|
CHG CT THORACIC SPINE W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 72130
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$352.33 |
| Rate for Payer: Aetna Commercial |
$248.02
|
| Rate for Payer: Aetna Medicare |
$192.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.02
|
| Rate for Payer: BCBS MAPPO |
$185.09
|
| Rate for Payer: BCN Commercial |
$301.28
|
| Rate for Payer: BCN Medicare Advantage |
$185.09
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cofinity Commercial |
$266.53
|
| Rate for Payer: Cofinity Commercial |
$248.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.09
|
| Rate for Payer: Healthscope Commercial |
$342.42
|
| Rate for Payer: Healthscope Commercial |
$296.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$203.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$352.33
|
| Rate for Payer: Nomi Health Commercial |
$222.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.00
|
| Rate for Payer: PACE SWMI |
$185.09
|
| Rate for Payer: PHP Medicare Advantage |
$185.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$303.55
|
| Rate for Payer: Priority Health Medicare |
$185.09
|
| Rate for Payer: Priority Health SBD |
$303.55
|
| Rate for Payer: Priority Health Tiered Network |
$303.55
|
| Rate for Payer: Railroad Medicare Medicare |
$185.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.23
|
| Rate for Payer: UHC Core |
$325.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.09
|
| Rate for Payer: UHC Exchange |
$325.23
|
|
|
CHG CT UPPER EXTREMITY W/CONTRAST MATERIAL
|
Professional
|
Both
|
$123.00
|
|
|
Service Code
|
HCPCS 73201
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$356.08 |
| Rate for Payer: Aetna Commercial |
$249.23
|
| Rate for Payer: Aetna Medicare |
$193.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.83
|
| Rate for Payer: BCBS MAPPO |
$185.99
|
| Rate for Payer: BCN Commercial |
$302.77
|
| Rate for Payer: BCN Medicare Advantage |
$185.99
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$267.83
|
| Rate for Payer: Cofinity Commercial |
$249.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.99
|
| Rate for Payer: Healthscope Commercial |
$344.08
|
| Rate for Payer: Healthscope Commercial |
$297.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$204.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$356.08
|
| Rate for Payer: Nomi Health Commercial |
$223.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.25
|
| Rate for Payer: PACE SWMI |
$185.99
|
| Rate for Payer: PHP Medicare Advantage |
$185.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$305.06
|
| Rate for Payer: Priority Health Medicare |
$185.99
|
| Rate for Payer: Priority Health SBD |
$305.06
|
| Rate for Payer: Priority Health Tiered Network |
$305.06
|
| Rate for Payer: Railroad Medicare Medicare |
$185.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$313.37
|
| Rate for Payer: UHC Core |
$313.37
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.99
|
| Rate for Payer: UHC Exchange |
$313.37
|
|
|
CHG CT UPPER EXTREMITY W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$106.00
|
|
|
Service Code
|
HCPCS 73200
|
| Min. Negotiated Rate |
$79.50 |
| Max. Negotiated Rate |
$277.70 |
| Rate for Payer: Aetna Commercial |
$201.15
|
| Rate for Payer: Aetna Medicare |
$156.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.15
|
| Rate for Payer: BCBS MAPPO |
$150.11
|
| Rate for Payer: BCN Commercial |
$243.51
|
| Rate for Payer: BCN Medicare Advantage |
$150.11
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cofinity Commercial |
$216.16
|
| Rate for Payer: Cofinity Commercial |
$201.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.11
|
| Rate for Payer: Healthscope Commercial |
$277.70
|
| Rate for Payer: Healthscope Commercial |
$240.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.33
|
| Rate for Payer: Nomi Health Commercial |
$180.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.50
|
| Rate for Payer: PACE SWMI |
$150.11
|
| Rate for Payer: PHP Medicare Advantage |
$150.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$245.34
|
| Rate for Payer: Priority Health Medicare |
$150.11
|
| Rate for Payer: Priority Health SBD |
$245.34
|
| Rate for Payer: Priority Health Tiered Network |
$245.34
|
| Rate for Payer: Railroad Medicare Medicare |
$150.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$252.16
|
| Rate for Payer: UHC Core |
$252.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.11
|
| Rate for Payer: UHC Exchange |
$252.16
|
|
|
CHG CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 73202
|
| Min. Negotiated Rate |
$96.75 |
| Max. Negotiated Rate |
$423.39 |
| Rate for Payer: Aetna Commercial |
$306.67
|
| Rate for Payer: Aetna Medicare |
$238.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$329.56
|
| Rate for Payer: BCBS MAPPO |
$228.86
|
| Rate for Payer: BCN Commercial |
$372.99
|
| Rate for Payer: BCN Medicare Advantage |
$228.86
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cofinity Commercial |
$329.56
|
| Rate for Payer: Cofinity Commercial |
$306.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228.86
|
| Rate for Payer: Healthscope Commercial |
$423.39
|
| Rate for Payer: Healthscope Commercial |
$366.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$251.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398.63
|
| Rate for Payer: Nomi Health Commercial |
$274.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: PACE SWMI |
$228.86
|
| Rate for Payer: PHP Medicare Advantage |
$228.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$375.80
|
| Rate for Payer: Priority Health Medicare |
$228.86
|
| Rate for Payer: Priority Health SBD |
$375.80
|
| Rate for Payer: Priority Health Tiered Network |
$375.80
|
| Rate for Payer: Railroad Medicare Medicare |
$228.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.45
|
| Rate for Payer: UHC Core |
$390.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$228.86
|
| Rate for Payer: UHC Exchange |
$390.45
|
|
|
CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 87070
|
| Min. Negotiated Rate |
$3.62 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Aetna Commercial |
$11.55
|
| Rate for Payer: Aetna Medicare |
$8.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.55
|
| Rate for Payer: BCBS MAPPO |
$8.62
|
| Rate for Payer: BCN Commercial |
$6.47
|
| Rate for Payer: BCN Medicare Advantage |
$8.62
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$12.41
|
| Rate for Payer: Cofinity Commercial |
$11.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.62
|
| Rate for Payer: Healthscope Commercial |
$15.95
|
| Rate for Payer: Healthscope Commercial |
$13.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.93
|
| Rate for Payer: Nomi Health Commercial |
$10.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$8.62
|
| Rate for Payer: PHP Medicare Advantage |
$8.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.07
|
| Rate for Payer: Priority Health Medicare |
$8.62
|
| Rate for Payer: Priority Health SBD |
$9.07
|
| Rate for Payer: Priority Health Tiered Network |
$9.07
|
| Rate for Payer: Railroad Medicare Medicare |
$8.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.62
|
| Rate for Payer: UHC Core |
$3.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.62
|
| Rate for Payer: UHC Exchange |
$3.62
|
|
|
CHG CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 87081
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$16.50 |
| Rate for Payer: Aetna Commercial |
$8.88
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.55
|
| Rate for Payer: BCBS MAPPO |
$6.63
|
| Rate for Payer: BCN Commercial |
$4.97
|
| Rate for Payer: BCN Medicare Advantage |
$6.63
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cofinity Commercial |
$9.55
|
| Rate for Payer: Cofinity Commercial |
$8.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.63
|
| Rate for Payer: Healthscope Commercial |
$12.27
|
| Rate for Payer: Healthscope Commercial |
$10.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.95
|
| Rate for Payer: Nomi Health Commercial |
$7.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.50
|
| Rate for Payer: PACE SWMI |
$6.63
|
| Rate for Payer: PHP Medicare Advantage |
$6.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$6.73
|
| Rate for Payer: Priority Health Medicare |
$6.63
|
| Rate for Payer: Priority Health SBD |
$6.73
|
| Rate for Payer: Priority Health Tiered Network |
$6.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.78
|
| Rate for Payer: UHC Core |
$2.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.63
|
| Rate for Payer: UHC Exchange |
$2.78
|
|
|
CHG CYSTOGRAPHY MINIMUM 3 VIEWS RS&I
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 74430
|
| Min. Negotiated Rate |
$39.24 |
| Max. Negotiated Rate |
$80.25 |
| Rate for Payer: Aetna Commercial |
$52.58
|
| Rate for Payer: Aetna Medicare |
$40.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.58
|
| Rate for Payer: BCBS MAPPO |
$39.24
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: BCN Medicare Advantage |
$39.24
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$56.51
|
| Rate for Payer: Cofinity Commercial |
$52.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.24
|
| Rate for Payer: Healthscope Commercial |
$62.78
|
| Rate for Payer: Healthscope Commercial |
$72.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.94
|
| Rate for Payer: Nomi Health Commercial |
$47.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.25
|
| Rate for Payer: PACE SWMI |
$39.24
|
| Rate for Payer: PHP Medicare Advantage |
$39.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.22
|
| Rate for Payer: Priority Health Medicare |
$39.24
|
| Rate for Payer: Priority Health SBD |
$62.22
|
| Rate for Payer: Priority Health Tiered Network |
$62.22
|
| Rate for Payer: Railroad Medicare Medicare |
$39.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.12
|
| Rate for Payer: UHC Core |
$57.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.24
|
| Rate for Payer: UHC Exchange |
$57.12
|
|
|
CHG CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 88141
|
| Min. Negotiated Rate |
$14.96 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$30.50
|
| Rate for Payer: Aetna Medicare |
$23.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.77
|
| Rate for Payer: BCBS Complete |
$16.11
|
| Rate for Payer: BCBS MAPPO |
$22.76
|
| Rate for Payer: BCN Commercial |
$37.35
|
| Rate for Payer: BCN Medicare Advantage |
$22.76
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$32.77
|
| Rate for Payer: Cofinity Commercial |
$30.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.76
|
| Rate for Payer: Healthscope Commercial |
$42.11
|
| Rate for Payer: Healthscope Commercial |
$36.42
|
| Rate for Payer: Mclaren Medicaid |
$15.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.90
|
| Rate for Payer: Meridian Medicaid |
$16.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$25.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.29
|
| Rate for Payer: Nomi Health Commercial |
$27.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: PACE SWMI |
$22.76
|
| Rate for Payer: PHP Medicare Advantage |
$22.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$37.63
|
| Rate for Payer: Priority Health Medicare |
$22.76
|
| Rate for Payer: Priority Health SBD |
$37.63
|
| Rate for Payer: Priority Health Tiered Network |
$37.63
|
| Rate for Payer: Railroad Medicare Medicare |
$22.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.96
|
| Rate for Payer: UHC Core |
$14.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.76
|
| Rate for Payer: UHC Exchange |
$14.96
|
| Rate for Payer: UHC Medicaid |
$15.34
|
| Rate for Payer: UHCCP Medicaid |
$15.34
|
|
|
CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 88142
|
| Min. Negotiated Rate |
$12.16 |
| Max. Negotiated Rate |
$37.48 |
| Rate for Payer: Aetna Commercial |
$27.15
|
| Rate for Payer: Aetna Medicare |
$21.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.17
|
| Rate for Payer: BCBS MAPPO |
$20.26
|
| Rate for Payer: BCN Commercial |
$15.20
|
| Rate for Payer: BCN Medicare Advantage |
$20.26
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$29.17
|
| Rate for Payer: Cofinity Commercial |
$27.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.26
|
| Rate for Payer: Healthscope Commercial |
$37.48
|
| Rate for Payer: Healthscope Commercial |
$32.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.39
|
| Rate for Payer: Nomi Health Commercial |
$24.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$20.26
|
| Rate for Payer: PHP Medicare Advantage |
$20.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$31.61
|
| Rate for Payer: Priority Health Medicare |
$20.26
|
| Rate for Payer: Priority Health SBD |
$31.61
|
| Rate for Payer: Priority Health Tiered Network |
$31.61
|
| Rate for Payer: Railroad Medicare Medicare |
$20.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.16
|
| Rate for Payer: UHC Core |
$12.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$20.26
|
| Rate for Payer: UHC Exchange |
$12.16
|
|
|
CHG DEXA,BONE DENSITY,VERTEB FRACT
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS 77082
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Aetna Medicare |
$10.00
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.00
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+
|
Professional
|
Both
|
$133.00
|
|
|
Service Code
|
HCPCS 71270
|
| Min. Negotiated Rate |
$99.75 |
| Max. Negotiated Rate |
$347.11 |
| Rate for Payer: Aetna Commercial |
$245.09
|
| Rate for Payer: Aetna Medicare |
$190.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.09
|
| Rate for Payer: BCBS MAPPO |
$182.90
|
| Rate for Payer: BCN Commercial |
$297.29
|
| Rate for Payer: BCN Medicare Advantage |
$182.90
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cash Price |
$106.40
|
| Rate for Payer: Cofinity Commercial |
$263.38
|
| Rate for Payer: Cofinity Commercial |
$245.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.90
|
| Rate for Payer: Healthscope Commercial |
$338.37
|
| Rate for Payer: Healthscope Commercial |
$292.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$192.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$201.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$347.11
|
| Rate for Payer: Nomi Health Commercial |
$219.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.75
|
| Rate for Payer: PACE SWMI |
$182.90
|
| Rate for Payer: PHP Medicare Advantage |
$182.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$299.54
|
| Rate for Payer: Priority Health Medicare |
$182.90
|
| Rate for Payer: Priority Health SBD |
$299.54
|
| Rate for Payer: Priority Health Tiered Network |
$299.54
|
| Rate for Payer: Railroad Medicare Medicare |
$182.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.70
|
| Rate for Payer: UHC Core |
$327.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$182.90
|
| Rate for Payer: UHC Exchange |
$327.70
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST
|
Professional
|
Both
|
$124.00
|
|
|
Service Code
|
HCPCS 71260
|
| Min. Negotiated Rate |
$93.00 |
| Max. Negotiated Rate |
$294.95 |
| Rate for Payer: Aetna Commercial |
$209.17
|
| Rate for Payer: Aetna Medicare |
$162.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$224.78
|
| Rate for Payer: BCBS MAPPO |
$156.10
|
| Rate for Payer: BCN Commercial |
$252.97
|
| Rate for Payer: BCN Medicare Advantage |
$156.10
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cofinity Commercial |
$224.78
|
| Rate for Payer: Cofinity Commercial |
$209.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.10
|
| Rate for Payer: Healthscope Commercial |
$288.79
|
| Rate for Payer: Healthscope Commercial |
$249.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$171.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294.95
|
| Rate for Payer: Nomi Health Commercial |
$187.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.00
|
| Rate for Payer: PACE SWMI |
$156.10
|
| Rate for Payer: PHP Medicare Advantage |
$156.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$254.88
|
| Rate for Payer: Priority Health Medicare |
$156.10
|
| Rate for Payer: Priority Health SBD |
$254.88
|
| Rate for Payer: Priority Health Tiered Network |
$254.88
|
| Rate for Payer: Railroad Medicare Medicare |
$156.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.40
|
| Rate for Payer: UHC Core |
$277.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$156.10
|
| Rate for Payer: UHC Exchange |
$277.40
|
|
|
CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 71250
|
| Min. Negotiated Rate |
$86.25 |
| Max. Negotiated Rate |
$236.07 |
| Rate for Payer: Aetna Commercial |
$166.99
|
| Rate for Payer: Aetna Medicare |
$129.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.45
|
| Rate for Payer: BCBS MAPPO |
$124.62
|
| Rate for Payer: BCN Commercial |
$201.68
|
| Rate for Payer: BCN Medicare Advantage |
$124.62
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$166.99
|
| Rate for Payer: Cofinity Commercial |
$179.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.62
|
| Rate for Payer: Healthscope Commercial |
$230.55
|
| Rate for Payer: Healthscope Commercial |
$199.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$137.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$236.07
|
| Rate for Payer: Nomi Health Commercial |
$149.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.25
|
| Rate for Payer: PACE SWMI |
$124.62
|
| Rate for Payer: PHP Medicare Advantage |
$124.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$203.20
|
| Rate for Payer: Priority Health Medicare |
$124.62
|
| Rate for Payer: Priority Health SBD |
$203.20
|
| Rate for Payer: Priority Health Tiered Network |
$203.20
|
| Rate for Payer: Railroad Medicare Medicare |
$124.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.38
|
| Rate for Payer: UHC Core |
$224.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$124.62
|
| Rate for Payer: UHC Exchange |
$224.38
|
|
|
CHG DIGITAL BREAST TOMOSYNTHESIS UNILATERAL
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 77061
|
| Min. Negotiated Rate |
$27.20 |
| Max. Negotiated Rate |
$213.84 |
| Rate for Payer: Aetna Commercial |
$146.59
|
| Rate for Payer: Aetna Medicare |
$34.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.59
|
| Rate for Payer: BCBS Complete |
$27.20
|
| Rate for Payer: BCN Commercial |
$85.23
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$213.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$189.16
|
| Rate for Payer: Priority Health SBD |
$189.16
|
| Rate for Payer: Priority Health Tiered Network |
$189.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.83
|
| Rate for Payer: UHC Core |
$189.83
|
| Rate for Payer: UHC Exchange |
$189.83
|
|
|
CHG DISKOGRAPY LUMBAR RS&I
|
Professional
|
Both
|
$108.00
|
|
|
Service Code
|
HCPCS 72295
|
| Min. Negotiated Rate |
$81.00 |
| Max. Negotiated Rate |
$211.51 |
| Rate for Payer: Aetna Commercial |
$153.20
|
| Rate for Payer: Aetna Medicare |
$118.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$153.20
|
| Rate for Payer: BCBS MAPPO |
$114.33
|
| Rate for Payer: BCN Commercial |
$165.33
|
| Rate for Payer: BCN Medicare Advantage |
$114.33
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cofinity Commercial |
$164.64
|
| Rate for Payer: Cofinity Commercial |
$153.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.33
|
| Rate for Payer: Healthscope Commercial |
$211.51
|
| Rate for Payer: Healthscope Commercial |
$182.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$125.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.04
|
| Rate for Payer: Nomi Health Commercial |
$137.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.00
|
| Rate for Payer: PACE SWMI |
$114.33
|
| Rate for Payer: PHP Medicare Advantage |
$114.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$166.57
|
| Rate for Payer: Priority Health Medicare |
$114.33
|
| Rate for Payer: Priority Health SBD |
$166.57
|
| Rate for Payer: Priority Health Tiered Network |
$166.57
|
| Rate for Payer: Railroad Medicare Medicare |
$114.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.55
|
| Rate for Payer: UHC Core |
$152.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$114.33
|
| Rate for Payer: UHC Exchange |
$152.55
|
|
|
CHG DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT
|
Professional
|
Both
|
$149.00
|
|
|
Service Code
|
HCPCS 76828
|
| Min. Negotiated Rate |
$46.95 |
| Max. Negotiated Rate |
$111.75 |
| Rate for Payer: Aetna Commercial |
$62.91
|
| Rate for Payer: Aetna Medicare |
$48.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.61
|
| Rate for Payer: BCBS MAPPO |
$46.95
|
| Rate for Payer: BCN Commercial |
$71.71
|
| Rate for Payer: BCN Medicare Advantage |
$46.95
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cofinity Commercial |
$67.61
|
| Rate for Payer: Cofinity Commercial |
$62.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.95
|
| Rate for Payer: Healthscope Commercial |
$86.86
|
| Rate for Payer: Healthscope Commercial |
$75.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.92
|
| Rate for Payer: Nomi Health Commercial |
$56.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.75
|
| Rate for Payer: PACE SWMI |
$46.95
|
| Rate for Payer: PHP Medicare Advantage |
$46.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$72.25
|
| Rate for Payer: Priority Health Medicare |
$46.95
|
| Rate for Payer: Priority Health SBD |
$72.25
|
| Rate for Payer: Priority Health Tiered Network |
$72.25
|
| Rate for Payer: Railroad Medicare Medicare |
$46.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.97
|
| Rate for Payer: UHC Core |
$74.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$46.95
|
| Rate for Payer: UHC Exchange |
$74.97
|
|
|
CHG DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 76827
|
| Min. Negotiated Rate |
$65.61 |
| Max. Negotiated Rate |
$186.75 |
| Rate for Payer: Aetna Commercial |
$87.92
|
| Rate for Payer: Aetna Medicare |
$68.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.92
|
| Rate for Payer: BCBS MAPPO |
$65.61
|
| Rate for Payer: BCN Commercial |
$102.59
|
| Rate for Payer: BCN Medicare Advantage |
$65.61
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Cofinity Commercial |
$94.48
|
| Rate for Payer: Cofinity Commercial |
$87.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.61
|
| Rate for Payer: Healthscope Commercial |
$121.38
|
| Rate for Payer: Healthscope Commercial |
$104.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.59
|
| Rate for Payer: Nomi Health Commercial |
$78.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.75
|
| Rate for Payer: PACE SWMI |
$65.61
|
| Rate for Payer: PHP Medicare Advantage |
$65.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$103.35
|
| Rate for Payer: Priority Health Medicare |
$65.61
|
| Rate for Payer: Priority Health SBD |
$103.35
|
| Rate for Payer: Priority Health Tiered Network |
$103.35
|
| Rate for Payer: Railroad Medicare Medicare |
$65.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.57
|
| Rate for Payer: UHC Core |
$104.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.61
|
| Rate for Payer: UHC Exchange |
$104.57
|
|
|
CHG DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART
|
Professional
|
Both
|
$148.00
|
|
|
Service Code
|
HCPCS 76821
|
| Min. Negotiated Rate |
$84.60 |
| Max. Negotiated Rate |
$156.51 |
| Rate for Payer: Aetna Commercial |
$113.36
|
| Rate for Payer: Aetna Medicare |
$87.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.82
|
| Rate for Payer: BCBS MAPPO |
$84.60
|
| Rate for Payer: BCN Commercial |
$130.97
|
| Rate for Payer: BCN Medicare Advantage |
$84.60
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cash Price |
$118.40
|
| Rate for Payer: Cofinity Commercial |
$121.82
|
| Rate for Payer: Cofinity Commercial |
$113.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.60
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Healthscope Commercial |
$135.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.92
|
| Rate for Payer: Nomi Health Commercial |
$101.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.00
|
| Rate for Payer: PACE SWMI |
$84.60
|
| Rate for Payer: PHP Medicare Advantage |
$84.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$131.95
|
| Rate for Payer: Priority Health Medicare |
$84.60
|
| Rate for Payer: Priority Health SBD |
$131.95
|
| Rate for Payer: Priority Health Tiered Network |
$131.95
|
| Rate for Payer: Railroad Medicare Medicare |
$84.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.71
|
| Rate for Payer: UHC Core |
$128.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$84.60
|
| Rate for Payer: UHC Exchange |
$128.71
|
|
|
CHG DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 76820
|
| Min. Negotiated Rate |
$42.81 |
| Max. Negotiated Rate |
$192.00 |
| Rate for Payer: Aetna Commercial |
$57.37
|
| Rate for Payer: Aetna Medicare |
$44.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.65
|
| Rate for Payer: BCBS MAPPO |
$42.81
|
| Rate for Payer: BCN Commercial |
$65.73
|
| Rate for Payer: BCN Medicare Advantage |
$42.81
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$61.65
|
| Rate for Payer: Cofinity Commercial |
$57.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.81
|
| Rate for Payer: Healthscope Commercial |
$79.20
|
| Rate for Payer: Healthscope Commercial |
$68.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.38
|
| Rate for Payer: Nomi Health Commercial |
$51.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PACE SWMI |
$42.81
|
| Rate for Payer: PHP Medicare Advantage |
$42.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$66.23
|
| Rate for Payer: Priority Health Medicare |
$42.81
|
| Rate for Payer: Priority Health SBD |
$66.23
|
| Rate for Payer: Priority Health Tiered Network |
$66.23
|
| Rate for Payer: Railroad Medicare Medicare |
$42.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.32
|
| Rate for Payer: UHC Core |
$67.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$42.81
|
| Rate for Payer: UHC Exchange |
$67.32
|
|
|
CHG DRUG SCREEN LIST A ANY NMBR NON TLC DEVICES
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 80300
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
|
|
CHG DRUG SCREEN MULT CLASSES
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 80100
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Medicare |
$16.00
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
|
|
CHG DRUG SCREEN, QUAL,1+ DRUG CLASS,NON-CHROMOTOGRAPHIC,EACH
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 80104
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
|
|
CHG DRUG SCREEN SINGL CLASS
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 80101
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Medicare |
$16.00
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
|
|
CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 80305
|
| Min. Negotiated Rate |
$5.29 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$16.88
|
| Rate for Payer: Aetna Medicare |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.14
|
| Rate for Payer: BCBS MAPPO |
$12.60
|
| Rate for Payer: BCN Commercial |
$9.45
|
| Rate for Payer: BCN Medicare Advantage |
$12.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$18.14
|
| Rate for Payer: Cofinity Commercial |
$16.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.60
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$20.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.90
|
| Rate for Payer: Nomi Health Commercial |
$15.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$12.60
|
| Rate for Payer: PHP Medicare Advantage |
$12.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.12
|
| Rate for Payer: Priority Health Medicare |
$12.60
|
| Rate for Payer: Priority Health SBD |
$13.12
|
| Rate for Payer: Priority Health Tiered Network |
$13.12
|
| Rate for Payer: Railroad Medicare Medicare |
$12.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.29
|
| Rate for Payer: UHC Core |
$5.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12.60
|
| Rate for Payer: UHC Exchange |
$5.29
|
|
|
CHG DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 80307
|
| Min. Negotiated Rate |
$26.10 |
| Max. Negotiated Rate |
$114.96 |
| Rate for Payer: Aetna Commercial |
$83.27
|
| Rate for Payer: Aetna Medicare |
$64.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.27
|
| Rate for Payer: BCBS MAPPO |
$62.14
|
| Rate for Payer: BCN Commercial |
$62.14
|
| Rate for Payer: BCN Medicare Advantage |
$62.14
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$89.48
|
| Rate for Payer: Cofinity Commercial |
$83.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.14
|
| Rate for Payer: Healthscope Commercial |
$99.42
|
| Rate for Payer: Healthscope Commercial |
$114.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$68.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.21
|
| Rate for Payer: Nomi Health Commercial |
$74.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
| Rate for Payer: PACE SWMI |
$62.14
|
| Rate for Payer: PHP Medicare Advantage |
$62.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$64.56
|
| Rate for Payer: Priority Health Medicare |
$62.14
|
| Rate for Payer: Priority Health SBD |
$64.56
|
| Rate for Payer: Priority Health Tiered Network |
$64.56
|
| Rate for Payer: Railroad Medicare Medicare |
$62.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.10
|
| Rate for Payer: UHC Core |
$26.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$62.14
|
| Rate for Payer: UHC Exchange |
$26.10
|
|
