|
CHG RADEX SCAPULA COMPLETE
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 73010
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$2,600.29 |
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna Medicare |
$22.76
|
| Rate for Payer: Aetna Medicare |
$22.76
|
| Rate for Payer: Aetna Medicare |
$22.76
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$21.88
|
| Rate for Payer: BCBS MAPPO |
$21.88
|
| Rate for Payer: BCBS MAPPO |
$21.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,600.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,600.29
|
| Rate for Payer: BCBS Trust/PPO |
$2,600.29
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Commercial |
$34.70
|
| Rate for Payer: BCN Medicare Advantage |
$21.88
|
| Rate for Payer: BCN Medicare Advantage |
$21.88
|
| Rate for Payer: BCN Medicare Advantage |
$21.88
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$31.51
|
| Rate for Payer: Cofinity Commercial |
$29.32
|
| Rate for Payer: Cofinity Commercial |
$31.51
|
| Rate for Payer: Cofinity Commercial |
$29.32
|
| Rate for Payer: Cofinity Commercial |
$31.51
|
| Rate for Payer: Cofinity Commercial |
$29.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.88
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.97
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$26.26
|
| Rate for Payer: Nomi Health Commercial |
$26.26
|
| Rate for Payer: Nomi Health Commercial |
$26.26
|
| Rate for Payer: PACE SWMI |
$21.88
|
| Rate for Payer: PACE SWMI |
$21.88
|
| Rate for Payer: PACE SWMI |
$21.88
|
| Rate for Payer: PHP Medicare Advantage |
$21.88
|
| Rate for Payer: PHP Medicare Advantage |
$21.88
|
| Rate for Payer: PHP Medicare Advantage |
$21.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health HMO/PPO |
$13.34
|
| Rate for Payer: Priority Health HMO/PPO |
$13.34
|
| Rate for Payer: Priority Health HMO/PPO |
$13.34
|
| Rate for Payer: Priority Health Medicare |
$22.10
|
| Rate for Payer: Priority Health Medicare |
$22.10
|
| Rate for Payer: Priority Health Medicare |
$22.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.88
|
| Rate for Payer: UHC Exchange |
$21.88
|
| Rate for Payer: UHC Exchange |
$21.88
|
| Rate for Payer: UHC Exchange |
$21.88
|
| Rate for Payer: UHC Medicare Advantage |
$21.88
|
| Rate for Payer: UHC Medicare Advantage |
$21.88
|
| Rate for Payer: UHC Medicare Advantage |
$21.88
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADEX SHOULDER 1 VIEW
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 73020
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$940.90 |
| Rate for Payer: Aetna Commercial |
$26.48
|
| Rate for Payer: Aetna Commercial |
$26.48
|
| Rate for Payer: Aetna Medicare |
$20.55
|
| Rate for Payer: Aetna Medicare |
$20.55
|
| Rate for Payer: BCBS Complete |
$4.92
|
| Rate for Payer: BCBS Complete |
$4.92
|
| Rate for Payer: BCBS MAPPO |
$19.76
|
| Rate for Payer: BCBS MAPPO |
$19.76
|
| Rate for Payer: BCBS Trust/PPO |
$940.90
|
| Rate for Payer: BCBS Trust/PPO |
$940.90
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Medicare Advantage |
$19.76
|
| Rate for Payer: BCN Medicare Advantage |
$19.76
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$26.48
|
| Rate for Payer: Cofinity Commercial |
$28.45
|
| Rate for Payer: Cofinity Commercial |
$26.48
|
| Rate for Payer: Cofinity Commercial |
$28.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.76
|
| Rate for Payer: Mclaren Medicaid |
$4.69
|
| Rate for Payer: Mclaren Medicaid |
$4.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$20.75
|
| Rate for Payer: Meridian Medicaid |
$4.92
|
| Rate for Payer: Meridian Medicaid |
$4.92
|
| Rate for Payer: Nomi Health Commercial |
$23.71
|
| Rate for Payer: Nomi Health Commercial |
$23.71
|
| Rate for Payer: PACE SWMI |
$19.76
|
| Rate for Payer: PACE SWMI |
$19.76
|
| Rate for Payer: PHP Medicare Advantage |
$19.76
|
| Rate for Payer: PHP Medicare Advantage |
$19.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health HMO/PPO |
$11.29
|
| Rate for Payer: Priority Health HMO/PPO |
$11.29
|
| Rate for Payer: Priority Health Medicare |
$19.96
|
| Rate for Payer: Priority Health Medicare |
$19.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$19.76
|
| Rate for Payer: UHC Exchange |
$19.76
|
| Rate for Payer: UHC Exchange |
$19.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.76
|
| Rate for Payer: UHC Medicare Advantage |
$19.76
|
| Rate for Payer: UHCCP Medicaid |
$4.69
|
| Rate for Payer: UHCCP Medicaid |
$4.69
|
|
|
CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 73030
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$2,232.07 |
| Rate for Payer: Aetna Commercial |
$41.98
|
| Rate for Payer: Aetna Commercial |
$41.98
|
| Rate for Payer: Aetna Commercial |
$41.98
|
| Rate for Payer: Aetna Medicare |
$32.58
|
| Rate for Payer: Aetna Medicare |
$32.58
|
| Rate for Payer: Aetna Medicare |
$32.58
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$31.33
|
| Rate for Payer: BCBS MAPPO |
$31.33
|
| Rate for Payer: BCBS MAPPO |
$31.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,232.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,232.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,232.07
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$31.33
|
| Rate for Payer: BCN Medicare Advantage |
$31.33
|
| Rate for Payer: BCN Medicare Advantage |
$31.33
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$45.12
|
| Rate for Payer: Cofinity Commercial |
$41.98
|
| Rate for Payer: Cofinity Commercial |
$45.12
|
| Rate for Payer: Cofinity Commercial |
$41.98
|
| Rate for Payer: Cofinity Commercial |
$45.12
|
| Rate for Payer: Cofinity Commercial |
$41.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.33
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.90
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Nomi Health Commercial |
$37.60
|
| Rate for Payer: Nomi Health Commercial |
$37.60
|
| Rate for Payer: Nomi Health Commercial |
$37.60
|
| Rate for Payer: PACE SWMI |
$31.33
|
| Rate for Payer: PACE SWMI |
$31.33
|
| Rate for Payer: PACE SWMI |
$31.33
|
| Rate for Payer: PHP Medicare Advantage |
$31.33
|
| Rate for Payer: PHP Medicare Advantage |
$31.33
|
| Rate for Payer: PHP Medicare Advantage |
$31.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO |
$13.86
|
| Rate for Payer: Priority Health HMO/PPO |
$13.86
|
| Rate for Payer: Priority Health HMO/PPO |
$13.86
|
| Rate for Payer: Priority Health Medicare |
$31.64
|
| Rate for Payer: Priority Health Medicare |
$31.64
|
| Rate for Payer: Priority Health Medicare |
$31.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.33
|
| Rate for Payer: UHC Exchange |
$31.33
|
| Rate for Payer: UHC Exchange |
$31.33
|
| Rate for Payer: UHC Exchange |
$31.33
|
| Rate for Payer: UHC Medicare Advantage |
$31.33
|
| Rate for Payer: UHC Medicare Advantage |
$31.33
|
| Rate for Payer: UHC Medicare Advantage |
$31.33
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
|
|
CHG RADEX SINUSES PARANASAL <3 VIEWS
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 70210
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$163.24 |
| Rate for Payer: Aetna Commercial |
$39.18
|
| Rate for Payer: Aetna Commercial |
$39.18
|
| Rate for Payer: Aetna Medicare |
$30.41
|
| Rate for Payer: Aetna Medicare |
$30.41
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$29.24
|
| Rate for Payer: BCBS MAPPO |
$29.24
|
| Rate for Payer: BCBS Trust/PPO |
$163.24
|
| Rate for Payer: BCBS Trust/PPO |
$163.24
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$29.24
|
| Rate for Payer: BCN Medicare Advantage |
$29.24
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$39.18
|
| Rate for Payer: Cofinity Commercial |
$42.11
|
| Rate for Payer: Cofinity Commercial |
$39.18
|
| Rate for Payer: Cofinity Commercial |
$42.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.24
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.70
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Nomi Health Commercial |
$35.09
|
| Rate for Payer: Nomi Health Commercial |
$35.09
|
| Rate for Payer: PACE SWMI |
$29.24
|
| Rate for Payer: PACE SWMI |
$29.24
|
| Rate for Payer: PHP Medicare Advantage |
$29.24
|
| Rate for Payer: PHP Medicare Advantage |
$29.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$12.83
|
| Rate for Payer: Priority Health HMO/PPO |
$12.83
|
| Rate for Payer: Priority Health Medicare |
$29.53
|
| Rate for Payer: Priority Health Medicare |
$29.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.24
|
| Rate for Payer: UHC Exchange |
$29.24
|
| Rate for Payer: UHC Exchange |
$29.24
|
| Rate for Payer: UHC Medicare Advantage |
$29.24
|
| Rate for Payer: UHC Medicare Advantage |
$29.24
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
|
CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 70220
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$57.58 |
| Rate for Payer: Aetna Commercial |
$45.69
|
| Rate for Payer: Aetna Commercial |
$45.69
|
| Rate for Payer: Aetna Medicare |
$35.46
|
| Rate for Payer: Aetna Medicare |
$35.46
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$34.10
|
| Rate for Payer: BCBS MAPPO |
$34.10
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Medicare Advantage |
$34.10
|
| Rate for Payer: BCN Medicare Advantage |
$34.10
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$45.69
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$45.69
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.10
|
| Rate for Payer: Mclaren Medicaid |
$6.60
|
| Rate for Payer: Mclaren Medicaid |
$6.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.80
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Nomi Health Commercial |
$40.92
|
| Rate for Payer: Nomi Health Commercial |
$40.92
|
| Rate for Payer: PACE SWMI |
$34.10
|
| Rate for Payer: PACE SWMI |
$34.10
|
| Rate for Payer: PHP Medicare Advantage |
$34.10
|
| Rate for Payer: PHP Medicare Advantage |
$34.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health HMO/PPO |
$15.91
|
| Rate for Payer: Priority Health HMO/PPO |
$15.91
|
| Rate for Payer: Priority Health Medicare |
$34.44
|
| Rate for Payer: Priority Health Medicare |
$34.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.10
|
| Rate for Payer: UHC Exchange |
$34.10
|
| Rate for Payer: UHC Exchange |
$34.10
|
| Rate for Payer: UHC Medicare Advantage |
$34.10
|
| Rate for Payer: UHC Medicare Advantage |
$34.10
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
|
|
CHG RADEX SPINE 1 VIEW SPECIFY LEVEL
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 72020
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$527.77 |
| Rate for Payer: Aetna Commercial |
$29.67
|
| Rate for Payer: Aetna Commercial |
$29.67
|
| Rate for Payer: Aetna Medicare |
$23.03
|
| Rate for Payer: Aetna Medicare |
$23.03
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$22.14
|
| Rate for Payer: BCBS MAPPO |
$22.14
|
| Rate for Payer: BCBS Trust/PPO |
$527.77
|
| Rate for Payer: BCBS Trust/PPO |
$527.77
|
| Rate for Payer: BCN Commercial |
$36.16
|
| Rate for Payer: BCN Commercial |
$36.16
|
| Rate for Payer: BCN Medicare Advantage |
$22.14
|
| Rate for Payer: BCN Medicare Advantage |
$22.14
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$29.67
|
| Rate for Payer: Cofinity Commercial |
$31.88
|
| Rate for Payer: Cofinity Commercial |
$29.67
|
| Rate for Payer: Cofinity Commercial |
$31.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.14
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.25
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Nomi Health Commercial |
$26.57
|
| Rate for Payer: Nomi Health Commercial |
$26.57
|
| Rate for Payer: PACE SWMI |
$22.14
|
| Rate for Payer: PACE SWMI |
$22.14
|
| Rate for Payer: PHP Medicare Advantage |
$22.14
|
| Rate for Payer: PHP Medicare Advantage |
$22.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: Priority Health HMO/PPO |
$11.81
|
| Rate for Payer: Priority Health HMO/PPO |
$11.81
|
| Rate for Payer: Priority Health Medicare |
$22.36
|
| Rate for Payer: Priority Health Medicare |
$22.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.14
|
| Rate for Payer: UHC Exchange |
$22.14
|
| Rate for Payer: UHC Exchange |
$22.14
|
| Rate for Payer: UHC Medicare Advantage |
$22.14
|
| Rate for Payer: UHC Medicare Advantage |
$22.14
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
|
|
CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 72040
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$1,719.09 |
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,719.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,719.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,719.09
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
|
|
CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 72050
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$1,535.24 |
| Rate for Payer: Aetna Commercial |
$65.23
|
| Rate for Payer: Aetna Commercial |
$65.23
|
| Rate for Payer: Aetna Commercial |
$65.23
|
| Rate for Payer: Aetna Medicare |
$50.63
|
| Rate for Payer: Aetna Medicare |
$50.63
|
| Rate for Payer: Aetna Medicare |
$50.63
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS MAPPO |
$48.68
|
| Rate for Payer: BCBS MAPPO |
$48.68
|
| Rate for Payer: BCBS MAPPO |
$48.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,535.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,535.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,535.24
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$48.68
|
| Rate for Payer: BCN Medicare Advantage |
$48.68
|
| Rate for Payer: BCN Medicare Advantage |
$48.68
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cofinity Commercial |
$70.10
|
| Rate for Payer: Cofinity Commercial |
$65.23
|
| Rate for Payer: Cofinity Commercial |
$70.10
|
| Rate for Payer: Cofinity Commercial |
$65.23
|
| Rate for Payer: Cofinity Commercial |
$70.10
|
| Rate for Payer: Cofinity Commercial |
$65.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.68
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.11
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Nomi Health Commercial |
$58.42
|
| Rate for Payer: Nomi Health Commercial |
$58.42
|
| Rate for Payer: Nomi Health Commercial |
$58.42
|
| Rate for Payer: PACE SWMI |
$48.68
|
| Rate for Payer: PACE SWMI |
$48.68
|
| Rate for Payer: PACE SWMI |
$48.68
|
| Rate for Payer: PHP Medicare Advantage |
$48.68
|
| Rate for Payer: PHP Medicare Advantage |
$48.68
|
| Rate for Payer: PHP Medicare Advantage |
$48.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health HMO/PPO |
$19.51
|
| Rate for Payer: Priority Health HMO/PPO |
$19.51
|
| Rate for Payer: Priority Health HMO/PPO |
$19.51
|
| Rate for Payer: Priority Health Medicare |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.68
|
| Rate for Payer: UHC Exchange |
$48.68
|
| Rate for Payer: UHC Exchange |
$48.68
|
| Rate for Payer: UHC Exchange |
$48.68
|
| Rate for Payer: UHC Medicare Advantage |
$48.68
|
| Rate for Payer: UHC Medicare Advantage |
$48.68
|
| Rate for Payer: UHC Medicare Advantage |
$48.68
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 72052
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$1,477.13 |
| Rate for Payer: Aetna Commercial |
$74.95
|
| Rate for Payer: Aetna Commercial |
$74.95
|
| Rate for Payer: Aetna Medicare |
$58.17
|
| Rate for Payer: Aetna Medicare |
$58.17
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS MAPPO |
$55.93
|
| Rate for Payer: BCBS MAPPO |
$55.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,477.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,477.13
|
| Rate for Payer: BCN Commercial |
$91.38
|
| Rate for Payer: BCN Commercial |
$91.38
|
| Rate for Payer: BCN Medicare Advantage |
$55.93
|
| Rate for Payer: BCN Medicare Advantage |
$55.93
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$74.95
|
| Rate for Payer: Cofinity Commercial |
$80.54
|
| Rate for Payer: Cofinity Commercial |
$74.95
|
| Rate for Payer: Cofinity Commercial |
$80.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.93
|
| Rate for Payer: Mclaren Medicaid |
$9.16
|
| Rate for Payer: Mclaren Medicaid |
$9.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.73
|
| Rate for Payer: Meridian Medicaid |
$9.62
|
| Rate for Payer: Meridian Medicaid |
$9.62
|
| Rate for Payer: Nomi Health Commercial |
$67.12
|
| Rate for Payer: Nomi Health Commercial |
$67.12
|
| Rate for Payer: PACE SWMI |
$55.93
|
| Rate for Payer: PACE SWMI |
$55.93
|
| Rate for Payer: PHP Medicare Advantage |
$55.93
|
| Rate for Payer: PHP Medicare Advantage |
$55.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO |
$22.06
|
| Rate for Payer: Priority Health HMO/PPO |
$22.06
|
| Rate for Payer: Priority Health Medicare |
$56.49
|
| Rate for Payer: Priority Health Medicare |
$56.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.93
|
| Rate for Payer: UHC Exchange |
$55.93
|
| Rate for Payer: UHC Exchange |
$55.93
|
| Rate for Payer: UHC Medicare Advantage |
$55.93
|
| Rate for Payer: UHC Medicare Advantage |
$55.93
|
| Rate for Payer: UHCCP Medicaid |
$9.16
|
| Rate for Payer: UHCCP Medicaid |
$9.16
|
|
|
CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 72100
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$2,071.46 |
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Commercial |
$48.07
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: Aetna Medicare |
$37.30
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS MAPPO |
$35.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,071.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,071.46
|
| Rate for Payer: BCBS Trust/PPO |
$2,071.46
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: BCN Medicare Advantage |
$35.87
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Cofinity Commercial |
$51.65
|
| Rate for Payer: Cofinity Commercial |
$48.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.87
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.66
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: Nomi Health Commercial |
$43.04
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PACE SWMI |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: PHP Medicare Advantage |
$35.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.60
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Medicare |
$36.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Exchange |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHC Medicare Advantage |
$35.87
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
|
|
CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
|
Professional
|
Both
|
$64.00
|
|
|
Service Code
|
HCPCS 72110
|
| Min. Negotiated Rate |
$8.09 |
| Max. Negotiated Rate |
$2,111.09 |
| Rate for Payer: Aetna Commercial |
$62.83
|
| Rate for Payer: Aetna Commercial |
$62.83
|
| Rate for Payer: Aetna Commercial |
$62.83
|
| Rate for Payer: Aetna Medicare |
$48.77
|
| Rate for Payer: Aetna Medicare |
$48.77
|
| Rate for Payer: Aetna Medicare |
$48.77
|
| Rate for Payer: BCBS Complete |
$8.49
|
| Rate for Payer: BCBS Complete |
$8.49
|
| Rate for Payer: BCBS Complete |
$8.49
|
| Rate for Payer: BCBS MAPPO |
$46.89
|
| Rate for Payer: BCBS MAPPO |
$46.89
|
| Rate for Payer: BCBS MAPPO |
$46.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,111.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,111.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,111.09
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Commercial |
$75.26
|
| Rate for Payer: BCN Medicare Advantage |
$46.89
|
| Rate for Payer: BCN Medicare Advantage |
$46.89
|
| Rate for Payer: BCN Medicare Advantage |
$46.89
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$67.52
|
| Rate for Payer: Cofinity Commercial |
$62.83
|
| Rate for Payer: Cofinity Commercial |
$67.52
|
| Rate for Payer: Cofinity Commercial |
$62.83
|
| Rate for Payer: Cofinity Commercial |
$67.52
|
| Rate for Payer: Cofinity Commercial |
$62.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.89
|
| Rate for Payer: Mclaren Medicaid |
$8.09
|
| Rate for Payer: Mclaren Medicaid |
$8.09
|
| Rate for Payer: Mclaren Medicaid |
$8.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.23
|
| Rate for Payer: Meridian Medicaid |
$8.49
|
| Rate for Payer: Meridian Medicaid |
$8.49
|
| Rate for Payer: Meridian Medicaid |
$8.49
|
| Rate for Payer: Nomi Health Commercial |
$56.27
|
| Rate for Payer: Nomi Health Commercial |
$56.27
|
| Rate for Payer: Nomi Health Commercial |
$56.27
|
| Rate for Payer: PACE SWMI |
$46.89
|
| Rate for Payer: PACE SWMI |
$46.89
|
| Rate for Payer: PACE SWMI |
$46.89
|
| Rate for Payer: PHP Medicare Advantage |
$46.89
|
| Rate for Payer: PHP Medicare Advantage |
$46.89
|
| Rate for Payer: PHP Medicare Advantage |
$46.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.15
|
| Rate for Payer: Priority Health HMO/PPO |
$19.00
|
| Rate for Payer: Priority Health HMO/PPO |
$19.00
|
| Rate for Payer: Priority Health HMO/PPO |
$19.00
|
| Rate for Payer: Priority Health Medicare |
$47.36
|
| Rate for Payer: Priority Health Medicare |
$47.36
|
| Rate for Payer: Priority Health Medicare |
$47.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.89
|
| Rate for Payer: UHC Exchange |
$46.89
|
| Rate for Payer: UHC Exchange |
$46.89
|
| Rate for Payer: UHC Exchange |
$46.89
|
| Rate for Payer: UHC Medicare Advantage |
$46.89
|
| Rate for Payer: UHC Medicare Advantage |
$46.89
|
| Rate for Payer: UHC Medicare Advantage |
$46.89
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
| Rate for Payer: UHCCP Medicaid |
$8.09
|
|
|
CHG RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 72120
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$3,290.25 |
| Rate for Payer: Aetna Commercial |
$49.24
|
| Rate for Payer: Aetna Medicare |
$38.22
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$36.75
|
| Rate for Payer: BCBS Trust/PPO |
$3,290.25
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$36.75
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$52.92
|
| Rate for Payer: Cofinity Commercial |
$49.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.75
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.59
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$44.10
|
| Rate for Payer: PACE SWMI |
$36.75
|
| Rate for Payer: PHP Medicare Advantage |
$36.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.50
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health Medicare |
$37.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.75
|
| Rate for Payer: UHC Exchange |
$36.75
|
| Rate for Payer: UHC Medicare Advantage |
$36.75
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
|
|
CHG RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 72114
|
| Min. Negotiated Rate |
$9.37 |
| Max. Negotiated Rate |
$2,773.58 |
| Rate for Payer: Aetna Commercial |
$74.16
|
| Rate for Payer: Aetna Commercial |
$74.16
|
| Rate for Payer: Aetna Medicare |
$57.55
|
| Rate for Payer: Aetna Medicare |
$57.55
|
| Rate for Payer: BCBS Complete |
$9.84
|
| Rate for Payer: BCBS Complete |
$9.84
|
| Rate for Payer: BCBS MAPPO |
$55.34
|
| Rate for Payer: BCBS MAPPO |
$55.34
|
| Rate for Payer: BCBS Trust/PPO |
$2,773.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,773.58
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Medicare Advantage |
$55.34
|
| Rate for Payer: BCN Medicare Advantage |
$55.34
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$79.69
|
| Rate for Payer: Cofinity Commercial |
$74.16
|
| Rate for Payer: Cofinity Commercial |
$79.69
|
| Rate for Payer: Cofinity Commercial |
$74.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.34
|
| Rate for Payer: Mclaren Medicaid |
$9.37
|
| Rate for Payer: Mclaren Medicaid |
$9.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.11
|
| Rate for Payer: Meridian Medicaid |
$9.84
|
| Rate for Payer: Meridian Medicaid |
$9.84
|
| Rate for Payer: Nomi Health Commercial |
$66.41
|
| Rate for Payer: Nomi Health Commercial |
$66.41
|
| Rate for Payer: PACE SWMI |
$55.34
|
| Rate for Payer: PACE SWMI |
$55.34
|
| Rate for Payer: PHP Medicare Advantage |
$55.34
|
| Rate for Payer: PHP Medicare Advantage |
$55.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health HMO/PPO |
$22.06
|
| Rate for Payer: Priority Health HMO/PPO |
$22.06
|
| Rate for Payer: Priority Health Medicare |
$55.89
|
| Rate for Payer: Priority Health Medicare |
$55.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.34
|
| Rate for Payer: UHC Exchange |
$55.34
|
| Rate for Payer: UHC Exchange |
$55.34
|
| Rate for Payer: UHC Medicare Advantage |
$55.34
|
| Rate for Payer: UHC Medicare Advantage |
$55.34
|
| Rate for Payer: UHCCP Medicaid |
$9.37
|
| Rate for Payer: UHCCP Medicaid |
$9.37
|
|
|
CHG RADEX SPINE THORACIC 2 VIEWS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72070
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$165.36 |
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCBS Trust/PPO |
$165.36
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Mclaren Medicaid |
$6.18
|
| Rate for Payer: Mclaren Medicaid |
$6.18
|
| Rate for Payer: Mclaren Medicaid |
$6.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: Nomi Health Commercial |
$35.90
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health HMO/PPO |
$14.88
|
| Rate for Payer: Priority Health HMO/PPO |
$14.88
|
| Rate for Payer: Priority Health HMO/PPO |
$14.88
|
| Rate for Payer: Priority Health Medicare |
$30.22
|
| Rate for Payer: Priority Health Medicare |
$30.22
|
| Rate for Payer: Priority Health Medicare |
$30.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Exchange |
$29.92
|
| Rate for Payer: UHC Exchange |
$29.92
|
| Rate for Payer: UHC Exchange |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$29.92
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
|
|
CHG RADEX SPINE THORACIC 3 VIEWS
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 72072
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$1,922.48 |
| Rate for Payer: Aetna Commercial |
$47.70
|
| Rate for Payer: Aetna Medicare |
$37.02
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS MAPPO |
$35.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,922.48
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Medicare Advantage |
$35.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cofinity Commercial |
$51.26
|
| Rate for Payer: Cofinity Commercial |
$47.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.60
|
| Rate for Payer: Mclaren Medicaid |
$6.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.38
|
| Rate for Payer: Meridian Medicaid |
$7.16
|
| Rate for Payer: Nomi Health Commercial |
$42.72
|
| Rate for Payer: PACE SWMI |
$35.60
|
| Rate for Payer: PHP Medicare Advantage |
$35.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: Priority Health HMO/PPO |
$16.42
|
| Rate for Payer: Priority Health Medicare |
$35.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.60
|
| Rate for Payer: UHC Exchange |
$35.60
|
| Rate for Payer: UHC Medicare Advantage |
$35.60
|
| Rate for Payer: UHCCP Medicaid |
$6.82
|
|
|
CHG RADEX SPINE THORACIC MINIMUM 4 VIEWS
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 72074
|
| Min. Negotiated Rate |
$7.46 |
| Max. Negotiated Rate |
$376.68 |
| Rate for Payer: Aetna Commercial |
$54.11
|
| Rate for Payer: Aetna Medicare |
$42.00
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS MAPPO |
$40.38
|
| Rate for Payer: BCBS Trust/PPO |
$376.68
|
| Rate for Payer: BCN Commercial |
$64.99
|
| Rate for Payer: BCN Medicare Advantage |
$40.38
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$58.15
|
| Rate for Payer: Cofinity Commercial |
$54.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.38
|
| Rate for Payer: Mclaren Medicaid |
$7.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.40
|
| Rate for Payer: Meridian Medicaid |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$48.46
|
| Rate for Payer: PACE SWMI |
$40.38
|
| Rate for Payer: PHP Medicare Advantage |
$40.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO |
$17.96
|
| Rate for Payer: Priority Health Medicare |
$40.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.38
|
| Rate for Payer: UHC Exchange |
$40.38
|
| Rate for Payer: UHC Medicare Advantage |
$40.38
|
| Rate for Payer: UHCCP Medicaid |
$7.46
|
|
|
CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 72080
|
| Min. Negotiated Rate |
$6.39 |
| Max. Negotiated Rate |
$1,847.47 |
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Commercial |
$42.10
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: Aetna Medicare |
$32.68
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS Complete |
$6.71
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS MAPPO |
$31.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.47
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: BCN Medicare Advantage |
$31.42
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Cofinity Commercial |
$45.24
|
| Rate for Payer: Cofinity Commercial |
$42.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.42
|
| Rate for Payer: Mclaren Medicaid |
$6.39
|
| Rate for Payer: Mclaren Medicaid |
$6.39
|
| Rate for Payer: Mclaren Medicaid |
$6.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.99
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Meridian Medicaid |
$6.71
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: Nomi Health Commercial |
$37.70
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PACE SWMI |
$31.42
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: PHP Medicare Advantage |
$31.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
| Rate for Payer: Priority Health HMO/PPO |
$15.40
|
| Rate for Payer: Priority Health HMO/PPO |
$15.40
|
| Rate for Payer: Priority Health HMO/PPO |
$15.40
|
| Rate for Payer: Priority Health Medicare |
$31.73
|
| Rate for Payer: Priority Health Medicare |
$31.73
|
| Rate for Payer: Priority Health Medicare |
$31.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.42
|
| Rate for Payer: UHC Exchange |
$31.42
|
| Rate for Payer: UHC Exchange |
$31.42
|
| Rate for Payer: UHC Exchange |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHC Medicare Advantage |
$31.42
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
| Rate for Payer: UHCCP Medicaid |
$6.39
|
|
|
CHG RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 71130
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$5,212.15 |
| Rate for Payer: Aetna Commercial |
$49.65
|
| Rate for Payer: Aetna Commercial |
$49.65
|
| Rate for Payer: Aetna Medicare |
$38.53
|
| Rate for Payer: Aetna Medicare |
$38.53
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS Complete |
$6.93
|
| Rate for Payer: BCBS MAPPO |
$37.05
|
| Rate for Payer: BCBS MAPPO |
$37.05
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Medicare Advantage |
$37.05
|
| Rate for Payer: BCN Medicare Advantage |
$37.05
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$49.65
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Cofinity Commercial |
$49.65
|
| Rate for Payer: Cofinity Commercial |
$53.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.05
|
| Rate for Payer: Mclaren Medicaid |
$6.60
|
| Rate for Payer: Mclaren Medicaid |
$6.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.90
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Meridian Medicaid |
$6.93
|
| Rate for Payer: Nomi Health Commercial |
$44.46
|
| Rate for Payer: Nomi Health Commercial |
$44.46
|
| Rate for Payer: PACE SWMI |
$37.05
|
| Rate for Payer: PACE SWMI |
$37.05
|
| Rate for Payer: PHP Medicare Advantage |
$37.05
|
| Rate for Payer: PHP Medicare Advantage |
$37.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO |
$15.91
|
| Rate for Payer: Priority Health HMO/PPO |
$15.91
|
| Rate for Payer: Priority Health Medicare |
$37.42
|
| Rate for Payer: Priority Health Medicare |
$37.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.05
|
| Rate for Payer: UHC Exchange |
$37.05
|
| Rate for Payer: UHC Exchange |
$37.05
|
| Rate for Payer: UHC Medicare Advantage |
$37.05
|
| Rate for Payer: UHC Medicare Advantage |
$37.05
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
| Rate for Payer: UHCCP Medicaid |
$6.60
|
|
|
CHG RADEX STERNUM MINIMUM 2 VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 71120
|
| Min. Negotiated Rate |
$5.96 |
| Max. Negotiated Rate |
$2,498.86 |
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna Commercial |
$40.48
|
| Rate for Payer: Aetna Medicare |
$31.42
|
| Rate for Payer: Aetna Medicare |
$31.42
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS Complete |
$6.26
|
| Rate for Payer: BCBS MAPPO |
$30.21
|
| Rate for Payer: BCBS MAPPO |
$30.21
|
| Rate for Payer: BCBS Trust/PPO |
$2,498.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,498.86
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$30.21
|
| Rate for Payer: BCN Medicare Advantage |
$30.21
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$40.48
|
| Rate for Payer: Cofinity Commercial |
$43.50
|
| Rate for Payer: Cofinity Commercial |
$40.48
|
| Rate for Payer: Cofinity Commercial |
$43.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.21
|
| Rate for Payer: Mclaren Medicaid |
$5.96
|
| Rate for Payer: Mclaren Medicaid |
$5.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.72
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Meridian Medicaid |
$6.26
|
| Rate for Payer: Nomi Health Commercial |
$36.25
|
| Rate for Payer: Nomi Health Commercial |
$36.25
|
| Rate for Payer: PACE SWMI |
$30.21
|
| Rate for Payer: PACE SWMI |
$30.21
|
| Rate for Payer: PHP Medicare Advantage |
$30.21
|
| Rate for Payer: PHP Medicare Advantage |
$30.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.85
|
| Rate for Payer: Priority Health HMO/PPO |
$14.37
|
| Rate for Payer: Priority Health HMO/PPO |
$14.37
|
| Rate for Payer: Priority Health Medicare |
$30.51
|
| Rate for Payer: Priority Health Medicare |
$30.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.21
|
| Rate for Payer: UHC Exchange |
$30.21
|
| Rate for Payer: UHC Exchange |
$30.21
|
| Rate for Payer: UHC Medicare Advantage |
$30.21
|
| Rate for Payer: UHC Medicare Advantage |
$30.21
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
| Rate for Payer: UHCCP Medicaid |
$5.96
|
|
|
CHG RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS 70330
|
| Min. Negotiated Rate |
$7.24 |
| Max. Negotiated Rate |
$77.70 |
| Rate for Payer: Aetna Commercial |
$63.93
|
| Rate for Payer: Aetna Medicare |
$49.62
|
| Rate for Payer: BCBS Complete |
$7.60
|
| Rate for Payer: BCBS MAPPO |
$47.71
|
| Rate for Payer: BCN Commercial |
$77.70
|
| Rate for Payer: BCN Medicare Advantage |
$47.71
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$68.70
|
| Rate for Payer: Cofinity Commercial |
$63.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.71
|
| Rate for Payer: Mclaren Medicaid |
$7.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.10
|
| Rate for Payer: Meridian Medicaid |
$7.60
|
| Rate for Payer: Nomi Health Commercial |
$57.25
|
| Rate for Payer: PACE SWMI |
$47.71
|
| Rate for Payer: PHP Medicare Advantage |
$47.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO |
$17.45
|
| Rate for Payer: Priority Health Medicare |
$48.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.71
|
| Rate for Payer: UHC Exchange |
$47.71
|
| Rate for Payer: UHC Medicare Advantage |
$47.71
|
| Rate for Payer: UHCCP Medicaid |
$7.24
|
|
|
CHG RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 70328
|
| Min. Negotiated Rate |
$5.54 |
| Max. Negotiated Rate |
$1,498.26 |
| Rate for Payer: Aetna Commercial |
$41.59
|
| Rate for Payer: Aetna Medicare |
$32.28
|
| Rate for Payer: BCBS Complete |
$5.82
|
| Rate for Payer: BCBS MAPPO |
$31.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,498.26
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$31.04
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$44.70
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.04
|
| Rate for Payer: Mclaren Medicaid |
$5.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.59
|
| Rate for Payer: Meridian Medicaid |
$5.82
|
| Rate for Payer: Nomi Health Commercial |
$37.25
|
| Rate for Payer: PACE SWMI |
$31.04
|
| Rate for Payer: PHP Medicare Advantage |
$31.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO |
$13.34
|
| Rate for Payer: Priority Health Medicare |
$31.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.04
|
| Rate for Payer: UHC Exchange |
$31.04
|
| Rate for Payer: UHC Medicare Advantage |
$31.04
|
| Rate for Payer: UHCCP Medicaid |
$5.54
|
|
|
CHG RADEX TOE MINIMUM 2 VIEWS
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 73660
|
| Min. Negotiated Rate |
$4.05 |
| Max. Negotiated Rate |
$2,915.69 |
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Commercial |
$35.08
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: Aetna Medicare |
$27.23
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS Complete |
$4.25
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS MAPPO |
$26.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,915.69
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$26.18
|
| Rate for Payer: BCN Medicare Advantage |
$26.18
|
| Rate for Payer: BCN Medicare Advantage |
$26.18
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Cofinity Commercial |
$37.70
|
| Rate for Payer: Cofinity Commercial |
$35.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.18
|
| Rate for Payer: Mclaren Medicaid |
$4.05
|
| Rate for Payer: Mclaren Medicaid |
$4.05
|
| Rate for Payer: Mclaren Medicaid |
$4.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.49
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Meridian Medicaid |
$4.25
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: Nomi Health Commercial |
$31.42
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PACE SWMI |
$26.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: PHP Medicare Advantage |
$26.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.60
|
| Rate for Payer: Priority Health HMO/PPO |
$9.74
|
| Rate for Payer: Priority Health HMO/PPO |
$9.74
|
| Rate for Payer: Priority Health HMO/PPO |
$9.74
|
| Rate for Payer: Priority Health Medicare |
$26.44
|
| Rate for Payer: Priority Health Medicare |
$26.44
|
| Rate for Payer: Priority Health Medicare |
$26.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.18
|
| Rate for Payer: UHC Exchange |
$26.18
|
| Rate for Payer: UHC Exchange |
$26.18
|
| Rate for Payer: UHC Exchange |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHC Medicare Advantage |
$26.18
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
| Rate for Payer: UHCCP Medicaid |
$4.05
|
|
|
CHG RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 73092
|
| Min. Negotiated Rate |
$4.90 |
| Max. Negotiated Rate |
$632.38 |
| Rate for Payer: Aetna Commercial |
$37.96
|
| Rate for Payer: Aetna Medicare |
$29.46
|
| Rate for Payer: BCBS Complete |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$28.33
|
| Rate for Payer: BCBS Trust/PPO |
$632.38
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$28.33
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$37.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.33
|
| Rate for Payer: Mclaren Medicaid |
$4.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.75
|
| Rate for Payer: Meridian Medicaid |
$5.14
|
| Rate for Payer: Nomi Health Commercial |
$34.00
|
| Rate for Payer: PACE SWMI |
$28.33
|
| Rate for Payer: PHP Medicare Advantage |
$28.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO |
$11.81
|
| Rate for Payer: Priority Health Medicare |
$28.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.33
|
| Rate for Payer: UHC Exchange |
$28.33
|
| Rate for Payer: UHC Medicare Advantage |
$28.33
|
| Rate for Payer: UHCCP Medicaid |
$4.90
|
|
|
CHG RADEX WRIST 2 VIEWS
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 73100
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$88.75 |
| Rate for Payer: Aetna Commercial |
$40.72
|
| Rate for Payer: Aetna Commercial |
$40.72
|
| Rate for Payer: Aetna Medicare |
$31.61
|
| Rate for Payer: Aetna Medicare |
$31.61
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$30.39
|
| Rate for Payer: BCBS MAPPO |
$30.39
|
| Rate for Payer: BCBS Trust/PPO |
$88.75
|
| Rate for Payer: BCBS Trust/PPO |
$88.75
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Medicare Advantage |
$30.39
|
| Rate for Payer: BCN Medicare Advantage |
$30.39
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$43.76
|
| Rate for Payer: Cofinity Commercial |
$40.72
|
| Rate for Payer: Cofinity Commercial |
$43.76
|
| Rate for Payer: Cofinity Commercial |
$40.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.39
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.91
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: Nomi Health Commercial |
$36.47
|
| Rate for Payer: PACE SWMI |
$30.39
|
| Rate for Payer: PACE SWMI |
$30.39
|
| Rate for Payer: PHP Medicare Advantage |
$30.39
|
| Rate for Payer: PHP Medicare Advantage |
$30.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO |
$12.32
|
| Rate for Payer: Priority Health HMO/PPO |
$12.32
|
| Rate for Payer: Priority Health Medicare |
$30.69
|
| Rate for Payer: Priority Health Medicare |
$30.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.39
|
| Rate for Payer: UHC Exchange |
$30.39
|
| Rate for Payer: UHC Exchange |
$30.39
|
| Rate for Payer: UHC Medicare Advantage |
$30.39
|
| Rate for Payer: UHC Medicare Advantage |
$30.39
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 73110
|
| Min. Negotiated Rate |
$5.33 |
| Max. Negotiated Rate |
$115.70 |
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: Aetna Medicare |
$38.69
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$37.20
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: BCN Medicare Advantage |
$37.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$53.57
|
| Rate for Payer: Cofinity Commercial |
$49.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.20
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Mclaren Medicaid |
$5.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Meridian Medicaid |
$5.60
|
| Rate for Payer: Nomi Health Commercial |
$44.64
|
| Rate for Payer: Nomi Health Commercial |
$44.64
|
| Rate for Payer: Nomi Health Commercial |
$44.64
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PACE SWMI |
$37.20
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| Rate for Payer: PHP Medicare Advantage |
$37.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.80
|
| Rate for Payer: Priority Health HMO/PPO |
$12.83
|
| Rate for Payer: Priority Health HMO/PPO |
$12.83
|
| Rate for Payer: Priority Health HMO/PPO |
$12.83
|
| Rate for Payer: Priority Health Medicare |
$37.57
|
| Rate for Payer: Priority Health Medicare |
$37.57
|
| Rate for Payer: Priority Health Medicare |
$37.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.20
|
| Rate for Payer: UHC Exchange |
$37.20
|
| Rate for Payer: UHC Exchange |
$37.20
|
| Rate for Payer: UHC Exchange |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| Rate for Payer: UHC Medicare Advantage |
$37.20
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
| Rate for Payer: UHCCP Medicaid |
$5.33
|
|
