|
PR ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 44361
|
| Min. Negotiated Rate |
$89.67 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$185.35
|
| Rate for Payer: Aetna Medicare |
$138.32
|
| Rate for Payer: BCBS Complete |
$94.15
|
| Rate for Payer: BCBS MAPPO |
$138.32
|
| Rate for Payer: BCN Commercial |
$234.05
|
| Rate for Payer: BCN Medicare Advantage |
$138.32
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$199.18
|
| Rate for Payer: Cofinity Commercial |
$185.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.32
|
| Rate for Payer: Healthscope Commercial |
$165.98
|
| Rate for Payer: Healthscope Whirlpool |
$165.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.24
|
| Rate for Payer: Meridian Medicaid |
$94.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$152.15
|
| Rate for Payer: Nomi Health Commercial |
$165.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: PACE SWMI |
$138.32
|
| Rate for Payer: PHP Medicare Advantage |
$138.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$285.18
|
| Rate for Payer: Priority Health Medicare |
$138.32
|
| Rate for Payer: Priority Health Narrow Network |
$285.18
|
| Rate for Payer: Railroad Medicare Medicare |
$138.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$278.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$138.32
|
| Rate for Payer: UHC Exchange |
$278.96
|
| Rate for Payer: UHC Medicaid |
$89.67
|
| Rate for Payer: UHCCP DNSP |
$138.32
|
| Rate for Payer: UHCCP Medicaid |
$89.67
|
|
|
PR ENDOVASC ABDO REPAIR W/PROS
|
Professional
|
Both
|
$5,493.00
|
|
|
Service Code
|
HCPCS 34805
|
| Min. Negotiated Rate |
$2,197.20 |
| Max. Negotiated Rate |
$4,119.75 |
| Rate for Payer: BCBS Complete |
$2,197.20
|
| Rate for Payer: Cash Price |
$4,394.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,119.75
|
|
|
PR ENDOVASCULAR REPAIR ILIAC ARTERY W ILIO-ILIAC PROSTHESIS
|
Professional
|
Both
|
$1,819.00
|
|
|
Service Code
|
HCPCS 34900
|
| Min. Negotiated Rate |
$727.60 |
| Max. Negotiated Rate |
$1,364.25 |
| Rate for Payer: BCBS Complete |
$727.60
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,364.25
|
|
|
PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN
|
Professional
|
Both
|
$2,823.00
|
|
|
Service Code
|
HCPCS 36478
|
| Min. Negotiated Rate |
$157.41 |
| Max. Negotiated Rate |
$2,117.25 |
| Rate for Payer: Aetna Commercial |
$332.65
|
| Rate for Payer: Aetna Medicare |
$248.25
|
| Rate for Payer: BCBS Complete |
$165.28
|
| Rate for Payer: BCBS MAPPO |
$248.25
|
| Rate for Payer: BCN Commercial |
$407.35
|
| Rate for Payer: BCN Medicare Advantage |
$248.25
|
| Rate for Payer: Cash Price |
$2,258.40
|
| Rate for Payer: Cash Price |
$2,258.40
|
| Rate for Payer: Cofinity Commercial |
$357.48
|
| Rate for Payer: Cofinity Commercial |
$332.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.25
|
| Rate for Payer: Healthscope Commercial |
$297.90
|
| Rate for Payer: Healthscope Whirlpool |
$297.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$260.66
|
| Rate for Payer: Meridian Medicaid |
$165.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$273.07
|
| Rate for Payer: Nomi Health Commercial |
$297.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,117.25
|
| Rate for Payer: PACE SWMI |
$248.25
|
| Rate for Payer: PHP Medicare Advantage |
$248.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$438.04
|
| Rate for Payer: Priority Health Medicare |
$248.25
|
| Rate for Payer: Priority Health Narrow Network |
$438.04
|
| Rate for Payer: Railroad Medicare Medicare |
$248.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$496.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$248.25
|
| Rate for Payer: UHC Exchange |
$496.74
|
| Rate for Payer: UHC Medicaid |
$157.41
|
| Rate for Payer: UHCCP DNSP |
$248.25
|
| Rate for Payer: UHCCP Medicaid |
$157.41
|
|
|
PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN
|
Professional
|
Both
|
$3,243.00
|
|
|
Service Code
|
HCPCS 36475
|
| Min. Negotiated Rate |
$157.19 |
| Max. Negotiated Rate |
$2,432.25 |
| Rate for Payer: Aetna Commercial |
$332.82
|
| Rate for Payer: Aetna Medicare |
$248.37
|
| Rate for Payer: BCBS Complete |
$165.05
|
| Rate for Payer: BCBS MAPPO |
$248.37
|
| Rate for Payer: BCN Commercial |
$406.35
|
| Rate for Payer: BCN Medicare Advantage |
$248.37
|
| Rate for Payer: Cash Price |
$2,594.40
|
| Rate for Payer: Cash Price |
$2,594.40
|
| Rate for Payer: Cofinity Commercial |
$357.65
|
| Rate for Payer: Cofinity Commercial |
$332.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.37
|
| Rate for Payer: Healthscope Commercial |
$298.04
|
| Rate for Payer: Healthscope Whirlpool |
$298.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$260.79
|
| Rate for Payer: Meridian Medicaid |
$165.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$273.21
|
| Rate for Payer: Nomi Health Commercial |
$298.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,432.25
|
| Rate for Payer: PACE SWMI |
$248.37
|
| Rate for Payer: PHP Medicare Advantage |
$248.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$436.98
|
| Rate for Payer: Priority Health Medicare |
$248.37
|
| Rate for Payer: Priority Health Narrow Network |
$436.98
|
| Rate for Payer: Railroad Medicare Medicare |
$248.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$498.77
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$248.37
|
| Rate for Payer: UHC Exchange |
$498.77
|
| Rate for Payer: UHC Medicaid |
$157.19
|
| Rate for Payer: UHCCP DNSP |
$248.37
|
| Rate for Payer: UHCCP Medicaid |
$157.19
|
|
|
PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS
|
Professional
|
Both
|
$336.00
|
|
|
Service Code
|
HCPCS 36476
|
| Min. Negotiated Rate |
$74.98 |
| Max. Negotiated Rate |
$252.00 |
| Rate for Payer: Aetna Commercial |
$159.39
|
| Rate for Payer: Aetna Medicare |
$118.95
|
| Rate for Payer: BCBS Complete |
$78.73
|
| Rate for Payer: BCBS MAPPO |
$118.95
|
| Rate for Payer: BCN Commercial |
$195.70
|
| Rate for Payer: BCN Medicare Advantage |
$118.95
|
| Rate for Payer: Cash Price |
$268.80
|
| Rate for Payer: Cash Price |
$268.80
|
| Rate for Payer: Cofinity Commercial |
$171.29
|
| Rate for Payer: Cofinity Commercial |
$159.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.95
|
| Rate for Payer: Healthscope Commercial |
$142.74
|
| Rate for Payer: Healthscope Whirlpool |
$142.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.90
|
| Rate for Payer: Meridian Medicaid |
$78.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$130.84
|
| Rate for Payer: Nomi Health Commercial |
$142.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$252.00
|
| Rate for Payer: PACE SWMI |
$118.95
|
| Rate for Payer: PHP Medicare Advantage |
$118.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$210.45
|
| Rate for Payer: Priority Health Medicare |
$118.95
|
| Rate for Payer: Priority Health Narrow Network |
$210.45
|
| Rate for Payer: Railroad Medicare Medicare |
$118.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$242.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$118.95
|
| Rate for Payer: UHC Exchange |
$242.23
|
| Rate for Payer: UHC Medicaid |
$74.98
|
| Rate for Payer: UHCCP DNSP |
$118.95
|
| Rate for Payer: UHCCP Medicaid |
$74.98
|
|
|
PR ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA
|
Professional
|
Both
|
$1,709.00
|
|
|
Service Code
|
HCPCS 44121
|
| Min. Negotiated Rate |
$138.02 |
| Max. Negotiated Rate |
$1,281.75 |
| Rate for Payer: Aetna Commercial |
$292.00
|
| Rate for Payer: Aetna Medicare |
$217.91
|
| Rate for Payer: BCBS Complete |
$144.92
|
| Rate for Payer: BCBS MAPPO |
$217.91
|
| Rate for Payer: BCN Commercial |
$357.05
|
| Rate for Payer: BCN Medicare Advantage |
$217.91
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cofinity Commercial |
$313.79
|
| Rate for Payer: Cofinity Commercial |
$292.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$217.91
|
| Rate for Payer: Healthscope Commercial |
$261.49
|
| Rate for Payer: Healthscope Whirlpool |
$261.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$228.81
|
| Rate for Payer: Meridian Medicaid |
$144.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$239.70
|
| Rate for Payer: Nomi Health Commercial |
$261.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,281.75
|
| Rate for Payer: PACE SWMI |
$217.91
|
| Rate for Payer: PHP Medicare Advantage |
$217.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$435.04
|
| Rate for Payer: Priority Health Medicare |
$217.91
|
| Rate for Payer: Priority Health Narrow Network |
$435.04
|
| Rate for Payer: Railroad Medicare Medicare |
$217.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$217.91
|
| Rate for Payer: UHC Exchange |
$433.49
|
| Rate for Payer: UHC Medicaid |
$138.02
|
| Rate for Payer: UHCCP DNSP |
$217.91
|
| Rate for Payer: UHCCP Medicaid |
$138.02
|
|
|
PR ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY
|
Professional
|
Both
|
$3,602.00
|
|
|
Service Code
|
HCPCS 44125
|
| Min. Negotiated Rate |
$699.92 |
| Max. Negotiated Rate |
$2,701.50 |
| Rate for Payer: Aetna Commercial |
$1,464.26
|
| Rate for Payer: Aetna Medicare |
$1,092.73
|
| Rate for Payer: BCBS Complete |
$734.92
|
| Rate for Payer: BCBS MAPPO |
$1,092.73
|
| Rate for Payer: BCN Commercial |
$1,762.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,092.73
|
| Rate for Payer: Cash Price |
$2,881.60
|
| Rate for Payer: Cash Price |
$2,881.60
|
| Rate for Payer: Cofinity Commercial |
$1,573.53
|
| Rate for Payer: Cofinity Commercial |
$1,464.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,092.73
|
| Rate for Payer: Healthscope Commercial |
$1,311.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,311.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,147.37
|
| Rate for Payer: Meridian Medicaid |
$734.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,202.00
|
| Rate for Payer: Nomi Health Commercial |
$1,311.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,701.50
|
| Rate for Payer: PACE SWMI |
$1,092.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,092.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$699.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,147.93
|
| Rate for Payer: Priority Health Medicare |
$1,092.73
|
| Rate for Payer: Priority Health Narrow Network |
$2,147.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,092.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,102.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,092.73
|
| Rate for Payer: UHC Exchange |
$2,102.72
|
| Rate for Payer: UHC Medicaid |
$699.92
|
| Rate for Payer: UHCCP DNSP |
$1,092.73
|
| Rate for Payer: UHCCP Medicaid |
$699.92
|
|
|
PR ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS
|
Professional
|
Both
|
$2,963.00
|
|
|
Service Code
|
HCPCS 51960
|
| Min. Negotiated Rate |
$788.74 |
| Max. Negotiated Rate |
$2,449.31 |
| Rate for Payer: Aetna Commercial |
$1,640.36
|
| Rate for Payer: Aetna Medicare |
$1,224.15
|
| Rate for Payer: BCBS Complete |
$828.18
|
| Rate for Payer: BCBS MAPPO |
$1,224.15
|
| Rate for Payer: BCN Commercial |
$2,061.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,224.15
|
| Rate for Payer: Cash Price |
$2,370.40
|
| Rate for Payer: Cash Price |
$2,370.40
|
| Rate for Payer: Cofinity Commercial |
$1,762.78
|
| Rate for Payer: Cofinity Commercial |
$1,640.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,224.15
|
| Rate for Payer: Healthscope Commercial |
$1,468.98
|
| Rate for Payer: Healthscope Whirlpool |
$1,468.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,285.36
|
| Rate for Payer: Meridian Medicaid |
$828.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,346.57
|
| Rate for Payer: Nomi Health Commercial |
$1,468.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,222.25
|
| Rate for Payer: PACE SWMI |
$1,224.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,224.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,245.25
|
| Rate for Payer: Priority Health Medicare |
$1,224.15
|
| Rate for Payer: Priority Health Narrow Network |
$2,245.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,224.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,449.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,224.15
|
| Rate for Payer: UHC Exchange |
$2,449.31
|
| Rate for Payer: UHC Medicaid |
$788.74
|
| Rate for Payer: UHCCP DNSP |
$1,224.15
|
| Rate for Payer: UHCCP Medicaid |
$788.74
|
|
|
PR ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX
|
Professional
|
Both
|
$3,267.00
|
|
|
Service Code
|
HCPCS 44130
|
| Min. Negotiated Rate |
$784.91 |
| Max. Negotiated Rate |
$2,450.25 |
| Rate for Payer: Aetna Commercial |
$1,641.39
|
| Rate for Payer: Aetna Medicare |
$1,224.92
|
| Rate for Payer: BCBS Complete |
$824.16
|
| Rate for Payer: BCBS MAPPO |
$1,224.92
|
| Rate for Payer: BCN Commercial |
$1,975.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,224.92
|
| Rate for Payer: Cash Price |
$2,613.60
|
| Rate for Payer: Cash Price |
$2,613.60
|
| Rate for Payer: Cofinity Commercial |
$1,763.88
|
| Rate for Payer: Cofinity Commercial |
$1,641.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,224.92
|
| Rate for Payer: Healthscope Commercial |
$1,469.90
|
| Rate for Payer: Healthscope Whirlpool |
$1,469.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,286.17
|
| Rate for Payer: Meridian Medicaid |
$824.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,347.41
|
| Rate for Payer: Nomi Health Commercial |
$1,469.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,450.25
|
| Rate for Payer: PACE SWMI |
$1,224.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,224.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$784.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,407.62
|
| Rate for Payer: Priority Health Medicare |
$1,224.92
|
| Rate for Payer: Priority Health Narrow Network |
$2,407.62
|
| Rate for Payer: Railroad Medicare Medicare |
$1,224.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,343.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,224.92
|
| Rate for Payer: UHC Exchange |
$2,343.88
|
| Rate for Payer: UHC Medicaid |
$784.91
|
| Rate for Payer: UHCCP DNSP |
$1,224.92
|
| Rate for Payer: UHCCP Medicaid |
$784.91
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Professional
|
Both
|
$2,900.00
|
|
|
Service Code
|
HCPCS 44005
|
| Min. Negotiated Rate |
$650.72 |
| Max. Negotiated Rate |
$2,175.00 |
| Rate for Payer: Aetna Commercial |
$1,362.35
|
| Rate for Payer: Aetna Medicare |
$1,016.68
|
| Rate for Payer: BCBS Complete |
$683.26
|
| Rate for Payer: BCBS MAPPO |
$1,016.68
|
| Rate for Payer: BCN Commercial |
$1,637.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.68
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$1,464.02
|
| Rate for Payer: Cofinity Commercial |
$1,362.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.68
|
| Rate for Payer: Healthscope Commercial |
$1,220.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,220.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,067.51
|
| Rate for Payer: Meridian Medicaid |
$683.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,118.35
|
| Rate for Payer: Nomi Health Commercial |
$1,220.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
| Rate for Payer: PACE SWMI |
$1,016.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,995.63
|
| Rate for Payer: Priority Health Medicare |
$1,016.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,995.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,016.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,950.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,016.68
|
| Rate for Payer: UHC Exchange |
$1,950.99
|
| Rate for Payer: UHC Medicaid |
$650.72
|
| Rate for Payer: UHCCP DNSP |
$1,016.68
|
| Rate for Payer: UHCCP Medicaid |
$650.72
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Professional
|
Both
|
$2,900.00
|
|
|
Service Code
|
HCPCS 44005
|
| Hospital Charge Code |
44005
|
| Min. Negotiated Rate |
$650.72 |
| Max. Negotiated Rate |
$2,175.00 |
| Rate for Payer: Aetna Commercial |
$1,362.35
|
| Rate for Payer: Aetna Medicare |
$1,016.68
|
| Rate for Payer: BCBS Complete |
$683.26
|
| Rate for Payer: BCBS MAPPO |
$1,016.68
|
| Rate for Payer: BCN Commercial |
$1,637.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,016.68
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$1,464.02
|
| Rate for Payer: Cofinity Commercial |
$1,362.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,016.68
|
| Rate for Payer: Healthscope Commercial |
$1,220.02
|
| Rate for Payer: Healthscope Whirlpool |
$1,220.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,067.51
|
| Rate for Payer: Meridian Medicaid |
$683.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,118.35
|
| Rate for Payer: Nomi Health Commercial |
$1,220.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
| Rate for Payer: PACE SWMI |
$1,016.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,016.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,995.63
|
| Rate for Payer: Priority Health Medicare |
$1,016.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,995.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,016.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,950.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,016.68
|
| Rate for Payer: UHC Exchange |
$1,950.99
|
| Rate for Payer: UHC Medicaid |
$650.72
|
| Rate for Payer: UHCCP DNSP |
$1,016.68
|
| Rate for Payer: UHCCP Medicaid |
$650.72
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Facility
|
IP
|
$2,900.00
|
|
|
Service Code
|
CPT 44005
|
| Hospital Charge Code |
44005
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,175.00 |
| Max. Negotiated Rate |
$2,900.00 |
| Rate for Payer: Aetna Commercial |
$2,610.00
|
| Rate for Payer: ASR ASR |
$2,813.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,381.48
|
| Rate for Payer: BCN Commercial |
$2,381.48
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,726.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,320.00
|
| Rate for Payer: Healthscope Commercial |
$2,813.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,900.00
|
| Rate for Payer: Mclaren Commercial |
$2,610.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,465.00
|
| Rate for Payer: Nomi Health Commercial |
$2,378.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
|
|
PR ENTEROLSS FRING INTSTINAL ADHESION SPX
|
Facility
|
OP
|
$2,900.00
|
|
|
Service Code
|
CPT 44005
|
| Hospital Charge Code |
44005
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,073.00 |
| Max. Negotiated Rate |
$2,900.00 |
| Rate for Payer: Aetna Commercial |
$2,610.00
|
| Rate for Payer: Aetna Medicare |
$1,073.00
|
| Rate for Payer: ASR ASR |
$2,813.00
|
| Rate for Payer: BCBS Complete |
$1,160.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,391.05
|
| Rate for Payer: BCN Commercial |
$2,391.05
|
| Rate for Payer: Cash Price |
$2,320.00
|
| Rate for Payer: Cofinity Commercial |
$2,726.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,320.00
|
| Rate for Payer: Healthscope Commercial |
$2,813.00
|
| Rate for Payer: Healthscope Whirlpool |
$2,900.00
|
| Rate for Payer: Mclaren Commercial |
$2,610.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,320.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,465.00
|
| Rate for Payer: Nomi Health Commercial |
$2,378.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,175.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,540.98
|
| Rate for Payer: Priority Health Narrow Network |
$2,032.90
|
|
|
PR ENTERORRHAPHY MULTIPLE PERFORATIONS
|
Professional
|
Both
|
$3,173.00
|
|
|
Service Code
|
HCPCS 44603
|
| Min. Negotiated Rate |
$946.57 |
| Max. Negotiated Rate |
$2,943.98 |
| Rate for Payer: Aetna Commercial |
$1,987.27
|
| Rate for Payer: Aetna Medicare |
$1,483.04
|
| Rate for Payer: BCBS Complete |
$993.90
|
| Rate for Payer: BCBS MAPPO |
$1,483.04
|
| Rate for Payer: BCN Commercial |
$2,416.21
|
| Rate for Payer: BCN Medicare Advantage |
$1,483.04
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$2,135.58
|
| Rate for Payer: Cofinity Commercial |
$1,987.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,483.04
|
| Rate for Payer: Healthscope Commercial |
$1,779.65
|
| Rate for Payer: Healthscope Whirlpool |
$1,779.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,557.19
|
| Rate for Payer: Meridian Medicaid |
$993.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,631.34
|
| Rate for Payer: Nomi Health Commercial |
$1,779.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,379.75
|
| Rate for Payer: PACE SWMI |
$1,483.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,483.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$946.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,943.98
|
| Rate for Payer: Priority Health Medicare |
$1,483.04
|
| Rate for Payer: Priority Health Narrow Network |
$2,943.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,483.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,892.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,483.04
|
| Rate for Payer: UHC Exchange |
$2,892.18
|
| Rate for Payer: UHC Medicaid |
$946.57
|
| Rate for Payer: UHCCP DNSP |
$1,483.04
|
| Rate for Payer: UHCCP Medicaid |
$946.57
|
|
|
PR ENTERORRHAPHY SINGLE PERFORATION
|
Professional
|
Both
|
$2,498.00
|
|
|
Service Code
|
HCPCS 44602
|
| Min. Negotiated Rate |
$822.82 |
| Max. Negotiated Rate |
$2,558.09 |
| Rate for Payer: Aetna Commercial |
$1,730.40
|
| Rate for Payer: Aetna Medicare |
$1,291.34
|
| Rate for Payer: BCBS Complete |
$863.96
|
| Rate for Payer: BCBS MAPPO |
$1,291.34
|
| Rate for Payer: BCN Commercial |
$2,099.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,291.34
|
| Rate for Payer: Cash Price |
$1,998.40
|
| Rate for Payer: Cash Price |
$1,998.40
|
| Rate for Payer: Cofinity Commercial |
$1,859.53
|
| Rate for Payer: Cofinity Commercial |
$1,730.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,291.34
|
| Rate for Payer: Healthscope Commercial |
$1,549.61
|
| Rate for Payer: Healthscope Whirlpool |
$1,549.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,355.91
|
| Rate for Payer: Meridian Medicaid |
$863.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,420.47
|
| Rate for Payer: Nomi Health Commercial |
$1,549.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,873.50
|
| Rate for Payer: PACE SWMI |
$1,291.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,291.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$822.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2,558.09
|
| Rate for Payer: Priority Health Medicare |
$1,291.34
|
| Rate for Payer: Priority Health Narrow Network |
$2,558.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,291.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2,522.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,291.34
|
| Rate for Payer: UHC Exchange |
$2,522.39
|
| Rate for Payer: UHC Medicaid |
$822.82
|
| Rate for Payer: UHCCP DNSP |
$1,291.34
|
| Rate for Payer: UHCCP Medicaid |
$822.82
|
|
|
PR ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,170.00
|
|
|
Service Code
|
HCPCS 44377
|
| Min. Negotiated Rate |
$166.35 |
| Max. Negotiated Rate |
$877.50 |
| Rate for Payer: Aetna Commercial |
$345.41
|
| Rate for Payer: Aetna Medicare |
$257.77
|
| Rate for Payer: BCBS Complete |
$174.67
|
| Rate for Payer: BCBS MAPPO |
$257.77
|
| Rate for Payer: BCN Commercial |
$438.23
|
| Rate for Payer: BCN Medicare Advantage |
$257.77
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cash Price |
$936.00
|
| Rate for Payer: Cofinity Commercial |
$371.19
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.77
|
| Rate for Payer: Healthscope Commercial |
$309.32
|
| Rate for Payer: Healthscope Whirlpool |
$309.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$270.66
|
| Rate for Payer: Meridian Medicaid |
$174.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$283.55
|
| Rate for Payer: Nomi Health Commercial |
$309.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$877.50
|
| Rate for Payer: PACE SWMI |
$257.77
|
| Rate for Payer: PHP Medicare Advantage |
$257.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$533.95
|
| Rate for Payer: Priority Health Medicare |
$257.77
|
| Rate for Payer: Priority Health Narrow Network |
$533.95
|
| Rate for Payer: Railroad Medicare Medicare |
$257.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$527.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$257.77
|
| Rate for Payer: UHC Exchange |
$527.85
|
| Rate for Payer: UHC Medicaid |
$166.35
|
| Rate for Payer: UHCCP DNSP |
$257.77
|
| Rate for Payer: UHCCP Medicaid |
$166.35
|
|
|
PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX
|
Professional
|
Both
|
$1,067.00
|
|
|
Service Code
|
HCPCS 44376
|
| Min. Negotiated Rate |
$158.47 |
| Max. Negotiated Rate |
$800.25 |
| Rate for Payer: Aetna Commercial |
$328.80
|
| Rate for Payer: Aetna Medicare |
$245.37
|
| Rate for Payer: BCBS Complete |
$166.39
|
| Rate for Payer: BCBS MAPPO |
$245.37
|
| Rate for Payer: BCN Commercial |
$417.80
|
| Rate for Payer: BCN Medicare Advantage |
$245.37
|
| Rate for Payer: Cash Price |
$853.60
|
| Rate for Payer: Cash Price |
$853.60
|
| Rate for Payer: Cofinity Commercial |
$353.33
|
| Rate for Payer: Cofinity Commercial |
$328.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.37
|
| Rate for Payer: Healthscope Commercial |
$294.44
|
| Rate for Payer: Healthscope Whirlpool |
$294.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.64
|
| Rate for Payer: Meridian Medicaid |
$166.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$269.91
|
| Rate for Payer: Nomi Health Commercial |
$294.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$800.25
|
| Rate for Payer: PACE SWMI |
$245.37
|
| Rate for Payer: PHP Medicare Advantage |
$245.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$509.07
|
| Rate for Payer: Priority Health Medicare |
$245.37
|
| Rate for Payer: Priority Health Narrow Network |
$509.07
|
| Rate for Payer: Railroad Medicare Medicare |
$245.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$501.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$245.37
|
| Rate for Payer: UHC Exchange |
$501.50
|
| Rate for Payer: UHC Medicaid |
$158.47
|
| Rate for Payer: UHCCP DNSP |
$245.37
|
| Rate for Payer: UHCCP Medicaid |
$158.47
|
|
|
PR ENTEROSCOPY > 2ND PRTN ABLTJ LESION
|
Professional
|
Both
|
$1,154.00
|
|
|
Service Code
|
HCPCS 44369
|
| Min. Negotiated Rate |
$137.60 |
| Max. Negotiated Rate |
$865.50 |
| Rate for Payer: Aetna Commercial |
$285.26
|
| Rate for Payer: Aetna Medicare |
$212.88
|
| Rate for Payer: BCBS Complete |
$144.48
|
| Rate for Payer: BCBS MAPPO |
$212.88
|
| Rate for Payer: BCN Commercial |
$361.04
|
| Rate for Payer: BCN Medicare Advantage |
$212.88
|
| Rate for Payer: Cash Price |
$923.20
|
| Rate for Payer: Cash Price |
$923.20
|
| Rate for Payer: Cofinity Commercial |
$306.55
|
| Rate for Payer: Cofinity Commercial |
$285.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.88
|
| Rate for Payer: Healthscope Commercial |
$255.46
|
| Rate for Payer: Healthscope Whirlpool |
$255.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.52
|
| Rate for Payer: Meridian Medicaid |
$144.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$234.17
|
| Rate for Payer: Nomi Health Commercial |
$255.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$865.50
|
| Rate for Payer: PACE SWMI |
$212.88
|
| Rate for Payer: PHP Medicare Advantage |
$212.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$439.90
|
| Rate for Payer: Priority Health Medicare |
$212.88
|
| Rate for Payer: Priority Health Narrow Network |
$439.90
|
| Rate for Payer: Railroad Medicare Medicare |
$212.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$433.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$212.88
|
| Rate for Payer: UHC Exchange |
$433.97
|
| Rate for Payer: UHC Medicaid |
$137.60
|
| Rate for Payer: UHCCP DNSP |
$212.88
|
| Rate for Payer: UHCCP Medicaid |
$137.60
|
|
|
PR ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 44373
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$225.46
|
| Rate for Payer: Aetna Medicare |
$168.25
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$168.25
|
| Rate for Payer: BCN Commercial |
$283.85
|
| Rate for Payer: BCN Medicare Advantage |
$168.25
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$242.28
|
| Rate for Payer: Cofinity Commercial |
$225.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.25
|
| Rate for Payer: Healthscope Commercial |
$201.90
|
| Rate for Payer: Healthscope Whirlpool |
$201.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.66
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$185.07
|
| Rate for Payer: Nomi Health Commercial |
$201.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$168.25
|
| Rate for Payer: PHP Medicare Advantage |
$168.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$345.86
|
| Rate for Payer: Priority Health Medicare |
$168.25
|
| Rate for Payer: Priority Health Narrow Network |
$345.86
|
| Rate for Payer: Railroad Medicare Medicare |
$168.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$168.25
|
| Rate for Payer: UHC Exchange |
$339.25
|
| Rate for Payer: UHC Medicaid |
$108.63
|
| Rate for Payer: UHCCP DNSP |
$168.25
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING
|
Professional
|
Both
|
$1,594.00
|
|
|
Service Code
|
HCPCS 44378
|
| Min. Negotiated Rate |
$213.64 |
| Max. Negotiated Rate |
$1,195.50 |
| Rate for Payer: Aetna Commercial |
$443.83
|
| Rate for Payer: Aetna Medicare |
$331.22
|
| Rate for Payer: BCBS Complete |
$224.32
|
| Rate for Payer: BCBS MAPPO |
$331.22
|
| Rate for Payer: BCN Commercial |
$564.22
|
| Rate for Payer: BCN Medicare Advantage |
$331.22
|
| Rate for Payer: Cash Price |
$1,275.20
|
| Rate for Payer: Cash Price |
$1,275.20
|
| Rate for Payer: Cofinity Commercial |
$476.96
|
| Rate for Payer: Cofinity Commercial |
$443.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$331.22
|
| Rate for Payer: Healthscope Commercial |
$397.46
|
| Rate for Payer: Healthscope Whirlpool |
$397.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$347.78
|
| Rate for Payer: Meridian Medicaid |
$224.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$364.34
|
| Rate for Payer: Nomi Health Commercial |
$397.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,195.50
|
| Rate for Payer: PACE SWMI |
$331.22
|
| Rate for Payer: PHP Medicare Advantage |
$331.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$687.46
|
| Rate for Payer: Priority Health Medicare |
$331.22
|
| Rate for Payer: Priority Health Narrow Network |
$687.46
|
| Rate for Payer: Railroad Medicare Medicare |
$331.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$679.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$331.22
|
| Rate for Payer: UHC Exchange |
$679.10
|
| Rate for Payer: UHC Medicaid |
$213.64
|
| Rate for Payer: UHCCP DNSP |
$331.22
|
| Rate for Payer: UHCCP Medicaid |
$213.64
|
|
|
PR ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT
|
Professional
|
Both
|
$1,426.00
|
|
|
Service Code
|
HCPCS 44370
|
| Min. Negotiated Rate |
$150.17 |
| Max. Negotiated Rate |
$1,069.50 |
| Rate for Payer: Aetna Commercial |
$310.61
|
| Rate for Payer: Aetna Medicare |
$231.80
|
| Rate for Payer: BCBS Complete |
$157.68
|
| Rate for Payer: BCBS MAPPO |
$231.80
|
| Rate for Payer: BCN Commercial |
$392.41
|
| Rate for Payer: BCN Medicare Advantage |
$231.80
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cofinity Commercial |
$333.79
|
| Rate for Payer: Cofinity Commercial |
$310.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.80
|
| Rate for Payer: Healthscope Commercial |
$278.16
|
| Rate for Payer: Healthscope Whirlpool |
$278.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.39
|
| Rate for Payer: Meridian Medicaid |
$157.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.98
|
| Rate for Payer: Nomi Health Commercial |
$278.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,069.50
|
| Rate for Payer: PACE SWMI |
$231.80
|
| Rate for Payer: PHP Medicare Advantage |
$231.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$478.12
|
| Rate for Payer: Priority Health Medicare |
$231.80
|
| Rate for Payer: Priority Health Narrow Network |
$478.12
|
| Rate for Payer: Railroad Medicare Medicare |
$231.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$469.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$231.80
|
| Rate for Payer: UHC Exchange |
$469.57
|
| Rate for Payer: UHC Medicaid |
$150.17
|
| Rate for Payer: UHCCP DNSP |
$231.80
|
| Rate for Payer: UHCCP Medicaid |
$150.17
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING
|
Professional
|
Both
|
$1,358.00
|
|
|
Service Code
|
HCPCS 44366
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$1,018.50 |
| Rate for Payer: Aetna Commercial |
$278.10
|
| Rate for Payer: Aetna Medicare |
$207.54
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$207.54
|
| Rate for Payer: BCN Commercial |
$352.57
|
| Rate for Payer: BCN Medicare Advantage |
$207.54
|
| Rate for Payer: Cash Price |
$1,086.40
|
| Rate for Payer: Cash Price |
$1,086.40
|
| Rate for Payer: Cofinity Commercial |
$298.86
|
| Rate for Payer: Cofinity Commercial |
$278.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.54
|
| Rate for Payer: Healthscope Commercial |
$249.05
|
| Rate for Payer: Healthscope Whirlpool |
$249.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.92
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$228.29
|
| Rate for Payer: Nomi Health Commercial |
$249.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,018.50
|
| Rate for Payer: PACE SWMI |
$207.54
|
| Rate for Payer: PHP Medicare Advantage |
$207.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$429.58
|
| Rate for Payer: Priority Health Medicare |
$207.54
|
| Rate for Payer: Priority Health Narrow Network |
$429.58
|
| Rate for Payer: Railroad Medicare Medicare |
$207.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$423.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$207.54
|
| Rate for Payer: UHC Exchange |
$423.57
|
| Rate for Payer: UHC Medicaid |
$134.19
|
| Rate for Payer: UHCCP DNSP |
$207.54
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT
|
Professional
|
Both
|
$1,578.00
|
|
|
Service Code
|
HCPCS 44379
|
| Min. Negotiated Rate |
$228.76 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Aetna Commercial |
$474.65
|
| Rate for Payer: Aetna Medicare |
$354.22
|
| Rate for Payer: BCBS Complete |
$240.20
|
| Rate for Payer: BCBS MAPPO |
$354.22
|
| Rate for Payer: BCN Commercial |
$600.57
|
| Rate for Payer: BCN Medicare Advantage |
$354.22
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cash Price |
$1,262.40
|
| Rate for Payer: Cofinity Commercial |
$510.08
|
| Rate for Payer: Cofinity Commercial |
$474.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$354.22
|
| Rate for Payer: Healthscope Commercial |
$425.06
|
| Rate for Payer: Healthscope Whirlpool |
$425.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$371.93
|
| Rate for Payer: Meridian Medicaid |
$240.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$389.64
|
| Rate for Payer: Nomi Health Commercial |
$425.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,183.50
|
| Rate for Payer: PACE SWMI |
$354.22
|
| Rate for Payer: PHP Medicare Advantage |
$354.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$731.75
|
| Rate for Payer: Priority Health Medicare |
$354.22
|
| Rate for Payer: Priority Health Narrow Network |
$731.75
|
| Rate for Payer: Railroad Medicare Medicare |
$354.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$721.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$354.22
|
| Rate for Payer: UHC Exchange |
$721.46
|
| Rate for Payer: UHC Medicaid |
$228.76
|
| Rate for Payer: UHCCP DNSP |
$354.22
|
| Rate for Payer: UHCCP Medicaid |
$228.76
|
|
|
PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE
|
Professional
|
Both
|
$968.00
|
|
|
Service Code
|
HCPCS 44372
|
| Min. Negotiated Rate |
$135.26 |
| Max. Negotiated Rate |
$726.00 |
| Rate for Payer: Aetna Commercial |
$281.12
|
| Rate for Payer: Aetna Medicare |
$209.79
|
| Rate for Payer: BCBS Complete |
$142.02
|
| Rate for Payer: BCBS MAPPO |
$209.79
|
| Rate for Payer: BCN Commercial |
$353.57
|
| Rate for Payer: BCN Medicare Advantage |
$209.79
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Cofinity Commercial |
$302.10
|
| Rate for Payer: Cofinity Commercial |
$281.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.79
|
| Rate for Payer: Healthscope Commercial |
$251.75
|
| Rate for Payer: Healthscope Whirlpool |
$251.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$220.28
|
| Rate for Payer: Meridian Medicaid |
$142.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$230.77
|
| Rate for Payer: Nomi Health Commercial |
$251.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$726.00
|
| Rate for Payer: PACE SWMI |
$209.79
|
| Rate for Payer: PHP Medicare Advantage |
$209.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$430.80
|
| Rate for Payer: Priority Health Medicare |
$209.79
|
| Rate for Payer: Priority Health Narrow Network |
$430.80
|
| Rate for Payer: Railroad Medicare Medicare |
$209.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$423.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$209.79
|
| Rate for Payer: UHC Exchange |
$423.93
|
| Rate for Payer: UHC Medicaid |
$135.26
|
| Rate for Payer: UHCCP DNSP |
$209.79
|
| Rate for Payer: UHCCP Medicaid |
$135.26
|
|
