|
CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS
|
Professional
|
Both
|
$162.00
|
|
|
Service Code
|
HCPCS 75898
|
| Min. Negotiated Rate |
$57.72 |
| Max. Negotiated Rate |
$3,164.58 |
| Rate for Payer: Aetna Commercial |
$3,164.58
|
| Rate for Payer: Aetna Medicare |
$81.00
|
| Rate for Payer: BCBS Complete |
$60.61
|
| Rate for Payer: BCBS Trust/PPO |
$328.07
|
| Rate for Payer: BCN Commercial |
$2,886.03
|
| Rate for Payer: Cash Price |
$129.60
|
| Rate for Payer: Cash Price |
$129.60
|
| Rate for Payer: Mclaren Medicaid |
$57.72
|
| Rate for Payer: Meridian Medicaid |
$60.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.30
|
| Rate for Payer: Priority Health HMO/PPO |
$138.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.06
|
| Rate for Payer: UHCCP Medicaid |
$57.72
|
|
|
CHG ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I
|
Professional
|
Both
|
$302.00
|
|
|
Service Code
|
HCPCS 75774
|
| Min. Negotiated Rate |
$28.97 |
| Max. Negotiated Rate |
$196.30 |
| Rate for Payer: Aetna Commercial |
$118.13
|
| Rate for Payer: Aetna Medicare |
$91.69
|
| Rate for Payer: BCBS Complete |
$30.42
|
| Rate for Payer: BCBS MAPPO |
$88.16
|
| Rate for Payer: BCBS Trust/PPO |
$186.49
|
| Rate for Payer: BCN Commercial |
$142.21
|
| Rate for Payer: BCN Medicare Advantage |
$88.16
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cash Price |
$241.60
|
| Rate for Payer: Cofinity Commercial |
$126.95
|
| Rate for Payer: Cofinity Commercial |
$118.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.16
|
| Rate for Payer: Mclaren Medicaid |
$28.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.57
|
| Rate for Payer: Meridian Medicaid |
$30.42
|
| Rate for Payer: Nomi Health Commercial |
$105.79
|
| Rate for Payer: PACE SWMI |
$88.16
|
| Rate for Payer: PHP Medicare Advantage |
$88.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.30
|
| Rate for Payer: Priority Health HMO/PPO |
$69.80
|
| Rate for Payer: Priority Health Medicare |
$89.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.16
|
| Rate for Payer: UHC Exchange |
$88.16
|
| Rate for Payer: UHC Medicare Advantage |
$88.16
|
| Rate for Payer: UHCCP Medicaid |
$28.97
|
|
|
CHG AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I
|
Professional
|
Both
|
$475.00
|
|
|
Service Code
|
HCPCS 75630
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$308.75 |
| Rate for Payer: Aetna Commercial |
$195.13
|
| Rate for Payer: Aetna Commercial |
$195.13
|
| Rate for Payer: Aetna Medicare |
$151.44
|
| Rate for Payer: Aetna Medicare |
$151.44
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS Complete |
$61.95
|
| Rate for Payer: BCBS MAPPO |
$145.62
|
| Rate for Payer: BCBS MAPPO |
$145.62
|
| Rate for Payer: BCBS Trust/PPO |
$166.41
|
| Rate for Payer: BCBS Trust/PPO |
$166.41
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Commercial |
$229.19
|
| Rate for Payer: BCN Medicare Advantage |
$145.62
|
| Rate for Payer: BCN Medicare Advantage |
$145.62
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$380.00
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$380.00
|
| Rate for Payer: Cofinity Commercial |
$209.69
|
| Rate for Payer: Cofinity Commercial |
$195.13
|
| Rate for Payer: Cofinity Commercial |
$209.69
|
| Rate for Payer: Cofinity Commercial |
$195.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.62
|
| Rate for Payer: Mclaren Medicaid |
$59.00
|
| Rate for Payer: Mclaren Medicaid |
$59.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.90
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Meridian Medicaid |
$61.95
|
| Rate for Payer: Nomi Health Commercial |
$174.74
|
| Rate for Payer: Nomi Health Commercial |
$174.74
|
| Rate for Payer: PACE SWMI |
$145.62
|
| Rate for Payer: PACE SWMI |
$145.62
|
| Rate for Payer: PHP Medicare Advantage |
$145.62
|
| Rate for Payer: PHP Medicare Advantage |
$145.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$308.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.45
|
| Rate for Payer: Priority Health HMO/PPO |
$141.65
|
| Rate for Payer: Priority Health HMO/PPO |
$141.65
|
| Rate for Payer: Priority Health Medicare |
$147.08
|
| Rate for Payer: Priority Health Medicare |
$147.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.62
|
| Rate for Payer: UHC Exchange |
$145.62
|
| Rate for Payer: UHC Exchange |
$145.62
|
| Rate for Payer: UHC Medicare Advantage |
$145.62
|
| Rate for Payer: UHC Medicare Advantage |
$145.62
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
| Rate for Payer: UHCCP Medicaid |
$59.00
|
|
|
CHG AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 75625
|
| Min. Negotiated Rate |
$42.60 |
| Max. Negotiated Rate |
$184.72 |
| Rate for Payer: Aetna Commercial |
$156.53
|
| Rate for Payer: Aetna Commercial |
$156.53
|
| Rate for Payer: Aetna Medicare |
$121.48
|
| Rate for Payer: Aetna Medicare |
$121.48
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS MAPPO |
$116.81
|
| Rate for Payer: BCBS MAPPO |
$116.81
|
| Rate for Payer: BCBS Trust/PPO |
$133.13
|
| Rate for Payer: BCBS Trust/PPO |
$133.13
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Commercial |
$184.72
|
| Rate for Payer: BCN Medicare Advantage |
$116.81
|
| Rate for Payer: BCN Medicare Advantage |
$116.81
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$156.53
|
| Rate for Payer: Cofinity Commercial |
$168.21
|
| Rate for Payer: Cofinity Commercial |
$156.53
|
| Rate for Payer: Cofinity Commercial |
$168.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.81
|
| Rate for Payer: Mclaren Medicaid |
$42.60
|
| Rate for Payer: Mclaren Medicaid |
$42.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.65
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Nomi Health Commercial |
$140.17
|
| Rate for Payer: Nomi Health Commercial |
$140.17
|
| Rate for Payer: PACE SWMI |
$116.81
|
| Rate for Payer: PACE SWMI |
$116.81
|
| Rate for Payer: PHP Medicare Advantage |
$116.81
|
| Rate for Payer: PHP Medicare Advantage |
$116.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.75
|
| Rate for Payer: Priority Health HMO/PPO |
$102.14
|
| Rate for Payer: Priority Health HMO/PPO |
$102.14
|
| Rate for Payer: Priority Health Medicare |
$117.98
|
| Rate for Payer: Priority Health Medicare |
$117.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.81
|
| Rate for Payer: UHC Exchange |
$116.81
|
| Rate for Payer: UHC Exchange |
$116.81
|
| Rate for Payer: UHC Medicare Advantage |
$116.81
|
| Rate for Payer: UHC Medicare Advantage |
$116.81
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
|
|
CHG AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$265.00
|
|
|
Service Code
|
HCPCS 75605
|
| Min. Negotiated Rate |
$33.65 |
| Max. Negotiated Rate |
$176.42 |
| Rate for Payer: Aetna Commercial |
$148.54
|
| Rate for Payer: Aetna Medicare |
$115.28
|
| Rate for Payer: BCBS Complete |
$35.33
|
| Rate for Payer: BCBS MAPPO |
$110.85
|
| Rate for Payer: BCBS Trust/PPO |
$157.43
|
| Rate for Payer: BCN Commercial |
$176.42
|
| Rate for Payer: BCN Medicare Advantage |
$110.85
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cofinity Commercial |
$159.62
|
| Rate for Payer: Cofinity Commercial |
$148.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.85
|
| Rate for Payer: Mclaren Medicaid |
$33.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.39
|
| Rate for Payer: Meridian Medicaid |
$35.33
|
| Rate for Payer: Nomi Health Commercial |
$133.02
|
| Rate for Payer: PACE SWMI |
$110.85
|
| Rate for Payer: PHP Medicare Advantage |
$110.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.25
|
| Rate for Payer: Priority Health HMO/PPO |
$80.58
|
| Rate for Payer: Priority Health Medicare |
$111.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$80.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.85
|
| Rate for Payer: UHC Exchange |
$110.85
|
| Rate for Payer: UHC Medicare Advantage |
$110.85
|
| Rate for Payer: UHCCP Medicaid |
$33.65
|
|
|
CHG AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I
|
Professional
|
Both
|
$107.00
|
|
|
Service Code
|
HCPCS 75600
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$270.73 |
| Rate for Payer: Aetna Commercial |
$208.13
|
| Rate for Payer: Aetna Medicare |
$161.53
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCBS MAPPO |
$155.32
|
| Rate for Payer: BCBS Trust/PPO |
$114.11
|
| Rate for Payer: BCN Commercial |
$270.73
|
| Rate for Payer: BCN Medicare Advantage |
$155.32
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cash Price |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$223.66
|
| Rate for Payer: Cofinity Commercial |
$208.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.32
|
| Rate for Payer: Mclaren Medicaid |
$14.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.09
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Nomi Health Commercial |
$186.38
|
| Rate for Payer: PACE SWMI |
$155.32
|
| Rate for Payer: PHP Medicare Advantage |
$155.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.55
|
| Rate for Payer: Priority Health HMO/PPO |
$35.42
|
| Rate for Payer: Priority Health Medicare |
$156.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.32
|
| Rate for Payer: UHC Exchange |
$155.32
|
| Rate for Payer: UHC Medicare Advantage |
$155.32
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
|
|
CHG ASSAY OF LEAD
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS 83655
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$365.58 |
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$12.59
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: BCBS MAPPO |
$12.11
|
| Rate for Payer: BCBS Trust/PPO |
$365.58
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: BCN Medicare Advantage |
$12.11
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$17.44
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.72
|
| Rate for Payer: Nomi Health Commercial |
$14.53
|
| Rate for Payer: PACE SWMI |
$12.11
|
| Rate for Payer: PHP Medicare Advantage |
$12.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
| Rate for Payer: Priority Health HMO/PPO |
$11.98
|
| Rate for Payer: Priority Health Medicare |
$12.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$12.11
|
| Rate for Payer: UHC Exchange |
$12.11
|
| Rate for Payer: UHC Medicare Advantage |
$12.11
|
|
|
CHG ASSAY OF PHOSPHATASE ALKALINE
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 84075
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$1,760.30 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: BCBS Complete |
$4.80
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,760.30
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cash Price |
$9.60
|
| Rate for Payer: Cofinity Commercial |
$7.46
|
| Rate for Payer: Cofinity Commercial |
$6.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.44
|
| Rate for Payer: Nomi Health Commercial |
$6.22
|
| Rate for Payer: PACE SWMI |
$5.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.80
|
| Rate for Payer: Priority Health HMO/PPO |
$5.33
|
| Rate for Payer: Priority Health Medicare |
$5.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.18
|
| Rate for Payer: UHC Exchange |
$5.18
|
| Rate for Payer: UHC Medicare Advantage |
$5.18
|
|
|
CHG ASSAY OF PROGESTERONE
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 84144
|
| Min. Negotiated Rate |
$15.65 |
| Max. Negotiated Rate |
$2,469.80 |
| Rate for Payer: Aetna Commercial |
$27.95
|
| Rate for Payer: Aetna Medicare |
$21.69
|
| Rate for Payer: BCBS Complete |
$37.60
|
| Rate for Payer: BCBS MAPPO |
$20.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,469.80
|
| Rate for Payer: BCN Commercial |
$15.65
|
| Rate for Payer: BCN Medicare Advantage |
$20.86
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cofinity Commercial |
$30.04
|
| Rate for Payer: Cofinity Commercial |
$27.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.90
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: PACE SWMI |
$20.86
|
| Rate for Payer: PHP Medicare Advantage |
$20.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.10
|
| Rate for Payer: Priority Health HMO/PPO |
$20.97
|
| Rate for Payer: Priority Health Medicare |
$21.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.86
|
| Rate for Payer: UHC Exchange |
$20.86
|
| Rate for Payer: UHC Medicare Advantage |
$20.86
|
|
|
CHG ASSAY OF PYRUVATE KINASE
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 84220
|
| Min. Negotiated Rate |
$7.08 |
| Max. Negotiated Rate |
$2,574.93 |
| Rate for Payer: Aetna Commercial |
$12.65
|
| Rate for Payer: Aetna Medicare |
$9.82
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS MAPPO |
$9.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,574.93
|
| Rate for Payer: BCN Commercial |
$7.08
|
| Rate for Payer: BCN Medicare Advantage |
$9.44
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$13.59
|
| Rate for Payer: Cofinity Commercial |
$12.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.91
|
| Rate for Payer: Nomi Health Commercial |
$11.33
|
| Rate for Payer: PACE SWMI |
$9.44
|
| Rate for Payer: PHP Medicare Advantage |
$9.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.75
|
| Rate for Payer: Priority Health HMO/PPO |
$9.32
|
| Rate for Payer: Priority Health Medicare |
$9.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.44
|
| Rate for Payer: UHC Exchange |
$9.44
|
| Rate for Payer: UHC Medicare Advantage |
$9.44
|
|
|
CHG ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 84588
|
| Min. Negotiated Rate |
$25.46 |
| Max. Negotiated Rate |
$4,901.57 |
| Rate for Payer: Aetna Commercial |
$45.48
|
| Rate for Payer: Aetna Medicare |
$35.30
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS MAPPO |
$33.94
|
| Rate for Payer: BCBS Trust/PPO |
$4,901.57
|
| Rate for Payer: BCN Commercial |
$25.46
|
| Rate for Payer: BCN Medicare Advantage |
$33.94
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$48.87
|
| Rate for Payer: Cofinity Commercial |
$45.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.64
|
| Rate for Payer: Nomi Health Commercial |
$40.73
|
| Rate for Payer: PACE SWMI |
$33.94
|
| Rate for Payer: PHP Medicare Advantage |
$33.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.00
|
| Rate for Payer: Priority Health HMO/PPO |
$33.95
|
| Rate for Payer: Priority Health Medicare |
$34.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.94
|
| Rate for Payer: UHC Exchange |
$33.94
|
| Rate for Payer: UHC Medicare Advantage |
$33.94
|
|
|
CHG BALLOON ANGIOPLASTY VISCERAL
|
Professional
|
Both
|
$160.00
|
|
|
Service Code
|
HCPCS 75966
|
| Min. Negotiated Rate |
$64.00 |
| Max. Negotiated Rate |
$104.00 |
| Rate for Payer: Aetna Medicare |
$80.00
|
| Rate for Payer: BCBS Complete |
$64.00
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.00
|
|
|
CHG BALLOON ANGIO VENOUS
|
Professional
|
Both
|
$397.00
|
|
|
Service Code
|
HCPCS 75978
|
| Min. Negotiated Rate |
$158.80 |
| Max. Negotiated Rate |
$258.05 |
| Rate for Payer: Aetna Medicare |
$198.50
|
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: BCBS Complete |
$158.80
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: Cash Price |
$317.60
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.05
|
|
|
CHG BASIC RADIATION DOSIMETRY CALCULATION
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 77300
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$205.51 |
| Rate for Payer: Aetna Commercial |
$82.61
|
| Rate for Payer: Aetna Commercial |
$82.61
|
| Rate for Payer: Aetna Medicare |
$64.12
|
| Rate for Payer: Aetna Medicare |
$64.12
|
| Rate for Payer: BCBS Complete |
$22.14
|
| Rate for Payer: BCBS Complete |
$22.14
|
| Rate for Payer: BCBS MAPPO |
$61.65
|
| Rate for Payer: BCBS MAPPO |
$61.65
|
| Rate for Payer: BCBS Trust/PPO |
$205.51
|
| Rate for Payer: BCBS Trust/PPO |
$205.51
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Commercial |
$96.27
|
| Rate for Payer: BCN Medicare Advantage |
$61.65
|
| Rate for Payer: BCN Medicare Advantage |
$61.65
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$82.61
|
| Rate for Payer: Cofinity Commercial |
$88.78
|
| Rate for Payer: Cofinity Commercial |
$82.61
|
| Rate for Payer: Cofinity Commercial |
$88.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.65
|
| Rate for Payer: Mclaren Medicaid |
$21.09
|
| Rate for Payer: Mclaren Medicaid |
$21.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.73
|
| Rate for Payer: Meridian Medicaid |
$22.14
|
| Rate for Payer: Meridian Medicaid |
$22.14
|
| Rate for Payer: Nomi Health Commercial |
$73.98
|
| Rate for Payer: Nomi Health Commercial |
$73.98
|
| Rate for Payer: PACE SWMI |
$61.65
|
| Rate for Payer: PACE SWMI |
$61.65
|
| Rate for Payer: PHP Medicare Advantage |
$61.65
|
| Rate for Payer: PHP Medicare Advantage |
$61.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.75
|
| Rate for Payer: Priority Health HMO/PPO |
$49.79
|
| Rate for Payer: Priority Health HMO/PPO |
$49.79
|
| Rate for Payer: Priority Health Medicare |
$62.27
|
| Rate for Payer: Priority Health Medicare |
$62.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.65
|
| Rate for Payer: UHC Exchange |
$61.65
|
| Rate for Payer: UHC Exchange |
$61.65
|
| Rate for Payer: UHC Medicare Advantage |
$61.65
|
| Rate for Payer: UHC Medicare Advantage |
$61.65
|
| Rate for Payer: UHCCP Medicaid |
$21.09
|
| Rate for Payer: UHCCP Medicaid |
$21.09
|
|
|
CHG BILIRUBIN TOTAL
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 82247
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$4,644.29 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCBS Trust/PPO |
$4,644.29
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: Nomi Health Commercial |
$6.02
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO |
$4.99
|
| Rate for Payer: Priority Health Medicare |
$5.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Medicare Advantage |
$5.02
|
|
|
CHG BILIRUBIN TOTAL TRANSCUTANEOUS
|
Professional
|
Both
|
$13.00
|
|
|
Service Code
|
HCPCS 88720
|
| Min. Negotiated Rate |
$3.77 |
| Max. Negotiated Rate |
$1,883.39 |
| Rate for Payer: Aetna Commercial |
$6.73
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS MAPPO |
$5.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,883.39
|
| Rate for Payer: BCN Commercial |
$3.77
|
| Rate for Payer: BCN Medicare Advantage |
$5.02
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$7.23
|
| Rate for Payer: Cofinity Commercial |
$6.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.27
|
| Rate for Payer: Nomi Health Commercial |
$6.02
|
| Rate for Payer: PACE SWMI |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.45
|
| Rate for Payer: Priority Health HMO/PPO |
$7.73
|
| Rate for Payer: Priority Health Medicare |
$5.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Medicare Advantage |
$5.02
|
|
|
CHG BLOOD COUNT HEMOGLOBIN
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 85018
|
| Min. Negotiated Rate |
$2.33 |
| Max. Negotiated Rate |
$4,885.72 |
| Rate for Payer: Aetna Commercial |
$3.18
|
| Rate for Payer: Aetna Medicare |
$2.46
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$2.37
|
| Rate for Payer: BCBS Trust/PPO |
$4,885.72
|
| Rate for Payer: BCN Commercial |
$2.37
|
| Rate for Payer: BCN Medicare Advantage |
$2.37
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.49
|
| Rate for Payer: Nomi Health Commercial |
$2.84
|
| Rate for Payer: PACE SWMI |
$2.37
|
| Rate for Payer: PHP Medicare Advantage |
$2.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO |
$2.33
|
| Rate for Payer: Priority Health Medicare |
$2.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.37
|
| Rate for Payer: UHC Exchange |
$2.37
|
| Rate for Payer: UHC Medicare Advantage |
$2.37
|
|
|
CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 82274
|
| Min. Negotiated Rate |
$15.92 |
| Max. Negotiated Rate |
$2,456.07 |
| Rate for Payer: Aetna Commercial |
$21.33
|
| Rate for Payer: Aetna Medicare |
$16.56
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$15.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,456.07
|
| Rate for Payer: BCN Commercial |
$15.92
|
| Rate for Payer: BCN Medicare Advantage |
$15.92
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$22.92
|
| Rate for Payer: Cofinity Commercial |
$21.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.72
|
| Rate for Payer: Nomi Health Commercial |
$19.10
|
| Rate for Payer: PACE SWMI |
$15.92
|
| Rate for Payer: PHP Medicare Advantage |
$15.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health HMO/PPO |
$15.98
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$15.92
|
| Rate for Payer: UHC Exchange |
$15.92
|
| Rate for Payer: UHC Medicare Advantage |
$15.92
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS 82272
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5,089.64 |
| Rate for Payer: Aetna Commercial |
$5.67
|
| Rate for Payer: Aetna Medicare |
$4.40
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$4.23
|
| Rate for Payer: BCBS Trust/PPO |
$5,089.64
|
| Rate for Payer: BCN Commercial |
$4.23
|
| Rate for Payer: BCN Medicare Advantage |
$4.23
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$6.09
|
| Rate for Payer: Cofinity Commercial |
$5.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.44
|
| Rate for Payer: Nomi Health Commercial |
$5.08
|
| Rate for Payer: PACE SWMI |
$4.23
|
| Rate for Payer: PHP Medicare Advantage |
$4.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: Priority Health HMO/PPO |
$4.33
|
| Rate for Payer: Priority Health Medicare |
$4.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.23
|
| Rate for Payer: UHC Exchange |
$4.23
|
| Rate for Payer: UHC Medicare Advantage |
$4.23
|
|
|
CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82270
|
| Min. Negotiated Rate |
$4.33 |
| Max. Negotiated Rate |
$3,891.99 |
| Rate for Payer: Aetna Commercial |
$5.87
|
| Rate for Payer: Aetna Medicare |
$4.56
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$4.38
|
| Rate for Payer: BCBS Trust/PPO |
$3,891.99
|
| Rate for Payer: BCN Commercial |
$4.38
|
| Rate for Payer: BCN Medicare Advantage |
$4.38
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$6.31
|
| Rate for Payer: Cofinity Commercial |
$5.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.60
|
| Rate for Payer: Nomi Health Commercial |
$5.26
|
| Rate for Payer: PACE SWMI |
$4.38
|
| Rate for Payer: PHP Medicare Advantage |
$4.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.10
|
| Rate for Payer: Priority Health HMO/PPO |
$4.33
|
| Rate for Payer: Priority Health Medicare |
$4.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.38
|
| Rate for Payer: UHC Exchange |
$4.38
|
| Rate for Payer: UHC Medicare Advantage |
$4.38
|
|
|
CHG BONE AGE STUDIES
|
Professional
|
Both
|
$36.00
|
|
|
Service Code
|
HCPCS 77072
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$3,140.74 |
| Rate for Payer: Aetna Commercial |
$31.37
|
| Rate for Payer: Aetna Medicare |
$24.35
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$23.41
|
| Rate for Payer: BCBS Trust/PPO |
$3,140.74
|
| Rate for Payer: BCN Commercial |
$38.12
|
| Rate for Payer: BCN Medicare Advantage |
$23.41
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cofinity Commercial |
$33.71
|
| Rate for Payer: Cofinity Commercial |
$31.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.41
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.58
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Nomi Health Commercial |
$28.09
|
| Rate for Payer: PACE SWMI |
$23.41
|
| Rate for Payer: PHP Medicare Advantage |
$23.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.40
|
| Rate for Payer: Priority Health HMO/PPO |
$13.86
|
| Rate for Payer: Priority Health Medicare |
$23.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.41
|
| Rate for Payer: UHC Exchange |
$23.41
|
| Rate for Payer: UHC Medicare Advantage |
$23.41
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
|
|
CHG BONE LENGTH STUDIES
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 77073
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$3,610.40 |
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Commercial |
$55.05
|
| Rate for Payer: Aetna Medicare |
$42.72
|
| Rate for Payer: Aetna Medicare |
$42.72
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCBS MAPPO |
$41.08
|
| Rate for Payer: BCBS MAPPO |
$41.08
|
| Rate for Payer: BCBS Trust/PPO |
$3,610.40
|
| Rate for Payer: BCBS Trust/PPO |
$3,610.40
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Commercial |
$65.97
|
| Rate for Payer: BCN Medicare Advantage |
$41.08
|
| Rate for Payer: BCN Medicare Advantage |
$41.08
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$107.20
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$59.16
|
| Rate for Payer: Cofinity Commercial |
$55.05
|
| Rate for Payer: Cofinity Commercial |
$59.16
|
| Rate for Payer: Cofinity Commercial |
$55.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.08
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.13
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Nomi Health Commercial |
$49.30
|
| Rate for Payer: Nomi Health Commercial |
$49.30
|
| Rate for Payer: PACE SWMI |
$41.08
|
| Rate for Payer: PACE SWMI |
$41.08
|
| Rate for Payer: PHP Medicare Advantage |
$41.08
|
| Rate for Payer: PHP Medicare Advantage |
$41.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.10
|
| Rate for Payer: Priority Health HMO/PPO |
$20.01
|
| Rate for Payer: Priority Health HMO/PPO |
$20.01
|
| Rate for Payer: Priority Health Medicare |
$41.49
|
| Rate for Payer: Priority Health Medicare |
$41.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$41.08
|
| Rate for Payer: UHC Exchange |
$41.08
|
| Rate for Payer: UHC Exchange |
$41.08
|
| Rate for Payer: UHC Medicare Advantage |
$41.08
|
| Rate for Payer: UHC Medicare Advantage |
$41.08
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
CHG BRACHYTHER DOSE PLAN COMPLX
|
Professional
|
Both
|
$526.00
|
|
|
Service Code
|
HCPCS 77328
|
| Min. Negotiated Rate |
$210.40 |
| Max. Negotiated Rate |
$341.90 |
| Rate for Payer: Aetna Medicare |
$263.00
|
| Rate for Payer: Aetna Medicare |
$154.50
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: BCBS Complete |
$210.40
|
| Rate for Payer: Cash Price |
$420.80
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$341.90
|
|
|
CHG BRACHYTHER DOSE PLAN SIMPLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 77326
|
| Min. Negotiated Rate |
$73.60 |
| Max. Negotiated Rate |
$119.60 |
| Rate for Payer: Aetna Medicare |
$92.00
|
| Rate for Payer: Aetna Medicare |
$139.50
|
| Rate for Payer: BCBS Complete |
$111.60
|
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$181.35
|
|
|
CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL
|
Professional
|
Both
|
$643.00
|
|
|
Service Code
|
HCPCS 77318
|
| Min. Negotiated Rate |
$98.19 |
| Max. Negotiated Rate |
$1,342.41 |
| Rate for Payer: Aetna Commercial |
$563.23
|
| Rate for Payer: Aetna Commercial |
$563.23
|
| Rate for Payer: Aetna Medicare |
$437.13
|
| Rate for Payer: Aetna Medicare |
$437.13
|
| Rate for Payer: BCBS Complete |
$103.10
|
| Rate for Payer: BCBS Complete |
$103.10
|
| Rate for Payer: BCBS MAPPO |
$420.32
|
| Rate for Payer: BCBS MAPPO |
$420.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,342.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,342.41
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Medicare Advantage |
$420.32
|
| Rate for Payer: BCN Medicare Advantage |
$420.32
|
| Rate for Payer: Cash Price |
$567.20
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$514.40
|
| Rate for Payer: Cash Price |
$567.20
|
| Rate for Payer: Cofinity Commercial |
$563.23
|
| Rate for Payer: Cofinity Commercial |
$605.26
|
| Rate for Payer: Cofinity Commercial |
$563.23
|
| Rate for Payer: Cofinity Commercial |
$605.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.32
|
| Rate for Payer: Mclaren Medicaid |
$98.19
|
| Rate for Payer: Mclaren Medicaid |
$98.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.34
|
| Rate for Payer: Meridian Medicaid |
$103.10
|
| Rate for Payer: Meridian Medicaid |
$103.10
|
| Rate for Payer: Nomi Health Commercial |
$504.38
|
| Rate for Payer: Nomi Health Commercial |
$504.38
|
| Rate for Payer: PACE SWMI |
$420.32
|
| Rate for Payer: PACE SWMI |
$420.32
|
| Rate for Payer: PHP Medicare Advantage |
$420.32
|
| Rate for Payer: PHP Medicare Advantage |
$420.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$417.95
|
| Rate for Payer: Priority Health HMO/PPO |
$231.99
|
| Rate for Payer: Priority Health HMO/PPO |
$231.99
|
| Rate for Payer: Priority Health Medicare |
$424.52
|
| Rate for Payer: Priority Health Medicare |
$424.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$231.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$231.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$420.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$420.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.32
|
| Rate for Payer: UHC Exchange |
$420.32
|
| Rate for Payer: UHC Exchange |
$420.32
|
| Rate for Payer: UHC Medicare Advantage |
$420.32
|
| Rate for Payer: UHC Medicare Advantage |
$420.32
|
| Rate for Payer: UHCCP Medicaid |
$98.19
|
| Rate for Payer: UHCCP Medicaid |
$98.19
|
|
