|
PR DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 93880
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$288.60 |
| Rate for Payer: Aetna Commercial |
$226.02
|
| Rate for Payer: Aetna Medicare |
$175.42
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$168.67
|
| Rate for Payer: BCBS Trust/PPO |
$80.30
|
| Rate for Payer: BCN Commercial |
$280.02
|
| Rate for Payer: BCN Medicare Advantage |
$168.67
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$242.88
|
| Rate for Payer: Cofinity Commercial |
$226.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.67
|
| Rate for Payer: Mclaren Medicaid |
$23.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.10
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$202.40
|
| Rate for Payer: PACE SWMI |
$168.67
|
| Rate for Payer: PHP Medicare Advantage |
$168.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health Medicare |
$170.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.67
|
| Rate for Payer: UHC Exchange |
$168.67
|
| Rate for Payer: UHC Medicare Advantage |
$168.67
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
|
|
PR DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 93882
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$310.64 |
| Rate for Payer: Aetna Commercial |
$148.03
|
| Rate for Payer: Aetna Medicare |
$114.89
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$110.47
|
| Rate for Payer: BCBS Trust/PPO |
$310.64
|
| Rate for Payer: BCN Commercial |
$181.79
|
| Rate for Payer: BCN Medicare Advantage |
$110.47
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$159.08
|
| Rate for Payer: Cofinity Commercial |
$148.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.47
|
| Rate for Payer: Mclaren Medicaid |
$14.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.99
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$132.56
|
| Rate for Payer: PACE SWMI |
$110.47
|
| Rate for Payer: PHP Medicare Advantage |
$110.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO |
$31.66
|
| Rate for Payer: Priority Health Medicare |
$111.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.47
|
| Rate for Payer: UHC Exchange |
$110.47
|
| Rate for Payer: UHC Medicare Advantage |
$110.47
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
|
|
PR DUPLEX SCAN HEMODIALYSIS ACCESS
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 93990
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$214.53 |
| Rate for Payer: Aetna Commercial |
$174.44
|
| Rate for Payer: Aetna Commercial |
$174.44
|
| Rate for Payer: Aetna Medicare |
$135.39
|
| Rate for Payer: Aetna Medicare |
$135.39
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$130.18
|
| Rate for Payer: BCBS MAPPO |
$130.18
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$130.18
|
| Rate for Payer: BCN Medicare Advantage |
$130.18
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$174.44
|
| Rate for Payer: Cofinity Commercial |
$187.46
|
| Rate for Payer: Cofinity Commercial |
$174.44
|
| Rate for Payer: Cofinity Commercial |
$187.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.18
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.69
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Nomi Health Commercial |
$156.22
|
| Rate for Payer: Nomi Health Commercial |
$156.22
|
| Rate for Payer: PACE SWMI |
$130.18
|
| Rate for Payer: PACE SWMI |
$130.18
|
| Rate for Payer: PHP Medicare Advantage |
$130.18
|
| Rate for Payer: PHP Medicare Advantage |
$130.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Medicare |
$131.48
|
| Rate for Payer: Priority Health Medicare |
$131.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.18
|
| Rate for Payer: UHC Exchange |
$130.18
|
| Rate for Payer: UHC Exchange |
$130.18
|
| Rate for Payer: UHC Medicare Advantage |
$130.18
|
| Rate for Payer: UHC Medicare Advantage |
$130.18
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 93978
|
| Min. Negotiated Rate |
$24.28 |
| Max. Negotiated Rate |
$430.56 |
| Rate for Payer: Aetna Commercial |
$217.23
|
| Rate for Payer: Aetna Commercial |
$217.23
|
| Rate for Payer: Aetna Medicare |
$168.59
|
| Rate for Payer: Aetna Medicare |
$168.59
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCBS MAPPO |
$162.11
|
| Rate for Payer: BCBS MAPPO |
$162.11
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCBS Trust/PPO |
$430.56
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Commercial |
$264.37
|
| Rate for Payer: BCN Medicare Advantage |
$162.11
|
| Rate for Payer: BCN Medicare Advantage |
$162.11
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$318.40
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$217.23
|
| Rate for Payer: Cofinity Commercial |
$233.44
|
| Rate for Payer: Cofinity Commercial |
$217.23
|
| Rate for Payer: Cofinity Commercial |
$233.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.11
|
| Rate for Payer: Mclaren Medicaid |
$24.28
|
| Rate for Payer: Mclaren Medicaid |
$24.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.22
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Nomi Health Commercial |
$194.53
|
| Rate for Payer: Nomi Health Commercial |
$194.53
|
| Rate for Payer: PACE SWMI |
$162.11
|
| Rate for Payer: PACE SWMI |
$162.11
|
| Rate for Payer: PHP Medicare Advantage |
$162.11
|
| Rate for Payer: PHP Medicare Advantage |
$162.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health Medicare |
$163.73
|
| Rate for Payer: Priority Health Medicare |
$163.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.11
|
| Rate for Payer: UHC Exchange |
$162.11
|
| Rate for Payer: UHC Exchange |
$162.11
|
| Rate for Payer: UHC Medicare Advantage |
$162.11
|
| Rate for Payer: UHC Medicare Advantage |
$162.11
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
|
|
PR DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS 93979
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$171.52 |
| Rate for Payer: Aetna Commercial |
$140.53
|
| Rate for Payer: Aetna Commercial |
$140.53
|
| Rate for Payer: Aetna Medicare |
$109.06
|
| Rate for Payer: Aetna Medicare |
$109.06
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$104.87
|
| Rate for Payer: BCBS MAPPO |
$104.87
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCBS Trust/PPO |
$84.00
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Medicare Advantage |
$104.87
|
| Rate for Payer: BCN Medicare Advantage |
$104.87
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cofinity Commercial |
$140.53
|
| Rate for Payer: Cofinity Commercial |
$151.01
|
| Rate for Payer: Cofinity Commercial |
$140.53
|
| Rate for Payer: Cofinity Commercial |
$151.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.87
|
| Rate for Payer: Mclaren Medicaid |
$14.70
|
| Rate for Payer: Mclaren Medicaid |
$14.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.11
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$125.84
|
| Rate for Payer: Nomi Health Commercial |
$125.84
|
| Rate for Payer: PACE SWMI |
$104.87
|
| Rate for Payer: PACE SWMI |
$104.87
|
| Rate for Payer: PHP Medicare Advantage |
$104.87
|
| Rate for Payer: PHP Medicare Advantage |
$104.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.80
|
| Rate for Payer: Priority Health HMO/PPO |
$31.66
|
| Rate for Payer: Priority Health HMO/PPO |
$31.66
|
| Rate for Payer: Priority Health Medicare |
$105.92
|
| Rate for Payer: Priority Health Medicare |
$105.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.87
|
| Rate for Payer: UHC Exchange |
$104.87
|
| Rate for Payer: UHC Exchange |
$104.87
|
| Rate for Payer: UHC Medicare Advantage |
$104.87
|
| Rate for Payer: UHC Medicare Advantage |
$104.87
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM
|
Professional
|
Both
|
$619.00
|
|
|
Service Code
|
HCPCS 93975
|
| Min. Negotiated Rate |
$34.51 |
| Max. Negotiated Rate |
$402.35 |
| Rate for Payer: Aetna Commercial |
$314.23
|
| Rate for Payer: Aetna Commercial |
$314.23
|
| Rate for Payer: Aetna Medicare |
$243.88
|
| Rate for Payer: Aetna Medicare |
$243.88
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS MAPPO |
$234.50
|
| Rate for Payer: BCBS MAPPO |
$234.50
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCBS Trust/PPO |
$57.58
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Medicare Advantage |
$234.50
|
| Rate for Payer: BCN Medicare Advantage |
$234.50
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Cofinity Commercial |
$314.23
|
| Rate for Payer: Cofinity Commercial |
$337.68
|
| Rate for Payer: Cofinity Commercial |
$314.23
|
| Rate for Payer: Cofinity Commercial |
$337.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.50
|
| Rate for Payer: Mclaren Medicaid |
$34.51
|
| Rate for Payer: Mclaren Medicaid |
$34.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.22
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Nomi Health Commercial |
$281.40
|
| Rate for Payer: Nomi Health Commercial |
$281.40
|
| Rate for Payer: PACE SWMI |
$234.50
|
| Rate for Payer: PACE SWMI |
$234.50
|
| Rate for Payer: PHP Medicare Advantage |
$234.50
|
| Rate for Payer: PHP Medicare Advantage |
$234.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$402.35
|
| Rate for Payer: Priority Health HMO/PPO |
$73.28
|
| Rate for Payer: Priority Health HMO/PPO |
$73.28
|
| Rate for Payer: Priority Health Medicare |
$236.84
|
| Rate for Payer: Priority Health Medicare |
$236.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.50
|
| Rate for Payer: UHC Exchange |
$234.50
|
| Rate for Payer: UHC Exchange |
$234.50
|
| Rate for Payer: UHC Medicare Advantage |
$234.50
|
| Rate for Payer: UHC Medicare Advantage |
$234.50
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
|
|
PR DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 93976
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$547.85 |
| Rate for Payer: Aetna Commercial |
$190.66
|
| Rate for Payer: Aetna Commercial |
$190.66
|
| Rate for Payer: Aetna Medicare |
$147.97
|
| Rate for Payer: Aetna Medicare |
$147.97
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$142.28
|
| Rate for Payer: BCBS MAPPO |
$142.28
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Medicare Advantage |
$142.28
|
| Rate for Payer: BCN Medicare Advantage |
$142.28
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cofinity Commercial |
$190.66
|
| Rate for Payer: Cofinity Commercial |
$204.88
|
| Rate for Payer: Cofinity Commercial |
$190.66
|
| Rate for Payer: Cofinity Commercial |
$204.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.28
|
| Rate for Payer: Mclaren Medicaid |
$23.86
|
| Rate for Payer: Mclaren Medicaid |
$23.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.39
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$170.74
|
| Rate for Payer: Nomi Health Commercial |
$170.74
|
| Rate for Payer: PACE SWMI |
$142.28
|
| Rate for Payer: PACE SWMI |
$142.28
|
| Rate for Payer: PHP Medicare Advantage |
$142.28
|
| Rate for Payer: PHP Medicare Advantage |
$142.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$417.95
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health Medicare |
$143.70
|
| Rate for Payer: Priority Health Medicare |
$143.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.28
|
| Rate for Payer: UHC Exchange |
$142.28
|
| Rate for Payer: UHC Exchange |
$142.28
|
| Rate for Payer: UHC Medicare Advantage |
$142.28
|
| Rate for Payer: UHC Medicare Advantage |
$142.28
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$428.00
|
|
|
Service Code
|
HCPCS 93925
|
| Min. Negotiated Rate |
$23.43 |
| Max. Negotiated Rate |
$351.85 |
| Rate for Payer: Aetna Commercial |
$283.79
|
| Rate for Payer: Aetna Commercial |
$283.79
|
| Rate for Payer: Aetna Medicare |
$220.25
|
| Rate for Payer: Aetna Medicare |
$220.25
|
| Rate for Payer: BCBS Complete |
$24.60
|
| Rate for Payer: BCBS Complete |
$24.60
|
| Rate for Payer: BCBS MAPPO |
$211.78
|
| Rate for Payer: BCBS MAPPO |
$211.78
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Commercial |
$351.85
|
| Rate for Payer: BCN Medicare Advantage |
$211.78
|
| Rate for Payer: BCN Medicare Advantage |
$211.78
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cofinity Commercial |
$283.79
|
| Rate for Payer: Cofinity Commercial |
$304.96
|
| Rate for Payer: Cofinity Commercial |
$283.79
|
| Rate for Payer: Cofinity Commercial |
$304.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.78
|
| Rate for Payer: Mclaren Medicaid |
$23.43
|
| Rate for Payer: Mclaren Medicaid |
$23.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$222.37
|
| Rate for Payer: Meridian Medicaid |
$24.60
|
| Rate for Payer: Meridian Medicaid |
$24.60
|
| Rate for Payer: Nomi Health Commercial |
$254.14
|
| Rate for Payer: Nomi Health Commercial |
$254.14
|
| Rate for Payer: PACE SWMI |
$211.78
|
| Rate for Payer: PACE SWMI |
$211.78
|
| Rate for Payer: PHP Medicare Advantage |
$211.78
|
| Rate for Payer: PHP Medicare Advantage |
$211.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.20
|
| Rate for Payer: Priority Health HMO/PPO |
$50.21
|
| Rate for Payer: Priority Health HMO/PPO |
$50.21
|
| Rate for Payer: Priority Health Medicare |
$213.90
|
| Rate for Payer: Priority Health Medicare |
$213.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.78
|
| Rate for Payer: UHC Exchange |
$211.78
|
| Rate for Payer: UHC Exchange |
$211.78
|
| Rate for Payer: UHC Medicare Advantage |
$211.78
|
| Rate for Payer: UHC Medicare Advantage |
$211.78
|
| Rate for Payer: UHCCP Medicaid |
$23.43
|
| Rate for Payer: UHCCP Medicaid |
$23.43
|
|
|
PR DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 93926
|
| Min. Negotiated Rate |
$14.27 |
| Max. Negotiated Rate |
$416.83 |
| Rate for Payer: Aetna Commercial |
$170.54
|
| Rate for Payer: Aetna Commercial |
$170.54
|
| Rate for Payer: Aetna Medicare |
$132.36
|
| Rate for Payer: Aetna Medicare |
$132.36
|
| Rate for Payer: BCBS Complete |
$14.98
|
| Rate for Payer: BCBS Complete |
$14.98
|
| Rate for Payer: BCBS MAPPO |
$127.27
|
| Rate for Payer: BCBS MAPPO |
$127.27
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCBS Trust/PPO |
$416.83
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Commercial |
$209.15
|
| Rate for Payer: BCN Medicare Advantage |
$127.27
|
| Rate for Payer: BCN Medicare Advantage |
$127.27
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$170.54
|
| Rate for Payer: Cofinity Commercial |
$183.27
|
| Rate for Payer: Cofinity Commercial |
$170.54
|
| Rate for Payer: Cofinity Commercial |
$183.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.27
|
| Rate for Payer: Mclaren Medicaid |
$14.27
|
| Rate for Payer: Mclaren Medicaid |
$14.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.63
|
| Rate for Payer: Meridian Medicaid |
$14.98
|
| Rate for Payer: Meridian Medicaid |
$14.98
|
| Rate for Payer: Nomi Health Commercial |
$152.72
|
| Rate for Payer: Nomi Health Commercial |
$152.72
|
| Rate for Payer: PACE SWMI |
$127.27
|
| Rate for Payer: PACE SWMI |
$127.27
|
| Rate for Payer: PHP Medicare Advantage |
$127.27
|
| Rate for Payer: PHP Medicare Advantage |
$127.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: Priority Health HMO/PPO |
$30.76
|
| Rate for Payer: Priority Health HMO/PPO |
$30.76
|
| Rate for Payer: Priority Health Medicare |
$128.54
|
| Rate for Payer: Priority Health Medicare |
$128.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.27
|
| Rate for Payer: UHC Exchange |
$127.27
|
| Rate for Payer: UHC Exchange |
$127.27
|
| Rate for Payer: UHC Medicare Advantage |
$127.27
|
| Rate for Payer: UHC Medicare Advantage |
$127.27
|
| Rate for Payer: UHCCP Medicaid |
$14.27
|
| Rate for Payer: UHCCP Medicaid |
$14.27
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY
|
Professional
|
Both
|
$64.00
|
|
|
Service Code
|
HCPCS 93930
|
| Min. Negotiated Rate |
$21.13 |
| Max. Negotiated Rate |
$286.85 |
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Commercial |
$237.30
|
| Rate for Payer: Aetna Medicare |
$184.17
|
| Rate for Payer: Aetna Medicare |
$184.17
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS MAPPO |
$177.09
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCBS Trust/PPO |
$21.13
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Commercial |
$286.85
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: BCN Medicare Advantage |
$177.09
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cash Price |
$51.20
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Cofinity Commercial |
$237.30
|
| Rate for Payer: Cofinity Commercial |
$255.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.09
|
| Rate for Payer: Mclaren Medicaid |
$23.86
|
| Rate for Payer: Mclaren Medicaid |
$23.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.94
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$212.51
|
| Rate for Payer: Nomi Health Commercial |
$212.51
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PACE SWMI |
$177.09
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: PHP Medicare Advantage |
$177.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.60
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health HMO/PPO |
$50.66
|
| Rate for Payer: Priority Health Medicare |
$178.86
|
| Rate for Payer: Priority Health Medicare |
$178.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.09
|
| Rate for Payer: UHC Exchange |
$177.09
|
| Rate for Payer: UHC Exchange |
$177.09
|
| Rate for Payer: UHC Medicare Advantage |
$177.09
|
| Rate for Payer: UHC Medicare Advantage |
$177.09
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
|
|
PR DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 93931
|
| Min. Negotiated Rate |
$12.68 |
| Max. Negotiated Rate |
$180.81 |
| Rate for Payer: Aetna Commercial |
$147.13
|
| Rate for Payer: Aetna Commercial |
$147.13
|
| Rate for Payer: Aetna Medicare |
$114.19
|
| Rate for Payer: Aetna Medicare |
$114.19
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$109.80
|
| Rate for Payer: BCBS MAPPO |
$109.80
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCBS Trust/PPO |
$12.68
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Commercial |
$180.81
|
| Rate for Payer: BCN Medicare Advantage |
$109.80
|
| Rate for Payer: BCN Medicare Advantage |
$109.80
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cofinity Commercial |
$147.13
|
| Rate for Payer: Cofinity Commercial |
$158.11
|
| Rate for Payer: Cofinity Commercial |
$147.13
|
| Rate for Payer: Cofinity Commercial |
$158.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.80
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Mclaren Medicaid |
$14.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.29
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Nomi Health Commercial |
$131.76
|
| Rate for Payer: Nomi Health Commercial |
$131.76
|
| Rate for Payer: PACE SWMI |
$109.80
|
| Rate for Payer: PACE SWMI |
$109.80
|
| Rate for Payer: PHP Medicare Advantage |
$109.80
|
| Rate for Payer: PHP Medicare Advantage |
$109.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health HMO/PPO |
$31.21
|
| Rate for Payer: Priority Health Medicare |
$110.90
|
| Rate for Payer: Priority Health Medicare |
$110.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.80
|
| Rate for Payer: UHC Exchange |
$109.80
|
| Rate for Payer: UHC Exchange |
$109.80
|
| Rate for Payer: UHC Medicare Advantage |
$109.80
|
| Rate for Payer: UHC Medicare Advantage |
$109.80
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
|
|
PR DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY
|
Professional
|
Both
|
$422.00
|
|
|
Service Code
|
HCPCS 93970
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$276.10 |
| Rate for Payer: Aetna Commercial |
$221.97
|
| Rate for Payer: Aetna Commercial |
$221.97
|
| Rate for Payer: Aetna Medicare |
$172.28
|
| Rate for Payer: Aetna Medicare |
$172.28
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS MAPPO |
$165.65
|
| Rate for Payer: BCBS MAPPO |
$165.65
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Commercial |
$276.10
|
| Rate for Payer: BCN Medicare Advantage |
$165.65
|
| Rate for Payer: BCN Medicare Advantage |
$165.65
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cash Price |
$337.60
|
| Rate for Payer: Cofinity Commercial |
$221.97
|
| Rate for Payer: Cofinity Commercial |
$238.54
|
| Rate for Payer: Cofinity Commercial |
$221.97
|
| Rate for Payer: Cofinity Commercial |
$238.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$165.65
|
| Rate for Payer: Mclaren Medicaid |
$20.45
|
| Rate for Payer: Mclaren Medicaid |
$20.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.93
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Nomi Health Commercial |
$198.78
|
| Rate for Payer: Nomi Health Commercial |
$198.78
|
| Rate for Payer: PACE SWMI |
$165.65
|
| Rate for Payer: PACE SWMI |
$165.65
|
| Rate for Payer: PHP Medicare Advantage |
$165.65
|
| Rate for Payer: PHP Medicare Advantage |
$165.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$274.30
|
| Rate for Payer: Priority Health HMO/PPO |
$43.88
|
| Rate for Payer: Priority Health HMO/PPO |
$43.88
|
| Rate for Payer: Priority Health Medicare |
$167.31
|
| Rate for Payer: Priority Health Medicare |
$167.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$165.65
|
| Rate for Payer: UHC Exchange |
$165.65
|
| Rate for Payer: UHC Exchange |
$165.65
|
| Rate for Payer: UHC Medicare Advantage |
$165.65
|
| Rate for Payer: UHC Medicare Advantage |
$165.65
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
|
|
PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 93971
|
| Min. Negotiated Rate |
$13.21 |
| Max. Negotiated Rate |
$174.95 |
| Rate for Payer: Aetna Commercial |
$142.08
|
| Rate for Payer: Aetna Commercial |
$142.08
|
| Rate for Payer: Aetna Medicare |
$110.27
|
| Rate for Payer: Aetna Medicare |
$110.27
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS Complete |
$13.87
|
| Rate for Payer: BCBS MAPPO |
$106.03
|
| Rate for Payer: BCBS MAPPO |
$106.03
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCBS Trust/PPO |
$100.91
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Commercial |
$174.95
|
| Rate for Payer: BCN Medicare Advantage |
$106.03
|
| Rate for Payer: BCN Medicare Advantage |
$106.03
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$142.08
|
| Rate for Payer: Cofinity Commercial |
$152.68
|
| Rate for Payer: Cofinity Commercial |
$142.08
|
| Rate for Payer: Cofinity Commercial |
$152.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.03
|
| Rate for Payer: Mclaren Medicaid |
$13.21
|
| Rate for Payer: Mclaren Medicaid |
$13.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.33
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: Meridian Medicaid |
$13.87
|
| Rate for Payer: Nomi Health Commercial |
$127.24
|
| Rate for Payer: Nomi Health Commercial |
$127.24
|
| Rate for Payer: PACE SWMI |
$106.03
|
| Rate for Payer: PACE SWMI |
$106.03
|
| Rate for Payer: PHP Medicare Advantage |
$106.03
|
| Rate for Payer: PHP Medicare Advantage |
$106.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health HMO/PPO |
$28.05
|
| Rate for Payer: Priority Health HMO/PPO |
$28.05
|
| Rate for Payer: Priority Health Medicare |
$107.09
|
| Rate for Payer: Priority Health Medicare |
$107.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.03
|
| Rate for Payer: UHC Exchange |
$106.03
|
| Rate for Payer: UHC Exchange |
$106.03
|
| Rate for Payer: UHC Medicare Advantage |
$106.03
|
| Rate for Payer: UHC Medicare Advantage |
$106.03
|
| Rate for Payer: UHCCP Medicaid |
$13.21
|
| Rate for Payer: UHCCP Medicaid |
$13.21
|
|
|
PR DURAL GRAFT SPINAL
|
Professional
|
Both
|
$5,092.00
|
|
|
Service Code
|
HCPCS 63710
|
| Min. Negotiated Rate |
$172.75 |
| Max. Negotiated Rate |
$3,309.80 |
| Rate for Payer: Aetna Commercial |
$1,421.75
|
| Rate for Payer: Aetna Medicare |
$1,103.45
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,061.01
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: BCN Commercial |
$1,749.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,061.01
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,527.85
|
| Rate for Payer: Cofinity Commercial |
$1,421.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,061.01
|
| Rate for Payer: Mclaren Medicaid |
$706.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,114.06
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Nomi Health Commercial |
$1,273.21
|
| Rate for Payer: PACE SWMI |
$1,061.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,061.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,309.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,871.64
|
| Rate for Payer: Priority Health Medicare |
$1,071.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,871.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,061.01
|
| Rate for Payer: UHC Exchange |
$1,061.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,061.01
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 92622
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$107.90 |
| Rate for Payer: Aetna Commercial |
$83.35
|
| Rate for Payer: Aetna Medicare |
$64.69
|
| Rate for Payer: BCBS Complete |
$66.40
|
| Rate for Payer: BCBS MAPPO |
$62.20
|
| Rate for Payer: BCN Medicare Advantage |
$62.20
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$89.57
|
| Rate for Payer: Cofinity Commercial |
$83.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.31
|
| Rate for Payer: Nomi Health Commercial |
$74.64
|
| Rate for Payer: PACE SWMI |
$62.20
|
| Rate for Payer: PHP Medicare Advantage |
$62.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.90
|
| Rate for Payer: Priority Health HMO/PPO |
$88.65
|
| Rate for Payer: Priority Health Medicare |
$62.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$88.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.20
|
| Rate for Payer: UHC Exchange |
$62.20
|
| Rate for Payer: UHC Medicare Advantage |
$62.20
|
|
|
PR DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 92623
|
| Min. Negotiated Rate |
$16.36 |
| Max. Negotiated Rate |
$27.95 |
| Rate for Payer: Aetna Commercial |
$21.92
|
| Rate for Payer: Aetna Medicare |
$17.01
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$16.36
|
| Rate for Payer: BCN Medicare Advantage |
$16.36
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$23.56
|
| Rate for Payer: Cofinity Commercial |
$21.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.18
|
| Rate for Payer: Nomi Health Commercial |
$19.63
|
| Rate for Payer: PACE SWMI |
$16.36
|
| Rate for Payer: PHP Medicare Advantage |
$16.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$23.52
|
| Rate for Payer: Priority Health Medicare |
$16.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.36
|
| Rate for Payer: UHC Exchange |
$16.36
|
| Rate for Payer: UHC Medicare Advantage |
$16.36
|
|
|
PR DYSPORT
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 00385
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$7.80 |
| Rate for Payer: Aetna Medicare |
$6.00
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
|
|
PR EAR MOLD/INSERT
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS V5264
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$83.20 |
| Rate for Payer: Aetna Commercial |
$57.45
|
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
|
|
PR EAR PIERCING
|
Professional
|
Both
|
$71.00
|
|
|
Service Code
|
HCPCS 69090
|
| Min. Negotiated Rate |
$28.40 |
| Max. Negotiated Rate |
$248.83 |
| Rate for Payer: Aetna Commercial |
$35.41
|
| Rate for Payer: Aetna Medicare |
$35.50
|
| Rate for Payer: BCBS Complete |
$28.40
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Cash Price |
$56.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.15
|
| Rate for Payer: Priority Health HMO/PPO |
$45.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.24
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 93010
|
| Min. Negotiated Rate |
$5.11 |
| Max. Negotiated Rate |
$2,320.82 |
| Rate for Payer: Aetna Commercial |
$10.25
|
| Rate for Payer: Aetna Medicare |
$7.96
|
| Rate for Payer: BCBS Complete |
$5.37
|
| Rate for Payer: BCBS MAPPO |
$7.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,320.82
|
| Rate for Payer: BCN Commercial |
$9.43
|
| Rate for Payer: BCN Medicare Advantage |
$7.65
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$11.02
|
| Rate for Payer: Cofinity Commercial |
$10.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.65
|
| Rate for Payer: Mclaren Medicaid |
$5.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.03
|
| Rate for Payer: Meridian Medicaid |
$5.37
|
| Rate for Payer: Nomi Health Commercial |
$9.18
|
| Rate for Payer: PACE SWMI |
$7.65
|
| Rate for Payer: PHP Medicare Advantage |
$7.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO |
$11.30
|
| Rate for Payer: Priority Health Medicare |
$7.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.65
|
| Rate for Payer: UHC Exchange |
$7.65
|
| Rate for Payer: UHC Medicare Advantage |
$7.65
|
| Rate for Payer: UHCCP Medicaid |
$5.11
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 93005
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$1,832.67 |
| Rate for Payer: Aetna Commercial |
$7.61
|
| Rate for Payer: Aetna Medicare |
$5.91
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: BCBS MAPPO |
$5.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,832.67
|
| Rate for Payer: BCN Commercial |
$7.46
|
| Rate for Payer: BCN Medicare Advantage |
$5.68
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$7.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.96
|
| Rate for Payer: Nomi Health Commercial |
$6.82
|
| Rate for Payer: PACE SWMI |
$5.68
|
| Rate for Payer: PHP Medicare Advantage |
$5.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.95
|
| Rate for Payer: Priority Health HMO/PPO |
$8.94
|
| Rate for Payer: Priority Health Medicare |
$5.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.68
|
| Rate for Payer: UHC Exchange |
$5.68
|
| Rate for Payer: UHC Medicare Advantage |
$5.68
|
|
|
PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 93000
|
| Min. Negotiated Rate |
$13.33 |
| Max. Negotiated Rate |
$1,966.86 |
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna Medicare |
$13.86
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS MAPPO |
$13.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,966.86
|
| Rate for Payer: BCN Commercial |
$16.88
|
| Rate for Payer: BCN Medicare Advantage |
$13.33
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cofinity Commercial |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$17.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.00
|
| Rate for Payer: Nomi Health Commercial |
$16.00
|
| Rate for Payer: PACE SWMI |
$13.33
|
| Rate for Payer: PHP Medicare Advantage |
$13.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.35
|
| Rate for Payer: Priority Health HMO/PPO |
$20.24
|
| Rate for Payer: Priority Health Medicare |
$13.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.33
|
| Rate for Payer: UHC Exchange |
$13.33
|
| Rate for Payer: UHC Medicare Advantage |
$13.33
|
|
|
PR ECHO GUIDANCE RADIOTHERAPY
|
Professional
|
Both
|
$383.00
|
|
|
Service Code
|
HCPCS G6001
|
| Min. Negotiated Rate |
$20.24 |
| Max. Negotiated Rate |
$263.39 |
| Rate for Payer: Aetna Commercial |
$212.26
|
| Rate for Payer: Aetna Medicare |
$164.74
|
| Rate for Payer: BCBS Complete |
$21.25
|
| Rate for Payer: BCBS MAPPO |
$158.40
|
| Rate for Payer: BCN Commercial |
$263.39
|
| Rate for Payer: BCN Medicare Advantage |
$158.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cofinity Commercial |
$228.10
|
| Rate for Payer: Cofinity Commercial |
$212.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.40
|
| Rate for Payer: Mclaren Medicaid |
$20.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.32
|
| Rate for Payer: Meridian Medicaid |
$21.25
|
| Rate for Payer: Nomi Health Commercial |
$190.08
|
| Rate for Payer: PACE SWMI |
$158.40
|
| Rate for Payer: PHP Medicare Advantage |
$158.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.95
|
| Rate for Payer: Priority Health HMO/PPO |
$48.25
|
| Rate for Payer: Priority Health Medicare |
$159.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.40
|
| Rate for Payer: UHC Exchange |
$158.40
|
| Rate for Payer: UHC Medicare Advantage |
$158.40
|
| Rate for Payer: UHCCP Medicaid |
$20.24
|
|
|
PR ECHO R-T 2D W/PROBE PLACEMENT ONLY
|
Professional
|
Both
|
$761.00
|
|
|
Service Code
|
HCPCS 93313
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$1,750.26 |
| Rate for Payer: Aetna Commercial |
$14.26
|
| Rate for Payer: Aetna Medicare |
$11.07
|
| Rate for Payer: BCBS Complete |
$7.38
|
| Rate for Payer: BCBS MAPPO |
$10.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,750.26
|
| Rate for Payer: BCN Commercial |
$16.12
|
| Rate for Payer: BCN Medicare Advantage |
$10.64
|
| Rate for Payer: Cash Price |
$608.80
|
| Rate for Payer: Cash Price |
$608.80
|
| Rate for Payer: Cofinity Commercial |
$15.32
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.64
|
| Rate for Payer: Mclaren Medicaid |
$7.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.17
|
| Rate for Payer: Meridian Medicaid |
$7.38
|
| Rate for Payer: Nomi Health Commercial |
$12.77
|
| Rate for Payer: PACE SWMI |
$10.64
|
| Rate for Payer: PHP Medicare Advantage |
$10.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.65
|
| Rate for Payer: Priority Health HMO/PPO |
$15.53
|
| Rate for Payer: Priority Health Medicare |
$10.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.64
|
| Rate for Payer: UHC Exchange |
$10.64
|
| Rate for Payer: UHC Medicare Advantage |
$10.64
|
| Rate for Payer: UHCCP Medicaid |
$7.03
|
|
|
PR ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN
|
Professional
|
Both
|
$461.00
|
|
|
Service Code
|
HCPCS 93355
|
| Min. Negotiated Rate |
$140.58 |
| Max. Negotiated Rate |
$1,372.52 |
| Rate for Payer: Aetna Commercial |
$282.34
|
| Rate for Payer: Aetna Medicare |
$219.13
|
| Rate for Payer: BCBS Complete |
$147.61
|
| Rate for Payer: BCBS MAPPO |
$210.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,372.52
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$210.70
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cofinity Commercial |
$303.41
|
| Rate for Payer: Cofinity Commercial |
$282.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.70
|
| Rate for Payer: Mclaren Medicaid |
$140.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.24
|
| Rate for Payer: Meridian Medicaid |
$147.61
|
| Rate for Payer: Nomi Health Commercial |
$252.84
|
| Rate for Payer: PACE SWMI |
$210.70
|
| Rate for Payer: PHP Medicare Advantage |
$210.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.65
|
| Rate for Payer: Priority Health HMO/PPO |
$309.81
|
| Rate for Payer: Priority Health Medicare |
$212.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$210.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$210.70
|
| Rate for Payer: UHC Exchange |
$210.70
|
| Rate for Payer: UHC Medicare Advantage |
$210.70
|
| Rate for Payer: UHCCP Medicaid |
$140.58
|
|
