|
CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL
|
Professional
|
Both
|
$469.00
|
|
|
Service Code
|
HCPCS 75953
|
| Min. Negotiated Rate |
$187.60 |
| Max. Negotiated Rate |
$351.75 |
| Rate for Payer: Aetna Medicare |
$234.50
|
| Rate for Payer: BCBS Complete |
$187.60
|
| Rate for Payer: Cash Price |
$375.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.75
|
|
|
CHG PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I
|
Professional
|
Both
|
$390.00
|
|
|
Service Code
|
HCPCS 75958
|
| Min. Negotiated Rate |
$156.00 |
| Max. Negotiated Rate |
$338.22 |
| Rate for Payer: Aetna Commercial |
$229.01
|
| Rate for Payer: Aetna Medicare |
$195.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.01
|
| Rate for Payer: BCBS Complete |
$156.00
|
| Rate for Payer: BCN Commercial |
$277.39
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.50
|
|
|
CHG PROTHROMBIN TIME
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 85610
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$8.25 |
| Rate for Payer: Aetna Commercial |
$5.75
|
| Rate for Payer: Aetna Medicare |
$4.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.18
|
| Rate for Payer: BCBS MAPPO |
$4.29
|
| Rate for Payer: BCN Commercial |
$4.29
|
| Rate for Payer: BCN Medicare Advantage |
$4.29
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$5.75
|
| Rate for Payer: Cofinity Commercial |
$6.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.29
|
| Rate for Payer: Healthscope Commercial |
$6.86
|
| Rate for Payer: Healthscope Commercial |
$7.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.44
|
| Rate for Payer: Nomi Health Commercial |
$5.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: PACE SWMI |
$4.29
|
| Rate for Payer: PHP Medicare Advantage |
$4.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4.38
|
| Rate for Payer: Priority Health Medicare |
$4.29
|
| Rate for Payer: Priority Health SBD |
$4.38
|
| Rate for Payer: Priority Health Tiered Network |
$4.38
|
| Rate for Payer: Railroad Medicare Medicare |
$4.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.57
|
| Rate for Payer: UHC Core |
$2.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$4.29
|
| Rate for Payer: UHC Exchange |
$2.57
|
|
|
CHG RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 73050
|
| Min. Negotiated Rate |
$28.42 |
| Max. Negotiated Rate |
$54.75 |
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Commercial |
$38.08
|
| Rate for Payer: Aetna Medicare |
$29.56
|
| Rate for Payer: Aetna Medicare |
$29.56
|
| Rate for Payer: Aetna Medicare |
$29.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.08
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCBS MAPPO |
$28.42
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.42
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Cofinity Commercial |
$38.08
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.42
|
| Rate for Payer: Healthscope Commercial |
$52.58
|
| Rate for Payer: Healthscope Commercial |
$52.58
|
| Rate for Payer: Healthscope Commercial |
$45.47
|
| Rate for Payer: Healthscope Commercial |
$45.47
|
| Rate for Payer: Healthscope Commercial |
$52.58
|
| Rate for Payer: Healthscope Commercial |
$45.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$31.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.96
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Nomi Health Commercial |
$34.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PACE SWMI |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: PHP Medicare Advantage |
$28.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$43.65
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health Medicare |
$28.42
|
| Rate for Payer: Priority Health SBD |
$43.65
|
| Rate for Payer: Priority Health SBD |
$43.65
|
| Rate for Payer: Priority Health SBD |
$43.65
|
| Rate for Payer: Priority Health Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Tiered Network |
$43.65
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: Railroad Medicare Medicare |
$28.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.18
|
| Rate for Payer: UHC Core |
$44.18
|
| Rate for Payer: UHC Core |
$44.18
|
| Rate for Payer: UHC Core |
$44.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$28.42
|
| Rate for Payer: UHC Exchange |
$44.18
|
| Rate for Payer: UHC Exchange |
$44.18
|
| Rate for Payer: UHC Exchange |
$44.18
|
|
|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$34.49 |
| Max. Negotiated Rate |
$69.00 |
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Commercial |
$46.22
|
| Rate for Payer: Aetna Medicare |
$35.87
|
| Rate for Payer: Aetna Medicare |
$35.87
|
| Rate for Payer: Aetna Medicare |
$35.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.22
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCBS MAPPO |
$34.49
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: BCN Medicare Advantage |
$34.49
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Cofinity Commercial |
$46.22
|
| Rate for Payer: Cofinity Commercial |
$49.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.49
|
| Rate for Payer: Healthscope Commercial |
$63.81
|
| Rate for Payer: Healthscope Commercial |
$63.81
|
| Rate for Payer: Healthscope Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$55.18
|
| Rate for Payer: Healthscope Commercial |
$63.81
|
| Rate for Payer: Healthscope Commercial |
$55.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Nomi Health Commercial |
$41.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PACE SWMI |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: PHP Medicare Advantage |
$34.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$54.69
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health Medicare |
$34.49
|
| Rate for Payer: Priority Health SBD |
$54.69
|
| Rate for Payer: Priority Health SBD |
$54.69
|
| Rate for Payer: Priority Health SBD |
$54.69
|
| Rate for Payer: Priority Health Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Tiered Network |
$54.69
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: Railroad Medicare Medicare |
$34.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.49
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$26.53 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Commercial |
$35.55
|
| Rate for Payer: Aetna Medicare |
$27.59
|
| Rate for Payer: Aetna Medicare |
$27.59
|
| Rate for Payer: Aetna Medicare |
$27.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.55
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$26.53
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: BCN Medicare Advantage |
$26.53
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Cofinity Commercial |
$35.55
|
| Rate for Payer: Cofinity Commercial |
$38.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.53
|
| Rate for Payer: Healthscope Commercial |
$49.08
|
| Rate for Payer: Healthscope Commercial |
$49.08
|
| Rate for Payer: Healthscope Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$42.45
|
| Rate for Payer: Healthscope Commercial |
$49.08
|
| Rate for Payer: Healthscope Commercial |
$42.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$48.85
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Nomi Health Commercial |
$31.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PACE SWMI |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: PHP Medicare Advantage |
$26.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$42.64
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health Medicare |
$26.53
|
| Rate for Payer: Priority Health SBD |
$42.64
|
| Rate for Payer: Priority Health SBD |
$42.64
|
| Rate for Payer: Priority Health SBD |
$42.64
|
| Rate for Payer: Priority Health Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Tiered Network |
$42.64
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: Railroad Medicare Medicare |
$26.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.67
|
| Rate for Payer: UHC Core |
$39.67
|
| Rate for Payer: UHC Core |
$39.67
|
| Rate for Payer: UHC Core |
$39.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$26.53
|
| Rate for Payer: UHC Exchange |
$39.67
|
| Rate for Payer: UHC Exchange |
$39.67
|
| Rate for Payer: UHC Exchange |
$39.67
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$31.10 |
| Max. Negotiated Rate |
$72.75 |
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Commercial |
$41.67
|
| Rate for Payer: Aetna Medicare |
$32.34
|
| Rate for Payer: Aetna Medicare |
$32.34
|
| Rate for Payer: Aetna Medicare |
$32.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.67
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCBS MAPPO |
$31.10
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: BCN Medicare Advantage |
$31.10
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Cofinity Commercial |
$41.67
|
| Rate for Payer: Cofinity Commercial |
$44.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.10
|
| Rate for Payer: Healthscope Commercial |
$57.53
|
| Rate for Payer: Healthscope Commercial |
$57.53
|
| Rate for Payer: Healthscope Commercial |
$49.76
|
| Rate for Payer: Healthscope Commercial |
$49.76
|
| Rate for Payer: Healthscope Commercial |
$57.53
|
| Rate for Payer: Healthscope Commercial |
$49.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.97
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Nomi Health Commercial |
$37.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PACE SWMI |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: PHP Medicare Advantage |
$31.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health Medicare |
$31.10
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: Railroad Medicare Medicare |
$31.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Core |
$44.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.10
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
| Rate for Payer: UHC Exchange |
$44.09
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$27.44 |
| Max. Negotiated Rate |
$68.25 |
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Medicare |
$28.54
|
| Rate for Payer: Aetna Medicare |
$28.54
|
| Rate for Payer: Aetna Medicare |
$28.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.77
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCBS MAPPO |
$27.44
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: BCN Medicare Advantage |
$27.44
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Cofinity Commercial |
$36.77
|
| Rate for Payer: Cofinity Commercial |
$39.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.44
|
| Rate for Payer: Healthscope Commercial |
$50.76
|
| Rate for Payer: Healthscope Commercial |
$50.76
|
| Rate for Payer: Healthscope Commercial |
$43.90
|
| Rate for Payer: Healthscope Commercial |
$43.90
|
| Rate for Payer: Healthscope Commercial |
$50.76
|
| Rate for Payer: Healthscope Commercial |
$43.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Nomi Health Commercial |
$32.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PACE SWMI |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health Medicare |
$27.44
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: Railroad Medicare Medicare |
$27.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.16
|
| Rate for Payer: UHC Core |
$40.16
|
| Rate for Payer: UHC Core |
$40.16
|
| Rate for Payer: UHC Core |
$40.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.44
|
| Rate for Payer: UHC Exchange |
$40.16
|
| Rate for Payer: UHC Exchange |
$40.16
|
| Rate for Payer: UHC Exchange |
$40.16
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$190.15 |
| Rate for Payer: Aetna Commercial |
$120.13
|
| Rate for Payer: Aetna Medicare |
$93.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.10
|
| Rate for Payer: BCBS MAPPO |
$89.65
|
| Rate for Payer: BCN Commercial |
$146.40
|
| Rate for Payer: BCN Medicare Advantage |
$89.65
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$129.10
|
| Rate for Payer: Cofinity Commercial |
$120.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.65
|
| Rate for Payer: Healthscope Commercial |
$165.85
|
| Rate for Payer: Healthscope Commercial |
$143.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.15
|
| Rate for Payer: Nomi Health Commercial |
$107.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
| Rate for Payer: PACE SWMI |
$89.65
|
| Rate for Payer: PHP Medicare Advantage |
$89.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$147.51
|
| Rate for Payer: Priority Health Medicare |
$89.65
|
| Rate for Payer: Priority Health SBD |
$147.51
|
| Rate for Payer: Priority Health Tiered Network |
$147.51
|
| Rate for Payer: Railroad Medicare Medicare |
$89.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.10
|
| Rate for Payer: UHC Core |
$159.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$89.65
|
| Rate for Payer: UHC Exchange |
$159.10
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$25.50 |
| Max. Negotiated Rate |
$57.04 |
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Commercial |
$41.31
|
| Rate for Payer: Aetna Medicare |
$32.06
|
| Rate for Payer: Aetna Medicare |
$32.06
|
| Rate for Payer: Aetna Medicare |
$32.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.31
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCBS MAPPO |
$30.83
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: BCN Medicare Advantage |
$30.83
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$44.40
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Cofinity Commercial |
$41.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.83
|
| Rate for Payer: Healthscope Commercial |
$49.33
|
| Rate for Payer: Healthscope Commercial |
$57.04
|
| Rate for Payer: Healthscope Commercial |
$49.33
|
| Rate for Payer: Healthscope Commercial |
$57.04
|
| Rate for Payer: Healthscope Commercial |
$49.33
|
| Rate for Payer: Healthscope Commercial |
$57.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.58
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Nomi Health Commercial |
$37.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PACE SWMI |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: PHP Medicare Advantage |
$30.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health Medicare |
$30.83
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health SBD |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Tiered Network |
$49.17
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: Railroad Medicare Medicare |
$30.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.64
|
| Rate for Payer: UHC Core |
$43.64
|
| Rate for Payer: UHC Core |
$43.64
|
| Rate for Payer: UHC Core |
$43.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.83
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHC Exchange |
$43.64
|
| Rate for Payer: UHC Exchange |
$43.64
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$41.20 |
| Max. Negotiated Rate |
$76.22 |
| Rate for Payer: Aetna Commercial |
$55.21
|
| Rate for Payer: Aetna Medicare |
$42.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.21
|
| Rate for Payer: BCBS MAPPO |
$41.20
|
| Rate for Payer: BCN Commercial |
$64.24
|
| Rate for Payer: BCN Medicare Advantage |
$41.20
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$59.33
|
| Rate for Payer: Cofinity Commercial |
$55.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.20
|
| Rate for Payer: Healthscope Commercial |
$76.22
|
| Rate for Payer: Healthscope Commercial |
$65.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$45.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.74
|
| Rate for Payer: Nomi Health Commercial |
$49.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: PACE SWMI |
$41.20
|
| Rate for Payer: PHP Medicare Advantage |
$41.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$64.73
|
| Rate for Payer: Priority Health Medicare |
$41.20
|
| Rate for Payer: Priority Health SBD |
$64.73
|
| Rate for Payer: Priority Health Tiered Network |
$64.73
|
| Rate for Payer: Railroad Medicare Medicare |
$41.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.80
|
| Rate for Payer: UHC Core |
$58.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.20
|
| Rate for Payer: UHC Exchange |
$58.80
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 72082
|
| Min. Negotiated Rate |
$25.50 |
| Max. Negotiated Rate |
$123.30 |
| Rate for Payer: Aetna Commercial |
$89.31
|
| Rate for Payer: Aetna Medicare |
$69.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.98
|
| Rate for Payer: BCBS MAPPO |
$66.65
|
| Rate for Payer: BCN Commercial |
$105.08
|
| Rate for Payer: BCN Medicare Advantage |
$66.65
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$95.98
|
| Rate for Payer: Cofinity Commercial |
$89.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.65
|
| Rate for Payer: Healthscope Commercial |
$123.30
|
| Rate for Payer: Healthscope Commercial |
$106.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$73.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119.23
|
| Rate for Payer: Nomi Health Commercial |
$79.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$66.65
|
| Rate for Payer: PHP Medicare Advantage |
$66.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$105.86
|
| Rate for Payer: Priority Health Medicare |
$66.65
|
| Rate for Payer: Priority Health SBD |
$105.86
|
| Rate for Payer: Priority Health Tiered Network |
$105.86
|
| Rate for Payer: Railroad Medicare Medicare |
$66.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94.97
|
| Rate for Payer: UHC Core |
$94.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$66.65
|
| Rate for Payer: UHC Exchange |
$94.97
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 72083
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$137.07 |
| Rate for Payer: Aetna Commercial |
$99.28
|
| Rate for Payer: Aetna Medicare |
$77.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$99.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.69
|
| Rate for Payer: BCBS MAPPO |
$74.09
|
| Rate for Payer: BCN Commercial |
$119.51
|
| Rate for Payer: BCN Medicare Advantage |
$74.09
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$99.28
|
| Rate for Payer: Cofinity Commercial |
$106.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.09
|
| Rate for Payer: Healthscope Commercial |
$137.07
|
| Rate for Payer: Healthscope Commercial |
$118.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.79
|
| Rate for Payer: Nomi Health Commercial |
$88.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: PACE SWMI |
$74.09
|
| Rate for Payer: PHP Medicare Advantage |
$74.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.41
|
| Rate for Payer: Priority Health Medicare |
$74.09
|
| Rate for Payer: Priority Health SBD |
$120.41
|
| Rate for Payer: Priority Health Tiered Network |
$120.41
|
| Rate for Payer: Railroad Medicare Medicare |
$74.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.39
|
| Rate for Payer: UHC Core |
$110.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$74.09
|
| Rate for Payer: UHC Exchange |
$110.39
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72084
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$169.11 |
| Rate for Payer: Aetna Commercial |
$122.49
|
| Rate for Payer: Aetna Medicare |
$95.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.63
|
| Rate for Payer: BCBS MAPPO |
$91.41
|
| Rate for Payer: BCN Commercial |
$146.91
|
| Rate for Payer: BCN Medicare Advantage |
$91.41
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$131.63
|
| Rate for Payer: Cofinity Commercial |
$122.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.41
|
| Rate for Payer: Healthscope Commercial |
$169.11
|
| Rate for Payer: Healthscope Commercial |
$146.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.23
|
| Rate for Payer: Nomi Health Commercial |
$109.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$91.41
|
| Rate for Payer: PHP Medicare Advantage |
$91.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$148.01
|
| Rate for Payer: Priority Health Medicare |
$91.41
|
| Rate for Payer: Priority Health SBD |
$148.01
|
| Rate for Payer: Priority Health Tiered Network |
$148.01
|
| Rate for Payer: Railroad Medicare Medicare |
$91.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.84
|
| Rate for Payer: UHC Core |
$130.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.41
|
| Rate for Payer: UHC Exchange |
$130.84
|
|
|
CHG RADEX FACIAL BONES < 3 VIEWS
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 70140
|
| Min. Negotiated Rate |
$14.25 |
| Max. Negotiated Rate |
$55.13 |
| Rate for Payer: Aetna Commercial |
$39.76
|
| Rate for Payer: Aetna Medicare |
$30.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.72
|
| Rate for Payer: BCBS MAPPO |
$29.67
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: BCN Medicare Advantage |
$29.67
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cofinity Commercial |
$42.72
|
| Rate for Payer: Cofinity Commercial |
$39.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.67
|
| Rate for Payer: Healthscope Commercial |
$54.89
|
| Rate for Payer: Healthscope Commercial |
$47.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.13
|
| Rate for Payer: Nomi Health Commercial |
$35.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: PACE SWMI |
$29.67
|
| Rate for Payer: PHP Medicare Advantage |
$29.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.16
|
| Rate for Payer: Priority Health Medicare |
$29.67
|
| Rate for Payer: Priority Health SBD |
$48.16
|
| Rate for Payer: Priority Health Tiered Network |
$48.16
|
| Rate for Payer: Railroad Medicare Medicare |
$29.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.22
|
| Rate for Payer: UHC Core |
$44.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.67
|
| Rate for Payer: UHC Exchange |
$44.22
|
|
|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$43.56 |
| Max. Negotiated Rate |
$80.59 |
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Commercial |
$58.37
|
| Rate for Payer: Aetna Medicare |
$45.30
|
| Rate for Payer: Aetna Medicare |
$45.30
|
| Rate for Payer: Aetna Medicare |
$45.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.37
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCBS MAPPO |
$43.56
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: BCN Medicare Advantage |
$43.56
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$62.73
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Cofinity Commercial |
$58.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.56
|
| Rate for Payer: Healthscope Commercial |
$69.70
|
| Rate for Payer: Healthscope Commercial |
$80.59
|
| Rate for Payer: Healthscope Commercial |
$69.70
|
| Rate for Payer: Healthscope Commercial |
$80.59
|
| Rate for Payer: Healthscope Commercial |
$69.70
|
| Rate for Payer: Healthscope Commercial |
$80.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.96
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Nomi Health Commercial |
$52.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.00
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PACE SWMI |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: PHP Medicare Advantage |
$43.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$70.25
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health Medicare |
$43.56
|
| Rate for Payer: Priority Health SBD |
$70.25
|
| Rate for Payer: Priority Health SBD |
$70.25
|
| Rate for Payer: Priority Health SBD |
$70.25
|
| Rate for Payer: Priority Health Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Tiered Network |
$70.25
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: Railroad Medicare Medicare |
$43.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.71
|
| Rate for Payer: UHC Core |
$64.71
|
| Rate for Payer: UHC Core |
$64.71
|
| Rate for Payer: UHC Core |
$64.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.56
|
| Rate for Payer: UHC Exchange |
$64.71
|
| Rate for Payer: UHC Exchange |
$64.71
|
| Rate for Payer: UHC Exchange |
$64.71
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$36.51 |
| Max. Negotiated Rate |
$67.54 |
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Commercial |
$48.92
|
| Rate for Payer: Aetna Medicare |
$37.97
|
| Rate for Payer: Aetna Medicare |
$37.97
|
| Rate for Payer: Aetna Medicare |
$37.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.92
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCBS MAPPO |
$36.51
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: BCN Medicare Advantage |
$36.51
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Cofinity Commercial |
$48.92
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.51
|
| Rate for Payer: Healthscope Commercial |
$67.54
|
| Rate for Payer: Healthscope Commercial |
$67.54
|
| Rate for Payer: Healthscope Commercial |
$58.42
|
| Rate for Payer: Healthscope Commercial |
$58.42
|
| Rate for Payer: Healthscope Commercial |
$67.54
|
| Rate for Payer: Healthscope Commercial |
$58.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$40.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.26
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Nomi Health Commercial |
$43.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PACE SWMI |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: PHP Medicare Advantage |
$36.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$57.70
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health Medicare |
$36.51
|
| Rate for Payer: Priority Health SBD |
$57.70
|
| Rate for Payer: Priority Health SBD |
$57.70
|
| Rate for Payer: Priority Health SBD |
$57.70
|
| Rate for Payer: Priority Health Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Tiered Network |
$57.70
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: Railroad Medicare Medicare |
$36.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.85
|
| Rate for Payer: UHC Core |
$49.85
|
| Rate for Payer: UHC Core |
$49.85
|
| Rate for Payer: UHC Core |
$49.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.51
|
| Rate for Payer: UHC Exchange |
$49.85
|
| Rate for Payer: UHC Exchange |
$49.85
|
| Rate for Payer: UHC Exchange |
$49.85
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$31.74 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Commercial |
$42.53
|
| Rate for Payer: Aetna Medicare |
$33.01
|
| Rate for Payer: Aetna Medicare |
$33.01
|
| Rate for Payer: Aetna Medicare |
$33.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.53
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCBS MAPPO |
$31.74
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: BCN Medicare Advantage |
$31.74
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Cofinity Commercial |
$42.53
|
| Rate for Payer: Cofinity Commercial |
$45.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.74
|
| Rate for Payer: Healthscope Commercial |
$58.72
|
| Rate for Payer: Healthscope Commercial |
$58.72
|
| Rate for Payer: Healthscope Commercial |
$50.78
|
| Rate for Payer: Healthscope Commercial |
$50.78
|
| Rate for Payer: Healthscope Commercial |
$58.72
|
| Rate for Payer: Healthscope Commercial |
$50.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58.36
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Nomi Health Commercial |
$38.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$67.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PACE SWMI |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: PHP Medicare Advantage |
$31.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$51.17
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health Medicare |
$31.74
|
| Rate for Payer: Priority Health SBD |
$51.17
|
| Rate for Payer: Priority Health SBD |
$51.17
|
| Rate for Payer: Priority Health SBD |
$51.17
|
| Rate for Payer: Priority Health Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Tiered Network |
$51.17
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: Railroad Medicare Medicare |
$31.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.10
|
| Rate for Payer: UHC Core |
$46.10
|
| Rate for Payer: UHC Core |
$46.10
|
| Rate for Payer: UHC Core |
$46.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.74
|
| Rate for Payer: UHC Exchange |
$46.10
|
| Rate for Payer: UHC Exchange |
$46.10
|
| Rate for Payer: UHC Exchange |
$46.10
|
|
|
CHG RADEX FOREARM 2 VIEWS
|
Professional
|
Both
|
$93.00
|
|
|
Service Code
|
HCPCS 73090
|
| Min. Negotiated Rate |
$27.14 |
| Max. Negotiated Rate |
$69.75 |
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Commercial |
$36.37
|
| Rate for Payer: Aetna Medicare |
$28.23
|
| Rate for Payer: Aetna Medicare |
$28.23
|
| Rate for Payer: Aetna Medicare |
$28.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.37
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCBS MAPPO |
$27.14
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: BCN Medicare Advantage |
$27.14
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Cofinity Commercial |
$36.37
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.14
|
| Rate for Payer: Healthscope Commercial |
$50.21
|
| Rate for Payer: Healthscope Commercial |
$50.21
|
| Rate for Payer: Healthscope Commercial |
$43.42
|
| Rate for Payer: Healthscope Commercial |
$43.42
|
| Rate for Payer: Healthscope Commercial |
$50.21
|
| Rate for Payer: Healthscope Commercial |
$43.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.97
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Nomi Health Commercial |
$32.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PACE SWMI |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: PHP Medicare Advantage |
$27.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$44.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health Medicare |
$27.14
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health SBD |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Tiered Network |
$44.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: Railroad Medicare Medicare |
$27.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.65
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Core |
$40.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.14
|
| Rate for Payer: UHC Exchange |
$40.65
|
| Rate for Payer: UHC Exchange |
$40.65
|
| Rate for Payer: UHC Exchange |
$40.65
|
|
|
CHG RADEX HAND 2 VIEWS
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 73120
|
| Min. Negotiated Rate |
$29.27 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna Commercial |
$39.22
|
| Rate for Payer: Aetna Commercial |
$39.22
|
| Rate for Payer: Aetna Commercial |
$39.22
|
| Rate for Payer: Aetna Medicare |
$30.44
|
| Rate for Payer: Aetna Medicare |
$30.44
|
| Rate for Payer: Aetna Medicare |
$30.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.22
|
| Rate for Payer: BCBS MAPPO |
$29.27
|
| Rate for Payer: BCBS MAPPO |
$29.27
|
| Rate for Payer: BCBS MAPPO |
$29.27
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: BCN Medicare Advantage |
$29.27
|
| Rate for Payer: BCN Medicare Advantage |
$29.27
|
| Rate for Payer: BCN Medicare Advantage |
$29.27
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$39.22
|
| Rate for Payer: Cofinity Commercial |
$42.15
|
| Rate for Payer: Cofinity Commercial |
$42.15
|
| Rate for Payer: Cofinity Commercial |
$39.22
|
| Rate for Payer: Cofinity Commercial |
$39.22
|
| Rate for Payer: Cofinity Commercial |
$42.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.27
|
| Rate for Payer: Healthscope Commercial |
$54.15
|
| Rate for Payer: Healthscope Commercial |
$54.15
|
| Rate for Payer: Healthscope Commercial |
$46.83
|
| Rate for Payer: Healthscope Commercial |
$46.83
|
| Rate for Payer: Healthscope Commercial |
$54.15
|
| Rate for Payer: Healthscope Commercial |
$46.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$32.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.30
|
| Rate for Payer: Nomi Health Commercial |
$35.12
|
| Rate for Payer: Nomi Health Commercial |
$35.12
|
| Rate for Payer: Nomi Health Commercial |
$35.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: PACE SWMI |
$29.27
|
| Rate for Payer: PACE SWMI |
$29.27
|
| Rate for Payer: PACE SWMI |
$29.27
|
| Rate for Payer: PHP Medicare Advantage |
$29.27
|
| Rate for Payer: PHP Medicare Advantage |
$29.27
|
| Rate for Payer: PHP Medicare Advantage |
$29.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.17
|
| Rate for Payer: Priority Health Medicare |
$29.27
|
| Rate for Payer: Priority Health Medicare |
$29.27
|
| Rate for Payer: Priority Health Medicare |
$29.27
|
| Rate for Payer: Priority Health SBD |
$47.17
|
| Rate for Payer: Priority Health SBD |
$47.17
|
| Rate for Payer: Priority Health SBD |
$47.17
|
| Rate for Payer: Priority Health Tiered Network |
$47.17
|
| Rate for Payer: Priority Health Tiered Network |
$47.17
|
| Rate for Payer: Priority Health Tiered Network |
$47.17
|
| Rate for Payer: Railroad Medicare Medicare |
$29.27
|
| Rate for Payer: Railroad Medicare Medicare |
$29.27
|
| Rate for Payer: Railroad Medicare Medicare |
$29.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.62
|
| Rate for Payer: UHC Core |
$42.62
|
| Rate for Payer: UHC Core |
$42.62
|
| Rate for Payer: UHC Core |
$42.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$29.27
|
| Rate for Payer: UHC Exchange |
$42.62
|
| Rate for Payer: UHC Exchange |
$42.62
|
| Rate for Payer: UHC Exchange |
$42.62
|
|
|
CHG RADEX HAND MINIMUM 3 VIEWS
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 73130
|
| Min. Negotiated Rate |
$35.40 |
| Max. Negotiated Rate |
$74.25 |
| Rate for Payer: Aetna Commercial |
$47.44
|
| Rate for Payer: Aetna Commercial |
$47.44
|
| Rate for Payer: Aetna Commercial |
$47.44
|
| Rate for Payer: Aetna Medicare |
$36.82
|
| Rate for Payer: Aetna Medicare |
$36.82
|
| Rate for Payer: Aetna Medicare |
$36.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.44
|
| Rate for Payer: BCBS MAPPO |
$35.40
|
| Rate for Payer: BCBS MAPPO |
$35.40
|
| Rate for Payer: BCBS MAPPO |
$35.40
|
| Rate for Payer: BCN Commercial |
$55.77
|
| Rate for Payer: BCN Commercial |
$55.77
|
| Rate for Payer: BCN Commercial |
$55.77
|
| Rate for Payer: BCN Medicare Advantage |
$35.40
|
| Rate for Payer: BCN Medicare Advantage |
$35.40
|
| Rate for Payer: BCN Medicare Advantage |
$35.40
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cofinity Commercial |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$50.98
|
| Rate for Payer: Cofinity Commercial |
$50.98
|
| Rate for Payer: Cofinity Commercial |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$47.44
|
| Rate for Payer: Cofinity Commercial |
$50.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.40
|
| Rate for Payer: Healthscope Commercial |
$65.49
|
| Rate for Payer: Healthscope Commercial |
$65.49
|
| Rate for Payer: Healthscope Commercial |
$56.64
|
| Rate for Payer: Healthscope Commercial |
$56.64
|
| Rate for Payer: Healthscope Commercial |
$65.49
|
| Rate for Payer: Healthscope Commercial |
$56.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.80
|
| Rate for Payer: Nomi Health Commercial |
$42.48
|
| Rate for Payer: Nomi Health Commercial |
$42.48
|
| Rate for Payer: Nomi Health Commercial |
$42.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$35.40
|
| Rate for Payer: PACE SWMI |
$35.40
|
| Rate for Payer: PACE SWMI |
$35.40
|
| Rate for Payer: PHP Medicare Advantage |
$35.40
|
| Rate for Payer: PHP Medicare Advantage |
$35.40
|
| Rate for Payer: PHP Medicare Advantage |
$35.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$56.20
|
| Rate for Payer: Priority Health Medicare |
$35.40
|
| Rate for Payer: Priority Health Medicare |
$35.40
|
| Rate for Payer: Priority Health Medicare |
$35.40
|
| Rate for Payer: Priority Health SBD |
$56.20
|
| Rate for Payer: Priority Health SBD |
$56.20
|
| Rate for Payer: Priority Health SBD |
$56.20
|
| Rate for Payer: Priority Health Tiered Network |
$56.20
|
| Rate for Payer: Priority Health Tiered Network |
$56.20
|
| Rate for Payer: Priority Health Tiered Network |
$56.20
|
| Rate for Payer: Railroad Medicare Medicare |
$35.40
|
| Rate for Payer: Railroad Medicare Medicare |
$35.40
|
| Rate for Payer: Railroad Medicare Medicare |
$35.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Core |
$49.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.40
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
| Rate for Payer: UHC Exchange |
$49.05
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 73521
|
| Min. Negotiated Rate |
$38.87 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna Commercial |
$52.09
|
| Rate for Payer: Aetna Commercial |
$52.09
|
| Rate for Payer: Aetna Medicare |
$40.42
|
| Rate for Payer: Aetna Medicare |
$40.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.09
|
| Rate for Payer: BCBS MAPPO |
$38.87
|
| Rate for Payer: BCBS MAPPO |
$38.87
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: BCN Medicare Advantage |
$38.87
|
| Rate for Payer: BCN Medicare Advantage |
$38.87
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$55.97
|
| Rate for Payer: Cofinity Commercial |
$52.09
|
| Rate for Payer: Cofinity Commercial |
$52.09
|
| Rate for Payer: Cofinity Commercial |
$55.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.87
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Healthscope Commercial |
$62.19
|
| Rate for Payer: Healthscope Commercial |
$62.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$40.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70.31
|
| Rate for Payer: Nomi Health Commercial |
$46.64
|
| Rate for Payer: Nomi Health Commercial |
$46.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.25
|
| Rate for Payer: PACE SWMI |
$38.87
|
| Rate for Payer: PACE SWMI |
$38.87
|
| Rate for Payer: PHP Medicare Advantage |
$38.87
|
| Rate for Payer: PHP Medicare Advantage |
$38.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$62.22
|
| Rate for Payer: Priority Health Medicare |
$38.87
|
| Rate for Payer: Priority Health Medicare |
$38.87
|
| Rate for Payer: Priority Health SBD |
$62.22
|
| Rate for Payer: Priority Health SBD |
$62.22
|
| Rate for Payer: Priority Health Tiered Network |
$62.22
|
| Rate for Payer: Priority Health Tiered Network |
$62.22
|
| Rate for Payer: Railroad Medicare Medicare |
$38.87
|
| Rate for Payer: Railroad Medicare Medicare |
$38.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.17
|
| Rate for Payer: UHC Core |
$56.17
|
| Rate for Payer: UHC Core |
$56.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$38.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$38.87
|
| Rate for Payer: UHC Exchange |
$56.17
|
| Rate for Payer: UHC Exchange |
$56.17
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS
|
Professional
|
Both
|
$65.00
|
|
|
Service Code
|
HCPCS 73522
|
| Min. Negotiated Rate |
$48.75 |
| Max. Negotiated Rate |
$93.87 |
| Rate for Payer: Aetna Commercial |
$67.99
|
| Rate for Payer: Aetna Commercial |
$67.99
|
| Rate for Payer: Aetna Commercial |
$67.99
|
| Rate for Payer: Aetna Medicare |
$52.77
|
| Rate for Payer: Aetna Medicare |
$52.77
|
| Rate for Payer: Aetna Medicare |
$52.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$50.74
|
| Rate for Payer: BCBS MAPPO |
$50.74
|
| Rate for Payer: BCBS MAPPO |
$50.74
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Commercial |
$80.67
|
| Rate for Payer: BCN Medicare Advantage |
$50.74
|
| Rate for Payer: BCN Medicare Advantage |
$50.74
|
| Rate for Payer: BCN Medicare Advantage |
$50.74
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$67.99
|
| Rate for Payer: Cofinity Commercial |
$73.07
|
| Rate for Payer: Cofinity Commercial |
$73.07
|
| Rate for Payer: Cofinity Commercial |
$67.99
|
| Rate for Payer: Cofinity Commercial |
$67.99
|
| Rate for Payer: Cofinity Commercial |
$73.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.74
|
| Rate for Payer: Healthscope Commercial |
$93.87
|
| Rate for Payer: Healthscope Commercial |
$93.87
|
| Rate for Payer: Healthscope Commercial |
$81.18
|
| Rate for Payer: Healthscope Commercial |
$81.18
|
| Rate for Payer: Healthscope Commercial |
$93.87
|
| Rate for Payer: Healthscope Commercial |
$81.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$55.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$55.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$55.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.24
|
| Rate for Payer: Nomi Health Commercial |
$60.89
|
| Rate for Payer: Nomi Health Commercial |
$60.89
|
| Rate for Payer: Nomi Health Commercial |
$60.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$48.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: PACE SWMI |
$50.74
|
| Rate for Payer: PACE SWMI |
$50.74
|
| Rate for Payer: PACE SWMI |
$50.74
|
| Rate for Payer: PHP Medicare Advantage |
$50.74
|
| Rate for Payer: PHP Medicare Advantage |
$50.74
|
| Rate for Payer: PHP Medicare Advantage |
$50.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.28
|
| Rate for Payer: Priority Health Medicare |
$50.74
|
| Rate for Payer: Priority Health Medicare |
$50.74
|
| Rate for Payer: Priority Health Medicare |
$50.74
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Priority Health Tiered Network |
$81.28
|
| Rate for Payer: Railroad Medicare Medicare |
$50.74
|
| Rate for Payer: Railroad Medicare Medicare |
$50.74
|
| Rate for Payer: Railroad Medicare Medicare |
$50.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.20
|
| Rate for Payer: UHC Core |
$73.20
|
| Rate for Payer: UHC Core |
$73.20
|
| Rate for Payer: UHC Core |
$73.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$50.74
|
| Rate for Payer: UHC Exchange |
$73.20
|
| Rate for Payer: UHC Exchange |
$73.20
|
| Rate for Payer: UHC Exchange |
$73.20
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 73523
|
| Min. Negotiated Rate |
$20.25 |
| Max. Negotiated Rate |
$105.82 |
| Rate for Payer: Aetna Commercial |
$76.65
|
| Rate for Payer: Aetna Commercial |
$76.65
|
| Rate for Payer: Aetna Medicare |
$59.49
|
| Rate for Payer: Aetna Medicare |
$59.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.65
|
| Rate for Payer: BCBS MAPPO |
$57.20
|
| Rate for Payer: BCBS MAPPO |
$57.20
|
| Rate for Payer: BCN Commercial |
$92.62
|
| Rate for Payer: BCN Commercial |
$92.62
|
| Rate for Payer: BCN Medicare Advantage |
$57.20
|
| Rate for Payer: BCN Medicare Advantage |
$57.20
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cofinity Commercial |
$82.37
|
| Rate for Payer: Cofinity Commercial |
$76.65
|
| Rate for Payer: Cofinity Commercial |
$76.65
|
| Rate for Payer: Cofinity Commercial |
$82.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.20
|
| Rate for Payer: Healthscope Commercial |
$91.52
|
| Rate for Payer: Healthscope Commercial |
$91.52
|
| Rate for Payer: Healthscope Commercial |
$105.82
|
| Rate for Payer: Healthscope Commercial |
$105.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.34
|
| Rate for Payer: Nomi Health Commercial |
$68.64
|
| Rate for Payer: Nomi Health Commercial |
$68.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.25
|
| Rate for Payer: PACE SWMI |
$57.20
|
| Rate for Payer: PACE SWMI |
$57.20
|
| Rate for Payer: PHP Medicare Advantage |
$57.20
|
| Rate for Payer: PHP Medicare Advantage |
$57.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.31
|
| Rate for Payer: Priority Health Medicare |
$57.20
|
| Rate for Payer: Priority Health Medicare |
$57.20
|
| Rate for Payer: Priority Health SBD |
$93.31
|
| Rate for Payer: Priority Health SBD |
$93.31
|
| Rate for Payer: Priority Health Tiered Network |
$93.31
|
| Rate for Payer: Priority Health Tiered Network |
$93.31
|
| Rate for Payer: Railroad Medicare Medicare |
$57.20
|
| Rate for Payer: Railroad Medicare Medicare |
$57.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.13
|
| Rate for Payer: UHC Core |
$83.13
|
| Rate for Payer: UHC Core |
$83.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.20
|
| Rate for Payer: UHC Exchange |
$83.13
|
| Rate for Payer: UHC Exchange |
$83.13
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW
|
Professional
|
Both
|
$59.00
|
|
|
Service Code
|
HCPCS 73501
|
| Min. Negotiated Rate |
$31.47 |
| Max. Negotiated Rate |
$58.22 |
| Rate for Payer: Aetna Commercial |
$42.17
|
| Rate for Payer: Aetna Commercial |
$42.17
|
| Rate for Payer: Aetna Medicare |
$32.73
|
| Rate for Payer: Aetna Medicare |
$32.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.17
|
| Rate for Payer: BCBS MAPPO |
$31.47
|
| Rate for Payer: BCBS MAPPO |
$31.47
|
| Rate for Payer: BCN Commercial |
$49.80
|
| Rate for Payer: BCN Commercial |
$49.80
|
| Rate for Payer: BCN Medicare Advantage |
$31.47
|
| Rate for Payer: BCN Medicare Advantage |
$31.47
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cofinity Commercial |
$45.32
|
| Rate for Payer: Cofinity Commercial |
$42.17
|
| Rate for Payer: Cofinity Commercial |
$42.17
|
| Rate for Payer: Cofinity Commercial |
$45.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.47
|
| Rate for Payer: Healthscope Commercial |
$58.22
|
| Rate for Payer: Healthscope Commercial |
$58.22
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Healthscope Commercial |
$50.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.20
|
| Rate for Payer: Nomi Health Commercial |
$37.76
|
| Rate for Payer: Nomi Health Commercial |
$37.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.25
|
| Rate for Payer: PACE SWMI |
$31.47
|
| Rate for Payer: PACE SWMI |
$31.47
|
| Rate for Payer: PHP Medicare Advantage |
$31.47
|
| Rate for Payer: PHP Medicare Advantage |
$31.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$50.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$50.18
|
| Rate for Payer: Priority Health Medicare |
$31.47
|
| Rate for Payer: Priority Health Medicare |
$31.47
|
| Rate for Payer: Priority Health SBD |
$50.18
|
| Rate for Payer: Priority Health SBD |
$50.18
|
| Rate for Payer: Priority Health Tiered Network |
$50.18
|
| Rate for Payer: Priority Health Tiered Network |
$50.18
|
| Rate for Payer: Railroad Medicare Medicare |
$31.47
|
| Rate for Payer: Railroad Medicare Medicare |
$31.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.67
|
| Rate for Payer: UHC Core |
$44.67
|
| Rate for Payer: UHC Core |
$44.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.47
|
| Rate for Payer: UHC Exchange |
$44.67
|
| Rate for Payer: UHC Exchange |
$44.67
|
|
