|
CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL
|
Professional
|
Both
|
$659.00
|
|
|
Service Code
|
HCPCS 77770
|
| Min. Negotiated Rate |
$325.44 |
| Max. Negotiated Rate |
$602.06 |
| Rate for Payer: Aetna Commercial |
$436.09
|
| Rate for Payer: Aetna Commercial |
$436.09
|
| Rate for Payer: Aetna Medicare |
$338.46
|
| Rate for Payer: Aetna Medicare |
$338.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.09
|
| Rate for Payer: BCBS MAPPO |
$325.44
|
| Rate for Payer: BCBS MAPPO |
$325.44
|
| Rate for Payer: BCN Commercial |
$522.38
|
| Rate for Payer: BCN Commercial |
$522.38
|
| Rate for Payer: BCN Medicare Advantage |
$325.44
|
| Rate for Payer: BCN Medicare Advantage |
$325.44
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$527.20
|
| Rate for Payer: Cash Price |
$527.20
|
| Rate for Payer: Cofinity Commercial |
$468.63
|
| Rate for Payer: Cofinity Commercial |
$436.09
|
| Rate for Payer: Cofinity Commercial |
$436.09
|
| Rate for Payer: Cofinity Commercial |
$468.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.44
|
| Rate for Payer: Healthscope Commercial |
$602.06
|
| Rate for Payer: Healthscope Commercial |
$602.06
|
| Rate for Payer: Healthscope Commercial |
$520.70
|
| Rate for Payer: Healthscope Commercial |
$520.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$357.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$357.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$586.37
|
| Rate for Payer: Nomi Health Commercial |
$390.53
|
| Rate for Payer: Nomi Health Commercial |
$390.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$494.25
|
| Rate for Payer: PACE SWMI |
$325.44
|
| Rate for Payer: PACE SWMI |
$325.44
|
| Rate for Payer: PHP Medicare Advantage |
$325.44
|
| Rate for Payer: PHP Medicare Advantage |
$325.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$526.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$526.31
|
| Rate for Payer: Priority Health Medicare |
$325.44
|
| Rate for Payer: Priority Health Medicare |
$325.44
|
| Rate for Payer: Priority Health SBD |
$526.31
|
| Rate for Payer: Priority Health SBD |
$526.31
|
| Rate for Payer: Priority Health Tiered Network |
$526.31
|
| Rate for Payer: Priority Health Tiered Network |
$526.31
|
| Rate for Payer: Railroad Medicare Medicare |
$325.44
|
| Rate for Payer: Railroad Medicare Medicare |
$325.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.11
|
| Rate for Payer: UHC Core |
$477.11
|
| Rate for Payer: UHC Core |
$477.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$325.44
|
| Rate for Payer: UHC Exchange |
$477.11
|
| Rate for Payer: UHC Exchange |
$477.11
|
|
|
CHG HEMOGLOBIN GLYCOSYLATED A1C
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 83036
|
| Min. Negotiated Rate |
$4.08 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Medicare |
$10.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.01
|
| Rate for Payer: BCBS MAPPO |
$9.71
|
| Rate for Payer: BCN Commercial |
$14.71
|
| Rate for Payer: BCN Medicare Advantage |
$9.71
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$13.98
|
| Rate for Payer: Cofinity Commercial |
$13.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.71
|
| Rate for Payer: Healthscope Commercial |
$17.96
|
| Rate for Payer: Healthscope Commercial |
$15.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$10.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.57
|
| Rate for Payer: Nomi Health Commercial |
$11.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$9.71
|
| Rate for Payer: PHP Medicare Advantage |
$9.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$10.08
|
| Rate for Payer: Priority Health Medicare |
$9.71
|
| Rate for Payer: Priority Health SBD |
$10.08
|
| Rate for Payer: Priority Health Tiered Network |
$10.08
|
| Rate for Payer: Railroad Medicare Medicare |
$9.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.08
|
| Rate for Payer: UHC Core |
$4.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9.71
|
| Rate for Payer: UHC Exchange |
$4.08
|
|
|
CHG HETEROPHILE ANTIBODIES SCREEN
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 86308
|
| Min. Negotiated Rate |
$3.11 |
| Max. Negotiated Rate |
$11.25 |
| 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 |
$5.18
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| 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 |
$11.25
|
| 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) |
$3.11
|
| Rate for Payer: UHC Core |
$3.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$5.18
|
| Rate for Payer: UHC Exchange |
$3.11
|
|
|
CHG HYSTEROSALPINGOGRAPHY RS&I
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 74740
|
| Min. Negotiated Rate |
$83.63 |
| Max. Negotiated Rate |
$162.40 |
| Rate for Payer: Aetna Commercial |
$112.06
|
| Rate for Payer: Aetna Medicare |
$86.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.06
|
| Rate for Payer: BCBS MAPPO |
$83.63
|
| Rate for Payer: BCN Commercial |
$134.95
|
| Rate for Payer: BCN Medicare Advantage |
$83.63
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$120.43
|
| Rate for Payer: Cofinity Commercial |
$112.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.63
|
| Rate for Payer: Healthscope Commercial |
$154.72
|
| Rate for Payer: Healthscope Commercial |
$133.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$91.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.40
|
| Rate for Payer: Nomi Health Commercial |
$100.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
| Rate for Payer: PACE SWMI |
$83.63
|
| Rate for Payer: PHP Medicare Advantage |
$83.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$135.97
|
| Rate for Payer: Priority Health Medicare |
$83.63
|
| Rate for Payer: Priority Health SBD |
$135.97
|
| Rate for Payer: Priority Health Tiered Network |
$135.97
|
| Rate for Payer: Railroad Medicare Medicare |
$83.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.76
|
| Rate for Payer: UHC Core |
$126.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$83.63
|
| Rate for Payer: UHC Exchange |
$126.76
|
|
|
CHG IAADIADOO INFLUENZA
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 87804
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$30.62 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$17.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.83
|
| Rate for Payer: BCBS MAPPO |
$16.55
|
| Rate for Payer: BCN Commercial |
$16.55
|
| Rate for Payer: BCN Medicare Advantage |
$16.55
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$23.83
|
| Rate for Payer: Cofinity Commercial |
$22.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.55
|
| Rate for Payer: Healthscope Commercial |
$30.62
|
| Rate for Payer: Healthscope Commercial |
$26.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.83
|
| Rate for Payer: Nomi Health Commercial |
$19.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: PACE SWMI |
$16.55
|
| Rate for Payer: PHP Medicare Advantage |
$16.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.15
|
| Rate for Payer: Priority Health Medicare |
$16.55
|
| Rate for Payer: Priority Health SBD |
$17.15
|
| Rate for Payer: Priority Health Tiered Network |
$17.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.00
|
| Rate for Payer: UHC Core |
$14.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.55
|
| Rate for Payer: UHC Exchange |
$14.00
|
|
|
CHG IAADIADOO RESPIRATORY SYNCTIAL VIRUS
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 87807
|
| Min. Negotiated Rate |
$5.50 |
| Max. Negotiated Rate |
$24.23 |
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$13.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.55
|
| Rate for Payer: BCBS MAPPO |
$13.10
|
| Rate for Payer: BCN Commercial |
$13.10
|
| Rate for Payer: BCN Medicare Advantage |
$13.10
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cofinity Commercial |
$18.86
|
| Rate for Payer: Cofinity Commercial |
$17.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.10
|
| Rate for Payer: Healthscope Commercial |
$24.23
|
| Rate for Payer: Healthscope Commercial |
$20.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.65
|
| Rate for Payer: Nomi Health Commercial |
$15.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: PACE SWMI |
$13.10
|
| Rate for Payer: PHP Medicare Advantage |
$13.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13.45
|
| Rate for Payer: Priority Health Medicare |
$13.10
|
| Rate for Payer: Priority Health SBD |
$13.45
|
| Rate for Payer: Priority Health Tiered Network |
$13.45
|
| Rate for Payer: Railroad Medicare Medicare |
$13.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.50
|
| Rate for Payer: UHC Core |
$5.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.10
|
| Rate for Payer: UHC Exchange |
$5.50
|
|
|
CHG IAADIADOO STREPTOCOCCUS GROUP A
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 87880
|
| Min. Negotiated Rate |
$9.92 |
| Max. Negotiated Rate |
$30.58 |
| Rate for Payer: Aetna Commercial |
$22.15
|
| Rate for Payer: Aetna Medicare |
$17.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.80
|
| Rate for Payer: BCBS MAPPO |
$16.53
|
| Rate for Payer: BCN Commercial |
$16.53
|
| Rate for Payer: BCN Medicare Advantage |
$16.53
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$23.80
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.53
|
| Rate for Payer: Healthscope Commercial |
$30.58
|
| Rate for Payer: Healthscope Commercial |
$26.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$18.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.80
|
| Rate for Payer: Nomi Health Commercial |
$19.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: PACE SWMI |
$16.53
|
| Rate for Payer: PHP Medicare Advantage |
$16.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17.15
|
| Rate for Payer: Priority Health Medicare |
$16.53
|
| Rate for Payer: Priority Health SBD |
$17.15
|
| Rate for Payer: Priority Health Tiered Network |
$17.15
|
| Rate for Payer: Railroad Medicare Medicare |
$16.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.92
|
| Rate for Payer: UHC Core |
$9.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.53
|
| Rate for Payer: UHC Exchange |
$9.92
|
|
|
CHG IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 87426
|
| Min. Negotiated Rate |
$17.34 |
| Max. Negotiated Rate |
$65.36 |
| Rate for Payer: Aetna Commercial |
$47.34
|
| Rate for Payer: Aetna Medicare |
$36.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.34
|
| Rate for Payer: BCBS MAPPO |
$35.33
|
| Rate for Payer: BCN Commercial |
$35.33
|
| Rate for Payer: BCN Medicare Advantage |
$35.33
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$50.88
|
| Rate for Payer: Cofinity Commercial |
$47.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.33
|
| Rate for Payer: Healthscope Commercial |
$65.36
|
| Rate for Payer: Healthscope Commercial |
$56.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.00
|
| Rate for Payer: Nomi Health Commercial |
$42.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: PACE SWMI |
$35.33
|
| Rate for Payer: PHP Medicare Advantage |
$35.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.65
|
| Rate for Payer: Priority Health Medicare |
$35.33
|
| Rate for Payer: Priority Health SBD |
$36.65
|
| Rate for Payer: Priority Health Tiered Network |
$36.65
|
| Rate for Payer: Railroad Medicare Medicare |
$35.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.34
|
| Rate for Payer: UHC Core |
$17.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.33
|
| Rate for Payer: UHC Exchange |
$17.34
|
|
|
CHG IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 87265
|
| Min. Negotiated Rate |
$5.03 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Commercial |
$16.05
|
| Rate for Payer: Aetna Medicare |
$12.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.25
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$11.98
|
| Rate for Payer: BCN Commercial |
$8.99
|
| Rate for Payer: BCN Medicare Advantage |
$11.98
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$17.25
|
| Rate for Payer: Cofinity Commercial |
$16.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.98
|
| Rate for Payer: Healthscope Commercial |
$22.16
|
| Rate for Payer: Healthscope Commercial |
$19.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.97
|
| Rate for Payer: Nomi Health Commercial |
$14.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PACE SWMI |
$11.98
|
| Rate for Payer: PHP Medicare Advantage |
$11.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$12.44
|
| Rate for Payer: Priority Health Medicare |
$11.98
|
| Rate for Payer: Priority Health SBD |
$12.44
|
| Rate for Payer: Priority Health Tiered Network |
$12.44
|
| Rate for Payer: Railroad Medicare Medicare |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.03
|
| Rate for Payer: UHC Core |
$5.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.98
|
| Rate for Payer: UHC Exchange |
$5.03
|
|
|
CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 87491
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$64.92 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$64.92
|
| Rate for Payer: Healthscope Commercial |
$56.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.64
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.25
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.31
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$36.31
|
| Rate for Payer: Priority Health Tiered Network |
$36.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.74
|
| Rate for Payer: UHC Core |
$14.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$14.74
|
|
|
CHG IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ
|
Professional
|
Both
|
$85.00
|
|
|
Service Code
|
HCPCS 87800
|
| Min. Negotiated Rate |
$18.34 |
| Max. Negotiated Rate |
$80.79 |
| Rate for Payer: Aetna Commercial |
$58.52
|
| Rate for Payer: Aetna Medicare |
$45.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.88
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$43.67
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$43.67
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cofinity Commercial |
$62.88
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.67
|
| Rate for Payer: Healthscope Commercial |
$80.79
|
| Rate for Payer: Healthscope Commercial |
$69.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$48.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65.51
|
| Rate for Payer: Nomi Health Commercial |
$52.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.75
|
| Rate for Payer: PACE SWMI |
$43.67
|
| Rate for Payer: PHP Medicare Advantage |
$43.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$45.39
|
| Rate for Payer: Priority Health Medicare |
$43.67
|
| Rate for Payer: Priority Health SBD |
$45.39
|
| Rate for Payer: Priority Health Tiered Network |
$45.39
|
| Rate for Payer: Railroad Medicare Medicare |
$43.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.34
|
| Rate for Payer: UHC Core |
$18.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.67
|
| Rate for Payer: UHC Exchange |
$18.34
|
|
|
CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 87591
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$64.92 |
| Rate for Payer: Aetna Commercial |
$47.02
|
| Rate for Payer: Aetna Medicare |
$36.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.02
|
| Rate for Payer: BCBS MAPPO |
$35.09
|
| Rate for Payer: BCN Commercial |
$26.32
|
| Rate for Payer: BCN Medicare Advantage |
$35.09
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$50.53
|
| Rate for Payer: Cofinity Commercial |
$47.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.09
|
| Rate for Payer: Healthscope Commercial |
$64.92
|
| Rate for Payer: Healthscope Commercial |
$56.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.64
|
| Rate for Payer: Nomi Health Commercial |
$42.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.25
|
| Rate for Payer: PACE SWMI |
$35.09
|
| Rate for Payer: PHP Medicare Advantage |
$35.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$36.31
|
| Rate for Payer: Priority Health Medicare |
$35.09
|
| Rate for Payer: Priority Health SBD |
$36.31
|
| Rate for Payer: Priority Health Tiered Network |
$36.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.74
|
| Rate for Payer: UHC Core |
$14.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.09
|
| Rate for Payer: UHC Exchange |
$14.74
|
|
|
CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 87635
|
| Min. Negotiated Rate |
$30.79 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$68.76
|
| Rate for Payer: Aetna Medicare |
$53.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.89
|
| Rate for Payer: BCBS MAPPO |
$51.31
|
| Rate for Payer: BCN Commercial |
$70.00
|
| Rate for Payer: BCN Medicare Advantage |
$51.31
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cofinity Commercial |
$73.89
|
| Rate for Payer: Cofinity Commercial |
$68.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.31
|
| Rate for Payer: Healthscope Commercial |
$94.92
|
| Rate for Payer: Healthscope Commercial |
$82.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$76.97
|
| Rate for Payer: Nomi Health Commercial |
$61.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$114.00
|
| Rate for Payer: PACE SWMI |
$51.31
|
| Rate for Payer: PHP Medicare Advantage |
$51.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$53.46
|
| Rate for Payer: Priority Health Medicare |
$51.31
|
| Rate for Payer: Priority Health SBD |
$53.46
|
| Rate for Payer: Priority Health Tiered Network |
$53.46
|
| Rate for Payer: Railroad Medicare Medicare |
$51.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.79
|
| Rate for Payer: UHC Core |
$30.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.31
|
| Rate for Payer: UHC Exchange |
$30.79
|
|
|
CHG IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 86318
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare |
$18.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.24
|
| Rate for Payer: BCBS MAPPO |
$18.09
|
| Rate for Payer: BCN Commercial |
$18.09
|
| Rate for Payer: BCN Medicare Advantage |
$18.09
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.09
|
| Rate for Payer: Healthscope Commercial |
$33.47
|
| Rate for Payer: Healthscope Commercial |
$28.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.14
|
| Rate for Payer: Nomi Health Commercial |
$21.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$18.09
|
| Rate for Payer: PHP Medicare Advantage |
$18.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$18.82
|
| Rate for Payer: Priority Health Medicare |
$18.09
|
| Rate for Payer: Priority Health SBD |
$18.82
|
| Rate for Payer: Priority Health Tiered Network |
$18.82
|
| Rate for Payer: Railroad Medicare Medicare |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.85
|
| Rate for Payer: UHC Core |
$10.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.09
|
| Rate for Payer: UHC Exchange |
$10.85
|
|
|
CHG IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 86294
|
| Min. Negotiated Rate |
$10.74 |
| Max. Negotiated Rate |
$47.30 |
| Rate for Payer: Priority Health Tiered Network |
$26.56
|
| Rate for Payer: Aetna Commercial |
$34.26
|
| Rate for Payer: Aetna Medicare |
$26.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.82
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$25.57
|
| Rate for Payer: BCN Commercial |
$19.18
|
| Rate for Payer: BCN Medicare Advantage |
$25.57
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Cofinity Commercial |
$34.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.57
|
| Rate for Payer: Healthscope Commercial |
$47.30
|
| Rate for Payer: Healthscope Commercial |
$40.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$26.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.36
|
| Rate for Payer: Nomi Health Commercial |
$30.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$25.57
|
| Rate for Payer: PHP Medicare Advantage |
$25.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$25.57
|
| Rate for Payer: Priority Health SBD |
$26.56
|
| Rate for Payer: Railroad Medicare Medicare |
$25.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.74
|
| Rate for Payer: UHC Core |
$10.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$25.57
|
| Rate for Payer: UHC Exchange |
$10.74
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$40.24 |
| Max. Negotiated Rate |
$177.23 |
| Rate for Payer: Aetna Commercial |
$128.37
|
| Rate for Payer: Aetna Medicare |
$99.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.95
|
| Rate for Payer: BCBS MAPPO |
$95.80
|
| Rate for Payer: BCN Commercial |
$71.85
|
| Rate for Payer: BCN Medicare Advantage |
$95.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cofinity Commercial |
$137.95
|
| Rate for Payer: Cofinity Commercial |
$128.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.80
|
| Rate for Payer: Healthscope Commercial |
$177.23
|
| Rate for Payer: Healthscope Commercial |
$153.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$143.70
|
| Rate for Payer: Nomi Health Commercial |
$114.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.25
|
| Rate for Payer: PACE SWMI |
$95.80
|
| Rate for Payer: PHP Medicare Advantage |
$95.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$99.53
|
| Rate for Payer: Priority Health Medicare |
$95.80
|
| Rate for Payer: Priority Health SBD |
$99.53
|
| Rate for Payer: Priority Health Tiered Network |
$99.53
|
| Rate for Payer: Railroad Medicare Medicare |
$95.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.24
|
| Rate for Payer: UHC Core |
$40.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$95.80
|
| Rate for Payer: UHC Exchange |
$40.24
|
|
|
CHG INTEN MOD RADIOTHER PLAN, SIN/MULT FIELD
|
Professional
|
Both
|
$968.00
|
|
|
Service Code
|
HCPCS 77418
|
| Min. Negotiated Rate |
$387.20 |
| Max. Negotiated Rate |
$726.00 |
| Rate for Payer: Aetna Medicare |
$484.00
|
| Rate for Payer: BCBS Complete |
$387.20
|
| Rate for Payer: Cash Price |
$774.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$629.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$726.00
|
|
|
CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX
|
Professional
|
Both
|
$548.00
|
|
|
Service Code
|
HCPCS 77778
|
| Min. Negotiated Rate |
$411.00 |
| Max. Negotiated Rate |
$1,628.92 |
| Rate for Payer: Aetna Commercial |
$1,179.87
|
| Rate for Payer: Aetna Commercial |
$1,179.87
|
| Rate for Payer: Aetna Medicare |
$915.72
|
| Rate for Payer: Aetna Medicare |
$915.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,179.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,267.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,267.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,179.87
|
| Rate for Payer: BCBS MAPPO |
$880.50
|
| Rate for Payer: BCBS MAPPO |
$880.50
|
| Rate for Payer: BCN Commercial |
$1,397.34
|
| Rate for Payer: BCN Commercial |
$1,397.34
|
| Rate for Payer: BCN Medicare Advantage |
$880.50
|
| Rate for Payer: BCN Medicare Advantage |
$880.50
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cash Price |
$1,408.00
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cofinity Commercial |
$1,267.92
|
| Rate for Payer: Cofinity Commercial |
$1,179.87
|
| Rate for Payer: Cofinity Commercial |
$1,179.87
|
| Rate for Payer: Cofinity Commercial |
$1,267.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$880.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$880.50
|
| Rate for Payer: Healthscope Commercial |
$1,628.92
|
| Rate for Payer: Healthscope Commercial |
$1,628.92
|
| Rate for Payer: Healthscope Commercial |
$1,408.80
|
| Rate for Payer: Healthscope Commercial |
$1,408.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$924.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$924.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$968.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$968.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,567.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,567.22
|
| Rate for Payer: Nomi Health Commercial |
$1,056.60
|
| Rate for Payer: Nomi Health Commercial |
$1,056.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,320.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$411.00
|
| Rate for Payer: PACE SWMI |
$880.50
|
| Rate for Payer: PACE SWMI |
$880.50
|
| Rate for Payer: PHP Medicare Advantage |
$880.50
|
| Rate for Payer: PHP Medicare Advantage |
$880.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,407.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,407.85
|
| Rate for Payer: Priority Health Medicare |
$880.50
|
| Rate for Payer: Priority Health Medicare |
$880.50
|
| Rate for Payer: Priority Health SBD |
$1,407.85
|
| Rate for Payer: Priority Health SBD |
$1,407.85
|
| Rate for Payer: Priority Health Tiered Network |
$1,407.85
|
| Rate for Payer: Priority Health Tiered Network |
$1,407.85
|
| Rate for Payer: Railroad Medicare Medicare |
$880.50
|
| Rate for Payer: Railroad Medicare Medicare |
$880.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,249.75
|
| Rate for Payer: UHC Core |
$1,249.75
|
| Rate for Payer: UHC Core |
$1,249.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$880.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$880.50
|
| Rate for Payer: UHC Exchange |
$1,249.75
|
| Rate for Payer: UHC Exchange |
$1,249.75
|
|
|
CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE
|
Professional
|
Both
|
$479.00
|
|
|
Service Code
|
HCPCS 77761
|
| Min. Negotiated Rate |
$359.25 |
| Max. Negotiated Rate |
$739.70 |
| Rate for Payer: Aetna Commercial |
$535.79
|
| Rate for Payer: Aetna Medicare |
$415.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.77
|
| Rate for Payer: BCBS MAPPO |
$399.84
|
| Rate for Payer: BCN Commercial |
$637.91
|
| Rate for Payer: BCN Medicare Advantage |
$399.84
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$535.79
|
| Rate for Payer: Cofinity Commercial |
$575.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.84
|
| Rate for Payer: Healthscope Commercial |
$739.70
|
| Rate for Payer: Healthscope Commercial |
$639.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$439.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$717.37
|
| Rate for Payer: Nomi Health Commercial |
$479.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$359.25
|
| Rate for Payer: PACE SWMI |
$399.84
|
| Rate for Payer: PHP Medicare Advantage |
$399.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$642.72
|
| Rate for Payer: Priority Health Medicare |
$399.84
|
| Rate for Payer: Priority Health SBD |
$642.72
|
| Rate for Payer: Priority Health Tiered Network |
$642.72
|
| Rate for Payer: Railroad Medicare Medicare |
$399.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$580.95
|
| Rate for Payer: UHC Core |
$580.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$399.84
|
| Rate for Payer: UHC Exchange |
$580.95
|
|
|
CHG INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 74360
|
| Min. Negotiated Rate |
$39.85 |
| Max. Negotiated Rate |
$235.71 |
| Rate for Payer: Aetna Commercial |
$128.38
|
| Rate for Payer: Aetna Medicare |
$47.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.38
|
| Rate for Payer: BCN Commercial |
$39.85
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$188.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$167.07
|
| Rate for Payer: Priority Health SBD |
$167.07
|
| Rate for Payer: Priority Health Tiered Network |
$167.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.71
|
| Rate for Payer: UHC Core |
$235.71
|
| Rate for Payer: UHC Exchange |
$235.71
|
|
|
CHG INTRAVASC ULTRASOUND,1ST VESSEL
|
Professional
|
Both
|
$88.00
|
|
|
Service Code
|
HCPCS 75945
|
| Min. Negotiated Rate |
$35.20 |
| Max. Negotiated Rate |
$66.00 |
| Rate for Payer: Aetna Medicare |
$44.00
|
| Rate for Payer: Aetna Medicare |
$115.50
|
| Rate for Payer: BCBS Complete |
$35.20
|
| Rate for Payer: BCBS Complete |
$92.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$173.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.00
|
|
|
CHG INTRAVASC US, RAD SUPERISE/ INTERP, EA ADDN VESSEL
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 75946
|
| Min. Negotiated Rate |
$18.80 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Aetna Medicare |
$23.50
|
| Rate for Payer: Aetna Medicare |
$80.50
|
| Rate for Payer: BCBS Complete |
$64.40
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$128.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.25
|
|
|
CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 74340
|
| Min. Negotiated Rate |
$37.86 |
| Max. Negotiated Rate |
$203.03 |
| Rate for Payer: Aetna Commercial |
$119.95
|
| Rate for Payer: Aetna Medicare |
$108.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.95
|
| Rate for Payer: BCN Commercial |
$37.86
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$152.52
|
| Rate for Payer: Priority Health SBD |
$152.52
|
| Rate for Payer: Priority Health Tiered Network |
$152.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.03
|
| Rate for Payer: UHC Core |
$203.03
|
| Rate for Payer: UHC Exchange |
$203.03
|
|
|
CHG JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 77077
|
| Min. Negotiated Rate |
$44.45 |
| Max. Negotiated Rate |
$82.23 |
| Rate for Payer: Aetna Commercial |
$59.56
|
| Rate for Payer: Aetna Commercial |
$59.56
|
| Rate for Payer: Aetna Medicare |
$46.23
|
| Rate for Payer: Aetna Medicare |
$46.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.56
|
| Rate for Payer: BCBS MAPPO |
$44.45
|
| Rate for Payer: BCBS MAPPO |
$44.45
|
| Rate for Payer: BCN Commercial |
$69.22
|
| Rate for Payer: BCN Commercial |
$69.22
|
| Rate for Payer: BCN Medicare Advantage |
$44.45
|
| Rate for Payer: BCN Medicare Advantage |
$44.45
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$64.01
|
| Rate for Payer: Cofinity Commercial |
$59.56
|
| Rate for Payer: Cofinity Commercial |
$59.56
|
| Rate for Payer: Cofinity Commercial |
$64.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.45
|
| Rate for Payer: Healthscope Commercial |
$82.23
|
| Rate for Payer: Healthscope Commercial |
$82.23
|
| Rate for Payer: Healthscope Commercial |
$71.12
|
| Rate for Payer: Healthscope Commercial |
$71.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$46.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$48.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$48.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$80.44
|
| Rate for Payer: Nomi Health Commercial |
$53.34
|
| Rate for Payer: Nomi Health Commercial |
$53.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: PACE SWMI |
$44.45
|
| Rate for Payer: PACE SWMI |
$44.45
|
| Rate for Payer: PHP Medicare Advantage |
$44.45
|
| Rate for Payer: PHP Medicare Advantage |
$44.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$69.74
|
| Rate for Payer: Priority Health Medicare |
$44.45
|
| Rate for Payer: Priority Health Medicare |
$44.45
|
| Rate for Payer: Priority Health SBD |
$69.74
|
| Rate for Payer: Priority Health SBD |
$69.74
|
| Rate for Payer: Priority Health Tiered Network |
$69.74
|
| Rate for Payer: Priority Health Tiered Network |
$69.74
|
| Rate for Payer: Railroad Medicare Medicare |
$44.45
|
| Rate for Payer: Railroad Medicare Medicare |
$44.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.07
|
| Rate for Payer: UHC Core |
$65.07
|
| Rate for Payer: UHC Core |
$65.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$44.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$44.45
|
| Rate for Payer: UHC Exchange |
$65.07
|
| Rate for Payer: UHC Exchange |
$65.07
|
|
|
CHG KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS 78708
|
| Min. Negotiated Rate |
$161.58 |
| Max. Negotiated Rate |
$298.92 |
| Rate for Payer: Aetna Commercial |
$216.52
|
| Rate for Payer: Aetna Medicare |
$168.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.52
|
| Rate for Payer: BCBS MAPPO |
$161.58
|
| Rate for Payer: BCN Commercial |
$262.44
|
| Rate for Payer: BCN Medicare Advantage |
$161.58
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cofinity Commercial |
$232.68
|
| Rate for Payer: Cofinity Commercial |
$216.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.58
|
| Rate for Payer: Healthscope Commercial |
$298.92
|
| Rate for Payer: Healthscope Commercial |
$258.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$177.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296.33
|
| Rate for Payer: Nomi Health Commercial |
$193.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$273.75
|
| Rate for Payer: PACE SWMI |
$161.58
|
| Rate for Payer: PHP Medicare Advantage |
$161.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$264.42
|
| Rate for Payer: Priority Health Medicare |
$161.58
|
| Rate for Payer: Priority Health SBD |
$264.42
|
| Rate for Payer: Priority Health Tiered Network |
$264.42
|
| Rate for Payer: Railroad Medicare Medicare |
$161.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.78
|
| Rate for Payer: UHC Core |
$254.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$161.58
|
| Rate for Payer: UHC Exchange |
$254.78
|
|
