|
CHG IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 87265
|
| Min. Negotiated Rate |
$8.99 |
| Max. Negotiated Rate |
$1,797.00 |
| Rate for Payer: Aetna Commercial |
$16.05
|
| Rate for Payer: Aetna Medicare |
$12.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.25
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$11.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,212.98
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: BCN Medicare Advantage |
$11.98
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Cofinity Commercial |
$16.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.98
|
| Rate for Payer: Healthscope Commercial |
$19.17
|
| Rate for Payer: Healthscope Commercial |
$22.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,797.00
|
| Rate for Payer: Nomi Health Commercial |
$14.38
|
| Rate for Payer: PACE SWMI |
$11.98
|
| Rate for Payer: PHP Medicare Advantage |
$11.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.98
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health Narrow Network |
$11.98
|
| Rate for Payer: Priority Health SBD |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.98
|
| Rate for Payer: UHC Exchange |
$36.87
|
| Rate for Payer: UHC Medicare Advantage |
$11.98
|
|
|
CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87491
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$5,264.00 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.13
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.14
|
| Rate for Payer: Healthscope Commercial |
$64.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,264.00
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: Priority Health SBD |
$34.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$71.11
|
| Rate for Payer: UHC Medicare Advantage |
$35.09
|
|
|
CHG IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 87800
|
| Min. Negotiated Rate |
$32.75 |
| Max. Negotiated Rate |
$6,551.00 |
| Rate for Payer: Aetna Commercial |
$58.52
|
| Rate for Payer: Aetna Medicare |
$45.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.88
|
| Rate for Payer: BCBS Complete |
$33.20
|
| Rate for Payer: BCBS MAPPO |
$43.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,724.37
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$43.67
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$62.88
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.67
|
| Rate for Payer: Healthscope Commercial |
$69.87
|
| Rate for Payer: Healthscope Commercial |
$80.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,551.00
|
| Rate for Payer: Nomi Health Commercial |
$52.40
|
| Rate for Payer: PACE SWMI |
$43.67
|
| Rate for Payer: PHP Medicare Advantage |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.61
|
| Rate for Payer: Priority Health Medicare |
$43.67
|
| Rate for Payer: Priority Health Narrow Network |
$43.61
|
| Rate for Payer: Priority Health SBD |
$43.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.67
|
| Rate for Payer: UHC Exchange |
$81.24
|
| Rate for Payer: UHC Medicare Advantage |
$43.67
|
|
|
CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 87591
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$5,264.00 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCBS Trust/PPO |
$593.81
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$56.14
|
| Rate for Payer: Healthscope Commercial |
$64.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,264.00
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.95
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health Narrow Network |
$34.95
|
| Rate for Payer: Priority Health SBD |
$34.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.09
|
| Rate for Payer: UHC Exchange |
$71.11
|
| Rate for Payer: UHC Medicare Advantage |
$35.09
|
|
|
CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 87635
|
| Min. Negotiated Rate |
$51.26 |
| Max. Negotiated Rate |
$7,697.00 |
| Rate for Payer: Aetna Commercial |
$68.76
|
| Rate for Payer: Aetna Medicare |
$53.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.89
|
| Rate for Payer: BCBS Complete |
$59.20
|
| Rate for Payer: BCBS MAPPO |
$51.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,508.37
|
| Rate for Payer: BCN Commercial |
$70.00
|
| Rate for Payer: BCN Medicare Advantage |
$51.31
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$73.89
|
| Rate for Payer: Cofinity Commercial |
$68.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.31
|
| Rate for Payer: Healthscope Commercial |
$82.10
|
| Rate for Payer: Healthscope Commercial |
$94.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,697.00
|
| Rate for Payer: Nomi Health Commercial |
$61.57
|
| Rate for Payer: PACE SWMI |
$51.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.26
|
| Rate for Payer: Priority Health Medicare |
$51.31
|
| Rate for Payer: Priority Health Narrow Network |
$51.26
|
| Rate for Payer: Priority Health SBD |
$51.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.31
|
| Rate for Payer: UHC Exchange |
$51.33
|
| Rate for Payer: UHC Medicare Advantage |
$51.31
|
|
|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$17.98 |
| Max. Negotiated Rate |
$2,714.00 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare |
$18.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.05
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,735.47
|
| Rate for Payer: BCN Commercial |
$18.09
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Healthscope Commercial |
$28.94
|
| Rate for Payer: Healthscope Commercial |
$33.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,714.00
|
| Rate for Payer: Nomi Health Commercial |
$21.71
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.98
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: Priority Health Narrow Network |
$17.98
|
| Rate for Payer: Priority Health SBD |
$17.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.09
|
| Rate for Payer: UHC Exchange |
$19.18
|
| Rate for Payer: UHC Medicare Advantage |
$18.09
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$3,836.00 |
| Rate for Payer: Aetna Commercial |
$34.26
|
| Rate for Payer: Aetna Medicare |
$26.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.82
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS MAPPO |
$25.57
|
| Rate for Payer: BCBS Trust/PPO |
$167.47
|
| Rate for Payer: BCN Commercial |
$19.18
|
| Rate for Payer: BCN Medicare Advantage |
$25.57
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$34.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.57
|
| Rate for Payer: Healthscope Commercial |
$47.30
|
| Rate for Payer: Healthscope Commercial |
$40.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,836.00
|
| Rate for Payer: Nomi Health Commercial |
$30.68
|
| Rate for Payer: PACE SWMI |
$25.57
|
| Rate for Payer: PHP Medicare Advantage |
$25.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$25.63
|
| Rate for Payer: Priority Health Medicare |
$25.57
|
| Rate for Payer: Priority Health Narrow Network |
$25.63
|
| Rate for Payer: Priority Health SBD |
$25.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.57
|
| Rate for Payer: UHC Exchange |
$25.30
|
| Rate for Payer: UHC Medicare Advantage |
$25.57
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$58.80 |
| Max. Negotiated Rate |
$14,370.00 |
| Rate for Payer: Aetna Commercial |
$128.37
|
| Rate for Payer: Aetna Medicare |
$99.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.95
|
| Rate for Payer: BCBS Complete |
$58.80
|
| Rate for Payer: BCBS MAPPO |
$95.80
|
| Rate for Payer: BCBS Trust/PPO |
$713.73
|
| Rate for Payer: BCN Commercial |
$71.85
|
| Rate for Payer: BCN Medicare Advantage |
$95.80
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$137.95
|
| Rate for Payer: Cofinity Commercial |
$128.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.80
|
| Rate for Payer: Healthscope Commercial |
$153.28
|
| Rate for Payer: Healthscope Commercial |
$177.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,370.00
|
| Rate for Payer: Nomi Health Commercial |
$114.96
|
| Rate for Payer: PACE SWMI |
$95.80
|
| Rate for Payer: PHP Medicare Advantage |
$95.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.87
|
| Rate for Payer: Priority Health Medicare |
$95.80
|
| Rate for Payer: Priority Health Narrow Network |
$95.87
|
| Rate for Payer: Priority Health SBD |
$95.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.80
|
| Rate for Payer: UHC Medicare Advantage |
$95.80
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$940.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$376.00 |
| Max. Negotiated Rate |
$611.00 |
| Rate for Payer: Aetna Medicare |
$470.00
|
| Rate for Payer: BCBS Complete |
$376.00
|
| Rate for Payer: Cash Price |
$752.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$611.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$611.00
|
|
|
CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX
|
Professional
|
Both
|
$1,709.00
|
|
|
Service Code
|
HCPCS 77778
|
| Min. Negotiated Rate |
$297.14 |
| Max. Negotiated Rate |
$156,722.00 |
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Commercial |
$1,148.00
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna Medicare |
$890.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,233.68
|
| Rate for Payer: BCBS Complete |
$312.00
|
| Rate for Payer: BCBS Complete |
$312.00
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCBS MAPPO |
$856.72
|
| Rate for Payer: BCBS Trust/PPO |
$301.66
|
| Rate for Payer: BCBS Trust/PPO |
$301.66
|
| Rate for Payer: BCN Commercial |
$1,331.65
|
| Rate for Payer: BCN Commercial |
$1,331.65
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: BCN Medicare Advantage |
$856.72
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$1,367.20
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Cofinity Commercial |
$1,233.68
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Cofinity Commercial |
$1,148.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$856.72
|
| Rate for Payer: Healthscope Commercial |
$1,370.75
|
| Rate for Payer: Healthscope Commercial |
$1,370.75
|
| Rate for Payer: Healthscope Commercial |
$1,584.93
|
| Rate for Payer: Healthscope Commercial |
$1,584.93
|
| Rate for Payer: Mclaren Medicaid |
$297.14
|
| Rate for Payer: Mclaren Medicaid |
$297.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$899.56
|
| Rate for Payer: Meridian Medicaid |
$312.00
|
| Rate for Payer: Meridian Medicaid |
$312.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156,722.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156,722.00
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: Nomi Health Commercial |
$1,028.06
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PACE SWMI |
$856.72
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: PHP Medicare Advantage |
$856.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,110.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,418.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,418.13
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: Priority Health Medicare |
$856.72
|
| Rate for Payer: Priority Health Narrow Network |
$1,418.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,418.13
|
| Rate for Payer: Priority Health SBD |
$703.17
|
| Rate for Payer: Priority Health SBD |
$703.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$847.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$847.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$856.72
|
| Rate for Payer: UHC Exchange |
$847.47
|
| Rate for Payer: UHC Exchange |
$847.47
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UHC Medicare Advantage |
$856.72
|
| Rate for Payer: UHCCP Medicaid |
$297.14
|
| Rate for Payer: UHCCP Medicaid |
$297.14
|
|
|
CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE
|
Professional
|
Both
|
$465.00
|
|
|
Service Code
|
HCPCS 77761
|
| Min. Negotiated Rate |
$130.57 |
| Max. Negotiated Rate |
$71,737.00 |
| Rate for Payer: Aetna Commercial |
$523.28
|
| Rate for Payer: Aetna Medicare |
$406.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.33
|
| Rate for Payer: BCBS Complete |
$137.10
|
| Rate for Payer: BCBS MAPPO |
$390.51
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$610.36
|
| Rate for Payer: BCN Medicare Advantage |
$390.51
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cofinity Commercial |
$562.33
|
| Rate for Payer: Cofinity Commercial |
$523.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$390.51
|
| Rate for Payer: Healthscope Commercial |
$722.44
|
| Rate for Payer: Healthscope Commercial |
$624.82
|
| Rate for Payer: Mclaren Medicaid |
$130.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.04
|
| Rate for Payer: Meridian Medicaid |
$137.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,737.00
|
| Rate for Payer: Nomi Health Commercial |
$468.61
|
| Rate for Payer: PACE SWMI |
$390.51
|
| Rate for Payer: PHP Medicare Advantage |
$390.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.28
|
| Rate for Payer: Priority Health Medicare |
$390.51
|
| Rate for Payer: Priority Health Narrow Network |
$649.28
|
| Rate for Payer: Priority Health SBD |
$308.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$390.51
|
| Rate for Payer: UHC Exchange |
$315.29
|
| Rate for Payer: UHC Medicare Advantage |
$390.51
|
| Rate for Payer: UHCCP Medicaid |
$130.57
|
|
|
CHG INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 74360
|
| Min. Negotiated Rate |
$17.04 |
| Max. Negotiated Rate |
$18,801.00 |
| Rate for Payer: Aetna Commercial |
$128.38
|
| Rate for Payer: Aetna Medicare |
$45.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.38
|
| Rate for Payer: BCBS Complete |
$17.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,791.54
|
| Rate for Payer: BCN Commercial |
$214.05
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Mclaren Medicaid |
$17.04
|
| Rate for Payer: Meridian Medicaid |
$17.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,801.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.92
|
| Rate for Payer: Priority Health Narrow Network |
$170.92
|
| Rate for Payer: Priority Health SBD |
$41.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.87
|
| Rate for Payer: UHC Exchange |
$161.87
|
| Rate for Payer: UHCCP Medicaid |
$17.04
|
|
|
CHG INTRAVASC ULTRASOUND,1ST VESSEL
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 75945
|
| Min. Negotiated Rate |
$89.60 |
| Max. Negotiated Rate |
$145.60 |
| Rate for Payer: Aetna Medicare |
$112.00
|
| Rate for Payer: Aetna Medicare |
$42.50
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS Complete |
$89.60
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.25
|
|
|
CHG INTRAVASC US, RAD SUPERISE/ INTERP, EA ADDN VESSEL
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 75946
|
| Min. Negotiated Rate |
$18.40 |
| Max. Negotiated Rate |
$29.90 |
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: Aetna Medicare |
$78.00
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$124.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.40
|
|
|
CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 74340
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$17,570.00 |
| Rate for Payer: Aetna Commercial |
$119.95
|
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.95
|
| Rate for Payer: BCBS Complete |
$17.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,030.79
|
| Rate for Payer: BCN Commercial |
$178.86
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Mclaren Medicaid |
$16.19
|
| Rate for Payer: Meridian Medicaid |
$17.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,570.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.97
|
| Rate for Payer: Priority Health Narrow Network |
$153.97
|
| Rate for Payer: Priority Health SBD |
$38.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.00
|
| Rate for Payer: UHC Exchange |
$140.00
|
| Rate for Payer: UHCCP Medicaid |
$16.19
|
|
|
CHG JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 77077
|
| Min. Negotiated Rate |
$10.44 |
| Max. Negotiated Rate |
$8,044.00 |
| Rate for Payer: Aetna Commercial |
$56.49
|
| Rate for Payer: Aetna Commercial |
$56.49
|
| Rate for Payer: Aetna Medicare |
$43.85
|
| Rate for Payer: Aetna Medicare |
$43.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.49
|
| Rate for Payer: BCBS Complete |
$10.96
|
| Rate for Payer: BCBS Complete |
$10.96
|
| Rate for Payer: BCBS MAPPO |
$42.16
|
| Rate for Payer: BCBS MAPPO |
$42.16
|
| Rate for Payer: BCBS Trust/PPO |
$3,952.74
|
| Rate for Payer: BCBS Trust/PPO |
$3,952.74
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Medicare Advantage |
$42.16
|
| Rate for Payer: BCN Medicare Advantage |
$42.16
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$56.49
|
| Rate for Payer: Cofinity Commercial |
$60.71
|
| Rate for Payer: Cofinity Commercial |
$60.71
|
| Rate for Payer: Cofinity Commercial |
$56.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.16
|
| Rate for Payer: Healthscope Commercial |
$67.46
|
| Rate for Payer: Healthscope Commercial |
$78.00
|
| Rate for Payer: Healthscope Commercial |
$78.00
|
| Rate for Payer: Healthscope Commercial |
$67.46
|
| Rate for Payer: Mclaren Medicaid |
$10.44
|
| Rate for Payer: Mclaren Medicaid |
$10.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.27
|
| Rate for Payer: Meridian Medicaid |
$10.96
|
| Rate for Payer: Meridian Medicaid |
$10.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,044.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,044.00
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: Nomi Health Commercial |
$50.59
|
| Rate for Payer: PACE SWMI |
$42.16
|
| Rate for Payer: PACE SWMI |
$42.16
|
| Rate for Payer: PHP Medicare Advantage |
$42.16
|
| Rate for Payer: PHP Medicare Advantage |
$42.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.38
|
| Rate for Payer: Priority Health Medicare |
$42.16
|
| Rate for Payer: Priority Health Medicare |
$42.16
|
| Rate for Payer: Priority Health Narrow Network |
$72.38
|
| Rate for Payer: Priority Health Narrow Network |
$72.38
|
| Rate for Payer: Priority Health SBD |
$25.15
|
| Rate for Payer: Priority Health SBD |
$25.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.16
|
| Rate for Payer: UHC Exchange |
$64.61
|
| Rate for Payer: UHC Exchange |
$64.61
|
| Rate for Payer: UHC Medicare Advantage |
$42.16
|
| Rate for Payer: UHC Medicare Advantage |
$42.16
|
| Rate for Payer: UHCCP Medicaid |
$10.44
|
| Rate for Payer: UHCCP Medicaid |
$10.44
|
|
|
CHG LIPID PANEL
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 80061
|
| Min. Negotiated Rate |
$13.32 |
| Max. Negotiated Rate |
$2,009.65 |
| Rate for Payer: Aetna Commercial |
$17.94
|
| Rate for Payer: Aetna Medicare |
$13.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.94
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$13.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,009.65
|
| Rate for Payer: BCN Commercial |
$16.58
|
| Rate for Payer: BCN Medicare Advantage |
$13.39
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$17.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.39
|
| Rate for Payer: Healthscope Commercial |
$24.77
|
| Rate for Payer: Healthscope Commercial |
$21.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,009.00
|
| Rate for Payer: Nomi Health Commercial |
$16.07
|
| Rate for Payer: PACE SWMI |
$13.39
|
| Rate for Payer: PHP Medicare Advantage |
$13.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.32
|
| Rate for Payer: Priority Health Medicare |
$13.39
|
| Rate for Payer: Priority Health Narrow Network |
$13.32
|
| Rate for Payer: Priority Health SBD |
$13.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.39
|
| Rate for Payer: UHC Exchange |
$19.84
|
| Rate for Payer: UHC Medicare Advantage |
$13.39
|
|
|
CHG MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 77071
|
| Min. Negotiated Rate |
$34.72 |
| Max. Negotiated Rate |
$9,407.00 |
| Rate for Payer: Aetna Commercial |
$66.62
|
| Rate for Payer: Aetna Commercial |
$66.62
|
| Rate for Payer: Aetna Medicare |
$51.71
|
| Rate for Payer: Aetna Medicare |
$51.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.60
|
| Rate for Payer: BCBS Complete |
$36.46
|
| Rate for Payer: BCBS Complete |
$36.46
|
| Rate for Payer: BCBS MAPPO |
$49.72
|
| Rate for Payer: BCBS MAPPO |
$49.72
|
| Rate for Payer: BCBS Trust/PPO |
$882.79
|
| Rate for Payer: BCBS Trust/PPO |
$882.79
|
| Rate for Payer: BCN Commercial |
$80.14
|
| Rate for Payer: BCN Commercial |
$80.14
|
| Rate for Payer: BCN Medicare Advantage |
$49.72
|
| Rate for Payer: BCN Medicare Advantage |
$49.72
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cofinity Commercial |
$66.62
|
| Rate for Payer: Cofinity Commercial |
$71.60
|
| Rate for Payer: Cofinity Commercial |
$66.62
|
| Rate for Payer: Cofinity Commercial |
$71.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.72
|
| Rate for Payer: Healthscope Commercial |
$91.98
|
| Rate for Payer: Healthscope Commercial |
$79.55
|
| Rate for Payer: Healthscope Commercial |
$79.55
|
| Rate for Payer: Healthscope Commercial |
$91.98
|
| Rate for Payer: Mclaren Medicaid |
$34.72
|
| Rate for Payer: Mclaren Medicaid |
$34.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.21
|
| Rate for Payer: Meridian Medicaid |
$36.46
|
| Rate for Payer: Meridian Medicaid |
$36.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,407.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,407.00
|
| Rate for Payer: Nomi Health Commercial |
$59.66
|
| Rate for Payer: Nomi Health Commercial |
$59.66
|
| Rate for Payer: PACE SWMI |
$49.72
|
| Rate for Payer: PACE SWMI |
$49.72
|
| Rate for Payer: PHP Medicare Advantage |
$49.72
|
| Rate for Payer: PHP Medicare Advantage |
$49.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.68
|
| Rate for Payer: Priority Health Medicare |
$49.72
|
| Rate for Payer: Priority Health Medicare |
$49.72
|
| Rate for Payer: Priority Health Narrow Network |
$84.68
|
| Rate for Payer: Priority Health Narrow Network |
$84.68
|
| Rate for Payer: Priority Health SBD |
$84.68
|
| Rate for Payer: Priority Health SBD |
$84.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.72
|
| Rate for Payer: UHC Exchange |
$35.61
|
| Rate for Payer: UHC Exchange |
$35.61
|
| Rate for Payer: UHC Medicare Advantage |
$49.72
|
| Rate for Payer: UHC Medicare Advantage |
$49.72
|
| Rate for Payer: UHCCP Medicaid |
$34.72
|
| Rate for Payer: UHCCP Medicaid |
$34.72
|
|
|
CHG MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 75902
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$15,377.00 |
| Rate for Payer: Aetna Commercial |
$103.05
|
| Rate for Payer: Aetna Medicare |
$79.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.74
|
| Rate for Payer: BCBS Complete |
$12.08
|
| Rate for Payer: BCBS MAPPO |
$76.90
|
| Rate for Payer: BCBS Trust/PPO |
$449.58
|
| Rate for Payer: BCN Commercial |
$132.92
|
| Rate for Payer: BCN Medicare Advantage |
$76.90
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$110.74
|
| Rate for Payer: Cofinity Commercial |
$103.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.90
|
| Rate for Payer: Healthscope Commercial |
$142.26
|
| Rate for Payer: Healthscope Commercial |
$123.04
|
| Rate for Payer: Mclaren Medicaid |
$11.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.74
|
| Rate for Payer: Meridian Medicaid |
$12.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,377.00
|
| Rate for Payer: Nomi Health Commercial |
$92.28
|
| Rate for Payer: PACE SWMI |
$76.90
|
| Rate for Payer: PHP Medicare Advantage |
$76.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.99
|
| Rate for Payer: Priority Health Medicare |
$76.90
|
| Rate for Payer: Priority Health Narrow Network |
$134.99
|
| Rate for Payer: Priority Health SBD |
$27.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$117.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.90
|
| Rate for Payer: UHC Exchange |
$117.24
|
| Rate for Payer: UHC Medicare Advantage |
$76.90
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
|
|
CHG MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I
|
Professional
|
Both
|
$339.00
|
|
|
Service Code
|
HCPCS 75901
|
| Min. Negotiated Rate |
$14.06 |
| Max. Negotiated Rate |
$38,891.00 |
| Rate for Payer: Aetna Commercial |
$265.44
|
| Rate for Payer: Aetna Medicare |
$206.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.25
|
| Rate for Payer: BCBS Complete |
$14.76
|
| Rate for Payer: BCBS MAPPO |
$198.09
|
| Rate for Payer: BCBS Trust/PPO |
$420.00
|
| Rate for Payer: BCN Commercial |
$339.14
|
| Rate for Payer: BCN Medicare Advantage |
$198.09
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cash Price |
$271.20
|
| Rate for Payer: Cofinity Commercial |
$285.25
|
| Rate for Payer: Cofinity Commercial |
$265.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.09
|
| Rate for Payer: Healthscope Commercial |
$366.47
|
| Rate for Payer: Healthscope Commercial |
$316.94
|
| Rate for Payer: Mclaren Medicaid |
$14.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.99
|
| Rate for Payer: Meridian Medicaid |
$14.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,891.00
|
| Rate for Payer: Nomi Health Commercial |
$237.71
|
| Rate for Payer: PACE SWMI |
$198.09
|
| Rate for Payer: PHP Medicare Advantage |
$198.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$220.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$350.04
|
| Rate for Payer: Priority Health Medicare |
$198.09
|
| Rate for Payer: Priority Health Narrow Network |
$350.04
|
| Rate for Payer: Priority Health SBD |
$33.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.09
|
| Rate for Payer: UHC Exchange |
$122.89
|
| Rate for Payer: UHC Medicare Advantage |
$198.09
|
| Rate for Payer: UHCCP Medicaid |
$14.06
|
|
|
CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN
|
Professional
|
Both
|
$971.00
|
|
|
Service Code
|
HCPCS 77338
|
| Min. Negotiated Rate |
$145.05 |
| Max. Negotiated Rate |
$79,609.00 |
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Commercial |
$582.86
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna Medicare |
$452.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$582.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$626.36
|
| Rate for Payer: BCBS Complete |
$152.30
|
| Rate for Payer: BCBS Complete |
$152.30
|
| Rate for Payer: BCBS Complete |
$152.30
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCBS MAPPO |
$434.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,953.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,953.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,953.73
|
| Rate for Payer: BCN Commercial |
$724.75
|
| Rate for Payer: BCN Commercial |
$724.75
|
| Rate for Payer: BCN Commercial |
$724.75
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: BCN Medicare Advantage |
$434.97
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cash Price |
$776.80
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Cash Price |
$762.40
|
| Rate for Payer: Cash Price |
$420.00
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Cofinity Commercial |
$626.36
|
| Rate for Payer: Cofinity Commercial |
$582.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$434.97
|
| Rate for Payer: Healthscope Commercial |
$804.69
|
| Rate for Payer: Healthscope Commercial |
$804.69
|
| Rate for Payer: Healthscope Commercial |
$695.95
|
| Rate for Payer: Healthscope Commercial |
$695.95
|
| Rate for Payer: Healthscope Commercial |
$804.69
|
| Rate for Payer: Healthscope Commercial |
$695.95
|
| Rate for Payer: Mclaren Medicaid |
$145.05
|
| Rate for Payer: Mclaren Medicaid |
$145.05
|
| Rate for Payer: Mclaren Medicaid |
$145.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.72
|
| Rate for Payer: Meridian Medicaid |
$152.30
|
| Rate for Payer: Meridian Medicaid |
$152.30
|
| Rate for Payer: Meridian Medicaid |
$152.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79,609.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79,609.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79,609.00
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: Nomi Health Commercial |
$521.96
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PACE SWMI |
$434.97
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: PHP Medicare Advantage |
$434.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$631.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$341.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$619.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$721.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$721.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$721.64
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: Priority Health Medicare |
$434.97
|
| Rate for Payer: Priority Health Narrow Network |
$721.64
|
| Rate for Payer: Priority Health Narrow Network |
$721.64
|
| Rate for Payer: Priority Health Narrow Network |
$721.64
|
| Rate for Payer: Priority Health SBD |
$344.40
|
| Rate for Payer: Priority Health SBD |
$344.40
|
| Rate for Payer: Priority Health SBD |
$344.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UHC Medicare Advantage |
$434.97
|
| Rate for Payer: UHCCP Medicaid |
$145.05
|
| Rate for Payer: UHCCP Medicaid |
$145.05
|
| Rate for Payer: UHCCP Medicaid |
$145.05
|
|
|
CHG MRA ABDOMEN W/WO CONTRAST MATERIAL
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 74185
|
| Min. Negotiated Rate |
$53.68 |
| Max. Negotiated Rate |
$59,742.00 |
| Rate for Payer: Aetna Commercial |
$413.27
|
| Rate for Payer: Aetna Medicare |
$320.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$444.11
|
| Rate for Payer: BCBS Complete |
$56.36
|
| Rate for Payer: BCBS MAPPO |
$308.41
|
| Rate for Payer: BCN Commercial |
$515.56
|
| Rate for Payer: BCN Medicare Advantage |
$308.41
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$444.11
|
| Rate for Payer: Cofinity Commercial |
$413.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.41
|
| Rate for Payer: Healthscope Commercial |
$570.56
|
| Rate for Payer: Healthscope Commercial |
$493.46
|
| Rate for Payer: Mclaren Medicaid |
$53.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.83
|
| Rate for Payer: Meridian Medicaid |
$56.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,742.00
|
| Rate for Payer: Nomi Health Commercial |
$370.09
|
| Rate for Payer: PACE SWMI |
$308.41
|
| Rate for Payer: PHP Medicare Advantage |
$308.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.28
|
| Rate for Payer: Priority Health Medicare |
$308.41
|
| Rate for Payer: Priority Health Narrow Network |
$533.28
|
| Rate for Payer: Priority Health SBD |
$128.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.41
|
| Rate for Payer: UHC Exchange |
$566.75
|
| Rate for Payer: UHC Medicare Advantage |
$308.41
|
| Rate for Payer: UHCCP Medicaid |
$53.68
|
|
|
CHG MRA HEAD W/O CONTRST MATERIAL
|
Professional
|
Both
|
$686.00
|
|
|
Service Code
|
HCPCS 70544
|
| Min. Negotiated Rate |
$35.78 |
| Max. Negotiated Rate |
$38,074.00 |
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Commercial |
$264.57
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna Medicare |
$205.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.57
|
| Rate for Payer: BCBS Complete |
$37.57
|
| Rate for Payer: BCBS Complete |
$37.57
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCBS MAPPO |
$197.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,742.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,742.33
|
| Rate for Payer: BCN Commercial |
$328.39
|
| Rate for Payer: BCN Commercial |
$328.39
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: BCN Medicare Advantage |
$197.44
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$548.80
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Cofinity Commercial |
$264.57
|
| Rate for Payer: Cofinity Commercial |
$284.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.44
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Healthscope Commercial |
$365.26
|
| Rate for Payer: Healthscope Commercial |
$315.90
|
| Rate for Payer: Healthscope Commercial |
$365.26
|
| Rate for Payer: Mclaren Medicaid |
$35.78
|
| Rate for Payer: Mclaren Medicaid |
$35.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.31
|
| Rate for Payer: Meridian Medicaid |
$37.57
|
| Rate for Payer: Meridian Medicaid |
$37.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,074.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,074.00
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: Nomi Health Commercial |
$236.93
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PACE SWMI |
$197.44
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: PHP Medicare Advantage |
$197.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$445.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.31
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health Medicare |
$197.44
|
| Rate for Payer: Priority Health Narrow Network |
$341.31
|
| Rate for Payer: Priority Health Narrow Network |
$341.31
|
| Rate for Payer: Priority Health SBD |
$86.22
|
| Rate for Payer: Priority Health SBD |
$86.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.44
|
| Rate for Payer: UHC Exchange |
$596.39
|
| Rate for Payer: UHC Exchange |
$596.39
|
| Rate for Payer: UHC Medicare Advantage |
$197.44
|
| Rate for Payer: UHC Medicare Advantage |
$197.44
|
| Rate for Payer: UHCCP Medicaid |
$35.78
|
| Rate for Payer: UHCCP Medicaid |
$35.78
|
|
|
CHG MRA HEAD W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 70546
|
| Min. Negotiated Rate |
$44.30 |
| Max. Negotiated Rate |
$58,104.00 |
| Rate for Payer: Aetna Commercial |
$403.41
|
| Rate for Payer: Aetna Medicare |
$313.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$403.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.51
|
| Rate for Payer: BCBS Complete |
$46.52
|
| Rate for Payer: BCBS MAPPO |
$301.05
|
| Rate for Payer: BCN Commercial |
$502.85
|
| Rate for Payer: BCN Medicare Advantage |
$301.05
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cofinity Commercial |
$433.51
|
| Rate for Payer: Cofinity Commercial |
$403.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.05
|
| Rate for Payer: Healthscope Commercial |
$556.94
|
| Rate for Payer: Healthscope Commercial |
$481.68
|
| Rate for Payer: Mclaren Medicaid |
$44.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.10
|
| Rate for Payer: Meridian Medicaid |
$46.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58,104.00
|
| Rate for Payer: Nomi Health Commercial |
$361.26
|
| Rate for Payer: PACE SWMI |
$301.05
|
| Rate for Payer: PHP Medicare Advantage |
$301.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.50
|
| Rate for Payer: Priority Health Medicare |
$301.05
|
| Rate for Payer: Priority Health Narrow Network |
$522.50
|
| Rate for Payer: Priority Health SBD |
$106.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,111.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.05
|
| Rate for Payer: UHC Exchange |
$1,111.73
|
| Rate for Payer: UHC Medicare Advantage |
$301.05
|
| Rate for Payer: UHCCP Medicaid |
$44.30
|
|
|
CHG MRA NECK W/O CONTRST MATERIAL
|
Professional
|
Both
|
$236.00
|
|
|
Service Code
|
HCPCS 70547
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$38,129.00 |
| Rate for Payer: Aetna Commercial |
$265.36
|
| Rate for Payer: Aetna Medicare |
$205.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.16
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$198.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,605.50
|
| Rate for Payer: BCN Commercial |
$328.88
|
| Rate for Payer: BCN Medicare Advantage |
$198.03
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$285.16
|
| Rate for Payer: Cofinity Commercial |
$265.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.03
|
| Rate for Payer: Healthscope Commercial |
$366.36
|
| Rate for Payer: Healthscope Commercial |
$316.85
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.93
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,129.00
|
| Rate for Payer: Nomi Health Commercial |
$237.64
|
| Rate for Payer: PACE SWMI |
$198.03
|
| Rate for Payer: PHP Medicare Advantage |
$198.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$153.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.82
|
| Rate for Payer: Priority Health Medicare |
$198.03
|
| Rate for Payer: Priority Health Narrow Network |
$341.82
|
| Rate for Payer: Priority Health SBD |
$86.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.03
|
| Rate for Payer: UHC Exchange |
$596.39
|
| Rate for Payer: UHC Medicare Advantage |
$198.03
|
| Rate for Payer: UHCCP Medicaid |
$36.00
|
|
