|
CHG RADIATION TREATMENT DELIVERY 1 MEV+ SIMPLE
|
Professional
|
Both
|
$355.00
|
|
|
Service Code
|
HCPCS 77402
|
| Min. Negotiated Rate |
$106.71 |
| Max. Negotiated Rate |
$1,140.60 |
| Rate for Payer: Aetna Commercial |
$158.33
|
| Rate for Payer: BCBS Complete |
$142.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$106.71
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$197.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.69
|
|
|
CHG RADIATION TREATMENT MANAGEMENT 5 TREATMENTS
|
Professional
|
Both
|
$353.00
|
|
|
Service Code
|
HCPCS 77427
|
| Min. Negotiated Rate |
$121.41 |
| Max. Negotiated Rate |
$2,101.58 |
| Rate for Payer: Aetna Commercial |
$250.94
|
| Rate for Payer: Aetna Medicare |
$194.76
|
| Rate for Payer: BCBS Complete |
$127.48
|
| Rate for Payer: BCBS MAPPO |
$187.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,101.58
|
| Rate for Payer: BCN Commercial |
$278.06
|
| Rate for Payer: BCN Medicare Advantage |
$187.27
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cash Price |
$282.40
|
| Rate for Payer: Cofinity Commercial |
$269.67
|
| Rate for Payer: Cofinity Commercial |
$250.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.27
|
| Rate for Payer: Mclaren Medicaid |
$121.41
|
| Rate for Payer: Meridian Medicaid |
$127.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$196.63
|
| Rate for Payer: PACE SWMI |
$187.27
|
| Rate for Payer: PHP Medicare Advantage |
$187.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.43
|
| Rate for Payer: Priority Health Medicare |
$187.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$291.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.27
|
| Rate for Payer: UHC Medicare Advantage |
$192.89
|
|
|
CHG RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 77401
|
| Min. Negotiated Rate |
$35.60 |
| Max. Negotiated Rate |
$2,336.14 |
| Rate for Payer: Aetna Commercial |
$50.96
|
| Rate for Payer: Aetna Medicare |
$39.55
|
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: BCBS MAPPO |
$38.03
|
| Rate for Payer: BCBS Trust/PPO |
$2,336.14
|
| Rate for Payer: BCN Commercial |
$60.11
|
| Rate for Payer: BCN Medicare Advantage |
$38.03
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$50.96
|
| Rate for Payer: Cofinity Commercial |
$54.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.93
|
| Rate for Payer: PACE SWMI |
$38.03
|
| Rate for Payer: PHP Medicare Advantage |
$38.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.99
|
| Rate for Payer: Priority Health Medicare |
$38.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.03
|
| Rate for Payer: UHC Medicare Advantage |
$39.17
|
|
|
CHG RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I
|
Professional
|
Both
|
$226.00
|
|
|
Service Code
|
HCPCS 75989
|
| Min. Negotiated Rate |
$90.40 |
| Max. Negotiated Rate |
$3,322.48 |
| Rate for Payer: Aetna Commercial |
$145.31
|
| Rate for Payer: Aetna Medicare |
$112.78
|
| Rate for Payer: BCBS Complete |
$90.40
|
| Rate for Payer: BCBS MAPPO |
$108.44
|
| Rate for Payer: BCBS Trust/PPO |
$3,322.48
|
| Rate for Payer: BCN Commercial |
$165.18
|
| Rate for Payer: BCN Medicare Advantage |
$108.44
|
| Rate for Payer: Cash Price |
$180.80
|
| Rate for Payer: Cash Price |
$180.80
|
| Rate for Payer: Cofinity Commercial |
$156.15
|
| Rate for Payer: Cofinity Commercial |
$145.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$113.86
|
| Rate for Payer: PACE SWMI |
$108.44
|
| Rate for Payer: PHP Medicare Advantage |
$108.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$173.11
|
| Rate for Payer: Priority Health Medicare |
$108.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$108.44
|
| Rate for Payer: UHC Medicare Advantage |
$111.69
|
|
|
CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 74018
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$2,936.82 |
| Rate for Payer: Aetna Commercial |
$38.11
|
| Rate for Payer: Aetna Medicare |
$29.58
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS MAPPO |
$28.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,936.82
|
| Rate for Payer: BCN Commercial |
$43.98
|
| Rate for Payer: BCN Medicare Advantage |
$28.44
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$40.95
|
| Rate for Payer: Cofinity Commercial |
$38.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.86
|
| Rate for Payer: PACE SWMI |
$28.44
|
| Rate for Payer: PHP Medicare Advantage |
$28.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.10
|
| Rate for Payer: Priority Health Medicare |
$28.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.44
|
| Rate for Payer: UHC Medicare Advantage |
$29.29
|
|
|
CHG RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 73565
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$113.06 |
| Rate for Payer: Aetna Commercial |
$50.44
|
| Rate for Payer: Aetna Commercial |
$50.44
|
| Rate for Payer: Aetna Commercial |
$50.44
|
| Rate for Payer: Aetna Medicare |
$39.15
|
| Rate for Payer: Aetna Medicare |
$39.15
|
| Rate for Payer: Aetna Medicare |
$39.15
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS MAPPO |
$37.64
|
| Rate for Payer: BCBS MAPPO |
$37.64
|
| Rate for Payer: BCBS MAPPO |
$37.64
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCBS Trust/PPO |
$113.06
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Commercial |
$58.65
|
| Rate for Payer: BCN Medicare Advantage |
$37.64
|
| Rate for Payer: BCN Medicare Advantage |
$37.64
|
| Rate for Payer: BCN Medicare Advantage |
$37.64
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$50.44
|
| Rate for Payer: Cofinity Commercial |
$54.20
|
| Rate for Payer: Cofinity Commercial |
$50.44
|
| Rate for Payer: Cofinity Commercial |
$54.20
|
| Rate for Payer: Cofinity Commercial |
$50.44
|
| Rate for Payer: Cofinity Commercial |
$54.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.52
|
| Rate for Payer: PACE SWMI |
$37.64
|
| Rate for Payer: PACE SWMI |
$37.64
|
| Rate for Payer: PACE SWMI |
$37.64
|
| Rate for Payer: PHP Medicare Advantage |
$37.64
|
| Rate for Payer: PHP Medicare Advantage |
$37.64
|
| Rate for Payer: PHP Medicare Advantage |
$37.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health Medicare |
$37.64
|
| Rate for Payer: Priority Health Medicare |
$37.64
|
| Rate for Payer: Priority Health Medicare |
$37.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.64
|
| Rate for Payer: UHC Medicare Advantage |
$38.77
|
| Rate for Payer: UHC Medicare Advantage |
$38.77
|
| Rate for Payer: UHC Medicare Advantage |
$38.77
|
|
|
CHG RADIOLOGIC EXAM CHEST 2 VIEWS
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 71046
|
| Min. Negotiated Rate |
$22.80 |
| Max. Negotiated Rate |
$1,811.01 |
| Rate for Payer: Aetna Commercial |
$42.83
|
| Rate for Payer: Aetna Medicare |
$33.24
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS MAPPO |
$31.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,811.01
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$31.96
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$46.02
|
| Rate for Payer: Cofinity Commercial |
$42.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$33.56
|
| Rate for Payer: PACE SWMI |
$31.96
|
| Rate for Payer: PHP Medicare Advantage |
$31.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$51.73
|
| Rate for Payer: Priority Health Medicare |
$31.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.96
|
| Rate for Payer: UHC Medicare Advantage |
$32.92
|
|
|
CHG RADIOLOGIC EXAM CHEST 3 VIEWS
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 71047
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$2,027.62 |
| Rate for Payer: Aetna Commercial |
$53.77
|
| Rate for Payer: Aetna Medicare |
$41.74
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS MAPPO |
$40.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,027.62
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$40.13
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$57.79
|
| Rate for Payer: Cofinity Commercial |
$53.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.14
|
| Rate for Payer: PACE SWMI |
$40.13
|
| Rate for Payer: PHP Medicare Advantage |
$40.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.05
|
| Rate for Payer: Priority Health Medicare |
$40.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.13
|
| Rate for Payer: UHC Medicare Advantage |
$41.33
|
|
|
CHG RADIOLOGIC EXAM CHEST SINGLE VIEW
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 71045
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$1,646.71 |
| Rate for Payer: Aetna Commercial |
$33.14
|
| Rate for Payer: Aetna Commercial |
$33.14
|
| Rate for Payer: Aetna Medicare |
$25.72
|
| Rate for Payer: Aetna Medicare |
$25.72
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS MAPPO |
$24.73
|
| Rate for Payer: BCBS MAPPO |
$24.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,646.71
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Medicare Advantage |
$24.73
|
| Rate for Payer: BCN Medicare Advantage |
$24.73
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$35.61
|
| Rate for Payer: Cofinity Commercial |
$33.14
|
| Rate for Payer: Cofinity Commercial |
$33.14
|
| Rate for Payer: Cofinity Commercial |
$35.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$25.97
|
| Rate for Payer: PACE SWMI |
$24.73
|
| Rate for Payer: PACE SWMI |
$24.73
|
| Rate for Payer: PHP Medicare Advantage |
$24.73
|
| Rate for Payer: PHP Medicare Advantage |
$24.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Medicare |
$24.73
|
| Rate for Payer: Priority Health Medicare |
$24.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$24.73
|
| Rate for Payer: UHC Medicare Advantage |
$25.47
|
| Rate for Payer: UHC Medicare Advantage |
$25.47
|
|
|
CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 73600
|
| Min. Negotiated Rate |
$10.80 |
| Max. Negotiated Rate |
$1,179.17 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCBS MAPPO |
$30.85
|
| Rate for Payer: BCBS MAPPO |
$30.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,179.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,179.17
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$30.85
|
| Rate for Payer: BCN Medicare Advantage |
$30.85
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$41.34
|
| Rate for Payer: Cofinity Commercial |
$44.42
|
| Rate for Payer: Cofinity Commercial |
$41.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.39
|
| Rate for Payer: PACE SWMI |
$30.85
|
| Rate for Payer: PACE SWMI |
$30.85
|
| Rate for Payer: PHP Medicare Advantage |
$30.85
|
| Rate for Payer: PHP Medicare Advantage |
$30.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.90
|
| 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 |
$30.85
|
| Rate for Payer: Priority Health Medicare |
$30.85
|
| 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) |
$30.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.85
|
| Rate for Payer: UHC Medicare Advantage |
$31.78
|
| Rate for Payer: UHC Medicare Advantage |
$31.78
|
|
|
CHG RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 70030
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$5,212.15 |
| Rate for Payer: Aetna Commercial |
$41.42
|
| Rate for Payer: Aetna Medicare |
$32.15
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$30.91
|
| Rate for Payer: BCBS Trust/PPO |
$5,212.15
|
| Rate for Payer: BCN Commercial |
$47.89
|
| Rate for Payer: BCN Medicare Advantage |
$30.91
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$41.42
|
| Rate for Payer: Cofinity Commercial |
$44.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.46
|
| Rate for Payer: PACE SWMI |
$30.91
|
| Rate for Payer: PHP Medicare Advantage |
$30.91
|
| 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 Medicare |
$30.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.91
|
| Rate for Payer: UHC Medicare Advantage |
$31.84
|
|
|
CHG RADIOLOGIC EXAMINATION FEMUR 1 VIEW
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73551
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$2,038.18 |
| Rate for Payer: Aetna Commercial |
$37.20
|
| Rate for Payer: Aetna Medicare |
$28.87
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS MAPPO |
$27.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,038.18
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$27.76
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$39.97
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.15
|
| Rate for Payer: PACE SWMI |
$27.76
|
| Rate for Payer: PHP Medicare Advantage |
$27.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$45.07
|
| Rate for Payer: Priority Health Medicare |
$27.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.76
|
| Rate for Payer: UHC Medicare Advantage |
$28.59
|
|
|
CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 73552
|
| Min. Negotiated Rate |
$24.80 |
| Max. Negotiated Rate |
$1,676.30 |
| Rate for Payer: Aetna Commercial |
$45.14
|
| Rate for Payer: Aetna Commercial |
$45.14
|
| Rate for Payer: Aetna Medicare |
$35.04
|
| Rate for Payer: Aetna Medicare |
$35.04
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCBS Complete |
$24.80
|
| Rate for Payer: BCBS MAPPO |
$33.69
|
| Rate for Payer: BCBS MAPPO |
$33.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,676.30
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Medicare Advantage |
$33.69
|
| Rate for Payer: BCN Medicare Advantage |
$33.69
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cofinity Commercial |
$48.51
|
| Rate for Payer: Cofinity Commercial |
$45.14
|
| Rate for Payer: Cofinity Commercial |
$48.51
|
| Rate for Payer: Cofinity Commercial |
$45.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.37
|
| Rate for Payer: PACE SWMI |
$33.69
|
| Rate for Payer: PACE SWMI |
$33.69
|
| Rate for Payer: PHP Medicare Advantage |
$33.69
|
| Rate for Payer: PHP Medicare Advantage |
$33.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$54.80
|
| Rate for Payer: Priority Health Medicare |
$33.69
|
| Rate for Payer: Priority Health Medicare |
$33.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.69
|
| Rate for Payer: UHC Medicare Advantage |
$34.70
|
| Rate for Payer: UHC Medicare Advantage |
$34.70
|
|
|
CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 73620
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$954.11 |
| Rate for Payer: Aetna Commercial |
$35.95
|
| Rate for Payer: Aetna Commercial |
$35.95
|
| Rate for Payer: Aetna Commercial |
$35.95
|
| Rate for Payer: Aetna Medicare |
$27.90
|
| Rate for Payer: Aetna Medicare |
$27.90
|
| Rate for Payer: Aetna Medicare |
$27.90
|
| Rate for Payer: BCBS Complete |
$30.40
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$26.83
|
| Rate for Payer: BCBS MAPPO |
$26.83
|
| Rate for Payer: BCBS MAPPO |
$26.83
|
| Rate for Payer: BCBS Trust/PPO |
$954.11
|
| Rate for Payer: BCBS Trust/PPO |
$954.11
|
| Rate for Payer: BCBS Trust/PPO |
$954.11
|
| Rate for Payer: BCN Commercial |
$41.54
|
| Rate for Payer: BCN Commercial |
$41.54
|
| Rate for Payer: BCN Commercial |
$41.54
|
| Rate for Payer: BCN Medicare Advantage |
$26.83
|
| Rate for Payer: BCN Medicare Advantage |
$26.83
|
| Rate for Payer: BCN Medicare Advantage |
$26.83
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cash Price |
$60.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$38.64
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.64
|
| Rate for Payer: Cofinity Commercial |
$35.95
|
| Rate for Payer: Cofinity Commercial |
$38.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$28.17
|
| Rate for Payer: PACE SWMI |
$26.83
|
| Rate for Payer: PACE SWMI |
$26.83
|
| Rate for Payer: PACE SWMI |
$26.83
|
| Rate for Payer: PHP Medicare Advantage |
$26.83
|
| Rate for Payer: PHP Medicare Advantage |
$26.83
|
| Rate for Payer: PHP Medicare Advantage |
$26.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.53
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.53
|
| Rate for Payer: Priority Health Medicare |
$26.83
|
| Rate for Payer: Priority Health Medicare |
$26.83
|
| Rate for Payer: Priority Health Medicare |
$26.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.83
|
| Rate for Payer: UHC Medicare Advantage |
$27.63
|
| Rate for Payer: UHC Medicare Advantage |
$27.63
|
| Rate for Payer: UHC Medicare Advantage |
$27.63
|
|
|
CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 73560
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$1,586.48 |
| Rate for Payer: Aetna Commercial |
$43.40
|
| Rate for Payer: Aetna Commercial |
$43.40
|
| Rate for Payer: Aetna Commercial |
$43.40
|
| Rate for Payer: Aetna Medicare |
$33.69
|
| Rate for Payer: Aetna Medicare |
$33.69
|
| Rate for Payer: Aetna Medicare |
$33.69
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Complete |
$33.20
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$32.39
|
| Rate for Payer: BCBS MAPPO |
$32.39
|
| Rate for Payer: BCBS MAPPO |
$32.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,586.48
|
| 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 |
$32.39
|
| Rate for Payer: BCN Medicare Advantage |
$32.39
|
| Rate for Payer: BCN Medicare Advantage |
$32.39
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cofinity Commercial |
$46.64
|
| Rate for Payer: Cofinity Commercial |
$43.40
|
| Rate for Payer: Cofinity Commercial |
$46.64
|
| Rate for Payer: Cofinity Commercial |
$43.40
|
| Rate for Payer: Cofinity Commercial |
$43.40
|
| Rate for Payer: Cofinity Commercial |
$46.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.01
|
| Rate for Payer: PACE SWMI |
$32.39
|
| Rate for Payer: PACE SWMI |
$32.39
|
| Rate for Payer: PACE SWMI |
$32.39
|
| Rate for Payer: PHP Medicare Advantage |
$32.39
|
| Rate for Payer: PHP Medicare Advantage |
$32.39
|
| Rate for Payer: PHP Medicare Advantage |
$32.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$58.10
|
| 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 |
$32.39
|
| Rate for Payer: Priority Health Medicare |
$32.39
|
| Rate for Payer: Priority Health Medicare |
$32.39
|
| 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) |
$32.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.39
|
| Rate for Payer: UHC Medicare Advantage |
$33.36
|
| Rate for Payer: UHC Medicare Advantage |
$33.36
|
| Rate for Payer: UHC Medicare Advantage |
$33.36
|
|
|
CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73562
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$2,259.01 |
| Rate for Payer: Aetna Commercial |
$51.35
|
| Rate for Payer: Aetna Commercial |
$51.35
|
| Rate for Payer: Aetna Commercial |
$51.35
|
| Rate for Payer: Aetna Medicare |
$39.85
|
| Rate for Payer: Aetna Medicare |
$39.85
|
| Rate for Payer: Aetna Medicare |
$39.85
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS Complete |
$37.20
|
| Rate for Payer: BCBS MAPPO |
$38.32
|
| Rate for Payer: BCBS MAPPO |
$38.32
|
| Rate for Payer: BCBS MAPPO |
$38.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.01
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$38.32
|
| Rate for Payer: BCN Medicare Advantage |
$38.32
|
| Rate for Payer: BCN Medicare Advantage |
$38.32
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cofinity Commercial |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Cofinity Commercial |
$55.18
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Cofinity Commercial |
$51.35
|
| Rate for Payer: Cofinity Commercial |
$55.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$40.24
|
| Rate for Payer: PACE SWMI |
$38.32
|
| Rate for Payer: PACE SWMI |
$38.32
|
| Rate for Payer: PACE SWMI |
$38.32
|
| Rate for Payer: PHP Medicare Advantage |
$38.32
|
| Rate for Payer: PHP Medicare Advantage |
$38.32
|
| Rate for Payer: PHP Medicare Advantage |
$38.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Medicare |
$38.32
|
| Rate for Payer: Priority Health Medicare |
$38.32
|
| Rate for Payer: Priority Health Medicare |
$38.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.32
|
| Rate for Payer: UHC Medicare Advantage |
$39.47
|
| Rate for Payer: UHC Medicare Advantage |
$39.47
|
| Rate for Payer: UHC Medicare Advantage |
$39.47
|
|
|
CHG RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 70100
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$1,040.22 |
| Rate for Payer: Aetna Commercial |
$48.87
|
| Rate for Payer: Aetna Medicare |
$37.93
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCBS MAPPO |
$36.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$56.68
|
| Rate for Payer: BCN Medicare Advantage |
$36.47
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$52.52
|
| Rate for Payer: Cofinity Commercial |
$48.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$38.29
|
| Rate for Payer: PACE SWMI |
$36.47
|
| Rate for Payer: PHP Medicare Advantage |
$36.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.41
|
| Rate for Payer: Priority Health Medicare |
$36.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.47
|
| Rate for Payer: UHC Medicare Advantage |
$37.56
|
|
|
CHG RADIOLOGIC EXAMINATION NECK SOFT TISSUE
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 70360
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$2,020.75 |
| Rate for Payer: Aetna Commercial |
$40.17
|
| Rate for Payer: Aetna Medicare |
$31.18
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCBS MAPPO |
$29.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,020.75
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$29.98
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$40.17
|
| Rate for Payer: Cofinity Commercial |
$43.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.48
|
| Rate for Payer: PACE SWMI |
$29.98
|
| Rate for Payer: PHP Medicare Advantage |
$29.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$22.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health Medicare |
$29.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.98
|
| Rate for Payer: UHC Medicare Advantage |
$30.88
|
|
|
CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72170
|
| Min. Negotiated Rate |
$17.60 |
| Max. Negotiated Rate |
$1,953.65 |
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Commercial |
$35.59
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: Aetna Medicare |
$27.62
|
| Rate for Payer: BCBS Complete |
$46.80
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS MAPPO |
$26.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,953.65
|
| Rate for Payer: BCN Commercial |
$41.05
|
| Rate for Payer: BCN Commercial |
$41.05
|
| Rate for Payer: BCN Commercial |
$41.05
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: BCN Medicare Advantage |
$26.56
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Cofinity Commercial |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$35.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$27.89
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PACE SWMI |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: PHP Medicare Advantage |
$26.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$81.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.03
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.03
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$26.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.56
|
| Rate for Payer: UHC Medicare Advantage |
$27.36
|
| Rate for Payer: UHC Medicare Advantage |
$27.36
|
| Rate for Payer: UHC Medicare Advantage |
$27.36
|
|
|
CHG RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 72200
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$2,183.46 |
| Rate for Payer: Aetna Commercial |
$41.79
|
| Rate for Payer: Aetna Medicare |
$32.44
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS MAPPO |
$31.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,183.46
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$31.19
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cofinity Commercial |
$41.79
|
| Rate for Payer: Cofinity Commercial |
$44.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.75
|
| Rate for Payer: PACE SWMI |
$31.19
|
| Rate for Payer: PHP Medicare Advantage |
$31.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.71
|
| Rate for Payer: Priority Health Medicare |
$31.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.19
|
| Rate for Payer: UHC Medicare Advantage |
$32.13
|
|
|
CHG RADIOLOGIC EXAMINATION SKULL 4< VIEWS
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 70250
|
| Min. Negotiated Rate |
$18.80 |
| Max. Negotiated Rate |
$1,779.84 |
| Rate for Payer: Aetna Commercial |
$45.56
|
| Rate for Payer: Aetna Medicare |
$35.36
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$34.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,779.84
|
| Rate for Payer: BCN Commercial |
$52.78
|
| Rate for Payer: BCN Medicare Advantage |
$34.00
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$45.56
|
| Rate for Payer: Cofinity Commercial |
$48.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.70
|
| Rate for Payer: PACE SWMI |
$34.00
|
| Rate for Payer: PHP Medicare Advantage |
$34.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.32
|
| Rate for Payer: Priority Health Medicare |
$34.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.00
|
| Rate for Payer: UHC Medicare Advantage |
$35.02
|
|
|
CHG RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 73590
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$598.56 |
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Commercial |
$40.09
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: Aetna Medicare |
$31.12
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: BCBS Complete |
$14.40
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS MAPPO |
$29.92
|
| Rate for Payer: BCBS Trust/PPO |
$598.56
|
| Rate for Payer: BCBS Trust/PPO |
$598.56
|
| Rate for Payer: BCBS Trust/PPO |
$598.56
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: BCN Medicare Advantage |
$29.92
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$43.08
|
| Rate for Payer: Cofinity Commercial |
$40.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.42
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PACE SWMI |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: PHP Medicare Advantage |
$29.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| Rate for Payer: Priority Health Medicare |
$29.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.92
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
|
|
CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 73564
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$1,700.07 |
| Rate for Payer: Aetna Commercial |
$58.96
|
| Rate for Payer: Aetna Commercial |
$58.96
|
| Rate for Payer: Aetna Commercial |
$58.96
|
| Rate for Payer: Aetna Medicare |
$45.76
|
| Rate for Payer: Aetna Medicare |
$45.76
|
| Rate for Payer: Aetna Medicare |
$45.76
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS Complete |
$44.40
|
| Rate for Payer: BCBS MAPPO |
$44.00
|
| Rate for Payer: BCBS MAPPO |
$44.00
|
| Rate for Payer: BCBS MAPPO |
$44.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,700.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,700.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,700.07
|
| Rate for Payer: BCN Commercial |
$68.41
|
| Rate for Payer: BCN Commercial |
$68.41
|
| Rate for Payer: BCN Commercial |
$68.41
|
| Rate for Payer: BCN Medicare Advantage |
$44.00
|
| Rate for Payer: BCN Medicare Advantage |
$44.00
|
| Rate for Payer: BCN Medicare Advantage |
$44.00
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$58.96
|
| Rate for Payer: Cofinity Commercial |
$63.36
|
| Rate for Payer: Cofinity Commercial |
$58.96
|
| Rate for Payer: Cofinity Commercial |
$63.36
|
| Rate for Payer: Cofinity Commercial |
$58.96
|
| Rate for Payer: Cofinity Commercial |
$63.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.20
|
| Rate for Payer: PACE SWMI |
$44.00
|
| Rate for Payer: PACE SWMI |
$44.00
|
| Rate for Payer: PACE SWMI |
$44.00
|
| Rate for Payer: PHP Medicare Advantage |
$44.00
|
| Rate for Payer: PHP Medicare Advantage |
$44.00
|
| Rate for Payer: PHP Medicare Advantage |
$44.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.70
|
| Rate for Payer: Priority Health Medicare |
$44.00
|
| Rate for Payer: Priority Health Medicare |
$44.00
|
| Rate for Payer: Priority Health Medicare |
$44.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.00
|
| Rate for Payer: UHC Medicare Advantage |
$45.32
|
| Rate for Payer: UHC Medicare Advantage |
$45.32
|
| Rate for Payer: UHC Medicare Advantage |
$45.32
|
|
|
CHG RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 72190
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$1,716.45 |
| Rate for Payer: Aetna Commercial |
$53.69
|
| Rate for Payer: Aetna Commercial |
$53.69
|
| Rate for Payer: Aetna Medicare |
$41.67
|
| Rate for Payer: Aetna Medicare |
$41.67
|
| Rate for Payer: BCBS Complete |
$21.60
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS MAPPO |
$40.07
|
| Rate for Payer: BCBS MAPPO |
$40.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,716.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,716.45
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Commercial |
$62.06
|
| Rate for Payer: BCN Medicare Advantage |
$40.07
|
| Rate for Payer: BCN Medicare Advantage |
$40.07
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$53.69
|
| Rate for Payer: Cofinity Commercial |
$57.70
|
| Rate for Payer: Cofinity Commercial |
$53.69
|
| Rate for Payer: Cofinity Commercial |
$57.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$42.07
|
| Rate for Payer: PACE SWMI |
$40.07
|
| Rate for Payer: PACE SWMI |
$40.07
|
| Rate for Payer: PHP Medicare Advantage |
$40.07
|
| Rate for Payer: PHP Medicare Advantage |
$40.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.80
|
| 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 |
$40.07
|
| Rate for Payer: Priority Health Medicare |
$40.07
|
| 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) |
$40.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.07
|
| Rate for Payer: UHC Medicare Advantage |
$41.27
|
| Rate for Payer: UHC Medicare Advantage |
$41.27
|
|
|
CHG RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 72202
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$378.26 |
| Rate for Payer: Aetna Commercial |
$49.89
|
| Rate for Payer: Aetna Commercial |
$49.89
|
| Rate for Payer: Aetna Medicare |
$38.72
|
| Rate for Payer: Aetna Medicare |
$38.72
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCBS MAPPO |
$37.23
|
| Rate for Payer: BCBS MAPPO |
$37.23
|
| Rate for Payer: BCBS Trust/PPO |
$378.26
|
| Rate for Payer: BCBS Trust/PPO |
$378.26
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Medicare Advantage |
$37.23
|
| Rate for Payer: BCN Medicare Advantage |
$37.23
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cofinity Commercial |
$49.89
|
| Rate for Payer: Cofinity Commercial |
$49.89
|
| Rate for Payer: Cofinity Commercial |
$53.61
|
| Rate for Payer: Cofinity Commercial |
$53.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$39.09
|
| Rate for Payer: PACE SWMI |
$37.23
|
| Rate for Payer: PACE SWMI |
$37.23
|
| Rate for Payer: PHP Medicare Advantage |
$37.23
|
| Rate for Payer: PHP Medicare Advantage |
$37.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.44
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.44
|
| Rate for Payer: Priority Health Medicare |
$37.23
|
| Rate for Payer: Priority Health Medicare |
$37.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$37.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.23
|
| Rate for Payer: UHC Medicare Advantage |
$38.35
|
| Rate for Payer: UHC Medicare Advantage |
$38.35
|
|
