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Charge Type Setting Price  
Service Code HCPCS 92921
Min. Negotiated Rate $208.27
Max. Negotiated Rate $832.50
Rate for Payer: Aetna Commercial $300.69
Rate for Payer: Aetna Medicare $555.00
Rate for Payer: BCBS Complete $444.00
Rate for Payer: BCN Commercial $208.27
Rate for Payer: Cash Price $888.00
Rate for Payer: Cash Price $888.00
Rate for Payer: Opus (Opus Packaging Group) HMA $832.50
Service Code HCPCS 92938
Min. Negotiated Rate $115.60
Max. Negotiated Rate $316.80
Rate for Payer: Aetna Commercial $316.80
Rate for Payer: Aetna Medicare $144.50
Rate for Payer: BCBS Complete $115.60
Rate for Payer: BCN Commercial $231.26
Rate for Payer: Cash Price $231.20
Rate for Payer: Cash Price $231.20
Rate for Payer: Opus (Opus Packaging Group) HMA $216.75
Service Code HCPCS 92934
Min. Negotiated Rate $259.76
Max. Negotiated Rate $961.50
Rate for Payer: Aetna Commercial $273.84
Rate for Payer: Aetna Medicare $641.00
Rate for Payer: BCBS Complete $512.80
Rate for Payer: BCN Commercial $259.76
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Opus (Opus Packaging Group) HMA $961.50
Service Code HCPCS 92929
Min. Negotiated Rate $231.39
Max. Negotiated Rate $936.75
Rate for Payer: Aetna Commercial $352.65
Rate for Payer: Aetna Medicare $624.50
Rate for Payer: BCBS Complete $499.60
Rate for Payer: BCN Commercial $231.39
Rate for Payer: Cash Price $999.20
Rate for Payer: Cash Price $999.20
Rate for Payer: Opus (Opus Packaging Group) HMA $936.75
Service Code HCPCS 37188
Min. Negotiated Rate $159.75
Max. Negotiated Rate $443.41
Rate for Payer: Aetna Commercial $371.46
Rate for Payer: Aetna Medicare $279.00
Rate for Payer: BCBS Complete $167.74
Rate for Payer: BCN Commercial $412.33
Rate for Payer: Cash Price $446.40
Rate for Payer: Cash Price $446.40
Rate for Payer: Mclaren Medicaid $159.75
Rate for Payer: Meridian Medicaid $167.74
Rate for Payer: Opus (Opus Packaging Group) HMA $418.50
Rate for Payer: Priority Health Choice Medicaid $159.75
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $443.41
Rate for Payer: Priority Health Narrow/Tiered Network $443.41
Rate for Payer: UHC Medicaid $159.75
Rate for Payer: UHCCP Medicaid $159.75
Service Code HCPCS 43116
Min. Negotiated Rate $2,919.59
Max. Negotiated Rate $8,882.93
Rate for Payer: Aetna Commercial $6,701.66
Rate for Payer: Aetna Medicare $4,871.00
Rate for Payer: BCBS Complete $3,065.57
Rate for Payer: BCN Commercial $7,290.44
Rate for Payer: Cash Price $7,793.60
Rate for Payer: Cash Price $7,793.60
Rate for Payer: Mclaren Medicaid $2,919.59
Rate for Payer: Meridian Medicaid $3,065.57
Rate for Payer: Opus (Opus Packaging Group) HMA $7,306.50
Rate for Payer: Priority Health Choice Medicaid $2,919.59
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $8,882.93
Rate for Payer: Priority Health Narrow/Tiered Network $8,882.93
Rate for Payer: UHC Medicaid $2,919.59
Rate for Payer: UHCCP Medicaid $2,919.59
Service Code HCPCS 43121
Min. Negotiated Rate $1,708.26
Max. Negotiated Rate $5,133.16
Rate for Payer: Aetna Commercial $3,841.89
Rate for Payer: Aetna Medicare $3,095.00
Rate for Payer: BCBS Complete $1,793.67
Rate for Payer: BCN Commercial $4,212.92
Rate for Payer: Cash Price $4,952.00
Rate for Payer: Cash Price $4,952.00
Rate for Payer: Mclaren Medicaid $1,708.26
Rate for Payer: Meridian Medicaid $1,793.67
Rate for Payer: Opus (Opus Packaging Group) HMA $4,642.50
Rate for Payer: Priority Health Choice Medicaid $1,708.26
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $5,133.16
Rate for Payer: Priority Health Narrow/Tiered Network $5,133.16
Rate for Payer: UHC Medicaid $1,708.26
Rate for Payer: UHCCP Medicaid $1,708.26
Service Code HCPCS 43117
Min. Negotiated Rate $1,931.27
Max. Negotiated Rate $5,864.31
Rate for Payer: Aetna Commercial $4,374.05
Rate for Payer: Aetna Medicare $3,262.00
Rate for Payer: BCBS Complete $2,027.83
Rate for Payer: BCN Commercial $4,812.99
Rate for Payer: Cash Price $5,219.20
Rate for Payer: Cash Price $5,219.20
Rate for Payer: Mclaren Medicaid $1,931.27
Rate for Payer: Meridian Medicaid $2,027.83
Rate for Payer: Opus (Opus Packaging Group) HMA $4,893.00
Rate for Payer: Priority Health Choice Medicaid $1,931.27
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $5,864.31
Rate for Payer: Priority Health Narrow/Tiered Network $5,864.31
Rate for Payer: UHC Medicaid $1,931.27
Rate for Payer: UHCCP Medicaid $1,931.27
Service Code HCPCS 28122
Min. Negotiated Rate $265.61
Max. Negotiated Rate $961.50
Rate for Payer: Aetna Commercial $578.62
Rate for Payer: Aetna Medicare $641.00
Rate for Payer: BCBS Complete $278.89
Rate for Payer: BCN Commercial $667.80
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Cash Price $1,025.60
Rate for Payer: Mclaren Medicaid $265.61
Rate for Payer: Meridian Medicaid $278.89
Rate for Payer: Opus (Opus Packaging Group) HMA $961.50
Rate for Payer: Priority Health Choice Medicaid $265.61
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $713.86
Rate for Payer: Priority Health Narrow/Tiered Network $713.86
Rate for Payer: UHC Medicaid $265.61
Rate for Payer: UHCCP Medicaid $265.61
Service Code HCPCS 27360
Min. Negotiated Rate $546.35
Max. Negotiated Rate $2,551.50
Rate for Payer: Aetna Commercial $1,194.20
Rate for Payer: Aetna Medicare $1,701.00
Rate for Payer: BCBS Complete $573.67
Rate for Payer: BCN Commercial $1,367.95
Rate for Payer: Cash Price $2,721.60
Rate for Payer: Cash Price $2,721.60
Rate for Payer: Mclaren Medicaid $546.35
Rate for Payer: Meridian Medicaid $573.67
Rate for Payer: Opus (Opus Packaging Group) HMA $2,551.50
Rate for Payer: Priority Health Choice Medicaid $546.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,462.31
Rate for Payer: Priority Health Narrow/Tiered Network $1,462.31
Rate for Payer: UHC Medicaid $546.35
Rate for Payer: UHCCP Medicaid $546.35
Service Code HCPCS 22100
Min. Negotiated Rate $634.10
Max. Negotiated Rate $1,554.40
Rate for Payer: Aetna Commercial $1,149.22
Rate for Payer: Aetna Medicare $911.50
Rate for Payer: BCBS Complete $665.80
Rate for Payer: BCN Commercial $1,454.10
Rate for Payer: Cash Price $1,458.40
Rate for Payer: Cash Price $1,458.40
Rate for Payer: Mclaren Medicaid $634.10
Rate for Payer: Meridian Medicaid $665.80
Rate for Payer: Opus (Opus Packaging Group) HMA $1,367.25
Rate for Payer: Priority Health Choice Medicaid $634.10
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,554.40
Rate for Payer: Priority Health Narrow/Tiered Network $1,554.40
Rate for Payer: UHC Medicaid $634.10
Rate for Payer: UHCCP Medicaid $634.10
Service Code HCPCS 22103
Min. Negotiated Rate $73.91
Max. Negotiated Rate $507.00
Rate for Payer: Aetna Commercial $190.38
Rate for Payer: Aetna Medicare $338.00
Rate for Payer: BCBS Complete $77.61
Rate for Payer: BCN Commercial $198.70
Rate for Payer: Cash Price $540.80
Rate for Payer: Cash Price $540.80
Rate for Payer: Mclaren Medicaid $73.91
Rate for Payer: Meridian Medicaid $77.61
Rate for Payer: Opus (Opus Packaging Group) HMA $507.00
Rate for Payer: Priority Health Choice Medicaid $73.91
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $212.39
Rate for Payer: Priority Health Narrow/Tiered Network $212.39
Rate for Payer: UHC Medicaid $73.91
Rate for Payer: UHCCP Medicaid $73.91
Service Code HCPCS 22102
Min. Negotiated Rate $447.73
Max. Negotiated Rate $1,699.50
Rate for Payer: Aetna Commercial $1,102.33
Rate for Payer: Aetna Medicare $1,133.00
Rate for Payer: BCBS Complete $470.12
Rate for Payer: BCN Commercial $1,155.31
Rate for Payer: Cash Price $1,812.80
Rate for Payer: Cash Price $1,812.80
Rate for Payer: Mclaren Medicaid $447.73
Rate for Payer: Meridian Medicaid $470.12
Rate for Payer: Opus (Opus Packaging Group) HMA $1,699.50
Rate for Payer: Priority Health Choice Medicaid $447.73
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,235.00
Rate for Payer: Priority Health Narrow/Tiered Network $1,235.00
Rate for Payer: UHC Medicaid $447.73
Rate for Payer: UHCCP Medicaid $447.73
Service Code HCPCS 22101
Min. Negotiated Rate $553.37
Max. Negotiated Rate $1,753.50
Rate for Payer: Aetna Commercial $1,154.53
Rate for Payer: Aetna Medicare $1,169.00
Rate for Payer: BCBS Complete $581.04
Rate for Payer: BCN Commercial $1,361.48
Rate for Payer: Cash Price $1,870.40
Rate for Payer: Cash Price $1,870.40
Rate for Payer: Mclaren Medicaid $553.37
Rate for Payer: Meridian Medicaid $581.04
Rate for Payer: Opus (Opus Packaging Group) HMA $1,753.50
Rate for Payer: Priority Health Choice Medicaid $553.37
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,455.38
Rate for Payer: Priority Health Narrow/Tiered Network $1,455.38
Rate for Payer: UHC Medicaid $553.37
Rate for Payer: UHCCP Medicaid $553.37
Service Code HCPCS 22110
Min. Negotiated Rate $649.86
Max. Negotiated Rate $2,521.50
Rate for Payer: Aetna Commercial $1,399.72
Rate for Payer: Aetna Medicare $1,681.00
Rate for Payer: BCBS Complete $682.35
Rate for Payer: BCN Commercial $1,770.86
Rate for Payer: Cash Price $2,689.60
Rate for Payer: Cash Price $2,689.60
Rate for Payer: Mclaren Medicaid $649.86
Rate for Payer: Meridian Medicaid $682.35
Rate for Payer: Opus (Opus Packaging Group) HMA $2,521.50
Rate for Payer: Priority Health Choice Medicaid $649.86
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,723.15
Rate for Payer: Priority Health Narrow/Tiered Network $1,723.15
Rate for Payer: UHC Medicaid $649.86
Rate for Payer: UHCCP Medicaid $649.86
Service Code HCPCS 22116
Min. Negotiated Rate $80.30
Max. Negotiated Rate $620.25
Rate for Payer: Aetna Commercial $190.52
Rate for Payer: Aetna Medicare $413.50
Rate for Payer: BCBS Complete $84.31
Rate for Payer: BCN Commercial $213.13
Rate for Payer: Cash Price $661.60
Rate for Payer: Cash Price $661.60
Rate for Payer: Mclaren Medicaid $80.30
Rate for Payer: Meridian Medicaid $84.31
Rate for Payer: Opus (Opus Packaging Group) HMA $620.25
Rate for Payer: Priority Health Choice Medicaid $80.30
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $227.83
Rate for Payer: Priority Health Narrow/Tiered Network $227.83
Rate for Payer: UHC Medicaid $80.30
Rate for Payer: UHCCP Medicaid $80.30
Service Code HCPCS 22114
Min. Negotiated Rate $746.78
Max. Negotiated Rate $1,878.75
Rate for Payer: Aetna Commercial $1,505.09
Rate for Payer: Aetna Medicare $1,252.50
Rate for Payer: BCBS Complete $784.12
Rate for Payer: BCN Commercial $1,744.93
Rate for Payer: Cash Price $2,004.00
Rate for Payer: Cash Price $2,004.00
Rate for Payer: Mclaren Medicaid $746.78
Rate for Payer: Meridian Medicaid $784.12
Rate for Payer: Opus (Opus Packaging Group) HMA $1,878.75
Rate for Payer: Priority Health Choice Medicaid $746.78
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,865.27
Rate for Payer: Priority Health Narrow/Tiered Network $1,865.27
Rate for Payer: UHC Medicaid $746.78
Rate for Payer: UHCCP Medicaid $746.78
Service Code HCPCS 60210
Min. Negotiated Rate $412.79
Max. Negotiated Rate $3,065.25
Rate for Payer: Aetna Commercial $910.33
Rate for Payer: Aetna Medicare $2,043.50
Rate for Payer: BCBS Complete $433.43
Rate for Payer: BCN Commercial $1,069.16
Rate for Payer: Cash Price $3,269.60
Rate for Payer: Cash Price $3,269.60
Rate for Payer: Mclaren Medicaid $412.79
Rate for Payer: Meridian Medicaid $433.43
Rate for Payer: Opus (Opus Packaging Group) HMA $3,065.25
Rate for Payer: Priority Health Choice Medicaid $412.79
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,159.34
Rate for Payer: Priority Health Narrow/Tiered Network $1,159.34
Rate for Payer: UHC Medicaid $412.79
Rate for Payer: UHCCP Medicaid $412.79
Service Code HCPCS 60212
Min. Negotiated Rate $620.47
Max. Negotiated Rate $1,675.56
Rate for Payer: Aetna Commercial $1,335.39
Rate for Payer: Aetna Medicare $943.00
Rate for Payer: BCBS Complete $651.49
Rate for Payer: BCN Commercial $1,545.24
Rate for Payer: Cash Price $1,508.80
Rate for Payer: Cash Price $1,508.80
Rate for Payer: Mclaren Medicaid $620.47
Rate for Payer: Meridian Medicaid $651.49
Rate for Payer: Opus (Opus Packaging Group) HMA $1,414.50
Rate for Payer: Priority Health Choice Medicaid $620.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $1,675.56
Rate for Payer: Priority Health Narrow/Tiered Network $1,675.56
Rate for Payer: UHC Medicaid $620.47
Rate for Payer: UHCCP Medicaid $620.47
Service Code HCPCS G0103
Min. Negotiated Rate $14.48
Max. Negotiated Rate $47.25
Rate for Payer: Aetna Commercial $18.34
Rate for Payer: Aetna Medicare $31.50
Rate for Payer: BCN Commercial $14.48
Rate for Payer: Cash Price $50.40
Rate for Payer: Cash Price $50.40
Rate for Payer: Opus (Opus Packaging Group) HMA $47.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $20.18
Rate for Payer: Priority Health Narrow/Tiered Network $20.18
Service Code HCPCS 90791
Min. Negotiated Rate $136.50
Max. Negotiated Rate $204.75
Rate for Payer: Aetna Commercial $149.76
Rate for Payer: Aetna Medicare $136.50
Rate for Payer: BCBS Complete $143.47
Rate for Payer: BCN Commercial $173.57
Rate for Payer: Cash Price $218.40
Rate for Payer: Cash Price $218.40
Rate for Payer: Mclaren Medicaid $136.64
Rate for Payer: Meridian Medicaid $143.47
Rate for Payer: Opus (Opus Packaging Group) HMA $204.75
Rate for Payer: Priority Health Choice Medicaid $136.64
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $194.98
Rate for Payer: Priority Health Narrow/Tiered Network $194.98
Rate for Payer: UHC Medicaid $136.64
Rate for Payer: UHCCP Medicaid $136.64
Service Code HCPCS 90792
Min. Negotiated Rate $136.00
Max. Negotiated Rate $213.34
Rate for Payer: Aetna Commercial $163.88
Rate for Payer: Aetna Medicare $136.00
Rate for Payer: BCBS Complete $166.72
Rate for Payer: BCN Commercial $198.71
Rate for Payer: Cash Price $217.60
Rate for Payer: Cash Price $217.60
Rate for Payer: Mclaren Medicaid $158.78
Rate for Payer: Meridian Medicaid $166.72
Rate for Payer: Opus (Opus Packaging Group) HMA $204.00
Rate for Payer: Priority Health Choice Medicaid $158.78
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $213.34
Rate for Payer: Priority Health Narrow/Tiered Network $213.34
Rate for Payer: UHC Medicaid $158.78
Rate for Payer: UHCCP Medicaid $158.78
Service Code HCPCS 90845
Min. Negotiated Rate $82.80
Max. Negotiated Rate $155.25
Rate for Payer: Aetna Commercial $96.55
Rate for Payer: Aetna Medicare $103.50
Rate for Payer: BCBS Complete $82.80
Rate for Payer: BCN Commercial $98.08
Rate for Payer: Cash Price $165.60
Rate for Payer: Cash Price $165.60
Rate for Payer: Opus (Opus Packaging Group) HMA $155.25
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $115.44
Rate for Payer: Priority Health Narrow/Tiered Network $115.44
Service Code HCPCS 96131
Min. Negotiated Rate $44.73
Max. Negotiated Rate $140.25
Rate for Payer: Aetna Commercial $90.37
Rate for Payer: Aetna Medicare $93.50
Rate for Payer: BCBS Complete $46.97
Rate for Payer: BCN Commercial $127.49
Rate for Payer: Cash Price $149.60
Rate for Payer: Cash Price $149.60
Rate for Payer: Mclaren Medicaid $44.73
Rate for Payer: Meridian Medicaid $46.97
Rate for Payer: Opus (Opus Packaging Group) HMA $140.25
Rate for Payer: Priority Health Choice Medicaid $44.73
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $102.88
Rate for Payer: Priority Health Narrow/Tiered Network $102.88
Rate for Payer: UHC Medicaid $44.73
Rate for Payer: UHCCP Medicaid $44.73
Service Code HCPCS 96130
Min. Negotiated Rate $63.47
Max. Negotiated Rate $184.50
Rate for Payer: Aetna Commercial $119.92
Rate for Payer: Aetna Medicare $123.00
Rate for Payer: BCBS Complete $66.64
Rate for Payer: BCN Commercial $180.76
Rate for Payer: Cash Price $196.80
Rate for Payer: Cash Price $196.80
Rate for Payer: Mclaren Medicaid $63.47
Rate for Payer: Meridian Medicaid $66.64
Rate for Payer: Opus (Opus Packaging Group) HMA $184.50
Rate for Payer: Priority Health Choice Medicaid $63.47
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO $150.64
Rate for Payer: Priority Health Narrow/Tiered Network $150.64
Rate for Payer: UHC Medicaid $63.47
Rate for Payer: UHCCP Medicaid $63.47