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Charge Type Setting Price  
Service Code HCPCS 69000
Min. Negotiated Rate $80.94
Max. Negotiated Rate $5,524.43
Rate for Payer: Aetna Commercial $162.84
Rate for Payer: Aetna Medicare $126.38
Rate for Payer: BCBS Complete $84.99
Rate for Payer: BCBS MAPPO $121.52
Rate for Payer: BCBS Trust/PPO $5,524.43
Rate for Payer: BCN Commercial $275.12
Rate for Payer: BCN Medicare Advantage $121.52
Rate for Payer: Cash Price $248.80
Rate for Payer: Cash Price $248.80
Rate for Payer: Cofinity Commercial $162.84
Rate for Payer: Cofinity Commercial $174.99
Rate for Payer: Health Alliance Plan Medicare Advantage $121.52
Rate for Payer: Mclaren Medicaid $80.94
Rate for Payer: Meridian Medicaid $84.99
Rate for Payer: Meridian Wellcare - Medicare Advantage $127.60
Rate for Payer: PACE SWMI $121.52
Rate for Payer: PHP Medicare Advantage $121.52
Rate for Payer: Priority Health Choice Medicaid $80.94
Rate for Payer: Priority Health Cigna Priority Health $217.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $176.80
Rate for Payer: Priority Health Medicare $121.52
Rate for Payer: Priority Health Narrow/Tiered Network $176.80
Rate for Payer: UHC All Payor (Choice/PPO) $121.52
Rate for Payer: UHC Dual Complete DSNP $121.52
Rate for Payer: UHC Medicare Advantage $125.17
Service Code HCPCS 26011
Min. Negotiated Rate $119.92
Max. Negotiated Rate $712.98
Rate for Payer: Aetna Commercial $243.79
Rate for Payer: Aetna Medicare $189.21
Rate for Payer: BCBS Complete $125.92
Rate for Payer: BCBS MAPPO $181.93
Rate for Payer: BCBS Trust/PPO $452.09
Rate for Payer: BCN Commercial $712.98
Rate for Payer: BCN Medicare Advantage $181.93
Rate for Payer: Cash Price $636.00
Rate for Payer: Cash Price $636.00
Rate for Payer: Cofinity Commercial $243.79
Rate for Payer: Cofinity Commercial $261.98
Rate for Payer: Health Alliance Plan Medicare Advantage $181.93
Rate for Payer: Mclaren Medicaid $119.92
Rate for Payer: Meridian Medicaid $125.92
Rate for Payer: Meridian Wellcare - Medicare Advantage $191.03
Rate for Payer: PACE SWMI $181.93
Rate for Payer: PHP Medicare Advantage $181.93
Rate for Payer: Priority Health Choice Medicaid $119.92
Rate for Payer: Priority Health Cigna Priority Health $556.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $285.97
Rate for Payer: Priority Health Medicare $181.93
Rate for Payer: Priority Health Narrow/Tiered Network $285.97
Rate for Payer: UHC All Payor (Choice/PPO) $181.93
Rate for Payer: UHC Dual Complete DSNP $181.93
Rate for Payer: UHC Medicare Advantage $187.39
Service Code HCPCS 26010
Min. Negotiated Rate $91.59
Max. Negotiated Rate $509.69
Rate for Payer: Aetna Commercial $184.26
Rate for Payer: Aetna Medicare $143.01
Rate for Payer: BCBS Complete $96.17
Rate for Payer: BCBS MAPPO $137.51
Rate for Payer: BCBS Trust/PPO $348.51
Rate for Payer: BCN Commercial $509.69
Rate for Payer: BCN Medicare Advantage $137.51
Rate for Payer: Cash Price $452.00
Rate for Payer: Cash Price $452.00
Rate for Payer: Cofinity Commercial $184.26
Rate for Payer: Cofinity Commercial $198.01
Rate for Payer: Health Alliance Plan Medicare Advantage $137.51
Rate for Payer: Mclaren Medicaid $91.59
Rate for Payer: Meridian Medicaid $96.17
Rate for Payer: Meridian Wellcare - Medicare Advantage $144.39
Rate for Payer: PACE SWMI $137.51
Rate for Payer: PHP Medicare Advantage $137.51
Rate for Payer: Priority Health Choice Medicaid $91.59
Rate for Payer: Priority Health Cigna Priority Health $395.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $217.03
Rate for Payer: Priority Health Medicare $137.51
Rate for Payer: Priority Health Narrow/Tiered Network $217.03
Rate for Payer: UHC All Payor (Choice/PPO) $137.51
Rate for Payer: UHC Dual Complete DSNP $137.51
Rate for Payer: UHC Medicare Advantage $141.64
Service Code HCPCS 26030
Min. Negotiated Rate $104.00
Max. Negotiated Rate $2,181.20
Rate for Payer: Aetna Commercial $649.58
Rate for Payer: Aetna Medicare $504.15
Rate for Payer: BCBS Complete $336.37
Rate for Payer: BCBS MAPPO $484.76
Rate for Payer: BCBS Trust/PPO $104.00
Rate for Payer: BCN Commercial $727.15
Rate for Payer: BCN Medicare Advantage $484.76
Rate for Payer: Cash Price $2,492.80
Rate for Payer: Cash Price $2,492.80
Rate for Payer: Cofinity Commercial $698.05
Rate for Payer: Cofinity Commercial $649.58
Rate for Payer: Health Alliance Plan Medicare Advantage $484.76
Rate for Payer: Mclaren Medicaid $320.35
Rate for Payer: Meridian Medicaid $336.37
Rate for Payer: Meridian Wellcare - Medicare Advantage $509.00
Rate for Payer: PACE SWMI $484.76
Rate for Payer: PHP Medicare Advantage $484.76
Rate for Payer: Priority Health Choice Medicaid $320.35
Rate for Payer: Priority Health Cigna Priority Health $2,181.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $759.84
Rate for Payer: Priority Health Medicare $484.76
Rate for Payer: Priority Health Narrow/Tiered Network $759.84
Rate for Payer: UHC All Payor (Choice/PPO) $484.76
Rate for Payer: UHC Dual Complete DSNP $484.76
Rate for Payer: UHC Medicare Advantage $499.30
Service Code HCPCS 26025
Min. Negotiated Rate $84.90
Max. Negotiated Rate $935.20
Rate for Payer: Aetna Commercial $553.92
Rate for Payer: Aetna Medicare $429.90
Rate for Payer: BCBS Complete $287.16
Rate for Payer: BCBS MAPPO $413.37
Rate for Payer: BCBS Trust/PPO $84.90
Rate for Payer: BCN Commercial $621.60
Rate for Payer: BCN Medicare Advantage $413.37
Rate for Payer: Cash Price $1,068.80
Rate for Payer: Cash Price $1,068.80
Rate for Payer: Cofinity Commercial $595.25
Rate for Payer: Cofinity Commercial $553.92
Rate for Payer: Health Alliance Plan Medicare Advantage $413.37
Rate for Payer: Mclaren Medicaid $273.49
Rate for Payer: Meridian Medicaid $287.16
Rate for Payer: Meridian Wellcare - Medicare Advantage $434.04
Rate for Payer: PACE SWMI $413.37
Rate for Payer: PHP Medicare Advantage $413.37
Rate for Payer: Priority Health Choice Medicaid $273.49
Rate for Payer: Priority Health Cigna Priority Health $935.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $649.55
Rate for Payer: Priority Health Medicare $413.37
Rate for Payer: Priority Health Narrow/Tiered Network $649.55
Rate for Payer: UHC All Payor (Choice/PPO) $413.37
Rate for Payer: UHC Dual Complete DSNP $413.37
Rate for Payer: UHC Medicare Advantage $425.77
Service Code HCPCS 49060
Min. Negotiated Rate $698.85
Max. Negotiated Rate $1,919.15
Rate for Payer: Aetna Commercial $1,455.62
Rate for Payer: Aetna Medicare $1,129.73
Rate for Payer: BCBS Complete $733.79
Rate for Payer: BCBS MAPPO $1,086.28
Rate for Payer: BCBS Trust/PPO $798.26
Rate for Payer: BCN Commercial $1,595.04
Rate for Payer: BCN Medicare Advantage $1,086.28
Rate for Payer: Cash Price $1,764.00
Rate for Payer: Cash Price $1,764.00
Rate for Payer: Cofinity Commercial $1,564.24
Rate for Payer: Cofinity Commercial $1,455.62
Rate for Payer: Health Alliance Plan Medicare Advantage $1,086.28
Rate for Payer: Mclaren Medicaid $698.85
Rate for Payer: Meridian Medicaid $733.79
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,140.59
Rate for Payer: PACE SWMI $1,086.28
Rate for Payer: PHP Medicare Advantage $1,086.28
Rate for Payer: Priority Health Choice Medicaid $698.85
Rate for Payer: Priority Health Cigna Priority Health $1,543.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,919.15
Rate for Payer: Priority Health Medicare $1,086.28
Rate for Payer: Priority Health Narrow/Tiered Network $1,919.15
Rate for Payer: UHC All Payor (Choice/PPO) $1,086.28
Rate for Payer: UHC Dual Complete DSNP $1,086.28
Rate for Payer: UHC Medicare Advantage $1,118.87
Service Code HCPCS 58822
Min. Negotiated Rate $280.53
Max. Negotiated Rate $1,183.70
Rate for Payer: Aetna Commercial $951.25
Rate for Payer: Aetna Medicare $738.29
Rate for Payer: BCBS Complete $482.63
Rate for Payer: BCBS MAPPO $709.89
Rate for Payer: BCBS Trust/PPO $280.53
Rate for Payer: BCN Commercial $1,050.17
Rate for Payer: BCN Medicare Advantage $709.89
Rate for Payer: Cash Price $1,352.80
Rate for Payer: Cash Price $1,352.80
Rate for Payer: Cofinity Commercial $951.25
Rate for Payer: Cofinity Commercial $1,022.24
Rate for Payer: Health Alliance Plan Medicare Advantage $709.89
Rate for Payer: Mclaren Medicaid $459.65
Rate for Payer: Meridian Medicaid $482.63
Rate for Payer: Meridian Wellcare - Medicare Advantage $745.38
Rate for Payer: PACE SWMI $709.89
Rate for Payer: PHP Medicare Advantage $709.89
Rate for Payer: Priority Health Choice Medicaid $459.65
Rate for Payer: Priority Health Cigna Priority Health $1,183.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,017.39
Rate for Payer: Priority Health Medicare $709.89
Rate for Payer: Priority Health Narrow/Tiered Network $1,017.39
Rate for Payer: UHC All Payor (Choice/PPO) $709.89
Rate for Payer: UHC Dual Complete DSNP $709.89
Rate for Payer: UHC Medicare Advantage $731.19
Service Code HCPCS 58820
Min. Negotiated Rate $136.83
Max. Negotiated Rate $615.30
Rate for Payer: Aetna Commercial $448.44
Rate for Payer: Aetna Medicare $348.05
Rate for Payer: BCBS Complete $230.14
Rate for Payer: BCBS MAPPO $334.66
Rate for Payer: BCBS Trust/PPO $136.83
Rate for Payer: BCN Commercial $500.41
Rate for Payer: BCN Medicare Advantage $334.66
Rate for Payer: Cash Price $703.20
Rate for Payer: Cash Price $703.20
Rate for Payer: Cofinity Commercial $481.91
Rate for Payer: Cofinity Commercial $448.44
Rate for Payer: Health Alliance Plan Medicare Advantage $334.66
Rate for Payer: Mclaren Medicaid $219.18
Rate for Payer: Meridian Medicaid $230.14
Rate for Payer: Meridian Wellcare - Medicare Advantage $351.39
Rate for Payer: PACE SWMI $334.66
Rate for Payer: PHP Medicare Advantage $334.66
Rate for Payer: Priority Health Choice Medicaid $219.18
Rate for Payer: Priority Health Cigna Priority Health $615.30
Rate for Payer: Priority Health HMO/PPO/Tiered Network $484.78
Rate for Payer: Priority Health Medicare $334.66
Rate for Payer: Priority Health Narrow/Tiered Network $484.78
Rate for Payer: UHC All Payor (Choice/PPO) $334.66
Rate for Payer: UHC Dual Complete DSNP $334.66
Rate for Payer: UHC Medicare Advantage $344.70
Service Code HCPCS 58805
Min. Negotiated Rate $275.77
Max. Negotiated Rate $1,106.00
Rate for Payer: Aetna Commercial $567.95
Rate for Payer: Aetna Medicare $440.79
Rate for Payer: BCBS Complete $290.29
Rate for Payer: BCBS MAPPO $423.84
Rate for Payer: BCBS Trust/PPO $275.77
Rate for Payer: BCN Commercial $630.89
Rate for Payer: BCN Medicare Advantage $423.84
Rate for Payer: Cash Price $1,264.00
Rate for Payer: Cash Price $1,264.00
Rate for Payer: Cofinity Commercial $610.33
Rate for Payer: Cofinity Commercial $567.95
Rate for Payer: Health Alliance Plan Medicare Advantage $423.84
Rate for Payer: Mclaren Medicaid $276.47
Rate for Payer: Meridian Medicaid $290.29
Rate for Payer: Meridian Wellcare - Medicare Advantage $445.03
Rate for Payer: PACE SWMI $423.84
Rate for Payer: PHP Medicare Advantage $423.84
Rate for Payer: Priority Health Choice Medicaid $276.47
Rate for Payer: Priority Health Cigna Priority Health $1,106.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $611.19
Rate for Payer: Priority Health Medicare $423.84
Rate for Payer: Priority Health Narrow/Tiered Network $611.19
Rate for Payer: UHC All Payor (Choice/PPO) $423.84
Rate for Payer: UHC Dual Complete DSNP $423.84
Rate for Payer: UHC Medicare Advantage $436.56
Service Code HCPCS 58800
Min. Negotiated Rate $203.84
Max. Negotiated Rate $681.80
Rate for Payer: Aetna Commercial $417.69
Rate for Payer: Aetna Medicare $324.18
Rate for Payer: BCBS Complete $214.03
Rate for Payer: BCBS MAPPO $311.71
Rate for Payer: BCBS Trust/PPO $503.47
Rate for Payer: BCN Commercial $535.10
Rate for Payer: BCN Medicare Advantage $311.71
Rate for Payer: Cash Price $779.20
Rate for Payer: Cash Price $779.20
Rate for Payer: Cofinity Commercial $448.86
Rate for Payer: Cofinity Commercial $417.69
Rate for Payer: Health Alliance Plan Medicare Advantage $311.71
Rate for Payer: Mclaren Medicaid $203.84
Rate for Payer: Meridian Medicaid $214.03
Rate for Payer: Meridian Wellcare - Medicare Advantage $327.30
Rate for Payer: PACE SWMI $311.71
Rate for Payer: PHP Medicare Advantage $311.71
Rate for Payer: Priority Health Choice Medicaid $203.84
Rate for Payer: Priority Health Cigna Priority Health $681.80
Rate for Payer: Priority Health HMO/PPO/Tiered Network $450.23
Rate for Payer: Priority Health Medicare $311.71
Rate for Payer: Priority Health Narrow/Tiered Network $450.23
Rate for Payer: UHC All Payor (Choice/PPO) $311.71
Rate for Payer: UHC Dual Complete DSNP $311.71
Rate for Payer: UHC Medicare Advantage $321.06
Service Code HCPCS 49020
Min. Negotiated Rate $537.81
Max. Negotiated Rate $2,791.69
Rate for Payer: Aetna Commercial $2,117.62
Rate for Payer: Aetna Medicare $1,643.52
Rate for Payer: BCBS Complete $1,068.83
Rate for Payer: BCBS MAPPO $1,580.31
Rate for Payer: BCBS Trust/PPO $537.81
Rate for Payer: BCN Commercial $2,320.24
Rate for Payer: BCN Medicare Advantage $1,580.31
Rate for Payer: Cash Price $2,218.40
Rate for Payer: Cash Price $2,218.40
Rate for Payer: Cofinity Commercial $2,275.65
Rate for Payer: Cofinity Commercial $2,117.62
Rate for Payer: Health Alliance Plan Medicare Advantage $1,580.31
Rate for Payer: Mclaren Medicaid $1,017.93
Rate for Payer: Meridian Medicaid $1,068.83
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,659.33
Rate for Payer: PACE SWMI $1,580.31
Rate for Payer: PHP Medicare Advantage $1,580.31
Rate for Payer: Priority Health Choice Medicaid $1,017.93
Rate for Payer: Priority Health Cigna Priority Health $1,941.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $2,791.69
Rate for Payer: Priority Health Medicare $1,580.31
Rate for Payer: Priority Health Narrow/Tiered Network $2,791.69
Rate for Payer: UHC All Payor (Choice/PPO) $1,580.31
Rate for Payer: UHC Dual Complete DSNP $1,580.31
Rate for Payer: UHC Medicare Advantage $1,627.72
Service Code HCPCS 55100
Min. Negotiated Rate $107.99
Max. Negotiated Rate $1,199.77
Rate for Payer: Aetna Commercial $218.53
Rate for Payer: Aetna Medicare $169.60
Rate for Payer: BCBS Complete $113.39
Rate for Payer: BCBS MAPPO $163.08
Rate for Payer: BCBS Trust/PPO $1,199.77
Rate for Payer: BCN Commercial $336.70
Rate for Payer: BCN Medicare Advantage $163.08
Rate for Payer: Cash Price $312.80
Rate for Payer: Cash Price $312.80
Rate for Payer: Cofinity Commercial $234.84
Rate for Payer: Cofinity Commercial $218.53
Rate for Payer: Health Alliance Plan Medicare Advantage $163.08
Rate for Payer: Mclaren Medicaid $107.99
Rate for Payer: Meridian Medicaid $113.39
Rate for Payer: Meridian Wellcare - Medicare Advantage $171.23
Rate for Payer: PACE SWMI $163.08
Rate for Payer: PHP Medicare Advantage $163.08
Rate for Payer: Priority Health Choice Medicaid $107.99
Rate for Payer: Priority Health Cigna Priority Health $273.70
Rate for Payer: Priority Health HMO/PPO/Tiered Network $269.10
Rate for Payer: Priority Health Medicare $163.08
Rate for Payer: Priority Health Narrow/Tiered Network $269.10
Rate for Payer: UHC All Payor (Choice/PPO) $163.08
Rate for Payer: UHC Dual Complete DSNP $163.08
Rate for Payer: UHC Medicare Advantage $167.97
Service Code HCPCS 49040
Min. Negotiated Rate $640.83
Max. Negotiated Rate $1,763.34
Rate for Payer: Aetna Commercial $1,335.77
Rate for Payer: Aetna Medicare $1,036.71
Rate for Payer: BCBS Complete $673.41
Rate for Payer: BCBS MAPPO $996.84
Rate for Payer: BCBS Trust/PPO $640.83
Rate for Payer: BCN Commercial $1,465.54
Rate for Payer: BCN Medicare Advantage $996.84
Rate for Payer: Cash Price $1,744.00
Rate for Payer: Cash Price $1,744.00
Rate for Payer: Cofinity Commercial $1,435.45
Rate for Payer: Cofinity Commercial $1,335.77
Rate for Payer: Health Alliance Plan Medicare Advantage $996.84
Rate for Payer: Mclaren Medicaid $641.34
Rate for Payer: Meridian Medicaid $673.41
Rate for Payer: Meridian Wellcare - Medicare Advantage $1,046.68
Rate for Payer: PACE SWMI $996.84
Rate for Payer: PHP Medicare Advantage $996.84
Rate for Payer: Priority Health Choice Medicaid $641.34
Rate for Payer: Priority Health Cigna Priority Health $1,526.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,763.34
Rate for Payer: Priority Health Medicare $996.84
Rate for Payer: Priority Health Narrow/Tiered Network $1,763.34
Rate for Payer: UHC All Payor (Choice/PPO) $996.84
Rate for Payer: UHC Dual Complete DSNP $996.84
Rate for Payer: UHC Medicare Advantage $1,026.75
Service Code HCPCS 26020
Min. Negotiated Rate $362.31
Max. Negotiated Rate $860.45
Rate for Payer: Aetna Commercial $734.28
Rate for Payer: Aetna Medicare $569.89
Rate for Payer: BCBS Complete $380.43
Rate for Payer: BCBS MAPPO $547.97
Rate for Payer: BCBS Trust/PPO $663.49
Rate for Payer: BCN Commercial $823.43
Rate for Payer: BCN Medicare Advantage $547.97
Rate for Payer: Cash Price $600.00
Rate for Payer: Cash Price $600.00
Rate for Payer: Cofinity Commercial $789.08
Rate for Payer: Cofinity Commercial $734.28
Rate for Payer: Health Alliance Plan Medicare Advantage $547.97
Rate for Payer: Mclaren Medicaid $362.31
Rate for Payer: Meridian Medicaid $380.43
Rate for Payer: Meridian Wellcare - Medicare Advantage $575.37
Rate for Payer: PACE SWMI $547.97
Rate for Payer: PHP Medicare Advantage $547.97
Rate for Payer: Priority Health Choice Medicaid $362.31
Rate for Payer: Priority Health Cigna Priority Health $525.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $860.45
Rate for Payer: Priority Health Medicare $547.97
Rate for Payer: Priority Health Narrow/Tiered Network $860.45
Rate for Payer: UHC All Payor (Choice/PPO) $547.97
Rate for Payer: UHC Dual Complete DSNP $547.97
Rate for Payer: UHC Medicare Advantage $564.41
Service Code HCPCS 15852
Min. Negotiated Rate $28.33
Max. Negotiated Rate $450.00
Rate for Payer: Aetna Commercial $61.43
Rate for Payer: Aetna Medicare $47.67
Rate for Payer: BCBS Complete $29.75
Rate for Payer: BCBS MAPPO $45.84
Rate for Payer: BCBS Trust/PPO $450.00
Rate for Payer: BCN Commercial $66.95
Rate for Payer: BCN Medicare Advantage $45.84
Rate for Payer: Cash Price $133.60
Rate for Payer: Cash Price $133.60
Rate for Payer: Cofinity Commercial $66.01
Rate for Payer: Cofinity Commercial $61.43
Rate for Payer: Health Alliance Plan Medicare Advantage $45.84
Rate for Payer: Mclaren Medicaid $28.33
Rate for Payer: Meridian Medicaid $29.75
Rate for Payer: Meridian Wellcare - Medicare Advantage $48.13
Rate for Payer: PACE SWMI $45.84
Rate for Payer: PHP Medicare Advantage $45.84
Rate for Payer: Priority Health Choice Medicaid $28.33
Rate for Payer: Priority Health Cigna Priority Health $116.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $56.32
Rate for Payer: Priority Health Medicare $45.84
Rate for Payer: Priority Health Narrow/Tiered Network $56.32
Rate for Payer: UHC All Payor (Choice/PPO) $45.84
Rate for Payer: UHC Dual Complete DSNP $45.84
Rate for Payer: UHC Medicare Advantage $47.22
Service Code HCPCS 41800
Min. Negotiated Rate $99.26
Max. Negotiated Rate $2,059.31
Rate for Payer: Aetna Commercial $197.90
Rate for Payer: Aetna Medicare $153.60
Rate for Payer: BCBS Complete $104.22
Rate for Payer: BCBS MAPPO $147.69
Rate for Payer: BCBS Trust/PPO $2,059.31
Rate for Payer: BCN Commercial $429.55
Rate for Payer: BCN Medicare Advantage $147.69
Rate for Payer: Cash Price $437.60
Rate for Payer: Cash Price $437.60
Rate for Payer: Cofinity Commercial $212.67
Rate for Payer: Cofinity Commercial $197.90
Rate for Payer: Health Alliance Plan Medicare Advantage $147.69
Rate for Payer: Mclaren Medicaid $99.26
Rate for Payer: Meridian Medicaid $104.22
Rate for Payer: Meridian Wellcare - Medicare Advantage $155.07
Rate for Payer: PACE SWMI $147.69
Rate for Payer: PHP Medicare Advantage $147.69
Rate for Payer: Priority Health Choice Medicaid $99.26
Rate for Payer: Priority Health Cigna Priority Health $382.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $271.65
Rate for Payer: Priority Health Medicare $147.69
Rate for Payer: Priority Health Narrow/Tiered Network $271.65
Rate for Payer: UHC All Payor (Choice/PPO) $147.69
Rate for Payer: UHC Dual Complete DSNP $147.69
Rate for Payer: UHC Medicare Advantage $152.12
Service Code HCPCS 40801
Min. Negotiated Rate $127.37
Max. Negotiated Rate $1,779.31
Rate for Payer: Aetna Commercial $256.23
Rate for Payer: Aetna Medicare $198.87
Rate for Payer: BCBS Complete $133.74
Rate for Payer: BCBS MAPPO $191.22
Rate for Payer: BCBS Trust/PPO $1,779.31
Rate for Payer: BCN Commercial $425.15
Rate for Payer: BCN Medicare Advantage $191.22
Rate for Payer: Cash Price $496.00
Rate for Payer: Cash Price $496.00
Rate for Payer: Cofinity Commercial $275.36
Rate for Payer: Cofinity Commercial $256.23
Rate for Payer: Health Alliance Plan Medicare Advantage $191.22
Rate for Payer: Mclaren Medicaid $127.37
Rate for Payer: Meridian Medicaid $133.74
Rate for Payer: Meridian Wellcare - Medicare Advantage $200.78
Rate for Payer: PACE SWMI $191.22
Rate for Payer: PHP Medicare Advantage $191.22
Rate for Payer: Priority Health Choice Medicaid $127.37
Rate for Payer: Priority Health Cigna Priority Health $434.00
Rate for Payer: Priority Health HMO/PPO/Tiered Network $346.32
Rate for Payer: Priority Health Medicare $191.22
Rate for Payer: Priority Health Narrow/Tiered Network $346.32
Rate for Payer: UHC All Payor (Choice/PPO) $191.22
Rate for Payer: UHC Dual Complete DSNP $191.22
Rate for Payer: UHC Medicare Advantage $196.96
Service Code HCPCS 38305
Min. Negotiated Rate $319.50
Max. Negotiated Rate $1,074.93
Rate for Payer: Aetna Commercial $653.40
Rate for Payer: Aetna Medicare $507.11
Rate for Payer: BCBS Complete $335.48
Rate for Payer: BCBS MAPPO $487.61
Rate for Payer: BCBS Trust/PPO $565.81
Rate for Payer: BCN Commercial $725.20
Rate for Payer: BCN Medicare Advantage $487.61
Rate for Payer: Cash Price $829.60
Rate for Payer: Cash Price $829.60
Rate for Payer: Cofinity Commercial $653.40
Rate for Payer: Cofinity Commercial $702.16
Rate for Payer: Health Alliance Plan Medicare Advantage $487.61
Rate for Payer: Mclaren Medicaid $319.50
Rate for Payer: Meridian Medicaid $335.48
Rate for Payer: Meridian Wellcare - Medicare Advantage $511.99
Rate for Payer: PACE SWMI $487.61
Rate for Payer: PHP Medicare Advantage $487.61
Rate for Payer: Priority Health Choice Medicaid $319.50
Rate for Payer: Priority Health Cigna Priority Health $725.90
Rate for Payer: Priority Health HMO/PPO/Tiered Network $1,074.93
Rate for Payer: Priority Health Medicare $487.61
Rate for Payer: Priority Health Narrow/Tiered Network $1,074.93
Rate for Payer: UHC All Payor (Choice/PPO) $487.61
Rate for Payer: UHC Dual Complete DSNP $487.61
Rate for Payer: UHC Medicare Advantage $502.24
Service Code HCPCS 38300
Min. Negotiated Rate $135.47
Max. Negotiated Rate $604.38
Rate for Payer: Aetna Commercial $273.75
Rate for Payer: Aetna Medicare $212.46
Rate for Payer: BCBS Complete $142.24
Rate for Payer: BCBS MAPPO $204.29
Rate for Payer: BCBS Trust/PPO $604.38
Rate for Payer: BCN Commercial $498.94
Rate for Payer: BCN Medicare Advantage $204.29
Rate for Payer: Cash Price $356.80
Rate for Payer: Cash Price $356.80
Rate for Payer: Cofinity Commercial $294.18
Rate for Payer: Cofinity Commercial $273.75
Rate for Payer: Health Alliance Plan Medicare Advantage $204.29
Rate for Payer: Mclaren Medicaid $135.47
Rate for Payer: Meridian Medicaid $142.24
Rate for Payer: Meridian Wellcare - Medicare Advantage $214.50
Rate for Payer: PACE SWMI $204.29
Rate for Payer: PHP Medicare Advantage $204.29
Rate for Payer: Priority Health Choice Medicaid $135.47
Rate for Payer: Priority Health Cigna Priority Health $312.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $454.88
Rate for Payer: Priority Health Medicare $204.29
Rate for Payer: Priority Health Narrow/Tiered Network $454.88
Rate for Payer: UHC All Payor (Choice/PPO) $204.29
Rate for Payer: UHC Dual Complete DSNP $204.29
Rate for Payer: UHC Medicare Advantage $210.42
Service Code HCPCS 53060
Min. Negotiated Rate $106.50
Max. Negotiated Rate $422.10
Rate for Payer: Aetna Commercial $219.72
Rate for Payer: Aetna Medicare $170.53
Rate for Payer: BCBS Complete $111.82
Rate for Payer: BCBS MAPPO $163.97
Rate for Payer: BCBS Trust/PPO $283.70
Rate for Payer: BCN Commercial $277.56
Rate for Payer: BCN Medicare Advantage $163.97
Rate for Payer: Cash Price $482.40
Rate for Payer: Cash Price $482.40
Rate for Payer: Cofinity Commercial $236.12
Rate for Payer: Cofinity Commercial $219.72
Rate for Payer: Health Alliance Plan Medicare Advantage $163.97
Rate for Payer: Mclaren Medicaid $106.50
Rate for Payer: Meridian Medicaid $111.82
Rate for Payer: Meridian Wellcare - Medicare Advantage $172.17
Rate for Payer: PACE SWMI $163.97
Rate for Payer: PHP Medicare Advantage $163.97
Rate for Payer: Priority Health Choice Medicaid $106.50
Rate for Payer: Priority Health Cigna Priority Health $422.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $268.56
Rate for Payer: Priority Health Medicare $163.97
Rate for Payer: Priority Health Narrow/Tiered Network $268.56
Rate for Payer: UHC All Payor (Choice/PPO) $163.97
Rate for Payer: UHC Dual Complete DSNP $163.97
Rate for Payer: UHC Medicare Advantage $168.89
Service Code HCPCS 16030
Min. Negotiated Rate $84.14
Max. Negotiated Rate $569.29
Rate for Payer: Aetna Commercial $173.15
Rate for Payer: Aetna Medicare $134.39
Rate for Payer: BCBS Complete $88.35
Rate for Payer: BCBS MAPPO $129.22
Rate for Payer: BCBS Trust/PPO $569.29
Rate for Payer: BCN Commercial $287.83
Rate for Payer: BCN Medicare Advantage $129.22
Rate for Payer: Cash Price $242.40
Rate for Payer: Cash Price $242.40
Rate for Payer: Cofinity Commercial $173.15
Rate for Payer: Cofinity Commercial $186.08
Rate for Payer: Health Alliance Plan Medicare Advantage $129.22
Rate for Payer: Mclaren Medicaid $84.14
Rate for Payer: Meridian Medicaid $88.35
Rate for Payer: Meridian Wellcare - Medicare Advantage $135.68
Rate for Payer: PACE SWMI $129.22
Rate for Payer: PHP Medicare Advantage $129.22
Rate for Payer: Priority Health Choice Medicaid $84.14
Rate for Payer: Priority Health Cigna Priority Health $212.10
Rate for Payer: Priority Health HMO/PPO/Tiered Network $160.72
Rate for Payer: Priority Health Medicare $129.22
Rate for Payer: Priority Health Narrow/Tiered Network $160.72
Rate for Payer: UHC All Payor (Choice/PPO) $129.22
Rate for Payer: UHC Dual Complete DSNP $129.22
Rate for Payer: UHC Medicare Advantage $133.10
Service Code HCPCS 16025
Min. Negotiated Rate $71.14
Max. Negotiated Rate $2,369.57
Rate for Payer: Aetna Commercial $144.75
Rate for Payer: Aetna Medicare $112.34
Rate for Payer: BCBS Complete $74.70
Rate for Payer: BCBS MAPPO $108.02
Rate for Payer: BCBS Trust/PPO $2,369.57
Rate for Payer: BCN Commercial $228.70
Rate for Payer: BCN Medicare Advantage $108.02
Rate for Payer: Cash Price $196.80
Rate for Payer: Cash Price $196.80
Rate for Payer: Cofinity Commercial $155.55
Rate for Payer: Cofinity Commercial $144.75
Rate for Payer: Health Alliance Plan Medicare Advantage $108.02
Rate for Payer: Mclaren Medicaid $71.14
Rate for Payer: Meridian Medicaid $74.70
Rate for Payer: Meridian Wellcare - Medicare Advantage $113.42
Rate for Payer: PACE SWMI $108.02
Rate for Payer: PHP Medicare Advantage $108.02
Rate for Payer: Priority Health Choice Medicaid $71.14
Rate for Payer: Priority Health Cigna Priority Health $172.20
Rate for Payer: Priority Health HMO/PPO/Tiered Network $134.82
Rate for Payer: Priority Health Medicare $108.02
Rate for Payer: Priority Health Narrow/Tiered Network $134.82
Rate for Payer: UHC All Payor (Choice/PPO) $108.02
Rate for Payer: UHC Dual Complete DSNP $108.02
Rate for Payer: UHC Medicare Advantage $111.26
Service Code HCPCS 16020
Min. Negotiated Rate $35.78
Max. Negotiated Rate $3,995.58
Rate for Payer: Aetna Commercial $72.02
Rate for Payer: Aetna Medicare $55.90
Rate for Payer: BCBS Complete $37.57
Rate for Payer: BCBS MAPPO $53.75
Rate for Payer: BCBS Trust/PPO $3,995.58
Rate for Payer: BCN Commercial $125.10
Rate for Payer: BCN Medicare Advantage $53.75
Rate for Payer: Cash Price $108.00
Rate for Payer: Cash Price $108.00
Rate for Payer: Cofinity Commercial $72.02
Rate for Payer: Cofinity Commercial $77.40
Rate for Payer: Health Alliance Plan Medicare Advantage $53.75
Rate for Payer: Mclaren Medicaid $35.78
Rate for Payer: Meridian Medicaid $37.57
Rate for Payer: Meridian Wellcare - Medicare Advantage $56.44
Rate for Payer: PACE SWMI $53.75
Rate for Payer: PHP Medicare Advantage $53.75
Rate for Payer: Priority Health Choice Medicaid $35.78
Rate for Payer: Priority Health Cigna Priority Health $94.50
Rate for Payer: Priority Health HMO/PPO/Tiered Network $67.82
Rate for Payer: Priority Health Medicare $53.75
Rate for Payer: Priority Health Narrow/Tiered Network $67.82
Rate for Payer: UHC All Payor (Choice/PPO) $53.75
Rate for Payer: UHC Dual Complete DSNP $53.75
Rate for Payer: UHC Medicare Advantage $55.36
Service Code HCPCS G0290
Min. Negotiated Rate $990.00
Max. Negotiated Rate $1,732.50
Rate for Payer: BCBS Complete $990.00
Rate for Payer: Cash Price $1,980.00
Rate for Payer: Priority Health Cigna Priority Health $1,732.50
Service Code HCPCS G0434
Min. Negotiated Rate $15.20
Max. Negotiated Rate $26.60
Rate for Payer: BCBS Complete $15.20
Rate for Payer: Cash Price $30.40
Rate for Payer: Priority Health Cigna Priority Health $26.60