|
CHG CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 78472
|
| Min. Negotiated Rate |
$28.76 |
| Max. Negotiated Rate |
$429.51 |
| Rate for Payer: Aetna Commercial |
$249.11
|
| Rate for Payer: Aetna Medicare |
$193.34
|
| Rate for Payer: BCBS Complete |
$30.20
|
| Rate for Payer: BCBS MAPPO |
$185.90
|
| Rate for Payer: BCBS Trust/PPO |
$429.51
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$185.90
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Cofinity Commercial |
$249.11
|
| Rate for Payer: Cofinity Commercial |
$267.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.90
|
| Rate for Payer: Mclaren Medicaid |
$28.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.20
|
| Rate for Payer: Meridian Medicaid |
$30.20
|
| Rate for Payer: Nomi Health Commercial |
$223.08
|
| Rate for Payer: PACE SWMI |
$185.90
|
| Rate for Payer: PHP Medicare Advantage |
$185.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
| Rate for Payer: Priority Health HMO/PPO |
$69.29
|
| Rate for Payer: Priority Health Medicare |
$187.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.90
|
| Rate for Payer: UHC Exchange |
$185.90
|
| Rate for Payer: UHC Medicare Advantage |
$185.90
|
| Rate for Payer: UHCCP Medicaid |
$28.76
|
|
|
CHG CELL COUNT MISCELLANEOUS BODY FLUIDS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 89050
|
| Min. Negotiated Rate |
$3.54 |
| Max. Negotiated Rate |
$2,396.37 |
| Rate for Payer: Aetna Commercial |
$6.32
|
| Rate for Payer: Aetna Medicare |
$4.91
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,396.37
|
| Rate for Payer: BCN Commercial |
$3.54
|
| Rate for Payer: BCN Medicare Advantage |
$4.72
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.32
|
| Rate for Payer: Cofinity Commercial |
$6.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.96
|
| Rate for Payer: Nomi Health Commercial |
$5.66
|
| Rate for Payer: PACE SWMI |
$4.72
|
| Rate for Payer: PHP Medicare Advantage |
$4.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO |
$7.22
|
| Rate for Payer: Priority Health Medicare |
$4.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.72
|
| Rate for Payer: UHC Exchange |
$4.72
|
| Rate for Payer: UHC Medicare Advantage |
$4.72
|
|
|
CHG CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 78630
|
| Min. Negotiated Rate |
$20.02 |
| Max. Negotiated Rate |
$694.71 |
| Rate for Payer: Aetna Commercial |
$360.49
|
| Rate for Payer: Aetna Medicare |
$279.78
|
| Rate for Payer: BCBS Complete |
$21.02
|
| Rate for Payer: BCBS MAPPO |
$269.02
|
| Rate for Payer: BCBS Trust/PPO |
$694.71
|
| Rate for Payer: BCN Commercial |
$459.36
|
| Rate for Payer: BCN Medicare Advantage |
$269.02
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$387.39
|
| Rate for Payer: Cofinity Commercial |
$360.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$269.02
|
| Rate for Payer: Mclaren Medicaid |
$20.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$282.47
|
| Rate for Payer: Meridian Medicaid |
$21.02
|
| Rate for Payer: Nomi Health Commercial |
$322.82
|
| Rate for Payer: PACE SWMI |
$269.02
|
| Rate for Payer: PHP Medicare Advantage |
$269.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$427.70
|
| Rate for Payer: Priority Health HMO/PPO |
$47.74
|
| Rate for Payer: Priority Health Medicare |
$271.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$269.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$269.02
|
| Rate for Payer: UHC Exchange |
$269.02
|
| Rate for Payer: UHC Medicare Advantage |
$269.02
|
| Rate for Payer: UHCCP Medicaid |
$20.02
|
|
|
CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I
|
Professional
|
Both
|
$160.00
|
|
|
Service Code
|
HCPCS 75984
|
| Min. Negotiated Rate |
$23.86 |
| Max. Negotiated Rate |
$389.89 |
| Rate for Payer: Aetna Commercial |
$115.63
|
| Rate for Payer: Aetna Commercial |
$115.63
|
| Rate for Payer: Aetna Medicare |
$89.74
|
| Rate for Payer: Aetna Medicare |
$89.74
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS Complete |
$25.05
|
| Rate for Payer: BCBS MAPPO |
$86.29
|
| Rate for Payer: BCBS MAPPO |
$86.29
|
| Rate for Payer: BCBS Trust/PPO |
$389.89
|
| Rate for Payer: BCBS Trust/PPO |
$389.89
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Commercial |
$140.74
|
| Rate for Payer: BCN Medicare Advantage |
$86.29
|
| Rate for Payer: BCN Medicare Advantage |
$86.29
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$128.00
|
| Rate for Payer: Cofinity Commercial |
$124.26
|
| Rate for Payer: Cofinity Commercial |
$115.63
|
| Rate for Payer: Cofinity Commercial |
$124.26
|
| Rate for Payer: Cofinity Commercial |
$115.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.29
|
| 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 |
$90.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.60
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Meridian Medicaid |
$25.05
|
| Rate for Payer: Nomi Health Commercial |
$103.55
|
| Rate for Payer: Nomi Health Commercial |
$103.55
|
| Rate for Payer: PACE SWMI |
$86.29
|
| Rate for Payer: PACE SWMI |
$86.29
|
| Rate for Payer: PHP Medicare Advantage |
$86.29
|
| Rate for Payer: PHP Medicare Advantage |
$86.29
|
| 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 |
$104.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.70
|
| Rate for Payer: Priority Health HMO/PPO |
$57.48
|
| Rate for Payer: Priority Health HMO/PPO |
$57.48
|
| Rate for Payer: Priority Health Medicare |
$87.15
|
| Rate for Payer: Priority Health Medicare |
$87.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.29
|
| Rate for Payer: UHC Exchange |
$86.29
|
| Rate for Payer: UHC Exchange |
$86.29
|
| Rate for Payer: UHC Medicare Advantage |
$86.29
|
| Rate for Payer: UHC Medicare Advantage |
$86.29
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
| Rate for Payer: UHCCP Medicaid |
$23.86
|
|
|
CHG CHEST X-RAY 1 VW
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 71010
|
| Min. Negotiated Rate |
$11.60 |
| Max. Negotiated Rate |
$18.85 |
| Rate for Payer: Aetna Medicare |
$14.50
|
| Rate for Payer: Aetna Medicare |
$36.50
|
| Rate for Payer: BCBS Complete |
$29.20
|
| Rate for Payer: BCBS Complete |
$11.60
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.45
|
|
|
CHG CHEST X-RAY 2 VW
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 71020
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: Aetna Medicare |
$22.00
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
|
|
CHG CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 74300
|
| Min. Negotiated Rate |
$8.31 |
| Max. Negotiated Rate |
$79.16 |
| Rate for Payer: Aetna Commercial |
$45.81
|
| Rate for Payer: Aetna Medicare |
$14.00
|
| Rate for Payer: BCBS Complete |
$8.73
|
| Rate for Payer: BCN Commercial |
$79.16
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Mclaren Medicaid |
$8.31
|
| Rate for Payer: Meridian Medicaid |
$8.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health HMO/PPO |
$20.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.01
|
| Rate for Payer: UHCCP Medicaid |
$8.31
|
|
|
CHG CHOLESTEROL SERUM/WHOLE BLOOD TOTAL
|
Professional
|
Both
|
$14.00
|
|
|
Service Code
|
HCPCS 82465
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$1,764.52 |
| Rate for Payer: Aetna Commercial |
$5.83
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,764.52
|
| Rate for Payer: BCN Commercial |
$1.08
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cofinity Commercial |
$5.83
|
| Rate for Payer: Cofinity Commercial |
$6.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Nomi Health Commercial |
$5.22
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| 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 |
$4.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.35
|
| Rate for Payer: UHC Exchange |
$4.35
|
| Rate for Payer: UHC Medicare Advantage |
$4.35
|
|
|
CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-
|
Professional
|
Both
|
$112.00
|
|
|
Service Code
|
HCPCS 71271
|
| Min. Negotiated Rate |
$32.38 |
| Max. Negotiated Rate |
$208.66 |
| Rate for Payer: Aetna Commercial |
$170.41
|
| Rate for Payer: Aetna Medicare |
$132.26
|
| Rate for Payer: BCBS Complete |
$34.00
|
| Rate for Payer: BCBS MAPPO |
$127.17
|
| Rate for Payer: BCN Commercial |
$208.66
|
| Rate for Payer: BCN Medicare Advantage |
$127.17
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cash Price |
$89.60
|
| Rate for Payer: Cofinity Commercial |
$170.41
|
| Rate for Payer: Cofinity Commercial |
$183.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.17
|
| Rate for Payer: Mclaren Medicaid |
$32.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.53
|
| Rate for Payer: Meridian Medicaid |
$34.00
|
| Rate for Payer: Nomi Health Commercial |
$152.60
|
| Rate for Payer: PACE SWMI |
$127.17
|
| Rate for Payer: PHP Medicare Advantage |
$127.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.80
|
| Rate for Payer: Priority Health HMO/PPO |
$78.02
|
| Rate for Payer: Priority Health Medicare |
$128.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$78.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.17
|
| Rate for Payer: UHC Exchange |
$127.17
|
| Rate for Payer: UHC Medicare Advantage |
$127.17
|
| Rate for Payer: UHCCP Medicaid |
$32.38
|
|
|
CHG CONTINUING MEDICAL PHYSICS CONSLTJ PR WK
|
Professional
|
Both
|
$154.00
|
|
|
Service Code
|
HCPCS 77336
|
| Min. Negotiated Rate |
$61.60 |
| Max. Negotiated Rate |
$2,156.52 |
| Rate for Payer: Aetna Commercial |
$108.98
|
| Rate for Payer: Aetna Medicare |
$84.58
|
| Rate for Payer: BCBS Complete |
$61.60
|
| Rate for Payer: BCBS MAPPO |
$81.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,156.52
|
| Rate for Payer: BCN Commercial |
$126.08
|
| Rate for Payer: BCN Medicare Advantage |
$81.33
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cofinity Commercial |
$108.98
|
| Rate for Payer: Cofinity Commercial |
$117.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.40
|
| Rate for Payer: Nomi Health Commercial |
$97.60
|
| Rate for Payer: PACE SWMI |
$81.33
|
| Rate for Payer: PHP Medicare Advantage |
$81.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health HMO/PPO |
$137.04
|
| Rate for Payer: Priority Health Medicare |
$82.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.33
|
| Rate for Payer: UHC Exchange |
$81.33
|
| Rate for Payer: UHC Medicare Advantage |
$81.33
|
|
|
CHG CREATININE OTHER SOURCE
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 82570
|
| Min. Negotiated Rate |
$3.89 |
| Max. Negotiated Rate |
$2,406.93 |
| Rate for Payer: Aetna Commercial |
$6.94
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$5.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,406.93
|
| Rate for Payer: BCN Commercial |
$3.89
|
| Rate for Payer: BCN Medicare Advantage |
$5.18
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| 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 |
$7.15
|
| 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 CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 89060
|
| Min. Negotiated Rate |
$7.33 |
| Max. Negotiated Rate |
$2,750.86 |
| Rate for Payer: Aetna Commercial |
$9.82
|
| Rate for Payer: Aetna Medicare |
$7.62
|
| Rate for Payer: BCBS Complete |
$11.85
|
| Rate for Payer: BCBS MAPPO |
$7.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,750.86
|
| Rate for Payer: BCN Commercial |
$30.50
|
| Rate for Payer: BCN Medicare Advantage |
$7.33
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$10.56
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.33
|
| Rate for Payer: Mclaren Medicaid |
$11.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.70
|
| Rate for Payer: Meridian Medicaid |
$11.85
|
| Rate for Payer: Nomi Health Commercial |
$8.80
|
| Rate for Payer: PACE SWMI |
$7.33
|
| Rate for Payer: PHP Medicare Advantage |
$7.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO |
$26.82
|
| Rate for Payer: Priority Health Medicare |
$7.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.33
|
| Rate for Payer: UHC Exchange |
$7.33
|
| Rate for Payer: UHC Medicare Advantage |
$7.33
|
| Rate for Payer: UHCCP Medicaid |
$11.29
|
|
|
CHG CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP
|
Professional
|
Both
|
$306.00
|
|
|
Service Code
|
HCPCS 75635
|
| Min. Negotiated Rate |
$71.14 |
| Max. Negotiated Rate |
$622.09 |
| Rate for Payer: Aetna Commercial |
$505.17
|
| Rate for Payer: Aetna Medicare |
$392.07
|
| Rate for Payer: BCBS Complete |
$74.70
|
| Rate for Payer: BCBS MAPPO |
$376.99
|
| Rate for Payer: BCBS Trust/PPO |
$164.30
|
| Rate for Payer: BCN Commercial |
$622.09
|
| Rate for Payer: BCN Medicare Advantage |
$376.99
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cash Price |
$244.80
|
| Rate for Payer: Cofinity Commercial |
$505.17
|
| Rate for Payer: Cofinity Commercial |
$542.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$376.99
|
| Rate for Payer: Mclaren Medicaid |
$71.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$395.84
|
| Rate for Payer: Meridian Medicaid |
$74.70
|
| Rate for Payer: Nomi Health Commercial |
$452.39
|
| Rate for Payer: PACE SWMI |
$376.99
|
| Rate for Payer: PHP Medicare Advantage |
$376.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.90
|
| Rate for Payer: Priority Health HMO/PPO |
$170.40
|
| Rate for Payer: Priority Health Medicare |
$380.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$170.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$376.99
|
| Rate for Payer: UHC Exchange |
$376.99
|
| Rate for Payer: UHC Medicare Advantage |
$376.99
|
| Rate for Payer: UHCCP Medicaid |
$71.14
|
|
|
CHG CTA ABDOMEN W/CONTRAST&IMG POSTPROCESSING
|
Professional
|
Both
|
$187.00
|
|
|
Service Code
|
HCPCS 74175
|
| Min. Negotiated Rate |
$54.53 |
| Max. Negotiated Rate |
$467.17 |
| Rate for Payer: Aetna Commercial |
$376.12
|
| Rate for Payer: Aetna Medicare |
$291.92
|
| Rate for Payer: BCBS Complete |
$57.26
|
| Rate for Payer: BCBS MAPPO |
$280.69
|
| Rate for Payer: BCN Commercial |
$467.17
|
| Rate for Payer: BCN Medicare Advantage |
$280.69
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cofinity Commercial |
$404.19
|
| Rate for Payer: Cofinity Commercial |
$376.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$280.69
|
| Rate for Payer: Mclaren Medicaid |
$54.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$294.72
|
| Rate for Payer: Meridian Medicaid |
$57.26
|
| Rate for Payer: Nomi Health Commercial |
$336.83
|
| Rate for Payer: PACE SWMI |
$280.69
|
| Rate for Payer: PHP Medicare Advantage |
$280.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.55
|
| Rate for Payer: Priority Health HMO/PPO |
$130.37
|
| Rate for Payer: Priority Health Medicare |
$283.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$280.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$280.69
|
| Rate for Payer: UHC Exchange |
$280.69
|
| Rate for Payer: UHC Medicare Advantage |
$280.69
|
| Rate for Payer: UHCCP Medicaid |
$54.53
|
|
|
CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING
|
Professional
|
Both
|
$225.00
|
|
|
Service Code
|
HCPCS 74174
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$579.57 |
| Rate for Payer: Aetna Commercial |
$467.28
|
| Rate for Payer: Aetna Medicare |
$362.67
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$348.72
|
| Rate for Payer: BCN Commercial |
$579.57
|
| Rate for Payer: BCN Medicare Advantage |
$348.72
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cofinity Commercial |
$502.16
|
| Rate for Payer: Cofinity Commercial |
$467.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.72
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$366.16
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Nomi Health Commercial |
$418.46
|
| Rate for Payer: PACE SWMI |
$348.72
|
| Rate for Payer: PHP Medicare Advantage |
$348.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.25
|
| Rate for Payer: Priority Health HMO/PPO |
$157.57
|
| Rate for Payer: Priority Health Medicare |
$352.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$157.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.72
|
| Rate for Payer: UHC Exchange |
$348.72
|
| Rate for Payer: UHC Medicare Advantage |
$348.72
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
|
|
CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 74177
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$465.22 |
| Rate for Payer: Aetna Commercial |
$371.26
|
| Rate for Payer: Aetna Medicare |
$288.14
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$277.06
|
| Rate for Payer: BCN Commercial |
$465.22
|
| Rate for Payer: BCN Medicare Advantage |
$277.06
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$371.26
|
| Rate for Payer: Cofinity Commercial |
$398.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$277.06
|
| Rate for Payer: Mclaren Medicaid |
$54.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$290.91
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Nomi Health Commercial |
$332.47
|
| Rate for Payer: PACE SWMI |
$277.06
|
| Rate for Payer: PHP Medicare Advantage |
$277.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health HMO/PPO |
$130.88
|
| Rate for Payer: Priority Health Medicare |
$279.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$277.06
|
| Rate for Payer: UHC Exchange |
$277.06
|
| Rate for Payer: UHC Medicare Advantage |
$277.06
|
| Rate for Payer: UHCCP Medicaid |
$54.95
|
|
|
CHG CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$180.00
|
|
|
Service Code
|
HCPCS 74176
|
| Min. Negotiated Rate |
$52.19 |
| Max. Negotiated Rate |
$277.56 |
| Rate for Payer: Aetna Commercial |
$228.58
|
| Rate for Payer: Aetna Medicare |
$177.40
|
| Rate for Payer: BCBS Complete |
$54.80
|
| Rate for Payer: BCBS MAPPO |
$170.58
|
| Rate for Payer: BCN Commercial |
$277.56
|
| Rate for Payer: BCN Medicare Advantage |
$170.58
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cofinity Commercial |
$245.64
|
| Rate for Payer: Cofinity Commercial |
$228.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.58
|
| Rate for Payer: Mclaren Medicaid |
$52.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.11
|
| Rate for Payer: Meridian Medicaid |
$54.80
|
| Rate for Payer: Nomi Health Commercial |
$204.70
|
| Rate for Payer: PACE SWMI |
$170.58
|
| Rate for Payer: PHP Medicare Advantage |
$170.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.00
|
| Rate for Payer: Priority Health HMO/PPO |
$125.23
|
| Rate for Payer: Priority Health Medicare |
$172.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.58
|
| Rate for Payer: UHC Exchange |
$170.58
|
| Rate for Payer: UHC Medicare Advantage |
$170.58
|
| Rate for Payer: UHCCP Medicaid |
$52.19
|
|
|
CHG CT ABDOMEN W/CONTRAST MATERIAL
|
Professional
|
Both
|
$132.00
|
|
|
Service Code
|
HCPCS 74160
|
| Min. Negotiated Rate |
$38.13 |
| Max. Negotiated Rate |
$2,524.22 |
| Rate for Payer: Aetna Commercial |
$283.01
|
| Rate for Payer: Aetna Commercial |
$283.01
|
| Rate for Payer: Aetna Medicare |
$219.65
|
| Rate for Payer: Aetna Medicare |
$219.65
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCBS MAPPO |
$211.20
|
| Rate for Payer: BCBS MAPPO |
$211.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,524.22
|
| Rate for Payer: BCBS Trust/PPO |
$2,524.22
|
| Rate for Payer: BCN Commercial |
$357.72
|
| Rate for Payer: BCN Commercial |
$357.72
|
| Rate for Payer: BCN Medicare Advantage |
$211.20
|
| Rate for Payer: BCN Medicare Advantage |
$211.20
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$105.60
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cofinity Commercial |
$283.01
|
| Rate for Payer: Cofinity Commercial |
$283.01
|
| Rate for Payer: Cofinity Commercial |
$304.13
|
| Rate for Payer: Cofinity Commercial |
$304.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$211.20
|
| Rate for Payer: Mclaren Medicaid |
$38.13
|
| Rate for Payer: Mclaren Medicaid |
$38.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.76
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Nomi Health Commercial |
$253.44
|
| Rate for Payer: Nomi Health Commercial |
$253.44
|
| Rate for Payer: PACE SWMI |
$211.20
|
| Rate for Payer: PACE SWMI |
$211.20
|
| Rate for Payer: PHP Medicare Advantage |
$211.20
|
| Rate for Payer: PHP Medicare Advantage |
$211.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.80
|
| Rate for Payer: Priority Health HMO/PPO |
$91.87
|
| Rate for Payer: Priority Health HMO/PPO |
$91.87
|
| Rate for Payer: Priority Health Medicare |
$213.31
|
| Rate for Payer: Priority Health Medicare |
$213.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$211.20
|
| Rate for Payer: UHC Exchange |
$211.20
|
| Rate for Payer: UHC Exchange |
$211.20
|
| Rate for Payer: UHC Medicare Advantage |
$211.20
|
| Rate for Payer: UHC Medicare Advantage |
$211.20
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
|
|
CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL
|
Professional
|
Both
|
$144.00
|
|
|
Service Code
|
HCPCS 74170
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$401.20 |
| Rate for Payer: Aetna Commercial |
$317.86
|
| Rate for Payer: Aetna Medicare |
$246.70
|
| Rate for Payer: BCBS Complete |
$43.84
|
| Rate for Payer: BCBS MAPPO |
$237.21
|
| Rate for Payer: BCN Commercial |
$401.20
|
| Rate for Payer: BCN Medicare Advantage |
$237.21
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cofinity Commercial |
$341.58
|
| Rate for Payer: Cofinity Commercial |
$317.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.21
|
| Rate for Payer: Mclaren Medicaid |
$41.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.07
|
| Rate for Payer: Meridian Medicaid |
$43.84
|
| Rate for Payer: Nomi Health Commercial |
$284.65
|
| Rate for Payer: PACE SWMI |
$237.21
|
| Rate for Payer: PHP Medicare Advantage |
$237.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.60
|
| Rate for Payer: Priority Health HMO/PPO |
$100.59
|
| Rate for Payer: Priority Health Medicare |
$239.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.21
|
| Rate for Payer: UHC Exchange |
$237.21
|
| Rate for Payer: UHC Medicare Advantage |
$237.21
|
| Rate for Payer: UHCCP Medicaid |
$41.75
|
|
|
CHG CT ABDOMEN W/O CONTRAST MATERIAL
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 74150
|
| Min. Negotiated Rate |
$35.57 |
| Max. Negotiated Rate |
$207.20 |
| Rate for Payer: Aetna Commercial |
$169.15
|
| Rate for Payer: Aetna Medicare |
$131.28
|
| Rate for Payer: BCBS Complete |
$37.35
|
| Rate for Payer: BCBS MAPPO |
$126.23
|
| Rate for Payer: BCN Commercial |
$207.20
|
| Rate for Payer: BCN Medicare Advantage |
$126.23
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cofinity Commercial |
$169.15
|
| Rate for Payer: Cofinity Commercial |
$181.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.23
|
| Rate for Payer: Mclaren Medicaid |
$35.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.54
|
| Rate for Payer: Meridian Medicaid |
$37.35
|
| Rate for Payer: Nomi Health Commercial |
$151.48
|
| Rate for Payer: PACE SWMI |
$126.23
|
| Rate for Payer: PHP Medicare Advantage |
$126.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health HMO/PPO |
$85.71
|
| Rate for Payer: Priority Health Medicare |
$127.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$85.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.23
|
| Rate for Payer: UHC Exchange |
$126.23
|
| Rate for Payer: UHC Medicare Advantage |
$126.23
|
| Rate for Payer: UHCCP Medicaid |
$35.57
|
|
|
CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH
|
Professional
|
Both
|
$206.00
|
|
|
Service Code
|
HCPCS 74178
|
| Min. Negotiated Rate |
$60.28 |
| Max. Negotiated Rate |
$520.93 |
| Rate for Payer: Aetna Commercial |
$415.55
|
| Rate for Payer: Aetna Medicare |
$322.51
|
| Rate for Payer: BCBS Complete |
$63.29
|
| Rate for Payer: BCBS MAPPO |
$310.11
|
| Rate for Payer: BCN Commercial |
$520.93
|
| Rate for Payer: BCN Medicare Advantage |
$310.11
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cofinity Commercial |
$446.56
|
| Rate for Payer: Cofinity Commercial |
$415.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.11
|
| Rate for Payer: Mclaren Medicaid |
$60.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.62
|
| Rate for Payer: Meridian Medicaid |
$63.29
|
| Rate for Payer: Nomi Health Commercial |
$372.13
|
| Rate for Payer: PACE SWMI |
$310.11
|
| Rate for Payer: PHP Medicare Advantage |
$310.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.90
|
| Rate for Payer: Priority Health HMO/PPO |
$144.23
|
| Rate for Payer: Priority Health Medicare |
$313.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$310.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$310.11
|
| Rate for Payer: UHC Exchange |
$310.11
|
| Rate for Payer: UHC Medicare Advantage |
$310.11
|
| Rate for Payer: UHCCP Medicaid |
$60.28
|
|
|
CHG CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST
|
Professional
|
Both
|
$246.00
|
|
|
Service Code
|
HCPCS 75574
|
| Min. Negotiated Rate |
$71.78 |
| Max. Negotiated Rate |
$485.26 |
| Rate for Payer: Aetna Commercial |
$399.63
|
| Rate for Payer: Aetna Medicare |
$310.16
|
| Rate for Payer: BCBS Complete |
$75.37
|
| Rate for Payer: BCBS MAPPO |
$298.23
|
| Rate for Payer: BCN Commercial |
$485.26
|
| Rate for Payer: BCN Medicare Advantage |
$298.23
|
| Rate for Payer: Cash Price |
$196.80
|
| Rate for Payer: Cash Price |
$196.80
|
| Rate for Payer: Cofinity Commercial |
$399.63
|
| Rate for Payer: Cofinity Commercial |
$429.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.23
|
| Rate for Payer: Mclaren Medicaid |
$71.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$313.14
|
| Rate for Payer: Meridian Medicaid |
$75.37
|
| Rate for Payer: Nomi Health Commercial |
$357.88
|
| Rate for Payer: PACE SWMI |
$298.23
|
| Rate for Payer: PHP Medicare Advantage |
$298.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.90
|
| Rate for Payer: Priority Health HMO/PPO |
$171.43
|
| Rate for Payer: Priority Health Medicare |
$301.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$171.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$298.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.23
|
| Rate for Payer: UHC Exchange |
$298.23
|
| Rate for Payer: UHC Medicare Advantage |
$298.23
|
| Rate for Payer: UHCCP Medicaid |
$71.78
|
|
|
CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 71275
|
| Min. Negotiated Rate |
$54.74 |
| Max. Negotiated Rate |
$427.59 |
| Rate for Payer: Aetna Commercial |
$347.69
|
| Rate for Payer: Aetna Medicare |
$269.85
|
| Rate for Payer: BCBS Complete |
$57.48
|
| Rate for Payer: BCBS MAPPO |
$259.47
|
| Rate for Payer: BCN Commercial |
$427.59
|
| Rate for Payer: BCN Medicare Advantage |
$259.47
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$373.64
|
| Rate for Payer: Cofinity Commercial |
$347.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.47
|
| Rate for Payer: Mclaren Medicaid |
$54.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$272.44
|
| Rate for Payer: Meridian Medicaid |
$57.48
|
| Rate for Payer: Nomi Health Commercial |
$311.36
|
| Rate for Payer: PACE SWMI |
$259.47
|
| Rate for Payer: PHP Medicare Advantage |
$259.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health HMO/PPO |
$130.88
|
| Rate for Payer: Priority Health Medicare |
$262.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$259.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.47
|
| Rate for Payer: UHC Exchange |
$259.47
|
| Rate for Payer: UHC Medicare Advantage |
$259.47
|
| Rate for Payer: UHCCP Medicaid |
$54.74
|
|
|
CHG CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS 70496
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$419.77 |
| Rate for Payer: Aetna Commercial |
$340.48
|
| Rate for Payer: Aetna Medicare |
$264.25
|
| Rate for Payer: BCBS Complete |
$55.02
|
| Rate for Payer: BCBS MAPPO |
$254.09
|
| Rate for Payer: BCN Commercial |
$419.77
|
| Rate for Payer: BCN Medicare Advantage |
$254.09
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cofinity Commercial |
$340.48
|
| Rate for Payer: Cofinity Commercial |
$365.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$254.09
|
| Rate for Payer: Mclaren Medicaid |
$52.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$266.79
|
| Rate for Payer: Meridian Medicaid |
$55.02
|
| Rate for Payer: Nomi Health Commercial |
$304.91
|
| Rate for Payer: PACE SWMI |
$254.09
|
| Rate for Payer: PHP Medicare Advantage |
$254.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.65
|
| Rate for Payer: Priority Health HMO/PPO |
$125.74
|
| Rate for Payer: Priority Health Medicare |
$256.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$125.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$254.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$254.09
|
| Rate for Payer: UHC Exchange |
$254.09
|
| Rate for Payer: UHC Medicare Advantage |
$254.09
|
| Rate for Payer: UHCCP Medicaid |
$52.40
|
|
|
CHG CT ANGIOGRAPHY LOWER EXTREMITY
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 73706
|
| Min. Negotiated Rate |
$56.66 |
| Max. Negotiated Rate |
$492.59 |
| Rate for Payer: Aetna Commercial |
$397.07
|
| Rate for Payer: Aetna Medicare |
$308.17
|
| Rate for Payer: BCBS Complete |
$59.49
|
| Rate for Payer: BCBS MAPPO |
$296.32
|
| Rate for Payer: BCN Commercial |
$492.59
|
| Rate for Payer: BCN Medicare Advantage |
$296.32
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$426.70
|
| Rate for Payer: Cofinity Commercial |
$397.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.32
|
| Rate for Payer: Mclaren Medicaid |
$56.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.14
|
| Rate for Payer: Meridian Medicaid |
$59.49
|
| Rate for Payer: Nomi Health Commercial |
$355.58
|
| Rate for Payer: PACE SWMI |
$296.32
|
| Rate for Payer: PHP Medicare Advantage |
$296.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
| Rate for Payer: Priority Health HMO/PPO |
$135.50
|
| Rate for Payer: Priority Health Medicare |
$299.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.32
|
| Rate for Payer: UHC Exchange |
$296.32
|
| Rate for Payer: UHC Medicare Advantage |
$296.32
|
| Rate for Payer: UHCCP Medicaid |
$56.66
|
|
