|
PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 93985
|
| Min. Negotiated Rate |
$60.00 |
| Max. Negotiated Rate |
$427.33 |
| Rate for Payer: Aetna Commercial |
$309.53
|
| Rate for Payer: Aetna Medicare |
$240.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$309.53
|
| Rate for Payer: BCBS MAPPO |
$230.99
|
| Rate for Payer: BCN Commercial |
$367.51
|
| Rate for Payer: BCN Medicare Advantage |
$230.99
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$332.63
|
| Rate for Payer: Cofinity Commercial |
$309.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.99
|
| Rate for Payer: Healthscope Commercial |
$427.33
|
| Rate for Payer: Healthscope Commercial |
$369.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$254.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$349.49
|
| Rate for Payer: Nomi Health Commercial |
$277.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.00
|
| Rate for Payer: PACE SWMI |
$230.99
|
| Rate for Payer: PHP Medicare Advantage |
$230.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$338.93
|
| Rate for Payer: Priority Health Medicare |
$230.99
|
| Rate for Payer: Priority Health SBD |
$338.93
|
| Rate for Payer: Priority Health Tiered Network |
$338.93
|
| Rate for Payer: Railroad Medicare Medicare |
$230.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.87
|
| Rate for Payer: UHC Core |
$404.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$230.99
|
| Rate for Payer: UHC Exchange |
$404.87
|
|
|
PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 93986
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$254.45 |
| Rate for Payer: Aetna Commercial |
$184.30
|
| Rate for Payer: Aetna Medicare |
$143.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.06
|
| Rate for Payer: BCBS MAPPO |
$137.54
|
| Rate for Payer: BCN Commercial |
$215.63
|
| Rate for Payer: BCN Medicare Advantage |
$137.54
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$198.06
|
| Rate for Payer: Cofinity Commercial |
$184.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.54
|
| Rate for Payer: Healthscope Commercial |
$254.45
|
| Rate for Payer: Healthscope Commercial |
$220.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$151.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.76
|
| Rate for Payer: Nomi Health Commercial |
$165.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: PACE SWMI |
$137.54
|
| Rate for Payer: PHP Medicare Advantage |
$137.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$198.85
|
| Rate for Payer: Priority Health Medicare |
$137.54
|
| Rate for Payer: Priority Health SBD |
$198.85
|
| Rate for Payer: Priority Health Tiered Network |
$198.85
|
| Rate for Payer: Railroad Medicare Medicare |
$137.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.29
|
| Rate for Payer: UHC Core |
$235.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$137.54
|
| Rate for Payer: UHC Exchange |
$235.29
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
|
Professional
|
Both
|
$457.00
|
|
|
Service Code
|
HCPCS 93880
|
| Min. Negotiated Rate |
$175.59 |
| Max. Negotiated Rate |
$342.75 |
| Rate for Payer: Aetna Commercial |
$235.29
|
| Rate for Payer: Aetna Medicare |
$182.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.29
|
| Rate for Payer: BCBS MAPPO |
$175.59
|
| Rate for Payer: BCN Commercial |
$279.86
|
| Rate for Payer: BCN Medicare Advantage |
$175.59
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cofinity Commercial |
$252.85
|
| Rate for Payer: Cofinity Commercial |
$235.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.59
|
| Rate for Payer: Healthscope Commercial |
$324.84
|
| Rate for Payer: Healthscope Commercial |
$280.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$184.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$193.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.88
|
| Rate for Payer: Nomi Health Commercial |
$210.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$342.75
|
| Rate for Payer: PACE SWMI |
$175.59
|
| Rate for Payer: PHP Medicare Advantage |
$175.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$258.10
|
| Rate for Payer: Priority Health Medicare |
$175.59
|
| Rate for Payer: Priority Health SBD |
$258.10
|
| Rate for Payer: Priority Health Tiered Network |
$258.10
|
| Rate for Payer: Railroad Medicare Medicare |
$175.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$304.19
|
| Rate for Payer: UHC Core |
$304.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$175.59
|
| Rate for Payer: UHC Exchange |
$304.19
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 93882
|
| Min. Negotiated Rate |
$115.14 |
| Max. Negotiated Rate |
$246.00 |
| Rate for Payer: Aetna Commercial |
$154.29
|
| Rate for Payer: Aetna Medicare |
$119.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.80
|
| Rate for Payer: BCBS MAPPO |
$115.14
|
| Rate for Payer: BCN Commercial |
$183.26
|
| Rate for Payer: BCN Medicare Advantage |
$115.14
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$165.80
|
| Rate for Payer: Cofinity Commercial |
$154.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.14
|
| Rate for Payer: Healthscope Commercial |
$213.01
|
| Rate for Payer: Healthscope Commercial |
$184.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.28
|
| Rate for Payer: Nomi Health Commercial |
$138.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.00
|
| Rate for Payer: PACE SWMI |
$115.14
|
| Rate for Payer: PHP Medicare Advantage |
$115.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$169.01
|
| Rate for Payer: Priority Health Medicare |
$115.14
|
| Rate for Payer: Priority Health SBD |
$169.01
|
| Rate for Payer: Priority Health Tiered Network |
$169.01
|
| Rate for Payer: Railroad Medicare Medicare |
$115.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.48
|
| Rate for Payer: UHC Core |
$196.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.14
|
| Rate for Payer: UHC Exchange |
$196.48
|
|
|
PR DUPLEX SCAN HEMODIALYSIS ACCESS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 93990
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$247.68 |
| Rate for Payer: Aetna Commercial |
$179.40
|
| Rate for Payer: Aetna Commercial |
$179.40
|
| Rate for Payer: Aetna Medicare |
$139.24
|
| Rate for Payer: Aetna Medicare |
$139.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.40
|
| Rate for Payer: BCBS MAPPO |
$133.88
|
| Rate for Payer: BCBS MAPPO |
$133.88
|
| Rate for Payer: BCN Commercial |
$216.13
|
| Rate for Payer: BCN Commercial |
$216.13
|
| Rate for Payer: BCN Medicare Advantage |
$133.88
|
| Rate for Payer: BCN Medicare Advantage |
$133.88
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$192.79
|
| Rate for Payer: Cofinity Commercial |
$179.40
|
| Rate for Payer: Cofinity Commercial |
$179.40
|
| Rate for Payer: Cofinity Commercial |
$192.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.88
|
| Rate for Payer: Healthscope Commercial |
$247.68
|
| Rate for Payer: Healthscope Commercial |
$247.68
|
| Rate for Payer: Healthscope Commercial |
$214.21
|
| Rate for Payer: Healthscope Commercial |
$214.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$147.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$181.38
|
| Rate for Payer: Nomi Health Commercial |
$160.66
|
| Rate for Payer: Nomi Health Commercial |
$160.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$133.88
|
| Rate for Payer: PACE SWMI |
$133.88
|
| Rate for Payer: PHP Medicare Advantage |
$133.88
|
| Rate for Payer: PHP Medicare Advantage |
$133.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$199.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$199.31
|
| Rate for Payer: Priority Health Medicare |
$133.88
|
| Rate for Payer: Priority Health Medicare |
$133.88
|
| Rate for Payer: Priority Health SBD |
$199.31
|
| Rate for Payer: Priority Health SBD |
$199.31
|
| Rate for Payer: Priority Health Tiered Network |
$199.31
|
| Rate for Payer: Priority Health Tiered Network |
$199.31
|
| Rate for Payer: Railroad Medicare Medicare |
$133.88
|
| Rate for Payer: Railroad Medicare Medicare |
$133.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$236.40
|
| Rate for Payer: UHC Core |
$236.40
|
| Rate for Payer: UHC Core |
$236.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$133.88
|
| Rate for Payer: UHC Exchange |
$236.40
|
| Rate for Payer: UHC Exchange |
$236.40
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
|
Professional
|
Both
|
$83.00
|
|
|
Service Code
|
HCPCS 93978
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$310.71 |
| Rate for Payer: Aetna Commercial |
$225.05
|
| Rate for Payer: Aetna Commercial |
$225.05
|
| Rate for Payer: Aetna Medicare |
$174.67
|
| Rate for Payer: Aetna Medicare |
$174.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$241.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.05
|
| Rate for Payer: BCBS MAPPO |
$167.95
|
| Rate for Payer: BCBS MAPPO |
$167.95
|
| Rate for Payer: BCN Commercial |
$267.91
|
| Rate for Payer: BCN Commercial |
$267.91
|
| Rate for Payer: BCN Medicare Advantage |
$167.95
|
| Rate for Payer: BCN Medicare Advantage |
$167.95
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Cofinity Commercial |
$225.05
|
| Rate for Payer: Cofinity Commercial |
$225.05
|
| Rate for Payer: Cofinity Commercial |
$241.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.95
|
| Rate for Payer: Healthscope Commercial |
$310.71
|
| Rate for Payer: Healthscope Commercial |
$310.71
|
| Rate for Payer: Healthscope Commercial |
$268.72
|
| Rate for Payer: Healthscope Commercial |
$268.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.75
|
| Rate for Payer: Molina Medicare/Medicaid |
$184.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$255.32
|
| Rate for Payer: Nomi Health Commercial |
$201.54
|
| Rate for Payer: Nomi Health Commercial |
$201.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$307.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: PACE SWMI |
$167.95
|
| Rate for Payer: PACE SWMI |
$167.95
|
| Rate for Payer: PHP Medicare Advantage |
$167.95
|
| Rate for Payer: PHP Medicare Advantage |
$167.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$247.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$247.07
|
| Rate for Payer: Priority Health Medicare |
$167.95
|
| Rate for Payer: Priority Health Medicare |
$167.95
|
| Rate for Payer: Priority Health SBD |
$247.07
|
| Rate for Payer: Priority Health SBD |
$247.07
|
| Rate for Payer: Priority Health Tiered Network |
$247.07
|
| Rate for Payer: Priority Health Tiered Network |
$247.07
|
| Rate for Payer: Railroad Medicare Medicare |
$167.95
|
| Rate for Payer: Railroad Medicare Medicare |
$167.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.32
|
| Rate for Payer: UHC Core |
$287.32
|
| Rate for Payer: UHC Core |
$287.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$167.95
|
| Rate for Payer: UHC Exchange |
$287.32
|
| Rate for Payer: UHC Exchange |
$287.32
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 93979
|
| Min. Negotiated Rate |
$40.50 |
| Max. Negotiated Rate |
$200.60 |
| Rate for Payer: Priority Health Tiered Network |
$160.28
|
| Rate for Payer: Aetna Commercial |
$145.30
|
| Rate for Payer: Aetna Commercial |
$145.30
|
| Rate for Payer: Aetna Medicare |
$112.77
|
| Rate for Payer: Aetna Medicare |
$112.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.30
|
| Rate for Payer: BCBS MAPPO |
$108.43
|
| Rate for Payer: BCBS MAPPO |
$108.43
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: BCN Medicare Advantage |
$108.43
|
| Rate for Payer: BCN Medicare Advantage |
$108.43
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$156.14
|
| Rate for Payer: Cofinity Commercial |
$145.30
|
| Rate for Payer: Cofinity Commercial |
$145.30
|
| Rate for Payer: Cofinity Commercial |
$156.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.43
|
| Rate for Payer: Healthscope Commercial |
$200.60
|
| Rate for Payer: Healthscope Commercial |
$200.60
|
| Rate for Payer: Healthscope Commercial |
$173.49
|
| Rate for Payer: Healthscope Commercial |
$173.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$165.30
|
| Rate for Payer: Nomi Health Commercial |
$130.12
|
| Rate for Payer: Nomi Health Commercial |
$130.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: PACE SWMI |
$108.43
|
| Rate for Payer: PACE SWMI |
$108.43
|
| Rate for Payer: PHP Medicare Advantage |
$108.43
|
| Rate for Payer: PHP Medicare Advantage |
$108.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$160.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$160.28
|
| Rate for Payer: Priority Health Medicare |
$108.43
|
| Rate for Payer: Priority Health Medicare |
$108.43
|
| Rate for Payer: Priority Health SBD |
$160.28
|
| Rate for Payer: Priority Health SBD |
$160.28
|
| Rate for Payer: Priority Health Tiered Network |
$160.28
|
| Rate for Payer: Railroad Medicare Medicare |
$108.43
|
| Rate for Payer: Railroad Medicare Medicare |
$108.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.68
|
| Rate for Payer: UHC Core |
$184.68
|
| Rate for Payer: UHC Core |
$184.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.43
|
| Rate for Payer: UHC Exchange |
$184.68
|
| Rate for Payer: UHC Exchange |
$184.68
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
|
Professional
|
Both
|
$638.00
|
|
|
Service Code
|
HCPCS 93975
|
| Min. Negotiated Rate |
$240.86 |
| Max. Negotiated Rate |
$478.50 |
| Rate for Payer: Aetna Commercial |
$322.75
|
| Rate for Payer: Aetna Commercial |
$322.75
|
| Rate for Payer: Aetna Medicare |
$250.49
|
| Rate for Payer: Aetna Medicare |
$250.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$322.75
|
| Rate for Payer: BCBS MAPPO |
$240.86
|
| Rate for Payer: BCBS MAPPO |
$240.86
|
| Rate for Payer: BCN Commercial |
$388.92
|
| Rate for Payer: BCN Commercial |
$388.92
|
| Rate for Payer: BCN Medicare Advantage |
$240.86
|
| Rate for Payer: BCN Medicare Advantage |
$240.86
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$346.84
|
| Rate for Payer: Cofinity Commercial |
$322.75
|
| Rate for Payer: Cofinity Commercial |
$322.75
|
| Rate for Payer: Cofinity Commercial |
$346.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.86
|
| Rate for Payer: Healthscope Commercial |
$445.59
|
| Rate for Payer: Healthscope Commercial |
$445.59
|
| Rate for Payer: Healthscope Commercial |
$385.38
|
| Rate for Payer: Healthscope Commercial |
$385.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$264.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.95
|
| Rate for Payer: Nomi Health Commercial |
$289.03
|
| Rate for Payer: Nomi Health Commercial |
$289.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$478.50
|
| Rate for Payer: PACE SWMI |
$240.86
|
| Rate for Payer: PACE SWMI |
$240.86
|
| Rate for Payer: PHP Medicare Advantage |
$240.86
|
| Rate for Payer: PHP Medicare Advantage |
$240.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$358.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$358.68
|
| Rate for Payer: Priority Health Medicare |
$240.86
|
| Rate for Payer: Priority Health Medicare |
$240.86
|
| Rate for Payer: Priority Health SBD |
$358.68
|
| Rate for Payer: Priority Health SBD |
$358.68
|
| Rate for Payer: Priority Health Tiered Network |
$358.68
|
| Rate for Payer: Priority Health Tiered Network |
$358.68
|
| Rate for Payer: Railroad Medicare Medicare |
$240.86
|
| Rate for Payer: Railroad Medicare Medicare |
$240.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$422.59
|
| Rate for Payer: UHC Core |
$422.59
|
| Rate for Payer: UHC Core |
$422.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$240.86
|
| Rate for Payer: UHC Exchange |
$422.59
|
| Rate for Payer: UHC Exchange |
$422.59
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
|
Professional
|
Both
|
$662.00
|
|
|
Service Code
|
HCPCS 93976
|
| Min. Negotiated Rate |
$145.18 |
| Max. Negotiated Rate |
$496.50 |
| Rate for Payer: Aetna Commercial |
$194.54
|
| Rate for Payer: Aetna Commercial |
$194.54
|
| Rate for Payer: Aetna Medicare |
$150.99
|
| Rate for Payer: Aetna Medicare |
$150.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$209.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.54
|
| Rate for Payer: BCBS MAPPO |
$145.18
|
| Rate for Payer: BCBS MAPPO |
$145.18
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: BCN Medicare Advantage |
$145.18
|
| Rate for Payer: BCN Medicare Advantage |
$145.18
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cash Price |
$529.60
|
| Rate for Payer: Cofinity Commercial |
$209.06
|
| Rate for Payer: Cofinity Commercial |
$194.54
|
| Rate for Payer: Cofinity Commercial |
$194.54
|
| Rate for Payer: Cofinity Commercial |
$209.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.18
|
| Rate for Payer: Healthscope Commercial |
$268.58
|
| Rate for Payer: Healthscope Commercial |
$268.58
|
| Rate for Payer: Healthscope Commercial |
$232.29
|
| Rate for Payer: Healthscope Commercial |
$232.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$202.32
|
| Rate for Payer: Nomi Health Commercial |
$174.22
|
| Rate for Payer: Nomi Health Commercial |
$174.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$496.50
|
| Rate for Payer: PACE SWMI |
$145.18
|
| Rate for Payer: PACE SWMI |
$145.18
|
| Rate for Payer: PHP Medicare Advantage |
$145.18
|
| Rate for Payer: PHP Medicare Advantage |
$145.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$217.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$217.22
|
| Rate for Payer: Priority Health Medicare |
$145.18
|
| Rate for Payer: Priority Health Medicare |
$145.18
|
| Rate for Payer: Priority Health SBD |
$217.22
|
| Rate for Payer: Priority Health SBD |
$217.22
|
| Rate for Payer: Priority Health Tiered Network |
$217.22
|
| Rate for Payer: Priority Health Tiered Network |
$217.22
|
| Rate for Payer: Railroad Medicare Medicare |
$145.18
|
| Rate for Payer: Railroad Medicare Medicare |
$145.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.98
|
| Rate for Payer: UHC Core |
$250.98
|
| Rate for Payer: UHC Core |
$250.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$145.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$145.18
|
| Rate for Payer: UHC Exchange |
$250.98
|
| Rate for Payer: UHC Exchange |
$250.98
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 93925
|
| Min. Negotiated Rate |
$219.88 |
| Max. Negotiated Rate |
$406.78 |
| Rate for Payer: Aetna Commercial |
$294.64
|
| Rate for Payer: Aetna Commercial |
$294.64
|
| Rate for Payer: Aetna Medicare |
$228.68
|
| Rate for Payer: Aetna Medicare |
$228.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.64
|
| Rate for Payer: BCBS MAPPO |
$219.88
|
| Rate for Payer: BCBS MAPPO |
$219.88
|
| Rate for Payer: BCN Commercial |
$352.57
|
| Rate for Payer: BCN Commercial |
$352.57
|
| Rate for Payer: BCN Medicare Advantage |
$219.88
|
| Rate for Payer: BCN Medicare Advantage |
$219.88
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cofinity Commercial |
$316.63
|
| Rate for Payer: Cofinity Commercial |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$294.64
|
| Rate for Payer: Cofinity Commercial |
$316.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.88
|
| Rate for Payer: Healthscope Commercial |
$406.78
|
| Rate for Payer: Healthscope Commercial |
$406.78
|
| Rate for Payer: Healthscope Commercial |
$351.81
|
| Rate for Payer: Healthscope Commercial |
$351.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$241.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$241.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$337.86
|
| Rate for Payer: Nomi Health Commercial |
$263.86
|
| Rate for Payer: Nomi Health Commercial |
$263.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.75
|
| Rate for Payer: PACE SWMI |
$219.88
|
| Rate for Payer: PACE SWMI |
$219.88
|
| Rate for Payer: PHP Medicare Advantage |
$219.88
|
| Rate for Payer: PHP Medicare Advantage |
$219.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.14
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health Medicare |
$219.88
|
| Rate for Payer: Priority Health SBD |
$325.14
|
| Rate for Payer: Priority Health SBD |
$325.14
|
| Rate for Payer: Priority Health Tiered Network |
$325.14
|
| Rate for Payer: Priority Health Tiered Network |
$325.14
|
| Rate for Payer: Railroad Medicare Medicare |
$219.88
|
| Rate for Payer: Railroad Medicare Medicare |
$219.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.58
|
| Rate for Payer: UHC Core |
$385.58
|
| Rate for Payer: UHC Core |
$385.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$219.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$219.88
|
| Rate for Payer: UHC Exchange |
$385.58
|
| Rate for Payer: UHC Exchange |
$385.58
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 93926
|
| Min. Negotiated Rate |
$31.50 |
| Max. Negotiated Rate |
$240.09 |
| Rate for Payer: Aetna Commercial |
$173.91
|
| Rate for Payer: Aetna Commercial |
$173.91
|
| Rate for Payer: Aetna Medicare |
$134.97
|
| Rate for Payer: Aetna Medicare |
$134.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.91
|
| Rate for Payer: BCBS MAPPO |
$129.78
|
| Rate for Payer: BCBS MAPPO |
$129.78
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Medicare Advantage |
$129.78
|
| Rate for Payer: BCN Medicare Advantage |
$129.78
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$275.20
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$186.88
|
| Rate for Payer: Cofinity Commercial |
$173.91
|
| Rate for Payer: Cofinity Commercial |
$173.91
|
| Rate for Payer: Cofinity Commercial |
$186.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.78
|
| Rate for Payer: Healthscope Commercial |
$240.09
|
| Rate for Payer: Healthscope Commercial |
$240.09
|
| Rate for Payer: Healthscope Commercial |
$207.65
|
| Rate for Payer: Healthscope Commercial |
$207.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$142.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$142.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$180.12
|
| Rate for Payer: Nomi Health Commercial |
$155.74
|
| Rate for Payer: Nomi Health Commercial |
$155.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$258.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: PACE SWMI |
$129.78
|
| Rate for Payer: PACE SWMI |
$129.78
|
| Rate for Payer: PHP Medicare Advantage |
$129.78
|
| Rate for Payer: PHP Medicare Advantage |
$129.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$195.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$195.18
|
| Rate for Payer: Priority Health Medicare |
$129.78
|
| Rate for Payer: Priority Health Medicare |
$129.78
|
| Rate for Payer: Priority Health SBD |
$195.18
|
| Rate for Payer: Priority Health SBD |
$195.18
|
| Rate for Payer: Priority Health Tiered Network |
$195.18
|
| Rate for Payer: Priority Health Tiered Network |
$195.18
|
| Rate for Payer: Railroad Medicare Medicare |
$129.78
|
| Rate for Payer: Railroad Medicare Medicare |
$129.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$228.23
|
| Rate for Payer: UHC Core |
$228.23
|
| Rate for Payer: UHC Core |
$228.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$129.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$129.78
|
| Rate for Payer: UHC Exchange |
$228.23
|
| Rate for Payer: UHC Exchange |
$228.23
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 93930
|
| Min. Negotiated Rate |
$49.50 |
| Max. Negotiated Rate |
$341.20 |
| Rate for Payer: Aetna Commercial |
$247.14
|
| Rate for Payer: Aetna Commercial |
$247.14
|
| Rate for Payer: Aetna Medicare |
$191.81
|
| Rate for Payer: Aetna Medicare |
$191.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$265.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.14
|
| Rate for Payer: BCBS MAPPO |
$184.43
|
| Rate for Payer: BCBS MAPPO |
$184.43
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Medicare Advantage |
$184.43
|
| Rate for Payer: BCN Medicare Advantage |
$184.43
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$265.58
|
| Rate for Payer: Cofinity Commercial |
$247.14
|
| Rate for Payer: Cofinity Commercial |
$247.14
|
| Rate for Payer: Cofinity Commercial |
$265.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$184.43
|
| Rate for Payer: Healthscope Commercial |
$341.20
|
| Rate for Payer: Healthscope Commercial |
$341.20
|
| Rate for Payer: Healthscope Commercial |
$295.09
|
| Rate for Payer: Healthscope Commercial |
$295.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$193.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$202.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$202.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$276.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$276.45
|
| Rate for Payer: Nomi Health Commercial |
$221.32
|
| Rate for Payer: Nomi Health Commercial |
$221.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$313.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.50
|
| Rate for Payer: PACE SWMI |
$184.43
|
| Rate for Payer: PACE SWMI |
$184.43
|
| Rate for Payer: PHP Medicare Advantage |
$184.43
|
| Rate for Payer: PHP Medicare Advantage |
$184.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$270.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$270.95
|
| Rate for Payer: Priority Health Medicare |
$184.43
|
| Rate for Payer: Priority Health Medicare |
$184.43
|
| Rate for Payer: Priority Health SBD |
$270.95
|
| Rate for Payer: Priority Health SBD |
$270.95
|
| Rate for Payer: Priority Health Tiered Network |
$270.95
|
| Rate for Payer: Priority Health Tiered Network |
$270.95
|
| Rate for Payer: Railroad Medicare Medicare |
$184.43
|
| Rate for Payer: Railroad Medicare Medicare |
$184.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.45
|
| Rate for Payer: UHC Core |
$314.45
|
| Rate for Payer: UHC Core |
$314.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$184.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$184.43
|
| Rate for Payer: UHC Exchange |
$314.45
|
| Rate for Payer: UHC Exchange |
$314.45
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 93931
|
| Min. Negotiated Rate |
$25.50 |
| Max. Negotiated Rate |
$207.79 |
| Rate for Payer: Aetna Commercial |
$150.51
|
| Rate for Payer: Aetna Commercial |
$150.51
|
| Rate for Payer: Aetna Medicare |
$116.81
|
| Rate for Payer: Aetna Medicare |
$116.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.51
|
| Rate for Payer: BCBS MAPPO |
$112.32
|
| Rate for Payer: BCBS MAPPO |
$112.32
|
| Rate for Payer: BCN Commercial |
$182.26
|
| Rate for Payer: BCN Commercial |
$182.26
|
| Rate for Payer: BCN Medicare Advantage |
$112.32
|
| Rate for Payer: BCN Medicare Advantage |
$112.32
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cofinity Commercial |
$161.74
|
| Rate for Payer: Cofinity Commercial |
$150.51
|
| Rate for Payer: Cofinity Commercial |
$150.51
|
| Rate for Payer: Cofinity Commercial |
$161.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.32
|
| Rate for Payer: Healthscope Commercial |
$207.79
|
| Rate for Payer: Healthscope Commercial |
$207.79
|
| Rate for Payer: Healthscope Commercial |
$179.71
|
| Rate for Payer: Healthscope Commercial |
$179.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.11
|
| Rate for Payer: Nomi Health Commercial |
$134.78
|
| Rate for Payer: Nomi Health Commercial |
$134.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: PACE SWMI |
$112.32
|
| Rate for Payer: PACE SWMI |
$112.32
|
| Rate for Payer: PHP Medicare Advantage |
$112.32
|
| Rate for Payer: PHP Medicare Advantage |
$112.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$168.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$168.09
|
| Rate for Payer: Priority Health Medicare |
$112.32
|
| Rate for Payer: Priority Health Medicare |
$112.32
|
| Rate for Payer: Priority Health SBD |
$168.09
|
| Rate for Payer: Priority Health SBD |
$168.09
|
| Rate for Payer: Priority Health Tiered Network |
$168.09
|
| Rate for Payer: Priority Health Tiered Network |
$168.09
|
| Rate for Payer: Railroad Medicare Medicare |
$112.32
|
| Rate for Payer: Railroad Medicare Medicare |
$112.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.34
|
| Rate for Payer: UHC Core |
$196.34
|
| Rate for Payer: UHC Core |
$196.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.32
|
| Rate for Payer: UHC Exchange |
$196.34
|
| Rate for Payer: UHC Exchange |
$196.34
|
|
|
PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
|
Professional
|
Both
|
$435.00
|
|
|
Service Code
|
HCPCS 93970
|
| Min. Negotiated Rate |
$170.65 |
| Max. Negotiated Rate |
$326.25 |
| Rate for Payer: Aetna Commercial |
$228.67
|
| Rate for Payer: Aetna Commercial |
$228.67
|
| Rate for Payer: Aetna Medicare |
$177.48
|
| Rate for Payer: Aetna Medicare |
$177.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.67
|
| Rate for Payer: BCBS MAPPO |
$170.65
|
| Rate for Payer: BCBS MAPPO |
$170.65
|
| Rate for Payer: BCN Commercial |
$275.39
|
| Rate for Payer: BCN Commercial |
$275.39
|
| Rate for Payer: BCN Medicare Advantage |
$170.65
|
| Rate for Payer: BCN Medicare Advantage |
$170.65
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Cofinity Commercial |
$245.74
|
| Rate for Payer: Cofinity Commercial |
$228.67
|
| Rate for Payer: Cofinity Commercial |
$228.67
|
| Rate for Payer: Cofinity Commercial |
$245.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.65
|
| Rate for Payer: Healthscope Commercial |
$315.70
|
| Rate for Payer: Healthscope Commercial |
$315.70
|
| Rate for Payer: Healthscope Commercial |
$273.04
|
| Rate for Payer: Healthscope Commercial |
$273.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.64
|
| Rate for Payer: Nomi Health Commercial |
$204.78
|
| Rate for Payer: Nomi Health Commercial |
$204.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$326.25
|
| Rate for Payer: PACE SWMI |
$170.65
|
| Rate for Payer: PACE SWMI |
$170.65
|
| Rate for Payer: PHP Medicare Advantage |
$170.65
|
| Rate for Payer: PHP Medicare Advantage |
$170.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$253.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$253.97
|
| Rate for Payer: Priority Health Medicare |
$170.65
|
| Rate for Payer: Priority Health Medicare |
$170.65
|
| Rate for Payer: Priority Health SBD |
$253.97
|
| Rate for Payer: Priority Health SBD |
$253.97
|
| Rate for Payer: Priority Health Tiered Network |
$253.97
|
| Rate for Payer: Priority Health Tiered Network |
$253.97
|
| Rate for Payer: Railroad Medicare Medicare |
$170.65
|
| Rate for Payer: Railroad Medicare Medicare |
$170.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.79
|
| Rate for Payer: UHC Core |
$296.79
|
| Rate for Payer: UHC Core |
$296.79
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.65
|
| Rate for Payer: UHC Exchange |
$296.79
|
| Rate for Payer: UHC Exchange |
$296.79
|
|
|
PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
|
Professional
|
Both
|
$76.00
|
|
|
Service Code
|
HCPCS 93971
|
| Min. Negotiated Rate |
$57.00 |
| Max. Negotiated Rate |
$199.36 |
| Rate for Payer: Aetna Commercial |
$144.40
|
| Rate for Payer: Aetna Commercial |
$144.40
|
| Rate for Payer: Aetna Medicare |
$112.07
|
| Rate for Payer: Aetna Medicare |
$112.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.40
|
| Rate for Payer: BCBS MAPPO |
$107.76
|
| Rate for Payer: BCBS MAPPO |
$107.76
|
| Rate for Payer: BCN Commercial |
$176.28
|
| Rate for Payer: BCN Commercial |
$176.28
|
| Rate for Payer: BCN Medicare Advantage |
$107.76
|
| Rate for Payer: BCN Medicare Advantage |
$107.76
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$229.60
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cofinity Commercial |
$155.17
|
| Rate for Payer: Cofinity Commercial |
$144.40
|
| Rate for Payer: Cofinity Commercial |
$144.40
|
| Rate for Payer: Cofinity Commercial |
$155.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.76
|
| Rate for Payer: Healthscope Commercial |
$199.36
|
| Rate for Payer: Healthscope Commercial |
$199.36
|
| Rate for Payer: Healthscope Commercial |
$172.42
|
| Rate for Payer: Healthscope Commercial |
$172.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$118.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168.32
|
| Rate for Payer: Nomi Health Commercial |
$129.31
|
| Rate for Payer: Nomi Health Commercial |
$129.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.00
|
| Rate for Payer: PACE SWMI |
$107.76
|
| Rate for Payer: PACE SWMI |
$107.76
|
| Rate for Payer: PHP Medicare Advantage |
$107.76
|
| Rate for Payer: PHP Medicare Advantage |
$107.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.58
|
| Rate for Payer: Priority Health Medicare |
$107.76
|
| Rate for Payer: Priority Health Medicare |
$107.76
|
| Rate for Payer: Priority Health SBD |
$162.58
|
| Rate for Payer: Priority Health SBD |
$162.58
|
| Rate for Payer: Priority Health Tiered Network |
$162.58
|
| Rate for Payer: Priority Health Tiered Network |
$162.58
|
| Rate for Payer: Railroad Medicare Medicare |
$107.76
|
| Rate for Payer: Railroad Medicare Medicare |
$107.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.31
|
| Rate for Payer: UHC Core |
$185.31
|
| Rate for Payer: UHC Core |
$185.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.76
|
| Rate for Payer: UHC Exchange |
$185.31
|
| Rate for Payer: UHC Exchange |
$185.31
|
|
|
PR DURAL GRAFT SPINAL
|
Professional
|
Both
|
$5,245.00
|
|
|
Service Code
|
HCPCS 63710
|
| Min. Negotiated Rate |
$666.90 |
| Max. Negotiated Rate |
$3,933.75 |
| Rate for Payer: BCN Commercial |
$1,815.72
|
| Rate for Payer: Aetna Commercial |
$1,382.97
|
| Rate for Payer: Aetna Medicare |
$1,073.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,382.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,486.18
|
| Rate for Payer: BCBS Complete |
$700.25
|
| Rate for Payer: BCBS MAPPO |
$1,032.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,032.07
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cofinity Commercial |
$1,486.18
|
| Rate for Payer: Cofinity Commercial |
$1,382.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,032.07
|
| Rate for Payer: Healthscope Commercial |
$1,909.33
|
| Rate for Payer: Healthscope Commercial |
$1,651.31
|
| Rate for Payer: Mclaren Medicaid |
$666.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,083.67
|
| Rate for Payer: Meridian Medicaid |
$700.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,135.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,934.57
|
| Rate for Payer: Nomi Health Commercial |
$1,238.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,933.75
|
| Rate for Payer: PACE SWMI |
$1,032.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,032.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,919.69
|
| Rate for Payer: Priority Health Medicare |
$1,032.07
|
| Rate for Payer: Priority Health SBD |
$1,919.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,919.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,032.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,909.23
|
| Rate for Payer: UHC Core |
$1,909.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,032.07
|
| Rate for Payer: UHC Exchange |
$1,909.23
|
| Rate for Payer: UHC Medicaid |
$666.90
|
| Rate for Payer: UHCCP Medicaid |
$666.90
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 92622
|
| Min. Negotiated Rate |
$34.29 |
| Max. Negotiated Rate |
$128.25 |
| Rate for Payer: Aetna Commercial |
$70.75
|
| Rate for Payer: Aetna Medicare |
$54.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$70.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.03
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS MAPPO |
$52.80
|
| Rate for Payer: BCN Commercial |
$98.60
|
| Rate for Payer: BCN Medicare Advantage |
$52.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$76.03
|
| Rate for Payer: Cofinity Commercial |
$70.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.80
|
| Rate for Payer: Healthscope Commercial |
$97.68
|
| Rate for Payer: Healthscope Commercial |
$84.48
|
| Rate for Payer: Mclaren Medicaid |
$34.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.44
|
| Rate for Payer: Meridian Medicaid |
$36.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$58.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.15
|
| Rate for Payer: Nomi Health Commercial |
$63.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.25
|
| Rate for Payer: PACE SWMI |
$52.80
|
| Rate for Payer: PHP Medicare Advantage |
$52.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$90.94
|
| Rate for Payer: Priority Health Medicare |
$52.80
|
| Rate for Payer: Priority Health SBD |
$90.94
|
| Rate for Payer: Priority Health Tiered Network |
$90.94
|
| Rate for Payer: Railroad Medicare Medicare |
$52.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.53
|
| Rate for Payer: UHC Core |
$110.53
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$52.80
|
| Rate for Payer: UHC Exchange |
$110.53
|
| Rate for Payer: UHC Medicaid |
$34.29
|
| Rate for Payer: UHCCP Medicaid |
$34.29
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 92623
|
| Min. Negotiated Rate |
$8.95 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$18.45
|
| Rate for Payer: Aetna Medicare |
$14.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.83
|
| Rate for Payer: BCBS Complete |
$9.40
|
| Rate for Payer: BCBS MAPPO |
$13.77
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: BCN Medicare Advantage |
$13.77
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$19.83
|
| Rate for Payer: Cofinity Commercial |
$18.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.77
|
| Rate for Payer: Healthscope Commercial |
$25.47
|
| Rate for Payer: Healthscope Commercial |
$22.03
|
| Rate for Payer: Mclaren Medicaid |
$8.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.46
|
| Rate for Payer: Meridian Medicaid |
$9.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Nomi Health Commercial |
$16.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$13.77
|
| Rate for Payer: PHP Medicare Advantage |
$13.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23.88
|
| Rate for Payer: Priority Health Medicare |
$13.77
|
| Rate for Payer: Priority Health SBD |
$23.88
|
| Rate for Payer: Priority Health Tiered Network |
$23.88
|
| Rate for Payer: Railroad Medicare Medicare |
$13.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.32
|
| Rate for Payer: UHC Core |
$29.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13.77
|
| Rate for Payer: UHC Exchange |
$29.32
|
| Rate for Payer: UHC Medicaid |
$8.95
|
| Rate for Payer: UHCCP Medicaid |
$8.95
|
|
|
PR DYSPORT
|
Professional
|
Both
|
$12.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Aetna Medicare |
$6.00
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.00
|
|
|
PR EAR MOLD/INSERT
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS V5264
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna Commercial |
$57.45
|
| Rate for Payer: Aetna Medicare |
$66.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.45
|
| Rate for Payer: BCBS Complete |
$52.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$99.00
|
|
|
PR EAR PIERCING
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 69090
|
| Min. Negotiated Rate |
$29.20 |
| Max. Negotiated Rate |
$54.92 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: Aetna Medicare |
$36.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$35.41
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$45.27
|
| Rate for Payer: Priority Health SBD |
$45.27
|
| Rate for Payer: Priority Health Tiered Network |
$45.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.28
|
| Rate for Payer: UHC Core |
$53.28
|
| Rate for Payer: UHC Exchange |
$53.28
|
|
|
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
|
Facility
|
IP
|
$28,665.44
|
|
|
Service Code
|
MSDRG 067
|
| Min. Negotiated Rate |
$11,332.98 |
| Max. Negotiated Rate |
$28,665.44 |
| Rate for Payer: Aetna Medicare |
$12,406.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,911.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,911.81
|
| Rate for Payer: BCBS MAPPO |
$11,929.45
|
| Rate for Payer: BCBS Trust/PPO |
$28,665.44
|
| Rate for Payer: BCN Commercial |
$28,665.44
|
| Rate for Payer: BCN Medicare Advantage |
$11,929.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,929.45
|
| Rate for Payer: Mclaren Medicare |
$11,929.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,525.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,718.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,122.40
|
| Rate for Payer: Nomi Health Commercial |
$18,946.23
|
| Rate for Payer: PACE Medicare |
$11,332.98
|
| Rate for Payer: PACE SWMI |
$11,929.45
|
| Rate for Payer: PHP Medicare Advantage |
$11,929.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$23,678.59
|
| Rate for Payer: Priority Health Medicare |
$11,929.45
|
| Rate for Payer: Priority Health Tiered Network |
$18,942.87
|
| Rate for Payer: Railroad Medicare Medicare |
$11,929.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23,939.81
|
| Rate for Payer: UHC Core |
$20,028.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,929.45
|
| Rate for Payer: UHC Exchange |
$16,356.91
|
| Rate for Payer: VA VA |
$11,929.45
|
|
|
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
|
Facility
|
IP
|
$17,036.34
|
|
|
Service Code
|
MSDRG 068
|
| Min. Negotiated Rate |
$6,896.31 |
| Max. Negotiated Rate |
$17,036.34 |
| Rate for Payer: Aetna Medicare |
$7,549.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9,074.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9,074.09
|
| Rate for Payer: BCBS MAPPO |
$7,259.27
|
| Rate for Payer: BCBS Trust/PPO |
$17,036.34
|
| Rate for Payer: BCN Commercial |
$17,036.34
|
| Rate for Payer: BCN Medicare Advantage |
$7,259.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7,259.27
|
| Rate for Payer: Mclaren Medicare |
$7,259.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7,622.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8,348.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$7,985.20
|
| Rate for Payer: Nomi Health Commercial |
$11,150.76
|
| Rate for Payer: PACE Medicare |
$6,896.31
|
| Rate for Payer: PACE SWMI |
$7,259.27
|
| Rate for Payer: PHP Medicare Advantage |
$7,259.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$13,935.98
|
| Rate for Payer: Priority Health Medicare |
$7,259.27
|
| Rate for Payer: Priority Health Tiered Network |
$11,148.78
|
| Rate for Payer: Railroad Medicare Medicare |
$7,259.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14,089.72
|
| Rate for Payer: UHC Core |
$11,787.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$7,259.27
|
| Rate for Payer: UHC Exchange |
$9,626.82
|
| Rate for Payer: VA VA |
$7,259.27
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 93010
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$10.97
|
| Rate for Payer: Aetna Medicare |
$8.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.79
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$8.19
|
| Rate for Payer: BCN Commercial |
$9.42
|
| Rate for Payer: BCN Medicare Advantage |
$8.19
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$11.79
|
| Rate for Payer: Cofinity Commercial |
$10.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.19
|
| Rate for Payer: Healthscope Commercial |
$15.15
|
| Rate for Payer: Healthscope Commercial |
$13.10
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.97
|
| Rate for Payer: Nomi Health Commercial |
$9.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: PACE SWMI |
$8.19
|
| Rate for Payer: PHP Medicare Advantage |
$8.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$11.35
|
| Rate for Payer: Priority Health Medicare |
$8.19
|
| Rate for Payer: Priority Health SBD |
$11.35
|
| Rate for Payer: Priority Health Tiered Network |
$11.35
|
| Rate for Payer: Railroad Medicare Medicare |
$8.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.65
|
| Rate for Payer: UHC Core |
$13.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.19
|
| Rate for Payer: UHC Exchange |
$13.65
|
| Rate for Payer: UHC Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 93005
|
| Min. Negotiated Rate |
$6.48 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$8.68
|
| Rate for Payer: Aetna Medicare |
$6.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.68
|
| Rate for Payer: BCBS MAPPO |
$6.48
|
| Rate for Payer: BCN Commercial |
$7.46
|
| Rate for Payer: BCN Medicare Advantage |
$6.48
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$9.33
|
| Rate for Payer: Cofinity Commercial |
$8.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.48
|
| Rate for Payer: Healthscope Commercial |
$11.99
|
| Rate for Payer: Healthscope Commercial |
$10.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.88
|
| Rate for Payer: Nomi Health Commercial |
$7.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: PACE SWMI |
$6.48
|
| Rate for Payer: PHP Medicare Advantage |
$6.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9.00
|
| Rate for Payer: Priority Health Medicare |
$6.48
|
| Rate for Payer: Priority Health SBD |
$9.00
|
| Rate for Payer: Priority Health Tiered Network |
$9.00
|
| Rate for Payer: Railroad Medicare Medicare |
$6.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.82
|
| Rate for Payer: UHC Core |
$12.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.48
|
| Rate for Payer: UHC Exchange |
$12.82
|
|
