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Charge Type Setting Price  
Service Code HCPCS 30905
Min. Negotiated Rate $67.31
Max. Negotiated Rate $835.24
Rate for Payer: Aetna Commercial $136.69
Rate for Payer: BCBS Complete $70.68
Rate for Payer: BCBS Trust/PPO $835.24
Rate for Payer: Cash Price $350.40
Rate for Payer: Cash Price $350.40
Rate for Payer: Mclaren Medicaid $67.31
Rate for Payer: Meridian Medicaid $70.68
Rate for Payer: Priority Health Choice Medicaid $67.31
Rate for Payer: Priority Health Cigna Priority Health $306.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $146.32
Rate for Payer: Priority Health Narrow Network $146.32
Rate for Payer: Priority Health SBD $146.32
Service Code HCPCS 30906
Min. Negotiated Rate $84.35
Max. Negotiated Rate $907.62
Rate for Payer: Aetna Commercial $174.23
Rate for Payer: BCBS Complete $88.57
Rate for Payer: BCBS Trust/PPO $907.62
Rate for Payer: Cash Price $469.60
Rate for Payer: Cash Price $469.60
Rate for Payer: Mclaren Medicaid $84.35
Rate for Payer: Meridian Medicaid $88.57
Rate for Payer: Priority Health Choice Medicaid $84.35
Rate for Payer: Priority Health Cigna Priority Health $410.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $183.83
Rate for Payer: Priority Health Narrow Network $183.83
Rate for Payer: Priority Health SBD $183.83
Service Code HCPCS 42961
Min. Negotiated Rate $269.96
Max. Negotiated Rate $742.62
Rate for Payer: Aetna Commercial $551.09
Rate for Payer: BCBS Complete $284.49
Rate for Payer: BCBS Trust/PPO $269.96
Rate for Payer: Cash Price $612.00
Rate for Payer: Cash Price $612.00
Rate for Payer: Mclaren Medicaid $270.94
Rate for Payer: Meridian Medicaid $284.49
Rate for Payer: Priority Health Choice Medicaid $270.94
Rate for Payer: Priority Health Cigna Priority Health $535.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $742.62
Rate for Payer: Priority Health Narrow Network $742.62
Rate for Payer: Priority Health SBD $742.62
Service Code HCPCS 42962
Min. Negotiated Rate $333.56
Max. Negotiated Rate $1,304.80
Rate for Payer: Aetna Commercial $682.74
Rate for Payer: BCBS Complete $350.24
Rate for Payer: BCBS Trust/PPO $346.04
Rate for Payer: Cash Price $1,491.20
Rate for Payer: Cash Price $1,491.20
Rate for Payer: Mclaren Medicaid $333.56
Rate for Payer: Meridian Medicaid $350.24
Rate for Payer: Priority Health Choice Medicaid $333.56
Rate for Payer: Priority Health Cigna Priority Health $1,304.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $918.42
Rate for Payer: Priority Health Narrow Network $918.42
Rate for Payer: Priority Health SBD $918.42
Service Code HCPCS 95929
Min. Negotiated Rate $103.30
Max. Negotiated Rate $369.60
Rate for Payer: Aetna Commercial $260.29
Rate for Payer: BCBS Complete $211.20
Rate for Payer: BCBS Trust/PPO $111.47
Rate for Payer: Cash Price $422.40
Rate for Payer: Cash Price $422.40
Rate for Payer: Priority Health Cigna Priority Health $369.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $103.30
Rate for Payer: Priority Health Narrow Network $103.30
Rate for Payer: Priority Health SBD $321.13
Service Code HCPCS 95928
Min. Negotiated Rate $99.85
Max. Negotiated Rate $316.20
Rate for Payer: Aetna Commercial $253.19
Rate for Payer: Aetna Commercial $253.19
Rate for Payer: BCBS Complete $194.80
Rate for Payer: BCBS Complete $133.20
Rate for Payer: BCBS Trust/PPO $99.85
Rate for Payer: BCBS Trust/PPO $99.85
Rate for Payer: Cash Price $266.40
Rate for Payer: Cash Price $266.40
Rate for Payer: Cash Price $389.60
Rate for Payer: Cash Price $389.60
Rate for Payer: Priority Health Cigna Priority Health $340.90
Rate for Payer: Priority Health Cigna Priority Health $233.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $103.75
Rate for Payer: Priority Health HMO/PPO/Tiered Network $103.75
Rate for Payer: Priority Health Narrow Network $103.75
Rate for Payer: Priority Health Narrow Network $103.75
Rate for Payer: Priority Health SBD $316.20
Rate for Payer: Priority Health SBD $316.20
Service Code HCPCS 95939
Min. Negotiated Rate $128.80
Max. Negotiated Rate $732.55
Rate for Payer: Aetna Commercial $578.57
Rate for Payer: BCBS Complete $128.80
Rate for Payer: BCBS Trust/PPO $596.45
Rate for Payer: Cash Price $257.60
Rate for Payer: Cash Price $257.60
Rate for Payer: Priority Health Cigna Priority Health $225.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $154.95
Rate for Payer: Priority Health Narrow Network $154.95
Rate for Payer: Priority Health SBD $732.55
Service Code HCPCS 59160
Min. Negotiated Rate $121.84
Max. Negotiated Rate $516.15
Rate for Payer: Aetna Commercial $203.67
Rate for Payer: BCBS Complete $127.93
Rate for Payer: BCBS Trust/PPO $516.15
Rate for Payer: Cash Price $428.00
Rate for Payer: Cash Price $428.00
Rate for Payer: Mclaren Medicaid $121.84
Rate for Payer: Meridian Medicaid $127.93
Rate for Payer: Priority Health Choice Medicaid $121.84
Rate for Payer: Priority Health Cigna Priority Health $374.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $269.14
Rate for Payer: Priority Health Narrow Network $269.14
Rate for Payer: Priority Health SBD $269.14
Service Code HCPCS 46942
Min. Negotiated Rate $83.50
Max. Negotiated Rate $1,144.83
Rate for Payer: Aetna Commercial $172.65
Rate for Payer: BCBS Complete $87.68
Rate for Payer: BCBS Trust/PPO $1,144.83
Rate for Payer: Cash Price $262.40
Rate for Payer: Cash Price $262.40
Rate for Payer: Mclaren Medicaid $83.50
Rate for Payer: Meridian Medicaid $87.68
Rate for Payer: Priority Health Choice Medicaid $83.50
Rate for Payer: Priority Health Cigna Priority Health $229.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $228.72
Rate for Payer: Priority Health Narrow Network $228.72
Rate for Payer: Priority Health SBD $228.72
Service Code HCPCS 00592
Hospital Revenue Code 990
Min. Negotiated Rate $56.00
Max. Negotiated Rate $98.00
Rate for Payer: BCBS Complete $56.00
Rate for Payer: Cash Price $112.00
Rate for Payer: Priority Health Cigna Priority Health $98.00
Service Code HCPCS 51980
Min. Negotiated Rate $454.54
Max. Negotiated Rate $2,370.48
Rate for Payer: Aetna Commercial $916.03
Rate for Payer: BCBS Complete $477.27
Rate for Payer: BCBS Trust/PPO $2,370.48
Rate for Payer: Cash Price $1,144.80
Rate for Payer: Cash Price $1,144.80
Rate for Payer: Mclaren Medicaid $454.54
Rate for Payer: Meridian Medicaid $477.27
Rate for Payer: Priority Health Choice Medicaid $454.54
Rate for Payer: Priority Health Cigna Priority Health $1,001.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,139.07
Rate for Payer: Priority Health Narrow Network $1,139.07
Rate for Payer: Priority Health SBD $1,139.07
Service Code HCPCS 93018
Min. Negotiated Rate $8.73
Max. Negotiated Rate $1,814.71
Rate for Payer: Aetna Commercial $19.31
Rate for Payer: BCBS Complete $9.17
Rate for Payer: BCBS Trust/PPO $1,814.71
Rate for Payer: Cash Price $133.60
Rate for Payer: Cash Price $133.60
Rate for Payer: Mclaren Medicaid $8.73
Rate for Payer: Meridian Medicaid $9.17
Rate for Payer: Priority Health Choice Medicaid $8.73
Rate for Payer: Priority Health Cigna Priority Health $116.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $19.38
Rate for Payer: Priority Health Narrow Network $19.38
Rate for Payer: Priority Health SBD $19.38
Service Code HCPCS 93017
Min. Negotiated Rate $43.41
Max. Negotiated Rate $1,426.94
Rate for Payer: Aetna Commercial $43.41
Rate for Payer: BCBS Complete $44.40
Rate for Payer: BCBS Trust/PPO $1,426.94
Rate for Payer: Cash Price $88.80
Rate for Payer: Cash Price $88.80
Rate for Payer: Priority Health Cigna Priority Health $77.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $50.60
Rate for Payer: Priority Health Narrow Network $50.60
Rate for Payer: Priority Health SBD $50.60
Service Code HCPCS 93016
Min. Negotiated Rate $13.21
Max. Negotiated Rate $1,780.90
Rate for Payer: Aetna Commercial $28.99
Rate for Payer: BCBS Complete $13.87
Rate for Payer: BCBS Trust/PPO $1,780.90
Rate for Payer: Cash Price $88.80
Rate for Payer: Cash Price $88.80
Rate for Payer: Mclaren Medicaid $13.21
Rate for Payer: Meridian Medicaid $13.87
Rate for Payer: Priority Health Choice Medicaid $13.21
Rate for Payer: Priority Health Cigna Priority Health $77.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $29.32
Rate for Payer: Priority Health Narrow Network $29.32
Rate for Payer: Priority Health SBD $29.32
Service Code HCPCS 93015
Min. Negotiated Rate $91.71
Max. Negotiated Rate $2,485.65
Rate for Payer: Aetna Commercial $91.71
Rate for Payer: BCBS Complete $177.20
Rate for Payer: BCBS Trust/PPO $2,485.65
Rate for Payer: Cash Price $354.40
Rate for Payer: Cash Price $354.40
Rate for Payer: Priority Health Cigna Priority Health $310.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $99.30
Rate for Payer: Priority Health Narrow Network $99.30
Rate for Payer: Priority Health SBD $99.30
Service Code HCPCS 51570
Min. Negotiated Rate $931.24
Max. Negotiated Rate $3,145.50
Rate for Payer: Aetna Commercial $1,887.68
Rate for Payer: BCBS Complete $977.80
Rate for Payer: BCBS Trust/PPO $3,145.50
Rate for Payer: Cash Price $2,204.80
Rate for Payer: Cash Price $2,204.80
Rate for Payer: Mclaren Medicaid $931.24
Rate for Payer: Meridian Medicaid $977.80
Rate for Payer: Priority Health Choice Medicaid $931.24
Rate for Payer: Priority Health Cigna Priority Health $1,929.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,339.76
Rate for Payer: Priority Health Narrow Network $2,339.76
Rate for Payer: Priority Health SBD $2,339.76
Service Code HCPCS 51555
Min. Negotiated Rate $798.96
Max. Negotiated Rate $5,320.00
Rate for Payer: Aetna Commercial $1,622.71
Rate for Payer: BCBS Complete $838.91
Rate for Payer: BCBS Trust/PPO $2,383.69
Rate for Payer: Cash Price $6,080.00
Rate for Payer: Cash Price $6,080.00
Rate for Payer: Mclaren Medicaid $798.96
Rate for Payer: Meridian Medicaid $838.91
Rate for Payer: Priority Health Choice Medicaid $798.96
Rate for Payer: Priority Health Cigna Priority Health $5,320.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,002.57
Rate for Payer: Priority Health Narrow Network $2,002.57
Rate for Payer: Priority Health SBD $2,002.57
Service Code HCPCS 51550
Min. Negotiated Rate $612.38
Max. Negotiated Rate $2,405.35
Rate for Payer: Aetna Commercial $1,235.96
Rate for Payer: BCBS Complete $643.00
Rate for Payer: BCBS Trust/PPO $2,405.35
Rate for Payer: Cash Price $1,212.00
Rate for Payer: Cash Price $1,212.00
Rate for Payer: Mclaren Medicaid $612.38
Rate for Payer: Meridian Medicaid $643.00
Rate for Payer: Priority Health Choice Medicaid $612.38
Rate for Payer: Priority Health Cigna Priority Health $1,060.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,534.62
Rate for Payer: Priority Health Narrow Network $1,534.62
Rate for Payer: Priority Health SBD $1,534.62
Service Code HCPCS 51575
Min. Negotiated Rate $1,146.37
Max. Negotiated Rate $3,111.16
Rate for Payer: Aetna Commercial $2,337.60
Rate for Payer: BCBS Complete $1,203.69
Rate for Payer: BCBS Trust/PPO $3,111.16
Rate for Payer: Cash Price $2,977.60
Rate for Payer: Cash Price $2,977.60
Rate for Payer: Mclaren Medicaid $1,146.37
Rate for Payer: Meridian Medicaid $1,203.69
Rate for Payer: Priority Health Choice Medicaid $1,146.37
Rate for Payer: Priority Health Cigna Priority Health $2,605.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,886.06
Rate for Payer: Priority Health Narrow Network $2,886.06
Rate for Payer: Priority Health SBD $2,886.06
Service Code HCPCS 52005
Min. Negotiated Rate $84.14
Max. Negotiated Rate $2,077.80
Rate for Payer: Aetna Commercial $169.08
Rate for Payer: BCBS Complete $88.35
Rate for Payer: BCBS Trust/PPO $2,077.80
Rate for Payer: Cash Price $438.40
Rate for Payer: Cash Price $438.40
Rate for Payer: Mclaren Medicaid $84.14
Rate for Payer: Meridian Medicaid $88.35
Rate for Payer: Priority Health Choice Medicaid $84.14
Rate for Payer: Priority Health Cigna Priority Health $383.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $209.11
Rate for Payer: Priority Health Narrow Network $209.11
Rate for Payer: Priority Health SBD $209.11
Service Code HCPCS 52281
Min. Negotiated Rate $95.85
Max. Negotiated Rate $2,364.67
Rate for Payer: Aetna Commercial $193.91
Rate for Payer: BCBS Complete $100.64
Rate for Payer: BCBS Trust/PPO $2,364.67
Rate for Payer: Cash Price $606.40
Rate for Payer: Cash Price $606.40
Rate for Payer: Mclaren Medicaid $95.85
Rate for Payer: Meridian Medicaid $100.64
Rate for Payer: Priority Health Choice Medicaid $95.85
Rate for Payer: Priority Health Cigna Priority Health $530.60
Rate for Payer: Priority Health HMO/PPO/Tiered Network $240.46
Rate for Payer: Priority Health Narrow Network $240.46
Rate for Payer: Priority Health SBD $240.46
Service Code HCPCS 52325
Min. Negotiated Rate $200.65
Max. Negotiated Rate $4,083.76
Rate for Payer: Aetna Commercial $410.09
Rate for Payer: BCBS Complete $210.68
Rate for Payer: BCBS Trust/PPO $4,083.76
Rate for Payer: Cash Price $521.60
Rate for Payer: Cash Price $521.60
Rate for Payer: Mclaren Medicaid $200.65
Rate for Payer: Meridian Medicaid $210.68
Rate for Payer: Priority Health Choice Medicaid $200.65
Rate for Payer: Priority Health Cigna Priority Health $456.40
Rate for Payer: Priority Health HMO/PPO/Tiered Network $504.70
Rate for Payer: Priority Health Narrow Network $504.70
Rate for Payer: Priority Health SBD $504.70
Service Code HCPCS 52305
Min. Negotiated Rate $174.45
Max. Negotiated Rate $894.94
Rate for Payer: Aetna Commercial $356.38
Rate for Payer: BCBS Complete $183.17
Rate for Payer: BCBS Trust/PPO $894.94
Rate for Payer: Cash Price $428.80
Rate for Payer: Cash Price $428.80
Rate for Payer: Mclaren Medicaid $174.45
Rate for Payer: Meridian Medicaid $183.17
Rate for Payer: Priority Health Choice Medicaid $174.45
Rate for Payer: Priority Health Cigna Priority Health $375.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $439.85
Rate for Payer: Priority Health Narrow Network $439.85
Rate for Payer: Priority Health SBD $439.85
Service Code HCPCS 52442
Min. Negotiated Rate $31.74
Max. Negotiated Rate $1,180.20
Rate for Payer: Aetna Commercial $66.05
Rate for Payer: BCBS Complete $33.33
Rate for Payer: BCBS Trust/PPO $367.70
Rate for Payer: Cash Price $1,348.80
Rate for Payer: Cash Price $1,348.80
Rate for Payer: Mclaren Medicaid $31.74
Rate for Payer: Meridian Medicaid $33.33
Rate for Payer: Priority Health Choice Medicaid $31.74
Rate for Payer: Priority Health Cigna Priority Health $1,180.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $79.97
Rate for Payer: Priority Health Narrow Network $79.97
Rate for Payer: Priority Health SBD $79.97
Service Code HCPCS 52441
Min. Negotiated Rate $131.63
Max. Negotiated Rate $1,542.80
Rate for Payer: Aetna Commercial $268.82
Rate for Payer: BCBS Complete $138.21
Rate for Payer: BCBS Trust/PPO $528.83
Rate for Payer: Cash Price $1,763.20
Rate for Payer: Cash Price $1,763.20
Rate for Payer: Mclaren Medicaid $131.63
Rate for Payer: Meridian Medicaid $138.21
Rate for Payer: Priority Health Choice Medicaid $131.63
Rate for Payer: Priority Health Cigna Priority Health $1,542.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $330.70
Rate for Payer: Priority Health Narrow Network $330.70
Rate for Payer: Priority Health SBD $330.70