|
CHG MYELOGRAPY LUMBOSACRAL RS&I
|
Professional
|
Both
|
$163.00
|
|
|
Service Code
|
HCPCS 72265
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$18,783.00 |
| Rate for Payer: Aetna Commercial |
$131.71
|
| Rate for Payer: Aetna Medicare |
$102.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.54
|
| Rate for Payer: BCBS Complete |
$26.62
|
| Rate for Payer: BCBS MAPPO |
$98.29
|
| Rate for Payer: BCBS Trust/PPO |
$3,085.27
|
| Rate for Payer: BCN Commercial |
$160.77
|
| Rate for Payer: BCN Medicare Advantage |
$98.29
|
| Rate for Payer: Cash Price |
$130.40
|
| Rate for Payer: Cash Price |
$130.40
|
| Rate for Payer: Cofinity Commercial |
$141.54
|
| Rate for Payer: Cofinity Commercial |
$131.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.29
|
| Rate for Payer: Healthscope Commercial |
$181.84
|
| Rate for Payer: Healthscope Commercial |
$157.26
|
| Rate for Payer: Mclaren Medicaid |
$25.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.20
|
| Rate for Payer: Meridian Medicaid |
$26.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,783.00
|
| Rate for Payer: Nomi Health Commercial |
$117.95
|
| Rate for Payer: PACE SWMI |
$98.29
|
| Rate for Payer: PHP Medicare Advantage |
$98.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$167.84
|
| Rate for Payer: Priority Health Medicare |
$98.29
|
| Rate for Payer: Priority Health Narrow Network |
$167.84
|
| Rate for Payer: Priority Health SBD |
$60.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$215.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.29
|
| Rate for Payer: UHC Exchange |
$215.70
|
| Rate for Payer: UHC Medicare Advantage |
$98.29
|
| Rate for Payer: UHCCP Medicaid |
$25.35
|
|
|
CHG MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 78453
|
| Min. Negotiated Rate |
$29.18 |
| Max. Negotiated Rate |
$45,967.00 |
| Rate for Payer: Aetna Commercial |
$317.11
|
| Rate for Payer: Aetna Medicare |
$246.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$340.78
|
| Rate for Payer: BCBS Complete |
$30.64
|
| Rate for Payer: BCBS MAPPO |
$236.65
|
| Rate for Payer: BCBS Trust/PPO |
$240.38
|
| Rate for Payer: BCN Commercial |
$398.76
|
| Rate for Payer: BCN Medicare Advantage |
$236.65
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cofinity Commercial |
$340.78
|
| Rate for Payer: Cofinity Commercial |
$317.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.65
|
| Rate for Payer: Healthscope Commercial |
$378.64
|
| Rate for Payer: Healthscope Commercial |
$437.80
|
| Rate for Payer: Mclaren Medicaid |
$29.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.48
|
| Rate for Payer: Meridian Medicaid |
$30.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,967.00
|
| Rate for Payer: Nomi Health Commercial |
$283.98
|
| Rate for Payer: PACE SWMI |
$236.65
|
| Rate for Payer: PHP Medicare Advantage |
$236.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$410.10
|
| Rate for Payer: Priority Health Medicare |
$236.65
|
| Rate for Payer: Priority Health Narrow Network |
$410.10
|
| Rate for Payer: Priority Health SBD |
$68.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$236.65
|
| Rate for Payer: UHC Medicare Advantage |
$236.65
|
| Rate for Payer: UHCCP Medicaid |
$29.18
|
|
|
CHG MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 78454
|
| Min. Negotiated Rate |
$40.04 |
| Max. Negotiated Rate |
$68,495.00 |
| Rate for Payer: Aetna Commercial |
$468.92
|
| Rate for Payer: Aetna Medicare |
$363.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$503.91
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS MAPPO |
$349.94
|
| Rate for Payer: BCBS Trust/PPO |
$256.75
|
| Rate for Payer: BCN Commercial |
$594.72
|
| Rate for Payer: BCN Medicare Advantage |
$349.94
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$503.91
|
| Rate for Payer: Cofinity Commercial |
$468.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.94
|
| Rate for Payer: Healthscope Commercial |
$559.90
|
| Rate for Payer: Healthscope Commercial |
$647.39
|
| Rate for Payer: Mclaren Medicaid |
$40.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$367.44
|
| Rate for Payer: Meridian Medicaid |
$42.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,495.00
|
| Rate for Payer: Nomi Health Commercial |
$419.93
|
| Rate for Payer: PACE SWMI |
$349.94
|
| Rate for Payer: PHP Medicare Advantage |
$349.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$612.83
|
| Rate for Payer: Priority Health Medicare |
$349.94
|
| Rate for Payer: Priority Health Narrow Network |
$612.83
|
| Rate for Payer: Priority Health SBD |
$95.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.94
|
| Rate for Payer: UHC Medicare Advantage |
$349.94
|
| Rate for Payer: UHCCP Medicaid |
$40.04
|
|
|
CHG MYOCARDIAL SPECT MULTIPLE STUDIES
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 78452
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$73,859.00 |
| Rate for Payer: Aetna Commercial |
$506.72
|
| Rate for Payer: Aetna Commercial |
$506.72
|
| Rate for Payer: Aetna Medicare |
$393.28
|
| Rate for Payer: Aetna Medicare |
$393.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$378.15
|
| Rate for Payer: BCBS MAPPO |
$378.15
|
| Rate for Payer: BCBS Trust/PPO |
$209.21
|
| Rate for Payer: BCBS Trust/PPO |
$209.21
|
| Rate for Payer: BCN Commercial |
$640.66
|
| Rate for Payer: BCN Commercial |
$640.66
|
| Rate for Payer: BCN Medicare Advantage |
$378.15
|
| Rate for Payer: BCN Medicare Advantage |
$378.15
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$544.54
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$544.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.15
|
| Rate for Payer: Healthscope Commercial |
$605.04
|
| Rate for Payer: Healthscope Commercial |
$699.58
|
| Rate for Payer: Healthscope Commercial |
$699.58
|
| Rate for Payer: Healthscope Commercial |
$605.04
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.06
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,859.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,859.00
|
| Rate for Payer: Nomi Health Commercial |
$453.78
|
| Rate for Payer: Nomi Health Commercial |
$453.78
|
| Rate for Payer: PACE SWMI |
$378.15
|
| Rate for Payer: PACE SWMI |
$378.15
|
| Rate for Payer: PHP Medicare Advantage |
$378.15
|
| Rate for Payer: PHP Medicare Advantage |
$378.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$124.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$666.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$666.72
|
| Rate for Payer: Priority Health Medicare |
$378.15
|
| Rate for Payer: Priority Health Medicare |
$378.15
|
| Rate for Payer: Priority Health Narrow Network |
$666.72
|
| Rate for Payer: Priority Health Narrow Network |
$666.72
|
| Rate for Payer: Priority Health SBD |
$114.46
|
| Rate for Payer: Priority Health SBD |
$114.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.15
|
| Rate for Payer: UHC Medicare Advantage |
$378.15
|
| Rate for Payer: UHC Medicare Advantage |
$378.15
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
CHG MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 78451
|
| Min. Negotiated Rate |
$40.26 |
| Max. Negotiated Rate |
$53,341.00 |
| Rate for Payer: Aetna Commercial |
$368.71
|
| Rate for Payer: Aetna Medicare |
$286.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.23
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCBS MAPPO |
$275.16
|
| Rate for Payer: BCBS Trust/PPO |
$517.21
|
| Rate for Payer: BCN Commercial |
$461.80
|
| Rate for Payer: BCN Medicare Advantage |
$275.16
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$396.23
|
| Rate for Payer: Cofinity Commercial |
$368.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.16
|
| Rate for Payer: Healthscope Commercial |
$440.26
|
| Rate for Payer: Healthscope Commercial |
$509.05
|
| Rate for Payer: Mclaren Medicaid |
$40.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$288.92
|
| Rate for Payer: Meridian Medicaid |
$42.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53,341.00
|
| Rate for Payer: Nomi Health Commercial |
$330.19
|
| Rate for Payer: PACE SWMI |
$275.16
|
| Rate for Payer: PHP Medicare Advantage |
$275.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$481.95
|
| Rate for Payer: Priority Health Medicare |
$275.16
|
| Rate for Payer: Priority Health Narrow Network |
$481.95
|
| Rate for Payer: Priority Health SBD |
$97.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$275.16
|
| Rate for Payer: UHC Medicare Advantage |
$275.16
|
| Rate for Payer: UHCCP Medicaid |
$40.26
|
|
|
CHG MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 78491
|
| Min. Negotiated Rate |
$45.37 |
| Max. Negotiated Rate |
$73,679.00 |
| Rate for Payer: Aetna Commercial |
$1,378.75
|
| Rate for Payer: Aetna Medicare |
$357.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,378.75
|
| Rate for Payer: BCBS Complete |
$47.64
|
| Rate for Payer: BCBS Trust/PPO |
$431.09
|
| Rate for Payer: BCN Commercial |
$1,479.30
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Mclaren Medicaid |
$45.37
|
| Rate for Payer: Meridian Medicaid |
$47.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$73,679.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$676.99
|
| Rate for Payer: Priority Health Narrow Network |
$676.99
|
| Rate for Payer: Priority Health SBD |
$108.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$519.01
|
| Rate for Payer: UHC Exchange |
$519.01
|
| Rate for Payer: UHCCP Medicaid |
$45.37
|
|
|
CHG NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS
|
Professional
|
Both
|
$3,820.00
|
|
|
Service Code
|
HCPCS 77301
|
| Min. Negotiated Rate |
$270.72 |
| Max. Negotiated Rate |
$310,284.00 |
| Rate for Payer: Aetna Commercial |
$2,233.44
|
| Rate for Payer: Aetna Commercial |
$2,233.44
|
| Rate for Payer: Aetna Commercial |
$2,233.44
|
| Rate for Payer: Aetna Medicare |
$1,733.42
|
| Rate for Payer: Aetna Medicare |
$1,733.42
|
| Rate for Payer: Aetna Medicare |
$1,733.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,400.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,233.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,400.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,233.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,400.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,233.44
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS Complete |
$284.26
|
| Rate for Payer: BCBS MAPPO |
$1,666.75
|
| Rate for Payer: BCBS MAPPO |
$1,666.75
|
| Rate for Payer: BCBS MAPPO |
$1,666.75
|
| Rate for Payer: BCBS Trust/PPO |
$603.85
|
| Rate for Payer: BCBS Trust/PPO |
$603.85
|
| Rate for Payer: BCBS Trust/PPO |
$603.85
|
| Rate for Payer: BCN Commercial |
$2,787.78
|
| Rate for Payer: BCN Commercial |
$2,787.78
|
| Rate for Payer: BCN Commercial |
$2,787.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,666.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,666.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,666.75
|
| Rate for Payer: Cash Price |
$3,056.00
|
| Rate for Payer: Cash Price |
$3,056.00
|
| Rate for Payer: Cash Price |
$2,456.80
|
| Rate for Payer: Cash Price |
$1,401.60
|
| Rate for Payer: Cash Price |
$1,401.60
|
| Rate for Payer: Cash Price |
$2,456.80
|
| Rate for Payer: Cofinity Commercial |
$2,233.44
|
| Rate for Payer: Cofinity Commercial |
$2,400.12
|
| Rate for Payer: Cofinity Commercial |
$2,233.44
|
| Rate for Payer: Cofinity Commercial |
$2,400.12
|
| Rate for Payer: Cofinity Commercial |
$2,233.44
|
| Rate for Payer: Cofinity Commercial |
$2,400.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,666.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,666.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,666.75
|
| Rate for Payer: Healthscope Commercial |
$3,083.49
|
| Rate for Payer: Healthscope Commercial |
$3,083.49
|
| Rate for Payer: Healthscope Commercial |
$2,666.80
|
| Rate for Payer: Healthscope Commercial |
$2,666.80
|
| Rate for Payer: Healthscope Commercial |
$2,666.80
|
| Rate for Payer: Healthscope Commercial |
$3,083.49
|
| Rate for Payer: Mclaren Medicaid |
$270.72
|
| Rate for Payer: Mclaren Medicaid |
$270.72
|
| Rate for Payer: Mclaren Medicaid |
$270.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,750.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,750.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,750.09
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Meridian Medicaid |
$284.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310,284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310,284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310,284.00
|
| Rate for Payer: Nomi Health Commercial |
$2,000.10
|
| Rate for Payer: Nomi Health Commercial |
$2,000.10
|
| Rate for Payer: Nomi Health Commercial |
$2,000.10
|
| Rate for Payer: PACE SWMI |
$1,666.75
|
| Rate for Payer: PACE SWMI |
$1,666.75
|
| Rate for Payer: PACE SWMI |
$1,666.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,666.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,666.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,666.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,996.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,138.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,483.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,841.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,841.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,841.41
|
| Rate for Payer: Priority Health Medicare |
$1,666.75
|
| Rate for Payer: Priority Health Medicare |
$1,666.75
|
| Rate for Payer: Priority Health Medicare |
$1,666.75
|
| Rate for Payer: Priority Health Narrow Network |
$2,841.41
|
| Rate for Payer: Priority Health Narrow Network |
$2,841.41
|
| Rate for Payer: Priority Health Narrow Network |
$2,841.41
|
| Rate for Payer: Priority Health SBD |
$641.06
|
| Rate for Payer: Priority Health SBD |
$641.06
|
| Rate for Payer: Priority Health SBD |
$641.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,802.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,802.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,802.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,666.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,666.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,666.75
|
| Rate for Payer: UHC Exchange |
$1,802.23
|
| Rate for Payer: UHC Exchange |
$1,802.23
|
| Rate for Payer: UHC Exchange |
$1,802.23
|
| Rate for Payer: UHC Medicare Advantage |
$1,666.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,666.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,666.75
|
| Rate for Payer: UHCCP Medicaid |
$270.72
|
| Rate for Payer: UHCCP Medicaid |
$270.72
|
| Rate for Payer: UHCCP Medicaid |
$270.72
|
|
|
CHG OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 76519
|
| Min. Negotiated Rate |
$19.17 |
| Max. Negotiated Rate |
$11,482.00 |
| Rate for Payer: Aetna Commercial |
$82.87
|
| Rate for Payer: Aetna Medicare |
$64.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.05
|
| Rate for Payer: BCBS Complete |
$20.13
|
| Rate for Payer: BCBS MAPPO |
$61.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,288.07
|
| Rate for Payer: BCN Commercial |
$98.23
|
| Rate for Payer: BCN Medicare Advantage |
$61.84
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$89.05
|
| Rate for Payer: Cofinity Commercial |
$82.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.84
|
| Rate for Payer: Healthscope Commercial |
$98.94
|
| Rate for Payer: Healthscope Commercial |
$114.40
|
| Rate for Payer: Mclaren Medicaid |
$19.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.93
|
| Rate for Payer: Meridian Medicaid |
$20.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,482.00
|
| Rate for Payer: Nomi Health Commercial |
$74.21
|
| Rate for Payer: PACE SWMI |
$61.84
|
| Rate for Payer: PHP Medicare Advantage |
$61.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$104.71
|
| Rate for Payer: Priority Health Medicare |
$61.84
|
| Rate for Payer: Priority Health Narrow Network |
$104.71
|
| Rate for Payer: Priority Health SBD |
$45.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$117.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.84
|
| Rate for Payer: UHC Exchange |
$117.46
|
| Rate for Payer: UHC Medicare Advantage |
$61.84
|
| Rate for Payer: UHCCP Medicaid |
$19.17
|
|
|
CHG OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 76514
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$1,985.00 |
| Rate for Payer: Aetna Commercial |
$14.19
|
| Rate for Payer: Aetna Medicare |
$11.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.25
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$10.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,479.24
|
| Rate for Payer: BCN Commercial |
$16.61
|
| Rate for Payer: BCN Medicare Advantage |
$10.59
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$15.25
|
| Rate for Payer: Cofinity Commercial |
$14.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.59
|
| Rate for Payer: Healthscope Commercial |
$19.59
|
| Rate for Payer: Healthscope Commercial |
$16.94
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.12
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,985.00
|
| Rate for Payer: Nomi Health Commercial |
$12.71
|
| Rate for Payer: PACE SWMI |
$10.59
|
| Rate for Payer: PHP Medicare Advantage |
$10.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.45
|
| Rate for Payer: Priority Health Medicare |
$10.59
|
| Rate for Payer: Priority Health Narrow Network |
$17.45
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.59
|
| Rate for Payer: UHC Exchange |
$14.88
|
| Rate for Payer: UHC Medicare Advantage |
$10.59
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
|
|
CHG PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY
|
Professional
|
Both
|
$21.00
|
|
|
Service Code
|
HCPCS 86403
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$1,738.64 |
| Rate for Payer: Aetna Commercial |
$15.46
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.62
|
| Rate for Payer: BCBS Complete |
$8.40
|
| Rate for Payer: BCBS MAPPO |
$11.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,738.64
|
| Rate for Payer: BCN Commercial |
$8.66
|
| Rate for Payer: BCN Medicare Advantage |
$11.54
|
| Rate for Payer: Cash Price |
$16.80
|
| Rate for Payer: Cash Price |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$16.62
|
| Rate for Payer: Cofinity Commercial |
$15.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.54
|
| Rate for Payer: Healthscope Commercial |
$21.35
|
| Rate for Payer: Healthscope Commercial |
$18.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,731.00
|
| Rate for Payer: Nomi Health Commercial |
$13.85
|
| Rate for Payer: PACE SWMI |
$11.54
|
| Rate for Payer: PHP Medicare Advantage |
$11.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.65
|
| Rate for Payer: Priority Health Medicare |
$11.54
|
| Rate for Payer: Priority Health Narrow Network |
$11.65
|
| Rate for Payer: Priority Health SBD |
$11.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.54
|
| Rate for Payer: UHC Exchange |
$14.01
|
| Rate for Payer: UHC Medicare Advantage |
$11.54
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, CT GUIDE
|
Professional
|
Both
|
$267.00
|
|
|
Service Code
|
HCPCS 72292
|
| Min. Negotiated Rate |
$106.80 |
| Max. Negotiated Rate |
$173.55 |
| Rate for Payer: Aetna Medicare |
$133.50
|
| Rate for Payer: BCBS Complete |
$106.80
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$173.55
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, FLUOR GUIDE
|
Professional
|
Both
|
$242.00
|
|
|
Service Code
|
HCPCS 72291
|
| Min. Negotiated Rate |
$96.80 |
| Max. Negotiated Rate |
$157.30 |
| Rate for Payer: Aetna Medicare |
$121.00
|
| Rate for Payer: BCBS Complete |
$96.80
|
| Rate for Payer: Cash Price |
$193.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.30
|
|
|
CHG PERITONEOGRAM RS&I
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 74190
|
| Min. Negotiated Rate |
$13.85 |
| Max. Negotiated Rate |
$9,520.00 |
| Rate for Payer: Aetna Commercial |
$534.94
|
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.94
|
| Rate for Payer: BCBS Complete |
$14.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,754.03
|
| Rate for Payer: BCN Commercial |
$497.65
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Mclaren Medicaid |
$13.85
|
| Rate for Payer: Meridian Medicaid |
$14.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,520.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$83.66
|
| Rate for Payer: Priority Health Narrow Network |
$83.66
|
| Rate for Payer: Priority Health SBD |
$33.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.31
|
| Rate for Payer: UHC Exchange |
$81.31
|
| Rate for Payer: UHCCP Medicaid |
$13.85
|
|
|
CHG PH BODY FLUID NOT ELSEWHERE SPECIFIED
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 83986
|
| Min. Negotiated Rate |
$2.69 |
| Max. Negotiated Rate |
$4,440.36 |
| Rate for Payer: Aetna Commercial |
$4.80
|
| Rate for Payer: Aetna Medicare |
$3.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.80
|
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCBS MAPPO |
$3.58
|
| Rate for Payer: BCBS Trust/PPO |
$4,440.36
|
| Rate for Payer: BCN Commercial |
$2.69
|
| Rate for Payer: BCN Medicare Advantage |
$3.58
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$5.16
|
| Rate for Payer: Cofinity Commercial |
$4.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.58
|
| Rate for Payer: Healthscope Commercial |
$6.62
|
| Rate for Payer: Healthscope Commercial |
$5.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$537.00
|
| Rate for Payer: Nomi Health Commercial |
$4.30
|
| Rate for Payer: PACE SWMI |
$3.58
|
| Rate for Payer: PHP Medicare Advantage |
$3.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.66
|
| Rate for Payer: Priority Health Medicare |
$3.58
|
| Rate for Payer: Priority Health Narrow Network |
$3.66
|
| Rate for Payer: Priority Health SBD |
$3.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.58
|
| Rate for Payer: UHC Exchange |
$3.58
|
| Rate for Payer: UHC Medicare Advantage |
$3.58
|
|
|
CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 75953
|
| Min. Negotiated Rate |
$182.00 |
| Max. Negotiated Rate |
$295.75 |
| Rate for Payer: Aetna Medicare |
$227.50
|
| Rate for Payer: BCBS Complete |
$182.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
|
|
CHG PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I
|
Professional
|
Both
|
$379.00
|
|
|
Service Code
|
HCPCS 75958
|
| Min. Negotiated Rate |
$118.64 |
| Max. Negotiated Rate |
$33,822.00 |
| Rate for Payer: Aetna Commercial |
$229.01
|
| Rate for Payer: Aetna Medicare |
$189.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.01
|
| Rate for Payer: BCBS Complete |
$124.57
|
| Rate for Payer: BCBS Trust/PPO |
$471.24
|
| Rate for Payer: BCN Commercial |
$339.14
|
| Rate for Payer: Cash Price |
$303.20
|
| Rate for Payer: Cash Price |
$303.20
|
| Rate for Payer: Mclaren Medicaid |
$118.64
|
| Rate for Payer: Meridian Medicaid |
$124.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,822.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$246.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.80
|
| Rate for Payer: Priority Health Narrow Network |
$282.80
|
| Rate for Payer: Priority Health SBD |
$282.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$241.82
|
| Rate for Payer: UHC Exchange |
$241.82
|
| Rate for Payer: UHCCP Medicaid |
$118.64
|
|
|
CHG PROTHROMBIN TIME
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 85610
|
| Min. Negotiated Rate |
$4.29 |
| Max. Negotiated Rate |
$4,563.98 |
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Medicare |
$4.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.75
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.29
|
| Rate for Payer: BCBS Trust/PPO |
$4,563.98
|
| Rate for Payer: BCN Commercial |
$4.29
|
| Rate for Payer: BCN Medicare Advantage |
$4.29
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.18
|
| Rate for Payer: Cofinity Commercial |
$5.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$7.94
|
| Rate for Payer: Healthscope Commercial |
$6.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$644.00
|
| Rate for Payer: Nomi Health Commercial |
$5.15
|
| Rate for Payer: PACE SWMI |
$4.29
|
| Rate for Payer: PHP Medicare Advantage |
$4.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.33
|
| Rate for Payer: Priority Health Medicare |
$4.29
|
| Rate for Payer: Priority Health Narrow Network |
$4.33
|
| Rate for Payer: Priority Health SBD |
$4.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.29
|
| Rate for Payer: UHC Exchange |
$6.31
|
| Rate for Payer: UHC Medicare Advantage |
$4.29
|
|
|
CHG RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 73050
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$4,896.00 |
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Commercial |
$35.27
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna Medicare |
$27.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.27
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS MAPPO |
$26.32
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCBS Trust/PPO |
$992.68
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$26.32
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Cofinity Commercial |
$35.27
|
| Rate for Payer: Cofinity Commercial |
$37.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.32
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Healthscope Commercial |
$48.69
|
| Rate for Payer: Healthscope Commercial |
$48.69
|
| Rate for Payer: Healthscope Commercial |
$48.69
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.64
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,896.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,896.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,896.00
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: Nomi Health Commercial |
$31.58
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PACE SWMI |
$26.32
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: PHP Medicare Advantage |
$26.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.65
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Medicare |
$26.32
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health Narrow Network |
$44.65
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: Priority Health SBD |
$13.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.32
|
| Rate for Payer: UHC Exchange |
$48.65
|
| Rate for Payer: UHC Exchange |
$48.65
|
| Rate for Payer: UHC Exchange |
$48.65
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHC Medicare Advantage |
$26.32
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
|
|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$6,280.00 |
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Commercial |
$43.93
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna Medicare |
$34.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.93
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS MAPPO |
$32.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: BCN Medicare Advantage |
$32.78
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$43.93
|
| Rate for Payer: Cofinity Commercial |
$47.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.78
|
| Rate for Payer: Healthscope Commercial |
$52.45
|
| Rate for Payer: Healthscope Commercial |
$52.45
|
| Rate for Payer: Healthscope Commercial |
$60.64
|
| Rate for Payer: Healthscope Commercial |
$60.64
|
| Rate for Payer: Healthscope Commercial |
$60.64
|
| Rate for Payer: Healthscope Commercial |
$52.45
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.42
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,280.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,280.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,280.00
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: Nomi Health Commercial |
$39.34
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PACE SWMI |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: PHP Medicare Advantage |
$32.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.46
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Medicare |
$32.78
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.78
|
| Rate for Payer: UHC Exchange |
$42.50
|
| Rate for Payer: UHC Exchange |
$42.50
|
| Rate for Payer: UHC Exchange |
$42.50
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHC Medicare Advantage |
$32.78
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$4,885.00 |
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Commercial |
$34.41
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna Medicare |
$26.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.41
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS MAPPO |
$25.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,853.88
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: BCN Medicare Advantage |
$25.68
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$34.41
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.68
|
| Rate for Payer: Healthscope Commercial |
$41.09
|
| Rate for Payer: Healthscope Commercial |
$41.09
|
| Rate for Payer: Healthscope Commercial |
$47.51
|
| Rate for Payer: Healthscope Commercial |
$47.51
|
| Rate for Payer: Healthscope Commercial |
$47.51
|
| Rate for Payer: Healthscope Commercial |
$41.09
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,885.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,885.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,885.00
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: Nomi Health Commercial |
$30.82
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PACE SWMI |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: PHP Medicare Advantage |
$25.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Medicare |
$25.68
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Narrow Network |
$44.14
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.68
|
| Rate for Payer: UHC Exchange |
$32.62
|
| Rate for Payer: UHC Exchange |
$32.62
|
| Rate for Payer: UHC Exchange |
$32.62
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHC Medicare Advantage |
$25.68
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$5,497.00 |
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Commercial |
$39.54
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna Medicare |
$30.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS MAPPO |
$29.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCBS Trust/PPO |
$3,301.35
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: BCN Medicare Advantage |
$29.51
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Cofinity Commercial |
$42.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.51
|
| Rate for Payer: Healthscope Commercial |
$47.22
|
| Rate for Payer: Healthscope Commercial |
$47.22
|
| Rate for Payer: Healthscope Commercial |
$54.59
|
| Rate for Payer: Healthscope Commercial |
$54.59
|
| Rate for Payer: Healthscope Commercial |
$54.59
|
| Rate for Payer: Healthscope Commercial |
$47.22
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.99
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,497.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,497.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,497.00
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: Nomi Health Commercial |
$35.41
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PACE SWMI |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: PHP Medicare Advantage |
$29.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Medicare |
$29.51
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.51
|
| Rate for Payer: UHC Exchange |
$40.91
|
| Rate for Payer: UHC Exchange |
$40.91
|
| Rate for Payer: UHC Exchange |
$40.91
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHC Medicare Advantage |
$29.51
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$4,997.00 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.59
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCBS Trust/PPO |
$316.45
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Healthscope Commercial |
$42.50
|
| Rate for Payer: Healthscope Commercial |
$42.50
|
| Rate for Payer: Healthscope Commercial |
$49.14
|
| Rate for Payer: Healthscope Commercial |
$49.14
|
| Rate for Payer: Healthscope Commercial |
$49.14
|
| Rate for Payer: Healthscope Commercial |
$42.50
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,997.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,997.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,997.00
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: Nomi Health Commercial |
$31.87
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Exchange |
$37.73
|
| Rate for Payer: UHC Exchange |
$37.73
|
| Rate for Payer: UHC Exchange |
$37.73
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.56
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$86.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$19,015.00 |
| Rate for Payer: Aetna Commercial |
$118.63
|
| Rate for Payer: Aetna Medicare |
$92.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.48
|
| Rate for Payer: BCBS Complete |
$17.22
|
| Rate for Payer: BCBS MAPPO |
$88.53
|
| Rate for Payer: BCBS Trust/PPO |
$296.90
|
| Rate for Payer: BCN Commercial |
$164.20
|
| Rate for Payer: BCN Medicare Advantage |
$88.53
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Cofinity Commercial |
$127.48
|
| Rate for Payer: Cofinity Commercial |
$118.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.53
|
| Rate for Payer: Healthscope Commercial |
$163.78
|
| Rate for Payer: Healthscope Commercial |
$141.65
|
| Rate for Payer: Mclaren Medicaid |
$16.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.96
|
| Rate for Payer: Meridian Medicaid |
$17.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,015.00
|
| Rate for Payer: Nomi Health Commercial |
$106.24
|
| Rate for Payer: PACE SWMI |
$88.53
|
| Rate for Payer: PHP Medicare Advantage |
$88.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.97
|
| Rate for Payer: Priority Health Medicare |
$88.53
|
| Rate for Payer: Priority Health Narrow Network |
$153.97
|
| Rate for Payer: Priority Health SBD |
$39.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.53
|
| Rate for Payer: UHC Exchange |
$137.79
|
| Rate for Payer: UHC Medicare Advantage |
$88.53
|
| Rate for Payer: UHCCP Medicaid |
$16.40
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$5,558.00 |
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.58
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCBS Trust/PPO |
$379.85
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Healthscope Commercial |
$47.26
|
| Rate for Payer: Healthscope Commercial |
$47.26
|
| Rate for Payer: Healthscope Commercial |
$54.65
|
| Rate for Payer: Healthscope Commercial |
$54.65
|
| Rate for Payer: Healthscope Commercial |
$54.65
|
| Rate for Payer: Healthscope Commercial |
$47.26
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,558.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,558.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,558.00
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: Nomi Health Commercial |
$35.45
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.81
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health Narrow Network |
$50.81
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Exchange |
$42.39
|
| Rate for Payer: UHC Exchange |
$42.39
|
| Rate for Payer: UHC Exchange |
$42.39
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$29.54
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$7.88 |
| Max. Negotiated Rate |
$7,274.00 |
| Rate for Payer: Aetna Commercial |
$52.17
|
| Rate for Payer: Aetna Medicare |
$40.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.06
|
| Rate for Payer: BCBS Complete |
$8.27
|
| Rate for Payer: BCBS MAPPO |
$38.93
|
| Rate for Payer: BCN Commercial |
$62.55
|
| Rate for Payer: BCN Medicare Advantage |
$38.93
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$56.06
|
| Rate for Payer: Cofinity Commercial |
$52.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.93
|
| Rate for Payer: Healthscope Commercial |
$62.29
|
| Rate for Payer: Healthscope Commercial |
$72.02
|
| Rate for Payer: Mclaren Medicaid |
$7.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.88
|
| Rate for Payer: Meridian Medicaid |
$8.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,274.00
|
| Rate for Payer: Nomi Health Commercial |
$46.72
|
| Rate for Payer: PACE SWMI |
$38.93
|
| Rate for Payer: PHP Medicare Advantage |
$38.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.70
|
| Rate for Payer: Priority Health Medicare |
$38.93
|
| Rate for Payer: Priority Health Narrow Network |
$65.70
|
| Rate for Payer: Priority Health SBD |
$19.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.93
|
| Rate for Payer: UHC Medicare Advantage |
$38.93
|
| Rate for Payer: UHCCP Medicaid |
$7.88
|
|
