
Service Code
|
HCPCS 95938
|
| Min. Negotiated Rate |
$57.96 |
| Max. Negotiated Rate |
$556.24 |
| Rate for Payer: Aetna Commercial |
$493.68
|
| Rate for Payer: Aetna Medicare |
$383.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$493.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.52
|
| Rate for Payer: BCBS MAPPO |
$368.42
|
| Rate for Payer: BCN Commercial |
$556.24
|
| Rate for Payer: BCN Medicare Advantage |
$368.42
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cofinity Commercial |
$530.52
|
| Rate for Payer: Cofinity Commercial |
$493.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$405.26
|
| Rate for Payer: Nomi Health Commercial |
$442.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.50
|
| Rate for Payer: PACE SWMI |
$368.42
|
| Rate for Payer: PHP Commercial |
$515.79
|
| Rate for Payer: PHP Medicare Advantage |
$368.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$512.98
|
| Rate for Payer: Priority Health Medicare |
$368.42
|
| Rate for Payer: Priority Health SBD |
$512.98
|
| Rate for Payer: Priority Health Tiered Network |
$512.98
|
| Rate for Payer: Railroad Medicare Medicare |
$368.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$530.01
|
| Rate for Payer: UHC Core |
$530.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$368.42
|
| Rate for Payer: UHC Exchange |
$530.01
|
| Rate for Payer: UMR Bronson Commercial |
$57.96
|
|
|
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$191.00
|
|
|
Service Code
|
HCPCS 11311
|
| Min. Negotiated Rate |
$32.38 |
| Max. Negotiated Rate |
$143.25 |
| Rate for Payer: Aetna Commercial |
$67.35
|
| Rate for Payer: Aetna Medicare |
$52.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.37
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$50.26
|
| Rate for Payer: BCN Commercial |
$73.83
|
| Rate for Payer: BCN Medicare Advantage |
$50.26
|
| Rate for Payer: Cash Price |
$152.80
|
| Rate for Payer: Cash Price |
$152.80
|
| Rate for Payer: Cofinity Commercial |
$67.35
|
| Rate for Payer: Cofinity Commercial |
$72.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.77
|
| Rate for Payer: Meridian Medicaid |
$34.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$55.29
|
| Rate for Payer: Nomi Health Commercial |
$60.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.25
|
| Rate for Payer: PACE SWMI |
$50.26
|
| Rate for Payer: PHP Commercial |
$70.36
|
| Rate for Payer: PHP Medicare Advantage |
$50.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$85.68
|
| Rate for Payer: Priority Health Medicare |
$50.26
|
| Rate for Payer: Priority Health SBD |
$85.68
|
| Rate for Payer: Priority Health Tiered Network |
$85.68
|
| Rate for Payer: Railroad Medicare Medicare |
$50.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.60
|
| Rate for Payer: UHC Core |
$111.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50.26
|
| Rate for Payer: UHC Exchange |
$111.60
|
| Rate for Payer: UHC Medicaid |
$32.38
|
| Rate for Payer: UHCCP Medicaid |
$32.38
|
| Rate for Payer: UMR Bronson Commercial |
$87.86
|
|
|
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$274.00
|
|
|
Service Code
|
HCPCS 11312
|
| Min. Negotiated Rate |
$38.55 |
| Max. Negotiated Rate |
$205.50 |
| Rate for Payer: Aetna Commercial |
$80.16
|
| Rate for Payer: Aetna Medicare |
$62.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.14
|
| Rate for Payer: BCBS Complete |
$40.48
|
| Rate for Payer: BCBS MAPPO |
$59.82
|
| Rate for Payer: BCN Commercial |
$87.57
|
| Rate for Payer: BCN Medicare Advantage |
$59.82
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cofinity Commercial |
$80.16
|
| Rate for Payer: Cofinity Commercial |
$86.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.81
|
| Rate for Payer: Meridian Medicaid |
$40.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.80
|
| Rate for Payer: Nomi Health Commercial |
$71.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$205.50
|
| Rate for Payer: PACE SWMI |
$59.82
|
| Rate for Payer: PHP Commercial |
$83.75
|
| Rate for Payer: PHP Medicare Advantage |
$59.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$101.64
|
| Rate for Payer: Priority Health Medicare |
$59.82
|
| Rate for Payer: Priority Health SBD |
$101.64
|
| Rate for Payer: Priority Health Tiered Network |
$101.64
|
| Rate for Payer: Railroad Medicare Medicare |
$59.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.31
|
| Rate for Payer: UHC Core |
$132.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.82
|
| Rate for Payer: UHC Exchange |
$132.31
|
| Rate for Payer: UHC Medicaid |
$38.55
|
| Rate for Payer: UHCCP Medicaid |
$38.55
|
| Rate for Payer: UMR Bronson Commercial |
$126.04
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 11301
|
| Min. Negotiated Rate |
$26.63 |
| Max. Negotiated Rate |
$153.00 |
| Rate for Payer: Aetna Commercial |
$55.27
|
| Rate for Payer: Aetna Medicare |
$42.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.40
|
| Rate for Payer: BCBS Complete |
$27.96
|
| Rate for Payer: BCBS MAPPO |
$41.25
|
| Rate for Payer: BCN Commercial |
$60.48
|
| Rate for Payer: BCN Medicare Advantage |
$41.25
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$55.27
|
| Rate for Payer: Cofinity Commercial |
$59.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.31
|
| Rate for Payer: Meridian Medicaid |
$27.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$49.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.00
|
| Rate for Payer: PACE SWMI |
$41.25
|
| Rate for Payer: PHP Commercial |
$57.75
|
| Rate for Payer: PHP Medicare Advantage |
$41.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.19
|
| Rate for Payer: Priority Health Medicare |
$41.25
|
| Rate for Payer: Priority Health SBD |
$70.19
|
| Rate for Payer: Priority Health Tiered Network |
$70.19
|
| Rate for Payer: Railroad Medicare Medicare |
$41.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.47
|
| Rate for Payer: UHC Core |
$91.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.25
|
| Rate for Payer: UHC Exchange |
$91.47
|
| Rate for Payer: UHC Medicaid |
$26.63
|
| Rate for Payer: UHCCP Medicaid |
$26.63
|
| Rate for Payer: UMR Bronson Commercial |
$93.84
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Facility
|
OP
|
$204.00
|
|
|
Service Code
|
CPT 11301
|
| Hospital Charge Code |
11301
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$75.48 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna American Axle |
$132.60
|
| Rate for Payer: Aetna Commercial |
$173.40
|
| Rate for Payer: Aetna Medicare |
$207.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$166.57
|
| Rate for Payer: BCN Commercial |
$166.57
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Advantage |
$142.80
|
| Rate for Payer: Cofinity Commercial |
$175.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$142.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.00
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$209.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.40
|
| Rate for Payer: Nomi Health Commercial |
$599.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.00
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$173.40
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$646.50
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health SBD |
$128.52
|
| Rate for Payer: Priority Health Tiered Network |
$517.20
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: UMR Bronson Commercial |
$75.48
|
| Rate for Payer: VA VA |
$199.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.00
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 11301
|
| Hospital Charge Code |
11301
|
| Min. Negotiated Rate |
$26.63 |
| Max. Negotiated Rate |
$153.00 |
| Rate for Payer: Aetna Commercial |
$55.27
|
| Rate for Payer: Aetna Medicare |
$42.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.40
|
| Rate for Payer: BCBS Complete |
$27.96
|
| Rate for Payer: BCBS MAPPO |
$41.25
|
| Rate for Payer: BCN Commercial |
$60.48
|
| Rate for Payer: BCN Medicare Advantage |
$41.25
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$55.27
|
| Rate for Payer: Cofinity Commercial |
$59.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.31
|
| Rate for Payer: Meridian Medicaid |
$27.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.38
|
| Rate for Payer: Nomi Health Commercial |
$49.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.00
|
| Rate for Payer: PACE SWMI |
$41.25
|
| Rate for Payer: PHP Commercial |
$57.75
|
| Rate for Payer: PHP Medicare Advantage |
$41.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.19
|
| Rate for Payer: Priority Health Medicare |
$41.25
|
| Rate for Payer: Priority Health SBD |
$70.19
|
| Rate for Payer: Priority Health Tiered Network |
$70.19
|
| Rate for Payer: Railroad Medicare Medicare |
$41.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.47
|
| Rate for Payer: UHC Core |
$91.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.25
|
| Rate for Payer: UHC Exchange |
$91.47
|
| Rate for Payer: UHC Medicaid |
$26.63
|
| Rate for Payer: UHCCP Medicaid |
$26.63
|
| Rate for Payer: UMR Bronson Commercial |
$93.84
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
|
Facility
|
IP
|
$204.00
|
|
|
Service Code
|
CPT 11301
|
| Hospital Charge Code |
11301
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$89.76 |
| Max. Negotiated Rate |
$183.60 |
| Rate for Payer: Aetna American Axle |
$132.60
|
| Rate for Payer: Aetna Commercial |
$173.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.60
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Advantage |
$142.80
|
| Rate for Payer: Cofinity Commercial |
$175.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.20
|
| Rate for Payer: Healthscope Commercial |
$183.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$142.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.00
|
| Rate for Payer: PHP Commercial |
$173.40
|
| Rate for Payer: Priority Health SBD |
$128.52
|
| Rate for Payer: UMR Bronson Commercial |
$89.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.00
|
|
|
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
|
Professional
|
Both
|
$265.00
|
|
|
Service Code
|
HCPCS 11303
|
| Min. Negotiated Rate |
$36.85 |
| Max. Negotiated Rate |
$198.75 |
| Rate for Payer: Aetna Commercial |
$76.70
|
| Rate for Payer: Aetna Medicare |
$59.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.43
|
| Rate for Payer: BCBS Complete |
$38.69
|
| Rate for Payer: BCBS MAPPO |
$57.24
|
| Rate for Payer: BCN Commercial |
$84.04
|
| Rate for Payer: BCN Medicare Advantage |
$57.24
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cofinity Commercial |
$76.70
|
| Rate for Payer: Cofinity Commercial |
$82.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.10
|
| Rate for Payer: Meridian Medicaid |
$38.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.96
|
| Rate for Payer: Nomi Health Commercial |
$68.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.75
|
| Rate for Payer: PACE SWMI |
$57.24
|
| Rate for Payer: PHP Commercial |
$80.14
|
| Rate for Payer: PHP Medicare Advantage |
$57.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$97.54
|
| Rate for Payer: Priority Health Medicare |
$57.24
|
| Rate for Payer: Priority Health SBD |
$97.54
|
| Rate for Payer: Priority Health Tiered Network |
$97.54
|
| Rate for Payer: Railroad Medicare Medicare |
$57.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.24
|
| Rate for Payer: UHC Core |
$126.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.24
|
| Rate for Payer: UHC Exchange |
$126.24
|
| Rate for Payer: UHC Medicaid |
$36.85
|
| Rate for Payer: UHCCP Medicaid |
$36.85
|
| Rate for Payer: UMR Bronson Commercial |
$121.90
|
|
|
PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$241.00
|
|
|
Service Code
|
HCPCS 11302
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$64.09
|
| Rate for Payer: Aetna Medicare |
$49.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.88
|
| Rate for Payer: BCBS Complete |
$32.43
|
| Rate for Payer: BCBS MAPPO |
$47.83
|
| Rate for Payer: BCN Commercial |
$70.29
|
| Rate for Payer: BCN Medicare Advantage |
$47.83
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cofinity Commercial |
$64.09
|
| Rate for Payer: Cofinity Commercial |
$68.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.22
|
| Rate for Payer: Meridian Medicaid |
$32.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.61
|
| Rate for Payer: Nomi Health Commercial |
$57.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.75
|
| Rate for Payer: PACE SWMI |
$47.83
|
| Rate for Payer: PHP Commercial |
$66.96
|
| Rate for Payer: PHP Medicare Advantage |
$47.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.58
|
| Rate for Payer: Priority Health Medicare |
$47.83
|
| Rate for Payer: Priority Health SBD |
$81.58
|
| Rate for Payer: Priority Health Tiered Network |
$81.58
|
| Rate for Payer: Railroad Medicare Medicare |
$47.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$107.31
|
| Rate for Payer: UHC Core |
$107.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$47.83
|
| Rate for Payer: UHC Exchange |
$107.31
|
| Rate for Payer: UHC Medicaid |
$30.89
|
| Rate for Payer: UHCCP Medicaid |
$30.89
|
| Rate for Payer: UMR Bronson Commercial |
$110.86
|
|
|
PR SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL
|
Professional
|
Both
|
$805.00
|
|
|
Service Code
|
HCPCS 42340
|
| Min. Negotiated Rate |
$197.03 |
| Max. Negotiated Rate |
$636.48 |
| Rate for Payer: Aetna Commercial |
$402.28
|
| Rate for Payer: Aetna Medicare |
$312.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$402.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.30
|
| Rate for Payer: BCBS Complete |
$206.88
|
| Rate for Payer: BCBS MAPPO |
$300.21
|
| Rate for Payer: BCN Commercial |
$522.38
|
| Rate for Payer: BCN Medicare Advantage |
$300.21
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cash Price |
$644.00
|
| Rate for Payer: Cofinity Commercial |
$402.28
|
| Rate for Payer: Cofinity Commercial |
$432.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$300.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$315.22
|
| Rate for Payer: Meridian Medicaid |
$206.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$330.23
|
| Rate for Payer: Nomi Health Commercial |
$360.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$603.75
|
| Rate for Payer: PACE SWMI |
$300.21
|
| Rate for Payer: PHP Commercial |
$420.29
|
| Rate for Payer: PHP Medicare Advantage |
$300.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$636.48
|
| Rate for Payer: Priority Health Medicare |
$300.21
|
| Rate for Payer: Priority Health SBD |
$636.48
|
| Rate for Payer: Priority Health Tiered Network |
$636.48
|
| Rate for Payer: Railroad Medicare Medicare |
$300.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.99
|
| Rate for Payer: UHC Core |
$582.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$300.21
|
| Rate for Payer: UHC Exchange |
$582.99
|
| Rate for Payer: UHC Medicaid |
$197.03
|
| Rate for Payer: UHCCP Medicaid |
$197.03
|
| Rate for Payer: UMR Bronson Commercial |
$370.30
|
|
|
PR SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL
|
Professional
|
Both
|
$1,052.00
|
|
|
Service Code
|
HCPCS 42335
|
| Min. Negotiated Rate |
$152.72 |
| Max. Negotiated Rate |
$789.00 |
| Rate for Payer: Aetna Commercial |
$310.56
|
| Rate for Payer: Aetna Medicare |
$241.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.73
|
| Rate for Payer: BCBS Complete |
$160.36
|
| Rate for Payer: BCBS MAPPO |
$231.76
|
| Rate for Payer: BCN Commercial |
$400.87
|
| Rate for Payer: BCN Medicare Advantage |
$231.76
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$310.56
|
| Rate for Payer: Cofinity Commercial |
$333.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.35
|
| Rate for Payer: Meridian Medicaid |
$160.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.94
|
| Rate for Payer: Nomi Health Commercial |
$278.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$789.00
|
| Rate for Payer: PACE SWMI |
$231.76
|
| Rate for Payer: PHP Commercial |
$324.46
|
| Rate for Payer: PHP Medicare Advantage |
$231.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$488.44
|
| Rate for Payer: Priority Health Medicare |
$231.76
|
| Rate for Payer: Priority Health SBD |
$488.44
|
| Rate for Payer: Priority Health Tiered Network |
$488.44
|
| Rate for Payer: Railroad Medicare Medicare |
$231.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$444.10
|
| Rate for Payer: UHC Core |
$444.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$231.76
|
| Rate for Payer: UHC Exchange |
$444.10
|
| Rate for Payer: UHC Medicaid |
$152.72
|
| Rate for Payer: UHCCP Medicaid |
$152.72
|
| Rate for Payer: UMR Bronson Commercial |
$483.92
|
|
|
PR SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL
|
Professional
|
Both
|
$432.00
|
|
|
Service Code
|
HCPCS 42330
|
| Min. Negotiated Rate |
$95.85 |
| Max. Negotiated Rate |
$324.00 |
| Rate for Payer: Aetna Commercial |
$195.64
|
| Rate for Payer: Aetna Medicare |
$151.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$210.24
|
| Rate for Payer: BCBS Complete |
$100.64
|
| Rate for Payer: BCBS MAPPO |
$146.00
|
| Rate for Payer: BCN Commercial |
$249.99
|
| Rate for Payer: BCN Medicare Advantage |
$146.00
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cofinity Commercial |
$195.64
|
| Rate for Payer: Cofinity Commercial |
$210.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.30
|
| Rate for Payer: Meridian Medicaid |
$100.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$160.60
|
| Rate for Payer: Nomi Health Commercial |
$175.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$324.00
|
| Rate for Payer: PACE SWMI |
$146.00
|
| Rate for Payer: PHP Commercial |
$204.40
|
| Rate for Payer: PHP Medicare Advantage |
$146.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$304.59
|
| Rate for Payer: Priority Health Medicare |
$146.00
|
| Rate for Payer: Priority Health SBD |
$304.59
|
| Rate for Payer: Priority Health Tiered Network |
$304.59
|
| Rate for Payer: Railroad Medicare Medicare |
$146.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.13
|
| Rate for Payer: UHC Core |
$283.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$146.00
|
| Rate for Payer: UHC Exchange |
$283.13
|
| Rate for Payer: UHC Medicaid |
$95.85
|
| Rate for Payer: UHCCP Medicaid |
$95.85
|
| Rate for Payer: UMR Bronson Commercial |
$198.72
|
|
|
PR SIGMOIDOSCOPY,ABLATE LESN
|
Professional
|
Both
|
$774.00
|
|
|
Service Code
|
HCPCS 45339
|
| Min. Negotiated Rate |
$309.60 |
| Max. Negotiated Rate |
$580.50 |
| Rate for Payer: Aetna Medicare |
$387.00
|
| Rate for Payer: BCBS Complete |
$309.60
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$580.50
|
| Rate for Payer: UMR Bronson Commercial |
$356.04
|
|
|
PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES
|
Professional
|
Both
|
$779.00
|
|
|
Service Code
|
HCPCS 45346
|
| Min. Negotiated Rate |
$91.38 |
| Max. Negotiated Rate |
$584.25 |
| Rate for Payer: Aetna Commercial |
$189.26
|
| Rate for Payer: Aetna Medicare |
$146.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.39
|
| Rate for Payer: BCBS Complete |
$95.95
|
| Rate for Payer: BCBS MAPPO |
$141.24
|
| Rate for Payer: BCN Commercial |
$236.55
|
| Rate for Payer: BCN Medicare Advantage |
$141.24
|
| Rate for Payer: Cash Price |
$623.20
|
| Rate for Payer: Cash Price |
$623.20
|
| Rate for Payer: Cofinity Commercial |
$203.39
|
| Rate for Payer: Cofinity Commercial |
$189.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.30
|
| Rate for Payer: Meridian Medicaid |
$95.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$155.36
|
| Rate for Payer: Nomi Health Commercial |
$169.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$584.25
|
| Rate for Payer: PACE SWMI |
$141.24
|
| Rate for Payer: PHP Commercial |
$197.74
|
| Rate for Payer: PHP Medicare Advantage |
$141.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$288.22
|
| Rate for Payer: Priority Health Medicare |
$141.24
|
| Rate for Payer: Priority Health SBD |
$288.22
|
| Rate for Payer: Priority Health Tiered Network |
$288.22
|
| Rate for Payer: Railroad Medicare Medicare |
$141.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.14
|
| Rate for Payer: UHC Core |
$282.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$141.24
|
| Rate for Payer: UHC Exchange |
$282.14
|
| Rate for Payer: UHC Medicaid |
$91.38
|
| Rate for Payer: UHCCP Medicaid |
$91.38
|
| Rate for Payer: UMR Bronson Commercial |
$358.34
|
|
|
PR SIGMOIDOSCOPY FLX CONTROL BLEEDING
|
Professional
|
Both
|
$687.00
|
|
|
Service Code
|
HCPCS 45334
|
| Min. Negotiated Rate |
$67.52 |
| Max. Negotiated Rate |
$515.25 |
| Rate for Payer: Aetna Commercial |
$139.25
|
| Rate for Payer: Aetna Medicare |
$108.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.64
|
| Rate for Payer: BCBS Complete |
$70.90
|
| Rate for Payer: BCBS MAPPO |
$103.92
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: BCN Medicare Advantage |
$103.92
|
| Rate for Payer: Cash Price |
$549.60
|
| Rate for Payer: Cash Price |
$549.60
|
| Rate for Payer: Cofinity Commercial |
$139.25
|
| Rate for Payer: Cofinity Commercial |
$149.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.12
|
| Rate for Payer: Meridian Medicaid |
$70.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$114.31
|
| Rate for Payer: Nomi Health Commercial |
$124.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$515.25
|
| Rate for Payer: PACE SWMI |
$103.92
|
| Rate for Payer: PHP Commercial |
$145.49
|
| Rate for Payer: PHP Medicare Advantage |
$103.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$211.76
|
| Rate for Payer: Priority Health Medicare |
$103.92
|
| Rate for Payer: Priority Health SBD |
$211.76
|
| Rate for Payer: Priority Health Tiered Network |
$211.76
|
| Rate for Payer: Railroad Medicare Medicare |
$103.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$206.10
|
| Rate for Payer: UHC Core |
$206.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$103.92
|
| Rate for Payer: UHC Exchange |
$206.10
|
| Rate for Payer: UHC Medicaid |
$67.52
|
| Rate for Payer: UHCCP Medicaid |
$67.52
|
| Rate for Payer: UMR Bronson Commercial |
$316.02
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
OP
|
$256.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$94.72 |
| Max. Negotiated Rate |
$2,996.60 |
| Rate for Payer: Aetna American Axle |
$166.40
|
| Rate for Payer: Aetna Commercial |
$217.60
|
| Rate for Payer: Aetna Medicare |
$963.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,158.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,158.26
|
| Rate for Payer: BCBS Complete |
$508.89
|
| Rate for Payer: BCBS MAPPO |
$926.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,126.06
|
| Rate for Payer: BCN Commercial |
$1,126.06
|
| Rate for Payer: BCN Medicare Advantage |
$926.61
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Advantage |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$926.61
|
| Rate for Payer: Healthscope Commercial |
$230.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$179.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.00
|
| Rate for Payer: Mclaren Medicaid |
$926.61
|
| Rate for Payer: Mclaren Medicare |
$926.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$972.94
|
| Rate for Payer: Meridian Medicaid |
$972.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,065.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,019.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.60
|
| Rate for Payer: Nomi Health Commercial |
$2,779.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PACE Medicare |
$880.28
|
| Rate for Payer: PACE SWMI |
$926.61
|
| Rate for Payer: PHP Commercial |
$217.60
|
| Rate for Payer: PHP Medicare Advantage |
$926.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,996.60
|
| Rate for Payer: Priority Health Medicare |
$926.61
|
| Rate for Payer: Priority Health SBD |
$161.28
|
| Rate for Payer: Priority Health Tiered Network |
$2,397.28
|
| Rate for Payer: Railroad Medicare Medicare |
$926.61
|
| Rate for Payer: UHC Medicaid |
$484.62
|
| Rate for Payer: UHCCP Medicaid |
$484.62
|
| Rate for Payer: UMR Bronson Commercial |
$94.72
|
| Rate for Payer: VA VA |
$926.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.00
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 45330
|
| Min. Negotiated Rate |
$34.29 |
| Max. Negotiated Rate |
$192.00 |
| Rate for Payer: Aetna Commercial |
$70.15
|
| Rate for Payer: Aetna Medicare |
$54.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.38
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCN Commercial |
$67.15
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$70.15
|
| Rate for Payer: Cofinity Commercial |
$75.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$36.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.59
|
| Rate for Payer: Nomi Health Commercial |
$62.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$73.29
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$103.75
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health SBD |
$103.75
|
| Rate for Payer: Priority Health Tiered Network |
$103.75
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.58
|
| Rate for Payer: UHC Core |
$97.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$52.35
|
| Rate for Payer: UHC Exchange |
$97.58
|
| Rate for Payer: UHC Medicaid |
$34.29
|
| Rate for Payer: UHCCP Medicaid |
$34.29
|
| Rate for Payer: UMR Bronson Commercial |
$117.76
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Facility
|
IP
|
$256.00
|
|
|
Service Code
|
CPT 45330
|
| Hospital Charge Code |
45330
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$112.64 |
| Max. Negotiated Rate |
$230.40 |
| Rate for Payer: Aetna American Axle |
$166.40
|
| Rate for Payer: Aetna Commercial |
$217.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.40
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Advantage |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.80
|
| Rate for Payer: Healthscope Commercial |
$230.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$179.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PHP Commercial |
$217.60
|
| Rate for Payer: Priority Health SBD |
$161.28
|
| Rate for Payer: UMR Bronson Commercial |
$112.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.00
|
|
|
PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 45330
|
| Hospital Charge Code |
45330
|
| Min. Negotiated Rate |
$34.29 |
| Max. Negotiated Rate |
$192.00 |
| Rate for Payer: Aetna Commercial |
$70.15
|
| Rate for Payer: Aetna Medicare |
$54.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.38
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$52.35
|
| Rate for Payer: BCN Commercial |
$67.15
|
| Rate for Payer: BCN Medicare Advantage |
$52.35
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$70.15
|
| Rate for Payer: Cofinity Commercial |
$75.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.97
|
| Rate for Payer: Meridian Medicaid |
$36.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$57.59
|
| Rate for Payer: Nomi Health Commercial |
$62.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PACE SWMI |
$52.35
|
| Rate for Payer: PHP Commercial |
$73.29
|
| Rate for Payer: PHP Medicare Advantage |
$52.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$103.75
|
| Rate for Payer: Priority Health Medicare |
$52.35
|
| Rate for Payer: Priority Health SBD |
$103.75
|
| Rate for Payer: Priority Health Tiered Network |
$103.75
|
| Rate for Payer: Railroad Medicare Medicare |
$52.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.58
|
| Rate for Payer: UHC Core |
$97.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$52.35
|
| Rate for Payer: UHC Exchange |
$97.58
|
| Rate for Payer: UHC Medicaid |
$34.29
|
| Rate for Payer: UHCCP Medicaid |
$34.29
|
| Rate for Payer: UMR Bronson Commercial |
$117.76
|
|
|
PR SIGMOIDOSCOPY FLX NDSC US XM
|
Professional
|
Both
|
$306.00
|
|
|
Service Code
|
HCPCS 45341
|
| Min. Negotiated Rate |
$71.14 |
| Max. Negotiated Rate |
$229.50 |
| Rate for Payer: Aetna Commercial |
$146.77
|
| Rate for Payer: Aetna Medicare |
$113.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.72
|
| Rate for Payer: BCBS Complete |
$74.70
|
| Rate for Payer: BCBS MAPPO |
$109.53
|
| Rate for Payer: BCN Commercial |
$183.26
|
| Rate for Payer: BCN Medicare Advantage |
$109.53
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cofinity Commercial |
$146.77
|
| Rate for Payer: Cofinity Commercial |
$157.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.01
|
| Rate for Payer: Meridian Medicaid |
$74.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.48
|
| Rate for Payer: Nomi Health Commercial |
$131.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.50
|
| Rate for Payer: PACE SWMI |
$109.53
|
| Rate for Payer: PHP Commercial |
$153.34
|
| Rate for Payer: PHP Medicare Advantage |
$109.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$223.30
|
| Rate for Payer: Priority Health Medicare |
$109.53
|
| Rate for Payer: Priority Health SBD |
$223.30
|
| Rate for Payer: Priority Health Tiered Network |
$223.30
|
| Rate for Payer: Railroad Medicare Medicare |
$109.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$217.71
|
| Rate for Payer: UHC Core |
$217.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$109.53
|
| Rate for Payer: UHC Exchange |
$217.71
|
| Rate for Payer: UHC Medicaid |
$71.14
|
| Rate for Payer: UHCCP Medicaid |
$71.14
|
| Rate for Payer: UMR Bronson Commercial |
$140.76
|
|
|
PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT
|
Professional
|
Both
|
$382.00
|
|
|
Service Code
|
HCPCS 45347
|
| Min. Negotiated Rate |
$87.12 |
| Max. Negotiated Rate |
$286.50 |
| Rate for Payer: Aetna Commercial |
$180.35
|
| Rate for Payer: Aetna Medicare |
$139.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.81
|
| Rate for Payer: BCBS Complete |
$91.48
|
| Rate for Payer: BCBS MAPPO |
$134.59
|
| Rate for Payer: BCN Commercial |
$227.08
|
| Rate for Payer: BCN Medicare Advantage |
$134.59
|
| Rate for Payer: Cash Price |
$305.60
|
| Rate for Payer: Cash Price |
$305.60
|
| Rate for Payer: Cofinity Commercial |
$180.35
|
| Rate for Payer: Cofinity Commercial |
$193.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.32
|
| Rate for Payer: Meridian Medicaid |
$91.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$148.05
|
| Rate for Payer: Nomi Health Commercial |
$161.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$286.50
|
| Rate for Payer: PACE SWMI |
$134.59
|
| Rate for Payer: PHP Commercial |
$188.43
|
| Rate for Payer: PHP Medicare Advantage |
$134.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$276.68
|
| Rate for Payer: Priority Health Medicare |
$134.59
|
| Rate for Payer: Priority Health SBD |
$276.68
|
| Rate for Payer: Priority Health Tiered Network |
$276.68
|
| Rate for Payer: Railroad Medicare Medicare |
$134.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.21
|
| Rate for Payer: UHC Core |
$271.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$134.59
|
| Rate for Payer: UHC Exchange |
$271.21
|
| Rate for Payer: UHC Medicaid |
$87.12
|
| Rate for Payer: UHCCP Medicaid |
$87.12
|
| Rate for Payer: UMR Bronson Commercial |
$175.72
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 45340
|
| Min. Negotiated Rate |
$46.22 |
| Max. Negotiated Rate |
$249.00 |
| Rate for Payer: Aetna Commercial |
$95.07
|
| Rate for Payer: Aetna Medicare |
$73.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.07
|
| Rate for Payer: BCBS Complete |
$48.53
|
| Rate for Payer: BCBS MAPPO |
$70.95
|
| Rate for Payer: BCN Commercial |
$115.53
|
| Rate for Payer: BCN Medicare Advantage |
$70.95
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$102.17
|
| Rate for Payer: Cofinity Commercial |
$95.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.50
|
| Rate for Payer: Meridian Medicaid |
$48.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.05
|
| Rate for Payer: Nomi Health Commercial |
$85.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: PACE SWMI |
$70.95
|
| Rate for Payer: PHP Commercial |
$99.33
|
| Rate for Payer: PHP Medicare Advantage |
$70.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$140.76
|
| Rate for Payer: Priority Health Medicare |
$70.95
|
| Rate for Payer: Priority Health SBD |
$140.76
|
| Rate for Payer: Priority Health Tiered Network |
$140.76
|
| Rate for Payer: Railroad Medicare Medicare |
$70.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$136.22
|
| Rate for Payer: UHC Core |
$136.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.95
|
| Rate for Payer: UHC Exchange |
$136.22
|
| Rate for Payer: UHC Medicaid |
$46.22
|
| Rate for Payer: UHCCP Medicaid |
$46.22
|
| Rate for Payer: UMR Bronson Commercial |
$152.72
|
|
|
PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX
|
Professional
|
Both
|
$831.00
|
|
|
Service Code
|
HCPCS 45342
|
| Min. Negotiated Rate |
$96.70 |
| Max. Negotiated Rate |
$623.25 |
| Rate for Payer: Aetna Commercial |
$200.33
|
| Rate for Payer: Aetna Medicare |
$155.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.28
|
| Rate for Payer: BCBS Complete |
$101.53
|
| Rate for Payer: BCBS MAPPO |
$149.50
|
| Rate for Payer: BCN Commercial |
$250.98
|
| Rate for Payer: BCN Medicare Advantage |
$149.50
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cofinity Commercial |
$200.33
|
| Rate for Payer: Cofinity Commercial |
$215.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.97
|
| Rate for Payer: Meridian Medicaid |
$101.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$164.45
|
| Rate for Payer: Nomi Health Commercial |
$179.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$623.25
|
| Rate for Payer: PACE SWMI |
$149.50
|
| Rate for Payer: PHP Commercial |
$209.30
|
| Rate for Payer: PHP Medicare Advantage |
$149.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$305.81
|
| Rate for Payer: Priority Health Medicare |
$149.50
|
| Rate for Payer: Priority Health SBD |
$305.81
|
| Rate for Payer: Priority Health Tiered Network |
$305.81
|
| Rate for Payer: Railroad Medicare Medicare |
$149.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$298.57
|
| Rate for Payer: UHC Core |
$298.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$149.50
|
| Rate for Payer: UHC Exchange |
$298.57
|
| Rate for Payer: UHC Medicaid |
$96.70
|
| Rate for Payer: UHCCP Medicaid |
$96.70
|
| Rate for Payer: UMR Bronson Commercial |
$382.26
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$353.00
|
|
|
Service Code
|
HCPCS 45331
|
| Hospital Charge Code |
45331
|
| Min. Negotiated Rate |
$42.60 |
| Max. Negotiated Rate |
$264.75 |
| Rate for Payer: Aetna Commercial |
$87.41
|
| Rate for Payer: Aetna Medicare |
$67.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.93
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS MAPPO |
$65.23
|
| Rate for Payer: BCN Commercial |
$108.06
|
| Rate for Payer: BCN Medicare Advantage |
$65.23
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cofinity Commercial |
$87.41
|
| Rate for Payer: Cofinity Commercial |
$93.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.49
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.75
|
| Rate for Payer: Nomi Health Commercial |
$78.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$264.75
|
| Rate for Payer: PACE SWMI |
$65.23
|
| Rate for Payer: PHP Commercial |
$91.32
|
| Rate for Payer: PHP Medicare Advantage |
$65.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$131.66
|
| Rate for Payer: Priority Health Medicare |
$65.23
|
| Rate for Payer: Priority Health SBD |
$131.66
|
| Rate for Payer: Priority Health Tiered Network |
$131.66
|
| Rate for Payer: Railroad Medicare Medicare |
$65.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.14
|
| Rate for Payer: UHC Core |
$125.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.23
|
| Rate for Payer: UHC Exchange |
$125.14
|
| Rate for Payer: UHC Medicaid |
$42.60
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
| Rate for Payer: UMR Bronson Commercial |
$162.38
|
|
|
PR SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$353.00
|
|
|
Service Code
|
HCPCS 45331
|
| Min. Negotiated Rate |
$42.60 |
| Max. Negotiated Rate |
$264.75 |
| Rate for Payer: Aetna Commercial |
$87.41
|
| Rate for Payer: Aetna Medicare |
$67.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.93
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS MAPPO |
$65.23
|
| Rate for Payer: BCN Commercial |
$108.06
|
| Rate for Payer: BCN Medicare Advantage |
$65.23
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cofinity Commercial |
$87.41
|
| Rate for Payer: Cofinity Commercial |
$93.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.49
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$71.75
|
| Rate for Payer: Nomi Health Commercial |
$78.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$264.75
|
| Rate for Payer: PACE SWMI |
$65.23
|
| Rate for Payer: PHP Commercial |
$91.32
|
| Rate for Payer: PHP Medicare Advantage |
$65.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$131.66
|
| Rate for Payer: Priority Health Medicare |
$65.23
|
| Rate for Payer: Priority Health SBD |
$131.66
|
| Rate for Payer: Priority Health Tiered Network |
$131.66
|
| Rate for Payer: Railroad Medicare Medicare |
$65.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.14
|
| Rate for Payer: UHC Core |
$125.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.23
|
| Rate for Payer: UHC Exchange |
$125.14
|
| Rate for Payer: UHC Medicaid |
$42.60
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
| Rate for Payer: UMR Bronson Commercial |
$162.38
|
|
