|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
OP
|
$1,002.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$444.38 |
| Max. Negotiated Rate |
$1,015.50 |
| Rate for Payer: Aetna Commercial |
$901.80
|
| Rate for Payer: Aetna Medicare |
$812.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: ASR ASR |
$971.94
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$776.85
|
| Rate for Payer: BCN Commercial |
$776.85
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$941.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Healthscope Commercial |
$1,002.00
|
| Rate for Payer: Healthscope Whirlpool |
$971.94
|
| Rate for Payer: Humana Choice PPO Medicare |
$812.40
|
| Rate for Payer: Mclaren Commercial |
$901.80
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$851.70
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Commercial |
$893.64
|
| Rate for Payer: PHP Medicaid |
$444.38
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$911.82
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$711.42
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$881.76
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Facility
|
IP
|
$1,002.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
45378
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$701.40 |
| Max. Negotiated Rate |
$1,002.00 |
| Rate for Payer: Aetna Commercial |
$901.80
|
| Rate for Payer: ASR ASR |
$971.94
|
| Rate for Payer: BCBS Trust/PPO |
$776.85
|
| Rate for Payer: BCN Commercial |
$776.85
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$941.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$801.60
|
| Rate for Payer: Healthscope Commercial |
$1,002.00
|
| Rate for Payer: Healthscope Whirlpool |
$971.94
|
| Rate for Payer: Mclaren Commercial |
$901.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$851.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$881.76
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45378
|
| Hospital Charge Code |
45378
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$240.53
|
| Rate for Payer: Aetna Medicare |
$179.50
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$179.50
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$240.53
|
| Rate for Payer: Cofinity Commercial |
$258.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.50
|
| Rate for Payer: Healthscope Commercial |
$215.40
|
| Rate for Payer: Healthscope Whirlpool |
$215.40
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.48
|
| Rate for Payer: PACE SWMI |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$179.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.50
|
| Rate for Payer: Priority Health Narrow Network |
$318.68
|
| Rate for Payer: UHC Medicare Advantage |
$184.88
|
|
|
PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45378
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$240.53
|
| Rate for Payer: Aetna Medicare |
$179.50
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$179.50
|
| Rate for Payer: BCBS Trust/PPO |
$392.53
|
| Rate for Payer: BCN Commercial |
$497.96
|
| Rate for Payer: BCN Medicare Advantage |
$179.50
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$258.48
|
| Rate for Payer: Cofinity Commercial |
$240.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.50
|
| Rate for Payer: Healthscope Commercial |
$215.40
|
| Rate for Payer: Healthscope Whirlpool |
$215.40
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$188.48
|
| Rate for Payer: PACE SWMI |
$179.50
|
| Rate for Payer: PHP Medicare Advantage |
$179.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$318.68
|
| Rate for Payer: Priority Health Medicare |
$179.50
|
| Rate for Payer: Priority Health Narrow Network |
$318.68
|
| Rate for Payer: UHC Medicare Advantage |
$184.88
|
|
|
PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$1,002.00
|
|
|
Service Code
|
HCPCS 45390
|
| Min. Negotiated Rate |
$102.49 |
| Max. Negotiated Rate |
$701.40 |
| Rate for Payer: Aetna Commercial |
$432.65
|
| Rate for Payer: Aetna Medicare |
$322.87
|
| Rate for Payer: BCBS Complete |
$218.96
|
| Rate for Payer: BCBS MAPPO |
$322.87
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$322.87
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cash Price |
$801.60
|
| Rate for Payer: Cofinity Commercial |
$432.65
|
| Rate for Payer: Cofinity Commercial |
$464.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.87
|
| Rate for Payer: Healthscope Commercial |
$387.44
|
| Rate for Payer: Healthscope Whirlpool |
$387.44
|
| Rate for Payer: Meridian Medicaid |
$218.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$339.01
|
| Rate for Payer: PACE SWMI |
$322.87
|
| Rate for Payer: PHP Medicare Advantage |
$322.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$701.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$572.68
|
| Rate for Payer: Priority Health Medicare |
$322.87
|
| Rate for Payer: Priority Health Narrow Network |
$572.68
|
| Rate for Payer: UHC Medicare Advantage |
$332.56
|
|
|
PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT
|
Professional
|
Both
|
$863.00
|
|
|
Service Code
|
HCPCS 45389
|
| Min. Negotiated Rate |
$181.69 |
| Max. Negotiated Rate |
$604.10 |
| Rate for Payer: Aetna Commercial |
$378.08
|
| Rate for Payer: Aetna Medicare |
$282.15
|
| Rate for Payer: BCBS Complete |
$190.77
|
| Rate for Payer: BCBS MAPPO |
$282.15
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$415.86
|
| Rate for Payer: BCN Medicare Advantage |
$282.15
|
| Rate for Payer: Cash Price |
$690.40
|
| Rate for Payer: Cash Price |
$690.40
|
| Rate for Payer: Cofinity Commercial |
$378.08
|
| Rate for Payer: Cofinity Commercial |
$406.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.15
|
| Rate for Payer: Healthscope Commercial |
$338.58
|
| Rate for Payer: Healthscope Whirlpool |
$338.58
|
| Rate for Payer: Meridian Medicaid |
$190.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$296.26
|
| Rate for Payer: PACE SWMI |
$282.15
|
| Rate for Payer: PHP Medicare Advantage |
$282.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$500.36
|
| Rate for Payer: Priority Health Medicare |
$282.15
|
| Rate for Payer: Priority Health Narrow Network |
$500.36
|
| Rate for Payer: UHC Medicare Advantage |
$290.61
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 45379
|
| Min. Negotiated Rate |
$149.74 |
| Max. Negotiated Rate |
$818.30 |
| Rate for Payer: Aetna Commercial |
$310.84
|
| Rate for Payer: Aetna Medicare |
$231.97
|
| Rate for Payer: BCBS Complete |
$157.23
|
| Rate for Payer: BCBS MAPPO |
$231.97
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$231.97
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$310.84
|
| Rate for Payer: Cofinity Commercial |
$334.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.97
|
| Rate for Payer: Healthscope Commercial |
$278.36
|
| Rate for Payer: Healthscope Whirlpool |
$278.36
|
| Rate for Payer: Meridian Medicaid |
$157.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.57
|
| Rate for Payer: PACE SWMI |
$231.97
|
| Rate for Payer: PHP Medicare Advantage |
$231.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.58
|
| Rate for Payer: Priority Health Medicare |
$231.97
|
| Rate for Payer: Priority Health Narrow Network |
$411.58
|
| Rate for Payer: UHC Medicare Advantage |
$238.93
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 45379
|
| Hospital Charge Code |
45379
|
| Min. Negotiated Rate |
$149.74 |
| Max. Negotiated Rate |
$818.30 |
| Rate for Payer: Aetna Commercial |
$310.84
|
| Rate for Payer: Aetna Medicare |
$231.97
|
| Rate for Payer: BCBS Complete |
$157.23
|
| Rate for Payer: BCBS MAPPO |
$231.97
|
| Rate for Payer: BCBS Trust/PPO |
$260.98
|
| Rate for Payer: BCN Commercial |
$637.72
|
| Rate for Payer: BCN Medicare Advantage |
$231.97
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$334.04
|
| Rate for Payer: Cofinity Commercial |
$310.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.97
|
| Rate for Payer: Healthscope Commercial |
$278.36
|
| Rate for Payer: Healthscope Whirlpool |
$278.36
|
| Rate for Payer: Meridian Medicaid |
$157.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.57
|
| Rate for Payer: PACE SWMI |
$231.97
|
| Rate for Payer: PHP Medicare Advantage |
$231.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.58
|
| Rate for Payer: Priority Health Medicare |
$231.97
|
| Rate for Payer: Priority Health Narrow Network |
$411.58
|
| Rate for Payer: UHC Medicare Advantage |
$238.93
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
IP
|
$1,169.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$818.30 |
| Max. Negotiated Rate |
$1,169.00 |
| Rate for Payer: Aetna Commercial |
$1,052.10
|
| Rate for Payer: ASR ASR |
$1,133.93
|
| Rate for Payer: BCBS Trust/PPO |
$906.33
|
| Rate for Payer: BCN Commercial |
$906.33
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$1,098.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$935.20
|
| Rate for Payer: Healthscope Commercial |
$1,169.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,133.93
|
| Rate for Payer: Mclaren Commercial |
$1,052.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$993.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,028.72
|
|
|
PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)
|
Facility
|
OP
|
$1,169.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
45379
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$573.77 |
| Max. Negotiated Rate |
$1,311.18 |
| Rate for Payer: Aetna Commercial |
$1,052.10
|
| Rate for Payer: Aetna Medicare |
$1,048.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: ASR ASR |
$1,133.93
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$906.33
|
| Rate for Payer: BCN Commercial |
$906.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$1,098.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$935.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Healthscope Commercial |
$1,169.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,133.93
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,048.94
|
| Rate for Payer: Mclaren Commercial |
$1,052.10
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$993.65
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Commercial |
$1,153.83
|
| Rate for Payer: PHP Medicaid |
$573.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,063.79
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$829.99
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,028.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
PR COLONOSCOPY STOMA ABLATION LESION
|
Professional
|
Both
|
$1,193.00
|
|
|
Service Code
|
HCPCS 44401
|
| Min. Negotiated Rate |
$152.08 |
| Max. Negotiated Rate |
$3,510.17 |
| Rate for Payer: Aetna Commercial |
$315.49
|
| Rate for Payer: Aetna Medicare |
$235.44
|
| Rate for Payer: BCBS Complete |
$159.68
|
| Rate for Payer: BCBS MAPPO |
$235.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,324.06
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$235.44
|
| Rate for Payer: Cash Price |
$954.40
|
| Rate for Payer: Cash Price |
$954.40
|
| Rate for Payer: Cofinity Commercial |
$339.03
|
| Rate for Payer: Cofinity Commercial |
$315.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$235.44
|
| Rate for Payer: Healthscope Commercial |
$282.53
|
| Rate for Payer: Healthscope Whirlpool |
$282.53
|
| Rate for Payer: Meridian Medicaid |
$159.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$247.21
|
| Rate for Payer: PACE SWMI |
$235.44
|
| Rate for Payer: PHP Medicare Advantage |
$235.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$418.05
|
| Rate for Payer: Priority Health Medicare |
$235.44
|
| Rate for Payer: Priority Health Narrow Network |
$418.05
|
| Rate for Payer: UHC Medicare Advantage |
$242.50
|
|
|
PR COLONOSCOPY STOMA CONTROL BLEEDING
|
Professional
|
Both
|
$1,573.00
|
|
|
Service Code
|
HCPCS 44391
|
| Min. Negotiated Rate |
$144.84 |
| Max. Negotiated Rate |
$3,239.54 |
| Rate for Payer: Aetna Commercial |
$300.54
|
| Rate for Payer: Aetna Medicare |
$224.28
|
| Rate for Payer: BCBS Complete |
$152.08
|
| Rate for Payer: BCBS MAPPO |
$224.28
|
| Rate for Payer: BCBS Trust/PPO |
$3,239.54
|
| Rate for Payer: BCN Commercial |
$941.68
|
| Rate for Payer: BCN Medicare Advantage |
$224.28
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cofinity Commercial |
$300.54
|
| Rate for Payer: Cofinity Commercial |
$322.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.28
|
| Rate for Payer: Healthscope Commercial |
$269.14
|
| Rate for Payer: Healthscope Whirlpool |
$269.14
|
| Rate for Payer: Meridian Medicaid |
$152.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$235.49
|
| Rate for Payer: PACE SWMI |
$224.28
|
| Rate for Payer: PHP Medicare Advantage |
$224.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,101.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.06
|
| Rate for Payer: Priority Health Medicare |
$224.28
|
| Rate for Payer: Priority Health Narrow Network |
$398.06
|
| Rate for Payer: UHC Medicare Advantage |
$231.01
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
OP
|
$989.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$444.38 |
| Max. Negotiated Rate |
$1,015.50 |
| Rate for Payer: Aetna Commercial |
$890.10
|
| Rate for Payer: Aetna Medicare |
$812.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,015.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,015.50
|
| Rate for Payer: ASR ASR |
$959.33
|
| Rate for Payer: BCBS Complete |
$466.64
|
| Rate for Payer: BCBS MAPPO |
$812.40
|
| Rate for Payer: BCBS Trust/PPO |
$766.77
|
| Rate for Payer: BCN Commercial |
$766.77
|
| Rate for Payer: BCN Medicare Advantage |
$812.40
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$929.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$812.40
|
| Rate for Payer: Healthscope Commercial |
$989.00
|
| Rate for Payer: Healthscope Whirlpool |
$959.33
|
| Rate for Payer: Humana Choice PPO Medicare |
$812.40
|
| Rate for Payer: Mclaren Commercial |
$890.10
|
| Rate for Payer: Mclaren Medicaid |
$444.38
|
| Rate for Payer: Mclaren Medicare |
$812.40
|
| Rate for Payer: Meridian Medicaid |
$466.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$853.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$934.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$840.65
|
| Rate for Payer: PACE Medicare |
$771.78
|
| Rate for Payer: PACE SWMI |
$812.40
|
| Rate for Payer: PHP Commercial |
$893.64
|
| Rate for Payer: PHP Medicaid |
$444.38
|
| Rate for Payer: PHP Medicare Advantage |
$812.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.99
|
| Rate for Payer: Priority Health Medicare |
$812.40
|
| Rate for Payer: Priority Health Narrow Network |
$702.19
|
| Rate for Payer: Railroad Medicare Medicare |
$812.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$870.32
|
| Rate for Payer: UHC Medicare Advantage |
$836.77
|
| Rate for Payer: VA VA |
$812.40
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$204.35
|
| Rate for Payer: Aetna Medicare |
$152.50
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$152.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$152.50
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$204.35
|
| Rate for Payer: Cofinity Commercial |
$219.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.50
|
| Rate for Payer: Healthscope Commercial |
$183.00
|
| Rate for Payer: Healthscope Whirlpool |
$183.00
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.12
|
| Rate for Payer: PACE SWMI |
$152.50
|
| Rate for Payer: PHP Medicare Advantage |
$152.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.47
|
| Rate for Payer: Priority Health Medicare |
$152.50
|
| Rate for Payer: Priority Health Narrow Network |
$270.47
|
| Rate for Payer: UHC Medicare Advantage |
$157.08
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Professional
|
Both
|
$989.00
|
|
|
Service Code
|
HCPCS 44388
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$4,017.19 |
| Rate for Payer: Aetna Commercial |
$204.35
|
| Rate for Payer: Aetna Medicare |
$152.50
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$152.50
|
| Rate for Payer: BCBS Trust/PPO |
$4,017.19
|
| Rate for Payer: BCN Commercial |
$463.76
|
| Rate for Payer: BCN Medicare Advantage |
$152.50
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$219.60
|
| Rate for Payer: Cofinity Commercial |
$204.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.50
|
| Rate for Payer: Healthscope Commercial |
$183.00
|
| Rate for Payer: Healthscope Whirlpool |
$183.00
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.12
|
| Rate for Payer: PACE SWMI |
$152.50
|
| Rate for Payer: PHP Medicare Advantage |
$152.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.47
|
| Rate for Payer: Priority Health Medicare |
$152.50
|
| Rate for Payer: Priority Health Narrow Network |
$270.47
|
| Rate for Payer: UHC Medicare Advantage |
$157.08
|
|
|
PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX
|
Facility
|
IP
|
$989.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
44388
|
| Min. Negotiated Rate |
$692.30 |
| Max. Negotiated Rate |
$989.00 |
| Rate for Payer: Aetna Commercial |
$890.10
|
| Rate for Payer: ASR ASR |
$959.33
|
| Rate for Payer: BCBS Trust/PPO |
$766.77
|
| Rate for Payer: BCN Commercial |
$766.77
|
| Rate for Payer: Cash Price |
$791.20
|
| Rate for Payer: Cofinity Commercial |
$929.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$791.20
|
| Rate for Payer: Healthscope Commercial |
$989.00
|
| Rate for Payer: Healthscope Whirlpool |
$959.33
|
| Rate for Payer: Mclaren Commercial |
$890.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$840.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$870.32
|
|
|
PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44392
|
| Min. Negotiated Rate |
$125.88 |
| Max. Negotiated Rate |
$3,079.46 |
| Rate for Payer: Aetna Commercial |
$261.29
|
| Rate for Payer: Aetna Medicare |
$194.99
|
| Rate for Payer: BCBS Complete |
$132.17
|
| Rate for Payer: BCBS MAPPO |
$194.99
|
| Rate for Payer: BCBS Trust/PPO |
$3,079.46
|
| Rate for Payer: BCN Commercial |
$568.82
|
| Rate for Payer: BCN Medicare Advantage |
$194.99
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$280.79
|
| Rate for Payer: Cofinity Commercial |
$261.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.99
|
| Rate for Payer: Healthscope Commercial |
$233.99
|
| Rate for Payer: Healthscope Whirlpool |
$233.99
|
| Rate for Payer: Meridian Medicaid |
$132.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$204.74
|
| Rate for Payer: PACE SWMI |
$194.99
|
| Rate for Payer: PHP Medicare Advantage |
$194.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$345.14
|
| Rate for Payer: Priority Health Medicare |
$194.99
|
| Rate for Payer: Priority Health Narrow Network |
$345.14
|
| Rate for Payer: UHC Medicare Advantage |
$200.84
|
|
|
PR COLONOSCOPY STOMA W/BALLOON DILATION
|
Professional
|
Both
|
$1,030.00
|
|
|
Service Code
|
HCPCS 44405
|
| Min. Negotiated Rate |
$115.23 |
| Max. Negotiated Rate |
$4,654.32 |
| Rate for Payer: Aetna Commercial |
$237.97
|
| Rate for Payer: Aetna Medicare |
$177.59
|
| Rate for Payer: BCBS Complete |
$120.99
|
| Rate for Payer: BCBS MAPPO |
$177.59
|
| Rate for Payer: BCBS Trust/PPO |
$4,654.32
|
| Rate for Payer: BCN Commercial |
$817.56
|
| Rate for Payer: BCN Medicare Advantage |
$177.59
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cash Price |
$824.00
|
| Rate for Payer: Cofinity Commercial |
$255.73
|
| Rate for Payer: Cofinity Commercial |
$237.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.59
|
| Rate for Payer: Healthscope Commercial |
$213.11
|
| Rate for Payer: Healthscope Whirlpool |
$213.11
|
| Rate for Payer: Meridian Medicaid |
$120.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$186.47
|
| Rate for Payer: PACE SWMI |
$177.59
|
| Rate for Payer: PHP Medicare Advantage |
$177.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$315.73
|
| Rate for Payer: Priority Health Medicare |
$177.59
|
| Rate for Payer: Priority Health Narrow Network |
$315.73
|
| Rate for Payer: UHC Medicare Advantage |
$182.92
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44389
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$224.18
|
| Rate for Payer: Aetna Medicare |
$167.30
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$167.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$167.30
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$240.91
|
| Rate for Payer: Cofinity Commercial |
$224.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$200.76
|
| Rate for Payer: Healthscope Whirlpool |
$200.76
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$175.66
|
| Rate for Payer: PACE SWMI |
$167.30
|
| Rate for Payer: PHP Medicare Advantage |
$167.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$296.93
|
| Rate for Payer: Priority Health Medicare |
$167.30
|
| Rate for Payer: Priority Health Narrow Network |
$296.93
|
| Rate for Payer: UHC Medicare Advantage |
$172.32
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$3,449.27 |
| Rate for Payer: Aetna Commercial |
$224.18
|
| Rate for Payer: Aetna Medicare |
$167.30
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$167.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,449.27
|
| Rate for Payer: BCN Commercial |
$605.96
|
| Rate for Payer: BCN Medicare Advantage |
$167.30
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$240.91
|
| Rate for Payer: Cofinity Commercial |
$224.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.30
|
| Rate for Payer: Healthscope Commercial |
$200.76
|
| Rate for Payer: Healthscope Whirlpool |
$200.76
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$175.66
|
| Rate for Payer: PACE SWMI |
$167.30
|
| Rate for Payer: PHP Medicare Advantage |
$167.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$296.93
|
| Rate for Payer: Priority Health Medicare |
$167.30
|
| Rate for Payer: Priority Health Narrow Network |
$296.93
|
| Rate for Payer: UHC Medicare Advantage |
$172.32
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
IP
|
$1,147.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$802.90 |
| Max. Negotiated Rate |
$1,147.00 |
| Rate for Payer: Aetna Commercial |
$1,032.30
|
| Rate for Payer: ASR ASR |
$1,112.59
|
| Rate for Payer: BCBS Trust/PPO |
$889.27
|
| Rate for Payer: BCN Commercial |
$889.27
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$1,078.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$917.60
|
| Rate for Payer: Healthscope Commercial |
$1,147.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,112.59
|
| Rate for Payer: Mclaren Commercial |
$1,032.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$974.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,009.36
|
|
|
PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE
|
Facility
|
OP
|
$1,147.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
44389
|
| Min. Negotiated Rate |
$573.77 |
| Max. Negotiated Rate |
$1,311.18 |
| Rate for Payer: Aetna Commercial |
$1,032.30
|
| Rate for Payer: Aetna Medicare |
$1,048.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,311.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,311.18
|
| Rate for Payer: ASR ASR |
$1,112.59
|
| Rate for Payer: BCBS Complete |
$602.51
|
| Rate for Payer: BCBS MAPPO |
$1,048.94
|
| Rate for Payer: BCBS Trust/PPO |
$889.27
|
| Rate for Payer: BCN Commercial |
$889.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.94
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$1,078.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$917.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.94
|
| Rate for Payer: Healthscope Commercial |
$1,147.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,112.59
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,048.94
|
| Rate for Payer: Mclaren Commercial |
$1,032.30
|
| Rate for Payer: Mclaren Medicaid |
$573.77
|
| Rate for Payer: Mclaren Medicare |
$1,048.94
|
| Rate for Payer: Meridian Medicaid |
$602.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,101.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,206.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$974.95
|
| Rate for Payer: PACE Medicare |
$996.49
|
| Rate for Payer: PACE SWMI |
$1,048.94
|
| Rate for Payer: PHP Commercial |
$1,153.83
|
| Rate for Payer: PHP Medicaid |
$573.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,043.77
|
| Rate for Payer: Priority Health Medicare |
$1,048.94
|
| Rate for Payer: Priority Health Narrow Network |
$814.37
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,009.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,080.41
|
| Rate for Payer: VA VA |
$1,048.94
|
|
|
PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT
|
Professional
|
Both
|
$541.00
|
|
|
Service Code
|
HCPCS 44402
|
| Min. Negotiated Rate |
$164.01 |
| Max. Negotiated Rate |
$4,432.97 |
| Rate for Payer: Aetna Commercial |
$340.40
|
| Rate for Payer: Aetna Medicare |
$254.03
|
| Rate for Payer: BCBS Complete |
$172.21
|
| Rate for Payer: BCBS MAPPO |
$254.03
|
| Rate for Payer: BCBS Trust/PPO |
$4,432.97
|
| Rate for Payer: BCN Commercial |
$374.82
|
| Rate for Payer: BCN Medicare Advantage |
$254.03
|
| Rate for Payer: Cash Price |
$432.80
|
| Rate for Payer: Cash Price |
$432.80
|
| Rate for Payer: Cofinity Commercial |
$340.40
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.03
|
| Rate for Payer: Healthscope Commercial |
$304.84
|
| Rate for Payer: Healthscope Whirlpool |
$304.84
|
| Rate for Payer: Meridian Medicaid |
$172.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$266.73
|
| Rate for Payer: PACE SWMI |
$254.03
|
| Rate for Payer: PHP Medicare Advantage |
$254.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$378.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.97
|
| Rate for Payer: Priority Health Medicare |
$254.03
|
| Rate for Payer: Priority Health Narrow Network |
$450.97
|
| Rate for Payer: UHC Medicare Advantage |
$261.65
|
|
|
PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$1,147.00
|
|
|
Service Code
|
HCPCS 44390
|
| Min. Negotiated Rate |
$132.06 |
| Max. Negotiated Rate |
$3,813.27 |
| Rate for Payer: Aetna Commercial |
$273.65
|
| Rate for Payer: Aetna Medicare |
$204.22
|
| Rate for Payer: BCBS Complete |
$138.66
|
| Rate for Payer: BCBS MAPPO |
$204.22
|
| Rate for Payer: BCBS Trust/PPO |
$3,813.27
|
| Rate for Payer: BCN Commercial |
$593.26
|
| Rate for Payer: BCN Medicare Advantage |
$204.22
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cash Price |
$917.60
|
| Rate for Payer: Cofinity Commercial |
$294.08
|
| Rate for Payer: Cofinity Commercial |
$273.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.22
|
| Rate for Payer: Healthscope Commercial |
$245.06
|
| Rate for Payer: Healthscope Whirlpool |
$245.06
|
| Rate for Payer: Meridian Medicaid |
$138.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$214.43
|
| Rate for Payer: PACE SWMI |
$204.22
|
| Rate for Payer: PHP Medicare Advantage |
$204.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$362.77
|
| Rate for Payer: Priority Health Medicare |
$204.22
|
| Rate for Payer: Priority Health Narrow Network |
$362.77
|
| Rate for Payer: UHC Medicare Advantage |
$210.35
|
|
|
PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 44394
|
| Min. Negotiated Rate |
$141.65 |
| Max. Negotiated Rate |
$3,036.67 |
| Rate for Payer: Aetna Commercial |
$294.18
|
| Rate for Payer: Aetna Medicare |
$219.54
|
| Rate for Payer: BCBS Complete |
$148.73
|
| Rate for Payer: BCBS MAPPO |
$219.54
|
| Rate for Payer: BCBS Trust/PPO |
$3,036.67
|
| Rate for Payer: BCN Commercial |
$643.59
|
| Rate for Payer: BCN Medicare Advantage |
$219.54
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$316.14
|
| Rate for Payer: Cofinity Commercial |
$294.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.54
|
| Rate for Payer: Healthscope Commercial |
$263.45
|
| Rate for Payer: Healthscope Whirlpool |
$263.45
|
| Rate for Payer: Meridian Medicaid |
$148.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$230.52
|
| Rate for Payer: PACE SWMI |
$219.54
|
| Rate for Payer: PHP Medicare Advantage |
$219.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$141.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$940.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$389.23
|
| Rate for Payer: Priority Health Medicare |
$219.54
|
| Rate for Payer: Priority Health Narrow Network |
$389.23
|
| Rate for Payer: UHC Medicare Advantage |
$226.13
|
|
