|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,200.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$324.38 |
| Max. Negotiated Rate |
$2,943.60 |
| Rate for Payer: Aetna Commercial |
$2,239.80
|
| Rate for Payer: Aetna Medicare |
$2,100.00
|
| Rate for Payer: BCBS Complete |
$1,107.07
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$2,404.78
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Cash Price |
$3,360.00
|
| Rate for Payer: Meridian Medicaid |
$1,107.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,054.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,730.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,943.60
|
| Rate for Payer: Priority Health Narrow Network |
$2,943.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,009.41
|
| Rate for Payer: UHC Exchange |
$2,009.41
|
| Rate for Payer: UHCCP Medicaid |
$1,054.35
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$3,965.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$795.98 |
| Max. Negotiated Rate |
$2,577.25 |
| Rate for Payer: Aetna Commercial |
$1,670.76
|
| Rate for Payer: Aetna Medicare |
$1,982.50
|
| Rate for Payer: BCBS Complete |
$835.78
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Cash Price |
$3,172.00
|
| Rate for Payer: Meridian Medicaid |
$835.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$795.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,577.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,217.55
|
| Rate for Payer: Priority Health Narrow Network |
$2,217.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,498.63
|
| Rate for Payer: UHC Exchange |
$1,498.63
|
| Rate for Payer: UHCCP Medicaid |
$795.98
|
|
|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,835.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$244.07 |
| Max. Negotiated Rate |
$3,231.74 |
| Rate for Payer: Aetna Commercial |
$2,453.21
|
| Rate for Payer: Aetna Medicare |
$1,917.50
|
| Rate for Payer: BCBS Complete |
$1,213.75
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$2,636.42
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Cash Price |
$3,068.00
|
| Rate for Payer: Meridian Medicaid |
$1,213.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,155.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,492.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,231.74
|
| Rate for Payer: Priority Health Narrow Network |
$3,231.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,177.64
|
| Rate for Payer: UHC Exchange |
$2,177.64
|
| Rate for Payer: UHCCP Medicaid |
$1,155.95
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$6,820.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$175.40 |
| Max. Negotiated Rate |
$4,433.00 |
| Rate for Payer: Aetna Commercial |
$3,121.82
|
| Rate for Payer: Aetna Medicare |
$3,410.00
|
| Rate for Payer: BCBS Complete |
$1,541.62
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$3,348.91
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Cash Price |
$5,456.00
|
| Rate for Payer: Meridian Medicaid |
$1,541.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,468.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,433.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,099.80
|
| Rate for Payer: Priority Health Narrow Network |
$4,099.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,759.54
|
| Rate for Payer: UHC Exchange |
$2,759.54
|
| Rate for Payer: UHCCP Medicaid |
$1,468.21
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,822.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$3,784.30 |
| Rate for Payer: Aetna Commercial |
$2,777.17
|
| Rate for Payer: Aetna Medicare |
$2,911.00
|
| Rate for Payer: BCBS Complete |
$1,381.71
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$2,995.10
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Cash Price |
$4,657.60
|
| Rate for Payer: Meridian Medicaid |
$1,381.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,315.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,784.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,675.61
|
| Rate for Payer: Priority Health Narrow Network |
$3,675.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,492.20
|
| Rate for Payer: UHC Exchange |
$2,492.20
|
| Rate for Payer: UHCCP Medicaid |
$1,315.91
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,567.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$305.36 |
| Max. Negotiated Rate |
$3,898.75 |
| Rate for Payer: Aetna Commercial |
$2,961.88
|
| Rate for Payer: Aetna Medicare |
$2,283.50
|
| Rate for Payer: BCBS Complete |
$1,466.92
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$3,181.78
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Cash Price |
$3,653.60
|
| Rate for Payer: Meridian Medicaid |
$1,466.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,397.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,968.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,898.75
|
| Rate for Payer: Priority Health Narrow Network |
$3,898.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,618.01
|
| Rate for Payer: UHC Exchange |
$2,618.01
|
| Rate for Payer: UHCCP Medicaid |
$1,397.07
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$26.40 |
| Max. Negotiated Rate |
$68.68 |
| Rate for Payer: Aetna Commercial |
$68.26
|
| Rate for Payer: Aetna Medicare |
$33.00
|
| Rate for Payer: BCBS Complete |
$26.40
|
| Rate for Payer: BCBS Trust/PPO |
$67.51
|
| Rate for Payer: BCN Commercial |
$66.22
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$68.68
|
| Rate for Payer: UHC Exchange |
$68.68
|
|
|
PR COLLECT BLOOD FROM CATHETER VENOUS NOS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 36592
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.87 |
| Rate for Payer: Aetna Commercial |
$37.37
|
| Rate for Payer: Aetna Medicare |
$31.50
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCN Commercial |
$42.51
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.87
|
| Rate for Payer: Priority Health Narrow Network |
$47.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.33
|
| Rate for Payer: UHC Exchange |
$29.33
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1,055.02 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.02
|
| Rate for Payer: BCN Commercial |
$1.99
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.36
|
| Rate for Payer: Priority Health Narrow Network |
$14.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.85
|
| Rate for Payer: UHC Exchange |
$2.85
|
|
|
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 36415
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$1,529.43 |
| Rate for Payer: Aetna Commercial |
$2.85
|
| Rate for Payer: Aetna Medicare |
$7.50
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,529.43
|
| Rate for Payer: BCN Commercial |
$2.86
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.36
|
| Rate for Payer: Priority Health Narrow Network |
$14.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
|
|
PR COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
|
Professional
|
Both
|
$117.00
|
|
|
Service Code
|
HCPCS 99091
|
| Min. Negotiated Rate |
$46.80 |
| Max. Negotiated Rate |
$780.83 |
| Rate for Payer: Aetna Commercial |
$62.02
|
| Rate for Payer: Aetna Medicare |
$58.50
|
| Rate for Payer: BCBS Complete |
$46.80
|
| Rate for Payer: BCBS Trust/PPO |
$780.83
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.82
|
| Rate for Payer: Priority Health Narrow Network |
$72.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$58.84
|
| Rate for Payer: UHC Exchange |
$58.84
|
|
|
PR COLON CA SCREEN;BARIUM ENEMA
|
Professional
|
Both
|
$629.00
|
|
|
Service Code
|
HCPCS G0106
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,824.22 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$314.50
|
| Rate for Payer: BCBS Complete |
$251.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,824.22
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.01
|
| Rate for Payer: Priority Health Narrow Network |
$105.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$242.23
|
| Rate for Payer: UHC Exchange |
$242.23
|
|
|
PR COLON CA SCRN; BARIUM ENEMA
|
Professional
|
Both
|
$399.00
|
|
|
Service Code
|
HCPCS G0120
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$1,971.09 |
| Rate for Payer: Aetna Commercial |
$220.17
|
| Rate for Payer: Aetna Medicare |
$199.50
|
| Rate for Payer: BCBS Complete |
$159.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,971.09
|
| Rate for Payer: BCN Commercial |
$264.26
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.01
|
| Rate for Payer: Priority Health Narrow Network |
$105.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$242.23
|
| Rate for Payer: UHC Exchange |
$242.23
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
OP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$478.80 |
| Max. Negotiated Rate |
$1,384.58 |
| Rate for Payer: Aetna Commercial |
$1,066.50
|
| Rate for Payer: Aetna Medicare |
$893.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,116.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,116.60
|
| Rate for Payer: ASR ASR |
$1,149.45
|
| Rate for Payer: ASR Commercial |
$1,149.45
|
| Rate for Payer: BCBS Complete |
$502.74
|
| Rate for Payer: BCBS MAPPO |
$893.28
|
| Rate for Payer: BCBS Trust/PPO |
$970.40
|
| Rate for Payer: BCN Commercial |
$918.73
|
| Rate for Payer: BCN Medicare Advantage |
$893.28
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,113.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$893.28
|
| Rate for Payer: Healthscope Commercial |
$1,185.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,149.45
|
| Rate for Payer: Humana Choice PPO Medicare |
$893.28
|
| Rate for Payer: Mclaren Commercial |
$1,066.50
|
| Rate for Payer: Mclaren Medicaid |
$478.80
|
| Rate for Payer: Mclaren Medicare |
$893.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$937.94
|
| Rate for Payer: Meridian Medicaid |
$502.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,027.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: PACE Medicare |
$848.62
|
| Rate for Payer: PACE SWMI |
$893.28
|
| Rate for Payer: PHP Commercial |
$982.61
|
| Rate for Payer: PHP Medicaid |
$478.80
|
| Rate for Payer: PHP Medicare Advantage |
$893.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$478.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,038.30
|
| Rate for Payer: Priority Health Medicare |
$893.28
|
| Rate for Payer: Priority Health Narrow Network |
$830.68
|
| Rate for Payer: Railroad Medicare Medicare |
$893.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,042.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$893.28
|
| Rate for Payer: UHC Exchange |
$1,384.58
|
| Rate for Payer: UHC Medicare Advantage |
$893.28
|
| Rate for Payer: UHCCP DNSP |
$893.28
|
| Rate for Payer: UHCCP Medicaid |
$478.80
|
| Rate for Payer: VA VA |
$893.28
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: Aetna Medicare |
$592.50
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$272.24
|
| Rate for Payer: UHC Exchange |
$272.24
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Facility
|
IP
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$770.25 |
| Max. Negotiated Rate |
$1,185.00 |
| Rate for Payer: Aetna Commercial |
$1,066.50
|
| Rate for Payer: ASR ASR |
$1,149.45
|
| Rate for Payer: ASR Commercial |
$1,149.45
|
| Rate for Payer: BCBS Trust/PPO |
$965.66
|
| Rate for Payer: BCN Commercial |
$918.73
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$1,113.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$948.00
|
| Rate for Payer: Healthscope Commercial |
$1,185.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,149.45
|
| Rate for Payer: Mclaren Commercial |
$1,066.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,007.25
|
| Rate for Payer: Nomi Health Commercial |
$971.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,042.80
|
|
|
PR COLON CA SCRN NOT HI RSK IND
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS G0121
|
| Hospital Charge Code |
G0121
|
| Min. Negotiated Rate |
$58.58 |
| Max. Negotiated Rate |
$2,077.28 |
| Rate for Payer: Aetna Commercial |
$184.92
|
| Rate for Payer: Aetna Medicare |
$592.50
|
| Rate for Payer: BCBS Complete |
$61.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,077.28
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Meridian Medicaid |
$61.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$770.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$325.15
|
| Rate for Payer: Priority Health Narrow Network |
$325.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$272.24
|
| Rate for Payer: UHC Exchange |
$272.24
|
| Rate for Payer: UHCCP Medicaid |
$58.58
|
|
|
PR COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 91117
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$917.13 |
| Rate for Payer: Aetna Commercial |
$149.90
|
| Rate for Payer: Aetna Medicare |
$230.00
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS Trust/PPO |
$917.13
|
| Rate for Payer: BCN Commercial |
$195.47
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.84
|
| Rate for Payer: Priority Health Narrow Network |
$181.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$171.50
|
| Rate for Payer: UHC Exchange |
$171.50
|
| Rate for Payer: UHCCP Medicaid |
$85.84
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$983.45 |
| Max. Negotiated Rate |
$1,513.00 |
| Rate for Payer: Aetna Commercial |
$1,361.70
|
| Rate for Payer: ASR ASR |
$1,467.61
|
| Rate for Payer: ASR Commercial |
$1,467.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,232.94
|
| Rate for Payer: BCN Commercial |
$1,173.03
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,422.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,513.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,467.61
|
| Rate for Payer: Mclaren Commercial |
$1,361.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,331.44
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
45383
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$1,513.00 |
| Rate for Payer: Aetna Commercial |
$1,361.70
|
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: ASR ASR |
$1,467.61
|
| Rate for Payer: ASR Commercial |
$1,467.61
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,239.00
|
| Rate for Payer: BCN Commercial |
$1,173.03
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,422.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,513.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,467.61
|
| Rate for Payer: Mclaren Commercial |
$1,361.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$1,240.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,325.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,060.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,331.44
|
|
|
PR COLONOSCOPY,ABLATE LESION
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 45383
|
| Hospital Charge Code |
45383
|
| Min. Negotiated Rate |
$605.20 |
| Max. Negotiated Rate |
$983.45 |
| Rate for Payer: Aetna Medicare |
$756.50
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$313.45
|
| Rate for Payer: Aetna Medicare |
$656.50
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.25
|
| Rate for Payer: UHC Exchange |
$324.25
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Professional
|
Both
|
$1,313.00
|
|
|
Service Code
|
HCPCS 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$148.46 |
| Max. Negotiated Rate |
$1,219.25 |
| Rate for Payer: Aetna Commercial |
$313.45
|
| Rate for Payer: Aetna Medicare |
$656.50
|
| Rate for Payer: BCBS Complete |
$155.88
|
| Rate for Payer: BCBS Trust/PPO |
$232.45
|
| Rate for Payer: BCN Commercial |
$1,219.25
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Meridian Medicaid |
$155.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.64
|
| Rate for Payer: Priority Health Narrow Network |
$414.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$324.25
|
| Rate for Payer: UHC Exchange |
$324.25
|
| Rate for Payer: UHCCP Medicaid |
$148.46
|
|
|
PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)
|
Facility
|
OP
|
$1,313.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
45398
|
| Min. Negotiated Rate |
$619.21 |
| Max. Negotiated Rate |
$1,790.62 |
| Rate for Payer: Aetna Commercial |
$1,181.70
|
| Rate for Payer: Aetna Medicare |
$1,155.24
|
| 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: ASR ASR |
$1,273.61
|
| Rate for Payer: ASR Commercial |
$1,273.61
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,075.22
|
| Rate for Payer: BCN Commercial |
$1,017.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cash Price |
$1,050.40
|
| Rate for Payer: Cofinity Commercial |
$1,234.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,050.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$1,313.00
|
| Rate for Payer: Healthscope Whirlpool |
$1,273.61
|
| Rate for Payer: Humana Choice PPO Medicare |
$1,155.24
|
| Rate for Payer: Mclaren Commercial |
$1,181.70
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,116.05
|
| Rate for Payer: Nomi Health Commercial |
$1,076.66
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$1,270.76
|
| Rate for Payer: PHP Medicaid |
$619.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$853.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,150.45
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$920.41
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,155.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$1,790.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP DNSP |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: VA VA |
$1,155.24
|
|
