|
CHG OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 76519
|
| Min. Negotiated Rate |
$25.00 |
| Max. Negotiated Rate |
$102.36 |
| Rate for Payer: Aetna Commercial |
$76.83
|
| Rate for Payer: Aetna Medicare |
$25.00
|
| Rate for Payer: BCN Commercial |
$101.59
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$102.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.36
|
|
|
CHG OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 76514
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Aetna Commercial |
$13.55
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: BCN Commercial |
$16.93
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.06
|
|
|
CHG PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 86403
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$16.50 |
| Rate for Payer: Aetna Commercial |
$10.96
|
| Rate for Payer: Aetna Medicare |
$11.00
|
| Rate for Payer: BCN Commercial |
$8.66
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.10
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, CT GUIDE
|
Professional
|
Both
|
$275.00
|
|
|
Service Code
|
HCPCS 72292
|
| Min. Negotiated Rate |
$110.00 |
| Max. Negotiated Rate |
$206.25 |
| Rate for Payer: Aetna Medicare |
$137.50
|
| Rate for Payer: BCBS Complete |
$110.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.25
|
|
|
CHG PERCUTANEOUS VERTEBROPLASTY, FLUOR GUIDE
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 72291
|
| Min. Negotiated Rate |
$99.60 |
| Max. Negotiated Rate |
$186.75 |
| Rate for Payer: Aetna Medicare |
$124.50
|
| Rate for Payer: BCBS Complete |
$99.60
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.75
|
|
|
CHG PERITONEOGRAM RS&I
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 74190
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$534.94 |
| Rate for Payer: Aetna Commercial |
$534.94
|
| Rate for Payer: Aetna Medicare |
$23.50
|
| Rate for Payer: BCN Commercial |
$32.38
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$81.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.77
|
|
|
CHG PH BODY FLUID NOT ELSEWHERE SPECIFIED
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS 83986
|
| Min. Negotiated Rate |
$2.69 |
| Max. Negotiated Rate |
$11.25 |
| Rate for Payer: Aetna Commercial |
$3.40
|
| Rate for Payer: Aetna Medicare |
$7.50
|
| Rate for Payer: BCN Commercial |
$2.69
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.70
|
|
|
CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL
|
Professional
|
Both
|
$469.00
|
|
|
Service Code
|
HCPCS 75953
|
| Min. Negotiated Rate |
$187.60 |
| Max. Negotiated Rate |
$351.75 |
| Rate for Payer: Aetna Medicare |
$234.50
|
| Rate for Payer: BCBS Complete |
$187.60
|
| Rate for Payer: Cash Price |
$375.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.75
|
|
|
CHG PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I
|
Professional
|
Both
|
$390.00
|
|
|
Service Code
|
HCPCS 75958
|
| Min. Negotiated Rate |
$156.00 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna Commercial |
$229.01
|
| Rate for Payer: Aetna Medicare |
$195.00
|
| Rate for Payer: BCBS Complete |
$156.00
|
| Rate for Payer: BCN Commercial |
$277.39
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.50
|
|
|
CHG PROTHROMBIN TIME
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 85610
|
| Min. Negotiated Rate |
$4.08 |
| Max. Negotiated Rate |
$8.25 |
| Rate for Payer: Aetna Commercial |
$4.08
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: BCN Commercial |
$4.29
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.38
|
|
|
CHG RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 73050
|
| Min. Negotiated Rate |
$32.39 |
| Max. Negotiated Rate |
$54.75 |
| Rate for Payer: Aetna Commercial |
$32.39
|
| Rate for Payer: Aetna Commercial |
$32.39
|
| Rate for Payer: Aetna Commercial |
$32.39
|
| Rate for Payer: Aetna Medicare |
$28.50
|
| Rate for Payer: Aetna Medicare |
$36.50
|
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: BCN Commercial |
$43.33
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.65
|
|
|
CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 73610
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$54.69 |
| Rate for Payer: Aetna Commercial |
$41.51
|
| Rate for Payer: Aetna Commercial |
$41.51
|
| Rate for Payer: Aetna Commercial |
$41.51
|
| Rate for Payer: Aetna Medicare |
$24.50
|
| Rate for Payer: Aetna Medicare |
$46.00
|
| Rate for Payer: Aetna Medicare |
$16.00
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: BCN Commercial |
$54.28
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$54.69
|
|
|
CHG RADEX CALCANEUS MINIMUM 2 VIEWS
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 73650
|
| Min. Negotiated Rate |
$32.70 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Aetna Commercial |
$32.70
|
| Rate for Payer: Aetna Commercial |
$32.70
|
| Rate for Payer: Aetna Commercial |
$32.70
|
| Rate for Payer: Aetna Medicare |
$20.50
|
| Rate for Payer: Aetna Medicare |
$38.50
|
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: BCN Commercial |
$42.33
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$42.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.64
|
|
|
CHG RADEX CLAVICLE COMPLETE
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS 73000
|
| Min. Negotiated Rate |
$15.50 |
| Max. Negotiated Rate |
$49.17 |
| Rate for Payer: Aetna Commercial |
$36.51
|
| Rate for Payer: Aetna Commercial |
$36.51
|
| Rate for Payer: Aetna Commercial |
$36.51
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: Aetna Medicare |
$48.50
|
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
|
|
CHG RADEX ELBOW 2 VIEWS
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 73070
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$44.14 |
| Rate for Payer: Aetna Commercial |
$33.08
|
| Rate for Payer: Aetna Commercial |
$33.08
|
| Rate for Payer: Aetna Commercial |
$33.08
|
| Rate for Payer: Aetna Medicare |
$14.00
|
| Rate for Payer: Aetna Medicare |
$20.50
|
| Rate for Payer: Aetna Medicare |
$45.50
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: BCN Commercial |
$43.82
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$68.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$44.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$44.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$44.14
|
|
|
CHG RADEX ELBOW ARTHROGRAPHY RS&I
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 73085
|
| Min. Negotiated Rate |
$44.50 |
| Max. Negotiated Rate |
$147.51 |
| Rate for Payer: Aetna Commercial |
$133.37
|
| Rate for Payer: Aetna Medicare |
$44.50
|
| Rate for Payer: BCN Commercial |
$146.40
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$147.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.51
|
|
|
CHG RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$104.00
|
|
|
Service Code
|
HCPCS 73080
|
| Min. Negotiated Rate |
$36.55 |
| Max. Negotiated Rate |
$78.00 |
| Rate for Payer: Aetna Commercial |
$36.55
|
| Rate for Payer: Aetna Commercial |
$36.55
|
| Rate for Payer: Aetna Commercial |
$36.55
|
| Rate for Payer: Aetna Medicare |
$52.00
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: Aetna Medicare |
$24.50
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: BCN Commercial |
$48.80
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 72081
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$71.25 |
| Rate for Payer: Aetna Commercial |
$47.94
|
| Rate for Payer: Aetna Medicare |
$47.50
|
| Rate for Payer: BCN Commercial |
$64.24
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$64.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.73
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 72082
|
| Min. Negotiated Rate |
$17.00 |
| Max. Negotiated Rate |
$105.86 |
| Rate for Payer: Aetna Commercial |
$79.03
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCN Commercial |
$105.08
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$105.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.86
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 72083
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$120.41 |
| Rate for Payer: Aetna Commercial |
$89.48
|
| Rate for Payer: Aetna Medicare |
$19.00
|
| Rate for Payer: BCN Commercial |
$119.51
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$28.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$120.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.41
|
|
|
CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 72084
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$148.01 |
| Rate for Payer: Aetna Commercial |
$110.33
|
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCN Commercial |
$146.91
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$148.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.01
|
|
|
CHG RADEX FACIAL BONES < 3 VIEWS
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 70140
|
| Min. Negotiated Rate |
$9.50 |
| Max. Negotiated Rate |
$48.16 |
| Rate for Payer: Aetna Commercial |
$36.62
|
| Rate for Payer: Aetna Medicare |
$9.50
|
| Rate for Payer: BCN Commercial |
$47.81
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.16
|
|
|
CHG RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 70150
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$71.25 |
| Rate for Payer: Aetna Commercial |
$53.67
|
| Rate for Payer: Aetna Commercial |
$53.67
|
| Rate for Payer: Aetna Commercial |
$53.67
|
| Rate for Payer: Aetna Medicare |
$30.00
|
| Rate for Payer: Aetna Medicare |
$47.50
|
| Rate for Payer: Aetna Medicare |
$13.50
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: BCN Commercial |
$69.71
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$70.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$70.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$70.25
|
|
|
CHG RADEX FINGR MINIMUM 2 VIEWS
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 73140
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$57.70 |
| Rate for Payer: Aetna Commercial |
$42.12
|
| Rate for Payer: Aetna Commercial |
$42.12
|
| Rate for Payer: Aetna Commercial |
$42.12
|
| Rate for Payer: Aetna Medicare |
$26.50
|
| Rate for Payer: Aetna Medicare |
$41.50
|
| Rate for Payer: Aetna Medicare |
$11.50
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: BCN Commercial |
$57.27
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$66.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$62.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$57.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.70
|
|
|
CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 73630
|
| Min. Negotiated Rate |
$38.84 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$38.84
|
| Rate for Payer: Aetna Commercial |
$38.84
|
| Rate for Payer: Aetna Commercial |
$38.84
|
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: Aetna Medicare |
$45.00
|
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: BCN Commercial |
$50.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$67.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.17
|
|
