|
CHG BILIRUBIN TOTAL
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 82247
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.73
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Healthscope Commercial |
$9.29
|
| Rate for Payer: Healthscope Commercial |
$8.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.53
|
| Rate for Payer: Nomi Health Commercial |
$6.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.38
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health SBD |
$5.38
|
| Rate for Payer: Priority Health Tiered Network |
$5.38
|
| Rate for Payer: Railroad Medicare Medicare |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.11
|
| Rate for Payer: UHC Core |
$2.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.02
|
| Rate for Payer: UHC Exchange |
$2.11
|
|
|
CHG BILIRUBIN TOTAL TRANSCUTANEOUS
|
Professional
|
Both
|
$13.00
|
|
|
Service Code
|
HCPCS 88720
|
| Min. Negotiated Rate |
$3.01 |
| Max. Negotiated Rate |
$9.75 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.23
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Healthscope Commercial |
$9.29
|
| Rate for Payer: Healthscope Commercial |
$8.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.53
|
| Rate for Payer: Nomi Health Commercial |
$6.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$8.04
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health SBD |
$8.04
|
| Rate for Payer: Priority Health Tiered Network |
$8.04
|
| Rate for Payer: Railroad Medicare Medicare |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.01
|
| Rate for Payer: UHC Core |
$3.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.02
|
| Rate for Payer: UHC Exchange |
$3.01
|
|
|
CHG BLOOD COUNT HEMOGLOBIN
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 85018
|
| Min. Negotiated Rate |
$1.42 |
| Max. Negotiated Rate |
$10.50 |
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: Aetna Medicare |
$2.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.18
|
| Rate for Payer: BCBS MAPPO |
$2.37
|
| Rate for Payer: BCN Commercial |
$2.37
|
| Rate for Payer: BCN Medicare Advantage |
$2.37
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.37
|
| Rate for Payer: Healthscope Commercial |
$4.38
|
| Rate for Payer: Healthscope Commercial |
$3.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.56
|
| Rate for Payer: Nomi Health Commercial |
$2.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: PACE SWMI |
$2.37
|
| Rate for Payer: PHP Medicare Advantage |
$2.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2.35
|
| Rate for Payer: Priority Health Medicare |
$2.37
|
| Rate for Payer: Priority Health SBD |
$2.35
|
| Rate for Payer: Priority Health Tiered Network |
$2.35
|
| Rate for Payer: Railroad Medicare Medicare |
$2.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.42
|
| Rate for Payer: UHC Core |
$1.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.37
|
| Rate for Payer: UHC Exchange |
$1.42
|
|
|
CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 82274
|
| Min. Negotiated Rate |
$9.55 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Commercial |
$21.33
|
| Rate for Payer: Aetna Medicare |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.92
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCN Commercial |
$15.92
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$22.92
|
| Rate for Payer: Cofinity Commercial |
$21.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Healthscope Commercial |
$29.45
|
| Rate for Payer: Healthscope Commercial |
$25.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.88
|
| Rate for Payer: Nomi Health Commercial |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.48
|
| Rate for Payer: Priority Health Medicare |
$15.92
|
| Rate for Payer: Priority Health SBD |
$16.48
|
| Rate for Payer: Priority Health Tiered Network |
$16.48
|
| Rate for Payer: Railroad Medicare Medicare |
$15.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.55
|
| Rate for Payer: UHC Core |
$9.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$15.92
|
| Rate for Payer: UHC Exchange |
$9.55
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS 82272
|
| Min. Negotiated Rate |
$2.54 |
| Max. Negotiated Rate |
$7.83 |
| Rate for Payer: Aetna Commercial |
$5.67
|
| Rate for Payer: Aetna Medicare |
$4.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.67
|
| Rate for Payer: BCBS MAPPO |
$4.23
|
| Rate for Payer: BCN Commercial |
$4.23
|
| Rate for Payer: BCN Medicare Advantage |
$4.23
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$6.09
|
| Rate for Payer: Cofinity Commercial |
$5.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.23
|
| Rate for Payer: Healthscope Commercial |
$7.83
|
| Rate for Payer: Healthscope Commercial |
$6.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.35
|
| Rate for Payer: Nomi Health Commercial |
$5.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
| Rate for Payer: PACE SWMI |
$4.23
|
| Rate for Payer: PHP Medicare Advantage |
$4.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4.38
|
| Rate for Payer: Priority Health Medicare |
$4.23
|
| Rate for Payer: Priority Health SBD |
$4.38
|
| Rate for Payer: Priority Health Tiered Network |
$4.38
|
| Rate for Payer: Railroad Medicare Medicare |
$4.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.54
|
| Rate for Payer: UHC Core |
$2.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.23
|
| Rate for Payer: UHC Exchange |
$2.54
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82270
|
| Min. Negotiated Rate |
$2.63 |
| Max. Negotiated Rate |
$10.50 |
| Rate for Payer: Aetna Commercial |
$5.87
|
| Rate for Payer: Aetna Medicare |
$4.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.31
|
| Rate for Payer: BCBS MAPPO |
$4.38
|
| Rate for Payer: BCN Commercial |
$4.38
|
| Rate for Payer: BCN Medicare Advantage |
$4.38
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.31
|
| Rate for Payer: Cofinity Commercial |
$5.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.38
|
| Rate for Payer: Healthscope Commercial |
$8.10
|
| Rate for Payer: Healthscope Commercial |
$7.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.57
|
| Rate for Payer: Nomi Health Commercial |
$5.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: PACE SWMI |
$4.38
|
| Rate for Payer: PHP Medicare Advantage |
$4.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4.71
|
| Rate for Payer: Priority Health Medicare |
$4.38
|
| Rate for Payer: Priority Health SBD |
$4.71
|
| Rate for Payer: Priority Health Tiered Network |
$4.71
|
| Rate for Payer: Railroad Medicare Medicare |
$4.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.63
|
| Rate for Payer: UHC Core |
$2.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.38
|
| Rate for Payer: UHC Exchange |
$2.63
|
|
|
CHG BONE AGE STUDIES
|
Professional
|
Both
|
$37.00
|
|
|
Service Code
|
HCPCS 77072
|
| Min. Negotiated Rate |
$23.87 |
| Max. Negotiated Rate |
$44.57 |
| Rate for Payer: Aetna Commercial |
$31.99
|
| Rate for Payer: Aetna Medicare |
$24.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.37
|
| Rate for Payer: BCBS MAPPO |
$23.87
|
| Rate for Payer: BCN Commercial |
$38.34
|
| Rate for Payer: BCN Medicare Advantage |
$23.87
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cofinity Commercial |
$34.37
|
| Rate for Payer: Cofinity Commercial |
$31.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.87
|
| Rate for Payer: Healthscope Commercial |
$44.16
|
| Rate for Payer: Healthscope Commercial |
$38.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$44.57
|
| Rate for Payer: Nomi Health Commercial |
$28.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.75
|
| Rate for Payer: PACE SWMI |
$23.87
|
| Rate for Payer: PHP Medicare Advantage |
$23.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$38.64
|
| Rate for Payer: Priority Health Medicare |
$23.87
|
| Rate for Payer: Priority Health SBD |
$38.64
|
| Rate for Payer: Priority Health Tiered Network |
$38.64
|
| Rate for Payer: Railroad Medicare Medicare |
$23.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC Core |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$23.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
|
|
CHG BONE LENGTH STUDIES
|
Professional
|
Both
|
$138.00
|
|
|
Service Code
|
HCPCS 77073
|
| Min. Negotiated Rate |
$43.33 |
| Max. Negotiated Rate |
$103.50 |
| Rate for Payer: Aetna Commercial |
$58.06
|
| Rate for Payer: Aetna Commercial |
$58.06
|
| Rate for Payer: Aetna Medicare |
$45.06
|
| Rate for Payer: Aetna Medicare |
$45.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.40
|
| Rate for Payer: BCBS MAPPO |
$43.33
|
| Rate for Payer: BCBS MAPPO |
$43.33
|
| Rate for Payer: BCN Commercial |
$67.72
|
| Rate for Payer: BCN Commercial |
$67.72
|
| Rate for Payer: BCN Medicare Advantage |
$43.33
|
| Rate for Payer: BCN Medicare Advantage |
$43.33
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$58.06
|
| Rate for Payer: Cofinity Commercial |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$58.06
|
| Rate for Payer: Cofinity Commercial |
$62.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.33
|
| Rate for Payer: Healthscope Commercial |
$80.16
|
| Rate for Payer: Healthscope Commercial |
$80.16
|
| Rate for Payer: Healthscope Commercial |
$69.33
|
| Rate for Payer: Healthscope Commercial |
$69.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.73
|
| Rate for Payer: Nomi Health Commercial |
$52.00
|
| Rate for Payer: Nomi Health Commercial |
$52.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.50
|
| Rate for Payer: PACE SWMI |
$43.33
|
| Rate for Payer: PACE SWMI |
$43.33
|
| Rate for Payer: PHP Medicare Advantage |
$43.33
|
| Rate for Payer: PHP Medicare Advantage |
$43.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$68.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$68.23
|
| Rate for Payer: Priority Health Medicare |
$43.33
|
| Rate for Payer: Priority Health Medicare |
$43.33
|
| Rate for Payer: Priority Health SBD |
$68.23
|
| Rate for Payer: Priority Health SBD |
$68.23
|
| Rate for Payer: Priority Health Tiered Network |
$68.23
|
| Rate for Payer: Priority Health Tiered Network |
$68.23
|
| Rate for Payer: Railroad Medicare Medicare |
$43.33
|
| Rate for Payer: Railroad Medicare Medicare |
$43.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.30
|
| Rate for Payer: UHC Core |
$62.30
|
| Rate for Payer: UHC Core |
$62.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.33
|
| Rate for Payer: UHC Exchange |
$62.30
|
| Rate for Payer: UHC Exchange |
$62.30
|
|
|
CHG BRACHYTHER DOSE PLAN COMPLX
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 77328
|
| Min. Negotiated Rate |
$127.20 |
| Max. Negotiated Rate |
$238.50 |
| Rate for Payer: Aetna Medicare |
$159.00
|
| Rate for Payer: Aetna Medicare |
$271.00
|
| Rate for Payer: BCBS Complete |
$127.20
|
| Rate for Payer: BCBS Complete |
$216.80
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$206.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$238.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$406.50
|
|
|
CHG BRACHYTHER DOSE PLAN SIMPLE
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 77326
|
| Min. Negotiated Rate |
$76.00 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Aetna Medicare |
$95.00
|
| Rate for Payer: Aetna Medicare |
$143.50
|
| Rate for Payer: BCBS Complete |
$76.00
|
| Rate for Payer: BCBS Complete |
$114.80
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.25
|
|
|
CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 77318
|
| Min. Negotiated Rate |
$432.26 |
| Max. Negotiated Rate |
$799.68 |
| Rate for Payer: Aetna Commercial |
$579.23
|
| Rate for Payer: Aetna Commercial |
$579.23
|
| Rate for Payer: Aetna Medicare |
$449.55
|
| Rate for Payer: Aetna Medicare |
$449.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.23
|
| Rate for Payer: BCBS MAPPO |
$432.26
|
| Rate for Payer: BCBS MAPPO |
$432.26
|
| Rate for Payer: BCN Commercial |
$693.19
|
| Rate for Payer: BCN Commercial |
$693.19
|
| Rate for Payer: BCN Medicare Advantage |
$432.26
|
| Rate for Payer: BCN Medicare Advantage |
$432.26
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$622.45
|
| Rate for Payer: Cofinity Commercial |
$579.23
|
| Rate for Payer: Cofinity Commercial |
$579.23
|
| Rate for Payer: Cofinity Commercial |
$622.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.26
|
| Rate for Payer: Healthscope Commercial |
$691.62
|
| Rate for Payer: Healthscope Commercial |
$799.68
|
| Rate for Payer: Healthscope Commercial |
$691.62
|
| Rate for Payer: Healthscope Commercial |
$799.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$475.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$475.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$775.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$775.15
|
| Rate for Payer: Nomi Health Commercial |
$518.71
|
| Rate for Payer: Nomi Health Commercial |
$518.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$496.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$547.50
|
| Rate for Payer: PACE SWMI |
$432.26
|
| Rate for Payer: PACE SWMI |
$432.26
|
| Rate for Payer: PHP Medicare Advantage |
$432.26
|
| Rate for Payer: PHP Medicare Advantage |
$432.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$698.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$698.40
|
| Rate for Payer: Priority Health Medicare |
$432.26
|
| Rate for Payer: Priority Health Medicare |
$432.26
|
| Rate for Payer: Priority Health SBD |
$698.40
|
| Rate for Payer: Priority Health SBD |
$698.40
|
| Rate for Payer: Priority Health Tiered Network |
$698.40
|
| Rate for Payer: Priority Health Tiered Network |
$698.40
|
| Rate for Payer: Railroad Medicare Medicare |
$432.26
|
| Rate for Payer: Railroad Medicare Medicare |
$432.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.00
|
| Rate for Payer: UHC Core |
$583.00
|
| Rate for Payer: UHC Core |
$583.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$432.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$432.26
|
| Rate for Payer: UHC Exchange |
$583.00
|
| Rate for Payer: UHC Exchange |
$583.00
|
|
|
CHG CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS
|
Professional
|
Both
|
$263.00
|
|
|
Service Code
|
HCPCS 78472
|
| Min. Negotiated Rate |
$192.74 |
| Max. Negotiated Rate |
$360.09 |
| Rate for Payer: Aetna Commercial |
$258.27
|
| Rate for Payer: Aetna Medicare |
$200.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.27
|
| Rate for Payer: BCBS MAPPO |
$192.74
|
| Rate for Payer: BCN Commercial |
$308.25
|
| Rate for Payer: BCN Medicare Advantage |
$192.74
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Cofinity Commercial |
$277.55
|
| Rate for Payer: Cofinity Commercial |
$258.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.74
|
| Rate for Payer: Healthscope Commercial |
$356.57
|
| Rate for Payer: Healthscope Commercial |
$308.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$212.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.09
|
| Rate for Payer: Nomi Health Commercial |
$231.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.25
|
| Rate for Payer: PACE SWMI |
$192.74
|
| Rate for Payer: PHP Medicare Advantage |
$192.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$310.56
|
| Rate for Payer: Priority Health Medicare |
$192.74
|
| Rate for Payer: Priority Health SBD |
$310.56
|
| Rate for Payer: Priority Health Tiered Network |
$310.56
|
| Rate for Payer: Railroad Medicare Medicare |
$192.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.93
|
| Rate for Payer: UHC Core |
$324.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$192.74
|
| Rate for Payer: UHC Exchange |
$324.93
|
|
|
CHG CELL COUNT MISCELLANEOUS BODY FLUIDS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 89050
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$8.73 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna Medicare |
$4.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.80
|
| Rate for Payer: BCBS MAPPO |
$4.72
|
| Rate for Payer: BCN Commercial |
$3.54
|
| Rate for Payer: BCN Medicare Advantage |
$4.72
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.80
|
| Rate for Payer: Cofinity Commercial |
$6.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.72
|
| Rate for Payer: Healthscope Commercial |
$8.73
|
| Rate for Payer: Healthscope Commercial |
$7.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.08
|
| Rate for Payer: Nomi Health Commercial |
$5.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: PACE SWMI |
$4.72
|
| Rate for Payer: PHP Medicare Advantage |
$4.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.52
|
| Rate for Payer: Priority Health Medicare |
$4.72
|
| Rate for Payer: Priority Health SBD |
$7.52
|
| Rate for Payer: Priority Health Tiered Network |
$7.52
|
| Rate for Payer: Railroad Medicare Medicare |
$4.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.98
|
| Rate for Payer: UHC Core |
$1.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.72
|
| Rate for Payer: UHC Exchange |
$1.98
|
|
|
CHG CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY
|
Professional
|
Both
|
$678.00
|
|
|
Service Code
|
HCPCS 78630
|
| Min. Negotiated Rate |
$271.61 |
| Max. Negotiated Rate |
$526.84 |
| Rate for Payer: Aetna Commercial |
$363.96
|
| Rate for Payer: Aetna Medicare |
$282.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$363.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.12
|
| Rate for Payer: BCBS MAPPO |
$271.61
|
| Rate for Payer: BCN Commercial |
$450.17
|
| Rate for Payer: BCN Medicare Advantage |
$271.61
|
| Rate for Payer: Cash Price |
$542.40
|
| Rate for Payer: Cash Price |
$542.40
|
| Rate for Payer: Cofinity Commercial |
$391.12
|
| Rate for Payer: Cofinity Commercial |
$363.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.61
|
| Rate for Payer: Healthscope Commercial |
$502.48
|
| Rate for Payer: Healthscope Commercial |
$434.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$526.84
|
| Rate for Payer: Nomi Health Commercial |
$325.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$508.50
|
| Rate for Payer: PACE SWMI |
$271.61
|
| Rate for Payer: PHP Medicare Advantage |
$271.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$453.56
|
| Rate for Payer: Priority Health Medicare |
$271.61
|
| Rate for Payer: Priority Health SBD |
$453.56
|
| Rate for Payer: Priority Health Tiered Network |
$453.56
|
| Rate for Payer: Railroad Medicare Medicare |
$271.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$478.45
|
| Rate for Payer: UHC Core |
$478.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$271.61
|
| Rate for Payer: UHC Exchange |
$478.45
|
|
|
CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I
|
Professional
|
Both
|
$142.00
|
|
|
Service Code
|
HCPCS 75984
|
| Min. Negotiated Rate |
$88.55 |
| Max. Negotiated Rate |
$165.04 |
| Rate for Payer: Aetna Commercial |
$118.66
|
| Rate for Payer: Aetna Commercial |
$118.66
|
| Rate for Payer: Aetna Medicare |
$92.09
|
| Rate for Payer: Aetna Medicare |
$92.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.51
|
| Rate for Payer: BCBS MAPPO |
$88.55
|
| Rate for Payer: BCBS MAPPO |
$88.55
|
| Rate for Payer: BCN Commercial |
$140.93
|
| Rate for Payer: BCN Commercial |
$140.93
|
| Rate for Payer: BCN Medicare Advantage |
$88.55
|
| Rate for Payer: BCN Medicare Advantage |
$88.55
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cofinity Commercial |
$118.66
|
| Rate for Payer: Cofinity Commercial |
$127.51
|
| Rate for Payer: Cofinity Commercial |
$118.66
|
| Rate for Payer: Cofinity Commercial |
$127.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.55
|
| Rate for Payer: Healthscope Commercial |
$163.82
|
| Rate for Payer: Healthscope Commercial |
$163.82
|
| Rate for Payer: Healthscope Commercial |
$141.68
|
| Rate for Payer: Healthscope Commercial |
$141.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$97.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$97.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.04
|
| Rate for Payer: Nomi Health Commercial |
$106.26
|
| Rate for Payer: Nomi Health Commercial |
$106.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.50
|
| Rate for Payer: PACE SWMI |
$88.55
|
| Rate for Payer: PACE SWMI |
$88.55
|
| Rate for Payer: PHP Medicare Advantage |
$88.55
|
| Rate for Payer: PHP Medicare Advantage |
$88.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$141.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$141.99
|
| Rate for Payer: Priority Health Medicare |
$88.55
|
| Rate for Payer: Priority Health Medicare |
$88.55
|
| Rate for Payer: Priority Health SBD |
$141.99
|
| Rate for Payer: Priority Health SBD |
$141.99
|
| Rate for Payer: Priority Health Tiered Network |
$141.99
|
| Rate for Payer: Priority Health Tiered Network |
$141.99
|
| Rate for Payer: Railroad Medicare Medicare |
$88.55
|
| Rate for Payer: Railroad Medicare Medicare |
$88.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.74
|
| Rate for Payer: UHC Core |
$140.74
|
| Rate for Payer: UHC Core |
$140.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$88.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$88.55
|
| Rate for Payer: UHC Exchange |
$140.74
|
| Rate for Payer: UHC Exchange |
$140.74
|
|
|
CHG CHEST X-RAY 1 VW
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 71010
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Aetna Medicare |
$37.50
|
| Rate for Payer: Aetna Medicare |
$15.00
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
|
|
CHG CHEST X-RAY 2 VW
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 71020
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Medicare |
$22.50
|
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
|
|
CHG CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 74300
|
| Min. Negotiated Rate |
$14.50 |
| Max. Negotiated Rate |
$81.18 |
| Rate for Payer: Aetna Commercial |
$45.81
|
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.81
|
| Rate for Payer: BCN Commercial |
$19.43
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$55.68
|
| Rate for Payer: Priority Health SBD |
$55.68
|
| Rate for Payer: Priority Health Tiered Network |
$55.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.18
|
| Rate for Payer: UHC Core |
$81.18
|
| Rate for Payer: UHC Exchange |
$81.18
|
|
|
CHG CHOLESTEROL SERUM/WHOLE BLOOD TOTAL
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82465
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$10.50 |
| Rate for Payer: Aetna Commercial |
$5.83
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.83
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.26
|
| Rate for Payer: Cofinity Commercial |
$5.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Healthscope Commercial |
$8.05
|
| Rate for Payer: Healthscope Commercial |
$6.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.53
|
| Rate for Payer: Nomi Health Commercial |
$5.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4.38
|
| Rate for Payer: Priority Health Medicare |
$4.35
|
| Rate for Payer: Priority Health SBD |
$4.38
|
| Rate for Payer: Priority Health Tiered Network |
$4.38
|
| Rate for Payer: Railroad Medicare Medicare |
$4.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.83
|
| Rate for Payer: UHC Core |
$1.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.35
|
| Rate for Payer: UHC Exchange |
$1.83
|
|
|
CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 71271
|
| Min. Negotiated Rate |
$86.25 |
| Max. Negotiated Rate |
$243.85 |
| Rate for Payer: Aetna Commercial |
$171.59
|
| Rate for Payer: Aetna Medicare |
$133.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.39
|
| Rate for Payer: BCBS MAPPO |
$128.05
|
| Rate for Payer: BCN Commercial |
$208.65
|
| Rate for Payer: BCN Medicare Advantage |
$128.05
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$184.39
|
| Rate for Payer: Cofinity Commercial |
$171.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.05
|
| Rate for Payer: Healthscope Commercial |
$236.89
|
| Rate for Payer: Healthscope Commercial |
$204.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$140.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$243.85
|
| Rate for Payer: Nomi Health Commercial |
$153.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.25
|
| Rate for Payer: PACE SWMI |
$128.05
|
| Rate for Payer: PHP Medicare Advantage |
$128.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$210.22
|
| Rate for Payer: Priority Health Medicare |
$128.05
|
| Rate for Payer: Priority Health SBD |
$210.22
|
| Rate for Payer: Priority Health Tiered Network |
$210.22
|
| Rate for Payer: Railroad Medicare Medicare |
$128.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$220.57
|
| Rate for Payer: UHC Core |
$220.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.05
|
| Rate for Payer: UHC Exchange |
$220.57
|
|
|
CHG CONTINUING MEDICAL PHYSICS CONSLTJ PR WK
|
Professional
|
Both
|
$159.00
|
|
|
Service Code
|
HCPCS 77336
|
| Min. Negotiated Rate |
$84.67 |
| Max. Negotiated Rate |
$156.64 |
| Rate for Payer: Aetna Commercial |
$113.46
|
| Rate for Payer: Aetna Medicare |
$88.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.46
|
| Rate for Payer: BCBS MAPPO |
$84.67
|
| Rate for Payer: BCN Commercial |
$136.44
|
| Rate for Payer: BCN Medicare Advantage |
$84.67
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cofinity Commercial |
$121.92
|
| Rate for Payer: Cofinity Commercial |
$113.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.67
|
| Rate for Payer: Healthscope Commercial |
$156.64
|
| Rate for Payer: Healthscope Commercial |
$135.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.18
|
| Rate for Payer: Nomi Health Commercial |
$101.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.25
|
| Rate for Payer: PACE SWMI |
$84.67
|
| Rate for Payer: PHP Medicare Advantage |
$84.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$137.48
|
| Rate for Payer: Priority Health Medicare |
$84.67
|
| Rate for Payer: Priority Health SBD |
$137.48
|
| Rate for Payer: Priority Health Tiered Network |
$137.48
|
| Rate for Payer: Railroad Medicare Medicare |
$84.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.90
|
| Rate for Payer: UHC Core |
$110.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$84.67
|
| Rate for Payer: UHC Exchange |
$110.90
|
|
|
CHG CREATININE OTHER SOURCE
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 82570
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$9.58 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.46
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Commercial |
$3.89
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Healthscope Commercial |
$9.58
|
| Rate for Payer: Healthscope Commercial |
$8.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.77
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.38
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health SBD |
$5.38
|
| Rate for Payer: Priority Health Tiered Network |
$5.38
|
| Rate for Payer: Railroad Medicare Medicare |
$5.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.18
|
| Rate for Payer: UHC Core |
$2.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.18
|
| Rate for Payer: UHC Exchange |
$2.18
|
|
|
CHG CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 89060
|
| Min. Negotiated Rate |
$3.08 |
| Max. Negotiated Rate |
$43.50 |
| Rate for Payer: Aetna Commercial |
$9.82
|
| Rate for Payer: Aetna Medicare |
$7.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: BCBS MAPPO |
$7.33
|
| Rate for Payer: BCN Commercial |
$31.54
|
| Rate for Payer: BCN Medicare Advantage |
$7.33
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$10.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$13.56
|
| Rate for Payer: Healthscope Commercial |
$11.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.00
|
| Rate for Payer: Nomi Health Commercial |
$8.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.50
|
| Rate for Payer: PACE SWMI |
$7.33
|
| Rate for Payer: PHP Medicare Advantage |
$7.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$38.13
|
| Rate for Payer: Priority Health Medicare |
$7.33
|
| Rate for Payer: Priority Health SBD |
$38.13
|
| Rate for Payer: Priority Health Tiered Network |
$38.13
|
| Rate for Payer: Railroad Medicare Medicare |
$7.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.08
|
| Rate for Payer: UHC Core |
$3.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7.33
|
| Rate for Payer: UHC Exchange |
$3.08
|
|
|
CHG CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP
|
Professional
|
Both
|
$315.00
|
|
|
Service Code
|
HCPCS 75635
|
| Min. Negotiated Rate |
$236.25 |
| Max. Negotiated Rate |
$709.73 |
| Rate for Payer: Aetna Commercial |
$514.08
|
| Rate for Payer: Aetna Medicare |
$398.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$514.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$552.44
|
| Rate for Payer: BCBS MAPPO |
$383.64
|
| Rate for Payer: BCN Commercial |
$622.97
|
| Rate for Payer: BCN Medicare Advantage |
$383.64
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cofinity Commercial |
$552.44
|
| Rate for Payer: Cofinity Commercial |
$514.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.64
|
| Rate for Payer: Healthscope Commercial |
$709.73
|
| Rate for Payer: Healthscope Commercial |
$613.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$402.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$422.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$495.11
|
| Rate for Payer: Nomi Health Commercial |
$460.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
| Rate for Payer: PACE SWMI |
$383.64
|
| Rate for Payer: PHP Medicare Advantage |
$383.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$627.66
|
| Rate for Payer: Priority Health Medicare |
$383.64
|
| Rate for Payer: Priority Health SBD |
$627.66
|
| Rate for Payer: Priority Health Tiered Network |
$627.66
|
| Rate for Payer: Railroad Medicare Medicare |
$383.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$625.72
|
| Rate for Payer: UHC Core |
$625.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$383.64
|
| Rate for Payer: UHC Exchange |
$625.72
|
|
|
CHG CTA ABDOMEN W/CONTRAST&IMG POSTPROCESSING
|
Professional
|
Both
|
$193.00
|
|
|
Service Code
|
HCPCS 74175
|
| Min. Negotiated Rate |
$144.75 |
| Max. Negotiated Rate |
$525.33 |
| Rate for Payer: Aetna Commercial |
$380.51
|
| Rate for Payer: Aetna Medicare |
$295.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$408.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.51
|
| Rate for Payer: BCBS MAPPO |
$283.96
|
| Rate for Payer: BCN Commercial |
$463.62
|
| Rate for Payer: BCN Medicare Advantage |
$283.96
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Cofinity Commercial |
$408.90
|
| Rate for Payer: Cofinity Commercial |
$380.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$283.96
|
| Rate for Payer: Healthscope Commercial |
$525.33
|
| Rate for Payer: Healthscope Commercial |
$454.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$298.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$312.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$449.06
|
| Rate for Payer: Nomi Health Commercial |
$340.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.75
|
| Rate for Payer: PACE SWMI |
$283.96
|
| Rate for Payer: PHP Medicare Advantage |
$283.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$467.12
|
| Rate for Payer: Priority Health Medicare |
$283.96
|
| Rate for Payer: Priority Health SBD |
$467.12
|
| Rate for Payer: Priority Health Tiered Network |
$467.12
|
| Rate for Payer: Railroad Medicare Medicare |
$283.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.26
|
| Rate for Payer: UHC Core |
$456.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$283.96
|
| Rate for Payer: UHC Exchange |
$456.26
|
|
