|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
$25.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$72.21 |
| Rate for Payer: Aetna Commercial |
$59.52
|
| Rate for Payer: Aetna Commercial |
$59.52
|
| Rate for Payer: Aetna Commercial |
$59.52
|
| Rate for Payer: Aetna Medicare |
$46.20
|
| Rate for Payer: Aetna Medicare |
$46.20
|
| Rate for Payer: Aetna Medicare |
$46.20
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: BCBS Complete |
$10.00
|
| Rate for Payer: BCBS MAPPO |
$44.42
|
| Rate for Payer: BCBS MAPPO |
$44.42
|
| Rate for Payer: BCBS MAPPO |
$44.42
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Medicare Advantage |
$44.42
|
| Rate for Payer: BCN Medicare Advantage |
$44.42
|
| Rate for Payer: BCN Medicare Advantage |
$44.42
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$59.52
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Cofinity Commercial |
$59.52
|
| Rate for Payer: Cofinity Commercial |
$59.52
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.64
|
| Rate for Payer: PACE SWMI |
$44.42
|
| Rate for Payer: PACE SWMI |
$44.42
|
| Rate for Payer: PACE SWMI |
$44.42
|
| Rate for Payer: PHP Medicare Advantage |
$44.42
|
| Rate for Payer: PHP Medicare Advantage |
$44.42
|
| Rate for Payer: PHP Medicare Advantage |
$44.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health Medicare |
$44.42
|
| Rate for Payer: Priority Health Medicare |
$44.42
|
| Rate for Payer: Priority Health Medicare |
$44.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.42
|
| Rate for Payer: UHC Medicare Advantage |
$45.75
|
| Rate for Payer: UHC Medicare Advantage |
$45.75
|
| Rate for Payer: UHC Medicare Advantage |
$45.75
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
$50.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$58.38 |
| Rate for Payer: Aetna Commercial |
$47.84
|
| Rate for Payer: Aetna Commercial |
$47.84
|
| Rate for Payer: Aetna Commercial |
$47.84
|
| Rate for Payer: Aetna Medicare |
$37.13
|
| Rate for Payer: Aetna Medicare |
$37.13
|
| Rate for Payer: Aetna Medicare |
$37.13
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS MAPPO |
$35.70
|
| Rate for Payer: BCBS MAPPO |
$35.70
|
| Rate for Payer: BCBS MAPPO |
$35.70
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Commercial |
$55.71
|
| Rate for Payer: BCN Medicare Advantage |
$35.70
|
| Rate for Payer: BCN Medicare Advantage |
$35.70
|
| Rate for Payer: BCN Medicare Advantage |
$35.70
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cofinity Commercial |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$47.84
|
| Rate for Payer: Cofinity Commercial |
$47.84
|
| Rate for Payer: Cofinity Commercial |
$47.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.48
|
| Rate for Payer: PACE SWMI |
$35.70
|
| Rate for Payer: PACE SWMI |
$35.70
|
| Rate for Payer: PACE SWMI |
$35.70
|
| Rate for Payer: PHP Medicare Advantage |
$35.70
|
| Rate for Payer: PHP Medicare Advantage |
$35.70
|
| Rate for Payer: PHP Medicare Advantage |
$35.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.38
|
| Rate for Payer: Priority Health Medicare |
$35.70
|
| Rate for Payer: Priority Health Medicare |
$35.70
|
| Rate for Payer: Priority Health Medicare |
$35.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.70
|
| Rate for Payer: UHC Medicare Advantage |
$36.77
|
| Rate for Payer: UHC Medicare Advantage |
$36.77
|
| Rate for Payer: UHC Medicare Advantage |
$36.77
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
$44.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$59.50 |
| Rate for Payer: Aetna Commercial |
$43.44
|
| Rate for Payer: Aetna Commercial |
$43.44
|
| Rate for Payer: Aetna Commercial |
$43.44
|
| Rate for Payer: Aetna Medicare |
$33.72
|
| Rate for Payer: Aetna Medicare |
$33.72
|
| Rate for Payer: Aetna Medicare |
$33.72
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$32.42
|
| Rate for Payer: BCBS MAPPO |
$32.42
|
| Rate for Payer: BCBS MAPPO |
$32.42
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Commercial |
$50.33
|
| Rate for Payer: BCN Medicare Advantage |
$32.42
|
| Rate for Payer: BCN Medicare Advantage |
$32.42
|
| Rate for Payer: BCN Medicare Advantage |
$32.42
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$68.00
|
| Rate for Payer: Cofinity Commercial |
$46.68
|
| Rate for Payer: Cofinity Commercial |
$46.68
|
| Rate for Payer: Cofinity Commercial |
$43.44
|
| Rate for Payer: Cofinity Commercial |
$43.44
|
| Rate for Payer: Cofinity Commercial |
$46.68
|
| Rate for Payer: Cofinity Commercial |
$43.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.04
|
| Rate for Payer: PACE SWMI |
$32.42
|
| Rate for Payer: PACE SWMI |
$32.42
|
| Rate for Payer: PACE SWMI |
$32.42
|
| Rate for Payer: PHP Medicare Advantage |
$32.42
|
| Rate for Payer: PHP Medicare Advantage |
$32.42
|
| Rate for Payer: PHP Medicare Advantage |
$32.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.75
|
| Rate for Payer: Priority Health Medicare |
$32.42
|
| Rate for Payer: Priority Health Medicare |
$32.42
|
| Rate for Payer: Priority Health Medicare |
$32.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.42
|
| Rate for Payer: UHC Medicare Advantage |
$33.39
|
| Rate for Payer: UHC Medicare Advantage |
$33.39
|
| Rate for Payer: UHC Medicare Advantage |
$33.39
|
|
|
CHG RADEX FOREARM 2 VIEWS
|
Professional
|
$28.00
|
|
|
Service Code
|
HCPCS 73090
|
| Min. Negotiated Rate |
$11.20 |
| Max. Negotiated Rate |
$61.60 |
| Rate for Payer: Aetna Commercial |
$37.20
|
| Rate for Payer: Aetna Commercial |
$37.20
|
| Rate for Payer: Aetna Commercial |
$37.20
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$35.20
|
| Rate for Payer: BCBS MAPPO |
$27.76
|
| Rate for Payer: BCBS MAPPO |
$27.76
|
| Rate for Payer: BCBS MAPPO |
$27.76
|
| 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 |
$27.76
|
| Rate for Payer: BCN Medicare Advantage |
$27.76
|
| Rate for Payer: BCN Medicare Advantage |
$27.76
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$39.97
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$39.97
|
| Rate for Payer: Cofinity Commercial |
$39.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.15
|
| Rate for Payer: PACE SWMI |
$27.76
|
| Rate for Payer: PACE SWMI |
$27.76
|
| Rate for Payer: PACE SWMI |
$27.76
|
| Rate for Payer: PHP Medicare Advantage |
$27.76
|
| Rate for Payer: PHP Medicare Advantage |
$27.76
|
| Rate for Payer: PHP Medicare Advantage |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health Medicare |
$27.76
|
| Rate for Payer: Priority Health Medicare |
$27.76
|
| Rate for Payer: Priority Health Medicare |
$27.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.76
|
| Rate for Payer: UHC Medicare Advantage |
$28.59
|
| Rate for Payer: UHC Medicare Advantage |
$28.59
|
| Rate for Payer: UHC Medicare Advantage |
$28.59
|
|
|
CHG RADEX HAND 2 VIEWS
|
Professional
|
$26.00
|
|
|
Service Code
|
HCPCS 73120
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$56.00 |
| Rate for Payer: Aetna Commercial |
$39.68
|
| Rate for Payer: Aetna Commercial |
$39.68
|
| Rate for Payer: Aetna Commercial |
$39.68
|
| Rate for Payer: Aetna Medicare |
$30.79
|
| Rate for Payer: Aetna Medicare |
$30.79
|
| Rate for Payer: Aetna Medicare |
$30.79
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Complete |
$14.80
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS MAPPO |
$29.61
|
| Rate for Payer: BCBS MAPPO |
$29.61
|
| Rate for Payer: BCBS MAPPO |
$29.61
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Medicare Advantage |
$29.61
|
| Rate for Payer: BCN Medicare Advantage |
$29.61
|
| Rate for Payer: BCN Medicare Advantage |
$29.61
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$39.68
|
| Rate for Payer: Cofinity Commercial |
$42.64
|
| Rate for Payer: Cofinity Commercial |
$39.68
|
| Rate for Payer: Cofinity Commercial |
$42.64
|
| Rate for Payer: Cofinity Commercial |
$39.68
|
| Rate for Payer: Cofinity Commercial |
$42.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.09
|
| Rate for Payer: PACE SWMI |
$29.61
|
| Rate for Payer: PACE SWMI |
$29.61
|
| Rate for Payer: PACE SWMI |
$29.61
|
| Rate for Payer: PHP Medicare Advantage |
$29.61
|
| Rate for Payer: PHP Medicare Advantage |
$29.61
|
| Rate for Payer: PHP Medicare Advantage |
$29.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Medicare |
$29.61
|
| Rate for Payer: Priority Health Medicare |
$29.61
|
| Rate for Payer: Priority Health Medicare |
$29.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.61
|
| Rate for Payer: UHC Medicare Advantage |
$30.50
|
| Rate for Payer: UHC Medicare Advantage |
$30.50
|
| Rate for Payer: UHC Medicare Advantage |
$30.50
|
|
|
CHG RADEX HAND MINIMUM 3 VIEWS
|
Professional
|
$94.00
|
|
|
Service Code
|
HCPCS 73130
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$65.80 |
| Rate for Payer: Aetna Commercial |
$46.75
|
| Rate for Payer: Aetna Commercial |
$46.75
|
| Rate for Payer: Aetna Commercial |
$46.75
|
| Rate for Payer: Aetna Medicare |
$36.29
|
| Rate for Payer: Aetna Medicare |
$36.29
|
| Rate for Payer: Aetna Medicare |
$36.29
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: BCBS MAPPO |
$34.89
|
| Rate for Payer: BCBS MAPPO |
$34.89
|
| Rate for Payer: BCBS MAPPO |
$34.89
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$34.89
|
| Rate for Payer: BCN Medicare Advantage |
$34.89
|
| Rate for Payer: BCN Medicare Advantage |
$34.89
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cofinity Commercial |
$50.24
|
| Rate for Payer: Cofinity Commercial |
$50.24
|
| Rate for Payer: Cofinity Commercial |
$46.75
|
| Rate for Payer: Cofinity Commercial |
$46.75
|
| Rate for Payer: Cofinity Commercial |
$50.24
|
| Rate for Payer: Cofinity Commercial |
$46.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.63
|
| Rate for Payer: PACE SWMI |
$34.89
|
| Rate for Payer: PACE SWMI |
$34.89
|
| Rate for Payer: PACE SWMI |
$34.89
|
| Rate for Payer: PHP Medicare Advantage |
$34.89
|
| Rate for Payer: PHP Medicare Advantage |
$34.89
|
| Rate for Payer: PHP Medicare Advantage |
$34.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health Medicare |
$34.89
|
| Rate for Payer: Priority Health Medicare |
$34.89
|
| Rate for Payer: Priority Health Medicare |
$34.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.89
|
| Rate for Payer: UHC Medicare Advantage |
$35.94
|
| Rate for Payer: UHC Medicare Advantage |
$35.94
|
| Rate for Payer: UHC Medicare Advantage |
$35.94
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS
|
Professional
|
$75.00
|
|
|
Service Code
|
HCPCS 73521
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$63.51 |
| Rate for Payer: Aetna Commercial |
$52.34
|
| Rate for Payer: Aetna Commercial |
$52.34
|
| Rate for Payer: Aetna Medicare |
$40.62
|
| Rate for Payer: Aetna Medicare |
$40.62
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS Complete |
$30.00
|
| Rate for Payer: BCBS MAPPO |
$39.06
|
| Rate for Payer: BCBS MAPPO |
$39.06
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Commercial |
$60.60
|
| Rate for Payer: BCN Medicare Advantage |
$39.06
|
| Rate for Payer: BCN Medicare Advantage |
$39.06
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$52.34
|
| Rate for Payer: Cofinity Commercial |
$52.34
|
| Rate for Payer: Cofinity Commercial |
$56.25
|
| Rate for Payer: Cofinity Commercial |
$56.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$41.01
|
| Rate for Payer: PACE SWMI |
$39.06
|
| Rate for Payer: PACE SWMI |
$39.06
|
| Rate for Payer: PHP Medicare Advantage |
$39.06
|
| Rate for Payer: PHP Medicare Advantage |
$39.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.51
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.51
|
| Rate for Payer: Priority Health Medicare |
$39.06
|
| Rate for Payer: Priority Health Medicare |
$39.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.06
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS
|
Professional
|
$30.00
|
|
|
Service Code
|
HCPCS 73522
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$82.46 |
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Medicare |
$52.72
|
| Rate for Payer: Aetna Medicare |
$52.72
|
| Rate for Payer: Aetna Medicare |
$52.72
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Complete |
$46.00
|
| Rate for Payer: BCBS Complete |
$24.80
|
| Rate for Payer: BCBS MAPPO |
$50.69
|
| Rate for Payer: BCBS MAPPO |
$50.69
|
| Rate for Payer: BCBS MAPPO |
$50.69
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Commercial |
$78.68
|
| Rate for Payer: BCN Medicare Advantage |
$50.69
|
| Rate for Payer: BCN Medicare Advantage |
$50.69
|
| Rate for Payer: BCN Medicare Advantage |
$50.69
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cofinity Commercial |
$72.99
|
| Rate for Payer: Cofinity Commercial |
$72.99
|
| Rate for Payer: Cofinity Commercial |
$72.99
|
| Rate for Payer: Cofinity Commercial |
$67.92
|
| Rate for Payer: Cofinity Commercial |
$67.92
|
| Rate for Payer: Cofinity Commercial |
$67.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$53.22
|
| Rate for Payer: PACE SWMI |
$50.69
|
| Rate for Payer: PACE SWMI |
$50.69
|
| Rate for Payer: PACE SWMI |
$50.69
|
| Rate for Payer: PHP Medicare Advantage |
$50.69
|
| Rate for Payer: PHP Medicare Advantage |
$50.69
|
| Rate for Payer: PHP Medicare Advantage |
$50.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.46
|
| Rate for Payer: Priority Health Medicare |
$50.69
|
| Rate for Payer: Priority Health Medicare |
$50.69
|
| Rate for Payer: Priority Health Medicare |
$50.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.69
|
| Rate for Payer: UHC Medicare Advantage |
$52.21
|
| Rate for Payer: UHC Medicare Advantage |
$52.21
|
| Rate for Payer: UHC Medicare Advantage |
$52.21
|
|
|
CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS
|
Professional
|
$112.00
|
|
|
Service Code
|
HCPCS 73523
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$95.26 |
| Rate for Payer: Aetna Commercial |
$78.42
|
| Rate for Payer: Aetna Commercial |
$78.42
|
| Rate for Payer: Aetna Medicare |
$60.86
|
| Rate for Payer: Aetna Medicare |
$60.86
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS Complete |
$10.00
|
| Rate for Payer: BCBS MAPPO |
$58.52
|
| Rate for Payer: BCBS MAPPO |
$58.52
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: BCN Medicare Advantage |
$58.52
|
| Rate for Payer: BCN Medicare Advantage |
$58.52
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$84.27
|
| Rate for Payer: Cofinity Commercial |
$78.42
|
| Rate for Payer: Cofinity Commercial |
$78.42
|
| Rate for Payer: Cofinity Commercial |
$84.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$61.45
|
| Rate for Payer: PACE SWMI |
$58.52
|
| Rate for Payer: PACE SWMI |
$58.52
|
| Rate for Payer: PHP Medicare Advantage |
$58.52
|
| Rate for Payer: PHP Medicare Advantage |
$58.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.26
|
| Rate for Payer: Priority Health Medicare |
$58.52
|
| Rate for Payer: Priority Health Medicare |
$58.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.52
|
| Rate for Payer: UHC Medicare Advantage |
$60.28
|
| Rate for Payer: UHC Medicare Advantage |
$60.28
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW
|
Professional
|
$56.00
|
|
|
Service Code
|
HCPCS 73501
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$50.71 |
| Rate for Payer: Aetna Commercial |
$41.83
|
| Rate for Payer: Aetna Medicare |
$32.47
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS MAPPO |
$31.22
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$31.22
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$44.96
|
| Rate for Payer: Cofinity Commercial |
$41.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.78
|
| Rate for Payer: PACE SWMI |
$31.22
|
| Rate for Payer: PHP Medicare Advantage |
$31.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.71
|
| Rate for Payer: Priority Health Medicare |
$31.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.22
|
| Rate for Payer: UHC Medicare Advantage |
$32.16
|
|
|
CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS
|
Professional
|
$78.00
|
|
|
Service Code
|
HCPCS 73502
|
| Min. Negotiated Rate |
$8.80 |
| Max. Negotiated Rate |
$72.21 |
| Rate for Payer: Aetna Commercial |
$59.36
|
| Rate for Payer: Aetna Commercial |
$59.36
|
| Rate for Payer: Aetna Medicare |
$46.07
|
| Rate for Payer: Aetna Medicare |
$46.07
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS Complete |
$31.20
|
| Rate for Payer: BCBS MAPPO |
$44.30
|
| Rate for Payer: BCBS MAPPO |
$44.30
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Commercial |
$68.90
|
| Rate for Payer: BCN Medicare Advantage |
$44.30
|
| Rate for Payer: BCN Medicare Advantage |
$44.30
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$63.79
|
| Rate for Payer: Cofinity Commercial |
$59.36
|
| Rate for Payer: Cofinity Commercial |
$59.36
|
| Rate for Payer: Cofinity Commercial |
$63.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.52
|
| Rate for Payer: PACE SWMI |
$44.30
|
| Rate for Payer: PACE SWMI |
$44.30
|
| Rate for Payer: PHP Medicare Advantage |
$44.30
|
| Rate for Payer: PHP Medicare Advantage |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health Medicare |
$44.30
|
| Rate for Payer: Priority Health Medicare |
$44.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.30
|
| Rate for Payer: UHC Medicare Advantage |
$45.63
|
| Rate for Payer: UHC Medicare Advantage |
$45.63
|
|
|
CHG RADEX HUMERUS MINIMUM 2 VIEWS
|
Professional
|
$103.00
|
|
|
Service Code
|
HCPCS 73060
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$72.10 |
| Rate for Payer: Aetna Commercial |
$40.92
|
| Rate for Payer: Aetna Commercial |
$40.92
|
| Rate for Payer: Aetna Commercial |
$40.92
|
| Rate for Payer: Aetna Medicare |
$31.76
|
| Rate for Payer: Aetna Medicare |
$31.76
|
| Rate for Payer: Aetna Medicare |
$31.76
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$41.20
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCBS MAPPO |
$30.54
|
| Rate for Payer: BCBS MAPPO |
$30.54
|
| Rate for Payer: BCBS MAPPO |
$30.54
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$30.54
|
| Rate for Payer: BCN Medicare Advantage |
$30.54
|
| Rate for Payer: BCN Medicare Advantage |
$30.54
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$43.98
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$40.92
|
| Rate for Payer: Cofinity Commercial |
$43.98
|
| Rate for Payer: Cofinity Commercial |
$43.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.07
|
| Rate for Payer: PACE SWMI |
$30.54
|
| Rate for Payer: PACE SWMI |
$30.54
|
| Rate for Payer: PACE SWMI |
$30.54
|
| Rate for Payer: PHP Medicare Advantage |
$30.54
|
| Rate for Payer: PHP Medicare Advantage |
$30.54
|
| Rate for Payer: PHP Medicare Advantage |
$30.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health Medicare |
$30.54
|
| Rate for Payer: Priority Health Medicare |
$30.54
|
| Rate for Payer: Priority Health Medicare |
$30.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.54
|
| Rate for Payer: UHC Medicare Advantage |
$31.46
|
| Rate for Payer: UHC Medicare Advantage |
$31.46
|
| Rate for Payer: UHC Medicare Advantage |
$31.46
|
|
|
CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
$55.00
|
|
|
Service Code
|
HCPCS 70160
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$58.90 |
| Rate for Payer: Aetna Commercial |
$48.41
|
| Rate for Payer: Aetna Commercial |
$48.41
|
| Rate for Payer: Aetna Medicare |
$37.58
|
| Rate for Payer: Aetna Medicare |
$37.58
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS MAPPO |
$36.13
|
| Rate for Payer: BCBS MAPPO |
$36.13
|
| Rate for Payer: BCN Commercial |
$56.19
|
| Rate for Payer: BCN Commercial |
$56.19
|
| Rate for Payer: BCN Medicare Advantage |
$36.13
|
| Rate for Payer: BCN Medicare Advantage |
$36.13
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$52.03
|
| Rate for Payer: Cofinity Commercial |
$48.41
|
| Rate for Payer: Cofinity Commercial |
$48.41
|
| Rate for Payer: Cofinity Commercial |
$52.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.94
|
| Rate for Payer: PACE SWMI |
$36.13
|
| Rate for Payer: PACE SWMI |
$36.13
|
| Rate for Payer: PHP Medicare Advantage |
$36.13
|
| Rate for Payer: PHP Medicare Advantage |
$36.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.90
|
| Rate for Payer: Priority Health Medicare |
$36.13
|
| Rate for Payer: Priority Health Medicare |
$36.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$58.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.13
|
| Rate for Payer: UHC Medicare Advantage |
$37.21
|
| Rate for Payer: UHC Medicare Advantage |
$37.21
|
|
|
CHG RADEX OPTIC FORAMINA
|
Professional
|
$63.00
|
|
|
Service Code
|
HCPCS 70190
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$57.87 |
| Rate for Payer: Aetna Commercial |
$47.74
|
| Rate for Payer: Aetna Medicare |
$37.06
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: BCBS MAPPO |
$35.63
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Medicare Advantage |
$35.63
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Cofinity Commercial |
$51.31
|
| Rate for Payer: Cofinity Commercial |
$47.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.41
|
| Rate for Payer: PACE SWMI |
$35.63
|
| Rate for Payer: PHP Medicare Advantage |
$35.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health Medicare |
$35.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.63
|
| Rate for Payer: UHC Medicare Advantage |
$36.70
|
|
|
CHG RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
|
Professional
|
$56.00
|
|
|
Service Code
|
HCPCS 70200
|
| Min. Negotiated Rate |
$22.40 |
| Max. Negotiated Rate |
$73.76 |
| Rate for Payer: Aetna Commercial |
$60.85
|
| Rate for Payer: Aetna Medicare |
$47.23
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS MAPPO |
$45.41
|
| Rate for Payer: BCN Commercial |
$70.37
|
| Rate for Payer: BCN Medicare Advantage |
$45.41
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$60.85
|
| Rate for Payer: Cofinity Commercial |
$65.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$47.68
|
| Rate for Payer: PACE SWMI |
$45.41
|
| Rate for Payer: PHP Medicare Advantage |
$45.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.76
|
| Rate for Payer: Priority Health Medicare |
$45.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.41
|
| Rate for Payer: UHC Medicare Advantage |
$46.77
|
|
|
CHG RADEX RIBS BILATERAL 3 VIEWS
|
Professional
|
$52.00
|
|
|
Service Code
|
HCPCS 71110
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna Medicare |
$43.41
|
| Rate for Payer: Aetna Medicare |
$43.41
|
| Rate for Payer: BCBS Complete |
$43.20
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS MAPPO |
$41.74
|
| Rate for Payer: BCBS MAPPO |
$41.74
|
| Rate for Payer: BCN Commercial |
$64.51
|
| Rate for Payer: BCN Commercial |
$64.51
|
| Rate for Payer: BCN Medicare Advantage |
$41.74
|
| Rate for Payer: BCN Medicare Advantage |
$41.74
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$86.40
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$60.11
|
| Rate for Payer: Cofinity Commercial |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$60.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$43.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$43.83
|
| Rate for Payer: PACE SWMI |
$41.74
|
| Rate for Payer: PACE SWMI |
$41.74
|
| Rate for Payer: PHP Medicare Advantage |
$41.74
|
| Rate for Payer: PHP Medicare Advantage |
$41.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.60
|
| Rate for Payer: Priority Health Medicare |
$41.74
|
| Rate for Payer: Priority Health Medicare |
$41.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.74
|
| Rate for Payer: UHC Medicare Advantage |
$42.99
|
| Rate for Payer: UHC Medicare Advantage |
$42.99
|
|
|
CHG RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS
|
Professional
|
$71.00
|
|
|
Service Code
|
HCPCS 71111
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$80.92 |
| Rate for Payer: Aetna Commercial |
$66.88
|
| Rate for Payer: Aetna Medicare |
$51.91
|
| Rate for Payer: BCBS Complete |
$28.40
|
| Rate for Payer: BCBS MAPPO |
$49.91
|
| Rate for Payer: BCN Commercial |
$77.21
|
| Rate for Payer: BCN Medicare Advantage |
$49.91
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cofinity Commercial |
$66.88
|
| Rate for Payer: Cofinity Commercial |
$71.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$52.41
|
| Rate for Payer: PACE SWMI |
$49.91
|
| Rate for Payer: PHP Medicare Advantage |
$49.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$80.92
|
| Rate for Payer: Priority Health Medicare |
$49.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$49.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.91
|
| Rate for Payer: UHC Medicare Advantage |
$51.41
|
|
|
CHG RADEX RIBS UNILATERAL 2 VIEWS
|
Professional
|
$49.00
|
|
|
Service Code
|
HCPCS 71100
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$56.84 |
| Rate for Payer: Aetna Commercial |
$46.95
|
| Rate for Payer: Aetna Medicare |
$36.44
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS MAPPO |
$35.04
|
| Rate for Payer: BCN Commercial |
$54.24
|
| Rate for Payer: BCN Medicare Advantage |
$35.04
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$50.46
|
| Rate for Payer: Cofinity Commercial |
$46.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.79
|
| Rate for Payer: PACE SWMI |
$35.04
|
| Rate for Payer: PHP Medicare Advantage |
$35.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$56.84
|
| Rate for Payer: Priority Health Medicare |
$35.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.04
|
| Rate for Payer: UHC Medicare Advantage |
$36.09
|
|
|
CHG RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
|
Professional
|
$51.00
|
|
|
Service Code
|
HCPCS 71101
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$65.05 |
| Rate for Payer: Aetna Commercial |
$53.77
|
| Rate for Payer: Aetna Commercial |
$53.77
|
| Rate for Payer: Aetna Medicare |
$41.74
|
| Rate for Payer: Aetna Medicare |
$41.74
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$40.13
|
| Rate for Payer: BCBS MAPPO |
$40.13
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$40.13
|
| Rate for Payer: BCN Medicare Advantage |
$40.13
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$57.79
|
| Rate for Payer: Cofinity Commercial |
$57.79
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.14
|
| Rate for Payer: PACE SWMI |
$40.13
|
| Rate for Payer: PACE SWMI |
$40.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health Medicare |
$40.13
|
| Rate for Payer: Priority Health Medicare |
$40.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.13
|
| Rate for Payer: UHC Medicare Advantage |
$41.33
|
| Rate for Payer: UHC Medicare Advantage |
$41.33
|
|
|
CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS
|
Professional
|
$39.00
|
|
|
Service Code
|
HCPCS 72220
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$86.80 |
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Commercial |
$41.38
|
| Rate for Payer: Aetna Medicare |
$32.12
|
| Rate for Payer: Aetna Medicare |
$32.12
|
| Rate for Payer: Aetna Medicare |
$32.12
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$49.60
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCBS MAPPO |
$30.88
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: BCN Medicare Advantage |
$30.88
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Cofinity Commercial |
$44.47
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Cofinity Commercial |
$41.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.42
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PACE SWMI |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: PHP Medicare Advantage |
$30.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$86.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Medicare |
$30.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.88
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
| Rate for Payer: UHC Medicare Advantage |
$31.81
|
|
|
CHG RADEX SCAPULA COMPLETE
|
Professional
|
$35.00
|
|
|
Service Code
|
HCPCS 73010
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Medicare |
$23.44
|
| Rate for Payer: Aetna Medicare |
$23.44
|
| Rate for Payer: Aetna Medicare |
$23.44
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| Rate for Payer: BCBS MAPPO |
$22.54
|
| 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 |
$22.54
|
| Rate for Payer: BCN Medicare Advantage |
$22.54
|
| Rate for Payer: BCN Medicare Advantage |
$22.54
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Cofinity Commercial |
$32.46
|
| Rate for Payer: Cofinity Commercial |
$30.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$23.67
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PACE SWMI |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: PHP Medicare Advantage |
$22.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$73.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Medicare |
$22.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.54
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
| Rate for Payer: UHC Medicare Advantage |
$23.22
|
|
|
CHG RADEX SHOULDER 1 VIEW
|
Professional
|
$79.00
|
|
|
Service Code
|
HCPCS 73020
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$55.30 |
| Rate for Payer: Aetna Commercial |
$27.64
|
| Rate for Payer: Aetna Commercial |
$27.64
|
| Rate for Payer: Aetna Medicare |
$21.46
|
| Rate for Payer: Aetna Medicare |
$21.46
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$20.63
|
| Rate for Payer: BCBS MAPPO |
$20.63
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Commercial |
$31.76
|
| Rate for Payer: BCN Medicare Advantage |
$20.63
|
| Rate for Payer: BCN Medicare Advantage |
$20.63
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$27.64
|
| Rate for Payer: Cofinity Commercial |
$29.71
|
| Rate for Payer: Cofinity Commercial |
$27.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.66
|
| Rate for Payer: PACE SWMI |
$20.63
|
| Rate for Payer: PACE SWMI |
$20.63
|
| Rate for Payer: PHP Medicare Advantage |
$20.63
|
| Rate for Payer: PHP Medicare Advantage |
$20.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.30
|
| Rate for Payer: Priority Health Medicare |
$20.63
|
| Rate for Payer: Priority Health Medicare |
$20.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.63
|
| Rate for Payer: UHC Medicare Advantage |
$21.25
|
| Rate for Payer: UHC Medicare Advantage |
$21.25
|
|
|
CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
|
Professional
|
$35.00
|
|
|
Service Code
|
HCPCS 73030
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$78.40 |
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Commercial |
$43.90
|
| Rate for Payer: Aetna Medicare |
$34.07
|
| Rate for Payer: Aetna Medicare |
$34.07
|
| Rate for Payer: Aetna Medicare |
$34.07
|
| Rate for Payer: BCBS Complete |
$44.80
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| Rate for Payer: BCBS MAPPO |
$32.76
|
| 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 |
$32.76
|
| Rate for Payer: BCN Medicare Advantage |
$32.76
|
| Rate for Payer: BCN Medicare Advantage |
$32.76
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$43.90
|
| Rate for Payer: Cofinity Commercial |
$47.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.40
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PACE SWMI |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: PHP Medicare Advantage |
$32.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Medicare |
$32.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.76
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
| Rate for Payer: UHC Medicare Advantage |
$33.74
|
|
|
CHG RADEX SINUSES PARANASAL <3 VIEWS
|
Professional
|
$42.00
|
|
|
Service Code
|
HCPCS 70210
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$49.68 |
| Rate for Payer: Aetna Commercial |
$40.96
|
| Rate for Payer: Aetna Medicare |
$31.79
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$30.57
|
| Rate for Payer: BCN Commercial |
$47.41
|
| Rate for Payer: BCN Medicare Advantage |
$30.57
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$44.02
|
| Rate for Payer: Cofinity Commercial |
$40.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.10
|
| Rate for Payer: PACE SWMI |
$30.57
|
| Rate for Payer: PHP Medicare Advantage |
$30.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.68
|
| Rate for Payer: Priority Health Medicare |
$30.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.57
|
| Rate for Payer: UHC Medicare Advantage |
$31.49
|
|
|
CHG RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
|
Professional
|
$50.00
|
|
|
Service Code
|
HCPCS 70220
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$57.87 |
| Rate for Payer: Aetna Commercial |
$47.78
|
| Rate for Payer: Aetna Commercial |
$47.78
|
| Rate for Payer: Aetna Medicare |
$37.09
|
| Rate for Payer: Aetna Medicare |
$37.09
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS MAPPO |
$35.66
|
| Rate for Payer: BCBS MAPPO |
$35.66
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Commercial |
$55.22
|
| Rate for Payer: BCN Medicare Advantage |
$35.66
|
| Rate for Payer: BCN Medicare Advantage |
$35.66
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$47.78
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Cofinity Commercial |
$47.78
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$37.44
|
| Rate for Payer: PACE SWMI |
$35.66
|
| Rate for Payer: PACE SWMI |
$35.66
|
| Rate for Payer: PHP Medicare Advantage |
$35.66
|
| Rate for Payer: PHP Medicare Advantage |
$35.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health Medicare |
$35.66
|
| Rate for Payer: Priority Health Medicare |
$35.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$35.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.66
|
| Rate for Payer: UHC Medicare Advantage |
$36.73
|
| Rate for Payer: UHC Medicare Advantage |
$36.73
|
|
