|
CHG AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I
|
Professional
|
$260.00
|
|
|
Service Code
|
HCPCS 75605
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$184.89 |
| Rate for Payer: Aetna Commercial |
$154.92
|
| Rate for Payer: Aetna Medicare |
$120.23
|
| Rate for Payer: BCBS Complete |
$104.00
|
| Rate for Payer: BCBS MAPPO |
$115.61
|
| Rate for Payer: BCN Commercial |
$176.42
|
| Rate for Payer: BCN Medicare Advantage |
$115.61
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cofinity Commercial |
$166.48
|
| Rate for Payer: Cofinity Commercial |
$154.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$121.39
|
| Rate for Payer: PACE SWMI |
$115.61
|
| Rate for Payer: PHP Medicare Advantage |
$115.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.89
|
| Rate for Payer: Priority Health Medicare |
$115.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.61
|
| Rate for Payer: UHC Medicare Advantage |
$119.08
|
|
|
CHG AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I
|
Professional
|
$105.00
|
|
|
Service Code
|
HCPCS 75600
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$283.75 |
| Rate for Payer: Aetna Commercial |
$231.90
|
| Rate for Payer: Aetna Medicare |
$179.98
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$173.06
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.06
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$249.21
|
| Rate for Payer: Cofinity Commercial |
$231.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$181.71
|
| Rate for Payer: PACE SWMI |
$173.06
|
| Rate for Payer: PHP Medicare Advantage |
$173.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.75
|
| Rate for Payer: Priority Health Medicare |
$173.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.06
|
| Rate for Payer: UHC Medicare Advantage |
$178.25
|
|
|
CHG ASSAY OF LEAD
|
Professional
|
$20.00
|
|
|
Service Code
|
HCPCS 83655
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$17.44 |
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$12.59
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCBS MAPPO |
$12.11
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: BCN Medicare Advantage |
$12.11
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Commercial |
$17.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.72
|
| Rate for Payer: PACE SWMI |
$12.11
|
| Rate for Payer: PHP Medicare Advantage |
$12.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.65
|
| Rate for Payer: Priority Health Medicare |
$12.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.11
|
| Rate for Payer: UHC Medicare Advantage |
$12.47
|
|
|
CHG ASSAY OF PHOSPHATASE ALKALINE
|
Professional
|
$12.00
|
|
|
Service Code
|
HCPCS 84075
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.27
|
| Rate for Payer: Priority Health Medicare |
$5.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Medicare Advantage |
$5.34
|
|
|
CHG ASSAY OF PROGESTERONE
|
Professional
|
$92.00
|
|
|
Service Code
|
HCPCS 84144
|
| Min. Negotiated Rate |
$15.65 |
| Max. Negotiated Rate |
$64.40 |
| Rate for Payer: Aetna Commercial |
$27.95
|
| Rate for Payer: Aetna Medicare |
$21.69
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCBS MAPPO |
$20.86
|
| Rate for Payer: BCN Commercial |
$15.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.86
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$27.95
|
| Rate for Payer: Cofinity Commercial |
$30.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.90
|
| Rate for Payer: PACE SWMI |
$20.86
|
| Rate for Payer: PHP Medicare Advantage |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.79
|
| Rate for Payer: Priority Health Medicare |
$20.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$21.49
|
|
|
CHG ASSAY OF PYRUVATE KINASE
|
Professional
|
$93.00
|
|
|
Service Code
|
HCPCS 84220
|
| Min. Negotiated Rate |
$7.08 |
| Max. Negotiated Rate |
$65.10 |
| Rate for Payer: Aetna Commercial |
$12.65
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: BCBS Complete |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCN Commercial |
$7.08
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cofinity Commercial |
$12.65
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9.84
|
| Rate for Payer: Priority Health Medicare |
$9.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.72
|
|
|
CHG ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE
|
Professional
|
$78.00
|
|
|
Service Code
|
HCPCS 84588
|
| Min. Negotiated Rate |
$25.46 |
| Max. Negotiated Rate |
$54.60 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna Medicare |
$35.30
|
| Rate for Payer: BCBS Complete |
$31.20
|
| Rate for Payer: BCBS MAPPO |
$33.94
|
| Rate for Payer: BCN Commercial |
$25.46
|
| Rate for Payer: BCN Medicare Advantage |
$33.94
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$48.87
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.64
|
| Rate for Payer: PACE SWMI |
$33.94
|
| Rate for Payer: PHP Medicare Advantage |
$33.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.15
|
| Rate for Payer: Priority Health Medicare |
$33.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.94
|
| Rate for Payer: UHC Medicare Advantage |
$34.96
|
|
|
CHG BALLOON ANGIOPLASTY VISCERAL
|
Professional
|
$157.00
|
|
|
Service Code
|
HCPCS 75966
|
| Min. Negotiated Rate |
$62.80 |
| Max. Negotiated Rate |
$109.90 |
| Rate for Payer: BCBS Complete |
$62.80
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.90
|
|
|
CHG BALLOON ANGIO VENOUS
|
Professional
|
$389.00
|
|
|
Service Code
|
HCPCS 75978
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$272.30 |
| Rate for Payer: BCBS Complete |
$155.60
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$272.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
|
|
CHG BASIC RADIATION DOSIMETRY CALCULATION
|
Professional
|
$128.00
|
|
|
Service Code
|
HCPCS 77300
|
| Min. Negotiated Rate |
$29.60 |
| Max. Negotiated Rate |
$100.90 |
| Rate for Payer: Aetna Commercial |
$84.38
|
| Rate for Payer: Aetna Commercial |
$84.38
|
| Rate for Payer: Aetna Medicare |
$65.49
|
| Rate for Payer: Aetna Medicare |
$65.49
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS MAPPO |
$62.97
|
| Rate for Payer: BCBS MAPPO |
$62.97
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Medicare Advantage |
$62.97
|
| Rate for Payer: BCN Medicare Advantage |
$62.97
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cofinity Commercial |
$84.38
|
| Rate for Payer: Cofinity Commercial |
$90.68
|
| Rate for Payer: Cofinity Commercial |
$84.38
|
| Rate for Payer: Cofinity Commercial |
$90.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.12
|
| Rate for Payer: PACE SWMI |
$62.97
|
| Rate for Payer: PACE SWMI |
$62.97
|
| Rate for Payer: PHP Medicare Advantage |
$62.97
|
| Rate for Payer: PHP Medicare Advantage |
$62.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.90
|
| Rate for Payer: Priority Health Medicare |
$62.97
|
| Rate for Payer: Priority Health Medicare |
$62.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.97
|
| Rate for Payer: UHC Medicare Advantage |
$64.86
|
| Rate for Payer: UHC Medicare Advantage |
$64.86
|
|
|
CHG BILIRUBIN TOTAL
|
Professional
|
$23.00
|
|
|
Service Code
|
HCPCS 82247
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$16.10 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5.27
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
| Rate for Payer: UHC Medicare Advantage |
$5.17
|
|
|
CHG BILIRUBIN TOTAL TRANSCUTANEOUS
|
Professional
|
$13.00
|
|
|
Service Code
|
HCPCS 88720
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$9.10 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.79
|
| Rate for Payer: Priority Health Medicare |
$5.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
| Rate for Payer: UHC Medicare Advantage |
$5.17
|
|
|
CHG BLOOD COUNT HEMOGLOBIN
|
Professional
|
$14.00
|
|
|
Service Code
|
HCPCS 85018
|
| Min. Negotiated Rate |
$2.37 |
| Max. Negotiated Rate |
$9.80 |
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: Aetna Medicare |
$2.46
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$2.37
|
| Rate for Payer: BCN Commercial |
$2.37
|
| Rate for Payer: BCN Medicare Advantage |
$2.37
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.49
|
| Rate for Payer: PACE SWMI |
$2.37
|
| Rate for Payer: PHP Medicare Advantage |
$2.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.46
|
| Rate for Payer: Priority Health Medicare |
$2.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.37
|
| Rate for Payer: UHC Medicare Advantage |
$2.44
|
|
|
CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3
|
Professional
|
$43.00
|
|
|
Service Code
|
HCPCS 82274
|
| Min. Negotiated Rate |
$15.92 |
| Max. Negotiated Rate |
$30.10 |
| Rate for Payer: Aetna Commercial |
$21.33
|
| Rate for Payer: Aetna Medicare |
$16.56
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCN Commercial |
$15.92
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$22.92
|
| Rate for Payer: Cofinity Commercial |
$21.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$16.72
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.52
|
| Rate for Payer: Priority Health Medicare |
$15.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.92
|
| Rate for Payer: UHC Medicare Advantage |
$16.40
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC
|
Professional
|
$10.00
|
|
|
Service Code
|
HCPCS 82272
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Aetna Commercial |
$5.67
|
| Rate for Payer: Aetna Medicare |
$4.40
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$4.23
|
| Rate for Payer: BCN Commercial |
$4.23
|
| Rate for Payer: BCN Medicare Advantage |
$4.23
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$6.09
|
| Rate for Payer: Cofinity Commercial |
$5.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.44
|
| Rate for Payer: PACE SWMI |
$4.23
|
| Rate for Payer: PHP Medicare Advantage |
$4.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.22
|
| Rate for Payer: Priority Health Medicare |
$4.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.23
|
| Rate for Payer: UHC Medicare Advantage |
$4.36
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER
|
Professional
|
$14.00
|
|
|
Service Code
|
HCPCS 82270
|
| Min. Negotiated Rate |
$4.38 |
| Max. Negotiated Rate |
$9.80 |
| Rate for Payer: Aetna Commercial |
$5.87
|
| Rate for Payer: Aetna Medicare |
$4.56
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$4.38
|
| Rate for Payer: BCN Commercial |
$4.38
|
| Rate for Payer: BCN Medicare Advantage |
$4.38
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.31
|
| Rate for Payer: Cofinity Commercial |
$5.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.60
|
| Rate for Payer: PACE SWMI |
$4.38
|
| Rate for Payer: PHP Medicare Advantage |
$4.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.57
|
| Rate for Payer: Priority Health Medicare |
$4.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.38
|
| Rate for Payer: UHC Medicare Advantage |
$4.51
|
|
|
CHG BONE AGE STUDIES
|
Professional
|
$35.00
|
|
|
Service Code
|
HCPCS 77072
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$39.95 |
| Rate for Payer: Aetna Commercial |
$33.18
|
| Rate for Payer: Aetna Medicare |
$25.75
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS MAPPO |
$24.76
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Medicare Advantage |
$24.76
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$35.65
|
| Rate for Payer: Cofinity Commercial |
$33.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.00
|
| Rate for Payer: PACE SWMI |
$24.76
|
| Rate for Payer: PHP Medicare Advantage |
$24.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Medicare |
$24.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.76
|
| Rate for Payer: UHC Medicare Advantage |
$25.50
|
|
|
CHG BONE LENGTH STUDIES
|
Professional
|
$57.00
|
|
|
Service Code
|
HCPCS 77073
|
| Min. Negotiated Rate |
$22.80 |
| Max. Negotiated Rate |
$91.70 |
| Rate for Payer: Aetna Commercial |
$57.12
|
| Rate for Payer: Aetna Commercial |
$57.12
|
| Rate for Payer: Aetna Medicare |
$44.34
|
| Rate for Payer: Aetna Medicare |
$44.34
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS MAPPO |
$42.63
|
| Rate for Payer: BCBS MAPPO |
$42.63
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Medicare Advantage |
$42.63
|
| Rate for Payer: BCN Medicare Advantage |
$42.63
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$57.12
|
| Rate for Payer: Cofinity Commercial |
$61.39
|
| Rate for Payer: Cofinity Commercial |
$61.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$44.76
|
| Rate for Payer: PACE SWMI |
$42.63
|
| Rate for Payer: PACE SWMI |
$42.63
|
| Rate for Payer: PHP Medicare Advantage |
$42.63
|
| Rate for Payer: PHP Medicare Advantage |
$42.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$91.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.15
|
| Rate for Payer: Priority Health Medicare |
$42.63
|
| Rate for Payer: Priority Health Medicare |
$42.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.63
|
| Rate for Payer: UHC Medicare Advantage |
$43.91
|
| Rate for Payer: UHC Medicare Advantage |
$43.91
|
|
|
CHG BRACHYTHER DOSE PLAN COMPLX
|
Professional
|
$303.00
|
|
|
Service Code
|
HCPCS 77328
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$361.20 |
| Rate for Payer: BCBS Complete |
$121.20
|
| Rate for Payer: BCBS Complete |
$206.40
|
| Rate for Payer: Cash Price |
$412.80
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$212.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.20
|
|
|
CHG BRACHYTHER DOSE PLAN SIMPLE
|
Professional
|
$180.00
|
|
|
Service Code
|
HCPCS 77326
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$191.80 |
| Rate for Payer: BCBS Complete |
$72.00
|
| Rate for Payer: BCBS Complete |
$109.60
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.00
|
|
|
CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL
|
Professional
|
$695.00
|
|
|
Service Code
|
HCPCS 77318
|
| Min. Negotiated Rate |
$252.00 |
| Max. Negotiated Rate |
$698.08 |
| Rate for Payer: Aetna Commercial |
$577.06
|
| Rate for Payer: Aetna Commercial |
$577.06
|
| Rate for Payer: Aetna Medicare |
$447.87
|
| Rate for Payer: Aetna Medicare |
$447.87
|
| Rate for Payer: BCBS Complete |
$252.00
|
| Rate for Payer: BCBS Complete |
$278.00
|
| Rate for Payer: BCBS MAPPO |
$430.64
|
| Rate for Payer: BCBS MAPPO |
$430.64
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Medicare Advantage |
$430.64
|
| Rate for Payer: BCN Medicare Advantage |
$430.64
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Cash Price |
$556.00
|
| Rate for Payer: Cash Price |
$504.00
|
| Rate for Payer: Cash Price |
$556.00
|
| Rate for Payer: Cofinity Commercial |
$577.06
|
| Rate for Payer: Cofinity Commercial |
$620.12
|
| Rate for Payer: Cofinity Commercial |
$577.06
|
| Rate for Payer: Cofinity Commercial |
$620.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$452.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$452.17
|
| Rate for Payer: PACE SWMI |
$430.64
|
| Rate for Payer: PACE SWMI |
$430.64
|
| Rate for Payer: PHP Medicare Advantage |
$430.64
|
| Rate for Payer: PHP Medicare Advantage |
$430.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$486.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$698.08
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$698.08
|
| Rate for Payer: Priority Health Medicare |
$430.64
|
| Rate for Payer: Priority Health Medicare |
$430.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$430.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$430.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.64
|
| Rate for Payer: UHC Medicare Advantage |
$443.56
|
| Rate for Payer: UHC Medicare Advantage |
$443.56
|
|
|
CHG CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS
|
Professional
|
$250.00
|
|
|
Service Code
|
HCPCS 78472
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$326.25 |
| Rate for Payer: Aetna Commercial |
$268.07
|
| Rate for Payer: Aetna Medicare |
$208.05
|
| Rate for Payer: BCBS Complete |
$100.00
|
| Rate for Payer: BCBS MAPPO |
$200.05
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$200.05
|
| Rate for Payer: Cash Price |
$200.00
|
| Rate for Payer: Cash Price |
$200.00
|
| Rate for Payer: Cofinity Commercial |
$288.07
|
| Rate for Payer: Cofinity Commercial |
$268.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$210.05
|
| Rate for Payer: PACE SWMI |
$200.05
|
| Rate for Payer: PHP Medicare Advantage |
$200.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$326.25
|
| Rate for Payer: Priority Health Medicare |
$200.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$326.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.05
|
| Rate for Payer: UHC Medicare Advantage |
$206.05
|
|
|
CHG CELL COUNT MISCELLANEOUS BODY FLUIDS
|
Professional
|
$11.00
|
|
|
Service Code
|
HCPCS 89050
|
| Min. Negotiated Rate |
$3.54 |
| Max. Negotiated Rate |
$7.70 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna Medicare |
$4.91
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.72
|
| Rate for Payer: BCN Commercial |
$3.54
|
| Rate for Payer: BCN Medicare Advantage |
$4.72
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.32
|
| Rate for Payer: Cofinity Commercial |
$6.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$4.96
|
| Rate for Payer: PACE SWMI |
$4.72
|
| Rate for Payer: PHP Medicare Advantage |
$4.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.26
|
| Rate for Payer: Priority Health Medicare |
$4.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.72
|
| Rate for Payer: UHC Medicare Advantage |
$4.86
|
|
|
CHG CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY
|
Professional
|
$645.00
|
|
|
Service Code
|
HCPCS 78630
|
| Min. Negotiated Rate |
$258.00 |
| Max. Negotiated Rate |
$481.44 |
| Rate for Payer: Aetna Commercial |
$392.20
|
| Rate for Payer: Aetna Medicare |
$304.40
|
| Rate for Payer: BCBS Complete |
$258.00
|
| Rate for Payer: BCBS MAPPO |
$292.69
|
| Rate for Payer: BCN Commercial |
$459.36
|
| Rate for Payer: BCN Medicare Advantage |
$292.69
|
| Rate for Payer: Cash Price |
$516.00
|
| Rate for Payer: Cash Price |
$516.00
|
| Rate for Payer: Cofinity Commercial |
$392.20
|
| Rate for Payer: Cofinity Commercial |
$421.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$307.32
|
| Rate for Payer: PACE SWMI |
$292.69
|
| Rate for Payer: PHP Medicare Advantage |
$292.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$451.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$481.44
|
| Rate for Payer: Priority Health Medicare |
$292.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$481.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.69
|
| Rate for Payer: UHC Medicare Advantage |
$301.47
|
|
|
CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I
|
Professional
|
$135.00
|
|
|
Service Code
|
HCPCS 75984
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$147.51 |
| Rate for Payer: Aetna Commercial |
$122.86
|
| Rate for Payer: Aetna Commercial |
$122.86
|
| Rate for Payer: Aetna Medicare |
$95.36
|
| Rate for Payer: Aetna Medicare |
$95.36
|
| Rate for Payer: BCBS Complete |
$54.00
|
| Rate for Payer: BCBS Complete |
$62.80
|
| Rate for Payer: BCBS MAPPO |
$91.69
|
| Rate for Payer: BCBS MAPPO |
$91.69
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Medicare Advantage |
$91.69
|
| Rate for Payer: BCN Medicare Advantage |
$91.69
|
| Rate for Payer: Cash Price |
$108.00
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Cash Price |
$108.00
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Cofinity Commercial |
$132.03
|
| Rate for Payer: Cofinity Commercial |
$122.86
|
| Rate for Payer: Cofinity Commercial |
$132.03
|
| Rate for Payer: Cofinity Commercial |
$122.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$96.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$96.27
|
| Rate for Payer: PACE SWMI |
$91.69
|
| Rate for Payer: PACE SWMI |
$91.69
|
| Rate for Payer: PHP Medicare Advantage |
$91.69
|
| Rate for Payer: PHP Medicare Advantage |
$91.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.51
|
| Rate for Payer: Priority Health Medicare |
$91.69
|
| Rate for Payer: Priority Health Medicare |
$91.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.69
|
| Rate for Payer: UHC Medicare Advantage |
$94.44
|
| Rate for Payer: UHC Medicare Advantage |
$94.44
|
|
