|
CHG RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 77431
|
| Min. Negotiated Rate |
$69.86 |
| Max. Negotiated Rate |
$18,850.00 |
| Rate for Payer: Aetna Commercial |
$138.31
|
| Rate for Payer: Aetna Medicare |
$107.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.64
|
| Rate for Payer: BCBS Complete |
$73.35
|
| Rate for Payer: BCBS MAPPO |
$103.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.16
|
| Rate for Payer: BCN Commercial |
$155.89
|
| Rate for Payer: BCN Medicare Advantage |
$103.22
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$148.64
|
| Rate for Payer: Cofinity Commercial |
$138.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.22
|
| Rate for Payer: Healthscope Commercial |
$190.96
|
| Rate for Payer: Healthscope Commercial |
$165.15
|
| Rate for Payer: Mclaren Medicaid |
$69.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.38
|
| Rate for Payer: Meridian Medicaid |
$73.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,850.00
|
| Rate for Payer: Nomi Health Commercial |
$123.86
|
| Rate for Payer: PACE SWMI |
$103.22
|
| Rate for Payer: PHP Medicare Advantage |
$103.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.28
|
| Rate for Payer: Priority Health Medicare |
$103.22
|
| Rate for Payer: Priority Health Narrow Network |
$165.28
|
| Rate for Payer: Priority Health SBD |
$126.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.22
|
| Rate for Payer: UHC Exchange |
$109.17
|
| Rate for Payer: UHC Medicare Advantage |
$103.22
|
| Rate for Payer: UHCCP Medicaid |
$69.86
|
|
|
CHG RADIATION TREATMENT DELIVERY >=1 MEV COMPLEX
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 77412
|
| Min. Negotiated Rate |
$99.37 |
| Max. Negotiated Rate |
$39,195.00 |
| Rate for Payer: Aetna Commercial |
$290.34
|
| Rate for Payer: Aetna Medicare |
$276.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.34
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS Trust/PPO |
$696.30
|
| Rate for Payer: BCN Commercial |
$187.96
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39,195.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.63
|
| Rate for Payer: Priority Health Narrow Network |
$353.63
|
| Rate for Payer: Priority Health SBD |
$353.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.37
|
| Rate for Payer: UHC Exchange |
$99.37
|
|
|
CHG RADIATION TREATMENT DELIVERY >=1 MEV SIMPLE
|
Professional
|
Both
|
$362.00
|
|
|
Service Code
|
HCPCS 77402
|
| Min. Negotiated Rate |
$75.82 |
| Max. Negotiated Rate |
$21,460.00 |
| Rate for Payer: Aetna Commercial |
$158.33
|
| Rate for Payer: Aetna Medicare |
$181.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.33
|
| Rate for Payer: BCBS Complete |
$144.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$106.71
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Cash Price |
$289.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,460.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.53
|
| Rate for Payer: Priority Health Narrow Network |
$194.53
|
| Rate for Payer: Priority Health SBD |
$194.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.82
|
| Rate for Payer: UHC Exchange |
$75.82
|
|
|
CHG RADIATION TREATMENT MANAGEMENT 5 TREATMENTS
|
Professional
|
Both
|
$360.00
|
|
|
Service Code
|
HCPCS 77427
|
| Min. Negotiated Rate |
$123.75 |
| Max. Negotiated Rate |
$33,709.00 |
| Rate for Payer: Aetna Commercial |
$245.49
|
| Rate for Payer: Aetna Medicare |
$190.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.81
|
| Rate for Payer: BCBS Complete |
$129.94
|
| Rate for Payer: BCBS MAPPO |
$183.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,101.58
|
| Rate for Payer: BCN Commercial |
$278.06
|
| Rate for Payer: BCN Medicare Advantage |
$183.20
|
| Rate for Payer: Cash Price |
$288.00
|
| Rate for Payer: Cash Price |
$288.00
|
| Rate for Payer: Cofinity Commercial |
$263.81
|
| Rate for Payer: Cofinity Commercial |
$245.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$183.20
|
| Rate for Payer: Healthscope Commercial |
$338.92
|
| Rate for Payer: Healthscope Commercial |
$293.12
|
| Rate for Payer: Mclaren Medicaid |
$123.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.36
|
| Rate for Payer: Meridian Medicaid |
$129.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,709.00
|
| Rate for Payer: Nomi Health Commercial |
$219.84
|
| Rate for Payer: PACE SWMI |
$183.20
|
| Rate for Payer: PHP Medicare Advantage |
$183.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.56
|
| Rate for Payer: Priority Health Medicare |
$183.20
|
| Rate for Payer: Priority Health Narrow Network |
$292.56
|
| Rate for Payer: Priority Health SBD |
$292.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$183.20
|
| Rate for Payer: UHC Exchange |
$372.11
|
| Rate for Payer: UHC Medicare Advantage |
$183.20
|
| Rate for Payer: UHCCP Medicaid |
$123.75
|
|
|
CHG RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTAGE
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 77401
|
| Min. Negotiated Rate |
$36.33 |
| Max. Negotiated Rate |
$6,845.00 |
| Rate for Payer: Aetna Commercial |
$48.68
|
| Rate for Payer: Aetna Medicare |
$37.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.32
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: BCBS MAPPO |
$36.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,336.14
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Medicare Advantage |
$36.33
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$52.32
|
| Rate for Payer: Cofinity Commercial |
$48.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.33
|
| Rate for Payer: Healthscope Commercial |
$58.13
|
| Rate for Payer: Healthscope Commercial |
$67.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,845.00
|
| Rate for Payer: Nomi Health Commercial |
$43.60
|
| Rate for Payer: PACE SWMI |
$36.33
|
| Rate for Payer: PHP Medicare Advantage |
$36.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$64.16
|
| Rate for Payer: Priority Health Medicare |
$36.33
|
| Rate for Payer: Priority Health Narrow Network |
$64.16
|
| Rate for Payer: Priority Health SBD |
$64.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.33
|
| Rate for Payer: UHC Exchange |
$75.82
|
| Rate for Payer: UHC Medicare Advantage |
$36.33
|
|
|
CHG RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS 70110
|
| Min. Negotiated Rate |
$7.67 |
| Max. Negotiated Rate |
$7,380.00 |
| Rate for Payer: Aetna Commercial |
$52.92
|
| Rate for Payer: Aetna Medicare |
$41.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.92
|
| Rate for Payer: BCBS Complete |
$8.05
|
| Rate for Payer: BCBS MAPPO |
$39.49
|
| Rate for Payer: BCN Commercial |
$63.53
|
| Rate for Payer: BCN Medicare Advantage |
$39.49
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$56.87
|
| Rate for Payer: Cofinity Commercial |
$52.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.49
|
| Rate for Payer: Healthscope Commercial |
$63.18
|
| Rate for Payer: Healthscope Commercial |
$73.06
|
| Rate for Payer: Mclaren Medicaid |
$7.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.46
|
| Rate for Payer: Meridian Medicaid |
$8.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,380.00
|
| Rate for Payer: Nomi Health Commercial |
$47.39
|
| Rate for Payer: PACE SWMI |
$39.49
|
| Rate for Payer: PHP Medicare Advantage |
$39.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.24
|
| Rate for Payer: Priority Health Medicare |
$39.49
|
| Rate for Payer: Priority Health Narrow Network |
$67.24
|
| Rate for Payer: Priority Health SBD |
$17.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.49
|
| Rate for Payer: UHC Exchange |
$46.32
|
| Rate for Payer: UHC Medicare Advantage |
$39.49
|
| Rate for Payer: UHCCP Medicaid |
$7.67
|
|
|
CHG RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
HCPCS 75989
|
| Min. Negotiated Rate |
$34.93 |
| Max. Negotiated Rate |
$19,519.00 |
| Rate for Payer: Aetna Commercial |
$136.60
|
| Rate for Payer: Aetna Medicare |
$106.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.79
|
| Rate for Payer: BCBS Complete |
$36.68
|
| Rate for Payer: BCBS MAPPO |
$101.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,322.48
|
| Rate for Payer: BCN Commercial |
$165.18
|
| Rate for Payer: BCN Medicare Advantage |
$101.94
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cofinity Commercial |
$146.79
|
| Rate for Payer: Cofinity Commercial |
$136.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.94
|
| Rate for Payer: Healthscope Commercial |
$188.59
|
| Rate for Payer: Healthscope Commercial |
$163.10
|
| Rate for Payer: Mclaren Medicaid |
$34.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.04
|
| Rate for Payer: Meridian Medicaid |
$36.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,519.00
|
| Rate for Payer: Nomi Health Commercial |
$122.33
|
| Rate for Payer: PACE SWMI |
$101.94
|
| Rate for Payer: PHP Medicare Advantage |
$101.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.43
|
| Rate for Payer: Priority Health Medicare |
$101.94
|
| Rate for Payer: Priority Health Narrow Network |
$171.43
|
| Rate for Payer: Priority Health SBD |
$83.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.94
|
| Rate for Payer: UHC Exchange |
$197.60
|
| Rate for Payer: UHC Medicare Advantage |
$101.94
|
| Rate for Payer: UHCCP Medicaid |
$34.93
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 74018
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$5,119.00 |
| Rate for Payer: Aetna Commercial |
$36.46
|
| Rate for Payer: Aetna Medicare |
$28.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.18
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$27.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,936.82
|
| Rate for Payer: BCN Commercial |
$43.98
|
| Rate for Payer: BCN Medicare Advantage |
$27.21
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$39.18
|
| Rate for Payer: Cofinity Commercial |
$36.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.21
|
| Rate for Payer: Healthscope Commercial |
$43.54
|
| Rate for Payer: Healthscope Commercial |
$50.34
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.57
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,119.00
|
| Rate for Payer: Nomi Health Commercial |
$32.65
|
| Rate for Payer: PACE SWMI |
$27.21
|
| Rate for Payer: PHP Medicare Advantage |
$27.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.70
|
| Rate for Payer: Priority Health Medicare |
$27.21
|
| Rate for Payer: Priority Health Narrow Network |
$46.70
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.21
|
| Rate for Payer: UHC Medicare Advantage |
$27.21
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 74019
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$6,313.00 |
| Rate for Payer: Aetna Commercial |
$44.94
|
| Rate for Payer: Aetna Commercial |
$44.94
|
| Rate for Payer: Aetna Medicare |
$34.88
|
| Rate for Payer: Aetna Medicare |
$34.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.94
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$33.54
|
| Rate for Payer: BCBS MAPPO |
$33.54
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$33.54
|
| Rate for Payer: BCN Medicare Advantage |
$33.54
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$48.30
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.54
|
| Rate for Payer: Healthscope Commercial |
$62.05
|
| Rate for Payer: Healthscope Commercial |
$53.66
|
| Rate for Payer: Healthscope Commercial |
$62.05
|
| Rate for Payer: Healthscope Commercial |
$53.66
|
| Rate for Payer: Mclaren Medicaid |
$7.03
|
| Rate for Payer: Mclaren Medicaid |
$7.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.22
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,313.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,313.00
|
| Rate for Payer: Nomi Health Commercial |
$40.25
|
| Rate for Payer: Nomi Health Commercial |
$40.25
|
| Rate for Payer: PACE SWMI |
$33.54
|
| Rate for Payer: PACE SWMI |
$33.54
|
| Rate for Payer: PHP Medicare Advantage |
$33.54
|
| Rate for Payer: PHP Medicare Advantage |
$33.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| 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 |
$33.54
|
| Rate for Payer: Priority Health Medicare |
$33.54
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health Narrow Network |
$56.46
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: Priority Health SBD |
$16.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.54
|
| Rate for Payer: UHC Medicare Advantage |
$33.54
|
| Rate for Payer: UHC Medicare Advantage |
$33.54
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 74021
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$7,335.00 |
| Rate for Payer: Aetna Commercial |
$51.82
|
| Rate for Payer: Aetna Medicare |
$40.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.68
|
| Rate for Payer: BCBS Complete |
$8.49
|
| Rate for Payer: BCBS MAPPO |
$38.67
|
| Rate for Payer: BCN Commercial |
$63.04
|
| Rate for Payer: BCN Medicare Advantage |
$38.67
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Cofinity Commercial |
$51.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.67
|
| Rate for Payer: Healthscope Commercial |
$71.54
|
| Rate for Payer: Healthscope Commercial |
$61.87
|
| Rate for Payer: Mclaren Medicaid |
$8.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.60
|
| Rate for Payer: Meridian Medicaid |
$8.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,335.00
|
| Rate for Payer: Nomi Health Commercial |
$46.40
|
| Rate for Payer: PACE SWMI |
$38.67
|
| Rate for Payer: PHP Medicare Advantage |
$38.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.21
|
| Rate for Payer: Priority Health Medicare |
$38.67
|
| Rate for Payer: Priority Health Narrow Network |
$66.21
|
| Rate for Payer: Priority Health SBD |
$19.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.67
|
| Rate for Payer: UHC Medicare Advantage |
$38.67
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
|
|
CHG RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 73565
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$6,775.00 |
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Commercial |
$48.23
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna Medicare |
$37.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.83
|
| 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 |
$35.99
|
| Rate for Payer: BCBS MAPPO |
$35.99
|
| Rate for Payer: BCBS MAPPO |
$35.99
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: BCN Medicare Advantage |
$35.99
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Cofinity Commercial |
$51.83
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Cofinity Commercial |
$48.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.99
|
| Rate for Payer: Healthscope Commercial |
$57.58
|
| Rate for Payer: Healthscope Commercial |
$57.58
|
| Rate for Payer: Healthscope Commercial |
$57.58
|
| Rate for Payer: Healthscope Commercial |
$66.58
|
| Rate for Payer: Healthscope Commercial |
$66.58
|
| Rate for Payer: Healthscope Commercial |
$66.58
|
| 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 |
$37.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.79
|
| 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 |
$6,775.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,775.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,775.00
|
| Rate for Payer: Nomi Health Commercial |
$43.19
|
| Rate for Payer: Nomi Health Commercial |
$43.19
|
| Rate for Payer: Nomi Health Commercial |
$43.19
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PACE SWMI |
$35.99
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| Rate for Payer: PHP Medicare Advantage |
$35.99
|
| 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 |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.60
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Medicare |
$35.99
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| Rate for Payer: Priority Health Narrow Network |
$61.60
|
| 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) |
$44.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.99
|
| Rate for Payer: UHC Exchange |
$44.03
|
| Rate for Payer: UHC Exchange |
$44.03
|
| Rate for Payer: UHC Exchange |
$44.03
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| Rate for Payer: UHC Medicare Advantage |
$35.99
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
|
CHG RADIOLOGIC EXAM CHEST 2 VIEWS
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 71046
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$5,753.00 |
| Rate for Payer: Aetna Commercial |
$40.96
|
| Rate for Payer: Aetna Medicare |
$31.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.02
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$30.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,811.01
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$30.57
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Cofinity Commercial |
$40.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.57
|
| Rate for Payer: Healthscope Commercial |
$48.91
|
| Rate for Payer: Healthscope Commercial |
$56.55
|
| Rate for Payer: Mclaren Medicaid |
$6.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.10
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,753.00
|
| Rate for Payer: Nomi Health Commercial |
$36.68
|
| Rate for Payer: PACE SWMI |
$30.57
|
| Rate for Payer: PHP Medicare Advantage |
$30.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.84
|
| Rate for Payer: Priority Health Medicare |
$30.57
|
| Rate for Payer: Priority Health Narrow Network |
$51.84
|
| Rate for Payer: Priority Health SBD |
$15.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.57
|
| Rate for Payer: UHC Medicare Advantage |
$30.57
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
|
|
CHG RADIOLOGIC EXAM CHEST 3 VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 71047
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$7,223.00 |
| Rate for Payer: Aetna Commercial |
$51.03
|
| Rate for Payer: Aetna Medicare |
$39.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.84
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS MAPPO |
$38.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,027.62
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$38.08
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$54.84
|
| Rate for Payer: Cofinity Commercial |
$51.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.08
|
| Rate for Payer: Healthscope Commercial |
$60.93
|
| Rate for Payer: Healthscope Commercial |
$70.45
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.98
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,223.00
|
| Rate for Payer: Nomi Health Commercial |
$45.70
|
| Rate for Payer: PACE SWMI |
$38.08
|
| Rate for Payer: PHP Medicare Advantage |
$38.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.19
|
| Rate for Payer: Priority Health Medicare |
$38.08
|
| Rate for Payer: Priority Health Narrow Network |
$65.19
|
| Rate for Payer: Priority Health SBD |
$20.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.08
|
| Rate for Payer: UHC Medicare Advantage |
$38.08
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
CHG RADIOLOGIC EXAM CHEST SINGLE VIEW
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 71045
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$4,451.00 |
| Rate for Payer: Aetna Commercial |
$31.72
|
| Rate for Payer: Aetna Commercial |
$31.72
|
| Rate for Payer: Aetna Medicare |
$24.62
|
| Rate for Payer: Aetna Medicare |
$24.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.72
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$23.67
|
| Rate for Payer: BCBS MAPPO |
$23.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.71
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Medicare Advantage |
$23.67
|
| Rate for Payer: BCN Medicare Advantage |
$23.67
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$31.72
|
| Rate for Payer: Cofinity Commercial |
$34.08
|
| Rate for Payer: Cofinity Commercial |
$31.72
|
| Rate for Payer: Cofinity Commercial |
$34.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.67
|
| Rate for Payer: Healthscope Commercial |
$37.87
|
| Rate for Payer: Healthscope Commercial |
$43.79
|
| Rate for Payer: Healthscope Commercial |
$43.79
|
| Rate for Payer: Healthscope Commercial |
$37.87
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.85
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,451.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,451.00
|
| Rate for Payer: Nomi Health Commercial |
$28.40
|
| Rate for Payer: Nomi Health Commercial |
$28.40
|
| Rate for Payer: PACE SWMI |
$23.67
|
| Rate for Payer: PACE SWMI |
$23.67
|
| Rate for Payer: PHP Medicare Advantage |
$23.67
|
| Rate for Payer: PHP Medicare Advantage |
$23.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.52
|
| Rate for Payer: Priority Health Medicare |
$23.67
|
| Rate for Payer: Priority Health Medicare |
$23.67
|
| Rate for Payer: Priority Health Narrow Network |
$39.52
|
| Rate for Payer: Priority Health Narrow Network |
$39.52
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.67
|
| Rate for Payer: UHC Medicare Advantage |
$23.67
|
| Rate for Payer: UHC Medicare Advantage |
$23.67
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 74022
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$8,539.00 |
| Rate for Payer: Aetna Commercial |
$60.81
|
| Rate for Payer: Aetna Medicare |
$47.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.35
|
| Rate for Payer: BCBS Complete |
$10.29
|
| Rate for Payer: BCBS MAPPO |
$45.38
|
| Rate for Payer: BCN Commercial |
$73.31
|
| Rate for Payer: BCN Medicare Advantage |
$45.38
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$65.35
|
| Rate for Payer: Cofinity Commercial |
$60.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.38
|
| Rate for Payer: Healthscope Commercial |
$83.95
|
| Rate for Payer: Healthscope Commercial |
$72.61
|
| Rate for Payer: Mclaren Medicaid |
$9.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.65
|
| Rate for Payer: Meridian Medicaid |
$10.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,539.00
|
| Rate for Payer: Nomi Health Commercial |
$54.46
|
| Rate for Payer: PACE SWMI |
$45.38
|
| Rate for Payer: PHP Medicare Advantage |
$45.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$76.99
|
| Rate for Payer: Priority Health Medicare |
$45.38
|
| Rate for Payer: Priority Health Narrow Network |
$76.99
|
| Rate for Payer: Priority Health SBD |
$23.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.38
|
| Rate for Payer: UHC Exchange |
$65.93
|
| Rate for Payer: UHC Medicare Advantage |
$45.38
|
| Rate for Payer: UHCCP Medicaid |
$9.80
|
|
|
CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 73600
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$5,553.00 |
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Commercial |
$38.75
|
| Rate for Payer: Aetna Medicare |
$30.08
|
| Rate for Payer: Aetna Medicare |
$30.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.75
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS MAPPO |
$28.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,179.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,179.17
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: BCN Medicare Advantage |
$28.92
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Cofinity Commercial |
$38.75
|
| Rate for Payer: Cofinity Commercial |
$41.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.92
|
| Rate for Payer: Healthscope Commercial |
$46.27
|
| Rate for Payer: Healthscope Commercial |
$53.50
|
| Rate for Payer: Healthscope Commercial |
$46.27
|
| Rate for Payer: Healthscope Commercial |
$53.50
|
| 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 |
$30.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.37
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,553.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,553.00
|
| Rate for Payer: Nomi Health Commercial |
$34.70
|
| Rate for Payer: Nomi Health Commercial |
$34.70
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PACE SWMI |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| Rate for Payer: PHP Medicare Advantage |
$28.92
|
| 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 |
$51.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.79
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: Priority Health Medicare |
$28.92
|
| Rate for Payer: Priority Health Narrow Network |
$49.79
|
| Rate for Payer: Priority Health Narrow Network |
$49.79
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: Priority Health SBD |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.92
|
| Rate for Payer: UHC Exchange |
$35.88
|
| Rate for Payer: UHC Exchange |
$35.88
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHC Medicare Advantage |
$28.92
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
|
|
CHG RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 70030
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$5,564.00 |
| Rate for Payer: Aetna Commercial |
$40.01
|
| Rate for Payer: Aetna Medicare |
$31.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.00
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$29.86
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$29.86
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$43.00
|
| Rate for Payer: Cofinity Commercial |
$40.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.86
|
| Rate for Payer: Healthscope Commercial |
$55.24
|
| Rate for Payer: Healthscope Commercial |
$47.78
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.35
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,564.00
|
| Rate for Payer: Nomi Health Commercial |
$35.83
|
| Rate for Payer: PACE SWMI |
$29.86
|
| Rate for Payer: PHP Medicare Advantage |
$29.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.30
|
| Rate for Payer: Priority Health Medicare |
$29.86
|
| Rate for Payer: Priority Health Narrow Network |
$50.30
|
| Rate for Payer: Priority Health SBD |
$12.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.86
|
| Rate for Payer: UHC Exchange |
$31.89
|
| Rate for Payer: UHC Medicare Advantage |
$29.86
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAMINATION FEMUR 1 VIEW
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 73551
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$4,997.00 |
| Rate for Payer: Aetna Commercial |
$35.99
|
| Rate for Payer: Aetna Medicare |
$27.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.68
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$26.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,038.18
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$26.86
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$38.68
|
| Rate for Payer: Cofinity Commercial |
$35.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.86
|
| Rate for Payer: Healthscope Commercial |
$42.98
|
| Rate for Payer: Healthscope Commercial |
$49.69
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.20
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,997.00
|
| Rate for Payer: Nomi Health Commercial |
$32.23
|
| Rate for Payer: PACE SWMI |
$26.86
|
| Rate for Payer: PHP Medicare Advantage |
$26.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.16
|
| Rate for Payer: Priority Health Medicare |
$26.86
|
| Rate for Payer: Priority Health Narrow Network |
$45.16
|
| Rate for Payer: Priority Health SBD |
$12.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.86
|
| Rate for Payer: UHC Medicare Advantage |
$26.86
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 73552
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$6,064.00 |
| Rate for Payer: Aetna Commercial |
$43.17
|
| Rate for Payer: Aetna Commercial |
$43.17
|
| Rate for Payer: Aetna Medicare |
$33.51
|
| Rate for Payer: Aetna Medicare |
$33.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.17
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$32.22
|
| Rate for Payer: BCBS MAPPO |
$32.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.30
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Medicare Advantage |
$32.22
|
| Rate for Payer: BCN Medicare Advantage |
$32.22
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$43.17
|
| Rate for Payer: Cofinity Commercial |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$43.17
|
| Rate for Payer: Cofinity Commercial |
$46.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.22
|
| Rate for Payer: Healthscope Commercial |
$51.55
|
| Rate for Payer: Healthscope Commercial |
$59.61
|
| Rate for Payer: Healthscope Commercial |
$59.61
|
| Rate for Payer: Healthscope Commercial |
$51.55
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.83
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,064.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,064.00
|
| Rate for Payer: Nomi Health Commercial |
$38.66
|
| Rate for Payer: Nomi Health Commercial |
$38.66
|
| Rate for Payer: PACE SWMI |
$32.22
|
| Rate for Payer: PACE SWMI |
$32.22
|
| Rate for Payer: PHP Medicare Advantage |
$32.22
|
| Rate for Payer: PHP Medicare Advantage |
$32.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.92
|
| Rate for Payer: Priority Health Medicare |
$32.22
|
| Rate for Payer: Priority Health Medicare |
$32.22
|
| Rate for Payer: Priority Health Narrow Network |
$54.92
|
| Rate for Payer: Priority Health Narrow Network |
$54.92
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.22
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 73620
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$4,829.00 |
| 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 |
$4.92
|
| Rate for Payer: BCBS Complete |
$4.92
|
| Rate for Payer: BCBS Complete |
$4.92
|
| 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 |
$954.11
|
| Rate for Payer: BCBS Trust/PPO |
$954.11
|
| Rate for Payer: BCBS Trust/PPO |
$954.11
|
| Rate for Payer: BCN Commercial |
$41.54
|
| Rate for Payer: BCN Commercial |
$41.54
|
| Rate for Payer: BCN Commercial |
$41.54
|
| 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 |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| 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 |
$4.69
|
| Rate for Payer: Mclaren Medicaid |
$4.69
|
| Rate for Payer: Mclaren Medicaid |
$4.69
|
| 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 |
$4.92
|
| Rate for Payer: Meridian Medicaid |
$4.92
|
| Rate for Payer: Meridian Medicaid |
$4.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,829.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,829.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,829.00
|
| 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 |
$4.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.70
|
| 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 |
$11.29
|
| Rate for Payer: Priority Health SBD |
$11.29
|
| Rate for Payer: Priority Health SBD |
$11.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.48
|
| 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 |
$33.48
|
| Rate for Payer: UHC Exchange |
$33.48
|
| Rate for Payer: UHC Exchange |
$33.48
|
| 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 |
$4.69
|
| Rate for Payer: UHCCP Medicaid |
$4.69
|
| Rate for Payer: UHCCP Medicaid |
$4.69
|
|
|
CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 73560
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$5,830.00 |
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: Aetna Commercial |
$41.12
|
| Rate for Payer: Aetna Medicare |
$31.92
|
| Rate for Payer: Aetna Medicare |
$31.92
|
| Rate for Payer: Aetna Medicare |
$31.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.12
|
| 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 |
$30.69
|
| Rate for Payer: BCBS MAPPO |
$30.69
|
| Rate for Payer: BCBS MAPPO |
$30.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Medicare Advantage |
$30.69
|
| Rate for Payer: BCN Medicare Advantage |
$30.69
|
| Rate for Payer: BCN Medicare Advantage |
$30.69
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$41.12
|
| Rate for Payer: Cofinity Commercial |
$44.19
|
| Rate for Payer: Cofinity Commercial |
$44.19
|
| Rate for Payer: Cofinity Commercial |
$41.12
|
| Rate for Payer: Cofinity Commercial |
$41.12
|
| Rate for Payer: Cofinity Commercial |
$44.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.69
|
| Rate for Payer: Healthscope Commercial |
$49.10
|
| Rate for Payer: Healthscope Commercial |
$49.10
|
| Rate for Payer: Healthscope Commercial |
$56.78
|
| Rate for Payer: Healthscope Commercial |
$56.78
|
| Rate for Payer: Healthscope Commercial |
$56.78
|
| Rate for Payer: Healthscope Commercial |
$49.10
|
| 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 |
$32.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.22
|
| 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 |
$5,830.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,830.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,830.00
|
| Rate for Payer: Nomi Health Commercial |
$36.83
|
| Rate for Payer: Nomi Health Commercial |
$36.83
|
| Rate for Payer: Nomi Health Commercial |
$36.83
|
| Rate for Payer: PACE SWMI |
$30.69
|
| Rate for Payer: PACE SWMI |
$30.69
|
| Rate for Payer: PACE SWMI |
$30.69
|
| Rate for Payer: PHP Medicare Advantage |
$30.69
|
| Rate for Payer: PHP Medicare Advantage |
$30.69
|
| Rate for Payer: PHP Medicare Advantage |
$30.69
|
| 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 |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.87
|
| Rate for Payer: Priority Health Medicare |
$30.69
|
| Rate for Payer: Priority Health Medicare |
$30.69
|
| Rate for Payer: Priority Health Medicare |
$30.69
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| Rate for Payer: Priority Health Narrow Network |
$52.87
|
| 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) |
$47.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.69
|
| Rate for Payer: UHC Exchange |
$47.12
|
| Rate for Payer: UHC Exchange |
$47.12
|
| Rate for Payer: UHC Exchange |
$47.12
|
| Rate for Payer: UHC Medicare Advantage |
$30.69
|
| Rate for Payer: UHC Medicare Advantage |
$30.69
|
| Rate for Payer: UHC Medicare Advantage |
$30.69
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 73562
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$6,898.00 |
| Rate for Payer: Aetna Commercial |
$49.10
|
| Rate for Payer: Aetna Commercial |
$49.10
|
| Rate for Payer: Aetna Commercial |
$49.10
|
| Rate for Payer: Aetna Medicare |
$38.11
|
| Rate for Payer: Aetna Medicare |
$38.11
|
| Rate for Payer: Aetna Medicare |
$38.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.10
|
| 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 |
$36.64
|
| Rate for Payer: BCBS MAPPO |
$36.64
|
| Rate for Payer: BCBS MAPPO |
$36.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$36.64
|
| Rate for Payer: BCN Medicare Advantage |
$36.64
|
| Rate for Payer: BCN Medicare Advantage |
$36.64
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$52.76
|
| Rate for Payer: Cofinity Commercial |
$52.76
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$52.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.64
|
| Rate for Payer: Healthscope Commercial |
$58.62
|
| Rate for Payer: Healthscope Commercial |
$58.62
|
| Rate for Payer: Healthscope Commercial |
$67.78
|
| Rate for Payer: Healthscope Commercial |
$67.78
|
| Rate for Payer: Healthscope Commercial |
$67.78
|
| Rate for Payer: Healthscope Commercial |
$58.62
|
| 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 |
$38.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.47
|
| 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 |
$6,898.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,898.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,898.00
|
| Rate for Payer: Nomi Health Commercial |
$43.97
|
| Rate for Payer: Nomi Health Commercial |
$43.97
|
| Rate for Payer: Nomi Health Commercial |
$43.97
|
| Rate for Payer: PACE SWMI |
$36.64
|
| Rate for Payer: PACE SWMI |
$36.64
|
| Rate for Payer: PACE SWMI |
$36.64
|
| Rate for Payer: PHP Medicare Advantage |
$36.64
|
| Rate for Payer: PHP Medicare Advantage |
$36.64
|
| Rate for Payer: PHP Medicare Advantage |
$36.64
|
| 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 |
$34.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.13
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.13
|
| Rate for Payer: Priority Health Medicare |
$36.64
|
| Rate for Payer: Priority Health Medicare |
$36.64
|
| Rate for Payer: Priority Health Medicare |
$36.64
|
| Rate for Payer: Priority Health Narrow Network |
$63.13
|
| Rate for Payer: Priority Health Narrow Network |
$63.13
|
| Rate for Payer: Priority Health Narrow Network |
$63.13
|
| 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) |
$49.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.64
|
| Rate for Payer: UHC Exchange |
$49.97
|
| Rate for Payer: UHC Exchange |
$49.97
|
| Rate for Payer: UHC Exchange |
$49.97
|
| Rate for Payer: UHC Medicare Advantage |
$36.64
|
| Rate for Payer: UHC Medicare Advantage |
$36.64
|
| Rate for Payer: UHC Medicare Advantage |
$36.64
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
|
|
CHG RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 70100
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$6,565.00 |
| Rate for Payer: Aetna Commercial |
$46.73
|
| Rate for Payer: Aetna Medicare |
$36.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.21
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$34.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$56.68
|
| Rate for Payer: BCN Medicare Advantage |
$34.87
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$50.21
|
| Rate for Payer: Cofinity Commercial |
$46.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.87
|
| Rate for Payer: Healthscope Commercial |
$64.51
|
| Rate for Payer: Healthscope Commercial |
$55.79
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.61
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,565.00
|
| Rate for Payer: Nomi Health Commercial |
$41.84
|
| Rate for Payer: PACE SWMI |
$34.87
|
| Rate for Payer: PHP Medicare Advantage |
$34.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.06
|
| Rate for Payer: Priority Health Medicare |
$34.87
|
| Rate for Payer: Priority Health Narrow Network |
$60.06
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.87
|
| Rate for Payer: UHC Exchange |
$36.86
|
| Rate for Payer: UHC Medicare Advantage |
$34.87
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 70360
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$5,396.00 |
| Rate for Payer: Aetna Commercial |
$38.04
|
| Rate for Payer: Aetna Medicare |
$29.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.88
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$28.39
|
| Rate for Payer: BCBS Trust/PPO |
$2,020.75
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$28.39
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$40.88
|
| Rate for Payer: Cofinity Commercial |
$38.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.39
|
| Rate for Payer: Healthscope Commercial |
$52.52
|
| Rate for Payer: Healthscope Commercial |
$45.42
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.81
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,396.00
|
| Rate for Payer: Nomi Health Commercial |
$34.07
|
| Rate for Payer: PACE SWMI |
$28.39
|
| Rate for Payer: PHP Medicare Advantage |
$28.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.25
|
| Rate for Payer: Priority Health Medicare |
$28.39
|
| Rate for Payer: Priority Health Narrow Network |
$48.25
|
| Rate for Payer: Priority Health SBD |
$13.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.39
|
| Rate for Payer: UHC Exchange |
$31.89
|
| Rate for Payer: UHC Medicare Advantage |
$28.39
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 77075
|
| Min. Negotiated Rate |
$16.61 |
| Max. Negotiated Rate |
$17,030.00 |
| Rate for Payer: Aetna Commercial |
$119.97
|
| Rate for Payer: Aetna Medicare |
$93.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.92
|
| Rate for Payer: BCBS Complete |
$17.44
|
| Rate for Payer: BCBS MAPPO |
$89.53
|
| Rate for Payer: BCN Commercial |
$146.60
|
| Rate for Payer: BCN Medicare Advantage |
$89.53
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$128.92
|
| Rate for Payer: Cofinity Commercial |
$119.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.53
|
| Rate for Payer: Healthscope Commercial |
$165.63
|
| Rate for Payer: Healthscope Commercial |
$143.25
|
| Rate for Payer: Mclaren Medicaid |
$16.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.01
|
| Rate for Payer: Meridian Medicaid |
$17.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,030.00
|
| Rate for Payer: Nomi Health Commercial |
$107.44
|
| Rate for Payer: PACE SWMI |
$89.53
|
| Rate for Payer: PHP Medicare Advantage |
$89.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.47
|
| Rate for Payer: Priority Health Medicare |
$89.53
|
| Rate for Payer: Priority Health Narrow Network |
$153.47
|
| Rate for Payer: Priority Health SBD |
$40.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.53
|
| Rate for Payer: UHC Exchange |
$105.45
|
| Rate for Payer: UHC Medicare Advantage |
$89.53
|
| Rate for Payer: UHCCP Medicaid |
$16.61
|
|
